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Adi Sutjipto
Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
Health Professions Medicine & Pharmacology

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Neonatal meningitis at Dr. Pirngadi General Hospital Medan (1972 -1980) Rahayu Saat; Sondang Tambunan; Adi Sutjipto; Noersida Raid; Bistok Saing
Paediatrica Indonesiana Vol 24 No 7-8 (1984): July - August 1984
Publisher : Indonesian Pediatric Society

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Abstract

A retrospective study was done on 25 cases of Neonatal Meningitis from 1972 up to 1980 at Dr. Pimgadi Hospital Medan. Their age variation was from one day to one month. The early prominent symptoms were refusal of feeding in 23 cases (92%), decrease of consciousness in 21 cases (84%), fever in 16 cases (64%}, convulsion in 15 cases (60%) and vomiting/diarhea in 8 cases (32%). Diagnosis was based on clinical symptoms and Cerebrospinal fluid examination.
Tuberculous meningitis at the Department of Child Health Dr. Pirngadi Hospital Medan (1979) Sondang Tambunan; Adi Sutjipto; Rahayu Saat; A. J. Noeriman; Helena Siregar; Bistok Saing
Paediatrica Indonesiana Vol 24 No 7-8 (1984): July - August 1984
Publisher : Indonesian Pediatric Society

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Abstract

A retrospective study on tuberculous meningitis had been carried out on 43 patients at the Department of Child Health, Dr. Pirngadi Hospital Medan during the year 1979. The peak incidence (55.81%) was found in the age group of less than 3 years of which 55.81% was in the second and 44,18% in the third stadium of the disease. Two of the cases were 4 months of age and 1 case was 14 years. None of the cases had got BCG immunization. Mortality rate was 37.21% of which 25% was in the second and 52.63% in the third stadium. Cerebrospinal fluid examination showed that 46.50% had cell counts between 101-500 cells/mm3. The symptoms were prolonged fever (62. 79%), convulsions (72.09%) and unconciousness (27.90%). Of these cases 83.72% had contact with tuberculous patients; 6.9% had positive tuberculin test and 48,83% showed pulmonary involvement on radiological examination. Nutritional status of these cases showed that 48.83% were undernourished and 34.82% were in poor nutritional status.
A Study of Aplastic Anemia at the Department of Child Health, School of Medicine University of North Sumatera/Dr. Pirngadi Hospital, Medan Ajuar Arif; Adi Sutjipto
Paediatrica Indonesiana Vol 31 No 9-10 (1991): September - October 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (519.047 KB) | DOI: 10.14238/pi31.9-10.1991.253-60

Abstract

A study of aplastic anemia in children in a period of June 1980 to June 1989 was done to evaluate the pattern of aplastic anemia in children. The cases consisted of 55 children, 30 males (54.55%) and 25 females (45.45%). Most of the patients (47.27%) were found in the age group of 10 to 15 years. The complaints were paleness (90.91%), fever (56.45%) and bleeding (52. 71%). The hemoglobin concentration was 4.25 ± 1.17 g/dl (mean ± SD), and the thrombocytopenia was generally severe. Prednisone or combination of prednisone and oxymethalone was given in addition to blood transfusions, antibiotics and vitamins. The outcome was difficult to evaluate because of the irregularity of treatments. Of the 55 children, 9 (18.02%) contracted leukemia after 1 - 5 months.
The Pattern of Thalassemia in Children at the Department of Child Health, School of Medicine University of North Sumatera/ Dr. Pirngadi Hospital, Medan Sugiani Sinulingga; Ismet Fadil Loebis; Adi Sutjipto
Paediatrica Indonesiana Vol 31 No 9-10 (1991): September - October 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (420.115 KB) | DOI: 10.14238/pi31.9-10.1991.261-7

Abstract

A study of the characteristics of childhood thalassemia was conducted at the Sub Department of Pediatric Hematology, Dr. Pirngadi Hospital from June 1979 to May 1989. There were 131 cases, consisting of75 (57.25%) boys and 56 (42.75%) girls with an average of 12 admission every year. The predominant age group was 0-2 years, and the youngest was 3 months old; Javanese ethnic group appeared predominant in 36 (63.15%) cases. Clinical symptoms of anemia were found in 112 (85.49%}, hepatomegaly in 91 (69.46%}, hepatosplenomegaly in 84 (64.12%}, without enlargement of organ in 17 (12.97%), and icterus in 6 (4.58%). Hb-Electrophoresis was done in 42 cases, revealing 26 (61.90%) with thalassemia major, 15 (35.71%) Hb E thalassemia, and 1 (2.20%) Hb H thalassemia. Hb value at the first admission in 65 (49.62%) was less than 5 g/dl, in 63 (48.09o/o) it was 5-10 g/dl and in 3 (2.29%) more than 10 g/dl.
Acute Non Lymphoblastic Leukemia in the Department of Child Health School of Medicine, University of North Sumatera/ Dr. Pirngadi Hospital Medan (1983-1988): A Preliminary Study Feraluna Nasution; Zairul Arifin; Adi Sutjipto
Paediatrica Indonesiana Vol 31 No 9-10 (1991): September - October 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (346.091 KB) | DOI: 10.14238/pi31.9-10.1991.268-72

