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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 2,127 Documents
 101   102   103   104   105 
Factors associated with pericardial effusion in pediatric systemic lupus erythematosus Pediana Rachmawati; Indah K. Murni; Sasmito Nugroho; Noormanto Noormanto; Sumadiono Sumadiono
Paediatrica Indonesiana Vol 58 No 5 (2018): September 2018
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (242.3 KB) | DOI: 10.14238/pi58.5.2018.227-32

Abstract

Background Cardiovascular involvement in systemic lupus erythematosus (SLE) has been reported to range from 4-78%. Complications can affect all structures of the heart, including the endocardium, myocardium, pericardium, and valves. Pericarditis is the most common manifestation, with an incidence of 11-54% in SLE patients. Pericardial effusion is often observed in patients with pericarditis, and can be confirmed by echocardiography. Objective To determine factors associated with pericardial effusion in children with SLE. Methods We conducted a restrospective cross-sectional study by reviewing medical records of children with SLE aged less than 18 years who underwent echocardiography at the Dr. Sardjito Hospital. Yogyakarta, from January 2011 to March 2018. Patients with congenital heart disease or incomplete medical records were excluded. A multivariate logistic regression analysis was done to determine factors that independetly associated with pericardial effusion. Results Among 165 children with SLE, 73 fulfilled the inclusion criteria. The prevalence of pericardial effusion was 54.8%. Median age was 13 (range 5-17) years and the female-to-male ratio was 8:1. Hemolytic anemia (OR=4.135; 95%CI 1.039 to 16.453; P=0.044) was significantly associated with pericardial effusion. Conclusion Hemolytic anemia is significantly associated with pericardial effusion in children with SLE.
Predictors for coronary artery dilatation in Kawasaki disease Najib Advani; Anisa Rahmadhany; Sarah Rafika
Paediatrica Indonesiana Vol 58 No 5 (2018): September 2018
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (238.896 KB) | DOI: 10.14238/pi58.5.2018.257-62

Abstract

Background Kawasaki disease (KD) is an acute, self-limited, febrile illness of unknown cause that predominantly affects children below 5 years of age. It has a high incidence of coronary complications such as aneurysms. The current treatment of choice is intravenous immunoglobulin, which is costly, with aspirin. Identifying the predictive factors for coronary artery dilatation or aneurysm is important in order to establish the indications for giving immunoglobulin, especially when resources are limited. Objective To identify the predictors for the development of coronary artery dilatation in patients with Kawasaki disease Methods This cross-sectional study was done between January 2003 and July 2013. Inclusion criteria were patients who fulfilled the American Heart Association criteria for acute Kawasaki disease, and had complete clinical, echocardiogram, and laboratory data [hemoglobin, leukocyte, platelet, albumin, C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR)]. All of them received immunoglobulin and aspirin. Results Of 667 KD patients, 275 met the inclusion criteria. There were 185 (67%) males. Subjects’ ages varied between 1 to 157 months. The frequency of coronary artery dilatation at the acute phase was 33.3%. Multivariate analysis showed that >7-day duration of fever and hypoalbuminemia were significant predictive factors for coronary artery dilatation. Conclusion Predictive factors for coronary artery dilatation are duration of fever over 7 days and hypoalbuminemia, while age, gender, hemoglobin level, leukocyte count, and platelet count are not. Frequency of coronary artery dilatation at the acute phase is 33.3%.
Preterm infant physiological responses to music therapy: a systematic review Ferry Liwang; Dinarda Ulf Nadobudskaya; Indah Lestari; Toto Wisnu Hendrarto
Paediatrica Indonesiana Vol 58 No 5 (2018): September 2018
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (369.848 KB) | DOI: 10.14238/pi58.5.2018.242-51

