CURRICULUM VITAE RIWAYAT PENDIDIKAN PERGURUAN TINGGI. Perguruan Tinggi

CURRICULUM VITAE

IDENTITAS DIRI Nama Nomor Peserta NIP/NIK Tempat dan Tanggal Lahir Jenis Kelamin Status Perkawinan Agama Golongan / Pangkat Jabatan Akademik Perguruan Tinggi Alamat Telp./Faks. Alamat Rumah Telp./Faks. Alamat e-mail

: : : : : : : : : : : : : : :

Prof.Dr. Subijanto Marto Sudarmo, dr.,Sp.A(K) 08100400742 19480610 197412 1 001 Magetan, 10 Juni 1948 □ Laki-laki □ Perempuan □ Kawin □ Belum Kawin □ Duda/Janda Islam Pembina Utama Madya / IV-d Guru Besar Fakultas Kedokteran Universitas Airlangga Mayjen. Prof. Dr. Moestopo 6-8 Surabaya (031-5501681) Dukuh Kupang Timur XX/38 Surabaya (031-5678553) [email protected]

RIWAYAT PENDIDIKAN PERGURUAN TINGGI Tahun Lulus 1973 1977 1999

Program Pendidikan(diploma, sarjana, magister, spesialis, dan doktor) S1 S2 S3

Perguruan Tinggi

Jurusan/ Program Studi

Universitas Airlangga Universitas Airlangga Universitas Airlangga

Dokter Spesialis Anak Doktor

-----------------------------------------------------------------------------------------------------------------Buku 2 Penilaian Portofolio Sertifikasi Dosen Terintegrasi

1

PELATIHAN PROFESIONAL Tahun

Jenis Pelatihan( Dalam/ Luar Negeri)

Penyelenggara

Jangka waktu

PENGALAMAN MENGAJAR Mata Kuliah Ilmu Kesehatan Anak Ilmu Kesehatan Anak Ilmu Kesehatan Anak Immunology Mucosa Ilmu Kesehatan Anak Ilmu Kedokteran Tropis Ilmu Kedokteran

Program Pendidikan S1

Ilmu Kesehatan Anak

PPDS I

Ilmu Kesehatan Anak

S1

Ilmu Kesehatan Anak

S2

Pascasarjana

Imunologi Mukosa

Institusi/Jurusan/Program Studi

S2 FRMRS S2

Farmasi Pascasarjana

S3

Pascasarjana

MKDU PPDS I

Sem/Tahun Akademik. 1976 s/d sekarang 1978 s/d sekarang 1979 s/d sekarang 2005 s/d sekarang 2005 s/d sekarang 2009 s/d sekarang 2013 s/d sekarang 2015

PRODUK BAHAN AJAR Mata Kuliah Ilmu Penyakit Anak (Sindroma Diare) Ilmu Penyakit Anak (Pendekatan Klinik Anak dengan Diare) Ilmu Penyakit Anak Ilmu Kesehatan Anak (Patofisiologi dan tatalaksana Anak dengan Diare) Imunologi

Program Pendidikan S-1

Jenis Bahan Ajar( cetak dan noncetak) Non Cetak

S-1

Non Cetak

Profesi S-2

Non Cetak Non Cetak

S-2

Non Cetak

Sem/Tahun Akademik.

PENGALAMAN PENELITIAN Tahun 2010

Judul Penelitian Effect of probiotic in strengthening

Ketua/anggota Tim Anggota

Sumber Dana Swadana


2

2010

2010 2010 2010 2010

gut mucosa against pathogenic bacteria (Experimental study on mus musculus balb/c (Oral) Effects of probiotic in enhancing innate mucosal immune response against pathogenic bacteria The effects of probiotic administration on local humoral mucosal immune response (experimental study in animal models) Diarrhea Associated with Bacteremia Due to Klebsiella Pneumonia Clinical Signs and Symptoms of Children with Hirschprung’s Disease in Dr. Soetomo Hospital Quality of Life of Colostomized Children

