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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

154 155 156 157 158

Congenital cystic adenomatoid malformation of the lung (CCAM): Report of 2 atypical cases Melinda D. Nataprawira; Cissy B. Kartasasmita; 0ma Rosmayudi; Abdulgani H.; Soebarna R.; Tri Wahyu; L. Silitonga; B. Hernowo
Paediatrica Indonesiana Vol 39 No 7-8 (1999): July - August 1999
Publisher : Indonesian Pediatric Society

Congeni~ cystic adenomatoid malformation (CCAM) presents mainly inneonates, rarely in children beyond infancy, and has been reported in adults. Two females (aged 26 months and 34 days) who had CCAM in the right and left lower lobe, respectively, are reported. One of them presented with recurrent respiratory infection and the other as newbom with respiratory distress secondary to mediastinal displacement and pulmonary compression as a result of expanding cystic lesions. Both cases had different lesions from typical neonatal cases reported in the literature.Single cyst was shown in the first case, but multiple cysts in other. The young child survived, but the baby died. All lesions had lining varied from pseudostratified columnar to cuboidal epithelium. Cartilage plates was found in the second case but not in the first. The absence of inflammation is typical in neonates' lesions, by contrast, all of our two patients had clinical and pathologic evidence of chronic inflammation. CCAM may be clinically silent in infancy and may present as pneumonia associated with cystic lesion on chest X-ray in childhood or la ter in life. To support the diagnosis, CT scanning is needed.

Maffucci syndrome Widhodho T. Karyomanggolo; Dyani Kusumowardhani
Paediatrica Indonesiana Vol 39 No 7-8 (1999): July - August 1999
Publisher : Indonesian Pediatric Society

A case of Maffucci syndrome was found in a 6 year old Indonesian girl.Her first sign of bone malformation was noticed on her right arm at the age of 7 months, but since there were no other complaint, such as pain or dysfunction, no further investigation was done. The complaints that brought her to Cipto Mangunkusumo Hospital, Jakarta, were an incomplete cleft palate and right axillary masses which were then known as cavernous hemangiomas. On physical examination another hemangioma was found on the major labia fold. From bone survey, generalized enchondromatosis was recognized and bone biopsy was then scheduled, bu t when the incision was done another hemangioma was found, so biopsy wascanceled due to risk of bleedings. Magnetic resonance imaging of the right humerus reaflirmed that the mass inside the bone was enchondroma and the masses in the axilla were subcutaneous hemangioma. Radiologic bone examination done 2 years later revealed that the enchondromatosis had increased in size and spreading. IQ test s howed a borderline stage of intelligence, but there were no evidence of relationship with the disease.

Randomized Trial of Albendazole with Combination of Pyrantel Pamoate-Mebendazole in Treatment of Mixed Helminthiasis in Children Tiangsa Sembiring; Evi Kamelia; T. Ernalisna; Syahril Pasaribu; Chairuddin P. Lubis
Paediatrica Indonesiana Vol 39 No 5-6 (1999): May - June 1999
Publisher : Indonesian Pediatric Society

This study aimed to compare the effectiveness of albendazole and pyrantelpamoate-mabendazole combination for the treatment of mixed infection of soil transmitted helminthiasis. Subjects were students of primary school in Tanjung Anom village, North Sumatra. The study was performed from September until November 1995. Pat.ients were randomired into two groups; Group A received 400 mg oral albendazole in single dose while group B recieved a combination of pyrantel pamoate 10 mg/kg BW as a single dose and mebendazole 2 x 100 mg in three consecutive days.From 541 children examined, mixed soil transmitted helmlnthiasis was found in 374 children (69%). Analysis was performed on 182 children in Group A and 184 in Group B. Comparison between two group, cure rate at 3 weeks after treatment proved to the significantly different (p<0.05). We conclude that albendawle was more effective than combination of pyrantel pamoate- mebendawle for the treatment of mixed infection of soil transmitted helminthiasis. Administration more simple and have minimal side effect.

Evaluation of the Appearance of Cardiomegaly on Chest Films of Pediatric Patients with Acute Poststreptococcal Glomerulonephritis Husein Albar; Syarifuddin Rauf; Azis Tanra
Paediatrica Indonesiana Vol 39 No 5-6 (1999): May - June 1999
Publisher : Indonesian Pediatric Society

We evaluated 17 patients with acute poststreptococcal glomerulonephritis (ASPGN) hospitalized in nephrology ward of Wahidin Sudirohusodo Hospital Ujung Pandang. The initial chest films and echocardiograms demonstrated the presence of cardiomegaly and pericardial effusion, respectively. Seven days later, either the cardiomegaly or the pericardial effusion disappeared. According to the statistical analysis, the relationship between the occurrence of cardiomegaly and pericardial effusion was significant (p<0.001). From this study we conclude that the occurrence of cardiomegaly in patients with ASPGN seems to be due to pericardial effusion. Our findings need to be confirmed by studying a larger number of patients.

