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Paediatrica Indonesiana

paediatrica-indonesiana
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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.

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Articles 8 Documents

Search results for , issue "Vol 39 No 5-6 (1999): May - June 1999" : 8 Documents clear

Effect of lactation management training on feeding pattern from birth to 6 months of age Rulina Suradi; Sujana Jatiputra; Anthony Tan; Gulardi H. Wiknjosastro; Lukman Tarigan
Paediatrica Indonesiana Vol 39 No 5-6 (1999): May - June 1999
Publisher : Indonesian Pediatric Society

This quasi-experimental study involved 13 health centers (Puskemas) in Jakarta. Six hundred and four pregnant women were recruited.Â They were divided in to two groups. Subjects in Group 1 were given 3 Limes extra-training In breastfeeding management, i.e. at recruitment then during hospitalization for delivery and lastly at one month follow-up. Subjects in Group 2 was only given #roullnc #informaton at the health ccnu'cs where Lhcy did their antenatal care. Duta were collected at recruitment (in the last uimcstcr of pregnancy), 0.1 birth, and every month thereafter for six months. At recruitment there were no sib1J1ificanl diITcrcncc the two groups regarding age of the mOlher, parity, number of living chddren, and age of the last livrng chlld. At bIrth 96.2% of Group 1 mothers started breaslfeeding soon after birth and only 80.5% of Group 2 mothers did so. Prelacleru feedmgs were given to 20.5% of babies of Group 2 and only 5.5% of babies of Group 1; the difTerence statistically significant. The kind of prelacteal feed also dIffered between the two groups. Water was the most frequentÂ preioctcai feed given by Group I mothers while in Group 2 mothers it was milk formula. At the nge of 6 months there was no difference between the two groups in the proportion of breastfeeding (99.2% in Group 1 versus 98,7% in Group 2 mothers). The proportion of exclusive breast feeding at the age of 4 months was 60.7% in Group 1 and 36.70/0 in Group 2. We conclude ulal extra training to pregnant and ncw mothers may change their attitude and skill in feeding their infants.

Fast food consumption and obesity: Relationship among elementary school students in Yogyakarta Djauhar Ismail; E. S. Herini; Pudjo Hagung; Tonny Sadjimin
Paediatrica Indonesiana Vol 39 No 5-6 (1999): May - June 1999
Publisher : Indonesian Pediatric Society

Excessive consumption of calories particularly those of fast foods incompanson to energy expenditure is considered to be an important cause of obesity in children both in developed and developing countries. The objective of this study was to measure the association between the pattern of consuming fast food and the incidence of obesity in elementary school students in an urban developing counUy setting. Across sectional study was conducted to students from 30 elementruy schools in Yogyakarta, lndonesra, who were selected by a population proportional multistage cluster random sampling. From the sample of 3575 parents, 3258 returned self fulfilled questionnaires, a response rate of 91.1%. There was a statistically significant assoctaion between obesity and the experience of consuming fast food (odds ratio ~ 2.82; 95%CI 2.08;3.82), the attitude towards fast food (odds ratio~ 1.88; 95%CI 1.31; 2.69) and the frequency of consumption of fast food (p < 0.001).

Risk factors of respiratory allergy in children with atopic dermatitis Sjawitri P. Siregar; Bambang Madiyono; Amar W. Adisasmito
Paediatrica Indonesiana Vol 39 No 5-6 (1999): May - June 1999
Publisher : Indonesian Pediatric Society

This paper described a case-control study among atopic dermatitis (AD)patients on the development of respiratoric allergy (RA) i.e., (asthma and for allergic rhinitis), in Cipto Mangunkusumo Hospital, Jakarta. Secondary data were collected from January 1, 1995 to April31, 1998. One hundred and one children with RAin AD patients (case group), and 101 children with AD (control group) aged <16 years were evaluated for exposure to possible risk factors for RA. The mean age of AD onset was 1 year and 5 weeks in the case group, and 2 years and 2 months in the control group (p = 0.000). Early AD onset < 1 year was a significant risk factor (p = 0,0003; OR = 9.6, 95% confid ence intervals 2.8 ; 33.3). History of inhalant allergy was associated with the excess risk for RAin children with AD (p = 0.0025; OR 2.9, 95%C!: 1.5; 5.7). Early onset of egg supplementation <6 months was statistically significant to increase that such risk (p = 0.05; OR 3.3, 95%CI: 1.0 ; 11.7). Our findings suggest that early onset of AD before the age of one year would increase the development of RA Qn AD patients. Besides, we conclude that postponing the administration of egg supplementation until the age of one year, and preventing the exposure of inhalant aJlergens would prevent RA, particularly in family history of a topy.

