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Titi S. Sularyo
Department of Child Health, University of Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
Health Professions Medicine & Pharmacology

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Role of laboratory values in determining disease activity in juvenile rheumatoid arthritis Arwin A. P. Akib; Alan R. Tumbelaka; Titi S. Sularyo; Dina S. Daliyanti
Paediatrica Indonesiana Vol 39 No 1-2 (1999): January - February 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi39.1-2.1999.47-55

Abstract

Juvenile rheumatoid arthritis (JRA) is an autoimmune joint disease characterized by supression of disease activity. To confirm clinical criteria in determining disease activity, several laboratory parameters, such as haemoglobm level, leucocyte count, thrombocyte count, erythrocyte sedimentation rate (ESR), C reactive protein (CRP), serum concentration of immunoglobulin and complement are considered important. This retrospective study was undertaken to find out whether the same correlation was also existed our patients trend. Bivariate analysis was used to study 113 episodes of disease activity in 46 patients with JRA from October 1983-0ctober 1997. Each episode of disease activity was clinically classified as either active or inactive according to American Rheumatism Assocation (ARA). It was found that CRP and disease activity correlated significantly (p=O.04). The disease activity was not associated with anemia, leukocytosis, thrombocytosis, increased level of ESR, high serum immunoglobulin concentration, or increased level of complement. Heterogenous origin in 3 types of IRA and limited study subjects may affect these results. In conclusion, besides clinical judgment of disease activity, CRP can be added and used as an objective measure of disease activity.
Profile of Mother's Knowledge and Behavior Toward Stimulation and Their Babies' Development in an Urban Poor Area in Jakarta Titi S. Sularyo; Ulynar Marpaung; Arwin A. P. Akib
Paediatrica Indonesiana Vol 39 No 9-10 (1999): September - October 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3515.203 KB) | DOI: 10.14238/pi39.9-10.1999.278-86

Abstract

This was a field study carried out in all Posyandus located in Pulo Gadung, a poor urban of East Jakarta, from April until October 1998. Three hundred and fourteen mothers and their babies were recruited. Most of the mothers (67.2%) aged from 20-29 years old, with low education level (42.4%) and a low income (19.4%). Almost all respondents were housewives and the average number of children was two (34.7%). The most important source of information for the respondents was the electronic media. Almost half of mothers behaved well toward stimulation of their babies development (49.4%); however, 64.3% had low knowledge especially about the time baby could sit upright with a good head control. Those who behaved fairly and poorly comprised 35.7% and 15%, respectively. It seems that fine motor sector was neglected. There was no significant association between mother’s knowledge and behavior towards stimulation and the development of their respective babies (p<0.5722). It revealed also that the income per capita had significant association with development of the babies (p=0.033).
Co-Authors Alan R. Tumbelaka Arwin A. P. Akib Dina S. Daliyanti Ulynar Marpaung