Hubungan Status Gizi Anak Usia 2-5 Tahun dengan Kelainan Jantung Bawaan Biru di RSUD Dr Soetomo Surabaya

Latar belakang. Kelainan jantung bawaan biru adalah tipe umum dari kelainan jantung bawaan yang salah satunya disebabkan oleh faktor status gizi. Malnutrisi pada anak dengan kelainan jantung bawaan biru dapat meningkatkan mortalitas dan morbiditas. Tujuan. Untuk menganalisis hubungan status gizi dengan kelainan jantung bawaan biru. Metode. Penelitian ini menggunakan rancangan observatif cross-sectional. Berat badan, usia, dan jenis kelamin diambil sebagai variabel penelitian. Status gizi dihitung dengan menggunakan metode z-skor dan dibagi menjadi dua kelompok yaitu malnutrisi dan gizi baik. Hasil. Prevalensi kelainan jantung bawaan biru pada anak perempuan adalah 28 anak dan pada anak laki-laki adalah 16 anak. Angka kejadian terbanyak adalah pada anak usia 21-24 bulan. Tetralogi Fallot adalah tipe yang kelainan jantung bawaan biru terbanyak (68,2% dari total kelainan jantung bawaan biru). Pasien kelainan jantung bawaan biru dengan malnutrisi 63,6% dan gizi baik 36,4%. Dengan uji Chi-square diperoleh hubungan yang bermakna secara statistik (p=0,007) dan hubungan ini pada α=0,05 adalah lemah karena koefisien korelasinya sebesar 0,313. Kesimpulan. Terdapat hubungan yang lemah antara status gizi dengan kelainan jantung bawaan biru pada anak usia 2-5 tahun

Risk Factors of Uterine Prolapse in Dr. Soetomo General Academic Hospital, Surabaya

Introduction: Uterine prolapse can occurs due to the failure of the ligamentous and fascial supports of the uterus. It causes inconvenience to the patients because of genital tract dysfunction and decrease quality of life. The risk factor are multifactorial. Advancing age, increasing parity, vaginal delivery, and menopause is associated with the uterine risk factors. The aim of this study is to describe the stage, treatment, age, parity, vaginal delivery, and menopause status of women with uterine prolapse in Dr. Soetomo General Academic Hospital, Surabaya. Methods: This research is a descriptive study. The sample is included all women with complaints of uterine prolapse diagnosed and treated at Dr. Soetomo General Academic Hospital, Surabaya from January – December 2017. Statistical was analysed descriptively. Results: From total 82 patients of uterine prolapse in Gynecology Outpatient Clinic Dr. Soetomo General Academic Hospital, Surabaya in 2017, most of the uterine prolapse patients were older than 65 years old (45.1%) and multiparous (62.2%). More than half of the patients (61%) have had more than three vaginal deliveries and have gone through menopause (91.5%). Stage IV prolapse, 33 cases (40.2%) has the highest percentage. Mostly, 47 cases (57.3%) received conservative treatment. Conclusion: Uterine prolapse is most likely to be found in women with older age, came from those in the age group of >65 years old. The incidence of uterine prolapse might increase in multiparous women, have more than three vaginal deliveries, and have gone through menopause. Most of them is on stage IV and received conservative treatment. It is important for women to be educated about uterine prolapse risk factor as an uterine prolapse prevention

The Relationship Between Breastfeeding Patterns And Incidence Of Diarrhea In Children Aged 7–23 Months

