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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 2,114 Documents
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High sensitivity C-reactive protein, left ventricular mass, and systolic function in obese adolescents Erling David Kaunang; Suryani As’ad; Sarah M. Warouw; Peter Kabo
Paediatrica Indonesiana Vol 56 No 2 (2016): March 2016
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (390.079 KB) | DOI: 10.14238/pi56.2.2016.124-8

Abstract

Background Obesity has been associated with structural and functional cardiac muscle defects. High sensitivity C-reactive protein (hs-CRP) has been utilized as an independent predictor of future cardiovascular disease.Objective To assess for correlations between hs-CRP, left ventricular mass, and systolic function in obese adolescents.Methods This cross-sectional study was conducted from August 2013 to February 2014. Subjects were obese adolescents aged 13-18 years with a body mass index (BMI) >95th percentile, according to the 2000 Centers for Disease Control and Prevention Growth Chart. Subjects underwent laboratory testing of serum hs-CRP levels, as well as left ventricular mass and function measurements by echocardiography. Descriptive analysis was performed on patients’ characteristics and correlation analysis was done by Pearson’s test with a significance level of P<0.05.Results Subjects were 40 obese adolescents. There was no statistically significant correlation between hs-CRP and left ventricular mass (r=0.083; P=0.305). There was a moderate correlation between hs-CRP with ejection fraction (EF) (r=0.372 and P=0.009 ) and fractional shortening (FS) of the left ventricle (r=0.420 and P=0.003).Conclusion In obese adolescents, we find no correlation between hs-CRP and left ventricular mass. However, hs-CRP is moderately correlated with left ventricular EF and FS.
Macro- and micronutrient intakes among severely malnourished under-five children during the economic crisis in Yogyakarta Endy P Prawirohartono; Atiek Werdiningsih
Paediatrica Indonesiana Vol 43 No 5 (2003): September 2003
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (330.81 KB) | DOI: 10.14238/pi43.5.2003.186-91

Abstract

Objective To evaluate macro and micronutrient intakes amongunder five-year children with severe malnutrition during the periodof economic crisis.Methods We conducted a longitudinal study from August untilNovember 2000 in Bantul and Sleman districts, Yogyakarta Spe-cial Territory of Indonesia. Two-weekly home visits were performedto collect data about food intakes.Results Of 46 children, 26 experienced an improvement in nutri-tional status, whereas 20 children did not. The median intakes ofmacro and 8micronutrients were lower than the RecommendedDaily Allowances (RDA), ranged from 22% (vitamin C) to 69%(phosphorus), except for vitamin A (406%). The median intakes ofprotein, vitamin A, thiamin, vitamin C, calcium, iron and phospho-rus were higher in severely malnourished children who experiencedimprovement in nutritional status compared to children who didnot, and in breastfed compared to non-breastfed, but Mann WhitneyU-test was not able to detect significant differences (p>0.05). Strati-fication using age group showed that calories and thiamin intakesof older children (348 months) were lower than those of youngerchildren (Kruskal Wallis tests p = 0.016 and 0.022 respectively).Conclusions The macro and micronutrients intakes of severelymalnourished under five-year children were lower than RDA, ex-cept for vitamin A. There were differences in nutrient intakes ac-cording to the improvement in nutritional status and age group
The accuracy of clinical diagnosis for dehydration according to the integrated management of childhood illness Siswanto Marudut; Yati Soenarto; Mohammad Juffrie
Paediatrica Indonesiana Vol 46 No 5 (2006): September 2006
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.271 KB) | DOI: 10.14238/pi46.5.2006.225-8

Abstract

Background Acute diarrheal disease causes over 5 milion deathsworldwide in children under 5 years old, mostly because of failureto detect and treat dehydration properly and immediately.Objective To determine the validity of clinical diagnosis of dehy-dration according to Integrated Management of Childhood Illness(IMCI) as a diagnostic test for dehydration in children under fiveyears old.Methods A prospective observational study was done for clinicaldiagnosis in dehydration. Children aged 2 months-5 years old withdiarrhea and or vomiting who visited the primary health centers inYogyakarta were enrolled. Clinical diagnosis was made by atrained IMCI nurses. Dehydration was defined as the presence ofdecreasing consciousness, very sunken eyes, slow reaction whenoffered a drink, and decreased skin elasticity. Ninety-five per-cents confidence intervals (CI) were calculated, and the signifi-cance was assessed by X 2 .Results There were 148 children aged 2 months to 5 years oldenrolled this study. Clinical dehydration used according to IMCIproduced sensitivity of 91% (95% CI 83;98), specificity of 82%(95% CI 75;89), positive predictive value (PPV) of 70% (95% CI58;77), negative predictive value (NPV) of 94% (95% CI 90;98),positive likehood ratio of 5.17 (95% CI 3.37;7.94), and negativelikehood ratio of 0.11 (95% CI 0.04;0.27).Conclusion Clinical diagnosis for dehydration according to IMCIis sufficiently accurate as a diagnostic test for dehydration in chil-dren under 5 years old
Results of Salmonella typhi culture in patients with suspected typhoid fever, treated in the Department of Child Health Medical School, Padjadjaran University, Hasan Sadikin General Hospital Bandung Nanan Sekarwana; Herry Garna; Azhali M. S.
Paediatrica Indonesiana Vol 29 No 5-6 (1989): May - June 1989
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi29.5-6.1989.105-11

