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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 7 Documents
Search results for , issue " Vol 30 No 11-12 (1990): November 1990" : 7 Documents clear
Some clinical and epidemiological observations on virologically confirmed dengue hemorrhagic fever Samsi, T. K.; Wulur, H.; Sugianto, D.; Bartz, C. R.; Tan, R.; Sie, A.
Paediatrica Indonesiana Vol 30 No 11-12 (1990): November 1990
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi30.11-12.1990.293-303

Abstract

This study is a part of a one year prospective study on dengue hemorrhagic fever (DHF) carried out in the Department of Pediatrics, Sumber Waras Hospital in West Jakarta. Viral isolation and serologic analysis for DHF were done by Namru-2 in Jakarta. The subjects were 151 virologically confirmed DHF Patients admitted to the Department of Pediatrics during the period of September 1987 - June 1988, consisting of 82 boys and 69 girls of 6 months - 15 years old. The predominant age group was 5 to 9 years, representing 49. 7% subjects. Dengue virus was isolated from sera during the first 8 days of illness and in 139 (42.1%) during the first. 5 days of illness. Dengue virus type 1, 2, 3 and 4 were isolated from 16.6%, 13.2%, 69.5% and 0 . 7% subjects, respectively. The clinical manifestations revealed no striking differences between dengue 3 and others except for thrombocytopenia and shock. High fever, hemoconcentration and thrombocytopenia on admission was observed in 30.5%, 8,6% and 8.6% of subjects, respectively. Dengue shock syndrome (DSS) were observed in 23 (15.2%) with 3 (2%) fatal cases. Dengue virus serotype 3 was observed in 20 out of 23 DSS cases (86,9%) and all fatal cases were associated with dengue type 2. This study revealed that dengue 3 is the predominant virus circulating during recent epidemics and is associated with more severe clinical manifestation and with a higher incidence rate of living area.
Clinical Features of Severe Malnutrition at the Pediatric Ward of Tembakau Deli Hospital, Medan Panggabean, Gabriel; Faisal, Faisal; Nasution, Ramyuzal; Loebis, M. Sjabaroeddin; Siregar, Zakaria
Paediatrica Indonesiana Vol 30 No 11-12 (1990): November 1990
Publisher : Indonesian Pediatric Society

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Abstract

Six hundred and fifty seven hospitalized patients under five in Child Health Department Hospital Tembakau Deli Medon, from January 1988 until December 1988 had been investigated retrospectively. Severe PCM are found 12 (1.8%), consisting of 7 (58.3%) boys and 5 (41. 7%) girls. Most cases were found at the age of 1 - 2 years (33.3%). Marasmus were found in 5 cases (41. 7%), Marasmic kwashiorkor in 4(54%), while Kwashiorkor in 3 cases (25%). Clinical features of the patients are as follow: hepatomegaly 7 (58.3%), anorexia 6 (50%), old man face 5 (41.7%), subcutaneous fat decrease 5 (41. 7%), thinsparse easily pick hairs 5 (41. 7%), muscle hypotrophy 5 (41. 7%), edema of the lower extremity 4 (33 .3%), crazy pavement dermatosis 2 (16. 7%). All patients were hospitalized combined with other diseases as chronic diarrhea 6 (50%), bronchopneumonia 5 (41.7%) and ascariasis 4 (33.3%). Mortality in 1 patient.
Clinical Features of Severe Malnutrition at the Pediatric Ward of Dr. Pirngadi Hospital Medan Barus, Sabar Tuah; Rani, Rohani; Lubis, Nuchsan U.; Hamid, Endang D.; Tarigan, Sjarikat
Paediatrica Indonesiana Vol 30 No 11-12 (1990): November 1990
Publisher : Indonesian Pediatric Society

