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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 38 No 3-4 (1998): March - April 1998" : 6 Documents clear
Serum C - Reactive Protein Level and Peripheral Blood Picture in Children with Pneumonia IGL Sidiartha; BNP Arhana; P Suwendra; Sudaryat S
Paediatrica Indonesiana Vol 38 No 3-4 (1998): March - April 1998
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (389.688 KB) | DOI: 10.14238/pi38.3-4.1998.62-7

Abstract

This cross sectional study aimed to determine the relation between serum C-reactive protein (CRP) levels and peripheral blood picture in children with bronchopneumonia, conducted at the Division of Pulmonology, Sanglah Hospital, Denpasar during 3 months (December 1996 to February 1997). Serum CRP levels, hemoglobin, leukocyte count, neutrophil count and ESR values in 30 cases between 1 month and 4.5 years (20 male and 10 female) were measured. Bronchopneumonia was mostly found in < 1 year old (67%) and with male to female ratio of 2:1. High CRP serum level (>12 microgram/ml) was found in 33% of 30 cases. Anemia was found in 37%, leukocytosis in 50%, increase segment neutrophil ratio in 30%, increase of ESR in 40% and increase of body temperature more than 38°C in 4 7% of the cases. Neutrophilia, increase of ESR and increase of body temperature were found statistically significant difference between the positive CRP and negative CRP group. Most bronchopneumonia patients in this study were probably caused by non bacteria. Neutrophilia, higher ESR and higher body temperature could be used as an indicator of bacterial infection besides the increase of serum CRP levels.
Relationship Between Incidence of Hyaline Membrane Disease and Maternal Hypertension During Pregnancy Lasmida Nazir Nuriman; Dadang Sjarif Hidajat
Paediatrica Indonesiana Vol 38 No 3-4 (1998): March - April 1998
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (411.527 KB) | DOI: 10.14238/pi38.3-4.1998.47-53

Abstract

There have been controversies over the eiTect of hypertension in pregnancy on the incidence of type I neonatal respiratory distress syndrome or hyaline membrane disease (HMD). We investigated the relationship between the incidence of HMD and maternal hypertension during pregnancy in 91 infants at 34 weeks gestation or less. This retrospective cross sectional study included all live born babies between May 1, 1994 and April 30, 1995 at Dr. Hasan Sadikin General Hospital, Bandung. Maternal hypertension during pregnancy was diagnosed in 38 mothers of91 infants studied. The incidence of HMD (5%) in the maternal hypertension during pregnancy group was significantly lower than the 62% in the normotensive group (p<0.01). There was a negative correlation between the occurence of HMD and hypertension during pregnancy. We conclude that the risk of developing HMD in infants born to hypertensive mothers is significantly lower than those born to normotensive mothers.
Physical Growth and Echocardiographic Findings in Children with Down Syndrome Sudigdo Sastroasmoro; Mathilda Y. lnkiriwang; Bambang Madiyono; lsmet N Oesman
Paediatrica Indonesiana Vol 38 No 3-4 (1998): March - April 1998
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (491.836 KB) | DOI: 10.14238/pi38.3-4.1998.54-61

Abstract

We compared the physical growth, nutritional status, and echocardiographic findings in children aged 3-7 years with Down syndrome who had no congenital heart disease. Thirty such patients who consecutively referred to the Division of Cardiology, Department of Child Health, Medical School, University of Indonesia/Cipto Mangunkusumo Hospital, Jakarta, were compared with sex and age matched controls consisted of normal children attending the Department. It appears that growth and nutritional status of children with Down syndrome tended to be retarded when compared to those of the controls. However, no significant difference were found on the M-mode echocardiographic values of the left ventricle, except that the left ventricular posterior wall thickness in study subjects was more that that of the controls. We concluded that although the pulmonary architecture of patients with Down syndrome is thought to be less developed than that of normal children, it does not affect the left ventricular measurements and function as measured by M-mode echocardiography.
Incidence and Risk Factors of Nosocomial Infections in Neonatal Unit Sanglah General Hospital, Denpasar Suartawan Suartawan; Hamid HA
Paediatrica Indonesiana Vol 38 No 3-4 (1998): March - April 1998
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (484.678 KB) | DOI: 10.14238/pi38.3-4.1998.68-74

