Rini Sekartini
Unknown Affiliation

Published : 42 Documents
Articles

Dietary iron intake, serum ferritin and haemoglobin levels, and cognitive development scores of infants aged 6–8 months Kusumadewi, Dian; Bardosono, Saptawati; Sekartini, Rini
Medical Journal of Indonesia Vol 20, No 1 (2011): February
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (132.87 KB) | DOI: 10.13181/mji.v20i1.427

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Background: Iron deficiency during infancy may lead to negative effect on cognitive function and psychomotor development. This study aimed to investigate serum ferritin, haemoglobin level and its relation to cognitive development score in infants aged 6–8 months.Methods: This cross-sectional study was done on 76 infants recruited from several selected community health center in Kampung Melayu Village, Jatinegara Jakarta who had fulfilled the study criteria. Data collected consist of age, weight, height, head circumference, energy, protein and iron intake, serum feritin levels, haemoglobin levels and cognitive development score using Capute Scales method (Cognitive Adaptive Test/ Clinical Linguistic Auditory Milestone Scales/ CAT-CLAMS).Results: Among 74 infants aged 6-8 months, 73% had less dietary iron intake as compared to its RDA (7 mg/d), 18.9% were with serum ferritin less than normal value (20 μg/L), and 56.7% with haemoglobin levels less than normal value (11 mg/dL). In relation to cognitive development score, this study revealed that the CAT score was significantly lower among subjects with hemoglobin value less than 11 mg/dL (p = 0.026).Conclusion: Early prevention of impaired cognitive development is urgently needed by providing iron-rich complementary foods to infants since 6 months (mo) old to maintain the normal level of hemoglobin. (Med J Indones 2011; 20:46-9)Keywords: cognitive score, ferritin, hemoglobin, infants
Serum folate levels among healthy infants aged 6–8 months: relation to infants’ nutritional status indicators and maternal knowledge-attitude-practice Ernawati, Tutik; Bardosono, Saptawati; Sekartini, Rini
Medical Journal of Indonesia Vol 20, No 2 (2011): May
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (94.102 KB) | DOI: 10.13181/mji.v20i2.443

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Background: Vitamin B12 and folate deficiency can cause anemia which may lead growth and development impairments. This study was aimed to determine serum folate levels among infants aged 6–8 months and the relation to infants’ nutritional indicators and maternal knowledge-attitude-practice about infant feeding.Methods: A cross–sectional design was implemented in infants aged 6–8 months and their mothers as respondents who met the study criteria. Data collected among the infants included sex, age, length, weight, intake of energy, protein and folate (based on a one–month semi–quantitative FFQ and a 24–hour food recall), serum folate and hemoglobin levels. Data collected among the mothers included age, education level, income based on average minimum monthly wage, knowledge, attitude and behavior concerning infant’s feeding, i.e. breast milk and complementary feeding practices.Results: This study found that the median of serum folate levels was 43.05 nmol/L with values ranging from 19.92 nmol/L to 104.24 nmol/L. Serum folate level had a strong positive correlation with its related factors, protein and folate intake.Conclusions: Protein-folate–rich complementay food should be provided to infants aged 6 months and over to maintain serum folate level. (Med J Indones 2011; 20:138-42)Keywords: Folate, infants, nutrient intake, nutritional status
Breastfeeding pattern and its' association with nutritional status and salivary secretory immunoglobulin A level in 3-to 6-month-old infants Christy, Eleonora Mitaning; Sukmaniah, Sri; Sekartini, Rini
World Nutrition Journal Vol 1, No 2 (2018)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (325.119 KB) | DOI: 10.25220/WNJ.V01i2.0009

