Nelly Amalia Risan, Nelly Amalia
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Korelasi Skala FLACC dengan Kadar Alfa Amilase Saliva pada Anak Palsi Serebral Sabur, Rissa Puspitari; Risan, Nelly Amalia; Chairulfatah, Alex
Sari Pediatri Vol 18, No 2 (2016)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp18.2.2016.142-5

Abstract

Latar belakang. Skala face, leg, activities, cry, and consolability (FLACC) diketahui dapat menilai nyeri pada anak palsi serebral (PS). Alfa amilase saliva (AAS) yang diambil dari saliva juga meningkat pada anak palsi serebral yang dilakukan tindakan invasif pengambilan darah vena. Korelasi antara kedua jenis pemeriksaan ini belum diketahui.Tujuan. Menentukan korelasi skor FLACC dengan kadar AAS pada anak PS.Metode. Penelitian analitik observasional dengan rancangan potong lintang, yaitu mengukur derajat nyeri menggunakan skala FLACC dengan mengamati perilaku subjek dan menilai perilaku sesuai yang tertera pada formulir FLACC. Kadar AAS diperiksa sebelum dilakukan tindakan fisioterapi. Pengukuran kadar AAS dengan metode spektrofotometri pada anak yang telah didiagnosis PS yang datang berobat di Poliklinik Neurologi Anak dan Unit Rehabilitasi Medik Rumah Sakit Hasan Sadikin Bandung, berusia 6 bulan–14 tahun, periode Januari - Maret 2016. Analisis data digunakan uji korelasi Rank Spearman dengan kemaknaan p<0,05.Hasil. Didapat 42 pasien anak dengan diagnosis PS. Uji statistik menggunakan uji korelasi Rank Spearman menunjukkan terdapat korelasi yang lemah antara skor FLACC dan kadar AAS (r=0,364; p=0,034) pada kelompok usia >24 bulan.Kesimpulan. Peningkatan skor FLACC kecenderungan diikuti dengan peningkatan kadar AAS pada anak PS.
Risiko Gangguan Perkembangan Neurologis antara Bayi Kurang Bulan Lanjut dan Bayi Cukup Bulan Sesuai Usia Kehamilan Wahyuni, Ike Dwi; Risan, Nelly Amalia; Prasetyo, Dwi
Sari Pediatri Vol 17, No 3 (2015)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp17.3.2015.190-4

Abstract

Latar belakang. Bayi kurang bulan lanjut mempunyai fisiologis, metabolik, dan imunologi imatur, serta merupakan periodetercepat pertumbuhan dan perkembangan otak. Pada awal kehidupan, BKBL rentan mengalami komplikasi dan mempunyairisiko gangguan perkembangan neurologis (GPN).Tujuan. Menentukan risiko GPN antara BKBL dan BCB sesuai usia kehamilan pada usia 3–6 bulan.Metode. Penelitian dilaksanakan periode Oktober–Desember 2014 di RS Dr. Hasan Sadikin Bandung. Subjek penelitian adalahbayi BKBL usia 3–6 bulan dengan BCB sebagai kontrol yang memenuhi kriteria inklusi. Risiko GPN diperiksa menggunakanBayley infant neurodevelopmental screener (BINS) dan dianalisis menggunakan uji chi-square dan rasio odds.Hasil. Terdapat 36 BKBL dan 36 BCB, dengan usia rerata 5,58 bulan pada BKBL dan 5,26 pada BCB. Perawakan pendek lebihbanyak pada BKBL dibanding BCB. Sebagian besar subjek pada kedua kelompok tidak mendapatkan ASI eksklusif. Pendidikanterbanyak orangtua adalah SMP dan SMA dengan sebagian besar orangtua bekerja, tetapi mempunyai pendapatan/bulan yangrendah. Risiko GPN pada kelompok BKBL 22 dan BCB 10 bayi (p=0,004) dengan kekuatan hubungan risiko GPN pada BKBL4,086 kali dibanding dengan BCB (RO=4,086; IK95%:1,518–11,000).Kesimpulan. Bayi kurang bulan lanjut sesuai usia kehamilan dan sesuai usia koreksi mempunyai risiko gangguan perkembanganneurologis 4,086 kali lebih besar dibanding dengan bayi cukup bulan.
Preterm and low birth weight as risk factors for infant delayed development Alam, Anggraini; Sukadi, Abdurachman; Risan, Nelly Amalia; Dhamayanti, Meita
Paediatrica Indonesiana Vol 48 No 1 (2008): January 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi48.1.2008.1-4

