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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 2,118 Documents

152 153 154 155 156

Psychosocial Aspects of Mothers of Malnourished and Well-Nourished Children Zein Sulaiman; M. A. Husaini; Joko Kartono; Rini Azwein Jenie; Sihadi Sihadi; Paul F. Matulessy; Darwin Karyadi
Paediatrica Indonesiana Vol 36 No 11-12 (1996): November - December 1996
Publisher : Indonesian Pediatric Society

In order to determine whether differences in sociopsychological environÂment and related factors exist between malnourished and well-nourished children, a study on 126 underfive children was carried out in Bogor, West Java, Indonesia. The children were grouped into severely malnourished, mild-moderately malnourished, and well-nourished children. Each group consisted of 42 children, and they were selected from die same surrounding which have fairly same housing condition, age, and sex. Differences were found between the three groups on parent's education, the birth order of the child, the expenditure per capita, and breast feeding history. However, there was no significant difference on knowledge about health and nutrition, mother and child relationship. It was observed that children who were never breastfed had a tendency to be severely or moderately malnourished. The mothers who were doing only household chores were worried about the future of their children; on the other hand, the mothers who have more contact with community (monthly welfare movement meetings, and other activities outside homes) have a tendency to have well-nourished children. The proposed hypothesis that mother and child interaction affects the level of die nutritional status of the children requires more testing in a more comprehensive study.

Anaphylactic Shock Associated with Scratch Testing Ariyanto Harsono; Muhammad Faizi
Paediatrica Indonesiana Vol 36 No 11-12 (1996): November - December 1996
Publisher : Indonesian Pediatric Society

A 10-year old boy with bronchial asthma referred to allergy clinic for allergy work-up. He complained of abdominal pain and blurred vision 20-rmnutes after undergoing allergy skin scratch test. Physical examination showed clammy and cyanoÂtic extremities, and hypotension. The skin test result showed positive rection for house dust, mite, and shrimp. Based on these findings the diagnosis of anaphylaxis associÂated with scratch test was made. The suggested offending extract was shrimp with possible interference of the other two extracts. Epinephnne 0.3 subcutaneously was initiated. The first dose gave a disappointing result, and then followed by the second dose which gave better result; dexamethasone was also administered. The eosinophilia, positive specific Ig E to shnmp, house dust and mite as indicated by RAST justify the atopic status of the patient. The management of the main disease consisted of house dust control, elimination diet, and symptomatic treatment were commenced.

Clinical Features of Nephrotic Syndrome in Children M.P. Damanik
Paediatrica Indonesiana Vol 37 No 1-2 (1997): January - February 1997
Publisher : Indonesian Pediatric Society

We reviewed 129 new patients with primary nephrotic syndrome (PNS) admitted to the Department of Child Health Sardjito Hospital from January 1986 to December 1995. Most patients were males, i.e., 96 or 74.4%, giving a male to female ratio of 2,9:1. The number of patients under die age of 6 years was 66 (or 51.2%), slightly greater than the number of patients over the age of 6 years (63 patients, or 48.8%). Nephritic symptoms consisting of hematuria, hypertension and azotemia were more frequently found in patients over the age of 6 years, and in non-responder patients. With prednisone treatment, 108 (Or 83.7%) of patients were steroid responÂders, and 21 (or 16.3%) were non-steroid responder.

Inulin and Creatinine Clearances in Children with Renal Disease Lydia Kosnadi
Paediatrica Indonesiana Vol 37 No 1-2 (1997): January - February 1997
Publisher : Indonesian Pediatric Society

To know how far the kidneys have been damaged, renal function in children suffering from renal disease must be measured. The aim of this study was to measure inulirs and creatinine clearances in children suffering from renal diseases, and to know how would be the correlation between them. In this cross-sectional study sample size was estimated by the one-sample for estimating the population proporÂtion, and data analysis was done by die Pearson product moment correlation and analysis of variance. Simultaneous measurements of inulin and creatinine clearance levels in 112 children were performed at Kariadi General Hospital, Telogorejo Hospital and St Elisabeth Hospital in Semarang, over the period from March 1991 to July 1993. Creatinine clearance (CJ showed positive correlation with inulin clearance (CJ in all patients with mixed (normal and decreased) renal functions: Ctr= 8,41 + 1,00 C n (r = 0,99; p <0,001; n = 112). Further it revealed that the difference between these two clearances was a function of the severity of the renal failure. These results were in accordance with those published in previous studies.

Multiple Complications of Congenital Cytomegalovirus Infections Retayasa Retayasa; Hamid A.; Kari K.
Paediatrica Indonesiana Vol 37 No 1-2 (1997): January - February 1997
Publisher : Indonesian Pediatric Society

Congenital cytomegalovirus (CMV) is the most frequently occurring viral infection of the newborn infants. Cytomegalovirus agent which commonly invades human early in life may cause a spectrum of clinical manifestations from asymptoÂmatic to severe congenitally infected newborn with multiorgan involvement. We report two cases of multiple complications of congenital cytomegalovirus infections admitted to the Department of Child Health Sanglah General Hospital. The diagnosis of congenÂital CMV infections was based on clinical and laboratory examinations. The manifesÂtations of congenital infections in the first case of a 5,5 month old Balinese girl were microcephaly, ventricular septal defect, auricular dysgenesis and rectovaginal fistula. The results of laboratory examination showed positive IgG anti CMV. The IgM anti CMV was absent. In the second case the manifestations were epilepsy, microcephaly, cerebral palsy with craniosynostosis and porencephaly. Laboratory examinations showed positive IgG anti CMV but negative IgM anti CMV. The IgM and IgG anti rubella, toxoplasma, and HSV2 were negative in both cases.

