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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 7 Documents
 1 
Search results for , issue "Vol 32 No 7-8 (1992): July - August 1992" : 7 Documents clear
Neurological Sequalae in Survivors of Perinatal Asphyxia Tjipta Bahtera; Santoso Suroso; Bambang Darmanto
Paediatrica Indonesiana Vol 32 No 7-8 (1992): July - August 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (658.108 KB) | DOI: 10.14238/pi32.7-8.1992.169-77

Abstract

Perinatal asphyxia is the most common cause of either death or severely handicapped survivors. Perinatal asphyxia can be identified by one, five, ten minutes APGAR scores less than 7. Prolonged asphyxia produce hypoxemia, acidosis, hypercapnia, thus diminishing cerebral blood flow, which in turn results in clinical patterns of Hypoxic - Ischemic Encephalopathy (HIE). The atm of this study was to evaluate the accuracy of clinical observation on newborn asphyxia to predict the presence of neurological deficits connected with blood gas analysts investigation. Thirty eight newborn babies who bad APGAR scores of less than 7 as an asphyctic newborn baby group compared with an equal number of normal babies as control group. Physical and neurological examinations were performed immediately after birth and at six months of age. Two of the 38 infants who bad perinatal asphyxia died several hours after birth. Two of the 31 of the surviving infants with a historical of perinatal asphyxia bad cerebral palsy. One of the two babies with cerebral palsy bad epilepsy. Twenty nine of the 31 of the surviving infants with a history of perinatal asphyxia with or without mild HIE showed normal neurological outcomes. All of the normal newborn babies as control showed normal neurological outcome. One infant with cerebral palsy and one infant who bad cerebral palsy with epilepsy bad a history of a severe degree of HIE and moderate degree of Hm with neonatal convulsion respectively. One of the 2 infants with cerebral palsy bad severe hypoxia and none on the infants with normal neurological outcome exhibited Pa02 less than 50 mmHg. There were no significant differences ( p > 0.05) of the Pa02 PH and base deficit between the infants with a history of asphyxia and with a history of a vigorous baby, who bad a normal outcome. We concluded that postasphyxia encephalopathy was more accurate than a low APGAR score in predicting an adverse outcome, and the value of the Pa02 very important in predicting an encephalopathy.
Clinical Presentation of Measles at the Pediatric Ward in Dr. Pirngadi Hospital Medan Mardiana K. Djayusman; Margaretha Damanik; Erijana Malik Miraza; Charles Hutasoit; Chairuddin P. Lubis
Paediatrica Indonesiana Vol 32 No 7-8 (1992): July - August 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (510.394 KB) | DOI: 10.14238/pi32.7-8.1992.178-83

Abstract

A descriptive study was done on 55 infants and children with measles during January 1988- December 1989. They comprised 1.08% of the total sum of 5075 children hospitalized during that period. Measles without any complication was found in 5.4% of the subjects, and bronchopneumonia was the most common complication (75%). The highest prevalence was found in the age group of 1-5 years (72.8%). Most of the cases (98.2%) suffered from mild to severe malnutrition and they had not previously been vaccinated against measles.
Head Circumference Features of Under One Year Old Children at Dr. Pirngadi Hospital Medan Yulitas Bahtiar; Marisi Manurung; Manihar D. Marbun; Iskandar Z. Lubis; Bistok Saing
Paediatrica Indonesiana Vol 32 No 7-8 (1992): July - August 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (400.445 KB) | DOI: 10.14238/pi32.7-8.1992.184-9

Abstract

A descriptive cross sectional study to have normal values of the bead circumference of under one year old children in Dr. Pirngadi Hospital Medan had been done during january to February 1990. The sample size determined based on formula, was 356 (178 boys and 178 girls). Each sex group was devided proportionally by age in months. Only children with good nutritional status and middle to high socio economic level were included in this study. The mean value of the head circumference is still in the range of the mean of Nellhaus standard. Tbe Nellhaus standard can be used as a standard of bead circumference of under one year old children at Dr. Pirngadi Hospital Medan.
Tuberculous Meningitis at the Department of Child Health Dr. Pirngadi Hospital, Medan Margaretha Damanik; Sri Zamzah; Mardiana K. Djayusman; M. D. Marbun; Bistok Saing
Paediatrica Indonesiana Vol 32 No 7-8 (1992): July - August 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (658.278 KB) | DOI: 10.14238/pi32.7-8.1992.190-7

