Papers by Toto Wisnuhendrarto
Paediatrica Indonesiana, Feb 25, 2019
T etralogy of Fallot (TOF) and vertebral abnormalities, anorectal malformation, cardiac defects, ... more T etralogy of Fallot (TOF) and vertebral abnormalities, anorectal malformation, cardiac defects, tracheoesophageal fistula with or without esophageal atresia, renal malformations, and limb abnormalities (VACTERL) are considered rare entities requiring medical attention with regards to diagnosis and management. When ToF is associated with VACTERL association, case management might differ from a simple case of ToF. Tetralogy of Fallot (ToF) is defined as a complex congenital cardiac abnormality characterized by ventricular septal defect, right outflow tract obstruction, right ventricular hypertrophy, and overriding aorta. 1 The term was coined in 1888 by Fallot of Marseilles, even though the defect had been described in 1673 by Steno of Denmark. The entity was then studied extensively to deliver better care management through medical and surgical approaches. 2 [
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Background Neonatal hyperbilirubinemia is one of the most common conditions for neonate inpatient... more Background Neonatal hyperbilirubinemia is one of the most common conditions for neonate inpatients. Indonesia faces a major challenge in which different guidelines regarding the management of this condition were present. This study aimed to compare the existing guidelines regarding prevention, diagnosis, treatment and monitoring in order to create the best recommendation for a new hyperbilirubinemia guideline in Indonesia. Methods Through an earlier survey regarding adherence to the neonatal hyperbilirubinemia guideline, we identified that three main guidelines are being used in Indonesia. These were developed by the Indonesian Pediatric Society (IPS), the Ministry of Health (MoH), and World Health Organization (WHO). In this study, we compared factors such as prevention, monitoring, methods for identifying, risk factors in the development of neonatal jaundice, risk factors that increase brain damage, and intervention treatment threshold in the existing guidelines to determine the b...
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Papers by Toto Wisnuhendrarto