Theresia Santi, Theresia
Unknown Affiliation

Published : 2 Documents
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Osteopetrosis

Sari Pediatri Vol 6, No 2 (2004)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

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Abstract

Dilaporkan kasus osteopetrosis maligna pada seorang anak perempuan berusia 3 tahun.Kelainan yang diturunkan secara otosomal resesif ini disebabkan defek pada osteoklas.Pasien datang dengan keluhan pucat dan abses submandibula dengan perdarahan, disertaigigi yang mudah patah dan kebutaan sejak lahir, terdapat frontal bossing, adenoidappearance disertai nistagmus, serta hepatosplenomegali. Pemeriksaan darah tepimenunjukkan pansitopenia dengan gambaran leukoeritroblastosis. Aspirasi sumsumtulang sulit dilakukan karena kerasnya jaringan tulang, memperlihatkan gambaranhipoplasia sistem eritropoietik dan trombopoietik. Diagnosis ditegakkan berdasarkanbone survey yang memperlihatkan keseluruhan tulang yang sklerotik dengan peningkatandensitas tulang, disertai tanda khas berupa mask sign pada tulang tengkorak dan sandwichsign pada tulang vertebra. Dilakukan terapi suportif berupa transfusi sel darah merahdan trombosit, pengobatan medikamentosa berupa prednison dan kalsitriol. Prognosispenyakit ini buruk, dengan angka kematian yang tinggi pada dekade pertama kehidupansebagai akibat perdarahan dan infeksi berulang.

Factors associated with the intention to exclusively breastfeed at Siloam Lippo Cikarang Hospital

Paediatrica Indonesiana Vol 48 No 3 (2008): May 2008
Publisher : Indonesian Pediatric Society

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Abstract

Background World Health Organization (WHO) recommendsbreastfeeding as the appropriate method of infant feeding.Predelivery intentions about breastfeeding are strong predictorsof both initiating and continuing exclusively breastfeedingthrough the post delivery period.Objective To determine the association of age, education,occupation, parity, and information got by pregnant women withthe intention to give exclusive breastfeeding at Siloam LippoCikarang Hospital.Methods Pregnant women were chosen by consecutive samplingfilled in questionnaires contained identity, knowledge, obstacles ofbreastfeeding and intentions to exclusively breastfeed. Pregnantwomen visiting Obstetrics and Gynecologic Department SiloamLippo Cikarang Hospital who were able to read and write inIndonesian were eligible for this study.Result: Most of the 200 respondents were between 20-30 years ofage (69.5%), college graduated (55.5%), working women (50.5%),multiparous (58.5%) and have already got the informationabout breastfeeding (64.5%). The commonly cited source isprinted device (40%). Knowledge about breastfeeding in generalwere good (78%), but respondents who intended to exclusivelybreastfeed were only 58.5%. Multivariate analysis showed thatthe factors significant associated with the intention to exclusivelybreastfeed were age, with OR 0.9 (95%CI 0.84;0.98, P<0.05) andinformation, with OR 0.28 (95%CI 0.143;0.56, P<O.OOl)Conclusions The significant influencing factors to the intentionsto give exclusively breastfeed are age and information.