Pub Date : 2024-01-31DOI: 10.47830/jinma-vol.73.6-2024-1219
L. Mirtha, W. Adisasmito, Wachyu Sulistiadi, Adik Wibowo
Introduction: The most common cause of worry for health in modern culture is non-communicable diseases (NCDs). Effective management of risk factors is essential when dealing with NCDs. Addressing NCDs requires a multifaceted approach, involving a range of solutions from different perspectives and at various levels, encompassing both individual and national dimensions.Method: Five databases were searched: JBI, Embase, Emcare, Medline, and Cochrane Systematic Reviews. The papers included reviews of social marketing in any form or empirical information about how social marketing affects the prevention of non-communicable illnesses.Result: Five papers were chosen from a pool of 36 titles and abstracts. Among the papers, 11 (45.8%) were observational studies conducted in various settings such as communities, hospitals, and clinics, while the remaining articles were from different healthcare facilities. The collected study designs encompassed systematic reviews, narrative reviews, brief communications, scientific reviews, non-randomized control trials, and randomized control trials. Five publications supported their strategies with empirical evidence.Conclusion: Social marketing approaches intended to prevent and handle NCDs need to be based on a deep comprehension of the intended audience and customized to fit the particular circumstances. Furthermore, they should promptly involve the public and establish connections with stakeholders. The elements of the intervention mix should work together harmoniously and complement each other. Furthermore, it's vital to include health education and capacity building and ensure cultural relevance.
{"title":"The Role of Social Marketing in Preventing Non-Communicable Diseases: A Scoping Review Learning from the COVID-19 Pandemic","authors":"L. Mirtha, W. Adisasmito, Wachyu Sulistiadi, Adik Wibowo","doi":"10.47830/jinma-vol.73.6-2024-1219","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.6-2024-1219","url":null,"abstract":"Introduction: The most common cause of worry for health in modern culture is non-communicable diseases (NCDs). Effective management of risk factors is essential when dealing with NCDs. Addressing NCDs requires a multifaceted approach, involving a range of solutions from different perspectives and at various levels, encompassing both individual and national dimensions.Method: Five databases were searched: JBI, Embase, Emcare, Medline, and Cochrane Systematic Reviews. The papers included reviews of social marketing in any form or empirical information about how social marketing affects the prevention of non-communicable illnesses.Result: Five papers were chosen from a pool of 36 titles and abstracts. Among the papers, 11 (45.8%) were observational studies conducted in various settings such as communities, hospitals, and clinics, while the remaining articles were from different healthcare facilities. The collected study designs encompassed systematic reviews, narrative reviews, brief communications, scientific reviews, non-randomized control trials, and randomized control trials. Five publications supported their strategies with empirical evidence.Conclusion: Social marketing approaches intended to prevent and handle NCDs need to be based on a deep comprehension of the intended audience and customized to fit the particular circumstances. Furthermore, they should promptly involve the public and establish connections with stakeholders. The elements of the intervention mix should work together harmoniously and complement each other. Furthermore, it's vital to include health education and capacity building and ensure cultural relevance.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"177 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140475907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-27DOI: 10.47830/jinma-vol.73.6-2024-821
Nenden Nursyamsi Agustina, Agus Fitrianto, Qodri Santosa, Rafa Naufalin, Ufik Maulena, D. U. Anjarwati
Introduction: Irrational use of antibiotics can lead to antibiotics resistance, necessitating efforts for prevention. The implementation of an Antimicrobial Stewardship Program aims to mitigate inapproriate antimicrobial prescribing. This study aims to compare antibiotic rationality based on quantity, quality, and total cost of antimicrobial utilization following the Antimicrobial Stewardship Program in a tertiary hospital setting.Methods: This was a cross-sectional study. Data were obtained from the medical record of 120 patients hospitalized in the pediatrics ward and classified into two groups: post-program and control. The quantity of antibiotic utilization was measured using Anatomical Therapeutic Chemical/Defined Daily Dose (ATC/DDD). Antibiotic rationality was assessed using Gyssens modified category. Normality was evaluated using the Kolmogorov-Smirnov test and analyzed with an independent t-test.Results: There was 10% increase of prudent antibiotic use and a 30.61% reduction in total cost in the post-program study group. However, there was no significant difference in the quantity of antimicrobial utilization in both groups (p=0.06).Conclusion: The program improves the rationality of prudent antibiotic prescription and reduces the total cost of antimicrobial utilization.
