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Paediatrica Indonesiana
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.
Articles
1031
Articles
Recurrence of Febrile Convulsions

Soetomenggolo, Taslim S

Paediatrica Indonesiana Vol 35 No 5-6 (1995): May 1995
Publisher : Indonesian Pediatric Society

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Abstract

During two years, 92 patients who experienced first febrile convulsion were followed-up in the Pediatric Neurology Clinic, Department of Child Health, Cipto Mangunkusumo Hospital, Jakarta for at least one year. Of the 92 patients 58 (63%) were males and 34 (37%) females. Most of the patients were less than 4 years, and only 6 patients (6,5%) aged more than 4 years. Eight (8, 7%) of the 92 patients suffered from recurrence of febrile convulsions, and in 5 of them the recurrence occurred within the first 6 months of follow-up. The recurrences of febrile convulsions occurred mostly in patients less than one year of age, those with tonic seizures, those with neurological disorders, and those who had history of epilepsy in their family. In this study the occurrence of recurrent febrile convulsions in patients with normal EEG was higher than that in patients with abnormal EEG.

Epidemiology of Diarrhea in Two Major Cities in Saudi Arabia

Milaat, Waleed Abdullah, Elassouli, Sufian Mohamad

Paediatrica Indonesiana Vol 35 No 5-6 (1995): May 1995
Publisher : Indonesian Pediatric Society

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Abstract

The epidemiological pattern of diarrheal diseases, causative agents, and risk factors of their occurrence in two referral hospital of Saudi Arabia was investigated in this study. Stool specimens from 1726 admitted diarrheal cases were examined for parasites, yeast, enteropathogenic bacteria and rotavirus using the ELISA test. Two-fifth of cases were due to rotavirus (RVGE) while 53.1% of cases showed no causative pathogens. Mean age of all cases was 20.2 months and RVGE cases showed a steady rise from the neonatal period onward, reaching a peak between 6-14 months. Males were of higher percentage in diarrheal cases. Mothers of diarrhea cases were mostly house wives with low educational level. Bottle fed children showed higher proportion {53.1 %) of diarrhea than other types of feeding suggesting the feco-oral route of infection and the effect of poor sanitation. A pattern of higher RVGE cases was seen in warmer months in Al-taif and in cooler months in Jeddah. Our findings demonstrated the interaction between host, pathogen and environmental factors m the epidemiology of infectious diarrhea in developing countries and the areas of possible prevention.

Diagnostic Accuracy of Electrocardiographic Criteria for Left Ventricular Hypertrophy in Thalassemia Syndrome

Sastroasmoro, Sudigdo, Saputra, Deddy Ria, Madiyono, Bambang, Oesman, Ismet N., Putra, Sukman Tulus

Paediatrica Indonesiana Vol 35 No 5-6 (1995): May 1995
Publisher : Indonesian Pediatric Society

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Abstract

We compared the diagnostic accuracy of electrocardiographic (ECG) criteria for left ventricular hypertrophy (LVH) in 119 randomly selected from 400 patients with thalassemia major treated at the Department of Child Health, Medical School, University of Indonesia, Jakarta. Echocardiographically derived left ventricular hypertrophy (EchoLVH), both for body surface area (BSA)-indexed and height-indexed, served as the gold standard. There were 57 girls and 62 boys available, ranging in age from 5 to 27 years. ECG criteria for LVH was detected in 23 outof119 patients, while echo-LVH was detected in 47 patients if BSA-indexed LVH was used, or 22 patients if height-indexed LVH was used. The sensitivity and specificity of ECG-LVH were 25.5 and 84.7% respectively if BSA indexed LVH was used as gold standard, or 36.4% and 84.5%, respectively, when height indexed echo-LVH was used. It is concluded that ECG criteria for LVH has a low sensitivity and hjgh specificity in detecting increased left ventricular mass in children with thalassemia major.

