- Hermina Arcamanik<\/a><\/li>
- 03 February 2024<\/li><\/ul><\/div>
Early Detection of Cancer in Children<\/a><\/h3>
Cancer in children is difficult to recognize. Childhood cancer is different from adult cancer. Cancer in adults can be prevented, while in children it cannot. Childhood cancer is not easy to detect early because, in the early stages, sufferers rarely make complaints, and the symptoms are easy to see, so they need to be alert. Cancer in children can arise in various organs of the body. The cure for cancer in children really depends on the type of cancer, the stage of the disease when diagnosed, and the response to treatment. For several types of cancer in children, the cure rate is quite high. \n\n Cancer in children needs to be detected early because if cancer is diagnosed early, the prognosis is better. Stage 1 or 2 cancer has a better prognosis than stage 3 or 4. There are three ways to detect and diagnose cancer early in children, namely: \n\n \n Early detection of cancer in children in high-risk groups, namely: \n\n \n Children with neurocutaneous syndromes (disorders involving the nervous system and skin). \n Chromosomal abnormalities Down syndrome (a genetic disorder) and Fanconi anemia (a rare inherited condition that affects the bone marrow and many other parts of the body). \n Immunodeficiency (a condition when the body is unable to fight infection and disease). \n Previous history of malignancy. \n family history of malignancy. \n congenital defects and syndromes such as Beckwith-Weidman syndrome (impaired growth syndrome), aniridia (absence of the iris), and hemihypertrophy (a condition where one side of the body grows more than the other). \n \n \n Be alert for childhood cancer where the symptoms involve the body's systems. \n \n Hematological system and bone marrow; \n Brain (CNS); \n Lymph gland \n Intra-abdominal tumors; \n Intra-thoracic tumors \n Soft tissue (muscle) and bone \n \n \n Early signs of childhood cancer include: \n \n pallor and purpura; \n persistent fever for no apparent reason; \n weight loss; \n lumps or tumors on the head, abdomen, pelvis, trunk, arms, or legs. \n Enlarged cervical lymph nodes; \n Neurological symptoms, seizures, and headaches; \n Eye symptoms; \n Bone and joint pain \n \n \n \n\n The aim of cancer treatment in children is to destroy or get rid of malignant cancer and to limit or minimize its growth and spread. \n\n Cancer in children, although relatively rare compared to adults, remains a serious problem in the world of health. Cancer in children is difficult to recognize because the symptoms are not specific, and vigilance is needed for the early detection of cancer in children. Children with symptoms suggestive of cancer should be referred to a pediatrician or pediatric cancer center. \n\n Download the Hermina Mobile Apps application to facilitate health access and registration at Hermina Arcamanik Hospital. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Solo<\/a><\/li>
- 20 January 2024<\/li><\/ul><\/div>
Optimal Growth and Development With Exclusive Breast Milk<\/a><\/h3>
Exclusive Breast Milk, hereinafter referred to as Exclusive Breast Milk, is breast milk that is given to babies from birth until they are 6 (six) months old, without adding or replacing it with other food or drinks, including water, except for administering medicines and vitamins. Breast milk contains complete nutrients that children need to grow and develop optimally. Exclusive breastfeeding can also prevent children from suffering from diseases caused by formula milk, such as cow's milk allergies, lactose intolerance and diarrhea due to unhygienic preparation for giving formula milk. \nThe condition that stunting will occur in children can occur if exclusive breastfeeding is not optimal and complementary breastfeeding is provided inappropriately. Inaccurate in terms of initial administration (too early or too late), texture, amount or quantity, nutritional content, and variety. \n\n \n\n The following are the benefits of breast milk for children, including : \n\n \n1. Fulfillment of nutrition for optimal growth and development because breast milk contains complete nutrients according to the baby's needs, is easily absorbed and digested \n2. Prevent infection because breast milk contains immunoglobulin A \n3. Prevent allergies (cow's milk allergy) especially in babies born to parents who have a history of allergies (atopy) \n4. There is bonding between mother and baby which is very good for the baby's development, self-confidence, child's obedience to their parents (mother), and so on \n\n \n\n The nutritional content in breast milk is as follows: \n- Anti-infection: secretory IgA \n- Protein in the right amount and easy to digest contains more WHEY protein than CASEIN \n- Carbohydrate: lactose \n- Fat: contains sufficient amounts of essential fatty acids, namely AA and DHA, and the enzyme lipase to digest fat \n- Iron: in smaller amounts than formula milk, but more easily absorbed \n- Contains sufficient amounts of vitamins A, B and C \n- Contains enough water \n\n \n\n Breast milk has a big influence on a child's growth because the macronutrient content of breast milk (carbohydrates, protein and