{"title":"Assessing the Impact of Antimicrobial Stewardship on Antibiotic Rationality in a Tertiary Hospital Setting","authors":"Nenden Nursyamsi Agustina, Agus Fitrianto, Qodri Santosa, Rafa Naufalin, Ufik Maulena, D. U. Anjarwati","doi":"10.47830/jinma-vol.73.6-2024-821","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.6-2024-821","url":null,"abstract":"Introduction: Irrational use of antibiotics can lead to antibiotics resistance, necessitating efforts for prevention. The implementation of an Antimicrobial Stewardship Program aims to mitigate inapproriate antimicrobial prescribing. This study aims to compare antibiotic rationality based on quantity, quality, and total cost of antimicrobial utilization following the Antimicrobial Stewardship Program in a tertiary hospital setting.Methods: This was a cross-sectional study. Data were obtained from the medical record of 120 patients hospitalized in the pediatrics ward and classified into two groups: post-program and control. The quantity of antibiotic utilization was measured using Anatomical Therapeutic Chemical/Defined Daily Dose (ATC/DDD). Antibiotic rationality was assessed using Gyssens modified category. Normality was evaluated using the Kolmogorov-Smirnov test and analyzed with an independent t-test.Results: There was 10% increase of prudent antibiotic use and a 30.61% reduction in total cost in the post-program study group. However, there was no significant difference in the quantity of antimicrobial utilization in both groups (p=0.06).Conclusion: The program improves the rationality of prudent antibiotic prescription and reduces the total cost of antimicrobial utilization.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"18 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140493210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Senam Asma Indonesia (SAI) merupakan rangkaian latihan fisis terstruktur yang disusun berbasis pengetahuan medis oleh tim multidisiplin dalam Yayasan Asma Indonesia (YAI). Latihan yang diciptakan pada tahun 1994 tersebut disusun dengan memperhatikan karakteristik pasien asma dan disesuaikan dengan derajat keparahan asmanya dengan pengaturan beban yang berbeda pada tiap tahapan latihannya. Prinsip penanganan asma adalah penghindaran pencetus, penggunaan medikamentosa, dan menjaga kebugaran jasmani. Kualitas hidup (QoL) pasien asma mengalami penurunan karena terbatasnya aktivitas kehidupan sehari-hari akibat gejala pernapasan yang diderita. Gejala multifaktorial pada asma seperti keterbatasan ventilasi, kelainan transfer gas, disfungsi pembuluh darah paru dan jantung, disfungsi otot ekstremitas, akan menyebabkan gangguan sesak saat aktivitas atau latihan fisis, yang disebut sebagai Exercise-induced Bronchoconstriction (EIB). Tatalaksana terapi steroid oral yang diberikan untuk mengobati eksaserbasi akut dapat menyebabkan miopati yang diinduksi steroid dan remodeling otot rangka, yang mengakibatkan penurunan endurance dari kinerja otot. SAI terdiri dari serangkaian gerakan yang dirancang untuk meningkatkan fungsi paru, memperkuat otot pernapasan, dan meningkatkan kualitas hidup pasien asma. Dalam perspektif rehabilitasi medis, SAI dapat berkontribusi terhadap optimalisasi mobilitas dinding dada, kontrol pernapasan dengan pursed-lip breathing, relaksasi, dan meningkatkan kebugaran kardiorespirasi.
