Jaya Maulana, Dewi Nugraheni Restu Mastuti, Yasmin Meida
Dengue hemorrhagic fever (DHF) is a significant public health problem in Indonesia, including in Batang Regency. This study aims to analyze the risk factors associated with the incidence of dengue fever in children in Batang Regency, Indonesia. A cross-sectional observational study was conducted on 258 child subjects in Batang Regency. Data was collected through structured interviews with parents or guardians, direct observation of the home environment, and laboratory tests to confirm the diagnosis of dengue fever. Data analysis included univariate, bivariate (Chi-square test), and multivariate (logistic regression) analyses to identify independent risk factors. Univariate analysis showed a relationship between the incidence of dengue fever and age, gender, parental education, parental occupation, residential density, presence of mosquito larvae in water reservoirs, habit of hanging clothes, history of mosquito bites, and nutritional status. Bivariate analysis identified several statistically significant risk factors, including high residential density (OR=2.87; 95% CI: 1.65-5.01), presence of mosquito larvae (OR=3.21; 95% CI: 1.89-5.45), habit of hanging clothes (OR=2.87; 95%CI:1.32-5.21), and history of mosquito bites (OR=2.54; 95%CI: 1.48 -4.36). Multivariate analysis confirmed that high residential density and the presence of mosquito larvae were independent predictors of dengue incidence. High residential density and the presence of mosquito larvae in the home environment are the main risk factors for the incidence of dengue fever in children in Batang Regency. Public health interventions that focus on vector control and improving environmental sanitation are critical to reducing the dengue burden in this area.
{"title":"Analysis of Risk Factors for Dengue Hemorrhagic Fever in Children: An Observational Study in Batang Regency, Indonesia","authors":"Jaya Maulana, Dewi Nugraheni Restu Mastuti, Yasmin Meida","doi":"10.59345/sjped.v2i1.137","DOIUrl":"https://doi.org/10.59345/sjped.v2i1.137","url":null,"abstract":"Dengue hemorrhagic fever (DHF) is a significant public health problem in Indonesia, including in Batang Regency. This study aims to analyze the risk factors associated with the incidence of dengue fever in children in Batang Regency, Indonesia. A cross-sectional observational study was conducted on 258 child subjects in Batang Regency. Data was collected through structured interviews with parents or guardians, direct observation of the home environment, and laboratory tests to confirm the diagnosis of dengue fever. Data analysis included univariate, bivariate (Chi-square test), and multivariate (logistic regression) analyses to identify independent risk factors. Univariate analysis showed a relationship between the incidence of dengue fever and age, gender, parental education, parental occupation, residential density, presence of mosquito larvae in water reservoirs, habit of hanging clothes, history of mosquito bites, and nutritional status. Bivariate analysis identified several statistically significant risk factors, including high residential density (OR=2.87; 95% CI: 1.65-5.01), presence of mosquito larvae (OR=3.21; 95% CI: 1.89-5.45), habit of hanging clothes (OR=2.87; 95%CI:1.32-5.21), and history of mosquito bites (OR=2.54; 95%CI: 1.48 -4.36). Multivariate analysis confirmed that high residential density and the presence of mosquito larvae were independent predictors of dengue incidence. High residential density and the presence of mosquito larvae in the home environment are the main risk factors for the incidence of dengue fever in children in Batang Regency. Public health interventions that focus on vector control and improving environmental sanitation are critical to reducing the dengue burden in this area.","PeriodicalId":515362,"journal":{"name":"Scientific Journal of Pediatrics","volume":"43 41","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141269996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Necrotizing enterocolitis (NEC) is a serious condition in newborns involving inflammation and intestinal necrosis. A number of risk factors have been identified, which complexly interact and contribute to the development of this condition. An in-depth understanding of these risk factors has major implications for the prevention, diagnosis and management of NEC in newborns. Babies born prematurely, especially before 32 weeks' gestation, have a higher risk of developing NEC. Low birth weight, regardless of prematurity status, remains a significant independent risk factor. Imbalances in blood circulation, especially in the intestines, can increase the risk of NEC. Hypotension and other medical conditions that affect blood flow to the intestines can be potential triggers. Infection and inflammation, both systemic and local, play a central role in the development of NEC. Bacterial contamination in the digestive tract can trigger an inflammatory response that contributes to the pathophysiological process of NEC. Formula feeding, especially in premature infants, is associated with an increased risk of NEC. The importance of providing exclusive breastfeeding and introducing foods slowly to protect the newborn's intestinal health. Excessive use of antibiotics or without clear indications can change the balance of intestinal microflora and increase the risk of NEC. The importance of judicious selection and use of antibiotics to minimize negative impacts on gut health.
