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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 10 Documents
 1 
Search results for , issue "Vol 41 No 3-4 (2001): March 2001" : 10 Documents clear
Profile of iron deficiency anemia among junior high school students Dewi Iriani; Alan R. Tumbelaka; Sri Sudaryati Nasar
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi41.2.2001.111-114

Abstract

Iron deficiency anemia (IDA) is a serious significant public health problem, since it’s negative impact on physicaland psycological development, behavior and work capacity. There are many risk factors influencing the development of IDA.A cross-sectional study has been conducted in 301 Junior High School students at East Jakarta in January-February 2000.A structural questionnaire, physical, cell blood count (CBC) and Serum Iron ( SI ) examinations were performed. We foundsome of the many variables were connected with IDA by using bivariat analysis. Anemia was found in 41 out of 301 students(13,6%) and only 25 children (8.3%) suffered from IDA. Among 179 female students, only 33 children (18.5%) were anemicand 20 out of 33 (12.0%) have IDA. Bivariat analysis revealed a significant association between IDA with sex, parent’seducation, food frequency questionnaire (FFQ) scores, and menstruation. It is concluded that the prevalence of IDA in thisstudy was lower than found in some previous studies in Indonesia. Gender, menstruation, low educated parents, and low FFQscores were risk factors for IDA.
Antidiarrheal characteristics of tempe produced traditionally and industrially in children aged 6-24 months with acute diarrhea Yati Soenarto; Sudigbia I; Herman Herman; Karmini M; Karyadi D
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi41.2.2001.88-95

Abstract

A randomized controlled double-blind clinical trial was conducted to evaluate tempe-based formulated foods fortreatment of young Indonesian children suffering from acute diarrhea. A total of 214 cases aged between 6 and 24 monthsvisiting two teaching hospitals, i.e., Sardjito hospital (n=102) in Yogyakarta and Karyadi hospital (n=112) in Semarang. Twocases from one hospital were dropped because they moved to other towns. In addition to their hospital food given duringhospitalization and daily food at home, 72 cases were given tempe-based formulated foods with tempe produced traditionally(group TT), 72 were given tempe produced industrially (group IT), whereas a control group of 68 received soybean powderformulated foods (group IS). Formula feedings were started immediately following WHO (world health organization) standardoral rehydration therapy (ORT) and continued at the patients homes for up to 90 consecutive days, including feedings duringhospitalization. Follow-up observations at patients homes were conducted twice weekly. The initial clinical characteristics ofthe cases in each group were similar. Using analysis of variance there was a non significant trend towards a shorter durationof diarrhea in the groups using tempe based formula (p=0.079). Using the t-test, the duration of diarrhea appeared to besignificantly shorter only for the group using formula with traditional tempe compared with the group using soy formula(p=0.035). The total amount of feeding formula and the total amount of calories consumed at the hospital and at home wassimilar for all three groups, although the group receiving the control formula consumed a somewhat higher amount of breastmilk (p=0.045) and a lower amount of solid food at home. Weight for age was below normal at the start of the study or afterrehydration (Z-score between -1.0 and -1.4) and approached the normal value at the end of the study for all three groups (Zscorebetween -0.51 and -0.27). The increase in Z-score was highest in the groups receiving tempe based formula (+1.0 inthe TT group and +0.9 in the IT group) and lowest in the IS group (+0.7). This implies that a tempe based formula can diminishthe duration of acute diarrhea and improve weight gain following an episode of acute diarrhea.
Suspicion of neglect or abuse in two hospitalized cases (Case report) Moersintowarti B. Narendra; Hardjono Soeparto; Yustina Rosanti; Agus Salim
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi41.2.2001.115-119

Abstract

The convention of children’s rights (1989) has acknowledged and recommended a statement that minimalstandard for the child welfare with the range of primary right to keep an outstanding life for the children’s development to theirmaximum potential, protecting from disturbances e.g. neglect and physical abuse.But, it is difficult to classify cases whetherrelated to the problem of neglect or abuse, especially in developing countries where discrepancies in health services isremain exist.Objective : To present two cases which have been overlooked to the possibilities of abuse and neglect.Discription of the cases :Case 1. A malnourished 2 years old boy who was admitted with diarrhea in Dr.Soetomo HospitalSurabaya (September 6 ,1998) with :Clinical criteria of Marasmic Kwashiorkor available.Ignorance of health worker aboutnutritional status and inadequate referral system. 3. Factors related to the malnutrition are: a. Early weaning and inadequateweaning food. b. Poverty and low education. c. Lack of integrated health care (GOBI FFF practice). Case 2. An epileptic 11years old girl was admitted in Dr.Soetomo Hospital Surabaya (July,12, 1999). Problems list were : Respiratory problem whichcould not be explained pathophysiologically. Single parent, and inconsistency of adequate childrearing , Factors related to thefailure in compliance of epileptic treatment, and Isolation and restricted movement.Discussion of the difficulty in classificationof the cases, and the possibility of solving the problem in Surabaya related to the limited action of the Committee on ChildProtection, need to have positive suggestions sharing experience from the Congress members.
The association of neonatal jaundice and breast-feeding Rulina Suradi; Esther H. Situmeang; Taralan Tambunan
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (125.486 KB) | DOI: 10.14238/pi41.2.2001.69-75

