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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 41 No 3-4 (2001): March 2001" : 7 Documents clear
THE ASSOCIATION OF NEONATAL JAUNDICE AND BREAST-FEEDING Suradi, Rulina; Situmeang, Esther H.; Tambunan, Taralan
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (125.486 KB) | DOI: 10.14238/pi41.2.2001.69-75

Abstract

To examine the prevalence of jaundice in neonates and its association with breast-feeding, we studied 100healthy breast-fed baby boys during the first 3 - 5 days after birth, delivered in Dr. Cipto Mangunkusumo Hospital. This wasan analytical, cross-sectional study performed prospectively. The study was conducted from April, 1, 1999 to October 15,1999. Jaundice was detected in 94 out of 100 infants (94%). Breast-feeding jaundice was encountered in 26 infants (28%)namely infants whose bilirubin levels was >12 mg/dL by day 3 (CI 95% : 19;37%). Most infants showed bilirubin levels on daytwo, three and five of 6 ? 10 mg/dL (62%), 6 ? 10 mg/dL (35%) and 12 ? 15 mg/dL (34%), respectively. Several factors foundto be contributing to the occurrence of breast-feeding jaundice included : a. breast-feeding frequency (r :- 0.83, p < 0.01), b.mean breast-feeding duration : infants breast-fed for more than 30 minutes have consequences its breast-feeding frequencywas less in compared with those breast-fed in less than 30 minutes. c. time of meconium passage (p< 0.05), meconiumpassage in the first hours after birth played an important part in reducing enterohepatic circulation, d. fecal weight (r =-0.87,p < 0.01), feces retained in the intestine its bilirubin would be deconjugated and reabsorbed subsequently . e. weight loss (p< 0.05). In 11 infants who received blue light therapy there were no abnormalities both in physical and laboratory examinations.
GENETIC INHERITANCE PATTERN IN PRURIGO HEBRA Boediardja, Siti Aisah; Ramelan, Wahyuning; Cornain, Santoso
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (132.813 KB) | DOI: 10.14238/pi41.2.2001.76-81

Abstract

A study was conducted to analyze the multifactorial genetic inheritance pattern in prurigo Hebra (PH). Fiftyprobands (PH patients) consisting of 11 males and 39 females, with age ranged from 5-30 years were included in this study.A three-generation family tree was obtained from each subject, from which a total of 79 families were eligible for analysis. Foreach family the possible mode of inheritance, namely autosomal dominant (AD) or autosomal recessive (AR), was predicted.The families were then grouped according to the mode of inheritance. Analysis was conducted using Chi-square test,comparing the observed occurrence of PH and the expected value for each mode. To rule out mutation, the second methodwas applied, which only families with more than one affected child were analyzed, was used. The genetic inheritancepattern was not consistently compatible either with AR or AD. This finding, and other supporting facts, such as femalepreponderace, the role of HLA and the lower morbidity rate compared to the expected rate in AR or AD mode, indicated thatthe genetic inheritance of PH follows a multi-factorial pattern.
HYPOGLYCEMIA IN PRETERM BABIES INCIDENCE AND RISK FACTORS Aminullah, Asril; Setiati, Dita; Sastroasmoro, Sudigdo
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (115.121 KB) | DOI: 10.14238/pi41.2.2001.82-87

Abstract

Hypoglycemia is one of the most common problems in neonates, especially in preterm babies. Although in themajority of cases the outcome is good, symptomatic or asymptomatic hypoglycemia may give significant complications thatmay cause death or developmental delay later in life. We conducted a cross sectional study from September 5, 1999 throughMay 8, 2000 to identify factors associated with hypoglycemia in preterm babies treated at the Division of Perinatology, CiptoMangunkusumo Hospital, Jakarta. There were 112 babies included in the study, with the mean gestational age of 33.3 (range22 to 37, SD 4.2) weeks, and mean birth weight of 1801 (range 850 to 2440, SD 420) grams. Twenty-seven of the 112 infantsshowed hypoglycemia. Univariate analysis disclosed that birth weight, degree of perinatal asphyxia, small for gestational age(SGA), presence of respiratory distress syndrome, mothers with preeclampsia or eclampsia, and mothers who had intravenousinfusion of glucose during labor were significantly associated with hypoglycemia in preterm babies. Gestational age,meconium staining, or infant of diabetic mother were not significantly associated with neonatal hypoglycemia. On logisticregression analysis to control confounders we found that only the degree of perinatal asphyxia and small for gestational agewere associated with hypoglycemia in those preterm babies.
MANAGEMENT OF VACCINATION - RELATED ANAPHYLAXIS Harsono, Ariyanto
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (101.023 KB) | DOI: 10.14238/pi41.2.2001.96-99

