Chairuddin P. Lubis
Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera

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Studies On Amoebicides At The Child Health Department Dr. Pirngadi Hospital, Medan (1969 - 1979) Sondang Tambunan; Chairuddin P. Lubis; Helena Siregar
Paediatrica Indonesiana Vol 24 No 5-6 (1984): May - June 1984
Publisher : Indonesian Pediatric Society

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Abstract

Since 1969-1979 trials with amoebicides had been done 9 times in OPD of the Child Health Department, Dr. Pirngadi Hospital, Medan. The children were treated ambulatorily. The tablets were administered under close supervision at the subdivision of Gastroenterology for 3 consecutive days. Stools examination had been done, with direct faecal film only, every day for the first 4 days and once a week for 3 weeks. Evaluation was done by assessing the parasitological and clinical cure rate. A clinical trial with metronidazole had been conducted in 3 groups of children. Each of the three groups consisted of 50 children, and were treated ambulatorily with a single daily dose for three days.The first group treated with a dose of 50 mg/kg bw/day had in a cure rate of 89% and 100%, the second group with a dose of 25 mg/kg bw/day 87% and 85%. The third group also with a dose of 25 mg/kg bw/day showed cure rate of 93% and 91%. These differences of results in group I, II and III proved to be not statistically significam. There were no side effects observed.Tinidazole and omidazole were indeed very effective for treating intestinal amoebiasis, the cure rate was 100%, and no side effects observed.
Review of Hepatitis B Vaccination in Children of Workers of an Oil & Gas Industry in Lho'seumawe and Lho'sukon, North Aceh Chairul Adillah Harahap; Sari Leyli Harahap; Chairuddin P. Lubis; Ahmad Judin
Paediatrica Indonesiana Vol 34 No 7-8 (1994): July - August 1994
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (503.511 KB) | DOI: 10.14238/pi34.7-8.1994.209-15

Abstract

We describe a retrospective study on hepatitis-B immunization in the Indonesian workers' children of Mobil-Oil Indonesia Lho' Seumawe and Lho'sukon, North Aceh. Data were obtained from medical records and included all children in the 0-15 years age group who had been immunized against hepatitis B types and schedules of vaccines, pre-immunization seromarkers, and anti HBsAb after the third immunization were recorded. For hundred and twenty children had received three doses of,hepatitis B vaccines; 180 children had them at 0, 1 and 2 months and the rest at 0, 1 and 6 months. Type of vaccine used was hunian plasma derived vaccine with a dosage of 5 µg per shot All of them (except the newborns) were tested and had seromarkers negative to hepatitis 8 infection prior to immunization. Testing for immune response (HBsAb) 2-6 months after the third immunization could only be done in 213 children, where 168 (78.9%) showed HBsAb titer> 10 miU/ml, 5 (2,30Al) had HBsAb < 10 miU/ml, and the remaining 40 (18,8%) showed no seroconversion. Of those 40 children who did not seroconversed, 31 were given a fourth dose, and 14 children were retested for their HBsAb titre. Seven children had positive responses and the rest remained negative.
The Spectrum of seven preventable Diseases at the Pediatric ward of Dr. Pirngadi Hospital Medan T. Razif; Yahya G. Lubis; T. Murad El-Fuad; Syahril Pasaribu; Chairuddin P. Lubis
Paediatrica Indonesiana Vol 33 No 3-4 (1993): March - April 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (608.023 KB) | DOI: 10.14238/pi33.3-4.1993.46-51

