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All Journal Jurnal Kedokteran Brawijaya Sari Pediatri Pediatric Sciences Journal
Koentartiwi, Dyahris
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Health Professions Medicine & Pharmacology Public Health

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Case Series: Two Cases of Critical Pulmonary Artery Stenosis Focusing on the Timing of Diagnosis and Management Koentartiwi, Dyahris; Ramadhanti, Ardhanis; Damayani Susilo, Monica
Jurnal Kedokteran Brawijaya Vol. 33 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.02.17

Abstract

Critical stenosis of the pulmonary valve in neonates is related to ductus-dependent pulmonary circulation. Percutaneous transcatheter balloon valvuloplasty (PTBV) is the treatment of choice for critical pulmonary stenosis. Unfortunately, many children in developing countries are usually diagnosed late and seldom get immediate care, which leads to delayed growth and development and, ultimately, higher morbidity and mortality. We present two cases of critical pulmonary artery stenosis in a 17-year-old boy and a 4-day-old girl who received PTBV procedures, but had different outcomes. We underline the importance of early diagnosis and intervention in critical pulmonary stenosis for the patient’s prognosis.
Comprehensive management for the improved outcome of persistent pulmonary hypertension of the newborn in a one-day-old baby girl: a case report Koentartiwi, Dyahris; Ramadhanti, Ardhanis; Amalia, Najwa
Pediatric Sciences Journal Vol. 4 No. 2 (2023): (Available online: 1 December 2023)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v4i2.64

Abstract

Introduction: Persistent pulmonary hypertension of the newborn (PPHN) is characterized by an increase in pulmonary vascular resistance (PVR), caused by failure of circulatory adaptation within minutes after delivery. Persistent pulmonary hypertension of the newborn (PPHN) can lead to severe respiratory distress and hypoxemia. Newborns with PPHN are at high risk of severe asphyxia and its complications. This study aims to present a comprehensive assessment and treatment of newborn PPHN that might be applicable in any hospital setting. Case description: A one-day-old baby girl came to the emergency room with the chief complaint of cyanosis since birth. The baby was born with oxygen, with pre-ductal and post-ductal differentiation of 5%. The baby showed weak crying movements and inadequate spontaneous breathing, indicating persistent respiratory distress and a chest x-ray revealed pneumonia. The echocardiogram showed a bidirectional secundum, an atrial septal defect, moderate patent ductus arteriosus, and severe pulmonary hypertension. Sputum culture showed Klebsiella pneumoniae (ESBL). Comprehensive management was given to the patient. After several days of hospitalization, the patient was discharged in good condition. Conclusion: PPHN is associated with high morbidity and mortality in newborns. Comprehensive evaluation and management of PPHN and control of any comorbid conditions must be performed to improve patient outcomes.
Assessing the relationship between anthropometric factors and refractive errors in school-age children: height, weight, or BMI? Risnanda, Muhammad Rafi; Anandita, Nanda Wahyu; Koentartiwi, Dyahris; Wulandari, Lely Retno
Pediatric Sciences Journal Vol. 5 No. 1 (2024): (Available online: 1 June 2024)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v5i1.68

Abstract

Introduction: Refractive errors (RE) are the leading cause of visual impairment and disability among children globally. Limited research exists on the relationship between anthropometric measures and refractive errors. This study aims to determine the correlation between weight, height, body mass index (BMI), and refractive errors in children. Methods: This cross-sectional study employed purposive sampling in orphanages across Malang City. Participants were selected based on specific inclusion criteria. Data on their weight, height, BMI, and types of refractive errors were collected as ordinal data. Refractive errors were measured objectively using an auto-refractometer, categorizing refractive errors as myopia and hyperopia based on spherical equivalent results. To minimize subjective bias, we utilized a large sample size and established clear inclusion and exclusion criteria. Additionally, we defined operational definitions for each standardized measurement to ensure consistency and accuracy. Statistical analyses were conducted using an unpaired T-test and Spearman’s correlation test with SPSS software. Results: A total of 362 participants aged 5–18 were included in the study, with 284 participants diagnosed with myopia and 78 with hyperopia. No significant differences were observed in mean body weight, height, or BMI between the myopia and hyperopia groups. Spearman's correlation test indicated no significant relationship between refractive errors and body weight (p > 0.05), height (p > 0.05), or BMI (p > 0.05). Conclusion: The study found no significant correlation between anthropometric status and the presence of refractive errors in children. Future research should consider more diverse settings and explore additional risk factors contributing to the prevalence of refractive abnormalities in children.
The effect of breastfeeding compared with formula milk on the growth of infants with congenital heart disease: Evidence-based case report Melinda; Permadi, Prasetya Ismail; Yuliarto, Saptadi; Kadafi, Kurniawan Taufiq; Koentartiwi, Dyahris; Rahmadany, Aulya Farra; Fauzi, Muhammad Rizki; Muharrom, Muhammad Aji
Pediatric Sciences Journal Vol. 6 No. 1 (2025): Available online : 1 June 2025
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v6i1.123

