Consensus Guidelines for Influenza Vaccination in Patients with Diabetes
Acta Med Indones. 2024 Jan;56(1):126-133.ABSTRACTInfluenza is a prevalent health issue encountered in daily practice. Patients with diabetes mellitus face a higher risk of infections, including influenza, owing to the compromised immune system associated with diabetes. This susceptibility arises from the potential of diabetes mellitus to weaken the immune system. Moreover, elevated blood glucose levels can create a conducive environment for the growth of bacteria and viruses. This consensus is formulated by a multidisciplinary team to serve as practical guidance for the administration of influenza vaccinations to patients ...
Source: Acta medica Indonesiana - April 2, 2024 Category: Internal Medicine Authors: Sukamto Koesnoe Anshari Saifuddin Hasibuan Ketut Suastika Cissy Kartasasmita Andi Makbul Aman Ida Ayu Kshanti Wismandari Wisnu Samsuridjal Djauzi Iris Rengganis Alvina Widhani Suzy Maria Erwanto Budi Winulyo Hindra Irawan Heri Nugroho Nanny Soetedjo Sobag Source Type: research

Proportion of Hypogonadism in Transfusion-Dependent Thalassemia Patients and Its Contributing Factors
CONCLUSION: We confirmed the role of pre-transfusion Hb count as a potential predictor for hypogonadism due to the tissue hypoxia mechanism and transfusion-related iron overload in TDT patients. Decreased Hb is linearly correlated with FSH, LH, and testosterone levels. Decreased Hb also downregulates these factors.PMID:38561881 (Source: Acta medica Indonesiana)
Source: Acta medica Indonesiana - April 2, 2024 Category: Internal Medicine Authors: Dian Anindita Lubis Imam Subekti Em Yunir Cosphiadi Irawan Andon Hestiantoro Silvia Werdhy Lestari Aria Kekalih Merci Monica Br Pasaribu Santi Syafril Source Type: research

Significant Inverse Correlation of Serum Levels of Osteoprotegerin (OPG) and Transferrin Saturation in Thalassemia Dependent Transfusion (TDT) Patients
CONCLUSION: There was a significant inverse correlation between OPG with transferrin saturation in TDT patients.PMID:38561882 (Source: Acta medica Indonesiana)
Source: Acta medica Indonesiana - April 2, 2024 Category: Internal Medicine Authors: Indra Wijaya M Lucky Nurdiansyah Prameswara Dimmy Prasetya Laniyati Hamijoyo Bachti Alisjahbana Andri Reza Rahmadi Source Type: research

Challenges in Diagnosis and Treatment of Male Hypogonadism
Acta Med Indones. 2024 Jan;56(1):1-2.ABSTRACTHypogonadism is a condition characterized by diminished or absent production of sex hormones by the testicles in men and the ovaries in women. Hypogonadism is classified into primary and secondary hypogonadism. Each type of hypogonadism can be caused by congenital and acquired factors. There are many factors that contribute to the occurrence of hypogonadism, including genetic and developmental disorders, infection, kidney disease, liver disease, autoimmune disorders, chemotherapy, radiation, surgery, and trauma. This represents the considerable challenge in diagnosing hypogonadi...
Source: Acta medica Indonesiana - April 2, 2024 Category: Internal Medicine Authors: Dyah Purnamasari Source Type: research

The Impact on Working Conditions and Income Amongst Internists in Indonesia: Lesson Learned from the COVID-19 Pandemic
This study provides some lessons learned during the COVID-19 pandemic regarding the changes in working conditions and earnings experienced by Indonesian internists. There were 3,115 and 1,772 participants in the first and second survey, respectively. After one year, the proportion of internists handling COVID-19 cases, including critical COVID-19 cases, increased; with fewer internists over 60 years old involved. Working hours, number of patients, and monthly earnings decreased for the majority of internists. The increased workload was experienced by most participants one year of the pandemic, predominantly reported by fem...
Source: Acta medica Indonesiana - April 2, 2024 Category: Internal Medicine Authors: Sally Aman Nasution Lugyanti Sukrisman Simon Salim Ni Made Hustrini Rudi Hidayat Evy Yunihastuti Ceva W Pitoyo Andhika Rachman Sayang Rahmadini Ginulur Gensyaf Adgani Nurul Inayah Rahmani Source Type: research

