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The Role of Rotavirus Vaccines in Reducing the Number of Cases and Length of Hospitalization of Children with Diarrhea
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| Pengarang | : | R.B. Suhartono |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 52 (No. 9) |
| Halaman | : | 615-618 |
| Abstrak | : | Diarrhea remains one of the leading causes of morbidity and mortality among children in developing countries, including Indonesia. One of the most common causes of severe acute diarrhea is rotavirus infection, which is highly contagious through the fecal-oral route and can lead to severe dehydration and even death. Efective prevention can be achieved through rotavirus vaccination, which has been proven to reduce incidence, prevent transmission, and decrease disease severity. Rotavirus vaccination in children is known to be benefcial in controlling cases of rotavirus diarrhea, and since 2023, the rotavirus vaccine has been part of Indonesia's national immunization program, provided free of charge to infants according to the Ministry of Health's immunization schedule. Multiple studies have shown that this immunization reduces the risk of serious complications, shortens hospital stays, decreases hospitalization rates, and lessens the economic burden on families due to medical costs and lost productivity. Broad implementation of rotavirus vaccination is therefore a key strategy to improve child health and reduce diarrhea-related mortality in Indonesia. |
Erythroderma Suspected to be Caused by Allopurinol Drug Reaction: Case Report
| Pengarang | : | Pradissa Avia Emeralda, Dwiana Savitri |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 52 (No. 9) |
| Halaman | : | 609-614 |
| Abstrak | : | Erythroderma is a condition of generalized erythema and scaling of the skin. It has been associated with DRESS (drug reaction with eosinophilia and systemic symptoms) syndrome and is potentially life-threatening. Case: A 55-year-old female with generalized erythema, pruritus, malaise, and edema of her face for 7 days. She had a history of type 2 diabetes mellitus and was in oral allopurinol treatment for the last 2 weeks. Extensive generalized erythematous plaques and hyperkeratotic scales were observed on the face, neck, chest, arms, legs, back, and glutea. Laboratory workup revealed eosinophilia, mild hypoalbuminemia, hyperglycemia, and elevated liver enzyme level. Discussion: Erythroderma is an emergency case in dermatovenereology and needs hospitalization. A patient with drug-induced erythroderma with internal organ involvement has been associated with DRESS syndrome and needs further observation of cardiac, liver, and kidney status. Conclusion: Allopurinol is a potential trigger for erythroderma. Drug-induced erythroderma is closely related to DRESS syndrome. Allopurinol use requires caution to avoid complications and prevent recurrence. |
Acute Coronary Syndrome After Insecticide Spraying: A Suspected Association with Organophosphate Exposure
| Pengarang | : | Hari Adityo Nugroho, Istan Irmansyah Irsan, Mardani Cahyono |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 52 (No. 9) |
| Halaman | : | 605-608 |
| Abstrak | : | Organophosphate is one of the most commonly used insecticides to control vector-borne illnesses. Both organophosphate and biodiesel (commonly used as solvents for outdoor space spraying methods) intoxications have cardiovascular manifestations. Case: A 58-year-old male with a sudden onset of shortness of breath after spraying insecticides 1 hour before admission. On examination, there were no SLUDGEM (salivation, lacrimation, urination, defecation, gastrointestinal distress, emesis, miosis) fndings. Bibasilar rales were present on auscultation, and a 12-lead ECG showed ST elevation in leads V1-V6. There was no preceding chest pain. The patient received oxygen, antiplatelet loading, and insulin therapy for hyperglycemia and was prepared for primary PCI. Diagnostic coronary angiography revealed a mid-LAD total occlusion, and a drug-eluting stent was implanted with fnal TIMI 3 fow. Discussion: Dyspnea has various causes, including organophosphate (OP) poisoning, which may result in cholinergic syndrome, respiratory dysfunction, and life-threatening cardiovascular complications. Early recognition through rapid diagnostic evaluation and timely interventions such as atropine, oximes, and reperfusion therapy in STEMI are essential to improve survival and outcomes. Conclusion: Early recognition and prompt revascularization are critical in STEMI to reduce infarct size and improve outcomes. Organophosphate exposure may be associated with cardiovascular efects, and clinicians should consider acute coronary occlusion in patients with respiratory complaints after insecticide exposure, even in the absence of classical cholinergic signs. |
Aneurysm in Clinoid Segment of Left Internal Carotid Artery in Normotension-Glaucoma with Chronic Headache
| Pengarang | : | Fabianus Anugrah Pratama, Petrus Sewe Pajo |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 52 (No. 9) |
| Halaman | : | 601-604 |
