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Iskandar Z. Lubis

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

Author-ID : 3473710

Health Professions Medicine & Pharmacology

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Articles

Mantoux Test in Under-five Children Visiting the out~patient Child Clinic of Dr. Pirngadi Hospital, Medan A. Razak Dalimunthe; Ridwan M. Daulay; Iskandar Z. Lubis; Helmi Muchtar Lubis; Zakaria Siregar
Paediatrica Indonesiana Vol 33 No 5-6 (1993): May - June 1993
Publisher : Indonesian Pediatric Society

To assess the difference of Mantoux test result of under-five children who bad had BCG vaccination and those who bad not, a cross sectional study was conducted in the out patient child clinic of Dr. Pirngadi Hospital, Medan. This study was conducted from February 6, 1990 until March 3, 1990 comprising 328 under-five children (164 who bad received BCG vaccination and 164 who bad not). We found positive Mantoux tests in 86.0% of under-five children who bad BCG vaccination and 9.2% of under-five children who not bad (P<0.001). Tbe diameter of induration of Mantoux tests in the under-five children who bad received BCG at the age of 1 year or less was significantly different from those who bad received it at the age of older than 1 year (P<0.001). Positive Mantoux test with a diameter of â‰¥ 5 mm, done after 1 year or more was found in 21. 7% of children who bad BCG vaccination in the neonatal period.

Risk Factors of Infantile Diarrhea (A Case-Control Study) Iskandar Z. Lubis
Paediatrica Indonesiana Vol 32 No 5-6 (1992): May - June 1992
Publisher : Indonesian Pediatric Society

From March thru April 1990 an unmatched case-control study had been conducted at the pediatric out-patient Clinic of Dr. Pirngadi Hospital Medan to assess risk factors of infantile diarrhea. The study population were infants, aged younger than 21 months. The mothers of the infants were interviewed, using structured questionnaires. Sample size, calculated by means of formula, with 95 % level of confidence, 90 % power of study, 50% estimated proportion of exposure in the control-group and 2.0 estimated odds ratio, was 121. All infants with diarrhea were included in the case-group until a total number of 124 infants were reached. One control, an infant without diarrhea, was taken for each case from the nearest sequence of attendance after the case. A total of 20 risk factors were tested. Exposure was indicated from the last day before illness. Computerized statistical analysis was performed to calculate odds ratio, 95 % confidence interval and two tailed significance testing for qualitative dichotomic data by means of Chi square test. A total of nine factors were confirmed as risk factors of infantile diarrhea i.e mothers age than 20 years, working mother, not cleaning nipple before suckling the baby bottle feeding, having only one nursing botlle/teat, not ready for use nursing bottle/teat, giving left over supplementary food without reheating, no band-washing before giving supplementary food and malnutrition. The result of this study can be emphasized in health education, especially in diarrheal disease control of infancy; Further well-designed studies are needed.

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

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.

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

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.

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

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.

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

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.

Co-Authors A. Razak Dalimunthe Abdul Gani Arizal Arizal Bistok Saing Chairuddin P. Lubis Endang D. Hamid Erliana Malik Miraza Helmi Muchtar Lubis Kaswadharma K. C. Manihar D. Marbun Mardiana Karim Dj. Marisi Manurung Ridwan M. Daulay Sjarika T. Tarigan Sjarjikat Tarigan Yulitas Bahtiar Zakaria Siregar

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