fat) is very easily absorbed compared to formula milk, so the weight gain in children who get exclusive breast milk is greater than children who get milk formula. \n\n Breast milk also affects children's development, because the AA, DHA and iron content in breast milk are more easily absorbed than those in formula milk. These micronutrients are really needed for the development of nerve cells, myelination and nerve complexity so that children become intelligent and their development becomes optimal. \n\n Then the bonding that occurs between mother and breastfed baby causes the child to become a confident and happy person so he dares to try new things. This also causes neural complexity to increase so that children will become intelligent. \n\n If Hermina Friends have complaints and want to consult regarding lactation, let's immediately consult a Pediatrician at RSU Hermina Solo. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Pasteur<\/a><\/li>
- 21 June 2023<\/li><\/ul><\/div>
Differences between Specialists and Sub Specialists based on their Role<\/a><\/h3>
Have you ever heard the term subspecialist doctor? Then what is the difference between a specialist doctor and a subspecialist doctor? \n\n A medical specialist focuses on a specific area of medicine to diagnose, manage, prevent, or treat the types of symptoms and conditions associated with that field. For example, pediatricians have the competence to treat various conditions related to children's health. Specialist doctors acquire their expertise by following specialized medical education in the field of their choice. The length of medical specialist education varies depending on the specialization of knowledge. On average, a doctor needs to take eight semesters to complete his specialist education. Specialist doctors focus their knowledge on one area so that their ability in that specialization deepens. So that specialist doctors become more competent in their fields, especially in assessing and doing things that are specialist in nature compared to general practitioners or specialist doctors in other fields. Specialization is needed to develop medical services in their field. A subspecialty doctor or consultant is a specialist doctor who continues his subspecialty education, which is an in-depth study of a field of medical specialization, and receives recognition from the College of Supporters of related scientific branches. The competencies achieved in subspecialist or consultant medical education are advanced from the competencies of the branch of science concerned. \n\n Specialists and subspecialists can be identified by looking at the designations or titles behind their names, for example, SpA (children specialist), SpPD (internal medicine specialist), SpS (nerve specialist), SpM (eye specialist), and others. Meanwhile, subspecialty doctors and consultant doctors have additional titles (K) behind their names, such as SpA (K), that is, consultant pediatric specialists, SpPD-KHOM (specialists in internal medicine, medical hemato-oncology consultants), or SpOG-KFER (obstetrics and gynecology specialists, fertility consultants). \n\n Seorang dokter subspesialis/konsultan memiliki fungsi yang hampir sama dengan seorang dokter spesialis, namun dokter konsultan memiliki keahlian yang lebih spesifik dan mendalam mengenai suatu bidang penyakit tertentu daripada dokter spesialis. \nThe following specialist and subspecialist doctor services are available at Hermina Pasteur General Hospital: \n\n 1. Specialist Doctors and Obstetrics and Gynecology Sub Specialists: \n\n \n Fetomaternal \n Fertility \n Oncology \n Obstetrics and Gynecology Social \n Urogenic \n \n\n 2. Specialist Doctors and Child Health Subspecialists: \n\n \n Allergy Immunology \n Endocrine \n Gastroenterology \n Hemato Oncology \n Tropical Infections or Neurology \n Pediatric Emergency \n Social Pediatrics \n Perinatology or Respirology \n \n\n 3. Internal Medicine: \n\n \n Geriatrics \n Adult Haemato Oncology \n \n\n 4. Surgery: \n\n \n General Surgery \n Pediatric Surgery \n Digestive surgery \n Orthopedic surgery \n Plastic surgery \n Neurosurgery or Vascular Surgery \n \n\n 5. Eyes \n\n 6. Lungs \n\n 7. ENT \n\n 8. Nerves \n\n 9. Heart & Blood Vessels \n\n 10. Skin and Genital \n\n 11. Medical Rehabilitation \n\n 12. Clinical Nutrition \n\n 13. Psychiatry/Psychiatrist \n\n When should you go to a specialist or a sub-specialist doctor? \n\n Basically, it comes down to individual preferences. If you experience a certain condition and want to consult a doctor who is more specific for that condition, then you can see a subspecialist doctor. However, if you are still confused, don't know which field is right for the condition you are experiencing, or want to consult about this condition in general, you can consult a specialist. Because a specialist doctor also has more in-depth capabilities regarding the area of specialization he is taking, if later your condition turns out to require treatment in a certain subspecialty area, the specialist will refer or consult your condition with a subspecialist doctor. \n\n Reference: \n\n 1. Health Care Gov. Glossary. Available from https://www.healthcare.gov/glossary/specialist/ \n\n 2. Indonesian Medical Council. 2009. Partnership in Doctor-Patient Relations. Jakarta. \n\n 3. Djuwantono, T. 2012. The Role of Specialists in Public Health Services. IDI One Day Seminar "Fever and its Problems" and Panel Discussion "The Role of Doctors in Various Fields". Bandung. \n\n 4. Faculty of Medicine, University of Indonesia. Subspecialist Study Program. Available from https://fk.ui.ac.id/program-subspecialis.html \n\n 5. Hermina Hospital. Hermina Pasteur. Available from https://herminahospitals.com/id/branch/hermina-pasteur.html \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Daan Mogot<\/a><\/li>
