Leukemoid Reaction in a Preterm Infant: Diagnostic Challenge in Resource Poor Setting: A Case Report

A preterm neonate delivered at 28 weeks gestation, mother had antenatal steroid. Blood counts showed leukemoid reaction, blood culture, procalcitonin and peripheral blood film was normal. Baby was stabilized in the NICU, recovered and the WBC count done serially showed a downward trend. The leukemoid reaction was presumed to come from antenatal steroid use. The diagnostic and management challenges encountered in managing the infant in resource constrained environment like ours is presented alongside.

Congenital Bilateral Shoulder Dimples in a Newborn Case report and Review of the literature

Congenital Acromial or Shoulder dimples are cutaneous depressions overlying the acromial process of the scapula. They are usually bilateral and symmetrical. Isolated biacromial dimples are usually benign and warrant no further investigations. Family history in an autosomal dominant pattern, as in our case, is frequently obtainable but the majority of isolated bilateral shoulder dimples are sporadic. There are few reports of syndromic associations as well as two cases of associated maternal cocaine abuse. Our case is a term female neonate who was noted on routine new-born check to have bilateral symmetrical shoulder dimples. She was otherwise healthy, had normal range of shoulder movements and was not dysmorphic. On further assessment it transpired the father has the same bilateral shoulder dimples but was not aware of their existence. No further investigations were carried out. This case add to the few reported cases of Biacromial Dimples with autosomal pattern of inheritance in an otherwise normal baby

Postpartum Adaptation: Normal, Baby Blues, Baby Pinks

This chapter on postpartum adaptation/baby blues describes the transient symptoms of sadness, tearfulness, irritability, and insomnia know as the “baby blues” experienced by 50% to 80% of new mothers. This is not a sign of depression but, rather, the consequences of the massive bio-psycho-social changes that occur after the birth of a child. No specific treatment other than education and reassurance is required. Most often these symptoms resolve spontaneously within the first 2 to 3 weeks. Occasionally, they continue and develop into a major depression so women should be reassessed within the first 6 weeks postpartum to ensure the symptoms have cleared.

Digital Entertainment to Support Toddlers’ Language and Cognitive Development

This current research aimed at seeing how English nursery rhymes and kids’ songs as learning media support toddlers who are not living in an English speaking country (Indonesia) but exposed to the English language media during their normal baby-sitting times to learning English. To observe how two Indonesian toddlers learned English language in their early critical period of language acquisition through co-watching activity, Early Development Instrument which focuses on language and cognitive development domain with reading awareness and reciting memory subdomain was applied to observe two subjects after 15 month treatments (from age 10-24 months). The results show that the media and the co-watching activity are able to support the toddlers’ understanding of the English words spoken and their ability to produce the intelligent pronunciation of those words. The interesting fact reveals that English which is normatively learned merely as a foreign language to most Indonesian people is no longer something far-off to the toddlers who are exposed to it through English nursery rhymes and kids’ songs online since they are at the very young age. They naturally tend to be bilingual since at the same time they learn their mother tongue.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN GIZI NORMAL BALITA DI PUSKESMAS SUKAJADI KOTA PRABUMULIH TAHUN 2017

ABSTRAK Gizi merupakan salah satu penentu kualitas sumber daya manusia. Tujuan penelitian ini adalah untuk mengetahui faktor faktor yang mempengaruhi gizi normal balita di Puskesmas Sukajadi Prabumulih tahun 2017. Hubungan faktor faktor tersebut dicari mengunakan metode survey analitik dengan pendekatan cross sectional. Untuk populasi dalam penelitian ini adalah semua ibu dan balita yang datang ke Puskesmas Sukajadi Prabumulih pada maret 2017 dengan teknik accidental sampling. Berdasarkan analisa univariat didapatkan gizi balita normal 26 orang (72,2%) gizi balita yang tidak normal sebanyak 10 orang (27,8%). Untuk frekuensi pendapatan yang tinggi didapat 25 orang (69,4%) sedangkan yang rendah didapatkan 11 orang (30,6%) dan pendidikan tinggi didapatkan 26 orang (72,2 %) dan yang rendah 10 orang (27,8%) selain itu untuk pengetahuan baik terdapat 23 orang (63,9%) sedangkan yang kurang 13 orang (36,1%). Dari hasil analisa bivariat didapatkan faktor faktor yang berhubungan dengan status gizi normal balita yaitu faktor pendapatan,faktor pendidikan serta faktor pengetahuan.Diharapkan bagi ibu untuk lebih proaktif dalam mengenai dan mencegah kasus kasus yang dapat membahayakan anaknya sehingga angka kejadian status gizi tidak normal dapat ditekan selain itu diharapkan ibu untuk menjalankan program posyandu balita yang telah dicanamkan puskesmas tersebut sehingga pemantauan, kegiatan penyuluhan atau kegiatan lainnya khususnya yang berhubungan sehingga kasus status gizi tidak normal dapat dihindari hal inilah yang diharapkan dapat menurunkan dan menekan AKB yang berhubungan dengan kasus kasus dalam kebidananan. ABSTRACK Nutrient is one of the determinants of the human resources quality.The objective of this research was to know about the factors that influence the normal nutrient of baby at Puskesmas Sukajadi Prabumulih of 2017. The correlation of the factors was found by using survey analytic method with cross sectional approach. The population of this research was the entire of mothers and babies that visit to Puskesmas Sukajadi Prabumulih on March 2017 with accidental sampling technique. According to univariate analysis, it was found that there were 26 people (72,2%) of the normal nutrient baby and 10 people (27,8%). For the frequency of high income, that was found 25 people (69,4%), meanwhile the lowest income was found 11 people (30,6%) and the high education was found 26 people (72,2%) and with the low education was 10 people (27,8%). Beside that for the good knowledge, there were 23 people (63,9%), meanwhile the less knowledge were 13 people (36,1%). From the yield of bivariate analysis, was found the factors that related to the normal baby nutrient, which was income factor and the education factor and the knowledge factor.It was hoped that for mother to be more proactive in preventing some cases that can harm their kids so the number of abnormal nutrient status could be pushed, besides it was hoped mother can run the baby posyandu program that have been proclaimed by Puskesmas, so the monitoring , counseling activity, or other activities, especially that related to the abnormal nutrient status could be prevented. These things could be hoped to decrease and push AKB that related to midwifery cases.

