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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 9 Documents
 1 
Search results for , issue "Vol 41 No 11-12 (2001): November 2001" : 9 Documents clear
Correlation between several anthropometric measurements to birth weight Muhammad Nur; Noval Azis; Guslihan D. Tjipta; Dachrul Aldy
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi41.6.2001.288-91

Abstract

Perinatal mortality remains one of the factors leading to child mortality, even for crude death as a whole. Therefore, good perinatal care is considered to be useful for reducing this mortality. Low birth weight is one of neonatal morbidity cause; previous studies reported correlation between birth weight to several anthropometric measurements andtheir predictive value. We aimed to evaluate the correlation between birth length, head, chest, abdominal, calf and mid arm circumferences as well as to foot length to birth weight. A cross sectional study was conducted in Adam Malik Hospital Medan between November 1st 1998 to January 31st 1999. All babies without clear moulage, caput succedaneum or cephal hematoma were studied. Birth weight was measured by TANITA weighing scale within the first 24 hours after delivery. Birth length by somatometer and head, chest, abdominal, calf and mid arm circumferences as well as foot length were measured 3 times by using plastic measuring tape. It was evident a positive correlation of birth weight to all such anthropometric measurements with the highest correlation coefficient for calf circumference (r : 0.92). Calf circumference of 9,8 cm is predictor of low birth weight.
A cholestatic type of hepatitis A in a child Sjamsul Arief; Retno Hernik; Agung Nugrohowidhi; Boerhan Hidayat
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi41.6.2001.308-10

Abstract

This paper reports a case of cholestatic type hepatitis A, a rare clinical manifestation of hepatitis A in children. The diagnosis was based on the presence of IgM Anti HAV, symptoms longer than 8 weeks, bilirubin concentration exceeding 10g/dl, and absence of substantial hepatocellular and biliary damage. Corticosteroid therapy resulted in complete recovery.
Nasopharyngeal bacterial carriage and antimicrobial resistance in underfive children with community acquired pneumonia Cissy B. Kartasasmita; Heda Melinda Duddy; Sunaryati Sudigdoadi; Dwi Agustian; Ina Setiowati; Tri Hanggono Ahmad; Ramdan Panigoro
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi41.6.2001.292-5

Abstract

Lung puncture is the best way to determine the etiology of pneumonia since it yields the highest rate of positive cultures. However, this procedure is difficult, especially for a study in the community. According to WHO, isolates to be tested for antimicrobial resistance in the community should be obtained from nasopharyngeal (NP) swabs. Previous studies support the use of NP isolates to determine antimicrobial resistance patterns of isolates from children with pneumonia. The aim of our study was to know the bacterial patterns of the nasopharynx in underfive children with community acquired pneumonia and their antimicrobial resistance. The study was carried out in 4 Primary Health Clinics in Majalaya sub-district, Bandung, Indonesia. All underfives with cough or difficult breathing and classified as having non-severe pneumonia (WHO guidelines), were included in the study. Nasopharyngeal swabs (CDC/WHO Manual) were obtained by the doctor, the swabs were placed in Amies transport medium and stored in a sterile jar before taken to the laboratory in the same day. All children were treated with co-trimoxazole. During the nine month study, 698 children with clinical signs of non-severe pneumonia were enrolled. About 25% of the nasopharyngeal specimens yielded bacterial isolates; the two most frequently found were S. pneumoniae and S. epidermidis. The antimicrobial resistance test to co-trimoxazole showed 48.2% S. pneumoniae strain had full resistance and 32.7% showed intermediate resistance to co-trimoxazole. This result is almost similar to other studies from Asian countries. It seems that H. influenzae is not a problem in the study area; however, further studies are needed.
Nephritogenicity of glomerular basement membrane: a molecular aspect Syarifuddin Rauf
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (396.853 KB) | DOI: 10.14238/pi41.6.2001.273-8

Abstract

Glomerular basement membrane (GBM) has multifunctions. One of its functions is having nephritogenicitywhich means the ability of an antigen originally from GBM in causing glomerulonephritis, either in experimental animal or in human being. Recent studies on GBM have revealed that its main component is type IV collagen, consists of 6 different isoforms, α1 (IV) to α 6 (IV) chains. Genetic studies show that all of the six α chains are encoded by genes located in 2, 13, and X chromosomes. Nephritogenic antigen in GBM has been identified as α3, α4, α5 chains. They are molecules of type IV collagen located in globular domain (NC1 domain) at the carboxyl terminus of the type IV collagen of GBM. They are thought to assemble into a α3- α4- α5 (IV) chain helical molecules in human GBM. Other α chains, namely α1 and α2 chain, are not nephritogenic or poorly nephritogenic, while the α6 chain is not located in GBM. The nephritogenicity of GBM has been elucidated as a cause in experimental anti-GMB nephritis, and in Goodpasture and Alport syndromes.
Natural history of premature thelarche: review of 60 girls Jose R. L. Batubara; Adji Suranto; Sudigdo Sastroasmoro; Bambang Tridjaja; Aman B. Pulungan
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (236.352 KB) | DOI: 10.14238/pi41.6.2001.279-83

