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Patricia Wulandari
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phloxinstitute@gmail.com
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Jl. Sirnaraga, 8 Ilir, Ilir Timur III, Palembang, South Sumatera, Indonesia
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INDONESIA
Scientific Journal of Pediatrics
Published by Phlox Institute: Indonesian Medical Research Organization
ISSN : 30256224     EISSN : 30256224     DOI : https://doi.org/10.59345/sjped
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
Focus Scientific Journal of Pediatrics (SJPed) focused on the development of medical sciences especially pediatrics and child health for human well-being. Scope Scientific Journal of Pediatrics (SJPed) publishes articles which encompass all aspects of basic research/clinical studies related to the field of pediatrics and allied science fields, especially all type of original articles, case reports, review articles, narrative review, meta-analysis, systematic review, mini-reviews and book review.
Arjuna Subject : Kedokteran - Pediatrics, Perinatology, and Child Health
Articles 5 Documents
 1 
Search results for , issue "Vol. 1 No. 2 (2023): Scientific Journal of Pediatrics" : 5 Documents clear
Multidimensional Analysis of Risk Factors for Stunting in Rural South Sumatra, Indonesia: A Community-Based Study Hidayat, Rachmat
Scientific Journal of Pediatrics Vol. 1 No. 2 (2023): Scientific Journal of Pediatrics
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjped.v1i1.11

Abstract

Introduction: Stunting remains a pressing public health concern in Indonesia, particularly in rural areas. This study aimed to comprehensively analyze the multidimensional risk factors associated with stunting in rural South Sumatra, considering socio-demographic, maternal, and child-related factors. Methods: A community-based cross-sectional study was conducted in rural villages of South Sumatra. Children aged 6-59 months were enrolled, and data on socio-demographic characteristics, maternal health, child feeding practices, and anthropometric measurements were collected. Stunting was defined as height-for-age Z-score <-2SD according to the WHO growth standards. Multivariable logistic regression was employed to identify independent risk factors for stunting. Results: A total of 520 children were included in the study. The prevalence of stunting was 32.5%. In the multivariable analysis, factors significantly associated with stunting included low maternal education (OR: 2.87, 95% CI: 1.72-4.78), poor household wealth index (OR: 3.12, 95% CI: 1.95-4.97), inadequate dietary diversity (OR: 2.45, 95% CI: 1.53-3.92), and suboptimal breastfeeding practices (OR: 2.01, 95% CI: 1.25-3.23). Conclusion: This study highlights the multidimensional nature of stunting risk factors in rural South Sumatra. Interventions addressing maternal education, poverty alleviation, improved child feeding practices, and breastfeeding promotion are crucial to effectively combat stunting in this region.
Secular Trends in Pubertal Timing among Ambonese Adolescents: A Comparative Analysis Ayu, Rizki
Scientific Journal of Pediatrics Vol. 1 No. 2 (2023): Scientific Journal of Pediatrics
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjped.v1i1.12

Abstract

Introduction: The timing of puberty is a crucial developmental milestone with significant implications for adolescent physical and psychosocial health. While secular trends towards earlier pubertal onset have been observed in many populations worldwide, data from Ambonese adolescents in Indonesia remains limited. This study aimed to investigate secular trends in pubertal timing among Ambonese adolescents and explore potential influencing factors. Methods: A retrospective cross-sectional study was conducted involving Ambonese adolescents aged 10-18 years who attended health clinics in Ambon City between 2008 and 2023. Data on age at menarche for girls and testicular volume for boys, along with socioeconomic and lifestyle factors, were collected from medical records. Age at menarche and testicular volume were used as markers of pubertal onset. Statistical analyses were performed to assess trends over time and identify associations with potential influencing factors. Results: A total of 1,542 adolescents (785 girls and 757 boys) were included in the study. The mean age at menarche decreased significantly from 12.8 years in 2008 to 12.3 years in 2023 (p < 0.001). Similarly, the mean testicular volume at age 14 increased significantly from 12.5 ml in 2008 to 14.2 ml in 2023 (p < 0.001), suggesting earlier pubertal onset in boys. Improved socioeconomic status and increased body mass index (BMI) were associated with earlier pubertal onset in both sexes. Conclusion: This study provides evidence of a secular trend towards earlier pubertal onset among Ambonese adolescents. Socioeconomic factors and BMI appear to play a role in influencing pubertal timing. Further research is needed to explore the underlying mechanisms and potential health implications of these trends.
Beyond Fever: Atypical Presentations of COVID-19 in the Pediatric Population of West Sumatra, Indonesia Mohammad Arfin
Scientific Journal of Pediatrics Vol. 1 No. 2 (2023): Scientific Journal of Pediatrics
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjped.v1i1.13

