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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;
The Importance of Evidence Based Education and Policy in Public Health: Lessons Learned from A Repeated Pandemic (Editorial)</text>
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                <text>The Importance of Evidence Based Education, Policy in Public Health:</text>
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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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                <text>Agus Rizal Ardy Hariandy Hamid, Grace Wangge</text>
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                <text>Fakultas Kedokteran Universitas Indonesia</text>
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                <text>Sri Wahyuni</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>COVID-19, disseminated intravascular coagulation, hypoxia, respiratory distress syndrome</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>Sri Wahyuni</text>
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            <description>Information about rights held in and over the resource</description>
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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;
Safety of Augmentation Cystoplasty in Patients with Bladder Abnormalities Undergoing Renal Transplantation: A systematic Review </text>
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                <text>cystoplasty, efficacy, renal transplantation, safety</text>
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                <text>BACKGROUND Augmentation cystoplasty (AC) has been recently proposed to improve a bladder condition before or after a renal transplantation for an optimal allograft function. Until now, AC in adults with end-stage renal disease (ESRD) is uncommon &#13;
and rarely practiced. This study aimed to investigate the safety of AC in patients with bladder abnormalities who required renal transplantation.&#13;
METHODS Studies of patients with ESRD and abnormal bladder who underwent AC were searched in ProQuest, PubMed, EBSCO, and Cochrane Library online databases. Only studies published in English from January 1985 to May 2020 were included. The keywords used were renal transplantation, bladder dysfunction, cystoplasty, and their synonyms. Data were extracted by two independent authors who selected, screened, &#13;
and assessed the articles’ eligibility and quality. The outcomes were graft survival rate and complications of AC.&#13;
RESULTS A total of 19 articles were included. AC improved an intravesical pressure, a bladder capacity, and a compliance in patients with ESRD and bladder abnormalities, allowing patients to undergo the renal transplantation. Even though AC in patients with renal transplantation resulted in a significantly higher urinary tract infection rate than patients who underwent renal transplantation only, performing AC after renal transplantation was considered safe.&#13;
CONCLUSIONS AC was considered safe for patients with bladder abnormalities who underwent renal transplantation.</text>
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                <text>Bobby Sutojo, Gampo Alam Irdam</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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                <text>Sri Wahyuni</text>
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            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
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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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              <name>Title</name>
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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;
Reliability and Validity of The Indonesian Version of The Aging Males’ Symptoms</text>
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          <element elementId="49">
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                <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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                <text>2021-10-12</text>
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A Case Report of Moyamoya Disease in Children Treated with Encephalo-Duro-Myo-Arterio-Pericranial Synangiosis</text>
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                <text>Moyamoya disease that manifests during childhood may pose a special challenge for surgeons. We report a case of a 10-year-old girl who suffered from moyamoya disease and was successfully treated with encephalo-duro-myo-arterio-pericranial synangiosis (EDMAPS). She presented with a recurrent transient ischemic attack that worsened for 1 year. She was aphasic globally (sensory and motor) and had slightly weak right &#13;
extremities. Her magnetic resonance angiography and computed tomography angiography showed the typical features of moyamoya disease with bilateral stenosis at the terminal internal carotid artery, bilaterally abnormal vascular networks, and a left ischemic event involving the temporoparietal region. She was recovered well after underwent bilateral EDMAPS, fully regained her language function after 3 months, and gathered her strength back. Therefore, EDMAPS could be a good, safe, and effective treatment for moyamoya disease in children.</text>
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                <text>Julius July</text>
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                <text>Sri Wahyuni</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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Multi-Hole Spherical CT Scan Method to Characterize Large Quantities of Bones in Rats</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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                <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;
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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                <text>Nethasia Louhenapessy, Ria Syafitri Evi Gantini, Susan Rahayu, Elisabeth Lilipory, Heri Wibowo, Yuyun Soedarmono, Inge Sutanto</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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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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              <elementText elementTextId="10453">
                <text>Novi Sulistia Wati, Pokkate Wongsasuluk, Pradana Soewondo</text>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
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              <elementText elementTextId="10454">
                <text>Fakultas Kedokteran Universitas Indonesia</text>
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            <name>Contributor</name>
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            <elementTextContainer>
              <elementText elementTextId="10456">
                <text>Sri Wahyuni</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="10457">
                <text>ISSN : 0853-1773</text>
              </elementText>
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            <name>Format</name>
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              <elementText elementTextId="10459">
                <text>English</text>
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              <elementText elementTextId="10461">
                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 3 2021</text>
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        <name>COVID-19</name>
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        <name>Diabetes Mellitus</name>
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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;
Effect of Hyperglycemia on Fertility in Streptozotocin-Induced Diabetic Male Wistar Rats: Focus on Glucose Transporters and Oxidative Stress </text>
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                <text> GLUT1, GLUT3, glutathione peroxidase, infertility, MCT4, Nrf2</text>
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                <text>BACKGROUND Glucose transporters (GLUTs) and oxidant metabolism are associated with the mechanism of infertility. This study evaluated the impact of hyperglycemia on glucose and oxidant metabolisms of Sertoli cells (SCs). &#13;
METHODS This study was an animal study to investigate the expression of messenger RNA monocarboxylate transporter 4 (MCT4), GLUT1, GLUT3, nuclear factor erythroid 2-related factor 2 (Nrf2), glutathione peroxidase, catalase (CAT), and lactate dehydrogenase A (LDHA) of Wistar rats testes that were induced hyperglycemia. Reverse transcription polymerase chain reaction analysis was used. Hyperglycemic state in the Wistar rats was induced by streptozotocin. 24 rats were divided into 3 groups: non-hyperglycemia (control), 2-week, and 4-week hyperglycemic state. All data were collected and analyzed using SPSS version 15.0 (IBM Corp., USA). &#13;
RESULTS The expression of glucose transporter (GLUT1 and GLUT3), lactate transporter (MCT4), and cellular defense protein against oxidant (Nrf2 and CAT) was significantly increased in the 2-week and 4-week hyperglycemic state groups with &#13;
p&lt;0.01, respectively.&#13;
CONCLUSIONS Hyperglycemic state affects the metabolism of SCs. Alteration of GLUTs and oxidative metabolism may indicate metabolic alterations by a prolonged exposure to hyperglycemia that may be responsible for diabetes-related male infertility.</text>
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            <elementTextContainer>
              <elementText elementTextId="10369">
                <text>Sakti Ronggowardhana Brodjonegoro, Tanaya Ghinorawa, Nickanor Kaladius Reumy Wonatorey, Andy Zulfiqqar, Didik  Setyo Heriyanto</text>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="10370">
                <text>Fakultas Kedokteran Universitas Indonesia</text>
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                <text>2021-10-12</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
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              <elementText elementTextId="10372">
                <text>Sri Wahyuni</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="10373">
                <text>ISSN : 0853-1773</text>
              </elementText>
            </elementTextContainer>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="10374">
                <text>PDF</text>
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              <elementText elementTextId="10377">
                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 3 2021</text>
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        <name>GLUT1</name>
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        <name>glutathione peroxidase</name>
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        <name>infertility</name>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="10341">
                  <text>Medical Journal of Indonesia Vol. 30 No. 3 2021 FKUI</text>
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      <name>Text</name>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="10438">
                <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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          </element>
          <element elementId="49">
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              <elementText elementTextId="10439">
                <text>Delphi technique, diabetes, personal health service, precision health care, precision medicine</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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              <elementText elementTextId="10441">
                <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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            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="10445">
                <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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