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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

148 149 150 151 152

Bull-Neck, Electrocardiographic Changes and Creatine Phosphokinase Blood Levels in Patients with Diphtheria J. M. Ch. Pelupessy; Radianah Makmur; Dasril Daud
Paediatrica Indonesiana Vol 31 No 11-12 (1991): November - December 1991
Publisher : Indonesian Pediatric Society

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All paediarric patients with the diagnosis of diphtheria who were seen at the Department of Child Health Ujung Pandang General Hospital from October 1987 to October 1989 were evaluated for bull-neck, ECG patterns and serum creatine phosphokinase (CPK) values. Their ages ranged from 1 year and 2 months to 13 years with a mean of 6.54 Â± 3.09 years. Males and females were affected in a ratio of 1:1.Of 39 patients included in the trial, 28 were classified of having normal ECG and 11 as having abnormal ECG on admission. During hospitalisation, 56.4% of cases showed ECG changes. All patients had raised serum CPK levels on admission. This increase was 14.6 times the normal level in cases with abnormal ECG and only 3.0 times in those with normal ECG (p < 0,01). The highest levels of serum CPK were noted in the first week, then returned to normal in the second week and decreased further in the third week. It became also evident that patients who developed abnormal ECG later on, had already demonstrated an inceased serum CPK level of 5.2 times the normal levels on admission.Bull-neck appeared in 19 out of the 39 patients. Patients with bull-neck differed very significantly (p <0.001) from those without bull-neck in either the frequency of the occurrence of abnormal ECO patterns or the mean CPK serum levels. Most of the patients (84.2%) with bull-neck had abnormal ECG patterns and mean CPK serum levels of almost 12 times the normal values while only 30% of patients without bull-neck had abnormal ECG patterns and a normal value of mean CPK serum levels.The mean CPK serum levels differed very significantly (p< 0.001) among the various ECO patterns. The mean CPK serum levels of patients with sinus tachycardia, sinus tachycardia + left ventricle hypertrophy and left ventricle hypertrophy were 11.2, 7.3 and 6 times the normal values respectively.These findings suggest that an increase of sawn CPK to a certain level may precede the development of abnormal ECG patterns and is valuable for determining the prognosis.

Gastroenteritis at the Pediatric Ward of Tembakau Deli Hospital, Medan, in 1988 Faisal Ramyuzal Nasution; Gabriel Panggabean; M. Sjabaroeddin; Zakaria Siregar
Paediatrica Indonesiana Vol 31 No 11-12 (1991): November - December 1991
Publisher : Indonesian Pediatric Society

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In a period of 1 year (1 January - 31 December 1988) a retrospective study on patients admitted to the Pediatric ward of Tembakau Deli Hospital, Medan, was done.This hospital is a referral hospital for patients from hospitals of Dept. of Plantation in North Sumatera and Aceh.During year 1988, there were 1339 infants and children hospitalized at the Pediatric ward Tembakau Deli, Medan. Of these patients, 183 had gastroenteritis; it was most frequently found in the age group of 0-13 months (46.4%). The patients consisted of 53.55% males and 46.45% females.Most of the patients i.e. 140 (76.51%), had good nutrition. Malnutrition were found in 31 patients where 16.94% among them were moderate malnutrition, and 12 patients (6.55%) had malnutrition.The total mortality rate of gastroenteritis in this study was 2.18% which was usually associated with severe complications while pure gastroenteritis showed no (0%) mortality.

Transfusion in the Newborn Sunarto Sunarto
Paediatrica Indonesiana Vol 31 No 11-12 (1991): November - December 1991
Publisher : Indonesian Pediatric Society

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Transfusion, either with whole blood or blood components is frequently needed in the neonatal intensive care. Certain aspects are very important to consider. Citrated blood is prefered to heparinized blood. Transfusion must be rational, either with whole blood or blood components. Whole blood is only indicated for repletion of blood volume, exchange transfusion and certain cases in which no blood component needed is available.To improve oxygen carrying capacity, to stop bleeding due to coagulation defect, thrombocytopenic bleeding due to depressed platelets production and to counter gram negative septicemia, blood component is indicated to obtain optimal effects with minimal side effects.

The Effectiveness of Immunization M. Faried Kaspan
Paediatrica Indonesiana Vol 31 No 11-12 (1991): November - December 1991
Publisher : Indonesian Pediatric Society

This article reviews the expanded programme on immunization in Indonesia, Pengembangan Program lmunisasi (PPI) which was launched in 1977. We are apt to know what the current situation is after ten years have passed.WHO proposes that EPI/PPI be systemically evaluated with respect to their effectiveness which is reflected by a reduction achieved in the incidence of the target diseases. Priority is being accorded to measuring disease trends for three diseases i.e. poliomyelitis, measles and neonatal tetanus.A considerable effect on target diseases had been observed and it was evident that PPI can reduce the incidence of target diseases. A goal had been set to eliminate indigenous paralytic poliomyelitis by the end of the fifth "Five Year Plan". Another goal had also been adopted, i.e. neonatal tetanus elimination by 1985 in Java and Bali.The effectiveness of immunization is ascertained and we have the optimism that poliomyelitis and neonatal tetanus elimination goals can be achieved.

