Rafita Ramayati, Rafita
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WAIST CIRCUMFERENCE, BODY MASS INDEX, AND SKINFOLD THICKNESS AS POTENTIAL RISK FACTORS FOR HIGH BLOOD PRESSURE IN ADOLESCENTS Dewi, Roslina; ramayati, rafita; Rosdiana, Nelly; Ramayani, Oke Rina; Siregar, Rosmayanti; Siregar, Beatrix
Paediatrica Indonesiana Vol 59 No 2 (2019): March 2019
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (265.132 KB) | DOI: 10.14238/pi59.2.2019.79-86

Abstract

Background The prevalence of hypertension in children and adolescents has increased with the rising obesity epidemic. Recent studies have found that prevalence of hypertension was higher in obese children or adolescents than in the normal weight ones. Anthropometric measurements such as body mass index (BMI), waist circumference, and skinfold thickness have been used as criteria to determine obesity in children and adolescents. Increased waist circumference has been most closely related to increased blood pressure. Objective To compare waist circumference, BMI, and skinfold thickness as potential risk factors for hypertension in adolescents. Methods This cross-sectional study was conducted in May 2014 in three senior high schools in Medan, North Sumatera, and included 253 students with normal urinalysis test. All subjects underwent blood pressure, waist circumference, tricep- and subscapular-skinfold thickness (TST and SST), body weight, and body height measurements. The study population was categorized into underweight, normoweight, overweight, and obese, according to four different criteria: waist circumference, BMI, TST, and SST; all variables were analyzed for possible correlations with systolic and diastolic blood pressure. Results There were significant positive correlations between systolic blood pressure and waist circumference (OR 7.933; 95%CI 2.20 to 28.65; P=0.011) as well as BMI (OR 4.137; 95%CI 1.16 to 14.75; P=0.041). There were also significant correlations between diastolic blood pressure and waist circumference (OR 3.17; 95%CI 1.83 to 5.51; P=0.002), BMI (P=0.0001; OR=3.69), TST (OR 4.73; 95%CI 2.31 to 9.69; P=0.0001), and SST (OR 3.74; 95%CI 2.35 to 5.94; P=0.0001). Multivariate analysis showed that waist circumference was a predictive factor for systolic blood pressure (OR 9.667), but not for diastolic blood pressure. Conclusion Waist circumference is the strongest, significant, predictive factor for elevated systolic blood pressure; meanwhile BMI, SST, and TST could be predictive factors for elevated diastolic blood pressure. 
Luaran Pasien Anak dengan Gagal Ginjal Terminal Ramayani, Oke Rina; Rosmayanti, Rosmayanti; Ramayati, Rafita; Rusdidjas, Rusdidjas
Sari Pediatri Vol 14, No 5 (2013)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp14.5.2013.277-82

Abstract

Latar belakang. Gagal ginjal terminal merupakan kondisi yang tidak reversibel dan berlanjut pada kematian. Hal tersebut masih merupakan penyebab penting morbiditas dan mortalitas pada anak.Tujuan. Penelitian bertujuan untuk mengetahui etiologi dan modalitas terapi pasien gagal ginjal terminal.Metode. Penelitian retrospektif dengan melakukan telaah rekam medis terhadap 38 anak yang didiagnosis gagal ginjal terminal antara tahun 2005-2010 di RS H.Adam Malik, Medan.Hasil. Selama penelitian, 38 anak (38/355) terdiagnosis gagal ginjal terminal di antara keseluruhan anak penyakit ginjal di RS H. Adam Malik, Medan. Selama kurun waktu tersebut 41.130 anak berobat di Bagian Anak atau lebih kurang 0,1%. Dua puluh lima anak di antaranya (25/38) adalah laki-laki. Rerata umur saat datang pertama kali 9,8 tahun. Penyebab utama gagal ginjal terminal adalah glomerulonefritis kronik (24/38), pielonefritis kronik (5/38), hidronefrosis (2/38) dan penyebab lain (7/38). Modalitas terapi untuk pasien tersebut adalah hemodialisis (17/38), dialisis peritoneal mandiri berkesinambungan (DPMB) (4/38), hemodialisis diikuti DPMB (1/38) dan terapi konservatif /menolak dialisis (16/38). Dua puluh empat anak (24/38) meninggal, 7 anak (7/38) tidak dapat dipantau, dan 7 anak lagi bertahan hidup.Kesimpulan. Glomerulonefritis kronik merupakan penyebab utama gagal ginjal terminal pada anak di RS H Adam Malik, Medan.Angka mortalitas pasien anak dengan gagal ginjal terminal masih tinggi.
Bakteriuria Asimtomatik pada Anak Sekolah Dasar Laki-laki dan Perempuan Usia 9-12 tahun Lumbanbatu, Sondang M.; Rusdidjas, Rusdidjas; Ramayati, Rafita; Tobing, Ramona
Sari Pediatri Vol 3, No 2 (2001)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (154.875 KB) | DOI: 10.14238/sp3.2.2001.67-71