Atherosclerosis in Children and Adolescents Fauzi Mahfuzh; Sudigdo Sastroasmoro; Sukman Tulus Putra
Paediatrica Indonesiana Vol 37 No 3-4 (1997): March - April 1997
Publisher : Indonesian Pediatric Society

Being an old disease, atherosclerosis is now considered as die leading cause of death in industrial countries and in some developing countries, and a steady increase of the proportion of death from cardiovascular disease is seen every' where. In the USA death from cardiovascular disease rose from 14% of all death in 1937 to 54% in 1968. Although clinical manifestations of atherosclerosis usually occur at adult age, its pathogenesis has been shown to start at early life. Fatty streak has been shown in not less than 5% of apparently normal children below 1 year of age. We discuss in considerable details the risk factors for atherosclerosis and the role of pediatneian in controlling this disease. Algorithm of screening and diagnosis of high risk children and adolescents for atherosclerosis, as well as the basis of its management are til so discussed. Step care dietetic program is very important, although use of certain drugs is warranted in selected cases.

Measles at The Department of Child Health, Cipto Mangunkusumo Hospital, Jakarta 1993 Siti Aisah Boediardja; Titi Lestari Sugito; Sri Rejeki Harun; Hindra Irawan
Paediatrica Indonesiana Vol 37 No 3-4 (1997): March - April 1997
Publisher : Indonesian Pediatric Society

Expanded Programm of Immunization on measles in Indonesia has been implemented since 1985. The coverage of immunization at the first year was only (J.5%, increasing year by year and finally in 1990 its coverage was 80%. Retrospective study on secondary data of measles patients under 5 years of age who were hospitalÂized at the Department of Child Health/Dr. Cipto Mangunkusumo Hospital during 1993 is presented. The diagnosis was based on the clinical findings, such as fever, specific distribution of macula-papular skin eruption, and conjungtivitis. Total cases was 45 among 3348 (1.34%) hospitalized cases with case fatality rate (CFR) 8.9% (4 among 45 cases), This condition was similar to the condition in 1992, but was better Lhan die period of 1986-1991. The most common complications were bronchopneuÂmonia (25.2%), diarrhoea (6,5%), anemia (4.6%), encephalitis (3.7%). The cause of death were encephalitis (25%) and bronchopneumonia (11.1%), Measles immunizaÂtion coverage was only 24.4% patients. On summaiy, measles patients admitted to Cipto Mangunkusumo Hospital were severe cases and most of them were not covered by immunization.

Henoch - Schonlein Purpura Wayan Retayasa; Hendra Santosa
Paediatrica Indonesiana Vol 37 No 3-4 (1997): March - April 1997
Publisher : Indonesian Pediatric Society

Henoch-Schonlein purpura (HSP) is an immunologically mediated systeÂmic vasculitis of small blood vessels that primarily, involves skin 100%, gastrointestinal tract 50-70%, joint 70% and the kidney 20-100%. The most common clinical manifesÂtation are intermittent purpura, athralgia, abdominal pain and hematuria. The diagnoÂsis of HSP based on clinical manifestation, laboratory finding and skin biopsy. The manifestation of HSP in a case of eleven year old Balinese girl were maculo papular rash of the flexor, and extensor region of the legs, butocks and fore arms, abdomininal pain and bloody stools Laboratory finding were WBC 20,000/pl, platelet count 490,000/pi, Bleeding time 3 minutes, clothing time 14 minutes PIT 23,7 second, ProÂthrombin time 11,2 second. The blood urea nitrogen, 16 mg/dl, creatinine, 0,66 mg/dl. Complemen C4, 39 mg/dl, IgA 355 mg/dl ASTO and CRP were negative. HistoÂlogic examinitation showed epidermis with hiperkeratosis, proliferation of subepidermic conective tissue, with magnitude of leucosites infiltration surounding small blood vesels with the conclution was according to feature of HSP.

Obesity in Children Mulyadi Mulyadi; Soepardi Soedibyo
Paediatrica Indonesiana Vol 37 No 5-6 (1997): May - June 1997
Publisher : Indonesian Pediatric Society

Obesity in Indonesia starts to become a problem, considering the tenÂdency for the prevalence rate to get higher. Data on obesity in Indonesian children are very limited and criteria for nutritional status and obesity in children are yet to be deÂfined. Although, unlike in adults, side effects of obesity in children rarely become a health problem, obesity in children has a tendency to develop into adult obesity which is difficult to manage. That is why early management is very important. Management of obesity in children includes effort to increase understanding of obesity problems, build up a motivation to improve the condition, limitation of energy intake, increasing energy uptake by physical exercise, and management of psychological disorders. For those reasons, a full support from all family members is needed. Growth and developÂment monitoring need to be increased so an optimal growth and development is reached.

Disease Pattern of Early Neonatal Deaths: Household Health Survey 1992 L. Ratna Budiarso; Agustina Lubis; Sarimawar Djaya; C.M. Kristanti
Paediatrica Indonesiana Vol 37 No 5-6 (1997): May - June 1997
Publisher : Indonesian Pediatric Society

In 1992, socio-economic survey was conducted and early neonatal deaths in the sample were recorded and investigated through a verbal autopsy to idendfy the causes of death. Main diseases and conditions in the fetus or infants, and the main maternal conditions affecting the fetus and infant were analyzed. The prevalent disÂeases or conditions in fetus or infants as the main cause of early neonatal deaths were hypoxia (43%) and premature births (30%). Obstetric complications affected 36% early neonatal deaths, and maternal conditions affected 25% early neonatal deaths. Complications during pregnancy and delivery frequently cause premature births and hypoxia or asphyxia to the newborn infant. Comprehensive neonatal care should be available in all health centers, delivery homes, and hospitals.

Page 154 of 212 | Total Record : 2118

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