1 10 12 https://repository.horizon.ac.id/files/original/302305764effce70f47f98681aaf5241.pdf dfc7a9cddf65c21bdedeab9cbc2de055 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Basic Medical Research Novel and Simple Method using Cable Ties to Induce Intestinal Strangulation in A Rat Model Subject The topic of the resource collagen, fibrosis, intestinal obstruction Description An account of the resource BACKGROUND The pathogenesis of intestinal fibrosis after strangulation in abdominal surgery is not fully understood. Developing an experimental and reliable method is needed to overcome this problem. This study aimed to develop an effective method for intestinal strangulation leading to fibrosis, which might induce intestinal obstruction. METHODS This study was conducted from 2018 to 2019 at the Department of Pharmacology, Faculty of Medicine, Universitas Indonesia. A total of 24 Sprague Dawley rats were used in this study. Artificial intestinal strangulation using cable ties made of durable plastic, which is generally used to ligate objects, was applied, and rats were further classified into control, 6-hour, and 24-hour strangulation groups. At the end of the study, the rats were sacrificed, intestinal tissues were collected, and histomorphological changes were observed using hematoxylin and eosin stain. Moreover, Masson’s trichome staining was used to assess collagen density. RESULTS Median collagen density score of the 24-hour strangulation group was higher than the control. A significant difference in collagen density was found between the submucosal layer of the 24-hour strangulation group and the control (45.4 [11.4] versus 32.4 [14.0], p<0.001) and between the mucosa of the 6- and 24-hour strangulation groups and the control (26.9 [17] versus 6.46 [4.3], p = 0.01 and 24.9 [8] versus 6.46 [4.3], p = 0.004, respectively). CONCLUSIONS The simple use of cable ties adequately promotes intestinal strangulation. Creator An entity primarily responsible for making the resource Agi Satria Putranto, Fransiscus Dhyanagiri Suyatna, Vivian Soetikno, Yefta Moenadjat Source A related resource from which the described resource is derived https://doi.org/10.13181/mji.oa.225799 Date A point or period of time associated with an event in the lifecycle of the resource April 14, 2022 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text collagen fibrosis intestinal obstruction Jurnal Internasional https://repository.horizon.ac.id/files/original/1f1e19186703c953d6d8eece5f438016.pdf 96ee73d85b8e1b6215fbf4d88898fad3 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Case Report/Series A Case Report of Tuberculous Constrictive Pericarditis as A Sole Manifestation of Tuberculosis in A Male Adolescent Subject The topic of the resource colchicine, complete pericardiectomy, constrictive pericarditis, right-sided heart failure, tuberculosis Description An account of the resource Constrictive pericarditis is a rare type of pericardial disease that can be caused by various factors. Tuberculosis (TB) is one of the most common causes of this abnormality in Indonesia. Interestingly, tuberculous constrictive pericarditis can occur in the absence of acute pericarditis, pulmonary, or extrapulmonary TB. This case described a male adolescent with refractory right-sided heart failure symptoms who developed a rapidly progressive tuberculous constrictive pericarditis. Various imaging modalities, such as echocardiography, chest computed tomography (CT) scan, cardiac magnetic resonance imaging, and incidental PET/CT scan, were used to diagnose the pericardial abnormality. Histopathological findings in pericardial tissues confirmed the diagnosis. Complete surgical pericardiectomy, in conjunction with anti-TB drugs, diuretics, and colchicine, resulted in a significant clinical improvement. Creator An entity primarily responsible for making the resource Michael Jaya, Arif Sejati, Hariadi Hadibrata, Leonardo Paskah Suciadi Source A related resource from which the described resource is derived https://doi.org/10.13181/mji.cr.225822 Date A point or period of time associated with an event in the lifecycle of the resource April 05, 2022 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text colchicine complete pericardiectomy constrictive pericarditis Jurnal Internasional right-sided heart failure tuberculosis https://repository.horizon.ac.id/files/original/e95acc54961e64ca1990e788d5c2acab.pdf 19de07c604143e6fdebd7e7d99be5560 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Case Report/Series Placenta Accreta Spectrum Disorder in A Primigravida with Angular Pregnancy: A Case Report Subject The topic of the resource angular pregnancy, case report, placenta accreta Description An account of the resource Placenta accreta spectrum (PAS) is characterized by abnormal invasion of placental tissue into the underlying uterine muscles and has an incidence of 1/533–1/251. The incidence of complications includes uterine rupture (14–29%), PAS (6–10%), and retained placenta or incomplete placenta removal (4%). Here, we described a rare case of PAS and angular pregnancy, including how to diagnose and manage it preoperatively. A 32-year-old primigravida diagnosed at 24 weeks of gestation with a right angular pregnancy was admitted due to preterm premature rupture of membrane (PPROM) with