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Patricia Wulandari
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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 37 Documents
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Wildfire and Landscape Fire Smoke Exposure and the Risk of Acute Respiratory Infection in Children: A Systematic Review and Meta-Analysis Luh Vida Sasmitha; Dewa Ayu Risma Adhi Pramita
Scientific Journal of Pediatrics Vol. 4 No. 1 (2026): 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.v4i1.316

Abstract

Background: Landscape fires are increasing and children are physiologically more vulnerable to smoke than adults. Acute respiratory infection remains a leading cause of death under five years. One previous meta-analysis pooled upper respiratory infection alone; the most recent systematic review pooled no data. Objective: To quantify the association between exposure to smoke from wildfire and other landscape fires and the risk of acute respiratory infection in children and adolescents aged 0-19 years, and to assess differences by age, exposure window, income setting, and outcome definition. Methods: Six Boolean strings were run in PubMed and MEDLINE (1,016 unique records). Observational studies reporting an effect estimate with 95% confidence interval for acute respiratory infection at ages 0-19 years exposed to landscape fire smoke were eligible. As no study reported means and standard deviations, pooling used the log-ratio scale with a random-effects DerSimonian-Laird model. Continuous and categorical contrasts were pooled separately. Risk of bias used ROBINS-E and the Newcastle-Ottawa Scale. Results: Eighteen studies were included and seventeen pooled. In the continuous pool (k = 12), each 10 µg/m³ increment of fire-related particulate matter gave a relative risk of 1.104 (95% CI 1.070-1.139; Hartung-Knapp 1.042-1.171), I² 92%, prediction interval 1.015-1.201. Restricted to infection-specific outcomes (k = 8) it was 1.148 (1.067-1.234). Risk was higher under five years (1.202, 1.104-1.309) than in unstratified 0-19 year populations (1.018, 1.001-1.035; p < 0.001) and after prenatal than postnatal exposure (1.239 versus 1.077; p < 0.001). Egger’s test indicated small-study effects (p = 0.0006); trim-and-fill gave 1.067 (1.036-1.099). A categorical pool (k = 5) gave an unstable 1.940 (1.269-2.967). Conclusion: Fire-related particulate exposure was associated with a modest but consistent increase in the risk of acute respiratory infection in children, concentrated in those under five years and after prenatal exposure.
Linking Corneal Remodelling to Axial Growth: Induced Peripheral Myopic Defocus and Slow Axial Elongation During 23 Months of Orthokeratology in a 10-Year-Old Girl Aprilia Elisabet; Ariesanti Tri Handayani; I Gusti Ayu Made Juliari; Surya Ari Wahyudi
Scientific Journal of Pediatrics Vol. 4 No. 1 (2026): 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.v4i1.319

Abstract

Background: Childhood myopia is the commonest chronic eye disorder of school age, and its harm is carried by axial elongation rather than by blur. Orthokeratology reshapes the cornea overnight into an oblate profile that corrects central vision while imposing myopic defocus on the peripheral retina, but the mechanism is rarely measured in the same child in whom the outcome is measured. Objective: To describe the optical mechanism, corneal remodelling, safety, and axial elongation during 23 months of overnight orthokeratology in a 10-year-old girl with progressive myopia. Case presentation: A paediatric case was followed clinically for 23 months. Serial corneal topography, zonal refractometry, visual acuity, ocular examinations, and optical biometry were assessed. Reshaping was complete by day 26: central axial power fell from 45.60 D to 43.24 D in the right eye and from 45.67 D to 42.78 D in the left, and corneal asphericity reversed from prolate (Q −0.10 and −0.22) to markedly oblate (Q +0.94 and +0.93). Relative peripheral refraction at the 5 mm chord shifted from −0.62 D to −2.12 D in the right eye and from −0.63 D to −2.13 D in the left, corresponding to induced relative peripheral myopic defocus of −1.50 D per eye. Axial length rose by 0.10 mm and 0.11 mm between months 16 and 23, approximately 0.17 and 0.18 mm per year. A transient punctate epitheliopathy at month 11 resolved without interrupting treatment. Conclusion: Overnight orthokeratology produced durable corneal remodelling and peripheral myopic defocus, with slow axial elongation and a reversible minor epithelial event in this child. Baseline axial-length measurement remains essential for treatment monitoring.
ICROP Third-Edition Phenotypes of Retinopathy of Prematurity and Their Association with Gestational Age in Indonesian Preterm Infants: A Retrospective Study I Wayan Eka Sutyawan; I Wayan Ardy Paribrajaka; Ni Made Ayu Surasmiati; Willy Yahya
Scientific Journal of Pediatrics Vol. 4 No. 1 (2026): 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.v4i1.333

