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All Journal Paediatrica Indonesiana The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy

Sahat Halim

Department Of Child Health, School Of Medicine, University Of North Sumatera/Dr. Pirngadi Hospital Medan, Medan, North Sumatera

Author-ID : 3469887

Health Professions Medicine & Pharmacology

Published : 9 Documents Claim Missing Document

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Articles

Tuberculosis in Children and BCG Vaccination in North Sumatra Jo Kian Tjay; Robencius Saragih; Sahat Halim; Tjut Irawati; P. Harnopidjati; S.M. Manoeroeng; M.V.O. Sitompul
Paediatrica Indonesiana Vol 15 No 11-12 (1975): November - December 1975
Publisher : Indonesian Pediatric Society

Data of child tuberculosis, clinical visits and those who were treated in the three hospitals, visits to the 6 public health centers (Puskesmas) and figures of BCG immunization in the North Sumatra Province were presented.Although the tuberculin index in children in Medan (1965) was lower than that in Java (BCG Mass Campaign, 1954 - 1964), primary tuberculosis patients treated in the General Hospital (RSUPP) constituted 1.14% of the total patients admitted to the hospital in 1963 - 1972, whereas in the â€PNP IXâ€ hospital it was 0.84%. From a survey of families (1962 - 1969) it revealed that infection in the families was Â± 50%. While 76.1% of the meningitis patients were under the age of 4 years. From a survey of 6 public health centers we found through a Pilot Project that 1.02% patients had a positive sputum. The above mentioned figures gave the indication that BCG immunization had to be performed in children under the age of 4 years. However, the figures of the BCG campaign (1970 - 1973) at the above mentioned Pilot Project revealed that coverage in the under 5 - years - old age was 20.5%, whereas in the 5 - 14 years age group it was 49.2%.In practice the realization of massal BCG immunization was certainly the simplest with school age children who were already grouped and registered; nevertheless, partly of them hai already got infected and had been released from tuberculous meningitis complication. BCG immunization as mentioned above (probably it was also given mother areas in Indonesia) did obviously not reach its right target.

Friedreichâ€™s Ataxia M.R. Soerjadi; A.H. Sutanto; Bistok Saing; Sahat Halim; Helena Siregar
Paediatrica Indonesiana Vol 19 No 3-4 (1979): March - April 1979
Publisher : Indonesian Pediatric Society

This is the first report on Friedreichâ€™s Ataxia occurring in an Indonesian family from North Sumatera.

Hypopotassemia in Infantile Diarrhoea Treated With Half Strength Ringer's Lactate in Dextrose 2.5% M. Djalinson Purba; Sjabaroedin Loebis; Djaman Purba; Sahat Halim; A. H. Sutanto; Helena Siregar
Paediatrica Indonesiana Vol 22 No 9-10 (1982): September - October 1982
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi22.9-10.1982.181-4

From October 15 until December 15, 1978, 13 children with acute enteritisadmitted to the Pediatric ward, Pirngadi Hospital Medan and treated with i. v.half strength Ringer's lactate in Dextrose 2.5% had been evaluated for hypopotassemia. Criteria used were a serum potassium level of less than 4 mEq /L and the typical ECG pattern.Out of the 13 patients, 10 (79,6%) developed hypopotassemia during i. v.therapy. It is concluded that in cases of Pediatric gastroenteritis treated with half strength Ringer's lactate in Dextrose 2,.% the possibility of hypopotassemia should be seriously borne in mind.

Arrhythmias and Conduction Disturbances in Children at the Department of Child Health, School of Medicine University of North Sumatra/Dr. Pirngadi Hospital Medan Dalan Keriahen Keliat; Berlian Hasibuan; Abdullah Afif Siregar; Sahat Halim
Paediatrica Indonesiana Vol 29 No 3-4 (1989): March - April 1989
Publisher : Indonesian Pediatric Society

A retrospective study on arrhythmias and conduction disturbances was conducted in 1986 in the Division of Pediatric Cardiology of Dr. Pirngadi Hospital, Medon. There were 106 (35.33%) cases with arrhythmias and conduction disturbances out of 300 patients studied. The most common type of arrhytmia among the patients under 5 was intraventricular conduction defects, whilst in the age group of 5-10 were sinus tachycardia and intraventricular conduction defects, and in the age group of 10-15 was first degree A-V block.Rheumatic heart diseases and VSD were the most common cardiac diseases associated with arrhythmias, where the frequency were 18.86% and 10.37%, respectively. Arrhythmias associated with several extracardiac diseases were found in 60 (56.61%). Two out of 7 cases who was rreated with antia"hythmic agents died with SVT associated with bronchopneumonia, and atria/fibrillation associated with gastroenteritis, dehydration and malnutrition. Treatment against the main diseases (without antiarrhythmic agents) was done in the remainders. Even though the overall mortality rate was 13.20%, it was not due to arrhythmia itself but most of them died of non-arrhythmic origin.

