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Journal : Paediatrica Indonesiana

Assessment of the quality of general movements in newborn infants: a tool to predict developmental disorders at an early age Ahmad Suryawan; Bambang Permono; Komang Ayu Witarini; Risa Etika; Fatimah lndarso; Moersintowarti B. Narendra
Paediatrica Indonesiana Vol 48 No 5 (2008): September 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.968 KB) | DOI: 10.14238/pi48.5.2008.292-8

Abstract

Background Nowadays, quality assessment of general movements(GMs) in infants can be used as a tool to predict developmentaloutcome. Until now, there is no published study in this field inIndonesia.Objectives The aim of this study was to evaluate the quality ofGMs of newborn infants.Methods A prospective study was done at neonatal ward, Dr.Soetomo Hospital in Surabaya, between December 2006 andJanuary 2007. A single supine position video recording of newbornsat GMs preterm and writhing age was made using Precthl's method.Infants were chosen consecutively among singletons above 28week gestational age. The quality of GMs was assessed by meansof Gestalt perception by one of the authors, who had been trainedand certified in GMs. GMs were classified into: normal-optimal,normal-suboptimal, mildly-abnormal, and definitely-abnormal.Correlation tests were used to assess the relationship betweenperinatal conditions and the quality of GMs.Results 106 videos were recorded, and 100 were assessedcompletely. Abnormal GMs were found in both 35 pretermage (normal-optimal 2.9%; normal-suboptimal 28.6%; mildly-abnormal45. 7o/o; definitely-abnormal22.9o/o) and 65 writhing age(3.1 o/o; 41.5%; 41.5%; 13.8%, respectively) (P=0.285). There wasa weak negative correlation between birth weight and the qualityofGMs (r=-0.20, P=0.044).Conclusions The quality ofGMs in Indonesian newborn infants inour study was predominantly abnormal, which puts these infantsat high risk for later developmental disorders. The lower theinfants'birth weight, the more likely for abnormal GMs.
Long term follow-up of multidrug resistant tuberculosis in a pubertal child Andri Kurnia Wahyudhi; Retno Asih Setyoningrum; Ahmad Suryawan
Paediatrica Indonesiana Vol 58 No 4 (2018): July 2018
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1020.653 KB) | DOI: 10.14238/pi58.4.2018.198-204

Abstract

Increasing awareness of the rising global rates of multidrug-resistant tuberculosis (MDR-TB) has led to a concerted international effort to confront this disease. Nonetheless, despite cure rates >80% in some programs, MDR-TB patients tend to have chronic disease and require prolonged therapy.1-3 Little is known about the long-term results and follow-up of patients with MDR-TB, include the recurrence rate and chronic disability in patients who have recovered from TB.4 There are many side effects and adverse reactions to drugs can occur during MDR-TB treatment. These could be physical and or psychological, as well as reversible or irreversible. Treatment of MDR-TB requires a combination regimen, consists of second and third-line anti-tuberculosis drugs which more toxic than first-line drugs. Additionally, MDR-TB treatment requires a long duration of treatment (18-24 months) and causes discomfort in the patient.5 In a cohort of 60 patients treated for MDR-TB, the most common side effects included gastritis (100%), dermatological disorders (43%), and peripheral neuropathy (16.7).6 While in a cohort of 75 patients, the incidence of depression, anxiety, and psychosis for MDR-TB treatments was 13.3%, 12.0%, and 12.0%, respectively.7 Aggressive and effective management are needed so the patient can tolerate the treatment and remain adhere the treatment.8 Long-term follow-up is required for the rehabilitation of disorders due to psychosocial sequelae. As such, psychosocial support can be benefit pediatric MDR-TB patients. Here, we present a case report on a two-year follow-up of a pubertal child with MDR-TB, focusing on medical aspects and her development.
Risk factors of speech and language disorders in children Rusli, Vinia; Suryawan, Ahmad; Irmawati, Mira; Irwanto, Irwanto; Notobroto, Hari Basuki
Paediatrica Indonesiana Vol. 64 No. 5 (2024): September 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.5.2024.430-8

