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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 6 Documents
 1 
Search results for , issue "Vol 34 No 7-8 (1994): July - August 1994" : 6 Documents clear
Effects of Iron Supplementation on Hemoglobin Concentration in 12-18 Month Old Iron-Deficient Anemic Infants Iskandar Iskandar; Nono Sumarna Afandi; Ponpon Ijradinata
Paediatrica Indonesiana Vol 34 No 7-8 (1994): July - August 1994
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (693.334 KB) | DOI: 10.14238/pi34.7-8.1994.179-86

Abstract

A randomized double blind clinical trial was conducted to study the effects of iron supplementation on hemoglobin values of 97 iron-deficient anemic (DA) and iron-sufficient (IS) infants, 12 to 18 months of age. IDA (n=SO) infants were assigned randomly to either receive dietary ferrous sulfate or placebo for 4 months. Similar treatment randomization was done among IS (n=4 7) infants. Before intervention, the mean hemoglobin value of the IDA infants was significantly (p<0.01) lower than that of the IS group. After intervention, there was an increase in the hemoglobin values of the IDA infants who had received iron, and was significantly (p<0.01) higher than those of the placebo treated IDA group, lS group, as well as placebo treated IS group. Hemoglobin values of the IDA infants who had received iron, increased up to the normal level as refer to the WHO's criteria used for normal hemoglobin values.
Role of Persistent Diarrhea Control in Declining Infant and Childhood Mortality in Indonesia Rusdi Ismail
Paediatrica Indonesiana Vol 34 No 7-8 (1994): July - August 1994
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (801.35 KB) | DOI: 10.14238/pi34.7-8.1994.187-96

Abstract

In diarrheal diseases control program (CDD), the mechanism of diarrheal diseases (DD) death can be classified into: dehydration, dysentery, complication, and persistent diarrhea. The aim of the presentation is to predict the share of these components and to highlight the role of persistent diarrhea. Demographic figures were inferred from the Census and the 1985 Inter-Censal Survey data. Rates on DD were inferred from the National Household Health Surveys and relevant reports. The mechanisms of death were inferred from the pattern of DO death in Palembang General Hospital. By fair prediction, in infants, 1.5 lives will be saved per 1000 live births through COD Program, 88% is the share of persistent diarrhea control, and 20% of better management of DD complicated with other diseases. In 1-4 years of age, the figures are 68% and 38%, respectively. The share of promoting rehydration and dysentery management will be minimal in declining infant mortality rate (MR) and childhood death rate (CDR) between 1992 and 2000. The share of COD in declining IMR and CDR must depend on a better management of persistent and complicated DD.
Clinical and Head Ultrasound Findings in Neonates after Administration of High Dose of Vitamin A R M Nurrachim; Ali Usman; Sjarif Hidajat; Dedi Subardja; Tina Agoestina; Jean Humphrey; George A. Taylor
Paediatrica Indonesiana Vol 34 No 7-8 (1994): July - August 1994
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1156.961 KB) | DOI: 10.14238/pi34.7-8.1994.197-208

Abstract

Vitamin A deficiency is a major cause of blindness and severe morbidity and mortality in young children. Supplementation of vitamin A in the community might reduce child mortality rates. The safety of high dose of vitamin A administered to neonates is not clear. We randomized 2058 neonates to receive either a single dose of 50 000 IU oral vitamin A (n=l031) or placebo (n=l027). Bulging fontanel and head circumference were assessed before and throughout 48 hours following dosing. Cranial ultrasound examination was carried out in 972 infants before and 24 hours after dosing to rule out intracranial hemorrhage and determine resistive index (Rl) of the anterior cerebral artery. Slight bulging fontanel occurred in 2. 7% and 4.4% of the infants at 24 hours. Moderate bulging fontanel was seen in 0.1% of study group, no severe bulging was observed. At 48 hours slight bulging fontanel was observed in 2.4% of control group and 4.5% in study group. No intracranial hemorrhage was found. Mean RI values were normal in both groups at baseline or 24 hours. Bulging fontanel was not associated with increased signs or symptom, or with increase in RI. Single oral dose of 50 000 vitamin A may cause a small increase in intracranial volume in a small proportion of infants, without increase in intracranial pressure.
Review of Hepatitis B Vaccination in Children of Workers of an Oil & Gas Industry in Lho'seumawe and Lho'sukon, North Aceh Chairul Adillah Harahap; Sari Leyli Harahap; Chairuddin P. Lubis; Ahmad Judin
Paediatrica Indonesiana Vol 34 No 7-8 (1994): July - August 1994
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (503.511 KB) | DOI: 10.14238/pi34.7-8.1994.209-15