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Introduction: Breastfeeding pattern is a form of mother's behavior in giving breast milk to her baby. Breast milk supports the growth and development of the baby. The most common immunoglobulin in breast milk is secretory immunoglobulin A (sIgA). SIgA levels can be evaluated, one of the ways, from saliva samples examination. The purpose of the research were to determine the breastfeeding pattern and its association with nutritional status and salivary secretory immunoglobulin A level in 3-to 6-month-old infants.Methods: The research with cross sectional design was conducted in Kiara Social Pediatric-Growth and Developmental Polyclinic, Cipto Mangunkusomo Hospital Jakarta. A total of 54 healthy infants subjects aged 36 months old were taken using consecutive sampling method. Descriptive analysis, Chi Square, and Mann-Whitney test were used. P-values <0.05 were considered significant.Results: Our results showed that subjects with normal nutritional status were 85.2%. The median of subjects salivary sIgA level was 56.2 (2.5536.4) g/ml. There was no significant differences regarding to subjects nutritional status between good breastfeeding pattern group and poor breastfeeding pattern group (P> 0.145), and no significant differences regarding to salivary sIgA level between good breastfeeding pattern group and poor breastfeeding pattern group (P> 0.34).Conclusion: Despite its un-significant results, this study showed that normal nutritional status tended to be more prevalent in group with good breastfeeding pattern than in poor breastfeeding pattern. Re-encouragement, socialization, and education to the breastfeeding mothers is needed to improve the good breastfeeding pattern.
Association between obesity and behavioral/emotional disorders in primary school-aged children: a cross-sectional study Aditya, Clarissa J.; Sekartini, Rini
Medical Journal of Indonesia Vol 26, No 1 (2017): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (333.537 KB) | DOI: 10.13181/mji.v26i1.1564

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Background: Obesity in children can increase the risks of various chronic diseases. Mental disorders associated with obesity in children include: depression, anxiety, low self-esteem, hyperkinetic disorders, and increased aggressiveness. This relationship is estimated due to vulnerable genetic expressions in obese individuals. This study aimed to find the association between obesity and behavioral/emotional disorder in primary school-aged children.Methods: This cross-sectional study was conducted on 384 children at Menteng 1 Elementary School, Jakarta from July to September 2015. The study was conducted to find the association between the children’s nutritional status and behavioral/emotional disorders screened by the 17-item Pediatric Symptom Checklist (PSC-17). Chi square analysis was applied in this study.Results: The prevalence of obese children at Menteng 1 Elementary School, Jakarta reached 23.2%, which is higher than Jakarta’s prevalence (14%). 8.7% of the subjects were obese and 13.6% of them were having behavioral/emotional disorders. 20.0% of the obese subjects had behavioral/emotional disorders. The prevalence was higher for internalizing sub-scale, which was consistent with other studies. Association between obesity and behavioral/emotional disorders was significant for externalizing sub-scale (p=0.036). Externalizing problems caused by obesity might be affected by the social stigma of their peer group. However, obesity in children did not have a statistically significant relationship in internalization sub-scale, attention, and PSC-17 total score (p&gt;0.05). No significant associations towards those sub-scales were thought to be influenced by other factors, playing a role in causing mental disorders in children.Conclusion: In general, obesity was not associated with behavioral and emotional disorders in children, but obesity was related to externalizing behavioral/emotional disorders.
GROWTH AND DEVELOPMENTAL DELAY RISK FACTORS AMONG UNDER-FIVE CHILDREN IN AN INNER-CITY SLUM AREA Gunardi, Hartono; Nugraheni, Resyana P.; Yulman, Annisa R.; Soedjatmiko, Soedjatmiko; Sekartini, Rini; Medise, Bernie E.; Wirahmadi, Angga; Melina, Elizabeth
Paediatrica Indonesiana Vol 59 No 5 (2019): September 2019
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi59.5.2019.276-83

