scholarly journals The Effect Of Phototherapy (24 Hours) Towards Jaundice Degrees Of The Newborn In Hospital NICU West Nusa Tenggara Province

2018 ◽  
Vol 1 (2) ◽  
pp. 11
Author(s):  
Rosalia Selung ◽  
Indah Wasliah ◽  
Eka Adithya Pratiwi
Keyword(s):  
Serum Bilirubin ◽  
Rank Correlation ◽  
Correlation Coefficients ◽  
Bivariate Analysis ◽  
Total Serum ◽  
Unconjugated Hyperbilirubinemia ◽  
Normal Birth ◽  
Before And After ◽  
Post Test ◽  
Study Population

Background: Aximately 60% of normal birth infant become jaundiced in the first week of birth. The incidence of jaundice in the West Nusa Tenggara hospital in 3 years later (2012-2014) there were 1166 cases. Phototherapy of total serum bilirubin (TSB) increased. Clinical trials have validated the efficacy phototherapy in reducing excessive unconjugated hyperbilirubinemia, and its implementation has been drastically confine the use of exchange transfusion (Bhutani, 2011). Objective:The purpose of this study was to determine the degree of jaundice before and after phototherapy, as well as analyze the influence phototherapy before and after the degree of jaundice in the newborn. Method:This type of research is pre-experimental research design using the approach one group pre-test and post-test design. The study population was all jaundice infants who were treated at Hospital NICU  room in West Nusa Tenggara Provence in May 2016. The sample was 15 respondents with acsidental sampling techniques. The method of data analysis with descriptive percentage univariate and bivariate analysis with test of rank correlation test (spearman) obtained significance value p = 0.000 < 0.05 and spearman correlation coefficients obtained by value p = 0.025 which means there is a strong correlation between the influence of phototherapy (24 hours) the degree of jaundice in the newborn. Result: The results were obtained degree of jaundice before phototherapy is as many as 9 degree 4 respondents (60%) and as many as 6 degrees five respondents (40%). After 24 hours phototherapy all respondents decreased the degree of jaundice and most have some degreen of jaundice 3 of 10  respondents (66,7%) by 5 respondents (33,3%). Discussion:Recommendations can be given is a gift phototherapy to decrease the degree of jaundice.

scholarly journals Effect of phototherapy on serum calcium levels in neonates receiving phototherapy for neonatal jaundice

2018 ◽  
Vol 6 (6) ◽  
pp. 1992
Author(s):  
Sumit Goyal ◽  
Anshuman Srivastava ◽  
Prasun Bhattacharjee ◽  
Isha Goyal ◽  
Khushbu Malhotra
Keyword(s):  
Serum Calcium ◽  
Neonatal Intensive Care ◽  
Serum Bilirubin ◽  
Calcium Supplementation ◽  
Total Serum ◽  
Term Neonates ◽  
Unconjugated Hyperbilirubinemia ◽  
Medical College ◽  
Before And After ◽  
The Difference

Background: To study the occurrence of hypocalcaemia in neonates with physiological unconjugated hyperbilirubinemia after 48 hours of phototherapy or at the end of phototherapy, in case duration of phototherapy was less than 48 hours.Methods: This prospective study was conducted on 100 term neonates (61 males and 39 females) admitted to Neonatal intensive care unit of Teerthankar Mahaveer Medical College, Moradabad with unconjugated hyperbilirubinemia and requiring phototherapy. Total Serum bilirubin levels and serum calcium levels were checked before and after phototherapy. Neonates were assessed for clinical features of hypocalcemia i.e. jitteriness, irritability/excitability, lethargy and convulsions.Results: After phototherapy, there was hypocalcemia in 35.0% neonates. The difference between pre and post phototherapy serum calcium levels were found to be statistically significant (p <0.001). 2.86% of neonates developed jitteriness among those who had hypocalcemia. Hypocalcemia was more in subjects who received phototherapy for longer duration.Conclusions: Hypocalcaemia is a common complication of phototherapy. Therefore, calcium supplementation should be done in all neonates undergoing phototherapy.

scholarly journals Decreased The Risk of Hyperbilirubinemia Incidence With The Initiation of Early Breastfeeding

