Wednesday, September 21, 2011

[sehat] Digest Number 16082

Messages In This Digest (25 Messages)

1.1.
Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan From: F.B.Monika
1.2.
Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan From: Khonic
1.3.
Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan From: siti amatullah
1.4.
Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan From: F.B.Monika
1.5.
Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan From: Khonic
1.6.
Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan From: tristanathan
1.7.
Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan From: Endah
1.8.
Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan From: nia
1.9.
Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan From: Khonic
1.10.
Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan From: Agnes Tri Harjaningrum
2.
Stroke(konf, betul/ga?) From: Lily Rasyid
3.1.
Re: (Tanya) Scoring TB & hasil test mantoux From: piep71@ymail.com
4a.
Re: Strabismus From: delfi
5a.
Frekuensi BAB Bayi From: Shofwan Khaizan
5b.
Frekuensi BAB Bayi From: Shofwan Khaizan
5c.
Re: Frekuensi BAB Bayi From: vanny.unmehopa@gmail.com
5d.
Re: Frekuensi BAB Bayi From: Inta
5e.
Re: Frekuensi BAB Bayi From: niken qinen
5f.
Re: Frekuensi BAB Bayi From: unong@yahoo.com
6a.
[Tanya] Stroke From: Lily Rasyid
6b.
Re: [Tanya] Stroke From: tika tk
7a.
KELAS PERSIAPAN KELAHIRAN & MENYUSUI BANDUNG 29-30 Oktober 2011 From: klasibdg@yahoo.com
8a.
Re: [NEED HELP] BAK Sering, Nyeri dan Keluar Darah From: Farisda P.M.
9.1.
Bayi Kuning From: dewi ck
9.2.
Re: Bayi Kuning From: siti amatullah mutmainah

Messages

1.1.

Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan

Posted by: "F.B.Monika" f_monika_b@yahoo.com   f_monika_b

Tue Sep 20, 2011 10:09 pm (PDT)



Dear Mba Khonic,

Gastroentritis viral : infeksi usus yg disebabkan oleh virus.
4 tipe virus yg paling sering menyebabkan ge : rotavirus,adenovirus,calicivirus n astrovirus.
F.B.Monika

1.2.

Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan

Posted by: "Khonic" khonic@gmail.com   khonic_ds

Tue Sep 20, 2011 10:14 pm (PDT)



Dear mba monik,
Maksudnya kalo pas diare bedanya apa ya? Gejala or treatmentnya beda ga? *selainviruspenyebabnya*

Khonic
Sent from my Freegift-Berry® supported by my lovely hubby (^__^)
1.3.

Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan

Posted by: "siti amatullah" amianakbinus@yahoo.com   amianakbinus

Tue Sep 20, 2011 10:24 pm (PDT)



treatmentnya sama, mba khonic.. sol

cmiiw,
ami

________________________________

[Non-text portions of this message have been removed]

1.4.

Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan

Posted by: "F.B.Monika" f_monika_b@yahoo.com   f_monika_b

Tue Sep 20, 2011 10:52 pm (PDT)



Dear Mba Khonic,

Saya highlight penyebabnya virus karena thread ini bahas rotavirus :).
Prinsip nya ya cari penyebabnya apakah virus seperti yg saya sudah post, keracunan makanankah,dll dll.
Anamnesa lebih lanjutnya kan frekuensi,ada tidaknya darah di faeces,dehidrasikah,dll dll.
Treatmentnya ya sesuaikan diagnosa, tata laksana umumnya sama yaitu cegah dehidrasi dengan pemberian CRO. Terapi medis disesuaikan diagnosa seperti amebiasis n bakteri yg perlu AB.

Kira2 begitu summary saya, kalau ada yg salah silahkan dikoreksi.
F.B.Monika

1.5.

Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan

Posted by: "Khonic" khonic@gmail.com   khonic_ds

Tue Sep 20, 2011 11:10 pm (PDT)



Dear mba Monik,
Makasih banyak penjelasannya ya..
Cuman yg ada dipikiran saya kalo diare/ GE yg disebabkan oleh virus *bukan disentri yg disebabkan oleh bakteri amoeba* maka treatmentnya intake cairan, ors, diet braty..
Berarti hanya observasi dirumah saja.. Kan saya ga tau itu disebabkan oleh virus yg mana *rotaviruskah atau yg lain*
Makanya saya tanya tadi apakah symptomnya berbeda? Untuk tau bahwa virus yg menyerang itu rotavirus atau yg lain. Kenapa hanya rotavirus saja yg ada vaksinnya yg lain engga *apa ada ya?*

Mohon maaf kalo pertanyaannya terkesan blo'on :)

Khonic
Sent from my Freegift-Berry® supported by my lovely hubby (^__^)
1.6.

Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan

Posted by: "tristanathan" tristanathan.amadeo@gmail.com   trinovi

Tue Sep 20, 2011 11:27 pm (PDT)



coba jawab ya mbak, tapi ini bukan jawaban ilmiah ya, cuma keskimpulan dr
baca2 ttg GE.
krn mayoritas GE disebabkan oleh rotavirus (spt yg disebut monik n mbak ami
tadi), makanya vaksin ini yang dikembangkan, bukan yg lain
logika saya.. yg paling banyak menolong yg akan dikembangkan duluan
again, ii bodoh2an saya aja ya...

-ria-

2011/9/21 Khonic <khonic@gmail.com>

[Non-text portions of this message have been removed]

1.7.

Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan

Posted by: "Endah" endahgunawan@ymail.com

Tue Sep 20, 2011 11:31 pm (PDT)



Rotavirus itu diarenya biasanya hebat. Muntahnya hebat juga, bisa belasan-puluhan kali. Pada anak kecil terutama bayi, sering menyebabkan dehidrasi dan kematian. Sementara diare karena virus lain seringkali lebih lambat progress-nya, mungkin 4-5x/hari utk muntah dan diarenya.
Maunya sih semua jenis virus dan bakteri dibuat vaksinnya, tapi kan biaya penelitian dan pembuatan vaksin mahal, maka dipilih yang dampaknya (menimbulkan kematian, kesakitan, penderitaan) paling tinggi yang dipilih duluan.