Abstract

Background Growth and developmental delays are common among children under the age of five years (under-five children), especially in slum areas. Early detection and intervention may give better prognoses. Objective To detect growth and developmental delays and related risk factors among under-five children living in an inner-city slum area of the Indonesian capital. Methods This cross-sectional study was conducted from October to November 2018 in Tanah Tinggi, Johar Baru District, an inner-city slum area in Central Jakarta. Subjects were healthy children aged 3?60 months. Socioeconomic profile was obtained through questionnaires, anthropometric data through measurements, and developmental status through the Kuesioner Pra Skrining Perkembangan (KPSP) instrument. Development was considered to be delayed for KPSP scores &lt;9. Data were analyzed using Chi-square test. Results Of 211 subjects, prevalence of underweight, stunting, and wasting were 35.1%, 28.0%, and 20.9%, respectively, meanwhile low maternal education, and low family income were 57.9% and 75%. The prevalence of developmental delay was 10%, while suspected developmental delay was 26.1%. The prevalence increased from age 21 months and peaked at 36 months. Associated risk factors were low maternal education, low family income, underweight weight-for-age, stunted height-for-age, and microcephalic head circumference-for-age. Conclusion Low education and low income were significant risk factors for growth and developmental delay.
Intervensi Sleep Hygiene pada Anak Usia Sekolah dengan Gangguan Tidur: Sebuah Penelitian Awal Harmoniati, Eva Devita; Sekartini, Rini; Gunardi, Hartono
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/sp18.2.2016.93-9

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Latar belakang. Gangguan tidur adalah kondisi yang ditandai dengan gangguan jumlah, kualitas, atau waktu tidur. Dampak gangguan tidur adalah gangguan belajar, memori, mood, perilaku, dan atensi.Tujuan. Mengetahui prevalensi, gambaran gangguan tidur, pengaruh intervensi sleep hygiene pada keluhan mengantuk, mood, kesulitan bangun, durasi tidur, nilai SDSC dan PDSS.Metode. Penelitian quasi eksperimental di SDN di Jakarta Pusat pada bulan Mei-Juni 2015. Skrining dan evaluasi pasca intervensi sleep hygiene selama 8 minggu menggunakan sleep disturbance scale for children (SDSC) dan pediatric daytime sleepiness scale (PDSS).Hasil. Prevalensi gangguan tidur 25,1%, terdiri atas disorder of initiating and maintaining sleep (DIMS) 61,5%, sleep wake transition disorder (SWTD) 61,5%, disorder of excessive somnolence (DOES) 55,4%, dan disorder of arousal (DA) 51,5%. Setelah intervensi dilaporkan perbaikan mengantuk, mood, kesulitan bangun pagi, nilai SDSC pre dan pasca intervensi (p<0,001).Kesimpulan. Dampak intervensi sleep hygiene yaitu perbaikan mengantuk, mood, kesulitan bangun pagi, serta perbedaan bermakna nilai SDSC pre dan pasca intervensi. 
Peran Instrumen Modifikasi Tes Daya Dengar sebagai Alat Skrining Gangguan Pendengaran pada Bayi Risiko Tinggi Usia 0-6 Bulan Andriani, Rini; Sekartini, Rini; Suwento, Ronny; Batubara, Jose RL
Sari Pediatri Vol 12, No 3 (2010)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (143.56 KB) | DOI: 10.14238/sp12.3.2010.174-83

