Dida Akhmad Gurnida
Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Padjadjaran Rumah Sakit Dr. Hasan Sadikin Bandung

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Hubungan Kadar Feritin dan Ion Kalsium Serum pada Penyandang Thalassemia Mayor Anak yang Mendapat Transfusi Berulang Amelia, Mercy; Gurnida, Dida Akhmad; Reniarti, Lelani
Sari Pediatri Vol 16, No 1 (2014)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp16.1.2014.1-4

Abstract

Latar belakang. Kadar feritin tinggi akibat transfusi berulang menyebabkan kerusakan calcium sensing receptor pada sel paratiroid dan kerusakan sel hati. Terjadi kegagalan stimulasi sekresi hormon paratiroid dan pembentukan 25(OH)D3 sehingga absorbsi kalsium terhambat, terjadi hipokalsemia.Tujuan. Menentukan hubungan feritin dengan ion kalsium serum dilakukan pemeriksaan feritin dan ion kalsium serum.Metode. Penelitian potong lintang dilaksanakan dari Mei–Juni 2013, 40 penyandang thalassemia usia 5–14 tahun yang mendapat transfusi berulang dilibatkan. Metode ECLIA (electrochemiluminescent immunoassay) digunakan untuk pemeriksaan kadar feritin serum dan ISE (ion selective electrode) untuk kadar ion kalsium serum. Perbandingan ditentukan dengan uji Mann-Whitney dan Kruskal-Wallis dan analisis faktor risiko dengan uji regresi logistik multipel.Hasil. Didapat 40 subjek, 32 subjek menderita malnutrisi ringan dan 4 subjek mengalami anemia gravis. Duapuluh dua subjek mengalami hipokalsemi. Hasil analisis regresi logistik menunjukkan kadar feritin serum memiliki hubungan bermakna dengan hipokalsemia (p<0,001, rasio odd 76,5). Faktor usia onset transfusi, penggunaan kelasi, dan frekuensi transfusi tidak memiliki hubungan bermakna dengan kejadian hipokalsemia.Kesimpulan. Kadar feritin serum berhubungan dengan hipokalsemia pada penyandang thalassemia mayor anak yang mendapat transfusi berulang.
Pattern of Energy and Protein Intake among Stunted Children Aged 3–5 Years in Jatinangor Laurus, Geraldo; Fatimah, Siti Nur; Gurnida, Dida Akhmad
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: A child’s optimal growth can be indicated by many factors, among them is body height, therefore stunting is one of the evidences of undergrowth. Nutrition, on the other hand, is one of variables affecting growth. This study aimed to examine the nutrition intake, in the form of energy, carbohydrate, protein, and fat in stunted children aged 3–5 years in Jatinangor.Methods: This cross sectional study was carried out in September to October 2014 using the random sampling method. Dietary data from 70 stunted children aged 3–5 years in pre–school and kindegarten located in 9 urban areas in Jatinangor were collected through 3x24 Recall and Food Frequency Questionaire and analyzed.Results: Mean energy intake was 1113.6 kcal and mean carbohydrate intake was 137.4 grams. Mean protein intake was 38.4 gram and mean fat intake was 38.2 gram. Types of food highly consumed as the source of carbohydrate were white rice and biscuit, and as the source of protein were meatball, sausage, and egg. Highest consumed vegetables, fruits and snack were water spinach, cabbage, watermelon, banana, and milk respectively.Conclusions: Mean energy intake, mean carbohydrate intake, and mean fat intake are all below the recommended dietary allowance (RDA) 2013 with individual value of mean energy intake is below RDA 2013 for all subjects. Mean protein intake is slightly above RDA 2013. [AMJ.2016;3(3):364– 70]DOI: 10.15850/amj.v3n3.907 
Correlation between Health Perception, Body Image, and Eating Habits in High School Students Ichsan, Abdullah; Afriandi, Irvan; Gurnida, Dida Akhmad
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Mental disorders, including eating disorders, mostly begin during youth. Moreover, negative body image is found to cause unhealthy eating habits in the context of several cross-cultural settings. This study aimed to examine the correlation between health perception and body image with eating habitsamong high school students.Methods: A structured, anonymous questionnaire was distributed to students of a private high school in Bandung, Indonesia in June-October 2014. The questionnaire included questions about health perception, body image, eating habits, body weight and height, and also other demographic parameters. The school was selected as the study object through purposive sampling, and 140 high school students (72 male and 68 female) were ramdomly selected.Results: Male and female did not show considerable differences in health perceptions. Out of 13 statements, 12 statements of male respondents showed better body image than female. While in eating habits statements, female respondents seemed to maintain healthier eating habits than male respondents. No significant correlation was observed between body image and eating habits (r=-0.015, p=0.858). There was significant correlation between health perception and eating habits (r=0.374, p<0.001). Correlation between sex andeating habits was found (p=0.020), there was not significant relationship between eating habits and Body Mass Index (BMI) (p=0.368).Conclusions: The negative relationship between body image and eating habits is not significant. However there was a significant positive relationship between health perception and eating habits. Furthermore, there was correlation between sex and eating habits, while the positive relationship between eating habits and BMI was still not found. [AMJ.2016;3(2):216–21]DOI: 10.15850/amj.v3n2.770
Relationship between ionized calcium and serum albumin level in children with idiopathic nephrotic syndrome Winata, Viiola Irene; Gurnida, Dida Akhmad; Sekarwana, Nanan
Paediatrica Indonesiana Vol 50 No 6 (2010): November 2010
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi50.6.2010.361-4

