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Dwi Hidayah
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Health Professions Medicine & Pharmacology

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Hubungan antara Hipoglikemi dengan Kejadian Hipotermi pada Neonatus Rujukan di RSUD Dr. Moewardi Dio Dara Virgiansari; Dwi Hidayah; Leli Saptawati
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.044 KB)

Abstract

Neonatal hypoglycaemia is an avoidable cause of mortality and neurodevelopmental impairment. Hypoglicemia may develop to hypothermia as a result of metabolic thermogenesis disturbance. Hypothermia during the newborns period is widely regarded as a major contributory cause of significant morbidity and mortality in developing countries including Indonesia, about 7% prevalence of hypothermia has been reported happens on newborns. The objective of this study was to determine the association between hypoglicemia and hypotermia in newborns. An analytic observational using cross sectional approach was used in this study. A total of eighty one newborns was selected by fixed-disease sampling. Sample of this study were the newborns who referred to Dr. Moewardi Hospital. The data were collected by the measurement of blood glucose concentration and axillary temperature of newborns. The data was analyzed using multiple logistic regression test on SPSS 16 for Windows. Hypoglycemic newborns have a risk of hypothermia 2.381 times higher than non hypoglicemic newborns after controlling some confounding factors, such as: age, birth weight, gestational age, and status of asphyxia, altough it was statistically not significant (OR = 1.98; CI = 95%; 0.54, 7.73; p = 0.305). Early neonatal age (0-7 days), low birth weight (< 2.500 gram), early gestational age (< 37 weeks), asphyxia status were also risk factors of hypothermia in newborns. There was a moderate association between hypoglicemia and hypothermia on referral newborns, altough it was statistically not significant. Hypoglycemic newborns have a higher risk of hypothermia than non hypoglicemic newborns after controlling some confounding factors, such as: age, birth weight, gestational age, and status of asphyxia. Keywords: newborns, referral, hypoglicemia, hypothermia
Factors affecting mortality of neonatal sepsis in Moewardi Hospital, Surakarta Yulidar Hafidh; Dwi Hidayah; Sunyataningkamto Sunyataningkamto
Paediatrica Indonesiana Vol 47 No 2 (2007): March 2007
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (312.648 KB) | DOI: 10.14238/pi47.2.2007.74-7

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Background Mortality of neonatal sepsis is still a significantproblem. It might be affected by many factors.Objective The purpose of this study was to determine factorswhich affect mortality of neonatal sepsis at neonatal ward ofMoewardi Hospital, Surakarta.Methods Data of neonatal sepsis was obtained from medicalrecords at the neonatal ward of Moewardi Hospital from December2004 to November 2005. We recorded data from 97 neonatalsepsis consisted of 46 male and 52 female babies. Statisticalanalysis had been performed using univariate Chi-square andmultivariate multiple logistic regression analysis.Results Overall neonatal sepsis mortality was about 40%. Therewere no significant difference in factors associated with mortalityof neonatal sepsis such as gender (OR=0.44; 95% CI 0.19;1.014),referral patients (OR=1.61; 95% CI 0.195;.014), and bacterialgrowth culture (OR=1.96; 95% CI 0.856;4.44), except for birthweight which affected mortality (OR=6.29; 95% CI 2.57;15.42).Conclusion Birth weight affects mortality of neonatal sepsis inMoewardi Hospital. Patients with positive bacterial growth culturehas two times higher risk of death, however, it is not statisticallysignificant.
Social maturity among obese children in Surakarta, Indonesia Endang Dewi Lestari; Dwi Hidayah; Suci Murti Karini
Paediatrica Indonesiana Vol 46 No 4 (2006): July 2006
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi46.4.2006.174-8

Abstract

Background Although it is clear that childhood obesity has asso-ciation with many aspects included social aspect, the social matu-rity aspect on childhood obesity is scarcely found.Objective To examine the prevalence of social maturity and thepossible associated factors among obese children.Methods A cross sectional study was conducted from January toFebruary 2005. Twenty percent of elementary schools in every sub-district were randomly selected. All obese children from selectedschools were recruited to the study after obtaining the informedconsent. Criteria of obesity in children was based on BMI e”95 thpercentile according to age and sex. Social maturity was measuredusing Vineland Social Maturity Scale, which consisted of 8 catego-ries, i.e., self-help general, self-help eating, self-help dressing, self-direction, occupation, communication, locomotion, and socializa-tion. Social maturity score was determined using age group. Thetotal score was divided into two categories i.e. immature and ma-ture. Possible associated factors with the social maturity such asgender, maternal education less than 9 years, being held back aclass, and parental guidance by step mother were analyzed usingSPSS 10.0 for Windows.Results There were 158 obese children recruited in the study. Theprevalence of social immaturity was 32.5%. The odds ratio (OR)for parental guidance by single parent or others was 2.32 (95%CI1.01;5.31); OR for intelligence was 3.93 (95%CI 1.42;10.89); ORfor male was 2.41 (95%CI 1.08;5.38) and OR for maternal educa-tion less than 9 years was 1.22 (95%CI 0.61;2.41). Multivariateregression, analysis showed significant association between gen-der (for male OR=2.44; 95%CI 1.06;5.58) and intelligence(OR=3.31; 95%CI 1.12;9.84) with social maturity.Conclusion The prevalence of social maturity in obese children ishigh. The factors associated with social maturity among obese chil-dren are the history of had ever been held back a class and male.Further investigation is needed to find out the understanding ofspecific influence of social maturity in the prevalence of obesity.
Co-Authors Dio Dara Virgiansari Endang Dewi Lestari Leli Saptawati Suci Murti Karini Sunyataningkamto Sunyataningkamto Yulidar Hafidh