Hakimi Hakimi
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High protein and iron-folate crackers supplementation on the iron status of pregnant women Anwar, Faisal; Mudjajanto, Eddy S.; Martianto, Drajat; Hakimi, Hakimi
Medical Journal of Indonesia Vol 12, No 4 (2003): October-December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (180.184 KB) | DOI: 10.13181/mji.v12i4.118

Abstract

Previous studies have revealed that several factors influenced the relatively low success of iron supplementation for pregnant women. The factors included poor distribution, low coverage and compliance, as well as low absorption. The aim of this study is to measure the iron status of pregnant women after consuming crackers containing fish powder and iron-folate. This study was carried out in the Purworejo district (Central Java) from February through October 2002. Using a randomized controlled trial (RCT) design, 70 pregnant women in their second-third month of pregnancy were recruited, and divided into two groups. Ten women dropped out during the study. The first group consisted of 28 women were given protein – iron enriched crackers (PIEC group), while the second group of 32 women were given iron–enriched crackers (IEC group) for a total of 12 weeks. The results showed that the hemoglobin (Hb) levels and serum transferrin receptors (sTfR) of both groups were increased. Serum ferritins (SF) of both groups were decreased. At the end of the study, the increase in Hb and sTfR levels between the two groups were significantly different, while the decrease in SF was not significantly different. Animal protein from fish powder tended to improve absorption of non-heme iron among pregnant women, resulting in improved Hb and sTfR levels. (Med J Indones 2003; 12: 243-6)Keywords: pregnant women, anemia, iron deficiency, high protein crackers
Pertumbuhan Fisik Anak Obesitas Lailani, Dini; Hakimi, Hakimi
Sari Pediatri Vol 5, No 3 (2003)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp5.3.2003.99-102

Abstract

Anak yang mengalami obesitas pada usia pra pubertas memiliki tinggi badan di atasrata-rata anak seusianya. Penelitian mengenai hal ini menunjukkan bahwa anakmengalami masa pacu tumbuh yang lebih awal namun saat proses pertumbuhan hampirselesai kecepatan tersebut akan berkurang relatif dibandingkan anak normal, sehinggatinggi badan akhir anak saat dewasa tetap sama dengan rata-rata tinggi badan orangtuanya atau bahkan lebih pendek bila dibandingkan dengan anak yang tidak mengalamiobesitas pada masa pertumbuhannya. Dijumpai abnormalitas pada hormon yang berperandalam pertumbuhan linier pada anak yang mengalami obesitas yaitu pada aksis GHIGF,hormon seks steroid, dan glukokortikoid.
Gambaran Kunjungan Pasien Rawat Jalan Endokrinologi Anak dan Remaja FK USU / RS. H. Adam Malik Medan, Tahun 2000-2004 Deliana, Melda; Hakimi, Hakimi; CD, Siregar
Sari Pediatri Vol 7, No 4 (2006)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp7.4.2006.183-7

Abstract

Latar belakang. Masyarakat banyak yang tidak mengetahui bahwa kelainan endokrinpada anak membutuhkan penanganan yang khusus dari ahli endokrinologi anak.Tujuan penelitian. Penelitian ini bertujuan untuk mengetahui gambaran kunjunganpasien endokrinologi anak dan remaja di RS H.Adam Malik Medan tahun 2000-2004.Metoda. Penelitian ini merupakan studi deskriptif retrospektif. Data diperoleh daricatatan rekam medik pasien yang berkunjung ke Poliklinik Endokrinologi Anak danRemaja FKUSU/RS. H. Adam Malik Medan dalam kurun waktu Januari 2000-Desember2004.Hasil. Terdapat 93 pasien yang berkunjung ke Poliklinik Endokrinologi Anak danRemaja, 33 anak perempuan (35%) dan 60 anak laki-laki(65%). Sebaran umur padasaat datang pertama kali adalah 33 anak (35%) berusia 0-5 tahun, 25 anak (27%) berusia> 5-10 tahun, 25 anak (27) % > 10-15 tahun, dan 10 anak (11%) berusia >15 tahun.Keluhan utama yang paling sering muncul pada saat pasien datang berobat pertama kaliadalah alat kelamin laki-laki kecil 15 kasus (16%) dan buah zakar tidak turun 15 kasus(16%), keluhan anak pendek 13 kasus (14%), benjolan di leher 12 kasus (13 %). Diagnosisyang dijumpai adalah kriptorkismus (20%), mikropenis (16%) dan hipotiroidismekongenital (13%). Status gizi berdasarkan NCHS WHO 2000 pada pasien yangberkunjung terutama gizi baik, terdapat pada 22 kasus (23,6%).Kesimpulan. Kasus terbanyak berkunjung ke Poliklinik Endokrinologi Anak dan Remajaadalah kriptorkismus (20%), mikropenis (16%) dan hipotiroidisme kongenital (13%).Diduga masih banyak kasus endokrinologi anak dan remaja yang tidak ditangani olehahli endokrinologi anak secara komprehensif oleh karena kemungkinan banyak kasusyang tidak dirujuk.
Ukuran Besar Testis Anak Laki-laki pada Saat Awitan Pubertas Hakimi, Hakimi; Siregar, Charles D.; Deliana, Melda; Rahmawati, Lily
Sari Pediatri Vol 7, No 2 (2005)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp7.2.2005.68-72

