Risk factor of growth faltering in infants aged 2-12 months

2021 ◽  
Vol 10 (1) ◽  
pp. 72-79
Author(s):  
Rina Pratiwi ◽  
Adriyan Pramono ◽  
Galuh Hardaningsih

Background: Growth faltering is a condition of growth disturbance that marked by slower growth velocity compared with previous growth chart. Growth faltering can cause effects in immune response, cognitive, & physical and psychomotor disturbance, behavioral disorder, learning problems, higher risk of infection and mortality.Objectives: To analyze risk factor of growth faltering in infant aged 2-12 months.Materials and Methods: A case control study was conducted in Public Health Center in Semarang city. Subject were infants aged 2 until 12 months with growth faltering. Variables were divided to exclusive breastfeeding, mother’s education, mother’s employment, social economic status, infection, mother’s nutrition and gestational age. Anthropometric and questionnaire data were obtained and analyzed among 116 infants. Statistic test used Chi square and multivariate analysis.Results: Chi-square analysis showed that breastfeeding (p=0.016) and gender (p=0.04) had a significant relationship with growth faltering in infant 2-12 months. Under standard parent’s income (p=0.809), Acute Respiratory Tract Infection (ARTI) (p=0.377), diarrhea (p=0.243), mother’s nutrition (p=1.00), gestational age (p=0.77), low mother’s education (p=0.83) and working mother (p=0.26) didn’t have a significant relationship with growth faltering in infant aged 2-12 months. Multivariate analysis showed that gender (p=0.035) and breastfeeding (p=0.019) were the most influencing variable to growth faltering. In 2-6 group, breastfeeding pattern had significant relationship with growth faltering (p=0.77)Conclusions: Breastfeeding and gender were risk factors of growth faltering in infant aged 2-12 months. Further research needed on how to prevent growth faltering in first 1000 days of life so it may avoid stunting in later life.

2013 ◽  
Vol 9 (4) ◽  
pp. 155
Author(s):  
Normayanti Normayanti ◽  
Nila Susanti

Background: Coverage of exclusive breastfeeding in Indonesia fluctuate and showed a declining trend over the last three years. Coverage of exclusive breastfeeding of Palangka Raya city is still very low at around 23.30%. There are several variables suspected as the cause of the malnutrition problem, the variables are status of breastfeeding, mother's education level, mother's employment, mother’s knowledge of nutrition and counseling status of breastfeeding.Objective: This study aimed to determine the effect of breastfeeding status on the nutritional status of infants aged 6-12 months in the working area of UPTD Puskesmas Kalampangan Palangka Raya city.Method: The study design used was a case-control with 1:2 ratio, the case are infants aged 6-12 months with low nutritional status, whereas the comparison are infants aged 6-12 months with normal nutritional status. The dependent variable is the nutritional status and the independent variables are breastfeeding status, mother's education level, mother's employment, mother’s knowledge of nutrition, and breastfeeding counseling status. Data analysis was performed by univariate, bivariate (Chi-Square) and multivariate (logistic regression). Results: From the 5 (five) variables were analyzed, 2 (two) variables independently became risk factor for malnutrition are status of breastfeeding (OR=6.667) and the counseling status of breastfeeding (OR=3.215). But together (simultaneously), only breastfeeding status has an influence on the nutritional status of infants, and non-exclusive breastfeeding was significant as a risk factor for malnutrition (OR=5.126). Probability infant to experience malnutrition due to breastfeeding status no exclusive is at 25.54%.   Conclusion: Breastfeeding status has an influence on the nutritional status of infants and non-exclusive breastfeeding was significant as a risk factor for malnutrition among infants aged 6-12 months.


