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Journal : Jurnal Penelitian Pendidikan IPA (JPPIPA)

Accuracy of Fingerprint Pulse Oximeter Compared to Neonatal Pulse Oximetry in Early Detection of Critical Congenital Heart Disease in Newborn Infants Sari, Linda Silvana; Karuniawaty, Titi Pambudi; Wiguna, Putu Aditya; Parwata, Wayan Sulaksamana Sandhi
Jurnal Penelitian Pendidikan IPA Vol 11 No 9 (2025): September
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i9.12299

Abstract

Critical congenital heart disease (CHD) requires immediate diagnosis and intervention, but its asymptomatic nature in early life presents a significant challenge for detection. This study aimed to determine the suitability of a common fingertip pulse oximeter as a low-cost screening tool compared to the standard neonatal pulse oximeter for the early detection of critical CHD. A cross-sectional study was conducted with 150 newborn subjects at a health center in Kediri. The results indicated that while the neonatal pulse oximeter measured pulse frequency and saturation more quickly, there was no statistically significant difference in the preductal (p=0.053) and postductal (p=0.099) oxygen saturation values recorded by the two devices. However, despite a weak positive correlation, a Bland-Altman analysis revealed poor agreement and reliability between the two instruments, with an average bias of 0.93% (95% CI: -7.38 to 9.24) for preductal and 0.74% (95% CI: -8.49 to 9.24) for postductal measurements. In conclusion, although no subjects were diagnosed with critical CHD, the findings suggest that the fingertip pulse oximeter is not a sufficiently reliable substitute for neonatal pulse oximetry in screening for this condition due to the poor agreement between the two methods.
The Role of Medical Rehabilitation: Management of Oromotor Dysfunction (Mechanical and Kinetic Movement Dysfunction) and Speech Therapy in Children with Cerebral Palsy Wedayani, Anak Agung Ayu Niti; Ullyani, Nurul; Restuningdyah, Novia Andansari Putri; Sari, Linda Silvana; Doyan, Aris
Jurnal Penelitian Pendidikan IPA Vol 10 No 11 (2024): November
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v10i11.7580

Abstract

Cerebral palsy (CP) is a non-progressive motor disorder caused by prenatal, perinatal, and postnatal factors, leading to movement and posture abnormalities. In Indonesia, around 0.60% of the total child population has CP (9 cases per 1000 live births). Speech and swallowing difficulties are common, affecting children’s nutritional status and development. Speech and oral motor therapy are effective in improving speaking and oromotor dysfunction. To determine the effectiveness of oromotor and speech therapy in improving swallowing, chewing, and speech abilities in children with CP. A case study was conducted at the "Lombok Care" Children with Disabilities Foundation. Language development was assessed with the Messay Language Test, and oromotor dysfunction was evaluated using Debra C. Gangale’s method. Pre and post-therapy assessments were performed to assess changes in motor and speech functions. The evaluation of 5 respondents showed an increase in speaking skills after speech therapy and swallowing skills after oromotor therapy. Both are shown to be effective in improving communication skills and oropharyngeal muscle coordination, as well as reducing the risk of aspiration. Speech and oral motor therapy are essential and effective in improving eating, swallowing, and speaking abilities in children with CP, and are an important part of holistic medical rehabilitation.