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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 2,127 Documents
 126   127   128   129   130 
Comparison of blood glucose levels in breastfed vs. formula-fed low birth weight infants Eli Tua Pangaribuan; Bugis M. Lubis; Pertin Sianturi; Emil Azlin; Guslihan D. Tjipta
Paediatrica Indonesiana Vol 49 No 1 (2009): January 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (108.771 KB) | DOI: 10.14238/pi49.1.2009.15-9

Abstract

Background  Low  birth weight infants are defined  as  babies withbirth weight less  than  2500 grams.  Low  birth weight infants tendto suffer from hypoglycemia compared to full term infants.  Theincidence  of  hypoglycemia in newborns varies between 1.3 and  3per 1000 live births. Blood glucose levels in formula-fed infantsare lower  than  those in breastfed infants.Objective  To  compare blood glucose levels in breastfed  andformula-fed low birth weight infants.Methods  A cross sectional study was conducted between February2007  and  June 2007  at  Pirngadi and H. Adam Malik GeneralHospital in Medan,  North  Sumatra, Indonesia. All low birthweight babies were classified into two groups: the breastfed  andformula-fed. Each group consisted  of  32 infants. Capillary bloodwas collected using heel pricks  at  1,  48,  and  72 hours after birth,and plasma glucose was evaluated using the Glucotrend2 bloodglucose test.Results  The  breastfed low birth weight infants had significantlyhigher blood glucose levels (P=0.002)  than  formula-fed low birthweight infants. Mode of delivery  was  related to blood glucose level.Infant delivered  by  caesarean section had significantly differentblood glucose levels  at  1 hour  (P=0.005)  and  72  hours afterbirth (P=0.027).  The  full-term infants had significantly higherblood glucose level (P=0.007)  than  the small for gestational ageinfants.Conclusions  Generally,  low  birth weight infants have hypoglycemiaafter first hour  of  delivery. Breastfed low birth weight infants havehigher blood glucose levels  than  formula-fed low birth weightinfants.
Blood nickel level and its toxic effect after transcatheter closure of persistent duct arteriosus using Amplatzer duct occluder Mulyadi M. Djer; Bambang Madiyono
Paediatrica Indonesiana Vol 49 No 1 (2009): January 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (113.217 KB) | DOI: 10.14238/pi49.1.2009.33-8

Abstract

Background  Transcatheter closure using amplatzer  duct  occluder(ADO)  is  currently the  treatment  of  choice for  patent  ductusarteriosus (PDA).  The  ADO  device  is  constructed from a Nitinolwire mesh containing 55% nickel. Up  to  now, there  is  still acontroversy about the effects  of  nickel contained in ADO.Objectives  To  determine blood nickel level  at  six months aftertranscatheter closure  of  PDA  using  ADO,  toxic effects  of  nickelat six months after  PDA  closure using  ADO,  and the effects  ofnickel  on  complete blood  count  (CBC), blood glucose and renalfunction.Methods  Subjects  were  patients  with  PDA  at  IntegratedCardiovascular Services,  Dr.  Cipto Mangunkusumo Hospital,Jakarta. Routine blood test and blood nickel levels were measuredat  the time  of  the procedure,  and  at  the  end  of  the first, third,  andsixth months after intervention.Results  There  were  29  patients who underwent heart catheteri-zation  and  PDA closure using  ADO.  A time series analysis wasconducted  on  23  patients who completed six-month follow-upafter the intervention. Median blood nickel level before procedurewas 58 ng/mL while  at  one, three  and  six months afterwards were60, 63 and 64 ng/mL respectively.  The  blood nickel levels didnot  differ significantly between pre- and  post-ADO. After  PDAclosure,  no  toxic effects  of  nickel were found,  both  clinically andlaboratorically.Conclusions  PDA  closure using  ADO  has no effects  on  the nickellevels, CBC, blood glucose and renal function;
The somatic growth pattern of preterm infants until term age Ida Bagus Andhita; Soetjianingsih Soetjianingsih; I. Wayan Retayasa
Paediatrica Indonesiana Vol 49 No 1 (2009): January 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (125.369 KB) | DOI: 10.14238/pi49.1.2009.39-47