Impacts of the COVID-19 Pandemic on the CODE ST-Segment Elevation Myocardial Infarction Program: A Quantitative and Qualitative Analysis
CONCLUSION: The implementation of the code STEMI program during the COVID-19 pandemic revealed that modified pathways were required because of the COVID-19 screening process. According to the Donabedian model, during the pandemic, the code STEMI program's healthcare service quality decreased because of a reduction in efficacy, effectiveness, efficiency, and optimality. Despite these limitations attributed to the pandemic, the code STEMI program was able to provide good services for STEMI patients.PMID:38561885 (Source: Acta medica Indonesiana)
Source: Acta medica Indonesiana - April 2, 2024 Category: Internal Medicine Authors: Eka Ginanjar Arif Mansjoer Lusiani Rusdi Rizky Ramadantie Hadiki Habib Lies Dina Liastuti Sally Aman Nasution Idrus Alwi Abdul Rashid Source Type: research

A Life-Threatening Complication During the Fourth Pregnancy Due to Acute Promyelocytic Leukemia: A Case Report
Acta Med Indones. 2024 Jan;56(1):76-83.ABSTRACTIncidents of leukemia in pregnancy are infrequent with only one case found from 75,000 to 100,000 pregnancies. The pathophysiological mechanism of leukemia during pregnancy is still unclear. Leukemia which occurs in pregnancy is usually acute and predominantly the myeloid type.A 35-year-old woman in her fourth pregnancy with a gestational age of 38-39 weeks, came to the emergency department (ED) with complaints of contractions since 4.5 hours before admission. The contraction was not accompanied by discharge, mucus, or blood, and fetal movements was still active. She denied co...
Source: Acta medica Indonesiana - April 2, 2024 Category: Internal Medicine Authors: Ismy Azizah Sisnawati Kezia Salay Listiana Nur Fadillah Indi Jazilah Jessica Amelinda Mintarjo Atiyatum Billah Agung Sunarko Putra I Dewa Made Widi Hersana Citra Novita Source Type: research

Endoscopic Dilatation with Ultrathin Endoscope Assisted Method for Esophageal and Pyloric Stricture related Corrosive Injury: 4 Years Case Series Study
Acta Med Indones. 2024 Jan;56(1):84-92.ABSTRACTCorrosive injuries (CI) become medical problems related complications include esophageal, pyloric stricture and squamous cell carcinoma, physical and quality of life. Endoscopic (ED) dilatation is primary therapy. The ultrathin endoscope-assisted method is potentially safe and useful in avoiding technical failure. Describe clinical outcomes of ED ED-related CI including successful, refractory, recurrent, and complications-related procedures. Case series study of esophageal and/or pyloric stricture patients after CI who underwent dilatation at Soetomo General Hospital (July 201...
Source: Acta medica Indonesiana - April 2, 2024 Category: Internal Medicine Authors: Rusdiyana Ekawati Nurike Setyari Mudjari Arianti Arianti Annisa Zahra Mufida Budi Widodo Titong Sugihartono Herry Purbayu Source Type: research

Identifying Predictors of Mortality in Sepsis Patients with Malignancy: A Retrospective Cohort Study
CONCLUSION: SOFA score and ECOG performance status are significantly associated with sepsis patient mortality in malignancy cases.PMID:38561888 (Source: Acta medica Indonesiana)
Source: Acta medica Indonesiana - April 2, 2024 Category: Internal Medicine Authors: Leonard Nainggolan Rido Prama Eled Ikhwan Rinaldi Cleopas Martin Rumende Chyntia Olivia Maurine Jasirwan Suryo Anggoro Kusumo Wibowo Robert Sinto Khie Chen Lie Source Type: research

Health Literacy Among University Students in the COVID-19 Pandemic: A Systematic Review
CONCLUSION: University students around the world should have courses about health literacy according to university disciplines. These courses should be available for students of different fields to enhance their effectiveness, and training should be associated with students' needs and their subgroup traits.PMID:38561889 (Source: Acta medica Indonesiana)
Source: Acta medica Indonesiana - April 2, 2024 Category: Internal Medicine Authors: Mohammadreza Arzaghi Neda Tizro Parna Ghannadikhosh Parisa Alsadat Dadkhah Razieh Mohammadi-Dashtaki Saleh Behzadi Fereshteh Sohrabivafa Kiana Naghavi Ali Sanaye Abbasi Ali Darroudi Mohammad Abbasalizadeh Ali Kheirandish Mohadeseh Poudineh Niloofar Deravi Source Type: research

