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                <text>Indonesia has faced the second wave of the the COVID-19 pandemic with a high number of causalities. Currently, the country is preparing for &#13;
a potential third wave. Prior to COVID-19 pandemic, other pandemics had struck the world. We could learn from these pandemics and be prepared to face a similar condition in the future. Currently, we have more advantages i.e., the more advanced technology compared with a century ago when the Spanish Flu pandemic occurred. Now, we have a better technology for early detection of disease and acceleration of drugs and vaccine development. The early detection of COVID-19 using PCR test may trace COVID-19 suspects, including the non-symptomatic patients, allowing faster disease containment. Furthermore, the vast development of vaccine may help reduce mortality rate during the pandemic. The abundant evidence and publication from the global study, which have been published in peer-review journals, could be used as a source of knowledge to manage COVID-19.</text>
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A Cross-Sectional Study on The Telemedicine Usage and Glycemic Status of Diabetic Patients during The COVID-19 Pandemic</text>
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                <text>BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic disrupts self�management in diabetic patients in Indonesia. This study aimed to determine the telemedicine usage and factors contributing to glycemic control in type 2 diabetes &#13;
mellitus (T2DM) patients during the pandemic.&#13;
METHODS A cross-sectional study was conducted in T2DM patients aged 25–54 years. The questionnaire included general characteristics, diabetes conditions, consultation factors, and self-care management. Glycemic status was evaluated using glycated hemoglobin (HbA1c) levels, which was categorized into poor (HbA1c≥7%) and good &#13;
glycemic control (HbA1c&lt;7%). Data were analyzed using chi-square and binary logistic regression.&#13;
RESULTS Of 264 patients, only 19.2% used telemedicine and 60.2% had poor glycemic control during the pandemic. Overweight or obesity (odds ratio [OR] = 5.740 [95% confidence interval [CI] = 2.554–12.899]; p&lt;0.001), insulin injection (OR = 3.083 [95% CI = 1.238–7.677]; p = 0.016), and frequent fried food consumption (OR = 5.204 [95% &#13;
CI = 1.631–16.606]; p = 0.005) were the factors contributing to poor glycemic control. The risk is lower if exercised regularly (OR = 0.036 [95% CI = 0.007–0.195]; p&lt;0.001) and consulted with a doctor using telemedicine (OR = 0.193 [95% CI = 0.044–0.846]; p = 0.029) or in-person visits (OR = 0.065 [95% CI = 0.016–0.260]; p&lt;0.001).&#13;
CONCLUSIONS Glycemic control was not optimal during the COVID-19 pandemic. Therefore, keeping a healthy lifestyle and staying connected with a doctor are important to ensure optimal blood glucose control and reduce the risk of diabetes-related complications.</text>
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                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 3 2021&#13;
Precision Health Care Strategies for Older Adults  with Diabetes in Indonesia: A Delphi Consensus Study</text>
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                <text>BACKGROUND Studies on precision health care for older adults with diabetes in Indonesia are still limited. This study was aimed to reach the experts consensus on the suitable precision health care strategies for older adults with diabetes.&#13;
METHODS A total of 10 experts (4 physicians, 4 nurses, and 2 dietitians) agreed to participate in the 3-round interview using Delphi technique. The experts should have at least 5 years of experience in teaching or working as health professionals in a hospital.&#13;
RESULTS Consensus was reached that precision health care consisted of eight elements: self-management, interdisciplinary collaborative practice, personalized genetic or lifestyle factors, glycemic target, patient preferences, glycemic control, patient priority-directed care, and biodata- or evidence-based practice. The strategies of precision health care for diabetes were divided into seven steps: conducting brief deducting teaching; assessing self-management level and risk of cardiovascular disease; organizing a brainstorming session among patients to exchange experiences &#13;
on glycemic target and specific target behavior; making a list of patients’ needs and ranking the priorities; setting a goal and writing action; doing follow-up; and reporting the goal attempts.&#13;
CONCLUSIONS The eight elements of precision health care provided the basis of precision health care strategies for diabetic older adults, which are the real and measurable strategies for precision health care implementation in clinical settings.</text>
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                <text>Satriya Pranata, Shu-Fang Vivienne Wu, Chun-Hua Chu, Khristophorus Heri Nugroho</text>
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                <text>Fakultas Kedokteran Universitas Indonesia</text>
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              <elementText elementTextId="10444">
                <text>Sri Wahyuni</text>
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                <text>ISSN : 0853-1773</text>
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                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 3 2021</text>
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                  <text>Medical Journal of Indonesia Vol. 30 No. 3 2021 FKUI</text>
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                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 3 2021&#13;
Evaluating Laboratory Screening Tests for Malaria on Blood Donor Candidates to Reduce The Risk of Transfusion-Transmitted Malaria in An Endemic Area of Indonesia</text>
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                <text> blood donors, malaria, Indonesia</text>
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                <text>BACKGROUND Laboratory screening of blood donors for malaria has not been routinely performed in Indonesia. Current policy and practice simply exclude donors based on a history of active clinical malaria. This study was aimed to evaluate laboratory screening tests for malaria among blood donors in an endemic area of Indonesia.&#13;
METHODS The study was conducted on 550 consecutive blood samples withdrawn from volunteer donors at the Red Cross Blood Transfusion Unit in Ambon city using microscopic and rapid diagnostic tests for antigen as well as for antibody. Furthermore, 248 of those 550 samples were also tested for the presence of malaria DNA using 18S rRNA marker. Statistical analysis was done descriptively using SPSS software version 15 &#13;
