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INDONESIA
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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Predictors for the recurrent febrile seizures after the first complex febrile seizures Conny Tanjung; Irawan Mangunatmadja; Sudigdo Sastroasmoro; I. Budiman
Paediatrica Indonesiana Vol 46 No 5 (2006): September 2006
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (341.95 KB) | DOI: 10.14238/pi46.5.2006.204-8

Abstract

Background Complex febrile seizures (CFS) have been shownto be related to recurrence and epilepsy. Many studies were doneto determine the predictors of recurrence in both simple and com-plex febrile seizures. To our knowledge until now there is no pub-lished data that specially looks for predictors of recurrence after afirst CFS.Objective To find out clinical and demographical characteristicsof a first CFS and to define the predictors for the recurrent febrileseizures.Methods Prospective survival analysis study was done in chil-dren with first CFS who visited Cipto Mangunkusumo Hospital,Jakarta, over 14 months periods. The predictors for developmentof recurrence were analyzed by SPSS for Windows 11.5 usingKaplan-Meier test and Cox regression model with a level of signifi-cance <0.05.Results There were 62 subjects completed this study. Male-to-female ratio was 1.4:1. The mean age at onset was 18.2 months.Recurrence occurred in 9 subjects (14.5%). Body temperaturebetween 38-38.5°C (7 of 26 subjects, P=0.02), upper motor neu-ron type of delayed development (3 of 7 subjects, P=0.03), andepileptic history in the family (2 of 2 subjects, P<0.05) were asso-ciated with recurrence in bivariate analysis. In multivariate analy-sis only body temperature between 38-38.5°C (HR 1.6, 95% CI1.0;23.9) and epileptic history in the family (HR 16.9, 95% CI2.8;101.4) were identified as predictors.Conclusion Low body temperature at the first seizures and epi-leptic history in the family were independent predictors for the re-currence after a first CFS
Protracted diarrhea in infants and young children: a clinical evaluation with special reference to the role of infection Muzief Munir
Paediatrica Indonesiana Vol 22 No 5-6 (1982): May - June 1982
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi22.5-6.1982.89-98

Abstract

Since diarrheal disease is one of the IIwst prominent child health problem in Indonesia, a great deal of effort has been made to reduce morbidity and mortality rates of acute diarrhea.Only a very small number of diarrheal cases, 49 oul of 1186 cases (4%) are protracted diarrhea, which can be divided into acute onset of protracted diarrhea without failure to thrive in 16 cases, chronic recurrent diarrhea with failure to thrive in 10, and chronic recurrent diarrhea without failure to thrive in 2 cases.Malaria plays an important role in 10 cases of failure to thrive with protracted diarrhea, and in 3 acute onset of prolonged diarrheal cases without failure to thrive.Amebiasis is found in 3 cases of acute onset of prolonged diarrhea. E. coli is found in 8 cases of acute onset of prolonged diarrhea without failure to thrive, in 2 cases of acute onset of prolonged diarrhea and failure to thrive, in 1 case of prolonged diarrhea in multiple congenital malformation and failure to thrive, and in 1 case of chronic recurrent diarrhea in colostomy and failure to thrive.A massive dose of vitamin A is recommended to be given to all of the protracted diarrhea cases, since 6 out of 49 cases evidenced a marked vitamin A deficiency.
Kartagener's Syndrome in Children Sjawitri P. Siregar; I. Budiman; Nastiti Rahajoe; Noenoeng Rahajoe
Paediatrica Indonesiana Vol 22 No 7-8 (1982): July - August 1982
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi22.7-8.1982.152-8

Abstract

Kartagener's syndrome is manifested by the associalion of sinusitis, situs inversus and bronchiectasis. The case described below occurred in a boy. Asplenia was also suspected with a strong family history of chronic respiratory infection. One of the four dead siblings and grandmother from mother's side has similar symptoms of respitatory infection and foul smelling breath. Symptoms of respiratory infection and running nose had started since infancy.
Preterm and low birth weight as risk factors for infant delayed development Anggraini Alam; Abdurachman Sukadi; Nelly Amalia Risan; Meita Dhamayanti
Paediatrica Indonesiana Vol 48 No 1 (2008): January 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (308.517 KB) | DOI: 10.14238/pi48.1.2008.1-4

