Publications by authors named "A Adji"
Factors associated with malaria infection in under-5 children in Papua Province, Indonesia: an observational study.
Osong Public Health Res Perspect
December 2024
Background: Malaria remains a serious public health challenge in tropical and subtropical regions, including Indonesia. Children under 5 years old face particular risk of contracting malaria due to low immunity. We examined potential factors associated with malaria infection among under-5 children in Papua Province, Indonesia.
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- - This study investigates which models of vascular afterload best predict right-sided heart dysfunction in patients with newly diagnosed pulmonary hypertension (PH), focusing on factors like pulmonary vascular resistance (PVR) and pulmonary arterial compliance (PAC).
- - Researchers analyzed data from 86 patients using right-sided heart catheterization and cardiac magnetic resonance imaging, revealing that PVR was the most accurate predictor for several measures of heart dysfunction, except when PVR was low, where PAC showed better predictive power.
- - A combined model using PVR, PAC, and characteristic impedance provided the best prediction for right atrial volume changes, and a specific PAC threshold (<2.3 mL/mm Hg) was identified as a strong predictor for right-sided heart dysfunction in
Background: Mineralocorticoid receptor antagonists (MRAs) have been shown to improve outcomes in various populations of heart failure (HF) patients. However, the impact of concomitant diseases, such as diabetes mellitus (DM), on these outcomes remains unclear. This meta-analysis aimed to evaluate the efficacy and safety of MRAs in heart failure patients with and without diabetes mellitus.
View Article and Find Full Text PDFThe development of right heart failure (RHF) in patients with advanced heart failure following left ventricular assist device (LVAD) implantation remains difficult to predict. We proposed a novel composite hemodynamic index-the right ventricular-arterial compliance index (RVACi), derived from pulmonary artery pulse pressure (PAPP), ejection time (ET), heart rate (HR), and cardiac output (CO), with and expressed as mm Hg·s/L. We then conducted a retrospective, single-center analysis comparing the predictive value of RVACi for the development of RHF or unplanned right ventricular (RV) mechanical circulatory support following LVAD implantation against existing hemodynamic indices.
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- Complex congenital heart disease (CHD) is not commonly linked to febrile seizures in children, but a case of a 2-year-old girl illustrates a potential connection with bronchopneumonia.
- The child was severely malnourished and presented with simple febrile seizures, alongside diagnostic findings of lung and heart abnormalities.
- Prompt treatment with diazepam and supportive care highlighted the need for an integrated approach to manage febrile seizures in patients with complex congenital heart issues, emphasizing the role of healthcare teams in preventing recurrence.