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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
Developmental Profile of Infants Visiting the Growth and Development Clinic, Child Health Department, Medical School, Padjadjaran University Prihariadi R. Poedjiadi; Sri Indayati Soewaryo; Ponpon Ijradinata
Paediatrica Indonesiana Vol 39 No 3-4 (1999): March - April 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2576.07 KB) | DOI: 10.14238/pi39.3-4.1999.57-65

Abstract

Development of a child is the result of a continuous interaction betweenbiological factor serving as basis and the environment that gives stimulation. Indonesia as a developing country has an environmental characteristically different from that of advanced countries such as USA, where the Bayley developmental test tool was constructed, so that as an initial step in order to find out how far the level of development of the Indonesian child in general was, a study was made on the level oldevelopmental of healthy 18-month-old infants visiting the Growth & Development Clinic in the Child Health Department of Dr. Hasan Sadikin General Hospital Bandung. Thirty healthy infants were chosen comprising 19 (63%) male and 11 (37%) female infants who were born nonnally without any congenital deviation, with good nutritional status, not anemic, never been hospitalized and had a good physical status during the study period. This study yielded an average Index of Mental Development(IPM) of 124.2 (6.94) and an index of Psychomotor Development (IPP) of 110.7 (6.16). The resulting IPM and IPP were higher compared to the notmal Bayley scale for 18-month-old infants (p<0.0001). This could be due to the absence of several biological risk factors in the subjects and to the sullicient amount of a ttention given by all members of the family so that the child developed well.
Blood Gas Analysis in Aspiration Pneumonia: Acute and Chronic Aspects Budiman Budiman; Indra Yanti J.; Alan Roland Tumbelaka
Paediatrica Indonesiana Vol 39 No 3-4 (1999): March - April 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3115.723 KB) | DOI: 10.14238/pi39.3-4.1999.66-75

Abstract

A retrospective cross-sectional study, was conducted between January1st 1991 until December 31st 1996, to find out the acute and chronic aspects ofchanges of blood gases in aspiration pneumonia A sample of all aspiration pneumonia patients hospitalized in Cipto Mangunkusumo Hospital, Jakarta, between January 1st, 1991 to December 31st, 1996 was selected (n=l67). Data were obtsined from the medical records. Only 65 patients were included in the srudy, from which 32 (49.2%) were males and 33 (50.8%) were females. Changes in blood gllS analysis observed were decrease in PaO, (30.8%), normal PaC02 (30.8%) and decrease in PaC02 (60%) and abnormal oxygen saturation (80% in acute cases, and 11.1% an chronic cases). The prevalence of acute aspiration pneumonia was 30.8% and chronic aspiration pneumonia was 69.2%. Tachypnea, cyanosis, tachycardia and prolonged expiration were more prominent in tbe acute aspiration pneumonia as well as oxygen saturation which was more dominant parameter. We concluded that with blood gllS analysis we would understand the natwal course of the disease whether acute or chronic.
Management of birth asphyxia at home and health center Anna Alisjahbana; Sjarif Hidayat; Mintardaningsih Mintardaningsih; Aris Primadi; Enny Harliany; Yulia Sofiatin; Attie Triyanti
Paediatrica Indonesiana Vol 39 No 3-4 (1999): March - April 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5678.152 KB) | DOI: 10.14238/pi39.3-4.1999.88-101

Abstract

Birth asphyxia is the main cause of death in newborns and is an emetgency situation that need immediate action. In Indonesia more than 60% of deliveries are attended by traditional birth attendants. Although infant mortality has decline significantly in the last decade, the neonatal component of IMR however remain the same. The ddinition of birth asphyxia recommended by World Health Organization is: A newborn infant who does not cry and who does not breath or has poor breathing efforts soon after birth. The paper present the result of a fieldstudy conducted in Tanjungsari (West java). The study is part of a multicountry study conducted in four countries organized by World Health Organization. TBAs were trained in the basic steps of resuscitation starting from drying, stimulation, suction and providing. Positive PressureVentilation using a tube and mask device on infants with birth asphyxia Community midwives were trained in the same procedure and additional training for cardiac massage. Team work between TBA and CM was stressed. More infants with birth asphyxia survive, one fr sh Still borninfant survive after vigorous resuscitation. Although the result looks promising, close supervision and regular refreshing courses are necessary to have a significant impact on neonatal mortality.
Effect of carnitine in diphtheria: A preliminary report Soetono Soetono; Santoso Soeroso; Warsito Sutikno
Paediatrica Indonesiana Vol 39 No 3-4 (1999): March - April 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2074.456 KB) | DOI: 10.14238/pi39.3-4.1999.102-7

