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Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga.
Published by Universitas Muhammadiyah Malang
ISSN : 0216759X     EISSN : 2614476     DOI : https://doi.org/10.22219/
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
Journal of Saintika Medika is a peer-reviewed and open access journal that focuses on promoting medical sciences generated from basic sciences, clinical, and community or public health research to integrate researches in all aspects of human health. This journal publishes original articles, reviews, and also interesting case reports. Brief communications containing short features of medicine, latest developments in diagnostic procedures, treatment, or other health issues that is important for the development of health care system are also acceptable. Letters and commentaries of our published articles are welcome.
Arjuna Subject : Kedokteran - Kedokteran Keluarga
Articles 2 Documents
 1 
Search results for , issue "Vol. 21 No. 2 (2025): December 2025" : 2 Documents clear
Epidemiology of Data: Critical Analysis of Under-Reporting the Double Burden of Nutrition and Its Comorbidities in Pediatric Patients Imanullah Akbar Izza Patria; Rinawati; Thontowi Djauhari Nur Subchi; Miftha Churochman
Saintika Medika : Jurnal Ilmu Kesehatan dan Kedokteran Keluarga Vol. 21 No. 2 (2025): December 2025
Publisher : Universitas Muhammadiyah Malang

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Abstract

Background: The Double Burden of Nutrition (DBGH) is a public health issue in urban areas of Indonesia. Hospitals are in a unique position to assess the clinical effects of DBGH. However, there are strong suspicions that medical records in hospitals significantly underreport this information. This situation hides the full extent of the problem, which then hinders the proper allocation of resourcesObjectives: T(1) to describe the epidemiological features of pediatric patients with DBGH (Malnutrition/E40-E46 and Obesity/E66) at Muhammadiyah General Hospital Malang (RSUMM) from 2019 to 2025, including diagnosed prevalence, age distribution, and sex; (2) to critically evaluate the diagnosed prevalence (N=1,092) by comparing it to community prevalence, considering the possibility of under-reporting; and (3) to analyze the patterns of comorbidities in the cases that were successfully recorded.Methods: This study used a quantitative, descriptive epidemiological design, specifically a cross-sectional approach. Data were gathered from the electronic medical records of pediatric patients, aged 0-18 years, who had been diagnosed with malnutrition (ICD-10 codes E40-E46) or obesity (E66) at RSUMM between January 1, 2019, and December 31, 2025. This process yielded a total sample size (N) of 1,092 cases.Results During the study, we found 1,092 cases of BGG in the medical records. Of the total, 671 cases (61.4%) were classified as Malnutrition (E40-E46), while 421 cases (38.6%) were classified as Obesity (E66). The highest rate of diagnosed cases was found in the 0-5 age group, which had a rate of 65.9%. Although the 1,092 cases seem substantial and are increasing, a critical examination reveals that this number is considerably lower than estimates of the community-level burden of BGG (e.g., national stunting prevalence in 2023 SKI >20%), suggesting considerable under-reporting. Analysis of the data shows a significant increase in BGG cases, going from 100 cases in 2019 to 250 cases by 2024. Acute Respiratory Infections (ARI/Pneumonia) and Diarrhea (Gastroenteritis) are the most common health problems seen with BGG.
Differences in Complete Blood Results and Nutritional Status of Patients with Cleft Lip and Palate at the CLP Center in University of Muhammadiyah Malang from 2020 to 2022 Asparini, Ruby Riana; Feby Alfina Damayanti; Kusuma Andriana; Diah Hermayanti
Saintika Medika : Jurnal Ilmu Kesehatan dan Kedokteran Keluarga Vol. 21 No. 2 (2025): December 2025
Publisher : Universitas Muhammadiyah Malang

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Abstract

Background: Patients with Cleft Lip (CL) and Cleft Lip and Palate (CLP) have difficulties with eating and breastfeeding, which makes them more susceptible to malnutrition (measured using the z-score parameter) and infections. CLP is caused by inappropriate levator palatini muscles and velopharyngeal insufficiency, which can lead to infection, inflammation, and allergies that can affect the immune system. The immune system responds to these components with leukocytes, particularly neutrophils, eosinophils, and lymphocytes. Objective: To determine the difference in complete blood results and nutritional status between cleft lip and cleft palate at the CLP Centre Faculty of Medicine, University of Muhammadiyah Malang in 2020-2022. Methods: The research was conducted at the CLP Centre FK UMM using observational methods with a total sample size. Results: The study found that males had a higher prevalence of CL and CLP. The most common z-score for patients with CL and CLP was below average for those under 24 months old, and above average for those over 35 months old. Extremely low z-scores were more common in CLP patients aged between 24 and 35 months. Patients with CL and CLP were less likely to have anemia, and there was no correlation between the z-score and anemia. Patients below 2 years old with CL and CLP had normal white blood cell counts, while those over 2 years old had higher levels of white blood cells, mainly neutrophils and lymphocytes. Eosinophilia, a condition with high levels of eosinophils, occurred only in patients with CL. Only lymphocytes showed statistically significant hematological values, with a p-value of 0.021 (p<0.05). Conclusion: It has been found that patients with CL and CLP have a statistically significant difference in their lymphocyte cells. Most cases of nutritional status issues occur in children younger than 24 months with a normal z-score. In contrast, children aged 24-35 months with an inadequate z-score are more likely to have nutritional issues in cases of CLP.

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