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248 |
Goh K.-L., Lee Y.-Y., Leelakusolvong S., Makmun D., Maneerattanaporn M., Quach D.T., Raja Ali R.A., Sollano J.D., Tran V.H., Wong R.K.-M. |
7201860992;56191149300;6602285199;16638046900;16638087300;37099075800;40762153700;6602099153;56448091600;57226554480; |
Consensus statements and recommendations on the management of mild-to-moderate gastroesophageal reflux disease in the Southeast Asian region |
2021 |
JGH Open |
5 |
8 |
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855 |
863 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85111938998&doi=10.1002%2fjgh3.12602&partnerID=40&md5=4a62cd64a09fae57e0e5ba1fbcccc112 |
Department of Medicine, University of Malaya, Kuala Lumpur, Malaysia; Department of Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia; Division of Gastroenterology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand; Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia/Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia; Department of Internal Medicine, University of Medicine and Pharmacy, Ho Chi Minh City, Viet Nam; Gastroenterology Unit, Department of Medicine and Gut Research Group, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bangi, Malaysia; Department of Gastroenterology, University of Santo Tomas, Manila, Philippines; Department of Gastroenterology, Hue University of Medicine and Pharmacy, Hue University, Hue City, Viet Nam; Department of Medicine, Faculty of Medicine, National University of Singapore, Singapore |
Goh, K.-L., Department of Medicine, University of Malaya, Kuala Lumpur, Malaysia; Lee, Y.-Y., Department of Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia; Leelakusolvong, S., Division of Gastroenterology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand; Makmun, D., Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia/Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia; Maneerattanaporn, M., Division of Gastroenterology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand; Quach, D.T., Department of Internal Medicine, University of Medicine and Pharmacy, Ho Chi Minh City, Viet Nam; Raja Ali, R.A., Gastroenterology Unit, Department of Medicine and Gut Research Group, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bangi, Malaysia; Sollano, J.D., Department of Gastroenterology, University of Santo Tomas, Manila, Philippines; Tran, V.H., Department of Gastroenterology, Hue University of Medicine and Pharmacy, Hue University, Hue City, Viet Nam; Wong, R.K.-M., Department of Medicine, Faculty of Medicine, National University of Singapore, Singapore |
This paper reports the proceedings from the first consensus meeting on the management of mild-to-moderate gastroesophageal reflux disease (GERD) in the Southeast Asian (SEA) region. Seventeen statements were drawn up by a steering committee that focused on epidemiology, mechanism of action, diagnostic investigations, and treatment. Voting on the recommendations used the Delphi method with two rounds of voting among the 10 panel members. The consensus panel agreed that GERD is mostly a mild disease in the SEA region with predominantly non-erosive reflux disease (NERD). Complicated GERD and Barrett's esophagus are infrequently seen. The panel recommended endoscopy in patients with alarm or refractory symptoms but cautioned that the incidence of gastric cancer is higher in SEA. pH and impedance measurements were not recommended for routine assessment. The acid pocket is recognized as an important pathogenic factor in GERD. Lifestyle measures such as weight reduction, avoidance of smoking, reduction of alcohol intake, and elevation of the head of the bed were recommended but strict avoidance of specific foods or drinks was not. Alginates was recommended as the first-line treatment for patients with mild-to-moderate GERD while recognizing that proton-pump inhibitors (PPIs) remained the mainstay of treatment of GERD. The use of alginates was also recommended as adjunctive therapy when GERD symptoms were only partially responsive to PPIs. © 2021 The Authors. JGH Open published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd. |
alginates; consensus recommendations; mild-to-moderate gastroesophageal reflux disease; proton-pump inhibitors |
alginic acid; antacid agent; proton pump inhibitor; alcohol consumption; Article; Barrett esophagus; body mass; body weight loss; consensus development; Delphi study; dysphagia; endoscopy; esophagitis; evidence based practice; gastroesophageal reflux; gastroscopy; Helicobacter pylori; hiatus hernia; human; intestine metaplasia; lower esophagus sphincter; metaplasia; non erosive reflux disease; population research; prevalence; quality of life; questionnaire; smoking reduction; Southeast Asia; strategic reserve |
John Wiley and Sons Inc |
23979070 |