Author(s):  
Rubiyati Rubiyati

ABSTRACT Antenatal Care is the care given to pregnant woman to monitor, support maternal health and maternal detect, whether normal or troubled pregnant women. Aki in Indonesia amounted to 359 in 100.000 live births. The purpose of the study was to determine the relationship between age and education in the clinic Budi Mulia Medika 2014. This study used a survey method whit cross sectional analytic. This is the overall study population of women with gestational age ≥36 weeks who come to visit the clinic Budi Mulia Medika Palembang on February 10 to 18. The study sample was taken in non-random with the technique of “accidental smapling “ with respondents who happens to be there or variable. The obtained using univariate and bivariate analysis using Chi-Square test statistic. The results of the univariate analysis showed that 83,3% of respondents did according to the standard prenatal care, high risk age 40,0 %, 60,0% lower risk of age, higher education 70,0%, 30,0% low education. Bivariate analysis showed that there was no significant relationship betwee age and pregnancy tests wit p value= 0,622, and significant relationship between education and prenatal care with p value= 0,019. From the results of this study are expected to need to increase outreach activities to the community about the importance of examination of pregnancy according to gestational age in an effort to reduse maternal mortality.   ABSTRAK Antenatal Care merupakan pelayanan  yang di berikan pada ibu hamil untuk memonitor, mendukung kesehatan ibu dan mendeteksi ibu, apakah ibu hamil normal atau bermasalah. Di Indonesia AKI berjumlah 359 per 100.000 kelahiran hidup. Tujuan penelitian adalah untuk mengetahui hubungan antara usia dan pendidikan dengan pemeriksaan kehamilan di klinik budi mulia medika tahun 2014. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi penelitian ini adalahseluruh ibu dengan usia kehamilan ≥ 36 minggu yang dating berkunjung ke Klinik Budi Mulia Medika pada tanggal 10-18 Februari. Sampel penelitian ini di ambil secara non random dengan tekhnik ‘’ Accidental Sampling’’ dengan responden yang kebetulan ada atau tersedia. Data yang di peroleh menggunakan analisis univariat dan bivariat menggunakan uji statistik Chi-Square. Hasil analisis univariat ini menunjukan bahwa 83,8% responden melakukan pemeriksaan kehamilan sesuai standar, 16,7% tidak melakukan pemeriksaan kehamilan sesuai standar, usia resiko tinggi 40,0%, usia resiko rendah 60,0%, pendidikan tinggi 70,0 %, pendidikan rendah 30,0 %. Analisis bivariat menunjukan bahwa tidak ada hubungan bermakna antara usia dengan pemeriksaan kehamilan dengan p value =0,622, ada hubunngan bermakana antara pendidikan dengan pemeriksaan kehamilan dengan p value = 0,019. Dari hasil penelitian ini di harapkan perlu meningkatkan kegiatan penyuluhan kepada masyarakat tentang pentingnya dilakukan pemeriksaan kehamilan sesuai dengan umur kehamilan sebagai upaya menurunkan angka kematian ibu.    


2017 ◽  
Vol 10 (1) ◽  
pp. 89-110
Author(s):  
Fariba Ramazani Sarbandi ◽  
Giti Taki ◽  
Pakzad Yousefian ◽  
Mohamad Reza Farangi

This study focusing on physician-patient interactions aimed to find out whetherphysicians’ gender and experience influence Persian doctor-patient interactions. Sopower strategies in physician-patient interactions were extracted and categorized toexplore the relationship between physicians’ gender and experience and power strategies.Fieldwork was conducted in clinics and hospitals of Rafsanjan city in Iran. One hundredphysician-patient consultations were audiotaped and transcribed during 2011-2012.Woods’ (2006) view was used to examine four strategies of power and knowledge ontheir talk. The findings pointed out the importance of investigating discourse of medicinein order to improve medical consultations, especially physician-patient interactions.Our study confirmed some previous assertions that physician-patient interactionswere asymmetrical. Physicians controlled and dominated the medical consultations byquestioning, interruptions, directive statements and tag questions. The analysis of the datarevealed that all power strategies were applied in Iranian physician-patient interactions.The results of Chi-Square tests indicated that there was a significant relationship betweenpower strategies and physicians’ experience and gender. It was concluded that the femaleand inexperienced physicians tended to control consultations by questioning, interruption,directives and tag questions more than the male and experienced physicians.


2019 ◽  
Vol 1 (2) ◽  
pp. 96-105
Author(s):  
Dewi Sartika Siagian ◽  
Sara Herlina

The purpose of this study was to determine the relationship of exclusive breastfeeding and mother's education on infant development. This research is a quantitative observational analytic with cross sectional design. The results of univariate analysis show that most babies get exclusive breastfeeding as many as 46 people (55.4%), low education as many as 56 people (67.5%) and most of the normal development of 47 people ( 56.6%). The results of bivariate analysis of exclusive breastfeeding for infant development by chi square test obtained P value <0,000. Conclusions, there is a relationship between exclusive breastfeeding on infant development and bivariate analysis of maternal education on infant development. There is a relationship between mother's education and infant development. Keywords: Exclusive ASI, Mother's Education, Infant Development


2020 ◽  
Vol 30 ◽  
Author(s):  
Davi Manzini Macedo ◽  
Priscila Lawrenz ◽  
Jean Von Hohendorff ◽  
Clarissa Pinto Pizarro Freitas ◽  
Silvia Helena Koller ◽  
...  

