Hubungan Pertambahan Berat Badan Ibu Hamil dengan Kejadian Berat Badan Lahir Rendah di Puskesmas Kecamatan Ciracas Tahun 2021-2022

Berat Bayi Lahir Rendah (BBLR) hingga saat ini masih menjadi masalah kesehatan masyarakat di banyak negara karena merupakan salah satu factor penyebab kematian bayi. Berat badan ibu merupakan salah satu indicator kecukupan gizi ibu hamil. Kenaikan berat badan ibu hamil yang kurang dari jumlah yang direkomendasikan berisiko untuk melahirkan bayi dengan BBLR. Tujuan penelitian ini adalah untuk mengetahui hubungan pertambahan berat badan ibu hamil terhadap berat bayi lahir di Kecamatan Ciracas. Metode penelitian yang digunakan adalah analitik yang dilakukan di Puskesmas Ciracas dengan menggunakan data Ibu melahirkan bulan Januari 2021- Desember 2022. Ada 63 sampel yang digunakan dalam penelitian ini, didapatkan jumlah pertambahan berat badan ibu pada <10 kg hanya 1 orang dengan pertambahan berat badan sebesar 9 kg, sedangkan pertambahan berat badan >15 kg didapatkan 10 orang denga rerata 16,4 kg. Secara keseluruhan pertambahan berat badan ibu rerata dalam rentang normal, yaitu 13,8 kg. Bayi dengan BBLR sebanyak 27 bayi dengan berat rerata 2.277 gram, sedangkan bayi dengan berat badan lahir tidak BBLR adalah 36 bayi dengan berat rerata 3.493 gram Kata kunci: Berat badan ibu hamil, Berat bayi lahir rendah (BBLR). / Low Birth Weight (LBW) is still a public health problem in many countries because it is one of the factors causing infant mortality. Maternal weight is one indicator of nutritional adequacy of pregnant women. Weight gain that is less than the recommended amount is risky for giving birth to a baby with low weight. The purpose of this study was to determine the relationship between pregnant women's weight gain and birth weight in Ciracas District. The research method used is analytics conducted at the Ciracas District Health Center using data on childbirth in January 2021- December 2022. There were 61 samples used in this study, obtained the total maternal weight gain at <10 kg was only 1 person with a weight gain of 9 kg, while the weight gain which of >15 kg was obtained by 10 people with an average of 16.4 kg. Overall, the average maternal weight gain is within the normal range, which is 13.8 kg. Babies with LBW as many as 27 babies with an average weight of 2,277 grams, while babies with non-LBW birth weight were 36 babies with an average weight of 3,493 grams. Keywords: Pregnant women's weight, Low birth weight (LBW

Perlindungan Hukum Terhadap Korban Atas Eksploitasi Seksual Anak (Studi Putusan Nomor 1033/Pid.Sus/2020/PN Jkt.Utr)

Penelitian ini bertujuan untuk mengetahui perlidnungan hukum terhadap anak yang menjadi korban eksploitasi seksual, serta untuk mengetahui bagaimana bentuk-bentuk tindak pidana kejahatan seksual. Hal ini dilatarbelakangi oleh meningkatnya fenomena kasus kejahatan seksual anak di Indonesia dan pentingnya memberikan perlindungan kepada anak. Metode yang digunakan dalam penelitian ini adalah metode penelitian yuridis normatif dengan melakukan pendekatan perundang-undangan dan putusan pengadilan dalam menjawab permasalahan pada penulisan ini. Tujuan dari penulisan ini adalah untuk mengetahui perlindungan hukum terhadap anak korban eksploitasi seksual, serta mengetahui penerapan hukum yang dilakukan penegak hukum dalam memberikan perlindungan hukum terhadap anak korban eksploitasi seksual. Kesimpulan dari penulisan ini menjelaskan perlindungan hukum yang diberikan kepada anak korban Eksploitasi Seksual dengan adanya Undang- Undang RI No.23 Tahun 2002 Tentang Perlindungan Anak yang diterapkan pada Putusan Pengadilan yang diteliti oleh penulis./ A. Name of Student : Ruth Adinda Melia Uli B. Student Identification Number 1840050142 C. ThesisTtitle : Legal Protection Against Victims of Child Sexual Exploitation (Case Study Decision Number 1033/Pid.Sus/2020/PN. JktUtr) D. Specialty Program : Criminal Law E. Number of pages : xii + 76 pages F. Reading List : Books, Journals, Internet, Laws G. Keywords : Legal Protection, Child Protection, Child Sexual Exploitation H. Summary : This study aims to determine the legal protection of children who are victims of sexual exploitation, as well as to find out how the forms of criminal acts of sexual crimes. This is motivated by the increasing phenomenon of child sexual crimes cases in Indonesia and the importance of providing protection to children. The method used in this study is a normative juridical research method by approaching legislation and court decisions in answering the problems in this paper. The purpose of this paper is to find out the legal protection for child victims of sexual exploitation, as well as to find out the application of law by law enforcement in providing legal protection for child victims of sexual exploitation. The conclusion of this paper explains the legal protection given to child victims of Sexual Exploitation with the Republic of Indonesia Law No.23 of 2002 concerning Child Protection which is applied to Court Decisions examined by the author. I. Supervisor :1. Toba Vaison Siahaan, S.H., M.H 2. Tomson Situmeang, S.H., M.H

