280 results match your criteria: "Universitas Gadjah Mada - Dr. Sardjito Hospital[Affiliation]"

Background: Severe acute respiratory syndrome coronavirus 2 was found first in Wuhan and declared a pandemic by the World Health Organization. Coinfection with other respiratory viruses may occur, complicating the diagnosis and treatment of coronavirus disease 2019 . Herein, we identified a Karolinska Institute polyomavirus Stockholm 60 present in a nasopharyngeal swab of a patient with severe acute respiratory syndrome coronavirus 2 infection using next-generation sequencing with an enrichment method.

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Eosinophilic inflammation: a key player in COPD pathogenesis and progression.

Ann Med

December 2024

Division of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.

Article Synopsis
  • Chronic Obstructive Pulmonary Disease (COPD) poses a major public health issue, with eosinophilic inflammation playing a key role in its progression and flare-ups.
  • This review focuses on how eosinophils contribute to airway changes and the inflammatory processes in COPD, highlighting the potential for targeted therapies.
  • The findings suggest that targeting eosinophils could lead to better treatment strategies, emphasizing the need for ongoing research to utilize eosinophil biomarkers in managing COPD.
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Endothelial-derived microparticles (EDMP) are markers of vascular function and convey roles in coagulation, inflammation, vasoactivity, angiogenesis, and cellular apoptosis, which implicate acute myocardial infarction (AMI). This study aimed to investigate whether, among AMI, on-admission EDMP counts affect hospital major adverse cardiovascular events (MACE) and whether the change of EDMP in 30-day posthospital discharge affects long-term follow-up MACE. The research design was a prospective cohort study.

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Diagnostic Accuracy of Ultrasound in Cholestatic Infants with Biliary Atresia.

Turk Arch Pediatr

September 2024

Division of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, Indonesia.

Biliary atresia (BA) is an obstructive cholangiopathy that involves the intrahepatic and extrahepatic bile ducts. Ultrasound (US) can aid in evaluation of the biliary system and be efficiently used in daily practice. However, most studies on US for diagnosing BA have been conducted in developed countries.

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Background: Carotid intima-media thickness (cIMT) is a measure of atherosclerotic vascular disease and a surrogate biomarker for cardiovascular risk in patients with chronic kidney disease (CKD). Mineral and bone disorders (MBD) are complications of CKD, contributing to vascular calcification and accelerated atherosclerosis. Increased fibroblast growth factor 23 (FGF23)-the earliest detectable serum abnormality associated with CKD-MBD-has been linked with cardiovascular disease in patients with CKD.

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Primaquine for uncomplicated Plasmodium vivax malaria in children younger than 15 years: a systematic review and individual patient data meta-analysis.

Lancet Child Adolesc Health

November 2024

Global Health Division, Menzies School of Health Research and Charles Darwin University, Darwin, NT, Australia; WorldWide Antimalarial Resistance Network, Asia-Pacific Regional Centre, Melbourne, VIC, Australia; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.

Article Synopsis
  • This study investigates the effectiveness and safety of different primaquine dosing strategies in preventing relapsing Plasmodium vivax malaria in children under 15 years.
  • A systematic review was conducted, analyzing various studies involving children treated with primaquine, focusing on those who received treatment over multiple days and were followed up for at least 28 days.
  • The findings from 3514 children across 27 studies were compiled to analyze different dosing regimens, assess the risk of recurrent malaria, and evaluate tolerability and safety concerning adverse effects.
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A machine learning-based electronic nose for detecting neonatal sepsis: Analysis of volatile organic compound biomarkers in fecal samples.

Clin Chim Acta

January 2025

Department of Physics, Faculty of Mathematics and Natural Sciences, Universitas Gadjah Mada, Sekip Utara PO Box BLS 21, Yogyakarta 55281, Indonesia. Electronic address:

Article Synopsis
  • - Neonatal sepsis poses a serious threat to newborn health, leading to high rates of illness and death, and emphasizes the need for prompt detection to improve long-term health outcomes.
  • - A new, non-invasive technology called cNose, which uses volatile organic compound biomarkers and machine learning algorithms, was developed to quickly diagnose sepsis at the point of care.
  • - The cNose system demonstrated high accuracy (90.63%), sensitivity (88.24%), and specificity (93.33%) in identifying sepsis in neonates, showcasing its potential to enhance real-time diagnosis and patient care.
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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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Uncommon splenic cysts in paediatric patients: A case series.

