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Muzief Munir
Department of Child Health, Universitas Sam Ratulangi/Gunung Wenang Hospital, Manado, North Sulawesi
Health Professions Medicine & Pharmacology

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Experiences on Necrotizing Enterocolitis in Neonates and Young Infants in North Sulawesi Muzief Munir
Paediatrica Indonesiana Vol 24 No 5-6 (1984): May - June 1984
Publisher : Indonesian Pediatric Society

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Abstract

Since the predisposing factors of necrotizing enterocolitis in newborns and young infants in developed. and developing countries are totally different, the evaluation of epidemiological, clinical and management problems of 20 of our newborn cases and 3 young infants was conducted. It is evident that gastroenteritis and severe pulmonal infections are indeed the most important risk factors in developing necrotizing enterocolitis in our cases. Rooming-in and breast feeding practices reduce sharply the incidences of diarrheal diseases in newborn infants, and in turn, cause a decline in the prevalent rate of necrotizing enterocolitis.
Acute Gastroenteritis In Neonates In Relation To High Risk Infants Immanuel Mustadjab; Muzief Munir; Suharno Suharno; F. H. Wulur
Paediatrica Indonesiana Vol 24 No 9-10 (1984): September - October 1984
Publisher : Indonesian Pediatric Society

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Abstract

Acute gastroenteritis in neonates is more complicated than infantile gastroenteritis and the mortality rate is high especially in diarrhoeal outbreaks due to enteropathogenic escherichia coli (EPEC) infections. This study evaluated the epidemiological, clinical, bacteriological aspects and the mortality rate in relation to high risk infants. The incidence of diarhoeal diseases during a three year period (1975 -1977) was 4% ( 337 out of 8594 infants), specified as follows: -In 1975: 5.4% ( 160 out of 2967infants) - In 1976 : 3.6% ( 94 out of 2640 infants) - In 1977 : 3.1% ( 83 out of 2640 infants) Diarhoeal diseases most frequently occured in high risk infants, especially in low birth weights, neonatal asphyxia and pathologic labour. The high incidence of pathogenic bacteria was due to EPEC namely 32.2% (92 out of285 stool cultures).
Dengue shock syndrome: An evaluation of clinical experiences Muzief Munir; T. H. Rampengan
Paediatrica Indonesiana Vol 24 No 11-12 (1984): November - December 1984
Publisher : Indonesian Pediatric Society

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Experiences on the clinical management of 187 criteria accepted cases of Dengue Shock Syndrome were evaluated. The case fatality rate was 8 per cent or 15 out of 187 cases. It was closely related to the severity of shock, the respiratory rate, the body temperature during shock, and the development of recurrent shock. It was also found that the risk to develop recurrent shock was higher among cases with severe shock, high respiratory rate, and high fever.
Infantile diarrhoea: Breast and bottle feeding compared with special reference to their clinical role Muzief Munir
Paediatrica Indonesiana Vol 25 No 5-6 (1985): May - June 1985
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (421.53 KB) | DOI: 10.14238/pi25.5-6.1985.100-6

Abstract

This study was conducted to evaluate a clinical presentation of diarrhoea in infants under 2 years of age, in relation to their types of feeding. It was found that the duration of diarrhoea in bottle-fed infants was significantly longer than in breast-fed ones. It was 7.2 ± 0.46 days in bottle-fed, compared to 5.5 ± 0.17 days in breast-fed infants. The prevalence of acute Otitis media and Rhinopharyngitis in bottle-fed infants under 1 year of age was higher than in breast-fed infants.f!owever,it was not so after 1 year of age.
Neonatal Tetanus Evaluation of Treatment and a Proposal for Classification of Severity Tjandra Husada; T. H. Rampengan; Ign. Harjanto; I. D. Arif; Muzief Munir
Paediatrica Indonesiana Vol 16 No 9-10 (1976): September - October 1976
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (879.665 KB) | DOI: 10.14238/pi16.9-10.1976.345-54

Abstract

An evaluation was made on 22 neonates with Tetanus Neonatorum (age 5 - 21 days), who were admitted to the Military Hospital, Teling, Manado, in 1973. Seventeen of our patients were babies born in their homes and were delivered by the "dukun kampong"; 5 babies were born in the maternity clinic and were helped by midwives. The therapy given were : Anti-Tetanus serum 10,000 U, single dose, given immediately on admission. Procain Penicilline 100,000 U/kg. b.w./day; i.m. divided into 2 equal doses for 10 days. Diazepam (valium) 5 mg./kg. b.w./day; oral, divided into 8 equal doses, and 2.5 mg, parenterally 4 times a day.
Failure of High Dosage Valium in the Treatment of Neonatal Tetanus Tjandra Husada; Muzief Munir
Paediatrica Indonesiana Vol 20 No 3-4 (1980): March - April 1980
Publisher : Indonesian Pediatric Society

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Abstract

The fact that the mortality rate of neonatal tetanus is still high, and that the use of high dosage of valium has been reported to be of no side effect, encouraged the authors to use a high dosage of valium in the treatment of neonatal tetanus particularly in severe cases. This study was performed on 35 cases using 20-30 mg/kg bw/day of valium from July 1, 1976 through October 1977. The outcome of this study indicates that the treatment of neonatal tetanus using high dosage valium remained poor, where 22 out of 35 cases died (62.9%) with the following specifications: all of 6 mild cases survived, 2 out of 6 of moderate cases died, 20 out of 23 severe cases died. The authors believe that the simplest and the more effective way to overcome this disease is to give either tetanus prophylaxis to expectant mothers or 1500 U ATS prophylaxis to every newborn delivered by a traditional midwife (dukun bersalin).
Co-Authors F. H. Wulur I. D. Arif Ign. Harjanto Immanuel Mustadjab Suharno Suharno T. H. Rampengan Tjandra Husada