Abstract

Background In developed countries, birth weight of less than1,500 g contributes in infant delayed development. It might bedifferent in developing countries.Objective This study aimed to determine whether preterm infantswith birth weight of 1,500 to 2,499 g are risk factors for delayeddevelopment at 7-10 months of age.Methods We analyzed singleton infants at 7-10 months ofcorrected age, born with birth weight of 1,500 to 2,499 grams,preterm-appropriate for gestational age (or LBW group), and at7-10 months of chronological age, born with birth weight &gt;2,500g-term-appropriate for gestational (non-LBW group) in a hospital-based retrospective cohort study. Data were taken from medicalrecords in Hasan Sadikin Hospital, Bandung, from September2003 to May 2004. We excluded infants with major congenitalanomalies, hyaline membrane disease, assisted ventilation, orexchange transfusion. Multiple regression logistic analysis wasperformed for data analysis.Results The percentage of delayed development in LBW groupwas higher than in non-LBW group (17.1% vs. 1.6%). Logisticregression analysis revealed that low birth weight was a risk factorfor delayed development (RR=5.13, 95%Cl 1.55;16.96, P=0.007).Other biological risk factors for delayed development arehyperbilirubinemia (RR=3.32, 95%Cl 1.29;8.54, P=0.013) andsepsis (RR=2.74, 95%Cl 1.15;6.52, P=0.023).Conclusions Preterm-appropriate for gestational age with birthweight of 1,500 to 2,499 g are risk factors for infant delayeddevelopment after being adjusted to other biological risk factors.
Knowledge and Attitude on Febrile Seizure among Mothers with Under-Five Children Syahida, Jihan Alifa; Risan, Nelly Amalia; Tarawan, Vita Murniati
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Febrile seizures frequently occur in children under 5 years old and usually create fear and anxiety among parents. Poor understanding of febrile seizure among parents contributes to mismanagement of seizure. The objective of this study was to identify the knowledge and attitude on febrile seizure among mothers of under five children.Methods: This descriptive community-based survey comprised of 96 mothers with under 5 children who were chosen through randomization. This survey was, conducted in Hegarmanah Village, Jatinangor, West Java, Indonesia in October 2013. Data were collected using a questionnaire and analyzed using frequency analysis.Results: Fifty nine respondents (61%) considered that high fever in their children will result in seizure and 63 mothers (65%) stated that this condition was a life-threatening situation which could lead to brain damage (50%) and paralysis (50%). There were some respondents who would manage seizure by shaking (27%) or holding the child tightly during seizure (22%) and putting spoon into the children mouth (59%). Sixty respondents (62.5%) prevented febrile seizure by giving them coffee.Conclusions: Knowledge and attitude regarding febrile seizure is good, but the knowledge and attitude towards the outcome and what to do during febrile seizures occasion are still poor. [AMJ.2016;3(4):649–54] DOI: 10.15850/amj.v3n4.954
Five Years Study of Recurrent Febrile Seizure Risk Factors Indriani, Ausi; Risan, Nelly Amalia; Nurhayati, Titing
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v4n2.1086

Abstract

Background: Nearly one-third of febrile seizure patients suffered recurrent febrile seizures.  Several risk factors contribute to this recurrence, namely young age, family history of febrile seizures, low body temperature and rapid duration of fever before onset of seizures. Recently, the types of seizure and gender have been stated increasing risk of this recurrence. The objectives of this study was to identify the  risk factors of recurrent febrile seizures.Methods: A descriptive study was carried out by retrieving data from inpatient medical records during the period of January 1st, 2009 to December 31st, 2013 at one of the top referral hospitals in West Java, Indonesia.  Variables of this study were the first febrile seizure age, gender, type of febrile seizure, a family history of febrile seizure, a family history of epilepsy, body temperature when febrile seizure occurred and duration of fever before onset of seizure. The collected data were tabulated by frequency and percentage and displayed in tables.Results: Out of 154 patients with febrile seizures 58 suffered recurrent febrile seizures. Forty three percent had a first febrile seizure at the age of under12 months, 72% were male, 46% had fever less than 24 hours before the onset of seizure, 65% had complex febrile seizures, 28% had positive family history of febrile seizures, and 5% had positive family history of epilepsy. Conclusions: The risk factors for recurrent febrile seizures are young age, male, rapid duration of fever before onset of seizure and complex febrile seizure. DOI: 10.15850/amj.v4n2.1086
Undernutrition as Risk Factor of Hydrocephalus Prevalence in Children with Tuberculous Meningitis Sinaga, John Patria Maruli; Risan, Nelly Amalia; Gamayani, Uni
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

