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"During 11 years period from January 2005 to December 2015 there were 18 adolescent and adult patients who underwent transcatheter closure of PDA using PDA Amplatzer Duct Occluder (ADO). There were 9 cases with age of 14 to 18 years and 9 cases with age of more than 18 years where the oldest case was 46 years old. Two cases were male and 16 cases were female. Prior to procedures, clinical assessment, ECG, chest x-ray and transthoracic echocardiography (TTE) were performed to confirm the diagnosis of PDA. The procedures of device implantation was performed under conscious sedation in adults and using general anesthesia in adolescents. The size of PDA ranged from 1.6 mm to 11.1 mm. Based on Kritchenko classification, the type of PDA were 15 type A1 and 3type A2. Flow ratio between pulmonary to systemic circulation was between 1.1 and 5.9. The procedure time ranged from 60-189 minutes and the fluoroscopic time 7.1-77.3 minutes. The PA pressure ranged from 22 to 63 mmHg. Immediate results after procedures as seen in angiography showed complete closure in 14 cases and smoky residual shunt or minimal residual shunts in 4 cases, which probably due to the temporary leaking through the devices. In 24 hours, complete closure was achieved in all cases (100%) and continued until 1months. At 6 month follow up, there was no residual shunts detected and also there was no significant complications, such as device embolization or recanalization. This case series suggest that transcatheter closure of PDA in adolescents and adults using Amplatzer duct occluder (ADO) is effective and has excellent resultswithout significant complication. However, long-term follow up is required to assess long term efficacy and safety.

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Dalam kurun waktu 11 tahun antara 1Januari 2005 sampai 31 Desember 20015 sebanyak 18 kasus PDA

pada anak remaja dan dewasa dilakukan penutupan PDA dengan alat Amplatzer Duct Occluder (ADO). Terdapat 9 kasus anak remaja yang berumur antara 14-18 tahun dan 9 orang dewasa yang berumur di atas 18 tahun dengan umur yang tertua 46 tahun. Sebelum pelaksanaan tindakan, dilakukan pemeriksaan klinis, EKG dan foto toraks serta ekokardiografi transtorakal untuk konfirmasi diagnostik PDA. Prosedur implantasi ADO dilakukan dengan anastesi umum pada remaja dan anestesi lokal dan sedasi pada pasien dewasa. Ukuran diameter PDA berkisar antara 1,6 mm-11,1 mm. Berdasarkan klasifikasi Kritchenko terdiri dari 15 PDA tipe A1 dan 3 kasus tipe A2. Flow rati oantara sirkulasi pulmonal dan sirkulasi sistemik berkisar antara 1,1?5,9. Waktu pelaksanaan prosedur berkisar antara 60-189 menit dengan waktu florsokopi antara 7,1-77,3 menit. Tekanan rata-rata pada arteri pulmonalis berkisar antara 22-63 mmHg dengan tekanan tertinggi sebesar 63 mmHg terdapat pada 2 kasus (no 12 dan 13). Segera setelah prosedur tindakan menujukkan penutupan total pada 14 kasus dan pada4 kasus terdapat pirau residual minimal pada gambaran angiografi yang kemungkinan disebabkan kebocoron sementara melalui sela-sela device. Dalam 24 jam pertama setelah tindakan ditemukan penutupan total pada semua kasus (100%) dan hasil tersebut ditemukan sampai 1 bulan dan 6 bulan setelah tindakan. Selama kurun waktu tersebut tidak ditemukan sisa pirau (residual shunts) dan komplikasi berarti lainnya seperti embolisasi device atau rekanalisasi pada duktus. Hasil studi seri kasus ini ini menunjukkan bahwa penutupan PDA dengan prosedur transkateter menggunakan ADO pada pasien remaja dan dewasa dalam jangka pendek sangat baik dan efektif serta tidak ada komplikasi yang berarti. Namundemikian masih diperlukan pemantauan jangka panjang untuk menilai efektivitas dan keamanan prosedur ini."

