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    A Trial of Combination Antimalarial

    Therapies in Children from Papua NewGuinea

    leh !"EL#I "ULI"TIA NING"I$

    %onsulen !

    Dr& Rini' "p&A' (&%es

    SMF ANAK RS. DR. M. YUNUS BENGKULU

    FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN

    UNIVERSITAS BENGKULU

    2015

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    IDENTITA" JURNAL

    Judul

    A Trial of Combination Antimalarial Therapies inChildren from Papua New Guinea

    Harin A. Karunajeewa, M.., .!., "#o Mueller, Ph.$., Mi%hele!enn, M.$., &nmoore 'in, Ph.$., "rwin 'aw, M.., .!., P. !er#ina

    Gomorrai, $ip.Nurs., (li#e (a, H.&.(., !u)anne Gri*n,$ip.Nurs., Ka+e Kotab, $ip.Nurs., Penias !uano, .!%.Nurs.,Nandao Taron-a, Ali%e ra, $ul%ie 'autu, .!%., Madhu Pae/!harp, Ph.$., 0ina 1on, .!%., !am !alman, Peter !iba, Ph.$.,

    Kenneth 2. "lett, Ph.$., and Timoth+ M.&. $a#is, $.Phil., M..,.!.

    The New &nland Journal of Medi%inewas published at www.nejm.or

    Desember )**+

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    M&T($&

    Desain Penelitian

    Penelitian dimulai dari April 3445 6 Juli 3447

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    PA!"&N

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    Prosedur Klinis dan'aboratorium

    ilaianKlinis

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    Prosedur Klinis dan'aboratorium

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    2ollow p Hari -e/83 ntu-Melihat &fe- Pemberian (bat

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    Analisis !tatisti-

    Kelompo-

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    HA!"'

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    PA!"&N

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    f - i i l

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    &fe-ti#itas MelawanPlasmodium falciparum

    9 :;< ana- 6 ana- +an menalami

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    P l i G t it i t b - t d t

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    Pre#alensi Gametositemia terban+a- terdapatpada -elompo- Kloro-uin 6 !P =Ma-simum pada

    hari -e/7 +aitu >

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    &fe-ti#itas MelawanPlasmodium vivax

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    (onitorin, %eamanan

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    (onitorin, %eamananTida- ada penari-an obat +an disebab-an oleh efe- sampin

    pada penelitian.

    "nsidensi terjadin+a demam dan mutah antara hari 4 /7 padapenunaan -ombinasi artemisinin lebih rendahdibandin-an %loro-uin . "P=PB4.448. Tetapi untu- ejala

    +an lain tida- ada perbedaan sini-an antar perbedaanpenobatan.

    "nsidensi terjadin+a ruam lebih tini denan penunaaanArtesunate . "P dan Dih/droartemisinin0Pipera1uine

    dibandin-an denan %loro-uin . "P =PB4.448

    'impa serin teraba pada -elompo- Artemeter .Lumefentrine =PB4.44D

    Kadar Hb sama pada -elompo- perla-uan, rata/ ratapenin-atan dihari -e /83 +aitu :,7 ;dl

    Hipoli-emia tida- ada perbedaan sini-an di setiap ana-.

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    $is-usi

    ilaianKlinis

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    C0"T"CA' APP0A"!A'

    J(0NA'

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    Judul

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    Populasi di%antum-an

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    PIC

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    PIC

    Patient

    2)* oran, usia 3*-elompo- e4perimen

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    PICInter5ention

    Mela-u-an analisis statisti- data pasien untu-

    menindeti-asi penanda bio-imia stres o-sidatif +aitu

    pero-sidasi lipid +an ditandai denan tin-at TA0!

    dan status antio-sidasi total +an ditandai denan

    tin-at Eitamin & dan TAC.

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    PICComparison ntu- membandin-an patoenesis -eter-aitan usia

    dan -atara- diabeti- denan -atara- nu-lir dan -orti-aldenan -elompo- -ontrol pada lensa dan serum

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    PIC

    (ut%ome Pero-sidasi lipid +an ditandai denan TA0! se%ara

    sini-an menin-at bai- dalam serum maupun lensapada -etia -elompo- -atara- dibandin-an denan-elompo- -ontrol

    !tatus antio-sida total +an ditandai denan tin-at#itamin & dan TAC pada plasma dan lensa se%arasini-an menurun pada -etia -elompo- -atara-dibandin-an denan -elompo- -ontrol.

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    TERI(A %A"I$