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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
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Sensitivity and Specificity of Electrocardiographic Criteria for Left Ventricular Hypertrophy in Children with Rheumatic Heart Disease Sudigdo Sastroasmoro; Bambang Madiyono; Ismet N. Oesman
Paediatrica Indonesiana Vol 31 No 9-10 (1991): September - October 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (982.404 KB) | DOI: 10.14238/pi31.9-10.1991.233-44

Abstract

Electrocardiographic criteria for left ventricular hypertrophy (L VH) were examined in 84 unselected pediatric patients with rheumatic heart disease. There were 47 male and 3 7 female patients, ranging in age from 6 to 19 years. Electrocardiographic L VH was detected m 41 patients (48.8%), i.e. in 55.3% (26/47) of boys and in 36.6% (15/41) of girls. Echocardiographically determined L VH was present in 42 cases (50%) if left ventricular mass (L VM) was indexed for height, or 47 cases (56%) if L VM was indexed for body surface area (BSA). The overall sensitivity of height-indexed electrocardiographic diagnosis of LVH was 71.4% (95% confidence interval= 57.7% to 85.1%), while its sensitivity was 73.8% (95% confidence interval= 60.0% to 87.0%). For BSA indexed echocardiographic LVH, the sensitivity was 68.1% (95% confidence interval = 54.8 to 81.4%) and the specificity was 75.7% (95% confidence interval = 61.9% to 89.5%). When sex-adjustment was examined, there was no increase of sensitivity of electrocardiographic LVH. Sensitivity of the electrocardiogram for LVH increased when age-adjustment was examined with 13 years of age as a cut-off point, both for height indexed and BSA-indexed echocardiographic LVH. Reasons/or the difference between these findings and the findings in adult patients (remarkably low sensitivity and very high specificity of ECG L VH) were discussed. Electrocardiogram was a moderate diagnostic modality in the detection of L VH in our pediatric patients with rheumatic heart disease. Sex did not influence the sensitivity of ECG L VH, but older age group tended to increase its sensitivity.
A Study of Aplastic Anemia at the Department of Child Health, School of Medicine University of North Sumatera/Dr. Pirngadi Hospital, Medan Ajuar Arif; Adi Sutjipto
Paediatrica Indonesiana Vol 31 No 9-10 (1991): September - October 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (519.047 KB) | DOI: 10.14238/pi31.9-10.1991.253-60

Abstract

A study of aplastic anemia in children in a period of June 1980 to June 1989 was done to evaluate the pattern of aplastic anemia in children. The cases consisted of 55 children, 30 males (54.55%) and 25 females (45.45%). Most of the patients (47.27%) were found in the age group of 10 to 15 years. The complaints were paleness (90.91%), fever (56.45%) and bleeding (52. 71%). The hemoglobin concentration was 4.25 ± 1.17 g/dl (mean ± SD), and the thrombocytopenia was generally severe. Prednisone or combination of prednisone and oxymethalone was given in addition to blood transfusions, antibiotics and vitamins. The outcome was difficult to evaluate because of the irregularity of treatments. Of the 55 children, 9 (18.02%) contracted leukemia after 1 - 5 months.
The Pattern of Thalassemia in Children at the Department of Child Health, School of Medicine University of North Sumatera/ Dr. Pirngadi Hospital, Medan Sugiani Sinulingga; Ismet Fadil Loebis; Adi Sutjipto
Paediatrica Indonesiana Vol 31 No 9-10 (1991): September - October 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (420.115 KB) | DOI: 10.14238/pi31.9-10.1991.261-7

Abstract

A study of the characteristics of childhood thalassemia was conducted at the Sub Department of Pediatric Hematology, Dr. Pirngadi Hospital from June 1979 to May 1989. There were 131 cases, consisting of75 (57.25%) boys and 56 (42.75%) girls with an average of 12 admission every year. The predominant age group was 0-2 years, and the youngest was 3 months old; Javanese ethnic group appeared predominant in 36 (63.15%) cases. Clinical symptoms of anemia were found in 112 (85.49%}, hepatomegaly in 91 (69.46%}, hepatosplenomegaly in 84 (64.12%}, without enlargement of organ in 17 (12.97%), and icterus in 6 (4.58%). Hb-Electrophoresis was done in 42 cases, revealing 26 (61.90%) with thalassemia major, 15 (35.71%) Hb E thalassemia, and 1 (2.20%) Hb H thalassemia. Hb value at the first admission in 65 (49.62%) was less than 5 g/dl, in 63 (48.09o/o) it was 5-10 g/dl and in 3 (2.29%) more than 10 g/dl.
Acute Non Lymphoblastic Leukemia in the Department of Child Health School of Medicine, University of North Sumatera/ Dr. Pirngadi Hospital Medan (1983-1988): A Preliminary Study Feraluna Nasution; Zairul Arifin; Adi Sutjipto
Paediatrica Indonesiana Vol 31 No 9-10 (1991): September - October 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (346.091 KB) | DOI: 10.14238/pi31.9-10.1991.268-72

