Kiki Madiapermana Kustiman Samsi

Kompleks Sawo Griya Kencana I, Blok C, no 8. Jl. Artayasa, Limo, Depok 16515, West Java, Indonesia
Phone: +6281318545436, +6221 68985377. email: [email protected], [email protected]

FORMAL EDUCATION SUMMARY 2009, Fellowship in Division of Infectious Disease and Tropical Pediatric, Departement of Child Health, Medical Faculty, University of Indonesia, RSUPNCiptoMangunkusumo 2004, Graduated as Pediatrician from Pajajaran University, Bandung Indonesia 2004, Graduated as Master of Health from Pajajaran University, Bandung Indonesia 1995, Graduated as General Practitioner Medical Doctor from Tarumanagara University, Jakarta, Indonesia 1988, Graduated from SMA N 6 Jakarta PRESENT EMPLOYMENT 2004-present Indonesia Medical Faculty of Tarumanagara University, Jakarta,

Full Time Faculty Member as Faculty Level Instructor (Lecture subject: Child Health) Head of Child Health Department (2008-present) 2004-present Sumber Waras Hospital, Jakarta, Indonesia - Head of Hospital Medical Services Bureau (Kepala Biro Pelayanan Medis) (2008-2009) - Vise of Head of Hospital Medical Board (Wakil Ketua Komite Medik) (2008-2009) - Head of Child Health Department (2008-present) - Head of Committee on Neonatal High Risk (2005-present) - Secretary of Hospital Credential Committee (2005-present) - Head of Health Technology Assessment Team (2005-2008) - Member of Nutritional Management Team (2005-present) - Member of Emergency Unit Supervisor (2006-2008) - Member of Functional Medical Staff in Child Health Department (2004present) 2005-present Hospital Cinere, Depok, Indonesia - Part Timer Pediatrician 2008-present Lembaga Pengembangan Profesi Kesehatan (LPPK) Persada Medika Edutama - Director of Education, Research, and Development 1

PAST EMPLOYMENT 1999 1996-1999 1996-1999 1995-1996 Bintaro International Hospital, Jakarta, Indonesia - General Practitioner in Ward and Intensive Care Unit Jambi General Hospital - Functional Medical Staff of Child Health Department - General Practitioner in Emergency Unit Army Hospital, Jambi , Indonesia - General Practitioner in Emergency Unit Bogor Islamic Hospital, Indonesia - General Practitioner in Emergency Unit

PROFESSIONAL MEMBERSHIP Indonesian Society of Mikology Indonesian Society of Medical Emergency Indonesian Society of Pediatrician Indonesian Medical Association (Profession Development - West Jakarta Branch) Member of Infection and Tropical Disease Working Group of Indonesian Society of Pediatrician Secretary of Indonesian Society of Perinatology, Jakarta Branch (PERINASIAJakarta) Secretary of Infection and Tropical Disease Working Group of Indonesian Society of Pediatrician, Jakarta Branch

PUBLICATION Kiki M.K. Samsi, Evelyn Phangkawira, Steve J. Yang. Hubungan Berat Molekul dengan Ukuran Molekul Koloid yang Lazim Digunakan dalam Resusitasi Sindrom Syok Dengue. SariPediatri, 2009;10(6):385-391. (original article) Evelyn Phangkawira, Kiki MK Samsi. Vaksin HIV: Harapan atau Khayalan? Cermin Dunia Kedokteran, 2009;36(4):251-255(review article) Ellen Kumalasari, Kiki MK Samsi. Komplikasi berat penyakit tangan, kaki, dan mulut (Hand ,Foot, and Mouth Disease, HFMD). Ebers Papyrus, Desember 2006;12(4):223-232. (review article) Yuliana, Kiki MK Samsi. Sindrom Kawasaki. Medika Jurnal Kedokteran Indonesia, 2007;9:600-614 (review article) Kiki MK Samsi. Ensefalitis/Ensefalopati akibat Flu Burung (infeksi virus Influenza tipe A). Cermin Dunia Kedokteran, 2007;34:186-191(review article) Kiki MK Samsi. Tatalaksana gangguan system respirasi pada penderita luka bakar di Instalasi Gawat Darurat. Ebers Papyrus, 2005;3:159-171. (review article) Djatnika Setiabudi, Kiki Madiapermana. Demam Tifoid pada Anak Usia di Bawah 5 tahun di Bagian Ilmu Kesehatan Anak RS Hasan Sadikin Bandung. Sari 2

