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                  <text>Medical Journal of Indonesia Vol. 30 No. 4 2021 FKUI</text>
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                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 4 2021&#13;
Everolimus for The Treatment of Epithelioid Hemangioma: A Case Report</text>
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                <text>blood vessel tumor, everolimus, hemangioma</text>
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                <text>Epithelioid hemangioma is a rare benign vascular tumor manifested as slow-growing subcutaneous or dermal nodules. A previously therapeutic strategy involved surgical excision and sclerotherapy. However, no standard treatment has been established. Here, we reported an atypical case of epithelioid hemangioma that had a locally aggressive behavior and was successfully treated with everolimus, a rapamycin analog used for cancer therapy. A 1-year-old boy presented with an ulcerated lump in the left palmar region. The imaging test results, confirmed through histopathologic examination, suggested a diagnosis of epithelioid hemangioma. Targeted therapy with &#13;
everolimus was administered orally because of a minimal response to initial transarterial sclerotherapy. The patient achieved a satisfactory response with a significantly reduced lesion size and improved hand function after a 2-year follow-up. This finding showed that patients with locally aggressive forms of epithelioid hemangioma may significantly benefit from everolimus as a potential targeted therapy.</text>
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                <text>Mururul Aisyi, Ayu Hutami Syarif, Dewi Aisyah Mukarramah, Rio Hermawan, Dewi Iriani</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. 4 2021</text>
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                  <text>Medical Journal of Indonesia Vol. 30 No. 4 2021 FKUI</text>
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                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 4 2021&#13;
Endovascular Treatment of An Unruptured Ophthalmic Artery Aneurysm with A Flow Diverter: A Case Report</text>
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                <text>aneurysm, computed tomography angiography, digital subtraction angiography, endovascular, ophthalmic artery, seizures</text>
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                <text>An unruptured aneurysm is often asymptomatic or present without neurological deficits, causing severe morbidity. However, the potential of this defect to rupture requires proper management. Herein, we report a case of an unruptured saccular &#13;
aneurysm of the ophthalmic artery with initial clinical seizures. The patient was treated by flow diversion which redirects the blood flow that normally leads to the protrusion of the aneurysm back to the main vessel. Flow diversion is chosen because it is less risky and has a faster recovery time than other treatment options, but it is more &#13;
expensive than others. Although this technology is not new, there is no report on its implementation in Indonesia. The patient was prescribed antiplatelet treatment for at least 6 months post-treatment, then she showed no sign of seizure or new focal &#13;
neurological deficits 4 months post-treatment. The patients were expected to undergo digital subtraction angiography evaluation 6 months after flow diversion treatment, but it has not been performed due to the coronavirus disease 2019 pandemic.</text>
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              <elementText elementTextId="10506">
                <text>Rakhmad Hidayat, Fadila Asmaniar, Affan Priambodo, Taufik Mesiano, Muhammad Kurniawan, Al Rasyid, Salim Harris</text>
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                <text>Fakultas Kedokteran Universitas Indonesia</text>
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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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            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
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              <elementText elementTextId="10510">
                <text>ISSN : 0853-1773</text>
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                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 4 2021</text>
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              <description>A name given to the resource</description>
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                  <text>Medical Journal of Indonesia Vol. 30 No. 4 2021 FKUI</text>
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                <text>Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 4 2021&#13;
Incidence and Characteristics of de Novo Stress Urinary Incontinence after Pelvic Organ Prolapse Vaginal Repair</text>
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          <element elementId="49">
            <name>Subject</name>
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                <text> gynecologic surgery, pelvic organ prolapse, tertiary referral center, urinary stress incontinence</text>
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                <text>BACKGROUND Some patients who undergo pelvic floor reconstruction for pelvic organ prolapse (POP) may experience a de novo stress urinary incontinence (SUI) postoperatively. We aimed to investigate the incidence and characteristics of de novo SUI in patients who underwent pelvic floor reconstruction at the national referral hospital in Indonesia.&#13;
METHODS This cross-sectional study evaluated 108 patients who underwent pelvic floor reconstruction due to POP between January 2016 and December 2017. Per the inclusion criteria, 75 women were enrolled using a consecutive sampling. The incidence of de novo SUI was determined 6–12 months postoperatively using the Indonesian &#13;
version of the questionnaire for urinary incontinence diagnosis and objectively using &#13;
the cough stress test during gynecologic examination after a negative preoperative &#13;
prolapse reduction stress test.&#13;
RESULTS The average age, parity, body mass index, and years since menopause onset were 56.17 (4.67) years, 3.17 (1.07), 28.58 (5.18) kg/m2, and 12.8 (7.0) years, respectively. De novo SUI was seen in 8.0% (6 of 75) patients at 6–7 months postoperatively, with 3 (50.0%) had severe POP and 3 (50.0%) had a mild POP. Most of these patients (4 of 6, 66.7%) had undergone procedures other than colpocleisis for POP reconstruction.&#13;
CONCLUSIONS The incidence of de novo SUI after gynecologic surgery for POP at a national referral hospital in Indonesia is 8%. Most patients were aged &lt;60 years, had a parity of &lt;4, were nonobese, were menopausal, and had diabetes.</text>
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                <text>Suskhan Djusad, Ihya Ridlo Nizomy, Surahman Hakim, Tyas Priyatini, Fernandi Moegni, Alfa Putri Meutia, Budi Iman Santoso</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. 4 2021</text>
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                  <text>Medical Journal of Indonesia Vol. 30 No. 4 2021 FKUI</text>
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                <text>Cover Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 4 2021</text>
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                <text>Fakultas Kedokteran Universitas Indonesia</text>
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                <text>Sri Wahyuni</text>
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