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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: Goldenhar syndrome is a multiple congenital disorder with classic characteristics regarding the face, eyes, ears. The incidence of this case is between 1:3.500 to 1:5.600. Early detection and good management can have good outcomes. A newborn with this condition can have a normal life and intelligence. CASE PRESENTATION: A baby girl was born spontaneously at Wangaya General Hospital with APGAR minutes 1, 5, and 10 scores respectively 3, 5, and 8. Infant birth weight was 2.600 grams, body length was 47 cm, and head circumference was 31 cm with estimated age 32-34 weeks. Clinically showing an asymmetrical face, mouth toward the right side without hypoplasia, the eyelids appear asymmetrical with the right eyelid not open when the left eyelid is open, and the two ears not fully formed and diagnosed as Goldenhar Syndrome. From the physical examination, the ear canal is not formed, intact palate, normal eyeball no abnormalities in the spine and found murmur during the systolic-diastolic phase of the heart. Evaluation of the function of vision and hearing has not been concluded. Abdominal ultrasound showed first-degree picture of bilateral hydronephrosis, and from echocardiography, a PDA was found. TORCH profiles in infant were positive for IgG anti-CMV, IgG anti-rubella, and IgG anti-HSV 1. The prognosis, in this case, is good and periodic evaluation needs to be done in 6 months. CONCLUSION: Multidisciplinary examination and management, in this case, are needed so that appropriate therapeutic planning can be carried out as well as periodic evaluations in monitoring the child's growth and development.

Background: Hospital malnutrition (MRS) is malnutrition that occurs during hospitalization. The incidence of hospital malnutrition is still high in both developed and developing countries. Hospital malnutrition has a significant impact on mortality and increases the risk of children developing complications. Therefore this study aims to analyze the factors that influence the incidence of MRS in pediatric patients in Kaswari Ward, Wangaya Hospital, Bali, Indonesia.Methods: This prospective cohort study was conducted on 110 pediatric patients who were treated in the Kaswari Ward, Wangaya Hospital, Denpasar City, aged 1 month to 17 years in July-September 2019 using the consecutive technique. The diagnosis of MRS is confirmed if there is weight loss> 2% in children treated> 48 hours to 7 days or weight loss in children treated 8 to 30 days. Data were analyzed using SPSS version 20 for Windows.Results: The results showed that most of the respondents aged 3-24 months (23.6%), male gender (55.5%), had a history of GEA disease (35.5%), nutritional status> -2SD WHZ (77.3%), had a single diagnosis (35.5%), and length of stay ranged from 4-7 days (60.0%). Multivariate analysis showed that the nutritional status at admission to the hospital (RR: 4,155; 95% CI: 1,289-13,392; p = 0.017) and length of stay was more than 7 days (RR: 8,219; 95% CI 1,643-41,098; p = 0, 01) has a significant relationship with the incidence of MRS. However, the number of diagnoses did not have a significant relationship with the incidence of MRS (p> 0.05).Conclusion: This study shows that children who are treated with a length of stay of more than 7 days are more at risk of experiencing MRS.  Latar Belakang: Malnutrisi Rumah Sakit (MRS) merupakan malnutrisi yang terjadi pada selama perawatan di rumah sakit. Angka kejadian Malnutri Rumah Sakit masih tinggi baik di negara maju maupun berkembang. Malnutrisi Rumah Sakit memiliki dampak yang signifikan pada angka mortalitas dan peningkatan resiko anak mengalami komplikasi. Oleh karena itu penelitian ini bertujuan untuk menganalisis faktor – faktor yang mempengaruhi kejadian MRS pada pasien anak di Bangsal Kaswari, RSUD Wangaya, Bali, Indonesia.Metode: Penelitian kohort prospektif dilakukan pada 110 pasien anak yang di rawat di Bangsal Kaswari RSUD Wangaya kota Denpasar dengan usia 1 bulan hingga 17 tahun pada bulan Juli-September 2019 dengan teknik konsekutif. Diagnosis MRS ditegakkan apabila terjadi penurunan berat badan >2% pada anak yang dirawat >48 jam sampai 7 hari atau penurunan berat badan pada anak yang dirawat 8 sampai 30 hari. Data dianalisis dengan SPSS versi 20 untuk Windows.Hasil: Hasil penelitian menunjukkan bahwa sebagian besar responden berusia 3-24 bulan (23,6%), jenis kelamin laki-laki (55,5%), memiliki riwayat penyakit GEA (35,5%), status gizi >-2SD WHZ (77,3%), memiliki diagnosis tunggal (35,5%), dan lama rawat inap berkisar 4-7 hari (60,0%). Analisis multivariat menunjukkan bahwa status gizi saat masuk rumah sakit (RR: 4,155; 95% IK: 1,289-13,392; p=0,017) dan lama perawatan lebih dari 7 hari (RR: 8,219; 95% IK 1,643-41,098; p=0,01) memiliki hubungan bermakna dengan kejadian MRS. Akan tetapi, jumlah diagnosis tidak memiliki hubungan yang bermakna dengan kejadian MRS (p>0,05).Kesimpulan: Studi ini menunjukkan bahwa anak yang dirawat dengan lama perawatan lebih dari 7 hari lebih beresiko untuk mengalami kejadian MRS.

Stunting masih menjadi masalah kesehatan dan Indonesia menduduki peringkat ke-5 dunia. Pada tahun 2010 dan 2013 ,insiden stunting meningkat dari 35,6% hingga 37,2% . Stunting  terjadi akibat kekurangan gizi kronis sehingga tinggi badan atau panjang badan anak tidak mencapai sesuai usianya dengan nilai z-score < -2 sesuai dengan standar WHO. Stunting dapat mempengaruhi kemampuan kognitif  dan pertumbuhan yang tidak  optimal saat dewasa.Gangguan pertumbuhan sering terjadi mulai dari masa kehamilan hingga usia anak mencapai 2 tahun. Oleh karena itu, pemenuhan nutrisi selama 1000 hari pertama kehidupan sangatlah penting untuk masa depan. Salah satu faktor yang menyebabkan stunting adalah kurangnnya asupan gizi  yang baik terutama saat bayi yaitu ASI.