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Article |
Q3 |
546 |
9258 |
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249 |
Kamal A.F., Ramang D.S. |
56648996700;57195942455; |
A simple management of massive bone defect after en-bloc resection of osteofibrous dysplasia of tibial shaft: A case report |
2021 |
International Journal of Surgery Case Reports |
85 |
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106213 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85111724269&doi=10.1016%2fj.ijscr.2021.106213&partnerID=40&md5=fd1f09e882e103495b845ed8ef9477e1 |
Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia |
Kamal, A.F., Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia; Ramang, D.S., Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia |
Introduction: Osteofibrous dysplasia is a relatively rare disease, exclusively found in children, affecting the tibial diaphysis. Various management approaches are already available, but an internationally approved management guideline is not yet established. There is a major concern in the current management of wide excision technique as it frequently results in massive bone defect. Case presentation: Here we present a case of osteofibrous dysplasia on a 10-year-old girl in Cipto Mangunkusumo Hospital with chief complaint of mild persistent pain of her lower leg since two years before with slight bowing deformity. The radiograph and histopathological examination support the diagnosis of osteofibrous dysplasia. She was managed with en-bloc resection (wide excision) of the tumor, followed with reconstruction using biomaterials substitute; combination between demineralized bone matrix (BonegenerR) and bone substitute “hydroxyapatite and calcium sulphate” and internal fixation using plate and screw. Results: Clinical and radiological evaluation showed successful improvement and outcome. The patient showed progressive functional outcomes and achieved functional score of 100% LEFS at 3 years follow-up. The plate and screw was removed at 48 weeks after adequate callus formation andradiological union was achieved. Conclusion: Simple reconstruction using biomaterial bone substitute not only created new bone formation with good stability, but also enabled patient to have an improved quality of life. This method is recommended to overcome the massive bone defect after tumor resection in osteofibrous dysplasia patient. © 2021 The Author(s) |
Biomaterial; Massive bone defect; Osteofibrous dyplasia; Wide excision |
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Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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250 |
Miraj F., Nugroho A., Dalitan I.M., Setyarani M. |
56471854400;57211502355;57226482440;55883575900; |
The efficacy of ilizarov method for management of long tibial bone and soft tissue defect |
2021 |
Annals of Medicine and Surgery |
68 |
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102645 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85111624016&doi=10.1016%2fj.amsu.2021.102645&partnerID=40&md5=90add1d384d132f92b578c2bb65882ad |
Pediatrics Orthopaedics and Limb Reconstruction Division, Department of Orthopaedics and Traumatology, Fatmawati General Hospital, Jakarta, Indonesia; Resident of Orthopaedics and Traumatology Department, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia/ Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia |
Miraj, F., Pediatrics Orthopaedics and Limb Reconstruction Division, Department of Orthopaedics and Traumatology, Fatmawati General Hospital, Jakarta, Indonesia; Nugroho, A., Resident of Orthopaedics and Traumatology Department, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia/ Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Dalitan, I.M., Resident of Orthopaedics and Traumatology Department, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia/ Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Setyarani, M., Resident of Orthopaedics and Traumatology Department, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia/ Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia |
Introduction: Patients with open fracture Gustillo-Anderson grade 3 had undergone several surgical procedures, but still ended up with expose long dead bone or infected. Illizarov method was used to address long bone and soft tissue defect after re-debridement with radical resection of long dead bone or infected segment. Methods: We included 14 patients (mean age: 30.86 ± 11.49) with non-union tibial fracture with long dead and infected bone segment who had undergone several debridement, bone grafting or spacer and soft tissue closure procedure due to open fracture of tibia grade 3. The subjects underwent re-debridement with radical resection of dead or infected bone segment followed by Illizarov method to perform bone transport procedure for bone defect filling and simultaneously restore severe soft tissue loss and bone lengthening procedure. Results: All subjects had achieved satisfactory results with mean docking period of bone transport 3.78 ± 0.54 months, union time at the docking side 7 (5.5–9) months. Soft tissue was covered and no recurrence of infection. Three subjects had Leg Length Discrepancy (LLD) of 1 cm, whereas the remaining had zero discrepancy. No significant pain was observed at final follow-up and 4 patients had ankle joint stiffness. Conclusion: The Illizarov method can effectively address long bone and soft tissue defects by distraction osteogenesis through bone transport procedure that filling the defect gradually without bone graft and simultaneously enhancing soft tissue closure without tertiary soft tissue procedure subsequently followed with bone lengthening procedure to correct the limb length discrepancy. © 2021 |
Illizarov method; Long tibial bone defect; Non-union fracture of tibia; Soft tissue defect |
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Elsevier Ltd |
20490801 |
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Article |
Q3 |
391 |
12334 |
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251 |
Purwoto G., Surya I.U., Saroyo Y.B., Rustamadji P., Harzif A.K. |
14720170400;57226288663;57164888400;55321572200;57191493435; |
Massive obstetric haemorrhage on post caesarean subtotal hysterectomy due to late detection of occult placenta percreta: A case report |
2021 |
International Journal of Surgery Case Reports |
85 |
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106225 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85111073049&doi=10.1016%2fj.ijscr.2021.106225&partnerID=40&md5=8fb12792281a054a4a64365989402d15 |
Department of Obstetric and Gynecology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo Hospital, Indonesia; Department Anatomical Pathology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo, Indonesia |
Purwoto, G., Department of Obstetric and Gynecology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo Hospital, Indonesia; Surya, I.U., Department of Obstetric and Gynecology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo Hospital, Indonesia; Saroyo, Y.B., Department of Obstetric and Gynecology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo Hospital, Indonesia; Rustamadji, P., Department Anatomical Pathology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo, Indonesia; Harzif, A.K., Department of Obstetric and Gynecology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo Hospital, Indonesia |
Introduction: Placenta accreta syndrome is a significant cause of maternal mortality and morbidity. Therefore, a multidiscipline approach is essential to overcome this life-threatening disorder for the mother and fetus. Presentation of case: A 32-year-old women gravida 3 parity 2, 34 weeks gestation come due to recurrent antepartum haemorrhage. She had twice prior caesarean section. Ultrasound assessment suggests total placenta previa and elevating suspicion to placenta accreta. However, intraoperatively its sign is unavailable. Although we have done subtotal hysterectomy, massive bleeding still occurring. Therefore, we present management of unexpected placenta percreta. Discussion: Management of unexpected placenta percreta involves prenatal diagnosis, haemoglobin optimization, surgical management anticipating haemorrhage, dedicated maternal ICU, blood bank providing massive transfusion and blood component. Conclusion: Close monitoring is important in catastrophe management of Placenta Accreta Syndrome. © 2021 The Authors |
Case report; Focal placenta accreta; Hypogastric artery ligation; Placenta previa; Villi chorion |
C reactive protein; creatinine; fresh frozen plasma; hemoglobin; procalcitonin; thrombocyte concentrate; urea; adult; amnion fluid; antepartum hemorrhage; artery ligation; Article; blood cell count; breech presentation; broad ligament; case report; cervicotomy; cesarean section; clinical article; diastolic blood pressure; dissection; echography; emergency surgery; erythrocyte count; erythrocyte transfusion; female; fetus heart rate; fetus weight; follow up; hematocrit; hemoglobin blood level; human; hysterectomy; internal iliac artery; intraoperative period; laparotomy; leukocyte count; neutrophil lymphocyte ratio; placenta accreta; placenta previa; plasma transfusion; recurrent disease; round ligament; systolic blood pressure; umbilical artery; uterine atony; uterus contraction; vagina bl |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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253 |
Reksodiputro M.H., Hutauruk S.M., Koento T., Fardizza F., Hakim R.Y.R., Audindra S., Yosia M. |
35090488800;57205105620;35090124600;55091031700;57226286398;57222006228;57204933098; |
