Garuda - Garba Rujukan Digital

p-Index From 2021 - 2026

0.888

P-Index

This Author published in this journals

All Journal Sari Pediatri Paediatrica Indonesiana Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education

Bambang Tridjaja AAP, Bambang Tridjaja

Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Indonesia /Rumah Sakit Cipto Mangunkusumo, Jakarta

Author-ID : 3211139

Health Professions Medicine & Pharmacology Public Health

Published : 27 Documents Claim Missing Document

Claim Missing Document

Articles

1 2 3

Glycemic control in diabetic children and adolescents after attending diabetic camp Erwin P. Soenggono; Rara Purbasari; Aman B. Pulungan; Bambang Tridjaja
Paediatrica Indonesiana Vol 51 No 5 (2011): September 2011
Publisher : Indonesian Pediatric Society

Background Type 1 diabetes mellitus (T1DM) is an emerging disease worldwide. Glycemic control in pediatric T1DM patients is a challenge in diabetes management. Attending diabetic camp has been associated with improved glycemic control in diabetic children and adolescents.Objective To determine the effect of diabetic camp attendance on glycemic control in children and adolescents with T1DMMethods A cross-sectional, non-experimental study was done in December 2010 at a diabetic camp held in Bogor, Indonesia. The two-day camp educated diabetics about T1DM, including insulin use, meal planning, exercise, monitoring and complications. The diabetic camp was attended by 28 children and adolescents, consisting of 5 boys and 23 girls, aged 7 â€“ 18 years. Eighteen participants completed the requested data for our study. Glycosylated hemoglobin (HbA1c) was measured before and 3 months after subjects attended the camp. Participants also filled the Pediatric quality of life (PedsQL) questionnaire. We compared HbA1c levels before camp and 3 months after, by Stata 19.Results Before camp, the mean HbA1c was 9.18% (SD 2.48) and 3 months after camp it was 8.67% (SD 1.62), a statistically significant improvement (P=0.004). The PedsQL revealed that none of the subjects had poor quality of life.Conclusion Glycemic control in T1DM children and adolescents was significantly improved 3 months after attending diabetic camp compared to that before attending camp. According to subjectsâ€™ self-assessment by PedsQL questionnaire, no subjects indicated a poor quality of life for the duration of their illness. [Paediatr Indones. 2011;51:294-7].

Natural history of premature thelarche: review of 60 girls Jose R. L. Batubara; Adji Suranto; Sudigdo Sastroasmoro; Bambang Tridjaja; Aman B. Pulungan
Paediatrica Indonesiana Vol 41 No 11-12 (2001): November 2001
Publisher : Indonesian Pediatric Society

In Indonesia report on the natural history of premature thelarche is very limited. Daily practice requires physicians to have some basic practical knowledge, among others the natural history of premature thelarche, in order to manage these patients properly. We reviewed data of 85 premature thelarche patients who visited our department from January 1989 until December 1998. Only 60 patients met the study criteria. The mean chronological age of the patients at diagnosis was 43.4 months. About half of these patients (31/60) were diagnosed before they were 2 years old. Half of the patients had bilateral breast involvement. The hormonal pattern showed 24/48 follicle stimulating hormone predominant-response. Most patients (33/47) showed normal plasma estradiol level. Bone age analysis was normal in 46/57 patients, and only 9 showed accelerated bone age. Pelvic ultrasonography showed prepubertal reproduction organs in 26/35. Vaginal smears showed signs of estrogenization with various degree of stimulation in 13 patients. At the end of observation the outcome of premature thelarche were: 31 regressed, 19 persisted, 6 had progressive breast development and 4 progressed to central precocious puberty. The initial clinical and laboratory characteristics of those who developed CPP varied. Among 31 premature thelarche patients who regressed, 21 had onset of breast enlargement before age of 2 years. In most of the regressed patients (20/31), regression occurred completely within the first year. Most premature thelarche patients with onset before 2 years will regress within one year after diagnosis.Â

