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Sukman Tulus Putra

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Author-ID : 2007206

Health Professions Medicine & Pharmacology

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Echocardiographic patterns in asphyxiated neonates Maswin Masyhur; Idham Amir; Sukman Tulus Putra; Alan Roland Tumbelaka
Paediatrica Indonesiana Vol 49 No 4 (2009): July 2009
Publisher : Indonesian Pediatric Society

Background Neonatal asphyxia is a disorder in neonates dueto decreased oxygenation (hypoxia) and decreased perfusion toorgans (ischemia). Duration of asphyxia and early managementinfluence the severity of organ dysfunction, including the heart.Objectives To obtain patterns of cardiac abnormality inneonatal asphyxia in Cipto Mangunkusumo Hospital withechocardiography. Design A cross-sectional study was performed on 22 asphyxiated neonates and 22 other non-asphyxiated neonates from March to October 2008. Inclusion criteria were term neonates, Apgar score :S 6 in the first minute for asphyxiated neonates and ?. 7 for normal/non-asphyxiated neonate. Echocardiographic examination was performed before the age of 48 hours.Results There were 7/22 asphyxiated neonates and 1/22 nonaxphyxiated neonate with heart disease (P <0.05). The mostcommon cardiac abnormality found in asphyxiated neonates waspatent ductus arteriosus, followed by atrial septal defect, tricuspid regurgitation, and pulmonary hypertension.Conclusion Cardiac abnormality is significantly found more oftenin asphyxiated than in non-asphyxiated neonates.

Assessment of health-related quality of life in children with cancer using PedsQLâ„¢ (a preliminary study) lvony Yuyu Susanto; Soedjatmiko Soedjatmiko; Sukman Tulus Putra
Paediatrica Indonesiana Vol 49 No 6 (2009): November 2009
Publisher : Indonesian Pediatric Society

Background Cancer in children can adversely affect theirdevelopments and growth. The assessment of health-relatedquality of life (HRQL) will justifY its physical and psychologicaleffects.Methods Seventy-seven subjects who underwent therapy wereassessed using the PedsQLâ„¢, which consisted of parent-proxyreports and or child-self reports. PedsQLâ„¢ is assessments ofphysical, social, emotional and role functions. The controlgroup was students with the same number and age as the sample group.Results Children with cancer had lower HRQL than normalhealthy children (odds ratio 3. 7). Children with cancer who camefrom low socio-economic families had lower social functions andgirls had tendencies to have lower quality oflife. Fathers' education had strong influence in children's quality of life. Leukemic patients had better quality of life than those of lymphoma and solid organ tumor. Group with age of diagnosis at 6-9 year old had lower HRQL compared with younger or older groups. The longer period of illness was, the more emotional function would improved. Despite of a good accordance between parents' and child's reports, parents usually had reports about having lower quality of life.Conclusions Children's HRQL is influenced by clinicalcharacteristics and social-demographic variables differently.Assessment of the children's HRQL is better done with parentsand or child as the source of information.

Prevalence of patent ductus arteriosus in premature infants at the Neonatal Ward, Cipto Mangunkusumo Hospital, Jakarta Benita Deselina; Sukman Tulus Putra; Rulina Suradi
Paediatrica Indonesiana Vol 44 No 6 (2004): November 2004
Publisher : Indonesian Pediatric Society

Background Patent ductus arterious (PDA) is one of the mostcommon congenital heart diseases encountered in preterm infants.The lower the birth weight and gestational age are, the higher theincidence of PDA is.Objectives To investigate the incidence of PDA in premature infantshospitalized in the neonatal wards of Cipto Mangunkusumo Hospitalusing echocardiography.Methods Preterm infants born between August and October 2003were included in this study. Clinical features were retrieved from medicalcharts. The first echocardiography was conducted on all of the preterminfants at the chronological age of 3 days. If PDA was detected,echocardiography was repeated at the chronological age of 6 days.Results During the 3-month period, sixty-five preterm infantsparticipated in this study and underwent echocardiography. In thefirst echocardiogram, the incidence rate of PDA was 32%. Atgestational age of less than 28 weeks, 1 of 2 infants had PDA. Of 3infants with birth weight of more than 1000 grams, 2 had PDA. Onthe second echocardiography, the incidence rate of PDA was 14%and mostly found in infants at gestational age of less than 28 weeks(8/9) and in those with birth weight of less than 1000 grams (7/9).All infants with RDS whose PDA was identified in the firstechocardiography proved to maintain their PDA in the secondechocardiography.Conclusion The incidence rate of PDA in preterm infants was14%. The lower the birth weight, the higher the incidence rate ofPDA. The presence of RDS is related to the delay in the closing ofthe arterial duct