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Abstract

A retrospective study on severe malnutrition concerning children hospitalized at the Pediatric ward of Dr. Pirngadi Hospital, Medon from January 1 to December 31, 1988 was conducted. Patients less than five years old were included in this study. The purpose of this study was to know the incidence of severe malnutrition, its symptoms and signs, the immunization status, feeding pattern and socio-economic factors. Out of the 3370 hospitalized patients, 2453 (72. 78%) were children under five years old. Of these, 312 (12%) suffered from severe malnutrition. It consisted of marasmus 131 (41.9%), marasmic kwashiorkor 94 (30.1%) and kwashiorkor 87 (27.8%). The highest incidence was found in the age group of 0- 2 years (58%). Clinical manifestation of marasmus were old man face (131 or 100%), muscular hypotrophy (118 or 71.9%) and decreased subcutaneous fat (116 or 71.1%) in marasmic kwashiorkor children 46 or 50% had their hair easily picked out, 45 or 46.3% showed hyperpigmentation and 48 or 52% had pretibial edema in the kwashiorkor group 29 or 63% had moon face, 52 or 60.4% showed crazy pavement dermatosis, 77 or 51.3% had hepatomegaly and 87 or 48% pretebial edema. Moon face was seen in 29 (63%), crazy Pavement Dermatosis in 52 (60.4%), hepatomegaly in 77 (51.3%), and pretebial edema in 87 (48%) of kwashiorkor cases. The accompanying diseases were mostly diarrhea (95%) and bronchopneumonia (22%). Immunization status showed that BCG comprised 50.6%, while DPT III and OPV III in 13.7% and 10.5% respectively and measles only 0.64%. More than half (59.6%) of them were breast-fed up to 6 months. Most of the parents had elementary education, namely 66.6% of mothers and 52.2% fathers. The majority of the fathers worked as seasonal workers (57.3%). This study suggested that health problems, as well as socio-economic factors played an important role in the occurrence of severe malnutrition.
Pericarditis and Pleuritis Caused by Extramedullary Plasmacytoma Wahab, A. Samik; Sunarto, Sunarto; Utomo, Utomo
Paediatrica Indonesiana Vol 30 No 11-12 (1990): November 1990
Publisher : Indonesian Pediatric Society

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Abstract

The following illustrates a case study of a 9 years-old girl with combined pericarditis and pleuritis caused by solitary extramedullary plasmacytoma. Pericardiocentesis and permanent thoracocentesis were performed, both yielded serohemorrhagic and serous fluid in succession. In the beginning etiological diagnosis was made on the basis of the clinical pattern for tuberculosis infection and growth of three species of bacteria for bacterial infections and candida species for candidiasis. The initial treatment was in accordance with the etiological diagnosis mentioned above. The final diagnosis was establish in the fourth month after the discovery of plasmacytoma in the pleural fluid and CT scan examination disclosing masses in the right lung. Accordingly, cytostatic therapy was started. The result of therapy was very good, exudation into the pleural and pericardia/ sac regressed gradually and eventually ceased completely. According to the literature the prognosis of these neop/asma is good.  
Takayasu s Disease Wahab, A. Samik; Sunarto, Sunarto; Soebardi, Aris; Harlistyanti, Ryna
Paediatrica Indonesiana Vol 30 No 11-12 (1990): November 1990
Publisher : Indonesian Pediatric Society

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Abstract

A fourteen years old girl developed Takayasu s arteritis (pulseless disease) since six months prior to investigation. This unusual form of arteritis is common in Japan and Korea but has rarely been reported in individuals born in the United States. In Indonesian literatu;e it has never been documented so far. The etiology is unclear. The literature currently but forward the hypothesis of an autoimmune basis and treatment with steroid. Although a tuberculin sensitization pathogenesis has been suggested, a close temporal relationship with the onset of a tuberculous process has not previously been documented. The likelihood of uncovering tuberculin sensitivity or active tuberculosis in patients with Takayasu, arteritis is substantially higher than in the general population in all countries analyzed. The natural history of his arteritis is highly variable. The adolescent described in this paper has demonstrated no response either  to antituberculosis therapy, or to heparin and corticosteroid as suggested by Ishikawa, 1987. The patient died on the 59th day of hospitalization after getting syncopal attacks followed by shock.
Risk Taking Behavior of Adolescents in Indonesia (Country Report) Narendra, Moersintowati; Basuki, Parwita S.; Soeharjono, Lestari B.; Ghozali, Endang W.
Paediatrica Indonesiana Vol 30 No 11-12 (1990): November 1990
Publisher : Indonesian Pediatric Society

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Abstract

Adolescent problems in Indonesia are becoming more und more relevant due to the increasing reports recently. Although data gathered are very limited a certain consideration should be well planned to get all resources in terms of motivation in paying more attention to the future of Indonesia youth problems such as narcotics/ drug abuse, sexual activities including sexual transmitted diseases etc. A good communication with the other Aseafl countries in controlling those risk taking behaviors in adolescent will be very premising to gain the improvement of peoples life quality by the year 2.000.
Cooperation Between Health Programmers and Health Professionals : A CDD Experience Sutoto, Sutoto; Indriyono, Indriyono
Paediatrica Indonesiana Vol 30 No 11-12 (1990): November 1990
Publisher : Indonesian Pediatric Society

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Abstract

Just like many other health programmes, the success of the Control of Diarrhoeal Diseases (CDD) programme has to rely on the cooperation and coordination with other health programmes or non-health programmes. This cooperation is usually referred to as a cross programme or a cross sectoral activities. The COD programme in Indonesia is managed by the Subdirectorate of Diarrhoea under the Directorate General for Communicable Disease Control and Environmental Health. According to the Decree of the Minister of Health No. 558 of 1984 the Subdirectorate of Diarrhea is designed to plan, implement and evaluate COD programme. Diarrhoea is still considered to be a major public health problem due to its high mortality and morbidity.

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