Pediatri, Juni 2005:7;hal 9-14 (Original article) Kiki MK Samsi. Program kesehatan anak dalam upaya preventive terhadap penyakit jantung koroner. Ebers Papyrus, 2004;10:215-229. (review article) Sjarif Hidayat, Kiki Madiapermana K Samsi, Mia Milanti Dewi. Angka Kejadian Bayi Berat Badan Lahir Rendah Sebelum dan Semasa Krisis Ekonomi; suatu Penelitian di Rumah Sakit. Sari Pediatrik, September 2001;3(2).(original article) SCIENTIFIC AND CLINICAL MEDICINE REWARD The Best Free Paper Presenter Lack of Correlation Between the Molecular Weights and Diffusion Constants of Different Colloids Used For Resuscitation in Dengue Shock Syndrome. 2nd National Annual Meeting of Indonesian Society of Intensive Care (PERDICI), Jakarta, Indonesia, 2006 The Best Free Paper Predictors of Severe Typhoid Fever in Children. Kursus Penyegar dan Penambah Ilmu Kedokteran (KPPIK), Faculty Medicine of University of Indonesia, March 1718th , 2007 The Best Participan. Acid Based-Balance Workshop, Indonesian Society of Intensive Care (PERDICI), Jakarta, 2003 The Best Provider FCCS (Fundamental Critical Care Support) Provider Course, Jakarta, 1999 The Best Provider Training for PROVIDER Neonatal Resuscitation Course. Indonesian Society of Perinatology (PERINASIA) American Academy of Pediatrics/American Heart Association, Jakarta, 1999 The Best Provider. Training for Provider ATLS ( Advance Trauma Life Support ), Jakarta, 1997 RESEARCH ARTICLE (Speaker, author, co-author, ongoing published) Outbreak Fatal Cases: Sindroma CASAD (community acquired sepsis associated with diarrhea). - 5th Continuing Medical Education, Indonesian Society of Pediatrician Jakarta Branch, 2008 - 14th National Congress of Indonesian Society of Pediatrician, Surabaya, 2008 - Local Seminar, in Jakarta, Batam - 3rd Nasional Congress, Badan Koordinasi Gastroenterologi Anak Indonesia Meeting, Surabaya, 6-8 Desember 2007 - 3rd Pediatric Annual Meeting. Indonesian Society of Pediatrician. Yogyakarta, 6-9 May, 2007 Hemorrhagic fever cases identified during a cluster epidemiology study in west java. (co Author) 3

Plasma proteomic analysis of pediatric dengue patients on different stages of disease using SELDI-TOF MS technology: preeliminary observasion.(coAuthor) Use of the Cluster Investigation Method for the Early Detection of Dengue Cases: Preliminary Findings. - 52nd Annual Meeting - American Society of Tropical Medicine and Hygiene. Atlanta-Georgia, USA, 2006 Lack of Correlation Between the Molecular Weights and Diffusion Constants of Different Colloids Used For Resuscitation in Dengue Shock Syndrome. - 4th Asian Congress of Pediatric Infectious Diseases, Surabaya, 2008 - 3rd Pediatric Annual Meeting. Yogyakarta, 2007 - 2nd National Annual Meeting of Indonesian Society of Intensive Care (PERDICI), Jakarta, Indonesia, 2006 Predictors of Severe Typhoid Fever in Children. - 4th Asian Congress of Pediatric Infectious Diseases, Surabaya, 2008 - Kursus Penyegar dan Penambah Ilmu Kedokteran (KPPIK), Faculty Medicine of University of Indonesia, March 17-18th , 2007 Management of Refractory Dengue Shock Syndrome: Administration of hyperoncotic albumin solution. - 13th National Congress of Child Health. Bandung, Indonesia, 4-7 July 2005 Demam Tifoid Berat pada Anak: Evaluasi 85 kasus (Severe Typhoid Fever in Children: review on 85 cases). - 2nd Paediatric Annual Meeting. Batam, 2004 The Effect of Neonatal Resuscitation Training Program on APGAR Score as an Outcome of the Newborn: A Hospital Based Study. - 12th National Congress of Child Health and 11th ASEAN Pediatric Federation Conference Bali, Indonesia, 2002 Milliary Tuberculosis in Children: 26 Cases Review. - Kiki MK Samsi, Oma Rosmayudi 12th National Congress of Child Health and 11th ASEAN Pediatric Federation Conference Bali, Indonesia, 2002 The Impact of Economic Crisis on Low-Birth-Weight Infants Figure: A Hospital Based Retrospective Study. 23rd International Congress of Pediatrics. Beijing, China, 2001 1st Pediatric Annual Meeting. Palembang, 2001

