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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

156 157 158 159 160

Cesarean Section Rates Differences among Hospitals in Jakarta Basalamah A.; Suradi R.; Wiknyosastro G. H.
Paediatrica Indonesiana Vol 35 No 1-2 (1995): January - February 1995
Publisher : Indonesian Pediatric Society

The incidence cesarean section (CS) has increased in the world as well as Indonesia. This fenomenon creates a concern among professionals. This study was undertaken to determine the incidence of CS and its indications among hospitals in Jakarta in 1992. Hospitals were divided into 3 groups according to the management and ownership: government (type A), semiprivate (type B) and private (type C) hospitals. Twelve hospitals belonged to type A, 17 to type B, and 34 to type C. Total deliveries in type A, B and C hospitals wereÂ respectively: 11 803; 19 130 and 17 665. The median number of deliveries was higher in type A than in type B or C. Most of type A hospitals (83.3%) and only 47.9% of type B and 11.8% of type C hospitals were open for referral cases. The mean CS rates were respectively 12.7%; 16,6% and 29.9% in type A, D. and C hospitals. Cephalopelvic disproportion was the most frequent indication in all 3 groups. In type A and B hospitals the second most frequent indication was antepartum hemorrhage while in type C hospitals it was previous CS. It is widely accepted that 80% of pregnancy with a CS scar can be delivered vaginally; so that the high incidenceof CS due to previous CS might be related to difference in interest or concept. In type C hospitals the 6th most frequent indication of CS was on mother's request, which was not found in type 8 or A hospitals. The length of stay was longer in type C than in type G or A hospitals.

Normal Hemoglobin Values in 12-24 Month Old Children Zahedi Affandi; Harry Respati; Ponpon Ijradinata
Paediatrica Indonesiana Vol 35 No 1-2 (1995): January - February 1995
Publisher : Indonesian Pediatric Society

One hundred and thirty-one children aged 12 to 24 months attending the Under Five Clinic of The Department of Child Health, Medical School, Padjadjaran University/Hasan Sadikin General Hospital in Bandung were studied. These subjects were "healthy" and they had no laboratory evidence neither of folic acid, vitamin B12 or iron deficiency, nor thalassemia minor, and/or hemoglobinopathy. These individuals were considered adequately nourished from the erithropoietic point of view, and they constituted the "normal" subjects from which values of hemoglobin were calculated. Results from this highly selected subjects indicated that the mean hemoglobin value was 127.2 g/L (range: 111.6-142.8 g/L). The lower limit of the hemoglobin value in this study is within the normal range according to the WHO criteria for normal hemoglobin values in children 6 months to 6 years of age.

Differentials of Diarrheal Diseases Management in District Rambutan, South Sumatra, Indonesia Rusdi Ismail
Paediatrica Indonesiana Vol 35 No 1-2 (1995): January - February 1995
Publisher : Indonesian Pediatric Society

The aim of this report is to present the association between some sociodemographic and biomedical factors and diarrheal diseases (DD) case management practiced by the community. The study was conducted in District Rambutan, South Sumatra Province, Indonesia, based on the data from a sociodemographic survey in 1990 and sequential surveillance of DD between April 1990 and March 1991. The number of house-hold (HH) monitored was 4349 comprising 3816 children under five years of age. The point prevalence of DD in this age group was 0.007. The most prominent differentials of DD case management by the community were biomedical factors, that were duration, frequency or kind of diarrhea, and accompanying diseases. The practices of DD case attendees had been in line with the guidelines promoted by the Indonesian CDD program. But specific behaviors still deviate, which need more detail promotion guidelines and elaborate education processes based on better knowledge of the community perception, demand and which need more detail promotion guidelines and elaborate education processes based on better knowledge of the community perception, demand and practices in facing DD. Using Weiss' model, this study points out that the important determinant for these deviation is the nature of the DD itself.

Patterns of Birth Weight in Rural Tanjungsari, West-Java Anna Alisjahbana; Ali Usman; S. Tanuwidjaja; R. Peeters; A. Meheus
Paediatrica Indonesiana Vol 35 No 1-2 (1995): January - February 1995
Publisher : Indonesian Pediatric Society

Few population studies on birth weight distribution are available in Indonesia. This report is the result of a cohort of pregnant women who were followed from early pregnancy through delivery until the child is two years of age in a rural area Tanjungsari, about 45 km from Bandung. The infants were born between January 1, 1988 -December 31, 1989. A total of 3818liveborn infants were available for analysis. The birthweight was grouped into low birth weight (<2500 g), deficient birth weight (2500-<3000 g), and favorable birthweight (>3000 g). The percentages were 13.9, 45.5 and 40.6 percent, respectively. The percentage of favorable birth weight in this study was lower compared with that in developed countries, it was even lower compared with other studies in Indonesia. The Tanjungsari has shown that the pattern of birth weight of live born infants have a distinct relationship to survival. Taken into consideration that most of low birth weight infants died in the neonatal period, improvement in birth weight may result in decline in infant mortality.