Abstract

Introduction: Children with Congenital Heart Disease are at high risk of feeding and growth problems. Nutrition practices for children with CHD still vary widely across institutions, including breastfeeding. This study aims to conduct a critical review to compare the effects of breastfeeding versus formula on the growth of infants with congenital heart disease. Methods: The article search was conducted online using the PubMed, EBSCO, and ProQuest databases with the keywords “Congenital Heart Disease,” “Human Milk,” “Formula,” and “Growth.” Result: Two articles were obtained in the form of systematic review studies. Results of the study stated that in infants with CHD with breastfeeding compared to formula milk Weight for age score is better with breastfeeding because breast milk is easier to digest Conclusion. Breast milk has been shown to have significant benefits on the growth of infants with CHD compared to formula, especially in terms of weight-for-age z-score.
Pendekatan Diagnosis dan Tatalaksana Awal Kelainan Hematologi pada Anak dengan Penyakit Jantung Bawaan Sianotik Amalia, Najwa; Koentartiwi, Dyahris; Nugroho, Susanto; Ramadhanti, Ardhanis
Sari Pediatri Vol 26, No 2 (2024)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp26.2.2024.125-30

Abstract

Penyakit Jantung Bawaan sianotik adalah kelainan jantung bawaan akibat pirau darah dari kanan ke kiri yang mengakibatkan penurunan saturasi oksigen dalam sirkulasi sistemik. Pada PJB sianotik yang belum dikoreksi dalam jangka waktu yang lama akan terjadi hiperviskositas dan eritropoesis sekunder. Polisitemia, koagulopati, trombositopenia, dan anemia defisiensi besi relatif merupakan masalah yang sering ditemui. Tatalaksana awal kelainan hematologi ini sangat penting dalam menurunkan morbiditas dan mortalitas anak dengan PJB sianotik. Pemberian suplementasi zat besi untuk anemia defisiensi besi relatif, phlebotomi untuk kondisi polisitemia serta berbagai tatalaksana kelainan hematologi lainnya masih sangat terbatas dan kontroversial.
Case Series: Two Cases of Critical Pulmonary Artery Stenosis Focusing on the Timing of Diagnosis and Management Koentartiwi, Dyahris; Ramadhanti, Ardhanis; Damayani Susilo, Monica
Jurnal Kedokteran Brawijaya Vol. 33 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.02.17

Abstract

Critical stenosis of the pulmonary valve in neonates is related to ductus-dependent pulmonary circulation. Percutaneous transcatheter balloon valvuloplasty (PTBV) is the treatment of choice for critical pulmonary stenosis. Unfortunately, many children in developing countries are usually diagnosed late and seldom get immediate care, which leads to delayed growth and development and, ultimately, higher morbidity and mortality. We present two cases of critical pulmonary artery stenosis in a 17-year-old boy and a 4-day-old girl who received PTBV procedures, but had different outcomes. We underline the importance of early diagnosis and intervention in critical pulmonary stenosis for the patient’s prognosis.
Co-Authors Amalia, Najwa Damayani Susilo, Monica Fauzi, Muhammad Rizki Kurniawan Taufiq Kadafi Lely Retno W Melinda Muharrom, Muhammad Aji Permadi, Prasetya Ismail Rahmadany, Aulya Farra Ramadhanti, Ardhanis Risnanda, Muhammad Rafi Saptadi Yuliarto Susanto Nugroho Wahyu Anandita, Nanda