- 19 June 2023<\/li><\/ul><\/div>
Tips for Recurrent Cold Cough in Children<\/a><\/h3>
\n\n \n\n Cold cough is a complaint that is often experienced by people, both adults and children. Coughs and colds in infants and children often occur during the transition season compared to adults. \n\n Many cases of recurring cold coughs in children, especially toddlers, so that almost every month children always go to the doctor. Why is that ? Because the body's immunity in children, especially toddlers, is not perfect. If the frequency of coughing colds does not exceed 6 times a year, then it is still within reasonable limits. \n\n Several factors cause cold coughs in children, namely viral, bacterial and allergic infections. Most cold coughs in infants and children are caused by viruses. However, if the child has recovered, he will get immunity against the virus that triggers it. Then, if a cold cough is caused by an allergy, the symptoms are similar to a cold cough due to a virus, but it is usually more difficult and takes longer to heal if the child continues to be exposed to the triggering factor for the allergy. \n\n \n \n Some things that can be done to prevent children from experiencing repeated cold coughs are: \n \n \n 1. It is highly recommended that all toddlers get influenza vaccination in order to increase their immune system \n \n \n 2. Do not give food such as dry snacks, cold drinks, spicy foods \n \n \n 3. Drink lots of water and lots of vegetables and fruit \n \n \n 4. Don't get close to someone with the flu \n \n \n 5. Get enough sleep, with temperatures that are not too cold and air gusts don't hit the child's body directly \n \n \n\n Some things that can be done to prevent recurrent colds include consuming fruits rich in vitamin C, drinking enough water to prevent dehydration in infants or children, eating and getting enough rest. Keep children away from foods and drinks that can exacerbate coughs and avoid allergy triggers. \n\n If the child still has a cold cough, parents need to go to the doctor to get drug therapy according to the complaint and it also depends on the cause of the cold cough, whether due to infection or allergies. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Balikpapan<\/a><\/li>
- 29 May 2023<\/li><\/ul><\/div>
Probiotics for Prevention and Treatment of Diarrhea in Children, Is it Important ?<\/a><\/h3>
Probiotics are live microorganisms or good bacteria that can provide health benefits to other organisms/hosts or in this discussion to humans. One way to prevent children from getting diarrhea easily is to consume probiotics. Various kinds of supplements, food and drinks around us that contain probiotics. Natural probiotics also appear in newborns who are breastfed. \n\n Treatment of diarrhea usually uses antibiotics, but inappropriate use of antibiotics usually causes bacteria to be resistant to antibiotics. Antibiotics can also affect the diversity in the intestine so that it can interfere with the absorption of food in the digestive process in the human body. \n\n Various probiotic strains have been studied such as Lactobacillus, Saccharomyces, and Bifidobacterium. Several studies have shown that these probiotics can reduce symptoms and help normalize the bacterial flora in the intestine. \n\n Following are the benefits of probiotics: \n\n \n Boosts immunity (Probiotics are proven to increase the immune response in the body) \n Producing antimicrobial substances (Probiotics produce various substances that can inhibit the development of gram-positive and negative bacteria. Not only inhibit but can change the metabolism of bacteria and limit toxin production) \n Balancing the gut microbiome (An imbalance in the microbiome in the gut can occur due to long-term use of antibiotics, a body experiencing stress, and chronic disease. Probiotics help metabolize complex carbohydrates to produce lactic acid and short-chain fatty acids which can reduce bacterial translocation and stimulate the production of mucin enzymes ) \n Increases water absorption (Probiotics have been shown to increase aquaporins, which are membrane proteins of the aqueducts thereby increasing water absorption in the large intestine) \n Reducing opportunistic pathogens (Probiotics reduce the number of pathogenic bacteria by producing inhibitory substances such as bacteriocins, blocking adhesion sites on the surface of the intestinal epithelium, and competing for nutrients. This mechanism is important for the prevention and treatment of infection) \n \n\n \nAccording to WHO, diarrhea is the second deadly disease that affects children