Abstract Child maltreatment is a severe Public Health issue. To understand its associated factors, our study analyzed 14.564 cases of child maltreatment recorded in the state of Rio Grande do Sul between 2010 and 2014. In our study, we analyzed immediate contextual aspects (child’s gender and developmental stage, perpetrator’s gender, family relationship between the victim and the perpetrator) and intermediate aspects (health professionals’ response). Chi-square analysis showed that girls were more likely to be vulnerable to sexual and psychological abuse, especially in middle childhood. Boys, on the other hand, were more likely to experience neglect in infancy and physical abuse in middle childhood. Males were the main perpetrators. Our results are discussed, based on a theoretical review of the sociocultural conceptions of child developmental characteristics, parenting practices, and gender roles. We suggest changes in the notification process and case referral.


2016 ◽  
Vol 4 (1) ◽  
pp. 16-21
Author(s):  
Any Setyarini ◽  
Maria Mexitalia ◽  
Ani Margawati

Background: Breastmilk is the best food contains all the elements of required nutrients for infant aged 0-6 months, and the attachment of the breastfeeding process give better of growth and mental emotional development of the infant. Less attachment between mother and infant caused mental emotional disorders, that affect to the next period of child’s development..Objective : The objective of this research was to analyze the differences of influence of exclusive breastfeeding and non exclusive brestfeeding history on child’s emotional mental age of 3-4 years as well as analyze the most dominant variables. Method: This was an observational analitic research with cross sectional approach. The subjects consisted of 84 children aged 3-4 years, living Banyumanik subdistrict Semarang, taken by purposive sampling and grouped into exclusive and non-exclusive breastfeeding. The data was collected by questionnaire, and the analysis using chi square and logistic regression.Result: The study showed that most of children with exclusively breastfed had good mental emotional (76.2%), while children who did not get exclusively breastfed had a mental emotional problem (64.3%). There were relations between breastfeeding (p=0,001), mother’s knowledge (p=0,001), mother’s attitude (p=0,001), and mother’s education level (p=0,029) to children’s mental emotional. Education level of mother was the most influence variable for child’s emotional mental after addjusted with mother’s knowledge, mother’s attitude,  mother’s education level, and birth weight of children.Conclusion: Breastfeeding history, mother’s knowledge, mother’s attitude, and mother’s education level were factors that influencing to children’s mental emotional


2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e22184-e22184
Author(s):  
Zaid Alirhayim ◽  
Herman Dyal ◽  
Danielle Heidemann ◽  
Cesar Ochoa Perez ◽  
Abdulqader Alarhayem ◽  
...  

e22184 Background: Heparin induced thrombocytopenia (HIT) is known to be caused by the presence of PF 4 antibody. Tumors exert immunomodulatory effects on the host immune response, including development of antibodies. Our aim was to analyze the presence of HIT in cancer patients and determine if HIT Ab is an adverse risk factor in patients with cancer. Methods: Patients with suspected HIT were selected. A case – control study was designed with 1:1 age and gender matched controls. We used chi – square analysis to compare proportions and Cox proportional hazard model to detect various predictors. Time to survival analysis was performed using Kaplan – Meier method. Results: Of 600 patients, 300 (63±15 years, women 48.8%) had a mean 4T pre – probability score of 4 ± 1.6. There were 132 cancers in both groups. 65 of these (49.2%) were in patients with probable HIT. The numbers of carcinomas and sarcomas were not significantly different between the two groups. There were no significant differences between the two groups when comparing the number of cancer diagnoses or the particular types of cancer diagnosed. The mean time to detection of cancer was within 9 ± 23 months for patients with HIT Ab versus 31 ± 54 months in cancer patients without HIT Ab (p <0.0001). In addition, there was a greater number of patients with at least 2 primary cancers among the HIT Ab positive group (p = 0.003). No predictive relationship between the type of cancer and the presence of HIT Ab was found (p >0.05). Patients with advanced cancer (stage 3 or 4) were also more likely to be HIT Ab positive (HR 3.61; 95% CI 1.31 – 10.11, p = 0.013). Cancer patients with HIT Ab were more likely to have venous thromboembolism as compared to cancer patients without HIT Ab (7.7% vs. 4.7, p = 0.0001). Kaplan – Meier’s showed worse mortality for cancer patients with HIT Ab than patients without the HIT Ab (Breslow statistic = 0.04). Conclusions: Among our cohort with suspected HIT, cancer was a common finding. Patients with HIT antibody positivity were more likely to have a new cancer diagnosis within 1 year of a positive result. These patients were also more likely to have thromboembolic complications and worsened mortality. These findings require further study, but perhaps suggest that the presence of HIT Ab should trigger earlier surveillance for cancer.