Abstract

Background: Retinopathy of prematurity (ROP) is a leading cause of preventable childhood blindness, and middle-income countries face a third epidemic as neonatal survival outpaces screening capacity. Indonesian data using the third ICROP edition are scarce. Objective: To describe the ICROP third-edition phenotype distribution among Indonesian infants with ROP and evaluate the associations of severity with gestational age and birth weight using exact inference and partial identification. Methods: This retrospective STROBE-compliant study characterised the ICROP phenotype of 39 infants with ROP at a tertiary referral hospital in Denpasar between January 2020 and December 2022, and examined severity against gestational age and birth weight. Proportions carry 95% Wilson intervals; the gestational-age-by-stage cross-classification was reconstructed under the published marginals, tested by exact methods, and bounded across every reconstruction. Results: Mean gestational age was 28.7 ± 2.7 weeks and mean birth weight was 1091 ± 320 g; 94.9% were of very low birth weight. Stage was documented for 38 infants: stage 1, 68.4%; stage 2, 28.9%; and stage 3, 2.6%. Pre-plus and plus disease each affected 7.7%, and aggressive ROP affected 2.6%. Stage ≥2 occurred in 70.0% of infants born before 28 weeks versus 17.9% of those born later (odds ratio 9.16, 95% CI 1.90–44.10; exact P = 0.005; Cramér’s V = 0.370), with a monotone trend across strata (exact P = 0.004). Across all 30 admissible reconstructions, the exact P ranged from 0.004 to 0.115 and the odds ratio from 0.03 to 9.16. Birth weight carried no usable information because 94.9% of the cohort occupied a single stratum. Conclusion: Gestational age, not birth weight, should anchor ROP surveillance intensity in Indonesian tertiary units, while a broad birth-weight entry threshold is retained.
Five-Site Disseminated Rifampicin-Resistant Tuberculosis with Marasmic Severe Acute Malnutrition in a 14-Year-Old Girl: An Eighteen-Month Longitudinal Observation in Which the Nutritional and Psychosocial Instruments Did Not Agree Marwah Nisa Hidayat; Asrawati; Finny Fitry Yani
Scientific Journal of Pediatrics Vol. 4 No. 1 (2026): 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.v4i1.335

Abstract

Background: Adolescent rifampicin-resistant tuberculosis is usually reported through microbiological and treatment-outcome endpoints, while nutritional and psychosocial recovery is described mainly in narrative terms. Objective: To describe the 18-month course of five-site disseminated rifampicin-resistant tuberculosis with marasmic severe acute malnutrition and assess agreement among nutritional and psychosocial recovery instruments. Methods: This CARE-guided longitudinal case report followed a 14-year-old Indonesian girl using serial clinical, laboratory, anthropometric, imaging, and psychosocial assessments during an all-oral bedaquiline-based regimen with nutritional support. Results: Tuberculosis involved the lung, ovary, peritoneum, sacrum, and temporal bone. Weight increased from 31 to 45 kg, body-mass-index-for-age z score from −3.27 to −0.68, haemoglobin from 10.1 to 13.5 g/dL after a nadir of 8.7 g/dL, and quality of life from 61.25 to 85.75. Nutritional indices were irreconcilable at the same visit, and two behavioural screens remained normal despite a psychiatric diagnosis and impaired quality of life. Conclusion: Microbiological, nutritional, and psychosocial recovery did not proceed synchronously, and instruments within the same domain could disagree. The absent mid-point height prevented temporal ordering of recovery; a ten-item minimum longitudinal data set is proposed.
Which Weight? An Obesity Label Justified Against the Criterion It Does Not Meet, and Per-Kilogram Annotations No Single Body Weight Reproduces, in a 7-Year-Old Girl with Dengue with Warning Signs and Upper Gastrointestinal Bleeding: A Case Report Fitri Indria Rahmi; Rinang Mariko; Ronaldi Noor
Scientific Journal of Pediatrics Vol. 4 No. 1 (2026): 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.v4i1.336

