Pengant IKA(Biomedik)

7/21/2019 Pengant IKA(Biomedik)

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INTRODUCTORY LECTURE

OFPEDIATRIC

m.nazir hz

Departement of Child Health !hool of "edi!ine

Uni#er$it% of ri&i'a%a



Introd(!tion

Learnin) o*'e!ti#e+

,. Child Health field of !hild health

-. Pro*lem$ of !hild health

. Child health $er#i!e$

/. o!ial Pediatri! and 0ro&th de#elopment



Learnin) o*'e!ti#e I+ Child Health1 Definition

Child i$ not $mall ad(lt

Child definition differ

differentiation p(rpo$e

2 La& + re$po$i*ilit% 3,4 5-,th62 02D + 02D $top 37 ,8th6

Con#ention on the ri)ht$ of the !hild 3UNO6+ ,8th

2 Ho$pital+ *ed len)th



Learnin) o*'e!ti#e I+ Child Health1 De#elopment period

Health pro*lem$ differ de#elopment period

De#elopment Period+

,. Intra Uterine+ 2 earl% foetal 32,9 &ee:6 2 intermediate foetal 3-; 5 -4 &ee:6

2 late foetal 3-8 &ee:2*irth6

-. Perinatal+ <irth 3-8 5 /; &ee:6 2 a)e 4 da%

. Neonatal+ 2 Neonatal+ *irth 5 -8 da%

2 earl% neonatal+ *irth 5 4 da%

2 late neonatal+ 8 5 -8 da%

/. Infant+ 2 infant+ *irth 5 ,, month

2 late infant+ , 5 ,, month 32 - month6

=. Under2fi#e %ear$ a)e 3<alita6+ *irth 5 / %ear Childhood 3Ana: <alita6+ , 5 / %ear

Earl% !hildhood+ , 5 - %ear

>. Pre $!hool+ 5 / %ear !hool+ = 5 ,, %ear

4. P(*ertal+ ,- 5 ,4 %ear Adole$!ent+ ,- 5 -; %ear8. Yo(n ad(lthood+ ,8 5 -; ear



Learnin) o*'e!ti#e I+ Child health

Child Health+

2 C(rati#e 3"edi!al6

pediatri! 5 pedo$ + ana: 2 iatri!a+ pen%a:it

2 Health !on$er#an!%+

2 promotion1 pre#ention and reha*ilitation

Intera!tion+ <iomedi! 2 *eha#ior1 !(lt(r and $o!ial

o!ial Pediatri! Approa!h 3Comm(nit% "ed6

Child Health+ part of medi!al $!ien!e

Health $!ien!e "edi!al $!ien!e

Child Health



Learnin) o*'e!ti#e I+ Child Health1 Field of !hild health

Child Health (*di#i$ion+

,. %$tem+ Ped Cardiolo)%

-. Pro!ed(r+ PICU1 Ped Radiolo)%. De#elopment+ neonatolo)%? Perinatolo)%?

adole$!ent medi!ine

Area of !hild health

pre)nant

0en Pot <irth Poten!%.

<irth 0 D N(trition

R E En#ironment

0eneti! perinatal O @ Di$ea$e 3<io2P$i!ho2o!6inter#en medi!ine E

T L $tim(lation

H ;

P Ad(lt Poten!%



Learnin) o*'e!ti#e II+ Pro*lem$ of !hild health

,. 0ro&th and de#elopment-. Di$tr(r*an!e of !hild health

. Ri$: and determinant fa!tor of )ro&th de#elopment and !hildhealth/. En#ironmental infl(en!e and $(pport

,. Pro*lem$ of !hild )ro&th and de#elopment

t(ntin)+ de#elopin)+ ,; 5 8;B de#eloped + B Ca($e+

"a!ro+ mar)inal inta:e+ 2 lon) period 2 po#ert%? ne)le!ted

"i!ro+ 2 )eneti!1 di$t.of *irth? pre)nant 2 N(tritional? $tim(lation di$t.? di$ea$e

Ad(lt poten!% i$ not rea!hed



Learnin) o*'e!ti#e II+ Pro*lem$ of !hild health1 Di$t.of !hild health

-. Di$t(r*an!e of !hild health

de#elopin) epidemiolo)i! trantition de#elopedInfe!tion determinant fa!tor !on)enital

N(tr.Di$t ri$: fa!tor )eneti!

a!!ident

nar!oti! et!