Med J Malaysia

August 2024

Universitas Gadjah Mada/Dr. Sardjito Hospital, Faculty of Medicine, Public Health and Nursing, Department of Surgery, Pediatric Surgery Division, Yogyakarta, Indonesia.

Splenic cysts are uncommon and classified into parasitic and non-parasitic origins. Non-parasitic cysts are further categorised into primary and secondary forms; primary cysts develop congenitally and progress into adulthood and secondary cysts result from factors such as abdominal trauma, infection or ischemia. This case series presents three instances of splenic cysts in children.

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Introduction: Congenital diaphragmatic hernia (CDH) is a failure of closure of the pleuro-peritoneal canal due to faulty embryogenesis caused herniation of intra-abdominal contents into the chest. There needs to be more clarity about the optimal surgical timing for CDH. The aim of this study is to determine the optimal surgical timing for CDH using a systematic review analysis.

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Comparing sedative and non-sedative reduction techniques in paediatric intussusception: Insights from a 6-year study.

Med J Malaysia

August 2024

Universitas Gadjah Mada/Dr. Sardjito Hospital, Faculty of Medicine, Public Health and Nursing, Department of Surgery, Pediatric Surgery Division, Yogyakarta, Indonesia.

Introduction: Intussusception is a prevalent paediatric emergency condition. The standard of care involves the reduction using air or fluid enema is considered a safe procedure. Sedation-induced muscle relaxation thus optimising the treatment.

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Outcomes and prognostic factors for survival of children with oesophageal atresia.

Med J Malaysia

August 2024

Universitas Gadjah Mada/Dr. Sardjito Hospital, Faculty of Medicine, Public Health and Nursing, Department of Surgery, Pediatric Surgery Division, Yogyakarta, Indonesia.

Introduction: Oesophageal atresia (EA) is a life-threatening congenital oesophageal deformity that causes considerable newborn morbidity and death. Many prognostic variables have been linked to the survival of infants with EA, although the results of the studies are still conflicting. Furthermore, studies on EA effects in developing countries still need to be included.

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Introduction: Hirschsprung disease (HSCR) is a disorder caused by the failure of neural crest migration leading to an aganglionic colon and functional obstruction. Transabdominal Yancey-Soave pull-through is one of the definitive therapies for this condition. Prognostic factors, including sex, aganglionosis type, age at definitive surgery, nutritional status, eosinophilia and lymphocytosis, might influence the outcomes of the pull-through.

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Outcomes of children with long-segment and total colon Hirschsprung disease following pull-through.

Med J Malaysia

August 2024

Universitas Gadjah Mada/Dr. Sardjito Hospital, Faculty of Medicine, Public Health and Nursing, Department of Surgery, Pediatric Surgery Division, Yogyakarta, Indonesia.

Article Synopsis
  • - Hirschsprung disease (HSCR) is a congenital condition that causes intestinal obstruction in infants due to the lack of ganglion cells, with types categorized as short, long, or total colon aganglionosis (TCA), necessitating pull-through surgery for treatment.
  • - A study was conducted analyzing 19 children who underwent surgery for long-segment and TCA HSCR, assessing their functional outcomes and incidents of Hirschsprung-associated enterocolitis (HAEC) using specific scoring systems from 2013 to 2020.
  • - Results indicated that long-segment HSCR patients generally had better functional outcomes compared to TCA patients, although HAEC appeared at similar rates across both groups, highlighting the need for long-term
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Introduction: With atherosclerotic cardiovascular disease (ASCVD) cases increasing in Indonesia, there is a growing need to identify high-risk patients for recurrent cardiovascular events. Risk stratification could guide optimal secondary preventive therapy. Understanding the ASCVD direct inpatient costs could further provide insight in reducing the economic burden that comes with Indonesia's high number ASCVD cases.

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3D organoid cultivation improves the maturation and functional differentiation of cholangiocytes from human pluripotent stem cells.

Front Cell Dev Biol

July 2024

International Ph.D. Program in Cell Therapy and Regenerative Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.