Abstract

A retrospective study on Acute Non Lymphoblastic Leukemia (ANLL) was conducted at the Sub Division of Pediatric Hematology, School of Medicine, University of North Sumatera/Dr. Pirngadi Hospital Medan, in a period of 5 years (1983-1988). There were 18 cases consisted of 14 (77. 78%) males and 4 (22 .22%) females with the age group of 0-2 years: 6 (30%), 2-8 years: 9 (50%), 8-15 years: 3 (30%). By the FAB classification, they were of FAB M-1: 1 (5.55%), FAB M-2: 1 (5.55%), FAB M-3: 1 (5.55%), FAB M-4: 2 (11.12%) and FAB M-6: 13 (72.23%). Only 7 (38.88%) were treated with cytostatics while the others received only supportive therapy. The result of cytostatic treatment was unsatisfactory: 4 (57.14%) died within the first 2 months of treatment, 3 (42.86%) discontinued their cytostatics treatment.
Acute Lymphoblastic Leukemia in the Department of Child Health, School of Medicine, University of North Sumatera/ Dr. Pirngadi Hospital Medan (1980 - 1988) Zairul Arifin; Feraluna Nasution; Adi Sutjipto
Paediatrica Indonesiana Vol 31 No 7-8 (1991): July - August 1991
Publisher : Indonesian Pediatric Society

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Abstract

A retrospective study on acute lymphoblastic leukemia (ALL) was conducted to assess the pattern of childhood ALL at the Subdivision of Pediatric of Hematology, School of Medicine, University of North Sumatera/ Dr. Pirngadl Hospital, Medan, in a period of 8 years (1980 - 1988). There were 120 cases, consisting of 63 (51.5%) males and 57 (47.5%) females. By the FAB classification (Bennett, 1976; 77.5% ) were found as FAB L1, 25 (20.8%) as FAB L1, and 2 (1.7%) as FAB L 3. The youngest was 4 months old. The majority of signs and symptoms appeared In the forms of pallor 102 (85%), fever 84 (70%), hemorrhage 52 (43.3%), hepatomegaly 64 (53.3%), splenomegaly 54 (45%) and lymphadenopathy 18 (15%). On first admission, 76 (63.33%) cases were with a leukocyte count of less than 20,000/ ul, and 72 (60%) with Hb content of less than 5 g/dl. Twenty one cases died In the first year. The received cytostatic protocol; 11 (S2.38'1o) were treated regularly and first remission were found in 8 (72. 73%) cases. The average of admissions per year for the age group of 2·8 years was higher than the age groups of 0·2 years and 8-16 years (p < 0.05).
Nutritional Status in Childhood Thalassaemia at the-Department of Child Health University of North Sumatera Dr. Pirngadi Hospital Medan Ismet Fadil Loebis; Sugiani Sinulingga; Adi Sutjipto
Paediatrica Indonesiana Vol 31 No 5-6 (1991): May - June 1991
Publisher : Indonesian Pediatric Society

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Abstract

A-10 year (June 1979 to May 1989) study on the nutritional status of children with thalassaemia was done. The number of patients was 131; 75 (57.25%) were males and 56 (42. 75%) females. A study on nutritional status by the age group was performed in 123 cases at the first diagnosis. The incidence of malnourished children over 1 year of age was significantly higher than in below 1 year of age cases (p < 0.05).
Tinidazole versus Ornidazole in Amebic Dysentery in Children (a double blind trial) Amer Panggabean; Adi Sutjipto; Dachrul Aldy; A. H. Sutanto; Helena Siregar
Paediatrica Indonesiana Vol 20 No 11-12 (1980): November - December 1980
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi20.11-12.1980.229-35

Abstract

Between January and June 1978, a double blind trial was conducted in 3.5 children, suffering from Amebic Dysentery in the OPD of the General Hospital Medan. The children were treated ambulatory, either with Tinidazole or Ornidazole, with a dose of 50 mg/kg body weight/day for 3 consecutive days, under close supervision. All the children, except on in the Tinidazole group (case no. 20), gave excellent responses. Disappearance of ameba's blood and mucus from the stools occurred in all of the patients after 2 days of treatment. There was no significant difference in the results of treatment with Tinidazole and Ornidazole (p>0.05). Side effects were minimal. Marked vomiting occurred in one patirnt of the Ornidazole group.
Co-Authors A. H. Sutanto A. J. Noeriman Ajuar Arif Amer Panggabean Bistok Saing Dachrul Aldy Feraluna Nasution Helena Siregar Ismet Fadil Loebis Noersida Raid Rahayu Saat Sondang Tambunan Sugiani Sinulingga Zairul Arifin