under the age of five. Diarrhea occurs due to infection of the intestinal tract caused by bacteria, viruses and parasites. The infection is spread through contaminated food or drinking water or from person to person due to poor hygiene. \n\n Diarrhea is defecation with a soft or liquid consistency, or it can even be just water with a more frequent frequency than usual (three or more times) in one day (Depkes RI, 2011). \n\n There are three types of clinical diarrhea: \n\n \n Acute watery diarrhea - lasting hours or days, including cholera \n Acute bloody diarrhea - called dysentery \n Persistent diarrhea - lasting 14 days or more \n \n\n \nFriends of Hermina, as parents it is important for us to understand what nutrients enter the child's body and the right treatment if our child has diarrhea. Consult your child's health problems with a specialist to get the right treatment. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Arcamanik<\/a><\/li>
- 11 January 2023<\/li><\/ul><\/div>
The Importance of Childhood Immunization: Let Us Pursue Delayed Immunizations <\/a><\/h3>
Immunization is an effort to actively generate or increase a person's immunity against a disease so that if they are exposed to it one day, they will not get sick or only experience a mild illness. \n\n Vaccines are antigens in the form of microorganisms that are dead, still alive but weakened, still intact, or parts thereof, which have been processed into microorganism toxins that have been processed into toxoids, recombinant proteins, which, when given to a person, will cause active specific immunity against certain infectious diseases. There are 12 types of vaccine-preventable diseases (PD3I) in the national immunization program, namely: diphtheria, pertussis, tetanus, tuberculosis, measles, rubella, poliomyelitis, hepatitis B, meningitis, pneumonia, Japanese encephalitis, and human papilloma virus. \n\n The goal of immunization in general is to reduce morbidity, disability, and death from diseases that can be prevented by immunization (PD3I). The specific goals are to achieve coverage of Complete Basic Immunization (IDL) in infants in accordance with the RPJMN target, to achieve Universal Child Immunization/UCI (minimum percentage of 80% of babies receiving IDL in a village/kelurahan) in all villages/kelurahans, to achieve the target of advanced immunization for children under two years old (baduta) and for elementary school-aged children and women of childbearing age (WUS), to achieve. \n\n Compulsory immunization is immunization that is required by the government for a person according to their needs in order to protect the person concerned and the surrounding community from certain infectious diseases. Compulsory immunization consists of routine immunization, additional immunization, and special immunization. \n\n Routine immunization is an immunization activity that is carried out continuously according to a schedule. Routine immunization includes both basic and follow-up immunization. Basic immunization includes vaccines against Bacillus Calmette-Guérin (BCG), Pentabio (DPT/Diphtheria Pertussis Tetanus, Hepatitis B, and Haemophilus influenzae types), Hepatitis B, Oral Polio Vaccine (OPV), Inactivated Polio Vaccine (IPV), and Measles. Follow-up immunization is repeated immunization to maintain the level of immunity or to extend the period of protection. This immunization is given to children under three years old (toddlers), elementary school-age children, and women of childbearing age. Follow-up immunizations include the DT, Td, and TT vaccines. \n\n Additional immunization is given to certain age groups who are most at risk of disease according to epidemiological studies at a certain time period. Additional immunization activities include fighting the backlog, the crash program, PIN (National Immunization Week), Sub-PIN, the catch-up campaign for measles, and immunization in handling outbreak immunity (ORI). \n\n Special immunization is an immunization activity carried out to protect the community against certain diseases in certain situations. Certain situations include preparations for the departure of prospective Hajj and Umrah pilgrims, preparations for travel to certain disease-endemic countries, and conditions of extraordinary events. Specific types of immunization, among others, consist of meningitis vaccination, meningococcal vaccination, yellow fever vaccination, and anti-rabies vaccination. \n\n Selective immunizations are immunizations that can be given to someone according to their needs in order to protect them from certain infectious diseases, namely the MMR, Hib, Typhoid, Varicella, Hepatitis A, Influenza, Pneumococcal, Rotavirus, Japanese Encephalitis, and HPV vaccines. \n\n To ensure long-term protection, immunize children as soon as possible and complete them according to schedule and age category. \n\n Friends of Hermina who wish to obtain child vaccine services at Hermina Arcamanik Hospital should consult the service schedule or call the call center at 1500-488 or 896-7270-1027. \n\n Download the Hermina Mobile Apps application to facilitate health access and registration at Hermina Arcamanik Hospital. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Tangerang<\/a><\/li>