Abstract

To examine the prevalence of jaundice in neonates and its association with breast-feeding, we studied 100healthy breast-fed baby boys during the first 3 - 5 days after birth, delivered in Dr. Cipto Mangunkusumo Hospital. This wasan analytical, cross-sectional study performed prospectively. The study was conducted from April, 1, 1999 to October 15,1999. Jaundice was detected in 94 out of 100 infants (94%). Breast-feeding jaundice was encountered in 26 infants (28%)namely infants whose bilirubin levels was >12 mg/dL by day 3 (CI 95% : 19;37%). Most infants showed bilirubin levels on daytwo, three and five of 6 – 10 mg/dL (62%), 6 – 10 mg/dL (35%) and 12 – 15 mg/dL (34%), respectively. Several factors foundto be contributing to the occurrence of breast-feeding jaundice included : a. breast-feeding frequency (r :- 0.83, p < 0.01), b.mean breast-feeding duration : infants breast-fed for more than 30 minutes have consequences its breast-feeding frequencywas less in compared with those breast-fed in less than 30 minutes. c. time of meconium passage (p< 0.05), meconiumpassage in the first hours after birth played an important part in reducing enterohepatic circulation, d. fecal weight (r =-0.87,p < 0.01), feces retained in the intestine its bilirubin would be deconjugated and reabsorbed subsequently . e. weight loss (p< 0.05). In 11 infants who received blue light therapy there were no abnormalities both in physical and laboratory examinations.
Genetic inheritance pattern in prurigo Hebra Siti Aisah Boediardja; Wahyuning Ramelan; Santoso Cornain
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (132.813 KB) | DOI: 10.14238/pi41.2.2001.76-81

Abstract

A study was conducted to analyze the multifactorial genetic inheritance pattern in prurigo Hebra (PH). Fiftyprobands (PH patients) consisting of 11 males and 39 females, with age ranged from 5-30 years were included in this study.A three-generation family tree was obtained from each subject, from which a total of 79 families were eligible for analysis. Foreach family the possible mode of inheritance, namely autosomal dominant (AD) or autosomal recessive (AR), was predicted.The families were then grouped according to the mode of inheritance. Analysis was conducted using Chi-square test,comparing the observed occurrence of PH and the expected value for each mode. To rule out mutation, the second methodwas applied, which only families with more than one affected child were analyzed, was used. The genetic inheritancepattern was not consistently compatible either with AR or AD. This finding, and other supporting facts, such as femalepreponderace, the role of HLA and the lower morbidity rate compared to the expected rate in AR or AD mode, indicated thatthe genetic inheritance of PH follows a multi-factorial pattern.
Hypoglycemia in preterm babies Incidence and risk factors Asril Aminullah; Dita Setiati; Sudigdo Sastroasmoro
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (115.121 KB) | DOI: 10.14238/pi41.2.2001.82-87

Abstract

Hypoglycemia is one of the most common problems in neonates, especially in preterm babies. Although in themajority of cases the outcome is good, symptomatic or asymptomatic hypoglycemia may give significant complications thatmay cause death or developmental delay later in life. We conducted a cross sectional study from September 5, 1999 throughMay 8, 2000 to identify factors associated with hypoglycemia in preterm babies treated at the Division of Perinatology, CiptoMangunkusumo Hospital, Jakarta. There were 112 babies included in the study, with the mean gestational age of 33.3 (range22 to 37, SD 4.2) weeks, and mean birth weight of 1801 (range 850 to 2440, SD 420) grams. Twenty-seven of the 112 infantsshowed hypoglycemia. Univariate analysis disclosed that birth weight, degree of perinatal asphyxia, small for gestational age(SGA), presence of respiratory distress syndrome, mothers with preeclampsia or eclampsia, and mothers who had intravenousinfusion of glucose during labor were significantly associated with hypoglycemia in preterm babies. Gestational age,meconium staining, or infant of diabetic mother were not significantly associated with neonatal hypoglycemia. On logisticregression analysis to control confounders we found that only the degree of perinatal asphyxia and small for gestational agewere associated with hypoglycemia in those preterm babies.
Management of vaccination - related anaphylaxis Ariyanto Harsono
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (101.023 KB) | DOI: 10.14238/pi41.2.2001.96-99