Left ventricular functions and mass of the adolescents and young adults with thalassemia major: An echocardiography study Muhammad Ali; Sukman Tulus Putra; Djajadiman Gatot; Sudigdo Sastroasmoro
Paediatrica Indonesiana Vol 46 No 5 (2006): September 2006
Publisher : Indonesian Pediatric Society

Background Thalassemia major (TM) is a transfusion-depen-dent disease. Multiple transfusions cause an accumulation of ironin the body. On the heart, iron can induce cardiomyopathy, theleading cause of death in TM.Objective To evaluate left ventricular functions and mass amongadolescents and young adults with TM.Methods A cross-sectional study was conducted on 58 patientswith TM in Cipto Mangunkusumo Hospital, Jakarta. Hematologicaldata was collected from medical record. Left ventricular systolic func-tions (EF, FS), diastolic functions (A, E, E/A ratio, IVRT), and mass(LVDDi, LVDSi, LVMi) were detected using an echocardiographySonos 4500. T test, linier regression, and multiple regression analy-sis were performed.Results Out of 32 TM patients, 30 were enrolled to study. Leftventricular systolic and diastolic functions of TM patients were lowerthan those of the control and statistically significant [EF 66.1% (SD4.9) and 71.6% (SD 5.6); P<0.0001, FS 36.0% (SD 3.7) and 39.8%(SD 5.5); P=0.003, E/A 2.14 (SD 0.4) and 1.83 (SD 0.3); P=0.002,respectively]. Left ventricular mass of TM patients was greater thanthat of control, and also statistically significant [LVMi 111.1 g/m 2(SD 30.8) and 75.4 g/m 2 (SD 14.5); P<0.0001, respectively]. Linierand multiple regression analysis showed significant and powerfulcorrelation between left ventricular diastolic functions (E/A ratio)and serum ferritin concentration (r=0.71; P<0.0001).Conclusion Left ventricular functions and mass of adolescentsand young adults with TM show abnormalities. The higher the con-centration of ferritin serum is, the more likely for TM patient to suf-fer from diastolic abnormality

Atherosclerosis in Children and Adolescents Fauzi Mahfuzh; Sudigdo Sastroasmoro; Sukman Tulus Putra
Paediatrica Indonesiana Vol 37 No 3-4 (1997): March - April 1997
Publisher : Indonesian Pediatric Society

Being an old disease, atherosclerosis is now considered as die leading cause of death in industrial countries and in some developing countries, and a steady increase of the proportion of death from cardiovascular disease is seen every' where. In the USA death from cardiovascular disease rose from 14% of all death in 1937 to 54% in 1968. Although clinical manifestations of atherosclerosis usually occur at adult age, its pathogenesis has been shown to start at early life. Fatty streak has been shown in not less than 5% of apparently normal children below 1 year of age. We discuss in considerable details the risk factors for atherosclerosis and the role of pediatneian in controlling this disease. Algorithm of screening and diagnosis of high risk children and adolescents for atherosclerosis, as well as the basis of its management are til so discussed. Step care dietetic program is very important, although use of certain drugs is warranted in selected cases.

Co-Authors Alan Roland Tumbelaka Benita Deselina Djajadiman Gatot Fauzi Mahfuzh Idham Amir lvony Yuyu Susanto Maswin Masyhur Muhammad Ali Rulina Suradi Soedjatmiko Soedjatmiko Sudigdo Sastroasmoro

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