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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.

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Articles 2,127 Documents

132 133 134 135 136

Measles Enteritis in Gunung Wenang General Hospital Manado Taufan I. W.; T. H. Rampengan
Paediatrica Indonesiana Vol 31 No 7-8 (1991): July - August 1991
Publisher : Indonesian Pediatric Society

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The incidence and mortality rate of 48 measles enteritis cases has been evaluated retrospectively, during the period of January 1986 to December 1989. Children under 2 years old were 21 cases (43.8%), between 2-5 years old 16 cases (33.3%) and more than 5 years old 11 cases (22.9%). Nutritional status based on the classification of Wellcome Trust Working Party revealed normal33 (68.8%), moderate malnutrition 12 (25%) and severe malnutrition 3 cases (6.3%). Diarrhea and mild dehydration was found in 36 f75%), moderate dehydration 10 (20.83%) and severe dehydration 2 cases (4.2%). Six ( 12.5%) out of 48 cases had had measles vaccination. Twenty jour cases (50%) of measles entent1s had other complications. The mortality rate was 2.1% comprising one pat1ent, who suffered from measles enteritis with severe dehydration bronchopneumonia, enchephalitis and severe malnutrition.

Plasma Concentrations of Urea and Creatinine in Primary School Children in Ujung Pandang Gatti H. Hamma; Syarifuddin Rauf; Dasril Daud; Agnes Kwenang
Paediatrica Indonesiana Vol 31 No 7-8 (1991): July - August 1991
Publisher : Indonesian Pediatric Society

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A study of plasma concentrations of urea creatinine in 202 primary school children aged between 6 to IS years was carried out in Ujung Pandang from November 1988 through February 28, 1989. Sampling was done using multi-stage random sampling method. Plasma urea concentrations were not affected by sex, age and nutritional status. Normal distribution of plasma urea concentrations in P2.J and P97.J were 8.13 mg/dl and 24.09 mg/dl respectively (95% confidence level). There was no difference of creatinine concentration between the two sexes. The overall mean creatinine concentrations was significantly higher in the wellnourished group (0.73 Â± 0.081) mg/dl) as compared to PEM group (0.63 Â± 0.066 mg/dl). This study revealed a correlation between age and plasma creatinine concentrations in the well nourished (r=0.46. p<0.01) as well as in PEM (r=0.37, p<0.01) group. Hence, normal distribution of plasma creatinine concentrations should be base on values in each age group. This study showed no correlation between plasma urea and creatinine concentrations.

Cystosonography with echocontrast: A new imaging technic for detecting vesicoureteral reflux in children E. K. B. Ifran; B. Lombay; L. Szabo
Paediatrica Indonesiana Vol 41 No 1-2 (2001): January 2001
Publisher : Indonesian Pediatric Society

Vesicoureteral reflux (VUR) is a common pediatric problem. Its late consequences may cause hypertension andÂ renal failure, so that early diagnosis is important. Micturition cystourography (MCU) or radionuclide cystography (RNC) is theÂ imaging of choice but these technics expose the children 10 radiation. Cystosonography with echocontrast is a new imagingtechnic lor detecting VUA without exposing the children to radiation. The aim of this article is to review this technic and to showÂ our early experiences with this new method in the Pediatric Radiology Department of Borsod County Teaching Hospital,Â Miskolc, Hungary.

Factors associated with mortality in newborn infants with meconium aspiration syndrome Asril Aminullah; Jonardi Sarmili; Sudigdo Sastroasmoro
Paediatrica Indonesiana Vol 41 No 1-2 (2001): January 2001
Publisher : Indonesian Pediatric Society

Meconium aspiration syndrome (MAS) is still one of the common causes of morbidity and mortality in neonatal period. A retrospective study was conducted from January 1993 to December 1999, to identify factors associated with mortality in MAS. Univariate analysis disclosed that preeclampsia/eclampsia, sex, Apgar scores, consistency of meconium, and use of mechanical ventilation were significantly associated with mortality in MAS, while gestational age, mode of delivery, hypertension, birth weight, tracheal suctioning, blood cultures, and complications were not. Logistic regression analysis showed that mode of delivery, preeclampsia/eclampsia, Apgar scores, consistency of meconium, and use of mechanical ventilation were associated with mortality in MAS, while other variables were not.