Breastmilk is the main source of nutrition for infants, giving protection through its immunity properties. Indonesian Ministry of Health targeted 80% coverage 6-months-exclusive-breastfeeding. However, it is very difficult to achieve, even the prevalence of exclusive-breastfeeding trends to decline from year to year. In Baturetno Village, Singosari District, Malang Regency, exclusive-breast feeding proportion is 59%. This research is aimed to analyze the relationship between breastfeeding patterns and incidence of diarrhea in children aged 7-23 months. Method: This was analytic-observational study with cross-sectional design. Sixty children aged 7 – 23 months were randomly included. 32 children (53%) were male. Their parent were interviewed based on questionaire about their breastfeeding patterns and last two weeks incidence of diarrhea. Results: The proportion of exclusive breastfeeding was 58.33% and the incidence of diarrhea in last 2 weeks was 31.67%. Chi-Square test result illustrates there was association between breastfeeding patterns and incidence of diarrhea (p=0.004, PR 0.33, 95%CI 0.145-0.748). Based on contingency coefficient, a strong relationship between breastfeeding patterns and the incidence of diarrhea in the last 2 weeks was 0.347 (moderate). Conclusion: There was relationship between breastfeeding patterns and incidence of diarrhea in children aged 7-23 months. Exclusive-breastfeeding children have 67% lower incidence of diarrhea

THE USE OF GLUCOSAMINE AND THE INCREASE OF IOP: A LITERATURE REVIEW

Highlights: 1. There are differences in the result of the use of glucosamine and the increase of intraocular pressure. 2. There are many other factors that may contribute to the increase in the intraocular pressure other than the use of glucosamine such as races, genetics, different dose, and duration of glucosamine use. Abstract: Background: Glucosamine is an amino monosaccharide that can directly stimulate the synthesis of glycosaminoglycans in the cartilage. It has been widely used as an osteoarthritis treatment. However, several literatures show the possible side effects of glucosamine, such as increased intraocular pressure (IOP). Objective: The objective of this study was to determine if there was any correlation between the use of glucosamine and the increase in IOP. Material and Method: This was a descriptive qualitative study that implied a systematic review design. The study sample consisted of patients with osteoarthritis (OA) and glaucoma in Iran, Indonesia, Thailand, the USA, and India between 2013 and 2018. The literature search was conducted on a database (PubMed and Google Scholar) and selected using inclusion and exclusion criteria. Discussion: The research identified 5 studies on the use of glucosamine and the increase of IOP. Two articles provide significant results on the correlation between the use of glucosamine and the increase of IOP (P < 0.05). In addition, two studies showed significant IOP reduction outcomes after discontinuation of glucosamine (P < 0.05). A case series indicated an increase in IOP during the 6th month of glucosamine use but still at normal value. Conclusion: Many other factors contribute to IOP growth, other than the use of glucosamine. Therefore, a large-scale randomized clinical trial or a multicentre cohort study using the same parameters is still needed to improve the quality of the subsequent systematic revie

Isu Etik dalam Penelitian di Bidang Kesehatan

Buku ini ditulis secara multidisipliner oleh para dokter, ahli farmasi, dan psikolog. Hampir seluruh penulis bukan merupakan etikawan atau teoris etika. Komposisi penulis seperti ini jarang ditemukan, bila bukan tiada, dalam literatur etika penelitian kesehatan di Indonesia. Hal ini sekaligus menjadi ciri distingtif dari buku ini karena buku etika di bidang kesehatan di Indonesia pada umumnya ditulis oleh filsuf atau teoris dalam bidang moral atau etika. Penulisan buku ini mau melengkapi perbendaharaan buku-buku bioetika dan etika penelitian kesehatan yang sudah ada di Indonesia. Hal ini menggambarkan adanya kepedulian aksiologis dari para penulis. Meskipun etika "sedang naik daun" (Bertens, 2001), tidak dapat dipungkiri bahwa kepedulian semacam ini sangatlah langka di tengah-tengah sikap pragmatis ilmuwan dan profesi serta berbagai bentuk pengabaian untuk melakukan refleksi etis terhadap keputusan-keputusan yang akan, sedang, atau sudah diambilnya .... (Buku) ini menunjukkan kesadaran ilmuwan dan praktisi penelitian di bidang kesehatan mengenai urgensi penguasaan state of the art isu-isu etis yang berkenaan dengan metodologi maupun isi dari ilmu dan praktiknya sendiri. Hal ini merupakan syarat perlu agar ilmuwan dan praktisi lebih bertanggung jawab dalam memberikan pandangan dan penilaian etis serta menentukan tindakan etisnya

