Yudith Setiati Ermaya
Department of Child Health Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung

Published : 10 Documents
Articles

Found 10 Documents
Search

Association of Hemoglobin Level Before Transfusion and Iron Chelating Agents with Growth Velocity in Childhood Thalassemia Major Ermaya, Yudith Setiati; Hilmanto, Dany; Reniarti, Lelani
Journal of the Indonesian Medical Association Vol. 57 No. 11 November 2007
Publisher : Journal of the Indonesian Medical Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (71.575 KB)

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 Fattima, Eliza Techa; Mutyara, Kuswandewi; Ermaya, Yudith Setiati; Setiawati, Elsa Pudji
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar

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
Association of Ascariasis with Nutritional and Anemic Status in Early School-Age Students Eidwina, Chin Annrie; Faridah, Lia; Ermaya, Yudith Setiati; Akhmad Gurnida, Dida
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Ascariasis is one of the most frequent helminthias is that occurred in school-age children. Commonly, severe intensity of infection will seriously affect the nutritional and anemic status of the students. The aim of this study was to determine the association of ascariasis with nutritional and anemic status in early school-age students. Methods: An analytical cross-sectional study was conducted based on the secondary data from Jatinangor Cohort. The secondary data of 74 students who met the criteria were included in this study. Data collection was conducted in the Department of Epidemiology and Biostatistics from August to September 2014. The data obtained was analyzed based on the characteristics of the students regarding gender, age, class, parents’ education, ascariasis, nutritional and anemic status. Then, the data were further analyzed to determine the association of ascariasis with nutritional and anemic status of the students using the chi square test or Fisher test if the requirement was not fulfilled.Results: Sixteen (22%) students were having Ascaris lumbricoides infection, six (8.1%) students were thin and seventeen (23%) students were anemic. There was no statistically significant association found of Ascaris lumbricoides infection with nutritional and anemic status in early school-age students (P value <0.05) in this study.Conclusions: There is no statistically significant association of Ascaris lumbricoides infection with nutritional and anemic status of the early school-age students. [AMJ.2016;3(1):93–8] DOI: 10.15850/amj.v3n1.710
Perbedaan Manifestasi Klinis dan Laboratorium Kolestasis Intrahepatal dengan Ekstrahepatal pada Bayi Prasetyo, Dwi; Ermaya, Yudith Setiati; Martiza, Iesje
Majalah Kedokteran Bandung Vol 48, No 1 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v48n1.733

