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Kemas Firman
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Health Professions Medicine & Pharmacology

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Periventricular leucomalacia in premature infants in neonatal ward, Cipto Mangunkusumo Hospital: A preliminary study Kemas Firman; Idham Amir; Nia Kurniati; Sudigdo Sastroasmoro
Paediatrica Indonesiana Vol 44 No 3 (2004): May 2004
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1274.925 KB) | DOI: 10.14238/pi44.3.2004.122-6

Abstract

Introduction Periventricular leucomalacia (PVL) is a major causeof neurodevelopment delay in premature infants, so early detec-tion of the preterm infant at high risk for the subsequent develop-ment of this lesion is critical.Objectives To determine the prevalence of PVL in premature in-fants hospitalized in neonatal ward, Cipto Mangunkusumo Hospi-tal using cranial ultrasound scans and define its characteristicsMethods Premature infants hospitalized in the neonatal ward fromJanuary to July 2003 were included in this study. Clinical featureswere retrieved from medical charts. Ultrasound scan was performedonce, after the age of 7 days and interpretations were read sepa-rately by two consultants of the radiology division.Results Fifty-one infants were included, 21 with <32-week gesta-tion, 30 with >32-week gestation; birth weight range were 1000 to2600 gram. Nineteen infants had cystic lesion and/or dilatation ofthe ventricle from the cranial ultrasound scan. The prevalence ofPVL in gestational age (GA) of <32 weeks was 6/21 and that in GAof >32 weeks was 13/30. Risk factors found in infants with PVLwere maternal infection, respiratory distress, sepsis and circula-tory failure.Conclusion The prevalence of PVL in preterm infants in CiptoMangunkusumo neonatal ward was higher than that was reportedin developed countries. Maternal infection, respiratory distress,sepsis, and circulatory failure which were commonly found in theseinfants were factors to be considered as risks for PVL
Sonographic measurement of splenic length in children at Cipto Mangunkusumo Hospital H F Wulandari; Kemas Firman
Paediatrica Indonesiana Vol 45 No 3 (2005): May 2005
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi45.3.2005.123-6

Abstract

Objectives The aim of this study was to determine the 10 th and90 th percentiles and medians of normal splenic lengths of Indone-sian children at Cipto Mangunkusumo Hospital by ultrasonogra-phy using a method introduced by Rosenberg et al .Methods The maximum splenic length was obtained in longitudi-nal coronal plane with the splenic hilum visualized. The age of thepatients were recorded. The medians and 10 th and 90 th percen-tiles for each age group were determined.Results Sixty-nine boys and 46 girls were examined at our institu-tion. The youngest subject was one month old and the oldest was15 years old. The 10 th percentile, median, and 90 th percentilesplenic length in the 1-3 months age group were 3.421 cm, 3.795cm, and 4.343 cm, respectively. In the 3-6 month age group thesemeasurements were 3.689 cm, 4.29 cm, and 5.094 cm, respec-tively; in the 6-12 month age group 4.016 cm, 4.72 cm, and 5.366cm, respectively; in the 1-2 years age group 4.558 cm, 5.04 cm,and 5.502 cm, respectively; in the 2-4 year age group 5.151 cm,6.225 cm, and 6.816 cm, respectively; in the 4-6 year age group5.774 cm, 6.415 cm, and 7.82 cm, respectively; in the 6-8 year agegroup 6.077 cm, 7.505 cm, and 8.228 cm, respectively; in the 8-10years age group 6.354 cm, 7.77 cm, and 8.602 cm, respectively;in the 10-12 years age group 6.354 cm, 7.77 cm, and 8.602 cm,respectively; and in the 12-15 year age group 7.934 cm, 9 cm, and9.919 cm, respectively. In all age groups, the 10 th percentiles,medians, and 90 th percentiles were smaller than those of Ameri-can children as reported by Rosenberg et al.Conclusion The normal splenic lengths of Indonesian childrenare smaller than those of American children as reported byRosenberg et al.
Co-Authors H F Wulandari Idham Amir Nia Kurniati Sudigdo Sastroasmoro