a singleton fetus. We decided to perform hysterotomy because of the PPROM and intrauterine infection. Intraoperatively, we found PAS in the right angular pregnancy; therefore, we performed uterine conservative management with wedge resection on the right uterine fundus. Intraoperative bleeding was 1,600 cc. Histopathological examination revealed placenta increta. The maternal prognosis was good, while the fetus was poor, with an APGAR score of 1/1/0. Creator An entity primarily responsible for making the resource Abarham Martadiansyah, Nuswil Bernolian, Putri Mirani, Peby Maulina Lestari, Citra Dewi, Wim Theodorus Pangemanan, Ahmad Kurdi Syamsuri, Muhammad Hatta Ansori, Cindy Kesty Date A point or period of time associated with an event in the lifecycle of the resource August 08, 2022 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text angular pregnancy case report Jurnal Internasional placenta accreta https://repository.horizon.ac.id/files/original/ee8d43c5c14ca6908c2ab9e23b2613e3.pdf 68c799b914e70a05b32082170c6cd020 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Clinical Research Efficacy and Side Effects of Blacksoap® as Adjuvant Therapy of Scabies: A Randomized Control Trial Subject The topic of the resource adverse effects, Blacksoap®, itching, mange Description An account of the resource BACKGROUND Blacksoap® is recognized as adjuvant therapy for scabies, but there has been no significant study on its effectiveness. This study aimed to compare the efficacy and safety between Blacksoap® and placebo on standard treatment for pruritus visual analog scale (VAS) and transepidermal water loss (TEWL) scores before and after receiving therapy. METHODS This single-blind randomized controlled trial was held in a boarding school in West Java in 2018. Subjects were recruited consecutively by random cluster sampling. Both groups received standard permethrin 5% cream therapy. The intervention group (n = 37) obtained Blacksoap®, while the control (n = 41) received baby soap. During the initial assessment, pruritus VAS and TEWL scores were taken. The cure rate, scores of pruritus VAS and TEWL, as well as side effects were assessed and compared during the first and fourth weeks. Data were analyzed using SPSS software version 20 (IBM Corp., USA) by a third party, mostly using non-parametric tests. RESULTS The cure rate of the intervention group was lower than the control in the first week with 75% versus 81% but higher in the fourth week with 97% versus 92%. There was no significant difference in the scores of pruritus VAS and TEWL, as well as side effects between the two groups. CONCLUSIONS The efficacy and safety of scabies treatment were similar between Blacksoap® and placebo adjunctive to standard treatment. Blacksoap®, on top of standard scabies treatment, might benefit patients by providing a higher cure rate in 4 weeks without any considerable adverse effects. Creator An entity primarily responsible for making the resource Lidwina Anissa, Wresti Indriatmi, Larisa Paramitha Wibawa, Sandra Widaty Date A point or period of time associated with an event in the lifecycle of the resource June 18, 2022 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource txet adverse effects Blacksoap® itching Jurnal Internasional mange https://repository.horizon.ac.id/files/original/471c87273aa38eea4bc737ac7b26d2ac.pdf 2ce0cb554ef07918e37600fa07597387 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Clinical Research Intravenous Magnesium Sulfate versus Intravenous Meperidine to Prevent Shivering during Spinal Anesthesia Subject The topic of the resource magnesium sulfate, meperidine, shivering, spinal anesthesia Description An account of the resource BACKGROUND Shivering is a frequent event during neuraxial anesthesia due to impaired central and peripheral thermoregulation control. Meperidine and MgSO4 are effective in lowering the shivering threshold. Hence, this study aimed to compare the efficacy of MgSO4 and meperidine to prevent shivering in patients undergoing spinal anesthesia. METHODS This was a double-blind randomized clinical trial of 100 patients divided into 2 groups. One group had MgSO4 30 mg/kg, and the other group had meperidine 0.5 mg/kg intravenously in 100 ml of 0.9% NaCl before undergoing spinal anesthesia. Participants were non-pregnant patients aged 18–65 years and had physical status I or II (based on the American Society of Anesthesiologist). Shivering was considered significant if it occurred in grade 3 or 4. Patient characteristics, shivering degree, tympanic membrane temperature, and side effects were recorded. RESULTS Shivering occurred 10% in the MgSO4 group and 19% in the meperidine group, with p = 0.23. Both groups had similar side effects of nausea, vomiting, and hypotension. CONCLUSIONS MgSO4 30 mg/kg was not superior to meperidine 0.5 mg/kg intravenously in preventing shivering in patients undergoing spinal anesthesia. Creator An entity primarily responsible for making the resource Pryambodho, Sidharta Kusuma Manggala, Magdalena Sihombing Source A related resource from which the described resource is derived https://doi.org/10.13181/mji.oa.225886 Date A point or period of time associated with an event in the lifecycle of the resource June 06, 2022 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Jurnal