Idiopathic cholangiopathies are diseases that affect cholangiocytes, and they have unknown etiologies. Currently, orthotopic liver transplantation is the only treatment available for end-stage liver disease. Limited access to the bile duct makes it difficult to model cholangiocyte diseases.

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Challenges in the diagnosis and treatment of pure non-gestational uterine choriocarcinoma in a child: a case report.

J Med Case Rep

July 2024

Pediatric Surgery Division, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Jl. Kesehatan No. 1, Yogyakarta, 55281, Indonesia.

Background: Diagnosing non-gestational uterine choriocarcinoma in children is challenging because of its rarity and nonspecific imaging findings. Herein, we report a case of non-gestational uterine choriocarcinoma in a child, which was unexpectedly found during exploratory laparotomy and confirmed by histopathological findings. However, the tumor did not respond to chemotherapy.

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Introduction: Obesity is a major global health issue with serious consequences, including death. The intragastric balloon (IGB) is a bariatric surgery option but is limited to 6-12 months due to risks such as deflation, migration, and, rarely, intestinal obstruction. These complications are difficult to diagnose and manage.

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Recent progress in the roles of microRNAs in pulmonary arterial hypertension associated with congenital heart disease.

Narra J

April 2024

Department of Histology and Cell Biology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.

Research on noncoding RNA, particularly microRNAs (miRNAs), is growing rapidly. Advances in genomic technologies have revealed the complex roles of miRNAs in pulmonary arterial hypertension (PAH) associated with congenital heart disease (CHD). It has been demonstrated that the progression of PAH associated with CHD is characterized by particular dysregulation of miRNAs and is related to cardiovascular remodeling, cell death, and right ventricle dysfunction.

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A rare case of spontaneous bladder wall abscess mimicking bladder tumour in young women.

BMC Urol

May 2024

Urology Division, Department of Surgery, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada / Dr. Sardjito Hospital, Jl. Kesehatan No.1, Yogyakarta, 55281, Indonesia.

Introduction: Abscess of the bladder wall is a rare urological disorder, with a few cases recorded in the literature. The finding of a bladder wall mass via computed tomography (CT) imaging in a visiting patient is the subject of this report.

Case Discussion: A 37-year-old woman with persistent pain in the suprapubic area and lower urinary tract symptoms was examined as a case study.

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Anemia in breastfeeding women is a neglected global health issue with significant implications for maternal and child health. Despite its widespread occurrence and adverse effects, this problem remains largely unknown and overlooked on the global health agenda. Despite efforts to improve health access coverage and provide iron and folic acid supplementation, anemia persists.

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Article Synopsis
  • The study investigates the effects of 20 weeks of cigarette smoke exposure on lung and intestinal microbiomes in mice, utilizing data from COPD patients for comparison.
  • Findings reveal that cigarette smoke leads to lung damage, decreased lung capacity, and distinct changes in both lung and intestinal microbiome compositions, indicating dysbiosis.
  • The research shows similarities in dysbiosis patterns between mice exposed to cigarette smoke and COPD patients, suggesting a significant link between cigarette smoke exposure and lung disease through microbiome alterations.
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Active-case finding (ACF) using chest X-ray is an essential method of finding and diagnosing Tuberculosis (TB) cases that may be missed in Indonesia's routine TB case finding. This study compares active and passive TB case-finding strategies. A retrospective study of TB case notification was conducted.

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Genotype-phenotype associations in microtia: a systematic review.

Orphanet J Rare Dis

April 2024

Pediatric Surgery Division, Department of Surgery, Genetics Working Group/Translational Research Unit, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Jl. Kesehatan No. 1, Yogyakarta, 55281, Indonesia.

Background: Microtia is a congenital ear malformation that can occur as isolated microtia or as part of a syndrome. The etiology is currently poorly understood, although there is strong evidence that genetics has a role in the occurrence of microtia. This systematic review aimed to determine the genes involved and the abnormalities in microtia patients' head and neck regions.

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Introduction: Electric injury-induced intestinal perforation is one of rare and lethal complications. Direct injury and ischemic changes are the mechanism of intestinal perforation. Proper surgical and non-surgical management may increase the survival chance.

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