Intravenous infusion-related nosocomial infections in children M. Hardjono ABdoerrahman; Pingkan Palilingan; Taralan Tambunan; S. Harry Purwanto
Paediatrica Indonesiana Vol 39 No 5-6 (1999): May - June 1999
Publisher : Indonesian Pediatric Society

A prospective study was conducted ID obtain the basic data of intravenous infusion-related nosocomial infections at the Pediatric Department Child Health, Cipto Mangunkusumo Hospital in Jakarta during the period of March - May 1998. Subjects were patients with a single intravenous infusion without any other invasive measures. All patients were admitted at the intermediate and ordinary ward that was classify tothe First and Second Class, Third Class according to room rate and number of beds. From 62 patients with intravenous infusion, 21 were infected (33. 9% with 95%CI; 0.226; 0.471). Complications of intravenous infusions were skin infdtrations (17 /62), phlebitis (8/62), bacteremia (4/62), and septicemia (1/62). The most frequently foundmicroorganism were Staphyloroccus epidermidis, Enterobacter aerogenes, Acinobacter calroaceticus, Serratia marcescens, Pseudomonas aeruginosa and Staphylococcus aureus. The results of the senstivity tests of those microorganisms proved that all bacteriac, Gram positive as well as Gram negative were sensitive to the followingantibiotics (in decreasing order): cypronoxacine, amikacin, gentamicin, cefphyrome and ceftriaxon. Gram positive bacteriae were also sensitive to vancomycin and cephalotin.

Adolescent Somatic Development of Junior High School Students in Denpasar Soetjiningsih Soetjiningsih
Paediatrica Indonesiana Vol 39 No 5-6 (1999): May - June 1999
Publisher : Indonesian Pediatric Society

Junior high school adolescent represents a transition period from child toadult. In this period the growth and development takes place very rapidly. This study intended to understand adolescent somatic development of junior high school students in Denpasar; subjects were 450 students of grades I, II, III from 3 junior high schools in Denpasar selected randomly in February 1998. Anthropometric and blood pressure measurements were performed. The structured questionnaires were given to the parents, which were collected during the anthropometric measurement.Â The results were that only 428 subjects completed their data, consisted of 200 boys and228 girls. At the age of t2 years the average anthropometricÂ measurements were higher in girls, but at the age of 13, 14, IS years, the boys was higher. The average systolic blood pressure was 101.67 mmHg and diastolic was 75.0 mmHg, no significant difference between boys and girls. Based on NCHS standard, it was found that 10 % of boys and 3.5% of girls had body weight below the normal limits, and 5.5% boys and 7.9% girls having body height below the normal limits. The average age of menarche was 12.47 years (range 11 -14 years, SD 0.81). The somatic development or boys and girls of junior high school students which wasÂ investigated followed the normal development sequence. Only small number of adolescent found having body weight and height below the normal limits.

Randomized Trial of Albendazole with Combination of Pyrantel Pamoate-Mebendazole in Treatment of Mixed Helminthiasis in Children Tiangsa Sembiring; Evi Kamelia; T. Ernalisna; Syahril Pasaribu; Chairuddin P. Lubis
Paediatrica Indonesiana Vol 39 No 5-6 (1999): May - June 1999
Publisher : Indonesian Pediatric Society

This study aimed to compare the effectiveness of albendazole and pyrantelpamoate-mabendazole combination for the treatment of mixed infection of soil transmitted helminthiasis. Subjects were students of primary school in Tanjung Anom village, North Sumatra. The study was performed from September until November 1995. Pat.ients were randomired into two groups; Group A received 400 mg oral albendazole in single dose while group B recieved a combination of pyrantel pamoate 10 mg/kg BW as a single dose and mebendazole 2 x 100 mg in three consecutive days.From 541 children examined, mixed soil transmitted helmlnthiasis was found in 374 children (69%). Analysis was performed on 182 children in Group A and 184 in Group B. Comparison between two group, cure rate at 3 weeks after treatment proved to the significantly different (p<0.05). We conclude that albendawle was more effective than combination of pyrantel pamoate- mebendawle for the treatment of mixed infection of soil transmitted helminthiasis. Administration more simple and have minimal side effect.

Evaluation of the Appearance of Cardiomegaly on Chest Films of Pediatric Patients with Acute Poststreptococcal Glomerulonephritis Husein Albar; Syarifuddin Rauf; Azis Tanra
Paediatrica Indonesiana Vol 39 No 5-6 (1999): May - June 1999
Publisher : Indonesian Pediatric Society

We evaluated 17 patients with acute poststreptococcal glomerulonephritis (ASPGN) hospitalized in nephrology ward of Wahidin Sudirohusodo Hospital Ujung Pandang. The initial chest films and echocardiograms demonstrated the presence of cardiomegaly and pericardial effusion, respectively. Seven days later, either the cardiomegaly or the pericardial effusion disappeared. According to the statistical analysis, the relationship between the occurrence of cardiomegaly and pericardial effusion was significant (p<0.001). From this study we conclude that the occurrence of cardiomegaly in patients with ASPGN seems to be due to pericardial effusion. Our findings need to be confirmed by studying a larger number of patients.

Treatment of Hemangioma with High Dose Oral Corticosteroid M. Sjabaroeddin Lubis; Zakaria Siregar; Nuraida Nuraida
Paediatrica Indonesiana Vol 39 No 5-6 (1999): May - June 1999
Publisher : Indonesian Pediatric Society

A case with diagnosis of cavernous hemangioma in the hard palate wassuccessfully treated with 4-6 weeks of high dosage prednisone (2-3 mg/kgBW /day).Diagnosis of cavernous hemangioma was established based on physical examination.There was a mass in the hard palate, continuously bleeding and difficult to treat. After4-6 weeks treatment, the hemangioma regressed and never recurrent anymore.

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