590 results match your criteria: "Dr Cipto Mangunkusumo Hospital[Affiliation]"

Acute heart failure is associated with high hospitalization and mortality rates. A strong, independent risk factor for mortality in patients with heart failure is acute kidney injury, and the condition caused by this connection between disturbances in heart function and proper kidney functioning is cardiorenal syndrome (CRS). This case report discusses the role of continuous renal replacement therapy (CRRT) in the management of a CRS case with septic shock due to pneumonia.

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Introduction: Spinal Tuberculosis (TB), or Pott's disease, is a significant form of extrapulmonary TB affecting the spine, especially in children. Standard treatments include anti-tuberculosis medications, immobilization, and surgery. The use of Gardner well tongs (GWT) in pediatrics spinal TB is rare due to associated risks and lack of supporting evidence.

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Background: NAION, a multifactorial disorder with an unclear mechanism has limited insight on its treatment option. Despite conflicting results in its relation to hypercoagulation, many metabolic risk factors associated with NAION are intertwined with hypercoagulation. We aim to investigate the impact of anticoagulant therapy in the vascular and visual function of NAION patients.

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Androgenetic alopecia (AGA) is the most common type of hair loss. Treatment options are limited. Microneedling, a minimally invasive technique can enhance hair growth by releasing growth factors.

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Article Synopsis
  • * Recent advancements in targeted therapy and immune-checkpoint inhibitors are now becoming available for treating unresectable HCC and preventing recurrence after curative procedures.
  • * This clinical practice guideline aims to provide updated recommendations from Asia-Pacific experts on systemic therapy for HCC, addressing key questions about patient selection, effective treatments, and management strategies for immunotherapy.
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Cytologic hallmarks and differential diagnosis of papillary thyroid carcinoma subtypes.

J Pathol Transl Med

November 2024

Department of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Article Synopsis
  • * This review outlines the distinct cytological traits of multiple PTC subtypes, emphasizing the importance of recognizing them to identify more aggressive forms that are associated with worse prognoses.
  • * It also discusses the potential of molecular testing to improve diagnosis and treatment, while stressing the need for better diagnostic techniques in the evaluation of thyroid cancer.
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Background: Comprehensive data on pediatric anesthesia outcomes, particularly severe critical events (SCEs), are scarce in Asia. This highlights the need for standardized research to assess anesthesia safety and quality in the diverse settings.

Aims: The PEACH in Asia pilot study aimed to test the feasibility of a standardized protocol for investigating SCEs in anesthesia practices across Asia, evaluate the data acquisition processes, and determine the sample size for a main study.

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Background: Airway management in children is challenging because of the smaller size, different proportions of anatomical structures compared to adults, and a higher risk of hypoxemia. Efforts to improve the efficiency of pediatric intubation can be made by manually twisting a spiral endotracheal tube (ETT) using a flexible stylet to manipulate its shape and angle.

Methods: This controlled trial randomized fifty children aged one month to six years who underwent elective surgery under general anesthesia into two groups (spiral ETT [sETT] and no-stylet ETT/standard ETT).

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Background: Free fibular flap (FFF) is the main modality in the reconstruction of maxillofacial defects. Micrognathia is a condition where the mandible is smaller than it should be. Micrognathia is typically treated with mandibular distraction osteogenesis, bilateral sagittal split osteotomy, and conventional costochondral graft.

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Diagnostic and therapeutic challenge of neuroendocrine endometrial carcinoma: a case report.

Pan Afr Med J

November 2024

Department of Anatomical Pathology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Salemba, Jakarta, Indonesia.

Article Synopsis
  • * After receiving emergency radiotherapy, she was unable to return for scheduled surgery due to a COVID-19 hospitalization and later returned with lung metastasis leading to a hysterectomy and lymphadenectomy.
  • * Sadly, despite the surgery, she passed away four weeks later due to worsening lung metastases, highlighting the aggressive nature and poor prognosis of NECE, which calls for a clinical trial to create treatment guidelines.
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Correlation of Asymmetric Dimethylarginine With Podocytopathy Markers in Diabetic Kidney Disease Patients.

Int J Nephrol Renovasc Dis

October 2024

Division of Nephrology and Hypertension, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia-Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

Background: Diabetic kidney disease (DKD) is the leading cause of end-stage kidney disease, and podocytopathy is an early manifestation of DKD characterized by the urinary excretion of podocyte-specific proteins, such as nephrin and podocin. Asymmetric dimethylarginine (ADMA)-a biomarker of endothelial dysfunction-is associated with progressive kidney dysfunction. However, the mechanism of endothelial dysfunction in DKD progression is unclear.

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Article Synopsis
  • Hepatocellular carcinoma (HCC) is a serious cancer that is highly prevalent in Indonesia, especially among those with chronic hepatitis B infection, making effective surveillance crucial.
  • The study analyzed medical records of 506 patients to determine the optimal alpha fetoprotein (AFP) cut-off value for HCC detection through ROC curve analysis, finding a cut-off of 8.7 ng/ml with 58% sensitivity and 94% specificity.
  • This lower AFP cut-off value indicates a more effective method for HCC surveillance specifically in patients with hepatitis B compared to previous non-specific cut-off values.
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Background: Since Monkeypox (mpox) had an outbreak on 6th May 2022 in 75 countries, it has been declared by the World Health Organization (WHO) that mpox is a public health of international emergency concern (PHEIC). WHO declared mpox as PHEIC again in August 204. Indonesia was also affected by the mpox outbreak with most of the cases coming from vulnerable populations.