Abstract

A retrospective study on Acute Non Lymphoblastic Leukemia (ANLL) was conducted at the Sub Division of Pediatric Hematology, School of Medicine, University of North Sumatera/Dr. Pirngadi Hospital Medan, in a period of 5 years (1983-1988). There were 18 cases consisted of 14 (77. 78%) males and 4 (22 .22%) females with the age group of 0-2 years: 6 (30%), 2-8 years: 9 (50%), 8-15 years: 3 (30%). By the FAB classification, they were of FAB M-1: 1 (5.55%), FAB M-2: 1 (5.55%), FAB M-3: 1 (5.55%), FAB M-4: 2 (11.12%) and FAB M-6: 13 (72.23%). Only 7 (38.88%) were treated with cytostatics while the others received only supportive therapy. The result of cytostatic treatment was unsatisfactory: 4 (57.14%) died within the first 2 months of treatment, 3 (42.86%) discontinued their cytostatics treatment.
Bronchopneumonia with measles in Infants and Children at the Department of Child Health School of Medicine, University of North Sumatera/ Dr. Pirngadi Hospital Medan (January 1985 - December 1989) Charles Hutasoit; Mardiana K. Dj.; Ridwan M. Daulay; Helmi M. Lubis; Zakaria Siregar
Paediatrica Indonesiana Vol 31 No 9-10 (1991): September - October 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (623.161 KB) | DOI: 10.14238/pi31.9-10.1991.273-80

Abstract

A retrospective study was done on patients with bronchopneumonia hospitalized at the Dr. Pirngadi Hospital Medan/School of Medicine, University of North Sumatera; during January 1985 through December 1989. The purpose of this study is to assess the morbidity and mortality of bronchopneumonia with measles and the nutritional status of the patients. Out of the 14.082 patients admitted, 1310 children suffered from bronchopneumonia (10.7%). Ninety nine of them were also with measles (7.6%). Most of the patients with bronchopneumonia without measles were in the age group 0-1 year (58.7%). The mortality waas 24.8% and the highest mortality rate was in the age group of 4-5 years (34.6%). Most of the patients with bronchopneumonia and measles were in the age group of 1-2 years (30.3%). The mortality rate of bronchopneumonia with measles was 22.2% and the highest mortality rate was in the age group of 3-4 years (35. 7%). Bronchopneumonia with or without measles occurred more in malnourished patients rather than in well-nourished cases. All of the patients who had bronchopneumonia with measles in the present study had never been immunized against measles.
The Predictive Value of Phadiatop Paediatric in the Determination of Atopy in Allergic Diseases in Children Ariyanto Harsono; Gunadi Santosa; Makmuri M. S.
Paediatrica Indonesiana Vol 31 No 9-10 (1991): September - October 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (718.462 KB) | DOI: 10.14238/pi31.9-10.1991.281-8

Abstract

We obtained 28 patients with asthma bronchiole in this study. The presumptive diagnosis of allergy was made on the basis of history and physical examination. The positive result of the skin test to inhalant extracts and positive history of inhalant allergy add a confirmatory evidence in the diagnosis of inhalant allergy. The diagnosis of food allergy was judged by positive result in the provocation test. This study provided 15 patients with food allergy and 13 patients with food and inhalant allergy. House dust a1Jd mites were the most prevalent positive result in the skin test. While in the provocation test, egg ·and milk were found as the most prevalent food causing symptoms of allergy. The skin test predicted the atopy with an efficiency of 53.5%, While Phadiatop Paediatric predicted the atopy with an efficiency of 82.1 %. We concluded, as a screening procedure in allergy, the Phadiatop Paediatric is better than the skin test. Nevertheless the skin test has its superiority in the development of logical environmental controls and as a guide to immunotherapy in inhalant allergy.
Pattern of diseases associated with fever among infants aged 1-6 months G. Gunawan; T. H. Rampengan
Paediatrica Indonesiana Vol 31 No 7-8 (1991): July - August 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (429.921 KB) | DOI: 10.14238/pi31.7-8.1991.205-11

