An outbreak of H1N1 infection was first declared by the World Health Organization in 2009 and confirmed in the post-pandemic phase in 2010. Amid the COVID-19 pandemic, we found a confirmed case of H1N1pdm09 in Bunda Women and Children Hospital Jakarta. A 13-year-old boy was referred to our hospital after four days of hospitalization due to worsening tachypnea following a productive cough and fever. The patient had severe dyspnea with inspiratory effort and oxygen desaturation to 80%, therefore admitted to our pediatric intensive care unit. On physical examination, the patient had increased work of breathing, looked irritable, had a respiratory rate of about 40x/minute with non-rebreathing mask support, and crackles were heard in both lungs. Chest x-ray showed right bronchopneumonia. There was a history of a generalized seizure for less than 1 minute, which stopped spontaneously in previous hospital care. The patient was diagnosed with mucopolysaccharidosis at age six years old and has never received enzyme replacement therapy. Laboratory results revealed thrombocytopenia, leukopenia, neutrophilia, monocytosis, high c-reactive protein and procalcitonin, and elevated liver enzymes. The investigation of etiology was performed using the respiratory panel test and showed a positive real-time polymerase chain reaction for H1N1pdm09 and Influenza A. The patient was given oxygen therapy with a high-flow nasal cannula with an oxygen fraction of 40% and a flow of 20 liters per minute, fluid maintenance while fasting, antibiotics, inhaled beta-2 agonists, and a neuraminidase inhibitor (oseltamivir). The patient's clinical and laboratory markers improved on the third day of treatment, and he was discharged two days later.
Introduction: Diarrhea is one of the most common causes of morbidity and mortality of children worldwide, especially in developing countries. Acute diarrhea can occur from a large number of causes. We aim to describe the clinical manifestation characteristics of acute diarrhea on pediatric patients that are presented to the hospital.Methods: A cross-sectional study from all pediatric patients treated in Dr. Soetomo General Hospital Surabaya in 2011-2013.Age, gender, nutritional status, length of hospital stay, duration of breastfeeding, clinical signs and symptoms, as well as laboratory results collected and analyzed descriptively.Results: One hundred and fifty patients were included with characteristics of male(54%), infant (55.3%)with a mean age of 6-7 month. History of being exclusively breastfed(54%) and lack of nutrition(48%). Vomiting is mostly present (72.7%) and commonly come with a combination of two symptoms (42%) which were vomiting and fever. Mild to severe dehydration degree could be found on the patient who had vomiting, seizure, and fever. The most length of stay was frequently >72 hours. The occurrence of acute diarrhea on a child who was treated in Dr. Soetomo General Hospital Surabaya is dominated by vomiting and it could be inferred that the most acute diarrhea has a tendency of being caused by a virus, where liquid acute diarrhea without blood, mucus, or fever is found.Conclusion: The etiology of acute diarrhea is mostly caused by viruses and symptoms dominated by a combination of vomiting, fever, and diarrhea without blood caused by villi damage.
Background In vitro fertilization (IVF) shows potential to improve pregnancy success, especially for infertile couples. This technique has some risks for neonates in the perinatal period and may affect their future health.
Objective To investigate the characteristics and clinical outcomes of neonates from IVF-conceived pregnancies.
Methods This retrospective study was conducted in neonates from IVF-conceived pregnancies from January to December 2021 at Bunda Women’s and Children’s Hospital, Jakarta. We gathered data from medical records about maternal age and morbidity, gravidity, gestational age, method of delivery, multiple gestation, also neonates’ significant profiles like prematurity, birth weight, Apgar score, and morbidities in perinatal period. We would like to investigate the characteristics and clinical outcomes of neonates born from IVF-conceived pregnancies program.
