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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 8 Documents
 1 
Search results for , issue "Vol 42 No 9-10 (2002): September 2002" : 8 Documents clear
Knowledge and behavior of mothers about the way of suckling their babies Titi S. Sularyo; Rini Sekartini; Soedjatmiko Soedjatmiko; Hartono Gunardi; Corrie Wawolumaya
Paediatrica Indonesiana Vol 42 No 9-10 (2002): September 2002
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi42.5.2002.201-5

Abstract

Background A good and proper knowledge and behavior of mothers as to how they breast-feed their young is supposed to enhance the health of the community.Objective To find out the knowledge and behavior of mothers of under-fives about the technique of nursing and its related factors.Methods The study was perionned from September 20 to October 15, 1999 at Kelurahan Pisangan Baru, East Jakarta. The respondents were 101 mothers owning under-fives, attained by the multi-stage cluster random sampling method. Questionnaires were used and observation was made only on mothers who were suckling their child during the interview.Results Mother's knowledge about the way of suckling was found unsatisfactory in 46.5% although 51.5% of mothers revealed a good behavior. Statistical analysis showed no significant relationships between factors such as age, educational level, occupation, family income and mother's activity with mother's knowledge and behaviorabout the way of nursing their child.Conclusions There was no significant relationship between mother's knowledge and behavior about breastfeeding. Other factors beyond this studied factors should be taken into account.
Management of growth disorders Aman Bhakti Pulungan; Henriette A. Delemarre vande Waal
Paediatrica Indonesiana Vol 42 No 9-10 (2002): September 2002
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi42.5.2002.225-38

Abstract

Growth is the most fundamental characteristic of childhood. As multi factorial and complex as growing process, children normally grow in a remarkably predictable manner. Deviation from this normal pattern of growth can be the first manifestation of diseases. Both endocrine and nonendocrine disorders may occur and involve any organ system of the body. Frequent and accurate assessment of growth therefore is of primary importance for physicians and nurses caring for children.1
Prevalence and risk factors of overweight and obesity in adolescents Gary Adhianto; Soetjiningsih Soetjiningsih
Paediatrica Indonesiana Vol 42 No 9-10 (2002): September 2002
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi42.5.2002.206-11

Abstract

Background Overweight and obesity in adolescents is associated with persistent obesity and higher risk of morbidity and mortality in adulthood.Objective To determine the occurrence of overweight and obesity in adolescents and to identify the associated risk factors.Methods A cross sectional study was carried out on 600 dlildren aged from 11 to 17 years old. Anthropometric measurements induded body weight, height, and triceps skin fdd thickness. The nutritional status was dassified based on BMI using the WHO standard criteria. Three 24-hour dietary recalls were collected to assess the quality of food. A systematic random sampling was made according to school grade and sex.Results Five hundred and fifty two (92%) children met the indusion criteria, 46% were boys and 54% were girls. Most subjects (64%) had nonnal weight, 12% were underweight, 13% were overweight and 11% were obese. Among overweight group, 49% were boys, while among obese group, 53% were boys. On bivariate analysis, it was found that nutritional status had strong relationship with mother's education. On multivariate regression analysis, it was noted that energy expenditure and mother's education had significant negative correlation with the occurrence of overweight and obesity (8=- 0.235; p<0.001 and 8=-0.171; P=0.006) while energy intake and parental obesity had a significant positive correlation (8=0.498; P<0.001 and B=0.128; P<0.001).Conclusions Energy expenditure and mother's education were inversely related to overweight and obesity, while energy intake and parental obesity were proportionally related to overweight and obesity.
A simple estimation of glomerular filtration rate in children Syarifuddin Rauf; Husein Akbar
Paediatrica Indonesiana Vol 42 No 9-10 (2002): September 2002
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.892 KB) | DOI: 10.14238/pi42.5.2002.193-6

Abstract

Background The estimation of glomerular filtration rate (GFR) is routinely used in the assessment of renal function in children. An accurate measurement of GFR is very helpful in detecting renal disease.Objective The aim of this study was to compare GFR calculated by Schwartz's formula and that assessed by creatinine clearance measurement.Methods A study to evaluate GFR calculated by the Schwartz's fonnula and by the conventional creatinine clearance method was done on 114 (57%) boys and 86 (43%) girls aged 6-13 years hospitalized in the Department of Child Health, Hasanuddin University, Wahidin Sudirohusodo Hospital, Makassar in 1996.Results This study showed that there was no significant difference between the value of GFR determined by the conventional creatinine clearance method and that calculated by the Schwartz's fonnula according to age and sex. Our findings also did not show any  difference of GFR assessed by both methods according to nutritional status of children. In regard to the accuracy of Schwartz's fonnula, the sensitivity, specificity, positive, and negative predictive values were 87.5%, 98.86%, 9 1.3%, and 98.3%, respectively.Conclusion It seems that Schwartz's fonnula might be used for assessing GFR in children particularly if either there is no facility for measuring creatininuria or there is difficulty in collecting complete and accurate-timing urine samples. The formula is a very simple and inexpensive method for determining GFR in children compared to the conventional creatinine clearance method. 
Association of pyuria and positive urine culture in children with urinary tract infection Adrian Umboh; Andy Sugoro
Paediatrica Indonesiana Vol 42 No 9-10 (2002): September 2002
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (264.331 KB) | DOI: 10.14238/pi42.5.2002.197-200