Abstract

Background Prematurity is still the leading cause of mortality and morbidity in neonates. The premature change of the environment causes stress, which leads to hemodynamic instability. Music therapy may have a positive impact on hemodynamic parameters of preterm infants in the NICU. Objective To evaluate preterm infants’ physiological responses to music therapy in NICU setting. Methods A systematic review was performed in 12 electronic databases from March 2000–April 2018. Our review included all English language publications on parallel or crossover RCTs of music therapy versus standard care or placebo in preterm infants. The outcomes were physiological indicators [heart rate (HR), respiratory rate (RR), and oxygen saturation (SaO2)]. Risk of bias was assessed using the Revised Cochrane risk of bias tool for randomized trials (RoB 2.0). Results The search yielded 20 articles on 1,148 preterm infants of gestational age 28 and 37 weeks, who received recorded music, recorded maternal/male voice or lullaby, or live music interventions in the NICU with intensity of 30–76 dB. Recorded music improved all outcomes in 6, 6, and 4 of 16 studies for HR, RR, and SaO2, respectively. Seven studies used classical music as melodic elements. However, eight studies showed no significant results on all outcomes. Conclusion Despite the finding that music interventions demonstrate promising results in some studies, the variation in quality of the studies, age groups, outcome measures, as well as type and timing of the interventions across the studies make it difficult to draw overall conclusions about the effects of music in preterm infants.
Recurrence of Febrile Convulsions Taslim S Soetomenggolo
Paediatrica Indonesiana Vol 35 No 5-6 (1995): May - June 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi35.5-6.1995.118-23

Abstract

During two years, 92 patients who experienced first febrile convulsion were followed-up in the Pediatric Neurology Clinic, Department of Child Health, Cipto Mangunkusumo Hospital, Jakarta for at least one year. Of the 92 patients 58 (63%) were males and 34 (37%) females. Most of the patients were less than 4 years, and only 6 patients (6,5%) aged more than 4 years. Eight (8, 7%) of the 92 patients suffered from recurrence of febrile convulsions, and in 5 of them the recurrence occurred within the first 6 months of follow-up. The recurrences of febrile convulsions occurred mostly in patients less than one year of age, those with tonic seizures, those with neurological disorders, and those who had history of epilepsy in their family. In this study the occurrence of recurrent febrile convulsions in patients with normal EEG was higher than that in patients with abnormal EEG.
Epidemiology of Diarrhea in Two Major Cities in Saudi Arabia Waleed Abdullah Milaat; Sufian Mohamad Elassouli
Paediatrica Indonesiana Vol 35 No 5-6 (1995): May - June 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi35.5-6.1995.124-31

Abstract

The epidemiological pattern of diarrheal diseases, causative agents, and risk factors of their occurrence in two referral hospital of Saudi Arabia was investigated in this study. Stool specimens from 1726 admitted diarrheal cases were examined for parasites, yeast, enteropathogenic bacteria and rotavirus using the ELISA test. Two-fifth of cases were due to rotavirus (RVGE) while 53.1% of cases showed no causative pathogens. Mean age of all cases was 20.2 months and RVGE cases showed a steady rise from the neonatal period onward, reaching a peak between 6-14 months. Males were of higher percentage in diarrheal cases. Mothers of diarrhea cases were mostly house wives with low educational level. Bottle fed children showed higher proportion {53.1 %) of diarrhea than other types of feeding suggesting the feco-oral route of infection and the effect of poor sanitation. A pattern of higher RVGE cases was seen in warmer months in Al-taif and in cooler months in Jeddah. Our findings demonstrated the interaction between host, pathogen and environmental factors m the epidemiology of infectious diarrhea in developing countries and the areas of possible prevention.
Diagnostic Accuracy of Electrocardiographic Criteria for Left Ventricular Hypertrophy in Thalassemia Syndrome Sudigdo Sastroasmoro; Deddy Ria Saputra; Bambang Madiyono; Ismet N. Oesman; Sukman Tulus Putra
Paediatrica Indonesiana Vol 35 No 5-6 (1995): May - June 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi35.5-6.1995.132-40

Abstract

We compared the diagnostic accuracy of electrocardiographic (ECG) criteria for left ventricular hypertrophy (LVH) in 119 randomly selected from 400 patients with thalassemia major treated at the Department of Child Health, Medical School, University of Indonesia, Jakarta. Echocardiographically derived left ventricular hypertrophy (EchoLVH), both for body surface area (BSA)-indexed and height-indexed, served as the gold standard. There were 57 girls and 62 boys available, ranging in age from 5 to 27 years. ECG criteria for LVH was detected in 23 outof119 patients, while echo-LVH was detected in 47 patients if BSA-indexed LVH was used, or 22 patients if height-indexed LVH was used. The sensitivity and specificity of ECG-LVH were 25.5 and 84.7% respectively if BSA indexed LVH was used as gold standard, or 36.4% and 84.5%, respectively, when height indexed echo-LVH was used. It is concluded that ECG criteria for LVH has a low sensitivity and hjgh specificity in detecting increased left ventricular mass in children with thalassemia major.
Factors Influencing the Duration of Acute Infantile Diarrhea Sutomo Rahardjo; S. M. Salendu Warouw
Paediatrica Indonesiana Vol 35 No 5-6 (1995): May - June 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi35.5-6.1995.141-9

