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Circumcision is an action done by removing the skin that covers the tip of the penis. The pain will be felt during the child is injected circumcision anesthesia. This can make the child uncooperative, making it difficult for the procedure to be performed. Electronic games are one of the non-pharmacological management to reduce pain in children. The purpose of this study was to identify the effect of the use of electronic games on the level of pain in children undergoing circumcision anesthetic injection. This research uses quantitative method, quasi-experimental research with one group pretest-posttest design. The technique used is an accidental sampling. The study was conducted on 17 children who performed circumcision anesthesia injections in Klinik Kencana Medika Rancaekek Bandung. Pain response is measured using the Faces Pain Rating Scale. These results indicate that there are significant differences with p-value

An increase in cases of sexual violence against children triggers various health problems in children, both physical, psychological and social. This paper aims to explore the sexual violence on children, risk factors and the impact of sexual violence on children. This study of sexual violence in children refers to various empirical literature studies. Furthermore, the collection of information was analyzed using the problem tree analysis approach to find out the risk factors and their impact on children. Cases of sexual violence in the community are difficult to detect because of the lack of recognition from victims. This is because the offender called pedophile comes from within the family (familial abuse) or can come from outside the family environment (extra-familial abuse) who have established close relationships with children. Sexual violence is generally motivated by the problem of weak protection from parents which is also strengthened by socio-economic problems, low access to reproductive health education and less optimal law enforcement. Therefore, children who have experienced sexual violence find it difficult to avoid physical, biological, psychological and social risks. Children who have experienced sexual violence find it difficult to avoid physical, biological, psychological and social risks. Therefore, it is necessary to increase the capacity of parents in the prevention of sexual violence against children and law enforcement needs to complete the system of early detection and rapid response to the incidence of sexual violence against children.

The Prevalence of obesity among children in the urban areas is increasing due to less physical activity, high consumption of fast-food, and more time spent on using the gadget. This study aimed to identify physical activity among obese and non-obese children. This descriptive study involved 322 obese and non-obese students from 4th to 6th grade in an elementary school in Makassar. Physical Activity Questionnaire for Older Children (PAQ-C) was used to measure children’s physical activity, while the anthropometrical parameter was measured using a standardized instrument. Children’s body mass index for age z-score (BAZ) was used to classify their nutritional status based on the criteria of Growth Reference for Children from 5 to 19 years old from World Health Organization. Cross-tabulation was used in analyzing the data. Obese and non-obese children in this study were found 53 (16,0%) and 279 (84,0%), respectively. A hundred percent of obese children have low physical activity, while non-obese children have better physical activity. In conclusion, elementary school students in this study have low physical activity, particularly among obese children. Children are rarely spent on their time to do physical activity. There is a need to promote appropriate physical activity among children to prevent and treat obesity among children. Health professionals could provide health education and counseling to children, family and/or schools to manage physical activity among children.

Child Protection Regulation in Indonesia believes the family as the main support system for children with various problems including HIV / AIDS. This policy is based on the view that places the family as the main institution of child protection. Because people with HIV / AIDS are still stigmatized, this is a family challenge to provide care for children with HIV / AIDS. The challenge is between telling the child's HIV / AIDS status to get broader support in care, by avoiding stigmatization. In this dilemma the questions that will be answered in this article are what are parents doing in caring for children infected with HIV / AIDS, how to avoid stigma from the social environment, what social structures are able to block and hinder the quality of care and care. This research uses a qualitative method based on case studies of 6 families with children infected with HIV / AIDS through the mother to child transmission pathway. This article shows that HIV / AIDS infection through mother-to-child transmission can also describe negative parental risk behaviors according to community moral standards. Parents try to hide the infection status of their children from other family members by moving from one place to another. This strategy of avoiding stigmatization does not affect health care and treatment even if their status is known by existing health care units. However, there is anxiety that their child's family will not get their rights to education, social relations and other social support needed for growth and development, if their HIV / AIDS status is opened. Thus the results of this study demanded the reengagement of the family as the main support system for the care and care of children with HIV / AIDS. The limitation of this study is that the children studied are infected from mother to child transmission, so children who are transmitted in other ways have not been revealed by this study.

