GAMBARAN MALNUTRISI SECARA KLINIS PADA BAYI BARU LAHIR MENURUT POLA PERTUMBUHAN INTRAUTERIN DI RUMAH SAKIT HASAN SADIKIN BANDUNG

Malnutrisi pada bayi baru lahir penting untuk diketahui karena memiliki hubungan dengan peningkatan risiko mortalitas dan morbiditas pada masa neonatal, gangguan perkembangan pada masa anak-anak, dan penyakit kardiovaskular serta diabetes tipe 2 pada saat dewasa. Malnutrisi saat lahir merupakan kelanjutan malnutrisi yang dialami selama kehidupan intrauterin. Pemeriksaan antropometri berat badan menurut umur kehamilan dilakukan untuk mengetahui bayi yang memiliki risiko tinggi mengalami kesakitan dan kematian, namun pemeriksaan ini tidak dapat mengidentifikasi semua bayi yang mengalami malnutrisi intrauterin. Clinical assessment of nutritional status-score (CANSCORE) adalah pemeriksaan untuk mengetahui malnutrisi saat lahir. Tujuan penelitian adalah untuk mengetahui gambaran malnutrisi pada bayi baru lahir menurut pola pertumbuhan intrauterin. Penelitian cross sectional ini dilakukan pada bulan Juli-Agustus 2007 di Sub Bagian Perinatologi RS Hasan Sadikin. Pengelompokan bayi berdasarkan pertumbuhan intrauterin menggunakan kurva pertumbuhan intrauterin Lubchenco dan pemeriksaan malnutrisi menggunakan CANSCORE. Sebanyak 282 bayi yang ikut dalam penelitian diambil secara consecutive sampling berasal dari kehamilan tunggal serta umur kehamilan 32-42 minggu. Prevalens malnutrisi diperoleh sebesar 12%. Malnutrisi lebih banyak terdapat pada bayi kurang bulan dibandingkan dengan bayi cukup bulan, malnutrisi dapat terjadi pada kelompok bayi KMK maupun SMK, tidak semua bayi KMK mengalami malnutrisi namun terjadinya malnutrisi pada bayi KMK lebih banyak dibandingkan dengan bayi SMK. Penelitian ini menunjukkan, bahwa CANSCORE dapat mengidentifikasi malnutrisi pada kelompok bayi KMK maupun SMK dan malnutrisi pada beberapa bayi kelompok SMK akan terlewatkan apabila hanya menggunakan kurva pertumbuhan intrauterin sebagai kriteria menilai status gizi.Kata kunci: CANSCORE, malnutrisi bayi baru lahir, kecil untuk masa kehamila

Characteristics of Neonatal Hyperbilirubinemia at West Java’s Top Referral Hospital, Indonesia.

Background: Neonatal hyperbilirubinemia or neonatal jaundice is a common disorder and considered as one of the main problems in neonatal period worldwide with high incidence, especially in Asia and Southeast Asia region. This study was conducted to determine the characteristics of neonatal hyperbilirubinemia including the prevalence and frequency of neonatal hyperbilirubinemia causes at Dr. Hasan Sadikin General Hospital in 2012.Methods: This descriptive study was conducted at Dr. Hasan Sadikin General Hospital using the cross-sectional method. Four hundred and twenty five cases of neonatal hyperbilirubinemia in hospitalized and outpatients, from 1 January to 31 December 2012 were included in this descriptive study.Results: The prevalence of neonatal hyperbilirubinemia was about 4.08%. Causes were identified in 95 cases and the most common cause of neonatal hyperbilirubinemia during this period of time was physiological causes (23.2%). Other causes included neonatal hepatitis (14.7%), other hemolytic causes (13.7%), infection (12.6%), ABO incompatibility (11.6%) and breastfeeding (11.6%).Conclusions: Neonatal hyperbilirubinemia cases are common and remain as one of the neonatal problems in Dr. Hasan Sadikin General Hospital, thus prevention and proper management of neonatal hyperbilirubinemia should be implemented. DOI: 10.15850/amj.v4n2.106

