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A. H. Sutanto
Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
Health Professions Medicine & Pharmacology

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Gilles de La Tourette's Syndrome Chairul Yoel; A. Afif Siregar; A. H. Sutanto
Paediatrica Indonesiana Vol 24 No 7-8 (1984): July - August 1984
Publisher : Indonesian Pediatric Society

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Abstract

A case of Gilles de Ia Tourette's Syndrome is presented. This is the second reported case in Indonesia. The diagnosis was based on four essential features : childhood onset, multiple motor tics, vocal tics and changing pattern of the symptoms. The exact etiology of this syndrome is still unknown. It is proposed that patients with this illness could have hyperactivity of the dopaminergic systems in their basal ganglia. Symptomatic improvement has been achieved with haloperidol. The response to this drug could not be evaluated in this patient because of refusal to continue the treatment.
Diarrhoeal Disease Associated With Measles In Infants And rhildren Indra Kesum Nasution; Bam Sufriar; Helena Siregar; A. H. Sutanto
Paediatrica Indonesiana Vol 24 No 5-6 (1984): May - June 1984
Publisher : Indonesian Pediatric Society

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Abstract

The incidence and mortality of gastroenteritis associated with measles in infants and children had been assessed retrospectively in 1497 babies and children admitted to the Child Health Department/Dr. Pirngadi General Hospital Medan in the period of January to June 1982. Of these 1497 children, 698 suffered from gastroenteritis and 94 from measles. Of these 94 measles cases, 49 had diarrhoea and 13 had PEM (26.53%). The overall mortality of gastroenteritis was 14.61%, while the mortality of gastroenteritis associated with measles was 28.5 7%. The case fatality rate of gastroenteritis with measles and PEM was 35.5%. The highest age specific case fatality rate of gastroenteritis was in the age group of 0- 6 months. The feasibl1ity of active vaccination against measles at the early age of 6 months should be seriously considered.
Steatocrit Value in New-Born Babies Johnwan Usman; Irfan Abdullah; Muhazar Muhazar; Atan Baas Sinuhaji; A. H. Sutanto
Paediatrica Indonesiana Vol 35 No 7-8 (1995): July - August 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi35.7-8.1995.190-3

Abstract

A prospective study on steatocrit value in full-term or preterm newborn babies of~ 2 days of age in Dr. Pimgadi Hospital, Medan is reported. This study was conducted from December 7, 1992, to February 7, 1993; there were 72 newborn babies (37 males and 35 females). The body weight was> 2500 gin 60 babies and s. 2500 gin 12 babies. The median steatocrit value in babies with body weight of> 2500 g was 9%, and it was 32% in babies less than 2500 g of body weight. The proportion of babies with > 25% steatocrit value was larger in babies less than 2500 g than that in 2500 g by the diet patterns of breast milk, breast milk and milk formula, milk formula. The proportion of babies with < 25% steatocrit value was higher in babies with body weight of< 2500 g than that in babies > 2500 g for those who had either breast milk, breast milk and milk formula or milk formula. There was significant difference (p<0,05) in the steatocrit levels between babies with the body weight of > 2500 g and those who had body weight of ≤ 2500 g.
Parents' Knowledge on Diarrhea in a Plantation Area Arizal Arizal; Ali Antoni; Sari Leyli Harahap; Atan Baas Sinuhaji; A. H. Sutanto
Paediatrica Indonesiana Vol 34 No 5-6 (1994): May - June 1994
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (404.244 KB) | DOI: 10.14238/pi34.5-6.1994.149-53

Abstract

The parents' knowledge on diarrhea was evaluated by a cross sectional study in Balirnbingan plantation PTP Vlll Kabupaten Simalungunon December 18-19, 1992. The study was conducted by providing questionnaires to 216 parents of infants and children with diarrhea. Most parents (97.2%) knew that diarrhea was a disease, wbile six of them (2.SOA>) thought that diarrhea was not a disease but was associated with the increase level of intelligence or teeth eruption. Seventy-five percent of parents thought that fluid and electrolyte ought to be given to children with diarrhea, and 16.5 % thought to give anti-diarrheal drugs or traditional medicaments. Fluid and electrolytes were given as an initial treatment for diarrhea by most of the parents (69%). Eight per cent of parents gave diarrheal drugs and 12% used traditional medicaments. They got oral electrolyte solution (OES) from the health workers (63.3%) or from the dispensaries or drug stores (36.7%). Most of the parents (53.7%) thought that OES was useful to stop diarrhea. Only 30.3% knew that OES was used as the substitute of fluid loss, 16% thought it was to cure for stomach ache. As many as 57.4% parents knew diarrhea as an infectious disease and 57.4 % knew how to prevent it. Most of them knew that environmental sanitation could prevent the disease (23.3%). Food and beverages were known as vehicle of infections by 37.5% parents.
Gastroenteritis in Patients Hospitalized at the Pediatric Ward of Dr. Pirngadi Hospital Medan Gustina Lubis; Tm. Thaib; Atan Baas Sinuhaji; A. H. Sutanto
Paediatrica Indonesiana Vol 32 No 11-12 (1992): November - December 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (618.575 KB) | DOI: 10.14238/pi32.11-12.1992.318-26