Bowel Habits in Children Sri Sulastri; M. Iqbal; Johnwan Usman; Atan Baas Sinuhaji; A. H. Sutanto
Paediatrica Indonesiana Vol 35 No 1-2 (1995): January - February 1995
Publisher : Indonesian Pediatric Society

A cross sectional study of the bowel habits of 119 children (aged 2 years or less) was performed at PTP VIII, North Sumatera. The study was carried out on Desember 18 and 19, 1992, using questionnaire. Mean frequency of defecation was 1.2 times/day (Â± 0.49) and median volume of defecation was 25 mL/day. Out of 119 children, 9 children were on fluid diet, the mean frequency of defecation was 1.5 times/day (Â± 0.71) and the median volume of defecation was 5 mL/day. Eighty-eight children who were on fluid diet plus solid diet had a mean frequency of defecation 1.1 times/day (Â± 0.48) and median volume of defecation was 25 mL/day. Twenty two children who received solid diets had a mean frequency of defecation of 1.2 times/day (Â± 0.35) and median volume of defecation was 57.5 mL/day. The volume of defecation in children who received solid_diets was higher than children who bad not received solid diets (p < 0.05). There was a positive corelation between age and stool volume (r=0.4; p < 0.05).

Hepatitis C in A Child with Thalassemia Dina Dina; Anky Tri Rini; M. Widia; Sudaryat S.
Paediatrica Indonesiana Vol 35 No 1-2 (1995): January - February 1995
Publisher : Indonesian Pediatric Society

We present a case of hepatitis C in a patient with thalassemia major. The transmission seems to be through blood transfusion. The diagnosis of hepatitis C was determined by the presence of anti HCV in serum. Ursodeoxycholic acid therapy gave a satisfactory result and the patient was discharged after showing improvement of both clinical signs and liver function tests. He was suggested for regular examination to evaluate anti HCV and his thalassemia. lt is believed that if anti HCV titer is more than 6 months, hepatitis may become chronic hepatitis C.

Clinical characteristics of hemophilia A patients with hemarthrosis Setyo Handryastuti; Djajadiman Gatot; Arwin A. P. Akib
Paediatrica Indonesiana Vol 42 No 5-6 (2002): May 2002
Publisher : Indonesian Pediatric Society

Background Hemarthrosis is the most frequent bleeding manifestation of severe hemophilia. Repeated hemarthrosis will cause chronic arthropathy, which results in a physical disability.Objectives To obtain data of clinical characteristics of hemophilia- A patients with hemarthrosis (particularly chronic hemarthrosis) and to know the effect of on-demand therapy on joints of the patients.Methods We evaluated 102 hemophilia A patients in Pediatric Hematology and Oncology Division, Cipto Mangunkusumo Hospital for 6 months beginning from March 2001.Results The number of cases of chronic hemarthrosis was 22%,smaller than previous study (54%). Chronic hemarthrosis mostly occurred in hemophilia A patients who aged between 13-18 years, had severe hemophilia A and frequency of hemarthrosis more than 12 times a year, and also patients who did not receive adequate therapy. The joint which most frequently suffered from hemarthrosis were knee (26%), ankle (23%) and elbow (21%). The critical period for the first hemarthrosis was at the age of 2-12 years, and repeatedÂ hemarthrosis episodes commonly occurred at the age 6-18 yearsowing to the child's increasing physical activities.Conclusion Hemarthrosis can be prevented and anticipated. It is important to notice the critical period when first hemarthrosisand repeated hemarthrosis occur. The certain joints like knee, ankle and elbow must be given more attention due to the risk ofrepeated hemarthrosis.