2018 ◽  
Vol 1 (2) ◽  
pp. 25
Author(s):  
Arief Yanto ◽  
Rochayati Rochayati ◽  
Edy Wuryanto
Keyword(s):  
Serum Bilirubin ◽  
Univariate Analysis ◽  
Research Result ◽  
Intervention Group ◽  
Early Initiation ◽  
Bivariate Analysis ◽  
Total Serum ◽  
Control Group ◽  
Breastfeeding Initiation ◽  
Post Test

Hyperbilirubinemia is a state where increase value of in serum bilirubin in the blood more > 5mg/dl, which is clinically characterized by jaundice on sclera and skin, hyperbilirubinemia can be caused by physiological processes, non-physiological, or a combination of both. Neonates were given early initiation will result in the expenditure of meconium early so tend to have a low risk of the occurrence of physiological hyperbilirubinemia. Research will aim to detect early initiation on the incidence of neonates physiologic hyperbilirubinemia in neonates born at Khadijah room Islamic Hospital Muhammadiyah Kendal. Research kind quasi-experiment by using plant form post test only in a body (one group post test only design). Population in this research patient newborn at Khadijah room Islamic Hospital Muhammadiyah Kendal. Research sample as much as 30  respondens early initiation and 30 respondens not early initiation by using technique purposive sampling. Data analysis included univariate analysis by finding frequency distribution, bivariate analysis with Mann-Whitney Test. The research result of bivariate analysis shows that neonates with early initiation total serum bilirubin value performed intervention group averaged 8,200mg/dl while control group averaged 11,647mg /dl. The initiation of early breastfeeding (IMD) effect on total serum billirubin content of the neonatus. The variables that have contributed to the total serum billirubin content were the implementation of early breastfeeding initiation (IMD) with an effect of 61.2% and influenced by other variables of 38.8%. The conclusion there is influence of early initiation of suckling on physiological hyprbilirubinemia at Islamic Hospital Muhammadiyah Kendal.

scholarly journals Transcutaneous billirubinometry to estimate total serum bilirubin in neonatal jaundice

2017 ◽  
Vol 57 (1) ◽  
pp. 8 ◽  
Author(s):  
Andra Kurnianto ◽  
Herman Bermawi ◽  
Afifa Darmawanti ◽  
Erial Bahar
Keyword(s):  
Neonatal Jaundice ◽  
Serum Bilirubin ◽  
Subcutaneous Tissue ◽  
Correlation Coefficients ◽  
Total Serum Bilirubin ◽  
Blood Sampling ◽  
Total Serum ◽  
Transcutaneous Bilirubin ◽  
Non Invasive ◽  
Transcutaneous Bilirubinometry

Background The gold standard for diagnosis of neonatal jaundice is total serum bilirubin (TSB) measurement. This method, however, is invasive, painful, and costly in terms of workload, time, and money. Moreover, repeated blood sampling may lead to significant blood loss, which is of particular concern in preterm infants. To overcome these drawbacks, non-invasive methods of bilirubin measurement have been proposed. Transcutaneous bilirubinometry (TcB) determines the yellowness of the subcutaneous tissue of a newborn infant by measuring the difference between optical densities for light in the blue and green wavelength regions.Objective To evaluate the accuracy of transcutaneous bilirubinometry for estimating TSB levels in neonatal jaundice.Methods Subjects were infants aged < 28 days with jaundice who had never been treated with phototherapy or exchange transfusion. The study was done from February to July 2016 in Mohammad Hoesin Hospital. Subjects underwent transcutaneous bilirubin (TcB) and TSB assays, with a maximum interval of 15 minutes between tests.Results One hundred fifty patients were included in this study. The TcB values > 5 mg/dL were correlated to TSB > 5 mg/dL, with 100% sensitivity and 83.3% specificity. This cut-off point was obtained from a receiver-operator characteristic (ROC) curve with AUC 99.3% (95%CI 97.9 to 100%; P< 0.001).The correlation coefficients (r) for TSB and TcB measurements on the forehead were 0.897 (P<0.001).Conclusion Transcutaneous bilirubinometry can be used to accurately estimate TSB levels in neonatal jaundice, and may be useful in clinical practice as a non-invasive method to reduce blood sampling.