Factors Influencing the Duration of Acute Infantile Diarrhea

Rahardjo, Sutomo, Warouw, S. M. Salendu

Paediatrica Indonesiana Vol 35 No 5-6 (1995): May 1995
Publisher : Indonesian Pediatric Society

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Abstract

A retrospective study was conducted on infantile diarrhea treated at the Gunung Wenang General Hospital to evaluate the relationship of age, nutritional status and cause of diarrhea to the duration of episode of infantile diarrhea. From January 1991 up to December 1992, 584 infantile diarrhea cases out of 1109 infants were treated at the Division Gastroenterology Child Health Department. Three hundred and forty-four (58,7%) of them were male, and 56% of patients were less than 12 months of age. The nutritional status was evaluated using NCHS standard; 391 (67,0%) were well-nourished, 49 (8,4%) were moderately under-nourished, and .S (0,8%) were severely malnourished. Duration of diarrhea of 4 days of less was found in 70.8% of patients 13-24 months old, 43.9% in 7-12 months age group, 46.2% of infants 4-6 months age group, and 54.8% of infants 1-3 months age group, 60,6% of well-nourished infants, 56,8% of mildly malnourished infants, and 31,5% of moderate to severely malnourished infants. Chronic diarrhea was found in 5 infants (0,9%), 3 with severe malnourished infants suffered from carbohydrate intolerance with E. histolytica infestation and the other 2 infants due to E. coli.

Immunization Coverage of Underfives in Marunda, North Jakarta

Sularyo, Titi Sunarwati, Sudjarwo, Sri Rochani

Paediatrica Indonesiana Vol 35 No 5-6 (1995): May 1995
Publisher : Indonesian Pediatric Society

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Abstract

A study was prospectively carried out on the immunization coverage of underfives in a rural coastal area in Marunda, North Jakarta. It revealed that (1) the immunization coverage was still far below target, to wit covering only 19.6 % of the 102 studied children except for BCG which fulfilled the national target; (2) the immunization coverage was significantly associated with the Road to Health Chart (KMS) utilization (p < 0.05), the number of mothers parity (p < 0.05), and very significantly associated (p < 0.01) with the family income; (3) Mothers reasons for not having their underfives immunized were not knowing at all about immunization or that it should be done consecutively several times (65.9 %), the child was then not considered quite healthy (15.8 %), or there had been no funds (18.3 %).

Breast Abscess and the Mothers Support Group

Hamzah, Emelia Suroto, Padlyana, Eddy

Paediatrica Indonesiana Vol 35 No 5-6 (1995): May 1995
Publisher : Indonesian Pediatric Society

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Abstract

This case report deals with an18-years-ols primiparous lactating mother who had an abscess on the right breast and a cracked nipple on the left. She was referred to the Hasan Sadikin’s breastfeeding mother’s support group. Beside treating her with antibiotics and analgesics, surgical intervention was done which showed a good result. A proper lactation management succeeded in increasing the milk supply as was reflected in the growth of the infant. At home visite a well-grown and exclusively breastfed infant was found. So this mother-infant pair had got the benefit of the referral system established by Hasan Sadikin Hospital.

Child Neglect

Sudiyanto, Sudiyanto

Paediatrica Indonesiana Vol 35 No 5-6 (1995): May 1995
Publisher : Indonesian Pediatric Society

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Abstract

Child neglect refers to failure to provide childrens fundamental needs. In contrast to child abuse, which implies active negative conduct, child neglect means something passive. Child neglect may take a variety of forms including medical, physical, safety, sexual, educational, and emotional neglects. The neglects may manifest themselves as conditions reflecting the improper provision of childs needs. It should always borne in mind that child neglect is almost invariably resulted from complex process which has been influenced by family history, individual characteristics of the parents and children, social and environmental circumstances, and medical problems. Its management, therefore, should be thoroughly administered, and should involve many aspects and all parties in a team effort. The prevention of child neglect should include formal and informal education of the rights of the child.

Low peripheral oxygen saturation as a risk factor for brain abscess in children with cyanotic congenital heart disease

Firdausy, Nadia Qoriah, Murni, Indah Kartika, Triono, Agung, Noormanto, Noormanto, Nugroho, Sasmito

Paediatrica Indonesiana Vol 58 No 5 (2018): September 2018
Publisher : Indonesian Pediatric Society