坏死性小肠结肠炎（NEC）是新生儿的一种严重病症，涉及炎症和肠道坏死。目前已发现多种风险因素，这些因素复杂地相互作用，导致了这种疾病的发生。深入了解这些风险因素对新生儿 NEC 的预防、诊断和管理具有重要意义。早产儿，尤其是妊娠 32 周前的早产儿，患 NEC 的风险较高。无论早产与否，低出生体重仍是一个重要的独立风险因素。血液循环不平衡，尤其是肠道内的血液循环不平衡，会增加发生 NEC 的风险。低血压和其他影响肠道血流的疾病可能是潜在的诱发因素。感染和炎症（包括全身和局部感染和炎症）在发生 NEC 的过程中起着核心作用。消化道中的细菌污染会引发炎症反应，从而导致 NEC 的病理生理过程。配方奶喂养（尤其是早产儿）与发生 NEC 的风险增加有关。纯母乳喂养和缓慢喂养对保护新生儿肠道健康非常重要。过度使用抗生素或在没有明确指征的情况下使用抗生素会改变肠道微生物菌群的平衡，增加发生 NEC 的风险。明智选择和使用抗生素的重要性，以尽量减少对肠道健康的负面影响。
{"title":"Analysis of Risk Factors for Necrotizing Enterocolitis (NEC) in Newborns: A Systematic Literature Review","authors":"Reza Agustiantwo Putra","doi":"10.59345/sjped.v2i1.97","DOIUrl":"https://doi.org/10.59345/sjped.v2i1.97","url":null,"abstract":"Necrotizing enterocolitis (NEC) is a serious condition in newborns involving inflammation and intestinal necrosis. A number of risk factors have been identified, which complexly interact and contribute to the development of this condition. An in-depth understanding of these risk factors has major implications for the prevention, diagnosis and management of NEC in newborns. Babies born prematurely, especially before 32 weeks' gestation, have a higher risk of developing NEC. Low birth weight, regardless of prematurity status, remains a significant independent risk factor. Imbalances in blood circulation, especially in the intestines, can increase the risk of NEC. Hypotension and other medical conditions that affect blood flow to the intestines can be potential triggers. Infection and inflammation, both systemic and local, play a central role in the development of NEC. Bacterial contamination in the digestive tract can trigger an inflammatory response that contributes to the pathophysiological process of NEC. Formula feeding, especially in premature infants, is associated with an increased risk of NEC. The importance of providing exclusive breastfeeding and introducing foods slowly to protect the newborn's intestinal health. Excessive use of antibiotics or without clear indications can change the balance of intestinal microflora and increase the risk of NEC. The importance of judicious selection and use of antibiotics to minimize negative impacts on gut health.","PeriodicalId":515362,"journal":{"name":"Scientific Journal of Pediatrics","volume":"4 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139389497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Children who live around TPA Tamangapa often play and do activities around the TPA. This can increase their risk of being exposed to worm eggs or larvae in the garbage. Lack of public knowledge and awareness about the dangers of worm infections. Hemoglobin (Hb) levels are an indicator of a child's nutritional status. This study aims to present an overview of worm infections and hemoglobin levels in children living in TPA (final waste disposal site) Tamangapa Makassar, Indonesia. Methods: This study is a descriptive observational research. This study uses primary data from observations of research subjects. A total of 10 research subjects participated in this study. Results: The results of microscopic examination of fecal samples showed that 6 were positive for worm infections and 4 were negative for worm infections. The positive results were found to be intestinal nematodes, namely Ascaris lumbricoides and Tricuris trichiura. Examination of hemoglobin levels in blood samples with the results obtained were normal in all samples. Conclusion: The majority of subjects experienced worm infections with the worm species found being A. lumbricoides and T. trichiura. All samples showed blood hemoglobin levels within normal limits.
{"title":"Overview of Worm Infections and Hemoglobin Levels in Children Living in TPA (Final Waste Disposal Site) Tamangapa Makassar, Indonesia","authors":"Ka’bah, Risma Yuliana","doi":"10.59345/sjped.v1i2.96","DOIUrl":"https://doi.org/10.59345/sjped.v1i2.96","url":null,"abstract":"Introduction: Children who live around TPA Tamangapa often play and do activities around the TPA. This can increase their risk of being exposed to worm eggs or larvae in the garbage. Lack of public knowledge and awareness about the dangers of worm infections. Hemoglobin (Hb) levels are an indicator of a child's nutritional status. This study aims to present an overview of worm infections and hemoglobin levels in children living in TPA (final waste disposal site) Tamangapa Makassar, Indonesia. \u0000Methods: This study is a descriptive observational research. This study uses primary data from observations of research subjects. A total of 10 research subjects participated in this study. \u0000Results: The results of microscopic examination of fecal samples showed that 6 were positive for worm infections and 4 were negative for worm infections. The positive results were found to be intestinal nematodes, namely Ascaris lumbricoides and Tricuris trichiura. Examination of hemoglobin levels in blood samples with the results obtained were normal in all samples. \u0000Conclusion: The majority of subjects experienced worm infections with the worm species found being A. lumbricoides and T. trichiura. All samples showed blood hemoglobin levels within normal limits.","PeriodicalId":515362,"journal":{"name":"Scientific Journal of Pediatrics","volume":"135 46","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139453037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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