Abstract

Tuberculous meningitis was studied descriptively in 167 cases (1 .19%) of 14082 hospitalized patients at the Department of Child Health Dr. Pirngadi Hospital, Medan in a period of the years 1985 to 1989. The highest incidence was in the age group of under 3 years (46.11%) consisting 20. 78% of the stage I, 54.55% stage II, and 24.67% stage III. The youngest age was five months (2 cases) and the oldest was 14 years old (3 cases). The case fatality rate was 27.54%, they were 2.17% stage I, 32.61% stage II, and 65.22% stage III. Stage III showed higher mortality rate than stage I and II (p <0.001). The most frequent symptom was convulsion (43. 71%) followed by fever (33.53%) . Contact with patients who bad pulmonary tuberculosis were found in 56.28%. Positive tuberculin test was found in 17.96% and pulmonary radiological abnormalities in57.48%. The highest number oj cases (51.50%) was group with cerebrospinal fluid cell count of 101 - 500/mm · Cases which never got BCG immunization comprised 83.83%. The nutritional states on admission to the hospital were mild / moderate malnutrition in 67.07% and severe malnutrition in 32.93%.
Nutritional Status of Children in Three Pre-elementary Schools in Medan, North Sumatera Abstract Abdul Gani; Erliana Malik Miraza; Iskandar Z. Lubis; Endang D. Hamid; Sjarjikat Tarigan
Paediatrica Indonesiana Vol 32 No 7-8 (1992): July - August 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (710.534 KB) | DOI: 10.14238/pi32.7-8.1992.198-205

Abstract

Anthropometric measurements have been taken on 162 children of Methodist, Dharma Wanita USU and Aisyiah pre-elementary schools in Medan to assess their nutritional status. This study was done cross sectionally from january to February 1990. The nutritional status of those children were then compared among those schools with the assumption that father's income and educational level of mothers were different. By the parameters of W!A, HI A. q.nd WIH it showed that the nutritional status of children in the pre-elementary schools were generally quite good. Using parameters W/A and W/H there was a significant difference between the children in Methodist and in Aisyiah (p <0.001). University graduated mothers could be found in Dharma Wan ita USU, whereas in Methodist and Aisyiah pre-elementary schools the mothers were mostly secondary high school graduates. Father's income above Rp. 150.000,- could be found in Methodist pre-elementary school subsequently followed by Dharma Wanita USU pre-elementary schools, whereas in A isyiah pre-elementary school the father's income was mostly between Rp. 100.000,and Rp. 149.999,-. By using the Water/ow classification we found 9.88% children with acute Protein Calorie Malnutrition, whereas chronic Protein Calorie Malnutrition only 2.46%. The nutritional status of children in the three pre-elementary schools could be concluded as good.
Balinese Mothers Developmental Timetables For Young Children Phoebe Dauz Williams; Soetjiningsih Soetjiningsih
Paediatrica Indonesiana Vol 32 No 7-8 (1992): July - August 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1702.524 KB) | DOI: 10.14238/pi32.7-8.1992.106-25

Abstract

Cultures differ from one another in the types of competence that adults encourage in children, the age at which they expect a given skill to be acquired, and the level of proficiency they want children to achieve. The concept of developmental timetables refers to the ages at which parents expect skills to appear in children. The purpose of the study was to investigate the developmental timetables of rural and urban mothers in Bali, Indonesia, and the extent to which mother’s teach children various skills before Kindergarten age. The total sample was 200, 100 rural mothers and 100 urban mothers in the regency of Badung. Mothers responded to a structured questionnaire which was read to them aloud by trained interviewers who then recorded the responses. All the mothers had children between 4-6 years old; equal numbers of male and female children were included, and the entire economic and educational ranges were represented. Results showed that urban and rural mothers differed in their age expectations of children's development. Rural mothers reported wider age ranges as well as older mean ages of skill acquisition by children compared to urban mothers. Furthermore, specific caregiving activities, were performed earlier by urban mothers compared to rural mothers. However, reading the first book to the child was both quite late for urban and rural mothers. The implications of the findings to child development were discussed.
Right Isomerism Ismet N. Oesman; Hindra Irawan S.; Bambang Mardiono; Sudigdo Sastroasmoro
Paediatrica Indonesiana Vol 32 No 7-8 (1992): July - August 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (549.742 KB) | DOI: 10.14238/pi32.7-8.1992.226-34

Abstract

A rare case of complex heart malformatrion with right isomerism in a full-term baby boy which was the first case published in Indonesia is reported. The patient was initially managed as a healthy baby, but on the 20th hours after delivery he repeatedly vomitted, and from the rontgenographic finding diagnosis at that time was duodenal atresia. During the duodenostomy operation the surgeon noticed that the spleen was absent. Cyanosis appeared after operation. Techocardiography and electrocardiography was done immediately, which showed complex cyanotic congenital heart disease. Diagnosis complex cyanotic congenital heart disease with right isomerism then was suspected. Unfortunately the baby died on the 12th day of admission. 1be cause of death was sepsis and anoxia because of complex cyanotic congenital heart disease. Autopsy findings confirmed the diagnosis of right isomerism (bilateral trilobes lung, bilateral right atrial appendages).

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