2015 ◽  
Vol 25 (62) ◽  
pp. 299-306 ◽  
Author(s):  
Adelino Pereira ◽  
Francisco Cardoso

AbstractSuicidal ideation is often an indicator of mental health problems and a major risk factor for suicide. This study aims to present the prevalence of suicidal ideation and compare students of a Portuguese university by school and gender. A total of 366 individuals from four schools completed the Suicidal Ideation Questionnaire (cut-off point ≥ 41 is significant) and specific questions about lifetime and past week suicidal ideation. Frequency analysis and chi-square tests were performed. The lifetime, past year and past week prevalence of suicidal ideation was 12.6%, 10.7% and 10.7%, respectively. A higher percentage of suicidal ideators were attending the School of Human and Social Sciences, and were of the female gender. However, these variables are not significantly associated with suicidal ideation. The results obtained emphasize the need for more research and the importance of taking special precautions to help students to deal with their personal and professional contingency challenges.


2016 ◽  
Vol 18 (2) ◽  
pp. 152-162 ◽  
Author(s):  
Chompoonut Suttikun ◽  
Hyo Jung Chang ◽  
C. Stephanie Acho ◽  
McDaniel Ubi ◽  
Hamilton Bicksler ◽  
...  

Bangkok, Thailand is in a unique position to benefit economically and has become one of the world’s most popular tourist destinations, due to its function as a hub for international travel in Southeast Asia. Thus, this study examines how past experiences, age, income, gender, education level, occupation, and regions affect international tourists’ reasons to visit Bangkok. After conducting chi-square analysis on 400 participants, significant differences were found among the varying income levels, occupations, education levels, and regions of origin and their reasons for visiting Bangkok. However, no significant differences were found based on age and gender regarding reasons to visit Bangkok. As far as regions of origin, Europeans were most likely to visit Bangkok as a stopover in route to another destination. This lays the foundations for further research focusing on what Bangkok can do to increase their status as a destination for European travelers.


2021 ◽  
Vol 9 (1) ◽  
pp. 33-37
Author(s):  
Rosyanne Kushargina ◽  
Nunung Cipta Dainy

Background: Adequate nutrition plays an important roles for children on school age to developed and maintain their growth and health. Many factors could affect the nutritional status of school children, one of them is the school location.Objectives: To analysis the correlation between school location with nutritional status of elementary school students.Method: The research design used was a cross-sectional design. 80 subjects were observed from two different schools namely SDN 1 Cikelet Garut (Urban) and SDN Pesanggrahan 02 Pagi Jakarta Selatan (Rural). The relationship of school location and gender with nutritional status were analyzed using Chi Square. Independent Sample T-test used to analyze nutritional status based on different locations.Result: In rural there are 25% of children with over nutritional status (weight/age). There are still stunted child both in urban (7.50%) and rural (10%), but based on weight/height nutritional status, almost all subjects in both urban (92.50%) and rural (97.50%) in obese category. Chi Square analysis showed that the school location was significantly related (P 0.05) only with the weight/age nutritional status. Gender is significantly related to height/age nutritional status. The majority of boys (15,4%) are shorter than girls (2,4%). The results of the Independent Sample T-test based on location, showed that the nutritional status of subjects in urban was significantly different (P0.05) from the nutritional status of subjects in rural. In line with this, based in gender there is significantly different (P0.05) in nutritional status between boy and girl.Conclusions: The results of this study indicate that differences in school locations are related to the nutritional status of elementary school students.


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