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Muzief Munir
Departement of Pediatrics and Department of Radiology, Universitas Sam Ratulangi Medical School /Gn. Wenang Hospital, Manado, North Sulawesi
Health Professions Medicine & Pharmacology

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Journal : Paediatrica Indonesiana

 1 
Necrotizing Enterocolitis among Newborn Infants Suffering from Gastroenteritis: A Clinical evaluation of 17 cases Muzief Munir; Tjandra Husada; Soeharno Soeharno; Nurhidayat Nurhidayat
Paediatrica Indonesiana Vol 20 No 1-2 (1980): January - February 1980
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi20.1-2.1980.25-37

Abstract

Seventeen infants with NNEC were evaluated. The diagnosis was based on clinical, laboratory and rontgenographic findings. Twelve out of them had a low birth weight (less than 2500 grams) and 5 were prematures. Since only 2 cases had asphyxia at 1 minute after birth, asphyxia apparently played only a small role as the perinatal factor in the development of NNEC. Besides gastroenteritis, bronchopneumonia and meningitis were the accompanying diseases in 2 cases and 1 case respectively. Bacterial findings from the stool and cerebrospinal fluid were as follows: E. Coli 0111 K 58 (b), 0126 K 71 (B) H2 were cultured from the stool of 7 infants; Pseudomonas from cerebrospinal fluid was found in 1 case. Prior to the onset of symptoms, all of these infants were fed with milk formula. Therefore the authors believe that infections and formula feedings play an important role in the development of NNEC. The survival rate of our cases was poor with 52% deaths (9 out of 17), and 2 of them had intestinal perforation. Anemia which develops rapidly should be taken into account in the management of NNEC.
Coconut Water as One of the Optional Oral Electrolyte Solutions Muzief Munir; I. Mustadjab
Paediatrica Indonesiana Vol 20 No 1-2 (1980): January - February 1980
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi20.1-2.1980.38-46

Abstract

In an attempt to overcome mild and moderate dehydration, caused by diarrheal diseases with the outlook of reducing its mortality rate, it seems to be very important to find out many varieties of oral electrolyte solutions which are available in the communities. Our study was performed to evaluate the effectiveness of salt in half strength of coconut water solution as one of the optional oral electrolyte solutions. Children under five years of age with diarrhea were used as subjects in this study, and were divided into two groups, i.e. the ooconut water group and the oratrolyte group (Kimia Parma). The willingness to drink (acceptability)·, the frequency of diarrhea and vomiting, the severity of dehydration before and after rehydration, and the symptoms and signs of side-effects such as abdominal cramps and hyperkalemia were recorded. From this study it is clear that finely ground salt in half strength of coconut water can be used as an optional oral electrolyte solution with satisfactory results and without any harmful effects.
Co-Authors I. Mustadjab Nurhidayat Nurhidayat Soeharno Soeharno Tjandra Husada