"ABSTRAKDuring 11 years period from January 2005 to December 2015 there were 18 adolescent and adult patients who underwent transcatheter closure of PDA using PDA Amplatzer Duct Occluder (ADO). There were 9 cases with age of 14 to 18 years and 9 cases with age of more than 18 years where the oldest case was 46 years old. Two cases were male and 16 cases were female. Prior to procedures, clinical assessment, ECG, chest x-ray and transthoracic echocardiography (TTE) were performed to confirm the diagnosis of PDA. The procedures of device implantation was performed under conscious sedation in adults and using general anesthesia in adolescents.The size of PDA ranged from 1.6 mm to 11.1 mm. Based on Kritchenko classification, the type of PDA were 15 type A1 and 3type A2. Flow ratio between pulmonary to systemic circulation was between 1.1 and 5.9. The procedure time ranged from 60-189 minutes and the fluoroscopic time 7.1-77.3 minutes. The PA pressure ranged from 22 to 63 mmHg. Immediate results after procedures as seen in angiography showed complete closure in 14 cases and smoky residual shunt or minimal residual shunts in 4 cases, which probably due to the temporary leaking through the devices. In 24 hours, complete closure was achieved in all cases (100%) and continued until 1months. At 6 month follow up, there was no residual shunts detected and also there was no significant complications, such as device embolization or recanalization. This case series suggest that transcatheter closure of PDA in adolescents and adults using Amplatzer duct occluder (ADO) is effective and has excellent resultswithout significant complication. However, long-term follow up is required to assess long term efficacy and safety."

"Selfie saat ini menjadi sebuah tren yang mendunia diiringi dengan teknologi kamera yang semakin berkembang pesat dan meluasnya fungsi sosial media. Selfie adalah sebuah foto diri yang diambil oleh dirinya sendiri, biasanya menggunakan kamera smartphone atau kamera webcam dan biasanya di unggah ke sosial media. Penelitian ini dilakukan untuk mengetahui gambaran locus of control dan trait kepribadian pelaku selfie pada emerging adulthood. Pengukuran intensitas selfie menggunakan alat ukur Skala Intensitas Selfie, pengukuran locus of control menggunakan alat ukur IE-Locus of Control Scale yang disusun oleh Rotter (1966) dan pengukuran trait kepribadian menggunakan alat ukur Big Five Inventory yang disusun oleh John dan Srisvatava (1999). Penelitian ini melibatkan 321 responden pelaku selfie pada kelompok usia emerging adulthood. Hasil penelitian menggambarkan bahwa responden rata-rata berada pada kelompok locus of control internal, lalu skor trait kepribadian tertinggi ada pada trait openness to experience. Melalui teknik ANOVA, hasil penelitian menunjukkan adanya pola linier positif antara intensitas selfie dengan trait extraversion. Namun, untuk intensitas selfie dengan locus of control serta trait kepribadian agreeableness, conscientiousness, neuroticism dan openness to experience menunjukkan pola linier yang negatif.

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Nowadays, selfie has become world’s trend followed by rapid growing of camera technology and social media. Selfie is a photograph that one has taken of oneself, typically with a smartphone or webcam and uploaded to a social media website. This research purposes is to know the locus of control and selfie personality trait towards emerging adulthood. Selfie intensity was measured using an instrument named Selfie Intensity Scale, locus of control was measured using an instrument named IE-Locus of Control Scale made by Rotter (1966) and personality traits was measured using an instrument named Big Five Inventory made by John and Srisvatava (1999). This research involved 321 respondents of Selfie-Doers in the age of emerging adulthood. This research captured that the respondents tend to have internal locus of control, and then the highest personality traits score is on openness to experience trait. Using ANOVA technique, it indicates a positive linear pattern between selfie intensity and extraversion trait. However, intensity selfie with locus of control and personality trait agreeableness, conscientiousness, neuroticism and openness to experience shows negative linear pattern."

