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Bula Hemoragik dengan Komplikasi Perforasi Gaster Sebagai Manifestasi Klinis Purpura Henoch-Schonlein yang Tidak Biasa pada Anak Setiabudiawan, Budi; Ghrahani, Reni; Sapartini, Gartika; Sari, Nur Melani; Garna, Herry
Sari Pediatri Vol 13, No 4 (2011)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp13.4.2011.257-64

Abstract

Purpura Henoch-Schonlein (PHS) merupakan vaskulitis pada pembuluh darah kecil tersering terjadi pada anak. Penyakit ini ditandai dengan purpura palpablenontrombositopenia disertai salah satu gejala nyeri perut, artritis atau atralgia, glomerulonefritis, dan hasil biopsi jaringan berupa gambaran vaskulitis leukositoklastik. Bula hemoragik disertai edema jaringan subkutan merupakan gambaran yang tidak umum pada PHS dan sering terlewatkan. Manifestasi klinis vesikobulosa PHS sering ditemukan pada pasien dewasa, 16%–60% kasus, sedangkan pada anak kurang dari 2% kasus. Walaupun PHS secara tipikal merupakan penyakit selflimiting, tetapi komplikasi serius dapat terjadi. Perforasi gaster sangat jarang dilaporkan sebagai komplikasi PHS. Kami melaporkan 2 kasus PHS dengan manifestasi kulit yang berat, yaitu timbulnya bula hemoragik disertai dengan perforasi gaster. Pada kedua kasus dilakukan tindakan operatif dengan keluaran yang berbeda, pada kasus pertama pasien dipulangkan dalam kondisi baik pascaoperasi setelah dilakukan laparatomi eksplorasi, walaupun masih menderita nefritis. Sedangkan pasien kedua meninggal setelah tindakan diagnostic peritoneal lavagedisebabkan sepsis berat. Simpulan, bula hemoragik dapat dipertimbangkan sebagai prediktor komplikasi perforasi gaster pada PHS yang akan meningkatkan kewaspadaan dalam tata laksana PHS
Burden of Pediatric Cancer Treatment: Results of Online Pediatric Cancer Registry Prototype 1 at A Third Referral Hospital in Indonesia Sari, Nur Melani; Reniarti, Lelani; Suryawan, Nur; Susanah, Susi; Wahyudi, Kurnia
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v4n3.1204

Abstract

Background: Despite the impressive progress of high-income countries, childhood cancer survival remains low in low and middle-income countries. Cancer is yet to be considered as a significant public health issue which has implicate only few pediatric cancer registry has been well established. The study aimed to describe the burden of pediatric cancer treatment in a third referral hospital in Indonesia through pediatric cancer registry.Methods: A-three-year retrospective analysis of 15 pediatric cancer diagnosed in children aged under 14 years was conducted at Dr Hasan Sadikin General Hospital, Bandung.  Data were extracted from Online Bandung Pediatric Cancer Registry Prototype 1 and analyzed for age, gender, type of cancer. The outcomes were classified as treatment abandonment, treatment refusal, interrupted treatment, death during treatment, and completed treatment.Results: Seven-hundred and seventy-three children, 452 males and 321 females, were diagnosed with 15 types of malignancies.  Peak incidence for each malignancy was different: at a young age was found in retinoblastoma and hepatoblastoma (mean; 3yo) while at adolescence in bone tumor and chronic myelocytic leukemia (9.1; 10 yo respectively). Distribution of the foremost malignancies recorded was: acute lymphoblastic leukemia (44.5%), retinoblastoma (15.2%), and non-Hodgkin lymphoma (8.9%). The cancer cure rate was very low (9.5%), treatment abandonment was still high (41.7%) and most patients died (27.8%) in the course of therapy either from advanced disease, infection, or late presentation. Meanwhile, 167 patients still continued the interrupted treatment.Conclusions: Cancer management is the burden for hospital, however the general outcome is very poor. 
BEBAN GANDA ANEMIA PADA REMAJA SMPN TEMPURAN KABUPATEN KARAWANG Sari, Nur Melani
Dharmakarya Vol 7, No 2 (2018): Juni
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/dharmakarya.v7i2.20208

Abstract

Anemia is commonly found in Indonesia especially in infants, children and adolescents. Adolescent  suffering a double burden of anemia including iron deficiency anemia and carriers of thalassemia. Iron deficiency anemia can affect brain function, growth and development process , and  weaken  the immune system. Thalassemia is a chronic disease passed down from parents to their children. The symptoms of these two diseases are very difficult to distinguish, namely  mild anemia and sometimes asymptomatic. The incidence of new cases needs to be controlled, one of them is by using screening tests and education to the community. This program was carried out in the form of increasing the knowledge of health workers, junior high school teachers and students regarding thalassemia and iron deficiency anemia regarding talasemia screening policy from the Health Ministry. The method used is survey, observation and socialization lecture. The results of this study showed an increase in knowledge of Tempuran Middle School students, teachers, and health workers after socialization of thalassemia. The voluntary level of students to join the anemia screening program was 81.89% in Combat 1 Junior High School, and 66.67% in Combat Middle School 2. The percentage of anemia in adolescent girls was 11.68%, while in boys it was 25.53%.
Burden of Pediatric Cancer Treatment: Results of Online Pediatric Cancer Registry Prototype 1 at A Third Referral Hospital in Indonesia Sari, Nur Melani; Reniarti, Lelani; Suryawan, Nur; Susanah, Susi; Wahyudi, Kurnia
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v4n3.1204

