Background: Hyperbilirubinemia is one of the clinical phenomena most often found in newborns and occurs in 60% of > 35 weeks neonates and 80% of < 35 weeks neonates.  Hyperbilirubinemia is one of the most common causes of infant death (2012, SDKI).  Prevalence and severity of hyperbilirubinemia are found to be higher in newborns with low birth weight (LBW). This study aims to determine the relationship between LBW and incidence of hyperbilirubinemia in neonates at Wangaya hospital.Methods: This study was an observational analytic study with cross sectional approach conducted in August – September 2019 at Wangaya hospital.  The study subjects were 98 infants aged 0-28 days admitted to Wangaya hospital from August-September 2019 and met the inclusion and exclusion criteria. The subjects were taken by consecutive sampling. Bivariate analysis was performed using the Chi-Square test and calculation of prevalence ratio. Data were analyzed by SPSS version 17 for Windows.Results: In this study, 98 samples were obtained, and from all of them, as much as 24.5% were found to be LBW, and 9 of them were experiencing hyperbilirubinemia. The result of hypothesis testing with the Chi-Square test obtained p-value=0.042 and PR-value=2.13.Conclusions: A significant correlation between LBW and incidence of hyperbilirubinemia in neonates at Wangaya hospital and LBW is a risk factor for the incidence of hyperbilirubinemia in neonates.  Latar Belakang: Hiperbilirubinemia merupakan salah satu fenomena klinis yang paling sering ditemukan pada bayi baru lahir dimana hiperbilirubinemia terjadi pada 60% dari neonatus > 35 minggu dan 80% dari neonatus < 35 minggu. Berdasarkan SDKI tahun 2012, hiperbilirubinemia merupakan salah satu penyebab kematian bayi tersering. Pravelensi dan tingkat keparahan hiperbilirubinemia ditemukan lebih tinggi pada bayi berat lahir rendah (BBLR). Penelitian ini bertujuan untuk mengetahui hubungan BBLR dengan kejadian hiperbilirubinemia pada neonatus di RSUD Wangaya.Metode: Penelitian ini merupakan penelitian observasional analitik dengan pendekatan potong lintang yang dilaksanakan pada bulan Agustus – September 2019 di RSUD Wangaya. Subjek penelitian adalah bayi usia 0-28 hari yang dirawat di RSUD Wangaya selama bulan Agustus – September 2019 yang memenuhi kriteria inklusi dan eksklusi. Pengambilan sampel penelitian dilakukan secara consecutive sampling. Dilakukan analisis bivariat menggunakan uji Chi-Square dan menggunakan perhitungan rasio prevalensi. Data dianalisis dengan SPSS versi 17 untuk Windows.Hasil: Pada penelitian ini didapatkan sampel sebanyak 98 sampel, dimana didapatkan sampel BBLR sebesar 24,5% dan 9 sampel diantaranya mengalami hiperbilirubinemia. Hasil uji hipotesis dengan uji Chi-Square diperoleh nilai p=0,042 dan nilai RP=2,13.Simpulan: Terdapat hubungan yang bermakna antara BBLR dengan hiperbilirubinemia pada nenonatus di RSUD Wangaya dan BBLR merupakan faktor resiko terhadap kejadian hiperbilirubinemia pada neonatus.

Background: Hyperbilirubinemia is a condition defined by an increased total serum bilirubin level exceeding 5 mg/dL and clinically characterized by the presence of jaundice. Jaundice can be observed on the skin and sclera if the bilirubin level increases more than 5 mg/dL. Several risk factors, including birth weight, asphyxia, gestational age, mode of delivery, and breastfeeding practices, have been studied regarding their relationship to the incidence of hyperbilirubinemia, with varying results. Therefore, the purpose of this study was to determine the relationship between these risk factors and the incidence of hyperbilirubinemia.Methods: An analytical observational cross-sectional study was conducted by collecting secondary data from the Perinatology Ward registry and the medical records department. The subjects were neonates treated in the Perinatology Ward of Wangaya Hospital, Denpasar. The data that met the inclusion and exclusion criteria were then analyzed with the SPSS 25.Results: There were 59 neonates with hyperbilirubinemia and 135 neonates without hyperbilirubinemia among the 194 research subjects. The results of the chi-square test were the following: p-value for birth weight = 0.002, p-value for asphyxia = 0.002, p value for breastfeeding practice = 0.003, p value for gestational age = 0.000, and p value for delivery mode = 0.110.Conclusion: There was a significant relationship between birth weight, asphyxia, gestational age, breastfeeding practices, and the incidence of neonatal hyperbilirubinemia in the Perinatology Ward, Wangaya Hospital, Denpasar City. Meanwhile, no relationship was observed between the mode of delivery and newborn hyperbilirubinemia.