Abstract

Background Nephrotic syndrome (NS) patients frequently have abnormalities in calcium metabolism that manifest as hypocalcemia and reduced intestinal absorption of calcium. Hypocalcemia is initially attributed to hypoalbuminemia but it may also relate to a low level of ionized calcium. The ionized calcium level depends on the severity and duration of proteinuria.Objective To assess the rel ationship between ionized calcium and serum albumin level in idiopathic NS children.Methods An analytical study with cross-sectional design was applied to NS and healthy children between 1-14 years old in the Child Health Department of Hasan Sadikin Hospital, Bandung from December 2009 to April 2010. Ionized calcium was examined by Ca2 + analyzer AVL 980 with ion-selective electrodes (ISE) methods.Results A total of34 subjects were recruited, consist of 17 NS and 17 healthy children. The mean ionized calcium and serum albumin level in NS children was 4.56 (SD 0.23) mg/dLand 1.45 (SD 0.24) g/dL, respectively. Statistical difference between ionized calcium level in NS and in healthy children was significant (P&lt;0.05). Pearson correlation test between ionized calcium and serum albumin was significant (P&lt;0.05) with correlation coefficient (r) 0.53. We found the following equation to estimate ionized calcium (y) based on the serum albumin level (x): y=3.84+0.49x.Conclusion There is a moderately positive linear relationship between ionized calcium and serum albumin level in NS children.
Perbandingan Kadar Hemoglobin pada Bayi yang Diberikan Makanan Pendamping ASI Buatan Pabrik dengan Buatan Rumahan Kartika, Hani Hilda; Gurnida, Dida Akhmad; Primadi, Aris
Sari Pediatri Vol 20, No 5 (2019)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (104.682 KB) | DOI: 10.14238/sp20.5.2019.276-82