Abstract

Latar belakang: data memperlihatkan terjadi perubahan usia awitan pubertas pada anaklaki-laki dalam beberapa dekade belakangan ini. Hal ini mungkin disebabkan adanyaperbaikan kondisi sosioekonomi, status gizi, kesehatan umum dalam jangka waktutertentu tersebut. Perubahan tersebut mungkin juga mempengaruhi ukuran testis padasaat awitan pubertas anak laki-laki.Tujuan: untuk mengetahui gambaran besar testis anak laki-laki pada saat awitan pubertas.Metoda: penelitian cross sectional pada anak laki-laki di beberapa sekolah SD/ SLTP,dilakukan pada bulan Februari 2004 di kota Medan. Sampel penelitian diambil secarasystematic random sampling. Pemeriksaan ukuran testis dilakukan dengan caraorkidometer Prader.Hasil: diperoleh jumlah subjek 122 orang anak, besar testis anak laki-laki pada saatawitan pubertas dimulai pada ukuran nomor 4 sampai 12. Dijumpai besar testis terbanyakpada ukuran nomor 8 (37,3%) dan 12 (1,6%). Kelompok umur 9-10 tahun memulaiawitan pubertas pada ukuran testis nomor 4, umur 11-12 tahun pada nomor 5, danumur 13-14 tahun memulai pada nomor 6. Pada anak dengan obesitas memulai awitanpubertas pada ukuran testis nomor 5, status gizi lebih pada nomor 6, status gizi baik,sedang, kurang dan buruk masing-masing pada nomor 4.Kesimpulan: besar testis anak laki-laki pada saat awitan pubertas dimulai ukuran nomor4 sampai 12, dan besar testis terbanyak sesuai ukuran orkidometer Prader nomor 8.Kelompok umur yang lebih tua dan status gizi lebih baik memulai awitan pubertas padaukuran testis lebih besar.
Prevalensi Mikropenis pada Murid Taman Kanak - Kanak Hakimi, Hakimi; Siregar, Charles Darwin; Deliana, Melda
Sari Pediatri Vol 6, No 3 (2004)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp6.3.2004.115-8

Abstract

Penis kecil yang sering dikeluhkan orang tua pada umumnya mengenai ukuranpanjangnya. Sebenarnya selain dimensi panjang penis, diameter maupun konsistensipenis perlu diperhatikan juga apakah normal atau tidak. Penelitian ini bertujuan untukmengetahui ukuran penis anak usia 2-6 tahun di Kelompok Bermain dan Taman Kanakkanak.Penelitian ini merupakan studi deskriptif. Data penelitian diperoleh darikunjungan pada empat Taman Kanak-kanak (TK) di Kota Madya Medan yaitu TKHarapan, TK Al-Azhar, TK Al-Ikhsan, dan TK Yayasan Pendidikan ShafiyyatulAmaliyyah (YPSA) pada tanggal 16–19 Oktober 2004. Responden pada penelitian iniberjumlah 107 anak berusia 2- 6 tahun. Diagnosis mikropenis ditegakkan bila ukuranpanjang penis kurang dari -2,5 SD untuk usia tanpa disertai kelainan anatomis penissedangkan small penis adalah bila ukuran panjang penis berada di antara nilai rerata dan-2,5 SD. Dijumpai 9 anak dengan gizi lebih (>NCHS), 2 anak obesitas (IMT>P95) , 7anak gizi baik (P3- NCHS) dan 91 anak gizi kurang (<NCHS). Pengukuran tinggibadan dijumpai 2 anak perawakan tinggi (>NCHS), 3 anak perawakan pendek (<NCHS),dan 102 anak perawakan normal (P3- NCHS). Pada penelitian ini ditemui 20 kasusmikropenis (18,7%), small penis ditemukan 77 kasus (72%) sedangkan yang memilikiukuran penis normal 10 orang (9,4%).
School performance in pubertal adolescents with dysmenorrhea Alam, Syamsir; Hakimi, Hakimi; Sembiring, Tiangsa; Deliana, Melda; Lubis, Siska Mayasari
Paediatrica Indonesiana Vol 51 No 4 (2011): July 2011
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi51.4.2011.213-6