Abstract

Ikterus fisiologis sering didapatkan pada bayi dan kebanyakan gejalanya ringan. Gejala ikterik biasanya akan menghilang dalam 2 minggu setelah lahir. Pada ikterus yang terkonjugasi terjadi defek produksi intrahepatal, transpor transmembran dari empedu, yaitu kolestasis intrahepatal (IH) atau obstruksi kolestasis ekstrahepatal (EH) yang mengakibatkan hambatan empedu. Penelitian ini dilakukan untuk melihat perbedaan manifestasi klinis dan laboratorium kolestasis IH dengan EH pada bayi. Studi potong lintang dilakukan pada 72 bayi dengan kolestasis yang datang ke Rumah Sakit Dr. Hasan Sadikin Bandung, periode Januari 2014–Desember 2015. Analisis data dilakukan dengan uji Pearson Chi-kuadrat dan Mann-Whitney. Subjek terdiri atas 43 (60%) laki-laki dan 29 (40%) perempuan, kolestasis IH sebanyak 61 orang (85%), dan EH sebanyak 11 (15%). Pada penelitian ini didapatkan perbedaan bermakna manifestasi klinis asites antara kolestasis IH dan EH (p=0,047), sedangkan venektasi, hepatomegali, dan splenomegali tidak didapatkan perbedaan bermakna. Pada pemeriksaan warna feses tidak didapatkan perbedaan bermakna (p=0,936), demikian juga hasil laboratorium bilirubin total, bilirubin direk, glutamat oksaloasetat transaminase, glutamat piruvat transaminase, alkali fosfatase, dan gama glutamil transferase serum tidak berbeda bermakna. Simpulan, didapatkan perbedaan manifestasi klinis asites, sedangkan manifestasi klinis yang lain dan hasil laboratorium tidak didapatkan perbedaan antara kolestasis IH dan EH. [MKB. 2016;48(1)45–50]Kata kunci: Kolestasis ekstrahepatal, kolestasis intrahepatal, laboratorium, manifestasi klinisDifferences of Clinical Manifestation and Laboratory Findings in Intra-Hepatic and Extra-Hepatic Cholestasis in InfantsAbstractPhysiological jaundice found in infants and most symptoms are often mild. Jaundice symptoms usually disappear within 2 weeks after birth. In conjugated jaundice defects in intra-hepatic production, transmembran transport from bile, i.e. cholestasis intra hepatic (IH), or extra-hepatic (EH) obstruction/cholestasis occur, resulting in bile barriers. This study was conducted to look at the differences in the clinical and laboratory manifestations of IH and EH cholestasis in infants. A cross-sectional study was performed on 72 infants with cholestasis who came to Dr. Hasan Sadikin General Hospital Bandung, during the period of January 2014–December 2015. Data analysis was performed with Pearson Chi-square test and Mann-Whitney. Subjects consisted of 43 (60%) infant boys and 29 (40%) infant girls, IH cholestasis were 61 (85%) and EH cholestasis were 11 (15.3%). Significant differences in the clinical manifestations of acites with IH and EH cholestasis were found (p=0.047), whereas insignificant differences in venectation, hepatomegaly and splenomegaly were observed. On examination of stool color, no significant difference was found (p=0.936). The same was true for laboratory results of total bilirubin, direct bilirubin, serum glutamic oxaloacetic transaminase, glutamic pyruvic transaminase, alkaline phosphatase and gamma glutamyl transferase. In conclusion, we found differences in clinical manifestation of acites, while for other clinical manifestations and laboratory results no differences were found between IH and EH cholestasis. [MKB. 2016;48(1)45–50]Key words: Clinical manifestation, extra-hepatic cholestasis, intra-hepatic colestasis, laboratory
Characteristics of Functional Constipation among Kindergarten Students in Kecamatan Jatinangor, West Java, Indonesia Giovanni, Livia; Ermaya, Yudith Setiati; Hafsah, Tisnasari
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v5n1.1128

Abstract

Background: Functional constipation can occur in children and affect their quality of life, but there is still lack of awareness and inability to provide proper management. Therefore, early detection is important. The aim of this study was to identify the prevalence of functional constipation among kindergarten students and its risks.Methods: A quantitative descriptive study was conducted from April to May 2017 on kindergarten students in Kecamatan Jatinangor, West Java, Indonesia by using questionnaires for their parents. In total, 149 parents joined the study.  The questionnaire was made based on the Rome IV Criteria with additional questions for the student’s characteristics comprised of sex, prematurity, allergy, family history of constipation, dietary fiber consumption, and parents’ education level. Descriptive analyses were conducted.Results: The prevalence of functional constipation among the students was 8.7% with the most frequent complaints were retentive posturing (76.9%), hard stool consistency (38.5%), and history of obstructing toilet by stool (38.5%). Characteristics of children with functional constipation were prematurity (15.4%), history of allergy (15.4%), low dietary fiber intake (from fruits, 69.2%, vegetables 84.6%, seeds 100%), and non-university educated parents (father 76.9%, mother 84.6%).Conclusions: Constipation among kindergarten students in Jatinangor is 8.7%, while the most apparent characteristics in constipated children is low dietary fiber intake. 
Correlation between Endoscopy Finding with Clinical Manifestations of Recurrent Abdominal Pain and Helicobacter pylori Infection Ermaya, Yudith Setiati; Prasetyo, Dwi
Majalah Anestesia dan Critical Care Vol 33 No 3 (2015): Oktober
Publisher : Perdatin Pusat

