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Automated Young Children’s Pain Detection via Facial Expressions with YOLO v11 Gusgus Ghraha Ramdhanie; Nurdina Widanti; Bambang Aditya Nurgraha; Tomy Abuzairi; Nur Agustini; Dessie Wanda
Jurnal RESTI (Rekayasa Sistem dan Teknologi Informasi) Vol 10 No 1 (2026): February 2026
Publisher : Ikatan Ahli Informatika Indonesia (IAII)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29207/resti.v10i1.7206

Abstract

This study demonstrates that pain detection in young children using a YOLO v11-based deep learning model can be performed effectively. By utilizing image data taken from video recordings of immunization and IV infusion procedures, then processed into photo frames and labeled using Roboflow, the model is able to provide good evaluation results. The dataset was divided into 70:20:10 for training, validation, and testing. Model performance evaluation uses accuracy, precision, recall, and F1-score metrics, and is visualized through a performance curve and confusion matrix. The results show that YOLO v11 has great potential as a pain detection method, with an mAP@0.5 achievement of 0.893, an accuracy of 78%, a precision of 89.3%, a recall of 97%, and an F1-score of 83%. The high recall value indicates the model's excellent ability to recognize pain expressions, making it relevant for use in clinical contexts to ensure pain symptoms are not overlooked. Overall, this performance demonstrates that YOLO v11 can be a more objective and accurate approach than manual instruments, and has the potential to be developed as a tool for healthcare professionals in pediatric pain assessment.
Mrs-preemie model: innovative nursing intervention to improve maternal and preterm infant outcomes Nopi Nur Khasanah; Yeni Rustina; Dessie Wanda; Sutanto Priyo Hastono; Iskim Luthfa
Pediomaternal Nursing Journal Vol. 12 No. 2 (2026): VOLUME 12 NO 2 JULY 2026
Publisher : Universitas Airlangga

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Abstract

Introduction: Mothers of preterm infants are particularly susceptible to emotional distress, which may impair bonding and hinder optimal infant growth. Nurses hold a critical position in supporting both maternal and infant outcomes through structured interventions. Objective: This study aimed to evaluate the effectiveness of the Mrs-Preemie model, an innovative nursing intervention, on reducing maternal stress, enhancing mother-infant bonding, and improving weight gain in preterm infants. Methods: A mixed-methods exploratory sequential design was employed, using purposive sampling. The qualitative phase involved 24 mothers and 13 nurses to identify care needs, followed by expert panel validation with four professionals. In the quantitative phase, 66 mother-father-preterm infant triads participated. The intervention group received the Mrs Preemie model, which comprised four modules implemented over four weeks; the control group received standard care. Outcomes included maternal stress and bonding scores, and infant weight, assessed at baseline, week two, and week four. Confounding variables were statistically controlled. Results: Thirteen themes emerged to guide the model's development. Statistically significant differences were found between the intervention and control groups over time for maternal stress (P-value=.001), mother-infant bonding (P-value=.001), and infant weight (P-value=.013). After four weeks, the intervention group showed significantly reduced maternal stress (P-value<.001), improved bonding (P-value=.002), and greater infant weight gain (P-value<.001). Improvements in maternal outcomes emerged by week two, while infant weight gain was evident by week four. Conclusion: The Mrs-Preemie model demonstrates effectiveness as an innovative nursing intervention to improve maternal psychological well-being and preterm infant development. Integrating it into neonatal nursing is recommended. Keywords: mother-child relations; premature infants; psychological stress; weight gain
Long-term Neurodevelopmental and Growth Outcomes of Necrotizing Enterocolitis Among Preterm Infants: A Systematic Review Maria Margarita Oratmangun; Mega Hasanul Huda; Yeni Rustina; Dessie Wanda
An Idea Nursing Journal Vol. 5 No. 2 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i2.831

