W.A.F.J. Tumbelaka
Department of Child Health, Medical School, University of Indonesia, Jakarta.

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Recent Advances in the Indonesian Paediatric Gastroenterology Suharjono Suharjono; Sunoto Sunoto; Aswitha Budiarso; W.A.F.J. Tumbelaka; Michael Gracey
Paediatrica Indonesiana Vol 18 No 1-2 (1978): January - February 1978
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (309.295 KB) | DOI: 10.14238/pi18.1-2.1978.17-23

Abstract

Recent advances in the Indonesian Paediatric Gastroenterology have been presented in the 4 following headings and conclusions :(1)'ROSE' system as the principle of treatment of diarrhoea, which is proven to be effective and gives an excellent result in reducing the case fatality rate of acute gastroenteritis, especially cholera.(2) MCT and low lactose containing formula in low birth weight infants gives good to excellent results in improving fat malabsoprtion, ceasing the diarrhoea and increase of body weight.(3} The preliminary study in malnourished Indonesian children has shown that the paediatric enterotest duodenal capsule can be used to study the upper intestinal microflora. It is useful in studying the human intestinal microflora in places where radiologic examination is not available and can easily be used in field studies.(4) The presesent report is the first study to document duovirus shown electron microscopically as virus particles in faecal specimens from children in Indonesia where malnutrition and diarrhoea remain important problems.
Death Due to Diarrhea: Before and After National Rehydration Program W.A.F.J. Tumbelaka; Sunoto Sunoto
Paediatrica Indonesiana Vol 18 No 11-12 (1978): November - December 1978
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (375.032 KB) | DOI: 10.14238/pi18.11-12.1978.319-27

Abstract

Diarrheal diseases still constitute one of the major causes of morbidity and mortality in Indonesian children. The ertiology is multi-complex as in other developing countries. In 1974 a National Seminar on Rehydration was held in Jakarta and a rehydration program started with a standardized treatment of Ringer's Lactate and oral rehydration (ROSE SYSTEM). As a result the case fatality rate of diarrheal diseases has been dramatically reduced for for gastroenteritis and cholera.