PENDAMPINGAN PEMERIKSAAN TEKANAN DARAH PADA ANAK DAN KONSELING TENTANG HIPERTENSI ANAK DI PUSKESMAS SEMATANG BORANG KOTA PALEMBANG

Tujuan dari pengabdian masyarakat ini adalah untuk meningkatkan kesadaran dan pengetahuan masyarakat di Kecamatan Sematang Borang Kota Palembang mengenai hipertensi pada anak dan meningkatkan keterampilan para petugas kesehatan mengenai cara pemeriksaan tekanan darah dan penentuan klasifikasi hipertensi pada anak. Model kegiatan adalah pendampingan dengan metode pelaksanaannya berupa pelatihan teknis pada petugas kesehatan dan edukasi serta konseling pada masyarakat. Pendampingan dilakukan dalam rangka untuk menghasilkan petugas kesehatan yang terlatih dan terampil dalam melakukan pemeriksaan tekanan darah pada anak secara tepat, menentukan klasifikasi hipertensi dan menatalaksana awalnya dengan baik. Edukasi dan konseling dilakukan dalam rangka menambah pengetahuan dan pemahaman masyarakat mengenai hipertensi yang terjadi tidak hanya pada dewasa namun juga dapat mulai terjadi pada anak sehingga dapat dilakukan pencegahan komplikasi hipertensi pada anak

RELATIONSHIP BETWEEN FAMILY HISTORY OF HYPERTENSION AND SMOKING HABITS WITH INCIDENCE OF HYPERTENSION AMONG ADOLESCENTS IN PALEMBANG

Hypertension does not only occur in adults, but 3-5% occurs in adolescents so early detection of hypertension is very important to reduce complications due to hypertension. Family history of hypertension and smoking habits have been proven to be a risk factor for hypertension in adolescents. This study aims to determine the relationship between family history of hypertension and smoking habits with Incidence of Hypertension Among Adolescent in Palembang.The research conducted was observation research with cross sectional study design. Using primary data which obtained from blood pressure measurements and filling out questionnaires. The sample of this study were students from 12 high schools in Palembang who met the inclusion criteria and did not meet the exclusion criteria with a total sample of 515 students. The results of the chi-square analysis showed that there was significant relationship between family history of hypertension with Incidence of Hypertension Among Adolescent (p=0,000; PR=3,299; 95% CI= 2,906-7,265). And there was no significant relationship between smoking habits with Incidence of Hypertension Among Adolescent (p=1,000; PR=0,916; 95% CI= 0,293-2,735) in Palembang

PEMBERDAYAAN GURU DAN ORANG TUA DALAM PENERAPAN GIZI SEIMBANG PADA MURID SEKOLAH DASAR

Kegiatan pembelajaran pada beberapa sekolah tetap dilaksanakan secara tatap muka pada masa pandemi COVID-19. Sekolah Dasar Negeri 2 Talang Kelapa di Kabupaten Banyuasin adalah salah satunya. Keterbatasan fasilitas dan kesulitan orang tua mendampingi anak belajar di rumah menjadi pertimbangan keputusan tersebut. Pencegahan penyebaran infeksi berupa penerapan protokol kesehatan secara ketat dan menjaga daya tahan tubuh murid menjadi perhatian utama pihak sekolah maupun orang tua murid. Salah satu upaya menjaga daya tahan tubuh adalah melalui asupan gizi seimbang. Kegiatan pengabdian kepada masyarakat oleh Fakultas Kedokteran Universitas Sriwijaya ini bertujuan memberdayakan guru dan orang tua agar dapat mengimplementasikan Pedoman Gizi Seimbang pada murid. Tahap pertama kegiatan adalah pengumpulan data antropometri melalui pemeriksaan tinggi badan dan berat badan pada 48 murid. Tahap selanjutnya adalah pemberdayaan 30 peserta yang terdiri dari guru dan orang tua. Peserta menjalani pretest, mengikuti webinar, dan melakukan praktik menentukan status gizi menggunakan data antropometri. Hasil praktik peserta mendapatkan 10 murid yang memiliki status gizi di luar rentang normal, yang selanjutnya disarankan untuk dipantau. Pada akhir kegiatan, dilakukan evaluasi dari rangkaian kegiatan. Peserta kegiatan memahami mengenai gizi seimbang untuk anak dan yakin dapat menerapkannya di rumah dan di sekola