Endah
*gak potong ekor
-----Original Message-----
From: "Khonic" <khonic@gmail.com>
Sender: sehat@yahoogroups.com
Date: Wed, 21 Sep 2011 06:10:13
To: <sehat@yahoogroups.com>
Reply-To: sehat@yahoogroups.com
Subject: Re: [sehat] Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan

Dear mba Monik,
Makasih banyak penjelasannya ya..
Cuman yg ada dipikiran saya kalo diare/ GE yg disebabkan oleh virus *bukan disentri yg disebabkan oleh bakteri amoeba* maka treatmentnya intake cairan, ors, diet braty..
Berarti hanya observasi dirumah saja.. Kan saya ga tau itu disebabkan oleh virus yg mana *rotaviruskah atau yg lain*
Makanya saya tanya tadi apakah symptomnya berbeda? Untuk tau bahwa virus yg menyerang itu rotavirus atau yg lain. Kenapa hanya rotavirus saja yg ada vaksinnya yg lain engga *apa ada ya?*

Mohon maaf kalo pertanyaannya terkesan blo'on :)

Khonic
Sent from my Freegift-Berry® supported by my lovely hubby (^__^)

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1.8.

Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan

Posted by: "nia" leny1804@yahoo.com   leny1804

Tue Sep 20, 2011 11:33 pm (PDT)



Khonic <khonic@gmail.com>
Gejala or treatmentnya beda ga? *selainviruspenyebabnya*

me :
bedanya klo bakteri or amoeba fesesnya bercampur dengan darah mba, sedangkan bila penyebabnya virus fesesnya tidak ada darahnya. CMIIW

 

love  'n peace
       -nia-

[Non-text portions of this message have been removed]

1.9.

Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan

Posted by: "Khonic" khonic@gmail.com   khonic_ds

Wed Sep 21, 2011 12:05 am (PDT)



Dear mba Ria,
Oh gitu ya mba.. Paling mematikan soalnya?
Dear mba Nia,
Kalo yg disebabkan oleh bakteri or amoeba saya tau bedanya mba.. Yg tadi saya tanyakan dampak sesama virus hehehe..
Dear dokter Endah,
Makasih banyak penjelasannya dok..
Sangat jelas sekali.. Berarti alhamdulillah meski dulu belum ada vaksin ini anak saya ga kena jenis virus yg ini

Khonic
Sent from my Freegift-Berry® supported by my lovely hubby (^__^)
1.10.

Re: Fwd: Vaksin Rotavirus Terbukti Efektif Mencegah Penularan

Posted by: "Agnes Tri Harjaningrum" bundaagnes@gmail.com   bundaagnes

Wed Sep 21, 2011 12:12 am (PDT)



Halo ikut nimbrung ya...

Dari berbagai vaksin yang ada, saya termasuk penganjur vaksin rotavirus
karena seperti yang tertulis di artikel, vaksin ini memang punya trade
record yang bagus ( setelah kasus efek samping intusesepsi solved).

Dari thread diatas kalo saya baca sekilas ada yang tanya apa bedanya diare
yang disebabkan rotavirus ini dengan diare biasa? Diare karena rotavirus ini
cukup unik karena si virus yang cukup 'bandel'. Jadi kenapa vaksin dianggap
sebagai cara yang sangat ampuh untuk mengatasi diare akibat rotavirus,
karena faktor lingkungan, kebersihan, dan sosek tidak berpengaruh terhadap
reduksi angka kematian akibat rotavirus. Bisa dibilang, meskipun kebersihan
sudah dijaga, tetep aja si anak bisa kena rotavirus, even di negara maju
sekalipun.
Keunikan lainnya, umumnya setiap anak yang berumur di bawah 5 tahun di dunia
ini pernah 1 kali kena rotavirus tanpa mempertimbangkan geografi, status
sosek, maupun jenis kelamin anak. Plus tambahannya lagi, seperti yang
dibilang dokter Endah, biasanya gejalanya adalah muntah hebat jadi ORS susah
masuk, sering dimuntahkan lagi, karena itu angka mortality dan morbidity nya
jadi cenderung tinggi terutama di negara berkembang di daerah2 yang akses
ke rumkit sulit.

Untuk yang tertarik membaca dan mengulik lebih jauh, di bawah saya copas
essay yg saya buat ttg vaksin rotavirus di Indonesia waktu msh kuliah
beserta sumbernya kalo mau dilacak, sebetulnya essay ini juga memang beredar
untuk publik. Sebagai catatan: saya ga dibayar sama perusahaan vaksin
rotavirus, tapi fair aja berdasarkan literatur review vaksin ini memang
penting, saya hanya berharap dalam waktu dekat vaksin ini bisa masuk dalam
program nasional, karena prosesnya sedang sangat diupayakan oleh Prof Yati
SpA dari UGM yang merupakan pakar dalam bidang ini.

regards,

Agnes

*Implementing Rotavirus Vaccine in Indonesia*
by Agnes Tri Harjaningrum

*Introduction*
Rotavirus is the most common cause of severe, dehydrating diarrhea of
infants in both industrial and developing countries (WHO, 2011). Each year
rotavirus causes about 111 million cases of infantile gastroenteritis
requiring home care only, 25 million clinic visits, 2 million
hospitalizations, and more than 500.000 deaths in children less than 5 years
(RVP, 2008). Nearly every child affected by rotavirus infection before the
fifth birthday ( Parashar et all, 2003). The highest mortality, 85% of
rotavirus deaths, occur in the poorest countries (RVP, 2008).
Deaths worldwide due to rotavirus, more than 55 % are predicted to occur in
Asia (Bresee J.S. et all, 2005). According to IRSN (Indonesian Rotavirus
Surveillance Network) in 2006, 60 % of diarrheal disease in Indonesia for
children under 5 years is due to rotavirus, and particularly occur in
children age 6-24 months (Soenarto et all. 2009).

Although efforts to enhance sanitation and hygiene have decreased the
overall incidence of diarrheal disease, the occurrence of rotavirus diarrhea
have remained the same. Government in Indonesia has suggested the latest
developments guideline for diarrhea treatment to be used, however, practices
in the field persists (Soenarto Y, 2008).
Moreover, despite the efficacy of Oral Rehydration Solutions (ORS) for
management of all diarrhea diseases including rotavirus, many children still
die due to rotavirus. The children are die because of limited access or
insufficient use of ORS (Santhosam et all. 2007).

