BACKGROUND: Henoch- schonlein purpura (HSP) is an IgA- mediated systemic small vessel vasculitis. It is the most common form of systemic vasculitis in children.CASE REPORT: A 9 years old girl admitted to the hospital with chief complain of purplish red rash on both legs since approximately 1 week with painful knees and ankles that make the patient unable to walk. The patient was diagnosed with HSP and was treated with corticosteroid and analgesics. The patients only stayed for 2 nights at the hospital and discharged from the hospital with the ability to walk and experience no pain. CONCLUSION: The role of corticosteroids in the treatment of HSP is still controversial. But from various research, we can conclude that the role of corticosteroid in HSP is as a symptom reliever (reduce abdominal pain and arthritis), but does not slow the progression of renal disease.
Demam merupakan sebuah proses alamiah yang timbul sebagai mekanisme pertahanan tubuh terhadap patogen, namun terkadang suhu yang terlalu tinggi seringkali menjadi suatu dilema sendiri yang menimbulkan kekhawatiran pada orangtua. Demam terjadi karena peningkatan pusat pengatur suhu di hipotalamus yang dipengaruhi oleh Interleukin-1 (IL-1). Terdapat berbagai variasi kisaran suhu normal pada anak menurut tempat pengukurannya. Tatalaksana demam yang terutama yaitu pemberian antipiretik seperti parasetamol atau ibuprofen. Beberapa studi menemukan bahwa penggunaan metode kombinasi antipiretik memberikan efek antipiretik yang lebih tinggi, namun hal ini belum dapat direkomendasikan karena belum ada studi mengenai keamanannya. Metode kompres hangat juga dapat diberikan sebagai terapi tambahan untuk membantu menurunkan demam pada anak. Penggunaan antipiretik sesuai dosis yang direkomendasikan ditambah dengan kompres hangat sudah terbukti lebih efektif untuk menurunkan demam pada anak terutama di 30 menit pertama. Kata Kunci : Demam, Interleukin-1, Kompres, Tepid Sponging
BACKGROUND:Dengue is a mosquito-borne disease caused by any one of four closely related Dengue virus (DENV 1-4). The clinical sign Dengue virus infection can vary from mild (mild febrile illness), Dengue Fever (DF), Dengue Hemorrhagic Fever (DHF) to Dengue Hemorrhagic Fever with shock (Dengue Shock Syndrome, DSS).AIM:This study was designed to determine the relationship of obesity with the severity of Dengue Hemorrhagic Fever in children.METHODS:It is a case-control study. The data of patients were retrospectively collected from the Department of Child Health at the Wangaya General Hospital between March 2019 to May 2019. It uses consecutive sampling. The total sample of 22 children with DHF with shock and 22 children with DHF without shock were investigated. Statistical analysis has been performed by SPSS Statistics 20.0 for Mac (IBM Corp., Armonk, New York, USA). DHF positive results were compared by the Chi-square test and binary logistic regression.RESULTS:Prevalence of DHF with shock is fifty per cent’s and DHF without shock is 50%. Prevalence of obesity is 40.9%. The result of binary logistic regression analysis of obesity in children and the severity of DHF was significantly correlated with P-value 0.004 and OR = 7.734.CONCLUSION:Obesity is associated with the severity of Dengue Hemorrhagic fever in children.
Epilepsy is a syndrome of brain dysfunction induced by the aberrant excitability of certain neurons. Despite advances in surgical technique and anti-epileptic drug in recent years, recurrent epileptic seizures remain intractable and lead to a serious morbidity in the world. The ketogenic diet (KD) is a nonpharmacologic treatment that has been used for refractory epilepsy since 1921. The KD is a high-fat, low-carbohydrate, and restricted protein diet, which is calculated and weighed for each individual patient. The goal of the KD treatment is to bring the brain into a state of ketosis to control seizures. Many studies have shown that ketogenic diet was very useful in controlling refractory epilepsy.
Background: Birth asphyxia is a serious clinical problem worldwide. There are many reasons a baby may not be able to take in enough oxygen before, during, or just after birth. Birth asphyxia is the inabiity of neonates to start breathing spontaniously right after birth.Objective: This study was designed to assess the risk factors of birth asphyxia in neonates in Wangaya General Hospital.Methods: It is a case control study. The data of the newborn and mother was retrospectively collected from medical record in Wangaya Regional General Hospital between November 2018 to March 2019. It uses consecutive sampling. Bivariate analysis using chi square and multivariate analysis using logistic regresssion.Results: Bivariate analysis of risk factors of birth asphyxia that are studied are: low birth weight p value 0.000 (OR: 30.118); Number of birth p value 0,013 (OR 4,025); Prematurity p value 0.001 (OR 18.286); PROM p value 0.751 (OR 1.508); preeclampsia p value 1.000 (OR 0.804); and Cesarean Section p value 0.218 (OR 0.479). From multivariate analysis, the result was low birth weight p value 0.020; number of birth p value 0.003; prematurity p value 0.766; caesarean section p value 0,028.Conclusion: Risk factor of birth asphyxia in Wangaya General Hospital are low birth weight; number of birth (Primipara); and caesarean section. Latar Belakang: Asfiksia neonatorum adalah suatu kondisi yang serius di seluruh dunia. Ada beberapa penyebab dimana bayi tidak bisa mendapatkan oksigen yang cukup sebelum, selama, atau setelah lahir. Asfiksia neonatorum adalah keadaan dimana neonatus tidak dapat memulai bernafas dengan spontan segera setelah lahr.Penelitian ini dilakukan untuk melihat faktor resiko terjadinya asfiksia neonatorum pada neonatus di RSUD Wangaya.Metode: Penelitian ini adalah penelitian case control. Data neonatus dan data ibu diambil dari data rekam medis di RSUD Wangaya sejak November 2018 hingga Maret 2019. Studi ini menggunakan consecutive sampling. Analisa bivariat menggunakan chi square dan analisa multivariat menggunakan regressi logistik.Hasil: Hasil dari analisa bivariat adalah: BBLR p value 0,000 (OR: 30.118); Paritas p value 0,013 (OR 4,025); Prematuritas p value 0.001 (OR 18.286); KPD p value 0.751 (OR 1.508); Preeklampsia p value 1.000 (OR 0.804); and Bedah Caesar p value 0.218 (OR 0.479). Dari analisa multivariat, hasilnya adalah BBLR p value 0.020; Paritas p value 0.003; prematuritas p value 0.766; bedah sesar p value 0,028. Simpulan: Fakor resiko terjadinya asfiksia neonatorum di RSUD Wangaya adalah BBLR; Paritas (Primipara); and bedah sesar.
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