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Hardiono D. Pusponegoro
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Quality of home stimulation and language development in children aged 12-24 months living in orphanages and family homes Yuridyah P. Mulyadi; Soedjatmiko Soedjatmiko; Hardiono D. Pusponegoro
Paediatrica Indonesiana Vol 49 No 1 (2009): January 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (117.24 KB) | DOI: 10.14238/pi49.1.2009.25-32

Abstract

Background  Language development  is  fundamental for children'sintellectual development. Therefore, early stimulation in thefirst  three  years  of  life play an  important  role especially indisadvantaged communities such  as  foster homes.Objective  To  determine  the  quality  of  home stimulation  andlanguage development, and their correlations in children livingin orphanages  and  family homes.Methods  This study was conducted between December  2007  andJanuary  2008.  Subjects were recruited from several orphanagesin Jakarta, Tangerang, Bogor, also three posyandus in Jakarta andTangerang.  The  quality  of  home stimulation was assessed usingHome  Stimulation  Observation  for  the  Measurement  of  theEnvironment (HOME) scores, while language development wasassessed using Clinical Linguistic and Auditory Milestone ScaleDevelopment  Quotient  (CLAMS  DQ).Results  A total  of  80  healthy children, consisting  of  40  childrenin orphanages  and  40  in family homes were enrolled. Inadequatestimulation and language delay were found  to  be significantlyhigher in the orphanage group  (52.5%  vs.  27.5%; P=0.022  and57.5%  vs.  10%; P<0.001,  respectively).  HOME  Scores  andCLAMS  DQ  were also significantly lower in  the  orphanagegroup compared to those  in  the family home group  (25.6  vs31.5; P<0.001  and  84.0  vs  110.7; P=0.002).  Logistic regressionrevealed  that  caregiver-child  attachment  time was  the  onlyrisk factor  for  language delay  (OR  32.32; P<0.0001),  in  bothorphanages and family homes.Result  The  quality of home stimulation  is  lower in the orphanages,which results in a higher rate  of  language delay  in  children aged12-24  months.
Measuring language development in pervasive developmental disorders (PDD) and non-PDD children Molly D. Oktarina; Hardiono D. Pusponegoro; Zakiudin Munasir
Paediatrica Indonesiana Vol 49 No 5 (2009): September 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (115.642 KB) | DOI: 10.14238/pi49.5.2009.292-8

Abstract

Background Impairments in language and related socialcommunication skills can be found in children with pervasivedevelopmental disorders (POD) and other developmentallanguage disorders (non-POD). These conditions lead to decisionof enrolling children with language disorders to speech therapydespite that it is not the therapy of choice for POD.Objectives To explore the differences in receptive language, verbal expressive language, and non-verbal expressive language between PDD and non-POD childrenMethods A cross sectional study was performed in October2008 to January 2009. Questionnaire using the MacArthurcommunicative development inventory (CDI) was filled byparents whose children were PDD and non-PDD patients aged 1to 3 years old. The diagnosis ofPDD was based on the diagnosticand statistical manual IV.Results A total of 42 PDD and 42 non-POD subjects wereevaluated. There was significant difference between PDD and nonPOD in receptive language [P= 0.01 (95% CI -170.63 to -24.33)in 12 to 24 month-old subjects and P< 0.01 (95% CI -158.28to -92.99) in > 24 to 36 month-old subjects] and non-verbalexpressive language [P= 0.01 (95% CI -20.96 to -1.96) in 12 to24 month-old subjects and P< 0.01 (95% CI -22.65 to -10.5) in> 24 to 36 month-old subjects]. Verbal expressive language wasnot significantly different between POD and non-POD childrenage 1 to 3 year-old.Conclusions PDD children are more likely to have a delay inreceptive language and non-verbal expressive language compare to non-POD children. Verbal expressive language can not be used to differentiate POD and non-POD children.
The Epilepsies of Rett Syndrome in Indonesia E. S. Herini; Sunartini H; I. Mangunatmadja; Purboyo S; Hardiono D. Pusponegoro
Paediatrica Indonesiana Vol 45 No 5 (2005): September 2005
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi45.5.2005.203-6

Abstract

Objective This study aimed to evaluate various types of sei-zures, EEG findings, and last evolution of epileptic seizures foundin children with Rett Syndrome (RTT).Methods A case series of ten female subjects from Sardjito Hos-pital, Yogyakarta; Cipto Mangunkusumo Hospital, Jakarta; andHasan Sadikin Hospital, Bandung from February 2001-April 2004.Diagnosis of RTT was established using necessary and support-ive criteria by the RTT Diagnostic Criteria Work Group and epi-lepsy was diagnosed according to clinical and EEG findings.Results The age during initial diagnosis of RTT ranged from 2years 6 months - 10 years 2 months (average: 4 years 6 months).The diagnosis of epilepsy, on the other hand, was establishedfrom 2 years - 5 years 10 months (average: 3 years 8 months).All subjects (10/10) had abnormal EEG results. Eight out of tenhad epileptiform discharge; the remaining had slowing backgroundactivity. The average age of initial seizure onset was 18 months.Five were diagnosed as epileptic subjects. Febrile convulsionswere the most common initial seizure. General tonic clonic sei-zure was major type of seizure which manifested in 2 subjects.Conclusion All EEG results showed abnormality, although sei-zure did not appear. Five out of ten subjects experienced epi-lepsy
Co-Authors E. S. Herini I. Mangunatmadja Molly D. Oktarina Purboyo S Soedjatmiko Soedjatmiko Sunartini H Yuridyah P. Mulyadi Zakiudin Munasir