SPEAKER OF REVIEW ARTICLE IN SCIENTIFIC MEETING/SYMPOSIUM Chronic Viral Infection. Seminar Clinical Aspects in Patients with Chronic Disease. Universitas Islam Nasional-CIMSA. Jakarta 13 Juni 2009. Impact of HIV infection in Human Body. Seminar Ilmiah Dealing with HIV Disease. Badan Eksekutif Mahasiswa, Medical Faculty, Tarumanagara University, Jakarta 2 Mei 2009 Outbreak fatal cases: community acquired encefalitis associated with diarhea. 4

Symposium of Update perinatology and infection. Indonesia Society of Pediatrician, North Sulawesi Branch, Manado, December 13th 2008 Inisiasi Menyusui Dini. Semiloka Setuju Oentoek Sepuluh (S.O.S). Dinas Kesehatan Jakarta-PERINASIA-Mercy Corps-Foroese Government-USAID-Vitol Chariatable Foundation, Jakarta 3-4 December How to be a Good Doctor. Medical Faculty of Indonesia Islamic University (Fakultas Kedokteran Universitas Islam Nasional), 2008 Aplikasi Diagnosis Terbaru infeksi Virus Dengue dan Aplikasi Tatalaksana Terbaru Infeksi Dengue. 5th Continuing Medical Education, Indonesian Society of Pediatrician Jakarta Branch, 10-11Agustus, 2008 Current Epidemiology, Pathogenesis and Clinical Spectrum of Dengue Disease. o Symposium of: How to minimize Dengue Infection. Medical Faculty, Tarumanagara University, Jakarta 17 Mei 2008 o Local Symposium of Indonesian Society of Pediatrician, Batam Neonatal Resuscitation: How to build team work, 3rd Annual Meeting Indonesia Symposium Pediatric Anesthesia & Critical Care. Surabaya 2008 Penyakit Infeksi pada Bayi Baru Lahir. Seminar Perawatan Metode Kanguru di Rumah Sakit: Tantangan dan Harapan. Indonesian Society of Perinatology (PERINASIA-Jakarta), Jakarta, 2008 The Use of Intravenous Human-Albumin in Children. Bandung, 2006 Evidence Based Medicine, Jakarta-Bogor 2005-2006 The Used of Hyperoncotic Albumin solution in Management of Prolong Dengue Shock Syndrome, RS Persahabatan Jakarta 2006 Cytokines, Chemokines, Angiogenic Factor(s), and Growth Factors Involved in Pathogenesis of Dengue Disease, Simposium New Perpestive in Dengue Viral Infection: from Basic Science to Clinical Practice, Al Islam Hospital- Indonesian Society of Pediatrician West Java Brach, Bandung, 3 Juni 2006 Electrical Injury, Pertemuan Ilmiah Fakultas Kedokteran Universitas Tarumanagara, Jakarta 17 Mei 2006. Penyuluhan Avian Flu. RS Gandaria , Jakarta 3 Maret 2006 Avian Influenza, Pertemuan Ilmiah Fakultas Kedokteran Universitas Tarumanagara, Jakarta October 19, 2005 Keseimbangan Asam Basa. Temu Ilmiah Peningkatan Mutu Rumah Sakit Sumber Waras, Jakarta 31 Agustus 2005 Sosialisasi Health Technology Assesment. Temu Ilmiah Peningkatan Mutu Rumah Sakit Sumber Waras, Jakarta 15 Juni 2005 TRAINER OR FACILITATOR OF WHORSHOP Facilitator of Management of Dengue Infection, - 5th Continuing Medical Education, Indonesian Society of Pediatrician Jakarta Branch, 2008 - National Congress of Indonesian Society of Pediatrician, Surabaya, 2008 - Management of Dengue Viral Infection, Bandung, 2005 5

