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Rusdidjas Rusdidjas
Department of Child Health, University of Sumatera Utara Medical School, Medan, North Sumatera
Health Professions Medicine & Pharmacology

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Journal : Paediatrica Indonesiana

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Blood pressure-to-height ratio for diagnosing hypertension in adolescents Kristina Ambarita; Oke Rina Ramayani; Munar Lubis; Isti Ilmiati Fujiati; Rafita Ramayati; Rusdidjas Rusdidjas
Paediatrica Indonesiana Vol 57 No 2 (2017): March 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (175.616 KB) | DOI: 10.14238/pi57.2.2017.84-90

Abstract

Background Diagnosing hypertension in children and adolescents is not always straightforward. The blood pressure-to-height ratio (BPHR) has been reported as a screening tool for diagnosing hypertension.Objective To evaluate the diagnostic value of blood pressure-to-height ratio for evaluating hypertension in adolescents.Methods A cross-sectional study was conducted among 432 healthy adolescents aged 12-17 years in Singkuang, North Sumatera from April to May 2016. Blood pressure tables from the National High Blood Pressure Education Program (NHBPEP) Working Group on High Blood Pressure in Children and Adolescents were used as our standard of comparison. Sex-specific systolic and diastolic blood pressure-to-height ratios (SBPHR and DBPHR) were calculated. ROC curve analyses were performed to assess the accuracy of BPHR for discriminating between hypertensive and non-hypertensive adolescents. Optimal thresholds of BPHR were determined and validated using 2x2 table analyses.Results The accuracies of BPHR for diagnosing hypertension were > 90% (P<0.001), for both males and females. Optimal SBPHR and DBPHR thresholds for defining hypertension were 0.787 and 0.507 in boys, respectively, and 0.836 and 0.541 in girls, respectively. The sensitivities of SBPHR and DBPHR in both sexes were all >93%, and specificities in both sexes were all >81%. Positive predictive values for SBPHR and DBPHR were 38.7% and 45.2% in boys, respectively; and 55.9% and 42.4% in girls, respectively; negative predictive values in both sexes were all >97%, positive likelihood ratios in both sexes were all >5, and negative likelihood ratios in both sexes were all <1.Conclusion Blood pressure-to-height ratio is a simple screening tool with high sensitivity and specificity for diagnosing hypertension in adolescents.
Rabies in Children (An Eleven Years Retrospective Study in Medan) Rafita Ramayati; Rusdidjas Rusdidjas; Helena Siregar
Paediatrica Indonesiana Vol 22 No 11-12 (1982): November - December 1982
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (540.151 KB) | DOI: 10.14238/pi22.11-12.1982.205-10

Abstract

At the Department of Child Health Medical School University of NorthSumatera/Dr. Pirngadi Hospital Medan, a retrospective study for analysis onRabies in Children from 1977 - 1980 had been carried out. We found 29cases consisting of 23 males arul 6 females. The highest incidence was between 6 - 12 years. All was bitten by dogs.Lower limbs were the most common site of dog bite. Twenty of the 29cases were derived from Medan Munic~TJ!e. All of the cases did not receivedpost"exposure immunization. People's alertness to dog control is still unproperly practice and stray dogs are everywhere.
Co-Authors Helena Siregar Isti Ilmiati Fujiati Kristina Ambarita Munar Lubis Oke Rina Ramayani Rafita Ramayati