"Preferensi jumlah anak yang dinyatakan sebagai jumlah anak ideal yang diinginkan dapat memprediksi pertumbuhan penduduk di masa depan. Penelitian ini bertujuan untuk mengetahui gambaran preferensi jumlah anak yang diinginkan remaja belum kawin usia 15-24 tahun di 10 Provinsi Penyangga serta faktor-faktor yang berhubungan dengan preferensi tersebut. Penelitian ini menggunakan data Survei Demografi Kesehatan Indonesia komponen Kesehatan Reproduksi Remaja tahun 2012. Hasil analisis menunjukan rata-rata jumlah anak yang diinginkan remaja yaitu 2,4 anak. Terdapat 33,6 persen remaja pria dan 25,1 persen remaja wanita berkeinginan memiliki lebih dari 2 anak. Umur dan tempat tinggal merupakan faktor yang paling mempengaruhi jumlah anak yang diinginkan remaja wanita dan remaja pria. Faktor pelayanan KIE kesehatan reproduksi dan program KB pada remaja tidak memiliki pengaruh yang signifikan terhadap jumlah anak yang diinginkan.

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Preference the number of children expressed as the number of ideal that desirable can predict the population growth in the future. The aims of this research are to understand the description preference the number of children desired by the non-married adolescents (15-24 years old) in 10 Penyangga Provinces and factors associated with a preference. This research used data from Indonesia Demographic and Health Survey in components Adolescents Reproductive Health in 2012. The analysis showed the average number of children desired by the adolescents is 2,4 children. Then, 33,6 % man and 25,1 % woman desirous of owning more than two children. Age and residence are factor that most affect the number of children desired by them. KIE the adlescent reproductive health service and FP programs in adolescent did not showed significant influence against preference the number of children to be desired."

"Reproductive medicine is a growing field with new technology emerging faster than we can assess consumer’s perceptions of –the number of cancer survivors are growing and there is a great need to attend to their quality of life-this book addresses the needs of males and females, identifies effective communication strategies and proactive measures for health care professionals and researchers to use as well as identifying gaps in the literature where more research is needed."

"ABSTRAKLatar Belakang. Indometasin dan ibuprofen merupakan standar obat yang digunakan untuk menutup duktus arteriosus persisten dengan gangguan hemodinamik signifikan (hemodinamically significant patent ductus arteriosus, hs-PDA). Sediaan injeksi intravena dari kedua obat tersebut belum tersedia di Indonesia. Beberapa laporan kasus serial sebelumnya menunjukkan parasetamol intravena dapat menjadi alternatif pengobatan hs-PDA pada bayi prematur.Tujuan. Untuk mengevaluasi efek parasetamol intravena dalam penutupan PDA pada bayi prematur.Metode. Desain kuasi-eksperimental dilakukan mulai 15 Mei sampai 31 Agustus 2014 di Rumah Sakit Umum Pusat Dr. Cipto Mangunkusumo, Jakarta. Kriteria diagnosis hs-PDA berdasarkan ekokardiografi dan diameter duktus diukur dari pandangan parasternal sumbu pendek atau pandangan suprasternal sumbu panjang. Bayi prematur usia 2-7 hari diberikan parasetamol intravena dosis 15 mg/kg tiap 6 jam diberikan selama 3-6 hari dan dipantau sampai usia kronologis 14 hari. Uji Fischer exact digunakan untuk menilai hubungan antara kelompok bayi dengan penutupan PDA. Uji t berpasangan digunakan untuk menilai perubahan diameter duktus antara sebelum dan sesudah intervensi. Hasil penelitian dinyatakan bermakna jika P<0,05.Hasil. Sebanyak 29 bayi diikutsertakan dalam penelitian. Rerata usia gestasi 30,8 minggu dan berat lahir 1347 gram. Sembilan belas berhasil menutup, 1 reopening, 9 gagal menutup, dan tidak ditemukan intoksikasi hati. Tidak ada perbedaan bermakna antara kelompok bayi berdasarkan usia gestasi dan berat lahir dalam penutupan PDA. Rerata diameter duktus sebelum intervensi 3,0 mm dan saat pemantauan usia empatbelas hari 0,6 mm. Diameter duktus berkurang sebelum dan sesudah intervensi (P<0,0001).Kesimpulan. Parasetamol intravena efektif dalam penutupan PDA pada bayi prematur.