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Recurrent Abdominal Pain (RAP) is abdominal pain that occurs three times or more within 3 months that can interfere with daily activities for children. Prevalence of RAP 10%–30%, with functional or organic causes. Organic causes include infection with Helicobacter pylori (H. pylori). Globally &gt;50% of the world’s population is infected with H. pylori, especially in developing countries, as the gold standard histological examination using an endoscope with anesthesia. This research to found the correlation between the endoscopic finding with clinical manifestations RAP and H. pylori infection. A cross-sectional study was conducted on 20 patients with complaints RAP children who come to the Hospital Dr. Hasan Sadikin, the period April–November 2015. Analysis using Pearson Chi-square, Spearman rho, Fisher’s exact and Mann-Whitney test. Subject as 20 children, consisting of 10 boys and 10 girls, median age 12 years, most clinical manifestations are RAP 60% and 80% erosion endoscopic finding. There were no significant correlation between the endoscopic finding with clinical manifestations, but have tendency endoscopic finding worse with severe clinical manifestations. Infection of H. pylori found positive in 90% subjects, boys 55%, there is no significant correlation between the endoscopic finding with H. pylori infection (p=0.133). Conclusions not found a significant correlation between endoscopy finding with clinical manifestations and H. pylori infection.
Characteristics of Functional Constipation among Kindergarten Students in Kecamatan Jatinangor, West Java, Indonesia Giovanni, Livia; Ermaya, Yudith Setiati; Hafsah, Tisnasari
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v5n1.1128

Abstract

Background: Functional constipation can occur in children and affect their quality of life, but there is still lack of awareness and inability to provide proper management. Therefore, early detection is important. The aim of this study was to identify the prevalence of functional constipation among kindergarten students and its risks.Methods: A quantitative descriptive study was conducted from April to May 2017 on kindergarten students in Kecamatan Jatinangor, West Java, Indonesia by using questionnaires for their parents. In total, 149 parents joined the study.  The questionnaire was made based on the Rome IV Criteria with additional questions for the student’s characteristics comprised of sex, prematurity, allergy, family history of constipation, dietary fiber consumption, and parents’ education level. Descriptive analyses were conducted.Results: The prevalence of functional constipation among the students was 8.7% with the most frequent complaints were retentive posturing (76.9%), hard stool consistency (38.5%), and history of obstructing toilet by stool (38.5%). Characteristics of children with functional constipation were prematurity (15.4%), history of allergy (15.4%), low dietary fiber intake (from fruits, 69.2%, vegetables 84.6%, seeds 100%), and non-university educated parents (father 76.9%, mother 84.6%).Conclusions: Constipation among kindergarten students in Jatinangor is 8.7%, while the most apparent characteristics in constipated children is low dietary fiber intake. 
Perbedaan Manifestasi Klinis dan Laboratorium Kolestasis Intrahepatal dengan Ekstrahepatal pada Bayi Prasetyo, Dwi; Ermaya, Yudith Setiati; Martiza, Iesje
Majalah Kedokteran Bandung Vol 48, No 1 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v48n1.733