Abstract

From October to December 1984, examination has been carried out on Salmonella typhi cultures from blood, bone marrow, faeces and urine of 43 patients suffering from suspected typhoid fever treated in the Department of Child Health, Medical Schooll Hasan Sadikin General Hospital, Bandung.It was apparent that among these 43 patients, 51.2% were males and 48.8% females. The greater number of them were more than 5 years old (64.4%). The results of Salmonella typhi cultures were obtained  from 65% of the patients, consisting of 65% positive cultures from bone-marrow and 40% positive cultures from blood that showed a statistically significant difference (p < 0.05).Likewise, the time for matter-sampling for the examinations was based on the culture results, both on blood-culture and that of bone-marrow, statistically a significant was found (p < 0.05), whereas the results of cultures based on previous vaccination history and the administration of chloramphenicol prior to treatment did not differ significantly.It was obviously clear that the results of bone-marrow culture were more successful compared to those from blood culture, so that it should necessarily be emphasized, as to these examinations on culture from each patient with suspected typhoid fever, especially those patients hospitalized during the third week of their illness.
Hypopotassemia in Infantile Diarrhoea Treated With Half Strength Ringer's Lactate in Dextrose 2.5% M. Djalinson Purba; Sjabaroedin Loebis; Djaman Purba; Sahat Halim; A. H. Sutanto; Helena Siregar
Paediatrica Indonesiana Vol 22 No 9-10 (1982): September - October 1982
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi22.9-10.1982.181-4

Abstract

From October 15 until December 15, 1978, 13 children with acute enteritisadmitted to the Pediatric ward, Pirngadi Hospital Medan and treated with i. v.half strength Ringer's lactate in Dextrose 2.5% had been evaluated for hypopotassemia. Criteria used were a serum potassium level of less than 4 mEq /L and the typical ECG pattern.Out of the 13 patients, 10 (79,6%) developed hypopotassemia during i. v.therapy. It is concluded that in cases of Pediatric gastroenteritis treated with half strength Ringer's lactate in Dextrose 2,.% the possibility of hypopotassemia should be seriously borne in mind.
Tuberculosis prevalence among underfive children in household contact with negative acid fast bacilli adult pulmonary tuberculosis Harry Iskandar; Heda Melinda D. Nataprawira; Herry Garna; Julistio T.B. Djais
Paediatrica Indonesiana Vol 48 No 1 (2008): January 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (357.595 KB) | DOI: 10.14238/pi48.1.2008.18-22

Abstract

Background Risk of tuberculosis (TB) transmission is greatest if achild has household contact with positive acid fast bacilli (AFB)adult pulmonary TB. Risk of TB transmission from negative AFBadult pulmonary TB to underfive children is unknown.Objective To find out the prevalence of TB infection and diseaseamong underfive children in household contacts with negativeAFB adult pulmonary TB.Methods The study was performed at Balai Kesehatan ParuMasyarakat (BKPM) Bandung on underfive children who live inthe same house with negative AFB adult pulmonary TB fromFebruary to July 2006. History taking, physical examination,anthropometric measurement, chest radiographs, and tuberculinskin test were performed to all study subjects. Subjects were thencategorized as TB infection(positive tuberculin test only) or disease(defined based on Pulmonology Workgroup of IndonesianPaediatrics Council criteria, 2005).Results Sixty one children (32 males and 29 females) had contactwith 54 negative AFB adults pulmonary TB. Tuberculosis infectionwas found in six (10%), while disease was found in 10 (16%)children. The prevalence of TB infection was 10% (95% CI2.3;17.3) while prevalence of TB disease was 16% (95% CI7.1;24.7).Conclusion Tuberculosis infection and disease prevalence isconsiderably high in household contact with negative EFB adultpulmonary TB.
Factors related to missed opportunities for immunization at urban and suburban primary health centers in Medan Oke Rina Ramayani; Ridwan M. Daulay; Sri Sofyani; Iskandar Z. Lubis
Paediatrica Indonesiana Vol 47 No 1 (2007): January 2007
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (501.392 KB) | DOI: 10.14238/pi47.1.2007.21-6

