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

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Hydrocephallus in the Department of Child Health, School of Medicine University of North Sumatera Dr. Pirngadi Hospital, Medan Yahya G. Lubis; T. Razif; Manihar D. Marbun; Bistok Saing
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 (735.767 KB) | DOI: 10.14238/pi33.1-2.1993.32-6

Abstract

A retrospective study 10 find out the incidence of hydrocephalus in the Paediatric Neurology Subdivision Department of Child Health, School of Medicine, University of North Sumatera/Dr. Pirngadi Hospital Medan, was carried out in the period of 1986- 1989. The number, age groups, causes and treatment were reviewed. The cases consisted of 45 children; 28 males (68.2%) and 17 females (27.8%). Most of the patients (34 = 75.5%) were found in the age group of 1 year or younger and the rest (11 = 24.5%) were tn the age group of more than I year. The youngest was 2 days old and the oldest was 5 years and 6 months old; 33 cases were congenital, 5 cases were acquired and 7 cases were unknown causes. Conservative treatment were introduced to almost all cases, and four cases had ventricular peritoneal shunt.
Head Circumference Features of Under One Year Old Children at Dr. Pirngadi Hospital Medan Yulitas Bahtiar; Marisi Manurung; Manihar D. Marbun; Iskandar Z. Lubis; Bistok Saing
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 (400.445 KB) | DOI: 10.14238/pi32.7-8.1992.184-9

Abstract

A descriptive cross sectional study to have normal values of the bead circumference of under one year old children in Dr. Pirngadi Hospital Medan had been done during january to February 1990. The sample size determined based on formula, was 356 (178 boys and 178 girls). Each sex group was devided proportionally by age in months. Only children with good nutritional status and middle to high socio economic level were included in this study. The mean value of the head circumference is still in the range of the mean of Nellhaus standard. Tbe Nellhaus standard can be used as a standard of bead circumference of under one year old children at Dr. Pirngadi Hospital Medan.
The Spectrum of Gastroenteritis at the Pediatric Outpatient Clinic,. Department of Child Health, School of Medicine, University of North Sumatera in 1982 Taheng Sebayang; Atan Baas Sinuhaji; Tyahaya Bangun; Manihar D. Marbun; A. H. Sutanto
Paediatrica Indonesiana Vol 28 No 1-2 (1988): January - February 1988
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (832.067 KB) | DOI: 10.14238/pi28.1-2.1988.1-13

Abstract

The number of children attending the Pediatric Outpatient Clinic of Pirngadi Hospital, Medan, during 1982 was 15.375. Out of these, 1246 (8.1%) had gastroenteritis. Most of the patients (1046 or 83.94%) were under two years old. The male to female ratio was 1.6: I. The peak incidence for allendance was in January, April, and May. Of 1057 patients under five years old, 383 (36.2%) also had malnutrition. The highest percentage (70. 75%) of those who had malnutrition was found in the I to 2 years age group. Of 370 patients whose Hb level was examined, 185 (50%) had anemia. The highest percentage (67.02%) was in the below 1 year group. Only 360 (28.8%) of gastroenteritis cases received oral rehydration solution. There were 23 (1.85%) cases in which diarrhea lasted longer than 7 days. The number of patients admitted to the ward was 213 (17.07%), and the highest percentage was in the above 3 years age group. The largest number of hospitalized patients was in January (43), February (21), and April (28); while the highest percentage was in April (20.40%), June (21.42%) and August (31.42%). Peak rainfall in Medan during 1982 was in October, November, and December, i.e. much 322.2 mmm, 366.4 and 382 mm, respectively.
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.