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

2010

Recurrent Abdominal Pain

Anggota

Swadana

2010

Clinical Assessment and Plasma Specific Gravity in the Diagnosis of Dehydration in Children

Anggota

Swadana

2010

Quantifying diarrheal stool by diapers

Anggota

Swadana

Ketua

Swadana

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

2011

2011 2011 2011 2011 2012 2012 2013 2013 2013

Probiotic Effect on Production of Immunoglobulin A and Relationship with Immune Response shift toward Th1, Treg and Th2 on the gut Mucosal Incidence of Anemia in Children with H. Pylori Infection at Dr. Soetomo Hospital Surabaya Pediatric Endoscopy in Surabaya Endoscopy Result in Children with Recurrent Abdominal Pain Clinical Profile of Eosinophilic Gastroenteritis In Children Proteksi Probiotik pada Mukosa Ileum Mencit yangTerpajan Lipo Polisakarida Escherichia Coli Peran Pemeriksaan Endoskopi dalam Mendiagnosis Penyakit Penyakit Gastrointestinal pada Anak Duration of diarrhea in HIV infection children with cryptosporidiosis Incidence, clinical symptoms, and etiology of bloody diarrhe Mortality risks of hirschsprung’s


3

2013 2013 2013 2013

2013

2013

2013 2013

2013

2013 2013 2013 2013

disease after surgical treatment Risk factors for enterocolitis following surgery in children with Hirschsprung’s disease Risk factors for persistent diarrhea in children admitted to Soetomo hospital Risk factors for preoperative enterocolitis in children with Hirschsprung’s disease Zinc supplementation on prevention of damaged intestinal mucosal caused by lipopolysaccharide Helicobacter pylori stool antigen (HPSA) as a diagnostic tool in children with Helicobacter pylori infection Stool calprotectin in HIV-infected children Early oral feeding in children following intestinal anastomosis procedure Effect of oral supplementation of Lactobacillus plantarum IS-10506 on serum CD4+ T cell, CD4+ / CD8 T cell ratio and faecal secretory IgA in children with HIV infection that received antiretroviral therapy Lactobacillus plantarum IS-10506 reduced blood lipopolysaccharide level in HIV- infected children with antiretroviral therapy Zinc supplementation on intestinal mucosal morphology Effect of lactobacillus plantarus IS10506 on gut inflammation in HIV infected children Duration of diarrhea in HIV infection children with cryptosporidiosis Incidence, clinical symptoms, and etiology of bloody diarrhea

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

Anggota

Anggota

Dana Penelitian Strategis Nasional Kluster Gizi dan Kesehatan DP2M Th. Anggaran 2009 Swadana

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

2014

Genotyping and Clinical Factors in Ketua RKAT/POPA Pediatric Diarrhea Caused by FakultasKedokt Rotaviruses: One-Year Surveillance eran Unair in Surabaya, Indonesia. 2014 Pengaruh Pemberian Probiotik Anggota LPPM Unair -----------------------------------------------------------------------------------------------------------------Buku 2 Penilaian Portofolio Sertifikasi Dosen Terintegrasi

4

2014

2014

2014

terhadap Keseimbangan Th1, Th2, Treg dan Th17 pada Anak Penderita HIV Epidemiologi Klinis Infeksi Norovirus Diare akut pada Bayi dan Anak di RSUD Dr. Soetomo Surabaya Outbreak fatal cases: community acquired sepsis associated with diarrhea syndrome at Dr.Soetomo Hospital Surabaya Clinical profile of patients with

Anggota Anggota

RKAT/POPA FakultasKedokt eran Unair Swadana

Anggota

Swadana

Coincidence of eosinophilic gastroenteritis and Helicobacter pylori infection Clinical profiles of blastocystisEntamoeba hystolitica coinfection and Entamoeba hystolitica infection Clinical features of established infantile hypertrophic pyloric stenosis in Dr.Soetomo Hospital: serial cases report Pengaruh Probiotik Terhadap Kesigapan Respon Imun Innate Mukosa Dalam Menghadapi Pajanan Patogen Penggunaan Imunoglobulin G Air Ludah untuk Mendiagnosis Infeksi Helicobacter Pylori pada Anak

