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INDONESIA
Paediatrica Indonesiana
Published by Ikatan Dokter Anak Indonesia
ISSN : 00309311     EISSN : 2338476X     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Paediatrica Indonesiana is a medical journal devoted to the health, in a broad sense, affecting fetuses, infants, children, and adolescents, belonged to the Indonesian Pediatric Society. Its publications are directed to pediatricians and other medical practitioners or researchers at all levels of health practice throughout the world.
Arjuna Subject : -
Articles 7 Documents
 1 
Search results for , issue "Vol 31 No 11-12 (1991): November - December 1991" : 7 Documents clear
Management of Dengue Shock Syndrome A Prospective Study H. Tjandra
Paediatrica Indonesiana Vol 31 No 11-12 (1991): November - December 1991
Publisher : Indonesian Pediatric Society

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Abstract

Since dengue hemorrhagic fever (DHF) was first reported 20 years ago, the only serious variant of the disease, dengue shock syndrome (DSS), still continues to cause a relatively high mortality. An effective yet simple management of DSS which can be carried out in every hospital is certainly necessary if the dead toll is ro be reduced. Prospective study of a simple procedure in managing DSS patients in Bhayangkara Police Hospital Kediri is reported. Depends on the severity of the disease, for DHF grade III: 20 mL/kg bw Lactated - Ringer solution was given at free rare. This is followed by 20 mL/kg bw of synthetic plasma expander (expafusin) in a rate of thrice tire body weight and continued with lactated-ringer and 5% dextrose in I 12 Saline alternately with a rate of twice the body weight per minute for the remaining first 14 hours. For DHF grade IV, the same fluids were given, except for the amount and the infusion rate. Drugs administered and medical care were all the same/or both groups. A close observation, a critical assessment, and an accurate as well as a rapid action are very important factors. Totally there were 11 S patients of which 8 died. The mortality rate was 7%. A better management and/or treatment has to be developed 10 further reduce the mortality.
Apert Syndrome Nengah Suparta; Hartono Hartono; Sunartini Sunartini
Paediatrica Indonesiana Vol 31 No 11-12 (1991): November - December 1991
Publisher : Indonesian Pediatric Society

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Abstract

A case of Apert syndrome in a male child of 5 months old hos been reported. The diagnosis was based on the clinical appearance (phenotype) showing acrocephaly and syndactily of both hands and feet, supported by skull rontgenography and ultrasonography.The patient was the third child from normal parents, and the two other children were normal. Apert syndrome is a genetic dominant automal disease; and because there were no other sufferer from the family history, the occurrence of this syndrome has been caused by a new mutation. Symptomatic therapy such as the administration of acetazolamide for hydrocephalus and vitamin suplement to improve his general condition and even physical physiotherapy have been carried out. Genetic counselling to the couple has been provided as well.
Congenital Malformation at Gunung Wenang Hospital Manado : A Five-Year Spectrum Nurhayati Masloman; I. Mustadjab; Muzief Munir
Paediatrica Indonesiana Vol 31 No 11-12 (1991): November - December 1991
Publisher : Indonesian Pediatric Society

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Abstract

A five-year evaluation of congenital malformation among newborn infants born at Gunung Wenang Hospital has been evaluated in an attempt to get the picture of the congenital malformation spectrum and the magnitude of its problems in Manado, Indonesia.The total incidence of congenital malformation in this study was 0.9 %, of which 0.5 % were major types. The most common-major malformation were : cleft lip and palate, talipes, multiple malformation, anal atresia, ompha/ocele and congenital heart diseases. The minor types were: abnormal formation of the ears, incomplete descensus of the testis, hydrocele and finger defects. The risk of having a newborn with birth defects was highest among mother's first pregnancy and among grande multiparity.
Bull-Neck, Electrocardiographic Changes and Creatine Phosphokinase Blood Levels in Patients with Diphtheria J. M. Ch. Pelupessy; Radianah Makmur; Dasril Daud
Paediatrica Indonesiana Vol 31 No 11-12 (1991): November - December 1991
Publisher : Indonesian Pediatric Society