Rheumatic Fever and Rheumatic Heart Disease at the Department of Child Health, School of Medicine University of North Sumatera/ Dr. Pirngadi Hospital, Medan (1983 - 1985) Mahruzzaman Naim; Guslihan Dasa Tjipta; A. Afif Siregar; Sahat Halim
Paediatrica Indonesiana Vol 29 No 3-4 (1989): March - April 1989
Publisher : Indonesian Pediatric Society

A retrospective study on rheumatic fever and rheumatic heart disease in children was conducted at the Department of Child Health, Dr. Pirngadi Hospital Medon, during 1983 - 1985. The patients consisted of 43 females and 30 males. Most of the patients were over 12 years of age. Of the 73 patients there were 60 patients (82,19%) accompanied by valvular disorders. The most frequent major criteria of Jones found in this study were carditis and polyarthritis. Thirty one patients (42.46%) had functional status (NYHA) of grade II - IV, and 43 patients (58.90%) had cardiomegaly. The major ECG findings were enlargement of the atria or ventricles and first degree A V block. Compliance was only achieved in 25 (34.24%) cases. Rheumatic fever and rheumatic heart disease are still remain a challenge for the medical professionals in tireregion to cope with.

Infection and Colorectal Neoplasm Gontar Alamsyah Siregar; Sahat Halim; Ricky Rivalino Sitepu
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 16, No 1 (2015): VOLUME 16, NUMBER 1, April 2015
Publisher : The Indonesian Society for Digestive Endoscopy

Colorectal cancer is a major cause of cancer-related morbidity and mortality. Colorectal cancer is the third most common malignancy and the 4th most common cause of cancer mortality worldwide. A number of infectious agents are considered to be cancer risk factors due to the hypothesis-generating and supportive evidence accumulated to date. It has been estimated that one fifth of all cancer is caused by some infectious agent(s). Infections from certain bacteria, such as Helicobacter pylori (H. pylori), Streptococcus bovis (S. Bovis), viruses, such as human papillomavirus (HPV), human cytomegalovirus (HCMV), and parasites may increase the risk of colorectal cancer. More studies are needed to learn the association of infectious agents with the incidence of colorectal cancer.Keywords: colorectal cancer, infectious agents, malignancy, neoplasms

Correlation between Severity of Dyspepsia and Helicobacter pylori Infection Gontar Alamsyah Siregar; Sahat Halim
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 15, No 1 (2014): VOLUME 15, NUMBER 1, April 2014
Publisher : The Indonesian Society for Digestive Endoscopy

Background: Dyspepsia is a common complaint in clinical practice. Correlation between Helicobacterpylori (H. pylori) and functional dyspepsia had been reported in many studies, but studies that analyzed theseverity of dyspepsia and H. pylori were limited and the results were controversial. This study is about to knowthe correlation between the severity of dyspepsia and H. pylori infection. Method: A retrospective descriptive analysis to patients with dyspepsia at Permata Bunda Hospital, Medan was done in 2010-2014. Simple random sampling was done to get 44 patients with dyspepsia, 22 are H. pylori positive and 22 patients are H. pylori negative. The severity of dyspepsia assessed with Porto Alegre DyspepticSymptoms Questionnaire (PADYQ) scoring instrument. Univariate and bivariate analysis (Chi-square andSpearman correlation) were done using SPSS version 22. Results: Epigastric pain is the most common symptom in dyspepsia patients. There is a correlation betweenulcer type dyspepsia and H. pylori infection (p = 0.030), while dysmotility type and mixed type were not correlated.The severity of epigastric pain has significant positive correlation with H. pylori (r = 0.386; p = 0.01), while theseverity of other symptoms such as nausea, vomit, and abdominal bloating have negative correlation with H.pylori. Dyspepsia total scoring is significantly lower in H. pylori positive than in H. pylori negative (p = 0.033). Conclusion: There is a positive correlation between the severity of epigastric pain and H. pylori infection,negative correlation between the severity of nausea, vomit, and abdominal bloating and H. pylori infection, andcorrelation between lower dyspepsia total scoring and H. pylori infection.Keywords: dyspepsia, Helicobacter pylori, PADYQ, epigastric pain

