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All Journal Medicina Sari Pediatri Paediatrica Indonesiana ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Riset Kesehatan Nasional
Ni Putu Siadi Purniti
Bagian Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Udayana
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Journal : Medicina

 1 
EVENTRATION OF DIAPHRAGM Eka Pratiwi, I G A P; Purniti, P Siadi; Subanada, IB; Putu Yasa, Ketut
Medicina Vol 39 No 1 (2008): Januari 2008
Publisher : Medicina

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Abstract

Eventration of diaphragm (ED) refers to an abnormally high position of part or all of the diaphragm, but intact diaphragm, usually associated with a marked decrease in muscle fibers and a membranous appearance of the abnormal area with only the peripheral thoracic attachments showing normal muscle. Etiologically ED is congenital or acquired. Congenital diaphragmatic abnormalities occur in 1 per 2000 to 4000 birth, which 7% is diaphragmatic eventration. Most children with ED are asymptomatic when incidentally first seen, will not need theraphy. Those with symptoms develop acute respiratory distress, feeding difficulties, and recurrent pneumonitis. If the patient need assissted ventilation or cannot be weaned off the ventilator, she or he should be plicated. Failure to achieve extubation within a week of plication is an ominous prognostic sign. We reported a case of one month and four days old girl who was dispnea, feeding difficulty and bronchopneumonia caused by right ED with acquired etiology. Plication was done to repaired the symptom. But unfortunately this was not succeded because there was complication of postoperative treatment.
PERINATAL TUBERCULOSIS WITH MILLIARY PATTERN IN INFANT AGED 28 DAYS Savitri, Dian; Purniti, Putu Siadi; Kardana, Made
Medicina Vol 45 No 3 (2014): September 2014
Publisher : Medicina

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Perinatal  tuberculosis  (TB) was a very  rare  case.  Its  clinical manifestations  could mimic bacterialinfection. The clinical course was often fulminant and characterized by dissemination and meningitis.Its mortality was very high, could achieve 100% in untreated patient. We reported a case of infant aged28  days  admitted with  breathlessness,  fever,  and  poor  feeding.  Physical  examination  showedbreathlessness, pale, lethargy, and hepatomegaly. Chest radiograph showed a feature of milliary patternwith fine tubercles in both lung, supported with positive result on gastric aspirates for acid fast bacilli3 days respectively. Gastric aspirate culture for Mycobacterium tuberculosis showed positive result.Patient then diagnosed with perinatal TB with milliary pattern. This condition was accompanied withsevere sepsis and meningitis. Four TB regimens (isoniazid, rifampisin, pirazinamide, and ethambutol),corticosteroid, antibiotics were given. The patient was eventually died after receiving TB therapy for 13days. [MEDICINA 2014;45:208-212].
EFICACY OF ZINC SUPLEMENTATION AS ADJUVANT THERAPY IN CHILDREN 6- 60 MONTHS OLD WITH PNEUMONIA Sidiartha, I Gusti Lanang; Gede Suandi, I Kompiang; Subanada, Ida Bagus; Siadi Purniti, Ni Putu; Karsana, AA Raka
Medicina Vol 43 No 1 (2012): Januari 2012
Publisher : Medicina

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Morbidity and mortality rates of childhood pneumonia is still high, especially in developing countries. Many efforts are done to decrease the morbidity and mortality rate and one of them is zinc supplementation as adjuvant therapy. The aim of the study is to find the effectiveness of zinc supplementation as adjuvant therapy in childhood pneumonia. The randomized controlled trial study was done on 33 patients with pneumonia at Sanglah Hospital Denpasar. Intervention group received 20 mg zinc elemental each day. Time for recovery and length of hospital stay were compared between zinc and placebo groups. The different was significant if the P value < 0.05. Time for recovery in zinc group and placebo group was 4 days and 3.4 days, respectivelly. Length of hospital stay was 5.9 days in zinc group and 5.6 days in placebo group. The different was not significant. Conclusion is zinc supplementation as adjuvant therapy in childhood pneumonia is not effective to decreased the time for recovery and length of hospital stay. (MEDICINA 2012;43:9-14).
Co-Authors AA Raka Karsana Adianta, I Ketut Anak Agung Ngurah Ketut Putra Widnyana Artawan Artawan Ayu Setyorini Mestika Mayangsari Bagus Ngurah Putu Arhana BNP Arhana Budastra I Nyoman Clearesta, Kartika Eda Dewa Ayu Dini Primashanti Dewi Aryawati Utami DIAN SAVITRI Dyah Kanya Wati Gusti Ayu Putu Nilawati I Gede Deden Susma Sugara I Gede Epi Paramarta I Gusti Agung Trisna Windiani I Gusti Ayu Putu Eka Pratiwi I Gusti Lanang Sidiartha I Gusti Ngurah Made Suwarba I Komang Kari I Kompiang Gede Suandi I Made Arimbawa I Made Kardana I Nyoman Supadma I Putu Gede Karyana I Wayan Dharma Artana I Wayan Dharma Artana, I Wayan Dharma I Wayan Gustawan Ida Bagus Subanada Ida Bagus Subanda Ida Sri Iswari Irene Irene Julitasari S Ketut Ariawati Ketut Dewi Kumara Wati Ketut Putu Yasa Ketut Suarta Komang Ayu Witarini Luh Gde Ayu Pramitha Dewi Made Rismawan Made Sukmawati Made Supartha Maria Priskila Ni Made Adi Tarini Ni Putu Sucita Wahyu Dewi Novilia Sjafri Bachtiar Putu Astawa Putu Junara Putra Putu Meitri Nirmala Utami Putu Nandika Wintari Rini Mulia Sari Roni Naning Roni Naning Rosalia Theodosia Daten Beyeng Soetjiningsih Soetjiningsih Sumadiono Sumadiono Vidya Lakshmi Anbhuselvam Wayan Agustini Selumbung Wega Upendra Sindhughosa