The experiences of young people, parents and professionals of using the attend anywhere video consultation system in a child and adolescent mental health service: a mixed-methods approach

BackgroundIn 2020, Attend Anywhere video consultation service was introduced across the Irish public health service to facilitate the provision of health interventions remotely in light of COVID-19-related restrictions. This study aims to explore the experiences of young people, their parents and their clinicians, of using the newly introduced Attend Anywhere video consultation as part of their Child and Adolescent Mental Health Service (CAMHS).MethodA cross-section of twenty-nine young people, their parents and clinicians working in CAMHS Clare completed a survey pertaining to their experiences of using Attend Anywhere as part of their service. A cross-disciplinary research steering group of CAMHS clinicians adapted the NHS Scotland evaluation of Attend Anywhere / Near Me survey to better capture experiences in a CAMHS setting. The survey included both quantitative and qualitative items. Descriptive statistics were used to examine quantitative data. Qualitative data was analysed using Thematic Analysis.Results/FindingsResults demonstrated a decrease in the number of barriers reported by clients and professionals in accessing the CAMH service following the introduction of Attend Anywhere video consultation. Overall, the majority of professionals reported that they would use Attend Anywhere again, whereas almost a quarter of clients reported that they did not wish to use it again. Clients indicated a preference for receiving face-to-face services over other service provision options and this finding was associated with not having to rely on technology or manage connectivity issues and finding it easier to build the therapeutic relationship in-person.ConclusionFindings suggest that both professionals and clients value face-to-face service provision while also acknowledging the benefits of Video Enabled Care in overcoming access barriers. We conclude that VEC be offered as an option in a blended service model, in conjunction with rather than as a replacement of face-to-face service provision

Genetic mechanisms of critical illness in COVID-19.

Host-mediated lung inflammation is present1, and drives mortality2, in the critical illness caused by coronavirus disease 2019 (COVID-19). Host genetic variants associated with critical illness may identify mechanistic targets for therapeutic development3. Here we report the results of the GenOMICC (Genetics Of Mortality In Critical Care) genome-wide association study in 2,244 critically ill patients with COVID-19 from 208 UK intensive care units. We have identified and replicated the following new genome-wide significant associations: on chromosome 12q24.13 (rs10735079, P = 1.65 × 10-8) in a gene cluster that encodes antiviral restriction enzyme activators (OAS1, OAS2 and OAS3); on chromosome 19p13.2 (rs74956615, P = 2.3 × 10-8) near the gene that encodes tyrosine kinase 2 (TYK2); on chromosome 19p13.3 (rs2109069, P = 3.98 ×  10-12) within the gene that encodes dipeptidyl peptidase 9 (DPP9); and on chromosome 21q22.1 (rs2236757, P = 4.99 × 10-8) in the interferon receptor gene IFNAR2. We identified potential targets for repurposing of licensed medications: using Mendelian randomization, we found evidence that low expression of IFNAR2, or high expression of TYK2, are associated with life-threatening disease; and transcriptome-wide association in lung tissue revealed that high expression of the monocyte-macrophage chemotactic receptor CCR2 is associated with severe COVID-19. Our results identify robust genetic signals relating to key host antiviral defence mechanisms and mediators of inflammatory organ damage in COVID-19. Both mechanisms may be amenable to targeted treatment with existing drugs. However, large-scale randomized clinical trials will be essential before any change to clinical practice

COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≤ 18 years: 69, 48, 23; 85%), older adults (≥ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P &lt; 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men

Mobile health technology interventions for suicide prevention: systematic review.