Nutritional status of underfive children of less privileged families in Medan Indra B. Hutagalung; Bangun Lubis; Ridwanto Ridwanto; Hakimi Hakimi; Endang D. Hamid
Paediatrica Indonesiana Vol 41 No 1-2 (2001): January 2001
Publisher : Indonesian Pediatric Society

A cross sectional study was done on 94 under five children taken from Keluarga Pra-sejahtera (pre-prosperous family=-pre-PF) and Keluarga Sejahtera Tahap-1 (prosperous family phase-I=PF-I) in the East Medan subdistrict, municipality of Medan in period of August 1995 up to February 1996. The aim of the study was to measure nutritional status of under five children in both groups. There were 94 under five children in group of ore-PF and 94 under five children in group of PF-l. It was found that the nutritional status of both groups was significantly different. Significant difference was also noted when they were classified according to father's occupational status and father's education level. However when they were grouped according to maternal education, number of children in the family, and occurrence of disease in the previous month no significant difference was detected.

Blood lipid of preadolescent boys of well-to-do families Muzief Munir; Sudiro Darmoprawiro
Paediatrica Indonesiana Vol 41 No 1-2 (2001): January 2001
Publisher : Indonesian Pediatric Society

Coronary heart disease is presently one of the leading causes of death In adults in many countries, including in Indonesia. It is well known that elevated levels of cholesterol in children are closely associated with hypercholesterolemia and coronary heart disease in adult life. This study was conducted in an attempt to find a preliminary insight of the magnitude of the problem of hypercholesterolemia In children In Indonesia as a developing country. The blood lipid levels of 54 preadolescent boys from well-Io-do families were analyzed. Two-third of those children were shown to have elevated blood cholesterol level, and even one third or 16 out of 54 preadolescents boys investigated suffered from hypercholesterolemia. We conclude that elevated blood cholesterol level is frequently found among large-framed and obese Indonesian children.

Covert bacteriuria in schoolchildren Taralan Tambunan; Yuli Kumalawati; Partini P. Trihono; Astuti Giantiti; Muzal Kadim; Vera Irawani
Paediatrica Indonesiana Vol 41 No 1-2 (2001): January 2001
Publisher : Indonesian Pediatric Society

Covert bacteriuria is defined as significant bacteriuria detected during a screening program, This study was done as a pari of pilot program held by Medical School University of Indonesia namely Community Health Program. The screening was carried out at four Primary School al Cibubur Subdistrict Eastern Jakarta. The population target was focused on children at the third, four1h and fifth grade from each school. Screening urinalyses include examinatiOfl for the presence of glucose, protein, blood and bacteria. There were 460 children enrolled to this study, but only 449 cases were eligible for assessment comprising 217 males and 232 females aged ranged between 7.4-14.1 years. Covert bacteriuria were found in ten cases (2.22%), comprising five males and females consecutively. Antibiotics were not given. Repeated urine culture done two weeks later revealed that six cases cured spontaneously, four other cases still showing bacteriuria although all cases remain asymptomatic. We conclude that covert bacteriuria in schoolchildren is a benign condition, most of them are spontaneously cured without antibiotic treatment. This conclusion is in accordance with the opinion of most authors that screening for bacteriuria in healthy children does not have a place in any age group including schoolchildren.

