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M Hakimi

Unknown Affiliation

Author-ID : 3460145

Health Professions Medicine & Pharmacology

Published : 3 Documents Claim Missing Document

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Articles

Prognostic factors of refractory epilepsy in children Ramzi Ramzi; Yati Soenarto; Sunartini Sunartini; M Hakimi
Paediatrica Indonesiana Vol 48 No 5 (2008): September 2008
Publisher : Indonesian Pediatric Society

Background Epilepsy is one of the most common pediatricneurological disorders. Twenty percent of patients will developrefractory epilepsy. Early identification of refractory epilepsy willbe helpful to conduct adequate counseling and selecting patientswho need more intensive investigation and treatment.Objective To identify the clinical characteristics and other factorsthat are related to refractory epilepsy in children.Methods We conducted a case control study in patients of two to18 years old with epilepsy that admitted to Dr. Sardjito Hospital.There were 4 7 children with refractory epilepsy compared with122 subjects who have been one year free of seizure.Results Strong association had been noted between refractoryand several clinical factors: early onset of seizure, high initialseizure frequency, neonatal asphyxia, symptomatic etiology, statusepilepticus, abnormal neurodevelopmental status, and earlybreakthrough seizures after treatment initiation. On multivariateanalysis, more than 20 seizures prior to treatment initiation (OR3.40, 95% CI 1.03 to 11.3), and more than three seizures in thesubsequent six month after treatment initiation (OR 16.02, 95%CI 4.98 to 51.5) were independent prognostic factors related torefractory epilepsy.Conclusion Children who present high frequency seizures atonset and more than 3 breakthrough seizures subsequent to sixmonth after treatment have risks of developing refractory epilepsy.

Association between early feeding of banana (Musa paradisiaca) and vomiting or abdominal distention in neonates Hananto Wiryo; M Hakimi; A Samik Wahab; Pitono Soeparto
Paediatrica Indonesiana Vol 44 No 2 (2004): March 2004
Publisher : Indonesian Pediatric Society

Objective To assess the relationship between banana given asearly solid food feeding and symptoms of intestinal obstruction (SIO)such as vomiting and abdominal distention among neonates.Methods A longitudinal cohort study was done in 1993 at a ruralcommunity of West Lombok District on Lombok Island, West NusaTenggara Province, Indonesia. There were 3420 neonates whowere followed up by interviewing their mothers until 28 days afterdelivery. The main outcome measure was the occurrence of SIO.Results Compared to infants who were not given solid food, therelative risk (RR) of SIO for infants given food other than bananaas early solid food feeding was 1.87 (95%CI 0.48;8.24), while forinfants given banana only as early solid food feeding, the RR was9.15 (95%CI 1.96;42.58). After the adjustments of birth weight, co-lostrum, and breast feeding, the odds ratio of SIO for infants givenbanana was 2.99 (95%CI 2.65;5.14).Conclusion Banana as early solid food for neonates feeding isan important risk factor for the occurrence of SIO

Nutritional status and nutrient intake from complementary foods among breastfed children in Purworejo District, Central Java, Indonesia Endang Dewi Lestari; T Ninuk S Hartini; M Hakimi; A Surjono
Paediatrica Indonesiana Vol 45 No 1 (2005): January 2005
Publisher : Indonesian Pediatric Society

Background The growth rate of Indonesian infants beyond sixmonths of age declines compared with that of the internationalreference population.Objective This study aimed to describe the pattern of nutritionalstatus among breastfed children and their intake of energy, pro-tein, and zinc from complementary foods in Purworejo District, Cen-tral Java, Indonesia.Methods The study was a cross sectional survey drawing breastfedchildren under 24 months old from a well-defined population. Chil-dren with a history of prematurity or low birth weight were excluded.Anthropometrical measurements were collected. Intake of comple-mentary food was assessed using 24-hour recall. Analysis of nu-tritional intake was only performed in 11-23 month-old children.Results Of 577 children enrolled, the prevalence of underweight,stunting, and wasting were 8.1%, 8.8%, and 4.6%, respectively.The prevalence of undernutrition increased with age. There wasno association between frequency of breastfeeding during 24 hoursin the second year of life and the nutritional status. The averageintake of energy, protein, and zinc from complementary foods wasvery low i.e., 30%, 45%, and 5% of the Indonesian recommendeddietary allowance (RDA), respectively.Conclusion The prevalence of undernutrition in breastfed chil-dren increases with age. The breastfed children beyond 11 monthsof age in Purworejo District need sufficient density of nutrients fromcomplementary foods.

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