Internasional magnesium sulfate meperidine shivering spinal anesthesia https://repository.horizon.ac.id/files/original/8a3ee0c9fd52458ac9aa56aa0fc2f04e.pdf c28a27118033d8bf8c0cc6cb35c8278e Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Clinical Research Kidney Function Profile before, during, and after Ramadan Fasting in Healthy Elderly: A Prospective Cohort Study Subject The topic of the resource elderly, fasting, glomerular filtration rate, Islam Description An account of the resource BACKGROUND Kidney function profile is one of the important parameters in determining the health of the elderly. In Indonesia, no study has been conducted on kidney function profile during Ramadan fasting to determine the safety of Ramadan fasting in the elderly. This study aimed to determine the kidney function profile in the elderly who fasted during Ramadan. METHODS This study used a prospective cohort design. The inclusion criteria were elderly aged >60 years undergoing Ramadan fasting in Jatinegara, Jakarta from April to July 2019. Patients with end-stage renal failure who had an acute infection, hypertension crisis, or refused to participate in the study were excluded. Patients who did not fast for 3 consecutive days were dropped out. The kidney function profile was calculated by the estimated glomerular filtration rate (eGFR) using the CKD-EPI formula 1 week before the first day of Ramadan, 3 weeks after the first day of fasting, and 2 weeks after the last day of fasting. Decreased eGFR was defined as having a minimum of 20% eGFR decline during or after the fasting period. Bivariate analysis was performed using McNemar or Cochran tests. RESULTS 2 patients had eGFR decline during fasting, and 7 patients had eGFR decline after fasting. The median eGFR before, during, and after fasting were 81.5, 88.7, and 76.8 ml/min/1.73 m2, respectively. A total of 1.4% of subjects had decreased eGFR during Ramadan, while 9.1% had decreased eGFR after Ramadan. However, the changes were not statistically significant. CONCLUSIONS Although most elderly had lower eGFR following Ramadan fasting compared to before and during Ramadan, only individuals with several comorbidities had significant changes of kidney function. Creator An entity primarily responsible for making the resource Murdani Abdullah, Edy Rizal Wahyudi, Pringgodigdo Nugroho, Andi Alfian Date A point or period of time associated with an event in the lifecycle of the resource July 02, 2022 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text elderly fasting glomerular filtration rate Islam Jurnal Internasional https://repository.horizon.ac.id/files/original/935b46f36a5c86c1a3f907027932646e.pdf 9428b3c5786ddcb9a54a4fbf9ca498fb Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Clinical Research Thromboelastographic Method for Early Decision on Anticoagulant Therapy in Moderate to Severe COVID-19 Patients Subject The topic of the resource blood coagulation disorder, COVID-19, intensive care unit, mortality, thromboelastography Description An account of the resource BACKGROUND Coagulopathy is a serious COVID-19 complication that requires rapid diagnosis and anticoagulation. This study aimed to determine the role of coagulation examination using thromboelastography (TEG) on the decision-making time of anticoagulant therapy in COVID-19 patients and its clinical outcomes. METHODS A prospective observational study was conducted in Cipto Mangunkusumo Hospital, Indonesia, from October 2020 to March 2021. We consecutively recruited moderate and severe COVID-19 patients in the high and intensive care units. Turnaround time, time to anticoagulant therapy decision, and clinical outcomes (length of stay and 30-day mortality) were compared between those who had a TEG examination in addition to the standard coagulation profile examination (thrombocyte count, PT, APTT, D-dimer, and fibrinogen) and those who had only a standard coagulation profile laboratory examination. RESULTS Among 100 moderate to severe COVID-19 patients recruited, 50 patients had a TEG examination. The turnaround time of TEG was 45 (15–102) min versus 82 (19– 164) min in the standard examination (p<0.001). The time to decision was significantly faster in the TEG group than the standard group (75 [42–133] min versus 184 [92–353] min, p<0.001). The turnaround time was positively correlated with time to decision (r = 0.760, p<0.001). However, TEG did not improve clinical outcomes such as length of stay (10.5 [3–20] versus 9 [2–39] days) and 30-day mortality (66% versus 64%). CONCLUSIONS The TEG method significantly enables quicker decision-making time for moderate to severe coagulation disorder in COVID-19 patients. Creator An entity primarily responsible for making the resource Komang Ayu Ferdiana, Andi Ade Wijaya Ramlan, Ratna Farida Soenarto, Anas Alatas Date A point or period of time associated with an event in the lifecycle of the resource June 01, 2022 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text blood coagulation disorder COVID-19 Intensive care unit Jurnal Internasional mortality thromboelastography https://repository.horizon.ac.id/files/original/e15b6e0d34ba6b7ab944d4c61440ded5.pdf fffaea666bed3ed51ec2f953449ceb21 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Commentary Current Condition of Social Security