Transcutaneous billirubinometry to estimate total serum bilirubin in neonatal jaundice

Background The gold standard for diagnosis of neonatal jaundice is total serum bilirubin (TSB) measurement. This method, however, is invasive, painful, and costly in terms of workload, time, and money. Moreover, repeated blood sampling may lead to significant blood loss, which is of particular concern in preterm infants. To overcome these drawbacks, non-invasive methods of bilirubin measurement have been proposed. Transcutaneous bilirubinometry (TcB) determines the yellowness of the subcutaneous tissue of a newborn infant by measuring the difference between optical densities for light in the blue and green wavelength regions. Objective To evaluate the accuracy of transcutaneous bilirubinometry for estimating TSB levels in neonatal jaundice. Methods Subjects were infants aged < 28 days with jaundice who had never been treated with phototherapy or exchange transfusion. The study was done from February to July 2016 in Mohammad Hoesin Hospital. Subjects underwent transcutaneous bilirubin (TcB) and TSB assays, with a maximum interval of 15 minutes between tests. Results One hundred fifty patients were included in this study. The TcB values > 5 mg/dL were correlated to TSB > 5 mg/dL, with 100% sensitivity and 83.3% specificity. This cut-off point was obtained from a receiver-operator characteristic (ROC) curve with AUC 99.3% (95%CI 97.9 to 100%; P< 0.001).The correlation coefficients (r) for TSB and TcB measurements on the forehead were 0.897 (P<0.001). Conclusion Transcutaneous bilirubinometry can be used to accurately estimate TSB levels in neonatal jaundice, and may be useful in clinical practice as a non-invasive method to reduce blood sampling

Prevalence of Hypertension and Its Associated Factors among Indonesian Adolescents

Background. Given that hypertension in adulthood has its onset in childhood, it is not surprising that the prevalence of hypertension among adolescents has also increased in recent years. However, there are limited data on the prevalence of hypertension and also the new AAP guideline has not yet been applied to the Indonesian adolescent population. Thus, this study aimed to evaluate the prevalence of hypertension using the new AAP guideline and to assess the occurrence of its associated factors among Indonesian adolescents. Methods. This was a cross-sectional study conducted at twelve senior high schools in Palembang, South Sumatera, Indonesia, from June to December 2019. The study included adolescents aged 13 to 18 years old. Anthropometric measurements were obtained. Multiple logistic regression was used to assess the risk factors most associated with hypertension among adolescents, and then an equation model was created. The prevalence of hypertension was evaluated, together with several factors such as age group, sex, ethnicity, family history of hypertension, nutritional status, physical activity, perceived stress, sleep duration, nutritional intake, and smoking. Results. In total, 1200 adolescents aged 15.9 ± 0.99 years were evaluated. The prevalence of hypertension and elevated blood pressure among adolescents was 8% and 12.2%, respectively. There were significant associations between sex, family history of hypertension, hypertensive father, nutritional status, physical activity, perceived stress, and hypertension among Indonesian adolescents (p<0.05). Stress was the most powerful risk factor of hypertension with an odds ratio of 5.83 (95% confidence interval 2.91–11.6). Conclusions. Nowadays, the prevalence of hypertension among Indonesian adolescents is quite high. This may be caused by lifestyle or behavior changes among adolescents. Sex, family history of hypertension, nutritional status, physical activity, and perceived stress influenced the 27% hypertension prevalence rate among Indonesian adolescents, particularly in Palembang, South Sumatera. In order to decrease the prevalence of hypertension in adults, concern about lifestyle or behavior changes and hypertension among adolescents should be given