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Bakteriuria asimtomatik adalah bakteriuria bermakna pada anak yang kelihatan sehattanpa gejala klinis infeksi ginjal dan saluran kemih. Tujuan penelitian ini untuk melihatperbedaan dan prevalensi bakteriuria asimtomatik pada anak sekolah dasar usia 9 – 12tahun menurut jenis kelamin. Telah dilakukan penelitian secara studi cross sectionaldeskriptif terhadap urin murid sekolah dasar laki-laki dan perempuan usia 9 – 12 tahundi Kecamatan Medan, Tuntungan, Medan yang dipilih secara acak pada bulan Januarisampai Maret 2001. Kriteria eksklusi apabila dijumpai anak dengan gejala infeksi salurankemih, enuresis nokturnal atau diurnal, sedang menderita kelainan anatomi danfungsional saluran urogenital yang dapat dideteksi secara klinis. Sampel yang diambiladalah urin pagi pancar tengah dan dibiakkan di Laboratorium Mikrobiologi FK-USUMedan. Bakteruria bermakna bila ditemukan > 100.000 koloni bakteria per ml urin.Dari 200 anak (137 perempuan, 63 laki-laki) dijumpai 16 bakteriuria bermakna terdiridari 14 (7%) perempuan dan 2 (1%) laki-laki, berbeda bermakna (p<0,05). Jenisbakteriuria E. coli 6, Staphylococcus epidemidis 6, Staphylococcus aureus 2, Klebsiella 1,dan Pseudomonas 1. Kesimpulan, adanya perbedaan bermakna bakteriuria asimtomatikpada anak sekolah dasar laki-laki dan perempuan usia 9-12 tahun, dengan kumanpenyebab terbanyak E. coli dan Staphylococcus epidermidis.
Nocturnal enuresis in children in the mountain and coastal area Lisma, T. Erna; Ariani, Ani; Sembiring, Tiangsa; Ramayati, Rafita; Rusdidjas, Rusdidjas
Paediatrica Indonesiana Vol 39, No 3-4 (1999): March 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi39.3-4.1999.76-82

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This study was designed to asses whether there is the difference ofprevalence nocturnal enuresis of children living m the moun tam and coastal area, the role of socioeconomic status and nocturnal enuresis and attitude of parent concerning to enuretic children. The cross sectional study was conducted from September to October 1995 in Brastagi (mountain area) and Pantai Cermin (coastal area). Sample was taken by simple random sampling method from children with age of 5 to 15 year.Data were collected by filling the questionnaires, physical and urine examination. Nocturnal enuresis were found 19.27% of 578 children in Brastagi and 18.46% of 547 children in Pantai Cermin, it was not significant difference statistically (p>O.OS). In age group of 5 to 6 years enuresis were the highest percentage namely 30.26% in Brastagi and 30.01% in Pantai Cermin. Poor social economic status of nocturnal enuretic children family 57.02% in Brastagi and 50.50% in Pantai Cermin, it was notsignificant difference (p>O.OS). Only 55.36% of the parents concern with enuresis on their children, while in Pantai Cermin 23.95%. In this study, we did not find the correlation between geography, poor social economic status with nocturnal enuresis and mostly of the parents considered that enuresis was not a problem.
Relationship between childhood blood pressure and birth weight Rahayu, Sri; Rusdidjas, Rusdidjas; Ramayati, Rafita; Ramayani, Oke Rina; Siregar, Rosmayanti
Paediatrica Indonesiana Vol 55 No 2 (2015): March 2015
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (90.654 KB) | DOI: 10.14238/pi55.2.2015.117-20