Abstract

In 1989, oj2350 patients hospitalized in the paediatric ward of Dr. Pirngadi Hospital, Medan, 829 (35.3%) were gastroenteritis cases, with male more than female. Most of the patients with gastroenteritis were found in the age group of under 1 years (521 cases = 62.8%). The highest prevalence was found in january, February and March. Mild, moderate and severe dehydration were encountered in 2. 7%, 83.1% and 14.2% cases respectively. Eighty for (10.1%) cases had been treated with oralit before admission. Only 49. 1% of those patients with gastroenteritis under two years of age were breastfed. The patients of under five year old were 791 (95. 4%) cases; 259 (32. 7%) cases were malnourished. The overall mortality rate of these patients with gastroenteritis was 5.9% ( 49 cases). The age specific mortality rate was highest in the age group of 6- 12 months. Usually patients died with gastroenteritis had complications or associated diseases.
The Spectrum of Gastroenteritis at the Pediatric Outpatient Clinic,. Department of Child Health, School of Medicine, University of North Sumatera in 1982 Taheng Sebayang; Atan Baas Sinuhaji; Tyahaya Bangun; Manihar D. Marbun; A. H. Sutanto
Paediatrica Indonesiana Vol 28 No 1-2 (1988): January - February 1988
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (832.067 KB) | DOI: 10.14238/pi28.1-2.1988.1-13

Abstract

The number of children attending the Pediatric Outpatient Clinic of Pirngadi Hospital, Medan, during 1982 was 15.375. Out of these, 1246 (8.1%) had gastroenteritis. Most of the patients (1046 or 83.94%) were under two years old. The male to female ratio was 1.6: I. The peak incidence for allendance was in January, April, and May. Of 1057 patients under five years old, 383 (36.2%) also had malnutrition. The highest percentage (70. 75%) of those who had malnutrition was found in the I to 2 years age group. Of 370 patients whose Hb level was examined, 185 (50%) had anemia. The highest percentage (67.02%) was in the below 1 year group. Only 360 (28.8%) of gastroenteritis cases received oral rehydration solution. There were 23 (1.85%) cases in which diarrhea lasted longer than 7 days. The number of patients admitted to the ward was 213 (17.07%), and the highest percentage was in the above 3 years age group. The largest number of hospitalized patients was in January (43), February (21), and April (28); while the highest percentage was in April (20.40%), June (21.42%) and August (31.42%). Peak rainfall in Medan during 1982 was in October, November, and December, i.e. much 322.2 mmm, 366.4 and 382 mm, respectively.
Measles Morbidity and Mortality in the Department of Child Health, Dr. Pirngadi General Hospital, Medan, in 1973-1977 S. M. Rangkuti; Nasril Nazir; A. H. Sutanto; Aswin Lubis; Helena Siregar
Paediatrica Indonesiana Vol 20 No 7-8 (1980): July - August 1980
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi20.7-8.1980.139-44

Abstract

One hundred seventy-six cases with measles have been hospitalized at the Department of Child Health, Dr. Pirngadi General Hospital, Medan in 1973 - 1977. The case fatality rate was 26.1%. The most frequent complications found were Pneumonia, Encephalitis, Diarrhea and Dehydration. Age specific mortality, as expected, was highest in the 0 - 1 year age group (38.6%). A high proportion of the survivors (22.2%) showed recidual signs of brain damage and blind-ness. This study proved that active immunization against measles in Indonesia must have priority.
Tinidazole versus Ornidazole in Amebic Dysentery in Children (a double blind trial) Amer Panggabean; Adi Sutjipto; Dachrul Aldy; A. H. Sutanto; Helena Siregar
Paediatrica Indonesiana Vol 20 No 11-12 (1980): November - December 1980
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi20.11-12.1980.229-35

Abstract

Between January and June 1978, a double blind trial was conducted in 3.5 children, suffering from Amebic Dysentery in the OPD of the General Hospital Medan. The children were treated ambulatory, either with Tinidazole or Ornidazole, with a dose of 50 mg/kg body weight/day for 3 consecutive days, under close supervision. All the children, except on in the Tinidazole group (case no. 20), gave excellent responses. Disappearance of ameba's blood and mucus from the stools occurred in all of the patients after 2 days of treatment. There was no significant difference in the results of treatment with Tinidazole and Ornidazole (p>0.05). Side effects were minimal. Marked vomiting occurred in one patirnt of the Ornidazole group.
Co-Authors A. Afif Siregar Adi Sutjipto Ali Antoni Amer Panggabean Arizal Arizal Aswin Lubis Atan Baas Sinuhaji, Atan Baas Bam Sufriar Chairul Yoel Dachrul Aldy Gustina Lubis Helena Siregar Indra Kesum Nasution Irfan Abdullah Johnwan Usman Manihar D. Marbun Muhazar Muhazar Nasril Nazir S. M. Rangkuti Sari Leyli Harahap Taheng Sebayang Tm. Thaib Tyahaya Bangun