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Latar belakang. Gangguan pendengaran pada bayi dapat menghambat perkembangan bicara, bahasa, dankemampuan kognitif. Identifikasi dan intervensi segera dengan program skrining akan mencegah konsekuensitersebut. Pemeriksaan elektrofisiologi merupakan alat skrining yang direkomendasikan namun memerlukanalat khusus, biaya dan tenaga ahli, sehingga diperlukan kuesioner pendengaran (hearing checklist) sebagaialat skrining. Departemen Kesehatan Republik Indonesia mengeluarkan instrumen tes daya dengar sebagaialat skrining gangguan pendengaran yang kemudian dimodifikasi pada tahun 2005.Tujuan. Membandingkan sensitivitas dan spesifisitas instrumen modifikasi tes daya dengar (MTDD) dengan bakuemas pemeriksaan skrining pendengaran yaitu distortion-product otoacoustic emission (DPOAE) dan AABR.Metode. Studi potong-lintang di RSCM pada bayi usia 0-6 bulan dengan satu atau lebih faktor risikoseperti riwayat keluarga dengan tuli bawaan, infeksi TORCH, prematuritas, berat badan lahir rendah,hiperbilirubinemia dengan terapi sinar atau transfusi tukar, sepsis awitan lambat dan meningitis, nilai skorApgar rendah, distress pernapasan, pemakaian alat bantu napas dan pemakaian obat yang bersifat ototoksikselama lebih dari 5 hari. Subjek dilakukan pemeriksaan fisis, pertumbuhan dan perkembangan, MTDD,DPOAE dan AABR.Hasil. Enam puluh subjek diperoleh ikut dalam penelitian, lelaki lebih banyak dengan rasio 1,1:1. Sebagianbesar subjek merupakan anak pertama (38,3%), diasuh oleh orangtua (60%) dan memiliki ????3 faktor risiko(70%). Pemakaian obat yang bersifat ototoksik (76,7%) merupakan faktor risiko terbanyak. Prevalensigangguan pendengaran berdasarkan MTDD 63,3% sedangkan kombinasi DPOAE dan AABR 11,7%. Umursubjek merupakan faktor yang secara bermakna mempengaruhi hasil MTDD (nilai p=0,032). Sensitivitasdan spesifisitas MTDD berturut-turut 85,7% dan 39,6%.Kesimpulan. Instrumen MTDD bukan merupakan alat skrining pendengaran yang ideal namun dibutuhkandan dapat digunakan di negara berkembang seperti Indonesia
Prevalensi Gangguan Tidur pada Remaja Usia 12-15 Tahun di Sekolah Lanjutan Tingkat Pertama Haryono, Adelina; Rindiarti, Almitra; Arianti, Alia; Pawitri, Anandika; Ushuluddin, Achmad; Setiawati, Amalia; Reza, Aditia; Wawolumaja, Corrie W.; Sekartini, Rini
Sari Pediatri Vol 11, No 3 (2009)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp11.3.2009.149-54

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Latar belakang. Gangguan tidur dinilai dari gangguan dalam jumlah, kualitas, atau waktu tidur. Gangguan tidur banyak ditemukan pada remaja (73,4%), namun belum banyak dilakukan di Indonesia.Tujuan. Mengetahui prevalensi gangguan tidur pada remaja usia 12-15 tahun di SLTP “X”, Kelurahan Jati, Jakarta Timur.Metode. Studi potong lintang dilakukan terhadap 140 pelajar SLTPN 92 di Kelurahan Jati, Jakarta Timur pada bulan Mei 2009, dengan teknik stratified purposive sampling. Pengambilan data dilakukan menggunakan kuesioner Sleep Disturbance Scale for Children (SDSC) yang diisi secara self-administered oleh orang tua beserta anak di rumah.Hasil. Prevalensi gangguan tidur didapatkan 62,9%, dengan gangguan transisi bangun-tidur sebagai jenis gangguan yang paling sering ditemui. Separuh subjek memiliki perbedaan waktu bangun antara hari sekolah dengan hari libur, 72,9% memiliki perbedaan waktu tidur yang tidak signifikan. Separuh subjek tidur cukup selama hari sekolah, dan 65% di hari libur. Aktivitas yang menenangkan sebelum tidur dilakukan oleh 73,6% subjek. Uji kemaknaan menunjukkan hubungan antara gangguan tidur dengan durasi tidur di hari sekolah dan aktivitas di tempat tidur (p<0,05). Tidak ada hubungan antara perbedaan waktu bangun atau tidur hari sekolah dengan hari libur, durasi tidur di hari libur, kebiasaan konsumsi minuman berkafein, dan lingkungan dengan gangguan tidur (p<0,05).Kesimpulan. Gangguan tidur banyak ditemukan pada remaja usia 12-15 tahun. Sleep Disturbance Scale for Children dapat digunakan sebagai uji tapis dalam mendeteksi gangguan tidur pada remaja
Sensori Integrasi: Dasar dan Efektivitas Terapi Waiman, Elina; Soedjatmiko, Soedjatmiko; Gunardi, Hartono; Sekartini, Rini; Endyarni, Bernie
Sari Pediatri Vol 13, No 2 (2011)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp13.2.2011.129-36

