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Paediatrica Indonesiana
ISSN : 00309311     EISSN : 2338476X     DOI : -
Core Subject : Health,
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
Macronutrient and calorie content in preterm and term human milk at first three week after delivery Dessy Shinta Murty; Hasriza Eka Putra; Sri Mulatsih; Neti Nurani; Tunjung Wibowo
Paediatrica Indonesiana Vol 59 No 3 (2019): May 2019
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (251.745 KB) | DOI: 10.14238/pi59.3.2019.130-8

Abstract

Background The macronutrients in human milk change dynamically and vary among mothers. Evaluation of macronutrient content in human milk is needed to improve nutritional management in preterm infants. Objective To measure the macronutrient content in preterm and full term human milk during three lactation periods in the first three weeks after delivery. Methods We conducted a prospective study among 80 mothers of infants who were hospitalized in the Department of Perinatology/NICU at Sardjito Hospital, Yogyakarta. Carbohydrate, fat, protein, and caloric content were measured using a MIRIS human milk analyzer, once per week for three consecutive weeks after delivery. A single, daytime human milk specimen was collected in the morning by directly expressing from the breast. Results Median protein, fat, carbohydrate, and caloric contents of mature milk in the preterm group were 1.40 (IQR 0.38), 3.25 (IQR 1.00), 5.70 (IQR 0.80) g/dL, and 60 kcal/dL, respectively. Median protein, fat, carbohydrate, and caloric contents of mature milk in the full term group were 1.40 (IQR 0.35), 3.30 (IQR 0.77), 5.80 (IQR 0.75) g/dL, and 62 kcal/dL, respectively, at the third week after delivery. In both groups, protein content in the first week was significantly higher than in the third week (P<0.001) after delivery. In contrast, fat content in the first week was significantly lower than in the third week (P< 0.05) after delivery, in both groups. Conclusions There are no significant differences in macronutrient and caloric content between preterm and full term human milk during the first three weeks after delivery. However, there are significant changes in fat and protein content in both preterm and full term human milk during early lactation, between the first and third weeks.
Captopril Treatment in Rheumatic Heart Disease with Congestive Heart Failure A Preliminary Report Hardiman Sastrosubroto; Santosa Soeroso; Eriyati Indrasanto
Paediatrica Indonesiana Vol 29 No 9-10 (1989): September - October 1989
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (522.794 KB) | DOI: 10.14238/pi29.9-10.1989.209-14

Abstract

A small scale controlled trial of captopril (ACE inhibitor) was conducted in 8 children with congestive heart failure due to rheumatic mitral regurgitation with or without mild mitral stenosis. The age of the patient ranged from 5.5 to 13 years (mean 9,3 years). Four children, served as control group, received digitalis and diuretics as standard treatment; while the other 4 children also received 2 x 12,5 mg of captopril in addition to standard treatment. The effect of both regimens were measured by usingchanges of left ventricular function as seen on the echocardiogram performed before treatment, and then 3, 7 and 14 days thereafter. Definite conclusion cannot be made because of the small number of patients; but it is apparent that some improvements of left ventricular functions in the captopril group were more evident when compared with that of the control group of standard treatment.Side effects of captopri/ were not found.
Paroxysmal Supraventricular Tachycardia in Children : The Role of Infectious Diseases and Its Relationship to Serum Enzyme A. Samik Wahab
Paediatrica Indonesiana Vol 29 No 9-10 (1989): September - October 1989
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (646.148 KB) | DOI: 10.14238/pi29.9-10.1989.173-81

Abstract

The records of 28 children whose first episode of paroxysmal supraventricular tachycardia occurred before 12 years (median age 10 months) were reviewed. There were 17 males and 11 females. In 17 cases the first attack occurred before the first year and in 11 of these it occurred after the first year. One case had congenital heart disease (ASD). The WPW syndrome was diagnosed in 3 cases. When first seen, most of the infants presented with signs of incipient or manifest congestive heart failure. In almost ninetenth fo cases rhere was an increased of serum enzymes (lactic dehydrogenase, creatinephosphokinase and glutamic oxaloaccetic transaminase. Digitals was effective against congestive heart failure and when continued, might prevent failure during subsequent attacks. Antiarrhythmic agents other than digitals were not used. It is recommended to continue digitalis treatment for at least one year in all patients with SVT, whether or not the first episode terminated spontaneously.
Ventricular tachycardia in children with diphtheritic myocarditis A. Samik Wahab
Paediatrica Indonesiana Vol 29 No 9-10 (1989): September - October 1989
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (368.792 KB) | DOI: 10.14238/pi29.9-10.1989.182-7