Abstract

Background Dysmenorrhea is a common gynecological symptom reported in adolescent girls. Prevalence of the condition has been reported to be 45 - 75%. Absenteeism from work and school as a result of dysmenorrhea is common (13 - 51% of women have been absent at least once, and 5 - 14% are often absent due to the severity of symptoms).Objective To compare school performance in pubertal adolescent girls with and without dysmenorrhea.Methods This cross-sectional study was conducted in June 2010 in adolescent females aged 12 - 18 years from the Musthafawiyah School, Mandailing Natal district, North Sumatera. Adolescent females with and without dysmenorrhea were recruited for this study. All participants completed questionnaires including age of menarche, length of menstrual cycle, length of bleeding, number of sanitary napkins used daily and school absences. School reports from two consecutive semesters in one year were used to evaluate subjects’ academic performance. An academic score of higher than 7.5 was considered good performance while scores of less than 7.5 were considered poor. We used the chi-square test to analyze differences in school performance between girls with and without dysmenorrhea.Results One hundred and sixteen participants were divided into 2 groups, those with and without dysmenorrhea, of 58 subjects each. We found no significant difference in school performance between the two groups, P=0.176 (95% CI -0.009 to -0.048 and P=0.08 (95%CI -0.052 to 0.024).Conclusion There was no significant difference in school performance of girls with and without dysmenorrhea.
Effectiveness of amitriptyline for treating functional dyspepsia in adolescents Mustawa, Indra; Supriatmo, Supriatmo; Hakimi, Hakimi; Sinuhaji, Atan Baas
Paediatrica Indonesiana Vol 56 No 5 (2016): September 2016
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi56.5.2016.262-6

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Background Functional dyspepsia is common among adolescents. Pain reduces children’s quality of life, psychosocial functioning, and school attendance. Amitriptyline is assumed to be one of the alternative treatments in functional dyspepsia.Objective To investigate the effectiveness of amytriptyline as a treatment  for  functional dyspepsia in adolescents.Methods We conducted a randomized, single-blind, controlled trial from January to March 2011 in junior and senior high school students in Dobo City, Aru Island District, Maluku Province. Adolescents suffering from functional dyspepsia and who fulfilled the inclusion criteria were eligible for the study. Subjects were randomized into two groups. Each group received 10 mg (for body weight &lt; 35 kg) or 20 mg (for body weight ≥ 35 kg) amitriptyline or placebo once per day for 28 days. Pain frequency was measured in terms of abdominal pain episodes per month, and duration was measured in minutes. Data were analyzed using t-test.Results Eighty-eight students participated in this study: the amitriptyline group (43 subjects) and the placebo group (45 subjects). There were no statistically significant differences between the amitriptyline and placebo groups in frequency (P=0.777; 95%CI -0.846 to 1.129) or duration (P=0.728) of abdominal pain after treatment.Conclusion  Amitriptyline is not more effective than placebo for treating functional dyspepsia in adolescents.  
Growth velocity in elementary school children with iron deficiency anemia after iron therapy Lyfia, Dina; Deliana, Melda; Hakimi, Hakimi; Rosdiana, Nelly; Lubis, Bidasari
Paediatrica Indonesiana Vol 49 No 5 (2009): September 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (106.951 KB) | DOI: 10.14238/pi49.5.2009.249-52