Dyspepsia and Depression, Anxiety, Stress Scales (DASS) Score Gontar Alamsyah Siregar; Sahat Halim; Ricky Rivalino Sitepu
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 17, No 1 (2016): VOLUME 17, NUMBER 1, April 2016
Publisher : The Indonesian Society for Digestive Endoscopy

Background: Dyspepsia is a constellation of symptoms referable to the gastroduodenal region of the upper gastrointestinal tract. Emotional disturbances are often associated with dyspepsia and have been proposed as one of the possible causes of dyspepsia. This study was aimed to evaluate the difference between the severity of dyspepsia using porto alegre dyspeptic symptoms questionnaire (PADYQ) and emotional disturbances using depression, anxiety, stress scales (DASS).Method: This study was a cross-sectional analytical study. All the subjects were evaluated using PADYQ and DASS. PADYQ is classified into four categories (no, mild, moderate and severe dyspepsia symptoms). Data was analyzed using Independent t-test and Mann-Whitney test. A p 0.05 was considered as statistically significant.Results: There were 90 subjects that enrolled in this study, consisted of 47 (52.2%) males and 43 (47.8%) females. Thirty three (36.7%) subjects had PADYQ score was 6, while it was ≥ 6 in the other 57 (63.3%) subjects. DASS scores were significantly different in subjects without dyspepsia symptoms compared to subjects with dyspepsia symptoms. There is a difference in DASS scores between subjects with different categories of dyspepsia symptoms (p 0.05). Conclusion: There was a difference in the severity of emotional disturbances among subjects with dyspepsia symptoms and without dyspepsia symptoms. The severity of emotional disturbances parallel with the severity of dyspepsia. Evaluation of emotional disturbances in case of dyspepsia will be helpful in the management of dyspepsia.

Comparison of Endoscopic Findings with Gastroesophageal Reflux Disease Questionnaires (GerdQ) and Reflux Disease Questionnaire (RDQ) for Gastroesophageal Reflux Disease in Medan Gontar Alamsyah Siregar; Sahat Halim; Ricky Rivalino Sitepu
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 16, No 3 (2015): VOLUME 16, NUMBER 3, December 2015
Publisher : The Indonesian Society for Digestive Endoscopy

Background: There are many questionnaires that have been developed to diagnose gastroesophageal reflux disease (GERD), i.e. reflux disease questionnaire (RDQ), and the recently developed, gastroesophageal reflux disease questionnaires (GerdQ). In this study, we tried to compare GerdQ and RDQ in terms of sensitivity and specificity to diagnose GERD and its relationship with endoscopic findings.Method: This study was a cross sectional analytical study. Subsequently, all the subjects were evaluated using the GerdQ and RDQ, then underwent esophagogastroduodenoscopy examination. The severity of endoscopically observed reflux esophagitis was graded with the Los Angeles classiﬁcation. All endoscopy was performed by well-trained doctor.Results: A total of 85 patients were examined, 34 (40%) patients had reflux esophagitis at endoscopy examination, including 15 (44.1%) cases of grade A, 11 (32.3%) cases of grade B, 4 (11.8%) cases of grade C, and 4 (11.8%) cases of grade D. Analysis study using sensitivity, specificity, and receiver operating characteristic (ROC) test showed that GerdQ had sensitivity (49%), specificity (91%), and an area under the ROC of 0.701 (p value = 0.002). RDQ had sensitivity (24%), specificity (91%), and an area under the ROC of 0.574 (p value = 0.253). Taking 11 as the cut off point for GerdQ, a maximal sensitivity of 73.5%, specificity of 82.4%, and an area under the ROC of 0.779 was achieved.Conclusion: GerdQ and RDQ can be used to help diagnose GERD, but GerdQ is more superior than RDQ in diagnosing GERD. A multi-center study with larger samples is needed to determine the best GerdQ’s cut off point in Indonesia.

Co-Authors A. Afif Siregar A. H. Sutanto A.H. Sutanto Abdullah Afif Siregar Berlian Hasibuan Bistok Saing Dalan Keriahen Keliat Djaman Purba Gontar Alamsyah Siregar Guslihan Dasa Tjipta Helena Siregar Helena Siregar Jo Kian Tjay M. Djalinson Purba M.R. Soerjadi M.V.O. Sitompul Mahruzzaman Naim P. Harnopidjati Ricky Rivalino Sitepu Ricky Rivalino Sitepu Robencius Saragih S.M. Manoeroeng Sjabaroedin Loebis Tjut Irawati

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