Development of rotavirus vaccine has been recommended as the best strategy
for reducing morbidity and mortality associated with rotavirus infection
(Santhosam et all. 2007). Factors of hygiene, sanitation, environment and
social economy do not influence the high morbidity of rotavirus diarrhea in
both developing and developed countries. In the absence of causative therapy
for this virus, the presence of vaccine is a new hope for diarrhea treatment
caused by rotavirus (Soenarto Y, 2008).

However, implementing rotavirus vaccine or any other new vaccines to
national immunization program need multifactor consideration, such as social
values, perceptions, political concerns, and not just technical
considerations (WHO, 2000).

The objectives of this essay are to analyze why rotavirus vaccine is needed
in Indonesia and to determine the challenges for implementing rotavirus
vaccination in Indonesia.

*Burden of Disease*
Indonesia as one member of the ARSN (Asian Rotavirus Surveillance Network)
also founded IRSN (Indonesian Rotavirus Surveillance Network) with six
members of teaching hospitals. Since 2001, longitudinal survey of rotavirus
infection has been conducted in six hospitals in Indonesia through IRSN,
with generic protocol from WHO. According to a survey of rotavirus
surveillance in 2001-2004 in Central Java and Jogjakarta, around 53 % of
children under 3 years with diarrhea, infected by rotavirus. G1, G2, G4 and
combination G1P and G4P were the most detected strain rotavirus. In
addition, rotavirus infection occurs mostly in dry season (Wilopo et all.
2009) . Furthermore, prospective surveillance in 2006 showed that rotavirus
were responsible for 60 % severe acute diarrhea in children under 5 years,
mainly children ages 6-24 months old. The most detected genotype rotavirus
in this survey were P type strain and G9P, which are untypical. The survey
also found that rotavirus infection occurs throughout the year without
depending on seasonal variation (Soenarto et all. 2009).

*Management of Diarrhea in Indonesia*
Rehydration, re feeding, using medicine, and communication between patient
and health workers are principals of diarrhea management. Based on
Indonesian scientist researches, household liquids such as soup, water,
starch, coconut water, salt sugar solution, and solution of various sugars
have a similar effect with the ORS (Pardede et all. 1982). These studies
change the guideline of diarrhea management, and in 1988 feeding became a
treatment of diarrhea along with ORS and fluid household. Tempeh is a
typical Indonesian food that meets proper nutrition for feeding treatment in
diarrhea patients. Research in Indonesia showed that giving food or formula
based on tempeh can shorten the duration of acute diarrhea, and accelerate
recovery (Soenarto et all. 1997).

*Anti diarrhea, antibiotics and Zinc*
Antidiarrheal agents such as adsorbent (e.g., kaolin-pectin), antimotility
agents (e.g., loperamide), antisecretory drugs, or toxin binders (e.g.,
cholestyramine), often use both in developed and developing countries.
However, studies do not show that antidiarrheal agents effective to reduce
diarrhea volume or duration (CDC, 2001).
Regarding to diarrhea treatment with antibiotics, irrational use of
antibiotics have been widely reported since many decades ago, including in
Indonesia (Soenarto Y, 2008). Since bacterial resistances to co-trimoxazole
have been increasing, WHO has recommended ciprofloxacin to replace
co-trimoxazole. However, ciprofloxaxin has chondrotoxic effects to the bone
growth, which is means, other safer therapies should be sought (Bhutta et
all. 2000).

Meta-analysis study showed that the duration and severity of acute diarrhea
and persistent diarrhea can be reduced by zinc therapy (Lukacik et all.
2007). The Indonesian government is trying to include zinc to the national
diarrhea guideline and is expected to be implemented in upcoming years
(Soenarto Y, 2008).

*The important of implementing rotavirus vaccine *
A study in Indonesia found that doctors who work both for public or private
prescribe drugs, especially antibiotics, more often than ORS. Nutritional
advice is also given less frequent than antibiotics (DD online, 1991).
Moreover, research from 5 provinces in Indonesia in 2003 found that 85%
children with diarrhea have been given antibiotics (Dwiprahasto, 2003).
According to a survey, more than half of children with diarrhea, in fact are
not given ORS, and only few children are given fluid more than usual (BPS,
2007). Indonesian government and health workers have proclaimed the latest
developments guideline of management diarrhea. Nevertheless, practices in
the field remains far from expectations (Soenarto Y, 2008).

Furthermore, rotavirus has a unique global scope. Approximately every child
in the world will obtain at least one rotavirus infection before age of five
without considering geography, socio-economic status or gender. Rotavirus
also has special management rules compare to other diarrheal diseases.
Preventing rotavirus infection by sanitation, and access to clean water are
not adequate. Excessive and persistent vomiting usually follows severe
cases, and ORS is very difficult to be given. Providing a vaccine is the
most effective method to prevent rotavirus infection (Simpson et all. 2007)
Current findings in January 2011 concluded that rotavirus vaccines have
significant impact on children's health in developed and developing
countries that have started the vaccines. The vaccines have dramatically
reduced the number of children hospitalized due to rotavirus in countries
that implement rotavirus vaccines in their national immunization programme
(PATH, 2011).
Since several years ago, the development and distribution of rotavirus
vaccines in developing countries has been prioritized by WHO (2003). To
promote the availability of safe and efficacious rotavirus vaccines for
children in developing countries, the GAVI Alliance are moving together with
manufacturers, governments, and global health organizations (GAVI, 2003). In
2009,WHO recommend all countries to insert rotavirus vaccines in their
national immunization programs (PATH, 2011).

*Rotavirus Vaccine*
Two current rotavirus vaccines are available and used routinely in many
countries. Studies showed that the vaccines are safe and there is no
increasing frequency of intussusceptions. Approximately, two million deaths
could be prevented in the next decade, with the extensive use of this
vaccines (Shantosam M, 2010).

However, the vaccines price are too expensive for children in developing
countries, even with subsidization. In order to be able to provide
protection, the vaccines also should be given in a timely way, in the early
months of age. Therefore, RV3 vaccine from Australia has been developed, and
the phase II trials will start this year in New Zealand and Indonesia (Bines
J, 2010).