| Abstrak | : | Aneurysm is an abnormal swelling or bulge in the arterial wall. The location of aneurysms varies, including cerebral aneurysm, thoracic aortic aneurysm and abdominal aortic aneurysm. Aneurysms usually do not cause symptoms unless rupture. Case: Female, 32 years, with chronic headache for last ten years. Eye examinations resulted in an increased cupping disk ratio in both eyes without elevated intraocular pressure. The CT angiography result revealed an aneurysm in the clinoid segment of the left internal carotid artery with a saccular morphology, with a neck measuring 4.39 mm and a dome measuring 2.1 mm. Discussion: Unruptured intracranial aneurysms, normotension glaucoma (NTG), and chronic headaches share vascular dysregulation mechanisms, such as vasospasm and impaired blood flow, which may explain their overlapping clinical manifestations. In this patient, the clinoid segment ICA aneurysm likely contributes to her chronic headaches, and treating it could potentially improve both headache frequency and NTG-related visual changes. Conclusion: Due to the unavailability of magnetic resonance imaging equipment and an interventional suite for digital subtraction angiography, this case underscores the utility of CT angiography for diagnosing anatomical issues, particularly in chronic headache cases, with catheter angiography still considered the gold standard. The patient was referred for intervention procedure. |
Antibiotic Resistance in Urinary Tract Infections in Children
| Pengarang | : | Grace Erdiana, Hendratno Halim Teng |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 52 (No. 9) |
| Halaman | : | 596-600 |
| Abstrak | : | The global elderly population continues to increase, mainly due to the increase in life expectancy. This condition may pose several problems, i.e., cognitive impairment. Cognitive impairment is a disorder characterized by impairment of cognitive ability and daily functioning, involving disturbances in thinking or memory causing a marked change from the individual’s previous level of functioning with a known or suspected cause. Cognitive impairment is classified into mild cognitive impairment (MCI) and dementia. Cognitive impairment is suspected if there is a decline in work and daily activities. Management in primary care consists of identifying and initial screening, assessments and examinations, and diagnosis. Environmental, psychological, and behavioral interventions; social involvement; nutritional management and sleep interventions; and neuropsychiatric symptom management may be applied. It is important to implement health services that focus on dementia screening and cognitive evaluation in order to prepare healthcare providers. General practitioners can refer patients with early signs or symptoms of cognitive impairment, such as problems with memory or language. |
Management of Candida Onychomycosis
| Pengarang | : | Qonita Imma Irfani |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 52 (No. 9) |
| Halaman | : | 585-589 |
| Abstrak | : | Onychomycosis, also known as tinea unguium, is a fungal infection of the nail that can be caused by various types of fungi, including dermatophytes, non-dermatophyte molds, and yeasts. One specific type is candidal onychomycosis, which is caused by yeasts, particularly those from the Candida genus. This nail infection may affect all parts of the nail unit, including the nail plate, matrix, and surrounding tissue. Common clinical manifestations include nail discoloration—typically yellow or brown—thickening or softening of the nail, and increased nail fragility. Onychomycosis is one of the most frequently encountered nail disorders, with an estimated prevalence of approximately 50% of all complaints related to nail disease. Given the diverse etiologies of nail infections and broad differential diagnoses, laboratory examination is strongly recommended prior to initiating treatment. Diagnostic methods such as direct microscopy, fungal culture, and molecular testing are essential for accurate identification, enabling more targeted, effective, and cost-efficient therapy. |
Response to Radiotherapy for Advanced Squamous Cell Carcinoma and Adenocarcinoma of the Cervix at Ulin Regional General Hospital, Banjarmasin, Indonesia
| Pengarang | : | Natasha Bharat Sindunata, Eka Indah Pratiwi, Arlavinda Asmara Lubis |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 52 (No. 9) |
| Halaman | : | 579-584 |
| Abstrak | : | Cervical carcinoma (cancer) is a malignancy in the cervix and is one of the most common cancers in women. Data released by GLOBOCAN in 2022 showed that cervical cancer ranks eighth globally. The main treatment for advanced cervical cancer is radiotherapy. The aim of this study is to compare the radiotherapy response in squamous cell carcinoma cervical cancer with the response in adenocarcinoma cervical cancer at Ulin Regional Hospital, Banjarmasin, Indonesia. Methods: This cross-sectional research used an analytical observational design. Total sample during the research period from January 2021 to December 2022. Results: Total of 128 cervical cancer patients consisting of 91 squamous cell carcinomas and 37 adenocarcinomas. Chi-square analysis found a significant association between histopathology and response to therapy; squamous cell carcinoma histopathology was more radiosensitive than adenocarcinoma. Conclusion: Histopathological type is the only characteristic significantly associated with radiation response, whereas age, stage, and tumor size are not significantly associated with radiation response. |
Predictive Model for Multiple Trauma Patients Based on Anatomical Location of Injury at RSSA Malang, Indonesia: A Sub-Study in the Development of a Multicomponent Model