Abstract

This study was carried out retrospectively to evaluate the pattern of diseases associated with fever among infants aged 1-6 months at Gunung Wenang General Hospital Manado. During the period of January 1988 - December 1989, 189 infants with age ranging 1-6 mnths, were evaluated. Diseases associated with fever predominantly occurred in infants of 3 months old (73.0%).The final clinical diagnosis oj diseases associated with fever were gastroenteritis (39./5%), pneumonia (28.05%), meningitis (9%), respiratory tract injection (/5.4%), post vaccination (4.20%) and septicemia (4.3%).The fever ranged from 37.8 - 38.3°C (38%); 38.4 - 39.5°C (49%), 39.6 - 41°C (10%) and more than 41°C (3%). The elevated body temperature was significantly related to the duration oj fever (p 0.01).Increased erythrocyte sediment ion rate and thrombocytopenia were not correlated significantly (p:> 0.05) with elevated body temperature IVhile the total white cell count had a significant relationship (p <- 0.05).
Acute Lymphoblastic Leukemia in the Department of Child Health, School of Medicine, University of North Sumatera/ Dr. Pirngadi Hospital Medan (1980 - 1988) Zairul Arifin; Feraluna Nasution; Adi Sutjipto
Paediatrica Indonesiana Vol 31 No 7-8 (1991): July - August 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (381.182 KB)

Abstract

A retrospective study on acute lymphoblastic leukemia (ALL) was conducted to assess the pattern of childhood ALL at the Subdivision of Pediatric of Hematology, School of Medicine, University of North Sumatera/ Dr. Pirngadl Hospital, Medan, in a period of 8 years (1980 - 1988). There were 120 cases, consisting of 63 (51.5%) males and 57 (47.5%) females. By the FAB classification (Bennett, 1976; 77.5% ) were found as FAB L1, 25 (20.8%) as FAB L1, and 2 (1.7%) as FAB L 3. The youngest was 4 months old. The majority of signs and symptoms appeared In the forms of pallor 102 (85%), fever 84 (70%), hemorrhage 52 (43.3%), hepatomegaly 64 (53.3%), splenomegaly 54 (45%) and lymphadenopathy 18 (15%). On first admission, 76 (63.33%) cases were with a leukocyte count of less than 20,000/ ul, and 72 (60%) with Hb content of less than 5 g/dl. Twenty one cases died In the first year. The received cytostatic protocol; 11 (S2.38'1o) were treated regularly and first remission were found in 8 (72. 73%) cases. The average of admissions per year for the age group of 2·8 years was higher than the age groups of 0·2 years and 8-16 years (p < 0.05).
Diarrhea in Neonates at the Subdivision of Perinatology Dr. Pirngadi Hospital, Medan Nurjannah Nurjannah; Guslihan D. Tjipta; Dachrul Aldy; Noersida Raid
Paediatrica Indonesiana Vol 31 No 7-8 (1991): July - August 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (426.651 KB)

Abstract

A retrospective study on diarrheal manifestation in newborn babies was conducted at the ward of Neonatology, Dr. Pirngadi Hospital Medan from January to December 1988. There were all 3367 babies hospitalized during the study period. One hundred and thirty five (4.0%) had diarrhea, including 106 (78.5%) babies with birth weights of ≥2500 gram. Of 2478 babies with spontaneous delivery, 14 (1.4%) babies had diarrhea, while of 889 babies with obstetrical intervention delivery 101 (11.4%) babies had diarrhea. The difference was statistically significant (pL. 0.001). Of 115 babies with diarrhea, there were 81 (60.7%) with moderate and 11 (23.0%) wirh severe dehydration. The mortality rate was 47.5% in patients with accompanying diseases and 0.0% in them without. The mortality rare in babies with birth weights < 1500 gr was 37.9% and 16.9% in babies with birthwejghts ≥2500 gram (p<. 0.001). The mortality rste increased with the increase of dehyrotion (p<0.03).
Measles Enteritis in Infants and Children Indra Tamboen; Atan Baas Sinuhaji; A. H. Soetanto
Paediatrica Indonesiana Vol 31 No 7-8 (1991): July - August 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (302.937 KB)

Abstract

The incidence, mortality and clinical features of measles enteritis were reported among 6484 infants and children admitted to the Pediatric Ward Dr. Pirngadi General Hospital Medan from 1st January J987 until 31st December 1988. Of these 6484 children, 2685 suffered from gastroenteritis and 82 from measles. There w,ere 31 cases of measles enteritis (1 .2% of all gastroenteritis cases or 37.8% of measles cases). Most of measles enteritis cases (74.2%) were in the age group of 6-24 months and no case was found under six months old. The mortality of measles enteritis with bronchopneumonia and encephalitis was 25.0% while the mortality of measles enteritis with bronchopneumonia was 13.3%. There were no deaths in children just with measles enteritis alone. The overall mortality of measles enteritis with or without accompanying disease was 12.9%. The age specific death rate of measles enteritis was highest (23.1 o/o) in the 13-24 month age group.

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