RV3 is an unique attenuated vaccine (Medscape, 2010). The vaccine is called
a Human Neonatal Rotavirus strain, since it has been based on a rotavirus
infection in young infants,. This neonatal strain would provide specific
advantages and a good safety profile for babies at birth (Bines J, 2010). To
reduce production costs, patents of this vaccine has been given to Indonesia
(Soenarto Y, 2008). By initially targeting the children of Indonesia and
provide vaccine made in Indonesia, the implementation of this vaccine in a
large population could be established (Bines J, 2010).

*Challenges *
However, although using rotavirus vaccine to decrease the risk of death from
diarrhea is promising, there are many obstacles to implement this vaccine in
developing countries (Shantosam et all. 2007). According to the (WHO, 2005)
there are two group of issues to consider for implementing a new vaccines.
Policy issues as the first group of issues are: public health priority,
disease burden, efficacy, quality, safety, other interventions (including
other vaccines), economic and financial issues. The second group of issues,
referred to as programmatic issues: vaccine presentation, supply
availability, programmatic strength addresses the feasibility of the vaccine
introduction from a technical perspective.

*Policy Issues Challenge*
Regarding public health priority in developing countries including
Indonesia, knowledge and awareness of the public health community about
rotavirus is still lacking. Whereas, a key factor to obtain vaccine
introduction is the public health priority of the disease (Simpson et all.
2007). Knowledge and awareness that rotavirus causes most of severe diarrhea
cases in children is also low. As a result, at individual level, a child who
obtained rotavirus vaccine and then experiences diarrhea will interpret
falsely as a 'vaccine failure' by parents or physicians although the
diarrhea is due to another cause. Developing communication strategies that
put the role of rotavirus vaccine into a fit context of whole diarrheal
disease management is needed (GAVI, 2006).

Another challenge in implementing rotavirus vaccine in Indonesia is about
safety. Although studies have shown that the new vaccines are safe, the
experience of intussusceptions of the previous vaccine still has impact of
mistrust (Soenarto Y, 2008).

In term of economic and financial issues, implementation of rotavirus
vaccine should be cost-effective. If the price of the vaccine is not
affordable, it would be difficult to implement rotavirus vaccine in the
national program. An economic evaluation to assess the potential for
introducing rotavirus vaccine into Indonesia's National Immunization Program
showed that if the price of rotavirus vaccines cannot be reduced below $
12.7 per child, the national immunization program cannot be applied (Wilopo
et all. 2009). Determining the financial resources are important not only
for the co-payment during the investment periods, but also the entire cost
of the vaccine, even at the market mature price (GAVI, 2006).

*Programmatic Issues Challenge*
According to GAVI (2006), the existence of systemic safety surveillance with
strict standard of quality is very important. Safety surveillance is
imperative to determine adverse events, including intussusceptions, that
might occurs due to introducing the vaccine in routine vaccination programs
to the colossal of children with different vaccine schedules.

Regarding logistics, the storage and shipment of the vaccines to prevent
cold-chain breaks have more complicated problem compare to those of typical
childhood vaccines. This situation will make the logistics of vaccination
programs in developing countries more challenging (Shantosam, 2010).
Other challenges include vaccine supply. All vaccine markets should assure
sufficient supply to meet additional demand particularly in the beginning of
market development (GAVI, 2006).

*Conclusion *
Rotavirus related diarrheal disease is a leading cause of mortality and
morbidity in children under five years worldwide, particularly in developing
countries. In Indonesia, 60 % of diarrheal disease in children under 5 years
is due to rotavirus. The latest development of diarrhea disease management
has been recommended in Indonesia, nevertheless, the condition remains the
same. Rotavirus infection is a special disease that not only need
traditional preventing methods such as hand washing and sanitation, but also
require a powerful weapon. Rotavirus vaccine is considered as the most
effective tool to prevent the disease. Current studies showed that rotavirus
vaccine has dramatic impact to reduce severe and fatal diarrhea.

The high burden of rotavirus infection in Indonesia proves that rotavirus
vaccine should be introduced immediately. RV3 Human Neonatal Rotavirus
strain has been developed, and the initial phase II trials that targeting
Indonesian children is going to start this year. Providing vaccine made in
Indonesia and giving patents to Indonesia will help to reduce production
costs. However, Indonesia faces many challenges to implement the vaccine
into the national immunization program, both policy and pragmatic issues.
For implementing the vaccine in this country, the decision makers should be
aware with those challenges, and each factors must be carefully thought,
planned and monitored.

*References*
Bines J, 2010, 'Newborns' Rotavirus Vaccine Begins Trials', viewed at 26
February 2011,

http://www.abc.net.au/ra/innovations/stories/s2991009.htm

Bresee, JS, Hummelman, E, Nelson, EA, & Glass, RI 2005,'Rotavirus in Asia:
the value of surveillance for informing decisions about the introduction of
new vaccines,' Journal Infectious Diseases, 192, Sep, Suppl 1:S1-5.

Bhutta, ZA, Bird, SM, Black, RE, Brown, KH, Gardner, JM, Hidayat, A, Khatun,
F, Martorell, R, Ninh, NX, Penny, ME, Rosado, JL, Roy, SK, Ruel, M, Sazawal,
S, & Shankar A 2000,'Therapeutic effects of oral zinc in acute and
persistent diarrhea in children in developing countries: pooled analysis of
randomized controlled trials 1–3,' Am J Clin Nutr, vol.72, pp.1516–22.

Indonesia Demographic and Health Survey (BPS) 2007, Gross Domestic Product
and Per Capita Income, viewed 23 February 2011,
http://www.bps.go.id/sector/nra/gdp/table7.shtml.

Centers for Disease Control and Prevention (CDC) 2001, 'The Management of
Acute Diarrhea in Children: Oral Rehydration, Maintenance, and Nutritional
Therapy, viewed 21 February 2011,
http://www.cdc.gov/mmwr/preview/mmwrhtml/00018677.htm

Dialogue on Diarrhea Online (DD online) 1991, viewed 22 February 2011,
http://rehydrate.org/dd/dd44.htm

Dwiprahasto, I 2003, The use of anti diarrheal viewed from the aspect of
rational therapy, paper presented at the Second National Congress of
Gastroenterology Children Coordinating Board of Indonesia, Jakarta.

