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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 7 Documents
 1 
Search results for , issue "Vol 33 No 1-2 (1993): January - February 1993" : 7 Documents clear
Factors Influencing Malnutrition in Children at the out Patient Clinic of the Pediatric Nutrition Sub Division, Dr. Pirngadi Hospital Medan in 1985 - 1989 Rosmaida S. Sitanggang; Tjut Dharmawati; Robroy Nasution; Endang D. Hamid; Sjarikat Tarigan
Paediatrica Indonesiana Vol 33 No 1-2 (1993): January - February 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (725.328 KB) | DOI: 10.14238/pi33.1-2.1993.1-8

Abstract

A retrospective study on the incidence of malnutrition and the influencing factors had been carried out on 1081 children attending the outpatient clinic of the Pediatric Nutrition, Dr. Pirngadi Hospital Medan during 1985-1989. Mild and moderate malnutrition were found in 69.96% of the children, severe malnutrition in 33. 77% while well nourished children were found in only 0.27% of cases. The highest incidence of malnutrition was in 12-24 months age group (43. 76%) (p<0.05). About half (49.08%) of cases were breastfed, and in 85.66% of them breast feeding were given until 6 months old. Most of the malnourished children were given very diluted milk (63.4%), while low protein supplementary feeding was given to 62.89% of children, and both types of food mentioned above were given to 52.52% of cases. The most prevalent accompanying diseases in malnourished children were gastroenteritis (58.25%), followed by respiratory tract infection (52.59%). The majority of father's occupation was seasonal workers (60.12%). Factors associated with malnourished children in this study were early weaning, low protein supplementary feeding and accompanying diseases especially diarrhea.
Evaluation of Cardiac Involvement by Echocardiography in Children with Acute Meningococcemia Semra Atalay; Hulya Kahraman; Saimin Karademir; Musa Kazim Caglar
Paediatrica Indonesiana Vol 33 No 1-2 (1993): January - February 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (675.528 KB) | DOI: 10.14238/pi33.1-2.1993.9-14

Abstract

Myocarditis in acute meningococcemia is rare in children. Impaired cardiac contractile function may contribute to cardiovascular collapse in endotoxemia. We evaluated prospectively the clinical and echocardiographic findings in 25 consecutive children with acute meningococcemia. All of the patients had good prognostic indicators. Eleven (44%) of the 25 children bad echocardiographic evidence of myocardial dysfunction. The mean LVFS in these eleven children was 0.23 ± 6.00, as compared with the mean LVFS of0.34±8.87 in the remaining children. LVFS returned to normal within 7 days in all patients. We observed minimal pericardia/effusion in 4 patients (16%) that resolved within 3 days. We demonstrated that acute meningococcemia is frequently associated with myocardial dysfunction. We could not though, find the relation between myocardial dysfunction and mortality.
Serum IgG, and IgM Levels in Children with Febrile Convulsions Gulhis Deda; Ugur Karagol; Ya Vuz Gurer
Paediatrica Indonesiana Vol 33 No 1-2 (1993): January - February 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (448.545 KB) | DOI: 10.14238/pi33.1-2.1993.15-9

Abstract

At the Dr. Sami Ulus Children's Hospital Ankara, Turkiye, 20 patients, twelve being between 6 months-2 year old and eight being between 2-4 years, with their first febrile convulsions (FC) were examined for serum IgG, IgA, IgM levels during the period of March 1989-]uly 1989. Twenty healthy children were used as controls, seven being between 6 months-2 years old and thirteen being between 2-6 years. The serum IgG, IgA and IgM levels of the patients between 6 months-2 years were 805.000 + 307.8984 mg/ dl, 49.7167 + 27.9807 mg/dl and i55.1833 + 62.9696 mg/dl respecttvelly. The serum IgG, IgA and IgM levels of the patients between 2-4 years were : 989.1250 ± 314.5359 mg/dl, 92.6125 ± 34.5663 mg/dl and 159.8750 ± 45.6647 mg.ldl respectivelly. The mean IgA levels of the 12 FC patients between 6 months-2years were 49.7167 ± 27.9807 mg/dl and the mean level of IgA in the age matched control group was 81.0427± 31.3551 mg/dl and the difference between them was statistically significant (p <0. 005). We conclude that FC under 2 years of age is associated with low serum IgA levels.
Effect of Cloxacillin on Bilirubin-albumin Binding Achmad Surjono
Paediatrica Indonesiana Vol 33 No 1-2 (1993): January - February 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (478.946 KB) | DOI: 10.14238/pi33.1-2.1993.20-3