Evaluation of cardiac murmurs in 8647 children at primary school-age children in the Province of Malatya, Eastern Turkiye Feyza Aysenur Pac; Hamza Karabiber; Ayhan Kilic; Onur Kutlu; Cengiz Yakinci; Mucahit Egri
Paediatrica Indonesiana Vol 41 No 1-2 (2001): January 2001
Publisher : Indonesian Pediatric Society

We assessed prospectively the prevalence 01 pathologic and Innocent murmurs in childhood, to determine the efficacy of clinical evaluation, to compare the results of physical examinations performed by pediatricians and pediatric cardiologists and echocardiographic evaluations, and to contribute to the determination of the limits of echocardiography indications in children with murmurs. A number of 8647 children, aged 6.5-15 years, 4092 females, 4455 males in ten different primary schools belonging to different socioeconomic levels in Malatya, Eastern Turkey. Those children with a murmur were evaluated by a pediatric cardiologist. Chest X-ray, electrocardiography, and echocardlography were obtained in all subjects having a murmur. The results of physical examinations performed by the pediatricians and the pediatric cardiologist were compared, and the final diagnoses were reached by evaluation of chest X-ray, ECG and chocardiography. The incidence of Innocent murmurs was found to be 3.4% and that of pathological murmurs 0.54% In the population eximaned. The statistical comparison of the results revealed that pediatricians have a tendency toward Innocent murmurs in the interpretation of murmurs (p<0.05). There was not a statistically significant difference between the results of physical examinations of the pediatric cardiologist and the results of echocardlographic examination. Pediatricians can diagnose pathologic cases with a sensitivity of 63.8% whereas pediatric cardiologist could diagnose those cases with a sensitivity of 95.7% and specificity of 99.7%. Our findings support the policy that children with a cardiac murmur should be referred to a pediatric cardiologist, in order to verify clinical diagnosis.

Alagille syndrome: Review of 14 patients Purnamawati S. Pujiarto; Arnold L. Smith
Paediatrica Indonesiana Vol 41 No 1-2 (2001): January 2001
Publisher : Indonesian Pediatric Society

Alagille syndrome (AGS) Is a common form of familial intrahepatic choleslasis, an autosomal dominant disorder due to defects in Jagged1 gene. It Is characterized by at least 3 of 5 mator features. We reviewed two groups of patients with AGS. Group 1 comprised 12 AGS patients, retrospectively studied (1995-1996), in the Gastroenterology Department, Royal Children's Hospital, Melbourne. Group 2 comprised 2 AGS patients, prospectively studied since 1999, in The Pediatric Hepatology Division, Cipto Mangunkusumo Hospital, Jakarta. Prolonged cholestasis is the most common feature at presentation (12 patients). All these 12 subjects developed pruritus and xanthoma of varying degree. Osteopenia occured in 6 patients, 2 patients experienced fractures. AGS facies was noted In aH 14 subjects. Heart anomaty was found in 10 patients, vertebral anomaly in 6 patients, and posterior embryotoxin in 10 patients. Common additional features were growth and mental retardation in 10 and 8 patients, respectively. Liver biopsy was able to confirm the diagnosis as young as age 2 months. Death occurred in 2 patients due to liver failure and hemorrhagic pneumonia. Liver transplant was done in 1 patient due to poor quality of life (severe pruritus, xanthoma, recurrent fractures). Affected family members were strongly presumed in 8 patients. In conclusion, AGS should be considered in babies with chronic Intrahepatic cholestasls, especially it associated with pruritus. Liver biopsy Is the most sensitive diagnostic testing which will prevent unnecessary surgical intervention due to biliary atresia mimicry.

Autoimmune hemolytic anemia warm-antibody type (Warm AIHA) in an 8-year-old Balinese girl Putu Tri Yasa; Ida Bagus Mudita; Hendra Santoso; Sudaryat Suraatmadja
Paediatrica Indonesiana Vol 41 No 1-2 (2001): January 2001
Publisher : Indonesian Pediatric Society

A case of autoimmune hemolytic anemia warm antibody type A (warm AIHA) in an 8-year-old Balinese girl was reported. The diagnosis was established based on clinical features, laboratory findings including positive Coombs' Â test positive. The etiology was probably primary or Idiopathic. The child was transfused with packed red cells and treated with oral prednisone. The response of the treatment was good and she experienced complete remission. The prognosis in patients with idiopathic warm AIHA are unpredictable. The girl underwent further follow-up in the child hematologic division every two weeks.

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