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Abstract

Background Brain abscess is a severe infection of brain parenchyma, which occurs in 25-46% of cases of uncorrected cyanotic congenital heart disease. Low arterial oxygen saturation is the main risk factor for brain abscess in children with cyanotic congenital heart disease, however, the arterial oxygen saturation test is invasive and not routinely done in our setting. Objective To evaluate low peripheral oxygen saturation as a risk factor for brain abscess in children with cyanotic congenital heart disease. Methods We conducted a matched, case-control study at Sardjito Hospital, Yogyakarta for children aged less than 18 years with cyanotic congenital heart disease, from 2010-2016. Case subjects were children with brain abscess complications. The control group had only cyanotic congenital heart disease, and were matched for age and sex to the case group. During hospitalization due to the brain abscess complication in the case group, data regarding peripheral oxygen saturation, polycythemia, pneumonia, sepsis, dental caries and restricted pulmonary blood flow were collected and compared between both groups. Results During the study period, 18 children with cyanotic congenital heart disease had brain abscesses. This group was compared to the control group of 36 children. Bivariate analysis revealed that the lowest level of peripheral oxygen saturation (OR 0.92; 95%CI 0.85 to 0.98; P=0.02) and dental caries (OR 3.3; 95%CI 1.01 to 11.18; P=0.04) were significant risk factors for brain abscess. However, in the multivariate analysis, the only statistically significant risk factor associated with brain abscess was the lowest level of peripheral oxygen saturation (OR 0.92; 95%CI 0.86 to 0.99; P=0.04). Conclusion Low peripheral oxygen saturation is a significant risk factor for brain abscess development in children with cyanotic congenital heart disease.  A decrease of 1% peripheral oxygen saturation may increase the risk of brain abscess by 8%.

Coronary dilatation in Kawasaki disease: what are the predictors?

Advani, Najib, Rahmadhany, Anisa, Rafika, Sarah

Paediatrica Indonesiana Vol 58 No 5 (2018): September 2018
Publisher : Indonesian Pediatric Society

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Abstract

Background Kawasaki disease (KD) is an acute, self-limited, febrile illness of unknown cause that predominantly affects children below 5 years of age. It has a high incidence of coronary complications such as aneurysms. The current treatment of choice is intravenous immunoglobulin, which is costly, with aspirin. Identifying the predictive factors for coronary artery dilatation or aneurysm is important in order to establish the indications for giving immunoglobulin, especially when resources are limited. Objective To identify the predictors for the development of coronary artery dilatation in patients with Kawasaki disease Methods This cross-sectional study was done between January 2003 and July 2013. Inclusion criteria were patients who fulfilled the American Heart Association criteria for acute Kawasaki disease, and had complete clinical, echocardiogram, and laboratory data [hemoglobin, leukocyte, platelet, albumin, C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR)]. All of them received immunoglobulin and aspirin. Results Of 667 KD patients, 275 met the inclusion criteria. There were 185 (67%) males. Subjects’ ages varied between 1 to 157 months. The frequency of coronary artery dilatation at the acute phase was 33.3%. Multivariate analysis showed that >7-day duration of fever and hypoalbuminemia were significant predictive factors for coronary artery dilatation. Conclusion Predictive factors for coronary artery dilatation are duration of fever over 7 days and hypoalbuminemia, while age, gender, hemoglobin level, leukocyte count, and platelet count are not. Frequency of coronary artery dilatation at the acute phase is 33.3%.

The Preterm infant physiological responses to music therapy: a systematic review

Liwang, Ferry, Nadobudskaya, Dinarda Ulf, Lestari, Indah, Hendrarto, Toto Wisnu

Paediatrica Indonesiana Vol 58 No 5 (2018): September 2018
Publisher : Indonesian Pediatric Society

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Abstract

Background Prematurity is still the leading cause of mortality and morbidity in neonates. The premature change of the environment causes stress, which leads to hemodynamic instability. Music therapy may have a positive impact on hemodynamic parameters of preterm infants in the NICU. Objective To evaluate preterm infants’ physiological responses to music therapy in NICU setting. Methods A systematic review was performed in 12 electronic databases from March 2000–April 2018. Our review included all English language publications on parallel or crossover RCTs of music therapy versus standard care or placebo in preterm infants. The outcomes were physiological indicators [heart rate (HR), respiratory rate (RR), and oxygen saturation (SaO2)]. Risk of bias was assessed using the Revised Cochrane risk of bias tool for randomized trials (RoB 2.0). Results The search yielded 20 articles on 1,148 preterm infants of gestational age 28 and 37 weeks, who received recorded music, recorded maternal/male voice or lullaby, or live music interventions in the NICU with intensity of 30–76 dB. Recorded music improved all outcomes in 6, 6, and 4 of 16 studies for HR, RR, and SaO2, respectively. Seven studies used classical music as melodic elements. However, eight studies showed no significant results on all outcomes. Conclusion Despite the finding that music interventions demonstrate promising results in some studies, the variation in quality of the studies, age groups, outcome measures, as well as type and timing of the interventions across the studies make it difficult to draw overall conclusions about the effects of music in preterm infants.

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