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I. Mustadjab
Department of Child Health, Sam Ratulangi University Medical School/Gunung Wenang Hospital, Manado, South Sulawesi
Health Professions Medicine & Pharmacology

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Dengue Haemorrhagic Fever. A Problem of Clinical Diagnosis and Proposal for Using a Scoring Systetn Muzief Munir; Tjandra Husada; I. Mustadjab
Paediatrica Indonesiana Vol 22 No 1-2 (1982): January - February 1982
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (934.437 KB) | DOI: 10.14238/pi22.1-2.1982.11-22

Abstract

This prospective study was conducted in an attempt to find out a method ofclinical diagnoS'is of Dengue Haemorrhagic Fever wi,th high accuracy and coverage.A clinical picture of all cases admitted with 3 days fever of unknown originand poS'itive tourniquet test was studied.The cardinal signs and symptoms i.e. liver enlargemerz.t, thrombocyte counJ.hematocrit, spontaneous bleeding such as epistaxis, petechiae, hematonw and hematemesis, were thoroughly studied from the day of admission up to the sixth dayof illness.Blood was drawn into filter-paper disks for serologic examination on the dayof admission, then 5, and 10 days thereafter.Based on a series of serological tests, the patients were grouped into confirmedand false DHF.Liver enlargement was found in both groups, but only in the confinned DHFgroup was it significantly related to the day of illness (r = 0.45, with probablyerror of 0.03 ).
Measles and its Problems. A Clinical Analysis of Hospitalized Patients Under 5 Years of Age Muzief Munir; I. Mustadjab; F. H. Wulur
Paediatrica Indonesiana Vol 22 No 3-4 (1982): March - April 1982
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1059.925 KB) | DOI: 10.14238/pi22.3-4.1982.49-64

Abstract

Two hundred and sixty one cases of measles under 5 years of age admitted to the Pediatric Ward of Gunung Wenang Hospital Manado, lrulonesia, were analyzed.It is clearly evident tlwt measles in this country indeed, is one of the important child health problems, especially among those under 5 years of age. From this analysis it was found thoJ only 40 out of 261 cases or 15% suffered without any complications, but the remtJining 85% experienced complications.The younger the children suffering from measles, the more frequent would be the complications.The worse the nutritional status of the chNdren, the higher the rate of complications and mortality. In patients with a normal body weight, 52% were found not to have any complications. But the rate of complications increased in underweight and marasmic cases.Bronchopneumonia with or without gastroenteritis, was found more frequentlyin marasmic cases.The mortality rate was 13.8%- And it was highest among the marasmic cases, being 26%, while in normal body weight children it was only 6%.Measles encephalophathia was found in only 18 out of the 261 cases or 7% and mainly associated with bronchopneumonia and gastroenteritis.From this study, it is felt that further field studies should be carried out in this country in an attempt to determine the real magnitude of measles problems in the community.
Co-Authors F. H. Wulur Muzief Munir Tjandra Husada