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Paediatrica Indonesiana
ISSN : 00309311     EISSN : 2338476X     DOI : -
Core Subject : Health,
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
Prevalence and Influencing Factors of Obesity in Elementary School Children Soepardi Soedibjo; Mulyadi M Djer; Agus Firmansyah
Paediatrica Indonesiana Vol 38 No 9-10 (1998): September - October 1998
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4054.113 KB) | DOI: 10.14238/pi38.9-10.1998.193-204

Abstract

An observational, cross sectional study was conducted on elementary school students in Central Jakarta between May and October 1997. This preliminary study aimed to determine the prevalence and influencing factors of obesity in elementary school students. From 488 students studied, 47 were obese. The prevalence rate in this study was 9.6%, with boys twice as much as girls. Factors that influenced the incidence of obesity were: (1) age, (2) time of introduction of solid food during infancy, (3) eating habit, (4) calorie intake, and (5) physical activities. There were two factors that increased the incidence of obesity namely: (1) obesity of parents, and (2) birth weight. Environmental factors that increased the incidence of obesity were: (1) parent's occupation and (2) family income. Laboratory findings associated with obesity were: (1) increase blood cholesterol concentration, (2) increase blood triglyceride concentration, (3) decreased HDL cholesterol concentration, and (4) increased LDL cholesterol concentration. We conclude that the prevalence rate of obesity obtained in this study was higher compared with the previous studies, and that obesity in school children is influenced by many factors.
Physical activity assessments in obese and non-obese adolescents using the Bouchard diary Fitri Primacakti; Damayanti R. Sjarif; Najib Advani
Paediatrica Indonesiana Vol 54 No 3 (2014): May 2014
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (149.938 KB) | DOI: 10.14238/pi54.3.2014.137-43

Abstract

Background Obesity is now a global epidemic problem. Increasedprevalence of obesity is associated with increased sedentarybeh avior and low physical activity.Objective To assess the physical activity patterns of adolescentsaged 10-15 years and to compare mean energy output, intensityof physical activity, duration of moderate-vigorously intensity ofphysical activity, and length of screen time in obese and non-obeseadolescents.Methods This cross-sectional study was conducted on 7th and3th grade students aged 12-15 years at 216 junior high schools inWest Jakarta. Physical activity was assessed using th e Boucharddiary for 2 school days and 1 holiday.Results There was no significant differen ce in mean energyoutput between th e obese and non-obese adolescent s. Th emedian intensity of physical activity of obese adolescents waslower than that of non-obese adolescents [1.5 (range 0.8 to 1.8)vs. 2 (range 1.6 to 2.8) METs, respectively; P <0.00 1] . The meanduration of moderate-vigorous intensity of physical activity inobese adolescents was shorter than that of non-obese adolescents[19.3 (SD 6.9) vs. 26.4 (SD3.4) minutes, respectively; P= 0.000].Median length of screen time was longer for obese adolescentsthan for non -obese adolescents [2.8 (range 1 to 6.6) vs. 1.8(range 0.3 to 6.1) hours, respectively; P < 0.001]. There was noadolescent who met the recommended physical activity intensityand duration criteria.Conclusion Physical activity varies among adolescents aged10- 15 years. Obese adolescents have signific antly less physicalactivity duration and intensity than n on-obese adolescents, butsignificantly longer screen time. All adolescents' physical activityis less than the recommended intensity and duration.
Pertussis-like syndrome or pertussis: a delay diagnosis Heda Melinda Nataprawira; Finia Cahayasari; Arifin Kashmir
Paediatrica Indonesiana Vol 52 No 1 (2012): January 2012
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (103.187 KB) | DOI: 10.14238/pi52.1.2012.28-31

