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All Journal Nurse Media Journal of Nursing Sari Pediatri Paediatrica Indonesiana Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Pediatric Sciences Journal Jurnal Kesehatan
Yogi Prawira
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran Universitas Indonesia
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Nursing Public Health

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Journal : paediatrica indonesiana

 1 
Detection of childhood developmental disorders, behavioral disorders, and depression in a post-earthquake setting Yogi Prawira; Intan Tumbelaka; Ali Alhadar; Erwin Hendrata; Renno Hidayat; Dave Anderson; Trevino Pakasi; Bernie Endyarni; Rini Sekartini
Paediatrica Indonesiana Vol 51 No 3 (2011): May 2011
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (173.612 KB) | DOI: 10.14238/pi51.3.2011.133-7

Abstract

Background Disasters, including earthquakes, may strike abruptly without warning. Children may develop psychological damage resulting from experiencing an overwhelmingly traumatic event. They may feel very frightened during a disaster and demonstrate emotional and behavioral problems afterwards.Objective To evaluate the presence of developmental disorders, behavioral disorders, and depression in children after the earthquake at Padang and Pariaman on September 30th, 2009.Methods This was a cross􀁘sectional study using the developmental pre screening questionnaire (KPSP), Pediatric Symptoms Checklist-17 (PSC-17), and Child Depression Inventory (CDI) in children after the Padang and Pariaman earthquake (September 30th, 2009), in Sungai Limau and Sungai Geringging District, Pariaman Region, West Sumatera. Our study was conducted October 15th to November 28th, 2009.Results There were 172 children screened using the KPSP. Forty-two (25%) children scored 7􀁘8 (reason for concern), 18 (10%) children scored <7 (suspected to have a developmental disorder), and the remainder scored as developmentally appropriate. Behavioral disorder screening was perfonned in 339 children using the PSC􀁘 17. Internalizing disorder alone was suspected in 58 (17%) children, externalizing disorder alone in 26 (7.7%), and attention􀁘defidt disorder alone in 5 (1.5%). Eight (2.4%) children were suspected to have both internalizing and attention􀁘defidt disorders, 4 (1.2%) children externalizing and attention􀁘defidt disorders, 22 (6.5%) children internalizing and externalizing disorders, and 15 (4.4%) children all three disorders. From 4 9 children who underwent depression screening using CDI, 15(30.6%) children were suspected to have depression. Conclusion After the Padang and Pariaman earthquake, we found 10% of subjects screened were suspected of having a developmental disorder. The most connnonbehavioral disorder found was internalizing disorder. Possible depression was found in 30.6% of children surveyed. Traumatized children are at risk for developing post traumatic stress disorder. 2011;5' :133-7]. 
Predictors of pediatric Henoch-Schönlein purpura recurrence Santoso, Dara Ninggar; Kurniati, Nia; Hendarto, Aryono; Chozie, Novie Amelia; Prawira, Yogi; Marsubrin, Putri Maharani Tristanita
Paediatrica Indonesiana Vol. 65 No. 4 (2025): July 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.4.2025.307-15

Abstract

Background Henoch-Schönlein purpura (HSP) is the most common systemic vasculitis in children and is usually self-limited with a favorable prognosis. However, recurrence in children is associated with a poorer prognosis, i.e., a higher risk of progressing to chronic kidney disease (CKD) as a long-term complication. In Indonesia, the recurrence rate of HSP and its predictors in children have not been well established . Objective To estimate the incidence of recurrent HSP and determine its predictors in children at Dr. Cipto Mangunkusumo National General Hospital (RSCM). Methods A retrospective cohort review of medical records followed children aged <18 years at RSCM for 6 months after HSP diagnosis based on the the European League Against Rheumatism (EULAR)/ Paediatric Rheumatology European Society (PRESS)/Paediatric Rheumatology International Trials Organization (PRINTO) criteria. Multivariate, Cox logistic regression, and Kaplan-Meier analyses were performed. Results This study included 116 children aged 2–17 years with HSP. Twenty-six (22.4%) of the subjects experienced recurrence, with an incidence of 3.56 per 100,000 person-years. The only statistically significant predictor for recurrence was  the presence of infection after the first episode of HSP (HR 11.301; 95%CI 4.327 to 29.519; P<0.001). The cumulative survival of subjects with infection for recurrence over 6 months  was  51%, with mean 5.3 months survival duration (95%CI 4.76 to 5.99; P< 0.0001). Chronic kidney disease, a long-term complication of HSP, was noted in 22 (19%) participants. Conclusion Recurrence of HSP was  observed in 22.4% of our subjects within 6 months follow up. However, subjects with a history of infection after their first episode of HSP resolution should be notified about the possibility of recurrence. Chronic kidney disease occurred in 22 participants (19%), possibly becoming a long-term complication of HSP.
Comparative diagnostic accuracy of ultrasound and chest radiography in ETT tip localization Widyaningtiar, Hapsari; Prawira, Yogi
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/pi65.5.2025.431-7