Abstract

Introduction: The COVID-19 pandemic has disproportionately affected the adult population, often presenting with classic symptoms such as fever, cough, and shortness of breath. However, atypical presentations, especially in the pediatric population, have posed a significant challenge in timely diagnosis and management. This study aimed to investigate the atypical presentations of COVID-19 in children from West Sumatra, Indonesia, to improve recognition and guide tailored interventions. Methods: This retrospective study analyzed medical records of children (≤ 18 years) diagnosed with COVID-19 at major hospitals in West Sumatra between January 2020 and December 2023. Demographic data, clinical manifestations, laboratory findings, and outcomes were collected. Atypical presentations were defined as the absence of fever or respiratory symptoms at presentation. Descriptive statistics and logistic regression were employed to analyze the data. Results: A total of 452 pediatric COVID-19 cases were identified. 187 (41.4%) presented with atypical symptoms. The most common atypical presentations were gastrointestinal (32.6%), neurological (21.4%), and dermatological (15.5%). Compared to those with typical presentations, children with atypical symptoms were more likely to be younger (p < 0.001), have comorbidities (p = 0.023), and experience delayed diagnosis (p < 0.001). Logistic regression revealed that younger age (OR: 0.95, 95% CI: 0.92-0.98) and comorbidities (OR: 1.72, 95% CI: 1.05-2.83) were significant predictors of atypical presentations. Conclusion: Atypical presentations of COVID-19 are common in children from West Sumatra, Indonesia. Clinicians should maintain a high index of suspicion for COVID-19 in children presenting with non-specific symptoms, especially in younger children and those with comorbidities. Early recognition and testing are crucial for prompt management and preventing further transmission.
Diagnostic Accuracy of Rectal Suction Biopsy for Hirschsprung Disease in a Thai Pediatric Setting Jaema Mamimin; Anuwat Muanparai
Scientific Journal of Pediatrics Vol. 1 No. 2 (2023): Scientific Journal of Pediatrics
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjped.v1i1.14

Abstract

Introduction: Hirschsprung disease (HSCR) necessitates early diagnosis to prevent complications. Rectal suction biopsy (RSB) offers a less invasive alternative to full-thickness biopsy. This study evaluates RSB's diagnostic accuracy in a Thai pediatric population. Methods: A retrospective review analyzed children suspected of HSCR who underwent RSB at a tertiary Thai hospital (2018-2024). RSB findings were compared to the gold standard (full-thickness biopsy or intraoperative findings). Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were calculated. Results: 120 children (median age 2 months, range 1 day - 12 years) were included. RSB yielded 45 positive and 75 negative results. Gold standard confirmed 40 true positives, 5 false positives, 70 true negatives, and 5 false negatives. RSB's sensitivity was 88.9%, specificity 93.3%, PPV 88.9%, NPV 93.3%, and accuracy 91.7%. Conclusion: RSB demonstrates high diagnostic accuracy for HSCR in Thai children. It can serve as a valuable initial diagnostic tool, potentially reducing the need for full-thickness biopsies.
Effectiveness of Secondary Prophylaxis with Benzathine Penicillin G in Preventing Recurrent Acute rheumatic fever and rheumatic heart disease in Brazilian Children: A Randomized Controlled Trial Sophia Lucille Rodriguez; Lucia Fernandez
Scientific Journal of Pediatrics Vol. 1 No. 2 (2023): Scientific Journal of Pediatrics
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjped.v1i1.15

Abstract

Introduction: (ARF) and its sequela, (RHD), remain significant public health concerns in developing countries. Secondary prophylaxis with Benzathine Penicillin G (BPG) is the cornerstone of preventing recurrent ARF and progression of RHD. This study aimed to evaluate the effectiveness of BPG in preventing recurrent ARF and RHD in Brazilian children. Methods: A randomized controlled trial was conducted in a tertiary care hospital in Brazil. Children aged 5-15 years with a history of ARF and/or RHD were enrolled and randomly assigned to receive either BPG injections every 28 days or standard care (no BPG) for two years. The primary outcome was the incidence of recurrent ARF episodes. Secondary outcomes included the development of new or worsening RHD, echocardiographic parameters, and adverse events related to BPG. Results: A total of 200 children were enrolled (BPG group = 100, standard care group = 100). The median follow-up duration was 24 months. The incidence of recurrent ARF was significantly lower in the BPG group compared to the standard care group (4% vs. 18%, p < 0.001). The BPG group also demonstrated a reduced risk of developing new or worsening RHD (8% vs. 22%, p = 0.003). Echocardiographic parameters showed improvement in the BPG group, with a significant decrease in left atrial diameter and mitral regurgitation severity. Adverse events related to BPG were mild and infrequent. Conclusion: Secondary prophylaxis with BPG is highly effective in preventing recurrent ARF and RHD in Brazilian children. It should be considered a standard of care for all children with a history of ARF and/or RHD in endemic regions.

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