Abstract

Background In developed countries, birth weight of less than1,500 g contributes in infant delayed development. It might bedifferent in developing countries.Objective This study aimed to determine whether preterm infantswith birth weight of 1,500 to 2,499 g are risk factors for delayeddevelopment at 7-10 months of age.Methods We analyzed singleton infants at 7-10 months ofcorrected age, born with birth weight of 1,500 to 2,499 grams,preterm-appropriate for gestational age (or LBW group), and at7-10 months of chronological age, born with birth weight >2,500g-term-appropriate for gestational (non-LBW group) in a hospital-based retrospective cohort study. Data were taken from medicalrecords in Hasan Sadikin Hospital, Bandung, from September2003 to May 2004. We excluded infants with major congenitalanomalies, hyaline membrane disease, assisted ventilation, orexchange transfusion. Multiple regression logistic analysis wasperformed for data analysis.Results The percentage of delayed development in LBW groupwas higher than in non-LBW group (17.1% vs. 1.6%). Logisticregression analysis revealed that low birth weight was a risk factorfor delayed development (RR=5.13, 95%Cl 1.55;16.96, P=0.007).Other biological risk factors for delayed development arehyperbilirubinemia (RR=3.32, 95%Cl 1.29;8.54, P=0.013) andsepsis (RR=2.74, 95%Cl 1.15;6.52, P=0.023).Conclusions Preterm-appropriate for gestational age with birthweight of 1,500 to 2,499 g are risk factors for infant delayeddevelopment after being adjusted to other biological risk factors.
The effect of treatment for soil-transmitted helminthiasis on cognitive function in children Dewi Sari; Muhammad Ali; Syahril Pasaribu
Paediatrica Indonesiana Vol 52 No 2 (2012): March 2012
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (112.596 KB) | DOI: 10.14238/pi52.2.2012.99-105

Abstract

Background Soil-transmitted helminth (STH) infections affectone-third of the world's population. School-aged children arereported to have the highest prevalence and intensity of disease,resulting in impaired cognitive function, malnutrition andmorbidity.Objective To examine differences in cognitive function in STHinfectedchildren before and after treatment.Methods We conducted a randomized, open-label, controlled trialfrom November 2 008 - March 2009 in Aek Na bar a, Lab uh an BatuDistrict, North Sumatera Province. Subjects were primary schoolagedchildren with STH infection. Before intervention, data onage, sex, nutritional status, STH infection status and cognitivefunction were collected. Subjects were divided into two groupsby simple randomization. Group I received 400 mg albendazoleand group II received a placebo. Three months after intervention,cognitive function of subjects in both groups was reassessed. Datawas analysed by Student's t test, with P value of less than 0.05considered to be statistically significant.Results Cognitive tests with the Wechsler Intelligence Scale forChildren (WISC) were performed in 120 children infected withSTH. Sixty children received 400 mg albendazole and 60 childrenreceived placebo. Seven children were excluded and one droppedout from this study. Three months after the intervention, wereevaluated cognitive function and found significant differencesin the categories of digit span (P=0.024) and total IQ score(P=0.027) between the two groups.Conclusions Treatment of STH infection with albendazoleimproved cognitive function of children in comprehension, codingand digit span testing. Performance and full IQ scores were alsoimproved after treatment. [Paediatr lndones. 2012;52:99-105].
Nutritional status of school going children and adolescents aged 9-13 years at Haldia in West Bengal, India Sudip Datta Banik; Soumita Chatterjee
Paediatrica Indonesiana Vol 50 No 3 (2010): May 2010
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi50.3.2010.159-65

Abstract

Background Malnutrition in children and adolescents is a global problem. In developing nations of Africa and Southeast Asia, the prevalence of undernutrition in children is very high. There is scanty data 'With respect to the nutritional status of school going children and adolescents, especially from sub􀁉urban and rural areas in India.Objective A study was undertaken among boys (n = 174) and girls (n = 128) aged 9􀁉 13 years in a sub􀁉urban area of Purba Medinipur district of West Bengal in India to understand age and sex variation of nutritional status of the subjects.Methods A cross􀁉sectional study among the school􀁉going children and adolescent aged 9􀁉 13 years was done during June􀁉September 2009 in Haldia.Results Age and sex variation of anthropometric characteristics (body mass index or BMI and conicity index or CI) revealed that remarkable sections of both the sexes were suffering from underweight (8.30%), stunting (14.60%) and wasting (2.80%). Significant sex differences were observed in cases of mean CI (P=O.OO1), weight􀁉for􀁉age z􀁉score (P = 0.0001) and weight-for-height ,-score (P 􀀂 0.0001).Discussion Besides notable prevalence of under nutrition in both sexes, situation of the girls is worse (underweight - 11.70% and stunting - 21.10%) compared to the boys. This is most evident among the subjects of both sexes aged 11 and 12 years.   
Hemodialysis in a Child with Pyelonephritis and Nephrolithiasis Moersintowarti B. Narendra; R.H. Sardjito Djojohadipringgo; Marsetio Donosepoetro
Paediatrica Indonesiana Vol 14 No 5-6 (1974): May - June 1974
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (987.121 KB) | DOI: 10.14238/pi14.5-6.1974.79-84

Abstract

Several events of hemodialysisamong adults have been published inIndonesia; this report might be thefirst done in a child.
Level of knowledge on HIV I AIDS among senior high school students I Nyoman Budi Hartawan; Ketut Dewi Kumara Wati
Paediatrica Indonesiana Vol 48 No 4 (2008): July 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi48.4.2008.235-9