{"title":"Senam Asma Indonesia dalam Perspektif Rehabilitasi Medis","authors":"Siti Chandra Widjanantie, S. Laras, Triyana Damayanti, Nury Nusdwinuringtyas, Faisal Yunus","doi":"10.47830/jinma-vol.73.6-2024-1186","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.6-2024-1186","url":null,"abstract":"Senam Asma Indonesia (SAI) merupakan rangkaian latihan fisis terstruktur yang disusun berbasis pengetahuan medis oleh tim multidisiplin dalam Yayasan Asma Indonesia (YAI). Latihan yang diciptakan pada tahun 1994 tersebut disusun dengan memperhatikan karakteristik pasien asma dan disesuaikan dengan derajat keparahan asmanya dengan pengaturan beban yang berbeda pada tiap tahapan latihannya. Prinsip penanganan asma adalah penghindaran pencetus, penggunaan medikamentosa, dan menjaga kebugaran jasmani. Kualitas hidup (QoL) pasien asma mengalami penurunan karena terbatasnya aktivitas kehidupan sehari-hari akibat gejala pernapasan yang diderita. Gejala multifaktorial pada asma seperti keterbatasan ventilasi, kelainan transfer gas, disfungsi pembuluh darah paru dan jantung, disfungsi otot ekstremitas, akan menyebabkan gangguan sesak saat aktivitas atau latihan fisis, yang disebut sebagai Exercise-induced Bronchoconstriction (EIB). Tatalaksana terapi steroid oral yang diberikan untuk mengobati eksaserbasi akut dapat menyebabkan miopati yang diinduksi steroid dan remodeling otot rangka, yang mengakibatkan penurunan endurance dari kinerja otot. SAI terdiri dari serangkaian gerakan yang dirancang untuk meningkatkan fungsi paru, memperkuat otot pernapasan, dan meningkatkan kualitas hidup pasien asma. Dalam perspektif rehabilitasi medis, SAI dapat berkontribusi terhadap optimalisasi mobilitas dinding dada, kontrol pernapasan dengan pursed-lip breathing, relaksasi, dan meningkatkan kebugaran kardiorespirasi.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"77 1-2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140491658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The COVID-19 vaccine is crucial as a preventive measure against infection with the SARS-CoV-2 virus. The Indonesian Pediatric Association (IDAI) has approved the vaccination for children under 12 years, allowing them to receive up to the second dose. However, a lack of knowledge about the vaccine has led to hesitancy among parents, fueled by misinformation and concerns about potential side effects on their children. This study aims to explore the correlation between parental knowledge and their anxiety levels concerning the COVID-19 vaccination for their children.Methods: We conducted a cross-sectional survey with 207 parents of students from SDIT Nurul Fikri in Makassar City. The research instrument was a structured questionnaire. Data were analyzed through univariate analysis, followed by bivariate comparisons using the Chi-square test and multivariate regression.Results: Among the respondents, a majority (58%) exhibited limited knowledge of COVID-19, with 50.2% reporting varying degrees of anxiety about the vaccination for their children. Of the children, 46.3% had received the complete vaccination series. Statistical analysis revealed a significant correlation between parental knowledge and anxiety levels regarding their child’s COVID-19 vaccination (α<0.05; p=0.007).Conclusion: There is a significant correlation between knowledge and anxiety concerning children's COVID-19 vaccination, with knowledge being the most significant predictor of anxiety levels.
