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All Journal Medicina Sari Pediatri Paediatrica Indonesiana Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan ISM (Intisari Sains Medis) : Jurnal Kedokteran
I Wayan Dharma Artana
Department Of Pediatrics, Faculty Of Medicine, Udayana University, Sanglah General Hospital, Bali, Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Public Health

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Journal : Medicina

 1 
CHARACTERISTICS AND THE OUTCOME OF VERY LOW BIRTH WEIGHT INFANT BORN IN SANGLAH HOSPITAL DENPASAR Putra, Yoga; Kardana, Made; Artana, Dharma; Putra, Junara
Medicina Vol 43 No 2 (2012): Mei 2012
Publisher : Medicina

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Abstract

Very low birth weight (VLBW) infants is one of the most important medical problem especially in developing countries. This issue is due to its high morbidity and mortality rate. On the other hand, the long term impact of VLBW infants are poor growth and development including physical, emotional, intelectual (IQ), and disabilities, therefore it could decrease the quality of human resources and become a burden to their family. The objective of this study was to describe the characteristics and outcome among VLBW infants born in the Sanglah Hospital. This was a retrospective study. Data were collected from medical record of all infants with VLBW delivered in Sanglah Hospital from January to Desember 2009. Uncompleted infants and mother medical records were excluded from this study. Of 64 VLBW infants enrolled into the study of which 54.7%  of this subjects was male, median of weight was 1300 g, mean gestational of age was 30.9 (SD 2.28) weeks, and mean lenght of stay was 30.9 (SD 19.7) days. The survival of VLBW infants in this study was 62.5%,  mortality in the early neonatal period was 70,8%. The percentage of VLBW infants who survive was still low and the major causes mortality were HMD (50%) and sepsis (41.6%). The mortality of VLBW happened mostly in early neonatal periode.
CHARACTERISTICS OF NECROTIZING ENTEROCOLITIS IN NEONATES TREATED AT SANGLAH HOSPITAL Hartini, Kadek; Artana, Dharma; Putra, Junara
Medicina Vol 44 No 1 (2013): Januari 2013
Publisher : Medicina

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Necrotizing enterocolitis (NEC) is a very serious and severe neonatal gastrointestinal tract disease. Treatment are complex and the course of the disease is hardly predictable. Necrotizing enterocolitis is one of the main causes of morbidity and mortality in neonates. The objective of this study was to know the prevalence and characteristics of neonates with NEC. This was a retrospective descriptive study utilizing medical records of neonates who were admitted in perinatology care unit at Sanglah Hospital, Denpasar during the period of July 2011 to June 2012.There were 55 (5%) neonates with NEC out of 972 neonates admitted to the neonatology care unit at Sanglah Hospital, Denpasar. Mean gestational age was 33.9 weeks. Mean birth weight was 2.096 kg,and the mean time of nutrition initiation was 3.1 days. Stage II was found as the most prevalent stage of NEC (49%). Necrotizing enterocolitis patients were generally associated with clinical manifestations such as sepsis 96%, respiratory distress 87%, prematurity 63%, low birth weight 65%, and asphyxia 61%. There was 36 subjects dead. This outcome tended to increase in premature babies, babies with low birth weight, asphyxia, and sepsis. Death still occurred in all management of NEC. Neonates receiving breast milk as the initial nutrition constituted the highest proportion of recovered patients compared to the fasting, formula milk, and mixed milk (breast milk combined with formula milk) groups.We concluded, the prevalence of NEC was 5%. Death more common than recoveries. Recovery rate more common in breast-fed babies than other nutrients
SPONTANEOUS PNEUMOPERITONEUM IN A SEVEN DAY OLD INFANT Luhulima, Franky; Kardana, Made; Artana, IW Dharma; Junara, Putu; Dharmajaya, IM
Medicina Vol 43 No 3 (2012): September 2012
Publisher : Medicina

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The term pneumoperitoneum is used to describe the presence of free gas  or air within the peritoneal cavity. Spontaneous pneumoperitoneum or “non-surgical” pneumoperitoneum is a pneumoperitoneum. not associated with a perforated viscus. This pneumoperitoneum   is rare at any pediatric age. In the pediatric population, nonsurgical pneumoperitoneum occurs in 1% to 3% of mechanically ventilated infants, depend on the mode of the ventilation. Pneumoperitoneum without gastrointestinal perforation on the other hand is very rare, and this is usually seen in neonates with respiratory distress and on mechanically ventilator or CPAP. We reported a case of spontaneous pneumoperitoneum in a seven day old infant . The infant presented with a sudden abdominal distention and dyspnea. Plain abdominal x-ray showed a radiolucency image in the superior abdomen. In this patient is done the act of a needle aspirations for drainage air in the peritonium. This patient recovered well a[er done such action by pediatric surgical
Co-Authors Chaliza Adnan Dyah Kanya Wati Ekawaty Lutfia Haksari Franky Luhulima Gusti Ayu Putu Nilawati Hendra Santoso I Gede Deden Susma Sugara I Gusti Lanang Sidiartha I Gusti Ngurah Sanjaya Putra I Made Kardana I Nyoman Supadma I Wayan Gustawan IKG Suandi IM Dharmajaya Intan Astariani K Nomor Aryasa Kadek Deddy Ariyanta Kadek Hartini Kardana I Md Ketut Ariawati Ketut Dewi Kumara Wati Ketut Suarta Ketut Suarta Komang Ayu Witarini Leni Lukman Made Ardinata Made Sukmawati Ni Luh Gede Wahyuni Suismaya Ni Luh Putu Maharani Ni Made Rini Suari Ni Made Sukewanti Ni Nyoman Metriani Nesa Ni Putu Siadi Purniti Novita Purnamasari Assa NP Veny Kartika Yantie Purwoko, Agus Putu Diah Pratiwi Putu Indah Budi Apsari Putu Junara Putra Soetjiningsih Soetjiningsih Sudaryat Suraatmaja Wayan Sulaksmana Sandhi Parwata Wiradharma Wiradharma Yoga Putra