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Terapi sensori integrasi, sebagai bentuk terapi okupasi, mulai populer diberikan untuk tata laksana anak dengan berbagai gangguan perkembangan, belajar, maupun perilaku. Namun dasar teori, bentuk gangguan pemrosesan sensori, dan efektivitas terapi umumnya belum diketahui secara luas di kalangan dokter spesialis anak. Bukti sahih tentang manfaat terapi sensori integrasi untuk tata laksana anak dengan gangguan spesifik memungkinkan aplikasi dan pemberian edukasi pada keluarga pasien secara lebih optimal.
Skala Gangguan Tidur untuk Anak (SDSC) sebagai Instrumen Skrining Gangguan Tidur pada Anak Sekolah Lanjutan Tingkat Pertama Natalita, Christine; Sekartini, Rini; Poesponegoro, Hardiono
Sari Pediatri Vol 12, No 6 (2011)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (102.503 KB) | DOI: 10.14238/sp12.6.2011.365-72

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Latar belakang. Dampak gangguan tidur pada remaja adalah penurunan prestasi akademis di sekolah,meningkatkan kenakalan remaja dan meningkatkan angka pemakaian rokok. Deteksi dini gangguan tidurperlu dilakukan karena remaja jarang mengeluh dan mengganggapnya bukan suatu masalah yang serius.Pemeriksaan gangguan tidur menggunakan polysomnography mahal dan tidak praktis, sedangkan pemeriksaanwrist actigraphy sederhana tetapi belum tersedia di Indonesia. Skala gangguan tidur untuk anak atau sleepdisturbance scale for children (SDSC) praktis dan murah.Tujuan. Mengetahui sensitivitas dan spesifisitas SDSC terhadap pemeriksaan wrist actigraphy.Metode. Penelitian uji diagnostik dengan desain potong lintang selama bulan Juli-Oktober 2010. Muridyang memenuhi kriteria inklusi, dilakukan pemeriksaan wrist actigraphy dan pengisian kuisioner SDSCbersama orangtua.Hasil. Sebagian besar subjek berusia 14 tahun (50%). Rerata waktu subjek tidur adalah pukul 22:12, waktusubjek bangun pukul 05:55, dan total waktu tidur subjek 6 jam 47 menit. Terdapat 40 subjek (62,5%)yang menderita gangguan tidur menurut SDSC dengan jenis gangguan yang paling sering adalah gangguantransisi tidur-bangun (25%). Berdasarkan pemeriksaan wrist actigraphy terdapat 42 subjek (65,6%) yangmenderita gangguan tidur. Nilai diagnostik SDSC terhadap wrist actigraphy didapatkan sensitivitas 71,4%dan spesifisitas 54,5%. Nilai duga positif dan nilai duga negatif adalah 75% dan 50%.Kesimpulan. Sensitivitas dan spesifisitas SDSC terhadap pemeriksaan wrist actigraphy adalah 71,4% dan54,5%. Instrumen SDSC dapat digunakan sebagai alat skrining gangguan tidur pada remaja.
