Endang D. Hamid
Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera

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Kerosene Intoxication in Dr. Pirngadi Hospital Medan, Indonesia Arman Panjaitan; Endang D. Hamid; Dachrul Ardi; Zakaria Siregar
Paediatrica Indonesiana Vol 24 No 11-12 (1984): November - December 1984
Publisher : Indonesian Pediatric Society

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Abstract

A retrospective study on kerosene intoxication in children was conducted in Dr. Pirngadi Hospital Medan during the period 1976- 1981. In this period 13504 children were hospitalized of which 144 cases ( 1. 66%) were with kerosene intoxication. Age peak incidence was 1- 3 years (75.69%), of whom 66.66% were boys. Male to female ratio was 96 to 48 ( 2 : 1 ). The majority of cases were brought to the hospital in less than one hour after ingestion of kerosene. The major presenting symptoms were coughing (45.83%}, vomiting (40.28%}, dyspnea (25.65%}, bronchopneumonia (15.97%) and restlessness (7.59%}. Mortality was 5.55%. Careless storage was the main cause of kerosene intoxication.
Factors Influencing Malnutrition in Children at the out Patient Clinic of the Pediatric Nutrition Sub Division, Dr. Pirngadi Hospital Medan in 1985 - 1989 Rosmaida S. Sitanggang; Tjut Dharmawati; Robroy Nasution; Endang D. Hamid; Sjarikat Tarigan
Paediatrica Indonesiana Vol 33 No 1-2 (1993): January - February 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (725.328 KB) | DOI: 10.14238/pi33.1-2.1993.1-8

Abstract

A retrospective study on the incidence of malnutrition and the influencing factors had been carried out on 1081 children attending the outpatient clinic of the Pediatric Nutrition, Dr. Pirngadi Hospital Medan during 1985-1989. Mild and moderate malnutrition were found in 69.96% of the children, severe malnutrition in 33. 77% while well nourished children were found in only 0.27% of cases. The highest incidence of malnutrition was in 12-24 months age group (43. 76%) (p<0.05). About half (49.08%) of cases were breastfed, and in 85.66% of them breast feeding were given until 6 months old. Most of the malnourished children were given very diluted milk (63.4%), while low protein supplementary feeding was given to 62.89% of children, and both types of food mentioned above were given to 52.52% of cases. The most prevalent accompanying diseases in malnourished children were gastroenteritis (58.25%), followed by respiratory tract infection (52.59%). The majority of father's occupation was seasonal workers (60.12%). Factors associated with malnourished children in this study were early weaning, low protein supplementary feeding and accompanying diseases especially diarrhea.
Nutritional Status of the Underfive Children at The Pediatric Ward of Dr. Pirngadi Hospital, Medan Kaswadharma K. C.; Arizal Arizal; Endang D. Hamid; Iskandar Z. Lubis; Sjarika T. Tarigan
Paediatrica Indonesiana Vol 32 No 5-6 (1992): May - June 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (771.675 KB) | DOI: 10.14238/pi32.5-6.1992.135-43

Abstract

An observational study on the assesment of nutritional status of the underfive children at the pediatric ward of Dr. Pirngadi hospital, Medan was conducted during February to March 1990. Nutritional status was determined usi11.g the parameters of Weight/Age (WIA), Weight/Height (WIH) and Mid upper Arm Circumference (MUAC) in accordance with the Seminar on Nutritional Anthropometry 1975. One-hundred and eighty patients were included in this study, consisting of 115 (67, 6%) children less than one year and 65 (32, 4%) children 1 - 5 years. According to the Weight/Age parameter there were 46.7% wellnourished children 42.8% with moderate and 10.5% with severe malnutrition on admission, while on discharge they were 48.3%, 42.8% and 8.9% (p > 0.05) respectively. Weight/Height and Mid upper Arm Circumference parameters also failed to reveal significant differences. The duration of hospitalization ranged from 1 to 3 0 days (mean 5 days). The most predominant disease was gastroenteritis with dehydration (68.9%). In 54.4% of patients, breast-feeding had been given until 6 month of age, while supplementary food starting before the age of 2 months was found in 52.2% . The incidence of undernutrition in underfive children was high.
Nutritional Status of Children in Three Pre-elementary Schools in Medan, North Sumatera Abstract Abdul Gani; Erliana Malik Miraza; Iskandar Z. Lubis; Endang D. Hamid; Sjarjikat Tarigan
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 (710.534 KB) | DOI: 10.14238/pi32.7-8.1992.198-205

Abstract

Anthropometric measurements have been taken on 162 children of Methodist, Dharma Wanita USU and Aisyiah pre-elementary schools in Medan to assess their nutritional status. This study was done cross sectionally from january to February 1990. The nutritional status of those children were then compared among those schools with the assumption that father's income and educational level of mothers were different. By the parameters of W!A, HI A. q.nd WIH it showed that the nutritional status of children in the pre-elementary schools were generally quite good. Using parameters W/A and W/H there was a significant difference between the children in Methodist and in Aisyiah (p <0.001). University graduated mothers could be found in Dharma Wan ita USU, whereas in Methodist and Aisyiah pre-elementary schools the mothers were mostly secondary high school graduates. Father's income above Rp. 150.000,- could be found in Methodist pre-elementary school subsequently followed by Dharma Wanita USU pre-elementary schools, whereas in A isyiah pre-elementary school the father's income was mostly between Rp. 100.000,and Rp. 149.999,-. By using the Water/ow classification we found 9.88% children with acute Protein Calorie Malnutrition, whereas chronic Protein Calorie Malnutrition only 2.46%. The nutritional status of children in the three pre-elementary schools could be concluded as good.
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.