Global Alliance for Vaccines and Immunization (GAVI) 2003, 'GAVI and The
Vaccine Fund announce $60 million boost to accelerate development of
lifesaving vaccines,' viewed at 26 February 2011,
http://www.gavialliance.org/media_centre/press_releases/2003_02_11_en_press_110203.php

Global Alliance for Vaccines and Immunization (GAVI) 2006,' Accelerating the
Introduction of Rotavirus Vaccines into GAVI-Eligible Countries,' viewed at
25 February 2011,
www.gavialliance.org/resources/Rotavirus_Investment_Case_Oct06.pdf

Lukacik, M, Thomas, RL, & Aranda, JV 2007,' A Meta-analysis of the Effect of
Oral Zinc in the Treatment of Acute and Persistent Diarrhea,
Pediatrics,vol.121, no.2, pp.326-336.

Medscape, 2010,'Update on Rotavirus Vaccines: Human Rotavirus Strain
Vaccines,' viewed at 25 February 2011,
http://www.medscape.com/viewarticle/517392_7

Parashar, UD, Hummelmann, EG, Bresee, JS, Miller, MA, & Glass, RI 2003,'
Global illness and deaths caused by rotavirus disease in children. ',
Emerging Infectious Diseases, May, Vol. 9, No. 5.

Pardede, N, Djamil, H, & Ismail, 1982, Benefit of starch water as a
substitute of ORS for treating severe dehydration in children with acute
diarrhea in child health department Medical Faculty Sriwijaya
University/General District Hospital Palembang, presented at the Annual
Scientific Meeting of Child Gastroenterology VIII Coordinating Board of
Indonesia, Semarang.

Program for Appropriate Technology in Health (PATH) 2011, 'Rotavirus
vaccines are improving the health and well-being of children by
substantially reducing severe and fatal diarrhea,' viewed at 25 February
2011, http://www.path.org/news/pr110120-pidj.php

Rotavirus Vaccine Program 2008, 'Rotavirus Facts,' viewed 14 February 2011,
http://www.rotavirusvaccine.org/rotavirus-facts.htm

Simpson, E, Wittet, S, Bonilla, J, Gamazina, K, Cooley, L, & Winkler, JL
2007, 'Use of formative research in developing a knowledge translation
approach to rotavirus vaccine introduction in developing countries,' vol.7,
no. 281, viewed at 24 February 2011,
http://www.biomedcentral.com/1471-2458/7/281

Santosham, M, Nelson, EA, & Bresee, JS, 2007,'Implementing rotavirus
vaccination in Asia,' Vaccine, vol.25, no.44, pp. 7711-6.

Santosham M, 2010, 'Rotavirus Vaccine — A Powerful Tool to Combat Deaths
from Diarrhea,' N Engl J Med, vol.362, pp.358-360, viewed at 27 February
2011, http://www.nejm.org/doi/full/10.1056/NEJMe0912141

Soenarto, Y, Sudigbia, IH, Karmini, M, & Karyadi D, October 1997,
Antidiarrheal characteristic of tempe produced traditionally and
industrially in children aged 6-24 months with acute diarrhea, paper
presented at the national symposium on Utilization of Tempe for improving
nutritional status and health, Jakarta.

Soenarto Y, June 2008, Translational research and evidence-based policy:
diarrhea in children as a case study, paper presented at the inaugural
speech as professor of pediatrics Gajah Mada University, Jogjakarta.

Soenarto, Y, Aman, AT, Bakri, A, Waluya, H, Firmansyah, A, Kadim, M,
Martiza, I, Prasetyo, D, Mulyani, NS, Widowati, T, Soetjiningsih, Karyana,
IP, Sukardi, W, Bresee, J, & Widdowson, MA 2009,'Burden of severe rotavirus
diarrhea in Indonesia,'200, Nov, Suppl 1:S188-94.

Wilopo, SA, Kilgore, P, Kosen, S, Soenarto, Y, Aminah, S, Cahyono, A, Ulfa,
M, & Tholib, A 2009, 'Economic evaluation of a routine rotavirus vaccination
programme in Indonesia,'Vaccine, Nov, 27, Suppl 5:F67-74.

Wilopo, SA, Soenarto, Y, Bresee, JS, Tholib, A, Aminah, S, Cahyono, A,
Gentsch, JR, Kilgore, P, & Glass RI, 2009, 'Rotavirus surveillance to
determine disease burden and epidemiology in Java, Indonesia, August 2001
through April 2004,'Vaccine, 27, Nov, Suppl 5:F61-6.

World Health of Organization (WHO) 2000,'Assessing new vaccines for national
immunization programmes: a framework to assist decision makers, viewed 20
February 2011, whqlibdoc.who.int/hq/2000/9290611545.pdf

World Health of Organization (WHO) 2003, 'Rotavirus vaccine, an update,'
Weekly Epidemiologic Record, viewed at 26 January 2011,
www.who.int/wer/2003/wer7801_02_BIS.pdf

World Health of Organization (WHO) 2005,'Vaccine Introduction Guideline,'
viewed at 27 January 2011,
http://www.who.int/vaccines-documents/DocsPDF05/777_screen.pdf

World Health of Organization (WHO) 2011,'Rotavirus,' viewed 13 February
2011, http://www.who.int/vaccine_research/diseases/rotavirus/en/

2011/9/21 tristanathan <tristanathan.amadeo@gmail.com>

> **
>
>
> coba jawab ya mbak, tapi ini bukan jawaban ilmiah ya, cuma keskimpulan dr
> baca2 ttg GE.
> krn mayoritas GE disebabkan oleh rotavirus (spt yg disebut monik n mbak ami
> tadi), makanya vaksin ini yang dikembangkan, bukan yg lain
> logika saya.. yg paling banyak menolong yg akan dikembangkan duluan
> again, ii bodoh2an saya aja ya...
>
> -ria-
>
>
> 2011/9/21 Khonic <khonic@gmail.com>
>
> [Non-text portions of this message have been removed]
>
>
>

[Non-text portions of this message have been removed]

2.

Stroke(konf, betul/ga?)

