Supriatmo Supriatmo, Supriatmo
Unknown Affiliation

Published : 34 Documents
Articles

Found 34 Documents
Search

Body mass index and age of menarche in young girls

Paediatrica Indonesiana Vol 52 No 6 (2012): November 2012
Publisher : Indonesian Pediatric Society

Show Abstract | Original Source | Check in Google Scholar | Full PDF (102.239 KB)

Abstract

Background Currently the age at onset of menarche is earlierthan in the past. Nutritional status has an important role inthe onset of menarche. Past studies have shO\vn an associationbetween body mass index (BMI) in young girls and earlier onsetof menarche.Objective To assess an association between BMI and age at onsetof menarche.Methods This cross????sectional study was conducted in younggirls aged 10 to 15 years from Immanuel Elementary and JuniorHigh School, Medan in June 2010. We used purposive samplingto recruit subjects. After subjects underwent height and weightmeasurements, we calculated their BMIs. The association betweenBMI and initial age of menarche was assessed by Chi square test(P<O.05 v.ith a 95% confidence interval).Results Eighty????five subjects participated in this study. There were44 subjects in the 5th????85th percentile ofBMI (nonnoweight), 19subjects with 85th????95th percentile of BMI (overweight) and 12subjects in the> 95th percentile ofBMI (obese). All obese subjectshad an earlier onset of menarche at ages 1O???? 11 years, comparedto that of non????obese subjects (P=O.OOOl).Conclusion Young girls v.ith BMI > 95th percentile had anearlier age at onset of menarche than young girls v.ith lower BMls.[Paediatr lndanes. 2012,52:309-12].

Mikropenis

Sari Pediatri Vol 5, No 4 (2004)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Original Source | Check in Google Scholar

Abstract

Jumlah kasus mikropenis tidak diketahui secara pasti, diduga tidak semua pasienberobat. Dalam penanganan mikropenis, terapi hormonal dengan testosteronmerupakan pilihan utama. Terapi testosteron 25 mg intramuskular setiap 3 minggu,4 dosis, dapat langsung diberikan sebelum pemeriksaan kadar testosteron darah.Jika tidak terjadi penambahan panjang penis, pemberian terapi hormonal dapatdiulangi satu siklus lagi. Terapi operatif dipertimbangkan pada kasus yang gagal denganterapi hormonal. Sebaiknya pasien mikropenis diberi pengobatan dalam pengawasanahli endokrinologi anak.

Hepatitis Akibat Penyakit Sistemik

Sari Pediatri Vol 8, No 4 (2007)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Original Source | Check in Google Scholar

Abstract

Hati merupakan organ parenkim terbesar yang sering terlibat akibat penyakit sistemik.Pada beberapa penyakit sistemik, hati dapat lebih bertahan dibanding organ tubuhlainnya. Dalam mengevaluasi pasien dengan disfungsi dan penyakit sistemik, klinisiharus dapat membedakan apakah gangguan hati yang terjadi akibat penyakit sistemik,akibat obat yang digunakan dalam terapi penyakit sistemik tersebut ataupun bersamaandengan penyakit hati primer

Evaluation of WHO criteria to determine degree of dehydration in children with acute diarrhea

Paediatrica Indonesiana Vol 45 No 2 (2005): March 2005
Publisher : Indonesian Pediatric Society

Show Abstract | Original Source | Check in Google Scholar | Full PDF (300.387 KB)

