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All Journal Medical Journal of Indonesia The Indonesian Biomedical Journal Sari Pediatri Paediatrica Indonesiana Belitung Nursing Journal Narra J

Bambang Supriyatno

Department Of Child Health, Faculty Of Medicine, Universitas Indonesia, Indonesia

Author-ID : 394130

Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Characteristics and risk factors of snoring and the prevalence of suspected obstructive sleep apnea in children Bambang Supriyatno; Rusmala Deviani; Alan R Tumbelaka; Evita KB Ifran; Nastiti N Rahajoe
Paediatrica Indonesiana Vol 45 No 1 (2005): January 2005
Publisher : Indonesian Pediatric Society

Background Snoring as a consequence of upper airway obstruc-tion is common in children. Snoring can be considered as normal,but might also reflect a disease such as obstructive sleep apnea(OSA), which is associated with serious morbidities. In Indonesia,data on the characteristics and risk factors of snoring and obstruc-tive sleep apnea is limitedObjectives The aims of this study were to find out the character-istics and risk factors of snoring in children and to determine theprevalence of suspected OSA in snoring children.Methods A cross-sectional study was carried out on children aged5-13 years using parental questionnaires scored according to theBrouilette formula. All children underwent physical examination forweight, height and tonsil size. Adenoid radiology was performedon part of the samples.Results Of the 917 questionnaires distributed, only 658 were com-pleted. The ratio of boys to girls was equal. Obesity was detectedin 18.3% of children, among whom 54.2% snored. Obese childrenwere 2.1 times more likely to snore. Besides obesity, rhinitis andatopy were found to be associated with snoring (PR= , 95%CI ;and PR= , 95%CI ; respectively). Asthma and tonsil hypertrophywere shown not to be predisposing factors of snoring. Childrenwith adenoid hypertrophy were 1.8 times more likely to snore ha-bitually. The prevalence of snoring and suspected OSA in childrenaged 5-13 years were 31.6% and 5.9%, respectively.Conclusion Risk factors of snoring were obesity, adenoid hyper-trophy, atopy and rhinitis. Prevalence of snoring in children age 5-13 years was 31.6% and that of suspected OSA cases was 5.9%.

The use of 4.5% hypertonic saline challenge test in diagnosing asthma in children with chronic recurrent cough Bambang Supriyatno; Dina Medina; Alan R Tumbelaka; Nastiti N Rahajoe
Paediatrica Indonesiana Vol 45 No 3 (2005): May 2005
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi45.3.2005.93-8

Background The 4.5% hypertonic saline (HS) challenge test hasseveral benefits compared to histamine challenge test as gold stan-dard. Saline is an inexpensive non-pharmacological substancewhich is relatively safe. Its mechanism in inducing bronchospasmresembles that of asthma. Moreover, it can easily be made in amodest medical laboratory.Objective To determine the ability of 4.5% HS challenge test com-pared to histamine challenge test in diagnosing asthma in childrenwith chronic recurrent cough (CRC).Methods This study was a diagnostic test on children with CRCaged 6 to 14 years, conducted in outpatient clinic of Department ofChild Health, Cipto Mangunkusumo Hospital, Jakarta. All subjectsunderwent lung function tests. Subjects whose FEV 1 was <80% werediagnosed as asthmatic and underwent the 4.5% HS challenge testonly. Those whose FEV 1 was 80% underwent the histamine chal-lenge test followed by the 4.5% HS challenge test one or two weekslater. Test results were expressed as positive or negative. Based onthe results, we calculated the sensitivity, specificity, predictive val-ues, and likelihood ratios of the 4.5% HS challenge test.Results Forty-five subjects, consisting of 22 boys and 23 girls,were enrolled. The average age of subjects was 9 years old. Atopichistory in the family or in subjects themselves was found in 80% ofsubjects. Eight subjects had FEV 1 of <80%. Forty-four subjectswere diagnosed with asthma based on a baseline FEV 1 of <80%or a positive histamine provocation test. Thirty-seven subjects hada positive 4.5% HS challenge test; all had asthma. Sensitivity andspecificity of the 4.5% HS challenge test were 84.1% and 100.0%,respectively; the positive and negative predictive values were100.0% and 12.5%, respectively. The positive likelihood ratio wasinfinite and negative likelihood ratio was 0.16.Conclusion The 4.5% hypertonic saline challenge test can be usedas an alternative bronchial provocation test in diagnosing asthma inchildren with CRC. Further study with larger sample size is neededfor widespread usage.

