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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 4 Documents
Search results for , issue "Vol 41 No 5-6 (2001): May 2001" : 4 Documents clear
BRAINSTEM AUDITORY EVOKED POTENTIALS FEATURES IN THALASSEMIA MAJOR Passat, Jimmy; Munthe, Bulan Ginting; Mahfuzh, Fauzi; Tambunan, Taralan
Paediatrica Indonesiana Vol 41 No 5-6 (2001): May 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (123.7 KB) | DOI: 10.14238/pi41.3.2001.166-70

Abstract

Patients with thalassemia major are at high risk for hearing impairment. The objective of the study is to determine the prevalence, grade and type of hearing impairment according to brainstem auditory evoked potentials (BAEP) investigation in thalassemia major. A descriptive cross sectional study was conducted between December 1999 until August 2000 in 72 thalassemic patients between 3 and 18 years of age. Only 65 patients were evaluated, because of time limitation. The results showed the prevalence of hearing impairment in thalassemia major was 29.2%. Most of them were moderate to severe unilateral sensorineural hearing impairments. Mild sensorienural hearing impairment occured in only 12.3%. Conductive  hearing impairment was only found in 1 patient. Hearing impairment was frequently found between 7 to 12 years of age (41.5%). Conclusion: the prevalence of hearing impairment in thalassem a major according to BAEP investigation is high and BAEP examination should be done regularly in all of thalassemic patients to investigate early detection and treatment of hearing impairment. 
URINARY INCONTINENCE IN CHILDREN IN CIPTO MANGUNKUSUMO HOSPITAL, JAKARTA: A SERIAL CASE REPORT Tambunan, Taralan
Paediatrica Indonesiana Vol 41 No 5-6 (2001): May 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (110.091 KB) | DOI: 10.14238/pi41.3.2001.171-4

Abstract

Urinary incontinence in children is a complex problem of varying causes. Most children brought to physician for evaluation of difficulties with urinary control will have single or diurnal enuresis, or will be experiencing urgency associated with functional or organic incontinence. To find out the magnitude of urinary incontinence problems in Child Health Department Cipto Mangunkusumo Hospital Jakarta, we retrospectively looked at medical report of such cases between the years of 1989-2001. During eleven years there were 20 cases, consisted of 10 males and 10 females, aged ranged between 3 months up to 16 years. Nineteen children showed significant bacteriuria defined as a urinary tract infection. Ten children were diagnosed as having neurogenic bladder, all had spinal lesions; 7 children had spinal dysraphyism while 3 others had osteolityc lesions in vertebrae due to malignancy. Non neurogenic bladder was defined in 6 children, while in other 4 children we defined that urinary incontinence was caused by anatomical abnormalities. Vesico-ureteral reflux in various degree were found in 9 children, while 11 out of 20 (55%) cases were experiencing chronic renal failure on their first visit. Although the annual incidence of urinary incontinence is low, these difficult cases causing many problems. Breakthrough infection was almost unpreventable and in most cases had progressed to renal failure. Many factors such as invasive procedures and prolonged treatment causing fear and frustration to the patients and their parents leading to poor compliance and lost to follow up. In summary we can conclude that urinary incontinence in children is a complex problem include medically, economically, and socially, not only for the patient and their parents, but also for medical profession.
DYSENTRY IN CHILDREN UNDER FIVE YEAR OF AGE: A LONGITUDINAL PROSPECTIVE STUDY IN PRIMARY HEALTH CARE IN INDONESIA Soenarto, Yati; Suryono, Achmad; Supardi, Suharyanto
Paediatrica Indonesiana Vol 41 No 5-6 (2001): May 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (136.061 KB) | DOI: 10.14238/pi41.3.2001.141-8

Abstract

We conducted a longitudinal community-based survey between August 1991 and August 1992 started with a pilot study in May 1991 in two rural villages which involved 497 children aged 0-59 monhs, 58 community health workers (CWHs), 44 community representatives, and 5 health center personnel. The qualitative component was carried out using in-depth interviews with the mothers, CWHs, and health personnel. It appeared that the three terms for diarrhea used in thecommunity were similar to medical terminology. However the community perception was that only cases of diarrhea with dehydration should be referred to the health center (HC) for tretment; bloody diarrhea was not considered to be referred. Through case findings, 168 (33.8%) diarrheal episodes were identified among 141 children (1.2 episodes per child). Twenty-two of 168 cases (13.1%) had bloody stool, shigella was isolated in 9 (41%) of these patients. No death occurred in this study. Diagnostic agreement on bloody and watery stool specimens between HC personnel and CHWs was analyzed using data from the 72 stool specimens that were seen by both parties, which showed a kappa coefficient of 0.50. Breast feeding (90%) nand additionalk food (89%) were given during diarrhea in almost all cases. Oral rehydration salts solution was given in 80% odf cases. The study shows that the existing treatment guidelines in the HCs were not properly followed by the health personnel.
CLINICAL AND LABORATORY FEATURES OF TYPHOID FEVER IN CHILDHOOD Retnosari, Sylvia; Tumbelaka, Alan R.; Akib, Arwin P.; Hadinegoro, Sri Rezeki
Paediatrica Indonesiana Vol 41 No 5-6 (2001): May 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (137.445 KB) | DOI: 10.14238/pi41.3.2001.149-54

Abstract

The aims of the study were to review the clinical features of patient with suspected typhoid fever, to obtain features of the blood culture results, Widal, Typhidot tests and to identify the relationship between/prior antibiotic administration with laboratory findings. The study had been conducted since January 1, 1999 till January 31, 2000 with inclusion criteria (1) age of patient was 3 to 14 years, (2) patient with diagnosis of suspected typhoid fever and (3) gave consent to participate in the present study. Thirty-six patients were eligible for this study and the result showed that typhoid fever was encountered more commonly in girls with the most prevalent onset was in age 5 to 9 years and duration of fever was less than 8 days. Gastrointestinal tract disturbance was the most frequent complain after fever. Most patient showed negative results in blood culture examination and Widal test, and gave positive results in Typhidot/Typhidot M test as well. Antibiotic administration tended to influence blood culture and Widal test as to need consideration in evaluation of laboratory results. However, a conclusion still could not be drawn definitively that further study with adequate sample number and positive blood culture as criteria inclusion was needed. 

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