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Article Synopsis
  • * A 52-year-old woman with a history of suspected primary adrenal insufficiency and poor treatment compliance was admitted with worsening symptoms, later diagnosed with adrenal crisis amid her COVID-19 infection.
  • * Diagnosis of adrenal insufficiency is complex due to non-specific symptoms; education and proper guidelines are essential for prevention, while further testing is needed to determine the root cause of her condition.
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Background: Stunting can be linked to various factors, one of which is dysbiosis. This study aims to analyze the microbiota composition and related contributing factors of stunted and non-stunted children in the slum areas of Jakarta.

Methods: The subjects in this study included 21 stunted (HAZ ≤ -2SD) and 21 non-stunted children (-2SD ≤ HAZ ≤ 3SD) aged 2-5 years.

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Background: Knee osteoarthritis (OA) significantly affects quality of life and imposes economic burdens due to its prevalence and the disability it causes. The efficacy of current treatments is limited to alleviating the symptoms, and they cannot be used for regenerative purposes. This study aims to evaluate the efficacy and safety of combining hyaluronic acid (HA), human umbilical cord-derived mesenchymal stem cells (hUC-MSCs), and synthetic human growth hormone (somatotropin) in the treatment of knee OA, assessing pain relief, functional improvement, and cartilage regeneration.

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Post-Vasectomy Semen Analysis: What's All the Fuss about?

Diagnostics (Basel)

October 2024

Global Andrology Forum, Moreland Hills, OH 44022, USA.

Article Synopsis
  • *Societal changes have led to more younger, childless men choosing vasectomies, highlighting the need for better PVSA compliance and patient education regarding the time it takes for the procedure to become fully effective.
  • *There are inconsistencies in PVSA practices, with recent developments like home testing kits raising questions about their reliability, indicating a need for standardized protocols across healthcare systems.
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Impact of Shorter Abstinence Periods on Semen Parameters: A Systematic Review and Meta-Analysis.

World J Mens Health

September 2024

Department of Urology, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia.

Purpose: The success of assisted reproductive technology (ART) relies heavily on semen parameters, and it is influenced by the length of the abstinence period. The World Health Organization (WHO) recommends a 2- to 7-day abstinence period. Even so, efficacy is still suboptimal.

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Male factor infertility is a multifaceted problem that affects approximately 50% of couples suffering from infertility. Causes of male infertility include endocrine disturbances, gonadotoxins, genetic abnormalities, varicocele, malignancies, infections, congenital or acquired urogenital abnormalities, iatrogenic factors, immunological factors, and idiopathic reasons. There are a variety of treatment options for male infertility, depending on the underlying cause(s).

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Purpose: Acne is a chronic inflammatory skin condition affecting mainly teenagers and adults as well. Guidelines recommend retinoids as a first-line treatment for mild-to-moderate acne. However, dermocosmetics in adjunct could potentially improve efficacy and tolerability.

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Autologous fat grafting auxiliary methods in craniofacial deformities: A systematic review and network meta-analysis.

J Plast Reconstr Aesthet Surg

December 2024

Faculty of Medicine, Dr. Cipto Mangunkusumo Hospital, Universitas Indonesia, Jakarta, Indonesia; Plastic Reconstructive and Aesthetic Surgery Division, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Universitas Indonesia, Jakarta, Indonesia.

Background: To increase autologous fat grafting (AFG) volume retention, current advancements focus on adding an auxiliary method to the process. This review aimed to address which auxiliary methods prove to be the best in terms of volume retention outcome.

Methods: A comprehensive literature search was performed in five medical databases, including PubMed, Proquest, Scopus, CENTRAL, and ScienceDirect, until March 2024, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines.

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Article Synopsis
  • The project aims to reduce neonatal deaths in premature infants, particularly very low birth weight (VLBW) infants, in low- and middle-income countries by forming an international collaboration called AsianNeo with various Asian countries.
  • AsianNeo includes nine neonatal networks from countries like Indonesia, Japan, and South Korea, and will conduct four main studies focused on assessing resources, outcomes, and quality improvements in neonatal care.
  • The study has received ethical approval and will share findings through educational programs, conferences, and medical journals to enhance neonatal care quality across the participating countries.
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Article Synopsis
  • The study investigates the potential of topical vitamin D as a treatment for acne vulgaris (AV), focusing on its effects on inflammatory cytokines like IL-1β.
  • The clinical trial involved 64 participants, with 32 receiving topical vitamin D and 32 receiving a placebo, alongside a standard treatment (topical adapalene) over 8 weeks.
  • Results showed a significant reduction in IL-1β levels and a decrease in the severity of inflammatory lesions in the vitamin D group, indicating its effectiveness with minimal side effects.
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Purpose: In this systematic review and meta-analysis, we investigated assisted reproductive technology (ART) success in infertile men with clinical varicocele and abnormal semen parameters who underwent varicocele repair (VR) before the ART procedure as compared to those who did not.

Materials And Methods: A comprehensive search of the Scopus, PubMed, Embase, and Cochrane Library databases was conducted using a specific query string to identify studies examining the impact of VR on ART outcomes, including fertilization rate, clinical pregnancy, pregnancy loss, and live-birth rate, until October 2023. Outcomes were analyzed based on the type of ART.

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Advancing the chemotherapy of tuberculous meningitis: a consensus view.

Lancet Infect Dis

September 2024

Institute of Infectious Disease and Molecular Medicine and Department of Medicine, University of Cape Town, Cape Town, South Africa; The Francis Crick Institute, London, UK; Department of Infectious Diseases, Imperial College London, London, UK. Electronic address:

Article Synopsis
  • Tuberculous meningitis is a serious disease that can cause death or long-term problems for about half of the people it affects.
  • Current treatment methods are based on how we treat lung tuberculosis, but they don't work as well for the brain.
  • Researchers are calling for new global trials with better drugs to improve treatment and help patients with this dangerous infection.
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