Abstract

Nine children with diphtheritic ventricular tachycardia ranging in age from 2 to 11 years (mean 6.5 years) were observed and followed up until their terminal state. The ventricular tachycardia showed a left bundle branch block contour in 5 of 9 patients, right bundle branch block in four, multifocal pacemaker in three and unifocal in six patients. Fusion and captured beats were present in two and 4 patients respectively, Including one patient who had both. Four cases were without obvious atrio-ventricular dissociation. All patients were treated with standard therapy for diphtheria, and prednison was given to patients with myocarditis. Because of its controversial results, antwrrhythm1c agent was not given. The prognosis is very poor; all patients died one to 8 days after ventricular tachycardia appearance.
Secundum Atrial Septal Defect Before and After Surgery Bambang Madiyono; Ismet N. Oesman; Sudigdo Sastroasmoro; Sukman Tulus Putra; Eva Jeumpa Soelaeman; Kukuh Basuki Rachmad
Paediatrica Indonesiana Vol 29 No 9-10 (1989): September - October 1989
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4303.146 KB) | DOI: 10.14238/pi29.9-10.1989.199-208

Abstract

Twenty patients with secundum atrial septal defect, who had undergone open heart surgery were studied retrospectively. Girls were more affected than boys; the sex ratio was 1.5 : I. Associated cardiac defects were diagnosed in two patients, one with moderate valvular pulmonic stenosis and the other one with small ventricular septal defect. Typical clinical findings consisted of loud first heart sound, widely fixed split second heart sound and soft ejection systolic murmur at the upper left sternal border were heard in all cases. Mid diastolic murmur due to relative tricuspid stenosis was detected in most cases (75%). Electrocardiographic findings included right axis deviation, prolonged PR-interval and right atrial enlargement were found in 50%, 15% and 60% of cases, respectively. Incomplete right bundle branch block and right ventricular enlargement were found in all cases, as was cardiomegaly with increased vascular markings were found in all cases. Paradoxical ventricular septal motion and visualization of the atrial septal defect were seen in 95% and 75% of cases, respectively. Cardiac catheterization was performed in 19 patients (95%). The pulmonary-systemic flow ratio (Qp/Qs) ranged from 1.7 to 6.3 (mean 2.9 ± 0.67), and was correlated to the presence of mid diastolic tricuspid flow murmur and paradoxical ventricular septal motion. Simple closure of the defect was the procedure of choice, but in one patient (5%) pericardial patch was used to close the very large defect. The mortality rate was 10 percent. Physical retardation was found in all boys and 50% of girls, before surgery. Body weight percentile increased in most cases (61.1 %), while body height percentile increased in only 5.6% of cases, postoperatively. Ejection systolic murmur at the upper left sternal border was still detected in one patient (5.6%). lncomplele right bundle branch block persisted in all cases, while cardiomegaly was still found in 5. 6% of cases followed up six months to five years after surgery. There was no residual left ventricular dysfunction in all cases.
Electrocardiographic Pattern of Typhoid Fever in Children J. M. Ch. Pelupessy; Pieter Sangka
Paediatrica Indonesiana Vol 29 No 9-10 (1989): September - October 1989
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (459.897 KB) | DOI: 10.14238/pi29.9-10.1989.215-20

Abstract

Of 87 children with typhoid fever, from age ranging in 2.5 to 14 years, 62.0% showed ECG changes. Sinus tachycardia and left ventricular hypertrophy were the two most frequent abnormalities.The majority of ECG changes occurred in the first week of admission and return to normal two weeks thereafter. There were no significant differences in the frequency of abnormal ECG pattern by sex, age, and nutritional state.
Arrhythmias and Conduction Disturbances in Children at the Department of Child Health, School of Medicine University of North Sumatra/Dr. Pirngadi Hospital Medan Dalan Keriahen Keliat; Berlian Hasibuan; Abdullah Afif Siregar; Sahat Halim
Paediatrica Indonesiana Vol 29 No 3-4 (1989): March - April 1989
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (555.097 KB) | DOI: 10.14238/pi29.3-4.1989.52-63

