scholarly journals Hydrocephallus in the Department of Child Health, School of Medicine University of North Sumatera Dr. Pirngadi Hospital, Medan

2018 ◽  
Vol 33 (1-2) ◽  
pp. 32-6
Author(s):  
Yahya G. Lubis ◽  
T. Razif ◽  
Manihar D. Marbun ◽  
Bistok Saing

A retrospective study 10 find out the incidence of hydrocephalus in the Paediatric Neurology Subdivision Department of Child Health, School of Medicine, University of North Sumatera/Dr. Pirngadi Hospital Medan, was carried out in the period of 1986- 1989. The number, age groups, causes and treatment were reviewed. The cases consisted of 45 children; 28 males (68.2%) and 17 females (27.8%). Most of the patients (34 = 75.5%) were found in the age group of 1 year or younger and the rest (11 = 24.5%) were tn the age group of more than I year. The youngest was 2 days old and the oldest was 5 years and 6 months old; 33 cases were congenital, 5 cases were acquired and 7 cases were unknown causes. Conservative treatment were introduced to almost all cases, and four cases had ventricular peritoneal shunt.

2019 ◽  
Vol 28 (11-12) ◽  
pp. 255-8
Author(s):  
Hadi Soekma Siregar ◽  
Ridwan M. Daulay ◽  
Lily Emsyah ◽  
Bistok Saing

A retrospective study had been done, to find out the incidence of hydrocephalus during 1984-1985 in the Pediatric Neurology Sub Division of the Child Health Department Medical Faculty University of North Sumatera/Pirngadi Hospital Medan. The number, age groups, causes and treatment were reviewed. The cases consist of 17 children, 9 males (52,09%) and 8 females (47,01%). Most of the patients 12 (70,58%) were found in the age group of 1 year or less, and the others 5 (29,42%) in the age group of more than 1 year. The youngest was 1 year of age and the oldest 3 1/2 years. Six cases were caused by congenital abnormalities, 1 case by meningitis and in 10 cases the probable cause was unknown. Conservative treatment had been given to all cases.  


2019 ◽  
Vol 31 (9-10) ◽  
pp. 268-72 ◽  
Author(s):  
Feraluna Nasution ◽  
Zairul Arifin ◽  
Adi Sutjipto

A retrospective study on Acute Non Lymphoblastic Leukemia (ANLL) was conducted at the Sub Division of Pediatric Hematology, School of Medicine, University of North Sumatera/Dr. Pirngadi Hospital Medan, in a period of 5 years (1983-1988). There were 18 cases consisted of 14 (77. 78%) males and 4 (22 .22%) females with the age group of 0-2 years: 6 (30%), 2-8 years: 9 (50%), 8-15 years: 3 (30%). By the FAB classification, they were of FAB M-1: 1 (5.55%), FAB M-2: 1 (5.55%), FAB M-3: 1 (5.55%), FAB M-4: 2 (11.12%) and FAB M-6: 13 (72.23%). Only 7 (38.88%) were treated with cytostatics while the others received only supportive therapy. The result of  cytostatic treatment was unsatisfactory: 4 (57.14%) died within the first 2 months of treatment, 3 (42.86%) discontinued their cytostatics treatment.


2019 ◽  
Vol 31 (9-10) ◽  
pp. 273-80 ◽  
Author(s):  
Charles Hutasoit ◽  
Mardiana K. Dj. ◽  
Ridwan M. Daulay ◽  
Helmi M. Lubis ◽  
Zakaria Siregar

A retrospective study was done on patients with bronchopneumonia hospitalized at the Dr. Pirngadi Hospital Medan/School of Medicine, University of North Sumatera; during January 1985 through December 1989. The purpose of this study is to assess the morbidity and mortality of bronchopneumonia with measles and the nutritional status of the patients. Out of the 14.082 patients admitted, 1310 children suffered from bronchopneumonia (10.7%). Ninety nine of them were also with measles (7.6%). Most of the patients with bronchopneumonia without measles were in the age group 0-1 year (58.7%). The mortality waas 24.8% and the highest mortality rate was in the age group of 4-5 years (34.6%). Most of the patients with bronchopneumonia and measles were in the age group of 1-2 years (30.3%). The mortality rate of bronchopneumonia with measles was 22.2% and the highest mortality rate was in the age group of 3-4 years (35. 7%). Bronchopneumonia with or without measles occurred more in malnourished patients rather than in well-nourished cases. All of the patients who had bronchopneumonia with measles in the present study had never been immunized against measles.


Vaccines ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 152
Author(s):  
Beatrice Zanella ◽  
Angela Bechini ◽  
Benedetta Bonito ◽  
Marco Del Riccio ◽  
Alessandra Ninci ◽  
...  