- 21 December 2022<\/li><\/ul><\/div>
How to Change a Baby's Diaper for Mom<\/a><\/h3>
The first thing to note is that you shouldn't rely on smell alone as a marker for changing a baby's diaper. Generally, babies urinate about 20 times a day for the first few months. For babies who use disposable diapers, mothers can change diapers at least every 2-3 hours, but there is no need to disturb the baby's rest time. When using cloth diapers, change them immediately if they are wet to prevent irritation. \n\n \n\n Preparing to Change Diapers \n\n \n Wash your hands when changing your little one's diaper. \n Prepare a clean diaper, tissue, or wet cloth. \n Also provide warm water and towels. \n Put your baby in a safe place so it doesn't fall or roll over. \n Used diaper bag \n \n\n \n\n Steps to Remove Dirty Diapers \n\n \n Take off the dirty diaper \n Pull up the front of the soiled diaper and then lower it down. If the baby is a boy, cover his genitals with a clean cloth so that when he urinates, it does not touch the mother or himself. \n Use the front of the diaper to remove most of the stool if your baby has a bowel movement. clean from the front to the back. \n Lift your little one's buttocks off the table by gently holding his ankles with your hands. Immediately take the front of the diaper, fold it up to cover the soiled area, and tuck it under the buttocks. \n Clean your little one's genitals and their surroundings with wet cotton, don't forget to clean the remaining dirt that still sticks around the surface of the anus, groin, and genitals until they are clean. Clean the dirt from front to back to reduce the risk of infection in the urinary tract, especially if it's a little girl. Dispose of the wet tissue in the diaper bag. \n Lift the little one's buttocks, then remove the dirty diaper from under him. Throw the dirty diaper into the diaper bag, then tie it up and throw the bag in the trash. \n You can apply a special cream according to the doctor's recommendation to your little one's skin if there is a diaper rash. \n \n\n \n\n \n\n Changing a Clean Diaper \n\n \n The next step is to open the clean diaper and place it on your baby by tucking it under the buttocks and sliding it towards the waist, where the adhesive is at the back. Pull the front of the diaper toward your baby's tummy. \n For baby boys, point the genitals down to prevent urine from being at the top. For newborns who have not yet removed the umbilical cord, pay attention to ensure that the diaper does not cover the cord. \n Make sure the diaper is balanced between your baby's feet. Then secure the diaper by opening the tape, which is then pulled toward the stomach to be glued. Do not be too tight when gluing it so that the baby feels comfortable. \n After that, don't forget to wash your hands again after changing your little one's diaper. \n \n\n \n\n Even if your little one doesn't defecate, you still have to clean the front and back of your little one. Also clean the surrounding skin area with a cloth, wipe using a dry, clean cloth or towel. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Pasteur<\/a><\/li>
- 07 December 2022<\/li><\/ul><\/div>
Children Eating While Playing Gadgets? Understand the impact on health<\/a><\/h3>
Presenting a show on a device while feeding a toddler is a new habit for many parents nowadays because it can make the toddler quiet and seem to enjoy their food. But it turns out that this convenience will be disastrous for parents. Watching gadgets with toddlers aged 1–5 years is associated with unhealthy eating habits. According to research by Pearson et al. in 2018, toddlers who eat while watching gadgets show low consumption of fruits and vegetables and an increased intake of unhealthy foods such as snacks, biscuits, and chocolate because toddlers find it easier to eat these foods while watching gadgets, and it turns out that all of them are high in sugar, salt, and fat. In this study, it was also stated that parents are a strong example for toddlers to adopt their eating style. \n\n Food eaten while watching gadgets will not be realised by toddlers, so they will continue to feel full. Indirectly, this habit will make toddlers obese. In addition, this beloved toddler will emulate the eating style of his parents. If parents are frequently seen with their children eating while holding a device, the toddler will follow suit. \n\n Is the impact of eating while watching a device only in the form of excess weight gain or obesity? \n\n In fact, from the research of Jusiene et al. in 2019, it was explained that children less than 5 years of age who have a habit of eating while watching gadgets have broad negative impacts. Among them are delays in the development of speech, having low social skills, not being able to control or express emotions, and declining academic abilities in the future. The use of devices will also hinder sensory development. Therefore, parents should provide opportunities for their toddlers to have more physical activities, such as taking them for walks or playing at home or outside the home. This will make toddlers feel hungry quickly. A hungry toddler will most likely eat voraciously without the