Anggota

Swadana

Anggota

Swadana

Anggota

Swadana

Perbandingan Metode Imunokromatografi dengan RT-PCR dalam Diagnosis Diare Rotavirus dari Spesimen Feses pada Anak Usia 1-60 Bulan di RSUD Dr.Soetomo Surabaya Pengaruh Pemberian Probiotik dan Maturasi Epitel Ileum Setelah Kerusakan Mukosa Akibat Lipopolisakarida Escherichia Coli 055:B5

amoebiasis 2014

2014

2014

2016

2016

2016

2016

Ketua

UPPM FK UNAIR Th. Anggaran 2016

Anggota


Anggota


Anggota


KARYA ILMIAH* A. Buku/Bab Buku/Jurnal Tahun Judul Penerbit/Jurnal -----------------------------------------------------------------------------------------------------------------Buku 2 Penilaian Portofolio Sertifikasi Dosen Terintegrasi

5

2012 2012

2013

2013

2015

2015

2015

Proteksi Probiotik pada Mukosa Ileum Mencit yang Terpajan Lipopolisakarida Escherichia Coli Peran Prosedur Endoskopi dalam Mendiagnosis Gangguan Pencernaan pada Anak Protein Kinase C and Calcium/Calmodulin-dependent Protein Kinase II signaling on hippocampal neurogenesis in Wistar rat after Docosahexanoic acid (DHA) supplementation Frequency of Diarrheagenic Escherichia coli among Children in Surabaya, Indonesia Genotyping and clinical factor in pediatric diarrhea caused by rotaviruses: one-year surveillance in Surabaya, Indonesia Effect of Glutamine on Spectrin, Clathrin and STAT-3 signaling Protein in Repairing Ileum Intestine in Malnutrition Rats The Expression of TLR-2 and NOD-2 in Gingival Epithelium of Rat after Probiotic Lactobacillus reuteri Supplementation to Inhibit Streptococcus mutans Grawth

Media Medika Indonesiana Vol.46 No.2, 69-146; Mei-Agustus 2012 Journal NERS Vol.7 No.2, 103-207; Oktober 2012 South Asian J Exp Biol; 3 (5): 226231; 2013

Jpn. J. Infect. Dis., 66, 00-00, 2013

Gut Pathogens (2015) 7:3

Int.J. Pharm Tech Res. 2015,8(3),pp 325-329 Journal of Biological Researches Vol.21, No.1, December,2015

*termasuk karya ilmiah dalam bidang ilmu pengetahuan/teknologi/seni/desain/olahraga B. Makalah/Poster Tahun Judul Effect of probiotic in strengthening gut mucosa against pathogenic bacteria 2010 (Experimental study on mus musculus balb/c (Oral) Effects of probiotic in enhancing innate 2010 mucosal immune response against pathogenic bacteria The effects of probiotic administration on 2010 local humoral mucosal immune response (experimental study in animal models) Diarrhea Associated with Bacteremia Due to 2010 Klebsiella Pneumonia Clinical Signs and Symptoms of Children 2010 with Hirschprung’s Disease in Dr. Soetomo Hospital