Faktor Risiko pada Pasien Herpes Zoster di URJ Kulit dan Kelamin RSUD Dr. Soetomo Surabaya Periode Januari 2015 – Desember 2017

Herpes Zoster (HZ) adalah penyakit virus yang dapat disebabkan oleh reaktivasi virus varicella-zoster yang tetap tidak aktif di ganglia sensorik saraf kranial atau ganglia akar dorsal setelah infeksi varisela sebelumnya. Setelah reaktivasi, virus bereplikasi di badan sel saraf dan virion dapat dilepaskan dari sel yang dibawa ke saraf ke area kulit yang diinervasi oleh ganglion. Semakin tua usia seseorang, risiko terkena HZ juga meningkat. Penelitian ini bertujuan untuk menganalisis faktor risiko pada pasien HZ terutama di URJ kulit dan kelamin RSUD Dr. Soetomo Surabaya. Penelitian ini menggunakan metode analitik retrospektif dengan desain penelitian case-control pada pasien HZ yang tercatat dan terdokumentasi pada Rekam Medis pasien URJ Kulit dan Kelamin RSUD Dr. Soetomo Surabaya periode 2015 – 2017. Data tersebut dianalisis secara simultan dengan analisis multivariat logistik menggunakan aplikasi Statistical Product and Service Solution (SPSS) dengan jenis uji Odds Ratio. Didapatkan bahwa sebanyak 62 (23,5%) &nbsp;pasien HZ adalah berusia 56-65 tahun, dengan perempuan sebagai jenis kelamin yang lebih dominan sebesar 146 (55,3%) serta pasien yang memiliki penyakit komorbid seperti Diabetes Melitus tipe 2 15 (2,9%) juga memiliki angka kejadian yang lebih banyak. Hasil penelitian menunjukkan ada pengaruh yang signifikan antara usia lanjut dengan pasien HZ dengan nilai p = 0,000 dan komorbid seperti diabetes melitus tipe 2 dengan nilai p = 0,000 Berdasarkan hasil tersebut, maka dapat disimpulkan bahwa faktor risiko berupa usia lanjut dan faktor penyakit komorbid yang dimiliki oleh seseorang menjadi salah satu faktor risiko terbanyak akan kejadian HZ

Host factors related to pneumonia in children under 5 years of age

Background Pneumonia has been one of the serious problems for children under five in Indonesia. Imbalanced interactions among host factors, agents, and environments influence incidence of pneumonia. Objective To determine the risks of the host related to the incidence of pneumonia in children aged 3-59 months in Pediatrics Department, Dr. Soetomo General Hospital during 2011-2012. Methods This was a case control study on medical records of patients with respiratory infections in Pediatrics Department, Dr. Soetomo General Hospital. We grouped patients with pneumonia as the case group and patients with other respiratory infections as the control group. The data were statistically processed to calculate odds ratios and P values. Results There were 326 subjects reviewed, 163 in the case group and 163 in the control group. Host factors that increased the risk of pneumonia were: low birth weight (OR=3.10; 95%CI 1.34 to 6.86), inadequate exclusive breastfeeding (OR=1.7; 95%CI 1.09 to 2.64), malnutrition (OR=3.44; 95%CI 2.12 to 5.58) and incomplete immunization in a certain period of age (OR=2.70; 95%CI 1.72 to 4.24). Existed comorbidity was unrelated to the incidence of pneumonia (OR=1.53; 95%CI 0.86 to 2.71). Conclusion Low birth weight, inadequate exclusive breastfeeding, malnutrition, and incomplete immunization in a certain period of age increase the risk of pneumonia

Tingkat dan Faktor-Faktor Yang Berhubungan Dengan Persiapan Persalinan dan Komplikasi