Table of Content

Message from OCTable of ContentsInvited SpeakerFAVA – Oral Presentation   Animal Welfare   Equine   Farm Animal   Microbiology and Parasitology   Pathology   Pre-clinical Science   Small Animal   Veterinary Public Health   Wild Animal and Aquatic ConservationKIVNAS – Oral Presentation   Equine   Farm Animal   Microbiology and Parasitology   Poultry   Small Animal   Wild AnimalJSPS – Oral Presentation   Japan Society for the Promotion ScienceAnimal Quarantine – Oral PresentationIndonesian Veterinary Epidemiology Association – Oral PresentationOne Health – Oral PresentationFAVA – Poster PresentationKIVNAS – Poster Presentatio

C-reactive protein and haemoglobin level in acute kidney injury among preterm newborns

Aim To explore the possibility of C-reactive protein (CRP) and haemoglobin (Hb) in prediction and risk assessment of acute kidney injury (AKI) among preterm newborns. This is believed to be closely related to the incidences of AKI, and could be the most affordable in early detection of AKI. Methods A case control study was carried out at Dr Hasan Sadikin Hospital in Bandung with a total of 112 preterms divided into two groups: with and without AKI based on the neonatal KDIGO (Kidney Disease: Improving Global Outcomes). CRP and creatinine serum were measured within 6 hours and at 72-96 hours after birth. The routine blood count included haemoglobin, haematocrit, leucocyte, and thrombocyte in the first 24 hours of life. Results CRP increase was the most influential factor for AKI with sensitivity of 80.6% and specificity of 60.2%. An increase in CRP >0.04 had an aOR (95% CI) of 5.64 (1.89–16.84). Haemoglobin <14.5 g/dL had slightly increased aOR (95% CI) of 1.65 (1.05- 8.63) Conclusion CRP increases >0.04 and level Hb <14.5 g/dL showed acceptable as an early warning for AKI in preterm newborns

The Interesting of Learning Thermodynamics Through Daily Life

As an essential basic science in engineering education, Thermodynamics should be received as an interesting and inspiring subject. Unfortunately, the fact is different. Some students find Thermodynamics are difficult, hard to imagine and not understandable. If lecturers could tell the relation of Thermodynamics to daily life, it will surely increase students&#65533; motivation to learn. With high motivation, the difficult subject will become easier. This paper presents some examples of phenomena or activities in daily life which are viewing using Thermodynamics. Those examples are (1) understanding the importance of specific volume through the anomaly of water, (2) applying the saturation temperature and pressure in a pressure cooker, (3) understand the importance of specific heat in the wind over the sea shore, (4) experiencing how a fluid&#65533;s pressure increases by giving work to it, (5) applying the first law of Thermodynamics to determine an Air-Conditioning cooling capacity, and (6) learning how a tire could explode

Table of Content

Message from OCTable of ContentsInvited SpeakerFAVA – Oral Presentation   Animal Welfare   Equine   Farm Animal   Microbiology and Parasitology   Pathology   Pre-clinical Science   Small Animal   Veterinary Public Health   Wild Animal and Aquatic ConservationKIVNAS – Oral Presentation   Equine   Farm Animal   Microbiology and Parasitology   Poultry   Small Animal   Wild AnimalJSPS – Oral Presentation   Japan Society for the Promotion ScienceAnimal Quarantine – Oral PresentationIndonesian Veterinary Epidemiology Association – Oral PresentationOne Health – Oral PresentationFAVA – Poster PresentationKIVNAS – Poster Presentatio

G6PD genetic variations in neonatal Hyperbilirubinemia in Indonesian Deutromalay population

Background: Neonatal jaundice is a common finding in newborns in Asia, including Indonesia. In some cases, the serum total bilirubin levels exceeds the 95th percentile for hours of life (neonatal hyperbilirubinemia). Severe neonatal hyperbilirubinemia (NH) could lead to kernicterus and neonatal death. Glucose-6-Phosphage Dehydrogenase (G6PD) genetic variations and deficiency have been reported in several studies to be associated with NH. This study aimed to analyze the G6PD genetic variations a