Clinical and laboratory features of children with insulin dependent diabetes mellitus of more than two years Jose R. L. Batubara; Agus Firmansyah; Riza Mansyoer; Bambang Tridjaja; Aman B. Pulungan
Paediatrica Indonesiana Vol 41 No 9-10 (2001): September 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi41.5.2001.256-9

The incidence rate of IDDM in our clinic during the period from 1989 to 1998 was 0.028%. There were twentyfour IDDM patients with duration of illness of more than 2 years, with a male to female ratio of 1: 1.5. Most of these patients had no diabetic family history and had good nutritional status. The insulin dosage used by these patients ranged between 0.67 - 0.72 IU/kg/day with a mean of 1.06 IU/kg/day. The average frequency of blood glucose home monitoring was less than ideal. Twenty-two out of the 24 patients were fully controlled metabolically; however, these patients still have polyuria, polydipsia, and polyphagia.

Levothyroxine use and thyroid gland volumes in children with autoimmune thyroiditis: a systematic review and meta-analysis Annang Giri Moelyo; Indah Suci Widyahening; Bambang Tridjaja
Paediatrica Indonesiana Vol 59 No 4 (2019): July 2019
Publisher : Indonesian Pediatric Society

Background Autoimmune thyroiditis may manifest as overt hypothyroidism, subclinical hypothyroidism, euthyroidism, or hyperthyroidism in children. Although there is no consensus on treating euthyroidism and autoimmune thyroiditis in children, some studies have demonstrated the efficacy of levothyroxine in reducing thyroid volume, improving thyroid function, and stabilizing the immunological process. Objective To determine the effect of levothyroxine on thyroid gland volume changes, thyroid function, and thyroid antibodies in euthyroid children with autoimmune thyroiditis. Methods We performed a literature search of electronic databases (the Cochrane Library, MEDLINE, EBSCO, ProQuest, clinicaltrials.gov, and other sources, as well as a non-electronic search (searching journals and conference proceedings by hand) to identify studies of euthyroid children with autoimmune thyroiditis published by August 2018. Only English-language articles were included in the search (electronic and non-electronic). Randomized controlled trials that compared levothyroxine with a control (placebo or no treatment) in euthyroid children with autoimmune thyroiditis were selected. The outcome measures were thyroid volume changes, thyroid function, and thyroid antibody levels in euthyroid children with autoimmune thyroiditis. Two authors independently extracted the data, assessed the risk of bias, and analyzed the pooled data from the included studies using a random effects model. The same authors performed a sensitivity analysis. Results We identified 57 studies. Of these, three studies, involving 97 subjects (51 subjects in an intervention group and 46 subjects in the control group) were selected for inclusion in a systematic review/meta-analysis. The meta-analysis revealed a significant difference in mean thyroid volume changes between the two groups (-1.10 SDs; 95%CI -1.56 to -0.64; P<0.0001; I2=6%). The mean difference in the thyroid-stimulating hormone (TSH) change of the two groups was -1.82 mU/L (95%CI -3.52 to -0.11; I2=87%; P=0.04). The standardized mean difference in free thyroxine (fT4) change of the two groups was 0.82 pmol/L (95%CI -1.14 to 2.78; I2=89%; P=0.41). Conclusion In euthyroid children with autoimmune thyroiditis, levothyroxine treatment reduces the thyroid volume better. The TSH level change in the intervention group is better than those in the control group. Levothyroxine treatment did not significantly improve free T4.

BURNOUT AMONG PEDIATRIC TRAINEES IN INDONESIA: A NATIONAL SURVEY Annang Giri Moelyo; Bambang Tridjaja; Rina Triasih
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 10, No 3 (2021): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.63683

