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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 32 No 3-4 (1992): March 1992" : 7 Documents clear
Blood Bilirubin Content in Neonatal Tetanus Patient with Hyperbilirubinemia during Treatment with Intravenous Diazepam Soeetomenggolo, Taslim S.
Paediatrica Indonesiana Vol 32 No 3-4 (1992): March 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (310.032 KB) | DOI: 10.14238/pi32.3-4.1992.59-64

Abstract

An evaluation on 128 neonatal tetanus patients with hyperbilirubinemia was done at the Department of  Child Health, Dr. Cipto Mangunkusumo General Hospital, Jakarta. The patients were treated with high dosages of diazepam intravenously. This drug is potential to cause the increase of blood bilirubin, and in turn this latter condition is potential to cause kernicterus. Of the 128 patients there were 70 males and 58 females. The age of the patients were mostly (79.6 %) 4- 7 days. Fourteen of the 128 patients showed the increase of their blood bilirubin content during the second day of treatment, but after that it declined gradually during the next 3 days. The mortality of the 14 patients was 8 (57.1 %), so far no kernicterus was recorded among them. Among the 128 patients, 114 patients showed the decrease of their blood bilirubin content during the treatment. During 3 days the blood bilirubin content became less than 10 mg/dL. No kernicterus was recorded among those patients. It was concluded that intravenous diazepam is not dangerous in patients with mild and moderate hyperbilirubinemia, and no kernicterus was recorded during evaluation.
Immunoglobulin M and G in Virologically Confirmed Dengue Hemorrhagic Fever Samsi, Tatang K.; Wulur, H.; Sugianto, D.; Bartz, C. R.; Tan, R.; Sie, A.
Paediatrica Indonesiana Vol 32 No 3-4 (1992): March 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (673.383 KB) | DOI: 10.14238/pi32.3-4.1992.65-74

Abstract

Starting from September 1987, a one year prospective study on lgM and lgG in dengue hemorrhagic fever, was carried out at the Department of Pediatrics, Sumber War as Hospital West Jakarta. This report describes the preliminary finding of the study from September 1987 through June 1988. Virus isolation and serologic analysis (HI, lgG and lgM capture ELISA) for DHF were done by NAMRU 2 in Jakarta. The subjects were 151 virologically confirmed DHF patients consisting of 82 boys and 69 girls of 6 months - 15 years old. Serum samples were collected: (I) on the day of admission; (II) on the day of discharge and (Ill) 2 weeks after the first samples. Serum samples I, II, and Ill were collected from respectively 151, 131 and 64 subjects on respectively 3.5 ± 1.7; 8.8 ± 2.7 and 16.8 ± 2.1 days of illness. Positive lgM titer from acute sera was observed in 20% of subjects. A positive correlation between HI -lgM and HI -lgG was also observed. The percentage of positive lgM titers rose with the increase of HI titer, the percentage of positive lgG titer was lower than that of /gM but a sudden increase exceeding that of lgM was observed at the HI liter of 320 and more. This study revealed that HI titer of640 and 1280 were indicators for the primary and secondary dengue infection respectively and lgM capture ELISA can be used as a reliable predictor for DHF even more in fatal cases where only single serum is available.
Thrombocytopenia in Dengue Hemorrhagic Fever Sunarto, Sunarto; Sutaryo, Sutaryo
Paediatrica Indonesiana Vol 32 No 3-4 (1992): March 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (499.145 KB) | DOI: 10.14238/pi32.3-4.1992.75-83

Abstract

According to WHO thrombocytopenia is one of the diagnostic criteria of DHF. On the other hand many studies have reported DHF cases without evidence of thrombocytopenia. One hundred fifty nine DHF out of485 suspected cases were assessed for their platelet counts. Diagnosis of DHF was established based on the WHO criteria, and confirmed by the hemagglutination inhibition test. The platelet counts were done serially and intensively by phase contrast microscope from the first day of hospitalization until the patient's discharge. In 77 patients thrombocytopenia appeared for the first time during hospitalization. Mild thrombocytopenia appeared in almost all of these cases before thrombocyte count of 100,000 reached. Seventy two patients had shown thrombocytopenia on the day of admission. No thrombocytopenia was found on the second day of illness, the earliest time of the detection of thrombocytopenia was on the Jrri and the latest was on the 8th day of illness. Thrombocytopenia lasted 1-5 days. It is concluded that many DHF diagnosis would have been missed if the thrombocyte investigation had not been done serially and intensively. Mild thrombocytopenia in DHF suspected patients should call attention to do platelet investigation intensively in those cases.
Cerebral Palsy : Review of 49 Patients Deda, Gulhis; Karagol, Ugur; Gurer, Yavuz
Paediatrica Indonesiana Vol 32 No 3-4 (1992): March 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (433.796 KB) | DOI: 10.14238/pi32.3-4.1992.84-9

Abstract

Fourty nine cerebral palsied patients admitted between 1989-1990 are reviewed according to type of paresis and the incidence of epilepsy and mental retardation. Eighteen (36,7%) of these patients were epileptic and 22 (44.89%) were mentally retarded. Out of 6 right-sided hemiparetic patients 3 (50%) had clinical seizures being all generalized tonicclonic epilepsy. In the left-sided hemiparetic group only 1 patient (16,66%) had clinical seizures being left-sided focal epilepsy.
Trichobezoar in Two Children Halimun, E. M.; Kandouw, E.; Arianto, A.; Safiun, S.
Paediatrica Indonesiana Vol 32 No 3-4 (1992): March 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (458.982 KB) | DOI: 10.14238/pi32.3-4.1992.90-5

Abstract

Two cases of trichobezoar in females of 11 and 12 years respectively have been presented. Trichophagia as a common habit or it could be a sign of emotional tension. Etiological clues should be sought and the underlying stress be removed and ameliorated.
A Case of Pyloric Diverticulum Tangkilisan, H. A.; Salendu-Warouw, S. M.
Paediatrica Indonesiana Vol 32 No 3-4 (1992): March 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.308 KB) | DOI: 10.14238/pi32.3-4.1992.96-9

Abstract

EG, an 11-year-old- Indonesian boy, 30 kg of body weight and 130 em of body length was admitted to the Department of Child Health, Gunung Wenang General Hospital Manado with pyloric diverticulum. The main complaint was sudden frequent hematemesis. The first attack of this symptom developed when he was 9 years old. Physical examination showed only tenderness in the epigastric region. The laboratory findings were normal. The diagnosis was based on the Barium meal X-ray, which showed an additional appearance in the pyloric region (prebulbar). He was treated with conservative treatment and after 10 days of hospitalization, he was discharged in good condition.
Reflux Nephropathy and Vesico-Ureteric Reflux in Children - Radionuclide Technique Firman, Kemas
Paediatrica Indonesiana Vol 32 No 3-4 (1992): March 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (487.311 KB) | DOI: 10.14238/pi32.3-4.1992.100-6

Abstract

Reflux nephropathy is defined as 'renal scarring' associated with vesica-ureteral reflux (VUR) and consists of calyceal clubbing or deformity with overlying corticomedullary scarring. The older terms chronic pyelonephritis and chronic atrophic pyelonephritis should be strictly defined as a persistent or recurrent bacterial infection of the kidney involving the renal parenchyma and the pelvi-calyceal system with exudation of inflammatory cells.

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