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Yudith Setiati Ermaya
Department of Child Health Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung
Articles
2
Documents
Association of Hemoglobin Level Before Transfusion and Iron Chelating Agents with Growth Velocity in Childhood Thalassemia Major

Journal of the Indonesian Medical Association Vol. 57 No. 11 November 2007
Publisher : Journal of the Indonesian Medical Association

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Abstract

The association between thalassemia major and growth retardation has been known, but the factors affect growth velocity remain unclear. The aim of this study was to determine mean hemoglobin level before transfusion and iron chelating agents as risk factors for growth velocity retardation in childhood thalassemia major. The study was conducted from October 2006 to April 2007 at the Clinic of Pediatric Thalassemia Hasan Sadikin Hospital Bandung. The subjects meeting inclusion criteria were examined for the average hemoglobin level (g/dL) and optimalization of iron chelating agents. Afterwards, we performed growth velocity calculation (cm/year). Association of hemoglobin level before transfusion and iron chelating agents with growth velocity were analyzed by odds rasio (OR). Fifty-five subjects of 30 male and 25 female, with ages ranged from 4 years 1 month to 9 years 10 months. Fourteen subjects received transfusion when hemoglobin level was <7 g/dL, and 41 subjects e”7 g/dL. The average iron chelating agents administered was (45±4.95 mg/kgBW); forty-six subjects received inoptimal iron chelating agents and nine subjects optimal. Forty-two subjects had growth velocity retardation (<4.5 cm/year) and 13 subjects had normal growth (e”4.5 cm/year). The association of mean hemoglobin level before transfusion and optimalization iron chelating agents with growth velocity were, respectively, (OR=5.6; p=0.117) and (OR=0.7; p=0.727). It was concluded that mean hemoglobin level before transfusion and iron chelating agents are not significant risk factors for growth velocity retardation in chilhhood thalassemia major.Keywords: Thalassemia major, mean hemoglobin level, growth velocity, risk factor

Mother’s Knowledge, Attitude, Practice toward Safe Water Usage and Incidence of Diarrhea in Children at Baleendah Bandung

Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Poor environmental conditions contribute to the high incidence of diarrhea, most of those caused by unsecure water and poor health knowledge. This study was conducted to evaluate the mother’s knowledge, attitude, and practice toward safe water usage in Baleendah, Bandung.Methods: A cross sectional descriptive study was conducted in Baleendah during September−October 2012, participated by 210 mothers with 12−59 months children, and using rapid survey method. This study used a questionnaire to measure the three domains, which consists of 8 questions of knowledge, 10 questions of attitudes, 16 questions of practice, and 7 questions of diarrhea. The collected data were analyzed and presented in table.Results: As much as 168 (80%) of mothers were in moderate knowledge status, 126 (60%) of mothers were in moderate attitude status. Practically, 127 (54.7%) of mothers used water from borehole/tube well. Most of the mothers (54.6%) use drinking water from refillable water store.Conclusions: Most mothers who participated have varied moderate knowledge and attitude status, and practice toward safe water usage. DOI: 10.15850/amj.v2n3.503