Randomised clinical trial: Effect of administering platelet-rich fibrin to autologous fat tissue in injection laryngoplasty for vocal cord paralysis |
2021 |
Annals of Medicine and Surgery |
68 |
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102564 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85111006340&doi=10.1016%2fj.amsu.2021.102564&partnerID=40&md5=55d6b3d1b486bec46a872ef4e755dd23 |
Facial Plastic Reconstructive Division, Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital Jakarta, Indonesia; Larynx Pharynx Division, Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital Jakarta, Indonesia; Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital Jakarta, Indonesia; Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital Jakarta, Indonesia |
Reksodiputro, M.H., Facial Plastic Reconstructive Division, Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital Jakarta, Indonesia; Hutauruk, S.M., Larynx Pharynx Division, Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital Jakarta, Indonesia; Koento, T., Facial Plastic Reconstructive Division, Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital Jakarta, Indonesia; Fardizza, F., Larynx Pharynx Division, Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital Jakarta, Indonesia; Hakim, R.Y.R., Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital Jakarta, Indonesia; Audindra, S., Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital Jakarta, Indonesia; Yosia, M., Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital Jakarta, Indonesia |
The vocal cord in humans is essential in producing voice used in communication and interaction between us. Vocal cord paralysis causes dysphonia, which interferes with communication, causing disruptions towards social activity and daily activities. One of the managements for vocal cord paralysis is medialization and augmentation of the vocal cord through injection laryngoplasty. Autologous fat is one of the best fillers used in this procedure, but it is highly absorbable and can be reabsorbed very quickly when injected into body tissues. Platelet Rich Fibrin (PRF) is a biomaterial consisting of growth factors that are thought to improve fat tissue viability by increasing adipogenesis and angiogenesis. Improvement in fat viability will improve clinical outcomes after the laryngoplasty procedure, potentially reducing the number of repeated injections needed to achieve a satisfactory resolution to vocal cord paralysis. The study evaluates a combination of PRF and autologous microlobular fat compared with autologous microlobular fat alone on laryngoplasty. This single-blinded randomised control trial recruit a total of 18 patients, which are then randomised into the treatment and control groups. The evaluation was done via computerized acoustic analysis/Multidimensional Voice Program (MDVP) parameters and maximum phonation time. The MDVP results and maximum phonation time in both groups showed clinical improvement after the operation with no statistically significant differences. © 2021 The Authors |
Autologous fat; Injection laryngoplasty; Platelet-rich fibrin; Vocal cord paralysis |
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Elsevier Ltd |
20490801 |
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Article |
Q3 |
391 |
12334 |
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254 |
Wahyudi M., Alaztha Z. |
57053464800;57219572320; |
Chondrosarcoma arising in monostotic fibrous dysplasia treated with total femur resection and megaprothesis: A case report |
2021 |
International Journal of Surgery Case Reports |
85 |
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106194 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85110717734&doi=10.1016%2fj.ijscr.2021.106194&partnerID=40&md5=45372bc574217c458407b12ac52c18ba |
Department of Orthopaedic and Traumatology, Fatmawati General Hospital, Indonesia; Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Indonesia |
Wahyudi, M., Department of Orthopaedic and Traumatology, Fatmawati General Hospital, Indonesia; Alaztha, Z., Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Indonesia |
Introduction: Fibrous dysplasia is tumor like lesions of bone which develop as substitution of bone by an expansion of fibrous connective tissue mixed with hard trabeculae. Chondrosarcomas is one of common malignant primary bone tumor derived from heterogenous group of neoplasm producing chondroid matrix. Chondrosarcoma arising in fibrous dysplasia, especially in monostotic fibrous dysplasia is a very rare case. Case report: A 54-year-old male presented with chief complaint of pain on left thigh. Patient with history of pathological fracture on left femoral diaphysis 3 years ago due to fibrous dysplasia and had underwent curettage, open reduction, and internal fixation at other hospital. Plain radiography revealed expansive lytic lesion, interrupted periosteal reaction with plate and screw attached to the lesion, and soft tissue mass. MRI T2FS sequence showed hyperintense mass extending from subtrochanteric to distal of left femoral diaphysis. Histopathological result from biopsy suggested chondrosarcoma. Conclusions: Malignant transformation of monostotic type was less frequently compared to polyostotic type. Among all malignant transformation cases, alteration to chondrosarcoma was more scarce than other malignancy such as osteosarcoma and fibrosarcoma. Wide surgical margin and reconstruction in chondrosarcoma provide good local control and functional outcome. © 2021 The Authors |
