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All Journal Jurnal Kedokteran Brawijaya Paediatrica Indonesiana Jurnal Pengabdian Masyarakat dalam Kesehatan Pediatric Sciences Journal
Kurniawan Taufiq Kadafi
Division Of Pediatric Emergency And Intensive Care, Department Of Pediatrics, Faculty Of Medicine, Universitas Brawijaya, Saiful Anwar General Hospital, Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health

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ACHIEVING BETTER QUALITY OF LIFE THROUGH THE PROVISION OF SUPPLEMENTS, MEDICAL AIDS, AND COUNSELLING OF SLE PEDIATRIC PATIENTS AT RSSA MALANG Barlianto, Wisnu; Taufiq Kadafi, Kurniawan; Micho, Rahma
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 6 No. 2 (2024): OCTOBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v6i2.55204

Abstract

Introduction: Systemic lupus erythematosus (SLE) in children can interfere with their growth and social functioning and the treatment process is often hampered by low compliance and the unmet secondary needs of the patient. The aim of this community service activity is to improve the quality of life of patients by fulfilling their secondary needs and providing free consultation and education. Methods: This community service was carried out by educating and provide free consultation for 38 SLE pediatric patients accompanied by their parents directly at RSSA, monthly for 6 months, and we emphasise topics on management and healthy lifestyle for SLE patients. We also make this opportunity as a means of monitoring patient's condition which includes disease activity through SLEDAI Score, clinical symptoms, and psychosocial support, and we complete it by providing vitamin D supplements, sunblock, and wheelchairs. Results: All the subjects in this community service were 100% girls and 50% of them had active SLE status with various clinical manifestations. 79% of patients never took vitamin D supplements and all patients did not use sunblock. There were 3 patients with neurological disorders who needed a wheelchair. We provide their secondary needs to maximize the standard therapy we have been doing. After 6 months, there was a decrease in the number of patients who missed monthly controls, and a decrease in patients SLEDAI Score indicating that their lupus activity was appropriately controlled. Conclusion: Although rarely considered, the fulfillment of secondary needs in SLE patients such as vitamin D, sunblock, and wheelchairs for patients with mobility problems is very meaningful to them, which can optimize the main therapy given and make patients routinely attend monthly controls, because they find it helpful in terms of mobility. In addition, they do not need to buy vitamin D and sunblock themselves.
Diagnostic performance of electrical cardiometry (ICON®) parameters in predicting fluid responsiveness in critically ill pediatric patients Kurniawan Taufiq Kadafi; Rizki Dzakiyah Sholikhah, Wanda; Muhammad Reva Aditya; Saptadi Yuliarto; Charity Monica; Abdul Latief; Antonius Hocky Pudjiadi
Paediatrica Indonesiana Vol. 65 No. 6 (2025): November 2025
Publisher : Indonesian Pediatric Society

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Abstract

Background  Fluid resuscitation with appropriate and adequate amounts is very important in treating critically ill children, so reliable hemodynamic monitoring methods are needed to prevent fluid overload. Contractility index (ICON) is a novel, non-invasive index of left ventricular (LV) function, and contractility related to the electrical cardiometry device (ICON®). ICON® offers a non-invasive hemodynamic monitoring method to assess volume status, but its validity in predicting fluid response in the Indonesian pediatric population remains unknown. Objective To determine the diagnostic performance of ICON-derived parameters, especially change of cardiac output (ΔCO) and change in contractility index (ΔICON), in predicting fluid response, using change of stroke volume (ΔSV)  as a reference standard. Methods A cross-sectional study was conducted in pediatric emergency and intensive care settings. Children aged 1 month to 18 years requiring fluid resuscitation were included. Hemodynamic parameters were measured using ICON® before and after a 10 mL/kg fluid bolus of crystalloid. Fluid responsiveness was defined as a >10% increase in ΔSV. Changes in parameters were analyzed using paired statistical tests. ROC analysis was used to assess the diagnostic accuracy of CO and ICON. Results Sixty-three subjects were analyzed. Significant median changes were observed after fluid bolus administration based on pre- and post-bolus comparison in change of heart rate (ΔHR: –8 bpm, P<0.001), change of systolic blood pressure (ΔSBP: +3 mmHg, P=0.042), change of diastolic blood pressure (ΔDBP: +2 mmHg, P=0.012), change of mean arterial pressure (ΔMAP: +0.67 mmHg, P=0.009). The ROC analysis showed that CO had the highest AUC (0.878), with a cut-off of 5.35%, sensitivity of 78.3%, and specificity of 87.2%. The ICON showed moderate accuracy (AUC 0.757), with a 0.45% cut-off, 69.6% sensitivity, and 71.8% specificity. Conclusion Electrical cardiometry (ICON®) demonstrated measurable changes in objective hemodynamic parameters following fluid bolus administration in critically ill children. Among ICON-derived parameters, a 5.35% increase in CO showed the best predictive performance for fluid responsiveness, while ICON showed moderate diagnostic value. These findings support the clinical utility of electrical cardiometry as a non-invasive tool to guide volume management in pediatric critical care.
Co-Authors Abdul Latief Antonius Hocky Pudjiadi Aslinar Charity Monica Dian Maharani Dimas Dwi Saputro Dimas Tri Anantyo Erviani Maulidya Fathy Zuandy Pohan Husnul Asariati I Nyoman Arie Purwana Iin Tri Listiyanti Nugrahani Ika Maya Suryaningtias Irene Ratridewi Jaya Ariheryanto Effendy Jihan Ruhi Said, Astika Khalasha, Takhta Martinus M. Leman Martinus Martin Leman Micho, Rahma Muhammad Reva Aditya Muhammad Reza Nasution, Badai Buana Nelly Pramita Septiani Niken Wahyu Puspaningtyas Piprim Basarah Yanuarso Piprim Basarah Yanuarso, Rahmawati Aminingrum Rakhman Tyas Perdana Rizki Dzakiyah Sholikhah, Wanda Saptadi Yuliarto Saptadi Yuliarto Saptadi Yuliarto Savitri Laksmi Winaputri Takhta Khalasha William Prayogo Susanto Wisnu Barlianto Yogi Prawira