Dengue Haemorrhagic Fever. A Problem of Clinical Diagnosis and Proposal for Using a Scoring Systetn Muzief Munir; Tjandra Husada; I. Mustadjab
Paediatrica Indonesiana Vol 22 No 1-2 (1982): January - February 1982
Publisher : Indonesian Pediatric Society

This prospective study was conducted in an attempt to find out a method ofclinical diagnoS'is of Dengue Haemorrhagic Fever wi,th high accuracy and coverage.A clinical picture of all cases admitted with 3 days fever of unknown originand poS'itive tourniquet test was studied.The cardinal signs and symptoms i.e. liver enlargemerz.t, thrombocyte counJ.hematocrit, spontaneous bleeding such as epistaxis, petechiae, hematonw and hematemesis, were thoroughly studied from the day of admission up to the sixth dayof illness.Blood was drawn into filter-paper disks for serologic examination on the dayof admission, then 5, and 10 days thereafter.Based on a series of serological tests, the patients were grouped into confirmedand false DHF.Liver enlargement was found in both groups, but only in the confinned DHFgroup was it significantly related to the day of illness (r = 0.45, with probablyerror of 0.03 ).

Cow's Milk Protein-Sensitive Enteropathy (CMPSE) in Infant With Chronic Diarrhea Sutjiningsih Sutjiningsih; Pitono Soeparto; Harsono Salim; Daniel Hardjadinata; Liek Djupri
Paediatrica Indonesiana Vol 22 No 1-2 (1982): January - February 1982
Publisher : Indonesian Pediatric Society

Six cases of CMPSE as revealed by biopsy studies and clinical symptoms are presented. All infants suffered from chronic diarrhea, of which 5 developed failure to thrive.No pathogenic microorganism was isolated from the stools. Stool ova and parasites were also negative. Lactose intolerance was not found among these infants. The possible pathogenesls has been briefly discussed. The present series obviously indicates that CMPSE does occur in Indonesia.

Measles and its Problems. A Clinical Analysis of Hospitalized Patients Under 5 Years of Age Muzief Munir; I. Mustadjab; F. H. Wulur
Paediatrica Indonesiana Vol 22 No 3-4 (1982): March - April 1982
Publisher : Indonesian Pediatric Society

Two hundred and sixty one cases of measles under 5 years of age admitted to the Pediatric Ward of Gunung Wenang Hospital Manado, lrulonesia, were analyzed.It is clearly evident tlwt measles in this country indeed, is one of the important child health problems, especially among those under 5 years of age. From this analysis it was found thoJ only 40 out of 261 cases or 15% suffered without any complications, but the remtJining 85% experienced complications.The younger the children suffering from measles, the more frequent would be the complications.The worse the nutritional status of the chNdren, the higher the rate of complications and mortality. In patients with a normal body weight, 52% were found not to have any complications. But the rate of complications increased in underweight and marasmic cases.Bronchopneumonia with or without gastroenteritis, was found more frequentlyin marasmic cases.The mortality rate was 13.8%- And it was highest among the marasmic cases, being 26%, while in normal body weight children it was only 6%.Measles encephalophathia was found in only 18 out of the 261 cases or 7% and mainly associated with bronchopneumonia and gastroenteritis.From this study, it is felt that further field studies should be carried out in this country in an attempt to determine the real magnitude of measles problems in the community.

Cow's Milk Protein Sensitive Enteropathy. Clinical and Histological Features in Infants A. H. Sutanto
Paediatrica Indonesiana Vol 22 No 3-4 (1982): March - April 1982
Publisher : Indonesian Pediatric Society

The terms "cow's milk allergy", "cow's milk protein intolerance", "cow's milk protein sensitive enteropathy", and "latent cow's milk intolerance" were discussed.Cow's milk protein intolewnce zs thollljht to be due to sensitisation caused by macronwlecufar tlbsotption.Diarrhea with dehydration, electrolyte imbalance, malabsorption and failure to thrive in early infancy are the primary symptoms.Histological changes can be found in the stomach and small intestine. The small intestinal mucosa exhibits a patchy mtt!ropathy with villus atrvphy, cellular infiltration wzd increased intraepitheliial lymphocytes.It has been shown that the assay of immunoglobulin and complement levelsin the serum and duodenal juice is not useful in the diagnosis of CMPSE.

Indomethacin Therapy in Premature Infants with Patent Ductus Arteriosus Cholid Rasidi; Bambang Madiyono; Ismeet N. Usman
Paediatrica Indonesiana Vol 22 No 3-4 (1982): March - April 1982
Publisher : Indonesian Pediatric Society

Indomethacin has been shown to be effectil'e in closing patent ductus arteriosus (PDA) in premature infants. Indomethacin admin.istration decreased the need for assisted ventilation and surgical closure of PDA. Six premature neonates with birth weight less than 2500 gm diagnosed clinically as PDA were given indomethacin. The drug was given as a single dose by mouth or nasogaYtric tube in 2 or 3 consecutlve days. The dose in the first two days was 0.1 mg/kg BW and the last dose (If necessary) was- 0.3 mg/kg BW. Closure of PDA was observed in all six cases. This experience in the use of indomethacin in PDA indicates a need for a further study of the effect of indomethacin in PDA.

Minute Treatment with Tinidazole and OrniÂ· dazole in Children with An1ebic Dysentery Mangsang Sitepu; Chairuddin P. Lubis; A. H. Sutanto; Helena Siregar
Paediatrica Indonesiana Vol 22 No 7-8 (1982): July - August 1982
Publisher : Indonesian Pediatric Society

At the Department of Child Health, sub-division of Gastroenterology, Pirngadi Hospirta/, Medan., 41 children were given a single dose treatment with either Tinidazole or Ornidazole. Both drugs were used in a single dose of 50 mg/kg BW. Patients -were randomly assigned to the Tinidazole regimen ( 19 children) or to the Omidazole regimen (22 children).A double blind method was used in the treatment. In both groups, clinical and parasitological cure assessed on day 4 were excellent.

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