Background: Varicella is a well-known infectious disease that can have severe complications, also in young children. The Universal Varicella Vaccination (UVV) program was introduced in Tuscany (Italy) in 2003, with a two-dose vaccine schedule given to children between their 13th and 15th month, and at 5–6 years old, as a monovalent for varicella (V) or tetravalent (measles, mumps, rubella and varicella (MMRV)) formulation. Although varicella notifications have dramatically fallen in the last two decades, varicella disease underreporting remains a challenge. Methods: A qualitative immunoenzymatic test (ELISA) was used to measure the presence of anti-varicella antibodies in 165 sera of subjects aged 1–18 years residing in the province of Florence (Italy). Information regarding the anamnestic and vaccination status (including disease notification) was also collected. Results: Our study showed an overall varicella seropositivity of 75.8% (reaching the maximum at 96.3% in the 15–18 years age group). We found that varicella disease notification had been recorded for only 7/165 subjects; however, since 42/165 recalled having had the disease, we can hypothesize that some of them must have been underreported. Furthermore, our study showed that the presence of antibodies after the varicella vaccination remained over time, lasting up to 12 years. Conclusions: Although varicella seroprevalence is <95% in almost all our age groups (except for the 15–18 years age group), our data are encouraging and reflect the success of the introduction of the UVV program and the vaccination campaigns promoted in the Tuscany region.


2020 ◽  
pp. 80-82
Author(s):  
Shweta Shah ◽  
S.K. Suri ◽  
Ami Shah

Background: Most frequently performed gynaecological surgery is hysterectomy. The prevalence of hysterectomy varies within different regions. There are mainly two types of hysterectomies according to which part of uterus is removed. The main types of hysterectomy are total and subtotal or partial hysterectomy. The hysterectomy can be performed by three routes abdominal, laproscopic and vaginal hysterectomy. The main objective of our study is to know most common pathology and different age groups of the patients underwent hysterectomy. Materials and Methods: In this retrospective study was carried during period 6 months, at GCS medical college, hospital and research centre, Ahmedabad. Total 100 hysterectomy specimens were analyzed for histopathological lesions. We had taken the clinical and histopathological findings of these cases from the records of department of pathology, GCS medical college , hospital and research centre. Results: In our study of 100 cases, most common age group underwent hysterectomy was 40-49 years and least common age group was 20-29 years. Type of hysterectomy performed most commonly in this study was total abdominal hysterectomy with bilateral salpingoophorectomy. Most of lesions were seen in the myometrium 42 cases (42%), Endometrium 32 cases (32%), Cervix 16 cases (16%) and Ovary 10 cases (10%). Hysterectomy remains the widely used treatment modality.


2019 ◽  
Vol 25 (5-6) ◽  
pp. 112-7
Author(s):  
Helmi Lubis ◽  
Jaminsen Sinaga ◽  
Mansur Karo-karo ◽  
Rahayu Saat ◽  
Sjarikat Tarigan

A retrospective study had been done on the parents of hospitalized malnourished children from January 1981 until December 1982 at the Department of Child Health Dr. Pirngadi Hm;pital, Medan, Indonesia, as to their occupation, educational level, family size and the subsequential number of the affected child in the families. Diagnosis of malnutrition was based on the inadequate body weight according to age. There were 759 malnourished children, with peak incidence in the age group of 1-5 years (49.94%) followed by the age group of 0-1 years (37.94%). The affected child was mostly the first child (21. 62%) in a family with 2 children. Most of the parents (50.32%) have no regular job. The educational level of the fathers and mothers were mostly elementary school, respectively 32.8% and 50.46%. In conclusion, most of the parents had low education and unstable income.


2019 ◽  
Vol 31 (9-10) ◽  
pp. 261-7
Author(s):  
Sugiani Sinulingga ◽  
Ismet Fadil Loebis ◽  
Adi Sutjipto

A study of the characteristics of childhood thalassemia was conducted at the Sub Department of Pediatric Hematology, Dr. Pirngadi Hospital from June 1979 to May 1989. There were 131 cases, consisting of75 (57.25%) boys and 56 (42.75%) girls with an average of 12 admission every year. The predominant age group was 0-2 years, and the youngest was 3 months old; Javanese ethnic group appeared predominant in 36 (63.15%) cases. Clinical symptoms of anemia were found in 112 (85.49%}, hepatomegaly in 91 (69.46%}, hepatosplenomegaly in 84 (64.12%}, without enlargement of organ in 17 (12.97%), and icterus in 6 (4.58%). Hb-Electrophoresis was done in 42 cases, revealing 26 (61.90%) with thalassemia major, 15 (35.71%) Hb E thalassemia, and 1 (2.20%) Hb H thalassemia. Hb value at the first admission in 65 (49.62%) was less than 5 g/dl, in 63 (48.09o/o) it was 5-10 g/dl and in 3 (2.29%) more than 10 g/dl.