Abstract

Background Missed opportunites for immunization is one of theimportant causes of low immunization coverage that should beprevented.Objective To investigate missed opportunities for immunizationand related factors at urban and suburban primary health centersin Medan.Methods A cross sectional study was conducted between January-March 2004. Primary health centers in Medan were divided intourban (20 primary health centers) and suburban (19 primaryhealth centers) groups. The sample size was 109 children whovisited primary health centers for immunization. Study was doneby a questionnaire taken after infants received immunization (exitinterview).Results The proportion of missed opportunities in urban andsuburban area was 22.3% (95% CI 16.9%;27.7%) and 29.9% (95%CI 24.0%;35.2%) (P=0.191), respectively. Factors such as age ofstarting immunization, number of children more than 4, and lowparental attitude about immunization (P=0.001) were related tomissed opportunities for immunization.Conclusions There is no difference between proportion of missedopportunities at primary health centers in urban and suburbanarea. Related factors to missed opportunities for immunizationare age of starting immunization older than 3 months, number ofchildren more than 4, and low parental attitude aboutimmunization.
The risk for delayed development in low birth weight, appropriate for gestational age preterm infants Stanza Uga Peryoga; Abdurachman Sukadi; Sambas Wiradisuria
Paediatrica Indonesiana Vol 45 No 4 (2005): July 2005
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi45.4.2005.154-9

Abstract

Background Preterm infants, particularly those who have hadsevere asphyxia, hyperbilirubinemia, and sepsis, tend to be at riskfor neurodevelopmental impairment.Objective The purpose of this study was to assess the risk for de-layed development in low birth weight (LBW), appropriate for gesta-tional age (AGA) preterm infants compared to that in term, non-LBWinfants, and to investigate the roles of severe asphyxia, sepsis, andhyperbilirubinemia as potential risk factors for delayed development.Methods This was a hospital-based retrospective cohort studyinvolving preterm, LBW and term, non-LBW infants conducted inHasan Sadikin Hospital, Bandung. The Bayley InfantNeurodevelopmental Screener (BINS) test was performed to as-sess the risk of delayed development at 3 months of corrected agefor the preterm infants and at 3 months of chronological age for theterm infants. Bivariate analysis using the chi-square test and mul-tivariate analysis using logistic regression were performed.Results One hundred and twelve infants fulfilled eligibility criteria,consisting of 52 preterm, LBW and 60 term, non-LBW infants. Basedon the BINS test, of the preterm, LBW infants, 32 (61%) were atlow risk, 11 (21%) at moderate risk, and 9 (17%) at high risk fordelayed development. Of the control infants, 49 (82%) were at lowrisk, 10 (17%) at moderate risk, and 1 (1.7%) at high risk for de-layed development. Logistic regression analysis showed signifi-cant association between accompanying diseases such as sepsis(OR=25.60; P=0.001) and hyperbilirubinemia (OR=16.07; P=0.001)with delayed development. Despite more than twofold odds fordelayed development in infants with severe asphyxia (OR=2.51)and LBW-prematurity (OR=2.47), the association was statisticallyinsignificant (P=0.20 and P=0.15, respectively).Conclusions In preterm infants appropriate for gestational age,prematurity and low birth weight alone may or may not predisposeto delayed development at 3 months of age. However, the risk fordelayed development in such infants is increased when sepsis orhyperbilirubinemia is present
Hepato-renal syndrome K. U. Mugiyo
Paediatrica Indonesiana Vol 21 No 5-6 (1981): May - June 1981
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi21.5-6.1981.119-24

Abstract

Herein we report a case of hepato-renal syndrome, the diagnosis established was based all chronic hepatic disease accompanied by impairment of renal function and histopathologic changes. Clinical pictures and histologic examination of the liver showed that the hepatic disease was an obstructive jaundice due to congenital malformation. On the other hand, clinical pictures, laboratory examination, renogram, light microscopy of the kidney showed that there were severe impairment of renal function and tubular changes together with focal interstitial fibrosis.
Present Cardiologic Problems in Indonesia I. S.F. Ranti
Paediatrica Indonesiana Vol 14 No 7-8 (1974): July - August 1974
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (604.639 KB) | DOI: 10.14238/pi14.7-8.1974.109-12

Abstract

The steady increase of the numberof Cardiovascular diseases and theprogresses made in the diagnostic andsurgical procedures intensified theactivities in the field of Cardiology.At the present time these activitieshave grown beyond medical and tech-nicaI aspects, creating a variety ofsocio-economic problems, requiringactive private and governmental par-ticipation and cooperation.

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