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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 36 No 7-8 (1996): July - August 1996" : 6 Documents clear
Missed Opportunities for Immunization at The Out-Patient Clinic: Prevalence and Related Factors Hafiz Abubakar; Ali Antoni; Johnwan Usman; Iskandar Z. Lubis; RA. Aggraini Erma
Paediatrica Indonesiana Vol 36 No 7-8 (1996): July - August 1996
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi36.7-8.1996.146-54

Abstract

From November 1992 through Januaiy 1993 a cross sectional study was conducted to determine the prevalence and related factors of missed opportunities for immunization (MOI). The study involved 280 babies aged less than 12 months. Inter­view was performed by using a questionnaire as the babies left the clinic after seeing the clinic personnel (exit interview). The primary source of information was the accom­panying person and their immunization card. There were 149 (53%) male and 131 (47%) female babies. A total of 208 babies (74.3%) stated to have immunization card, although only 19 (9.1°/.) look it at the time of the study. Out of 234 babies (83.5%) with partial immunization status, 9 had contraindication to immunization. Among 225 ba- es without contraindication, only 88 babies were suggested to have immunization. MOI was found in 137 (48.8%) babies (95% confidence interval: 43%; 55%). Concerning the kind of vaccine, OFV was the most often missed. Of 88 babies (31.4%) suggested for immunization, 43 agreed and had been given various vaccines including simultaneus immunization at the Well-Child Clinic. Screening for immunization not consistently practiced, missed interpretation to contraindication was detected. Among babies sug­gested for immunization, significant relationships were found between the number of children in the family (p<0.05), father's (p<0.05) and mother's education (p<0.001) and acceptance to immunization.
The Advanced Medical Science and Technology: A Challenge to The Higher Education in Developing Countries I.G.N. Gde Ranuh
Paediatrica Indonesiana Vol 36 No 7-8 (1996): July - August 1996
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (444.509 KB) | DOI: 10.14238/pi36.7-8.1996.127-36

Abstract

Indonesia's second stage of the National Long-Term Development Plan is a determinant factor for the shape of the country by the year 2020. A new era of devel­opment in the next 25 years will be of an unprecedented magnitude and far reaching significance for the future of the country as well as for South East Asia. Health develop­ment as one of the essential components, will play a significant role as it is the foun­dation for the well-being of the society without which development and progress will not be accomplished. On the other hand, a promising health development will depend on the availability of the human resources with a proper scientific background in the field of medical sciences. Therefore, health research is an effective way to solve many health problems encountered in the country. This condition in turn depends on on the ad­vancement of the higher education to participate in the development. The WHO stra­tegy for UFA by the Year 2000 specifically states that health research and development policies are the essentia] components of national health. An effective mechanism, coor­dination of research activities, the use and dissemination of its results should be esta­blished. The unique situation in Indonesia is described, in regard to geographical posi­tion, multiethnic, sociocultural traditional beliefs, health situation and services avail­able. Facing two patterns of diseases, the commonly established infectious diseases and the new emerging diseases as a consequence of industrialization, the access to the advanced medical science and technology that develop rapidly are the challenge to the higher education to solve those problems effectively and efficiently in the years to come.
Child Health Trends in Central and Eastern Europe Bruno Jacques Martin
Paediatrica Indonesiana Vol 36 No 7-8 (1996): July - August 1996
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (417.099 KB) | DOI: 10.14238/pi36.7-8.1996.137-45