Abstract

Latar belakang. Anemia merupakan masalah kesehatan global di dunia. Penyebab tertinggi anemia adalah defisiensi besi, umumnya terjadi setelah usia 6 bulan saat masa penyapihan. Dinegara berkembang, orangtua lebih sering memberikan MPASI buatan rumahan yang seringkali tidak dapat memenuhi kebutuhan zat mikronutrien dibandingkan MPASI berfortifikasi buatan pabrik karena alasan ekonomi.Tujuan. Mendapatkan gambaran perbedaan kadar Hemoglobin (Hb) bayi yang diberikan MPASI buatan pabrik dengan buatan rumahan.Metode. Penelitian analitik komparatif potong lintang dilaksanakan pada Mei-Juni 2018 di wilayah kerja Puskesmas Garuda kota Bandung pada bayi usia 7-8 bulan secara consecutive sampling yang memenuhi kiteria inklusi untuk masing-masing kelompok MPASI buatan pabrik dan buatan rumahan. Dilakukan pengukuran kadar Hb dan recall pemberian makanan dalam 7 hari terakhir. Uji statistik dilakukan menggunakan uji t dan Mann Whitney dengan tingkat kemaknaan p<0,05.Hasil.Terdapat 36 bayi terbagi dalam 2 kelompok. Rerata kadar Hb bayi kelompok MPASI buatan pabrik 11,48 g/dL (0,85 SD), kelompok buatan rumahan 10,8 g/dL (1,2 SD). Didapatkan perbedaan yang bermakna antara jenis MPASI dengan kadar Hb (p<0.03).Kesimpulan.Kadar hemoglobin bayi yang mendapatkan MPASI buatan pabrik lebih tinggi dibandingkan bayi yang mendapatkan MPASI buatan rumahan. MPASI berfortifikasi buatan pabrik dapat diberikan sebagai salah satu upaya pencegahan anemia.
Serum interleukin-6 and mean platelet volume in pediatric pneumonia Lilisari, Melisa; Nataprawira, Heda Melinda; Gurnida, Dida Akhmad
Paediatrica Indonesiana Vol 56 No 1 (2016): January 2016
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (269.186 KB) | DOI: 10.14238/pi56.1.2016.57-61

Abstract

Background In pneumonia, interleukin (IL)-6 is released in response to inflammation. Interleukin-6 stimulates megakaryocyte maturation, leading to larger platelets being released into the circulation. Platelet size is measured as mean platelet volume (MPV). The MPV may also be affected by nutritional status and smoking.Objective To assess for a possible relationship between serum IL-6 concentration and MPV, including smoking and nutritional status as confounding factors, in children with pneumonia.Methods An analytic, observational study with cross-sectional design and consecutive sampling of children aged 2 to 59 months with a clinical diagnosis of pneumonia was conducted from November 2013 to March 2014 in Dr. Hasan Sadikin General Hospital and two network hospitals. All patients underwent routine complete blood counts including MPV and measurement of serum IL-6 concentration using an enzyme-linked immunosorbent assay (ELISA) technique. Regression linear analysis was used to assess the relationship between MPV and IL-6, passive smoking, and nutritional status.Results There were 67 patients enrolled in the study. Subjects’ mean serum IL-6 concentration was 49.3 (SD 78.3) pg/mL, and mean MPV was 9.2 (SD 0.9) fL. The regression model for MPV was 7.531 + 0.662 (passive smoking) + 0.276 (weight per age) + 0.009 (IL-6).Conclusion There was a relationship between IL-6 serum concentration and MPV in children with pneumonia.
Pattern of Energy and Protein Intake among Stunted Children Aged 3–5 Years in Jatinangor Laurus, Geraldo; Fatimah, Siti Nur; Gurnida, Dida Akhmad
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: A child’s optimal growth can be indicated by many factors, among them is body height, therefore stunting is one of the evidences of undergrowth. Nutrition, on the other hand, is one of variables affecting growth. This study aimed to examine the nutrition intake, in the form of energy, carbohydrate, protein, and fat in stunted children aged 3–5 years in Jatinangor.Methods: This cross sectional study was carried out in September to October 2014 using the random sampling method. Dietary data from 70 stunted children aged 3–5 years in pre–school and kindegarten located in 9 urban areas in Jatinangor were collected through 3x24 Recall and Food Frequency Questionaire and analyzed.Results: Mean energy intake was 1113.6 kcal and mean carbohydrate intake was 137.4 grams. Mean protein intake was 38.4 gram and mean fat intake was 38.2 gram. Types of food highly consumed as the source of carbohydrate were white rice and biscuit, and as the source of protein were meatball, sausage, and egg. Highest consumed vegetables, fruits and snack were water spinach, cabbage, watermelon, banana, and milk respectively.Conclusions: Mean energy intake, mean carbohydrate intake, and mean fat intake are all below the recommended dietary allowance (RDA) 2013 with individual value of mean energy intake is below RDA 2013 for all subjects. Mean protein intake is slightly above RDA 2013. [AMJ.2016;3(3):364– 70]DOI: 10.15850/amj.v3n3.907 
ANALISIS HASIL JANGKA PENDEK PELAKSANAAN KONSELING PEMBERIAN MAKAN BAYI DAN ANAK MENGGUNAKAN PEMODELAN RASCH Nurwulansari, Fitria; Sunjaya, Deni Kurniadi; Gurnida, Dida Akhmad
GIZI INDONESIA Vol 41, No 2 (2018): September 2018
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