Abstract

The rate of morbidity due to infection including nosocomial infection during neonatal period is higher than that due to other causes. The purpose of this study was to know the incidence and risk factors of nosocomial infection. This study was conducted on all babies treated at the neonatal unit, Sanglah General Hospital, Denpasar during the period of April-June 1995. Chi square test was used to compare nosocomial infection between birth weight groups and mode of deliveries. The incidence of nosocomial infections in this study was 6%, with male to female ratio of 1.6:1. Skin infections were found most frequently. This occurrence of nosocomial infection was significantly related to the birth weight and mode of delivery, in which the risk of nosocomial infection was greater in babies with low birth weight and delivered by cesarean section or other obstetric procedures.
Clinical and Laboratory Findings of Normal Children Suspected of Having Cardiac Disease Sudigdo Sastroasmoro; Nuraini Irma Susanti
Paediatrica Indonesiana Vol 38 No 3-4 (1998): March - April 1998
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (422.209 KB) | DOI: 10.14238/pi38.3-4.1998.85-90

Abstract

The definite diagnosis of cardiac disease in infants and children usuallycannot be made on the clinical evidence alone; in most instances supportingexaminations are required. lt is understandable, therefore, that non-cardiologists might suggest that normal subjects are thought to have cardiac problems; the reverse is also true: infants and children with cardiac disease may be ignored. This study aimed to examine the clinical and laboratory findings of normal infants and children who were initially suspected to have cardiac disease. Of 3601 patients referred to our OPD of the Division of Cardiology, Department of Child Health, Medical School, University of Indonesia, from January 1983 to December 1992; in 1782 patient (49.5%) no cardiovascular problems were detected. Most of them (66.2%) were of the age of less than 1 month. Most of the referring physicians (66.3%) were general practitioners. The referring diagnoses were congenital heart disease (286), cardiomegaly (197), rheumatic fever or rheumatic heart disease (110), and syndromes with cardiac involvement (104). The diagnoses were based on dyspnea, cyanosis on crying, chest pain, joint pains, and easy fatiguability. Murmurs found on examination were systolic in 355 patients (19. 9%), and continuous in 6 patients (0,33%). No diastolic murmurs were noted. The final diagnoses were normal (including innocent murmurs and sinus arrhythmias) in 85.8%, mild cardiomegaly in 10.4%., breath holding spells in 2.0%, sinus tachycardia in 0.9%, polyarthritis in 0.2% and other in 0.7% of all cases. More practice in cardiac physical examination is needed for medical students to reduce the unnecessary referrals.
Age at Menarche and Menstrual Pattern of Elementary School Students in Medan Nurdiani Nurdiani; Evi Kamelia; Rusdi Andid; Ani Ariani; Hakimi Hakimi; Endang D Hamid
Paediatrica Indonesiana Vol 38 No 3-4 (1998): March - April 1998
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (635.171 KB) | DOI: 10.14238/pi38.3-4.1998.75-84

Abstract

This study aimed to determine the age at menarche and its influencing factors and the pattern of menstrual cycles in elementary school students in Medan. Subjects were 227 female students in six primary schools (private and government) in Medan municipal, during October until November 1995. Most students experienced menarche in government primary school (GPS: 35.8%) and private primary school (PPS: 24%), at the age of 10-12 years. The mean age at menarche of these students in government primary school was 11.41 (SD 0.95) years while in private primary school it was 10.65 (SD 0.78) years. Subjects who had had menarche had better nutritional status than who had not (p<0.001). Sports activities are also associated with age at menarche (p<0.001). On the other hand family's economical status and maternal age at menarche were not significantly associated with age at menarche (p>0.05). Most students who had had menarche had regular menstrual cycle; the duration of menarche was 4-6 days for GPS and 3 days for PPS. Dysmenorrhea was a common finding in the first three months of menstruation cycle but gradually diminishing with time. The duration of menstrual cycle was 25-34 days. These findings are useful as a guide for the parents, especially when mothers planning the best time/ the moment to discuss about reproduction and sexual counseling with her daughter.

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