Browsing by Author "Novina"

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    Bone Age Description of Carpal Bones in Short Stature Children Treated at Dr. Hasan Sadikin General Hospital Bandung in 2020-2021
    (2023-02-20) BURHANUDDIN; Harry Galuh Nugraha; Novina
    Background: The purpose of this study was to determine the description of bone age in the carpal bones of children of short stature who were treated at the Department of Pediatrics, Dr. Hasan Sadikin General Hospital Bandung in 2020-2021. Methods: This study is a descriptive observational study with a cross-sectional design conducted from January 2020 to December 2021. A total of 6,370 patient`s data in 2020 and 6,248 in 2021 were obtained from Dr. Hasan Sadikin General Hospital medical records. This study included 323 pediatric patients who were diagnosed with short stature and 36 patients with bone age examination that have been selected based on the inclusion and exclusion criteria. The analyzed variables are gender, birth history, underlying disease, therapy history, height to age, and bone age. Results: The prevalence of patient with short stature in 2020 is 185 (2.90%) and 2021 is 138 (2.21%). Gender distribution showed 164 (50.77%) males and 159 (49.22%). There are 36 data with bone age examination, which all of them categorized as delayed. In patients with delayed bone age, 25 (69.44%) of them diagnosed with severely stunted and 11 (30.56%) of them are stunted. Conclusion: Patients diagnosed with short stature in 2020 to 2021 has no significant difference in gender, but predominantly in male patients. All patients with bone age examination categorized as delayed bone age. Length/height for age category showed most patient has short stature.
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    Hubungan Kadar Hemoglobin Pratransfusi dengan Status Pertumbuhan dan Maturitas Seksual Penyandang Talasemia Mayor Anak di RSUP Dr. Hasan Sadikin Bandung
    (2023-02-19) RESPIRANSA DEWI SYAHBANI; Novina; Susi Susanah
    Latar Belakang: Kelainan endokrin merupakan komplikasi yang sering ditemukan pada penyandang talasemia mayor anak. Rendahnya kadar hemoglobin pratransfusi menjadi salah satu faktor utama kerusakan organ endokrin akibat hipoksia jaringan yang muncul. Gangguan pertumbuhan dan keterlambatan pubertas merupakan dua komplikasi endokrin yang kerap ditemukan pada anak penyandang talasemia mayor. Tujuan: Mengetahui hubungan antara kadar hemoglobin pratransfusi dengan status pertumbuhan dan maturitas seksual pada penyandang talasemia mayor anak di RSUP Dr. Hasan Sadikin Bandung. Metode: Penelitian ini merupakan observasional analitik dengan rancangan studi potong lintang yang dilakukan pada 128 penyandang talasemia mayor anak laki-laki dan perempuan berusia 9 - <18 tahun dan 8 - <18 tahun yang dipilih melalui consecutive sampling. Dilakukan pengukuran tinggi badan, berat badan, dan tinggi duduk, serta pemeriksaan fisik untuk menilai maturitas seksual berdasarkan indikator Tanner Stage. Analisis data dilakukan menggunakan uji korelasi Pearson dan Rank Spearman untuk status pertumbuhan, dan Mann-Whitney untuk maturitas seksual. Hasil: Didapatkan 128 anak memenuhi kriteria inklusi yang terdiri dari anak laki-laki (51%) dan perempuan (49%). Mayoritas anak (42%) memiliki perawakan sangat pendek, (71%) memiliki indeks massa tubuh normal, dan (78%) mengalami pubertas normal. Didapatkan hubungan antara kadar hemoglobin pratrasfusi dan z-score TB/U laki-laki (r = 0,536, p = 0,000) dan perempuan (r = 0,528, p = 0,000), z-score IMT/U (r = 0.287, p = 0.021), dan subjek perempuan (r = 0.386, p = 0.002), dan perbedaan yang signifikan pada kadar hemoglobin pratransfusi laki-laki (p = 0,000) dan perempuan (p = 0,003) yang mengalami pubertas normal dan terlambat. Kesimpulan: Terdapat hubungan signifikan antara kadar hemoglobin pratransfusi dengan status pertumbuhan dan maturitas seksual pada penyandang talasemia mayor anak. Kata Kunci: talasemia mayor, status pertumbuhan, maturitas seksual
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    Korelasi Indeks Massa Tubuh, Lingkar Lengan Atas, Lingkar Pinggang dengan Glukosa Darah Puasa pada Remaja Usia 17-19 Tahun
    (2013) AGHITSA HAALIYA MAALINY; Juliati; Novina
    Latar Belakang: Penumpukan jaringan adiposa pada berat badan lebih dan obesitas dapat menyebabkan peningkatan glukosa darah. Pengukuran antropometri dapat menilai penumpukan jaringan adiposa. Penelitian ini bertujuan untuk menganalisis masing-masing korelasi antara parameter antropometri yaitu indeks massa tubuh, lingkar lengan atas dan lingkar pinggang dengan glukosa darah puasa pada remaja usia 17 – 19 tahun. Metode: Penelitian potong lintang dilakukan pada September - November 2016. Teknik sampling acak sederhana dilakukan pada mahasiswa Pendidikan Sarjana Kedokteran Fakultas Kedokteran Universitas Padjadjaran yang memenuhi kriteria inklusi dan eksklusi. Data primer diambil dengan menggukan istrumen pengukuran antropometri dan glukometer AccuCheck Active. Korelasi Pearson digunakan untuk mencari masing-masing korelasi antara indeks massa tubuh, lingkar lengan atas, lingkar pinggang dengan glukosa darah puasa. Hasil: Analisis korelasi Pearson menunjukkan korelasi tidak bermakna antara indeks massa tubuh dengan glukosa darah puasa (r = 0,126, p = 0.122) dan lingkar pinggang dengan glukosa darah puasa (r = 0.087, p = 0.211) dengan glukosa darah puasa, terdapat korelasi bermakna antara lingkar lengan atas dengan glukosa darah puasa (r = 0.192, p = 0.037). Kesimpulan: Terdapat korelasi lemah antara lingkar lengan atas dengan glukosa darah puasa pada remaja usia 17 – 19 tahun. Namun tidak terdapat korelasi signifikan antara indeks massa tubuh, lingkar pinggang dengan glukosa darah puasa pada remaja 17 – 19.