Abstract

A retrospective study was conducted on infantile diarrhea treated at the Gunung Wenang General Hospital to evaluate the relationship of age, nutritional status and cause of diarrhea to the duration of episode of infantile diarrhea. From January 1991 up to December 1992, 584 infantile diarrhea cases out of 1109 infants were treated at the Division Gastroenterology Child Health Department. Three hundred and forty-four (58,7%) of them were male, and 56% of patients were less than 12 months of age. The nutritional status was evaluated using NCHS standard; 391 (67,0%) were well-nourished, 49 (8,4%) were moderately under-nourished, and .S (0,8%) were severely malnourished. Duration of diarrhea of 4 days of less was found in 70.8% of patients 13-24 months old, 43.9% in 7-12 months age group, 46.2% of infants 4-6 months age group, and 54.8% of infants 1-3 months age group, 60,6% of well-nourished infants, 56,8% of mildly malnourished infants, and 31,5% of moderate to severely malnourished infants. Chronic diarrhea was found in 5 infants (0,9%), 3 with severe malnourished infants suffered from carbohydrate intolerance with E. histolytica infestation and the other 2 infants due to E. coli.
Immunization Coverage of Underfives in Marunda, North Jakarta Titi Sunarwati Sularyo; Sri Rochani Sudjarwo
Paediatrica Indonesiana Vol 35 No 5-6 (1995): May - June 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi35.5-6.1995.150-5

Abstract

A study was prospectively carried out on the immunization coverage of underfives in a rural coastal area in Marunda, North Jakarta. It revealed that (1) the immunization coverage was still far below target, to wit covering only 19.6 % of the 102 studied children except for BCG which fulfilled the national target; (2) the immunization coverage was significantly associated with the Road to Health Chart (KMS) utilization (p < 0.05), the number of mother's parity (p < 0.05), and very significantly associated (p < 0.01) with the family income; (3) Mothers reasons for not having their underfives immunized were not knowing at all about immunization or that it should be done consecutively several times (65.9 %), the child was then not considered quite healthy (15.8 %), or there had been no funds (18.3 %).
Breast Abscess and the Mother's Support Group Emelia Suroto Hamzah; Eddy Padlyana
Paediatrica Indonesiana Vol 35 No 5-6 (1995): May - June 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi35.5-6.1995.156-60

Abstract

This case report deals with an18-years-ols primiparous lactating mother who had an abscess on the right breast and a cracked nipple on the left. She was referred to the Hasan Sadikin’s breastfeeding mother’s support group. Beside treating her with antibiotics and analgesics, surgical intervention was done which showed a good result. A proper lactation management succeeded in increasing the milk supply as was reflected in the growth of the infant. At home visite a well-grown and exclusively breastfed infant was found. So this mother-infant pair had got the benefit of the referral system established by Hasan Sadikin Hospital.
Child Neglect Sudiyanto Sudiyanto
Paediatrica Indonesiana Vol 35 No 5-6 (1995): May - June 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi35.5-6.1995.113-7

Abstract

Child neglect refers to failure to provide children's fundamental needs. In contrast to child abuse, which implies active negative conduct, child neglect means something passive. Child neglect may take a variety of forms including medical, physical, safety, sexual, educational, and emotional neglects. The neglects may manifest themselves as conditions reflecting the improper provision of child's needs. It should always borne in mind that child neglect is almost invariably resulted from complex process which has been influenced by family history, individual characteristics of the parents and children, social and environmental circumstances, and medical problems. Its management, therefore, should be thoroughly administered, and should involve many aspects and all parties in a team effort. The prevention of child neglect should include formal and informal education of the rights of the child.

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