Abstract

A retrospective study on arrhythmias and conduction disturbances was conducted in 1986 in the Division of Pediatric Cardiology of Dr. Pirngadi Hospital, Medon. There were 106 (35.33%) cases with arrhythmias and conduction disturbances out of 300 patients studied. The most common type of arrhytmia among the patients under 5 was intraventricular conduction defects, whilst in the age group of 5-10 were sinus tachycardia and intraventricular conduction defects, and in the age group of 10-15 was first degree A-V block.Rheumatic heart diseases and VSD were the most common cardiac diseases associated with arrhythmias, where the frequency were 18.86% and 10.37%, respectively. Arrhythmias associated with several extracardiac diseases were found in 60 (56.61%). Two out of 7 cases who was rreated with antia"hythmic agents died with SVT associated with bronchopneumonia, and atria/fibrillation associated with gastroenteritis, dehydration and malnutrition. Treatment against the main diseases (without antiarrhythmic agents) was done in the remainders. Even though the overall mortality rate was 13.20%, it was not due to arrhythmia itself but most of them died of non-arrhythmic origin.
Rheumatic Fever and Rheumatic Heart Disease at the Department of Child Health, School of Medicine University of North Sumatera/ Dr. Pirngadi Hospital, Medan (1983 - 1985) Mahruzzaman Naim; Guslihan Dasa Tjipta; A. Afif Siregar; Sahat Halim
Paediatrica Indonesiana Vol 29 No 3-4 (1989): March - April 1989
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (426.684 KB) | DOI: 10.14238/pi29.3-4.1989.64-71

Abstract

A retrospective study on rheumatic fever and rheumatic heart disease in children was conducted at the Department of Child Health, Dr. Pirngadi Hospital Medon, during 1983 - 1985. The patients consisted of 43 females and 30 males. Most of the patients were over 12 years of age. Of the 73 patients there were 60 patients (82,19%) accompanied by valvular disorders. The most frequent major criteria of Jones found in this study were carditis and polyarthritis. Thirty one patients (42.46%) had functional status (NYHA) of grade II - IV, and 43 patients (58.90%) had cardiomegaly. The major ECG findings were enlargement of the atria or ventricles and first degree A V block. Compliance was only achieved in 25 (34.24%) cases. Rheumatic fever and rheumatic heart disease are still remain a challenge for the medical professionals in tireregion to cope with.
Pericardial Effusion in Dengue Haemorrhagic Fever J. M. CH Pelupessy; Evieta Rante Allot; Santa Jota
Paediatrica Indonesiana Vol 29 No 3-4 (1989): March - April 1989
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1710.02 KB) | DOI: 10.14238/pi29.3-4.1989.72-5

Abstract

Acute shock in severe dengue haemorrhagic fever (DHF) may occur concurrently with accumulation of fluid in serous body spaces such as pleural, peritoneal and pericardia/ cavities. Echocardiography is a non-invasive diagnostic procedure which is sensitive to detect even a small quantity of pericardia/ effusion. The chest radiogram in two reported cases of DHF associated with severe shock revealed that almost half of the pleural cavity was filled with fluid. Although no signs of pericardia/ effusion could be determined on physical examination, ECG and radiological procedures, a small amount of fluid was clearly seen on echocardiogram.
Investigation on Immunoglobulin Fortification in Preventing Infections in the Newborn Hans Eldih Monintja
Paediatrica Indonesiana Vol 29 No 5-6 (1989): May - June 1989
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2273.651 KB) | DOI: 10.14238/pi29.5-6.1989.91-6

Abstract

Observations in neonatal sepsis revealed that the lgG concentrations in septic newborns is significantly lower than in non septic infants. This condition lead the author to investigate the role of fortification of lgG in infants with intrapartum infections. For this purpose a prospective study was carried out, 35 newborn infants with intrapartum infections were treated with lgG Cutter 0,6 mg per Kg BW per week and 35 other infants with similar criteria served as control group. The result of the trial showed that /gG administration could help in prevention of minor infections.

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