Tuberculous empyema in children Nastiti N. Rahajoe; IGAN Partiwi; I. Boediman; Noenoeng Rahajoe; Bambang Supriyatno
Paediatrica Indonesiana Vol 39 No 11-12 (1999): November - December 1999
Publisher : Indonesian Pediatric Society

We present a case of tuberculous empyema in a 14 month old girl. The diagnosis was primarily based on the history of the course of disease and a highly suspected contagious person. On physical examination, she was undernourished with enlargement of the lymph nodes prominently at the lateral of the neck. Aspiration of pleural fluid showed pus. Other findings were high blood sedimentation rate and a positive Mantoux test. The evidence of Mycobacterium tuberculosis from the pus culture confirmed the diagnosis. Before the diagnosis of pulmonary tuberculosis was established, cefuroxime was administered as the antibiotic of choice for eradicating any susceptible bacteria. Specific anti-tuberculosis therapy was then administered. In addition, water sealed drainage was performed in order to expand the lungs. However, this approach was insufficient due to abundant production of pus, therefore, surgical drainage was done with a good result. In order to avoid any further complications in the treatment of tuberculous empyema such as bronchopleural fistulas or drug resistancy, this child still requires a long-time follow up after discharged from hospital.

The unmet needs of family caregivers in the management of childhood community-acquired pneumonia in Indonesia: a qualitative study Nyimas Heny Purwati; Yeni Rustina; Bambang Supriyatno
Paediatrica Indonesiana Vol 62 No 1 (2022): January 2022
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi62.1.2022.32-6

Background Childhood community-acquired pneumonia (CAP) is one of the leading causes of morbidity and mortality in children under five years of age. Objective To explore the unmet needs of family caregivers of children with community-acquired pneumonia. Methods A qualitative study using in-depth interviews was conducted at one referral hospital located in Jakarta, Indonesia. Convenience sampling was used to select participants. Data were analyzed using qualitative content analysis. Results Ten family caregivers participated in our study. The results of this research are shown in five main themes: (1) the burden of persistent symptoms; (2) exposure to cigarette smoke at home; (3) home remedies as initial treatment; (4) fulfilling the childrenâ€™s nutritional needs; and (5) health promotion needs. The care of children with CAP involves more than antibiotic treatment and vaccines. Conclusion This study found several unmeet needs of family caregivers in caring for children with CAP, particulary pertaining to health promotion and the fulfilment of nutritional needs.

Knowledge and healthcare-seeking behavior of family caregivers of children with pneumonia: A qualitative study in an urban community in Indonesia Nyimas Heny Purwati; Yeni Rustina; Bambang Supriyatno
Belitung Nursing Journal Vol. 7 No. 2 (2021): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1268

Background: Childhood pneumonia is the leading cause of death. Family caregivers may have a poor understanding of pneumonia, especially related to prevention and treatment. It is crucial to understand country-specific knowledge and healthcare-seeking behaviors of caregivers of children with pneumonia before planning programmatic responses, particularly in an urban community where the culture-social economic status is diverse. Objective: This study aimed to describe the knowledge and healthcare-seeking behavior of family caregivers of children with pneumonia in Indonesia’s urban community. Methods: A descriptive qualitative study was conducted at a public hospital in Jakarta, Indonesia, from 10 December 2019 to 28 January 2020. Ten family caregivers of children with pneumonia were included, and a semi-structured interview was conducted for data collection. The audio recording was transcribed verbatim, and the data were analyzed using content analysis. Results: The emerged data indicated low knowledge of the family caregivers, especially mothers, which considered pneumonia a common cold only, and they failed to understand the risk of its transmission. Using traditional medicines was the first stage of healthcare-seeking behavior. If the symptoms worsened, the caregivers brought their children to the nearest health center. If there was no change in the symptoms, they headed to the hospital. The health center’s location, condition, services, and staff attitude were considered factors to choose the services. Conclusion: Living in an urban area does not guarantee the family caregivers have better knowledge and good healthcare-seeking behavior. Therefore, nurses should provide comprehensive education about pneumonia, its symptoms, and treatment management to improve family care and prevent pneumonia-related deaths. Integrated management of children with illness is recommended to help the family caregivers of children with pneumonia receive treatment as quickly as possible.

