Publications by authors named "Khairunnisa"

Aims: Heart failure with improved ejection fraction (HFimpEF) patients could still develop adverse outcomes despite EF improvement. This study evaluates the risk and protective factors of poor clinical outcomes in HFimpEF patients.

Methods: Systematic searching was done to include studies that evaluate the risks of developing poor outcomes in HFimpEF patients.

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  • H3K27 trimethylation (H3K27me3), regulated by EZH2, plays a critical role in gene expression and is a key diagnostic marker for certain brain tumors, but its implications in astrocytoma with IDH mutation are unclear.
  • A study involving 33 patients analyzed the correlation between immunohistochemical markers (including H3K27me3, EZH2) and patient outcomes like overall survival (OS) and progression-free survival (PFS).
  • Results indicated that H3K27me3 positivity, particularly when combined with EZH2 positivity, was associated with poorer survival rates, suggesting it may serve as a significant prognostic factor for astrocytoma, IDH
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  • Foodborne illnesses caused by pathogens are a significant health issue, and antibiotic resistance is making treatment options limited, driving the search for new antibacterial alternatives.
  • Zanthoxylum acanthopodium essential oil (ZAEO) shows strong antibacterial properties, particularly against E. coli, with a minimum inhibitory concentration (MIC) of 62.5 μg/mL, as well as a synergistic effect when combined with the antibiotic tetracycline.
  • The study indicates that ZAEO may work through several mechanisms, including reducing biofilm formation and disrupting bacterial cell membranes, suggesting its potential as a future antibacterial agent against foodborne pathogens.
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Introduction And Objective: Indication for mitral valve (MV) surgery in asymptomatic mitral regurgitation (MR) patients with preserved ejection fraction (EF) remains unclear. This study aims to identify risk factors of adverse clinical outcomes in asymptomatic MR patients with preserved EF for early indication of MV surgery.

Methods: 3 databases were systematically searched to include studies with asymptomatic MR patients with preserved EF.

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Background: Hydroxychloroquine (HCQ) has proved ineffective in treating patients hospitalised with Coronavirus Disease 2019 (COVID-19), but uncertainty remains over its safety and efficacy in chemoprevention. Previous chemoprevention randomised controlled trials (RCTs) did not individually show benefit of HCQ against COVID-19 and, although meta-analysis did suggest clinical benefit, guidelines recommend against its use.

Methods And Findings: Healthy adult participants from the healthcare setting, and later from the community, were enrolled in 26 centres in 11 countries to a double-blind, placebo-controlled, randomised trial of COVID-19 chemoprevention.

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Background: Excess iron deriving from a chronic transfusion and dietary intake increases the risk for cardiac complications in β-thalassemia major patients. Deferiprone and deferasirox are commonly prescribed to thalassemic patients who are at risk of iron overload. This study aimed to compare the performance and toxicity of deferiprone and deferasirox in β-thalassemia major patients.

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In Indonesia, 2.4% of all new tuberculosis patients had multi-drug resistant disease (MDR-TB); an estimated 24,000 incidences. Historical case series of MDR-TB described a high frequency of cavitation and poor prognosis.

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Background: The onset of common mental disorders (CMDs) is most prevalent among youth; thus, mental health management is crucial. We examined differences in risk and risk factor determinants regarding CMDs prevalence among youth in rural and urban Indonesia.

Methods: This cross-sectional study utilized data from the 2018 Indonesia National Health Survey.

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Introduction: The T2-FLAIR mismatch sign is a characteristic imaging biomarker for astrocytoma, isocitrate dehydrogenase (IDH)-mutant. However, investigators have provided varying interpretations of the positivity/negativity of this sign given for individual cases the nature of qualitative visual assessment. Moreover, MR sequence parameters also influence the appearance of the T2-FLAIR mismatch sign.

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  • * Researchers analyzed MRI images from 31 cases from their institution and 30 cases from The Cancer Genome Atlas, finding that the super T2-FLAIR mismatch sign is associated with significantly improved progression-free survival (PFS) and overall survival (OS).
  • * The results suggest that the super T2-FLAIR mismatch sign could serve as a valuable prognostic imaging biomarker for patients with this type of astrocytoma.
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  • * An optimal nickel content of 20 wt% was identified, which results in significantly better electrocatalytic performance compared to higher nickel concentrations, with a current activity of 18.43 mA/cm.
  • * The 20 wt% Ni-CS electrocatalyst showed impressive electrochemical stability, maintaining a current activity reduction of only 65.80%, highlighting its potential for practical applications.
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Background: Biosurfactants are amphiphilic compounds produced by various microorganisms. Current research evaluates diverse types of biosurfactants against a range of oral pathogens.

Objectives: This systematic review aims to explore the potential of microbial-derived biosurfactants for oral applications.