(SPSS Inc., USA).&#13;
RESULTS The overall malaria positivity rate among the donors was 4.5% (25/550). None of the specimens tested using microscopy or rapid test for malaria antigen assay were positive. However 22 (4.0%) samples were positive for malaria antibody against Plasmodium falciparum, while 3 (1.2%) were positive by PCR.&#13;
CONCLUSIONS Laboratory testing for blood donors may be used to prevent transfusion-transmitted malaria in an endemic area of Indonesia.</text>
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            <elementTextContainer>
              <elementText elementTextId="10429">
                <text>Nethasia Louhenapessy, Ria Syafitri Evi Gantini, Susan Rahayu, Elisabeth Lilipory, Heri Wibowo, Yuyun Soedarmono, Inge Sutanto</text>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
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              <elementText elementTextId="10430">
                <text>Fakultas Kedokteran Universitas Indonesia</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>2021-10-12</text>
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                <text>Sri Wahyuni</text>
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          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="10433">
                <text>ISSN : 0853-1773</text>
              </elementText>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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                <text>PDF</text>
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            <name>Language</name>
            <description>A language of the resource</description>
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                <text>English</text>
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            <elementTextContainer>
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                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 3 2021</text>
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        <name>Indonesia</name>
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        <name>malaria</name>
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              <description>A name given to the resource</description>
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                  <text>Medical Journal of Indonesia Vol. 30 No. 3 2021 FKUI</text>
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            <description>A name given to the resource</description>
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                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 3 2021&#13;
Multi-Hole Spherical CT Scan Method to Characterize Large Quantities of Bones in Rats</text>
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            <name>Subject</name>
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                <text>bone quality, CT scan, multi-hole spherical model, osteoporosis, ovariectomy</text>
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                <text>BACKGROUND New therapeutic options are often explored in in vivo studies using animals like rats. Since rats are small, it is difficult to examine them in a computed tomography (CT) scan. This study aimed to introduce a multi-hole spherical model CT scan method as a new, fast, economical, and reliable method to characterize large quantities of rat bones at once in estimating the timing of osteoporosis in &#13;
ovariectomized white rats.&#13;
METHODS 50 female white rats (12 weeks old) were treated as the control group, and 40 rats of the same age were ovariectomized to establish the osteoporosis model. Sham rats were sacrificed at 13, 15, 17, 19, and 21 weeks old, while the ovariectomized rats were sacrificed at 15, 17, 19, and 21 weeks old. Afterward, tibia bones were removed, placed in the multi-hole spherical model, and characterized using a CT scan. Their characteristics were compared using a scanning electron microscope (SEM), transmission electron &#13;
microscopy (TEM), and X-ray diffraction (XRD).&#13;
RESULTS The Hounsfield unit scores resulted from the multi-hole spherical model CT scan method of tibia bones of rats were consistent with the percentage of the osteocyte cavities, canalicular diameters, and crystal size. The multi-hole spherical model CT scan method could produce 50 times more data than the SEM, TEM, or XRD.&#13;
CONCLUSIONS Multi-hole spherical model CT scan was considered good and reliable in assessing bone quality parameters in rat samples simultaneously.</text>
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                <text>Neng Nenden Mulyaningsih, Ariadne Lakshmidevi Juwono, Djarwani Soeharso Soejoko, Dewi Apri Astuti</text>
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            <description>An entity responsible for making the resource available</description>
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                <text>Fakultas Kedokteran Universitas Indonesia</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
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                <text>Sri Wahyuni</text>
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            </elementTextContainer>
          </element>
          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="10421">
                <text>ISSN : 0853-1773</text>
              </elementText>
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            <name>Format</name>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
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                <text>English</text>
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            <elementTextContainer>
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                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 3 2021</text>
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        <name>osteoporosis</name>
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              <name>Title</name>
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                  <text>Medical Journal of Indonesia Vol. 30 No. 3 2021 FKUI</text>
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      <name>Text</name>
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                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 3 2021&#13;
Reliability and Validity of The Indonesian Version of The Aging Males’ Symptoms</text>
              </elementText>
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          <element elementId="49">
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              <elementText elementTextId="10403">