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    Nutritional Status of Adolescents during the End of COVID-19 Pandemic in Bandung, Indonesia
    (2023-02-19) ANDREA IVANA ALLICIA HUTABARAT; Novina; Bony Wiem Lestari
    Objective: To obtain an overview of adolescents’ nutritional status in Bandung City, Indonesia, during the end of the COVID-19 pandemic. Methods: This cross-sectional study was conducted from December 2022 until January 2023. Nine subdistricts in Bandung City were selected using the probability proportional to size sampling method and 172 adolescents aged 15—17 were recruited using the convenience sampling method. Interviews were conducted to obtain subject characteristics: age, gender, educational level, occupation of parents, parents’ monthly income, number of people living together (excluding the subject), and number of siblings. Anthropometric measurements were conducted to obtain data on height, weight, and BMI to later be calculated as height-for-age and BMI-for-age z-scores. Height-for-age and BMI-for-age z-scores were classified according to WHO 2007 growth reference data. Results: The majority of adolescents in this study (87,2%) have normal height-for-age status, while the rest had stunted (12,2%) or severely stunted (87,2%) stature. The nutritional status based on BMI-for-age for 73,3% of the subjects is normal, while 3,5% were classified as “severe thinness”, 5,8% as “thinness”, 12,8% as “overweight”, and 4,7% as “obese”. Conclusion: In this study, most adolescents in Bandung City have normal nutritional status during our study period. However, some adolescents with nutritional problems were still discovered. We recommend routine nutritional status screening, maintaining a balanced diet, and getting enough physical exercise to achieve normal nutritional status in adolescents.
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    Short Stature in Children Admitted to Hasan Sadikin Hospital Bandung, West Java, Indonesia
    (2023-02-20) FAISAL SANDYA AZDI; Nova Sylviana; Novina
    Background: In normal conditions, growth in children follows a predictable pattern. Abnormalities in the growth period can be caused by various factors and have various underlying diseases. Therefore, short stature is a symptom of a pathological disorder or a physiological condition. Recognition and evaluation of short stature is paramount due to the multitude of factors involved in growth failure. The importance of recognizing and evaluating short stature is because the causes of growth failure are multifactorial. Furthermore, Accurate monitoring and assessment of growth is important for early recognition of inadequacy of growth. Methods: This cross-sectional study was obtained from Dr. Hasan Sadikin Hospital medical records, a total of 6,370 children were admitted in 2020 and 6,248 children in 2021. This study included 323 pediatric patients who were diagnosed with short stature from January 2020-December 2021 that have been selected based on the exclusion and inclusion indicator of this study. Results: Demography of patients with short stature showed that the majority of samples 71 (21,98%) are from Bandung city. Gender distribution showed a majority of 164 (50.77%) males with the predominant age group being adolescents at 114 (35.29%) samples. Anthropometric measurement for patients aged 0-18 years showed that 163 (50.46%) patients had length/height for age z-score that is categorized as stunted, followed by 160 (49.53%) is categorized as severely stunted. Furthermore, the wasted category at 28 (8.66%) patients and the severely wasted at 52 (16.09%) patients. Patients with short stature revealed a predominant underlying disease that is from hematologic origin at 72 (22,29%) patients, followed by infection origin at 57 (17.64%). Birth history of short stature patients showed that 12 (3,71%) were born with low birthweight. Conclusion: Demography of patients with short stature showed that the majority of samples are from Bandung city, predominantly males with normal BMI. Hematology disorders and infection are the most common underlying diseases.