Abstract

Background: Preterm infants with necrotizing enterocolitis (NEC) are at increased risk of mortality, severe morbidity, and adverse long-term neurodevelopmental and growth outcomes. Objective: This systematic review aimed to identify and synthesize evidence on the long- term impact of NEC on neurodevelopmental and growth outcomes in preterm infants, including differences between medical and surgical NEC. Methods: The review adhered to PRISMA 2020 guidelines, with literature searches conducted in ScienceDirect, Sage Journals, ProQuest, PubMed, Scopus, and Wiley for studies published between 2015 and 2025. Study quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. From a total of 2,055 articles identified, supplemented by citation tracking, 10 studies were included in this review. Result: The findings indicate that NEC survivors have a higher risk of neurodevelopmental impairment, including lower cognitive, motor, and language scores, behavioral problems, and an increased risk of cerebral palsy, particularly among infants requiring surgical intervention. Regarding growth outcomes, NEC survivors demonstrated persistent deficits in weight, height, and head circumference that may extend into school age and adolescence. Several studies also reported reduced fat mass and decreased bone mineral density in early childhood. Surgical NEC was consistently associated with poorer outcomes than medical NEC. Conclusion: The findings indicate that NEC in preterm infants has significant long-term consequences for neurodevelopment and growth. Comprehensive multidisciplinary follow- up, family empowerment, standardized developmental screening, nutritional optimization, and risk-based early intervention are crucial for improving long-term outcomes and quality of life among NEC survivors.
Co-Authors - Budiyati Adawiyah, Robiyatul Adelia, Hazrina Agung Waluyo Agus Setiawan Alfin Nugroho Allenidekania Allenidekania Anggraeni, Lina Dewi Annida Falahaini Annida Falahaini Anton Purkon Patoni Apriyanto Apriyanto Arianingsih, Tri - Astuti - Astuti Astuti Astuti Astuti Astuti, Dyah Dwi Awaliah, Awaliah Ayu Puspitasari, Endang Ayu Syaiful, Afifah Ayu Widya Ayu Widya Lestari Ayu Widya Lestari Azizah, Latifah Fajri Nur Azkiyati, Ade Maya Bambang Aditya Nurgraha Budi Anna Keliat Desi Anggraini Devi Tirta Ningrum Devi Trianingsih Dewi Gayatri Dewi Irianti Diah Mulyawati Utari Dyah Dwi Astuti Efa Apriyanti El Nino Tunjungsari Elfi Syahreni Elizabeth, Beatrix Ella Nurlela Hadi ELY MAWADDAH Eni Rahmawati Enie Novieastari Enjelita Karujan Erlinda Kusuma Wardani Etty Rekawati Fajar Tri Waluyanti Fitri Annisa Friska Nababan Gusgus Ghraha Ramdhanie Hamdani Hamdani Happy Hayati Happy Hayati Hazrina Adelia Herlina Febrianti Herlina Herlina Herlina Herlina Ikeu Nurhidayah Imami Nur Rachmawati Imas Mulyani Imelda Imelda Immawati, Immawati Indanah Iqomh, Muhammad Khabib Burhanuddin Iqomh, Muhammad Khabib Burhanuddin Iskim Luthfa Jajang Gunawijaya Jeni Oktavia Karundeng Jojor Sihotang Juanda Mutifa Kasiyah Kasiyah Lestari, Ayu Widya Lhesmi Tri Yana Putri S Lia Herliana M Agung Akbar Maria Margarita Oratmangun Maria Ulfah Mega Hasanul Huda Mohamad, Rini Wahyuni Mugi Hartoyo Mutifa, Juanda Nani Nurhaeni Nani Nurhaeni Nani Nurhaeni Nastasya, Ricca Olivia Ngatmi Ngatmi Ngatmi Nicole van Veenendaal Ningrum, Dewi Tirta Nopi Nur Khasanah Novita Agustina Novitasari, Prihatini Dini Novy Helena Chatarina Daulima Nugroho, Alfin Nur Agustini Nur Emiria, Windi Nuraidah Nuraidah Nuraidah Nuraidah Nuraidah Nuraidah Nuraidah Nuraidah Nuraidah Nuraidah, Nuraidah Nurbetti Br Ginting Nurdina Widanti Nurhayati Nurhayati Oktavia Karundeng, Jeni Olivia Bawaeda Paskaliana Hilpriska Danal Poppy Fitriani Putry Nur Faidah Rahayu, Bhekti Yuniarti Reni Mareta Rinawati Rohsiswatmo Risa Fitriana Risna Merysa Rizqi Nursasmita Roslita, Riau Sari Anggela Setiawati, Santun Siti Chodijah Siti Kusnul Khatimah SITI WAHYUNI Sri Hartini M.A, Sri Hartini Sri Melfa Damanik Sri Rosma Kencana Sulistiana Susanti, Suryane Sutanto Priyo Hastono Sutanto Priyo Hastono Syaiful, Afifah Ayu Syarifah Aini Tanjung Tanty Harjati Tomy Abuzairi Tuti Seniwati Tuti Seniwati Wardatus Sholihah Widyatuti Yayah Yayah Yayah Yayah, Yayah Yelly Sari Arifin Yeni Rustina Yeni Rustina Yeni Rustina Yeni Rustina Yudan Whulanza Yuni Maria Olviani Ndede