En#ironment

eprien!e

in!rea$e determinant fa!tor minimize ri$: fa!tor



Learnin) o*'e!ti#e II+ Pro*lem$ of Child health1 Indi!ator

Indi!ator+ 2 Pro*lem$

2 Re$(ltIndi:ator+li#e *irth + &ithoet $eein) pre)nan!% a)e

$till *irth + pre)nan!% -8 &ee:

foetal death+ die *efore deli#erin) *irth1 &itho(t $eein) pre)nan!%

a)e

A*ortion + terminatin) pre)nan!% -8 &ee:1 foetal death

Premat(rit% + <orn 4 &ee:

"at(r it% + <orn 4 5 /- &ee:

Po$tmat(rit% + <orn /- &ee:

L< Infant + <od% &ei)ht infant -=;; )

Cr(de *irth rate+ li#e *irth? a n(m*er of re$ident G ,;;;

!r(de death rate+ a n(m*er of death?a n(m*er of re$ident G ,;;;

L< proportion + per!enta)e of L< and li#e *irth



Learnin) o*'e!ti#e II+ Pro*lem$ of !hild health1 Indi!ator !ontin(e

Indi!ator+,2/ %r$ a)e $p.death rate6+ 3die ,2/ %ear? a n(m*er of ,2/ %ear6 G ,;;;Perinatal mortalit% rate+

3$till *irth7fir$t &ee: death?$till *irth7li#e *irth6 G,;;;

Neonatal mortalit% rate+ 3die (p to -8 da%? '(ml.lahir hid(p6 G ,;;;

infant mortalit% rate+ 3die (p to , %ear? a n(m*er of li#e *irth6 G ,;;;(nderfi#e mortalit% rate+ 3die (p to = %ear?a n(m*er of li#e *irth6 G ,;;;



Determin+ N(trition 0ro&th 5 De#elop.tim(lat.

Ri$: + !a($e fa!tor

3epo$e6

En#ironment

,. Re$ident

-. H(m.Re$o(r!e$. Ind($tr%

/. Po#ert%

land

opport(nit%

Learnin) o*'e!ti#e II+ Pro*lem$ of !hild health1 Determinant and En#ironment



Learnin) o*'e!ti#e III+ Child health $er#i!e$

Child health $er#i!e+

"edi!al !are + Pre#ention 5 treatment

)ro&th and de#elopment di$t(r*an!e$

di$ea$e

Determinant fa!tor En#ironmental inter#ention

Ri$: fa!tor to mana)e ri$: fa!tor

to eploit determinant fa!tor



Learnin) o*'e!ti#e I@+ o!ial Pediatri!

o!ial Pediatri!+ approa!h to mana)e !hild health

Pre#enti#e Pediatri!J medi!al $er#i!e$ 2 Primer% + imm(nization

2 e!ondar%+ earl% D? and prompt treatment

2 Tertiar%+ to minimize 02D di$t(r*an!e$ 3di$ea$e6

!renin)+ $imple+ A?1 Fi$i!al Eam.1 )ro&th !hart

imple La*orator% eam

hopi$ti!ated IE"



Learnin) o*'e!ti#e I@+ o!ial Pediatri!

pe!ial health $er#i!e+

2 Po$ Yand(+ moti#ation fa$ilitation

2 <idan De$a+ mother and infant mortalit%2 Da$a i$ma+ famil% pro$perit% 3OR6

2 Klini: T2K+ $!renin)1 monitorin)

reha*ilitation

2 Penitipan <a%i 3 Da% Care Centre 6+

pro*lem$ identifi!ation 3o(t *rea:6

2 Taman 0izi+ identifi!ation1 treatment

3n(trition6.

2 Karan) <alita? Karan) Tar(na+ tim(lation

2 Panti A$(han+identifi!ation treatment 3father?mother 326

Pengant IKA(Biomedik)

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