Administrator for Health (BPJS Kesehatan) in Indonesia: Contextual Factors that Affected the National Health Insurance Subject The topic of the resource The pandemic,The new focus Description An account of the resource The pandemic In early 2020, the historical 6-year financial deficit faced by Indonesia’s universal health coverage (Jaminan Kesehatan Nasional [JKN]) ended when the government adjusted JKN contribution to its healthcare spending.1 On average, the amount of contribution was raised by 83%. This also marked the end of the ‘structural deficit’ caused by purposively setting JKN contribution lower than the actuarial requirement to match the population’s ability to pay.2 In the same period, countries are affected by the coronavirus disease 2019 (COVID-19) pandemic, and Indonesia is not an exception. The rapid spread of the disease has also changed people’s health-seeking behavior. Unless considered an emergency, patients forego treatment and avoid visiting health facilities to prevent infection.3 The non-COVID-19 utilization rate dropped by almost 25% during the pandemic.4 Active JKN members (marked by the number of paying members) also dropped due to economic recession and contribution evasion.5 On the other hand, COVID-19 healthcare utilization skyrocketed. COVID-related hospital claims reached IDR 40 trillion (approximately USD 2.7 billion) in 2020 and doubled to IDR 90 trillion (approximately USD 6.2 billion) in 2021.6 However, this spending is excluded from JKN as the law mandated that pandemic-related health spending is covered by the government.7 The overall impact of JKN contribution adjustment and low healthcare utilization has resulted in a financial surplus of the JKN fund.8 The national health insurance administrator (Badan Penyelenggara Jaminan Sosial [BPJS] Kesehatan) management still needs to anticipate the period when the government announced that the COVID-19 pandemic has ended since that is the start of the COVID-19 financing under the JKN scheme.9 The new focus Given the positive financial status of the JKN fund, the BPJS Kesehatan’s board of directors shifted their focus from ensuring financial sustainability to improving the service quality.10 Both healthcare and administrative services must be efficient, standardized, and integrated using information technology. An online queueing system was introduced to inform patients of the estimated arrival time at health facilities to shorten the waiting period.11 Teleconsultation was also piloted to test its impact on healthcare access, especially in remote areas or areas without certified health facilities.12 Furthermore, innovative payment systems were linked to achievements in performance indicators. At the primary care level, the current performance-based capitation system, which has been introduced in 2017, will be subject to reform.13 New indicators will be added in line with government health priorities. There is also a plan to introduce incentives and disincentives to the JKN payment system to encourage health facilities to improve their performance. Government policies that impacted JKN At the end of 2021, the Ministry of Social Affairs audited its 86.4 million JKN subsidy recipient database to check for data quality. As many as 9 million were removed from the list for various reasons.14 Efforts were focused on replacing the list, but this requires massive resources to conduct a census at the village level. This sudden drop in JKN membership affected the contribution paid by the government to the JKN fund and automatically impacted the BPJS Kesehatan's operational costs. An important milestone of JKN in 2022 is the issuance of the Presidential Instruction orchestrated by the Coordinating Ministry for Human Development and Cultural Affairs. Creator An entity primarily responsible for making the resource Ali Ghufron Mukti, Citra Jaya, Rizki Lestari Suhardi Date A point or period of time associated with an event in the lifecycle of the resource 2022;31(2) Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Jurnal Internasional The new focus The pandemic https://repository.horizon.ac.id/files/original/c3f20f5a3da3438c4169ccf9f1d069db.pdf 6be2e6d570984d53877e721c4b0e0657 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Editorial The Struggles of Regional Journals to Gain International Visibility Description An account of the resource Journal ranking is built based on the citation index of each database yearly. Despite its controversy, which is only based on its own database, to be indexed in a journal database is important for any journal to gain international visibility. Journals with a higher ranking will attract more internationally recognized authors to publish their higher-quality articles. Meanwhile, a journal should publish more high-quality articles to achieve this higher recognition. However, it is challenging for a regional journal to attract these internationally recognized authors to publish their articles in that journal. The other strategy is the capacity to sound the specific regional data to get more international attention. These data might not be an interest to the high-ranking journal with a limit on the number of articles. Meanwhile, these data can be an important future global health issue that attracts more citations. In this issue, Medical