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ABSTRACTIntroduction. Indomethacin and ibuprofen are standard drugs for closing hemodynamically significant patent ductus arteriosus (hs-PDA) in premature babies. Intravenous injection for both drugs is not yet available in Indonesia. Some previous case series shown intravenous paracetamol can be used as an alternative treatment of hs-PDA in premature babies.Objective. To evaluate intravenous paracetamol effect on closure of PDA in premature babies.Methods. Quasi-experimental design was conducted from May 15th to August 31th 2014 in the Dr. Ciptomangunkusumo General Hospital. Echocardiographic diagnosis of PDA was measured from parasternal-short-axis-view or suprasternal-long-axis-view. The premature babies aged 2 to 7 days were administered intravenous paracetamol of 15 mg/kg every six hours for a-3 day cycle and followed up to chronological age of 14 days. Fischer exact test was used to assess the association between babies group and closure of PDA. Pair t test was used to evaluate duct diameter between before, after intervention, and a-14 day follow up. P<0.05 was considered as statistically significant.Results. Twenty-nine babies were included. Mean of gestational age was 30.8 weeks and birth weight was 1347 gram. Nineteen (65.5%) cases were successfully closed, 1 case reopening, 8 cases failed, and no hepatic intoxication seen. No significant differences between babies group on closure of PDA. The mean of duct diameter before, after intervention, and a-14 day follow up were 3.0 mm, 0.9 mm, and 0.6 mm, respectively (P<0.0001).Conclusion. Intravenous paracetamol is quite effective on closure of PDA in premature babies."

"ABSTRAKStudi ini bertujuan untuk mempelajari pengaruh faktor kebersamaan orangtua danremaja serta perilaku merokok orangtua terhadap perilaku merokok remajamenggunakan data 39.227 remaja berusia 10-17 tahun dari Susenas 2012. Hasilregresi logistik biner menunjukkan bahwa kebersamaan orangtua dan remaja sertaperilaku merokok orangtua memiliki pengaruh signifikan terhadap perilakumerokok remaja. Ditemukan pula bahwa faktor terkuat yang mempengaruhiperilaku merokok remaja adalah partisipasi sekolah remaja dan bahwa kegiatankeagamaan ternyata tidak berpengaruh signifikan terhadap perilaku merokokremaja. Positifnya pengaruh pendapatan remaja terhadap kecenderungan merokokremaja mengindikasikan bahwa harga rokok dapat dijangkau sehingga perlukebijakan cukai yang dapat mengurangi kecenderungan merokok remaja

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ABSTRACTThis study aims to analyze the role of parents on adolescents? smoking behaviourusing 39.227 respondents aged 10-17 years from the 2012 Indonesia NationalSocio-Economic Survey. The results of binary logistic regression show thatparents-adolescents relationship and parents? smoking behavior significantlyaffect adolescents? smoking behaviour. School participation has the strongesteffect on adolescents? smoking behaviour, while unexpectedly religious activityhas no effect on adolescents? smoking behavior. There is a positive effect ofadolescents? income on their likelihood of smoking. It may indicate that the pricesof cigarettes may be inexpensive and that appropriace excise policy is needed toreduce the tendency of smoking"