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Abstract

Background: Hydrocephalus is the most frequent neurological complication in children with tuberculous meningitis. Tuberculosis infection cannot be separated from nutritional status. Children with undernutrition have decreased immunity thus could affect clinical manifestation of tuberculous meningitis. This study was conducted to identify the relationship between undernutrition and the prevalence of hydrocephalus in tuberculous meningitis.Methods: An analytic observational study was carried out to 38 medical records of children with tuberculous meningitis in Dr. Hasan Sadikin General Hospital from 2007 to 2015. Variables that were studied included gender, age, advanced stage of disease, motoric paralysis, history of seizure, nutritional status and hydrocephalus. The collected data were analyzed using Chi-Square test. Results: Out of 21 subjects with undernutrition, 11 subjects were found to have hydrocephalus. The analysis using chi-square was statistically significant (p=0.009). Prevalence ratio=4.45 (CI 95% 1.14−45.43), meaning tuberculous meningitis children with undernutrition were at risk of hydrocephalus 4.45 times greater than children with normal nutritional status.Conclusions: Undernutrition may increase the risk of hydrocephalus in children with tuberculous meningitis. [AMJ.2017;4(1):143–7] DOI: 10.15850/amj.v4n1.1036
Five Years Study of Recurrent Febrile Seizure Risk Factors Indriani, Ausi; Risan, Nelly Amalia; Nurhayati, Titing
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v4n2.1086

Abstract

Background: Nearly one-third of febrile seizure patients suffered recurrent febrile seizures.  Several risk factors contribute to this recurrence, namely young age, family history of febrile seizures, low body temperature and rapid duration of fever before onset of seizures. Recently, the types of seizure and gender have been stated increasing risk of this recurrence. The objectives of this study was to identify the  risk factors of recurrent febrile seizures.Methods: A descriptive study was carried out by retrieving data from inpatient medical records during the period of January 1st, 2009 to December 31st, 2013 at one of the top referral hospitals in West Java, Indonesia.  Variables of this study were the first febrile seizure age, gender, type of febrile seizure, a family history of febrile seizure, a family history of epilepsy, body temperature when febrile seizure occurred and duration of fever before onset of seizure. The collected data were tabulated by frequency and percentage and displayed in tables.Results: Out of 154 patients with febrile seizures 58 suffered recurrent febrile seizures. Forty three percent had a first febrile seizure at the age of under12 months, 72% were male, 46% had fever less than 24 hours before the onset of seizure, 65% had complex febrile seizures, 28% had positive family history of febrile seizures, and 5% had positive family history of epilepsy. Conclusions: The risk factors for recurrent febrile seizures are young age, male, rapid duration of fever before onset of seizure and complex febrile seizure. DOI: 10.15850/amj.v4n2.1086
Hubungan Jenis Kelamin, Usia Gestasi, dan Berat Badan Lahir dengan Sindrom Rubela Kongenital Tandililing, Lily Cahyani; Setiabudi, Djatnika; Risan, Nelly Amalia
Sari Pediatri Vol 17, No 4 (2015)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp17.4.2015.302-6