Penyelenggara PIT IKA IV IDAI

PIT IKA IV IDAI PIT IKA IV IDAI PIT IKA IV IDAI PIT IKA IV IDAI


6

2010

Quality of Life of Colostomized Children

PIT IKA IV IDAI

2010

Recurrent Abdominal Pain

PIT IKA IV IDAI

2010 2010 2011

2011 2011 2011 2011

2013

2013 2013 2013 2013 2013 2013 2013 2013 2013 2013

Clinical Assessment and Plasma Specific Gravity in the Diagnosis of Dehydration in Children Quantifying diarrheal stool by diapers Probiotic Effect on Production of Immunoglobulin A and Relationship with Immune Response shift toward Th1, Treg and Th2 on the gut Mucosal Incidence of Anemia in Children with H. Pylori Infection at Dr. Soetomo Hospital Surabaya Pediatric Endoscopy in Surabaya Endoscopy Result in Children with Recurrent Abdominal Pain Clinical Profile of Eosinophilic Gastroenteritis In Children Effect of oral supplementation of Lactobacillus plantarum IS-10506 on serum CD4+ T cell, CD4+ / CD8 T cell ratio and faecal secretory IgA in children with HIV infection that received antiretroviral therapy Lactobacillus plantarum IS-10506 reduced blood lipopolysaccharide level in HIVinfected children with antiretroviral therapy Zinc supplementation on intestinal mucosal morphology Effect of lactobacillus plantarus IS-10506 on gut inflammation in HIV infected children Duration of diarrhea in HIV infection children with cryptosporidiosis Incidence, clinical symptoms, and etiology of bloody diarrhe Mortality risks of hirschsprung’s disease after surgical treatment Risk factors for enterocolitis following surgery in children with Hirschsprung’s disease Risk factors for persistent diarrhea in children admitted to Soetomo hospital Risk factors for preoperative enterocolitis in children with Hirschsprung’s disease Zinc supplementation on prevention of damaged intestinal mucosal caused by

PIT IKA IV IDAI PIT IKA IV IDAI Keytone Symposia on Molecular and Cellular Biology 15th KONIKA IDAI 15th KONIKA IDAI 15th KONIKA IDAI 15th KONIKA IDAI Third International Symposium on Probiotics and Prebiotics Microbiome (ISSPP) PIT IKA VI IDAI PIT IKA VI IDAI PIT IKA VI IDAI PIT IKA VI IDAI PIT IKA VI IDAI PIT IKA VI IDAI PIT IKA VI IDAI PIT IKA VI IDAI PIT IKA VI IDAI PIT IKA VI IDAI


7

2013 2013 2013 2014 2014 2014 2014 2014

2015 2015 2015 2015 2015 2015 2015

lipopolysaccharide Helicobacter pylori stool antigen (HPSA) as a diagnostic tool in children with Helicobacter pylori infection Stool calprotectin in HIV-infected children Early oral feeding in children following intestinal anastomosis procedure Outbreak fatal cases: community acquired sepsis associated with diarrhea syndrome at Dr.Soetomo Hospital Surabaya Clinical profile of patients with amoebiasis Coincidence of eosinophilic gastroenteritis and Helicobacter pylori infection Clinical profiles of blastocystis-Entamoeba hystolitica coinfection and Entamoeba hystolitica infection Clinical features of established infantile hypertrophic pyloric stenosis in Dr.Soetomo Hospital: serial cases report Immunoglobulin A-IgE levels between ileum and blood from musculus balb/c mice exposed to lipopolysaccharide Escherechia coli after administration of probiotic Pediatric endoscopy at Dr. Soetomo hospital, Surabaya Characteristics of infants below 6 months of age with gastroesophageal reflux disease at Dr.Soetomo hospital, Surabaya Pediatric logistic organ dysfunction score as a predictor of gastrointestinal bleeding in critically-ill children Use of adjuvant drugs in diarrhea management: actual practice of pediatricians Predictor of dehydration using Airlangga scoring system in children with acute diarrhea at Dr.Soetomo Zinc Prescription for management of acute diarrhea among pediatrician

C. Penyunting/Editor/Reviewer/Resensi Tahun Judul

PIT IKA VI IDAI PIT IKA VI IDAI PIT IKA VI IDAI 16th KONIKA IDAI 16th KONIKA IDAI 16th KONIKA IDAI 16th KONIKA IDAI 16th KONIKA IDAI

PIT Ke 7 IKA IDAI PIT Ke 7 IKA IDAI PIT Ke 7 IKA IDAI PIT Ke 7 IKA IDAI PIT Ke 7 IKA IDAI PIT Ke 7 IKA IDAI PIT Ke 7 IKA IDAI