Background: Low Birth Weight (LBW) in infants is still a problem in the health sector, especially perinatal health. The prevalence of low birth weight babies (BBLR) is estimated to be 15% of all births in the world with a 3.3%-38% limit and is more common in developing countries or low socioeconomic countries. Frequent complications of LBW such as hypothermia, respiratory disorders, gastrointestinal disorders, immunological disorders, liver immaturity, renal immunity and bleeding. In LBW, there can be a lack of surfactant and not yet perfect growth and lung development so that difficulties start breathing which result to occur Neonatal Asphyxia. The purpose of this study was to determine the relationship of degree of LBW with the degree of Neonatal Asphyxia. Methods: The type of research used is observational analytic with cross sectional study design. In this study, sampling was performed at LBW at Wangaya Hospital April 2016-April 2017 period in NICU and Perinatology room until the number of research samples fulfilling the inclusion and exclusion criteria with total sample of 87 samples. The sample is obtained by consecutive sampling method, then collecting the necessary data. The data obtained were analyzed analytically, then presented in tabulation data and described using tables and narration. Result: There was a significant correlation between degree of BBLR and degree of Asphyxia Neonatarum (p = 0,03), BBLR was risk factor to degree of asphyxia with prevalence prevalence (RP) = 2.08 (95% CI = 1.08-1, 30). Conclusion: There was a significant correlation between degree of LBW and degree of Neonatal Asphyxia.

Background: Diarrhea is still the second-largest cause of children under-five's mortality worldwide. Six million children die every year due to diarrhea and it mostly occurs in developing countries. The main cause of diarrhea deaths is due to malnutrition. In malnutrition there is an increase in the severity of diarrheal diseases, this makes malnutrition and diarrhea a vicious circle.Objective: To investigate the relation between nutritional status and length of stay under-five children with diarrheaMethod: A cross-sectional study was conducted from August 2018 to January 2019 using the consecutive sampling methods. The subjects were children aged 1-5 years old hospitalized for diarrhea at Wangaya Hospital Denpasar that fulfills the inclusion and exclusion criteria. The characteristics of the subject such as gender, children's age, birth weight, exclusive breastfeeding status, immunization status, degree of dehydration, mother’s employment, and economic factor.Result: A total of 42 patients were the subjects of the study. Of 10 subjects with wasted nutritional status, 7 (70%) subjects had long stays (> 4 days), and 3 (30%) others with a short length of stay (≤4 days). Most subjects aged 12-24 months were 52.4%. Most of the subjects were male (57.1%). The results of the analysis showed that nutritional status significantly affected the length of stay of diarrhea in children under five (p-value 0.001; PR 5.6; 95% CI 2.05-9.26).Conclusion: There is a significant relationship between nutritional status with the length of stay in children under five.

Penyakit Graves (PG) adalah penyakit autoimun akibat pembentukan antibodi TSH receptor-stimulating immunoglobulin (TSI) yang menyebabkan produksi hormon tiroid meningkat. Seorang anak perempuan, usia 10 tahun, dengan benjolan pada leher bagian kanan dan kiri depan yang baru disadari sejak 3 hari, tidak nyeri. Prestasi belajar seperti biasa. Tangannya bergetar ringan saat menulis. Penyakit Graves didiagnosis berdasarkan pemeriksaan fisik dan ultrasonografi tiroid, fungsi tiroid, dan pemeriksaan antibodi tiroid. Terapi dengan methimazole tablet 5 mg setiap 12 jam dan kontrol FT4 dan TSH setelah 1 bulan. Graves’ disease is an autoimmune disease with formation of TSH receptor-stimulating immunoglobulin (TSI) antibodies resulting in increased thyroid hormone production. A 10 year-old girl with a painless lump in the right and left side of her anterior neck, noticed since 3 days ago. Learning achievement is still good. Her hands were slightly trembling while writing. Graves’ disease was diagnosed based on physical examination and thyroid ultrasound, thyroid function, and thyroid antibody tests. The treatment was methimazole 5 mg tablets every 12 hours and laboratory check for FT4 and TSH after 1 month.