Author(s):  
Ragini Mishra ◽  
Navin Mishra

Aims: The present study was done to identify the epidemiology of the disease outbreak in Bihar in 2017 and suggest remedial measures for the prevention of possible future outbreaks of Chikungunya. Study Design:  Daily reports on Chikungunya were collected in prescribed format from the District Surveillance Unit, Integrated Disease Surveillance Programme (IDSP) that included case details from Govt. Medical Colleges and various Private Hospitals in the State. Place and Duration of Study: Index case of Chikungunya was reported in Bihar, India on 15 Feb 2017. After that, few scattered cases were reported till 23 Aug 2017. Cases started increasing from 24 Aug 2017 onwards. From 15 Feb till 31 Dec 2017, total 1223 cases were reported from 32 districts in Bihar. Methodology: The cases were analysed concerning time, place and person. Daily reporting on the health conditions of the cases and the status of the control measures like fogging and larvicidal spray in the affected area was monitored at the State level. Results: Case Fatality Rate (CFR) due to the disease was Nil in the State. The outbreak peak laid from 3-Nov to 12-Nov when 218 cases were reported. Out of 1223 cases, 100% cases were ELISA confirmed. Almost all age groups were affected, but the frequency was greater in the age group 21-30 (25%)> 31-40 (21%)>11-20 (19%). Males (61%) were more affected than females (39%). Out of the total 1223 cases, 100% of the cases were reported from Govt. institutions. State Health Department, Govt. of Bihar took many measures to limit the outbreak, and through strengthening the surveillance and response activities, transmission of the disease was curtailed in the State.     Conclusion: Patna district was most affected followed by Nalanda and Vaishali. Young adults of age group 21-30 were most affected. Males were more affected than females.


2018 ◽  
Vol 29 (3-4) ◽  
pp. 64-71 ◽  
Author(s):  
Mahruzzaman Naim ◽  
Guslihan Dasa Tjipta ◽  
A. Afif Siregar ◽  
Sahat Halim

A retrospective study on rheumatic fever and rheumatic heart disease in children was conducted at the Department of Child Health, Dr. Pirngadi Hospital Medon, during 1983 - 1985. The patients consisted of 43 females and 30 males. Most of the patients were over 12 years of age. Of the 73 patients there were 60 patients (82,19%) accompanied by valvular disorders. The most frequent major criteria of Jones found in this study were carditis and polyarthritis. Thirty one patients (42.46%) had functional status (NYHA) of grade II - IV, and 43 patients (58.90%) had cardiomegaly. The major ECG findings were enlargement of the atria or ventricles and first degree A V block. Compliance was only achieved in 25 (34.24%) cases. Rheumatic fever and rheumatic heart disease are still remain a challenge for the medical professionals in tireregion to cope with.


2020 ◽  
Vol 11 ◽  
Author(s):  
Ángel De-Juanas ◽  
Teresita Bernal Romero ◽  
Rosa Goig

Psychological well-being manifests itself in all aspects of human activity and is essential to understanding whether young people experience life satisfaction and whether, as they mature, well-being can be associated with different levels of personal autonomy. This quantitative study was developed within the framework of international research on young people’s autonomy in the transition to adulthood. Its main objectives were to analyze the relationship between psychological well-being and autonomy and examine potential variations between the two variables according to age. To this end, Ryff’s Psychological Well-Being Scale and the Transition to Adulthood Autonomy Scale (EDATVA) designed by Bernal et al., were used with a sample of 1,148 young people aged 16–21 from Madrid, Spain, and Bogotá, Colombia. The results show that almost all the dimensions on the Psychological Well-Being Scale correlate significantly and positively with the dimensions on the EDATVA scale. Specifically, moderate correlations were obtained between self-organization on the EDATVA scale and purpose in life (r = 0.568; p = 0.01) and environmental mastery (r = 0.447; p = 0.01) on the Psychological Well-Being Scale. In turn, autonomy on Ryff’s scale obtained the highest correlation (r = 0.382; p = 0.01) with understanding context on the EDATVA scale. It was also found that the older 18–21 age group obtained higher scores than the younger 16–17 age group in all dimensions on both the EDATVA and the Psychological Well-Being Scale. Earlier studies endorse the results found in this research, especially the differences in the scores for both scales according to age groups. This opens avenues for future research to analyze the relationship between psychological well-being and autonomy as independent variables in other sectors of the population.


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