Penerbit/Jurnal


8

KONFERENSI/SEMINAR/LOKAKARYA/SIMPOSIUM Tahun 2010 2010 2010

Judul Kegiatan Seminar Minggu Klinik EBM Workshop IDAI – Nutricia Indonesia Fund Pertemuan Ilmiah Tahunan (PIT) IV Ilmu Kesehatan Anak

2010

Scientific Meeting on Stem Cell

2010

Seminar Ilmiah Stem Cell Continuing Education Ilmu Kesehatan Anak XXXIX

2010 2010

Scientific Meeting IDAI Bali

2010

Scientific Meeting IDA JATIM The International Training Course

2010 2010 2010 2010 2010 2010 2011 2011 2011 2011 2011 2011 2011

Indonesian Scientific Society for Probiotic and Prebiotics 2nd Regional Symposium IDAI – Nestle Nutrition Institute Scientific Meeting 2nd Danone Asian Probiotic Convention Kongres Nasional BKGAI Semposium Nasional dan Workshop Seminar IDAI Annual Meeting of Indonesian Symposium Seminar Ilmiah 15th Konggres Nasional Ilmu Kesehatan Anak (KONIKA) Symposium Countinuing Education XL CPD – IKA Symposium & KONAS I Forum Neuroscience to Nation Character Building

Penyelenggara IDAI Jatim – Surabaya II IDAI – Dep. IKA FK.Unair – NIF IDAI Medan Indonesian Stem Cell Association Surabaya FK. Unair – Gramik FK. UNAIR - RSU Dr. Soetomo IDAI Bali – Dep. IKA FK.Udayana – RSUP Sanglah IDAI JATIM IDI – IDAI – RSDS FK. Unair – UMCG Groningen IDAI – ISSPP

Peranan sbg Panitia/ peserta/pembicara Pembicara Peserta Pembicara Moderator Pembicara Pembicara Pembicara Peserta Peserta Pembicara

Nestle Nutrition Institute

Peserta

IDAI JATIM

Peserta

The Japanese Society of Clinical Nutrition IDAI – BKGAI PPIDAI – IDAI ACEH IDAI JATIM ISPACC-IDI-IDSAI FK UNAIR-RSDS FK. Unair – Gramik IDAI Cabang Sulawesi Utara IDI-IDAI-FK UNAIR RSDS FK.Unair-ASNSINS-RSDS-IDI

Pembicara Pembicara Pembicara Pembicara Pembicara Moderator Moderator Pembicara Moderator


9

2011 2012

1st Meeting Surabaya Regenerative Medicine and Stem Cell Centere Workshop Penerapan Instrumen Evaluasi Peserta PPDS I IKA PKB LX Dep. Ilmu Kesehan Anak FK.IU/RSCM Course and Workshop GCP Kuliah Penghargaan Keilmuan III

2012

Continuing Education XLI

2012 2012 2012 2012

Seminar Minggu Klinik Scientific Meeting International Seminar & Workshop Kuliah Penghargaan Keilmuan III Seminar Nasional & Workshop

2013

Continuing Education XLII

2013

Round Table Discussion Indonesian Scientific Society for Probiotic and Prebiotics (ISSPP) The 6th Child Health Annual Scientific Meeting of Indonesia Pediatric Society Surabaya Regenerative Medicine and Stem Cell Centere & Dutch Foundation Seminar Minggu Klinik Pendidikan Profesi Berkelanjutan II – IDAI Kongres Nasional & Workshop PGHNAI

2011 2011 2011

2012

2013 2013 2013 2013 2014 2014

2015

Seminar Ilmiah Perhimpunan Spesialis Penyakit Dalam 16th Indonesian Congres of Pediatrics Kongres Nasional PGHNAI

2015

Pagi Klinik

2015

Digestive Course

2015

Web Seminar “Healthy Gut As A Basis of Human Health Focusing on Intestinal Microbiota”