Abstract

Anaphylaxis is a systemic, immediate hypersensitivity reaction due to IgE mediated immunologic release ofmediators from mast cells and basophils. Features of severe condition are obstruction of the upper airway from tissueswelling, marked bronchospasm, and hypotension. In vaccination related anaphylaxis, optimal management begins withprevention: prevaccination screening including questions about possible allergy to any component of vaccine, and anticipationof anaphylaxis by observation at least 15 minutes following vaccination are very important. The essential treatment isprompt administration of adrenaline. Since hypotension is due to a shift of fluid from intravascular to extravascular space, themainstay of treatment should be the restoration of intravascular volume. Since anaphylaxis can be biphasic administration ofcorticosteroid in preventing late phase reaction can be postulated.
DEVELOPMENT OF CHILDREN OF 2 – 3 YEARS OLD FROM PRE-PROSPEROUS FAMILY AND PROSPEROUS FAMILY STAGE II Saputra, Haris Marta; Yusuf, Sulaiman; Azis, Noval; Syarifuddin, Amir; Saing, Bistok
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (113.605 KB) | DOI: 10.14238/pi41.2.2001.100-105

Abstract

In this study we assess the condition of children development of 2-3 years of age in prosperous family, preprosperousfamily and prosperous family stage II, and find the related factors. This was a cross sectional study on 94children of pre-prosperous family and 94 children of prosperous family stage II at Medan Tuntungan district from December1998 up to March 1999. Data is obtained by questionnaires and examination of the developmental bases by Denver II Method.Statistical analysis of relationship between 2 qualitative variables is tested by chi-square. In the pre-prosperous family wefound 67 children with (35.6%) normal development and 27 (14.4%) children with abnormal development, on the prosperousfamily stage II there were 81 (43.1%) children with normal development and 13 (6.9%) children with abnormal development.We found significant difference between the children development of pre-prosperous and prosperous stage II (p<0.05),significant relationship between children development within 2-3 years of age and the parents? education level of the Preprosperousfamily (p<0.05), and no significant relationship of the following factors: mothers employment status, mother?sage, number of family and the child?s order in the family.
PULMONARY TUBERCULOSIS IN CHILDHOOD NEPHROTIC SYNDROME (A CROSS SECTIONAL STUDY) Tambunan, Taralan; Dewanti, Attila; Madiyono, Bambang; Rahayoe, Nastiti N
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (123.981 KB) | DOI: 10.14238/pi41.2.2001.106-110

Abstract

Childhood tuberculosis persists as an important global health problem. Tuberculosis is one of the commonestimportant complications in children with nephrotic syndrome. Tuberculosis may interfere with the response to steroid therapyand is still being the commonest morbidity cause in children with nephrotic syndrome. To find out the prevalence, clinicalfeatures, and the impact of tuberculosis in children with nephrotic syndrome, a cross sectional study was conducted on 100nephrotic children consisted of 63 males and 37 females at the Cipto Mangunkusumo Hospital from April 1st to October 30th,1999. Pulmonary tuberculosis was detected on 15 cases ( 95% CI : 8% - 22% ) , consisted of 8 boys and 7 girls. Most of themaged 10 ? 16 years old (66,6%) and 86,7% were undernourished. The combination of clinical judgement, chest X-ray andMantoux test were helpful in establishing the diagnosis. The majority of tuberculosis cases (80%) were detected on frequentrelapsers and steroid dependent groups of the nephrotic syndrome. A significant correlation were noted in tuberculosis withundernutrition and unfavorable response to steroid (frequent relapser and steroid dependent cases).
A CASE OF PEDIATRIC AIDS IN DR. SUTOMO HOSPITAL SURABAYA, INDONESIA Ismoedijanto, Ismoedijanto; Yustina, Rosanti; Lestari, Rahayu Tri; Burhan, Hidayat
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (114.301 KB) | DOI: 10.14238/pi41.2.2001.121-124

Abstract

We report a 2-year old girl who suffered from HIV. The diagnosis was based on history, clinical findings, andlaboratory work-up. Suspicion of the presence of HIV was started when the girl continued to have wasting syndrom e withseveral focal infections unresponsice to ordinary treatment. The patient past away following severe diarrhea and apparentlysepsis.

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