{"title":"The Relationship between Parental Knowledge and Anxiety Levels towards COVID-19 Vaccination in Children","authors":"Siti Khodijah Nur'Aini Jusuf, Azizah Nurdin, Andi Irhamnia Sakinah, Halimah Sa’diyah","doi":"10.47830/jinma-vol.73.6-2024-987","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.6-2024-987","url":null,"abstract":"Introduction: The COVID-19 vaccine is crucial as a preventive measure against infection with the SARS-CoV-2 virus. The Indonesian Pediatric Association (IDAI) has approved the vaccination for children under 12 years, allowing them to receive up to the second dose. However, a lack of knowledge about the vaccine has led to hesitancy among parents, fueled by misinformation and concerns about potential side effects on their children. This study aims to explore the correlation between parental knowledge and their anxiety levels concerning the COVID-19 vaccination for their children.Methods: We conducted a cross-sectional survey with 207 parents of students from SDIT Nurul Fikri in Makassar City. The research instrument was a structured questionnaire. Data were analyzed through univariate analysis, followed by bivariate comparisons using the Chi-square test and multivariate regression.Results: Among the respondents, a majority (58%) exhibited limited knowledge of COVID-19, with 50.2% reporting varying degrees of anxiety about the vaccination for their children. Of the children, 46.3% had received the complete vaccination series. Statistical analysis revealed a significant correlation between parental knowledge and anxiety levels regarding their child’s COVID-19 vaccination (α<0.05; p=0.007).Conclusion: There is a significant correlation between knowledge and anxiety concerning children's COVID-19 vaccination, with knowledge being the most significant predictor of anxiety levels.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"40 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140493040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-27DOI: 10.47830/jinma-vol.73.6-2024-870
Joanna Erin Hanrahan, N. Calista, Sabda Ardiantara, R. Restuti, Nina Irawati, E. Z. Rachmawati
Introduction: In Indonesia, 82% of children with otitis media have experienced chronic otitis media (COM). COM has a high recurrency rate and is multifactorial, one of which is caused by acid reflux. Proton pump inhibitor (PPI) therapy has been used to treat acid reflux and gives excellent result. Purpose: Reporting one case of a child with COM and laryngopharyngeal reflux (LPR) who received PPI therapy. An evidence-based literature review was done to evaluate the effectiveness of PPI therapy in patient with COM and LPR.Methods: Literature searching was done through 3 databases. Critical appraisal based on the Oxford Center for Evidence Based Medicine Checklists 2011.Results: After we sorted out duplications and screened articles according to our inclusion and exclusion criteria, we retrieved one article. This article is valid and applicable, yet PPI therapy did not give significant clinical improvement because of some reasons.Conclusion: From the literature review, PPI therapy on patient with COM did not give significant clinical improvement such as to stop middle ear discharge, yet in our case, PPI therapy could produce a clinical improvement and in line with previous experimental studies. Therefore, PPI therapy could still be considered given in children with COM.
简介在印度尼西亚，82%的中耳炎患儿都曾患过慢性中耳炎（COM）。慢性中耳炎的复发率很高，而且是多因素造成的，其中一个原因是胃酸倒流。质子泵抑制剂（PPI）疗法已被用于治疗胃酸倒流，并取得了很好的效果。目的报告一例接受 PPI 治疗的患有 COM 和喉咽反流（LPR）的儿童病例。为了评估 PPI 治疗对 COM 和 LPR 患者的有效性，我们进行了循证文献综述：方法：通过 3 个数据库进行文献检索。根据牛津循证医学中心 2011 年的检查表进行严格评估：根据纳入和排除标准对重复文章进行整理和筛选后，我们检索到一篇文章。这篇文章是有效和适用的，但由于某些原因，PPI疗法并没有带来显著的临床改善：从文献综述来看，PPI疗法对COM患者的临床改善并不明显，如阻止中耳分泌物，但在我们的病例中，PPI疗法却能改善临床症状，这与之前的实验研究相符。因此，PPI疗法仍可考虑用于COM患儿。