 Trainer of Neonatal Resuscitation (Resusitasi Bayi Baru Lahir). LPPK Persada Medika Edutama, Jakarta, Bogor, Tangerang, Batam, Balikpapan, Manado 2008. Trainer of Basic Neonatal Care for Mid Wife and Nurse. PERINASIA JAYA, Jakarta, 2007-2008 Trainer of Kangaroo Method, PERINASIA, Jakarta, 2007-2008 Trainer Pelatihan Keprofesian Pra Coassistant. Introduction of Evidence Based Medicine. Panitia Pelantikan Dokter Baru LXXVII Fakutas Kedokteran Universias Tarumanaga. Jakarta 26 Februari 2007 Trainer Sales Force Training PT Mead Jonshon. Choline, Jakarta 2006 Trainer of PROVIDER Neonatal Resuscitation Course, the Indonesian Society of Perinatology (PERINASIA) - American Academy of Pediatric/American Heart Association, in Jakarta, Jogjakarta, Tanggerang, Padang, Jambi, Palembang, Manado, 2005-present Trainer Sales Force Training PT Mead Jonshon. Evidence Based Medicine, Jakarta, 19 Juli 2005 In house Training. Pelatihan Resusitasi Neonatus di Lingkungan RS Sumber Waras. Jakarta 4-27 Januari 2005 Basic Life Support Regional Training, In House Training, Jambi, 1999 RELEVANT COURSE Pelatihan Laboratorium Helmintologi, Protozoologi, dan Mikologi. Departemen Parasitologi FKUI. Jakarta 16 Februari 26 Juni. Study Design & Etiologic Reseach Course. International Course AsiaLink Clinical Epidemiology and Evidence Based Medicine. April 15-17th 2009 Pelatihan Vaksinologi Dasar untuk Dokter Spesialis Anak, Angkatan XV. Indonesian Society of Pediatrician. April, 14-15, Jakarta Workshop Early Recognation of HIV Infections in Children. Pendidikan Kedokteran Berkelanjutan LV, Departemen Ilmu Kesehatan Anak, FKUIRSUPNCM, Jakarta 22-23 Maret 2009 Pelatihan Pemeriksaan Aerob, Anaerob, Serologi dan Virus. Microbiology Department, Medical Faculty, University of Indonesia. 2-6 Februari, 2009 Workshop of Antimicrobial Susceptibility Testing & Reporting. 5th National Workshop of Clinical Microbiology and 5th Symposium of Indonesia Antimicrobial Resistance Watch (IARW), Indonesian Society for Clincal Microbiology, Januari 2009. Workshop IPD (Invasif Pneumococal Disease). 4th Pnemococcal Diseases Conference. Surabaya, 2008 Workshop of Pediatric Radiology. 14th National Congress of Indonesian Society of Pediatrician, Surabaya, 2008 Workshop of Pediatric Emergency and Critical Care. 14th National Congress of Indonesian Society of Pediatrician, Surabaya, 2008 Workshop Ventilation Support in Pediatric Cases. 3rd Annual Meeting Indonesia Symposium Pediatric Anesthesia & Critical Care Surabaya, 2008 6

 Workshop on Assesment Developing Assesment to Asses Clinical Competence dalam Persiapan Pelaksanaan KBK Fakultas Kedokteran Universitas Tarumanagara, Jakarta 2007 Workshop TUTORIAL dalam Persiapan Pelaksanaan KBK Fakultas Kedokteran Universitas Tarumanagara-Universitas Andalas, Jakarta 2007 Workshop Pelatihan Penyusunan Masalah Pemicu dalam Persiapan Pelaksanaan KBK Fakultas Kedokteran Universitas Tarumanagara-Universitas Andalas, Jakarta 2007 Pelatihan Vaksinologi Dasar untuk Dokter Spesialis Anak, Angkatan XV. Indonesian Society of Pediatrician. , 11-12 April 2007 Training of Management of DHF for Children, 2nd Malaysia-Indonesia Medica Science Conference. Child Health Department, Faculty of Medicine University of Indonesia-Faculty Medicine of Universiti Kebangsaan Malaysia, Jakarta 1-2 Agustus, 2006 Workshop: General Awareness on Avian Influenza in Indonesia, Centre of Infectious Disease Hospital Sulianti Saroso, Jakarta 8 Desember 2005 Training for Trainer on Problem Based Learning & Skill Lab, Medical Faculty, Airlangga University, Surabaya, 24-26 November, 2005 Health Technology Assessment Training Course, November Jakarta, 2005 Basic Pediatric Ventilator. Indonesian Society of Intensive Care (PERDICI), Semarang, 22-23 Juni, 2005 Advance Pediatric Resuscitation Course, Pediatric Emergency and Critical Care Working Group, Indonesian Society of Pediatrician, Jakarta, 2005 Workshop and Training on Leptospirosis Management for Medical Doctor in Primary Care Center , Jakarta, 2005 Pharmacokinetic / Pharmacodynamic Workshop, Indonesian Society of Intensive Care (PERDICI), Jakarta, 2005 Penataran dan Pelatihan Profesi Kedosenan. UPT-Pusat Sumber Belajar, Universitas Tarumanagara. 10-14 Januari 2005 Training for TRAINER Neonatal Resuscitation Course, Indonesian Society of Perinatology (PERINASIA) - American Academy of Pediatric/American Heart Asscociation, Bandung, Decenber 2004 Pediatric Workshop: Triple Care, the Key of Child Growth & Development, Indonesian Society of Pediatrician, Jakarta, 2004. Acid Based-Balance Workshop, Indonesian Society of Intensive Care (PERDICI), Jakarta, 2003 FCCS (Fundamental Critical Care Support) Provider Course, Jakarta, 1999 Training for PROVIDER Neonatal Resuscitation Course. Indonesian Society of Perinatology (PERINASIA) American Academy of Pediatrics/American Heart Association, Jakarta, 1999 ATLS ( Advance Trauma Life Support ), Jakarta, 1997 APPSPGAN (Asia Pan Pacific Society for Paediatric Gastroenterology and Nutrition) Teaching Workshop, Jakarta, 1996 Emergency Management, Jakarta, 1996 Electrocardiolography Course, Medical Faculty, Tarumanagara University, Jakarta, 7

