Nanan Sekarwana
Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin Bandung

Published : 49 Documents
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Journal : Paediatrica Indonesiana

Results of Salmonella typhi culture in patients with suspected typhoid fever, treated in the Department of Child Health Medical School, Padjadjaran University, Hasan Sadikin General Hospital Bandung Sekarwana, Nanan; Garna, Herry; S., Azhali M.
Paediatrica Indonesiana Vol 29, No 5-6 (1989): May 1989
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi29.5-6.1989.105-11

Abstract

From October to December 1984, examination has been carried out on Salmonella typhi cultures from blood, bone marrow, faeces and urine of 43 patients suffering from suspected typhoid fever treated in the Department of Child Health, Medical Schooll Hasan Sadikin General Hospital, Bandung.It was apparent that among these 43 patients, 51.2% were males and 48.8% females. The greater number of them were more than 5 years old (64.4%). The results of Salmonella typhi cultures were obtained  from 65% of the patients, consisting of 65% positive cultures from bone-marrow and 40% positive cultures from blood that showed a statistically significant difference (p < 0.05).Likewise, the time for matter-sampling for the examinations was based on the culture results, both on blood-culture and that of bone-marrow, statistically a significant was found (p < 0.05), whereas the results of cultures based on previous vaccination history and the administration of chloramphenicol prior to treatment did not differ significantly.It was obviously clear that the results of bone-marrow culture were more successful compared to those from blood culture, so that it should necessarily be emphasized, as to these examinations on culture from each patient with suspected typhoid fever, especially those patients hospitalized during the third week of their illness.
Trombocytosis in childhood relapsing nephrotic syndrome Hafni, Ade; Hilmanto, Danny; Rachmadi, Dedi; Sekarwana, Nanan
Paediatrica Indonesiana Vol 47 No 3 (2007): May 2007
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (297.086 KB) | DOI: 10.14238/pi47.3.2007.100-3

Abstract

Background Thrombosis is a serious complication of nephroticsyndrome (NS). Long-term steroid treatment may inducethrombocytosis in relapsing NS that may predispose to thrombosis.Most children with idiopathic NS respond to steroids; however, asubstantial number of patients will relapse frequently and requirerepeated high dose steroid therapy, thus increase the risk ofthrombocytosis.Objective To compare the occurrence of thrombocytosis betweenchildren with frequent relapses of NS (FRNS) and those withinfrequent relapses (IFRNS).Methods We reviewed the medical records of children aged 1-14years diagnosed as FRNS and IFRNS at the Department of ChildHealth, Hasan Sadikin General Hospital Bandung from 2000-2005. We excluded children with iron deficiency anemia,hemolytic anemia, acute haemorrhage, malignancy, and those whoreceived cyclophosphamide.Results There were 33 children (26 males, 7 females) with FRNSand 33 children (27 males, 6 females) with IFRNS. The meanplatelet level of children with FRNS (517,909+165,670/ml) washigher than that of children with IFRNS (416,272+145,763/ml)(P=0.005). The occurrence of thrombocytosis in children withFRNS (18) was higher than that of children with IFRNS (7)(P=0.005).Conclusion This study shows that thrombocytosis is morecommon in FRNS than IFRNS, therefore we should take moreprecaution to the occurrence of thrombosis in FRNS.
Association between age and serum ferritin level with bone age deficit in children with thalassemia major Andayani, Sri Hastuti; Sekarwana, Nanan; Fadil, Ryadi
Paediatrica Indonesiana Vol 48 No 1 (2008): January 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (317.675 KB) | DOI: 10.14238/pi48.1.2008.33-6

Abstract

Background Multiple blood transfusions in thalassemia patientslead to iron overload in bone tissue. Iron overload can bedetermined by serum ferritin measurement. Several studies haveevaluated association between serum ferritin level and growth,but without bone age examination.Objective To determine the association between age and serumferritin level with bone age in children with thalassemia major.Methods This study was conducted at Hasan Sadikin HospitalBandung during March-May 2007. We performed physicalexamination, serum feritin measurement, and bone ageexamination. Data were analyzed with x 2 to determine associationbetween variables. The association between age and serum ferritinlevel with bone age deficit was analyzed with regression logisticmodel.Results Subjects consisted of 49 patients with thalassemia major.All subjects had bone age deficit. Most boys were in age group of&gt;10 years and had bone age difference &gt;36 months, while mostgirls were &lt;10 years and had bone age difference &lt;36 months.Subjects with bone age difference &lt;36 months mostly had serumferritin level &lt;5,000 ng/dL, while most subjects with bone agedifference &gt;36 months had serum ferritin level =5,000 ng/dL.This was statistically significant (x 2 =4.573, P=0.032). There wasassociation between age and bone age deficit (OR=13.461, 95%CI 3.199;56.640), but not with serum ferritin level (OR= 2.199,95% CI 0.532;9.095).Conclusion In thalassemic children, bone age deficit is associatedwith age, but not with serum feritin level.
Relationship between ionized calcium and serum albumin level in children with idiopathic nephrotic syndrome Winata, Viiola Irene; Gurnida, Dida Akhmad; Sekarwana, Nanan
Paediatrica Indonesiana Vol 50 No 6 (2010): November 2010
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (111.59 KB) | DOI: 10.14238/pi50.6.2010.361-4