Abstract

Background Young people are now the epicenter and bear adisproportionate burden ofHIV/AIDS pandemic. Until now,one of the strategies which are implemented by the govern-ment is by increasing the level of HIV/AIDS knowledge inorder to avoid its spreading.Objective This study was to explore the level of HIV/AIDSknowledge of senior high school's students towards HIV I AIDSat subdistrict ofPetang. The secondary outcome is to comparethe levels of knowledge toward HIV I AIDS between Petang andPelaga Senior high school, between class and gender.Methods This was a descriptive study, conducted between1st to 28th February 2007 in Petang and Pelaga Senior HighSchool. The study subjects are 529 students (all of senior highschool students in subdistrict of Petang, Badung Regency).Data was taken using UNICEF questionnaire 2000 for youngpeople, which had been passed the reliability test with thekappa value of 0.85.Results Most subjects (90.5%) have excellent and goodknowledge and only 9,5% have sufficient knowledge. Level ofknowledge in girls is better than boys with significant differ-ence between them (P=O.OOO), while school and grade didn'tshow any differences (P=0.760) and (P=0.489).Conclusion The level of knowledge of senior High School inSubdistrict ofPetang, Badung Regency toward HIV /AIDS is atexcellent or good level
Anemia among children and adolescents in a rural area Ivan Riyanto Widjaja; Felix Firyanto Widjaja; Lucyana Alim Santoso; Erick Wonggokusuma; Oktaviati Oktaviati
Paediatrica Indonesiana Vol 54 No 2 (2014): March 2014
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.459 KB) | DOI: 10.14238/pi54.2.2014.88-93

Abstract

Background Anemia in children and adolescents affects growthand development. It is a preventable disease, but unfortunately isoften ignored until the symptoms occur. There have been limitedreports on the prevalence of anemia in children and adolescentsin Indonesia, especially from rural areas.Objective To describe the prevalence of anemia in children andadolescents in district ofMalinau, a rural area in East KalimantanProvince.Methods This cross-sectional study was done in June 20 10 usinglaboratory records between July 2009 to January 20 10. Laboratoryrecords of patients aged between 6 months and 18 years whichinvestigated were complete blood count (CBC) from ambulatory,inpatient, and emergency care ofMalinau Public Hospital in EastKalimantan. Mentzer and England & Fraser indices were used todifferentiate iron deficiency anemia (IDA) and thalassemia amongmicrocytic hypochromic anemic patients.Results This study involved 709 laboratory records. Prevalenceof anemia was 53 .9% (95% CI 50.2% to 57 .5%) . The prevalenceof IDA among age groups were as follows: 29.4% (95% CI 24.3to 34.5%) in 6- 59 months group, 16% (95% CI 11 to 21 %) in5- 11.9 years, and 15.2% (95% CI 10.2 to 20.2%) in 12- 18 years.Children aged 6- 59 months tended to have more anemia th anthose aged 5- 11.9 years (OR 2. 184, 95% CI 1.398 to 3.413) oraged 12- 18 years (OR 2.3 19, 95% CI 1.464 to 3.674).Conclusion T he prevalence of an emia in children andadolescents of the Malinau Regency is 53 .9% (95% CI 50.2 to57.5%), quite similar to that of other developing countries . Agovernment program to overcome anemia is recommended, n otonly for pregnant women, but also for children and adolescents.
The influence of intrauterine growth retardation on cardiac function, left ventricular mass and superior vena cava return in newborns Anindita Soetadji; Najib Advani; Asril Aminullah; Sudigdo Sastroasmoro
Paediatrica Indonesiana Vol 51 No 3 (2011): May 2011
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (155.664 KB) | DOI: 10.14238/pi51.3.2011.170-7

Abstract

Background Low birth weight (LBW) in neonates is a problem leading to high morbidity and mortality. Barker hypothesized that fetal cardiac remodeling during hypoxic conditions or maternal under􀁏nutrition is a risk factor for coronary heart disease in theyoung. Early vascular changes may influence cardiac function and newborns' cerebral blood flow.Objective The aim of this study was to detennine the effects of being small for gestational age (SGA) on newborns' cardiac function, left ventricular (LV) mass and superior vena cava (SYC) return.Methods This cross􀁏sectional study was conducted in Cipto Mangunkusumo Hospital from February to June 2008. LBW and nonnal newborns who fulfilled the inclusion criteria were recruited as subjects. Maternal history, infant physical examination, and echocardiography were obtained Mthin 48 hours oflife to exclude those with congenital heart disease, and assess cardiac function and SYC flow.Results Subjects were 21 preterm appropriate for gestational age (AGA), 19 SGA and 19 normal newborns. SGA newborns showed lower LV mass, stroke volume and cardiac output than normal newborns. However, these SGA parameters were not different from preterm AGA babies. In additio n, LV mass index was sig nificantly different but no difference ofSVC return between the three groups.Conclusion SGA newborns' LV function was lower than that of nonnal newborns, as low as pretenn AGA newborns. N onnal SVC return was observed in the three groups. This finding may be due to a brain􀁏sparing effect to maintain sufficient cerebral blood flowin the fetus.

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