Muzief Munir
Departement of Child Health, Universitas Sam Ratulangi Medical School /Gn. Wenang Hospital, Manado, North Sulawesi

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The Problem of Rabies Vaccination in Children; an Analysis of Children Bitten by Rabid and Rabid-Suspected-Animals Muzief Munir
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/pi20.7-8.1980.157-68

Abstract

The analysis of 234 Children, under 14 years of age, with the diagnosis of an animal bite was carried out in an attempt to find out problems of rabies vaccination in the children. One of the most important factors in eliminating or at least greatly reducing rabies, is the public dissemination of information concerning not only the danger of unbzjected animals, but how rabies can be prevented or terminated if treated immediately. Two ml of NTV was given for 14 consecutive days regardless of ·the age of the victims, the site and the severity of the wounds, and the time span between the bite and the start of vaccinaton. ARS was never used regardless of the site and the severity of the wounds. It is clearly seen from this analysis that the regime used in this report is safe and effective enough to prevent the victims from contracting rabies as long as the vaccination can be started within 10 days after being bitten. ARS must be given to the victims with head or back bites when the lapse of time between the bite and the start of vaccination is more than 10 days and can justifiably be instituted in arm and leg bite victims when the time span between the bite and the start of vaccinaion is more than 21 days.
Problem of Infant Feeding Practices: Implications for Immediate Action Muzief Munir; I. Mustadjab; T.H. Rampengan; F.H. Wulur
Paediatrica Indonesiana Vol 23 No 1-2 (1983): January - February 1983
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi23.1-2.1983.32-46

Abstract

A survey on infant feeding practice and its problems was conducted in an attempt to improve child health, particularly during the first two years of age, during which breast feeding should be the infant's main food. Allthough breast feeding was a generally accepted norm of infant nutrition durring the first year of age, the majority of infants were not breast fed after one year of age. It was clearly observed that early stopping of breast feeding, particularly during the first six months of age, not only increased the risk of malnutrition, but also increased the risk of diarrheal diseases, which in turn affected significantly the nutritional status. Early introduction of supplementary food, particularly around three months of age reduced the risk of malnutrition. Since the practice of breast feeding naturally decreases after six months of age, the improvement of the types and quality of supplementary food is important indeed, to maintain the beneficial effects of breast feeding.
A Significant Role of Rotavirus in Acute Gastroenteritis in Infants and Young Children Muzief Munir; S. Salendu-Warovw; I. S. Karundeng
Paediatrica Indonesiana Vol 23 No 3-4 (1983): March - April 1983
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi23.3-4.1983.71-6

Abstract

A study of the role of rotavirus in acute gastroenteritis in infants and children was conducted in an attempt to find out the magnitude of its problems. It was found that the majority of cases with acute diarrhea was caused by rotavirus, only 8% were bacteriial gastroenteritis while the remaining one third of unknown origin. The clinical course of rotavirus gastroenteritis seemed to be a dysentery like diarrhea with an acute onset of watery diarrhea, associated with fever and vomiting. These findings indicate that a further extensive study is needed and that the regimen of treatment of dysentery-like diarrhea should be reevaluated.