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All Journal Althea Medical Journal Majalah Kedokteran Gigi Indonesia Sari Pediatri Paediatrica Indonesiana Padjadjaran Journal of Dental Researchers and Students
Dzulfikar Djalil Lukmanul Hakim
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran Unpad,Rumah Sakit Hasan Sadikin Bandung
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Journal : Althea Medical Journal

 1 
Skull and Posterior Rib Fractures with Respiratory Failure caused by Child Abuse Hakim, Dzulfikar Djalil Lukmanul; Noviani, Elza
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (650.71 KB)

Abstract

Background: Presence of multiple fractures suggests child abuse. Skull fractures rarely occurred but posterior rib fractures are commonly found and have high specificity as a radiological finding in child abuse. A respiratory failure can occur as a result of the damage to the osseous structure of the thorax that destabilizes the rib cage and impairs spontaneous breathing mechanism.Methods: A case report of a 6-month-old boy who presented with respiratory failure, multiple bilateral parietal and occipital bone fractures, and also fractures of right rib 5–8. The patient required ventilatory support for 9 days in the Pediatric Intensive Care Unit, Dr.HasanSadikin General Hospital.Results: The patient was on ventilatory support for 9 days, and was given antibiotics for 2 weeks. Next,   the patient was referred to the High Care Unit (HCU) after the condition was stabilized, and then referred to the ward, for treatment by the Social Pediatric Division. The patient was still having issues about his foster care. Conclusions: Recognition of presence of fractures is important in early diagnosis and treatment of  child abuse. [AMJ.2017;4(1):107–10] DOI: 10.15850/amj.v4n1.1030
Skull and Posterior Rib Fractures with Respiratory Failure caused by Child Abuse Dzulfikar Djalil Lukmanul Hakim; Elza Noviani
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (650.71 KB)

Abstract

Background: Presence of multiple fractures suggests child abuse. Skull fractures rarely occurred but posterior rib fractures are commonly found and have high specificity as a radiological finding in child abuse. A respiratory failure can occur as a result of the damage to the osseous structure of the thorax that destabilizes the rib cage and impairs spontaneous breathing mechanism.Methods: A case report of a 6-month-old boy who presented with respiratory failure, multiple bilateral parietal and occipital bone fractures, and also fractures of right rib 5–8. The patient required ventilatory support for 9 days in the Pediatric Intensive Care Unit, Dr.HasanSadikin General Hospital.Results: The patient was on ventilatory support for 9 days, and was given antibiotics for 2 weeks. Next,   the patient was referred to the High Care Unit (HCU) after the condition was stabilized, and then referred to the ward, for treatment by the Social Pediatric Division. The patient was still having issues about his foster care. Conclusions: Recognition of presence of fractures is important in early diagnosis and treatment of  child abuse. [AMJ.2017;4(1):107–10] DOI: 10.15850/amj.v4n1.1030
Early Left Ventricular Structural Changes With Preserved Function in Overweight and Obese Adolescents: A Speckle-Tracking Echocardiography Study Nurfandi, Wendi; Hafsah, Tisnasari; Rahayuningsih, Sri Endah; Apandi, Putria Rayani; Hakim, Dzulfikar Djalil Lukmanul; Ghrahani, Reni; Kuswiyanto, Rahmat Budi; Gurnida, Dida Akhmad
Althea Medical Journal Vol 12, No 4 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n4.4343

Abstract

Background: Overweight and obesity in adolescents are associated with dyslipidemia and may contribute to early cardiovascular remodelling. Speckle-tracking echocardiography (STE) is a sensitive imaging technique capable of detecting early myocardial functional alterations before the onset of clinical symptoms. This study aimed to evaluate the correlation between cardiac chamber dimensions, left ventricular (LV) geometry and function, and lipid profiles in overweight and obese adolescents. Methods: A cross-sectional study was conducted from June to September 2023, involving 51 overweight and obese adolescents aged 15–18 years in Bandung, Indonesia. Anthropometric measurements, fasting lipid profiles (triglycerides, total cholesterol, LDL, HDL), and transthoracic echocardiography were obtained. LV dimensions, LV mass index (LVMI), ejection fraction (EF), fractional shortening (FS), and global longitudinal strain (GLS) were assessed. Associations were analyzed using Pearson correlation.Results: Participants were predominantly male (64.7%) with a mean age of 16.3±0.6 years. Overweight (47.1%) and obesity (52.9%) were almost equally distributed with a mean BMI of 29.6±4.1 kg/m². LVMI correlated negatively with total cholesterol (r=−0.356; p=0.005), HDL (r=−0.351; p=0.006), and LDL (r=−0.280; p=0.023). The LV posterior wall thickness and LV end-diastolic diameter were also inversely correlated with selected lipid parameters. Interventricular septal thickness in systole correlated positively with triglycerides (r=0.270; p=0.028). No significant correlations were found between lipid profiles and LV function parameters, including EF, FS, and GLS (p>0.05).Conclusions: In overweight and obese adolescents, lipid profiles are associated with early alterations in LV structural dimensions while LV systolic function remains preserved. These findings support the importance of early cardiovascular screening and lifestyle modification to reduce future cardiometabolic risk.
Co-Authors Adri Zamany Anwary Adrizain, Riyadi Anggraini Alam Anggraini Alam, Anggraini Dany Hilmanto Dewi Marhaeni Diah Herawati Dewi, Anggun Puspita Dida A. Gurnida Dida Akhmad Gurnida Djatnika Setiabudi Dwi Andriyani Dwi Prasetyo Elza Noviani Elza Noviani, Elza Esti Istiqomah Fransisca Sri Susilaningsih Fransisca Sri Susilaningsih Idham Fadhillah Iis Rosita Meita Dhamayanti Nanan Nur'aeny Nanan Nur'aeny Nelly Amalia Risan, Nelly Amalia Nirwani, Bunga Nurfandi, Wendi Prima Nanda Fauziah Putria Rayani Apandi, Putria Rayani Rahmat Budi Kuswiyanto, Rahmat Budi Reni Ghrahani Robby Godlief Rodman Tarigan Solek, Purboyo Sri Endah Rahayuningsih Susi Susanah Tisnasari Hafsah, Tisnasari