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Adillida Adillida

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Author-ID : 3463614

Health Professions Medicine & Pharmacology

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Hemolytic anemia in falciparum and vivax malarial patients based on serum bilirubin examination Yoyoh Yusroh; Bidasari Lubis; Syahril Pasaribu; Munar Lubis; Tiangsa Sembiring; Adillida Adillida
Paediatrica Indonesiana Vol 44 No 3 (2004): May 2004
Publisher : Indonesian Pediatric Society

Objective To examine hemolysis in falciparum and vivax malarialpatients based on serum bilirubin examination.Methods A cross sectional study was conducted on childrenyounger than 15 years of age who visited public health center inthe district of Mandailing Natal with complaints of fever, shivering,pale, jaundice, diarrhea, or headache between April 9 th and April19 th 2001. Variables recorded were age, gender, body weight, bodyheight, symptoms and signs, anti malarial drugs, and laboratorytest results. Thin and thick blood smears were done as diagnostictools of malaria. Thin blood smear was also performed to deter-mine the level of malaria parasites in blood (parasitemia) and toexamine the morphology of red blood cells. Hemolysis was deter-mined by bilirubin examination.Results In P. falciparum malaria, there was a moderate correlation(r=0.68, p<0.0001) between parasitemia and indirect bilirubin con-centration. While in P. vivax malaria, there was only a weak corre-lation (r=0.46, p=0.007) between parasitemia and indirect bilirubinconcentration. It was also found that in falciparum malaria, para-sitemia, total and indirect bilirubin concentrations were significantlyhigher than that in vivax malaria, with p values of 0.009, 0.015 and0.003, respectively.Conclusion Hemolysis in falciparum malaria is more severe thanthat in P. vivax malaria, with marked elevation of indirect bilirubin.The elevation of serum bilirubin correlated with parasitemia

Knowledge, attitude, and practice of working and non-working mothers concerning immunization of underfive children Muhammad Ali; Ifan Eka Saputra; Adillida Adillida; Sri Sofyani; Iskandar Z Lubis
Paediatrica Indonesiana Vol 44 No 3 (2004): May 2004
Publisher : Indonesian Pediatric Society

Objective To compare the knowledge and attitude of working moth-ers (WM) and non-working mothers (NWM) concerning immuniza-tion in children.Methods A cross sectional study was conducted on February, 18-23, 2002 at PT. Olagafood Industri, a noodle manufacture in TanjungMorawa, Medan. Subjects were female workers and non-workingwives of male workers who had under-five-year children. Motherswere interviewed using a questionnaire. Sample size for each groupwas 38. Degree of knowledge, attitude, and practice concerningimmunization were classified into good, insufficient, and bad.Results Mothersâ€™ age, educational level, and childrenâ€™s age werecomparable between the two groups. Ten WM and 8 NWM hadgood knowledge concerning immunization, which did not differ sig-nificantly (p>0.05). Good attitude toward immunization was foundin 25 WM and 12 NWM; it was a statistically significant difference(p<0.05). The practice of immunization showed similar result asthe attitude. The age of mothers had a significant relationship withthe degree of knowledge and practice, but not with attitude.Conclusion Degree of knowledge about immunization betweenWM and NWM are comparable, but differences exist in their atti-tude and performance

The effect of vitamin A supplementation on morbidity due to Plasmodium falciparum Adillida Adillida; Yoyoh Yusroh; Munar Lubis; Bidasari Lubis; Tiangsa Sembiring; Syahril Pasaribu
Paediatrica Indonesiana Vol 44 No 4 (2004): July 2004
Publisher : Indonesian Pediatric Society

Objective To investigate the effect of vitamin A supplementationon malaria morbidity.Methods The study was a randomized double-blind placebo-con-trolled trial, conducted in Panyabungan, Mandailing Natal, NorthSumatera from April 2001 to April 2002. Children aged 6-60 monthssuffering from falciparum malaria were randomly assigned to highdose vitamin A or placebo every 4 months for a year. All childrenwere treated in accordance with health center policy. Malaria mor-bidity was assessed from health center visit due to fever, diarrhea,cough, or abdominal pain. Parents gave reports if their child re-ceived malaria treatment from other health centers.Results The number of febrile episodes (probable malaria illness)was lower in the treatment group than that of control, but not sig-nificant. The parasitemia was not different between both groups.There was a significant difference in spleen enlargement betweenthe treatment group and control (p=0.04). There was no differencein health center visit between the two groups.Conclusion The findings suggest that vitamin A supplementationhas only effect on spleen enlargement in malaria.

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