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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

90 91 92 93 94

The Quartan Malarial Nephrotic Syndrome R. G. Hendrickse
Paediatrica Indonesiana Vol 15 No 3-4 (1975): March - April 1975
Publisher : Indonesian Pediatric Society

The Nephrotic Syndrome as classically described is a disease of unknown aetiology with a peak incidence in the first three years of life, highly selective proteinuria, minimal histological changes in the kidney and usually responsive to steroid therapy. Studies in tropical Africa in recent years have revealed a high incidence of the nephrotic syndrome in childhood which shows many differences from the syndrome as described elsewhere. The vast majority of cases occur in association with P. malariae infection, the peak incidence occurs at 5 - 6 years of age, proteinuria is usually poorly selective, distinctive histological changes are found in the majority and response to steroids, and other forms of treatment, is in general poor.

Dengue Hemorrhagic Fever: Problems and Progress Suchitra Nimmannitya
Paediatrica Indonesiana Vol 15 No 3-4 (1975): March - April 1975
Publisher : Indonesian Pediatric Society

The paper represents a climcal reappraisal of dengue hemorrhagic fever (DHF) and the authorâ€™s purpose to briefly review and discuss the pertinent data obtained to date. The most frightening picture of DHF that clearly differentiates this new clinical entity from the classical dengue illness and contribute to its cause of death is the shock syndrome.

The Adrenocortical Function Studies in Children Iwao Takakura
Paediatrica Indonesiana Vol 15 No 3-4 (1975): March - April 1975
Publisher : Indonesian Pediatric Society

The recent advances in the laboratory procedures make it possible to study endocrinological states in children more easily and more accurately even in the neonatal period. The successes in purification and the determination of chemical structures of various hormones and their releasing factors make it possible to carry out various loading tests. The progress in the measurement of various hormones and their metabolites especially in the field of radioimmunoassay is really remarkable.If we took adrenocortical function studies as an example, urinary 17 hydroxycorticosteroid was the only reliable item about ten years ago, then plasma 17-OHCS determination using Porter-Silver chromogen was introduced followed by plasma 11-OHCS determination with fluorescence spectrophotometry. Then, cortisol production rate determination became possible using radio-isotope dilution technique, and at present, plasma cortisol can be measured directly with protein competitive radio-immunoassay. Thus, the adrenocortical function studies in the pediatric age group has become easier and more reliable. The author likes to present some endocrinological results in children using various methods and now they can be applied in the clinical work.

Refeeding with Free Lactose Milk ( A1 - 110 Nestle) in Children Suffering from Gastroenteritis and Dehydration Suharjono Suharjono; Sunoto Sunoto; Aswitha Boediarso; Hentyanto Hendardji; Soegiharto Soegiharto
Paediatrica Indonesiana Vol 15 No 7-8 (1975): July - August 1975
Publisher : Indonesian Pediatric Society

Forty one infants suffering from diarrhoea hospitalized in the Department of Child Health, Medical School, University of lndonesia/Dr. Tjipto Mangunkusumo General Hospital, Jakarta, from August 15, 1973 to January 15, 1974 were refed with "free lactose milk".The result is as follows :1. From the point of view of increase of body weight:27 (65.8 %) out of 41 cases were excellent.2 ( 4.9 %) out of 41 cases were good.12 (29.3 %) out of 41 cases were poor.2. From the point of view of stopping the diarrhoea :25 (60.9 %) out of 41 cases were excellent.10 (24.5 %) out of 41 was good.6 (14.6 %) out of 41 cases were poor.

Treatment of Cholera El Tor with Bactrim S. Komalarini; J. Iswandari
Paediatrica Indonesiana Vol 15 No 7-8 (1975): July - August 1975
Publisher : Indonesian Pediatric Society

Between November 1971 and May 1974, there were 41 children, comprising 26 boys and 15 girls, suffering from cholera El Tor gastroenteritis treated with parenteral Bactrim during the first 24 hours followed by Bactrim orally for 4 consecutive days. Rectal swabs on admission showed positive V. cholera biotype El- Tor cultures in all cases; 9 children had additional pathogenic E. coli in the stools. Besides Bactrim, treatment consisted of intravenous administration of lactated Ringerâ€™s solution, dextrose 5% or saline. All the patients showed quick improvement of the clinical condition. Good result was found in 34 children (82.9%), fair in 6 (14.6%), and failure in 1 case (2.4%). All the children in this study survived. No drug intolerance or side effect was observed.