Results There were 361 neonates whose mothers underwent IVF included in this study. Most mothers were ?35 years (70.9%) and on their first pregnancy (69.2%). Maternal complicating factors were premature contractions (16.6%), premature rupture of membranes (8.3%), and twin pregnancy (31.5%). About 98.6% of deliveries were performed by caesarean section and from IVF-conceived pregnancies program most 61.2% neonates were born at full term gestation (61.2%). Preterm deliveries occurred at a mean gestational age of 34.4 (SD 2.4) weeks. Subjects’ mean birth weight was 2,800.2 (SD 640.3) grams, with 26.3% in the low-birth-weight category. Most neonates (93.0%) were appropriate weight for gestational age and had good Apgar scores in the first minute (92.2%) and fifth minute (99.7%). However, 24.3% of neonates needed intensive care (NICU) with morbidities. The longest length of NICU stay was 100 days, with mortality of 7.9% of NICU-treated infants.
Conclusion In our setting, most neonates from the IVF program were born with good outcomes, although preterm birth rate, low birth weight, need for NICU care, and mortality rate were quite high. Further study is needed to evaluate long-term outcomes of IVF neonates.
Gigitan ular dinyatakan sebagai penyakit tropis yang terabaikan oleh World Health Organization (WHO) di tahun 2009. Pelaporan dan pengumpulan data yang terbatas tentang angka pasti dari kejadian gigitan ular secara nasional menunjukkan perhatian terhadap kasus ini dirasa kurang. Terlebih program kontrol, manajemen, serta tatalaksana yang benar belum secara luas dipahami oleh masyarakat maupun tenaga kesehatan. Padahal, gigitan ular merupakan salah satu kegawatdaruratan medis yang dapat menimbulkan disabilitas permanen, amputasi tungkai, bahkan kematian. Untuk itu dibutuhkan upaya dalam mengurangi morbiditas dan mortalitas yang timbul melalui upaya preventif, kuratif, termasuk pemahaman manajemen yang komprehensif terkait tatalaksana kasus secara tepat, aman, dan efektif.
<p>Sebagian besar bayi baru lahir akan melalui tahapan transisi dari intrauterin ke ekstrauterin dengan lancar atau tanpa distres, namun pada sebagian kecil bayi dibutuhkan bantuan resusitasi lanjutan. Keberhasilan resusitasi membutuhkan kemampuan dan kerjasama tim yang baik. Pemahaman yang baik tentang tahapan pada algoritma, mutlak dikuasai oleh setiap petugas resusitasi.</p><p> </p><p>In the majority of newborn, the transition from intrauterine to exrauterine environment goes smoothly without any distress; but in a few cases, further resuscitation is needed. Skills and good teamwork are needed to achieve successful resuscitation. Every personnel involved in resuscitation procedure must thoroughly mastered each step in the algorithm.</p>
Sebagian besar bayi baru lahir akan melalui tahapan transisi dari intrauterin ke ekstrauterin dengan lancar atau tanpa distres, namun pada sebagian kecil bayi dibutuhkan bantuan resusitasi lanjutan. Keberhasilan resusitasi membutuhkan kemampuan dan kerjasama tim yang baik. Pemahaman yang baik tentang tahapan pada algoritma, mutlak dikuasai oleh setiap petugas resusitasi.
In the majority of newborn, the transition from intrauterine to exrauterine environment goes smoothly without any distress; but in a few cases, further resuscitation is needed. Skills and good teamwork are needed to achieve successful resuscitation. Every personnel involved in resuscitation procedure must thoroughly mastered each step in the algorithm.
'%3e%3ccircle r='20' fill='%23008'/%3e%3ccircle r='17.5' fill='%23fff'/%3e%3ccircle r='3.5' fill='%23008'/%3e%3cg id='d'%3e%3cg id='c'%3e%3cg id='b'%3e%3cg id='a' fill='%23008'%3e%3ccircle r='.875' transform='rotate(7.5 -8.75 133.5)'/%3e%3cpath d='M0 17.5.6 7 0 2l-.6 5L0 17.5z'/%3e%3c/g%3e%3cuse xlink:href='%23a' transform='rotate(15)'/%3e%3c/g%3e%3cuse xlink:href='%23b' transform='rotate(30)'/%3e%3c/g%3e%3cuse xlink:href='%23c' transform='rotate(60)'/%3e%3c/g%3e%3cuse xlink:href='%23d' transform='rotate(120)'/%3e%3cuse xlink:href='%23d' transform='rotate(-120)'/%3e%3c/g%3e%3c/svg%3e)