1996 Basic Ultrasonography Course, Jakarta, 1994 SOCIAL ACTIVITY Wawancara. Penyakit Akibat Infeksi Virus. Guest of Radio Bahana. Jakarta 6 Juli 2009 Tim Bantuan Bencana Situ Gintung. SATGAS Bencana, Ikatan Dokter Anak Indonesia, cabang Jakarta, Maret 2009 Nara Sumber. Vaksin Tepat Anak Sehat. Seminar online We aRe Moms VI, 2327 Februari 2009. Wawancara. Penyakit kecacingan. Guest of Radio Pelita Kasih Jakarta 2009: topik Wawancara. Penyakit pada anak seputar liburan. Guest of Female Radio Jakarta, September 2008 Wawancara. Infeksi Pneumokokus Invasif pada anak. Guest of Female Radio Jakarta, September 2008 Pembicara. Pengaruh Infeksi Kuman Pneumokokus pada Anak dan Keluarga. Seminar Kiat Mengoptimalkan Kecerdasan Anak Sejak Dalam Kandungan , RS Buah Hati, Ciputat 27 Juli 2008, Tanggerang Pembicara. Seminar DBD. Gereja Kristen Indonesia Sinode Wilayah Jawa Barat, Jakarta, 7 Juli 2007 Pembicara. Flu Burung. Seminar Awam Waspada flu burung dan Penyakit Infeksi Paska Banjir. Rumah Sakit Royal Taruma, Jakarta, 10 Maret 2007 Wawancara. Dengue Viral Infection (Bandung Television, 2006) Pembicara. Avian Influenza, Penyuluhan Siswa SMP UTAMA, Jakarta 28 April 2006 Pembicara. Avian Influenza. Penyluhan Siswa SMA Lazuardi Depok, 7 Maret 2006 Autism, Dharma Wanita Persatuan Direktorat Jendral Asia Fasifik & Afrika, Departemen Luar Negeri. Republik Indonesia. Jakarta, 28 Juli 2005 SOCIAL ACTIVITY IN HEALTH BOOK OR MAGAZINE 1. Wawancara Virus Flu Babi: Dapatkah bayi terinfeksi virus flu babi. Majalah Mommy and Kiddy. 23 Juli 2009. 2. Wawancara. Gondongan pada anak. Media Indonesia, Juni 2009 3. Wawancara. Influenza: Ini flu atau bukan ?. Majalah Parenting edisi Juni 2009. 4. As Consultant on Baby Q & A. 9 months magazine. 2008-present 5. As an Expert Consultant in Child Health. Mayo Clinic Family Health Book (Panduan Kesehatan Keluarga) 2. Intisari, ed 2. 2007. PERSONAL DATA 8

Born in Bandung, Indonesia, October 17th 1969 Married, has two children Hobbies in Music Instrument and Singing Holding Black Belt in Indonesian Traditional Muscle Art (SILAT)