Malaria is an endemic disease in Sub-Saharan Africa, and it accounts for the death of more than 1million children annually. The objective of this study was to determine the incidence of malaria parasite among children between 2-15 years of age visiting State Specialist Hospital Ikare-Akoko, Ondo State, Nigeria, using Rapid diagnostic test kits and staining methods. The study does from July to December 2017. Two millimeters of venous blood samples were collected from each of the 300 enlisted children and stored in an anticoagulated specimen bottle. Thick and thin blood films prepared from the collected samples, stained and examined for the presence of malaria parasite use the Microscope. Three Rapid diagnostic test kits were also used. Two hundred and thirty-six (78.68%) of the 300 children investigated were found to have malaria parasite infection. Gender distribution showed that more male (45.67%) were infected than females (33.01%). Infections due to age distribution revealed that children within the ages of 2-5 years were more infected (39.3%) than children in other age range (6-10 years, 23.34% and 11-15 years, 17%). There was no statistical difference in the results obtained from the various techniques used (p

Children living in rural areas are prone to nutritional deficiencies. Low-income levels impact people’s purchasing power so that the intake of most nutrients comes from plant-based foods and consumes less animal food. Nutritional intake greatly affects the development of children’s cognitive function. Brain-derived neurotrophic factor (BDNF) is a group of neurotrophins that contribute greatly to the learning process and memory. This study aims to analyze the relationship between levels of BDNF with the level of intelligence in elementary school children in rural areas of Seluma Regency. This was a cross-sectional study involving 70 elementary school children aged 9-12 years were taken by multi-stage random sampling, who came from 5 districts of Seluma Regency. Blood was collected for measurement of BDNF levels, and stool samples were examined to detect intestinal parasites. The data on respondent characteristics were derived from questionnaires. Data analysis were done by using the chi-square test. The results of BDNF measurements found 31 children (44.3%) had BDNF levels below the average (

This paper aimed to describe women and children marginalization in coal mining companies in East Kalimantan. Coal mining activities which is expected to support the national income of Indonesia, in fact, don�t give benefits to all parties, especially women and children. Local communities around the mining area are only obtained the environmental damage caused by the mining companies (in this case the mine excavation holes). This paper is expected to contribute in describing the impact of privatization by the government through ecofeminism lens.

Background: Parasite infection is still an endemic disease that can be found in any place in Indonesia that can cause problems in public health, especially for children. Intestinal helminthiasis can interfere with children’s growth and development which will affect their quality of life. Purpose: The purpose of this research is to find out the prevalence of intestinal helminthiasis among children in Pasar Kampung Keputran Surabaya. It is located at the riverbank and the majority people are immigrants that lead to population density and slum. Methods: This descriptive observational study anal swab specimens with Scotch adhesive tape swab method and fecal specimen were examined microscopically at the Laboratory of Parasitology, Faculty of Medicine, Airlangga University. Result: according to the finding of the anal swab and stool examination: 36 % specimens were infected by intestinal helminth as follows: Enterobiasis 28 %, Ascariasis 4% and Hymenolepiasis 4% Intestinal parasite sufferers 62,5% male and 37,5% women with vulnerable age of a patient 6-11 year. Conclusion: It can be concluded that the prevalence of intestinal helminthiasis in children in the village of Pasar Keputran Utara Surabaya is quite high, ie 36% infected intestinal worms. Gender and age are also influential. Proven male patients are higher than women. Densely populated areas, poor environmental and sanitation, and the intensity and intensity of child contact with the outdoors are responsible for high rates of intestinal parasite infection in the area.