Journal of Indonesia (MJI) has tried to sound specific regional issues. Infectious disease is still one of the major burdens in Indonesia i.e., tuberculosis and scabies. Tuberculosis can have a broader side effect on all bodies, not just the lung. Jaya et al1 reported rare constrictive pericarditis due to tuberculosis, which needed surgical management to overcome this cardiac manifestation. Scabies is a skin disease caused by the ectoparasite mite Sarcoptes scabiei var hominis infestation, which is common in communal living groups such as dormitories and boarding schools. In Indonesia, the growth of boarding schools has been accelerating in recent years, which can increase the risk of communal disease in the school environment. The adjuvant treatment for scabies is still needed to increase the efficacy of standard treatment. Even though Anissa et al2 found no additional efficacy of Blacksoap® in Scabies treatment, Blacksoap® can offer extra comfort for patients during treatment. Thus, it might increase patient compliance for the long treatment. There is also an article about Ramadan fasting in this issue. Ramadan fasting is one of the major religious events for Muslims every year. Even though many studies on intermittent fasting have been conducted, there have been limited studies on the impact of 29-day Ramadan fasting on general health in the elderly. Indonesia with the largest Muslim and elderly population can be a source of respondents for the Ramadan fasting study. Abdullah et al3 reported that Ramadan fasting generally did not affect kidney function in the elderly. This study showed that Ramadan fasting is safe for the elderly who are still willing to fast during Ramadan. However, several specific elderly groups with comorbidities should take precautions for Ramadan fasting. The limitation of the advancement of novel technology is its high cost. As a developing country, Indonesia is still struggling with this cost issue. So, innovation with a lower cost in healthcare is still needed. This innovation is more crucial in animal experiment, which requires high cost. Putranto et al4 showed that the simple use of cable ties adequately simulated intestinal strangulation, leading to a higher collagen deposit denoting fibrosis. This study will expand the exploration of intestinal strangulation pathogenesis. MJI has also raised the national social security issues. The national health insurance administrator (Badan Penyelenggara Jaminan Sosial [BPJS] Kesehatan) as one of the largest social securities worldwide has been running since 2014. Despite the classic financial burden deficit during its early implementation, BPJS (as an administrator) has improved many strategies to overcome this burden. The next strategic plan is to improve the quality of care for the members. BPJS has also gained many international recognitions for these improvement changes. From Medical Journal of Indonesia; Department of Biochemistry and Molecular Biology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia Creator An entity primarily responsible for making the resource Sri Widia Azraki Jusman Date A point or period of time associated with an event in the lifecycle of the resource 2022;31(2) Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Subject The topic of the resource The Struggles of Regional Journals, International Visibility International Visibility Jurnal Internasional The Struggles of Regional Journals, https://repository.horizon.ac.id/files/original/4c278b3a99c677da233f8077ce01b5da.pdf 6532cf42c6a7aeeda2bb3b1fa13639d9 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Journal of Indonesia Vol. 31 No. 2 2022 FKUI Medical Journal of Indonesia, Focus and Scope, Editorial Board, Contents, Review Article, Medical Journal of Indonesia Instructions for Authors Subject The topic of the resource Medical Journal of Indonesia Description An account of the resource The Medical Journal of Indonesia (abbr: Med J Indones) was founded in 1991 as the Medical Journal of the University of Indonesia (abbr: Med J Univ Indon). Since the first issue in 1992, it has been published quarterly, consistently, and continuously, covering a wide range of medical subject and issues from every medical specialist aspect. In 1995 the name was changed to Medical Journal of Indonesia which reflected the widening of its coverage beyond Universitas Indonesia. The mission of our journal is to provide biomedical scientist, clinical, and public health researchers as well as other health care professionals with the media to published their research works. Starting from 2011, Deutsch- Indonesische Gesellschaft für Medizin (DIGM) Medical Journal has been merged into Medical Journal of Indonesia. This also means that DIGM is officially collaborating with Medical Journal of Indonesia and Faculty of Medicine Universitas Indonesia as the owner and publisher. The mission of the Medical Journal of Indonesia is to improve health care management by providing high-quality articles from Indonesia and worldwide. Creator An entity primarily responsible for making the resource Agus Rizal A.H. Hamid Date A point or period of time associated with an event in the lifecycle of the resource 2, June 2022 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Jurnal Internasional Medical Journal of Indonesia