{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T03:49:30Z","timestamp":1790048970962,"version":"4.0.1"},"reference-count":7,"publisher":"BMJ","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Dis Child Fetal Neonatal Ed"],"published-print":{"date-parts":[[2006,11]]},"abstract":"<jats:p>\n                  <jats:bold>Objective:<\/jats:bold> To determine whether the addition of low-cost reflecting curtains to a standard phototherapy unit could increase effectiveness of phototherapy for neonatal jaundice.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Design:<\/jats:bold> Randomised controlled clinical trial.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Setting:<\/jats:bold> Level-one nursery of the Hospital Universiti Sains Malaysia, Kelantan, Malayasia.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Patients:<\/jats:bold> Term newborns with uncomplicated neonatal jaundice presenting in the first week of life.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Interventions:<\/jats:bold> Phototherapy with white curtains hanging from the sides of the phototherapy unit (study group, n\u200a=\u200a50) was compared with single phototherapy without curtains (control group, n\u200a=\u200a47).<\/jats:p>\n               <jats:p>\n                  <jats:bold>Main outcome measures:<\/jats:bold> The primary outcome was the mean difference in total serum bilirubin measured at baseline and after 4 h of phototherapy. The secondary outcome was the duration of phototherapy.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Results:<\/jats:bold> The mean (standard deviation) decrease in total serum bilirubin levels after 4 h of phototherapy was significantly (p&lt;0.001) higher in the study group (27.62 (25.24) \u03bcmol\/l) than in the control group (4.04 (24.27) \u03bcmol\/l). Cox proportional hazards regression analysis indicated that the median duration of phototherapy was significantly shorter in the study group (12 h) than in the control group (34 h; \u03c7<jats:sup>2<\/jats:sup> change 45.2; p&lt;0.001; hazards ratio 0.20; 95% confidence interval 0.12 to 0.32). No difference in adverse events was noted in terms of hyperthermia or hypothermia, weight loss, rash, loose stools or feeding intolerance.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Conclusion:<\/jats:bold> Hanging white curtains around phototherapy units significantly increases efficacy of phototherapy in the treatment of neonatal jaundice without evidence of increased adverse effects.<\/jats:p>","DOI":"10.1136\/adc.2006.095687","type":"journal-article","created":{"date-parts":[[2006,7,29]],"date-time":"2006-07-29T00:11:03Z","timestamp":1154131863000},"page":"F439-F442","source":"Crossref","is-referenced-by-count":37,"title":["Efficacy of phototherapy for neonatal jaundice is increased by the use of low-cost white reflecting curtains"],"prefix":"10.1136","volume":"91","author":[{"given":"S","family":"Djokomuljanto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B S","family":"Quah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y","family":"Surini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Noraida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N Z N","family":"Ismail","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T W R","family":"Hansen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Van Rostenberghe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2006,7,28]]},"reference":[{"key":"2025090511014939000_91.6.F439.1","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/46.1.36"},{"key":"2025090511014939000_91.6.F439.2","unstructured":"Hansen TWR. Jaundice, neonatal. eMedicine. 2002. http:\/\/www.emedicine.com\/ped\/topic1061.htm (accessed 11 Aug 2006)."},{"key":"2025090511014939000_91.6.F439.3","first-page":"18","volume":"7","year":"2000","journal-title":"Jordmorbladet"},{"key":"2025090511014939000_91.6.F439.4","doi-asserted-by":"publisher","DOI":"10.1080\/08035259950169071"},{"key":"2025090511014939000_91.6.F439.5","unstructured":"Ministry of Health Malaysia. Clinical practice guidelines. Management of jaundice in healthy term newborns, 2003. http:\/\/www.moh.gov.my\/medical (accessed 11 Aug 2006) and http:\/\/www.moh.gov.my\/MohPortal\/cpgDetail.jsp?action=view&id=9."},{"key":"2025090511014939000_91.6.F439.6","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.081224"},{"key":"2025090511014939000_91.6.F439.7","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.156.7.669"}],"container-title":["Archives of Disease in Childhood - Fetal and Neonatal Edition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/adc.2006.095687","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T18:27:11Z","timestamp":1757096831000},"score":1,"resource":{"primary":{"URL":"https:\/\/fn.bmj.com\/lookup\/doi\/10.1136\/adc.2006.095687"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,7,28]]},"references-count":7,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2006,10,20]]},"published-print":{"date-parts":[[2006,11]]}},"alternative-id":["10.1136\/adc.2006.095687"],"URL":"https:\/\/doi.org\/10.1136\/adc.2006.095687","relation":{},"ISSN":["1359-2998","1468-2052"],"issn-type":[{"value":"1359-2998","type":"print"},{"value":"1468-2052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,7,28]]}}}