Patent Ductus Arteriosus Before and After Surgery Bambang Madiyono; Ismet N. Oesman; Sudigdo Sastroasmoro; Sukman Tulus Putra; Eva Jeumpa Soelaiman; Kukuh Basuki Rachmad
Paediatrica Indonesiana Vol 29 No 3-4 (1989): March - April 1989
Publisher : Indonesian Pediatric Society

Twenty five patients with patent ductus arteriosus, who had undergone surgical closure were studied retrospectively. Girls were more affected than boys; the sex ratio was 4 : I. Associated cardiac lesions were diagnosed in 3 patients, two with ventricular septal defect and one with congenital mitral stenosis. Congestive heart failure was diagnosed in 5 patients before surgery. Typical continuous murmur was heard in most cases (76%), while in the rest only systolic murmur was detected. Electrocardiographic left atrial enlargement, left ventricular hypertrophy and right ventricular hypertrophy were found in 8%, 48% and 40%, respectively.Cardiomegaly with increased pulmonary vascular markings was found in 60% of cases, while ratio of left atrial to aortic root diameter greater than 1.2 was detected in 60% of patients. The PDA could be directly visualized by echocardiography in 15 cases.Cardiac catheterization was performed in 17 cases, 47% with hyperkinetic pulmonary hypertension, 41% with high pulmonary flow without pulmonary hypertension and 12% with mild increased pulmonary flow. The pulmonary-systemic flow ratio (Qp/Qs) was more correlated to pulmonary vascular markings rather than to cardio-thoracic ratio. Division of the ductus was the procedure of choice, but in 16% of cases ductal ligation was performed because of technical reasons. Postoperative catch-up in both weight and height was observed more clearly in children operated at earlier age. Ejection systolic murmur was still detected in 2 patients, in whom hyperkinetic pulmonary hypertension existed prior to surgery. No cardiomegaly was found in patients followedup I year or more after surgery. The mortality was nil.

Motor clinical progression in a series of pediatric Duchenne and Becker muscular dystrophy cases Zakiah Nur Istianah; Sunartini Sunartini; Sasmito Nugroho
Paediatrica Indonesiana Vol 59 No 2 (2019): March 2019
Publisher : Indonesian Pediatric Society

Muscular dystrophy is a neuromuscular disorder that begins with muscle weakness and impaired motor function. Duchenne muscular dystrophy (DMD) is more severe and destructive than Becker muscular dystrophy (BMD), and both are progressive in nature. These 2 types of muscular dystrophy are caused by mutations in related to X-chromosome genes.1 The mutations that occur in DMD are nonsense mutations. Deletion is present in 60% of DMD cases, while duplication occurs in 10% of DMD cases, resulting in loss of dystrophin protein. Mutations in BMD are missense mutations, so dystrophin is still formed, but in decreased amounts and quality.2,3 The prevalence of DMD was reported to be three times greater than that of BMD, with a prevalence of 1.02 per 10,000 male births vs. 0.36 per 10,000 male infants, respectiveley.4 Anatomical pathology examination revealed loss of dystrophin in the examination of muscle biopsy without the presence of evidence leading to other neuromuscular diseases. Clinical DMD symptoms begin to appear at the age of 2-4 years. The child is observed to fall often and has difficulty climbing stairs. Muscle weakness worsens, especially in the upper limbs, continuing with heart and respiratory problems. The main causes of death in DMD are respiratory failure and heart failure.5 The BMD has varied clinical symptoms, beginning with the appearance of myalgia, muscle cramps, and arm weakness progressing towards myopathy. Some patients are asymptomatic until the age of 15, but 50% of patients show symptoms at age 10, and almost all by age 20.6

The toxic effect of rhodamine B in rats G. Nainggolan Sihombing
Paediatrica Indonesiana Vol 24 No 7-8 (1984): July - August 1984
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1006.264 KB)

A multigeneration rat feeding study was carried out with rhodamine B incorporated in the usual stockdiet [or albino rats. Rhodamine B is a red inedible synthetic dyestuff wrongly but widely used in Jakarta for colouring cheap snacks and drinks prepared at the homelevel and sold by streetvendors. Under the conditions of the experiment the main findings observed were : 1) retardation of growth, starting from birth to adulthood 2) decrease in reproductive ability as seen from continuing decrease of littersize with each following generation 3) behavioral changes of adult rats, such as itching, irritability, aggressiveness and cannibalism 4) increased susceptibility to infection (respiratory diseases) in adult rats resulting in decreased longevity 5) development of tumors in the lymphnodes. The purpose of this investigation is through reporting the findings to awake renewed interest on the part of the authority for the problem of provision of the so badly needed cheap but edible foodgrade colours for the less privileged members of the society.

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