2014 2014

FK.Unair-SRMSC IATB-RSDS IDI-IDAI-FK UNAIR RSDS FK.IU-RSCM-IDAI

Pembicara Peserta Pembicara

Unair – APKESI FK. Unair – Gramik FK UNAIR-RSUD Dr. Soetomo IDAI JATIM IDAI JATIM

Peserta Peserta Pembicara Pembicara

FK. Unair – RS.TID

Moderator

FK. Unair – Gramik FK. Unair – RS.TID FK UNAIR-RSUD Dr. Soetomo PPIDAI

Peserta Pembicara

Panitia

pembicara Peserta

ISSPP

Peserta

IDAI

Peserta

FK.Unair-SRMSC IATB-RSDS

Moderator

IDAI JATIM

Peserta

IDAI JATIM

Pembicara

PGHNAI-IDAIFK.Unud-RSUP Sanglah PAPDI - FK UnairGramik - IDI

Peserta Peserta

IDAI

Peserta

PGHNAI Dep. IKA FK.Unair – RSDS UKK Gastrohepatologi – IDAI Jatim

Peserta

IDAI Jatim

Pembicara Pembicara Pembicara


10

2015 2015

Pertemuan Ilmiah Tahunan ke 7 Ilmu Kesehatan Anak RTD & Mini Workshop

PP IDAI

Peserta

IDAI Jatim

Pembicara

KEGIATAN PROFESIONAL/PENGABDIAN KEPADA MASYARAKAT Tahun 1995 – skrg

Jenis/Nama Kegiatan Panitia PKB IKA FK UNAIR-RSUD Dr. Soetomo

Tempat Surabaya

JABATAN DALAM PENGELOLAAN INSTITUSI Peran/Jabatan Ketua Anggota

Institusi( Univ,Fak,Jurusan,Lab,studio, Manajemen Sistem Informasi Akademik dll) Ketua Departemen Ilmu Kesehatan Anak FK. Unair Anggota tetap Badan Pertimbangan Fakultas Unair

Tahun ... s.d. ... 2008 s.d 2010 2009 s.d 2016

PERAN DALAM KEGIATAN KEMAHASISWAAN Tahun

Jenis /Nama Kegiatan

Peran

Tempat

PENGHARGAAN/PIAGAM Tahun

Bentuk Penghargaan

Pemberi

ORGANISASI PROFESI/ILMIAH Tahun

Jenis/ Nama Organisasi

1974 s.d skrg 1977 s.d skrg 1977 s.d skrg

Ikatan Dokter Indonesia (IDI) Ikatan Dokter Anak Indonesia (IDAI) Badan Koordinasi Gastroenterologi Anak Indonesia (BKGAI) – (PGHNAI) Perkumpulan Gastroenterologi Indonesia (PGI) Perkumpulan Endoskopi Gastroenterologi Indonesia (PEGI) Perkumpulan Peneliti Hati Indonesia (PPHI) Asian Pacific Society for Pediatric Gastroenterology and Infant Nutrition (APSPGAN) American Association for the Advancement of

1993 s.d skrg 1993 s.d skrg 1993 s.d skrg 1996 1997

Jabatan/jenjang keanggotaan Anggota Anggota Anggota Anggota Anggota Anggota Anggota Anggota


11

1997 2010 s.d skrg

Science (AAAS) New York Academic of Science (NYAS) Indonesian Scientific Society for Probiotic and Prebiotics (ISSPP)

Anggota Wakil Ketua

Saya menyatakan bahwa semua keterangan dalam Curriculum Vitae ini adalah benar dan apabila terdapat kesalahan, saya bersedia mempertanggung jawabkannya.

Surabaya, 01 Juli 2016 Mengetahui Ketua Departemen/SMF Ilmu Kesehatan Anak

Yang menyatakan,

( Muhammad Faizi, dr.,Sp.A(K) ) NIP. 19560527 199002 1 003

(Prof.Dr. Subijanto Marto Sudarmo,dr.,Sp.A(K)) NIP. 19480610 197412 1 001


12

CURRICULUM VITAE RIWAYAT PENDIDIKAN PERGURUAN TINGGI. Perguruan Tinggi

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