Treatment of Hemangioma with High Dose Oral Corticosteroid M. Sjabaroeddin Lubis; Zakaria Siregar; Nuraida Nuraida
Paediatrica Indonesiana Vol 39 No 5-6 (1999): May - June 1999
Publisher : Indonesian Pediatric Society

A case with diagnosis of cavernous hemangioma in the hard palate wassuccessfully treated with 4-6 weeks of high dosage prednisone (2-3 mg/kgBW /day).Diagnosis of cavernous hemangioma was established based on physical examination.There was a mass in the hard palate, continuously bleeding and difficult to treat. After4-6 weeks treatment, the hemangioma regressed and never recurrent anymore.

lmmunomodulatory Effects of Human Milk upon Immune Functions in Infants Ariyanto Harsono; Anang Endaryanto; Muhammad Faizi
Paediatrica Indonesiana Vol 39 No 9-10 (1999): September - October 1999
Publisher : Indonesian Pediatric Society

Human milk is capable to modulate the immune system in infants in several ways. lmmunorestoration is mostly dominated by immunoglobulins content of human milks especially secretory lgA, although lgG antibody also plays important role. Nucleotide content of human milk is among substances widely investigated all over the world, capable to potentiate immune response in infants by increasing NK cell activity and production of lL-2. lmmunopotentiation also the result of cell content activity of human milk, interferon, and complement. Special feature of anti-inflammatory propertyÂ of human milk is its capability to prevent of allergic disease in infants. This because ofprotein in breast milk is species specific, instead the role of secretotry lgA inÂ preventing absorption of foreign macromolecules. Other substances also play an important role in the antiinflammatory properties of human milk and interestingly the paucity of initiators and mediators in human milk.

Effect of Early Solid Food Feeding and the Absence of Colostrum Feeding on Neonatal Mortality and Its Possible Intervention Strategy Hananto Wiryo
Paediatrica Indonesiana Vol 39 No 9-10 (1999): September - October 1999
Publisher : Indonesian Pediatric Society

The provision of banana as early solid food feeding together with the absenceof colostrum feeding in neonates proven to be the cause of symptoms of intestinalobstruction (SlO). More than 64% of mothers in West Nusa Tenggara (WNT) and76% in East Java (EJ) fed their newborn babies with chewed banana and 83% ofthose in WNT and 78% in EJ had a custom of discarding their colostrum. We suggest the same condition in other provinces in Indonesia; 8.49% neonates died with the sign of SIO (see 1), and 23.07% died of diarrhea. Totally, more than 30% of neonatal mortality is cause by banana as early solid food feeding and the absence of colostrum feeding. The application of the health intervention module was proven to be very effective in reducing the custom of provision of banana as early feeding. Therefore, the application of the health intervention module, as a model, based on a previousethnographic study, and spreading the message community by formal and informalleader with their active organization, is an appropriate method that can be applied toeliminate disadvantageous custom in a corrununity in a relatively short period of time.

Correlation of Birth Weight/Length Ratio to Skinfold Thickness in Full-Term Newborns Asril Aminullan; Yuliatmoko Suryatin; Taralan Tambunan
Paediatrica Indonesiana Vol 39 No 9-10 (1999): September - October 1999
Publisher : Indonesian Pediatric Society

The determination of child/neonatal nutritional status based on their skinfold thickness has been widely known and accepted, but its daily implementation is quite difficult since this procedure needs specific tools and skills. Although still debatable, some anthropometric measurements, i.e., birth weight/length ratio were currently used as a mean to determine one's nutritional status. To find out the correlation of birth weight/length ratio to skinfold thickness of newborn babies based on gender, a cross-sectional study was conducted on 352 full-term infants (194 males, 158 females) born at the Cipto Mangunkusumo Hospital between June 14 to July 17, 1998. Of the male infants, their birth weight/length ratio showed a strong correlation to triceps and subscapular thickness (r=0.65 and 0.68, respectively); while the females revealed a strong correlation of birth weight/ length ratio to the triceps thickness (r=0.51) and a moderate correlation to the subscapular skin fold thickness (r=0,49). It was also found that the triceps and subscapular skinfold thickness in male infants were significantly lesser thanÂ the females, with p values of 0.02 and 0.04, respectively. This study revealed that the birth weight/length ratio can be used as a mean to assess neonatal nutritional status.

Growht of infants aged 0-12 months in severe iodine deficient areas Diet Sadiah Rustama
Paediatrica Indonesiana Vol 39 No 9-10 (1999): September - October 1999
Publisher : Indonesian Pediatric Society

In lndonesia, iodine deficiency remains a public health problem and iodine deficiency disorder (lDD) Control Programs are not optimally implemented. This situation might affect the growth and development of young infants living in iodine deficient areas. Eight hundred and eight infants aged 0-12 months in 5 severe iodine deficient subdistrics in West Java, were studied to assess their linear growth. Using the US National Center for Health Statistics (NHCS) age reference standards, there were 14.7% of infants with Z-score below 2 SD of the mean for normal height, defined as stunted. Using the local standards there were 8.2% of infants with stunted growth. The percentage of stunted infants were significantly higher with increasing age. The stunted infants among goitrous mothers were higher compared to those among non-goitrous mothers. It was concluded that a relatively high percentage of linear growth impairment in this study might be attributable to iodine deficiency or other factors. The infants of mothers with goiter were at higher risk of being stunted.

Profile of Mother's Knowledge and Behavior Toward Stimulation and Their Babies' Development in an Urban Poor Area in Jakarta Titi S. Sularyo; Ulynar Marpaung; Arwin A. P. Akib
Paediatrica Indonesiana Vol 39 No 9-10 (1999): September - October 1999
Publisher : Indonesian Pediatric Society

This was a field study carried out in all Posyandus located in Pulo Gadung, a poor urban of East Jakarta, from April until October 1998. Three hundred and fourteen mothers and their babies were recruited. Most of the mothers (67.2%) aged from 20-29 years old, with low education level (42.4%) and a low income (19.4%). Almost all respondents were housewives and the average number of children was two (34.7%). The most important source of information for the respondents was the electronic media. Almost half of mothers behaved well toward stimulation of their babies development (49.4%); however, 64.3% had low knowledge especially about the time baby could sit upright with a good head control. Those who behaved fairly and poorly comprised 35.7% and 15%, respectively. It seems that fine motor sector was neglected. There was no significant association between motherâ€™s knowledge and behavior towards stimulation and the development of their respective babies (p<0.5722). It revealed also that the income per capita had significant association with development of the babies (p=0.033).

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