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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 6 Documents
Search results for , issue "Vol 41 No 11-12 (2001): November 2001" : 6 Documents clear
A CASE OF KWASHIORKOR IN A CHILD WITH CONGENITAL HYPOTHYROIDISM Tangkilisan, Helena Aneke; Wijayanto, Teguh; Wiriadinata, Sugianto
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (142.511 KB) | DOI: 10.14238/pi41.6.2001.305-7

Abstract

A 12-year-old Indonesian girl with the body weight of 9.8 kg and length 78 cm was admitted to the Department of Child Health, Manado General Hospital with kwashiorkor and congenital hypothyroidism. The main complaint was edema starting 3 weeks before admission. Physical examination showed body weight for age (BW/A) 14.3%, body weight for body length (BW/BL) 66.0% and body length for age (BL/A) 49.1%. On admission she looked severely ill, apathetic, with hypothermia and hypotonia. Almost all signs and symptoms of kwashiorkor and congenital hypothyroidism were found accompanied bronchopneumonia and dermatologic problems. Laboratory findings showed severe anemia, leukocytosis, hypoproteinemia, hyponatremia, hypokalemia, elevated thyroid stimulating hormone and low level of Thyroxine-4. Bone age equaled to a newborn baby bone age. There was no thyroid tissue on thyroid ultrasound examination. The patient was treated for severe protein energy malnutrition and ThyraxR. Problems of kwashiorkor could been solved well but not with the congenital hypothyroidism. She was discharged from hospital after 2 months treatment and till now at 14th year of age with her developmental milestones equals to that of 8 month old baby.
FACTORS AFFECTING SCHOOL PERFORMANCE IN CHILDREN WITH RHEUMATIC HEART DISEASE S., Arief Hermanu; Sastroasmoro, Sudigdo; Madiyono, Bambang; Oesman, Ismet N.
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.322 KB) | DOI: 10.14238/pi41.6.2001.299-304

Abstract

The aim of this study was to determine the association between school performance and age, sex, duration of illness, educational achievement prior to illness, socioeconomic status of family, parent?s educational level, number of children in the family and severity of the disease of patients with rheumatic heart disease (RHD). Subjects were patients with RHD treated at the Division of Cardiology, Department of Child Health, Cipto Mangunkusumo Hospital Jakarta. The parameters of school performance were educational achievement, absent of school and dropout. All data were processed by using Epi-Info program to find out bivariate analysis and Statistic Program for Social Sciences (SPSS) for multivariate analysis. We obtained 80 patients with RHD; most of them were of mild severity (64 of 80%) and the remainder 16 (20%) with severe disease. There were 44 (55%) males and 36 (45%) females. Most parents (42 or 53%) had junior high school educational level, most of them, 23 (29%) had elementary school education, and 3 (4%) illiterate. Bivariate and multivariate analyses showed that severity of disease and parental educational level were associated withschool performance of patients with RHD, but age, sex, duration of disease, premorbid educational achievement, socio-economic level of the family and number of children in family were not.  
NUTRITIONAL STATUS AND HEMOGLOBIN LEVEL IN ELEMENTARY SCHOOLCHILDREN Jumrakh, Marlina; Lubis, Iskandar Z.; Azis, Noval
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (160.118 KB) | DOI: 10.14238/pi41.6.2001.296-8

Abstract

A study was conducted in 1999 to determine nutritional status and hemoglobin level and their correlation among students in two primary schools in at Binjai, North Sumatra, Indonesia. Nutritional status was measured based on weight for age (W/A), height for age (H/A) and weight for height (W/H) according to NCHS criteria. Anemia was defined as hemoglobin level of less than 12 g/dl as measured with cyanmethemoglobin. Ninety-six children were available for analysis. We found that based on W/A, H/A and W/H, there were 23 (23%), 16 (17%), 11 (12%) of children suffered from protein energy malnutrition (PEM), respectively. There were 48 (50%) children with anemia. Children with PEM and anemia were 13 (59%), 9 (56%) and 9 (82%) respectively. In conclusion we found that not all of new students in those primary schools were healthy. There was correlation between anemia and PEM based on W/H measurement, but not when compared to W/A and H/A criteria.
SERUM BILIRUBIN CONCENTRATION IN BREAST-FED NEWBORN BABIES AT LARANTUKA GENERAL HOSPITAL, EAST FLORES P., Tri Yasa; S., Abdul Hamid
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (193.378 KB) | DOI: 10.14238/pi41.6.2001.284-7

