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INDONESIA
Paediatrica Indonesiana
Published by Ikatan Dokter Anak Indonesia
ISSN : 00309311     EISSN : 2338476X     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Paediatrica Indonesiana is a medical journal devoted to the health, in a broad sense, affecting fetuses, infants, children, and adolescents, belonged to the Indonesian Pediatric Society. Its publications are directed to pediatricians and other medical practitioners or researchers at all levels of health practice throughout the world.
Arjuna Subject : -
Articles 5 Documents
 1 
Search results for , issue "Vol 28 No 1-2 (1988): January - February 1988" : 5 Documents clear
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.
Factors Influencing Empyema in Children Cissy B. Kartasasmita; Oma Rosmayudi; Rita Wahyunarti
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 (401.016 KB) | DOI: 10.14238/pi28.1-2.1988.14-9

Abstract

Incidence of empyema in children at Hasan Sadikin General Hospital is still high, commensurate with the high number of cases of pneumonia. Thirty-seven children with empyema were studied from July 1984 to December 1985; 20 of them were females and 17 males with the age ranging between 5 months and 12 years. Three patients (8.1 %) had loculated fluid as observed on chest roentgenographs; the remainder had empyema sinistra and dextra at 43.2% and 48.6% respectively. More than 50% of the patients were undernourished (56. 7%), 5 of whom were marasmic. On admission, 89.2% complained of dyspnea, 24.3% of cough, 16.2% of high fever and 10.8% of chest pain. All patients suffered from acute respiratory tract injection (ARI) 7 to 30 days before admission, 70.3% of whom did not receive adequate medication and 5 individuals received no treatment at all. Chest tube drainage was performed on 34 patients. In the study, 3 patients died (8.1%) due to sepsis. All recovered patients had pleural thickening on chest roentgenographs on discharge. The role of under nutrition, delay of medication and inadequate treatment of ARI seemed to have an1 influence on empyema in the patients observed.
Treatment of Infantile Spasms with Valproic Acid Taslim S. Soetomenggolo
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 (425.228 KB) | DOI: 10.14238/pi28.1-2.1988.20-6

Abstract

During 2 years (1985- 1986), 12 patients with infantile spasms were treated at the Department of Child Health, Dr. Cipto Mangunkusumo General Hospital, Jakarta. The diagnosis of infantile spasms was based on the specific clinical manifestation and the specific EEG pattern. -Head CT Scan was done to look for abnormalities of the brain. Eleven (91.6%) of the 12 patients had suffered from neurological deficit before treatment was started. Eleven patients suffered from developmental retardation one patient suffered from cerebral palsy, and 5 patients had microcephaly. In nine (75%) of the 12 patients, the EEG showed hypsarrhythmia, and in 3 (25%) multi focal spikes were found. All of the 12 patients were treated with the combination of ACTH/dexamethasone and valproic acid. Excellent results were found in 8 (66. 7%) patients, and good in 4 (33.3%). All of the EEG abnormalities disappeared after treatment.
Hereditary Spherocytosis : A Clinical Experience F. X. Santoso; Sukardi Sukardi; Bambang Permono; Netty R. H. T.; S. Untario
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 (658.798 KB) | DOI: 10.14238/pi28.1-2.1988.27-35

Abstract

Although hereditary spherocytosis is a common cause of hemolytic anemia among whites of Northern European descent, it is uncommon in Asia. In the past 8.5 years (from December 1978 to June 1987), we found only six cases of hereditary spherocytosis. They were 3 males and 3 females, and their ages ranged from 3 months to 8 years, with a mean age of 3.3 years. The most common presenting complaint was anemia (6 cases) followed by jaundice (4 cases) and splenomegaly (4 cases). Other symptoms were fever, abdominal pain and hepatomegaly. The mean hemoglobin concentration of these patients was 7.5 g/dl, in which 2 patients had severe anemia (less than 6 g/dl). Reticulocyte count ranged from 1.9% to 10% (mean 5.9%). All patients were found to have spherocytosis in their peripheral blood smears and an increased red blood cell fragility. Splenectomy was performed in one patient. There was no significant complication after operation in a 7-month follow up. The clinical manifestation returned to normal and the mean hemoglobin concentration increased. The existence of hereditary spherocytosis could not be proven in almost all parents of the patients. Based on this fact, is 'congenital spherocytosis' a more suitable term instead of hereditary spherocytosis?
Nosocomial Infection Control in the Children's and Maternity Hospital ''Harapan Kita''. Early Warning System Aliamran Rasjid; H. A. M. Yusuf; Diwyo Soegondo; Leonard Napitupulu
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 (754.102 KB) | DOI: 10.14238/pi28.1-2.1988.36-48

Abstract

In a children's and maternity hospital, where many high risk patients are hospitalized, a comprehensive but cheap surveillance system is of paramount importance for the improvement of hospital administration, formulation of hospital policy on antibiotic use and the nosocomial infection control programmes. The epidemiological data were primarily collected in a comprehensive built-in monitoring and surveillance programmes of this hospital, and had been distributed throughout the hospital periodically. The collected data had been broken down into (1) summary of ten leading infectious cases of hospitalized patient by tentative and final diagnosis; (2) types of culture by ward; (3) number of culture by sex and age group; (4) types of bacteria by ward; and (5) types of bacteria by culture. The classification of wards is indirectly inherent to the social- strata of the patients. For the refinement of information, they were broken down into data on bed-occupancy by ward, and data on hospitalized patients by sex and age groups as well.

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