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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 39 No 3-4 (1999): March 1999" : 5 Documents clear
FACTORS AFFECTING THE IMPLEMENTATION OF IMMUNIZATION Ismail, Djauhar; Paryanto, Endy; Sadjimin, Tonny; Soetrisno, Rachmat
Paediatrica Indonesiana Vol 39 No 3-4 (1999): March 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3082.356 KB) | DOI: 10.14238/pi39.3-4.1999.108-15

Abstract

Immunization coverage of vulnerable children is a critical indication ofsuccess in health development This study aimed to detennine the role of various factors in the basic immunization status of under five children. In Godean sulxiistrict, district of Sleman, Yogyakarta, interviews were conducted with 161 mothers of 14 to 59 months old children selected by stratified random sampling with the village as the unit of study and 27.3 per cent probability of being included in the study. Immunization status of children was recorded on an interval scale, with a value of 8 representing complete basic immunization status. We found that basic immunizationstatus of children had significant relation to the level of mother's knowledge concerning immunization, the educational background of both mother and father, family income, and the number of children (p < 0.05). From the factors, the level of mother's knowledge about immunization had the most relation to immunization status (relative contribution was 73.9 %). This factor was significantly influenced by the mother's formal educational background, the father's formal educational background, and family income (p < 0.05). Those factors necessarily should beincluded in the strategy of community education in order to increase theimmunization coverage.
EFFECT OF CARNITINE IN DIPHTHERIA: A PRELIMINARY REPORT Soetono, Soetono; Soeroso, Santoso; Sutikno, Warsito
Paediatrica Indonesiana Vol 39 No 3-4 (1999): March 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2074.456 KB) | DOI: 10.14238/pi39.3-4.1999.102-7

Abstract

A double placebo controlled trial was conducted on 68 diphtheriapatients who were hospitalized in pediatric ward of Kariadi Hospital, Semarang, from 1 April 1990 to 31 March 1991. The age range of the patients was between 7 months to 13 years, with the median of 48 months and the mean of 60.5 (SD 11) months. The pretreatmentcharacteristics of both groups were similar with respect to sex, the clinical condition on admission, presence of bullneck, nutritional and immunization status. Oral camitine was administered with a dose of 100 mg/kg/ day divided into 3 doses. Other standard treatment was administered to all patients. Post-treatment comparisons were performed on the prevalence of myocarditis, CK-MB level examined on the fifth day of treatment, and mortality. It was found that the prevalence of myocarditis and CK-MB levels' were significantly less than those in the placebo group, while the mortality in the carnitine group (3%) although smaller than in placebo group (17%) was not statistically different. It seems that 1-camitine is useful to prevent diphtheritic myocarditis,while its effect on improving the overall prognosis needs further study.
BLOOD GAS ANALYSIS IN ASPIRATION PNEUMONIA: ACUTE AND CHRONIC ASPECTS Budiman, Budiman; J., Indra Yanti; Tumbelaka, Alan Roland
Paediatrica Indonesiana Vol 39 No 3-4 (1999): March 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3115.723 KB) | DOI: 10.14238/pi39.3-4.1999.66-75

Abstract

A retrospective cross-sectional study, was conducted between January1st 1991 until December 31st 1996, to find out the acute and chronic aspects ofchanges of blood gases in aspiration pneumonia A sample of all aspiration pneumonia patients hospitalized in Cipto Mangunkusumo Hospital, Jakarta, between January 1st, 1991 to December 31st, 1996 was selected (n=l67). Data were obtsined from the medical records. Only 65 patients were included in the srudy, from which 32 (49.2%) were males and 33 (50.8%) were females. Changes in blood gllS analysis observed were decrease in PaO, (30.8%), normal PaC02 (30.8%) and decrease in PaC02 (60%) and abnormal oxygen saturation (80% in acute cases, and 11.1% an chronic cases). The prevalence of acute aspiration pneumonia was 30.8% and chronic aspiration pneumonia was 69.2%. Tachypnea, cyanosis, tachycardia and prolonged expiration were more prominent in tbe acute aspiration pneumonia as well as oxygen saturation which was more dominant parameter. We concluded that with blood gllS analysis we would understand the natwal course of the disease whether acute or chronic.
MANAGEMENT OF BIRTH ASPHYXIA AT HOME AND HEALTH CENTER Alisjahbana, Anna; Hidayat, Sjarif; Mintardaningsih, Mintardaningsih; Primadi, Aris; Harliany, Enny; Sofiatin, Yulia; Triyanti, Attie
Paediatrica Indonesiana Vol 39 No 3-4 (1999): March 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5678.152 KB) | DOI: 10.14238/pi39.3-4.1999.88-101

Abstract

Birth asphyxia is the main cause of death in newborns and is an emetgency situation that need immediate action. In Indonesia more than 60% of deliveries are attended by traditional birth attendants. Although infant mortality has decline significantly in the last decade, the neonatal component of IMR however remain the same. The ddinition of birth asphyxia recommended by World Health Organization is: A newborn infant who does not cry and who does not breath or has poor breathing efforts soon after birth. The paper present the result of a fieldstudy conducted in Tanjungsari (West java). The study is part of a multicountry study conducted in four countries organized by World Health Organization. TBAs were trained in the basic steps of resuscitation starting from drying, stimulation, suction and providing. Positive PressureVentilation using a tube and mask device on infants with birth asphyxia Community midwives were trained in the same procedure and additional training for cardiac massage. Team work between TBA and CM was stressed. More infants with birth asphyxia survive, one fr sh Still borninfant survive after vigorous resuscitation. Although the result looks promising, close supervision and regular refreshing courses are necessary to have a significant impact on neonatal mortality.
DEVELOPMENTAL PROFILE OF INFANTS VISITING THE GROWTH AND DEVELOPMENT CLINIC, CHILD HEALTH DEPARTMENT, MEDICAL SCHOOL, PADJADJARAN UNIVERSITY Poedjiadi, Prihariadi R.; Soewaryo, Sri Indayati; Ijradinata, Ponpon
Paediatrica Indonesiana Vol 39 No 3-4 (1999): March 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2576.07 KB) | DOI: 10.14238/pi39.3-4.1999.57-65

Abstract

Development of a child is the result of a continuous interaction betweenbiological factor serving as basis and the environment that gives stimulation. Indonesia as a developing country has an environmental characteristically different from that of advanced countries such as USA, where the Bayley developmental test tool was constructed, so that as an initial step in order to find out how far the level of development of the Indonesian child in general was, a study was made on the level oldevelopmental of healthy 18-month-old infants visiting the Growth & Development Clinic in the Child Health Department of Dr. Hasan Sadikin General Hospital Bandung. Thirty healthy infants were chosen comprising 19 (63%) male and 11 (37%) female infants who were born nonnally without any congenital deviation, with good nutritional status, not anemic, never been hospitalized and had a good physical status during the study period. This study yielded an average Index of Mental Development(IPM) of 124.2 (6.94) and an index of Psychomotor Development (IPP) of 110.7 (6.16). The resulting IPM and IPP were higher compared to the notmal Bayley scale for 18-month-old infants (p<0.0001). This could be due to the absence of several biological risk factors in the subjects and to the sullicient amount of a ttention given by all members of the family so that the child developed well.

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