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cardiovascular mortality and morbidity. Some studies havereported a significant relationship between elevated blood pressurein children with low birth weight.Objective To assess blood pressure differences in primary schoolstudents who had low and normal birth weights.Methods This cross-sectional study was conducted in 170children aged 6 to 12 years in March 2011 at a Medan primaryschool, North Sumatera. Blood pressure was measured with astandard mercury sphygmomanometer. A parental questionnairewas used to collect information on birth weight. Data wereanalyzed by student’s T-test for numerical data and Spearman’scorrelation test for a relationship between blood pressure andbirth weight.Results The subjects consisted of 85 children with low birth weightand 85 children with normal birth weight. The mean systolic (SBP)and diastolic blood pressures (DBP) were significantly higherin children with low birth weight than those with normal birthweight [SBP: 106.7 vs. 99.8 mmHg, respectively, (P=0.0001); andDBP: 69.2 vs. 63.5 mmHg, respectively, (P=0.0001)]. There wererelationships between elevated SBP and DBP and low birth weight,as indicated by correlation coefficient [r=-0.365 and r=-0.425,respectively, (P=0.0001)].Conclusion Blood pressure is significantly higher in children withlow birth weight than in those with normal birth weight. Birthweight was inversely related both to systolic and diastolic bloodpressure.
Renal manifestations in tuberous sclerosis patients: two case reports Ramayani, Oke Rina; Rosmayanti, Rosmayanti; Ramayati, Rafita; Rusdidjas, Rusdidjas
Paediatrica Indonesiana Vol 53 No 1 (2013): January 2013
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (134 KB) | DOI: 10.14238/pi53.1.2013.56-8

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Tuberous sclerosis (TS) is a neurocutaneous disorder, characterized bymental retardation, epilepsy, and facialangiofibromas. The incidence has beenestimated to be 1 case per 6000 live births.Although rare, this disorder is a cause of mentalretardation with severe epilepsy.1 Scientists havefound manifestations of this disorder not only inbrain and skin, but also in the eyes, heart, lungs, andkidneys, so it has been renamed tuberous sclerosiscomplex (TSC).
Detecting proteinuria: A comparison of diagnostic tests Mauliddina, Jeanida; Siregar, Rosmayanti; Ramayani, Oke Rina; Ramayati, Rafita; Rusdidjas, Rusdidjas
Paediatrica Indonesiana Vol 51 No 1 (2011): January 2011
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi51.1.2011.17-21

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Background Proteinuria is a condition when protein is found in urine, a common symptom in children with renal disorders. Proteinuria can also be found in nonnal children and in those with non-renal disorders. A high sensitivity test is needed to detect proteinuria. Spectrophotometry has been used as a standard to detect proteinuria, however, it is expensive and not readily available in health clinics. We tested the use of20% sulfosalicylic add to detect proteinuria, and compared it to spectrophotometry. The sulfosalicylic add test is inexpensive, rapid, and easily performed in primary community health centers.Objective To compare 2 0 % sulfosalicylic acid test t o spectrophotometry as a diagnostic test for proteinuria.Methods We conducted a cross-sectional study in Adam Malik Hospital from September 2009 until December 2009. Inclusion criteria were children aged 3 to 18 years who experienced kidney disease. We collected 24 hour urine specimens from 55 children by consecutive sampling. Urine specimens were tested for proteinuria by 20% sulfosalicylic acid test and spectrophotometry.Results Sensitivity and specificity of 20% sulfosalicylic acid test compared to spectrophotometry were 88.1 % and 69.2%, respectively, with a positive predictive value and a negative predictive value of 90.2% and 64.3%, respectively.Conclusion The sulfosalicylic acid test had low sensitivity and specificity for detecting proteinuria, but it was more practical and less expensive compared to spectrophotometry.
Blood pressure and lipid profiles in adolescents with hypertensive parents Fitriany, Julia; Ramayati, Rafita; Supriatmo, Supriatmo; Rusdidjas, Rusdidjas; Rina, Oke; Siregar, Rosmayanti
Paediatrica Indonesiana Vol 55 No 6 (2015): November 2015
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (96.196 KB) | DOI: 10.14238/pi55.6.2015.333-8