Abstract

Background Speech and language problems are developmental disorders often observed in children. Risk factors for speech and language disorders can occur prenatally, perinatally, or postnatally. Recognizing the risk factors for speech and language problems is essential for early diagnosis and intervention. Objective To identify risk and protective factors of speech and language disorders in children. Methods This case-control study was conducted in the Growth and Development Clinic at Dr. Soetomo Hospital, Siloam Hospital, Kendangsari Merr Hospital, and Darmo Hospital, Surabaya, East Java. Subjects with normal development were included in the control group, subjects with speech-language development disorders with no additional problems were included in the primary case group, and subjects with speech-language disorders and additional problems were included in the secondary case group. Subjects underwent history-taking and developmental examinations to assess for risk factors and types of speech-language disorders. Results During March – July 2023, 162 subjects aged 2-6 years met the inclusion criteria. The significant risk factors in the primary group were male sex (P=0.000), age 2-3 years (P=0.01), and maternal age 19-35 years (P=0.018). The protective factor identified was not bilingual (P=0.046). In the secondary group, the significant risk factor was male gender (P=0.002). The protective factors obtained were absence of seizures (P=0.028) and not being bilingual (P=0.045). Conclusion Male gender is a risk factor while non-bilingual is protective for speech-language disorders in children.
Co-Authors Afiliany, Amelia Anang Endaryanto Andri Kurnia Wahyudhi Anggrahini, Simplicia Maria Arinaa Manasika Farida Ariyanto Harsono Atika Atika Aulia Septyani, Reta Azwin Mengindra Putera Badriul Hegar Bambang Permono Budi Utomo BUDI UTOMO Budi Utomo Darto Saharso Desi Fitriani Dewi Astasari Diah Retno Sari Dian Dwi Sari Dian Fitria Kurniawati Dinda Anes Tunjungsari Dinda Chandra Yuliantari Dominicus Husada Dwi ariningtyas, Ninuk Eka Marta Puspita Rini Elok Widjianingsih Endang Retnowati Erfi Prafiantini Fachry Abda El Rahman Fardana, Nur Ainy Fatimah Indarso Fatimah Indarso Fatimah lndarso Febriyana, Nining Felisita Maritza Abidanovanty Firinda, Seif Fitri Erna Erfiany Hapsari Widya Ningtiar Hari Basuki Notobroto Helen Lucky Maharani Hendy Hendarto I Dewa Ayu Agung Sridharaswari I Dewa Gede Ugrasena I Gusti Ayu Indah Ardani I gusti Lanang Sidhiarta Ichromy, Ulfi Rifki Irene Irene Irwadi, Irfiansyah IRWANTO Irwanto Irwanto Irwanto Irwanto Irwanto, Irwanto Isha Akastia Ivon Diah Wittiarika Jonathan, Elizabeth Beatrice Juniastuti Juniastuti Katharina Laurentia Monika Nago Adja Ketut Dewi Kumara Wati Komang Ayu Witarini Kurniasari, Anggun Febry Laili Nur Rosyidah Laili Primasari Lilik Djuari Linda Dewanti Lisa Pangemanan Lolita Lestari Margarita Maramis, Margarita Mira Irmawati Moersintowarti B Narendra Moersintowarti B. Narendra Moersintowarti BN Moersintowati B. Narendra Muhammad Faizi Neni Asmawati Putri Ningrum, Astika Gita Ningtiar, Hapsari Widya Ninuk Dwi Ariningtyas Nur Rochmah Nyilo Purnami Pingkan Fredelia Lontoh Pudji Lestari Purwanti, Zamrotu Iva Putri, Oky Arnanda Antonia Rahma Furi Sagita Rahmadhanti, Diah Caesaria Garindra Reta Aulia Septyani Retno Asih Setyoningrum Rika Hapsari Rini Sekartini Risa Etika, Risa Rize Budi Amalia Romdhoni Romdhoni Romdhoni, Achmad Chusnu Rusli, Vinia Sensusiati, Anggraini Dwi Setiawati, Yunias Shalma Alya Fadilla Shella Permata Sari Siti Nurul Fajariyah Siti Wahyu Windarti Sri Utami Sulistiawati Sulistiawati Sulistiawati, S Sylviati M. Damanik Tutfah Razzak Fitriari Wahyul Anis Widati Fatmaningrum Widya Tresna Kusuma Windarti, Siti Wahyu Woro Setia Ningtyas Yusigania, Dinna Yvan Vandenplas Zahrah Hikmah, Zahrah Zakiudin Munasir Zamrotu Iva Purwanti Zamrotu Iva Purwanti