Abstract

We describe a retrospective study on hepatitis-B immunization in the Indonesian workers' children of Mobil-Oil Indonesia Lho' Seumawe and Lho'sukon, North Aceh. Data were obtained from medical records and included all children in the 0-15 years age group who had been immunized against hepatitis B types and schedules of vaccines, pre-immunization seromarkers, and anti HBsAb after the third immunization were recorded. For hundred and twenty children had received three doses of,hepatitis B vaccines; 180 children had them at 0, 1 and 2 months and the rest at 0, 1 and 6 months. Type of vaccine used was hunian plasma derived vaccine with a dosage of 5 µg per shot All of them (except the newborns) were tested and had seromarkers negative to hepatitis 8 infection prior to immunization. Testing for immune response (HBsAb) 2-6 months after the third immunization could only be done in 213 children, where 168 (78.9%) showed HBsAb titer> 10 miU/ml, 5 (2,30Al) had HBsAb < 10 miU/ml, and the remaining 40 (18,8%) showed no seroconversion. Of those 40 children who did not seroconversed, 31 were given a fourth dose, and 14 children were retested for their HBsAb titre. Seven children had positive responses and the rest remained negative.
Noonan Syndrome Dina D.; Soetjiningsih Soetjiningsih; Hamid A.; Sudaryat S.
Paediatrica Indonesiana Vol 34 No 7-8 (1994): July - August 1994
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (427.867 KB) | DOI: 10.14238/pi34.7-8.1994.216-20

Abstract

A case of Noonan syndrome in an Indonesian baby boy is reported. The diagnosis was based on history, physical examination and abnormalities on Denver Development Screening Test and Vineland Social Maturity Scale. Treatment consisted of hormonal therapy for cryptorchidism and short stature, physiotherapy, and surgical correction cryptorchidism and cardiac anomaly if necessary. The prognosis for life span was good.
Hereditary Long Q-T Without Congenital Deafness (Romano-Ward) Syndrome Bambang Madiyono; Alinda Rubiati Wibowo; Ismet N. Oesman; Sudigdo Sastroasmoro; Sukman Tulus Putra; Najib Advani
Paediatrica Indonesiana Vol 34 No 7-8 (1994): July - August 1994
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1022.707 KB) | DOI: 10.14238/pi34.7-8.1994.221-30

Abstract

We report a case o fhereditary long Q-T syndrome without congenital deafness (Romano-Ward syndrome). In four members of a family, a father and his daughters, the Q-T intervals on the EKG were found to be prolonged. There were no other accompanying familial anomalies such as deafness or a tendency to extracellular hypokalemia The youngest daughter which had the longest. Q-T interval had several Adams-Stokes attacks, and died in the last attack at the age of 23 months. Her two older siblings died at the age of 15 and 10 months with the same typical clinical histories. The eldest daughter, a 12-year old girl, has no clinical symptoms at all, while the fourth child, 5-yeltr old girl has several occasions of near fainting attacks. The EKG of the father showed several runs of supraventricular premature contractions that ceased spontaneously, besides evidence of the prolongation of Q-T interval. The beta-adrenergic blocking drug (propranalol) given in a relatively small maintenance dose, proved to be effective in preventing attacks of the father and the fourth child, despite the unchanged prolongation of the Q-T interval.

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