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Background Adolescent hypertension is a significant health problem of increasing prevalence and causes high morbidity and mortality. It is found primarily in young males, with a familial history of hypertension and/or cardiovascular disease. Examination of lipid profiles has been used to detect the risk of hypertension in adolescents. Objective To compare blood pressure and lipid profiles in adolescents with and without a parental history of hypertension. Methods This cross-sectional study was conducted from January to February 2012 on students from a senior high school in the Toba Samosir District, North Sumatera. Sixty-eight adolescents were included, aged 15 to 18 years. Group I comprised 34 adolescents with hypertensive parents, and group II comprised 34 adolescents with normotensive parents. Subjects were selected based on questionnaires. Subjects’ blood pressures were measured at rest. Three measurements were made in intervals of 10-15 minutes, then averaged for both systolic and diastolic blood pressures. Lipid profiles were measured using the CardioCheck cholesterol test after subjects had fasted for 12 hours. Results The median systolic blood pressures (SBP) in groups I and II were 110 mmHg (range 93.3-123.3) and 106.7 mmHg (range 96.7-123.3), respectively, (P=0.584). The median diastolic blood pressures (DBP) were 73.3 mmHg (range 66.7-83.3) and 71.7 mmHg (range 63.3-80.0), respectively, (P=0.953). Total cholesterol and low-density lipoprotein cholesterol (LDL-C) levels in group I were significantly higher than those levels in group II [median total cholesterol: 162.0 (range 158-170) vs. 159.0 (range 150-170), respectively; (P=0.001); and mean LDL-C: 103.5 (SD 3.72) vs. 99.1 (SD 4.63), respectively; (P=0.001). Multivariate analysis revealed a correlation of moderate strength between parental history of hypertension and increased LDL-C (P&lt;0.001) in adolescents. Conclusion Adolescents with and without familial history of hypertension have no significant median blood pressure differences. However, adolescents with hypertensive parents have This study was presented at Pertemuan Ilmiah Tahunan V (PIT V/The 5th Child Health Annual Scientific Meeting) Bandung, October 15–17, 2012. From the Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera, Indonesia. Reprint requests to: Dr. Julia Fitriany, Department of Child Health, University of North Sumatera Medical School/H. Adam Malik Hospital, Jl. Bunga Lau No.17, Medan 20136. Tel +6261 8361721 – +6261 8365663. Fax. +6261 8361721. E-mail: julia_fitriany@yahoo.com. Adolescent hypertension is an important health problem of increasing prevalence that affects morbidity and mortality.1 The prevalence of hypertension in adolescents has increased due to several factors such as obesity, a sedentary lifestyle, smoking, stress, sleep disorders and increased intake of high-calorie foods, sodium, alcohol, and caffeine.2 In the pediatric population, essential hypertension, also known as primary hypertension, mostly afsignificantly higher median total cholesterol and mean LDL-C. Furthermore, we find a correlation between parental history of hypertension and increased LDL-C in adolescents.
The relationship between children’s blood pressure and blood pressure of their parents Nasution, Desy Aswira; dr, Rusdidjas; dr, Supriatmo; Ramayati, Rafita; Ramayani, Oke Rina; Siregar, Rosmayanti
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 45, No 2 (2012): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Background : Family history of hypertension is a risk factor for hypertension in children. Some studies have reported significant relationship of elevated blood pressure in children with hypertensive parents.Objective : To determine the relationship between blood pressure in children and blood pressure of their parents Methods : A cross sectional study was conducted in 90 children aged 6 until 18 years in Baringin village, Panyabungan on May until June 2010. Sample was collected with consecutive sampling. Classification of hypertension determined by measurement of blood pressure, height, weight based on Fourth Task Force. We used student t-test to analyzed numerical data. Simple linier regression was used to investigate the relationship between blood pressure of children and blood pressure of their parents. Results : Of 90 participants that had been examined, 24 boys and 17 girls have hypertensive parents. The mean systolic (SBP), diastolic (DBP) and mean arterial blood pressure (MABP) was significantly higher in children with hypertensive parents than normotensive parents (116.7 and 7.07 respectively ; P = 0.0001 for SBP, 77.8 and 8.33 respectively; P = 0.0001 for DBP, 90.7 and 7.41 respectively; P = 0.0001 for MABP). There was a significant relationship between elevated SBP in boys and SBP of his father was indicated by the correlation coefficient (r = 0.806; P = 0.0001).Conclusions: The blood pressure of children was significantly higher in children with hypertensive parents than normotensive parents. There was a strong correlation between SBP in boys with SBP of his father.Keywords : hypertension; blood pressure; parents; children
Interleukin-6 urin sebagai pemeriksaan cepat pielonefritis pada neonatus Nuri, Nezman; Ramayati, Rafita; Ramayani, Oke Rina; Siregar, Rosmayanti Syafriani; Siregar, Beatrix
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 2 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Pyelonephritis is a common infection to all children in all age groups, including the newborn. The diagnosis of urinary tract infection is established certainly by urine culture. Additional investigations can be done to help confirm the diagnosis, such as urinary interleukin-6. Increased number of urinary interleukin-6 is helpful to quickly confirm the occurrence of pyelonephritis. Keyword : pyelonephritis; neonates; urine culture; interleukin-6