"Latar Belakang: Hipertensi merupakan salah satu faktor risiko kejadian penyakit kardiovaskular. Hipertensi pada remaja dapat terus berlanjut pada usia dewasa dan menyebabkan morbiditas dan mortalitas yang lebih tinggi. Faktor risiko hipertensi pada remaja multifaktorial. Tujuan: Mengetahui prevalens dan faktor yang memengaruhi kejadian hipertensi pada remaja siswa Sekolah Menengah Pertama (SMP) di Jakarta Pusat. Metode: Studi potong lintang pada 313 anak usia 12-18 tahun siswa SMP. Data riwayat hipertensi dalam keluarga, ras/suku, berat lahir, aktifitas fisis, merokok dan konsumsi alkohol diperoleh dari kuesioner. Pada subjek penelitian juga dilakukan pemeriksaan berat badan, tinggi badan dan tekanan darah. Kriteria hipertensi berdasarkan The Fourth Report of National High Blood Pressure Education Programme Working Group on High Blood Pressure in Children and Adolescent. Hasil: Di antara 313 remaja dengan rerata usia 13,97±1,02 tahun, prevalens hipertensi adalah sebesar 9,6%. Pada analisis bivariat didapatkan hubungan yang bermakna antara riwayat hipertensi dalam keluarga (ayah hipertensi; p = 0,012, IK 95% = 1,20-6,02) dan berat badan lebih/obesitas (p<0,001; IK 95% = 2,99-14,42) dengan hipertensi. Hasil analisis multivariat menunjukkan bahwa berat badan lebih/obesitas mempunyai risiko enam kali mengalami hipertensi dibandingkan remaja dengan berat badan normal. (OR = 6,5; IK 95% = 2,99-14,43). Tidak terdapat hubungan bermakna antara jenis kelamin, berat lahir rendah, ras/suku, aktivitas fisis, dan merokok dengan hipertensi. Simpulan: Prevalens hipertensi pada remaja dalam penelitian ini cukup tinggi. Terdapat hubungan yang bermakna antara riwayat hipertensi dalam keluarga dan berat badan lebih/obesitas dengan hipertensi. Pencegahan berat badan lebih atau obesitas diharapkandapat menurunkan prevalens hipertensi pada remaja.

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Background: Hypertension in adolescent has been often associated with other cardiovascular risk factors. Contributing factors of hypertension in adolescent are multifactorial.

Objectives: To determine the prevalence of hypertension in Junior High School adolescents in Central Jakarta and its potentially associated factors, such as gender, family history of hypertension, race/ethnic, low birth weight, overweight/obesity, physical activity, smoking, and alcohol consumption.

Methods: A cross sectional study involved 313 children aged 12-18 years, where were randomly selected from Junior High Schools in Central Jakarta, during March ? May 2014. Information about family history, race/ethnic, birth weight, physical activity levels, smoking and consumption of alcohol was gathered by questionnaire. Body weigth, heigth and blood pressure were measured. Hypertension was defined according to The Fourth Report of National High Blood Pressure Education Programme Working Group on High Blood Pressure in Children and Adolescent.

Results: The study included 313 adolescents with mean age 13.97±1.02 years. Prevalence of hypertension was 9.6%. Bivariate analysis showed that family history of hypertension (parental hypertension; p = 0.012; CI 95% = 1.20-6.02) and overweight/obesity (p<0.001; CI 95% = 2.99-14.42) were significantly associated with hypertension. The multivariate analysis indicated that overweight/obese adolescents displayed six times more chance of having hypertension than adolescents with light/normal weight (OR = 6.5; CI 95% = 2.99-14.43). Gender, low birth weight, race/ethnic, physical activity, and smoking were not significantly associated with hypertension.

Conclusions: The prevalence of hypertension in the sample studied was high. Overweight/obesity and family history of hypertension were significantly associated with hypertension. The prevention of overweight and obesity can decrease the prevalence of hypertension."