help of a gadget. When toddlers are not hungry, they will consume more watching devices. The role of parents in this case is very important. Parents must be able to provide positive activities for toddlers by inviting them to play and providing age-appropriate foods that are easy to digest. And don't forget, toddlers will be "mirrors" of their parents, so be parents who can set a role model for their children by not eating while holding a device. \n\n So what can parents do? \n\n 1. Do what you teach toddlers. Don't just make toddlers not watch gadgets while eating while their parents don't set the right example. Implement house rules so that no one is holding a device while eating. \n\n 2. Apply the rule of no gadgets or television while eating. Don't turn on the television while eating, and don't put your device on the dinner table. Toddlers can be included in their role as a reminder for all family members to agree with this rule. This will make toddlers happy because they are involved in discipline when eating. \n\n 3. When eating, give full attention to toddlers. Try to avoid having any conversations that don't involve your toddler. \n\n 4. Make the feeding session a fun thing. by having family discussions about their daily experiences, talking about some fun topics, so that gadgets are not required during the meal session \n\n 5. Make a fixed eating schedule. Give toddlers a schedule for eating three large meals a day and two snack foods in between. A fixed eating schedule will create a good habit in the future. \n\n 6. Make sure the toddler is hungry. Hunger conditions will make toddlers focus on eating. Keep snack foods away during large meal sessions. \n\n 7. Cook foods that toddlers like. Even so, the cuisine must remain varied. \n\n 8. Make toddlers enjoy every food served. This can be attempted by inviting toddlers to shopping places and also involving toddlers when cooking so that toddlers can respect the food that has been served more. \n\n 9. Do not put pressure on toddlers. Don't force toddlers to finish their food. Make sure the maximum duration of each large eating session is 30 minutes. Let his own body determine whether he is full or not. \n\n Always take care of your child's health and provide real education as parents, such as showing them how to eat and not hold gadgets. \n\n Created by Dr. Irfan Abdurraafi, MARS \n\n Reviewed by Dr. Erman, Sp.A \n\n Reference : \n\n N. Pearson et al. (2018) Clustering and correlations of screen time and eating behaviours among young children Pearson et al., BMC Public Health (2018) 18:753. Jusiene, R., et al. 2019. Screen Use During Meals Among Young Children: Exploration of Associated Variables Medicina (Kaunas), October 2019; 55(10): 688. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Arcamanik<\/a><\/li>
- 02 December 2022<\/li><\/ul><\/div>
There is no medicine to cure polio<\/a><\/h3>
The government, through the Ministry of Health of the Republic of Indonesia, established polio extraordinary event (KLB) status on November 19, 2022, after a polio case was found in a 7-year-old child who had never received polio immunization in Pidie District, Aceh. There have been three polio patients discovered there as of today (November 22, 2022) (Detikhealth). \n\n Dr. Piprim Basarah Yanuarso, SpA (K), Chairman of the IDAI (Indonesian Pediatrician Association), stated that it is not impossible that the virus will spread to many other provinces, as happened in 2005, when polio cases were discovered not only in Cidahu, Sukabumi, and West Java but also in several other provinces. \n\n In 2014, Indonesia was declared free from polio thanks to the success of the immunization program. However, immunization coverage continues to decline, especially during the pandemic, which is the reason for the reappearance of outbreaks (extraordinary events). \n\n Polio (poliomyelitis) is a highly contagious disease caused by a viral infection. The poliovirus belongs to the human enterovirus group, which replicates in the intestine and is excreted in the feces. Polio attacks the nervous system and can cause complete paralysis. Polio is commonly experienced by children, but that does not mean that adults are not at risk of being exposed to polio, so proper prevention is an effective measure to avoid exposure to the virus that causes polio. \n\n Polio is spread from person to person via fekal-oral (dari tinja penderita) or, more recently, via air or food, which is contaminated and grows rapidly. It is possible to grow all of your hair, especially if you are under the age of five. The incubation period for the polio virus is 3-6 days, and the recovery period is 7–21 days. Most people (90%) do not have a disease or have a severe disease that cannot be diagnosed. In other cases, the initial symptoms are demam, lelah, nyeri kepala, muntah, kaku kuduk, and nyeri pada anggota tubuh. One of the 200 events causes irreversible growth. 5–10% of the population suffers as a result of lumpuh pernafasan. \n\n Polio can only be eradicated through vaccination, the most effective method of prevention (vaccination as soon as possible after birth), and healthy living (PHBS). There is no cure for polio, but it can be treated by following some guidelines from your doctor, such as taking bed rest, getting antispasmodics to make you feel better, and getting antibiotics. \n\n If you have signs or symptoms of polio and are not sure if you have ever gotten a vaccine, you should immediately go to the doctor to ask about the disease you are suffering from. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Daan Mogot<\/a><\/li>