Abstract

Background: Despite the impressive progress of high-income countries, childhood cancer survival remains low in low and middle-income countries. Cancer is yet to be considered as a significant public health issue which has implicate only few pediatric cancer registry has been well established. The study aimed to describe the burden of pediatric cancer treatment in a third referral hospital in Indonesia through pediatric cancer registry.Methods: A-three-year retrospective analysis of 15 pediatric cancer diagnosed in children aged under 14 years was conducted at Dr Hasan Sadikin General Hospital, Bandung.  Data were extracted from Online Bandung Pediatric Cancer Registry Prototype 1 and analyzed for age, gender, type of cancer. The outcomes were classified as treatment abandonment, treatment refusal, interrupted treatment, death during treatment, and completed treatment.Results: Seven-hundred and seventy-three children, 452 males and 321 females, were diagnosed with 15 types of malignancies.  Peak incidence for each malignancy was different: at a young age was found in retinoblastoma and hepatoblastoma (mean; 3yo) while at adolescence in bone tumor and chronic myelocytic leukemia (9.1; 10 yo respectively). Distribution of the foremost malignancies recorded was: acute lymphoblastic leukemia (44.5%), retinoblastoma (15.2%), and non-Hodgkin lymphoma (8.9%). The cancer cure rate was very low (9.5%), treatment abandonment was still high (41.7%) and most patients died (27.8%) in the course of therapy either from advanced disease, infection, or late presentation. Meanwhile, 167 patients still continued the interrupted treatment.Conclusions: Cancer management is the burden for hospital, however the general outcome is very poor. 
Gambaran Tumbuh Kembang Anak Pada Periode Emas Usia 0-24 Bulan Di Posyandu Wilayah Kecamatan Jatinangor Sugeng, Hapsari Maharani; Tarigan, Rodman; Sari, Nur Melani
Jurnal Sistem Kesehatan Vol 4, No 3 (2019): Volume 4 Nomor 3 Maret 2019
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jsk.v4i3.21240

Abstract

Periode emas merupakan periode kritis yang terjadi sekali dalam kehidupan anak, periode ini terjadi pada 1000 hari pertama dan berdampak terhadap perkembangan fisik dan kognisi anak. Penilaian perkembangan anak pada periode ini sangat penting dilakukan agar apabila ditemukan kecurigaan penyimpangan dapat segera dilakukan stimulasi dan intervensi dini sebelum kelainan terjadi. Penelitian ini bertujuan untuk mengetahui gambaran tumbuh kembang anak usia 0-24 bulan di Posyandu. Penelitian ini menggunakan desain deskriptif potong lintang. Sampel penelitian yaitu balita usia 0-24 bulan yang tercatat di Posyandu wilayah Kecamatan Jatinangor. Teknik sampling yang digunakan adalah randomisasi bertingkat dengan jumlah sampel 49 responden. Hasil Penelitian menunjukkan sebagian besar balita memiliki pertumbuhan yang normal yaitu sebanyak 82%, 6% mengalami gizi lebih, 4% beresiko gizi lebih, 4% mengalami gizi rendah, 2% balita mengalami gizi sangat rendah dan 2% balita mengalami obesitas.  Perkembangan yang diperoleh dengan menggunakan KPSP adalah 81,6% sesuai, 12,2 % balita meragukan, 6,12% terdapat penyimpangan. Berdasarkan hasil penelitian masih ditemukan balita yang mengalami status gizi kurang baik dan ditemukan anak dengan status perkembangan meragukan dan penyimpangan sehingga diperlukan adanya deteksi lebih dini lebih lanjut untuk meminimalisir angka kejadian penyimpangan yang lebih besar.Kata Kunci : Perkembangan, Pertumbuhan, Posyandu
Parents’ Knowledge and Children’s Toilet Training Practices: Study in Kindergartens in Jatinangor Aziz, Anne Shafira Purnama Claytonia; Ermaya, Yudith Setiati; Sari, Nur Melani
Althea Medical Journal Vol 6, No 2 (2019)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v6n2.1659

Abstract

Background: Constipation has serious threats for children, however, this condition can be treated by toilet training. The level of parents? understanding of defecation affects the success of the training to reduce the symptom of constipation. This study aimed to assess the knowledge of the parents and their children?s practice in toilet training at kindergarten. Methods: This was an analytic study with a cross-sectional method which conducted at kindergartens in Jatinangor, selected by a total random sampling method. A self-made validated questionnaire was distributed to parents asking about knowledge and toilet training. Incomplete answer sheets and parents who did not come to school by the time of the study were excluded. Result: In total, 111 parents returned the questionnaire, and most of the parents (98.19%) had good knowledge regarding toilet training. Moreover, most of the children (96.39%) were also good at practicing the toilet training. There was a strong and significant correlation between parents? knowledge and the children?s practice of toilet training with coefficient correlation 0.701 and p-value <0.05.Conclusions: Good knowledge of parents help the children practicing toilet training, therefore, education to new parents is necessary.