Abstract

A retrospective study on seven preventab!e diseasee was done in 1989. We found 137 (7.1%) cases of all admissions; they were distribued into 12 neonatal tetanus (8.8%), 57 tetanus (4 1.6%), 17 measles (72.1%), 15 diphtheria (10.9%), 35 pulmonary tuberculosis (25.6%), and 7 poliomyelitis (0. 7%). There was no admittance of pertussis; 62% of those cases consisted of under five-year-old children. None of those patients had had measles immunization, and their mothers had not had tetanus toxoid immunization when they were pregnant. The mortality were as follows: neonatal tetanus 4 (33.3%), tetanus 3 (5.3%), measles 1 (5.9%), pulmonary tuberculosis 9 (25.7%) and diphtheria 7 (46.7%).
Treatment of Neonatal Tetanus with High Dosage Diazepam Tjut Dharmawati; Fauzi Rizal; Munar Lubis; Chairul Yoel; Syahril Pasaribu; Chairuddin P. Lubis
Paediatrica Indonesiana Vol 33 No 3-4 (1993): March - April 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (615.71 KB) | DOI: 10.14238/pi33.3-4.1993.71-6

Abstract

A retrospective study on neonatal tetanus, among patients hospitalized at the pediatric ward of Dr. Pirngadi Hospital Medan, bad been conducted from january 1987 through December 1991. There were 75 cases out of 13,581 patients hospitalized (0.55%) in that period, consisting of 44 boys (58.66%) and31 girls (47 3 %) with an overall case fatality rate of 33.33%. Of 18 patients with an incubation period of 5 days or less, 12 (66.66%) died, while of 4 patients with an incubation period of more than 10 days, there were not any death at all. Diazepam had been given in a dosage of 10-40 mg/kg body weight/day . Diazepam of 10-19 mg/kg body weight/day was given to 4 cases, and the case fatality rate was 25% . Of 42 cases treated with diazepam of 30-40 mg/kg body weight/day, the case fatality rate was 42.85% The duration of hospitalization varied between ten hours to 34 days. All deaths (25 cases) occurred within the first seven days of hospitaltization. The most common accompanying disease was bronchopneumonia (6 cases). Endotracheal intubation were performed on 11 cases, while the mechanical ventilator in 1 case with a case fataliy rate of 27,27% and 0% respectively.
Clinical Presentation of Measles at the Pediatric Ward in Dr. Pirngadi Hospital Medan Mardiana K. Djayusman; Margaretha Damanik; Erijana Malik Miraza; Charles Hutasoit; Chairuddin P. Lubis
Paediatrica Indonesiana Vol 32 No 7-8 (1992): July - August 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (510.394 KB) | DOI: 10.14238/pi32.7-8.1992.178-83

Abstract

A descriptive study was done on 55 infants and children with measles during January 1988- December 1989. They comprised 1.08% of the total sum of 5075 children hospitalized during that period. Measles without any complication was found in 5.4% of the subjects, and bronchopneumonia was the most common complication (75%). The highest prevalence was found in the age group of 1-5 years (72.8%). Most of the cases (98.2%) suffered from mild to severe malnutrition and they had not previously been vaccinated against measles.
Intestinal Parasitic Infestation in Children at Three Kindergartens in Medan, North Sumatera Erliana Malik Miraza; Abdul Gani; Mardiana Karim Dj.; Iskandar Z. Lubis; Chairuddin P. Lubis
Paediatrica Indonesiana Vol 32 No 11-12 (1992): November - December 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (466.296 KB) | DOI: 10.14238/pi32.11-12.1992.312-7

Abstract

A descriptive cross sectional study on intestinal parasitic infestation was earned out among children of three kindergartens (Methodist, Dharma Wanita and Aisyiah) in Medan. Of 162 samples of feces examined mixed infestations with Ascaris lumbricoides and Trichuris trichiura was found in 14,25%, single infestations of Trichuris trichiuria in 14,2%, AScaris lumbricoides in 13,0%, H. nana in 1,2% and G. Iamblia in 0,6%. Hookworm infestation was not found among preschool children in all of those three kindergartens.
Children's Immunization Status and Family Size of Doctor'S FaMilies in Dr. Pirngadi Haspital Medan Johnny Arsyad; Fuad Arsyad; Chairuddin P. Lubis; Helena Siregar
Paediatrica Indonesiana Vol 25 No 5-6 (1985): May - June 1985
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (434.772 KB) | DOI: 10.14238/pi25.5-6.1985.93-9