Abstract

Anaphylaxis is a systemic, immediate hypersensitivity reaction due to IgE mediated immunologic release ofmediators from mast cells and basophils. Features of severe condition are obstruction of the upper airway from tissueswelling, marked bronchospasm, and hypotension. In vaccination related anaphylaxis, optimal management begins withprevention: prevaccination screening including questions about possible allergy to any component of vaccine, and anticipationof anaphylaxis by observation at least 15 minutes following vaccination are very important. The essential treatment isprompt administration of adrenaline. Since hypotension is due to a shift of fluid from intravascular to extravascular space, themainstay of treatment should be the restoration of intravascular volume. Since anaphylaxis can be biphasic administration ofcorticosteroid in preventing late phase reaction can be postulated.
Development of children of 2 – 3 years old from pre-prosperous family and prosperous family stage II Haris Marta Saputra; Sulaiman Yusuf; Noval Azis; Amir Syarifuddin; Bistok Saing
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (113.605 KB) | DOI: 10.14238/pi41.2.2001.100-105

Abstract

In this study we assess the condition of children development of 2-3 years of age in prosperous family, preprosperousfamily and prosperous family stage II, and find the related factors. This was a cross sectional study on 94children of pre-prosperous family and 94 children of prosperous family stage II at Medan Tuntungan district from December1998 up to March 1999. Data is obtained by questionnaires and examination of the developmental bases by Denver II Method.Statistical analysis of relationship between 2 qualitative variables is tested by chi-square. In the pre-prosperous family wefound 67 children with (35.6%) normal development and 27 (14.4%) children with abnormal development, on the prosperousfamily stage II there were 81 (43.1%) children with normal development and 13 (6.9%) children with abnormal development.We found significant difference between the children development of pre-prosperous and prosperous stage II (p<0.05),significant relationship between children development within 2-3 years of age and the parents’ education level of the Preprosperousfamily (p<0.05), and no significant relationship of the following factors: mothers employment status, mother’sage, number of family and the child’s order in the family.
Pulmonary tuberculosis in childhood nephrotic syndrome (A cross sectional study) Taralan Tambunan; Attila Dewanti; Bambang Madiyono; Nastiti N Rahayoe
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (123.981 KB) | DOI: 10.14238/pi41.2.2001.106-110

Abstract

Childhood tuberculosis persists as an important global health problem. Tuberculosis is one of the commonestimportant complications in children with nephrotic syndrome. Tuberculosis may interfere with the response to steroid therapyand is still being the commonest morbidity cause in children with nephrotic syndrome. To find out the prevalence, clinicalfeatures, and the impact of tuberculosis in children with nephrotic syndrome, a cross sectional study was conducted on 100nephrotic children consisted of 63 males and 37 females at the Cipto Mangunkusumo Hospital from April 1st to October 30th,1999. Pulmonary tuberculosis was detected on 15 cases ( 95% CI : 8% - 22% ) , consisted of 8 boys and 7 girls. Most of themaged 10 – 16 years old (66,6%) and 86,7% were undernourished. The combination of clinical judgement, chest X-ray andMantoux test were helpful in establishing the diagnosis. The majority of tuberculosis cases (80%) were detected on frequentrelapsers and steroid dependent groups of the nephrotic syndrome. A significant correlation were noted in tuberculosis withundernutrition and unfavorable response to steroid (frequent relapser and steroid dependent cases).
A case of pediatric AIDS in Dr. Sutomo Hospital Surabaya, Indonesia Ismoedijanto Ismoedijanto; Rosanti Yustina; Rahayu Tri Lestari; Hidayat Burhan
Paediatrica Indonesiana Vol 41 No 3-4 (2001): March 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (114.301 KB) | DOI: 10.14238/pi41.2.2001.121-124

Abstract

We report a 2-year old girl who suffered from HIV. The diagnosis was based on history, clinical findings, andlaboratory work-up. Suspicion of the presence of HIV was started when the girl continued to have wasting syndrom e withseveral focal infections unresponsice to ordinary treatment. The patient past away following severe diarrhea and apparentlysepsis.

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