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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 5-6 (1992): May 1992" : 7 Documents clear
Subacute Sclerosing Panencephalltis: Clinical and Laboratory Manifestations Pusponegoro, Hardiono D.; Passat, Jimmy; Abdoerachman, M. Hardjono
Paediatrica Indonesiana Vol 32 No 5-6 (1992): May 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (790.836 KB) | DOI: 10.14238/pi32.5-6.1992.107-17

Abstract

We reviewed clinical and laboratory findings of 12 cases of Subacute sclerosing panencephalitis (SSPE) hospitalized at our department from 1985 to 1991. All cases were diagnosed and hospitalized at the 2nd stage. The principal clinical manifestations were mental changes, myoclonus, and frequent falls. Other clinical manifestations were ocular changes, involuntary movements, loss of social contact, and spasticity. Diagnosis was based on suppression-burst pattern in EEG and positive antibody titer to measles in serum and cerebrospinal fluid. CT scan was not diagnotic, since it was either normal or showed only non-specific cortical atrophy. Eleven patients (91, 7%) recalled a history of measles in the past. Age of onset of SSPE varied among cases and was difficult to specify precisely due to its subtle nature. None of the cases had been vaccinated against measles. SSPE is a rare disease, but is almost always fatal with prolonged suffering of the patient. Based on our experience with SSPE patients, we recommend to broaden the immunization programme against measles.
Diagnosis and Management of Brain Abscesses in Children Soetomenggolo, Taslim S.; Passat, Jimmy; Pusponegoro, Hardiono D.; Ismael, Sofyan
Paediatrica Indonesiana Vol 32 No 5-6 (1992): May 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (448.124 KB) | DOI: 10.14238/pi32.5-6.1992.118-24

Abstract

During 4 years, 20 patients with brain abscesses were hospitalized in the Departement of Child Health, Dr. Cipto Mangunkusumo General Hospital, jakarta. Of those 20 patients 11 were males and 9 were females. The youngest patient was 2 months old and the oldest was 12 years old. The important signs and symptoms in making diagnosis were the sign of injection, increased intracranial pressure, and focal neurological disorders. Laboratory examinations were of little value in establishing the diagnosls of brain abscess. By performing head CT Scan the diagnosis of brain abscess will be confirmed accurately. Of the 20 patients, 15 (75 %) suffered from single abscess and 5 (25 %) suffered from multiple abscesses. The results of treatment by surgical intervention were better than nonsurgical treatment. The high mortallty of the nonsurgical patients was caused by the severity of the disease due to the ignorancy of their parent.
Risk Factors of Infantile Diarrhea (A Case-Control Study) Lubis, Iskandar Z.
Paediatrica Indonesiana Vol 32 No 5-6 (1992): May 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (758.599 KB) | DOI: 10.14238/pi32.5-6.1992.125-34

Abstract

From March thru April 1990 an unmatched case-control study had been conducted at the pediatric out-patient Clinic of Dr. Pirngadi Hospital Medan to assess risk factors of infantile diarrhea. The  study population were infants, aged younger than 21 months. The mothers of the infants were interviewed, using structured questionnaires. Sample size, calculated by means of formula, with 95 % level of confidence, 90 % power of study, 50% estimated proportion of exposure in the control-group and 2.0 estimated odds ratio, was 121. All infants with diarrhea were included in the case-group until a total number of 124 infants were reached. One control, an infant without diarrhea, was taken for each case from the nearest sequence of attendance after the case. A total of 20 risk factors were tested. Exposure was indicated from the last day before illness. Computerized statistical analysis was performed to calculate odds ratio, 95 % confidence interval and two tailed significance testing for qualitative dichotomic data by means of Chi square test. A total of nine factors were confirmed as risk factors of infantile diarrhea i.e mothers age than 20 years, working mother, not cleaning nipple before suckling the baby bottle feeding, having only one nursing botlle/teat, not ready for use nursing bottle/teat, giving left over supplementary food without reheating, no band-washing before giving supplementary food and malnutrition. The result of this study can be emphasized in health education, especially in diarrheal disease control of infancy; Further well-designed studies are needed.
Nutritional Status of the Underfive Children at The Pediatric Ward of Dr. Pirngadi Hospital, Medan C., Kaswadharma K.; Arizal, Arizal; Hamid, Endang D.; Lubis, Iskandar Z.; Tarigan, Sjarika T.
Paediatrica Indonesiana Vol 32 No 5-6 (1992): May 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (771.675 KB) | DOI: 10.14238/pi32.5-6.1992.135-43