Blood Gas Analysis (Astrup) in Children suffering from Gastroenteritis dehydration with Acidosis Sutoto Sutoto; Sunoto Sunoto; Bambang M.; Sutejo Sutejo
Paediatrica Indonesiana Vol 15 No 9-10 (1975): September - October 1975
Publisher : Indonesian Pediatric Society

Blood gas analysis and blood pH examinations have been carried out on 20 children suffering from severe gastroenteritis and dehydration. Ten patients were treated singly with half strength Darrowâ€™s solution in 2.5% glucose containing potassium 17 mEq/L and lactate 26 mEq/ L as base corrector. The other 10 patients were given 3A solution (without potassium), containing lactate as base corrector as much as 53 mEq/L in the first 8 hours, followed by Darrow-Glucose (1:2) solution (with potassium).

Disseminated Intravascular Coagulation in Gastroenteritis S. Setiadharma; T. Himawan
Paediatrica Indonesiana Vol 15 No 9-10 (1975): September - October 1975
Publisher : Indonesian Pediatric Society

Four children, 3 males and 1 female, varying in ages from 3 to 12 years, showing the shock syndrome in gastroenteritis accompanied by intravascular coagulation (DIC) are reported. All patients developed progressive thrombocytopema, prolonged prothrombin time as well as partial thromboplastin time; and a decreased content of fibrinogen in the blood several days after hospitalization was observed. The diagnosis and treatment of DIC are also discussed.

Low Lactose Milk (LLM) on Refeeding of Infantile Diarrhoea Suharjono Suharjono; Sunoto Sunoto; Aswitha Boediarso; Sutoto Sutoto; Dadi E. M.
Paediatrica Indonesiana Vol 15 No 9-10 (1975): September - October 1975
Publisher : Indonesian Pediatric Society

Seventeen infants suffering from diarrhoea hospitalized in the Department of Child Health, Medical School University of Indonesia/Dr. Tjipto Mangunkusumo General Hospital from 10 to 31 August 1973 were refed with LLM, Almiron or SGM. LLM gives good to excellent results in refeeding of infants suffering from diarrhoea. Nine out of 17 cases were refed with LLM, where as the other 8 with Almiron or SGM as a control. Result of LLM in stopping diarrhoea was excellent in 5, good in 2, poor in 2 cases. Increase of body weight was excellent in 4 cases, good in none, poor in 5 cases. Results of Almiron or SGM in stopping diarrhoea was excellent in 1 case, good in one, poor in 6 cases. Increase of body weight was excellent in 1 case, good in none, poor in 7 cases. From these results it is recommended to give low lactose milk as refeeding on patients with infantile gastroenteritis.

The Effect of Endotoxin on General and Coronary Haemodynamics and Metabolism, and its Relation in Certain Infectious Diseases G.M. Maxwell
Paediatrica Indonesiana Vol 15 No 9-10 (1975): September - October 1975
Publisher : Indonesian Pediatric Society

Shock occurs in gram-negative septicaemia, dengue, and other infections: to understand the situation better, a study was made of the effects of endotoxin on the general and coronary circulation of intact animals. Cardiac output (Fick), coronary flow (N2O Fick), vascular pressures, glucose lactate, pyruvate, non-esterified fatty acid (NEFA), and C14 palmitate levels, were measured before and after the injection of Serratia marcescens endotoxin into healthy anaesthetized dogs.Cardiac output, vascular pressures, and cardiac work fell precipitously. Coronary blood flow, myocardial O2 consumption, and cardiac efficiency decreased by 50%.Whole-body glucose, lactate, pyruvate, and NEFA increased, but no change occurred in the myocardial extraction of these substances. The myocardial oxidation of C14 palmitate increased.The general haemodynamic changes are similar to those occurring in patients; it is suggested that the changes in the coronary circulation seen in animals may also occur in the clinical situation. Other animal studies with a histamine releaser (Tween 20), gave results similar to those of endotoxin. Anaphylotoxins may then also be relevant to the "shock" state of certain infections.

Status Asthmaticus J.S Partana
Paediatrica Indonesiana Vol 15 No 9-10 (1975): September - October 1975
Publisher : Indonesian Pediatric Society

The therapy of status asthmaticus must be rational. Thus it is important to evaluate: 1. the severity and duration of an asthmatic attack. 2. the degree of dehydration. 3. whether infection plays a role. 4. all medication previously administered. 5. any possible complication.Treatment is as follows :Fluid and electrolyte therapy is important not only for the correction of dehydration and electrolyte disturbances but also for preventing inspissation of mucus in the bronchi. The best route of fluid administration is intravenous.Potassium iodide orally administered may be helpful as an expectorant.After hydration and normal acid-base balance have been established, epinephrine may be of benefit.Aminophylline is effective when administered intravenously. It should be used with extreme caution: the dose should not exceed 3 mg per kg of body weight, it should be given slowly and should not be given more frequently than every 8 hours.Corticosteroids should be administered, especially in cases who have received suppressive doses previously.Humidified oxygen administration is of the utmost importance.Antibiotics are recommended when infection is suspected.Management of complications.

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