Abstract

Objective To evaluate the diagnostic accuracy and agreementbetween the 1980 and 1990 WHO criteria for determining the de-gree of dehydration in children with acute diarrhea.Methods This prospective study was conducted in two hospitalsfrom October 2002 to February 2003. Clinical signs of dehydrationall patients were recorded. The degree of dehydration based onthe 1980 and 1990 WHO criteria was determined and comparedwith fluid deficit measured by the difference of body weight on ad-mission and on discharge. Chi-square test and kappa value analy-ses were performed. Sensitivity, specificity, predictive values, andaccuracy of each WHO criteria were assessed. The prevalence ofdehydration was also determined.Results Sixty-five patients, comprising 40 boys and 25 girls, werestudied. There was a significant difference between the two WHOcriteria in differentiating between dehydration and non-dehydra-tion (P<0.05). Based on the 1980 WHO criteria the prevalence ofdehydration was 62.2%. Its sensitivity, specificity, and accuracy indiagnosing dehydration were 100.0%, 55.5%, and 86.2%, respec-tively. Based on the 1990 WHO criteria, the prevalence of dehy-dration was 60.0%. Its sensitivity, specificity, and accuracy in diag-nosing dehydration were 94.9%, 46.1%, and 75.4%, respectively.There was also a significant difference between both criteria indetermining severe dehydration (P<0.05). Based on the 1980 cri-teria, the prevalence of severe dehydration was 15.4%. Its sensi-tivity, specificity, and accuracy in diagnosing severe dehydrationwere 30.0%, 94.5%, and 84.6%, respectively. Based on the 1990criteria, these results were 40.0%, 94.5%, and 86.2%, respectively.The prevalence was 15.4%. Kappa value comparing the two WHOcriteria was 0.852 in diagnosing dehydration and 0.915 in diag-nosing severe dehydration. There was no significant differencebetween the two criteria in their sensitivity and specificity (P>0.05).Conclusion Both WHO criteria can be applied to determine de-hydration in patients with acute diarrhea, although we feel that the1990 criteria is simpler

Effect of vitamin A on severity of acute diarrhea in children

Paediatrica Indonesiana Vol 53 No 3 (2013): May 2013
Publisher : Indonesian Pediatric Society

Show Abstract | Original Source | Check in Google Scholar | Full PDF (129.171 KB)

Abstract

Background Vitamin A deficiency may increase the risk or bea cause of diarrhea. Many studies have been conducted on theefficacy of vitamin A in the management of acute diarrhea, butthe outcomes remain inconclusive.Objective To determine the effectiveness of vitamin A in reducingthe severity of acute diarrhea in children.Methods We performed a single????blind????randomized controlledtrial in the Secanggang District, Langkat Regency, North ofSumatera, from August 2009 to January 2010 in children aged6 months to 5 years, who had diarrheas. Subjects were dividedinto two groups. Group 1 received a single dose of vitamin A(100,000 IU for subjects aged 6 to 11 month old or with bodyweights :s 10 kg, or 200,000 IU for subjects aged 2: 12 month oldor with body weights> 10 kg). Group 2 received a single doseof placebo. The establishment of severity was based on changesin diarrheal frequency, stool consistency, volume and durationof diarrhea after treatment. We performed independent T????testand Chi square tests for statistical analyses. The study was anintention????to????treat analysis.Results We enrolled 120 children who were randomized intotwo groups of 60 subjects each. Group 1, received vitamin Aand group 2 received a placebo. The results showed significantdifferences between the two groups in stool volume starting onthe first day (95%CI 192.30 to 3237.51; P????O.OOI), as well asdiarrheal frequency (P=O.OOl) and stool consistency (P=O.OOl)on the second day observation and duration of diarrhea followingtreatment (95%CI - 40.60 to - 25.79; P????O.OOI;).Conclusions Vitamin A supplementation is effective in reducingthe severity of acute diarrhea in children under five years of age.[Paediatr lndones. 2013;53:125-31.]

Comparing sleep disorders in urban and suburban adolescents

Paediatrica Indonesiana Vol 54, No 5 (2014): September 2014
Publisher : Indonesian Pediatric Society

Show Abstract | Original Source | Check in Google Scholar

Abstract

Background Sleep disturbances commonly occur in adolescents. Socioeconomic levels, lifestyle, and urban or suburban environments influence the sleep patterns of adolescents. The modernization process in urban environments is marked by the development of information technology media, and the lack of parental monitoring potentially influencing adolescent sleep disturbances. Sleep disturbances may affect childrens physical growth, as well as their emotional, cognitive, and social development.Objective To assess for sleep disorders in urban and suburban adolescents, and to determine the factors that influence the prevalence of sleep disturbances.Methods A cross-sectional study was conducted on 12 to 15-year-old junior high school students in urban (n=350) and suburban (n=350) environments in the city of Medan, North Sumatera. The study was undertaken from May to June 2010 using the Sleep Disorders Scale for Children (SDSC), a set of questionnaires. The SDSC was filled out by parents based on what they remembered about their childrens sleep patterns in the prior 6 months.Results In the urban group, there were 133 (38.0%) subjects with sleep disturbances, 182 (52.0%) were borderline, and 35 (10.0%) were normal. In the suburban group, there were 132 (37.7%) subjects with sleep disturbances, 180 (51.4%) were borderline, and 38 (10.9%) were normal. The most influential factors for sleep disturbances in urban and suburban youth were environmental noise (P=0.001) and consuming beverages that contain caffeine (P=0.001). There were three types of sleep disorders that significantly found more in urban adolescents: disorders of initiating and maintaining sleep, disorders of excessive somnolence, and sleep hyperhidrosis.Conclusion The prevalence of sleep disturbances do not differ between urban and suburban adolescents. Howevet; there are significant differences in the types of sleep disorders experienced. The most influential factors on sleep disturbance in both areas are environmental noise and consuming beverages that contain caffeine.  