Abstract

Background Recent reports of pertussis epidemiology from Asia,Africa and South America have been limited, but the WorldHealth Organization estimates indicate that these regions havethe highest disease burden. Difficulty in estimating the prevalenceof pertussis is due to lack of access to diagnostic methods,misdiagnoses, under-reporting, and different countries' reportingcriteria. A syndrome characterized by severe episodes of coughingresembling whooping cough (pertussis) has also been defined aspertussis-like syndrome.Objective To report eleven cases of pertussis or pertussis-likesyndrome in the pediatric ward of Hasan Sadikin Hospital.Methods This retrospective study was conducted by reviewingmedical records from 2008-2010. Characteristics of 11 pertussislikesyndrome patients were documented including age, gender,history of pertussis immunization, clinical manifestations,laboratory findings, initial diagnosis, treatment and clinicalresponse. Isolation of Bordetella pertussis using Bordet-Gengouagar was also noted. Pertussis diagnoses were grouped based ontwo classifications: probable and confirmed.Results Eleven patients were diagnosed with pertussis-likesyndrome, including 5 boys and 6 girls. Most subjects were lessthan 6 months of age. Only one subject had received previouspertussis immunization. Dyspnea, paroxysmal cough, and feverwere the most common symptoms. All were initially diagnosedto have had severe bacterial pneumonia, and later changed toprobable pertussis. Three subjects exhibited post-tussive vomitingand cyanosis, while none had apneic symptoms. All B. pertussisisolations yielded negative results. Ampicillin or cephalosporinwas initially administered. Patients receiving subsequentclarithromycin showed good clinical responses.Conclusion All infants were likely considered to have pertussis,as most had no pertussis immunizations. However, B. pertussisisolation was unsuccessful in all cases. As such, diagnoses couldnot be confirmed. [Paediatr In don es. 2012;5 2: 28-31].
Characteristics and risk factors of snoring and the prevalence of suspected obstructive sleep apnea in children Bambang Supriyatno; Rusmala Deviani; Alan R Tumbelaka; Evita KB Ifran; Nastiti N Rahajoe
Paediatrica Indonesiana Vol 45 No 1 (2005): January 2005
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (412.231 KB) | DOI: 10.14238/pi45.1.2005.40-5

Abstract

Background Snoring as a consequence of upper airway obstruc-tion is common in children. Snoring can be considered as normal,but might also reflect a disease such as obstructive sleep apnea(OSA), which is associated with serious morbidities. In Indonesia,data on the characteristics and risk factors of snoring and obstruc-tive sleep apnea is limitedObjectives The aims of this study were to find out the character-istics and risk factors of snoring in children and to determine theprevalence of suspected OSA in snoring children.Methods A cross-sectional study was carried out on children aged5-13 years using parental questionnaires scored according to theBrouilette formula. All children underwent physical examination forweight, height and tonsil size. Adenoid radiology was performedon part of the samples.Results Of the 917 questionnaires distributed, only 658 were com-pleted. The ratio of boys to girls was equal. Obesity was detectedin 18.3% of children, among whom 54.2% snored. Obese childrenwere 2.1 times more likely to snore. Besides obesity, rhinitis andatopy were found to be associated with snoring (PR= , 95%CI ;and PR= , 95%CI ; respectively). Asthma and tonsil hypertrophywere shown not to be predisposing factors of snoring. Childrenwith adenoid hypertrophy were 1.8 times more likely to snore ha-bitually. The prevalence of snoring and suspected OSA in childrenaged 5-13 years were 31.6% and 5.9%, respectively.Conclusion Risk factors of snoring were obesity, adenoid hyper-trophy, atopy and rhinitis. Prevalence of snoring in children age 5-13 years was 31.6% and that of suspected OSA cases was 5.9%.
Incidence of epilepsy among patients with cerebral palsy Pertin Sianturi; Amir Sarifuddin; Bistok Saing
Paediatrica Indonesiana Vol 41 No 7-8 (2001): July 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi41.4.2001.202-7

