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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 5 Documents
 1 
Search results for , issue "Vol 36 No 11-12 (1996): November - December 1996" : 5 Documents clear
Total Parenteral Nutrition: The Long and The Short of It Duna Penn
Paediatrica Indonesiana Vol 36 No 11-12 (1996): November - December 1996
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi36.11-12.1996.221-7

Abstract

Within 30 years of Harvey's discovery of the circulatory system, attempts were made to utilize intravenous routes for nutrient administration.1 In 1656, Sir Christopher Wren infused wine into the veins of dogs via goose quills attached to a pig's bladder. Over the ensuing years, salt and sugar solutions, milk, olive oil, egg whites, and in later times, protein hydrolysates were tried with varying degrees of success. However, it was not until the 20th century that total parenteral nutrition (TPN) began to be viewed as a realistic therapeutic modality, stimulated by Wilmore and Dudrick's report of normal growth in a young infant with extensive intestinal atresia who was successfully main­tained on intravenous nutrition for over 6 weeks.2 Since then, there have been many advances and refinements, including the development of specialized crystalline amino acid solutions and lipid emulsions. Further investigation is currently underway to determine the effect of "medical foods", i.e., specialized nutrients targeted for specific purposes, e.g., glutamine for immunomodulation and intestinal mucosal preserva­tion.3,4
Electrodiagnosis in Clinical Neurology - The Challenge for Pediatric Neurology in Indonesia Irawan Mangunatmadja; A. C. Van Huffelen; R. H. J. M Gooskens
Paediatrica Indonesiana Vol 36 No 11-12 (1996): November - December 1996
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi36.11-12.1996.228-38

Abstract

IntroductionIn most cases the diagnosis in neurology is based upon clinical manifestations, anatomical abnormalities, physiological disturbances and biochemical investigations. Clinical manifestations can be investigated by history of illness and neurological examinations. Neurophysiological examination (electrodiagnosis) can provide information on physiological abnormalities of the central nervous system (CNS). In recent years computer tomography (CT) and magnetic resonance imaging (MRI) have made it possi¬ble to visualize the morphologic anatomy of the CNS in detail and to diagnose the lesion.1IntroductionIn most cases the diagnosis in neurology is based upon clinical manifestations, ana­tomical abnormalities, physiological disturbances and biochemical investigations. Clinical manifestations can be investigated by history of illness and neurological ex­aminations. Neurophysiological examination (electrodiagnosis) can provide information on physiological abnormalities of the central nervous system (CNS). In recent years computer tomography (CT) and magnetic resonance imaging (MRI) have made it possi­ble to visualize the morphologic anatomy of the CNS in detail and to diagnose the lesion.1
Vesico-Ureteral Reflux and Reflux Nephropathy in Children with Recurrent Urinary Tract Infection Taralan Tambunan
Paediatrica Indonesiana Vol 36 No 11-12 (1996): November - December 1996
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (549.792 KB) | DOI: 10.14238/pi36.11-12.1996.239-47

Abstract

We reviewed clinical and laboratory findings of patients with recurrent urinary Uact infections (UTI) to detect the presence of vesico-ureteral reflux (VUR) or reflux nephropathy (RN). Only patients with evidence of more than 2 bouts of UTI's treated at the Department of Child Health, Cipto Mangunkusumo Hospital during the period from October 1, 1992 to September 30, 1993 were studied. There were 30 pa­tients (15 boys, 15 girls) ranging in age from 2 months to 16 years (mean age = 5.5 years). RN as detected on dimercaptosuccinic acid (DMSA) scanning was found in 21 patients (12 unilateral, 9 bilateral). Mictiocyctourography (MCU) was done in 22 patients, revealing VUR in 14 patients, 10 of them showed renal scarring on DMSA scanning. Most of die patients has the duration of illness of less than 2 years. Clinical symptoms and signs (hypertension, proteinuria, increased plasma urea / creatinine) alone or in combination were more commonly found in patients with RN than in those without RN. The high prevalence of VUR and RN in patients with recurrent UTI in our senes (63% and 70%, respectively), should draw our attention to detect UTI in its earliest stage, to be able to treat the patient promptly in order to prevent RN which eventually progresses into renal failure.
Psychosocial Aspects of Mothers of Malnourished and Well-Nourished Children Zein Sulaiman; M. A. Husaini; Joko Kartono; Rini Azwein Jenie; Sihadi Sihadi; Paul F. Matulessy; Darwin Karyadi
Paediatrica Indonesiana Vol 36 No 11-12 (1996): November - December 1996
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (448.957 KB) | DOI: 10.14238/pi36.11-12.1996.248-57

Abstract

In order to determine whether differences in sociopsychological environ­ment and related factors exist between malnourished and well-nourished children, a study on 126 underfive children was carried out in Bogor, West Java, Indonesia. The children were grouped into severely malnourished, mild-moderately malnourished, and well-nourished children. Each group consisted of 42 children, and they were selected from die same surrounding which have fairly same housing condition, age, and sex. Differences were found between the three groups on parent's education, the birth order of the child, the expenditure per capita, and breast feeding history. However, there was no significant difference on knowledge about health and nutrition, mother and child relationship. It was observed that children who were never breastfed had a tendency to be severely or moderately malnourished. The mothers who were doing only household chores were worried about the future of their children; on the other hand, the mothers who have more contact with community (monthly welfare movement meetings, and other activities outside homes) have a tendency to have well-nourished children. The proposed hypothesis that mother and child interaction affects the level of die nutritional status of the children requires more testing in a more comprehensive study.
Anaphylactic Shock Associated with Scratch Testing Ariyanto Harsono; Muhammad Faizi
Paediatrica Indonesiana Vol 36 No 11-12 (1996): November - December 1996
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (341.575 KB) | DOI: 10.14238/pi36.11-12.1996.258-64

Abstract

A 10-year old boy with bronchial asthma referred to allergy clinic for allergy work-up. He complained of abdominal pain and blurred vision 20-rmnutes after undergoing allergy skin scratch test. Physical examination showed clammy and cyano­tic extremities, and hypotension. The skin test result showed positive rection for house dust, mite, and shrimp. Based on these findings the diagnosis of anaphylaxis associ­ated with scratch test was made. The suggested offending extract was shrimp with possible interference of the other two extracts. Epinephnne 0.3 subcutaneously was initiated. The first dose gave a disappointing result, and then followed by the second dose which gave better result; dexamethasone was also administered. The eosinophilia, positive specific Ig E to shnmp, house dust and mite as indicated by RAST justify the atopic status of the patient. The management of the main disease consisted of house dust control, elimination diet, and symptomatic treatment were commenced.

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