Abstract

Background  Pre term infants contribute substantially to neonatalmorbidity  and  mortality rates. Somatic growth  is  consideredto be  an  important indicator  of  an  infant's health status.  Themeasurement parameters include body weight (BW), body length(BL), head circumference (HC), and ponderal index (PI). Specificdata  on  the somatic growth pattern  of  preterm infants in Indonesiaare unavailable.Objectives  To  identify the somatic  pattern  of  preterm infantsuntil term age  and  the influence  of  gender, nutrition, and nursingmethod  on  BW,  BL,  HC,  and  PI growth during the first week  oflife.Methods  We  recruited premature infants born in Sanglah Hopsital,Denpasar, Bali,  and  collected data  on  BW,  BL,  HC,  and  PI>All  data  were presented  as  mean (SD)  and  plotted in curves.The  relationships among several factors and the somatic growthparameters were analyzed with  ANOV  A.  The  level  of  significancewas set  at  P  <  0.05.Results  Among  100  infants, significant differences were detectedin  the  mean  ofBW,  BL,  HC, and PI, particularly in early preterminfants. Breastfed infants had the highest values with BW  2199grams (SD  198),  HC  31.4  em  (SD  1.71),  and PI  2.48  grams/cm 3(SD  0.36).  Infants nursed with the kangaroo method had thehighest values  of  BW  [2450  grams (SD  259)]  and  BL  [48  em(SD  2.34)].Conclusion  A significant difference was  detected  in somaticgrowth according to some parameters, particularly in the earlypreterm infants group. Thus, breast feeding and the kangaroomethod contribute to better somatic growth, and specifically BW.
Risk factors and outcomes, a case series of ischemic stroke in children Shirley L. Anggriawan; lrawan Mangunatmadja; Djajadiman Gatot; Sofyan lsmael; Najib Advani
Paediatrica Indonesiana Vol 49 No 1 (2009): January 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (155.353 KB) | DOI: 10.14238/pi49.1.2009.59-64

Abstract

Ischemic strokes in children, although generallyrare events, are more prevalent  than  commonlybelieved. Ischemic stroke in children have  beenassociated with coagulation disorders, cardiacanomalies, infections  and  trauma.
Association between nutritional status and outcome of childhood acute lymphoblastic leukemia treated with Wijaya Kusuma Protocol Fransiska Herintya; Sri Mulatsih; Endy Paryanto Prawirohartono
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 (405.384 KB) | DOI: 10.14238/pi48.1.2008.28-32

Abstract

Background Acute lymphoblastic leukemia (ALL) is the mostcommon malignancy in childhood. Malnutrition in malignancypatients including ALL is one of major problems. This conditionis found at the time of diagnosis as a result of the disease itself orafter, chemotherapy or radiation. Many studies have beenconducted to determine the relationship between nutritional stateand outcome of childhood ALL patients but the result was stillcontroversial.Objective To determine relative risk of death and relapse inchildhood standard-risk ALL who received therapy using WijayaKusuma protocol.Methods This was a retrospective cohort study. Newly-diagnosedpatients since May 1999-December 2004 were taken for this study.Body mass index was used to measure nutritional status for >2years old children, and weight-for-height was used for those of=2 years old. Data was obtained from Yogyakarta Pediatric CancerRegistry Dr. Sardjito Hospital. Chi-squared test was used to analyzethe proportion difference and risk relative was used to determinerisk for death and relapse.Results One-hundred and forty five patients included in this study.There was no association between nutritional state and relapse(RR 1.1, 95% CI 0.76;1.61). Logistic regression analysis showedthat there was association between nutritional state and death(RR 2.34, 95% CI 1.01;5.45). Sepsis and relapse have contributionto death as well (RR 6.75, 95% CI 2.9;15.4 and RR 3.2, 95% CI1. 3;8.08 respectively).Conclusion Nutritional status is not associatiated with relapsebut is associated with death of ALL children.
Association between age and serum ferritin level with bone age deficit in children with thalassemia major Sri Hastuti Andayani; Nanan Sekarwana; Ryadi Fadil
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 (317.675 KB) | DOI: 10.14238/pi48.1.2008.33-6