Abstract

Epilepsy is a chronic condition due to cerebral function disorders. Epilepsy occurs as a common complication of many neurological disorders such as cerebral palsy (CP) that can affect further brain damage especially if they are with prolonged seizure. The incidence of epilepsy among patients with CP varies between 25-35%. The high incidence of epilepsy among patients with CP suggests that this disorder has common or related origins. We carried out the retrospective study to determine incidence of epilepsy among patients with CP registered within July 1988 to June 1998 in YPAC Medan and to determine whether the incidence of epilepsy differed according to type of CP. Data were compiled from medical records, including name, sex, parity, mothers age, prenatal, perinatal, and postnatal history, and EEG results. Data were analyzed using statistical computer program and its significance was evaluated by chi square test at p < 0,05. There were 67 cases with CP, 53 cases spastic CP, 13 cases mixed CP and one case dyskinetic CP. Of the 67 cases CP, 47,8% male, 52,2% female and mean age 50,3 (SD 36,9) months. There were 25 (37,3%) patients CP associated with epilepsy, 72% general seizures, 20% partial seizures, and 8% infantile spasms. The incidence of epilepsy was significant different among patients with CP associated with type of CP and gestasional age, p < 0,05. We concluded that incidence of epilepsy among patients with CP in YPAC Medan was 37,3% and significantly different among patients with CP according to type CP and gestasional age.
Accidental Poisoning in Children with Special Reference to Kerosene Poisoning Dachrul Aldy; Rusdidjas Rusdidjas; Helena Siregar
Paediatrica Indonesiana Vol 18 No 1-2 (1978): January - February 1978
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (178.915 KB) | DOI: 10.14238/pi18.1-2.1978.45-50

Abstract

A 6-year (1970- 1975) retrospective study of kerosene poisoning in children admitted to the General Hospital, Medan, is presented. The total number of admission was 10.643, 124 of which were kerosene poisoning. Tho mortality was 4.8%. In North Sumatera the incidence of kerosene poisoning along with the consumption of kerosene showed an increasing trend. The male to female ratio was 75 by 49 (3:2). The majority of cases were brought to the hospital within one hour after ingestion of kerosene. The presenting symptoms in the majority of cases were coughing (78.8%), vomiting (48.9%), dyspnoe 29%, fever 20.9%, brochopneumonia 12.9%, cyanosis 4.0%, and shock 1.6%. Treatment consisted of broad spectrum antibiotics, intravenous fluid, and oxygen administration. Kerosene in the household of the patients was used as fuel, either for cooking, or light source. More than 75% of the cases belonged to the lower socioeconomic class.
Efficacy of reduced osmolarity oral rehydration solution, rice ... based oral rehydration solution, and standard WHO oral rehydration solution in children with acute diarrhea - a randomized open trial Thermiany Anggri Sundari; Soetjiningsih Soetjiningsih; Sri Supar Yati Soenarto; I P. G. Karyana
Paediatrica Indonesiana Vol 49 No 3 (2009): May 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (142.639 KB) | DOI: 10.14238/pi49.3.2009.169-76

Abstract

Background The composition of the WHO's standard oral rehydration solution (ORS) is similar to that of choleric stool. Currently, there are questions about whether the composition is acceptable for treating dehydration caused by diarrhea. Efforts are being made to try and improve the WHO ORS, e.g., to decrease the solution osmolarity to avoid hypertonic side effects.lt is acknowledged that if glucose is used in ORS, the sodium will go through enterocytes and glucose will tum into an absolute substance for the formula. Glucose is less affordable and not widely produced in developing countries, hence researchers are currently exploring substitutes such as rice flour.Objective To compare the efficacy of reduced osmolarity ORS,rice-based ORS and the WHO standard ORS among childrenwith acute diarrhea.Methods A randomized open trial was conducted in children aged6-59 months old admitted for acute diarrhea. One-way AN OVAwas used to compare the three different types of ORS given.Results The mean duration of diarrhea was significantly lower inthe group treated with reduced osmolarity ORS (52.66 h, 95%CI 4 7.13 to 58.18) and rice-based ORS (54.66 h, 95% CI 4 7.97to 61.34) compared to the group treated with the WHO standardORS (67.34 h, 95% CI 61.50 to 73.18). Multivariate analysisshows that intervention had a significant effect on reducing theduration of diarrhea.Conclusions Reduced osmolarity ORS and rice-based ORSsignificantly lower the mean duration of children with acutediarrhea compared with the group treated with the WHO standardORS.
Prevalence and factors associated with behavioral disorders in children with chronic health conditions Budi Santoso Adji; Soetjiningsih Soetjiningsih; Trisna Windiani
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 (306.455 KB)

