Ismet N. Oesman
Department of Child Health, University of Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta

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Factors affecting school performance in children with rheumatic heart disease Arief Hermanu S.; Sudigdo Sastroasmoro; Bambang Madiyono; Ismet N. Oesman
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.322 KB) | DOI: 10.14238/pi41.6.2001.299-304

Abstract

The aim of this study was to determine the association between school performance and age, sex, duration of illness, educational achievement prior to illness, socioeconomic status of family, parent’s educational level, number of children in the family and severity of the disease of patients with rheumatic heart disease (RHD). Subjects were patients with RHD treated at the Division of Cardiology, Department of Child Health, Cipto Mangunkusumo Hospital Jakarta. The parameters of school performance were educational achievement, absent of school and dropout. All data were processed by using Epi-Info program to find out bivariate analysis and Statistic Program for Social Sciences (SPSS) for multivariate analysis. We obtained 80 patients with RHD; most of them were of mild severity (64 of 80%) and the remainder 16 (20%) with severe disease. There were 44 (55%) males and 36 (45%) females. Most parents (42 or 53%) had junior high school educational level, most of them, 23 (29%) had elementary school education, and 3 (4%) illiterate. Bivariate and multivariate analyses showed that severity of disease and parental educational level were associated withschool performance of patients with RHD, but age, sex, duration of disease, premorbid educational achievement, socio-economic level of the family and number of children in family were not.  
Bacterial endocarditis in children: clinical and laboratory findings, and the role of echocardiography in its diagnosis and management Sudigdo Sastroasmoro; Bambang Madiyono; Ismet N. Oesman; Sukman Tulus Putra
Paediatrica Indonesiana Vol 29 No 9-10 (1989): September - October 1989
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi29.9-10.1989.188-98

Abstract

We report clinical and laboralory findings of 15 children with bacterial endocarditis, admitted ro the Department of Child Health, University of Indonesia/Cipto Mangunkusumo Hospital from February, 198710 June, 1989.There were 8 boys and 7 girls with bacterial endocarditis, ranging in age from 10 weeks 10 16 years. The diagnosis was suspected because of prolonged fever, with or without other manifestations, i.e. congestive heart failure, refractory anemia, or paroxysmal atrial tachycardia. The underlying heart disease was congenital in 12 cases and rheumatic heart disease in 3 cases.The clinical, electrocardiographic, and radiologic manifestations were generally predominated by the pre-existing heart disease. No characteristic findings of bacterial endocarditis, i.e. Osler's nodes, Janeway lesions or splinter haemorrhages were detected.Positive bacterial culture was obtained in 12 cases; the most frequent bacteria isolated was Pseudomonas aeruginosa (4 cases), Streptococcus viridans was isolated in 2 cases only.Vegetation was visualized echocardiographically in 12 cases; 9 with clear cut evidence of large vegetation, and the other 3 the vegetation was equivocal. On follow-up they disappeared gradually with clinical improvemenl. Large vegetation might need 2 full months 10 disappear echocardiographically.