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Developmental Behavioral & Community Pediatrics

                                              P-DBCP-033
                Clinical Profiles and Etiology of Patients with Global Developmental Delay
                          at Prof. Dr. R. D. Kandou General Hospital, Manado

                                   Yenni Talahatu, Lydia Wangke, Hesti Lestari
                   Child Health Department of Universitas Sam Ratulangi/Prof. Dr. R.D. Kandou Hospital, Manado,
                                          North Sumatera, Indonesia

                                               Abstract
            Background Global developmental delay (GDD) affected up to 3% of the paediatric population. The diagnosis
            of  GDD is limited to children younger than 5 years old. The etiology of GDD was varied from congenital
            to acquired. Objective To know the etiology related to GDD occurrence in Prof. Dr.RD. Kandou General
            Hospital, Manado. Methods A Retrospective descriptive study of 101 GDD patients who came to growth
            and development Outpatient Clinic Prof. DR. RD Kandou General Hospital, Manado from January 2017 to
            December 2020. Results The prevalence of GDD was 101 (5.3%) from 1906 visits. The most complaints
            were unable to walk and speak in 45 (40.9%), 61 (55.4%) boys, with the mean age 20.8  (SD  9.1) months.
            From the birth history 40 (36.3%) were preterm, 51 (46.3%) were Low Birth Weights, 69 (62.7%) were
            normal birth and 39 (35.4%) did not cry immediately. From clinical profile, 57 (51.8%) had microcephaly, 46
            (41.8%) had moderate and severe malnutrition. History of seizures 42 (38.1%) cases. The etiology of GDD
            was identified in 101 (91.8%) cases, consisting of 21 (20,8%) genetic syndrome, 17 (16.8%) cerebral palsy,
            15 (14,8%) down syndrome, TORCH congenital infection 25 (24,7%), 11 (10%) congenital hypothyroid, and
            12 (11,8%) central nervous system infection.    Conclusion The prevalence of GDD in Prof. DR. RD Kandou
            General Hospital, Manado is 5,3%. The Clinical characteristics associated with successful identification of
            the etiology were male gender, presence of dysmorphic features, history of seizures, and TORCH infection.
                         Keywords: global developmental delay; clinical characteristic; descriptive study


                                              P-DBCP-034
             The Correlation between Iron Deficiency Anemia and Short-Term Memory and
                            Academic Learning Performance in Adolescents

                  Yetty Movieta Nency , Farid Agung R. , Meuthia Rizki  , Iftinan ,Mulyono , Dimas Tri Anantyo1
                                                       2
                                                             2
                                1
                                            1
                                                                    1
                   Child Health Department, Faculty of Medicine, Universitas Diponegoro/Dr. Kariadi Hospital  and
                                                                               1
                     Student of Faculty of Medicine, Universitas Diponegoro , Semarang, Central Java, Indonesia
                                                         2
                                               Abstract
            Background Iron deficiency anemia (IDA) can impair cognitive function in children. Short-term memory
            is used to memorize new information in a short time, it is important in daily life, especially in the learning
            process in school. The better the short-term memory is, the better the learning ability which then affects the
            learning performance. Objective To determine the relationship between IDA and short-term memory and
            school learning performance in adolescents. Methods Cross-sectional study used analytical observational
            methods on 120 adolescents aged 13-16 years in Semarang. Iron deficiency anemia was determined by
            history, physical and laboratory tests. Short-term memory was assessed using Scenery Picture Memory
            Test (SPMT). Academic learning performance was determined from the mean scores of report book grades
            for Indonesian, Mathematics, English, and Science in the last semester. Chi-square test was used for data
            analysis. Results It were boys 25.8% and girls 74.2%. IDA was diagnosed in 10.9%. Overall, we found that
            55% subjects had "good" short term memory and 61.75% had  high academic learning performance in all
            subjects of study. In the group without IDA it was found that 68.9% had good short term memory and 60.5%
            had high learning performance, while in the IDA group 46% had good short term memory and 38.5% had
            high learning performance, but this was not statistically significant. Conclusion The results of this study
            show that short-term memory test scores are linear with school performance where IDA group had lower
            score although the numbers are not statistically significant.
                      Keywords: iron deficiency anemia; short-term memory; learning performance adolescent







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