Abstract

Ikterus fisiologis sering didapatkan pada bayi dan kebanyakan gejalanya ringan. Gejala ikterik biasanya akan menghilang dalam 2 minggu setelah lahir. Pada ikterus yang terkonjugasi terjadi defek produksi intrahepatal, transpor transmembran dari empedu, yaitu kolestasis intrahepatal (IH) atau obstruksi kolestasis ekstrahepatal (EH) yang mengakibatkan hambatan empedu. Penelitian ini dilakukan untuk melihat perbedaan manifestasi klinis dan laboratorium kolestasis IH dengan EH pada bayi. Studi potong lintang dilakukan pada 72 bayi dengan kolestasis yang datang ke Rumah Sakit Dr. Hasan Sadikin Bandung, periode Januari 2014–Desember 2015. Analisis data dilakukan dengan uji Pearson Chi-kuadrat dan Mann-Whitney. Subjek terdiri atas 43 (60%) laki-laki dan 29 (40%) perempuan, kolestasis IH sebanyak 61 orang (85%), dan EH sebanyak 11 (15%). Pada penelitian ini didapatkan perbedaan bermakna manifestasi klinis asites antara kolestasis IH dan EH (p=0,047), sedangkan venektasi, hepatomegali, dan splenomegali tidak didapatkan perbedaan bermakna. Pada pemeriksaan warna feses tidak didapatkan perbedaan bermakna (p=0,936), demikian juga hasil laboratorium bilirubin total, bilirubin direk, glutamat oksaloasetat transaminase, glutamat piruvat transaminase, alkali fosfatase, dan gama glutamil transferase serum tidak berbeda bermakna. Simpulan, didapatkan perbedaan manifestasi klinis asites, sedangkan manifestasi klinis yang lain dan hasil laboratorium tidak didapatkan perbedaan antara kolestasis IH dan EH. [MKB. 2016;48(1)45–50]Kata kunci: Kolestasis ekstrahepatal, kolestasis intrahepatal, laboratorium, manifestasi klinisDifferences of Clinical Manifestation and Laboratory Findings in Intra-Hepatic and Extra-Hepatic Cholestasis in InfantsAbstractPhysiological jaundice found in infants and most symptoms are often mild. Jaundice symptoms usually disappear within 2 weeks after birth. In conjugated jaundice defects in intra-hepatic production, transmembran transport from bile, i.e. cholestasis intra hepatic (IH), or extra-hepatic (EH) obstruction/cholestasis occur, resulting in bile barriers. This study was conducted to look at the differences in the clinical and laboratory manifestations of IH and EH cholestasis in infants. A cross-sectional study was performed on 72 infants with cholestasis who came to Dr. Hasan Sadikin General Hospital Bandung, during the period of January 2014–December 2015. Data analysis was performed with Pearson Chi-square test and Mann-Whitney. Subjects consisted of 43 (60%) infant boys and 29 (40%) infant girls, IH cholestasis were 61 (85%) and EH cholestasis were 11 (15.3%). Significant differences in the clinical manifestations of acites with IH and EH cholestasis were found (p=0.047), whereas insignificant differences in venectation, hepatomegaly and splenomegaly were observed. On examination of stool color, no significant difference was found (p=0.936). The same was true for laboratory results of total bilirubin, direct bilirubin, serum glutamic oxaloacetic transaminase, glutamic pyruvic transaminase, alkaline phosphatase and gamma glutamyl transferase. In conclusion, we found differences in clinical manifestation of acites, while for other clinical manifestations and laboratory results no differences were found between IH and EH cholestasis. [MKB. 2016;48(1)45–50]Key words: Clinical manifestation, extra-hepatic cholestasis, intra-hepatic colestasis, laboratory
Mother’s Knowledge, Attitude, Practice toward Safe Water Usage and Incidence of Diarrhea in Children at Baleendah Bandung Fattima, Eliza Techa; Mutyara, Kuswandewi; Ermaya, Yudith Setiati; Setiawati, Elsa Pudji
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar

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
Association of Ascariasis with Nutritional and Anemic Status in Early School-Age Students Eidwina, Chin Annrie; Faridah, Lia; Ermaya, Yudith Setiati; Akhmad Gurnida, Dida
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Ascariasis is one of the most frequent helminthias is that occurred in school-age children. Commonly, severe intensity of infection will seriously affect the nutritional and anemic status of the students. The aim of this study was to determine the association of ascariasis with nutritional and anemic status in early school-age students. Methods: An analytical cross-sectional study was conducted based on the secondary data from Jatinangor Cohort. The secondary data of 74 students who met the criteria were included in this study. Data collection was conducted in the Department of Epidemiology and Biostatistics from August to September 2014. The data obtained was analyzed based on the characteristics of the students regarding gender, age, class, parents’ education, ascariasis, nutritional and anemic status. Then, the data were further analyzed to determine the association of ascariasis with nutritional and anemic status of the students using the chi square test or Fisher test if the requirement was not fulfilled.Results: Sixteen (22%) students were having Ascaris lumbricoides infection, six (8.1%) students were thin and seventeen (23%) students were anemic. There was no statistically significant association found of Ascaris lumbricoides infection with nutritional and anemic status in early school-age students (P value <0.05) in this study.Conclusions: There is no statistically significant association of Ascaris lumbricoides infection with nutritional and anemic status of the early school-age students. [AMJ.2016;3(1):93–8] DOI: 10.15850/amj.v3n1.710