Abstract

A double placebo controlled trial was conducted on 68 diphtheriapatients who were hospitalized in pediatric ward of Kariadi Hospital, Semarang, from 1 April 1990 to 31 March 1991. The age range of the patients was between 7 months to 13 years, with the median of 48 months and the mean of 60.5 (SD 11) months. The pretreatmentcharacteristics of both groups were similar with respect to sex, the clinical condition on admission, presence of bullneck, nutritional and immunization status. Oral camitine was administered with a dose of 100 mg/kg/ day divided into 3 doses. Other standard treatment was administered to all patients. Post-treatment comparisons were performed on the prevalence of myocarditis, CK-MB level examined on the fifth day of treatment, and mortality. It was found that the prevalence of myocarditis and CK-MB levels' were significantly less than those in the placebo group, while the mortality in the carnitine group (3%) although smaller than in placebo group (17%) was not statistically different. It seems that 1-camitine is useful to prevent diphtheritic myocarditis,while its effect on improving the overall prognosis needs further study.
Factors affecting the implementation of immunization Djauhar Ismail; Endy Paryanto; Tonny Sadjimin; Rachmat Soetrisno
Paediatrica Indonesiana Vol 39 No 3-4 (1999): March - April 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3082.356 KB) | DOI: 10.14238/pi39.3-4.1999.108-15

Abstract

Immunization coverage of vulnerable children is a critical indication ofsuccess in health development This study aimed to detennine the role of various factors in the basic immunization status of under five children. In Godean sulxiistrict, district of Sleman, Yogyakarta, interviews were conducted with 161 mothers of 14 to 59 months old children selected by stratified random sampling with the village as the unit of study and 27.3 per cent probability of being included in the study. Immunization status of children was recorded on an interval scale, with a value of 8 representing complete basic immunization status. We found that basic immunizationstatus of children had significant relation to the level of mother's knowledge concerning immunization, the educational background of both mother and father, family income, and the number of children (p < 0.05). From the factors, the level of mother's knowledge about immunization had the most relation to immunization status (relative contribution was 73.9 %). This factor was significantly influenced by the mother's formal educational background, the father's formal educational background, and family income (p < 0.05). Those factors necessarily should beincluded in the strategy of community education in order to increase theimmunization coverage.
Effect of lactation management training on feeding pattern from birth to 6 months of age Rulina Suradi; Sujana Jatiputra; Anthony Tan; Gulardi H. Wiknjosastro; Lukman Tarigan
Paediatrica Indonesiana Vol 39 No 5-6 (1999): May - June 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (825.236 KB) | DOI: 10.14238/pi39.5-6.1999.117-26

Abstract

This quasi-experimental study involved 13 health centers (Puskemas) in Jakarta. Six hundred and four pregnant women were recruited.  They were divided in to two groups. Subjects in Group 1 were given 3 Limes extra-training In breastfeeding management, i.e. at recruitment then during hospitalization for delivery and lastly at one month follow-up. Subjects in Group 2 was only given #roullnc #informaton at the health ccnu'cs where Lhcy did their antenatal care. Duta were collected at recruitment (in the last uimcstcr of pregnancy), 0.1 birth, and every month thereafter for six months. At recruitment there were no sib1J1ificanl diITcrcncc the two groups regarding age of the mOlher, parity, number of living chddren, and age of the last livrng chlld. At bIrth 96.2% of Group 1 mothers started breaslfeeding soon after birth and only 80.5% of Group 2 mothers did so. Prelacleru feedmgs were given to 20.5% of babies of Group 2 and only 5.5% of babies of Group 1; the difTerence statistically significant. The kind of prelacteal feed also dIffered between the two groups. Water was the most frequent  preioctcai feed given by Group I mothers while in Group 2 mothers it was milk formula. At the nge of 6 months there was no difference between the two groups in the proportion of breastfeeding (99.2% in Group 1 versus 98,7% in Group 2 mothers). The proportion of exclusive breast feeding at the age of 4 months was 60.7% in Group 1 and 36.70/0 in Group 2. We conclude ulal extra training to pregnant and ncw mothers may change their attitude and skill in feeding their infants.
Fast food consumption and obesity: Relationship among elementary school students in Yogyakarta Djauhar Ismail; E. S. Herini; Pudjo Hagung; Tonny Sadjimin
Paediatrica Indonesiana Vol 39 No 5-6 (1999): May - June 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2632.895 KB) | DOI: 10.14238/pi39.5-6.1999.127-33

Abstract

Excessive consumption of calories particularly those of fast foods incompanson to energy expenditure is considered to be an important cause of obesity in children both in developed and developing countries. The objective of this study was to measure the association between the pattern of consuming fast food and the incidence of obesity in elementary school students in an urban developing counUy setting. Across sectional study was conducted to students from 30 elementruy schools in Yogyakarta, lndonesra, who were selected by a population proportional multistage cluster random sampling. From the sample of 3575 parents, 3258 returned self fulfilled questionnaires, a response rate of 91.1%. There was a statistically significant assoctaion between obesity and the experience of consuming fast food (odds ratio ~ 2.82; 95%CI 2.08;3.82), the attitude towards fast food (odds ratio~ 1.88; 95%CI 1.31; 2.69) and the frequency of consumption of fast food (p < 0.001).
Risk factors of respiratory allergy in children with atopic dermatitis Sjawitri P. Siregar; Bambang Madiyono; Amar W. Adisasmito
Paediatrica Indonesiana Vol 39 No 5-6 (1999): May - June 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4101.24 KB) | DOI: 10.14238/pi39.5-6.1999.134-44

