THE IMPACT OF MALNUTRITION ON GROSS MOTORIC GROWTH OF THE CHILDREN WHOSE AGE BETWEEN 3 MONTHS AND 2 YEARS OLD

Background: Malnutrition was one of the health problems that ware a challenge for developing countries. This problem had an impact on all aspects including economic, social, and health status of the nation. From these impacts, other health problems can occur, namely child development disorders, including impaired gross motor development and fine motor. The purposeof this research is to determine the malnutrition against motor development Method: This study was a case control study. The amount of the sample was 106 children, their age were around 3 months till 2 years old in Pakis Surabaya Health Centre. Simple random sampling was the technic which researcher used to take the case sample and purposive sampling was for the control ones. The independent variable was children’s malnutrition and the dependent variable were gross and fine motoric growth of the children. Data collecting was done by observing the children with KPSP questioner. Researcher used Chi-square to analyze the data. Result: Malnutrition didn’t affect children’s gross motoric growth (p= 0.34) and fine motoric growth (0.26). Conclusion: In Pakis primary health center there were 33% children with malnutrition, 28.3% children with gross motoric growth disorder and 35.8% children with fine motoric growth disorder. There wasn’t any association between children’s malnutrition with gross and fine motoric growth of the children.

FAKTOR–FAKTOR YANG MEMPENGARUHI TUMBUH KEMBANG ANAK (USIA 4-6 TAHUN) DI 6 PAUD DESA KUALA DUA WILAYAH KERJA PUSKESMAS SUNGAI DURIAN

Berdasarkan data situasi dan analisis gizi di Indonesia pada tahun 2017, status gizi balita diukur dengan indeks tinggi badan per umur (TB/U). Provinsi dengan persentasebalita pendek dan sangat pendek terbesar adalah Kalimantan Barat (32,5%) dan terendah adalah Sumatera Selatan (14,2%). Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi tumbuh kembang anak usia 4-6 tahun di desa kuala 2 wilayah kerja Puskesmas Sungai Durian. Penelitian ini adalah penelitian observasional analitik dengan desain cross sectional. Populasi dalam penelitian ini berjumlah 242 orang. Sampel dalam penelitian ini berjumlah 69 orang anak usia 4-6 tahun, diambil menggunakan random sampling serta menggunakan uji statistik chi-square. Hasil penelitian menunjukan faktor yang berhubungan dengan pertumbuhan anak berdasarkan indikator TB/U, yaitu riwayat ASI eksklusif (p=0,004) berat badan lahir rendah (BBLR) (p=0,003), imunisasi dasar (p=0,000), penyakit infeksi (p=0,000). Sedangkan faktor yang tidak berhubungan dengan pertumbuhan anak berdasarkan indikator TB/U yaitu usia saat hamil (p=0,103). Serta terdapat hubungan yang signifikan antara pertumbuhan anak berdasarkan indikator TB/U dengan perkembangan anak (p=0,000).Saran kepada Puskesmas Sungai Durian untuk melakukan kegiatan sosialisasi di masyarakat serta membuat program khususnya tentang pentingnya deteksi dini gangguan tumbuh kembang anak, sehingga diharapkan dapat mengatasi gangguan tumbuh kembang anak di wilayah kerja puskesmas. According to the Indonesian ministry of health, 2017 the nutritional status of children under five as measured by the height per age index, the province with the largest proportion of short and very short children under five is West Kalimantan (32.5% ) and the lowest was South Sumatra (14.2%). The purpose of this study was to determine the factors that influence the growth and development of children aged 4-6 years in Kuala Village 2, the working area of Sungai Durian Health Center. This study was an observational analytic study with a cross sectional design. The population in this study was probably 242 people. The sample in this study may be 69 children aged 4-6 years, taken using random sampling and using chi-square test statistics. The results showed the factors associated with growth based on the indicator of height / age, namely a history of exclusive breastfeeding (p = 0.004), low birth weight (LBW) (p=0.003), basic immunization (p=0.000), infectious diseases (p = 0.000). Meanwhile, the factor that was not related to children's growth based on the indicator of height / age was the age at pregnancy (p = 0.103). As well as the significant relationship variable between children's growth based on the indicator of height / age with child development (p=0.000) It is suggested to Sungai Durian Public Health Center to carry out socialization activities in the community and create a program specifically on the importance of early detection of child developmental disorders, so that it is hoped that it can overcome child development disorders in the working area of the puskesmas.