Abstract

Cloxacillin is usually given to newborn infants with sepsis in particular for penicillinase-producing staphylococcus aureus. The effect of cloxacillin on bilirubin-albumin binding was investigated in vitro using the peroxidase oxidation method with human albumin (bilirubin 0.255 mM, albumin 0.45 mM, billalb 0.56, pH 7.4, temperature 3 0°C). Sulfisoxazole, a drug which is capable of displacing bilirubin from albumin was used as control. The displacement constant of cloxacillin was 4.86 x 1o5 Nr1, stronger than that of sulfisoxazole (1. 72 x 104 M-1). Both drugs were capable of displacing bilirubin as determined by their maximal displacement factors of 2.21 and 2.29, respectively. Since cloxacillin apparently increases the risk of bilirubin encephalopathy the use of this drug in jaundiced newborns with sepsis, especially in the premature infants, should be reconsidered.
Mid-arm and Chest Circumferences for Estimating Low Birthweight Achmad Surjono
Paediatrica Indonesiana Vol 33 No 1-2 (1993): January - February 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (766.812 KB) | DOI: 10.14238/pi33.1-2.1993.24-31

Abstract

A prospective study was conducted to assess the diagnostic performance of mid-arm and chest circumferences on low birth weights in 1033 singleton newborn infants. The proportion of low birth weight was 11.7%. Strong correlations on birth weight (P<0.001) were found for mid-arm (r-0.85) and chest (r=0.86) circumferences. A mid-arm circumference of ≤9,5 cm was considered as cut-off level for low birth weight, with a sensitivity of 0.818, specificity 0.956 and positive predictive value 0. 712. Whereas that of chest circumference wa ≤29.5 cm with a sensitivity of 0. 785, specificity 0.895 and positive predictive value 0.497. Receiver operating characteristic (ROC) curves were used to compare their diagnostic accuracy. The area under these two ROC(± SE) were 0.954 ± 0.011 for mid-arm and 0.945 ± 0.012 for chest circumferences, respectively. Both areas showed significant differences with the area under chance line. No statistically significant difference was found between the area under ROC of mid-arm and chest circumferences. The results showed that mid-arm and chest circumferences as simple and reliable measurements can be used in estimating low birth weight, in areas where the accurate weighing of newborn infants is not feasible.
Hydrocephallus in the Department of Child Health, School of Medicine University of North Sumatera Dr. Pirngadi Hospital, Medan Yahya G. Lubis; T. Razif; Manihar D. Marbun; Bistok Saing
Paediatrica Indonesiana Vol 33 No 1-2 (1993): January - February 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (735.767 KB) | DOI: 10.14238/pi33.1-2.1993.32-6

Abstract

A retrospective study 10 find out the incidence of hydrocephalus in the Paediatric Neurology Subdivision Department of Child Health, School of Medicine, University of North Sumatera/Dr. Pirngadi Hospital Medan, was carried out in the period of 1986- 1989. The number, age groups, causes and treatment were reviewed. The cases consisted of 45 children; 28 males (68.2%) and 17 females (27.8%). Most of the patients (34 = 75.5%) were found in the age group of 1 year or younger and the rest (11 = 24.5%) were tn the age group of more than I year. The youngest was 2 days old and the oldest was 5 years and 6 months old; 33 cases were congenital, 5 cases were acquired and 7 cases were unknown causes. Conservative treatment were introduced to almost all cases, and four cases had ventricular peritoneal shunt.
Congenital Hypertrophic Pyloric Stenosis: A Case at the Gunung Wenang Hospital Manado - North Sulawesi Indonesia S. M. Salendu; Abdullah B.
Paediatrica Indonesiana Vol 33 No 1-2 (1993): January - February 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (496.771 KB) | DOI: 10.14238/pi33.1-2.1993.37-40

Abstract

On a baby girl of 4 weeks old with the dtagnosts of congenital hypertrophic pyloric stenosis, an extremely rare case in our Hospital, surgical operation was done using the Fredet Ramsted method. The main complaint was frequent vomiting. The diagnosis was based on projectile vomiting, retarded growth, constipation, moderate dehydration and was confirmed by barium meal study. Ten days after the operation, she was discharged in a good condition.

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