Posted by: "Lily Rasyid" taly.8906@yahoo.com   taly.8906

Tue Sep 20, 2011 10:18 pm (PDT)



Dear All,

Mohon konfirmasinya ya SPs n Docs. Dapet bbm ini, bener ga ya? Thx

Ada info yg perlu sy bagi dgn teman2..Jika ada keluarga yg kena stroke, segera berobat ke Dr. Terawang. Dia praktek di RSPAD pagi hari dan sorenya di RS Gading Pluit. Ada beritanya di majalah Tempo, dimana penyanyi Benny Panjaitan berhasil sembuh dr strokenya. Barusan tadi jam 8 malam, om teman sy yg kena stroke juga berhasil sembuh dr strokenya. Pengobatannya dikenal dgn nama BRAIN WASH. Nama pengobatannya adalah cuci otak yg berbasis radiologi intervensi. Pengerjaannya menggunakan mesin canggih namanya digital traction angiogram. Penyumbatan yg terjadi dipembuluh darah bisa di hilangkan shg pembuluh darah menjadi baik. Om teman sy tadi diambil tindakan hanya 20 menit, dia skrg bisa bicara dgn baik, tangannya sdh tdk kaku dan bsk sdh keluar RS dgn berjalan spt biasa. Nama dktrnya adalah Dr. Terawan Agus Putranto di RSPAD Gatot Subroto. Ybs adalah dktr subspesialis radiologi intervensi. Info di Majalah Tempo edisi No. 401.


.: Lily Kholida :.
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3.1.

Re: (Tanya) Scoring TB & hasil test mantoux

Posted by: "piep71@ymail.com" piep71@ymail.com

Tue Sep 20, 2011 10:20 pm (PDT)




kebetulan tadi aku habis dari DSA krn belakang telinga tapi diatas batas rambut dan leher jg ada benjolan kecil kanan kiri stlh diperiksa ternyata gpp Alhamdulillah bukan kelainan atau indikasi penyakit ttt, tadi jg diterangkan benjolan yg wajib diwaspadai kalo letaknya di lateral leher, membedakan mana benjolan krn tbc atau keganasan/tumor, kalo tbc biasanya ada induknya besar 1 dan dikelilingi benjolan2 kecil sekitar solitair
SOL

Sarie


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4a.

Re: Strabismus

Posted by: "delfi" thelfie@yahoo.com   thelfie

Tue Sep 20, 2011 10:22 pm (PDT)



Dear Sps n docs,

klo mata sbelah kiri agak kecil (kelopak mata) dengan seblah kanan apakah ini bsa dikateogrikan strabismus juga ? memang kadang2 agak juling klo melihat apalgi sewktu melamun dan setlah bangun tidur..

dulu pernah konsul kedokter sps mata dan menrut beliau tdk ada msalah dngn penglihatan dan bola mata..

mohon advise nya...

tx delfi

5a.

Frekuensi BAB Bayi

Posted by: "Shofwan Khaizan" abi.khaizan@yahoo.com   abi.khaizan

Tue Sep 20, 2011 10:28 pm (PDT)



Dear All,,

Mohon infonya kalo frekuensi BAB bayi normalnya tuh berapa kali sehari ya??
Bayi kami umur 8 hari ko ampir 5 kali ya hari kemarin, warna kuning pekat mendekati coklat item,, BB 2.6 (BB lahir 2.3) TB 47
apa masih normal ato ga ya???

thanks
aziz

[Non-text portions of this message have been removed]

5b.

Frekuensi BAB Bayi

Posted by: "Shofwan Khaizan" abi.khaizan@yahoo.com   abi.khaizan

Tue Sep 20, 2011 10:30 pm (PDT)





Dear All,,

Mohon infonya kalo frekuensi BAB bayi normalnya tuh berapa kali sehari ya??
Bayi kami umur 8 hari ko ampir 5 kali ya hari kemarin, warna kuning pekat mendekati coklat item,, BB 2.6 (BB lahir 2.3) TB 47
apa masih normal ato ga ya???

thanks
aziz

[Non-text portions of this message have been removed]

5c.

Re: Frekuensi BAB Bayi

Posted by: "vanny.unmehopa@gmail.com" vanny.unmehopa@gmail.com

Tue Sep 20, 2011 10:32 pm (PDT)



Dear Pak Aziz,

Saya coba jawab ya. Bayinya konsumsi ASI eksklusif? Kalo ya,normal kok pak. Ga apa2. Bayi saya jg dulu begitu. Kalau bab,bisa 5-6 kali sehari atau ga bab sama sekali selama 4-5 hari.

Semoga membantu,
Mama Melody (3mos)
Sent from my BlackBerry®
powered by Sinyal Kuat INDOSAT

-----Original Message-----
From: Shofwan Khaizan <abi.khaizan@yahoo.com>
Sender: sehat@yahoogroups.com
Date: Wed, 21 Sep 2011 13:28:03
To: Milist Sehat<sehat@yahoogroups.com>
Reply-To: sehat@yahoogroups.com
Subject: [sehat] Frekuensi BAB Bayi

Dear All,,

Mohon infonya kalo frekuensi BAB bayi normalnya tuh berapa kali sehari ya??
Bayi kami umur 8 hari ko ampir 5 kali ya hari kemarin, warna kuning pekat mendekati coklat item,, BB 2.6 (BB lahir 2.3) TB 47
apa masih normal ato ga ya???

thanks
aziz


[Non-text portions of this message have been removed]



[Non-text portions of this message have been removed]

5d.

Re: Frekuensi BAB Bayi

Posted by: "Inta" dini.maesarinta@gmail.com

Tue Sep 20, 2011 10:48 pm (PDT)



Normal kok pak, terutama kalau asix.

Cheers, Inta-sol
terkirim dari henponkuh

5e.

Re: Frekuensi BAB Bayi

Posted by: "niken qinen" nikenqinen@gmail.com   qinen_q9

Tue Sep 20, 2011 11:54 pm (PDT)



Pak aziz....
Saya bantu link bacaan saja ya pak, biar tambah mantab

http://lsoraya.multiply.com/journal/item/31/Serba_serbi_seputar_Buang_Air_Besar_BAB_pada_Bayi_ASI

Salam,
-Niken-

2011/9/21 Shofwan Khaizan <abi.khaizan@yahoo.com>

> **
>
>

[Non-text portions of this message have been removed]

5f.