BACKGROUND: Digital interventions are proposed as one way by which effective treatments for self-harm and suicidal ideation may be improved and their scalability enhanced. Mobile devices offer a potentially powerful medium to deliver evidence-based interventions with greater specificity to the individual when the intervention is needed. The recent proliferation of publicly available mobile apps designed for suicide prevention underlines the need for robust evidence to promote safe practice. OBJECTIVE: This review aimed to examine the effectiveness of currently available mobile health (mHealth) technology tools in reducing suicide-specific outcomes. METHODS: The following databases were searched: Cochrane Central Register of Controlled Trials (The Cochrane Library), MEDLINE, EMBASE, PsycINFO, and relevant sources of gray literature. All published and unpublished randomized controlled trials (RCTs), pseudo-RCTs, and pre-post observational studies that evaluated the effectiveness of mHealth technology in suicide prevention delivered via mobile computing and communication technology were included. Studies were included if they measured at least one suicide outcome variable (ie, suicidal ideation, suicidal intent, nonsuicidal self-injurious behavior, and suicidal behavior). A total of 2 review authors independently extracted data and assessed study suitability, in accordance with the Cochrane Collaboration Risk of Bias Tool, on July 31, 2018. Owing to the heterogeneity of outcomes found across studies, results were not amenable for pooled synthesis, and a meta-analysis was not performed. A narrative synthesis of the available research is presented here. RESULTS: A total of 7 studies met criteria for inclusion . Four published articles that reported on the effectiveness of the following mobile phone apps were included: iBobbly, Virtual Hope Box, BlueIce, and Therapeutic Evaluative Conditioning. Results demonstrated some positive impacts for individuals at elevated risk of suicide or self-harm, including reductions in depression, psychological distress, and self-harm and increases in coping self-efficacy. None of the apps evaluated demonstrated the ability to significantly decrease suicidal ideation compared with a control condition. In addition, 3 unpublished and recently completed trials also met criteria for inclusion in the review. CONCLUSIONS: Further research is needed to evaluate the efficacy of stand-alone mHealth technology-based interventions in suicide prevention. The small number of studies reported in this review tentatively indicate that such tools may have a positive impact on suicide-specific outcomes. Future mHealth intervention evaluations would benefit from addressing the following 3 main methodological limitations : (1) heterogeneity of outcomes: a lack of standardized measurement of suicide outcomes across studies; (2) ecological validity: the tendency to exclude potential participants because of the elevated suicide risk may reduce generalizability within clinical settings; and (3) app regulation and definition: the lack of a standardized classification system for mHealth intervention type points to the need for better definition of the scope of such technologies to promote safe practice

Mobile health technology interventions for suicide prevention: protocol for a systematic review and meta-analysis

Background: Previous research has reported that two of the major barriers to help-seeking for individuals at risk of suicide are stigma and geographical isolation. Mobile technology offers a potential means of delivering evidence-based interventions with greater specificity to the individual, and at the time that it is needed. Despite documented motivation by at-risk individuals to use mobile technology to track mental health and to support psychological interventions, there is a shortfall of outcomes data on the efficacy of mobile health (mHealth) technology on suicide-specific outcomes. Objective: The objective of this study is to develop a protocol for a systematic review and meta-analysis that aims to evaluate the effectiveness of mobile technology-based interventions for suicide prevention. Methods: The search includes the Cochrane Central Register of Controlled Trials (CENTRAL: The Cochrane Library), MEDLINE, Embase, PsycINFO, CRESP and relevant sources of gray literature. Studies that have evaluated psychological or nonpsychological interventions delivered via mobile computing and communication technology, and have suicidality as an outcome measure will be included. Two authors will independently extract data and assess the study suitability in accordance with the Cochrane Collaboration Risk of Bias Tool. Studies will be included if they measure at least one suicide outcome variable (ie, suicidal ideation, suicidal intent, nonsuicidal self-injurious behavior, suicidal behavior). Secondary outcomes will be measures of symptoms of depression. Where studies are sufficiently homogenous and reported outcomes are amenable for pooled synthesis, meta-analysis will be performed. A narrative synthesis will be conducted if the data is unsuitable for a meta-analysis. Results: The review is in progress, with findings expected by summer 2018. Conclusions: To date, evaluations of mobile technology-based interventions in suicide prevention have focused on evaluating content as opposed to efficacy. Indeed, previous research has identified mobile applications that appear to present harmful content. The current review will address a gap in the literature by evaluating the efficacy of stand-alone mobile technology tools in suicide prevention. It is imperative that research identifies the evidence base for such tools in suicide prevention in order to inform policy, guide clinical practice, inform users and focus future research