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Sudigdo Sastroasmoro

Department of Child Health, Medical School, University of Indonesia, Jakarta

Author-ID : 3470684

Health Professions Medicine & Pharmacology

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Physical Growth and Echocardiographic Findings in Children with Down Syndrome Sudigdo Sastroasmoro; Mathilda Y. lnkiriwang; Bambang Madiyono; lsmet N Oesman
Paediatrica Indonesiana Vol 38 No 3-4 (1998): March - April 1998
Publisher : Indonesian Pediatric Society

We compared the physical growth, nutritional status, and echocardiographic findings in children aged 3-7 years with Down syndrome who had no congenital heart disease. Thirty such patients who consecutively referred to the Division of Cardiology, Department of Child Health, Medical School, University of Indonesia/Cipto Mangunkusumo Hospital, Jakarta, were compared with sex and age matched controls consisted of normal children attending the Department. It appears that growth and nutritional status of children with Down syndrome tended to be retarded when compared to those of the controls. However, no significant difference were found on the M-mode echocardiographic values of the left ventricle, except that the left ventricular posterior wall thickness in study subjects was more that that of the controls. We concluded that although the pulmonary architecture of patients with Down syndrome is thought to be less developed than that of normal children, it does not affect the left ventricular measurements and function as measured by M-mode echocardiography.

Clinical and Laboratory Findings of Normal Children Suspected of Having Cardiac Disease Sudigdo Sastroasmoro; Nuraini Irma Susanti
Paediatrica Indonesiana Vol 38 No 3-4 (1998): March - April 1998
Publisher : Indonesian Pediatric Society

The definite diagnosis of cardiac disease in infants and children usuallycannot be made on the clinical evidence alone; in most instances supportingexaminations are required. lt is understandable, therefore, that non-cardiologists might suggest that normal subjects are thought to have cardiac problems; the reverse is also true: infants and children with cardiac disease may be ignored. This study aimed to examine the clinical and laboratory findings of normal infants and children who were initially suspected to have cardiac disease. Of 3601 patients referred to our OPD of the Division of Cardiology, Department of Child Health, Medical School, University of Indonesia, from January 1983 to December 1992; in 1782 patient (49.5%) no cardiovascular problems were detected. Most of them (66.2%) were of the age of less than 1 month. Most of the referring physicians (66.3%) were general practitioners. The referring diagnoses were congenital heart disease (286), cardiomegaly (197), rheumatic fever or rheumatic heart disease (110), and syndromes with cardiac involvement (104). The diagnoses were based on dyspnea, cyanosis on crying, chest pain, joint pains, and easy fatiguability. Murmurs found on examination were systolic in 355 patients (19. 9%), and continuous in 6 patients (0,33%). No diastolic murmurs were noted. The final diagnoses were normal (including innocent murmurs and sinus arrhythmias) in 85.8%, mild cardiomegaly in 10.4%., breath holding spells in 2.0%, sinus tachycardia in 0.9%, polyarthritis in 0.2% and other in 0.7% of all cases. More practice in cardiac physical examination is needed for medical students to reduce the unnecessary referrals.

Risk Factors for the Development of Hyaline Membrane Disease in Preterm Infants Sudigdo Sastroasmoro
Paediatrica Indonesiana Vol 38 No 11-12 (1998): November - December 1998
Publisher : Indonesian Pediatric Society

Hyaline membrane disease (HMO) is a respiratory disease commonly found in preterm infants. While this disease occurs as the result of surfactant deficiency which is a function of gestational age, certain maternal and neonatal factors play a role in the development of the disorder. Preterm infants born at the Department of Obstetrics and Gynecology, Cipto Mangunkusumo Hospital, Jakarta, between, March 1997 and May 1998 were studied for the development of HMO. It was concluded that antepartum hemorrhage, gestational age, sex, mod of birth, and the first minute Apgar score were associated with the development of HMD, while the use of contraceptives, early rupture of the membrane, maternal morbidity, and passive cigarette smoking were not.

Factors Affecting Low Birth Weight Incidence at Cipto Mangunkusumo Hospital, Jakarta Rachma F. Boedjang; Rinawati Rohsiswatmo; Titi S Sularyo; Sudigdo Sastroasmoro
Paediatrica Indonesiana Vol 38 No 11-12 (1998): November - December 1998
Publisher : Indonesian Pediatric Society

A case-control study was conducted during the period of April-July 1997 to determine factors affecting the incidence of low birth weight infants born at Cipto Mangunkusumo Hospital, Jakarta. Of the 300 singleton infants (150 LBW and 150 non-LBW) studied, five risk factors were determined: (1) maternal education (p = 0,027), (2) maternal weight gain during pregnancy (p < 0,001), (3) interval between regnancy intervals (p = 0,041), (4) history of previous LBW (p = 0,004), and (5) maternal health condition during pregnancy (p < 0,0001). The mean anthropometric measurements of male non-LBW were significantly greater than female non-LBW infants.

Co-Authors Bambang Madiyono lsmet N Oesman Mathilda Y. lnkiriwang Nuraini Irma Susanti Rachma F. Boedjang Rinawati Rohsiswatmo Titi S Sularyo

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