The first thousand days of life is a golden period that determines the quality of life in the future. Practice of Infant and Young Child Feeding (IYCF) that are not appropriate during this period can cause stunting. One of the government’s efforts to improve IYCF practice is IYCF Counseling. IYCF counseling can improve knowledge, attitude, and encourage the occurance of IYCF behavior. This study aims to analyze the short results of IYCF counseling on the knowledge and attitude of Mothers who have and have not been given IYCF counseling in Cireunghas District, Sukabumi. The instrument was used a modified knowledge and attitude questionnaire about IYCF. Rasch modeling was used for analysis of questionnaire data, the design of this study was a survey method with a cross sectional approach in April 2018 with maternal subjects having children aged 6-23 months totaling 90 people. The items on the instrument are found to have varying discrimination, which indicates that the instrument has the ability to measure. The results show that the counseling material that needs to be emphasized during IYCF counseling is about giving breastfeeding using bottles, giving up to 2 yearsof breastfeeding, the texture of food at the beginning of complementary feeding, and responsive feeding. There needs to be increase in the quality and frequency of IYCF counseling to achieve the expected changes of knowledge and attitude. ABSTRAK Seribu Hari Pertama Kehidupan (1000 HPK) merupakan periode emas yang menentukan kualitas kehidupan di masa yang akan datang. Praktik Pemberian Makan Bayi dan Anak (PMBA) yang tidak tepat pada masa tersebut dapat menyebabkan terjadinya stunting. Salah satu upaya pemerintah dalam meningkatkan praktik PMBA yaitu dengan konseling PMBA. Konseling PMBA dapat meningkatkan pengetahuan, sikap, dan mendorong terjadinya perilaku PMBA sesuai rekomendasi. Penelitian ini bertujuan untuk menganalisis hasil jangka pendek dari pelaksanaan konseling PMBA pada pengetahuan dan sikap ibu yang sudah dan belum diberikan konseling PMBA di Kecamatan Cireunghas Kabupaten Sukabumi. Instrumen yang digunakan adalah kuesioner pengetahuan dan sikap tentang PMBA yang telah dimodifikasi. Pemodelan Rasch digunakan untuk analisis data kuesioner, desain penelitian ini adalah metode survei dengan pendekatan waktu cross sectional pada bulan April 2018 dengan subjek ibu yang mempunyai anak usia 6–23 bulan yang berjumlah 90 orang. Item pada instrumen didapati mempunyai daya diskriminasi yang beragam, yang menunjukkan instrumen mempunyai kemampuan mengukur. Hasil analisis menunjukkan bahwa materi konseling yang perlu ditekankan pada saat konseling PMBA yaitu tentang pemberian ASI menggunakan botol, pemberian ASI hingga 2 tahun, tekstur makanan pada awal MP-ASI, dan responsive feeding. Perlu adanya peningkatan kualitas dan frekuensi dari konseling PMBA untuk mencapai perubahan pengetahuan dan sikap yang diharapkan. Kata kunci: konseling PMBA, pengetahuan, sikap, pemodelan Rasch
Short term memory, physical fitness, and serum brain-derived neurotrophic factor in obese adolescents Rossanti, Rini; Gurnida, Dida Akhmad; Fadlyana, Eddy
Paediatrica Indonesiana Vol 55 No 5 (2015): September 2015
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi55.5.2015.277-81