Co-Authors Achmad Ushuluddin, Achmad Adam Adam Adelina Haryono, Adelina Aditia Reza, Aditia Aditya, Clarissa J. Ali Alhadar Ali Sungkar Alia Arianti, Alia Almitra Rindiarti, Almitra Amalia Setiawati, Amalia Aman B. Pulungan Amany, Tazkya Anandika Pawitri, Anandika Anderson, Dave Ardi Findyartini, Ardi Ari Prayogo Armeilia, Rilie Asmoko Resta, Asmoko Astri Adelia, Astri Astri Dewina, Astri Auliyanti, Fijri Bambang Supriyatno Basrowi, Ray Wagiu Benjamin Ngatio, Benjamin Bernie Endyarni Medise, Bernie Endyarni Bernie Endyarni, Bernie Bintang Pratiwi, Bintang Catharina Sambo, Catharina Cathrine Cathrine, Cathrine Centauri Centauri, Centauri Christine Natalita, Christine Christopher Silman, Christopher Christy, Eleonora Mitaning Citra Aryudi, Citra Corrie W. Wawolumaja, Corrie W. Corrie Wawolumaja Corrie Wawolumaya Corry Wawolumaya, Corry Cynthia Cynthia Daisy Widiastuti, Daisy Damara Andalia, Damara Daniel Nugraha Aji, Daniel Nugraha Darmawan, Anthony C. Darmosubroto, Sudiyanto Desi Astari, Desi Diah Pitaloka DMP, Diah Pitaloka Dian Kusumadewi Dian Milasari, Dian Dyah Tunjungsari, Dyah Elina Waiman, Elina Elisa Harlean, Elisa Erick Wonggokusuma, Erick Eva Devita Harmoniati, Eva Devita Faisal Adam, Faisal Hardiono Poesponegoro, Hardiono Hartono Gunadi, Hartono Hartono Gunardi Harumdini, Matahari Hendrata, Erwin Henry Riyanto, Henry Hesti Lestari Imam D, Imam Imam N, Imam Irawan Mangunatmadja, Irawan Irene Yuniar, Irene Jeane Roos Ticoalu, Jeane Roos Johnson, Ikhsan Jose RL Batubara Jose RL. Batubara, Jose RL. Juliansen, Andry Kumala, Melani Lily Rahmawati, Lily Listya Tresnanti Mirtha, Listya Tresnanti M. Triadi Wijaya, M. Triadi Maelissa P. Ririmasse, Maelissa P. Martin Hertanto Maulina Rachmasari, Maulina Medise, Bernie E. Medise, Bernie E. Melina, Elizabeth Melyarna Putri, Melyarna MF Conny Tanjung, MF Conny Mirtha, Listya T. Muhammad Arvianda Kevin Kurnia, Muhammad Arvianda Kevin Murti Andriastuti, Murti Nadya, Ruth Nahla Shihab, Nahla Nashrul Ihsan, Nashrul Noorwati Sutandyo Nugraheni, Resyana P. Nuri Indahwati, Nuri Nuri Purwito Adi Nurullah, Ghifari Nycane Nycane, Nycane oedjatmiko oedjatmiko, oedjatmiko Pakasi, Trevino Pardede, Sudung Partini Trihono, Partini Puspitadewi, Ardita Pustika Amalia Ratna Djuwita Renno Hidayat, Renno Retno Asti Werdhani Rini Andriani Ririn Hariani, Ririn Rismala Dewi Robert Sinto Ronny Suwento, Ronny Salma Oktaria Saptawati Bardosono Sarah Listyo Astuti, Sarah Listyo Setyanto, Darmawan Budi Siti Mirdhatillah, Siti Soedjatmiko Soedjatmiko Sri Rezeki Hadinegoro, Sri Rezeki Sri Sukmaniah Sudigdo Sastroasmoro Titi S. Sularyo Tumbelaka, Intan Tutik Ernawati Wigoeno, Yulia Wirahmadi, Angga Yogi Prawira, Yogi Yulianti Wibowo, Yulianti Yulman, Annisa R. Zakiudin Munasir