Fulfillment the child’s nutrients is a challenge for the mother. The problem in fulfillment of nutrient can cause the children have malnutrition. The aims of this research to explore the mother experience for treating the child in malnutrition. The research used qualitative design with descriptive phenomenology approach and involved eight participants. One of the themes found from the result of the research is the unpleasant treatment during the mother treating her child. This unpleasant treatment is generally in form of oral from a health worker. This condition causes the mother reluctant to take her child to solve the problem of nutrients that occur. The mother only take their children to the health care if they have comorbidities. This condition requires the health workers to develop counseling and mentoring skill for mothers who have children with malnutrition.

Malnutrition and stunting prevalence in under-five children in Cirebon City are still high that reach 13.9% and 15.7%. Rebon shrimp (Acetes erythraeus) contains high protein and calcium. Influence of adding rebon shrimp in supplementary food (lemu porridge and steamed sponge) towards nutrition quality was investigated. This study aimed to determine effects of rebon shrimp powder on nutritional values, organoleptic properties and food acceptance. Laboratory test and Nutriservey software were used to measure nutritional value of rebon shrimp powder and nutrition of supplementary food. Organoleptic test used completely randomized design with four treatments (0%, 5%, 10%, 15% shrimp powder) and two repetitions. Respondents were 30 students of Nutrition Studies Program in Cirebon with 7 hedonic scale (organoleptic test) and 50 children aged 4-5 years in integrated health care (acceptance test). As the result, the level of ash, protein and calcium of rebon shrimp powder met the Indonesian National Standard. Energy, protein and calcium significantly increased (p value < 0.05). Nutrient content of steamed sponge per 100 gram with 5% rebon shrimp powder supplied 21.6% energy, 18.9% protein and 25.9% calcium on recommended dietary allowances. Preference level of color, flavor, taste, texture and overall were significantly different. Lemu porridge with 5% rebon shrimp powder was accepted by 80% of the children and the steamed sponge acceptance reached 88%.AbstrakPrevalensi gizi kurang dan stunting pada anak bawah lima tahun (balita) di Kota Cirebon masih cukup tinggi yaitu mencapai 13,9% dan 15,7%. Udang rebon (Acetes erythraeus) memiliki kandungan protein dan kalsium yang tinggi. Pengaruh penambahan udang rebon dalam makanan tambahan (bubur lemu dan bolu kukus) terhadap kualitas gizi diteliti. Penelitian ini bertujuan untuk mengetahui pengaruh bubuk udang rebon terhadap nilai gizi, sifat organoleptik dan daya terima. Uji laboratorium dan perangkat lunak Nutriservey digunakan untuk analisis nilai gizi bubuk udang rebon dan gizi makanan tambahan. Uji organoleptik menggunakan rancangan acak lengkap dengan empat perlakuan (bubuk udang rebon 0%, 5%, 10%, 15%) dilakukan dua kali pengulangan. Responden adalah 30 mahasiswa program studi gizi Cirebon, mrnggunakan 7 skala hedonik (uji organoleptik) dan 50 anak-anak usia 4-5 tahun di posyandu (uji daya terima). Hasilnya adalah kadar abu, protein dan kalsium bubuk udang rebon memenuhi Standar Nasional Indonesia. Energi, protein dan kalsium meningkat signifikan (nilai p < 0,05). Kandungan gizi per 100 gram bolu kukus dengan bubuk udang rebon 5% memenuhi angka kecukupan gizi energi 21,6%, protein 18,9% dan kalsium 25,9%. Tingkat kesukaan pada warna, aroma, rasa, tekstur dan keseluruhan berbeda signifikan (nilai p < 0,05). Bubur lemu dengan bubuk udang rebon 5% dapat diterima oleh 80% balita dan bolu kukus mencapai 88%.