Abstract

Background Infections affecting the urinary tract are commonly found in children and responsible as the second cause of morbidity after respiratory tract infections.Objective To detennine the association between pyuria and positive urine culture in children with suspected urinary tract infection (UTI).Methods We reviewed all patients who suffered from suspected UTI with pyuria, aged 1 month to 13 years at the Department of Child Health, Manado Central General Hospital from January 1999 until December 2001.Results Of the 45 patients who suffered from suspected UTI with pyuria, 33 (73%) were proved to have UTI (12 males and 21 females). There was significant association between pyuria of more than 20 white cells per high power field visualized and the incidence of UTI (P <0.05), but no association was found between sex and the incidence of UTI. In patients aged 1 year and older, the rate of UTI was higher in female than male, namely 61 % of females and 30% of males had UTI. The main cause of UTI was Escherichia coli (67%). The most common symptoms were fever (94%), vomiting (76%), and upper abdominal pain (55%).Conclusion There was a significant association between patients whom suspected UTI with pyuria and incidence of UTI.
Plain abdominal radiograph appearance in children with abdominal pain Kemas Firman; Dora Darussalam; Rulina Suradi
Paediatrica Indonesiana Vol 42 No 9-10 (2002): September 2002
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (308.888 KB) | DOI: 10.14238/pi42.5.2002.212-6

Abstract

Background Abdominal pain is a common condition in children. Plain abdominal radiograph is recommended routinely in the evaluation of children with abdominal pain.Methods A retrospective study was done to evaluate radiographic abnormalities in children with abdominal pain at the Department of Child Health Cipto Mangunkusumo Hospital from January 1, 1994 to December 31, 1998.Results Of the 76 patients with abdominal pain, there were 38 females and 38 males. Forty-five patients were in the >5-12 years age group. Thirty-five out of 76 patients showed radiographic abnormalities. The most common radiographic abnormality was stones (found in 13 patients), followed by uneven distribution of bowel air in 8 patients.Conclusion A plain abdominal radiograph is still required as a diagnostic tool for children with abdominal pain, especially in the acute stage.
Features of patients with malaria treated at the Department of Child Health Cipto Mangunkusumo Hospital, Jakarta Diana Mettadewi Jong; Hindra Irawan Satari; Sri Rezeki Hadinegoro; Sumarmo Soedarmo; Hardjono Abdoerrachman; Alan R. Tumbelaka
Paediatrica Indonesiana Vol 42 No 9-10 (2002): September 2002
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (210.608 KB) | DOI: 10.14238/pi42.5.2002.217-9

Abstract

Background Malaria is endemic throughout the tropical areas of the world. In Jakarta, one of the cities in Indonesia that has been declared to be free of malaria, malaria was found in 1044 patients from 1974 to 1990. All patients were infected in other areas.Objective To describe the clinical features of malaria in the Department of Child Health, Cipto Mangunkusumo Hospital, Jakarta.Methods A retrospective study was carried out on all patients with malaria treated at the Department of Child Health, Cipto Mangunkusumo Hospital, Jakarta, from January 1995 to December 2000.Results There were 10 inpatients and 5 outpatients with malaria eligible in this study. Most patients (13) were boys, and 8 patients aged 5-9 years. We found falciparum malaria in 5, one of which with cerebral malaria, vivax in 3 patients, and mixed infection in 4 patients. In 3 patients, the type of malaria could not be detected. Three out of the referred patients were referred with the diagnosis of leukemia. Fever, splenomegaly, and pale were found in most patients. All inpatients recovered completely on discharge.Conclusions In malaria-free areas, all patients were infected in other areas and some were referred with misdiagnoses. Malaria should be considered in patients with fever or pale and organomegaly.
Diagnostic accuracy of clinical and blood examination for sepsis in potentially infected neonates Ari Mulyani; Setyowireni Setyowireni; Achmad Surjono
Paediatrica Indonesiana Vol 42 No 9-10 (2002): September 2002
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (307.951 KB) | DOI: 10.14238/pi42.5.2002.220-4

Abstract

Background Neonatal sepsis remains a diagnostic challenge due to its nonspesific symptoms and signs. Blood culture as the gold standard is still a problem because it takes time, is expensive, and not every health facility is able to perionn.Objective To evaluate the diagnostic accuracy of clinical symptoms, hematologic findings, and C-reactive protein (CRP) in neonatal sepsis.Methods Samples were taken from potentially infected neonates admitted to the Matemal-Perinatal Unit of Sardjito Hospital, between December 1st, 2000 and March 31st, 2001 using at least one of the criteria: prematurity, very low birth weight infants, matemal pyrexia during delivery, premature membrane rupture, or thick, cloudy amniotic fluid. Clinical symptoms, total leukocyte, neutrophil, platelet count, CRP, and blood culture as the gold standard were examined.Results Among 99 neonates enrolled, the sensitivity, specificity, positive and negative predictive value of clinical symptoms were 79.3%, 75.7%, 57.5%, and 89.9%, respectively; leukopenia/leukocytosis were 27.6%, 85.7%, 44.4%, and 74.1%; neutropenia! neutrophilia were 41.4%, 71.4%, 37.5%, and 74.6%; thrombocytopenia were 79.3%, 51.8%, 40.4%, and 85.7%; positive CRP were 58.6%,78.6%,53.1%, and 82.1%. Parallel tests increased the sensitivity up to 89.7%. Specificity, positive and negative predictive value, and likelihood ratio were 44.3%, 40%, 91.2%, and 1.6, respectively. Serial tests increased the specificity up to 88.6%. Sensitivity, positive and negative predictive value, and likelihood ratio were 58.6%, 68%, 83.8%, and 5.1, respectively.Conclusion Clinical sepsis, thrombocytopenia, and CRP are sufficiently accurate as diagnostic tests for sepsis in potentially infected neonates. Parallel tests will increase the sensitivity, while serial tests increase the specificity.

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