{"title":"Effectiveness of Proton Pump Inhibitor Therapy in Children with Chronic Otitis Media: an Evidence-Based Case Report","authors":"Joanna Erin Hanrahan, N. Calista, Sabda Ardiantara, R. Restuti, Nina Irawati, E. Z. Rachmawati","doi":"10.47830/jinma-vol.73.6-2024-870","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.6-2024-870","url":null,"abstract":"Introduction: In Indonesia, 82% of children with otitis media have experienced chronic otitis media (COM). COM has a high recurrency rate and is multifactorial, one of which is caused by acid reflux. Proton pump inhibitor (PPI) therapy has been used to treat acid reflux and gives excellent result. Purpose: Reporting one case of a child with COM and laryngopharyngeal reflux (LPR) who received PPI therapy. An evidence-based literature review was done to evaluate the effectiveness of PPI therapy in patient with COM and LPR.Methods: Literature searching was done through 3 databases. Critical appraisal based on the Oxford Center for Evidence Based Medicine Checklists 2011.Results: After we sorted out duplications and screened articles according to our inclusion and exclusion criteria, we retrieved one article. This article is valid and applicable, yet PPI therapy did not give significant clinical improvement because of some reasons.Conclusion: From the literature review, PPI therapy on patient with COM did not give significant clinical improvement such as to stop middle ear discharge, yet in our case, PPI therapy could produce a clinical improvement and in line with previous experimental studies. Therefore, PPI therapy could still be considered given in children with COM.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"55 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140492763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-27DOI: 10.47830/jinma-vol.73.6-2024-1087
Elvando Tunggul Mauliate Simatupang, A. M. Simanjuntak, Indra Yovi, Rohani Lasmaria Simbolon, S. Munir, Dewi Wijaya
In 2022, there will be 10.6 million cases of tuberculosis, which is a serious problem worldwide. Thailand's cohort research after the COVID-19 pandemic found a 7-fold risk of tuberculosis infection in COVID-19 patients, pointing to a probable rise in TB cases. In order to completely eradicate TB, care must be given to patients both before and after infection, guaranteeing public health against TB infection.1,2
{"title":"How Tuberculosis Scar Could Induce Lung Cancer?","authors":"Elvando Tunggul Mauliate Simatupang, A. M. Simanjuntak, Indra Yovi, Rohani Lasmaria Simbolon, S. Munir, Dewi Wijaya","doi":"10.47830/jinma-vol.73.6-2024-1087","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.6-2024-1087","url":null,"abstract":"In 2022, there will be 10.6 million cases of tuberculosis, which is a serious problem worldwide. Thailand's cohort research after the COVID-19 pandemic found a 7-fold risk of tuberculosis infection in COVID-19 patients, pointing to a probable rise in TB cases. In order to completely eradicate TB, care must be given to patients both before and after infection, guaranteeing public health against TB infection.1,2","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"20 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140493005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-27DOI: 10.47830/jinma-vol.73.6-2024-1019
Nathania Purnomo, V. Damay, Sony Hilal Wicaksono
Introduction: Cardiac sarcoidosis (CS) is a rare granulomatous disorder in which white blood cells form clusters on the myocardium. The clinical presentations of CS are varied, as is its etiology. Multiple diagnostic approaches to determine the cause of persistent dyspnea may fail, as cardiac sarcoidosis can mimic many other diseases.Case Report: A 47-year-old woman presented with a sudden onset of dyspnea and a history of chronic thrombo-embolic pulmonary hypertension (CTEPH). Multiple diagnostic approaches were employed, including a CT scan of the thorax with contrast, CT pulmonary angiography, CT coronary angiography, and a Ventilation/Perfusion test, but the results were inconclusive. A Cardiac MRI was ultimately performed, which led to a diagnosis of cardiac sarcoidosis.Case Discussion: The patient had been stable and asymptomatic over the years, despite her history of CTEPH, until she developed a sudden onset of dyspnea. The presence of pitting edema, ECG results, and echocardiography data initially suggested a diagnosis of congestive heart failure. However, tests from the pulmonary system and cardiac coronary were normal. This highlights the elusive nature of cardiac sarcoidosis, which can often go unnoticed and be frequently misdiagnosed. Given the inconclusive results from previous tests, a Cardiac MRI was performed to further characterize the pathology. This led to the findings of Late Gadolinium Enhancement (LGE) and the diagnosis of CS.Conclusion: Cardiac sarcoidosis is a master imitator of many diseases, with patients sometimes presenting with only dyspnea. In such cases, Cardiac MRI plays a pivotal role as a diagnostic test, especially when results from other diagnostic workups are nonspecific.
