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Paediatrica Indonesiana
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
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Validation of the Indonesian Version of Modified Checklist for Autism in Toddlers: a diagnostic study Hendra Salim; Soetjiningsih Soetjiningsih; I Gusti Ayu Trisna Windiani; I Gede Raka Widiana; PITIKA ASPR
Paediatrica Indonesiana Vol 60 No 3 (2020): May 2020
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (247.55 KB) | DOI: 10.14238/pi60.3.2020.160-6

Abstract

Background Autism is a developmental disorder for which early detection in toddlers is recommended because of its increased prevalence. The Modified Checklist for Autism in Toddlers (M-CHAT) is an easy-to-interprete tool that can be filled out by parents. It has been translated into the Indonesian language but needs to be validated. Objective To evaluate the diagnostic validity of the Indonesian version of M-CHAT in detection of autism spectrum disorder in Indonesia. Methods A diagnostic study was conducted at Sanglah Hospital, Denpasar, Bali, from March 2011 to August 2013. Pediatric outpatients aged 18 to 48 months were included. The Indonesian version of the M-CHAT tool was filled by parents. Autism assessment was done according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV-TR). The assessment results were analyzed with the MedCalc program software, in several steps: (i) reliability of M-CHAT; (ii) description, distribution, and proportion to determine the characteristics of the subjects of research; and (iii) validity of M-CHAT compared to the gold standard DSM-IV-TR by a receiver operating characteristic curve and several area under the curve cut-off points, in order to assess the sensitivity, specificity, positive predictive value, negative predictive value, and positive and negative likelihood ratio, accompanied by the 95% confidence interval of each value. Results The Indonesian version of M-CHAT in toddlers had 82.35% sensitivity and 89.68% specificity, using the cut-off point of more than 6 failed questions. Conclusion The Indonesian version M-CHAT translated by Soetjiningsih has optimal diagnostic validity for detection of autism in toddlers.
Parental knowledge, attitude, and behavioral factors in immunization response following a diphtheria outbreak in children in 2018-2019 Nabila Arfimita; Edward Surjono
Paediatrica Indonesiana Vol 60 No 3 (2020): May 2020
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.392 KB) | DOI: 10.14238/pi60.3.2020.142-8

Abstract

Background A diphtheria outbreak was declared at the end of 2017. The outbreak response immunization (ORI) was a key Indonesian government strategy to control diphtheria in three outbreak areas. This strategy was implemented starting December 11, 2018. Parents' positive knowledge, attitude, and behavior regarding diphtheria and the diphtheria ORI may influence the coverage of diphtheria ORI in Indonesia. Objective To assess for relationships between parental knowledge, attitude, and behavior to coverage of diphtheria ORI in children. Method This cross-sectional study was conducted at Kapuk Muara Public Elementary School 03, North Jakarta from November 2018 to August 2019. The respondents were parents of the schoolchildren. Parents filled questionnaires about their knowledge, attitude, and behavior with regards to diphtheria ORI coverage in children. Results The coverage of diphtheria ORI in children was 61.8%. From 110 respondents, 40.9% of parents had at least sufficient knowledge, 73.8% had good attitude, and 55.5% had good behavior regarding diphtheria and diphtheria ORI. Parental knowledge had no significant association to coverage of diphtheria ORI in their children. However, there were significant relationships between parental attitude and behavior to coverage of diphtheria ORI in their children. Conclusion The coverage of diphtheria ORI needs improvement. Most parents have sufficient level of knowledge, good attitude, and good behavior towards diphtheria and diphtheria ORI. There is no association between parental knowledge about diphtheria and diphtheria ORI to coverage of diphtheria ORI, but there are significant association of parental attitude and behavior toward diphtheria ORI coverage.
Association of BMI measurements to waist circumference and waist-to-height ratio in overweight and obese children Sindy Irenewati; Nahwa Arkhaesi; Wistiani Wistiani
Paediatrica Indonesiana Vol 60 No 3 (2020): May 2020
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (207.012 KB) | DOI: 10.14238/pi60.3.2020.131-6

