Abstract. Academic performance becomes an important determinant of individual quality. it is determined by the function of affective, cognitive, psychomotor, and intelligence. Brain gym can improve learning processes and integrate all areas that related to the learning process. To prove the effect of brain gym towards academic performance of children aged 10-12 years. This study was a quasy experiment study with one group pre and post test design. Samples (n=18 male=7 and female=11) were taken from five and six grader and conducted in Tembalang and Pedalangan Elementary School, Semarang. Pretest were administered, followed by brain gym, and post test administered in the end of study. The measurement of Intelligence Quotient pre and post test using Culture Fair Intelligence Test Scale 2. Among the 18 subjects (male=7 and female=11) the average of academic performance and IQ score after brain gym showed improvement. The Improvement of IQ score with Culture Fair Test Scale 2 was analyzed by Dependent T test showed significant results (p=0,000). The improvement of Bahasa score was analyzed by Wilcoxon test showed significant results (p=0,001), an unsignificant result were shown in Mathematics p=0,079 and natural sciences p=0,306. Brain gym can increase academic performance of children aged 10-12 years old.

Latar belakang. Hiperbilirubinemia terjadi pada 25%-50% bayi baru lahir (BBL) dapat menurunkan kualitashidup. Secara fisiologis bilirubin meningkat mencapai puncak pada kadar 5-6 mg/dL pada hari ke 3-4kehidupan, terbanyak karena hemolisis (75%) yang kemungkinan terjadi akibat paparan oksidan. VitaminE melindungi membran eritrosit dari kerusakan oksidatif, sedangkan vitamin C membantu regenerasi seluntuk dapat berfungsi kembali.Tujuan. Menganalisis kadar vitamin E dengan memperhatikan kadar vitamin C serum yang rendah sebagaifaktor risiko peningkatan kadar bilirubin serum yang patologis pada neonatus.Metode. Desain penelitian adalah nested case control dengan subjek 80 neonatus aterm sehat di RSUP Dr.Kariadi pada Maret-Mei 2009, 40 neonatus sebagai kasus dan 40 neonatus sebagai kontrol. Kadar bilirubindiperiksa hari ke 3-4, kadar vitamin E dan vitamin C diperiksa dari sampel darah hari pertma setelah lahir.Faktor risiko dianalisis dengan rasio odds (95% interval kepercayaan) dan regresi logistik.Hasil. Subjek 40 neonatus aterm sehat dengan kadar bilirubin 􀁴5 mg/dL sebagai kasus dan 40 neonatusdengan kadar bilirubin <5 mg/dL sebagai kontrol. Rerata bilirubin total (mg/dL): 9,69±2,41 (kasus),2,81±1,21 (kontrol). Rerata kadar vitamin E (mg/dL): 0,19±0,03 (kasus) dan 0,23±0,02 (kontrol). Analisisbivariat menunjukan kadar vitamin E rendah merupakan faktor risiko terjadinya peningkatan kadar bilirubin(OR=23,7; 95%CI 6,8-82,4). Analisis multivariat menunjukkan kadar vitamin E dan vitamin C rendahmempunyai faktor risiko yang lebih tinggi terhadap peningkatan kadar bilirubin (OR=55,9; 95%CI 6,7-467,7).Kesimpulan. Kadar vitamin E dan vitamin C rendah merupakan faktor risiko peningkatan kadar bilirubinpada neonatus.

Background: Complications that often occur in vacuum extraction are third and fourth degree lacerations and neonatal asphyxia. In addition, asphyxia is the third leading cause of infant mortality in the world. Apart from being influenced by the existing vacuum extraction factors, the incidence of neonatal asphyxia and perineum laceration is also influenced by several maternal factors including maternal age and maternal parity.Objective: To prove the relationship between maternal age and parity number with perineum laceration and neonatal asphyxia after vacuum extraction at Dr. Kariadi General Hospital Medical CentreMethods: This study was an analytic observational study with a cross-sectional approach. The minimum sample required in this study is 26 patient data. The data used were data from the medical records of vacuum extraction patients at dr. Kariadi General Hospital Medical Centre Semarang which fit the inclusion and exclusion criteria by means of consecutive sampling. Then the data that has been collected is analyzed to find the relationship between variables.Results: Mothers who gave birth with the aid of vacuum extraction who suffered the most from third and fourth degree lacerations (31%) and neonatal asphyxia (15%) were women who were at risk (27%) and had the amount of parity at risk (23%). Chi-square test showed that there was a significant relationship between maternal age with perineum lacerations (p = 0.014), maternal age with neonatal asphyxia (p = 0.047), total parity with perineum lacerations (0.004), total parity with neonatal asphyxia (p = 0.028).Conclusion: There is a relationship between maternal age and parity with perineum lacerations and neonatal asphyxia after vacuum extraction in Dr. Kariadi General Hospital Medical Centre Semarang. The incidence of grade 3 and 4 perineum lacerations and neonatal asphyxia was most prevalent in women at risk age more than 35 years and at risk parity, namely primiparous The most influential risk factors for the occurrence of grade 3 and 4 perineum lacerations and neonatal asphyxia are primiparity.