Re: Frekuensi BAB Bayi

Posted by: "unong@yahoo.com" unong@yahoo.com

Wed Sep 21, 2011 12:10 am (PDT)



Dear sp and doctors

Anak saya 4m3w asix BABnya msh 3-4x kdg 5x, apakah msh tergolong normal?dulu wkt newborn bs smp 8x sehari. Wrnnya sih kuning, kuning kehijauan, berbiji,konsistensi kdg spt pasta. Kalau msh sering BAB berarti penyerapan asinya krg sempurna ya :(
Saya jd khawatir apakah frek BAB yg sering menyebabkan kenaikan BB anak saya agak lambat. Pdhl menyusunya tergolong kuat (meskipun asi saya gak berlimpah).
Sejauh ini BB berada di percentil 50 dan 15. Setiap bulan mengalami kenaikan sih tp sptnya selalu ngepas kenaikannya. Saya sering berpikir apa krn msh srg BAB ya jd anaknya susah gemuk :D
Mohon penjelasannya ya sp dan dokter yg baik hati :)

Regards
Dona
Powered by Telkomsel BlackBerry®

-----Original Message-----
From: niken qinen <nikenqinen@gmail.com>
Sender: sehat@yahoogroups.com
Date: Wed, 21 Sep 2011 13:54:16
To: <sehat@yahoogroups.com>
Reply-To: sehat@yahoogroups.com
Subject: Re: [sehat] Frekuensi BAB Bayi

Pak aziz....
Saya bantu link bacaan saja ya pak, biar tambah mantab

http://lsoraya.multiply.com/journal/item/31/Serba_serbi_seputar_Buang_Air_Besar_BAB_pada_Bayi_ASI

Salam,
-Niken-

2011/9/21 Shofwan Khaizan <abi.khaizan@yahoo.com>

> **
>
>


[Non-text portions of this message have been removed]



[Non-text portions of this message have been removed]

6a.

[Tanya] Stroke

Posted by: "Lily Rasyid" taly.8906@yahoo.com   taly.8906

Tue Sep 20, 2011 11:15 pm (PDT)



Dear All,

Mohon konfirmasinya ya SPs n Docs. Dapet bbm ini, bener ga ya? Thx

Ada info yg perlu sy bagi dgn teman2..Jika ada keluarga yg kena stroke, segera berobat ke Dr. Terawang. Dia praktek di RSPAD pagi hari dan sorenya di RS Gading Pluit. Ada beritanya di majalah Tempo, dimana penyanyi Benny Panjaitan berhasil sembuh dr strokenya. Barusan tadi jam 8 malam, om teman sy yg kena stroke juga berhasil sembuh dr strokenya. Pengobatannya dikenal dgn nama BRAIN WASH. Nama pengobatannya adalah cuci otak yg berbasis radiologi intervensi. Pengerjaannya menggunakan mesin canggih namanya digital traction angiogram. Penyumbatan yg terjadi dipembuluh darah bisa di hilangkan shg pembuluh darah menjadi baik. Om teman sy tadi diambil tindakan hanya 20 menit, dia skrg bisa bicara dgn baik, tangannya sdh tdk kaku dan bsk sdh keluar RS dgn berjalan spt biasa. Nama dktrnya adalah Dr. Terawan Agus Putranto di RSPAD Gatot Subroto. Ybs adalah dktr subspesialis radiologi intervensi. Info di Majalah Tempo edisi No. 401.

.: Lily Kholida :.
Powered by Merciful of اللÙ'هُ SWT®
6b.

Re: [Tanya] Stroke

Posted by: "tika tk" tika_ktk@yahoo.com   tika_ktk

Tue Sep 20, 2011 11:24 pm (PDT)



Dear Mba Lily,

Setelah saya tanya ke Om Google barusan,
benar ada nya bahwa ada Dokter dari RSPAD bernama dr Terawan Agus Putranto adalah dokter yang menangani pasien stroke dengan metode intervensi neuroradiologi.
selebih nya bisa di browse2 aja mba.. :)

ini ada artikel mengenai beliau dan penanganan stroke dengan metode yang disebutkan di atas.
http://bataviase.co.id/node/408444

Warm Regards,
Tika

[Non-text portions of this message have been removed]

7a.

KELAS PERSIAPAN KELAHIRAN & MENYUSUI BANDUNG 29-30 Oktober 2011

Posted by: "klasibdg@yahoo.com" klasibdg@yahoo.com   klasibdg

Tue Sep 20, 2011 11:22 pm (PDT)



Dear Smart Parents,

Sadarkah kita bahwa ASI, TataLaksana Kehamilan & Kelahiran dan juga Penangananan Bayi Baru Lahir ternyata sangat berkaitan? Alangkah baiknya jika kesadaran itu kita munculkan sekarang, sebelum tugas sebagai orangtua kita jalani.

Yuk, maksimalkan setiap usaha dalam memberikan yang terbaik dan juga benar sesuai tata laksana kepada buah hati kita.

Klub Peduli ASI YOP hadir untuk memfasilitasi orangtua menjalani salah satu perannya dengan menyediakan informasi seputar persiapan kelahiran dan menyusui serta media support group orangtua peduli ASI.

KELAS PERSIAPAN KELAHIRAN & MENYUSUI BANDUNG

Pelaksanaan :Hari : Sabtu , 29 Okt  dan Minggu, 30 Okt 2011
Waktu : Pukul 09:00 â€" 14:00 WIB
Tempat : CAFE ASIX.
Jl. Telaga Bodas 25 Bandung. Jawa
Barat.
Tel : (022) 731 2460
Materi di dalam Kelas Persiapan Kelahiran & Menyusui ini adalah semua hal yang penting diketahui setiap orangtua/calon orangtua, atau siapapun yang berhubungan erat dengan pengasuhan anak. 