- 25 November 2022<\/li><\/ul><\/div>
Watch out!! Get to know Polio<\/a><\/h3>
Polio is a very dangerous disease because it can cause paralysis and disability for life. The cause of this disease is due to a viral infection that attacks the nervous system. \n\n \n\n The symptoms experienced are paralysis. \n\n What is paralysis? Withdrawal paralysis is all paralysis that occurs suddenly and is sudden weakness and weakness in the whole body in children under the age of 15 years. \n\n \n\n The mode of transmission of polio is through water or food contaminated with feces containing the polio virus. This virus can be transmitted from person to person through the Fecal-Oral. It enters through the oral or nasal cavities, then spreads in the body through the bloodstream. \n\n Apart from not getting the polio vaccine, several of these conditions also increase the risk of contracting polio \n\n - living in poor sanitation areas \n\n - limited access to clean water \n\n - working as a health worker treating polio patients \n\n - traveling to areas that have experienced polio outbreaks \n\n \n\n This virus usually attacks children under the age of 5 and has not received polio immunization. Another symptom that can be found is interference with the respiratory nerves causing difficulty breathing. \n\n \n\n Symptoms of polio can be divided into two types \n\n : 1. Paralytic \n\n polio This type of polio does not cause paralysis. Appears 6-20 days after being exposed to the virus and is mild \n\n . The symptoms experienced include \n\n - fever \n\n - headache \n\n - weakness \n\n - sore throat \n\n - weak muscles \n\n - vomiting \n\n 2. Paralytic \n\n polio This type of polio causes permanent spinal cord and brain paralysis. This condition is the most dangerous type of polio. \n\n Within 1 week, symptoms that can appear include loss of body reflexes, painful muscle tension, and weak legs and arms. \n\n \n\n Immunization is an effective prevention of polio. Prevention of transmission to others through direct contact (droplets) by using masks for those who are sick and healthy. In addition to preventing environmental pollution (fecal-oral) and controlling infection by applying defecation in the toilet and draining it into a septic tank. \n\n \n\n Immediately check with your doctor if your liver experiences similar symptoms. Because polio can cause paralysis even some time after infection \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Podomoro<\/a><\/li>
- 10 November 2022<\/li><\/ul><\/div>
Prevent Growth Disorders with Early Detection of Congenital Hypothyroidism<\/a><\/h3>
In order to prevent the existence of various risks of serious health problems in newborns, Dante Saksono Harbuwono as Deputy Minister of Health again reminded about the dangers of thyroid hormone disorders or Congenital Hypothyroidism (HK) in newborns.\n\nCongenital hypothyroidism is highly recommended to be detected as early as possible, namely when the newborn is born. Early detection of congenital hypothyroidism through screening in newborns is the best strategy at present. In addition to preventing growth disorders, early detection of congenital hypothyroidism with screening examinations can also prevent children from developing intellectual disabilities later in life.\n\nCongenital hypothyroidism is a malfunction of the thyroid gland that is experienced from birth (congenital), so that the baby has low thyroid hormone levels (hypothyroidism). This condition is found in 1 in 2000-3000 babies born in Indonesia. There are several factors that can cause congenital hypothyroidism.\nScreening for congenital hypothyroidism in newborns is done by checking TSH. TSH examination in term infants is carried out at the age of 2-4 days or when they are about to be discharged from the hospital. Screening for congenital hypothyroidism in newborns is positive if the TSH level is 20 mU/L. Infants with positive screening results should be confirmed by re-examination of serum TSH and FT4. The diagnosis of congenital hypothyroidism is made when the TSH level is high and the FT4 is low. In infants who were not screened, the diagnosis was confirmed by clinical symptoms and examination of serum TSH and FT4.