Chondrosarcoma; Malignant transformation; Monostotic fibrous dysplasia; Total femur resection |
polyethylene terephthalate; abduction; adult; anamnesis; Article; blood examination; bone biopsy; bone radiography; cancer surgery; cartilage matrix; case report; chondrocyte; chondrosarcoma; clinical article; curettage; femoral shaft; femoral vein; femur; femur diaphysis; femur fracture; femur shaft fracture; follow up; general hospital; greater trochanter; histopathology; human; human cell; incision; laboratory; leg pain; length of stay; male; middle aged; monostotic fibrous dysplasia; nuclear magnetic resonance imaging; open fracture reduction; operative blood loss; orthopedic surgery; osteosynthesis; pathologic fracture; physical examination; psoas muscle; rectus femoris muscle; sartorius muscle; superficial femoral artery; supine position; surgical margin; thigh; tibial tuberosity; va |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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255 |
Surachman A.J.D., Yanuarso, Akbar D.L. |
57222404106;57222408215;57219271823; |
Corrigendum to “Emergency decompression and stabilization of 1st thoracic spinal cord injury and sacral fracture in a Covid-19 patient: A case report” [Int. J. Surg. 81 (2021) 105670] (International Journal of Surgery Case Reports (2021) 81, (S221026122100170X), (10.1016/j.ijscr.2021.105670)) |
2021 |
International Journal of Surgery Case Reports |
85 |
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106162 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85110716581&doi=10.1016%2fj.ijscr.2021.106162&partnerID=40&md5=d755a2c74f6f517c9ab61ce17d1d60b7 |
Orthopaedics and Traumatology Department, Indonesia Army Central Hospital, Jakarta, Indonesia; Resident of Orthopaedics and Traumatology Department, Dr. Cipto Mangunkusumo National Central General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia |
Surachman, A.J.D., Orthopaedics and Traumatology Department, Indonesia Army Central Hospital, Jakarta, Indonesia; Yanuarso, Orthopaedics and Traumatology Department, Indonesia Army Central Hospital, Jakarta, Indonesia; Akbar, D.L., Resident of Orthopaedics and Traumatology Department, Dr. Cipto Mangunkusumo National Central General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia |
The authors regret: [1] The published sentence should have read: “For the pubic diastasis, we did not put any fixation since the diastasis was 1 cm (Fig. 4). When we did the follow up, there was unstable on the diastasis, then we did internal fixation on it and the result of the post surgery was evaluated by pelvic radiograph (Fig. 5) [9].” [2] Fig. 5 should have been published as follows: [3] The authors wish to add the following acknowledgement: “Nadya Zaragita, resident of neurosurgery department of Faculty of Medicine, Universitas Indonesia for making illustration of sacral fracture fixation method.” The authors would like to apologise for any inconvenience caused. © 2021 |
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erratum |
Elsevier Ltd |
22102612 |
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Erratum |
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17549 |
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Farani M., Saldi S.R.F., Maulahela H., Abdullah M., Syam A.F., Makmum D. |
57226146409;55201904000;57189612709;7103393434;8443384400;57226163778; |
Survival, stent patency, and cost-effectiveness of plastic biliary stent versus metal biliary stent for palliation in malignant biliary obstruction in a developing country tertiary hospital |
2021 |
JGH Open |
5 |
8 |
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959 |
965 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85110682374&doi=10.1002%2fjgh3.12618&partnerID=40&md5=af5645f91acde4bbed01da739a4f2b1f |
Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia; Clinical Epidemiology and Evidence-Based Medicine Unit, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia; Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia |
Farani, M., Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia; Saldi, S.R.F., Clinical Epidemiology and Evidence-Based Medicine Unit, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia; Maulahela, H., Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia; Abdullah, M., Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia; Syam, A.F., Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia; Makmum, D., Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia |
Background and Aim: Patients with advanced malignant obstructive jaundice often require biliary drainage. Resources restraint makes clinicians need to outweigh effectiveness of each biliary stents and their costs. Hence, a cost-effectiveness analysis is necessary. Methods: A retrospective cohort study was done on malignant biliary obstruction patients undergoing palliative biliary stenting between January 2015 and December 2018. We evaluated 180-day survival rate using log-rank test and stent patency duration using Mann–Whitney U test. Effectiveness was defined as stent patency, while cost was calculated using hospital perspective using decision tree model and reported as incremental cost-effectiveness ratio. Results: A total of 81 men and 83 women were enrolled in this study. One hundred and eighty days survival rate was 35.9% (median 76 days, 95% confidence interval [CI] 50–102 days) and 33.3% (median 55 days, 95% CI 32–78 days), while average stent patency was 123 (8) days versus 149 (13) days for plastic and metal stent groups, respectively (P > 0.05). Metal stent could save Indonesian Rupiah (IDR) 1 217 750 to get additional 26 days of patency. Conclusion: There were no differences in survival and stent patency between the two groups. Metal biliary stent is more cost-effective than plastic stent for palliation in malignant biliary obstruction. © 2021 The Authors. JGH Open published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd. |
biliary stent; cost-effectiveness; malignant biliary obstruction |
bilirubin; Article; brain ischemia; cohort analysis; controlled study; cost effectiveness analysis; developing country; endoscopic retrograde cholangiopancreatography; hemodialysis; human; jaundice; liver cirrhosis; log rank test; major clinical study; mortality rate; observational study; overall survival; percutaneous coronary intervention; rank sum test; retrospective study; survival rate |
John Wiley and Sons Inc |
23979070 |
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546 |
9258 |
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257 |
Moegni F., Kouwagam A.D. |
55450456100;57225978823; |
Secondary pyosalpinx after reconstructive surgery of vaginal agenesis patient with bilateral hematosalpinx: A case report |
2021 |
International Journal of Surgery Case Reports |
85 |
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106166 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85109875443&doi=10.1016%2fj.ijscr.2021.106166&partnerID=40&md5=3efbc39e25d5804ce8b775670c949c8c |
Urogynecology and Reconstruction Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Moegni, F., Urogynecology and Reconstruction Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Kouwagam, A.D., Urogynecology and Reconstruction Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Introduction and importance: Congenital or hypoplasia vaginal agenesis is a very rare condition caused by the failure of developmental Mullerian ducts. The prevalence is 0.001%–0.025% populations. This condition often misdiagnosed because the symptom does not appear. Acute symptoms such as abdominal pain may occur due to the obstruction of retrograde menstrual flow. In this case, we presented a case complex management of vaginal atresia with pyosalpinx, hematometra and bilateral hematosalpinx. Presentation of case: A 12 years old teenager, non-sexually active, complained cyclic abdominal pain that worsening in seven months before admission. Patient never had menstrual blood flow during her life. Patient was diagnosed with hematometra, hematocolpos, bilateral hematosalpinx and distal vaginal agenesis. Amnion graft neovagina was performed. Five days after surgery, patient started to have fever. On the seventh days after surgery, amnion graft was removed. The next two days patient still had fever. Because of continuous fever, patient was test of COVID 19. The result was positive. On the eleventh days after the first surgery, patient complained abdominal pain VAS 3–4. Patient was diagnosed with pyosalpinx by ultrasound examination. Laparotomy was done performing adhesiolysis, bilateral salpingectomy, and omentectomy. Discussion: In our case vaginal reconstruction surgery from vaginal approach has been done without management of the bilateral hematosalpinx because the consideration of small caliber of bilateral hematosalpinx. But then complications were developed when vaginal canal was opened, bilateral hematosalpinx were transformed into bilateral pyosalpinx and continue to developed into bilateral tubal abscess. We assume during this process, the bacteria from vagina could fastly infecting the blood and transformed it into pus and grew until tubal abscess. Conclusion: The surgical intervention in vaginal agenesis must be considered as a treatment and not only focus on the reconstruction. Laparoscopy or laparotomy may offered as options for combination treatment with vaginal approach reconstructive surgery for vaginal agenesis with obstruction complications such as hematometra and hematosalpinx to prevent the worst condition like ascending infection or misdiagnosed other severe conditions. © 2021 The Authors |