Abstract

Latar belakang. Sindrom rubela kongenital (SRK) masih merupakan masalah kesehatan di Indonesia. Berdasarkan penelitian terdahulu. faktor usia gestasi, berat badan lahir, dan jenis kelamin berhubungan dengan kasus confirmed sindrom rubela kongenital.Tujuan. Menentukan hubungan jenis kelamin, usia gestasi, dan berat badan lahir dengan kasus probable SRK.Metode. Penelitian observasional analitik dengan rancangan potong lintang. Data retrospektif diperoleh dari rekam medis pasien rawat inap dan rawat jalan usia <1 tahun periode 1 Januari 2008-31 Desember 2014, dengan kode diagnosis (ICD-10) meliputi congenital rubella syndrome, congenital heart disease, congenital cataract, sensorineural hearing loss, cerebral palsy, dan neonatal jaundice. Klasifikasi kasus SRK berdasarkan CDC 2009, yaitu suspected, probable, confirmed, dan infection only. Pemilihan subjek secara purposive sampling. Analisis statistik dilakukan dengan analisis bivariat dan regresi logistik untuk faktor dengan p<0,25 dengan Rasio Odds (RO) dan Interval Kepercayaan (IK) 95%.Hasil. Didapat 133 subjek klasifikasi SRK suspected (96), terdiri atas probable (29) dan confirmed (8). Mayoritas subjek laki-laki (58,6%), usia ibu 25-29 (48,9%) tahun, multipara (54,1%), dan tanpa riwayat vaksinasi rubela (100%). Hubungan bermakna didapatkan dalam analisis regresi logistik pada faktor jenis kelamin (p=0,002; OR 6,656; IK95% 2,046–21,657) dan berat badan lahir (p<0,001; OR 10,365; IK95% 2,839–37,834).Kesimpulan. Jenis kelamin dan berat badan lahir berhubungan dengan kasus probable SRK. Diperlukan penelitian prospektif untuk menentukan hubungan usia gestasi dengan kasus probable SRK.
Undernutrition as Risk Factor of Hydrocephalus Prevalence in Children with Tuberculous Meningitis Sinaga, John Patria Maruli; Risan, Nelly Amalia; Gamayani, Uni
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

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

Abstract

Background: Hydrocephalus is the most frequent neurological complication in children with tuberculous meningitis. Tuberculosis infection cannot be separated from nutritional status. Children with undernutrition have decreased immunity thus could affect clinical manifestation of tuberculous meningitis. This study was conducted to identify the relationship between undernutrition and the prevalence of hydrocephalus in tuberculous meningitis.Methods: An analytic observational study was carried out to 38 medical records of children with tuberculous meningitis in Dr. Hasan Sadikin General Hospital from 2007 to 2015. Variables that were studied included gender, age, advanced stage of disease, motoric paralysis, history of seizure, nutritional status and hydrocephalus. The collected data were analyzed using Chi-Square test. Results: Out of 21 subjects with undernutrition, 11 subjects were found to have hydrocephalus. The analysis using chi-square was statistically significant (p=0.009). Prevalence ratio=4.45 (CI 95% 1.14−45.43), meaning tuberculous meningitis children with undernutrition were at risk of hydrocephalus 4.45 times greater than children with normal nutritional status.Conclusions: Undernutrition may increase the risk of hydrocephalus in children with tuberculous meningitis. [AMJ.2017;4(1):143–7] DOI: 10.15850/amj.v4n1.1036
Knowledge and Attitude on Febrile Seizure among Mothers with Under-Five Children Syahida, Jihan Alifa; Risan, Nelly Amalia; Tarawan, Vita Murniati
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

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

Abstract

Background: Febrile seizures frequently occur in children under 5 years old and usually create fear and anxiety among parents. Poor understanding of febrile seizure among parents contributes to mismanagement of seizure. The objective of this study was to identify the knowledge and attitude on febrile seizure among mothers of under five children.Methods: This descriptive community-based survey comprised of 96 mothers with under 5 children who were chosen through randomization. This survey was, conducted in Hegarmanah Village, Jatinangor, West Java, Indonesia in October 2013. Data were collected using a questionnaire and analyzed using frequency analysis.Results: Fifty nine respondents (61%) considered that high fever in their children will result in seizure and 63 mothers (65%) stated that this condition was a life-threatening situation which could lead to brain damage (50%) and paralysis (50%). There were some respondents who would manage seizure by shaking (27%) or holding the child tightly during seizure (22%) and putting spoon into the children mouth (59%). Sixty respondents (62.5%) prevented febrile seizure by giving them coffee.Conclusions: Knowledge and attitude regarding febrile seizure is good, but the knowledge and attitude towards the outcome and what to do during febrile seizures occasion are still poor. [AMJ.2016;3(4):649–54] DOI: 10.15850/amj.v3n4.954