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  • Radiation therapy (RT) can improve cancer outcomes but also increases the risk of radiation-induced brain tumors (RIBTs), which include gliomas, meningiomas, and sarcomas in survivors.
  • A comprehensive analysis of 957 patients revealed that younger patients (especially those under 5) have a higher risk for RIBTs, with median ages at irradiation being significantly lower for meningiomas compared to the other tumor types.
  • Results showed a longer latency period for meningiomas (20 years) compared to gliomas (9 years) and sarcomas (10 years), and overall survival rates were significantly better for meningioma patients versus glioma and sarcoma patients, particularly following higher radiation doses.
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Tuberculosis (TB) stands as the second most prevalent cause of global human mortality from infectious diseases. In 2022, the World Health Organization documented an estimated number of global TB cases reaching 7.5 million, which causes death for 1.

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The anti-inflammatory and immunosuppressive activities of plant secondary metabolites are due to their diverse mechanisms of action against multifarious molecular targets such as modulation of the complex immune system associated with rheumatoid arthritis (RA). This review discussed and critically analyzed the potent anti-inflammatory and immunosuppressive effects of several phytochemicals and their underlying mechanisms in association with RA in experimental studies, including preliminary clinical studies of some of them. A wide range of phytochemicals including phenols, flavonoids, chalcones, xanthones, terpenoids, alkaloids, and glycosides have shown significant immunosuppressive and anti-inflammatory activities in experimental RA models and a few have undergone clinical trials for their efficacy and safety in reducing RA symptoms and improve patient outcomes.

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  • - The study focused on assessing the role of community pharmacy personnel in supporting tuberculosis (TB) treatment in Indonesia, identifying current practices, knowledge, attitudes, and factors affecting their involvement in patient care.
  • - A survey of 844 participants revealed that while knowledge of TB was generally good, specific areas such as drug regimens were lacking, with only 51% having received updated training on TB care.
  • - Despite a positive attitude toward their roles in TB treatment, actual support and involvement from community pharmacy personnel was minimal, with only 1.3% actively participating in treatment efforts, indicating a gap between knowledge and practice.
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  • * A study at H. Adam Malik General Hospital in Medan investigated the incidence of histoplasmosis in 50 MDR-TB patients, revealing that 28% had histoplasmosis, predominantly in males and those with advanced lung lesions.
  • * Despite these findings, statistical analyses showed no significant association between histoplasmosis incidence and several factors like sex, treatment history, and living conditions, indicating a need for more research in Indonesia where MDR-TB is prevalent.
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Stunting is defined by height of more than two standard deviations below the World Health Organization's (WHO) child growth standard median. It is a significant nutritional problem in developing countries, where in 2021, Indonesia recorded a stunting prevalence at 24.4%, slightly higher than the global prevalence (22%).

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Objectives: To analyze factors related to stunting in Papua region.

Methods: Secondary data from the 2021 Indonesian National Nutrition Status Survey were used in this study. Samples of 2,937 Papuan children under the age of two were gathered for the study.

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HIV/AIDS is still a major worldwide health concern, and Indonesia is making efforts to mitigate its effects. Antiretroviral therapy (ARV), which aims to decrease viral replication, boost immunological function, and lengthen the lifespans of persons living with HIV/AIDS, is the cornerstone of Indonesia's strategy. The availability of ARV has significantly increased, yet problems including stigma and the requirement for regular medication adherence still exist.

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This systematic review investigates the effectiveness of calcium and phosphate ions release on the bioactivity and remineralization potential of glass ionomer cement (GIC). Electronic databases, including PubMed-MEDLINE, Scopus, and Web of Science, were systematically searched according to PRISMA guidelines. This review was registered in the PROSPERO database.

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Industrial solid waste management and recycling are important to environmental sustainability. In this study, cobalt (Co) nanoparticles encapsulated in paint sludge-derived activated carbon (AC) were fabricated. The Co-AC possessed high conductivity, magnetic properties and abundant metal oxide impurities (TiAlSiO), which was applied as multifunctional catalyst for peroxymonosulfate (PMS) activation.

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Citrus essential oils (EOs) have shown significant antibacterial activity. The present study was undertaken to evaluate the antibacterial activity of the peel oils of Citrus microcarpa and C. x amblycarpa against Escherichia coli.

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Escherichia coli cells rapidly respond to changes in the environment. Such response must be anticipated upon development of fermentation strategy for commercial purposes. The response may signal changes in cell physiology, which is critical for the cell growth and the level of the target protein production.

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  • This study investigates the effectiveness of diffusion-weighted imaging (DWI) in predicting recurrence in primary central nervous system lymphomas (PCNSLs) among patients who show a complete response (CR) after treatment.
  • The research included 54 patients divided based on the presence of residual DWI hyperintense signals, analyzing their survival outcomes, where those with residual signals had significantly shorter progression-free survival (PFS).
  • Results indicated that the R-MPV chemotherapy regimen was linked to a lower incidence of residual DWI signals, suggesting that incorporating DWI evaluation could improve treatment monitoring in PCNSL patients.
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