Peningkatan Ketepatan Klasifikasi dengan Metode Bootstrap Aggregating pada Regresi Logistik Ordinal

Baby's birth weight is influenced by characteristics of pregnant women such as age, parity, education level, pregnancy visit, and gestational age. Classification of the birth weight of a baby is grouped into several groups, namely low birth weight babies, normal baby weight and excess baby weight. The classification method with ordinal logistic regression provides an unstable parameter estimation, which means that if there is a change in the data set causes a significant change in the model. So that to obtain a stable parameter estimation in the ordinal logistic regression model is used aggregating (bagging) bootstrap approach. This study aims to improve the classification of ordinal logistic regression by using bagging on a baby's birth weight. The classification results with bagging ordinal logistic regression were able to reduce classification errors by 20.237% with 76.67% classification accuracy

EFEK PEMBERIAN MASSAGE BAYI DAPAT MENINGKATKAN KUALITAS TIDUR BAYI NORMAL USIA 0 – 6 BULAN DI POSYANDU PERMATA HATI

Sleep is one of the needs of a baby or child that is as important as other primary needs. One way to fulfill your baby's sleep needs is by massage. Touch on the skin will stimulate blood circulation and will increase the oxygen wave energy that is more sent to the brain so that the circulation system and respiration spur better. Feeling comfortable and relaxed due to massage will improve sleep quality. In addition, it can increase the production of Asi, increase body weight, increase endurance, in infants 0-6 months. The purpose of this study is to prove that massage can improve the quality of sleep for babies 0-6 months. The method of dedication was carried out by tearing the hearts of the 13 people in one group and were intervened with infant massage. in normal infants 0-6 months. The conclusion of this service is that there is the effect of giving a baby massage to the sleep quality of a normal baby 0-6 months

ABORTUS HABITUALIS PADA ANTIPHOSPHOLIPID SYNDROME

A 30 year old woman, complaining no menstruation for 5 months and had abortion history about 5 times, was admitted to the Dr.Soetomo Hospital outpatient unit. She was then diagnosed of antiphospholipid syndrome on pregnancy. The diagnosis was erected bythe presence of aborts habitualis as a clinical criterion, and the finding of IgG anticardiolipin antibody in two times examination withinterval 9 weeks as laboratory criteria. The criteria were relevant to The International consensus for APS classification (InternationalWorkshop 1999) as well. The patient had lack of financial support so she was just treated with ASA (acetyl salicylic acid), roborantia,and tocolitic-nifedipin or alilestrenol whenever they are needed. These medications were administered until the baby was delivered bysectio caecarea (healthy and normal baby).

Reproductive Failure

Human conception and pregnancy is both a vulnerable and a robust process. It is vulnerable in that a large proportion of all conceptions are chromosomally abnormal, with the great majority of such pregnancies aborting. It is robust in that more than 99% of the time, a term pregnancy results in a chromosomally normal baby; unbalanced chromosomal abnormalities are seen in less than 1% of newborns. This chapter considers the somewhat surprising vulnerability of the human species to chromosome abnormality, from prior to, at, and following conception. A remarkable fraction of pregnancy loss is due to chromosomal imbalance, and there is an associated maternal age effect. This chapter considers the chromosomal contribution to miscarriage, fetal death in utero, and perinatal death. Recurrent pregnancy loss may have a chromosomal basis, and male and female infertility may relate to abnormality of, in particular, the sex chromosomes. The genetics of hydatidiform mole is reviewed.