Influence Counseling with Smart Calendar Media (Kalpin) to Knowledge and Attitude of Pregnant Women about First 1000 Days of Life

2019 ◽  
Vol 1 (1) ◽  
pp. 11-15
Author(s):  
Yanik Muyassaroh ◽  
Ana Afifah
Keyword(s):  
Pregnant Women ◽  
Bivariate Analysis ◽  
Control Group ◽  
Nutrition Counseling ◽  
Lecture Method ◽  
Before And After ◽  
Post Test ◽  
Good Nutrition ◽  
Knowledge And Attitude ◽  
Analytic Design

Malnutrition in pregnant women has an impact on the health of the next generation. Therefore, nutrition counseling first 1000 days of life needs to be given. Good nutrition during the period of 1000 days starting from early pregnancy until the child’s second birthday. This study aims to determine the effect of counseling with “Kalpin” or Smart Calendar on knowledge and attitude of pregnant women about the first 1000 days of life. This type of research is a comparative analytic design with pre-test and post-test control group. Nutrition counseling activities carried out by the lecture method using a smart calendar. Measurement of knowledge and attitude of pregnant women perfomed twice: before and after the extension granted. Analysis of the data used were bivariate analysis test Independent T-Test and Mann Whitney. The result shows influence of counseling about first 1000 days of life with Kalpin to knowledge (p = 0,000) and attitude of pregnant woman (p = 0,000) about first 1000 days of life. For health service can be a new input in efforts to improve the quality of service with realization the Program Healthy Indonesia that include first 1000 days of life.

scholarly journals UPAYA PENINGKATAN PENGETAHUAN DAN SIKAP KADER DALAM PENCEGAHAN PEMBERIAN MAKANAN PRALAKTAL PADA BAYI 0-3 HARI

2018 ◽  
Vol 10 (2) ◽  
pp. 173-178
Author(s):  
Iis Ria Fitriani
Keyword(s):  
Public Health ◽  
Health Center ◽  
Control Group ◽  
Public Health Center ◽  
Before And After ◽  
Post Test ◽  
Comparison Groups ◽  
Study Population ◽  
Knowledge And Attitude ◽  
And Control

Infant Mortality in Bengkulu Province is still high, this can be prevented through breastfeeding as a staple food in infants 0-6 months without other complementary foods because breast milk boosts immune status for infants and thus can reduce mobility and mortality rates but exclusive ASI coverage still low, this is influenced by pralactal feeding in infants 0-3 days of birth. Research Objective to increase knowledge and attitude of cadre through training as promotion effort of prevention of pralactal food in 0-3 days old baby. Quasi pre and post test experiments with comparison groups. The study population were all cadres in Talang Tinggi Public Health Center, which were 50 people in Talang Tinggi Public Health Center, Seluma District with experimental group samples were cadres who were given training by using module and control group were cadres who were trained by using lecture and question and answer method. There is an average difference of attitude and knowledge before and after intervention in the cadres given training on prevention of pralactal food in infants 0-3 days. There is an effect of training on prevention efforts of pralactal feeding using modules with cadre attitude. Puskesmas should increase the promotion of prevention of pralactal food to change cadre attitude to support program exclusive breastfeeding.

EFFECT OF PHOTOTHERAPY ON SERUM CALCIUM LEVELS IN NEONATAL JAUNDICE

2021 ◽  
pp. 17-19
Author(s):  
Aradhana Gupta ◽  
Anand Kumar Bhardwaj ◽  
Anisha Aggarwal ◽  
Gauri Chauhan
Keyword(s):  
Serum Calcium ◽  
Neonatal Intensive Care ◽  
Neonatal Jaundice ◽  
Serum Bilirubin ◽  
Calcium Supplementation ◽  
Clinical Signs ◽  
Total Serum ◽  
Medical Sciences ◽  
Term Neonates ◽  
Unconjugated Hyperbilirubinemia