Abstract

Background Nephrotic syndrome (NS) patients frequently have abnormalities in calcium metabolism that manifest as hypocalcemia and reduced intestinal absorption of calcium. Hypocalcemia is initially attributed to hypoalbuminemia but it may also relate to a low level of ionized calcium. The ionized calcium level depends on the severity and duration of proteinuria.Objective To assess the rel ationship between ionized calcium and serum albumin level in idiopathic NS children.Methods An analytical study with cross-sectional design was applied to NS and healthy children between 1-14 years old in the Child Health Department of Hasan Sadikin Hospital, Bandung from December 2009 to April 2010. Ionized calcium was examined by Ca2 + analyzer AVL 980 with ion-selective electrodes (ISE) methods.Results A total of34 subjects were recruited, consist of 17 NS and 17 healthy children. The mean ionized calcium and serum albumin level in NS children was 4.56 (SD 0.23) mg/dLand 1.45 (SD 0.24) g/dL, respectively. Statistical difference between ionized calcium level in NS and in healthy children was significant (P&lt;0.05). Pearson correlation test between ionized calcium and serum albumin was significant (P&lt;0.05) with correlation coefficient (r) 0.53. We found the following equation to estimate ionized calcium (y) based on the serum albumin level (x): y=3.84+0.49x.Conclusion There is a moderately positive linear relationship between ionized calcium and serum albumin level in NS children.
Co-Authors - Novina Abdul Hadi Martakusumah Achadiyani Achadiyani, Achadiyani Ackni Hartati, Ackni Aedi Budi Dharma, Aedi Budi Ag Soemantri Agus Darajat, Agus Amelia Harsanti, Amelia Andayani, Sri Hastuti Angela Rowan Anita Deborah Anwar Aumas Pabuti, Aumas Azhali M. S., Azhali M. Bachti Alisjahbana Bambang Sumintono Bertram Fong Bestari, Astuti Dyah Bethy S Hernowo, Bethy S Budi Firdaus, Budi Carmen Norris Damayanti, Meita Danny Hilmanto, Danny Dany Hilmanto Deasy Nurisya DEDDY MUCHTADI Dedi Rachmadi Deni Kurniadi Sunjaya, Deni Kurniadi Dida A. Gurnida Dida Akhmad Gurnida dini riyantini sari, dini riyantini Djatnika Setiabudi Dzulfikar DLH, Dzulfikar Eddy Fadlyana Elsa Pudji Setiawati Endang Susilowati Endang Sutedja Farhati, Farhati Firman F Wirakusumah Firman Fuad Wirakusumah Fitria Fitria Gurnida, Dida Ahmad Guswan Wiwaha Hadiyati, Ida Hadiyati, Ida Hafni, Ade Heda Melinda Nataprawira Herman Susanto Herman, Herry Herry Garna Hertanto Wahyu Subagio Husin, Farid Husin, Farid Ida Parwati Ike Rostikawati Husen Ina Rosalina Intania, Sekky Intania, Sekky Irman Somantri Ishak Abdulhak Johanes Cornelius Mose Juntika Nurihsan, Juntika Kusnandi Rusmil Lelly Yuniarti, Lelly Meida Erimarisya, Meida Meilani Meilani, Meilani Meita Dhamayanti Muhammad Heru Muryawan Nafsi, Nurizzatun Nita Arisanti Nurhalim Shahib Nurusofa Surti Dewi, Nurusofa Surti Oyoh, Oyoh Paramita Diah Winarni Partini P Trihono, Partini P Paul McJarrow Ponpon Idjradinata Rachmat Soelaeman Rachmawati, Anne Dian Rahmawati, Alfiah Rosalinna, Rosalinna Ruri Yuni Astari Rusmi, Viramita K Ruswana Anwar Ryadi Fadil, Ryadi Setiawati, Elsa Puji Sri Endah Rahayuningsih Sri Susilawati Suksesty, Catur E Sylvia Rachmayati Ulfah, Kurniaty Veratiwi, Veratiwi Vidi Permatagalih, Vidi Viiola Irene Winata, Viiola Irene Viramitha Kusnandi Rusmil, Viramitha Kusnandi Vita Murniati Tarawan Yani Triyani, Yani Yenny Purnama, Yenny Yuni Susanti Pratiwi, Yuni Susanti Zahrotur Rusyda Hinduan, Zahrotur Rusyda