Abstract

Background Endotracheal intubation is a life-saving intervention, and accurate placement of the endotracheal tube (ETT) is crucial in pediatric patients due to anatomical variability. Ultrasound offers a practical and safe alternative to chest X-ray (CXR) for verifying ETT placement. Objective To compare the diagnostic accuracy of ultrasound compared to CXR in localizing the ETT tip in pediatric patients. Methods A cross-sectional study was conducted from January to April 2025 in the Pediatric Intensive Care Unit and Cardiac Intensive Care Unit at Dr. Cipto Mangunkusumo Hospital. The study included children aged 1 month to 18 years intubated with either cuffed or uncuffed ETTs. A CXR was performed immediately after intubation, followed by ultrasound within 24 hours. ETT position was assessed based on CXR findings and tracheal ring alignment on ultrasound. Results A total of 89 patients were enrolled. Ultrasound demonstrated sensitivity of 88.6%, specificity of 73.7%, overall accuracy of 85.4%, positive predictive value (PPV) of 92.5%, and negative predictive value (NPV) of 63.6%. The area under the receiver operating characteristic curve (AUC) was 0.811. The positive likelihood ratio (LR+) was 3.37, and the negative likelihood ratio (LR–) was 0.16. Multivariate analysis identified ultrasound as a significant predictor of accurate ETT placement [odds ratio (OR) 7.75; 95%CI 1.29 to 4.74; P<0.001]. Conclusion Ultrasound is a feasible, reliable and accurate alternative to CXR for verifying ETT tip positioning in pediatric intensive care settings.
Perfusion index and lactate clearance as microcirculation parameters in pediatric post-cardiac correction surgery Prawira, Yogi; Silawati, Trisna; Kaswandani2, Nastiti
Paediatrica Indonesiana Vol. 65 No. 6 (2025): November 2025
Publisher : Indonesian Pediatric Society

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Abstract

Background Congenital heart disease (CHD) is a common congenital anomaly in children, with corrective cardiac surgery using cardiopulmonary bypass (CPB) being the definitive treatment. However, post-operative morbidity and mortality remain high, requiring effective hemodynamic monitoring in the cardiac intensive care unit (CICU). Blood lactate levels are traditionally used to assess microcirculation, while non-invasive methods like the perfusion index (PI) have gained interest for real-time monitoring. Objective To determine the correlation between PI and blood lactate levels in pediatric patients following corrective cardiac surgery. Methods A prospective cohort study was conducted in the cardiac intensive care unit (CICU) at Cipto Mangunkusumo Hospital from September to October 2024. Thirty-four pediatric patients aged 1 month to 18 years who underwent corrective cardiac surgery were included. PI and lactate levels were measured at one, four, and eight hours post-operation. Results The median age of participants was 21.5 (IQR 10.25–79.5) months. Non-cyanotic CHD was the most common diagnosis (58%), and 67.6% of cases involved CPB. Low cardiac output syndrome occurred in 17.6% of subjects. Lactate levels decreased significantly over time (P<0.001), while PI showed an increasing trend. Correlation analysis revealed a significant negative correlation between PI <1.4 and lactate levels at the fourth (r =-0.455; P=0.038) and eighth hours (r=-0.515; P=0.017). Conclusion  PI has a significant negative correlation with lactate levels and may serve as a useful non-invasive parameter for microcirculation monitoring in pediatric patients after corrective cardiac surgery.
Co-Authors Abram Babakal Abram Babakal Abram Babakal Agustina Ali Alhadar Ardini, Ni Putu Aryono Hendarto Aslinar Asmarini, Titik Ambar Ayuni Rizka Utami Ayuni Rizka Utami Bernie Endyarni Medise Dave Anderson Defi Efendi Defi Efendi Defi Efendi Dian Sari Dian Sari Dimas Dwi Saputro Dimas Tri Anantyo Dina Garniasih, Dina Djer, Muljadi M Efendi, Defi Erwin Hendrata Fathy Zuandy Pohan Hamik, Welli I Nyoman Arie Purwana Intan Tumbelaka Jaya Ariheryanto Effendy Kadaristiana, Agustina Kaswandani2, Nastiti Komang Yogi Triana Kurniawan Taufiq Kadafi Lestari, Pande Lilik Lina Ninditya Lukman, Leni Mais, Pricilia Marsubrin, Putri Maharani Tristanita Martinus M. Leman Martinus Martin Leman Mega Hasanul Huda Muhammad Reza Nasution, Badai Buana Nia Kurniati Nicodemus Nicodemus Nicodemus Nicodemus Nicodemus Suwandy Niken Wahyu Puspaningtyas Nina Dwi Putri Novie Amelia Chozie Pande Lilik Lestari Pande Lilik Lestari Piprim B. Yanuarso Piprim Basarah Yanuarso Piprim Basarah Yanuarso, Pramita Gayatri Pricilia Mais Pricilia Mais R. Rr Maria Dyah Kurniasari Raudha Ilmi Farid Renno Hidayat Rini Sekartini Santoso, Dara Ninggar Silawati, Trisna Sugiharto, Jessica Tandra, Irene Mutiara Theresia Santi, Theresia Titik Ambar Asmarini Titik Ambar Asmarini Trevino Pakasi Utami, Ayuni Rizka Wahyuni Indawati Widyaningtiar, Hapsari Yohanes Andy Rias Yosilia Nursakina