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All Journal Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement) Paediatrica Indonesiana Majalah Kedokteran Nusantara The Journal Of Medical School Abdimas Talenta : Jurnal Pengabdian Kepada Masyarakat AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Cermin Dunia Kedokteran Enrichment: Journal of Multidisciplinary Research and Development Narra X
Winra Pratita, Winra
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Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Engineering Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Nursing Physics Public Health Social Sciences

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Journal : Paediatrica Indonesiana

 1 
Screening for nutritional risk in hospitalized children: comparison of two instruments Dwi Novianti; Tiangsa Sembiring; Sri Sofyani; Tri Faranita; Winra Pratita
Paediatrica Indonesiana Vol 57 No 3 (2017): May 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (422.663 KB) | DOI: 10.14238/pi57.3.2017.117-23

Abstract

Background Malnutrition in hospitalized children has negative impact on morbidity, mortality, length of stay, and health-care cost. A simple screening tool is needed to detect hospital malnutrition risk in children.Objective To compare the level of agreement of the Screening Tool for Malnutrition in Pediatrics (STAMP) and Pediatric Nutritional Risk Score (PNRS) with anthropometric measurements, as screening tools for hospital malnutrition in children.Methods A cross-sectional study was conducted from February to July 2014 in the Pediatric and Surgery Wards at H. Adam Malik Hospital, Medan, North Sumatera. Inclusion criteria were children aged 2 to 18 years who were hospitalized for more than 72 hours. Subjects were screened using STAMP and PNRS, and underwent anthropometric measurement on admission. The weight measurements were repeated on the 3rd and 7th days, and just before discharge. The STAMP and PNRS results were compared in terms of level of agreement with anthropometric measurements. Data were analyzed by Kappa value and Spearman’s correlation test.Results A total of 127 children were screened with both instruments. The PNRS had slight agreement with hospital malnutrition prevalence (κ=0.175; P=0.028), while STAMP had not  (κ=0.080; P=0.193). Both screening tools had weak positive correlations with length of stay, but the correlation was stronger for PNRS than for STAMP (r=0.218; P=0.014 vs. r=0.188; P=0.034, respectively). The prevalence of hospital malnutrition was 40.9%. Conclusions The PNRS screening tool has slight agreement with anthropometric measurement for identifying hospital malnutrition risk in children.
Phototherapy for neonatal jaundice at distances of 20 cm vs 40 cm Winra Pratita; Supriatmo Supriatmo; Guslihan Dasa Tjipta
Paediatrica Indonesiana Vol 53 No 5 (2013): September 2013
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (313.255 KB) | DOI: 10.14238/pi53.5.2013.278-82

Abstract

Background Neonatal jaundice is one of the most common problems in newborns. Phototherapy is the most widespread treatment for lowering bilirubin concentration in neonates. Phototherapy may be more effective if the light source is placed closer to the neonate.Objective To compare the effectiveness of phototherapy with a 20 cm distance between the light source and the neonate vs a 40 cm distance for decreasing serum bilirubin concentrationMethods An open, randomized, controlled trial was conducted at H. Adam Malik and Pirngadi Hospitals in Medan from August 2009 to March 2010. Subjects were divided into two groups. One group (n=30) received phototherapy at a distance of 20 cm between the light source and the neonate, while the other group (n=30) received phototherapy at a distance of 40 cm. The inclusion criteria in the study were newborns presenting with neonatal jaundice in their first week of life. Serum bilirubin levels were measured at baseline, as well as after 12 hours and 24 hours of phototherapy.Results The mean total bilirubin levels of the 20 cm and 40 cm groups at baseline were 18.8 (SD 1.73) mg/dL and 17.7 (SD 1.46) mg/dL, respectively, not significantly different. After 24 hours of phototherapy, the mean decreases in total serum bilirubin levels of the 20 cm and 40 cm groups were significantly different with 7.6 (SD 1.01) mg/dL and 2.0 (SD 0.83) mg/dL, respectively, (P<0.05).Conclusion Phototherapy with a 20 cm distance between the light source and the neonate is more effective than a 40 cm distance for decreasing bilirubin levels at 24 hours in newborns with hyperbilirubinemia.
Co-Authors Alharbi, Olayan Ayodhia P. Pasaribu, Ayodhia P. Damayanti R. Sjarif Dimyati, Yazid Dwi Novianti Fachrozi, Muhammad R. Grace Riris Vintany Siahaan Guslihan Dasa Tjipta Halim, Yeni Mardiati Mardiati Mardiati Mardiati Martineta, Meriza Maulidia, Dwi S. Nasution, Halida R. Nelly Simarmata Nindia Sugih Arto, Nindia Sugih Pertin Sianturi R. Sjarif, Damayanti Rizky Adriansyah Rohmawati, Lili Sri Sofyani Supriatmo Supriatmo Tanjung, Ika CD. Tanjung, Ika Citra Tanjung, Ika Citra Dewi Tiangsa Sembiring Tiangsa Sembiring Tiangsa Sembiring Tiangsa Sembiring, Tiangsa Tobing, Tina CL. Tri Faranita Tri Faranita Tri Faranita, Tri Wahyuni, Arlinda S. Yunnie Trisnawati, Yunnie