Abstract

Background Obesity in adolescents is a major health problem and has been associated with low academic achievement. Brainderived neurotrophic factor (BDNF), a neurotrophin, plays a role in appetite suppression and memory, and its secretion is enhanced by physical activity. This neurotrophin may be associated with academic achievement in obese. Objective To compare physical fitness and serum BDNF levels to short term memory levels in obese adolescents aged 10–14 years. Methods This comparative, cross-sectional, analytic study was carried out on 40 elementary and high school students in Bandung, West Java, who were recruited by stratified random sampling. Short term memory was assessed by a psychologist using the Wechsler Intelligence Scale for Children-III Digit Span test (WISC-III Digit Span). Physical fitness was assessed by a clinical exercise physiologist using the Asian Committee on the Standardization of Physical Fitness Test (ACSPFT). Serum BDNF levels were measured by ELISA test in a certified laboratory. ANOVA test was used to assess for a correlation between serum BDNF concentration and short term memory, as well as between physical fitness level and short term memory. Pearson’s correlation test was used to analyze for a correlation between serum BDNF and physical fitness levels. Results The majority of subjects were in the physical fitness categories of moderate or poor. Subjects had a mean BDNF level of 44,227.8 (SD 10,359) pg/mL. There was no statistically significant difference in physical fitness with either serum BDNF or with short term memory levels (P=0.139 and P=0.383, respectively). Also, no correlation was determined between serum BDNF and physical fitness levels (r=0.222; P=0.169). Conclusion In obese adolescents, short term memory levels are not significantly different between physical fitness levels nor between serum BDNF levels.
Korelasi Kadar Albumin Serum dengan Persentase Edema pada Anak Penderita Sindrom Nefrotik dalam Serangan Novina, -; Gurnida, Dida Akhmad; Sekarwana, Nanan
Majalah Kedokteran Bandung Vol 47, No 1 (2015)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Sindrom nefrotik (SN) merupakan kelainan glomerulus yang ditandai proteinuria masif, hipoalbuminemia, edema, dan hiperlipidemia. Penelitian ini bertujuan untuk mengetahui hubungan antara kadar albumin serum dan persentase edema pada anak penderita SN dalam serangan. Suatu uji analitik korelasional rancangan cross-sectional dilakukan selama bulan Agustus 2009 sampai Januari 2010. Subjek penelitian adalah anak penderita SN dalam serangan, usia 1–14 tahun, berobat ke poliklinik atau dirawat di Rumah Sakit Dr. Hasan Sadikin dan RS Jejaring (RSU Cibabat dan RSU Ujung Berung). Persentase edema dihitung dengan mengurangi total body water (TBW) anak saat sakit dengan TBW ideal, kemudian hasilnya dipersentasekan dengan TBW ideal. Analisis statistik menggunakan Uji korelasi Spearman. Pada penelitian ini didapatkan 29 subjek terdiri atas 26 laki-laki dan 3 perempuan. Kadar albumin serum rata-rata 1,45 g/dL dan persentase edema 21,6%. Hasil Uji korelasi Spearman menunjukkan hubungan yang sangat bermakna (p=0,006) antara kadar albumin serum dan persentase edema (r=-0,501). Simpulan, terdapat hubungan negatif antara kadar albumin serum dan persentase edema pada anak penderita SN dalam serangan. [MKB. 2015;47(1):55–9]Kata kunci: Kadar albumin serum, persentase edema, sindrom nefrotik dalam seranganCorrelation Between Serum Albumin Levels and Percentage of Edema during Nephrotic Stage in Children with Nephrotic Syndrome Nephrotic syndrome (NS) is a glomerular disorder characterized by massive proteinuria, hypoalbuminemia, edema, and hyperlipidemia. The aim of this study was to evaluate the correlation between serum albumin levels and percentage of edema during nephrotic stage in children with NS. Cross-sectional design with correlational analytic was used in this study. The subjects of this study were outpatients and inpatients with NS during nephrotic stage, aged between 1 and 14 years old, admitted to Dr. Hasan Sadikin General Hospital Bandung, Cibabat Hospital, and Ujung Berung Hospital from August 2009 to January 2010. Percentage of edema was calculated by substracting total body water (TBW) during illness to ideal TBW, then divided the result by ideal TBW. Subjects were 29 children, consisted of 26 boys and 3 girls. Mean serum albumin levels was 1.45 g/dL and percentage of edema was 21.6%. Analysis using Spearman correlation test showed a highly significant correlation (p=0.006) between serum albumin levels and percentage of edema in children with NS during nephrotic stage (r=-0.501). In conclusion, there is a negative correlation between serum albumin levels and percentage of edema during nephrotic stage in children with NS. [MKB. 2015;47(1):55–9]Key words: Nephrotic syndrome, nephrotic stage, percentage of edema serum albumin levels    DOI: 10.15395/mkb.v47n1.408