Case report; Hematosalpinx complication; Neovagina; Secondary pyosalpinx; Vaginal agenesis |
antibiotic agent; abdominal pain; abscess; adhesiolysis; amnion graft neovagina; antibiotic therapy; Article; bilateral hematosalpinx; bilateral tubal abscess; case report; child; clinical article; coronavirus disease 2019; echography; female; fever; hematocolpos; hematometra; human; laparotomy; omentectomy; primary amenorrhea; salpingectomy; school child; secondary pyosalpinx; surgical technique; uterine tube disease; vagina aplasia; vagina reconstruction; visual analog scale |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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258 |
Fudla H., Mudjihartini N., Khusun H. |
57225017143;57191055759;6506676401; |
Effect of four weeks of 5:2 intermittent fasting on energy intake and body mass index among obese male students aged 18-25 |
2021 |
Obesity Medicine |
25 |
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100353 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85108976093&doi=10.1016%2fj.obmed.2021.100353&partnerID=40&md5=bfa31843d67d60cf7f528e73f28417a9 |
Department of Nutrition, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital, Jl. Salemba Raya No.6, Jakarta, Indonesia; Department of Biochemistry and Molecular Biology, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital, Jl. Salemba Raya No.6, Jakarta, Indonesia; Southeast Asian Ministers of Education Organization Regional Center for Food and Nutrition (SEAMEO RECFON)-Pusat Kajian Gizi Regional (PKGR) Universitas Indonesia, Jl. Salemba Raya No.6, Jakarta, Indonesia |
Fudla, H., Department of Nutrition, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital, Jl. Salemba Raya No.6, Jakarta, Indonesia; Mudjihartini, N., Department of Biochemistry and Molecular Biology, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital, Jl. Salemba Raya No.6, Jakarta, Indonesia; Khusun, H., Southeast Asian Ministers of Education Organization Regional Center for Food and Nutrition (SEAMEO RECFON)-Pusat Kajian Gizi Regional (PKGR) Universitas Indonesia, Jl. Salemba Raya No.6, Jakarta, Indonesia |
Obesity is a consequence of the metabolic morbidities caused by overconsumption and lack of physical activity. Etiologically, obesity should be preventable, but reviews show that no country has yet been successful in reducing obesity, even though many efforts have been taken around the globe. This study aimed to assess effects of two non-consecutive days fasting per week on energy intake and body mass index (BMI) among obese male students aged 18–25 years at Universitas Indonesia. The collected data including demographic data, anthropometric, socio-economic status, and self-perception of obesity were used as additional information about obesity incidence as the descriptive data. A randomized controlled trial study was conducted on 40 obese male students. Their habitual intake six months before the study was measured through a semi-quantitative food frequency questionnaire. The BMI was measured using a bioelectrical impedance analysis (BIA). Intervention group did two non-consecutive days fasting per week, and recorded their fasting intake by food record diary; while control group did their habitual eating as before, and being recorded by three days 24-h recall. After a four-week intervention, the intervention group saw a significant reduction (P < 0.005) in energy intake and BMI. IF that properly followed the 5:2 protocol reduced energy intake and BMI among obese male students aged 18–25 at Universitas Indonesia in a four-week intervention. © 2021 Elsevier Ltd |
Calorie restriction; Diet; Intermittent fasting; Obesity; Weight reduction |
adult; anthropometry; Article; attitude to health; body mass; caloric intake; clinical article; controlled study; demography; food frequency questionnaire; human; impedance spectroscopy; incidence; Indonesia; intermittent fasting; male; obesity; randomized controlled trial; self concept; social status; student; therapy effect; treatment duration |
Elsevier Ltd |
24518476 |
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Article |
Q3 |
256 |
16455 |
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