Kelas ini dibagi menjadi 2 Sesi.
Sesi I: ASI dan Seputar Kehamilan (29 Okt 2011)
- Inisiasi Menyusu Dini (IMD)
- Keuntungan ASI
- Posisi Menyusui (latch-on)
- Prinsip dasar
- Persiapan menjelang kelahiran
- Hamil ≠ sakit, suplemen, makanan, mitos-mitos
- Indikasi caesar
- Perawatanbayi baru lahir
- Kegawatdaruratan pada kehamilan 

Sesi II: Masalah-masalah Menyusui dan Pasca Kehamilan (30 Okt 2011)
- Memerah ASI
- ASI Perah dan Penyimpanannya
- Mastitis, Inverted Nipple , Cracked Nipple
- Nursing Strike
- Self Weaning
- Hal-hal penting dalam check-up bayi sampai dengan 6 bulan.
- Kecukupan ASI dari segi nutrisi, terutama ASI perah
- Mengenali dan mencegah gagal tumbuh pada neonatus
- Jaundice
- Cara memantau pertumbuhan dengan kurva pertumbuhan
- Cara memantau perkembangan dan milestones
- Prinsip Rational Use of Medicines (RUM) 

Materi akan disampaikan oleh dokter dan TIM ASI YOP disertai dengan praktek, pemutaran video dan diskusi grup.

Melalui kelas ASI ini diharapkan peserta akan memperoleh pengetahuan yang komprehensif mengenai persiapan kelahiran dan menyusui sekaligus mendapatkan kelompok support yang bisa saling mendukung dan berbagi.

Biaya Rp 130.000,- per orang, atau Rp. 230.000 untuk pasangan. Biaya ini sudah termasuk handout materi, CDmateri, snack dan makan siang. Bagi yang berminat menjadi peserta, silakan mengisi dan mengirimkan formulir pendaftaran di bawah ini kirim ke
klasibdg@yahoo.com dengan Subject: “Kelas Persiapan Kelahiran & Menyusui”.

Untuk informasi lebih lanjut dapat hubungi : Monika . Tlp : 081320678893

http://klasibandung.com/kelas-persiapan-kelahiran-dan-menyusui-29-30-oktober-2011

Tempat Terbatas!
Salam SEHAT, Tim KLASI YOP (Bandung) Proudly Supports Breastfeeding

FORMULIR PENDAFTARAN KELAS PERSIAPAN KELAHIRAN &MENYUSUI 29-30 Oktober 2011

Nama Lengkap 1 :_____ (diisi oleh peserta perorangan)

Nama Lengkap 2 :_____ (diisi apabila mengajak pasangan)

Alamat :_____

Telepon/HP :_____

Email aktif :_____ (untuk mengingatkan peserta)

Jumlah anak:_____

Usia anak:_____ bulan/tahun

Due Date (tanggal perkiraan kelahiran): ____ (jika sedang hamil)

Ibu bekerja di luar rumah:_____ (ya/tidak)

Apakah sudah pernah mengetahui ilmu tentang laktasi / menyusui?_____ (ya/tidak)

Jika ya, dari mana sumbernya?_____ (buku/milis/tenaga kesehatan/lainnya …)

Apakah sudah pernah menyusui?_____ (ya/tidak)

Jika ya, apakah berhasil melakukan ASI eksklusif?_____

Permasalahan yang sedang atau pernah dihadapi dalam proses menyusui:_____

Apa yang diharapkan dari kelas Persiapan Kelahiran dan Menyusui yang akan

diikuti?_____

Salam SEHAT,

Tim KLASI YOP (Bandung) Proudly Supports Breastfeeding

http://klasibdg.multiply.com/

klasibdg@yahoo.com

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8a.

Re: [NEED HELP] BAK Sering, Nyeri dan Keluar Darah

Posted by: "Farisda P.M." faris.dr01@yahoo.co.uk   faris.dr01

Wed Sep 21, 2011 12:04 am (PDT)



Mungkin infeksi saluran kemih (ISK). Pada dewasa, ISK tidak selalu ada demam. Nyeri berkemih dan hematuria, bisa tanda ISK, meskipun tidak demam.
Bisa dishare hasil urin lengkapnya?
Untuk interpretasi urin lengkapnya bisa dilihat di sini : http://www.arisclinic.com/2011/04/urinalisa-membaca-hasil-tes-urin/

Faris

--- In sehat@yahoogroups.com, Dibbie Soedibyo <dslr.design@...> wrote:
>
> Dear all,
>
> sejak hari Sabtu, saya merasakan "anyang2an" orang jawa bilang. Jadi pipis
> sedikit, sering dan sedikit nyeri. Saya pikir karena saya kurang minum, jadi
> saya perbanyak minum saya. Sakit agak berkurang pada hari Senin, tetapi tadi
> malam (Selasa malam) nyerinya kembali muncul dan lebih sakit dari
> sebelumnya, dan ketika BAK saya mengeluarkan darah. Lalu saya ke dokter
> untuk cek dinyatakan ISK. Saya minta pengantar untuk tes urine tetapi beliau
> bilang tidak usah dan diberi antibiotik sbb :
> - FENAMIN 500mg
> - Bactopim Combi Forte
> - dan satu lagi pil warna biru keluaran KA***E (saya tidak bisa mendapatkan
> informasi dari si dokter namanya apa karena tidak mau dijawab)
>
> Obat blum saya minum, saya masih memperbanyak minum. Sekarang sudah agak
> berkurang nyerinya, darah belum keluar lagi. Dan tadi pagi saya cek urine
> lengkap, dan disarankan untuk foto BOF (cmiiw) untuk mengetahui mungkin
> terkena batu ginjal. Apa perlu ya? Rencana setelah tes selesai saya ke
> dokter lagi.
>
> Mohon opininya yaaa. Thank you.
>
>
> Dibbie
>
>
> [Non-text portions of this message have been removed]
>

9.1.

Bayi Kuning

Posted by: "dewi ck" ck_kusumadewi@yahoo.com   ck_kusumadewi

Wed Sep 21, 2011 12:07 am (PDT)



Dear all,
Saat ini bayi temenku 2 minggu dinyatakan kuning oleh suster,
Kalo menurut aku si mungkin dari kurang minum asi soalnya babynya kadang sampai 4 jam tdr gak mau minum asi nya..
Boleh minta link tentang kuning pd bayi karena saya lg dirs susah mau buka2 arsip milis dari bb,
Trimakasih..

9.2.

Re: Bayi Kuning

Posted by: "siti amatullah mutmainah" amianakbinus@yahoo.com   amianakbinus

Wed Sep 21, 2011 12:12 am (PDT)



http://aappolicy.aappublications.org/cgi/content/full/pediatrics;114/1/297

http://www.healthychildren.org/English/ages-stages/baby/Pages/Jaundice.aspx


Smg membantu

Rgds,
Ami
*bete ngawas remed... :( pgn plg


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