| Pengarang | : | Ari Prasetyadjati, Nanik Setijowati, Istan Irmansyah Irsan, Munsifah Zaiyanah, Willy Johan |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 52 (No. 9) |
| Halaman | : | 574-578 |
| Abstrak | : | Management of trauma still poses a challenge in Indonesia without significant improvement in mortality rates in the last 12 years, especially in multiple trauma involving at least 2 organ systems. This study aims to predict the prognosis of multiple trauma patients treated at Saiful Anwar Hospital (RSSA) Malang based on the anatomical location of the injury. Methods: Retrospective cohort study of 506 multiple trauma patients in RSSA during 2021-2022. The analyses used a chi square test and logistic regression test to obtain a regression equation. Results: Multiple trauma cases in RSSA were dominated by males in productive age (15-54 years). Head injury was the most influential variable in predicting the prognosis of multiple trauma patients in hospital, followed by thoracic injury, spinal injury, and abdominal injury. The logistic regression model was quite capable of explaining the data (p=0.931; Hosmer-Lameshow test), while the area under the curve (AUC-ROC) for prognosis in hospital care from this equation was 0.706 with a 95% confidence interval of 0.653-0.759 (good category). Conclusion: Head injuries, thoracic injuries, abdominal injuries, and spinal injuries are predictors of mortality of trauma cases in hospital care in RSSA, Malang, Indonesia. |
Trauma coping of mothers and children among poor people in Haiti: Mixed methods study of community-level research.
| Pengarang | : | Roysircar |
| Nama Majalah/Jurnal | : | American Psychologist |
| Volume / Edisi | : | 74 (No. 9) |
| Halaman | : | 1189-1206 |
| Abstrak | : | A qualitative interview is sensitive to social complexities and personal subjectivities, whereas quantitative assessment relies on preexisting frameworks to place responses in hierarchical frequencies and counts individual experiences as an additive aggregate. Using both enquiries, a mixed methods sequential exploratory design studied mothers’ focus groups and their children’s trauma assessment in 3 poor communities in the outskirts of Port-au-Prince, Haiti. The authors partnered with a free primary care clinic where they serve as U.S. behavioral health psychologists. The study enquired how Haitian children are socialized by their mothers’/caregivers’ religious and nonreligious coping in the context of continuous trauma. Focus group questions for mothers (n = 27), the House-Tree-Person (HTP) drawing test for their children (n = 42), and their directions were translated, back-translated, and administered in Haitian Créole by trained Haitian staff members. Religious, African humanism, and shame stigma themes emerged from the focus groups. Correlations and multiple regressions examined relationships of the frequencies of the mothers’ coping themes and with their children’s scores on 2 factorial dimensions, Resilience-Vulnerability Integrated and Person Feeling Unloved. These conceptual factors were derived from culturally adapted ratings of children’s HTP drawings in previous studies in the same communities (Roysircar, Colvin, Afolayan, Thompson, & Robertson, 2017; Roysircar, Geisinger, & Thompson, 2019). Significant negative relationships of religious and African humanism coping with shame stigma coping and their respective significant negative and positive relationships with children’s trauma adjustment scores are integrated in a mixed methods design, related to the African diaspora literature, and approached with transnational feminist theory. (PsycInfo Database Record (c) 2025 APA, all rights reserved) |
International Humanitarian Award: Gargi Roysircar.
| Pengarang | : | - |
| Nama Majalah/Jurnal | : | American Psychologist |
| Volume / Edisi | : | 74 (No. 9) |
| Halaman | : | 1186-1188 |
| Abstrak | : | The International Humanitarian Award recognizes extraordinary humanitarian services and activism by psychologists, including professional and volunteer work conducted primarily in the field with underserved populations. Award recipients are psychologists who, by their extraordinary service at a difficult time, improve the lives and contribute to the well-being of people in a large or small geographic area anywhere in the world. The 2019 award for International Humanitarian is presented to Gargi Roysircar. "For her significant contributions to international mental health practice and assessment, particularly in disasteraffected communities, Gargi Roysircar has enriched our understanding of cultural identities and contextual trauma and resilience of nationalities. Her research on immigrant and refugee experiences challenges psychologists to expand their own awareness and consider the international implications of their work. Gargi Roysircar has participated in mental health counseling in postearthquake Haiti; tsunami-affected Southern India; the United States Gulf Coast following Hurricanes Katrina and Rita; Tabasco, Mexico, following Hurricane Dean; and for HIV/AIDS-infected and affected children and women in South Africa and Botswana. She is an outstanding mentor to her students, many of whom are now cross-cultural researchers and international service providers." (PsycInfo Database Record (c) 2025 APA, all rights reserved) |