"Penelitian ini bertujuan untuk mengetahui hubungan antara parentification dan autonomy pada remaja dari keluarga miskin perkotaan. Parentification diukur dengan menggunakan Parentification Inventory (Hooper, 2009) yang telah diadaptasi oleh Fivi Nurwianti. Adapun Autonomy diukur dengan menggunakan Index of Autonomous Functioning (Weinstein, Przybylski, & Ryan, 2012) yang diadaptasi oleh peneliti. Partisipan dalam penelitian ini berjumlah 210 remaja usia 11-20 tahun yang berasal dari keluarga miskin perkotaan di Jabodetabek. Hasil utama penelitian ini menunjukkan bahwa terdapat hubungan positif yang signifikan antara parentification dan autonomy pada remaja dari keluarga miskin perkotaan di Jabodetabek (r = 0.158, p < 0.05, two-tailed). Artinya semakin tinggi parentification pada remaja dari keluarga miskin perkotaan di Jabodetabek, maka semakin tinggi juga autonomy pada remaja tersebut.

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The aim of this study was to find out the relationship between parentification and autonomy in adolescents from poor urban families. Parentification was measured using Parentification Inventory (Hooper, 2009) which has been adapted by Fivi Nurwianti. Autonomy was measured using the Index of Autonomous Functioning (Weinstein, Przybylski, & Ryan, 2012) that was adapted by the researcher. Respondents in this research were 210 adolescents aged 11-20 years who came from poor urban families in Jabodetabek.

The main result of this study indicates that there is a significant positive relationship between parentification and autonomy in adolescents from poor urban families in Jabodetabek (r = 0.158, p < 0.05, two-tailed). It means that when the parentification in adolescents from poor urban families in Jabodetabek are high, the autonomy of the adolescents will be high too."

"Kesulitan psikologis rentan dialami oleh remaja, terlebih di masa pandemi COVID-19 yang menyebabkan perubahan pada berbagai aspek kehidupan. Hal ini membuat remaja menghadapi berbagai tantangan baru. Ketidakmampuan dalam menghadapi tantangan tersebut dapat mengakibatkan remaja memiliki kesulitan psikologis. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang dapat berkontribusi terhadap kesulitan psikologis remaja dengan menggunakan pendekatan biopsikososial. Penelitian ini merupakan one-shot study berskala nasional yang melibatkan 13.226 siswa SMP dan SMA/sederajat di Indonesia. Hasil analisis multiple linear regression menunjukkan bahwa secara bersama-sama, faktor biologis (usia dan jenis kelamin), psikologis (kesejahteraan psikologis), dan sosial (interaksi dengan teman, status pekerjaan ayah, status pekerjaan ibu, dan tingkat pendidikan ibu) berkontribusi secara signifikan terhadap kesulitan psikologis remaja (F(7, 13218) = 649,234, p <,05, R2 = ,255). Penelitian ini menunjukkan bahwa faktor biopsikososial dapat membantu dalam mengidentifikasi faktor yang penting dalam berkontribusi terhadap kesulitan psikologis remaja di masa pandemi COVID-19.

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Adolescents are vulnerable to psychological difficulties, especially during the COVID-19 pandemic that causes changes in many aspect of lives. This makes adolescents deal with various new challenges. Inability to face those challenges could cause adolescents to have psychological difficulties. This study aims to identify factors that contribute to adolescents’ psychological difficulties using a biopsychosocial approach. This research is a one-shot study on a national scale involving 13.226 secondary school students in Indonesia. The result of multiple linear regression analysis showed that simultaneously, biological (age and gender), psychological (psychological well-being), and social factors (interaction with friends, father's employment status, mother's employment status, and mother's education level) had significant contribution in predicting adolescents’ psychological difficulties (F(7, 13218) = 649.234, p<.05, R2 = .255). This study shows that biopsychosocial factors can help to identify important factors that contribute to adolescents’ psychological difficulties during the COVID-19 pandemic."