Abstract

Background Patients suffering from chronic health conditions are compelled to strive to adjust in their communities. As a result, changes in their physical and psychosocial states are likely to occur. Several studies have described the prevalence of behavioral disorders in such patients. Pediatric Symptom Checklist (PSC) is a screening tool to detect behavioral disorders in children with chronic illness.Objective To determine the prevalence of and factors associated with behavioral disorders in children with chronic health conditions.Methods A cross sectional study was conducted on 4 to 14 year-old-children with chronic diseases in out-patient clinic, Sanglah Hospital from October to December 2008. PSC-17 was used to screen the presence of behavioral disorders. Bivariate analysis and logistic regression were used for analysis.Results One hundred and four children were included in this study. The prevalence of behavioral disorder based on PSC-17 score ≥ 15 was 37.5%. The study showed that duration of illness of more than 3 years had significant correlation with behavioral disorders, compared with the group of 3 month – 3 years duration of illness (OR 3.30, 95% CI 1.33 to 8.22, P = 0.010}.Conclusions Prevalence of behavioral disorders in children with chronic health condition is 37.5%. The duration of illness contributes to the manifestation of behavioral disorders in children with chronic health conditions. [Paediatr Indones. 2010;50:1-5].
Clinical predictors of hypoxemia in pneumonia Eka Gunawijaya; I M Widia
Paediatrica Indonesiana Vol 43 No 5 (2003): September 2003
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (419.234 KB) | DOI: 10.14238/pi43.5.2003.192-8

Abstract

Background Pneumonia is one of the main causes of death ininfants in developing countries. The device of oxygen saturationmeasurement for detecting hypoxemia is limited in district hospi-tals.Objective The aim of our study was to find the best clinical pre-dictor for hypoxemia that could be used in Indonesia.Methods Between June 2001 until May 2002, the diagnostic testwas performed in 125 infants aged 2–12 month-old who sufferedfrom pneumonia. The oxygen saturation measured by pulse oxim-etry was used as the gold standard.Results The samples were divided into two groups, 52 infants withhypoxemia and 73 normal. The base characteristics of both groupswere not statistically different. The prevalence of hypoxemia was41.6%. The best single clinical predictor of hypoxemia was cyano-sis (the sensitivity 92%, specificity 86%, likelihood ratio 6.74, post-test probability 83%), as well as the combination of two clinicalpredictors i.e., cyanosis and nasal flaring. The best combination ofthree clinical predictors was cyanosis, nasal flaring, and refusal todrink (the sensitivity 92%, specificity 86%, likelihood ratio 6.74,post-test probability 81%).Conclusion The combination of cyanosis and nasal flaring isgood enough as a predictor to detect hypoxemia in area with nofacility of oxygen saturation measurement
Morphology and disaccharidase activity of small intes- tinal mucosa in post-weaning-induced malnourished rats and after realimentation Rustadi Sosrosumihardjo; Agus Firmansyah; Asri Rasad; Daldiyono Harjodisastro; Endi Ridwan; Septilia Inawati Wanandi; Dwirini Retno
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 (403.995 KB) | DOI: 10.14238/pi46.5.2006.229-35

Abstract

Background The most common cause of failure to thrive in in-fants is malnutrition which causes histological and biochemicalchanges of small intestine. Studies on histology and enzyme ac-tivity of small intestinal mucosa were not much developed.Objective To study about histology and disaccharidases activity ofsmall intestinal mucosa in post-weaning-induced malnourished rats.Methods We used Sprague-Dawley white rats as the subjects ofthis study with post test-control group design. The study was per-formed at the CentER for Research of Food and Nutrition Devel-opment from April 2003 to December 2004.Results There were a decrease of body weight (hypotrophy nor-moblastic) and an increase of disaccharidase activity of small in-testinal mucosa in post-weaning-induced malnourished rats. Afterrealimentation, there were an increase of body weight, an improve-ment of the hypotrophy, and a decrease of the enzyme but theystill cannot reach normal condition.Conclusion In malnourished rats, there are decrease of bodyweight hypotrophy normoblastic and increase of disaccharidasesactivity of intestinal mucosa that are improved after realimentation

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