{"title":"A Rare Case Report of Cardiac Sarcoidosis with Pulmonary Hypertension","authors":"Nathania Purnomo, V. Damay, Sony Hilal Wicaksono","doi":"10.47830/jinma-vol.73.6-2024-1019","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.6-2024-1019","url":null,"abstract":"Introduction: Cardiac sarcoidosis (CS) is a rare granulomatous disorder in which white blood cells form clusters on the myocardium. The clinical presentations of CS are varied, as is its etiology. Multiple diagnostic approaches to determine the cause of persistent dyspnea may fail, as cardiac sarcoidosis can mimic many other diseases.Case Report: A 47-year-old woman presented with a sudden onset of dyspnea and a history of chronic thrombo-embolic pulmonary hypertension (CTEPH). Multiple diagnostic approaches were employed, including a CT scan of the thorax with contrast, CT pulmonary angiography, CT coronary angiography, and a Ventilation/Perfusion test, but the results were inconclusive. A Cardiac MRI was ultimately performed, which led to a diagnosis of cardiac sarcoidosis.Case Discussion: The patient had been stable and asymptomatic over the years, despite her history of CTEPH, until she developed a sudden onset of dyspnea. The presence of pitting edema, ECG results, and echocardiography data initially suggested a diagnosis of congestive heart failure. However, tests from the pulmonary system and cardiac coronary were normal. This highlights the elusive nature of cardiac sarcoidosis, which can often go unnoticed and be frequently misdiagnosed. Given the inconclusive results from previous tests, a Cardiac MRI was performed to further characterize the pathology. This led to the findings of Late Gadolinium Enhancement (LGE) and the diagnosis of CS.Conclusion: Cardiac sarcoidosis is a master imitator of many diseases, with patients sometimes presenting with only dyspnea. In such cases, Cardiac MRI plays a pivotal role as a diagnostic test, especially when results from other diagnostic workups are nonspecific.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140493086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fraktur stres adalah cedera overused yang cukup sering terjadi baik pada populasi umum masyarakat, maupun populasi khusus atlet dan anggota militer.1,2 Insidens cedera fraktur stres mencapai 21,1% pada populasi atlet, dengan angka lebih tinggi pada atlet perempuan (9-13%) dibanding atlet laki-laki (6,5%).3,4 Studi menunjukkan 40% atlet pernah mengalami fraktur stres pada suatu titik dalam karir mereka.3 Cedera fraktur stres juga berkontribusi terhadap 10% kasus cedera ortopedi dan mencapai 20% kasus yang ditemukan pada klinik kedokteran olahraga. Sebanyak 80-95% dari cedera fraktur stres terjadi pada ekstremitas bawah, dengan tempat yang paling umum di tibia, tarsal, metatarsal, dan panggul.3
{"title":"Biomarker Fraktur Stres: Apa dan Kapan Harus Diuji?","authors":"Anastasia Feliciana, D. Daniel, Grace Suriadi Halim, Merryana Seputri, Angelica Anggunadi","doi":"10.47830/jinma-vol.73.3-2023-1014","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.3-2023-1014","url":null,"abstract":"Fraktur stres adalah cedera overused yang cukup sering terjadi baik pada populasi umum masyarakat, maupun populasi khusus atlet dan anggota militer.1,2 Insidens cedera fraktur stres mencapai 21,1% pada populasi atlet, dengan angka lebih tinggi pada atlet perempuan (9-13%) dibanding atlet laki-laki (6,5%).3,4 Studi menunjukkan 40% atlet pernah mengalami fraktur stres pada suatu titik dalam karir mereka.3 Cedera fraktur stres juga berkontribusi terhadap 10% kasus cedera ortopedi dan mencapai 20% kasus yang ditemukan pada klinik kedokteran olahraga. Sebanyak 80-95% dari cedera fraktur stres terjadi pada ekstremitas bawah, dengan tempat yang paling umum di tibia, tarsal, metatarsal, dan panggul.3","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126923770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-22DOI: 10.47830/jinma-vol.73.3-2023-954
