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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.
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Articles 5 Documents
Search results for , issue "Vol 28 No 3-4 (1988): March 1988" : 5 Documents clear
GASTROINTESTINAL ASPECTS OF MALNUTRITION IN CHILDREN Gracey, Michael
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 (978.427 KB) | DOI: 10.14238/pi28.3-4.1988.85-96

Abstract

Throughout history mankind has suffered many scourges. In many parts of the world improvements in living standards, hygiene, nutrition, medical care and preventive public health programmes have made many of these infectious , diseases things of the past. However, in the so called "developing" countries, diarrhoeal diseases of infancy and childhood are still major problems which cause many millions of deaths each year (Mata, 1985).
NASOGASTRIC DRIP REHYDRATION THERAPY IN ACUTE DIARRHEA WITH SEVERE DEHYDRATION Hidayat, Syamsul; K. D., Srie Enggar; Pardede, Nancy; Ismail, Rusdi
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 (456.931 KB) | DOI: 10.14238/pi28.3-4.1988.79-84

Abstract

WHO recommended severe dehydration without shock in acute diarrhea to be rehydrated by nasogastric drips (NGD) of oral rehydration solution (oralit). In this respect the criteria of a still palpable and countable pulse, the absence of meteorism and absence of complication, the reverse warranting iv fluid therapy, can be used as practical guidelines to identify the patient "without shock". A clinical trial comparing the result of NGD oralit rehydration therapy to that of intravenous Ringer-lactate on small children with diarrhea and severe dehydration was conducted. Seventy jive patients admitted to the Department of Child Health Palembang General Hospital from January up to July 1986, aged 1 to 59 months, suffering from acute diarrhea with severe dehydration fulfilled to above mentioned criteria. Randomly 36 were assigned to NGD rehydration therapy using WHO standard ORS (in Indonesia is named as oralit) and 39 were rehydrated with iv Ringer lactate solution, given in four hours consisting of 40ml/kg BW, 30ml/kg BW, 20 ml/kg BW and 20ml/kg BW in the first, second, third and fourth hours respectively. Based on the failure rate of rehydration in the first four hours, the recurrence of dehydration after rehydration and the side effects of fluid therapy, it was concluded that acute diarrhea cases with severe dehydration who fulfilled the above mentioned criteria can be rehydrated by NGD oralit as effective and safe as by iv Ringer lactate.
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.
NEONATAL TETANUS IN THE DEPARTMENT OF CHILD HEALTH DR. PIRNGADI HOSPITAL, MEDAN IN 1983-1984 Marbun, Manihar D.; Arsyad, Johnny; Lubis, Munar; Hamid, Endang D.; Lubis, Chairuddin P.
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 (681.196 KB) | DOI: 10.14238/pi28.3-4.1988.49-59

Abstract

From January 1983 to December 1984 there had been prospective investigations of neonatal tetanus contracted by newborn infants treated at the Department of Child Health Dr. Pirngadi Hospital Medan. Seventy eight cases (4.28%) contracted neonatal tetanus out of 1821 hospitalized infants. Fifty cases were identified in 1983 and 28 cases in 1984. Fourty nine cases (62.8%) were delivered by traditional birth attendant (TBA), 18 cases (23.8%) by midwife/nurse, and 11 cases (14.10%) by others. The instruments used to cut the umbilical cord were razor blade (34.6%), scissor (33.33%), and sharp sliver bamboo (29.49%). There were 23 cases (29.49%) who used traditional medicine made from herb for umbilical cord treatment. None of the mothers was vaccinated with tetanus toxoid. Most of the parents had only elementary school education, 42.32% fathers, and 71.79% mothers. Based on this study it is suggested to increase tetanus toxoid immunization to pregnant mothers, health education for the community and a brief course provided for the traditional birth attendant (TBA) should be enhanced to reduce the incidence and mortality rate of neonatal tetanus.
LARYNGEAL TUBERCULOSIS IN A CHILD (A CASE REPORT) Santoso, F. X.; Witono, Esther S. I.; S., Makmuri M.; Santosa, Gunadi
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 (410.398 KB) | DOI: 10.14238/pi28.3-4.1988.60-6

Abstract

Since the advent of effective antituberculous chemotherapy, laryngeal tuberculosis has become relatively uncommon, and there is a real possibility that the diagnosis may be delayed or overlooked. Data from the ENT outpatient clinic Dr. Soetomo Hospital showed a significant decrease in the prevalence of laryngeal tuberculosis, from 4. 72 o/oo in 1980 to 0.28 o/oo in 1986. This condition is usually found in adult males who have pulmonary tuberculosis. A girl with laryngeal tuberculosis is the objective of the present report. The patient was admitted with a history of chronic hoarseness. With a presumptive diagnosis of papilloma of the larynx, some biopsies were performed. The histopathologic exmamintaions suggested laryngeal tuberculosis. Additional examinations revealed a positive tubercullin test, diffuse infiltrates on both lungs and positive acid fast bacilli. Her condition improved after chemotherapy administration.

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