Background :To study the effect of phototherapy on serum calcium levels in neonates with unconjugated hyperbilirubinemia. Methods : This hospital based longitudinal interventional study was conducted on 100 neonates with neonatal hyperbilirubinemia admitted to Neonatal Intensive Care Unit at Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala. Total serum bilirubin and serum calcium levels of each participants were checked before and at the end of phototherapy. Neonates were also checked for the clinical signs of hypocalcemia i.e. jitteriness, irritability, lethargy, and convulsions. Results : Atotal of 100 neonates with neonatal jaundice were included with 55% boys and 45 % girls whose mean age was 3.0 ± 0.95 days. Mean S.Bilirubin level before phototherapy was 13.92 ± 2.32 mg/dl which was reduced to 8.87 ± 2.18 mg/dl. S.Calcium levels pre-phototherapy were 8.66 ± 0.65 mg/dl which were reduced to 7.94 ± 1.05 mg/dl. It was found that 32% of the participants in total exhibited symptoms related to hypocalcemia. More term neonates (56.3%) experienced symptoms related to hypocalcemia compared to pre-terms (43.8%). Conclusion : It can be deduced that phototherapy induced hypocalcemia is a signicant concern and hence, neonates requiring phototherapy may be considered for calcium supplementation.

scholarly journals EFEKTIFITAS PEMBERIAN WEDANG JAHE TERHADAP FREKUENSI MUAL DAN MUNTAH PADA IBU HAMIL TRIMESTER I DI KABUPATEN BENGKULU UTARA TAHUN 2017

2018 ◽  
Vol 5 (2) ◽  
pp. 201-211
Author(s):  
Iluh Meta Indrayani ◽  
Rialike Burhan ◽  
Desi Widiyanti
Keyword(s):  
Pregnant Women ◽  
Hyperemesis Gravidarum ◽  
Sampling Technique ◽  
First Trimester ◽  
Average Frequency ◽  
Bivariate Analysis ◽  
Work Area ◽  
Antiemetic Drugs ◽  
Before And After ◽  
Post Test

Emesis gravidarum is a usual complaint that is often experienced by the first trimester pregnant women, and coul develop become hyperemesis gravidarum thus increasing the risk of pregnancy. Ginger is kind of herbs which has been known to prevent nausea vomiting. The purpose of this study is the effectiveness of giving wedang ginger to the frequency of nausea and vomiting in pregnant women trimester I. The design of this research is Quasi experiment with One Group Pre test-Post test design. The sampling technique used purposive sampling with the sample of 10 first trimester pregnant women who experience emesis gravidarum. This research was conducted at Work Area of ​​Air Lais Puskesmas of North Bengkulu Regency on January 5, 2018 until February 6, 2018. Analysis of difference of frequency of nausea vomiting before and after intervention using Paired Sample T-Test. The results of this study indicate the average frequency of nausea vomiting pregnant women trimester I before given wedang ginger of 9.30. While the average frequency of nausea vomiting trimester pregnant women I after given ginger wedang of 4.50. The result of bivariate analysis showed that there was difference of mean of nausea vomiting frequency before and after intervention of wedang ginger equal to 4,80 with p = 0.000. Expected for the community can take advantage of ginger wedang as an alternative treatment before using antiemetic drugs, and can process other variants of ginger plants that can be used to lower the emesis gravidarum frequency.

scholarly journals The Effect of Peer Group Education on Smoking Behavior in Youth in Student Vocational School Taman Siswa Padang 2018

2018 ◽  
Vol 9 (2) ◽  
pp. 131
Author(s):  
Nurleny Nurleny
Keyword(s):  
Peer Group ◽  
Smoking Behavior ◽  
Bivariate Analysis ◽  
Education Intervention ◽  
Local Health ◽  
Group Education ◽  
Health Agencies ◽  
Before And After ◽  
Post Test ◽  
Research Type

ABSTRACT WHO (2008), put Indonesia 4.8% as the country with the third highest number of smokers in the world after China as much as 30% and India as much as 11.2%. Smokers in Indonesia on average start smoking at the age of 15-19 years, which at age is the age of adolescents. One effort to provide information about the dangers of smoking in adolescents is through peers ( peer group). The purpose of this study is to determine the effect of Peer Group Education on smoking behavior in adolescents at SMK TAMAN SISWA Padang in 2018. The research type is pre-experiment with One-Group Pre-Test-Post-Test approach implemented in SMK Taman Siswa Padang in December 2017 until May 2018. The population is class X and class XI total of 60 people where class X there are 25 students and class XI 35 student at SMP Taman Siswa Padang with sample amounted to 24 students. Univariate data analysis with frequency distribution and bivariate analysis with paired sample t-test with a confidence level of 95%.  Results showed average knowledge teenager before getting peer group education intervention was 6.21, after getting peer group education intervention was 14.54, average adolescent attitude before getting peer group education intervention is 34.88, after getting peer group education intervention was 52.25, the average teenage action before getting peer group education intervention was 3.33 and after obtaining peer group education intervention was 8.12 . It can be concluded differences in knowledge, attitude and practice about smoking before and after getting peer group education intervention. Suggestion for school parties needs to work with local health agencies to conduct cooperation in the form of health education to students, especially about the dangers of smoking for students. 

