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Paediatrica Indonesiana

paediatrica-indonesiana
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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

105 106 107 108 109

Evaluation of Cardiac Involvement by Echocardiography in Children with Acute Meningococcemia Semra Atalay; Hulya Kahraman; Saimin Karademir; Musa Kazim Caglar
Paediatrica Indonesiana Vol 33 No 1-2 (1993): January - February 1993
Publisher : Indonesian Pediatric Society

Myocarditis in acute meningococcemia is rare in children. Impaired cardiac contractile function may contribute to cardiovascular collapse in endotoxemia. We evaluated prospectively the clinical and echocardiographic findings in 25 consecutive children with acute meningococcemia. All of the patients had good prognostic indicators. Eleven (44%) of the 25 children bad echocardiographic evidence of myocardial dysfunction. The mean LVFS in these eleven children was 0.23 Â± 6.00, as compared with the mean LVFS of0.34Â±8.87 in the remaining children. LVFS returned to normal within 7 days in all patients. We observed minimal pericardia/effusion in 4 patients (16%) that resolved within 3 days. We demonstrated that acute meningococcemia is frequently associated with myocardial dysfunction. We could not though, find the relation between myocardial dysfunction and mortality.

Serum IgG, and IgM Levels in Children with Febrile Convulsions Gulhis Deda; Ugur Karagol; Ya Vuz Gurer
Paediatrica Indonesiana Vol 33 No 1-2 (1993): January - February 1993
Publisher : Indonesian Pediatric Society

At the Dr. Sami Ulus Children's Hospital Ankara, Turkiye, 20 patients, twelve being between 6 months-2 year old and eight being between 2-4 years, with their first febrile convulsions (FC) were examined for serum IgG, IgA, IgM levels during the period of March 1989-]uly 1989. Twenty healthy children were used as controls, seven being between 6 months-2 years old and thirteen being between 2-6 years. The serum IgG, IgA and IgM levels of the patients between 6 months-2 years were 805.000 + 307.8984 mg/ dl, 49.7167 + 27.9807 mg/dl and i55.1833 + 62.9696 mg/dl respecttvelly. The serum IgG, IgA and IgM levels of the patients between 2-4 years were : 989.1250 Â± 314.5359 mg/dl, 92.6125 Â± 34.5663 mg/dl and 159.8750 Â± 45.6647 mg.ldl respectivelly. The mean IgA levels of the 12 FC patients between 6 months-2years were 49.7167 Â± 27.9807 mg/dl and the mean level of IgA in the age matched control group was 81.0427Â± 31.3551 mg/dl and the difference between them was statistically significant (p <0. 005). We conclude that FC under 2 years of age is associated with low serum IgA levels.

Effect of Cloxacillin on Bilirubin-albumin Binding Achmad Surjono
Paediatrica Indonesiana Vol 33 No 1-2 (1993): January - February 1993
Publisher : Indonesian Pediatric Society

Cloxacillin is usually given to newborn infants with sepsis in particular for penicillinase-producing staphylococcus aureus. The effect of cloxacillin on bilirubin-albumin binding was investigated in vitro using the peroxidase oxidation method with human albumin (bilirubin 0.255 mM, albumin 0.45 mM, billalb 0.56, pH 7.4, temperature 3 0Â°C). Sulfisoxazole, a drug which is capable of displacing bilirubin from albumin was used as control. The displacement constant of cloxacillin was 4.86 x 1o5 Nr1, stronger than that of sulfisoxazole (1. 72 x 104 M-1). Both drugs were capable of displacing bilirubin as determined by their maximal displacement factors of 2.21 and 2.29, respectively. Since cloxacillin apparently increases the risk of bilirubin encephalopathy the use of this drug in jaundiced newborns with sepsis, especially in the premature infants, should be reconsidered.

Mid-arm and Chest Circumferences for Estimating Low Birthweight Achmad Surjono
Paediatrica Indonesiana Vol 33 No 1-2 (1993): January - February 1993
Publisher : Indonesian Pediatric Society

A prospective study was conducted to assess the diagnostic performance of mid-arm and chest circumferences on low birth weights in 1033 singleton newborn infants. The proportion of low birth weight was 11.7%. Strong correlations on birth weight (P<0.001) were found for mid-arm (r-0.85) and chest (r=0.86) circumferences. A mid-arm circumference of â‰¤9,5 cm was considered as cut-off level for low birth weight, with a sensitivity of 0.818, specificity 0.956 and positive predictive value 0. 712. Whereas that of chest circumference wa â‰¤29.5 cm with a sensitivity of 0. 785, specificity 0.895 and positive predictive value 0.497. Receiver operating characteristic (ROC) curves were used to compare their diagnostic accuracy. The area under these two ROC(Â± SE) were 0.954 Â± 0.011 for mid-arm and 0.945 Â± 0.012 for chest circumferences, respectively. Both areas showed significant differences with the area under chance line. No statistically significant difference was found between the area under ROC of mid-arm and chest circumferences. The results showed that mid-arm and chest circumferences as simple and reliable measurements can be used in estimating low birth weight, in areas where the accurate weighing of newborn infants is not feasible.