Fiona Fiona, N. Margiani, F. Sitanggang, I. W. G. A. Eka Putra, Pande Anandasari, I. M. Ayusta
Introduction: Coronavirus Disease-19 (COVID-19) is a systemic disease that causes complications in respiratory system and coagulopathy, which is called COVID-19-associated hemostatic abnormalities (CAHA). The Brixia chest X-ray scoring system may benefit in detecting CAHA. This study aims to investigate the role of the Brixia score as a predictor of CAHA based on D-dimer levels. Methods: This was a cross-sectional study that used medical records from Radiology Installation, Sanglah General Hospital, Bali, during August 2020 until August 2021. Subjects were confirmed and hospitalized COVID-19 patients with mild to critical degree and aged 18-59 years old. Any other pulmonary diseases than COVID-19 in X-ray was excluded. Brixia score was determined independently and blindly determined by two radiologists. The incidence of CAHA was defined as an elevation of D-dimer in pulmonary COVID-19. We conducted interobserver Bland-Altman, followed by correlation test, receiver operating characteristic (ROC) analysis, and multiple logistic regression test to control for confounding factors. Result: This study included 70 subjects selected through random sampling. We found a positive correlation between the Brixia score and D-dimer levels (r=0.329, p<0.05). The ROC analysis indicated that a Brixia score cut-off ≥10 is the best predictor of CAHA, with a positive predictive value of 95.8% and a negative predictive value of 40.9%. Subjects with a Brixia score ≥10 were found to have a higher risk of developing CAHA (aOR 14.78, p <0.05) after controlling for age, gender, nutritional status, and comorbidities. Conclusion: There was a statistically significant association between Brixia score and CAHA in COVID-19 patients based on D-dimer levels. The Brixia score could be used as a predictor of CAHA with the cut-off value ≥10.
{"title":"The Role of Brixia Score as a Predictor of Coronavirus Disease-19 (COVID-19)-associated Hemostatic Abnormalities (CAHA) Based on D-dimer Levels","authors":"Fiona Fiona, N. Margiani, F. Sitanggang, I. W. G. A. Eka Putra, Pande Anandasari, I. M. Ayusta","doi":"10.47830/jinma-vol.73.3-2023-954","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.3-2023-954","url":null,"abstract":"Introduction: Coronavirus Disease-19 (COVID-19) is a systemic disease that causes complications in respiratory system and coagulopathy, which is called COVID-19-associated hemostatic abnormalities (CAHA). The Brixia chest X-ray scoring system may benefit in detecting CAHA. This study aims to investigate the role of the Brixia score as a predictor of CAHA based on D-dimer levels. \u0000Methods: This was a cross-sectional study that used medical records from Radiology Installation, Sanglah General Hospital, Bali, during August 2020 until August 2021. Subjects were confirmed and hospitalized COVID-19 patients with mild to critical degree and aged 18-59 years old. Any other pulmonary diseases than COVID-19 in X-ray was excluded. Brixia score was determined independently and blindly determined by two radiologists. The incidence of CAHA was defined as an elevation of D-dimer in pulmonary COVID-19. We conducted interobserver Bland-Altman, followed by correlation test, receiver operating characteristic (ROC) analysis, and multiple logistic regression test to control for confounding factors. \u0000Result: This study included 70 subjects selected through random sampling. We found a positive correlation between the Brixia score and D-dimer levels (r=0.329, p<0.05). The ROC analysis indicated that a Brixia score cut-off ≥10 is the best predictor of CAHA, with a positive predictive value of 95.8% and a negative predictive value of 40.9%. Subjects with a Brixia score ≥10 were found to have a higher risk of developing CAHA (aOR 14.78, p <0.05) after controlling for age, gender, nutritional status, and comorbidities. \u0000Conclusion: There was a statistically significant association between Brixia score and CAHA in COVID-19 patients based on D-dimer levels. The Brixia score could be used as a predictor of CAHA with the cut-off value ≥10.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127969604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-22DOI: 10.47830/jinma-vol.73.3-2023-994