Efficacy of fructooligosaccharide versus placebo for treatment of acute diarrhea in children: A double-blind randomized clinical trial

Paediatrica Indonesiana Vol 45 No 2 (2005): March 2005
Publisher : Indonesian Pediatric Society

Show Abstract | Original Source | Check in Google Scholar

Abstract

Objective To compare the efficacy of fructooligosaccharide (FOS)versus placebo in pediatric patients with acute diarrhea with re-gard to duration and frequency of diarrhea and the volume andconsistency of the stools.Methods This double-blind randomized clinical trial was carriedout from July to November 2003 in the pediatric intensive careunit, outpatient clinic, and pediatric ward of Adam Malik Hospitaland Pirngadi Hospital, Medan. Subjects were children and infantsaged 4 to 24 months suffering from acute diarrhea without dehy-dration or with mild to moderate dehydration whose parents gaveconsent. Children included in this trial received tablets of either600 mg FOS or 761 mg fructulin as placebo. Patients with mild tomoderate dehydration were initially rehydrated according to theWHO protocol. Afterwards, 10 tablets of FOS or placebo were givento each subject to be taken twice daily. In subjects without dehy-dration, the tablets were given by their parents. Daily follow-upwas performed, in which body weight, temperature, duration andfrequency of diarrhea, and the volume and consistency of stoolswere recorded. For outpatients, home visits were made.Results Out of 142 children who met inclusion criteria, 135 com-pleted the study. These consisted of 68 children in the FOS groupand 67 in the placebo group. Subjects were mostly <12 months ofage (57.0%), male (57.8%), and moderately malnourished (34.1%).There was no statistically significant difference between both groupsin the duration and frequency of diarrhea and the volume and con-sistency of stools (P>0.05).Conclusion There is no effect of the administration of FOS assupplemental therapy on the duration and frequency of diarrheaand on the volume and consistency of stools in children with acutediarrhea

Association between sleep quality and obesity in adolescents

Paediatrica Indonesiana Vol 57 No 1 (2017): January 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Original Source | Check in Google Scholar

Abstract

Background Sleep quality can be measured by the Pittsburgh Sleep Quality Index (PSQI). One component of the PSQI is duration of sleep, which is often highly inadequate in adolescents. Inadequate sleep may lead to obesity in adolescents.Objective To assess for an association between sleep quality and incidence of obesity in adolescents.Methods This case–control study was conducted at Santo Thomas I Senior High School, Medan, North Sumatera,  from July to August 2015. A total of 227 adolescents were divided into two groups: the case group consisting of 101 obese adolescents and the control group consisting of 126 non-obese adolescents. Study data was collected by questionnaires and PSQI. We interviewed subjects on their food consumption for the three days prior and calculated their average caloric intake. The data were analyzed by non-paired T-test, Chi-square, Mann-Whitney, and multivariate analyses.Results There was a significant association between sleep quality and obesity [OR 3.87 (95%CI 1.920 to 7.829)]. Median PSQI (range) score in the obese group was significantly higher than in the non-obese group [6.00 (2-16) vs. 5.00 (2-12), respectively (P=0.0001)]. In addition, sleep latency (P=0.002) and sleep duration (P=0.0001) were significantly different between groups. Multivariate analysis revealed a significant association between poor sleep quality and high caloric intake.Conclusion Sleep duration in obese adolescents is significantly shorter than that in non-obese adolescents. In addition, sleep latency in obese adolescents was significantly longer than that in non-obese adolescents.