Unusual Presentation of Unilateral Choroidal Melanoma with Bilateral Vasculitis in Young Individual: A Case Report and Review of Literature
Acta Med Indones. 2024 Jan;56(1):102-106.ABSTRACTOcular melanoma stands as the predominant primary intraocular malignancy, albeit infrequently exhibiting ipsilateral inflammatory manifestations. In this article, we present an exceptional case involving a middle-aged male who presented with unilateral ocular choroidal melanoma alongside bilateral retinal vasculitis. The patient initially received temporary steroid treatment, followed by brachytherapy, which contributed to the resolution of vasculitis symptoms. The study aims to document the atypical occurrence of bilateral retinal vasculitis, which could potentially masquer...
Source: Acta medica Indonesiana - April 2, 2024 Category: Internal Medicine Authors: Saleh S Algamdi Dhoha M Alhamad Source Type: research

Effectiveness and Safety of Nebulized Magnesium as Last Line Treatment in Adults with Acute Asthma Attack: A Systematic Review and Meta-Analysis
CONCLUSION: Inhaled magnesium improves the outcome of asthmatic patients, especially in lung function, clinical severity, and respiratory rate. Moreover, inhaled magnesium is safe to be given.PMID:38561891 (Source: Acta medica Indonesiana)
Source: Acta medica Indonesiana - April 2, 2024 Category: Internal Medicine Authors: Danny Darmawan Iris Rengganis Cleopas Martin Rumende Hamzah Shatri Soekamto Koesnoe Yogi Umbarawan Rudi Putranto Sally Aman Nasution Source Type: research

Secondary Polycythemia and Non-Islet Cell Tumor-induced Hypoglycemia in Advanced Hepatocellular Carcinoma: A Case Report
Acta Med Indones. 2024 Jan;56(1):93-101.ABSTRACTContinuously holding its position as the sixth most common cause of cancer and the third leading cause of cancer death, globally, Hepatocellular Carcinoma (HCC) remains as a healthcare priority. Production of various substances may result into systemic or metabolic complications, often known as paraneoplastic phenomena of HCC. A 56-year-old male with history of untreated chronic hepatitis B arrived with generalized weakness and intermittent headache in the last two days prior to admission. Laboratory findings demonstrated elevated hemoglobin (20.5 g/dl), alpha-fetoprotein (29...
Source: Acta medica Indonesiana - April 2, 2024 Category: Internal Medicine Authors: Maria Satya Paramitha Dekta Filantropi Esa Ni Made Hustrini Nadia Ayu Mulansari Irsan Hasan Agnes Stephanie Harahap Source Type: research

Validation of Drug Resistance in Pneumonia (DRIP) Score as Empirical Antibiotic Failure Predictor in Community-Acquired Pneumonia Patients in Cipto Mangunkusumo Hospital
CONCLUSION: The DRIP score has low accuracy performance and calibration value in predicting empirical antibiotic failure and poor discriminatory value.PMID:38561875 (Source: Acta medica Indonesiana)
Source: Acta medica Indonesiana - April 2, 2024 Category: Internal Medicine Authors: Rohayat Bilmahdi Simanjuntak Khie Chen Lie Cleopas Martin Rumende Murdani Abdullah Hamzah Shatri Soekamto Koesnoe Leonard Nainggolan Aulia Rizka Source Type: research

The Association between Anemia and Mortality of Severe Pneumonia COVID-19 Patients in the High Care Unit of a Tertiary Hospital in Jakarta
CONCLUSION: There is a significant association between anemia at HCU admission and mortality in patients with severe pneumonia COVID-19 during hospitalization.PMID:38561876 (Source: Acta medica Indonesiana)
Source: Acta medica Indonesiana - April 2, 2024 Category: Internal Medicine Authors: Wulyo Rajabto Gurmeet Singh Calvin Kurnia Mulyadi Vitya Chandika Maria Pyrhadistya Source Type: research