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Abstract

All paediarric patients with the diagnosis of diphtheria who were seen at the Department of Child Health Ujung Pandang General Hospital from October 1987 to October 1989 were evaluated for bull-neck, ECG patterns and serum creatine phosphokinase (CPK) values. Their ages ranged from 1 year and 2 months to 13 years with a mean of 6.54 ± 3.09 years. Males and females were affected in a ratio of 1:1.Of 39 patients included in the trial, 28 were classified of having normal ECG and 11 as having abnormal ECG on admission. During hospitalisation, 56.4% of cases showed ECG changes. All patients had raised serum CPK levels on admission. This increase was 14.6 times the normal level in cases with abnormal ECG and only 3.0 times in those with normal ECG (p < 0,01). The highest levels of serum CPK were noted in the first week, then returned to normal in the second week and decreased further in the third week. It became also evident that patients who developed abnormal ECG later on, had already demonstrated an inceased serum CPK level of 5.2 times the normal levels on admission.Bull-neck appeared in 19 out of the 39 patients. Patients with bull-neck differed very significantly (p <0.001) from those without bull-neck in either the frequency of the occurrence of abnormal ECO patterns or the mean CPK serum levels. Most of the patients (84.2%) with bull-neck had abnormal ECG patterns and mean CPK serum levels of almost 12 times the normal values while only 30% of patients without bull-neck had abnormal ECG patterns and a normal value of mean CPK serum levels.The mean CPK serum levels differed very significantly (p< 0.001) among the various ECO patterns. The mean CPK serum levels of patients with sinus tachycardia, sinus tachycardia + left ventricle hypertrophy and left ventricle hypertrophy were 11.2, 7.3 and 6 times the normal values respectively.These findings suggest that an increase of sawn CPK to a certain level may precede the development of abnormal ECG patterns and is valuable for determining the prognosis.
Gastroenteritis at the Pediatric Ward of Tembakau Deli Hospital, Medan, in 1988 Faisal Ramyuzal Nasution; Gabriel Panggabean; M. Sjabaroeddin; Zakaria Siregar
Paediatrica Indonesiana Vol 31 No 11-12 (1991): November - December 1991
Publisher : Indonesian Pediatric Society

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Abstract

In a period of 1 year (1 January - 31 December 1988) a retrospective study on patients admitted to the Pediatric ward of Tembakau Deli Hospital, Medan, was done.This hospital is a referral hospital for patients from hospitals of Dept. of Plantation in North Sumatera and Aceh.During year 1988, there were 1339 infants and children hospitalized at the Pediatric ward Tembakau Deli, Medan. Of these patients, 183 had gastroenteritis; it was most frequently found in the age group of 0-13 months (46.4%). The patients consisted of 53.55% males and 46.45% females.Most of the patients i.e. 140 (76.51%), had good nutrition. Malnutrition were found in 31 patients where 16.94% among them were moderate malnutrition, and 12 patients (6.55%) had malnutrition.The total mortality rate of gastroenteritis in this study was 2.18% which was usually associated with severe complications while pure gastroenteritis showed no (0%) mortality.
Transfusion in the Newborn Sunarto Sunarto
Paediatrica Indonesiana Vol 31 No 11-12 (1991): November - December 1991
Publisher : Indonesian Pediatric Society

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Abstract

Transfusion, either with whole blood or blood components is frequently needed in the neonatal intensive care. Certain aspects are very important to consider. Citrated blood is prefered to heparinized blood. Transfusion must be rational, either with whole blood or blood components. Whole blood is only indicated for repletion of blood volume, exchange transfusion and certain cases in which no blood component needed is available.To improve oxygen carrying capacity, to stop bleeding due to coagulation defect, thrombocytopenic bleeding due to depressed platelets production and to counter gram negative septicemia, blood component is indicated to obtain optimal effects with minimal side effects.
The Effectiveness of Immunization M. Faried Kaspan
Paediatrica Indonesiana Vol 31 No 11-12 (1991): November - December 1991
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (537.038 KB) | DOI: 10.14238/pi31.11-12.1991.325-33

Abstract

This article reviews the expanded programme on immunization in Indonesia, Pengembangan Program lmunisasi (PPI) which was launched in 1977. We are apt to know what the current situation is after ten years have passed.WHO proposes that EPI/PPI be systemically evaluated with respect to their effectiveness which is reflected by a reduction achieved in the incidence of the target diseases. Priority is being accorded to measuring disease trends for three diseases i.e. poliomyelitis, measles and neonatal tetanus.A considerable effect on target diseases had been observed and it was evident that PPI can reduce the incidence of target diseases. A goal had been set to eliminate indigenous paralytic poliomyelitis by the end of the fifth "Five Year Plan". Another goal had also been adopted, i.e. neonatal tetanus elimination by 1985 in Java and Bali.The effectiveness of immunization is ascertained and we have the optimism that poliomyelitis and neonatal tetanus elimination goals can be achieved.

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