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Hubungan Kadar Vitamin D dengan Anak Atopi dan Obesitas

Sari Pediatri Vol 16, No 5 (2015)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

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Abstract

Latar belakang. Angka kejadian penyakit atopik dan obesitas meningkat bersamaan. Hubungan kadarvitamin D dengan atopi masih kontroversial.Tujuan. Menilai hubungan kadar vitamin D dengan anak atopi dan obesitas.Metode. Penelitian desain potong silang, sejak bulan Agustus sampai Desember 2013, terhadap 62 anakobesitas dan gizi normal murid sekolah dasar Kota Bandung. Kadar vitamin D-25 OH serum diukur denganmetode chemiluminescent immunoassay, dilakukan uji tusuk kulit dan kuosioner The International StudyOf Asthma And Allergies In Childhood. Analisis data dengan uji chi Kuadrat dan two-way Anova.Hasil. Tidak terdapat perbedaan rerata kadar vitamin D antara kelompok anak obesitas dan status gizi normal(p=0,994). Tidak terdapat perbedaan rerata kadar vitamin D antara kelompok atopi dan non-atopi (p= 0,58).Tidak terdapat interaksi antara kelompok atopi dan status gizi terhadap kadar vitamin D (p= 0,24).Kesimpulan. Tidak terdapat hubungan antara kadar vitamin D dengan anak atopi dan obesitas.

Skull and Posterior Rib Fractures with Respiratory Failure caused by Child Abuse

Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

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Abstract

Background: Presence of multiple fractures suggests child abuse. Skull fractures rarely occurred but posterior rib fractures are commonly found and have high specificity as a radiological finding in child abuse. A respiratory failure can occur as a result of the damage to the osseous structure of the thorax that destabilizes the rib cage and impairs spontaneous breathing mechanism.Methods: A case report of a 6-month-old boy who presented with respiratory failure, multiple bilateral parietal and occipital bone fractures, and also fractures of right rib 5–8. The patient required ventilatory support for 9 days in the Pediatric Intensive Care Unit, Dr.HasanSadikin General Hospital.Results: The patient was on ventilatory support for 9 days, and was given antibiotics for 2 weeks. Next,   the patient was referred to the High Care Unit (HCU) after the condition was stabilized, and then referred to the ward, for treatment by the Social Pediatric Division. The patient was still having issues about his foster care. Conclusions: Recognition of presence of fractures is important in early diagnosis and treatment of  child abuse. [AMJ.2017;4(1):107–10] DOI: 10.15850/amj.v4n1.1030