Blood pressure and lipid profiles in adolescents with hypertensive parents

Paediatrica Indonesiana Vol 55 No 6 (2015): November 2015
Publisher : Indonesian Pediatric Society

Show Abstract | Original Source | Check in Google Scholar | Full PDF (96.196 KB)

Abstract

Background Adolescent hypertension is a significant health problem of increasing prevalence and causes high morbidity and mortality. It is found primarily in young males, with a familial history of hypertension and/or cardiovascular disease. Examination of lipid profiles has been used to detect the risk of hypertension in adolescents. Objective To compare blood pressure and lipid profiles in adolescents with and without a parental history of hypertension. Methods This cross-sectional study was conducted from January to February 2012 on students from a senior high school in the Toba Samosir District, North Sumatera. Sixty-eight adolescents were included, aged 15 to 18 years. Group I comprised 34 adolescents with hypertensive parents, and group II comprised 34 adolescents with normotensive parents. Subjects were selected based on questionnaires. Subjects’ blood pressures were measured at rest. Three measurements were made in intervals of 10-15 minutes, then averaged for both systolic and diastolic blood pressures. Lipid profiles were measured using the CardioCheck cholesterol test after subjects had fasted for 12 hours. Results The median systolic blood pressures (SBP) in groups I and II were 110 mmHg (range 93.3-123.3) and 106.7 mmHg (range 96.7-123.3), respectively, (P=0.584). The median diastolic blood pressures (DBP) were 73.3 mmHg (range 66.7-83.3) and 71.7 mmHg (range 63.3-80.0), respectively, (P=0.953). Total cholesterol and low-density lipoprotein cholesterol (LDL-C) levels in group I were significantly higher than those levels in group II [median total cholesterol: 162.0 (range 158-170) vs. 159.0 (range 150-170), respectively; (P=0.001); and mean LDL-C: 103.5 (SD 3.72) vs. 99.1 (SD 4.63), respectively; (P=0.001). Multivariate analysis revealed a correlation of moderate strength between parental history of hypertension and increased LDL-C (P<0.001) in adolescents. Conclusion Adolescents with and without familial history of hypertension have no significant median blood pressure differences. However, adolescents with hypertensive parents have This study was presented at Pertemuan Ilmiah Tahunan V (PIT V/The 5th Child Health Annual Scientific Meeting) Bandung, October 15–17, 2012. From the Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera, Indonesia. Reprint requests to: Dr. Julia Fitriany, Department of Child Health, University of North Sumatera Medical School/H. Adam Malik Hospital, Jl. Bunga Lau No.17, Medan 20136. Tel +6261 8361721 – +6261 8365663. Fax. +6261 8361721. E-mail: julia_fitriany@yahoo.com. Adolescent hypertension is an important health problem of increasing prevalence that affects morbidity and mortality.1 The prevalence of hypertension in adolescents has increased due to several factors such as obesity, a sedentary lifestyle, smoking, stress, sleep disorders and increased intake of high-calorie foods, sodium, alcohol, and caffeine.2 In the pediatric population, essential hypertension, also known as primary hypertension, mostly afsignificantly higher median total cholesterol and mean LDL-C. Furthermore, we find a correlation between parental history of hypertension and increased LDL-C in adolescents.

Total serum IgE levels in soil-transmitted helminth infected children with atopy symptoms

Paediatrica Indonesiana Vol 54 No 3 (2014): May 2014
Publisher : Indonesian Pediatric Society

Show Abstract | Original Source | Check in Google Scholar | Full PDF (134.823 KB)

Abstract

Background High total serum immunoglobulin E (IgE) levelsand eosinophilia are markers for atopy, but other factors mayalso play a key role in affecting atopy, such as intestinal parasiticinfection. Helminthiasis has been associated with a reduced riskof atopy and asthma symptoms in areas with high prevalence ofparasitic infections.Objective To assess for associations between total serum IgElevel and soil-transmitted helminthiasis (STH) infection, as wellas between STH infection and allergy symptoms.Methods We conducted a cross-sectional stu dy on 84consecutively-enrolled children , aged 7- 13 years, in theSecanggang Subdistrict, Langkat District, North SumateraProvince. Subjects were enrolled into one of two groups, with orwithout STH infection. Total serum IgE measurements and stoolSTH examinations were performed in all subjects. Data on atopyor allergy symptoms were obtained by parental interview.Results The 42 subjects with STH infection had significantlyhigher mean total serum lg E levels than the 42 subjects withoutinfec tion, 1,13 1.26 IU/mL and 744.76 IU/mL, respectiv ely(P = 0.029). We also fo und significant positive association sbetween STH infection and asthma symptoms (P= 0.049), as wellas eczema symptoms (P=0.044).Conclusion Mean total serum IgE level is higher in STHinfectedsubjects than in those without infection. In addition,STH infection is positively associated with asthma and eczemasymptoms.