Retno Sulistyo Wardani
Konsep dan falsafah Bedah Sinus Endoskopik Fungsional (BSEF) perlu disetarakan dengan kemajuan teknologi kedokteran berbasis bukti. Sesuai dengan pembelajaran sepanjang hayat, konsep awal BSEF sebagai intervensi bedah pada rinosinusitis kronik (RSK) yang tidak respons terhadap terapi medikamentosa yang sesuai, berkembang untuk indikasi-indikasi yang lain, seperti kelainan kongenital, degeneratif, infeksi, inflamasi, neoplasma, trauma bahkan penyakit endokrin. Artikel ini ditulis sebagai tinjauan pustaka yang dinarasikan berdasarkan bukti kedokteran terkini dalam bidang imunologi, dan diharapkan dapat memicu studi kepustakaan lain yang lebih mendalam dan spesifik. Empat belas literatur terpilih untuk menarasikan konsep BSEF berdasarkan sejarahnya, perumusan falsafah keilmuan serta analogi falsafah hidup yang dianjurkan karena kebaikannya. Fungsi hidung dapat dipelihara, dipertahankan, dan direstorasi dengan metode higiene hidung melalui irigasi dan hidrasi hidung larutan garam fisiologis dan higiene tidur untuk memperoleh kualitas tidur yang baik. Bedah Sinus Endoskopik Fungsional dapat mengendalikan inflamasi kronik mukosa dengan meningkatkan keragaman dan stabilitas mikrobioma Corynebacterium and Dolosigranulum. Untuk menjadi Spesialis THTKL yang terampil dalam BSEF, diperlukan pemahaman anatomi, anatomi dan anatomi. Kompetensi tambahan sebagai pakar imunologi diperlukan untuk SpTHTKL - Konsultan Rinologi.
{"title":"Konsep, Falsafah dan Indikasi Bedah Sinus Endoskopik Fungsional","authors":"Retno Sulistyo Wardani","doi":"10.47830/jinma-vol.73.3-2023-994","DOIUrl":"https://doi.org/10.47830/jinma-vol.73.3-2023-994","url":null,"abstract":"Konsep dan falsafah Bedah Sinus Endoskopik Fungsional (BSEF) perlu disetarakan dengan kemajuan teknologi kedokteran berbasis bukti. Sesuai dengan pembelajaran sepanjang hayat, konsep awal BSEF sebagai intervensi bedah pada rinosinusitis kronik (RSK) yang tidak respons terhadap terapi medikamentosa yang sesuai, berkembang untuk indikasi-indikasi yang lain, seperti kelainan kongenital, degeneratif, infeksi, inflamasi, neoplasma, trauma bahkan penyakit endokrin. Artikel ini ditulis sebagai tinjauan pustaka yang dinarasikan berdasarkan bukti kedokteran terkini dalam bidang imunologi, dan diharapkan dapat memicu studi kepustakaan lain yang lebih mendalam dan spesifik. Empat belas literatur terpilih untuk menarasikan konsep BSEF berdasarkan sejarahnya, perumusan falsafah keilmuan serta analogi falsafah hidup yang dianjurkan karena kebaikannya. Fungsi hidung dapat dipelihara, dipertahankan, dan direstorasi dengan metode higiene hidung melalui irigasi dan hidrasi hidung larutan garam fisiologis dan higiene tidur untuk memperoleh kualitas tidur yang baik. Bedah Sinus Endoskopik Fungsional dapat mengendalikan inflamasi kronik mukosa dengan meningkatkan keragaman dan stabilitas mikrobioma Corynebacterium and Dolosigranulum. Untuk menjadi Spesialis THTKL yang terampil dalam BSEF, diperlukan pemahaman anatomi, anatomi dan anatomi. Kompetensi tambahan sebagai pakar imunologi diperlukan untuk SpTHTKL - Konsultan Rinologi.","PeriodicalId":378619,"journal":{"name":"Journal Of The Indonesian Medical Association","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128686762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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