Abstract

Background: In children with excess weight, fluid rates, drug doses, urine output, and energy prescriptions depend on a body weight that is often not identified in the clinical record. Objective: To audit the nutritional classification and implied dosing weights documented for a child with dengue with warning signs and upper gastrointestinal bleeding. Methods: This CARE-guided case report reviewed the de-identified record of a 7-year-old Indonesian girl and recomputed anthropometric indices, weight-indexed orders, and a recorded metabolic-rate calculation. Results: At 30 kg and 125 cm, body mass index was 19.20 kg/m² (92.4th centile), below the recorded obesity criterion, whereas weight for height was 123.4% of the median and supported obesity. No single body weight reproduced all printed per-kilogram annotations, and height had been entered in metres in a metabolic-rate equation requiring centimetres. The child recovered without shock, fluid bolus, transfusion, or respiratory support and was discharged on illness day 8. Conclusion: The nutritional label remained supportable by one criterion but not by the criterion cited in the record. Naming the dosing weight and its basis in every weight-indexed order would make paediatric dengue records more auditable.
Procalcitonin Read Outside Its Derivation Population and an Antibiotic Course Ended by the Calendar: A Late Preterm Neonate with Transient Tachypnoea of the Newborn Managed as Probable Early-Onset Sepsis Deril Ridwan; Eny Yantri; Benny Sana Putra
Scientific Journal of Pediatrics Vol. 4 No. 1 (2026): 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.v4i1.337

Abstract

Background: Respiratory distress in a late preterm neonate forces an early choice between transient tachypnoea of the newborn and pneumonia with early-onset sepsis, usually before any confirmatory result exists. Objective: To audit how biomarkers and an antibiotic stop rule were interpreted in a late preterm neonate managed as probable early-onset sepsis. Methods: This CARE-guided case report reviewed the de-identified clinical record, re-read each test against its derivation population, and recomputed clinical, respiratory, bilirubin, fluid, nutrition, and dosing quantities. Results: A 36-week male neonate weighing 3,000 g was born after prolonged preterm premature rupture of membranes with oligohydramnios and grunted from birth. Continuous positive airway pressure began at one minute; oxygen returned to room air by five minutes and support ended on day 3. The full blood count was normal for age, C-reactive protein fell from 28 to 11 mg/L, and a bacterial polymerase chain reaction was negative, yet a five-day antibiotic course was completed. Procalcitonin of 6.8 ng/mL was interpreted outside the population from which its reference interval was derived, and the stop rule depended on a culture result that never arrived. Conclusion: Neonatal biomarkers should be interpreted against age- and physiology-matched populations, and antibiotic stop rules should execute after a defined interval unless the culture signals. A twelve-item minimum data set is proposed.
From Decision to Delivery: A Twelve- to Fourteen-Day Interval Before Plasma Exchange in a Child with Ventilator-Dependent Axonal Guillain-Barré Syndrome Doni Trinanda; Rahmi Lestari
Scientific Journal of Pediatrics Vol. 4 No. 1 (2026): 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.v4i1.339

Abstract

Background: Guillain–Barré syndrome is the commonest cause of acute flaccid paralysis in children. Plasma exchange is accepted when immunoglobulin fails, but the interval from a treatment decision to its delivery is rarely reported. Objective: To measure the interval between the written decision to escalate to plasma exchange and the first session, and to re-score instruments left uncomputed during admission. Methods: This CARE-guided case report audited the de-identified clinical record, preserved stated discordances, and recomputed clinical scores, treatment doses, nutritional estimates, and dated intervals. Results: An 8-year-old boy presented after limb weakness following a diarrhoeal illness, with motor strength graded 1 in all four limbs. Immunoglobulin 0.4 g/kg/day was given for 5 days. Respiratory failure occurred on hospital day 4 and mechanical ventilation continued for 21 days. Plasma exchange was planned on day 10; the first session was completed between days 22 and 24, giving a decision-to-delivery interval of 12–14 days. Three exchanges were completed and a fourth was cancelled. Re-scoring yielded an Erasmus respiratory insufficiency score of 5 or 6 of 7 and Brighton level 2 rather than 1. Weight fell from 77.8% to 70.4% of the documented ideal weight. Conclusion: At the last review, the disability score was unchanged from admission. Motor recovery was documented before the earliest possible first exchange, so no treatment effect can be claimed. A 10-item minimum data set is proposed.

Page 4 of 4 | Total Record : 37

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