Title: The Association Between Blood Lead Levels and Eryhrocyte Counts in Elementary School Students. Background: Lead is a heavy metal that can cause both acute and chronic toxicity to human. Infant and children are usually more sensitive to lead toxicity than adults. The data of CDC (Centre for Desease Control and Prevention) showed that 49% of lead poisoning cases were happened to children with the age of under six year. Lead is known to affect the hematologic system by interfering with heme synthesis and caused anaemia. The aim of this research was to identify the association between blood lead level (BLL) and erythrocyte counts. Method: This research was an observational research using the analytical approach and cross sectional design with 52 students participated in purposive sampling. Blood level as the independent variable and the dependent variable was erythrocyte counts. Results: The research results showed that the mean of BLL was 31,52 µg/dl, the minimum value is 11,6 µg/dl and the maximum value is 48,89 µg/dl. The mean of erythrociyte count was 4,72x 10 12 /L. Chi Square Test showed that the value of p >0,05, (PR=0,84, 95% CI=0,27-2,63) meaning that there was no association between blood lead level and erythrocyte counts. Conclusion: The children have been exposed to lead according to standards set by CDC, which 5 µg/dl average 31,52 µg/dl. There was no association between blood lead level and erythrocyte counts (p>0.05).

Pediculosis is an infection caused Pediculus humanus capitis, Oxyuriasis or enterobiasis or kreminan is an infection caused by pinworms. In 2010 research was conducted by the Department of Parasitology, Faculty of Medicine, University of Indonesia in Jakarta SD Paseban found 19 positive child worms. Study in a boarding school in Tangerang early 2011, 300 students were examined only 9 positive worms. Head of the Center for Environmental Health Engineering & PPM Ministry of Health dr. Hartati Samsudin, MQIH said that based on the survey results, the current Indonesian children suffer from intestinal worms average figure is around 30%. The purpose of this devotion Creating a harmonious relationship between the Community Higher education in an effort to improve the welfare of people in the health field, improving the ability to implement disease control pediculosis. The results of the examination pediculosis done after counseling, so that the students already understand it and understand what is pediculosis, of the 92 students that there were 86 students who signed us check her hair and then we comb using serit if nothing positive was found Pediculus humanus capitis we take and put in pot samples. The test results showed as many as 10 students Pediculus humanus capitis positive.

Background: The United Nations Children's Fund (UNICEF) and the World Health Organization (WHO) in 2006 stated, pneumonia is the most important child killer. Every year, more than 2 million children die from pneumonia, means that 1 in 5 infants died in the world. Health status is not only determined by health service, but the most dominant are environment and people’s behavior. One efffort to change people’s behavior, in order to support the improvement of health is by implemented of Clean And Healthy Life Behavior Program. Aim: To know the correlation between the behavior of clean and healthy life with incident pneumonia in children in the work area of Mlati II Primary Health Center Yogyakarta. Methods: The reseach method used an analytical survey research with cross sectional survey design. Total population in this study were 2.243 childrens, while the technical sampling is done with cluster techniques obtained as 96 samples of children. Statistical tests used chi square and than analized the relationship using Prevalence Ratio (PR). Results:Result showed p value = 0.000 and PR = 2.88 on the relationship between the incidence of pneumonia with clean and healthy life behavior. Exclusive breastfeeding variables showed p value 0.00 and PR = 3.811. Variabel wash hand shows the results p value 0.034 and PR= 1.277. Variable smoking habits of family members is p value 0.026. and PR = 9.831. Conclusion: There are relation between the behavior of clean and healthy life, exclusive breastfeeding, hand washing with soap and smoking habits of family members with the incidence of pneumonia.

Background: The prevalence of dental caries in children is high. Caries may prevent children from properly digest food, which is then impair nutritional intake and cause malnutrition.Objectives: To assess the relation between the severity of dental caries with nutritional status and nutrient intake of 8-10 years old school children, in the sub district of Lhoknga, Aceh Besar, Nanggroe Aceh Darussalam.Methods: This was a case-control study of 54 undernourished children as cases compared to 54 well-nourished children matched for age as control. The severity of dental caries was assessed by a dentist using a caries severity index used by the WHO.Results: The prevalence of dental caries in undernourished children was 90.7%, while in well-nourished children was 54.7%. The odds ratio (95% CI) for having dental caries in malnourished children was 7.3 (2.2-26.6), p