Development of an evidence-based complementary feeding practice module for mothers using the combined Delphi Method Rini Andriani; Damayanti Rusli Sjarif; Bambang Supriyatno; Aria Kekalih; Hartono Gunardi; Ika Karlina Idris
Paediatrica Indonesiana Vol 62 No 3 (2022): May 2022
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi62.3.2022.198-207

Background Malnutrition in infants remains a challenge in Indonesia. Malnutrition often arises as a result of errors in complementary feeding practices. An education module for Indonesian mothers may help them correctly implement complementary feeding practices. Objective To develop a module on correct complementary feeding practices for infants aged 6-9 months that can be read and understood by Indonesian mothers. Methods We performed qualitative research using the two-round Delphi method combined with group discussions. The first round listed the most important sub-themes of the module, while the second round sought approval for the module from experts. The Delphi team members were included using purposive and snowball sampling methods. Expert opinions were summarized and rearranged using the Steps for Coding and Theorization (SCAT) method. Results Ten experts were included in the Delphi team, with a mean duration of work experience of 28.5 (SD 12.37) years. The correct practices for giving complementary foods according to scientific evidence was named the ABC-Makanan PendampingASI/MPASI-Press (“Printed ABC of Complementary Feeding”) module and was summarized into four main topics: timely, adequate, safe, and responsive feeding. This module was made using language, photos, and images that were easily understood by mothers and included the suitable nutritional compositions to meet the needs of infants aged 6-9 months. Conclusion We developed the ABC-MPASI-Press module based on scientific evidence and experts’ reviews using the combined Delphi method. This educational guide is expected to inform mothers about correct complementary feeding practices for infants aged 6-9 months in order to prevent malnutrition.

The impact of obstructive sleep apnea on quality of life in children with asthma Lisa Adhia Garina; Faisal Yunus; Ina Susianti Timan; Widhy Yudistira Nalapraya; Bambang Supriyatno
Paediatrica Indonesiana Vol 62 No 3 (2022): May 2022
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi62.3.2022.166-73

Background In children with asthma, obstructive sleep apnea (OSA) is a comorbidity of concern. The presence of OSA has been associated with asthma exacerbations and decreased quality of life. Leukotriene played a role in tonsil hypertrophy which is one of the risk factors for OSA. Objective To evaluate the influence of OSA on quality of life in children with asthma. Methods This cross-sectional study in asthmatic children aged 7?15 years was conducted from August 2020 to June 2021 at government elementary and primary high schools in Bandung, West Java, Indonesia. Asthma was diagnosed by peak expiratory flow rate (PEFR) and OSA was diagnosed by polysomnography. Leukotriene was examined by an ELISA method and quality of life assessed by the Pediatric Asthma Quality of Life Questionnaire (PAQLQ). Results Using the ISAAC questionnaire distributed through teachers to parents, 206 (6.9%) of 2,964 children stated that they had been diagnosed with asthma, 80 of whom were included in our study. Subjects’ mean age was 12 (SD 2) years and most were male. Intermittent asthma and history of allergy was dominant. Thirty-two children had OSA, mostly mild OSA. The mean level of leukotriene was not different between asthmatic children with and without OSA. The percentage of PEFR in asthmatic children with OSA was significantly lower than in those without OSA. The total PAQLQ score in asthmatic children with OSA and all PAQLQ domains were significantly lower than in those without OSA. Conclusion Obstructive sleep apnea in children with asthma is significantly associated with decreased peak expiratory flow rate and lower quality of life.

Effects of lung recruitment maneuvers using mechanical ventilator on preterm hemodynamics Adhi Teguh Perma Iskandar; Ahmad Kautsar; Anisa Rahmadhany; Risma Kerina Kaban; Bambang Supriyatno; Joedo Prihartono; Dewi I. Santoso; Tetty Yuniarti; Najib Advani; Mulyadi M. Djer; Fiolita I. Sutjipto
Paediatrica Indonesiana Vol 63 No 3 (2023): May 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.3.2023.173-80