Abstract

An observational study on the assesment of nutritional status of the underfive children at the pediatric ward of Dr. Pirngadi hospital, Medan was conducted during February to March 1990. Nutritional status was determined usi11.g the parameters of Weight/Age (WIA), Weight/Height (WIH) and Mid upper Arm Circumference (MUAC) in accordance with the Seminar on Nutritional Anthropometry 1975. One-hundred and eighty patients were included in this study, consisting of 115 (67, 6%) children less than one year and 65 (32, 4%) children 1 - 5 years. According to the Weight/Age parameter there were 46.7% wellnourished children 42.8% with moderate and 10.5% with severe malnutrition on admission, while on discharge they were 48.3%, 42.8% and 8.9% (p > 0.05) respectively. Weight/Height and Mid upper Arm Circumference parameters also failed to reveal significant differences. The duration of hospitalization ranged from 1 to 3 0 days (mean 5 days). The most predominant disease was gastroenteritis with dehydration (68.9%). In 54.4% of patients, breast-feeding had been given until 6 month of age, while supplementary food starting before the age of 2 months was found in 52.2% . The incidence of undernutrition in underfive children was high.
Early Ditection of Central Nervous System Infection by C-reactive Protein Examination of Cerebrospinal Fluid Bahtera, Tjipta; Arsana, Bagus Putu Ngurah; Lidwina, Maria
Paediatrica Indonesiana Vol 32 No 5-6 (1992): May 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (692.157 KB) | DOI: 10.14238/pi32.5-6.1992.144-52

Abstract

There are still many cases of bacterial meningitis in Indonesia. The highest morbidity rate are between 2 months until 2 years of age. The important factors that influence the success of treatment are early diagnosis and detection of the cause. C-reactive protein (=CRP) could be found in the spinal fluid of meningitis patients. The aim of this study is to judge the ability of CRP as a tool in making diagnosis as soon as possible whether there is a bacterial infection of the central nervous system and to compare it with the result of the spinal fluid culture. Also to compare the ability of it a conventional or routine examination of the spinal fluid was done. This was a prospective study on 30 children that were admitted in the child ward of Kariadi Hospital, Semarang during the first of April until the and of july 1990. The ages of the children were between one month until 14 years, with clinical symptoms such as fever, seizure and neurological disorders. CRP examination was done with Latex Agglutination method. The result of CRP examination on spinal fluid showed that the sensitivity was 91.6% , the specificity 94.4% , the positive prediction value 91.6% and the negative prediction value 94.4%. As a conclusion, CRP examination of spinal fluid gives better results than the conventional or routine examination in distinguishing bacterial meningitis from non bacterial meningitis.
Congenital Leukemia Report of 2 Cases Untario, S.; Sarwono, Erwin; Kariyadi, E. K.; D., Sylviaty M.; R. H. T, Netty
Paediatrica Indonesiana Vol 32 No 5-6 (1992): May 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (636.242 KB) | DOI: 10.14238/pi32.5-6.1992.153-62

Abstract

Two cases of congenital leukemia are reported, one of which was associated with Down's syndrome. Both cases were lymphoblastic as observed morphologically and by the negative Sudanophilia. To the best knowledge of the authors these cases are the first two cases of congenital leukemia reported in the Indonesian medical literature.
The Impacts of Genetic Counseling on The Quality of Children Effendi, Sjarif Hidajat
Paediatrica Indonesiana Vol 32 No 5-6 (1992): May 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (632.903 KB) | DOI: 10.14238/pi32.5-6.1992.163-8

Abstract

The success of our National Family Planning Program and awareness of people to the motto of: "The norm of a small, happy and prosperous family" has led our people, especially the eligible couples, to think no more about quantity, but the quality of their children. There is a tendency that they do need assurance of completely healthy children, the present or the coming ones. This fact leads our Health Service Personnel to the awareness that they must be able to solve people's problems related to their desire for good quality children.

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