Abstract

Background Early monitoring of visceral fat is important to prevent the worsening of obesity in children. In recent years, waist circumference (WC) and waist-to-height ratio (WHtR) measurements have gained attention as an anthropometric indexes for obesity in children. They are an easy-to-use, inexpensive, specific to visceral fat and safe monitoring methods for children. International reference values, however, do not exist for any of the two measures to determine obesity in children. Objective To compare WC and WHtR to body mass index (BMI) status in overweight and obese children aged 10-12 years. Methods This cross-sectional study included overweight and obese children aged 10-12 years from four primary schools in Semarang, Central Java. Subjects underwent anthropometric measurements including weight, height, and waist circumference. Subjects were classified as obese (>=P95) or overweight (P85<=P<P95) using BMI percentiles according to age and sex. Chi-square test was used to assess for associations between categorical variables and multivariate logistic regression analysis was used to identify a dominant variable. Results Forty-two obese and 23 overweight children were studied. Children with higher values of WC (PR=1.879) and WHtR (PR=8.352) had a higher prevalence of having higher BMI status (obese). Using multivariate analysis, WHtR was the more dominant variable associated with BMI status, compared to WC. Conclusion Higher WC (cut off P90) and WHtR (cut off 0.5) have a significant associations with greater obesity children aged 10-12 years. Compared to WC, WHtR is a stronger predictive factor for obesity.
Influence of screen time and sleep duration on obesity in early adolescents Shafira Maharani Malik; Farid Agung Rahmadi; Wistiani Wistiani
Paediatrica Indonesiana Vol 60 No 3 (2020): May 2020
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (208.546 KB) | DOI: 10.14238/pi60.3.2020.154-9

Abstract

Background Behavioral and environmental factors increase the risk of obesity. Many Indonesian children have their own smartphones and engage in excessive screen time, which may negatively impact their nutritional status and sleep duration. However, to our knowledge no studies have explained the magnitude of the influence of screen time and sleep duration on obesity in early adolescents. Objective To analyze the influence of screen time and sleep duration on obesity in children aged 10-13 years. Methods This case-control study was done from April to June 2019 in Semarang, Central Java. Subjects comprised 70 obese and 70 non-obese children, based on CDC body mass index-for-age percentiles. Subjects were recruited from 7 primary schools. Children’s screen time and sleep duration data were collected from the modified 3DPAR questionnaire. Statistical analysis was conducted using Chi-square and logistic regression tests. Results Obesity had significant associations with short sleep duration (aOR=4.20; 95%CI 1.80 to 9.78) and long computer screen time (OR=4.13; 95%CI 1.28 to 13.25). Total screen time on other media or all media combined were not associated with obesity since both the obese and non-obese groups spent >2 hours/day on screens. Short sleep duration was the dominant risk factor for obesity (OR=4.08; 95%CI 1.78 to 9.35). Conclusion Short sleep duration (<9 hours/day) is associated with and a dominant risk factor for obesity in children aged 10-13 years. However, screen time is not associated and not influential as a dominant risk factor for obesity, despite the high odds of obesity in children with long computer screen time (>2 hours/day).
Impact of albumin levels on clinical outcomes in children underwent abdominal surgery Rismala Dewi; Freddy Guntur Mangapul Silitonga; Irawan Mangunatmadja
Paediatrica Indonesiana Vol 60 No 3 (2020): May 2020
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.056 KB) | DOI: 10.14238/pi60.3.2020.149-53

Abstract

Background Patients underwent abdominal surgery and had hypoalbuminemia were at risk of post-operative complications. The prognostic role of albumin levels in children with abdominal surgery remains unclear. Objective To investigate the impact of albumin levels on clinical outcomes related to the complications in children with abdominal surgery. Methods This was a retrospective cohort study on children aged 29 days to 18 years, who underwent abdominal surgery, had serum albumin levels measured at pre-operative and within 48 hours post-operatively, and hospitalized in Paediatric Intensive Care Unit of Dr. Cipto Mangunkusumo Hospital, Indonesia. The primary outcomes were post-operative complications (sepsis, surgical site infection, shock), length of stay in PICU, dehiscence, relaparotomy, and postoperative mortality. Results This study recruited a total of 201 children. Pre- and post-operative serum albumin levels of ≤ 3.00 g/dL were found in 15.4% and 51.2%, respectively. Pre- and post-operative serum albumin levels of ≤ 3.00 g/dL were associated with higher risk of post-operative sepsis (RR 3.4; 95%CI 1.54 to 7.51) and relaparotomy (RR 3.84; 95%CI 1.28 to 1.49). The median of length of PICU stay was 4 days longer in children with pre-operative serum albumin levels ≤ 3.00 g/dL (P<0.001). Conclusions Hypoalbuminemia condition in children undergo abdominal surgery is associated with increased risk of post-operative sepsis, longer length of stay in PICU, and risk of relaparotomy.
Childhood retinoblastoma Ramyuzal Nasution; Adi Sutjipto
Paediatrica Indonesiana Vol 31 No 3-4 (1991): March - April 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (492.108 KB)