Hydrocephallus in the Department of Child Health, School of Medicine University of North Sumatera Dr. Pirngadi Hospital, Medan Yahya G. Lubis; T. Razif; Manihar D. Marbun; Bistok Saing
Paediatrica Indonesiana Vol 33 No 1-2 (1993): January - February 1993
Publisher : Indonesian Pediatric Society

A retrospective study 10 find out the incidence of hydrocephalus in the Paediatric Neurology Subdivision Department of Child Health, School of Medicine, University of North Sumatera/Dr. Pirngadi Hospital Medan, was carried out in the period of 1986- 1989. The number, age groups, causes and treatment were reviewed. The cases consisted of 45 children; 28 males (68.2%) and 17 females (27.8%). Most of the patients (34 = 75.5%) were found in the age group of 1 year or younger and the rest (11 = 24.5%) were tn the age group of more than I year. The youngest was 2 days old and the oldest was 5 years and 6 months old; 33 cases were congenital, 5 cases were acquired and 7 cases were unknown causes. Conservative treatment were introduced to almost all cases, and four cases had ventricular peritoneal shunt.

Congenital Hypertrophic Pyloric Stenosis: A Case at the Gunung Wenang Hospital Manado - North Sulawesi Indonesia S. M. Salendu; Abdullah B.
Paediatrica Indonesiana Vol 33 No 1-2 (1993): January - February 1993
Publisher : Indonesian Pediatric Society

On a baby girl of 4 weeks old with the dtagnosts of congenital hypertrophic pyloric stenosis, an extremely rare case in our Hospital, surgical operation was done using the Fredet Ramsted method. The main complaint was frequent vomiting. The diagnosis was based on projectile vomiting, retarded growth, constipation, moderate dehydration and was confirmed by barium meal study. Ten days after the operation, she was discharged in a good condition.

Sweat sodium and chloride contents in 8-14 years old children (A preliminary study) I. Boediman; Dwi P. Widodo; Noenoeng Rahajoe
Paediatrica Indonesiana Vol 33 No 3-4 (1993): March - April 1993
Publisher : Indonesian Pediatric Society

A modified Shwachman sweat test was performed on 152 children aged between 8-14 .4 years old, consisting of 54 girls (35.5%) and 98 boys (64%), to look for sweat electrolyte values. Mean sweat electrolyte contents in boys was higher than in girls. The mean sweat Na+ and Cl- were 50.15 Â±25.83 mEq/L and 43 .76 m.Eq/l Â± 24.67 respectively. The sweat electrolyte contents were not influenced by age.

The Spectrum of seven preventable Diseases at the Pediatric ward of Dr. Pirngadi Hospital Medan T. Razif; Yahya G. Lubis; T. Murad El-Fuad; Syahril Pasaribu; Chairuddin P. Lubis
Paediatrica Indonesiana Vol 33 No 3-4 (1993): March - April 1993
Publisher : Indonesian Pediatric Society

A retrospective study on seven preventab!e diseasee was done in 1989. We found 137 (7.1%) cases of all admissions; they were distribued into 12 neonatal tetanus (8.8%), 57 tetanus (4 1.6%), 17 measles (72.1%), 15 diphtheria (10.9%), 35 pulmonary tuberculosis (25.6%), and 7 poliomyelitis (0. 7%). There was no admittance of pertussis; 62% of those cases consisted of under five-year-old children. None of those patients had had measles immunization, and their mothers had not had tetanus toxoid immunization when they were pregnant. The mortality were as follows: neonatal tetanus 4 (33.3%), tetanus 3 (5.3%), measles 1 (5.9%), pulmonary tuberculosis 9 (25.7%) and diphtheria 7 (46.7%).

Early protection against measles infection in children Immunized with DPT-measles Vaccine at the Age of 4 Months Soegeng Soegijanto; Dwi Atmaji Soejono; Parwati Setiono B.
Paediatrica Indonesiana Vol 33 No 3-4 (1993): March - April 1993
Publisher : Indonesian Pediatric Society

A study on early immunization with DPT-measles vaccine at the age of 4 months, was earned out during 1990 - 1991 on 348 babies at the Health Centre of Surabaya regency. Three hundred and forty eight babies were served as control. The results of the study reported here were : (a) By giving a mixture of DPT and measles at an early age (4 months of age) the coverage of measles immunization could be increased to 21% - 27%. (b) 1'wenty two percents of measles cases could be prevented. (c) The geometric mean titer using hemagglutination inhibition test of the babies who got a mixture DP7~measles vaccination at an early age was significantly higher than that of the GMT HI test of babies who got measles vaccination at the age of 9 months ( z test, p <0, 05 ) . The result of analysis of data showed that an early immunization program using a mixture of DPT-measles could protect babies under 9 months and thus prevent them from measles infection.

Complication of Early Banana Feeding in Neonates E. M. Halimun; Joko Sunyoto; S. K. Hutomo; Oen L. H.; V. Yuwono
Paediatrica Indonesiana Vol 33 No 3-4 (1993): March - April 1993
Publisher : Indonesian Pediatric Society

Early introduction of banana in newborn babies is still practiced by many mothers from different areas throughout the country and gastric perforation due to phytobezoars are sttll a problem tn the country. During the years 1984 through 1991 at the Children and Maternity Hospital Harapan Kita jakarta, fifteen neonates were treated for gastric perforation among which 6 were due to banana bezoar, 6 were due to deject of the gastric muscle, 2 were due to necrotizing enterocolitis (NEC) and 1 was due to iatrogenic duodenal obstruction. Pathogenesis of gastric perforation due to phytobezoar and the macroscopic and histopathological appearance of the perforation and its differences with perforations due to other causes were discussed.

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