scholarly journals Pengaruh Penggunaan Medial Arc Support Terhadap Tingkat Kelelahan Dan Stress Pada Penderita Fascitis Plantaris

2018 ◽  
Vol 7 (1) ◽  
Author(s):  
Yopi Harwinanda Ardesa ◽  
Cica Tri Mandasari Ningsih ◽  
Muhammad Syaifuddin
Keyword(s):  
Plantar Fasciitis ◽  
Quantitative Methods ◽  
Experimental Studies ◽  
Wilcoxon Test ◽  
P Value ◽  
Before And After ◽  
Post Test ◽  
Reduction Of Pain ◽  
Study Population ◽  
Arch Support

Abstract: Plantaris Fascitis, Medial Arc Support, Fatigue, Stress. This research purpose to know the effect of Medial Arc Support in patients with plantar fascitis against fatigue and stress on employees packing PT TPS Food TBK. Experimental studies using quantitative methods to approach one group pretest-posttest design. The study population was all employees at PT TPS Food packing TBK suffering from plantar fascitis. To measure the reduction of pain in the plantar fasciitis with measuring tools such as Visual Analoc Scale by taking data on the day before treatment done and a day after the last treatment carried out (4 weeks). Examination carried out under pain painful motion, silent pain, and tenderness. Examination of pain before and after treatment. The results showed the average pretest fatigue patients with plantar fasciitis (24.60) while the average post-test (20.20). Wilcoxon test results showed statistical p value 0,000 <0,05 so that there is influence of Medial Arch Support to decrease fatigue in patients with plantar fasciitis. With the conclusion of the conclusions There is the influence of Medial Arch Support to decrease stress levels in patients with plantar fasciitis with p value 0,000 <0,05. There is the influence of Medial Arch Support to decrease fatigue in patients with plantar fasciitis with p value 0,000 <0,05.

Cholestasis of the Newborn (Obstructive Jaundice)

1983 ◽  
Vol 5 (6) ◽  
pp. 163-171
Author(s):  
Lawrence M. Gartner
Keyword(s):  
Obstructive Jaundice ◽  
Serum Bilirubin ◽  
General Rule ◽  
Water Soluble ◽  
Total Serum Bilirubin ◽  
Total Serum ◽  
Diagnostic Significance ◽  
Unconjugated Hyperbilirubinemia ◽  
Mechanical Interference ◽  
Clinically Significant

Obstructive jaundice of the newborn is a misnomer as fewer than half of all cases usually referred to as "obstructive jaundice" result from mechanical interference with the flow of bile. In the majority of cases, intrinsic liver disease is the cause of this type of jaundice. The term "cholestasis" more comprehensively describes the various disorders and the pathophysiology, which includes retention of direct-reacting (conjugated) bilirubin, bile acids, and other components of bile. Direct-reacting hyperbilirubinemia is almost always the first definitive sign of hepatobiliary dysfunction, often appearing during the first weeks of life just as the normally occurring, indirect-reacting (unconjugated) hyperbilirubinemia of physiologic jaundice of the newborn is receding. Initially, there may be uncertainty as to the significance of the persisting or recurring jaundice, particularly whether the direct-reacting fraction is elevated. As a general rule, when the direct-reacting portion exceeds 2.0 mg/dl and is more than 10% of the total serum bilirubin, it should be considered clinically significant. Although the direct-reacting fraction may occasionally account for 90% of total serum bilirubin, in most cases the direct-reacting portion will range only from 25% to 75%. The degree of variation has no diagnostic significance. As only water-soluble, direct-reacting bilirubin is excreted by the kidney, the presence of bilirubinuria may be used as confirmation of elevation of the direct-reacting fraction.

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