Background Lung recruitment maneuvers (LRMs) are a strategy to gradually increase mean positive airway pressure (MAP) to expand the alveoli, leading to decreased pulmonary vascular resistance and increased cardiac output (CO). However, the hemodynamic impact of LRM using assist control volume guarantee (AC-VG) ventilator mode done in preterm infants born at 24 to 32 weeksâ€™ gestation, especially in the first 72 hours of life, remains unknown. Objective To determine the effect of LRM on right- and left cardiac ventricular output (RVO and LVO), ductus arteriosus (DA) diameter and its pulmonary hypertension (PH) flow pattern, as well as superior mesenteric artery (SMA) flow. Method This randomized, controlled, single-blinded clinical trial was performed in 24-32-week preterm neonates with birth weights of >600 grams. Subjects were allocated by block randomization to the LRM and control groups, each containing 55 subjects. We measured RVO, LVO, DA diameter, PH flow pattern, and SMA resistive index (RI) at 1 and 72 hours after mechanical ventilation was applied. We analyzed for hemodynamic differences between the two groups. Results During the initial 72 hours of mechanical ventilation, there were no significant differences between the control vs. LRM groups in mean changes of LVO [41.40 (SD 91.21) vs. 15.65 (SD 82.39) mL/kg/min, respectively; (P=0.138)] or mean changes of RVO [65.56 (SD 151.20) vs. 70.59 (SD 133.95) mL/kg/min, respectively; (P=0.859)]. Median DA diameter reduction was -0.08 [interquartile range (IQR) -0.55; 0.14] mm in the control group and -0.10 (IQR -0.17 to -0.01) mm in the LRM group (P=0.481). Median SMA resistive index was 0.02 (IQR -0.16 to 0.24) vs. 0.01(IQR -0.20 to 0.10) in the control vs. LRM group, respectively. There was no difference in proportion of pulmonary hypertension flow pattern at 72 hours (25.4% vs. 20% in the control vs. LRM group, respectively) (P=0.495). Conclusion When preterm infants of 24-32 weeks gestational age are placed on mechanical ventilation, LRM gives neither additional hemodynamic benefit nor harm compared to standard ventilator settings.

Elevated Levels of Urinary Podocyte-Derived Microparticles in Nephrotic Syndrome Eka Laksmi Hidayati; Bambang Supriyatno; Sudung Oloan Pardede; Partini Pudjiastuti Trihono; Dewi Sukmawati; Dewi Wulandari; Oke Rina Ramayani
The Indonesian Biomedical Journal Vol 15, No 5 (2023)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v15i5.2553

BACKGROUND: Nephrotic syndrome (NS) is the most common glomerular disease in childhood. The proposed hypothesis for the pathogenesis of this disease has changed over time, from immune dysregulation theory and systemic circulating factors theory, to the growing recognition of podocytopathies’ role. The existance of podocytopathies is usually examined by using podocyte-derived microparticles (MPs), such as nephrin, podocin, and podocalyxin (PCX). Therefore in this study, the difference between nephrin, podocin, and PCX expressions in NS children and healthy children was investigated.METHODS: An observational cross-sectional study was conducted, involving 33 children with NS and 22 age-matched healthy children as controls. Urine samples were collected from each subject in the early morning, before being processed and incubated with antibodies to detect nephrin, podocin, and PCX. The processed samples were then analyzed with flow cytometer methods.RESULTS: NS subjects had significantly higher expression of all three urinary podocyte-derived MPs compared to the control subjetcs. Nephrin, podocin, and PCX showed good discrimination in NS subjects with the area under curve (AUC) of 0.895, 0.849, and 0.728, respectively.CONCLUSION: This study revealed the differential expression of podocyte proteins in NS subjects compared to healthy controls. This supports the role of podocytopathies in the pathogenesis of NS. Therefore, nephrin, podocin, and PCX might have potentials to be future non-invasive diagnostic tools in glomerular disease.KEYWORDS: nephrin, nephrotic syndrome, podocalyxin, podocin, podocyte, urinary microparticle

Development, validity, and reliability of a questionnaire on mothers’ knowledge in complementary feeding practices (PI-MPASI) in Indonesia Andriani, Rini; Supriyatno, Bambang; Kekalih, Aria; Sjarif, Damayanti Rusli
Paediatrica Indonesiana Vol. 63 No. 5 (2023): September 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.5.2023.335-45