Trend kematian ibu dan penyebabnya merupakan perhatian dunia sehingga upaya preventif terhadap kematian ibu menjadi agenda utama global. Penyebab langsung yang paling umum dari kematian ibu adalah perdarahan, infeksi, hipertensi, aborsi yang tidak aman, dan persalinan macet serta penyebab tidak langsung seperti anemia, malaria, dan penyakit jantung. Namun Sebagian besar kematian ibu dapat dicegah dengan manajemen tepat waktu oleh tenaga Kesehatan yang terampil dan profesional di fasilitas kesehatan terstandar serta persiapan yang matang dalam mempersiapakan persalinan dan komplikasi yang mungkin terjadi secara tiba-tiba. Meski demikian, Angka Kematian Ibu (AKI) tetap terbilang tinggi. Sehingga menimbulkan pertanyaa , bagaimana tingkat partisipatif dan faktor-faktor yang berhubungan dengan persiapan persalinan dan komplikasi. Telaah literatur (Literature review) ini bersumber dari berbagai artikel penelitian yang diterbitkan diantara tahun 2016 samapai dengan tahun 2021. Pencarian artikel dibantu dengan penggunaan kata kunci, kriteria inklusi dan eksklusi. Ditentukan 5 sumber artikel yang layak dan relevan untuk digunakan setelah melewati tahap critical appraisal. Berdasarkan beberapa penjelasan dari sumber dapat disimpulkan bahwa tingkat partisipatif dalam persiapan persalinan dan komplikasi masih sangat rendah disebabkan oleh faktor usia, Pendidikan, pekerjaan, ekonomi, pengetahuan, keaktifan dalam forum ibu hamil, dukungan suami, dan riwayat pemeriksaan kehamilan serta rumah tangga rawan pangan. &nbsp

The Correlation Between Online Doctor Application And The Quality Of Users' Patient Health Service

Abstract Background: During this COVID-19 pandemic, service that provides online health consultation such as online doctor application has become popular in public. The quality of health service is an important thing that needs to be considered because there are still skepticism and a lot of user negative reviews regarding the quality of online health service. Methods: This study is a correlative analytical observational study with a cross sectional study design. 120 respondents were obtained with purposive sampling techniques. The instrument is Telehealth Usability Questionnaire (TUQ) translated into Indonesian and validated through pre-test. The correlation between the variables was analyzed using Chi-Square correlation test. Results: X with the largest number of users (42.5%) has the best quality of users patient health service, followed by Y in terms of the number of users (37.5%) and the quality of users patient health service, and Z in terms of the number of users (20%) and the quality of users patient health service. The results of the Chi-Square correlation test showed p=0.012 (<0.05), means that there is a significant correlation between online doctor application and usability indicator, p=0.228 0.097 0.180 0.494 0.231 (≥0.05), means that there are no significant correlation between online doctor application and ease of use and learnability interface quality interaction quality reliability and satisfaction and future use indicators, p=0.044 (<0.05), means that there is a significant correlation between online doctor application and the quality of users patient health service. Conclusion: X with the largest number of users has the best quality of users patient health service, followed by Y and Z. There is a correlation between online doctor application and usability indicator. There are no correlation between online doctor application and ease of use and learnability interface quality interaction quality reliability and satisfaction and future use indicators. There is a correlation between online doctor application and the quality of users patient health service

The Relationship between Family Function and Emotional Mental Problems in Children in Surabaya

The family is the main factor in the emotional and mental formation of the child. A child's emotional mental problem is a mental change that pathologically occurs in the child. This study aims to identify the relationship between family functioning and emotional mental problems in children. This study used a cross-sectional analytical method using The McMaster Familly Assessment Device questionnaire and the Strengths and Difficulties questionnaire. The results of this study showed that there was a relationship between family functioning and children's emotional mental problems on difficulty scores with p = 0.000 &lt; 0.05;  r  = - 0.327, and there is no relationship between family functioning and the child's emotional mental problems on the strength score, p = 0.074 &gt; 0.0