Adnan S. Wiharta
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Published : 5 Documents
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Oral Rehydration Therapy in Young Infants less than 3 Months with Acute Diarrhoea and Modeate Dehydration Sunoto, Sunoto; Suharyono, Suharyono; Budiarso, Aswitha D.; Wiharta, Adnan S.
Paediatrica Indonesiana Vol 28 No 3-4 (1988): March 1988
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (822.753 KB) | DOI: 10.14238/pi28.3-4.1988.67-78

Abstract

Oral rehydration therapy (ORT) as an appropriate technology in the treatment of acute diarrhoeal diseases (ADD) has been accepted throughout the world. It has been proved that besides lifesaving, ORT has reduced about 70-80% of the use of intravenous solution and average cost of the treatment of ADD. If there is still problem, question or doubtfulness, is the use of WHO ORS in full concentration for the neonates and young infants less than 3 months of age. During one-year period it has been treated 72 cases of ADD in young infants less than 3 months of age with moderate dehydration. They were divided into 3 groups. The first group was treated with 100 mil kg bw of fluid consisting oftwothirds as WHO ORS in full concentration for 4 hours period and the rest, one-third, was given as plain water for 2 hours period. The second group was treated with kristalyte with the Na concentration of 51 mEq/L and the third group was treated with intravenous Ringer's lactate for 6 hours period. After the end of the study only 18 patients in each group could be matched and evaluated. From clinical observation and laboratory examinations, the result of the treatment in general, statistically shows no significant difference. Diarrhoea and vomiting stopped in all groups on the second day of treatment. Hyponatremia which occurred in 3 patients in Group I and 2 patients each in Group II and III improved after 6 hours of treatment. Acidosis was corrected in all of the treatment groups in 6 hours period. Weight gain up to 6-9% of body weight on admission was achieved after 6 hours of treatment in all groups. No complication of hypernatremia, convulsion nor hypoglycaemia in all the treatment group. From this study it could be concluded that WHO ORS is quite safe and effective as ORS with low sodium concentration and intravenous treatment, as far as it is given slowly, little by little with a strict supervision.
Diarrhoeal Disease of Children in Indonesia Sunoto, Sunoto; Wiharta, Adnan S.; Saroso, J. Sulianti
Paediatrica Indonesiana Vol 18 No 11-12 (1978): November 1978
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1248.932 KB) | DOI: 10.14238/pi18.11-12.1978.332-58

Abstract

Diarrhoeal disease in infants and children up till now is still becoming a major problem with its high morbidity and mortality. There are too many factors which can play a role in causing this disease. But by giving Oral-glucose electrolyte Solution as soon as possible the case fatality rate can be reduced as low as possible. Whereas decreasing the morbidity still needs a very long time, since it has very multi-complex factors i.e. socio-economic condition, environmental and personal hygiene and sanitation, life style of people, belief, etc. The study on epidemiology, the influence of improvement of environmental sanitation and socio-anthropology is still very few, besides there is no satisfactory vaccin produced to prevent this disease. Meanwhile the worse of the case is that there is a tendency of decreasing breast-feeding in the big cities and to substiotute it with bottle-feeding.
The "Rose System" in Overcoming the Second Cholera Outbreak in Jakarta from May 25-30, 1976 Wiharta, Adnan S.; Sutejo, R.
Paediatrica Indonesiana Vol 18 No 1-2 (1978): January 1978
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (220.236 KB) | DOI: 10.14238/pi18.1-2.1978.6-10

Abstract

1.a. During a short cholena outbreak in Jakarta frnom 25th May to 30th May, 1976, 70 children aged from 6 months to 13 years suffering from acute diarrhoea and dehydration, shock or pre-shock were admitted to the provisional Rehydnation Cetntre in the outpatient section of the Departmernt of Child Heatth, University of Indonesia/Dr. Cipto Mangunkusumo General Hospital, Jakarta.b. None died.c. 71.9% of the stool specimens from 32 patients revealed Vibrio Cholera El Tor Ogawa type.2. The methodology used was the so-called "ROSE" system :a. Rehydration with ringer's lactate solution.b. Oralyte in boiled water given ad libi·tum.c. Oralyte solution and intravenous solution given Simultaneously.d. Education to the parents on the importance of giving oralyte solution ad libitum.3. This paper dealt with the second success of the Rose system in facing a cholera outbreak.
HBsAg in Cord Blood Qf Newborns of HBsAg-Positive Mothers Wiharta, Adnan S.; Setiadi, Evi; Noer, H. M. Sjaifullah; Rachimhadhi, Triyatmo; Rasad, Asri
Paediatrica Indonesiana Vol 34 No 5-6 (1994): May 1994
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (421.132 KB) | DOI: 10.14238/pi34.5-6.1994.125-8

Abstract

Vertical transmission of hepatitis B infection that may occur during pregnancy at delivery-, in infancy, and early childhood has an important role in the development of chronic hepatitis B. Intrauterine infection is suspected to occur when hepatitis B viruses cross the placenta into fetal circulation due to failure of placental tissue function. In Cipto Mangunkusumo Hospital, Jakarta, 98 (6.4%) of 1536 pregnant mothers obseiVed during 3 years (1987 -1990) showed positive HBsAg. Six (8.3%) of 60 babies of born to HBsAg positive mothers showed positive HBsAg in their cord blood, but this disappeared after one month. All babies born to HBsAg positive mothers were vaccinated on months 0, 1, 2, and 12. HBsAg in cord blood might not play an important role in vertical transmission.
Breast milk and Bottle Milk in relation with gastroenteritis Rumondang, Rumondang; Suharyono, Suharyono; Budiarso, Aswitha; Utomo, Mugijo K.; Wiharta, Adnan S.
Paediatrica Indonesiana Vol 19 No 9-10 (1979): September 1979
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.8 KB) | DOI: 10.14238/pi19.9-10.1979.226-30

Abstract

A study on 1043 children aged 3 days to 2 years hospitalized in the Department of Child Health, from 1 January to 31 December 1976, was made fo find out the relation between breast milk and bottle milk with gastroenteritis, especially concerning bacterial, fungal infection and fat malabsorption.