Nugroho , Irfan Dzakir
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The The Relationship Between Infant Birth Weight, Gestational Age, and Hyperbilirubinemia Incidence in Neonates Steve, Cornelius; Hidayah , Dwi; Nugroho , Irfan Dzakir; Putra, Andhika Trisna
Journal of Maternal and Child Health Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.04.12

Abstract

Background: Neonatal hyperbilirubinemia is an occurrence where a serum bilirubin value of 5-10mg/dL is obtained and is characterized by jaundice in newborns. This occurrence can be influenced by several factors, one of which is the birth weight of the baby <2,500 grams which is called Low Birth Weight (LBW). The incidence of LBW can be influenced by maternal age, infections that occurred before pregnancy, and one of them is gestational age LBW it self is one of the most critical health problems in various countries. Therefore, researchers are interested in finding the relationship between infant birth weight and gestational age with the incidence of neonatal jaundice. Subjects and Method: This was a cross-sectional study conducted in Rumah Sakit Umum Daerah Dr. Moewardi on Surakarta. The subjects of this study were 89 neonates who were included in the criteria. The population of this study were neonates with hyperbilirubinemia. Sampling was carried out retrospectively using patient medical records from January to December 2021, using purposive sampling technique. The dependent variable was incidence of hyperbilirubinemia. The independent variables were low birth weight and gestational age. The data were then processed using SPSS version 26 and analyzed using the chi-square test. Results: LBW and preterm increased the incidence of neonatal hyperbilirubinemia in neonates. Infants with LBW increased neonatal hyperbilirubinemia by 2.34 times compared to adequate birth weight, and this result was statistically significant (OR = 2.34; 95% CI = 1.58 to 3.47; p<0.001). Preterm infants increased neonatal hyper­bilirubinemia by 2.55 times compared to term, and this result was statistically significant (OR = 2.55; 95% CI = 1.68 to 3.58; p <0.001). Conclusion: There is an important correlation between infant birth weight and gestational age with the incidence of hyperbilirubinemia in neonates in the perinatology room at Rumah Sakit Umum Daerah Dr. Moewardi, Surakarta.
Hubungan Indeks Massa Tubuh dengan Tingkat Kontrol Asma pada Pasien Asma Anak di RSUD Dr. Moewardi Surakarta Fadhila Rahma Leilani; Andarini , Ismiranti; Nugroho , Irfan Dzakir
Plexus Medical Journal Vol. 2 No. 3 (2023): Juni
Publisher : Fakultas Kedokteran, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/plexus.v2i3.593

Abstract

Pendahuluan: Indeks Massa Tubuh (IMT) merupakan salah satu faktor yang mempengaruhi tingkat kontrol asma yang dapat dimodifikasi karena bersifat reversible. Kontrol asma yang buruk umumnya ditemukan lebih sering terjadi pada penderita dengan obesitas. Namun demikian, sangat sedikit laporan yang diterbitkan tentang hubungan antara kekurangan berat badan dengan tingkat kontrol asma. Penelitian ini bertujuan untuk mengetahui hubungan antara IMT dengan tingkat kontrol asma pada pasien asma anak di RSUD Dr. Moewardi Surakarta. Metode: Penelitian bersifat observasional analitik retrospektif dengan pendekatan cross sectional menggunakan data sekunder dari rekam medis. Penelitian ini menggunakan teknik total sampling, dimana sampel penelitian adalah seluruh pasien asma anak di RSUD Dr. Moewardi selama 5 tahun terakhir yang memenuhi kriteria. Dari data yang terkumpul dilakukan analisis bivariat dengan uji chi square dengan derajat kepercayaan 95% (α=0,05) menggunakan aplikasi IBM SPSS Statistics 25 for Windows. Hasil: Dari 45 subjek penelitian, mayoritas memiliki asma terkontrol penuh (60%), diikuti terkontrol sebagian (24,4%), dan tidak terkontrol (15,6%). Terdapat 68,9% subjek penelitian dengan IMT normal, 13,3% underweight, dan 17,8% overweight/obese. Secara statistik didapatkan hubungan yang signifikan antara IMT dengan tingkat kontrol asma (p=0,043). Tidak terdapat hubungan yang signifikan antara usia (p=0,392), jenis kelamin (p=0,799), riwayat alergi (p=0,088), serta derajat berat asma (p=0,086) dengan tingkat kontrol asma. Kesimpulan: Terdapat hubungan yang signifikan antara IMT dengan tingkat kontrol asma pada pasien asma anak di RSUD Dr. Moewardi.