\n\nInitial therapy for the first 2 weeks showed significant results in intellectual outcomes. The severity of congenital hypothyroidism is determined by T4 levels (the higher the better). \n\n Monitoring that needs to be done: \n\n 1. Laboratory \n\n \n \n Determine whether or not the dose of the drug given is sufficient (FT4 or total t4 & periodic TSH) \n \n \n Blood is drawn no later than 4 hours after thyroxine administration \n \n \n Performed 2 weeks after initial levothyroxine therapy \n \n \n Follow-up follow-up 1-3 months until 12 months of age, 2-4 months of 1-3 years of age, 3 years of age until growth stops regularly every 3-12 months \n \n \n If there is a change in the dose of levothyroxine TSH and FT4 repeated 4-6 weeks \n \n \n\n 2. Inspection targets \n\n \n \n TSH level < 5 mU/L within 2 weeks of starting therapy \n \n \n FT4 levels in the range of values according to age \n \n \n\n 3. Congenital hypothyroid reevaluation \n\n \n \n Done 3 years old \n \n \n Evaluation in the form of advanced thyroid function & radiology refer an endocrine consultant \n \n \n\n 4. Schedule and monitoring of outpatient visits \n\n 5. Education \n\n \n \n Causes of congenital hypothyroidism \n \n \n The importance of early screening, early diagnosis and therapy \n \n \n The importance of taking medication regularly according to a schedule \n \n \n Do not stop medication without doctor's instructions \n \n \n\n \nIf Friends of Hermina find the symptoms of the baby as stated, don't wait later, please immediately consult a Pediatrician at Hermina Podomoro Hospital. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Podomoro<\/a><\/li>
- 30 September 2022<\/li><\/ul><\/div>
Know the Stages of Optimal Child Development<\/a><\/h3>
Know the Stages of Optimal Child Development \n\n \n\n Understanding the stages of child development is very important as part of the parenting pattern. Child growth and development includes not only physical changes that occur from infancy to adolescence, but also changes in emotions, personality, behavior, thinking, and speech. Children's development is in line with their understanding and interaction with the world around them. Skills such as smiling, crawling, or walking for the first time are referred to as developmental milestones. Parents need to note and understand these milestones to ensure optimal child development. \n\n There are many factors that influence the growth and development of children. These include genetics, gender, nutrition, physical activity, health issues, environment, and hormones. The development of boys and girls is generally different. \n\n \n\n Stimulation of Children's Brain Development \n\n \n\n Stimulation of brain tissue is very important during a child's golden period. The more stimulation that parents give to children, the brain nerve cells will increase and are interconnected. Conversely, if the child is never given stimulation, then the development of nerve cells is not optimal. This is what causes children's development to be hampered. \n\n The development of children's skills occurs very quickly in the first two years of age. For this reason, it is important for parents to always pay attention and practice motor, sensory and language skills according to age stages. \n\n Lack of stimulation in children can affect the development of brain intelligence, developmental deviations, and even permanent developmental disorders. The following stimulation can be given according to his age: \n\n \n\n 1. Age 0-4 Months \n\n Often hugs and cuddles with love. Hang brightly colored objects that move and can be seen by the child. Encourage children to smile, talk, and listen to music to help brain growth and memory. Children can do tummy time for 5-10 minutes gradually and do it when the child is not sleeping. \n\n \n\n 2. Age 4-6 Months \n\n Often on the child's stomach. Move the object left and right, in front of his eyes. Listen to various sounds. Give toys large and colorful objects to respond quickly to sound. \n\n \n\n 3. Age 6-12 Months \n\n Teach children to sit, play peek-a-boo, teach them to hold and eat biscuits, teach them to hold small objects with 2 fingers, stand up and walk holding hands, talk as often as possible, practice saying ma.. ma.. pa.. Pa, give me a toy that's safe to hit. \n\n \n\n 4. Age 1-2 Years \n\n Teach them to walk on the steps/stairs, ask them to clean the table and sweep, invite them to clean up toys, teach them to scribble on paper, teach them to name their body parts, read children's stories, invite them to sing, and invite them to play. \n\n \n\n 5. Age 2-3 Years \n\n Teach them to dress themselves, take them to see picture books, read children's stories, teach them to eat on their own plates, teach them to wash their hands, teach them to defecate and urinate in their place. \n\n \n\n 6. 3-5 Years Old \n\n Ask the child to tell what he is doing, listen to him when he talks, if he stutters, teach him to speak slowly, supervise the child when trying new things. \n\n \n\n All parents certainly hope that their child's growth and development can be optimal, if it is felt that something is not in accordance with the child's growth and development from the initial stage to the next stage, please immediately consult with a Pediatrician at Hermina Podomoro Hospital. \n<\/p><\/div><\/div><\/div>"); $('#div_next_link').html(" <\/a><\/span>");
- 30 September 2022<\/li><\/ul><\/div>
- 10 November 2022<\/li><\/ul><\/div>
- 25 November 2022<\/li><\/ul><\/div>
- 02 December 2022<\/li><\/ul><\/div>
- 07 December 2022<\/li><\/ul><\/div>
- 21 December 2022<\/li><\/ul><\/div>
- 11 January 2023<\/li><\/ul><\/div>
- 29 May 2023<\/li><\/ul><\/div>
- 19 June 2023<\/li><\/ul><\/div>
- 21 June 2023<\/li><\/ul><\/div>
- 20 January 2024<\/li><\/ul><\/div>
- 03 February 2024<\/li><\/ul><\/div>