Abstract

Overall Health ConditionsThe well-known events that resulted in worsening economic and social conditions all over Europe after 1989, led to a parallel decline in health, which deteriorated only mo¬derately in central and some parts of eastern Europe1 during transition, but suffered a decline as severe as has never been witnessed in times of peace in other countries and especially in Russia and Ukraine. The dramatic rise in mortality recorded since 1989 has been selective, sparing women more than men, affecting the young and the eld¬erly only moderately but taking a severe toll especially among men of working age. Deaths of males aged 20 to 39 in Russia rose by no less than 70% between 1989 and 1993, and by over 50% in the 40 to 59 group. The rise in Ukraine was a uniform 30% for both groups over this period. It was smaller, though still significant, elsewhere, for example about 11% overall in Bulgaria, 15% in Romania, 8% in Poland.
Pulmonary Function of Patients with Juvenile Diabetes Mellitus Torel Ergtir Ayga; Onarlioglu Turhan; Baskin Esra
Paediatrica Indonesiana Vol 36 No 7-8 (1996): July - August 1996
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.665 KB) | DOI: 10.14238/pi36.7-8.1996.155-9

Abstract

In this study, respiratory functions were applied on 20 patients (10 boys and 10 girls) with juvenile diabetes mellitus and 20 healthy subjects (10 boys and 10 girls) followed up for 2.5 (SD 1.2) years on the average. Vital capacity (VC), maximal voluntary ventilation (MW), forced volume in 1 second (FEV1) and mean forced expira­tory flow during the middle half of the FVC (FEF 25-75) parameters were evaluated. No significant difference was observed in the ages, heights and weights of diabetic and healthy children. A statistically significant decrease was observed in the VC (1.90, SD 0.13) and FEV1 (1.62, SD 0.54) parameters in diabetic boys and MW (42.10, SD 5.16) and FEV1 (1.55, SD 0.43) parameters of diabetic girls when compared with those of the control group. These results suggested a restrictive process in patients with juvenile diabetes mellitus.
Tuberculin Test on Infants and Children Who Had Been Given BCG Vaccination During Neonatal Period Fauzah Fauzah; Riza I. Nasution; Ansarudin Nasution; Ridwan M. Daulay; Helmi M. Lubis; Zakaria Siregar
Paediatrica Indonesiana Vol 36 No 7-8 (1996): July - August 1996
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (398.602 KB) | DOI: 10.14238/pi36.7-8.1996.160-8

Abstract

On one hundred and seven children 3 months to 5 years old who had received BCG vaccination during neonatal period were reviewed with tuberculin test. This study were conducted at the children's and maternity Hospital Sri Ratu Medan for 4 months. They comprised 61 males and 46 females with moderate to well nou­rished. Tuberculin test was seen at 72 hours after the injection. Tuberculin test was said positive if the induration was >5 mm was found. Positive tuberculin test were found on 58 children (54.2%), out of which 49 children (84.5%) were <1 year old and 9 children (15.5%) were 1 year old. Significant difference was found in positive tuber­culin test between child group of <1 year old compared to those of >1 year old (p <0.001). Diameter of induration was between 0-10 mm. Most of the children (51 = 47.7%) were having diameter of 5-9 mm. Median diameter of induration of tuberculin test was significant difference between child group of <1 year with those of >1-2 years, >2-3 years, >3-4 years and >4-5 years old respectively (p<0.01). BCG scar did not show significant relationship with tuberculin test result and age.
Ischiopagus Tetrapus Conjoined Twins Nartono Kadri; Harapan Parlindungan Ringoringo; Darmawan Kartono
Paediatrica Indonesiana Vol 36 No 7-8 (1996): July - August 1996
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (482.621 KB) | DOI: 10.14238/pi36.7-8.1996.169-76

Abstract

We report a case of ischiopagus tetrapus conjoined twins with one pas­sageway (cloaca type) and bom at term by spontaneously vaginal dcliveiy, with a combined birth weight of 5000 grams. There was no history of twin in the family. Dur­ing hospitalization, the conjoined twins suffered from sepsis due to ascending infection from cloacal portion, At the age of 17 days, an exploratory laparatomy and divided co­lostomy was performed. The postoperative complications were bleeding and sepsis. The bleeding could be properly handled only in 4 days after the treatment, whilst sepsis could not be overcome. Even in the 16th day after the operation, a peritonitis occurred followed by intestines prolapse from the edge of operative incision (on the 19th post­operative day) resulting in the death of the conjoined twins.

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