Background: The intense workload and complex learning environment in pediatric specialist training program may lead to trainees’ burnout. The study aimed to assess burnout and the associated factors among pediatric trainees in Indonesia.Methods: We conducted a multicentre study involving all (15) pediatric training institutions in Indonesia from June to August 2019. A General Oldenburg Burnout Inventory (OLBI) was translated to Indonesian language. The OLBI comprised of 16 questions which assessed exhaustion (8 questions) and disengagement (8 questions). The online questionnaire was self-completed by pediatric trainees in the study sites. Ordinal regressions were performed to assess risk factors (age, marital, sex, resident stage of training, and university) for exhaustion and disengagement.Results: A total of 841 trainees from 15 pediatric training institutions in Indonesia completed the survey (response rate 71.2%). The majority (72.1%) of the trainees was female with mean age of 31.2 ± 2.9 years. The Cronbach’s-alpha was 0.74. The mean exhaustion and disengagement scores were 2.58±0.23 and 2.51±0.23, respectively. The proportion of vigor, mild, moderate and severe exhaustion were 48.3%; 42.0%; 9.0%; and 0.7%, respectively. The proportion of dedicated, mild, moderate and severe disengagement were 36.9%; 46.5%; 14.5%; and 2.1%, respectively. The stage of training (junior-intermediate stage), after adjusted to age, sex and institution was significantly increase the risk for exhaustion [odd ratio 1.47 (95%CI; 1.22-1.76)]. Disengagement level was significantly different among pediatric training institutions (located in Java and outer Java) [odd ratio 0.68 (95%CI; 0.529-0.885)].Conclusion: Burnout was common among pediatric trainees in Indonesia.

Pediatric residentsâ€™ burnout in Indonesia: a national survey during the pandemic Annang Giri Moelyo; Ardi Findyartini; Bambang Tridjaja; Aryono Hendarto
Paediatrica Indonesiana Vol 63 No 1 (2023): January 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.1.2023.22-8

Background The uncertain and somewhat chaotic clinical learning environment during the COVID-19 pandemic may potentially trigger burnout in pediatric residents. Objective To investigate the prevalence of burnout in pediatric residents in Indonesia during the COVID-19 pandemic and to identify potential risk factors associated with burnout. Methods This analytic observational study was conducted between April and June 2020. A questionnaire-based survey using an Indonesian translation of the Maslach Burnout Inventory-Human Services Survey was conducted online across 15 pediatric training institutions treating COVID-19 patients in Indonesia. Results were interpreted in accordance with the inventory guidelines. The chi-square test was used to analyze for possible associations between each subscale and gender, marital status, training stage, as well as institution of origin. One-way ANOVA of each subscale was performed on pediatric training institutions located in different regions. Results Of 983 respondents (82% average response rate), the prevalences of high emotional exhaustion and high depersonalization were 28.0% and 15.8%, respectively, while more than half of respondents (50.2%) had a low sense of personal accomplishment. Most respondents felt more exhausted than depersonalized. The location of pediatric training institution (Java or outside Java) was the only significant factor associated with burnout (P=0.003). Conclusion In the early stages of the pandemic, more than half of pediatric residents in Indonesia had a low sense of personal accomplishment. The only significant factor associated with burnout among was the location of training institution (Java or outside Java), suggesting a potential role of differences in hospital situation and clinical learning environment during the pandemic between Java and outside Java.

Early enteral nutrition administration and time to achieve resting energy expenditure in critically ill children Yulman, Annisa Rahmania; Pudjiadi, Antonius Hocky; Tridjaja, Bambang; Kadim, Muzal; Prawitasari, Titis
Paediatrica Indonesiana Vol. 65 No. 5 (2025): September 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.5.2025.390-8