Abstract

This paper described a case-control study among atopic dermatitis (AD)patients on the development of respiratoric allergy (RA) i.e., (asthma and for allergic rhinitis), in Cipto Mangunkusumo Hospital, Jakarta. Secondary data were collected from January 1, 1995 to April31, 1998. One hundred and one children with RAin AD patients (case group), and 101 children with AD (control group) aged <16 years were evaluated for exposure to possible risk factors for RA. The mean age of AD onset was 1 year and 5 weeks in the case group, and 2 years and 2 months in the control group (p = 0.000). Early AD onset < 1 year was a significant risk factor (p = 0,0003; OR = 9.6, 95% confid ence intervals 2.8 ; 33.3). History of inhalant allergy was associated with the excess risk for RAin children with AD (p = 0.0025; OR 2.9, 95%C!: 1.5; 5.7). Early onset of egg supplementation <6 months was statistically significant to increase that such risk (p = 0.05; OR 3.3, 95%CI: 1.0 ; 11.7). Our findings suggest that early onset of AD before the age of one year would increase the development of RA Qn AD patients. Besides, we conclude that postponing the administration of egg supplementation until the age of one year, and preventing the exposure of inhalant aJlergens would prevent RA, particularly in family history of a topy.
Intravenous infusion-related nosocomial infections in children M. Hardjono ABdoerrahman; Pingkan Palilingan; Taralan Tambunan; S. Harry Purwanto
Paediatrica Indonesiana Vol 39 No 5-6 (1999): May - June 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3131.869 KB) | DOI: 10.14238/pi39.5-6.1999.145-53

Abstract

A prospective study was conducted ID obtain the basic data of intravenous infusion-related nosocomial infections at the Pediatric Department Child Health, Cipto Mangunkusumo Hospital in Jakarta during the period of March - May 1998. Subjects were patients with a single intravenous infusion without any other invasive measures. All patients were admitted at the intermediate and ordinary ward that was classify tothe First and Second Class, Third Class according to room rate and number of beds. From 62 patients with intravenous infusion, 21 were infected (33. 9% with 95%CI; 0.226; 0.471). Complications of intravenous infusions were skin infdtrations (17 /62), phlebitis (8/62), bacteremia (4/62), and septicemia (1/62). The most frequently foundmicroorganism were Staphyloroccus epidermidis, Enterobacter aerogenes, Acinobacter calroaceticus, Serratia marcescens, Pseudomonas aeruginosa and Staphylococcus aureus. The results of the senstivity tests of those microorganisms proved that all bacteriac, Gram positive as well as Gram negative were sensitive to the followingantibiotics (in decreasing order): cypronoxacine, amikacin, gentamicin, cefphyrome and ceftriaxon. Gram positive bacteriae were also sensitive to vancomycin and cephalotin.
Predictive factors of ketoacidosis in type 1 diabetes mellitus Listianingrum Listianingrum; Suryono Yudha Patria; Tunjung Wibowo
Paediatrica Indonesiana Vol 59 No 4 (2019): July 2019
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.118 KB) | DOI: 10.14238/pi59.4.2019.169-74

Abstract

Background Diabetic ketoacidosis (DKA) is an acute complication in type 1 diabetes mellitus (DM) and a significant cause of morbidity and mortality in developing countries. Diabetic ketoacidosis can be prevented by good management of the disease. Risk factors from previous studies that increase the DKA incidence were peripubertal age, female gender, low socio-economic status, low parental education status, DKA at the first diagnosis of type 1 DM, infection, psychological problems, poor metabolic control, and non-compliance with insulin treatment. Objective To determine whether sex, age, socio-economic status, parental education level, DKA at the initial diagnosis of type 1 DM, infection, psychological problems, poor metabolic control, and failing to take insulin as needed were predictive of DKA in type 1 DM patients. Methods We conducted a retrospective cohort study using medical records from type 1 DM patients aged 0-20 years, at the Department of Child Health, Dr. Sardjito Hospital, Yogyakarta, from January 2011 to May 2017. We assessed for the incidence and predictors of DKA. Logistic regression analysis was done to determine which factors increased DKA incidence. Results A total of 57 type 1 DM patients were recruited, with DKA incidence of 37 (65%). Five (8.8%) DKA patients died. Multivariate analysis revealed that infection (OR 5.23; 95%CI 1.47 to 19.68; P=0.014) and DKA at the first diagnosis of type 1 DM (OR 5.37; 95%CI 1.40 to 19.52; P=0.011) were significant risk factors for DKA. Conclusion Infection and DKA at the first diagnosis of type 1 DM are significant predictors of increased DKA incidence.

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