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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
Health Professions Medicine & Pharmacology

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Journal : Paediatrica Indonesiana

 1 
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (607.583 KB) | DOI: 10.14238/pi15.11-12.1975.303-14

Abstract

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 ”PNP IX” hospital it was 0.84%. From a survey of families (1962 - 1969) it revealed that infection in the families was ± 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.
Friedreich’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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.662 KB) | DOI: 10.14238/pi19.3-4.1979.117-22

Abstract

This is the first report on Friedreich’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

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (555.097 KB) | DOI: 10.14238/pi29.3-4.1989.52-63

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (426.684 KB) | DOI: 10.14238/pi29.3-4.1989.64-71

Abstract

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.
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