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Background Iron supplementation in children with iron deficiencyanemia could decrease the incidence of stunting.Objective To study the effect of iron therapy on growth velocityin children with iron deficiency anemia.Methods A randomized clinical trial study was conducted atLabuhan Batu on November 2006 to May 2007. Iron deficiencyanemia was diagnosed if there were anemia, with mean corpuscular hemoglobin concentration &lt;31 %, red cell distribution width index &gt; 220, and Mentzer index&gt; 13. Elementary school children (6-12 year old) with iron deficiency anemia were randomly assigned either to iron therapy group (children were given 6 mg iron/kg/day) or to placebo group for 3 months.Results Among 300 children recruited, there were 125 children,who suffered from iron deficiency anemia. After one month ofiron therapy, means of hemoglobin concentration were 12.4 g/dl in iron group and 11.7 g/dl in placebo group. There was a significant increase of height in iron group (129.9 (SD 7.58) em vs. 132.2 (SD 7.23) em) and in placebo (130.8 (SD 8.78) em vs. 128.7 (SD 8. 79) em), However, no significant difference was found in the mean of growth velocity between placebo and iron groups (2.1 (SD 0.01) em vs. 2.0 (SD 0.9) em.Conclusion There is a significant increase in height, but nosignificant difference between both groups in growth velocity.
Obesity among children aged 10-13 years in public and private elementary schools Kamelia, Evi; Nurdiani, Nurdiani; Sembiring, Tiansa; Hakimi, Hakimi; Lubis, Iskandar Z
Paediatrica Indonesiana Vol 43 No 2 (2003): March 2003
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.551 KB) | DOI: 10.14238/pi43.2.2003.38-41

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Background In the last few years, the prevalence of obesity amongIndonesian children has been beginning to increase slowly, butstudies and publications about obesity are limited. In accordancewith the improvement of social economic and child health, obesitycan be seen more frequently as a problem in children.Objective To evaluate and compare the prevalence and relatedfactors of obesity among children 10-13 year-old who were stu-dents of two kinds of school, namely public and private elementaryschool.Methods A cross sectional study was done from October untilDecember 1995 on 276 elementary school students aged 10-13years consisting of 138 public and 138 private elementary schoolstudents. Data were collected by a questionnaire including anam-nesis of family history and type of daily diet, physical examination,and anthropometric measurement.Results The prevalence of obesity among children in the publicand private elementary schools was 9% and 20% respectively,which showed a significant difference (p&lt;0.01). The prevalence ofobesity among children was significantly related to parents’ wel-fare, excessive daily calorie intake, level of physical activity, andobesity problem in the family.Conclusion The prevalence of obesity in students of private andpublic elementary schools was 20% and 9% respectively. Socialeconomic level, calorie intake, sport activities, and obesity prob-lems in the family are factors related to the prevalence of childobesity
Effectiveness of vitamin E as a treatment of primary dysmenorrhea in pubertal adolescents Wagito, Wagito; Lubis, Siska Mayasari; Deliana, Melda; Hakimi, Hakimi
Paediatrica Indonesiana Vol 51 No 1 (2011): January 2011
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi51.1.2011.41-6

Abstract

Background Primary dysmenorrhea is a common complaint among adolescents. Absenteeism from work and school are associated with the severity of symptoms. Vitamin E is an alternative treatment for primary dysmenorrhea.Objective To evaluate the effectiveness of vitamin E as a treatment of primary dysmenorrhea.Methods We conducted a randomized, double-blind, controlled trial from August to October 2009. We included female adolescents With primary dysmenorrhea in this study. Subjects were divided into 2 groups by simple randomization. Each group received either 200 units of vitamin E or a placebo twice daily, beginning two days before menstruation and continuing until the third day of menstruation. Treatment was repeated for three menstrual cycles. Subjects recorded the severity and duration of pain in a daily diary. Data was analyzed using Chi􀁍square, Mann􀁍W hitney U􀁍test, and independent T-test.Results One hundred􀁍sixteen primary dysmenorrhea subjects enrolled in our study. By simple randomization, they were divided into two groups of 58 subjects each. There were no statistically significant differences between the two groups in the severity and duration of pain before the start of treatment and after 1 month of treatment. After treatment for 2 months and 3 months, there were statistically significant differences in pain severity (P=0.013, 95%CI -0.54 to -0.11; and P=0.0001, 95%CI -0.67 to -0.26, respectively) and pain duration (P=0.025, 95%CI -0.65 to -0.07 and P=0.007, 95%CI -0.75 to -0.12, respectively) between the 2 groups.Conclusion Vitamin E was effective in treatment of primary dysmenorrhea in pubertal adolescents after 2 and 3 months of treatment.