Evaluation of the Prevalence of Childhood Autism Awareness amongst Medical Professionals in Pakistan

Aim: To evaluate the level of awareness regarding childhood autism among medical professionals of Pakistan. Methodology: A cross-sectional descriptive survey was conducted among 105 medical students and health-care professionals to estimate their knowledge regarding Autism in Pakistan. By random sampling method, questionnaires were distributed during the month of April 2020. IRB approval was obtained. Results: The results have highlighted that medical students have significant knowledge of Autism Spectrum Disorder while Post Graduate trainees and House Officers have moderate knowledge. However, it is alarming to see that there is lack of knowledge among Medical Officers and Consultants. Due to this deficient knowledge gap, medical practitioners are unaware of the severity of this disorder in the region. The results emphasize that there is either initial lack of medical school curriculum or over time knowledge of medical professionals decreases due to which they are unable to identify the prevalent disorders. Conclusion: ASD is a pertinent regional health concern. Lack of clinical knowledge of this disorder amongst healthcare professionals, needs to be addressed by application of awareness systems. This will improve diagnosis and redesign treatment modalities alongside strategize preventive measures. Keywords: Autism Spectrum Disorder, Medical, Student, Child Development Disorders

Maternal Overweight, Inflammation and Neurological Consequences for the Preterm Child: Results of the ELGAN Study

Maternal overweight and obesity are prenatal risk factors for obstetrical complications, preterm birth, neonatal morbidity as well as cognitive and behavioural developmental disorders in children. Paediatric morbidity and mortality as well as child development disorders are significantly associated with maternal obesity. Particularly in the neurodevelopmental and psychiatric area, it is becoming increasingly clear that, in children of mothers with an increased body mass index (BMI), there is a high correlation with childhood cognitive disabilities, attention disorders, and diseases on the autistic spectrum. The ELGAN (Extremely Low Gestational Age Newborn) study is a multicentre study which has been supported since 2000 by the National Institutes of Health (NIH) and whose objective is to research predictors for neonatal brain damage and neurological-cognitive sequelae in premature infants. The areas of focus are the connection between maternal overweight and obesity and pregnancy complications, APGAR scores and systemic inflammatory markers. In this overview, our aim is to summarise the work in this area and discuss it critically on the basis of current literature. We will examine the hypothesis whether maternal overweight and obesity in terms of a chronic inflammatory state is associated with neonatal inflammation which in turn is associated with an unfavourable development prognosis.

Parental social position, in utero growth and risk of child development disorders: an administrative data based prospective cohort study

ABSTRACTObjectivesTo evaluate the influences of low birthweight and socioeconomic status upon child development disorders ApproachIt has been recognised that low birthweight and socio-economic status impact cognitive development in children. Previous studies in Scotland investigated this relationship using the Scottish Mental Health Survey 1932, the Growing Up in Scotland (GUS) longitudinal survey, and the Aberdeen Children of the 1950s study. This paper examines this using the Scottish Longitudinal Study (SLS) linked with Maternity Inpatient and Day Case records and Child Health Systems Programme Pre-School (CHSP Pre-School) records. This is original because it extends previous work through large-scale contemporary data which has been routinely collected and is representative of the Scottish population. It also includes a novel design through the use of birth data from parents and children recorded within the SLS. ResultsFrom this research it was identified that these child development measures were strongly associated with gestational-age specific birthweight and that fine motor, social and hearing abnormalities were much more likely for children with parents in lower grade occupations or who were long-term unemployed. These associations were net of other indicators of family socioeconomic position and birth outcomes, suggesting that infants from disadvantaged backgrounds remained more likely to experience these conditions beyond the differences that could be explained by other relevant factors (such as their birthweight). ConclusionThese findings confirm and build upon previous analysis through the use of linked administrative data.

Hubungan Pengetahuan, Pola Asuh Dan Status Gizi Dengan Perkembangan Kognitif Di Kabupaten Padang Pariaman

<p class="PageNumber1"><em>In Indonesia, 5-10% of children are estimated to experience developmental delays. Data on the incidence of developmental delays is not known with certainty, but it is estimated that around 1-3% of children under 5 years experience general developmental delays. The total population of Indonesia is 255,461,686 people, and the number of children is 9,451,943. The number of preschool children is 36,433 people out of a population of 971,511 people or around (3.75%). The research objective is the relationship of the level of knowledge, parenting and nutritional status with the cognitive development of children in Padang Pariaman District.</em></p><p class="PageNumber1"><em>The design of this research is descriptive analytic. The study was conducted at SDN 03 Ulakan Tapakis from June to July 2016. The population in this study were all mothers who had Children from Class I to Class VI in Elementary School as many as 64 people. Data collection was carried out by questionnaire and analyzed by univariate and bivariate.</em></p><p class="PageNumber1"><em>Based on the results of the study, found 56.3% of children's cognitive development is not good; 60.9% of your level of knowledge is not good; 75% parenting is not good; 60.9% of children's nutritional status is not good. Furthermore, there is a relationship between the level of knowledge, parenting, and nutritional status with the development of children aged 6 to 12 years at SDN 03 Ulakan Tapakis</em></p><em>Based on the results of the study, it is expected that mothers increase knowledge about nutritional status and improve nutritional and parenting patterns to avoid child development disorders</em>