Abstract

Neonatal hyperbilirubinemia is a common problem not only to pediatricians but also to the parents. Breastfeeding is known as one of the factors associated with hyperbilirubinemia. The aim of the study was to determine serum bilirubin concentration and factors related to hyperbilirubinemia in breast-fed newborn babies. A cross sectional study was done on 45 well babies born at Larantuka General Hospital, East Flores, from August to October 1998. Data including personal data, frequency of breast-feeding, frequency of urination, meconium passage, and weight loss, were collected through questionnaires, presented in tables, and analyzed using chi-square test. The prevalence of hyperbilirubinemia in breast-fed babies was 13%. It was correlated significantly with the frequency of breast-feeding (p<0.01), meconium passage (p<0.02), sufficiency of breast milk (p<0.05), and weight loss (p<0.05). The significant risk factors for neonatal hyperbilirubinemia were the frequency of breast-feeding, meconium passage, sufficiency of breast milk, and weight loss. Immediate and frequent breast-feeding is recommended for the management of neonatal hyperbilirubinemia.
NATURAL HISTORY OF PREMATURE THELARCHE: REVIEW OF 60 GIRLS Batubara, Jose R. L.; Suranto, Adji; Sastroasmoro, Sudigdo; Tridjaja, Bambang; Pulungan, Aman B.
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (236.352 KB) | DOI: 10.14238/pi41.6.2001.279-83

Abstract

In Indonesia report on the natural history of premature thelarche is very limited. Daily practice requires physicians to have some basic practical knowledge, among others the natural history of premature thelarche, in order to manage these patients properly. We reviewed data of 85 premature thelarche patients who visited our department from January 1989 until December 1998. Only 60 patients met the study criteria. The mean chronological age of the patients at diagnosis was 43.4 months. About half of these patients (31/60) were diagnosed before they were 2 years old. Half of the patients had bilateral breast involvement. The hormonal pattern showed 24/48 follicle stimulating hormone predominant-response. Most patients (33/47) showed normal plasma estradiol level. Bone age analysis was normal in 46/57 patients, and only 9 showed accelerated bone age. Pelvic ultrasonography showed prepubertal reproduction organs in 26/35. Vaginal smears showed signs of estrogenization with various degree of stimulation in 13 patients. At the end of observation the outcome of premature thelarche were: 31 regressed, 19 persisted, 6 had progressive breast development and 4 progressed to central precocious puberty. The initial clinical and laboratory characteristics of those who developed CPP varied. Among 31 premature thelarche patients who regressed, 21 had onset of breast enlargement before age of 2 years. In most of the regressed patients (20/31), regression occurred completely within the first year. Most premature thelarche patients with onset before 2 years will regress within one year after diagnosis. 
NEPHRITOGENICITY OF GLOMERULAR BASEMENT MEMBRANE: A MOLECULAR ASPECT Rauf, Syarifuddin
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (396.853 KB) | DOI: 10.14238/pi41.6.2001.273-8

Abstract

Glomerular basement membrane (GBM) has multifunctions. One of its functions is having nephritogenicitywhich means the ability of an antigen originally from GBM in causing glomerulonephritis, either in experimental animal or in human being. Recent studies on GBM have revealed that its main component is type IV collagen, consists of 6 different isoforms, ?1 (IV) to ? 6 (IV) chains. Genetic studies show that all of the six ? chains are encoded by genes located in 2, 13, and X chromosomes. Nephritogenic antigen in GBM has been identified as ?3, ?4, ?5 chains. They are molecules of type IV collagen located in globular domain (NC1 domain) at the carboxyl terminus of the type IV collagen of GBM. They are thought to assemble into a ?3- ?4- ?5 (IV) chain helical molecules in human GBM. Other ? chains, namely ?1 and ?2 chain, are not nephritogenic or poorly nephritogenic, while the ?6 chain is not located in GBM. The nephritogenicity of GBM has been elucidated as a cause in experimental anti-GMB nephritis, and in Goodpasture and Alport syndromes.

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