Abstract

Background Multiple blood transfusions in thalassemia patientslead to iron overload in bone tissue. Iron overload can bedetermined by serum ferritin measurement. Several studies haveevaluated association between serum ferritin level and growth,but without bone age examination.Objective To determine the association between age and serumferritin level with bone age in children with thalassemia major.Methods This study was conducted at Hasan Sadikin HospitalBandung during March-May 2007. We performed physicalexamination, serum feritin measurement, and bone ageexamination. Data were analyzed with x 2 to determine associationbetween variables. The association between age and serum ferritinlevel with bone age deficit was analyzed with regression logisticmodel.Results Subjects consisted of 49 patients with thalassemia major.All subjects had bone age deficit. Most boys were in age group of>10 years and had bone age difference >36 months, while mostgirls were <10 years and had bone age difference <36 months.Subjects with bone age difference <36 months mostly had serumferritin level <5,000 ng/dL, while most subjects with bone agedifference >36 months had serum ferritin level =5,000 ng/dL.This was statistically significant (x 2 =4.573, P=0.032). There wasassociation between age and bone age deficit (OR=13.461, 95%CI 3.199;56.640), but not with serum ferritin level (OR= 2.199,95% CI 0.532;9.095).Conclusion In thalassemic children, bone age deficit is associatedwith age, but not with serum feritin level.
Langerhans’ cell histiocytosis: difficulty in establishing diagnosis (a case report) Annie Kusumadewi; Landia Setiawati; Bambang Permono
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 (1755.261 KB) | DOI: 10.14238/pi48.1.2008.49-53

Abstract

A case of Langerhans’ cell histiocytosisthat previously diagnosed as tuberculous osteomyelitis,focusing on difficulty in diagnosis.
Right atrial tumor suspected myxoma in an 11-year-old girl I.A. Sri Kusuma Dewi; I.B. Agung Winaya
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 (2604.379 KB) | DOI: 10.14238/pi48.1.2008.54-8

Abstract

Myxomas are generally polypoid, often pedun-culated, rarely sessile, and round or oval, with smoothor soft lobulated surface. The tumor size ranges from1 to 15 cm in diameter; mostly are 5 to 6 cm. Mostmyxomas originate from left atrium. Right-sidedmyxomas are extremely rare and can present withnonspecific signs and symptoms. Despite the lackof symptoms and signs they should have a surgicalresection. Surgical removal of the tumors should beperformed as soon as possible because the long termprognosis is excellent and recurrences are rare.This paper reports a case of right atrial myxoma inan 11-year-old girl.
The Effect of Citicoline Injections on Children with Organic Brain Syndrome Caused by Infection Endang Warsiki
Paediatrica Indonesiana Vol 33 No 5-6 (1993): May - June 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (581.318 KB) | DOI: 10.14238/pi33.5-6.1993.87-94

Abstract

Forty children with organic brain syndrome caused by injections were given Citicoline intramuscular injections. Twenty of these children were within 3 months postencephalitis, the other 20 children were over 3 months postencephalitis. There were statistically significant negative correlations between the length of time from recovery from encephalitis to the initiation of administration of CDP choline and the improvement of many of the symptoms of OJ'8anic brain syndrome. In other words, these patients who began receiving Citicoline (CDP choline) within 3 months showed greater improvement than those who began receiving CDP choline over 3 months after recoveries from encephalitis.
Mantoux Test in Under-five Children Visiting the out~patient Child Clinic of Dr. Pirngadi Hospital, Medan A. Razak Dalimunthe; Ridwan M. Daulay; Iskandar Z. Lubis; Helmi Muchtar Lubis; Zakaria Siregar
Paediatrica Indonesiana Vol 33 No 5-6 (1993): May - June 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (376.763 KB) | DOI: 10.14238/pi33.5-6.1993.95-9

Abstract

To assess the difference of Mantoux test result of under-five children who bad had BCG vaccination and those who bad not, a cross sectional study was conducted in the out patient child clinic of Dr. Pirngadi Hospital, Medan. This study was conducted from February 6, 1990 until March 3, 1990 comprising 328 under-five children (164 who bad received BCG vaccination and 164 who bad not). We found positive Mantoux tests in 86.0% of under-five children who bad BCG vaccination and 9.2% of under-five children who not bad (P<0.001). Tbe diameter of induration of Mantoux tests in the under-five children who bad received BCG at the age of 1 year or less was significantly different from those who bad received it at the age of older than 1 year (P<0.001). Positive Mantoux test with a diameter of ≥ 5 mm, done after 1 year or more was found in 21. 7% of children who bad BCG vaccination in the neonatal period.

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