                <text>aging males’ symptoms scale, Indonesian, reliability and validity</text>
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                <text>BACKGROUND Aging males’ symptoms (AMS) scale was developed to study the problems of aging males, especially related to the quality of life. Currently, there is no valid and reliable Indonesian version of the AMS scale. This study was aimed to translate and evaluate the validity and reliability of the Indonesian version of the AMS scale.&#13;
METHODS This cross-sectional study translated the existing AMS scale into Indonesian, which was tested in 40 years old males from May to August 2020. Cross�cultural validation of the AMS scale was conducted by translating the questionnaire &#13;
from English to Indonesian by two independent-certified translators. The validity of the Indonesian version of the AMS scale was measured by conducting a Pearson correlation (r) analysis. The reliability of this questionnaire was tested and retested in 118 participants with a 2-week interval. In addition, Cronbach’s alpha value was measured and used as a reference. The first test was conducted in a corporate blood donor event in Matraman, East Jakarta, and the retest was conducted in Cipto Mangunkusumo Hospital. &#13;
RESULTS The Indonesian version of the AMS scale was valid and had a good internal consistency with a Cronbach’s alpha value of 0.74. The test-retest reliability showed good reliability with an r-value of 0.981. Pearson correlation test showed that all &#13;
questions in the questionnaire were valid (p&lt;0.05) and correlated positively.&#13;
CONCLUSIONS The Indonesian version of the AMS scale derived from this study is valid and has good reliability.</text>
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                <text>Dyandra Parikesit, Miftah Adityagama, Widi Atmoko, Ponco Birowo, Akmal Taher, Nur Rasyid</text>
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                <text>Fakultas Kedokteran Universitas Indonesia</text>
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              <elementText elementTextId="10408">
                <text>Sri Wahyuni</text>
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            <name>Rights</name>
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              <elementText elementTextId="10409">
                <text>ISSN : 0853-1773</text>
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            <name>Language</name>
            <description>A language of the resource</description>
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                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 3 2021</text>
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                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 3 2021&#13;
Potential Predictors of Detrusor underActivity in A Urology Outpatient Clinic: A  5-Year Single Center Experience Study</text>
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                <text>BACKGROUND Detrusor underactivity (DU) is diagnosed using urodynamics, which caused by a combination of strength and duration of the bladder muscle and resulted in prolonged bladder emptying. Invasive urodynamics, which are limited in many &#13;
clinical settings, should be performed efficiently in high-risk patients to reduce the risk of emerging complications during and after the procedure. Therefore, this study was aimed to identify the potential predictors of DU for limited clinical settings.&#13;
METHODS This retrospective study was retrieved from the medical records of patients who underwent urodynamics in the Department of Urology, Cipto Mangunkusumo Hospital from 2015 to 2020. Age, sex, bladder capacity, bladder compliance, bladder outlet obstruction, history of stroke, diabetes mellitus (DM) status, and neurological abnormalities were analyzed using chi-square and Mann–Whitney to examine the potential predictors of DU. The odds ratio (OR) of each factor was also calculated. Logistic regression was furtherly used for the analysis.&#13;
RESULTS A total of 649 patients were included in this study. Male (OR = 1.74, 95% CI = 1.28–2.38) and DM patients (OR = 2.06, 95% CI = 1.36–3.11) had a higher risk of DU, while bladder outlet obstruction (OR = 0.54, 95% CI = 0.39–0.76) was the protective factor of DU. Furthermore, multivariate analysis showed that the potential predictors of DU were male (OR = 1.903, 95% CI = 1.37–2.64), DM (OR= 1.899, 95% CI = 1.22–2.95), and bladder outlet obstruction (OR = 0.32, 95% CI = 0.32–0.65).&#13;
CONCLUSIONS Age, sex, bladder outlet bstruction, and history of DM could become the predictors of DU.</text>
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                <text>Soefiannagoya Soedarman, Harrina Erlianti Rahardjo</text>
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                <text>Fakultas Kedokteran Universitas Indonesia</text>
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                <text>Sri Wahyuni</text>
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                <text>ISSN : 0853-1773</text>
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                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 3 2021</text>
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                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 3 2021&#13;
Pneumothorax in Critically COVID-19 Patients with Mechanical Ventilation</text>
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                <text>Coronavirus disease 2019 (COVID-19) is a public health emergency caused by SARS�CoV-2. A few studies reported pneumothorax in patients with COVID-19. Pneumothorax is associated with an increased morbidity and mortality. Hence, it should be considered during the treatment and follow-up of patients with COVID-19. Herein, we reported &#13;
four cases of pneumothorax in critical COVID-19 patients hospitalized in the ICU and treated with a mechanical ventilation. All patients were diagnosed with COVID-19, type 1 respiratory failure, and acute respiratory distress syndrome. All patients developed pneumothorax during mechanical ventilation, although the ventilator settings were set to lung-protective strategy. </text>
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                <text>Allen Widysanto, Titis Dewi Wahyuni, Leonardo Helasti Simanjuntak,  Samuel Sunarso,  Sylvia Sagita Siahaan, Catherine Gunawan, Angela, Teodorus Alfons Pratama </text>
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                <text>Fakultas Kedokteran Universitas Indonesia</text>
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                <text>ISSN : 0853-1773</text>
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