Abstract

In Indonesia report on the natural history of premature thelarche is very limited. Daily practice requires physicians to have some basic practical knowledge, among others the natural history of premature thelarche, in order to manage these patients properly. We reviewed data of 85 premature thelarche patients who visited our department from January 1989 until December 1998. Only 60 patients met the study criteria. The mean chronological age of the patients at diagnosis was 43.4 months. About half of these patients (31/60) were diagnosed before they were 2 years old. Half of the patients had bilateral breast involvement. The hormonal pattern showed 24/48 follicle stimulating hormone predominant-response. Most patients (33/47) showed normal plasma estradiol level. Bone age analysis was normal in 46/57 patients, and only 9 showed accelerated bone age. Pelvic ultrasonography showed prepubertal reproduction organs in 26/35. Vaginal smears showed signs of estrogenization with various degree of stimulation in 13 patients. At the end of observation the outcome of premature thelarche were: 31 regressed, 19 persisted, 6 had progressive breast development and 4 progressed to central precocious puberty. The initial clinical and laboratory characteristics of those who developed CPP varied. Among 31 premature thelarche patients who regressed, 21 had onset of breast enlargement before age of 2 years. In most of the regressed patients (20/31), regression occurred completely within the first year. Most premature thelarche patients with onset before 2 years will regress within one year after diagnosis. 
Serum bilirubin concentration in breast-fed newborn babies at Larantuka General Hospital, East Flores Tri Yasa P.; Abdul Hamid S.
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (193.378 KB) | DOI: 10.14238/pi41.6.2001.284-7

Abstract

Neonatal hyperbilirubinemia is a common problem not only to pediatricians but also to the parents. Breastfeeding is known as one of the factors associated with hyperbilirubinemia. The aim of the study was to determine serum bilirubin concentration and factors related to hyperbilirubinemia in breast-fed newborn babies. A cross sectional study was done on 45 well babies born at Larantuka General Hospital, East Flores, from August to October 1998. Data including personal data, frequency of breast-feeding, frequency of urination, meconium passage, and weight loss, were collected through questionnaires, presented in tables, and analyzed using chi-square test. The prevalence of hyperbilirubinemia in breast-fed babies was 13%. It was correlated significantly with the frequency of breast-feeding (p<0.01), meconium passage (p<0.02), sufficiency of breast milk (p<0.05), and weight loss (p<0.05). The significant risk factors for neonatal hyperbilirubinemia were the frequency of breast-feeding, meconium passage, sufficiency of breast milk, and weight loss. Immediate and frequent breast-feeding is recommended for the management of neonatal hyperbilirubinemia.
Nutritional status and hemoglobin level in elementary schoolchildren Marlina Jumrakh; Iskandar Z. Lubis; Noval Azis
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (160.118 KB) | DOI: 10.14238/pi41.6.2001.296-8

Abstract

A study was conducted in 1999 to determine nutritional status and hemoglobin level and their correlation among students in two primary schools in at Binjai, North Sumatra, Indonesia. Nutritional status was measured based on weight for age (W/A), height for age (H/A) and weight for height (W/H) according to NCHS criteria. Anemia was defined as hemoglobin level of less than 12 g/dl as measured with cyanmethemoglobin. Ninety-six children were available for analysis. We found that based on W/A, H/A and W/H, there were 23 (23%), 16 (17%), 11 (12%) of children suffered from protein energy malnutrition (PEM), respectively. There were 48 (50%) children with anemia. Children with PEM and anemia were 13 (59%), 9 (56%) and 9 (82%) respectively. In conclusion we found that not all of new students in those primary schools were healthy. There was correlation between anemia and PEM based on W/H measurement, but not when compared to W/A and H/A criteria.
Factors affecting school performance in children with rheumatic heart disease Arief Hermanu S.; Sudigdo Sastroasmoro; Bambang Madiyono; Ismet N. Oesman
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.322 KB) | DOI: 10.14238/pi41.6.2001.299-304

Abstract

The aim of this study was to determine the association between school performance and age, sex, duration of illness, educational achievement prior to illness, socioeconomic status of family, parent’s educational level, number of children in the family and severity of the disease of patients with rheumatic heart disease (RHD). Subjects were patients with RHD treated at the Division of Cardiology, Department of Child Health, Cipto Mangunkusumo Hospital Jakarta. The parameters of school performance were educational achievement, absent of school and dropout. All data were processed by using Epi-Info program to find out bivariate analysis and Statistic Program for Social Sciences (SPSS) for multivariate analysis. We obtained 80 patients with RHD; most of them were of mild severity (64 of 80%) and the remainder 16 (20%) with severe disease. There were 44 (55%) males and 36 (45%) females. Most parents (42 or 53%) had junior high school educational level, most of them, 23 (29%) had elementary school education, and 3 (4%) illiterate. Bivariate and multivariate analyses showed that severity of disease and parental educational level were associated withschool performance of patients with RHD, but age, sex, duration of disease, premorbid educational achievement, socio-economic level of the family and number of children in family were not.  
A case of kwashiorkor in a child with congenital hypothyroidism Helena Aneke Tangkilisan; Teguh Wijayanto; Sugianto Wiriadinata
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (142.511 KB) | DOI: 10.14238/pi41.6.2001.305-7

Abstract

A 12-year-old Indonesian girl with the body weight of 9.8 kg and length 78 cm was admitted to the Department of Child Health, Manado General Hospital with kwashiorkor and congenital hypothyroidism. The main complaint was edema starting 3 weeks before admission. Physical examination showed body weight for age (BW/A) 14.3%, body weight for body length (BW/BL) 66.0% and body length for age (BL/A) 49.1%. On admission she looked severely ill, apathetic, with hypothermia and hypotonia. Almost all signs and symptoms of kwashiorkor and congenital hypothyroidism were found accompanied bronchopneumonia and dermatologic problems. Laboratory findings showed severe anemia, leukocytosis, hypoproteinemia, hyponatremia, hypokalemia, elevated thyroid stimulating hormone and low level of Thyroxine-4. Bone age equaled to a newborn baby bone age. There was no thyroid tissue on thyroid ultrasound examination. The patient was treated for severe protein energy malnutrition and ThyraxR. Problems of kwashiorkor could been solved well but not with the congenital hypothyroidism. She was discharged from hospital after 2 months treatment and till now at 14th year of age with her developmental milestones equals to that of 8 month old baby.

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