Abstract

A study of children’s immunization status and family size of doctor’s families in Dr. Pirngadi Hospital, Medan, lndonesia had been conducted on December 1982. The study was done by distributing questionaires to 105 doctors. From this study we found 247 children consisting of 19 children under 1 year of age and 228 over 1 year. Basic immunization had been done in 177 children (71.66%). Most of them had been vaccinated against Tuberculosis (95.95%). but only 2 children had been vaccinated against Measles (0.81%). The doctors who had 2 children were 30.47% and mean of total wanted children was 3.30. Awareness of immunization besides BCG and family planning should be increased among the doctors in Dr. Pinrgadi Hospital.
Neonatal Tetanus in the Department of Child Health Dr. Pirngadi Hospital, Medan in 1983-1984 Manihar D. Marbun; Johnny Arsyad; Munar Lubis; Endang D. Hamid; Chairuddin P. Lubis
Paediatrica Indonesiana Vol 28 No 3-4 (1988): March - April 1988
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (681.196 KB) | DOI: 10.14238/pi28.3-4.1988.49-59

Abstract

From January 1983 to December 1984 there had been prospective investigations of neonatal tetanus contracted by newborn infants treated at the Department of Child Health Dr. Pirngadi Hospital Medan. Seventy eight cases (4.28%) contracted neonatal tetanus out of 1821 hospitalized infants. Fifty cases were identified in 1983 and 28 cases in 1984. Fourty nine cases (62.8%) were delivered by traditional birth attendant (TBA), 18 cases (23.8%) by midwife/nurse, and 11 cases (14.10%) by others. The instruments used to cut the umbilical cord were razor blade (34.6%), scissor (33.33%), and sharp sliver bamboo (29.49%). There were 23 cases (29.49%) who used traditional medicine made from herb for umbilical cord treatment. None of the mothers was vaccinated with tetanus toxoid. Most of the parents had only elementary school education, 42.32% fathers, and 71.79% mothers. Based on this study it is suggested to increase tetanus toxoid immunization to pregnant mothers, health education for the community and a brief course provided for the traditional birth attendant (TBA) should be enhanced to reduce the incidence and mortality rate of neonatal tetanus.
Seven Diseases as Main Causes of Death In Department of Child Health Dr. Pirngadi General Hospital Rumiam Silitonga; Lily Emysah; Chairuddin P. Lubis
Paediatrica Indonesiana Vol 28 No 11-12 (1988): November - December 1988
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (367.267 KB) | DOI: 10.14238/pi28.11-12.1988.250-4

Abstract

The retrospective study of main causes of death was conducted in Department of Child Health, Dr. Pirngadi General Hospital, from January to December 1986. Seven diseases as main causes of death were: bronchopneumonia, encephalitis, purulent meningitis, serous meningitis sepsis, tetanus and severe malnutrition with case fatality rates of 29%; 44%; 41%; 31%; 47%; 12% and 18%, respectively.
The Relationship Between Birth Weight and a Number of Body Measurements of Neonates at Dr. Pirngadi Hospital Medan Nurhayati Hamid; Helmi Lubis; Martinus Saragih; Rafita Ramayati; Chairuddin P. Lubis; Dachrul Aldy; Noersida Raid
Paediatrica Indonesiana Vol 23 No 5-6 (1983): May - June 1983
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi23.5-6.1983.95-102

Abstract

From January 1980 to November 1980 a survey on the relationship between birth weight (BW) with body length (BL), head circumference (HC) and chest circumference (CC) was carried out on 1689 newborn infants bom in the Dr. Pringadi General Hospital Medan. They were divided into six groups, based on their BW i.e.: Group I : 1501 - 2000 g Group II : 2001 - 2500 g Group Ill : 2501 - 3000 g Group IV : 3001 - 3500 g Group V : 3501 - 4000 g G1011p VI : 4001 - 4500 g The average of BL, HC and CC in cm is shown below: The mean values of total BL, total HC and total CC can represent the anthropometric values for the certain BW group. No significant differences were found between male and female newborn infants in each group.