Abstract

Childhood retinoblastoma was studied in a period of January 1980 to December 1988. Forty six patients were included consisting of 21 males (45.65%) and 25 females (54.35%). Most of those patients (76.08%) were in the age group of 0- 5 years. The main complaint was protrusion of eyes, found in 42 patients (91.30%). Bone marrow examination was done in 24 patients, and 52.17% of them showed sign of metastasis. Thirty seven cases had unilateral retinoblastoma (80.43%). The statistical analysis indicated no significant differences in sex and age, site of tumor (left or right eyl!l), abnormality of the eyes, bone marrow involvement, protrusion of the eyes either unilateral or bilateral. Heredity was found in one patient (2. 17%). The main treatment was radiation in 25 patients (50.43%).
Comparative efficacy study of combination fansidar-sulphate-quinine and fansidar-hcl-tetracycline in falciparum malaria in children above 7 years old K. Silitonga; T. H. Rampengan
Paediatrica Indonesiana Vol 31 No 3-4 (1991): March - April 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (445.904 KB)

Abstract

The objective of this study is to compare the results of treatment of children with falciparum malaria with the combinations of fansidar-su/phate quinine and fansidar-chlortetracycline as an alternative treatment of chloroquine'resistant falciparum malaria. This study was carried out prospectively on 45 cases with the age equal or above 7 years, who had been admitted in the Pediatric Department, Gunung Wenang Hospital, Manado, during the period of January 1989- December 1989. Twenty three cases had been treated with fansidar - sulphate quinine and 22 cases with fansidar-chlortetracycline, all of them underwent blood examinations for malaria for 7 consecutive days (day 0-8). Asexual parasitemia and fever in the fansidar-sulphate quinine group significantly disappeared more rapidly than in the fansidar-chlortetracycline group (P <0.03 and <0.005). There occurred neither drug resistance nor serious side effect in both groups.
The efficacy of sulphate quinine compared to fansidar in treating falciparum malaria in children 6 months – 7 years old M. Mogi; T. H. Rampengan
Paediatrica Indonesiana Vol 31 No 3-4 (1991): March - April 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (440.327 KB)

Abstract

From January 1989 until February 1990, 65 children suffering from falciparum malaria without complikation at the Department of Child Health Medical School Sam Ratulangi University/Gunung Wenang Hospital Manada were randomly allocated into 2 groups. The first group was treated with sulphate quinine based on the dose of 30 mg/kgbw/day in 3 divided doses and the other one was treated with single dose fansidar (sulphadoxine-pyrimethamine) based on the dose of sulphadoxine 20-30 mg/kgbw/day. The group treated with quinine showed much shorter duration of parasitemia compared with the group treated with fansidar. Fever subsided more rapidly in children treated with quinine compared with those treated with fansidar.
Comparative efficacy of combination fansidar-sulphate-quinine and fansidar-cbloroquine in mixed malaria infections of P. falciparum - P. vivax in children A. Liando; T. H. Rampengan
Paediatrica Indonesiana Vol 31 No 3-4 (1991): March - April 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (451.27 KB)

Abstract

From January 1987 until March 1990, 61 children suffering from mixed malaria infections of P. falciparum and P. vivax entered the Department of Child Health Medical School Sam Ratulangi University/Gunung Wenang General Hospital, Manado. Only 41 patients were evaluated as 20 patients did not fulfill the inclusion criteria. Twenty patients were treated with fansidar-quinine (Group I), and 21 patients with fansidar chloroquine (Group II). In group II, the asexual form of P. vivax disappeared in 2 days after having been treated with fansidar-chloroquine. Conversely, in group I the asexual form of P. vivax disappeared after 5 days o[ treatment. Statistical analysis showed a significant difference (p<0.001). No significant difference .could be detected between the duration of asexual parasitemia of P. falciparum in these two groups (p=0.3085). No statistically significant difference could be detected concerning the duration of fever and the length of hospitalization between these rwo groups.
A young girl with suspected encephalitis caused by avian influenza A (H5N1) infection in Indonesia Anita Juniatiningsih; Darmawan B Setyanto; Vivi Setiawaty; Endang R Sedyaningsih
Paediatrica Indonesiana Vol 50 No 1 (2010): January 2010
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (219.526 KB) | DOI: 10.14238/pi50.1.2010.62-6

Abstract

A previously healthy two-year-old girl was admitted to the Emergency Unit of Cipto Mangunkusumo Hospital (CMH) Jakarta, on March 23, 2006 with a deterioration of consciousness since four days before admission. She was referred by a district hospital with a working diagnosis of suspect encephalitis, gastroenteritis, and febrile convulsion. History taken from her parents revealed that since eight days before admission she had a mild fever and cough, without rhinorrhea. Her appetite, defecation and urination were normal. Patient was taken to a clinic, where she was diagnosed as having an upper respiratory tract infection, and was given three kinds of medicine (i.e., antipyretic, expectorant and antibiotic).

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