Background Malnutrition in critically ill children remains a significant concern, as a standardized nutritional support protocol has yet to be developed. Resting energy expenditure (REE) is recommended as a parameter for determining the fulfillment of energy needs in critically ill children, which should ideally be achieved within 72 hours. To achieve these energy needs, enteral nutrition (EN) is believed to have a lower mortality rate and a shorter length of stay compared to parenteral nutrition (PN). Objective To evaluate the factors associated with delayed EN initiation and late achievement of REE. Methods Data consisting of age, sex, nutritional status, timing of EN initiation, time required to achieve REE targets, PELOD-2 score, use of ventilators, duration of ventilation, hemodynamic status, use of inotropes and inotropic score, use of sedation, gastrointestinal symptoms, procedures performed during treatment, and technical issues were collected retrospectively from medical records from 2017 – 2018 in the Pediatric Intensive Care Unit (PICU) at Dr. Cipto Mangunkusumo Hospital. The REE was calculated using Schofield formula based on age and sex. These data were used to compare the proportion of the subjects receiving early EN (<48 hours) and delayed EN (>48 hours) and those who achieved REE <72 hours and delayed REE (>72 hours). Multivariate analysis was performed to determine which factors affecting late EN initiation and delayed REE achievement using logistic regression analysis. Results Of 203 subjects, 63.1% received early EN and 67.5% achieved REE at ≤72 hours. Delayed EN was associated with post-abdominal surgery (OR 10.89; 95%CI 4.31 to 27.50; P<0.001), ventilator use (OR 4.60; 95%CI 1.78 to 11.90; P=0.004), inotrope use (OR 4.18; 95%CI 1.56 to 11.17; P=0.002), gastrointestinal symptoms (OR 3.41; 95%CI 1.59 to 7.29; P=0.002), and abnormal nutritional status (OR 2.49; 95%CI 1.09 to 5.72; P=0.031). The REE >72 hours was associated with late EN (OR 20.62; 95%CI 6.48 to 65.65; P<0.001), enteral intolerance after receiving EN (OR 14.77; 95%CI 4.40 to 49.6; P<0.001), and PELOD-2 score ≥7 (OR 3.98; 95%CI 1.01 to 15.66; P=0.048). Conclusion The prevalence of EN and REE within 72 hours in the PICU is quite encouraging. Factors contributing to delayed EN administration include post-abdominal surgery, ventilator use, inotrope use, gastrointestinal symptoms, and abnormal nutritional status. Delayed EN >48 hours, enteral intolerance after receiving EN, and PELOD-2 score >7 were the factors contributing to delayed REE achievement. However, these delays can be reduced by developing a comprehensive enteral feeding protocol. The factors influencing delayed EN and late REE achievement are an important basis for designing enteral feeding protocols to improve the clinical outcomes of critically ill children in the PICU.

Co-Authors Adji Suranto Agus Firmansyah Agus Firmansyah Alvi Lavina Aman B Pulungan Aman B Pulungan Aman B Pulungan Aman B Pulungan Aman B Pulungan Aman B. Pulungan Aman B. Pulungan Aman B. Pulungan Aman B. Pulungan Aman Bhakti Pulungan Aman Pulungan Annang Giri Moelyo Annang Giri Moelyo Annang Giri Moelyo Antonius H. Pudjiadi Ardi Findyartini, Ardi Ari Prayitno Aryono Hendarto Atiek Widya Oswari Caroline Mulawi Dedy Rahmat Desiana Dharmayani Diana Adriani Banunaek Diana Mettadewi Jong Djajadiman Gatot Dwi Putro Widodo Dwi Putro Widodo Endang Windiastuti Erwin P. Soenggono I Wayan Bikin Suryawan Indah S. Widyahening Indra W Himawan Indra W. Himawan Irawan Mangunatmadja Iswari Setianingsih Jose R. L. Batubara Jose RL Batubara Mardjanis Said Maria Abdulsalam Melda Deliana Muzal Kadim Paul Wiratama Pardede Pudjiadi, Antonius Hocky R. Irma Rachmawati Rara Purbasari Rina Triasih Rinawati Rohsiswatmo Rini Sekartini Riza Mansyoer Riza Mansyoer Rulina Suradi Samuel Harmin Soedjatmiko Sudigdo Sastroasmoro Sudung O Pardede, Sudung O Surastusi Nurdadi Suri Nurharjanti H Taralan Tambunan Taralan Tambunan Titis Prawitasari, Titis Windhi Kresnawati Winny N Wishwadewa Yoga Devaera Yulman, Annisa Rahmania Zakiudin Munasir

Title

Found 27 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 27 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 27 Documents
Search