Background A number of complementary educational feeding modules have been circulating in the community, but mothers have yet to use them optimally. There is an urgent need for an effective educational method on appropriate complementary feeding and an instrument to measure maternal knowledge in proper complementary feeding practices. Objective To develop and assess the validity and reliability of a questionnaire on complementary feeding practices. Methods We conducted a qualitative study to develop a questionnaire followed by a cross-sectional study to test the validity and the reliability of the PI-MPASI questionnaire. The research team designed the PI-MPASI questionnaire through a literature review with a team of experts, based on the evidence-based feeding practice recommendations for infants and toddlers in Indonesia as compiled by the Indonesian Pediatric Society (IPS) in 2015. Content validation was carried out through expert review, whilst the construct validity and the reliability were tested on 110 mothers who met the inclusion criteria. Results In the content validity assessment, an average congruent percentage of 90% was obtained for the sub-themes of time, nutritional adequacy, safety, and feeding responsiveness as the four essential points that mothers should know regarding proper complementary feeding practices. Most of the item scores showed moderate to high correlations with the total score, with reliability test showcasing a good internal consistency (Cronbach's alpha = 0.715). Conclusion This study showed that our questionnaire on mothers’ knowledge in complementary feeding practices (PI-MPASI) is a valid and reliable instrument to assess maternal knowledge on correct complementary feeding practices in Indonesia.

Co-Authors Adhi Teguh Perma Iskandar Ahmad Kautsar Ahmad Syafiq Alan R Tumbelaka Amir S. Madjid, Amir S. Anisa Rahmadhany Antonius H. Pudjiadi Aria Kekalih Arwin AP Akib Bambang Madiyono Bambang Tridjadja Bina Akura Chozie, Novie A. Citra Estetika Damayanti R. Syarif Damayanti Rusli Sjarif Darmawan B Setyanto Darmawan B. Setyanto Desy Dewi Saraswati Dewi I. Santoso Dewi Kartika Suryani Dewi Sukmawati Dewi Wulandari Dina Medina Dina Muktiarti, Dina Djajadiman Gatot Djer, Mulyadi Muhammad Eka Laksmi Hidayati, Eka Laksmi Ellen P. Gandaputra Endang Windiastuti Evita KB Ifran Faisal Yunus Finny Fitry Yani Fiolita I. Sutjipto Gunanti . Hanifah Oswari Hartono Gunardi Hartono Gunardi Heda Melinda D Nataprawira Heriandi Sutadi I Gusti Lanang Sidiartha I. Boediman Ida Bagus Subanada IGAN Partiwi Ika Karlina Idris Ina Rochayati Ina Susianti Timan Ina Susianti Timan Iqbal Zein Assyidiqie Irlisnia Irlisnia Irma Sapriani Iskandar, Adhi Teguh Perma Joedo Prihartono Joedo Prihartono Jose RL Batubara Kautsar, Ahmad Laila, Dewi S. Lisa Adhia Garina Mardjanis Said Matahari Harumdini Mulya Rahma Karyanti, Mulya Rahma Mulyadi M. Djer Mulyadi M. Djer Mulyadi M. Djer Munar Lubis Muzal Kadim Najib Advani Najib Advani Najib Advani Nalapraya , Widhy Yudistira Nani Nurhaeni Nastiti Kaswandani Nastiti N Rahajoe Nastiti N. Rahajoe Nia Kurniati Nia Kurniati Noenoeng Rahajoe Nyimas Heny Purwati Oke Rina Ramayani Partini Pudjiastuti Trihono Perdana, Andri Permatasari, Ruth K. Piprim Basarah Yanuarso, Piprim Basarah Rahmadhany, Anisa Rini Andriani Rini Andriani Rini Andriani Rini Asterina Rini Sekartini Risma Kerina Kaban Risma Kerina Kaban, Risma Kerina Rismala Dewi Riza Sahyuni Rusmala Deviani Rusmala Deviani Santoso, Dewi Irawati Soeria Sjawitri P Siregar Sri R.S. Hadinegoro Sudigdo Sastroasmoro Sudung O Pardede, Sudung O Sudung O. Pardede, Sudung O. Sudung Oloan Pardede Suhendro Sukman Tulus Putra Sutjipto, Fiolita Indranita Syahrial MH Tetty Yuniarti Tetty Yuniati Titis Prawitasari, Titis Wahyuni Indawati Yeni Rustina Yeni Rustina Yovita Ananta Zakiudin Munasir

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