cover
Contact Name
Karomah Widianingsih
Contact Email
writingcenter@ui.ac.id
Phone
+6281282021200
Journal Mail Official
iceonimeri.conference@gmail.com
Editorial Address
Faculty of Medicine Universitas Indonesia, Jakarta IMERI Building, Education Tower, 6th Floor
Location
Kota depok,
Jawa barat
INDONESIA
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education and Research Institute
Published by Universitas Indonesia
Core Subject : Health, Science,
This proceeding book encompasses various themes within the realm of general medicine. Selected articles from the International Conference and Exhibition of The Indonesian Medical Education Research Institute undergo peer review and editorial management before being published as an open-access digital proceeding book. The published articles include original pieces, case reports, case series, systematic reviews, narrative reviews, and technical notes.
Articles 39 Documents
Prediction of Arterial Blood Gas from Venous Blood Gas: How Far We’ve Come Siswanto, Putri Alief; Indriastuti, Endah
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 7 No. - (2023): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v7i-.198

Abstract

Venous blood gas has been extensively studied as a replacement for arterial blood gas, which remains the gold standard despite some drawbacks. Many question the validity of venous blood gas for a routine clinical practice application. Arterial and venous pH are clinically interchangeable with a consistently narrow mean difference (bias: 0.03) and limits of agreement (LOA: -0.1 to 0.1). In contrast, arterial and venous pCO2 demonstrate a wide LOA (-20 to 20), while arterial and venous pO2 have a more pronounced difference. Many prediction studies showed a high correlation between arterial and venous pCO2 (r>0.7) yet a poor correlation between arterial and venous pO2 (r<0.3), suggesting a non-linear relationship. Leveraging the predictive power of artificial intelligence is paramount to modeling complex non-linear relationships between venous and arterial blood gas parameters, which may improve the estimation of arterial blood gas using venous samples.
The Role of Toxicology in Aging Research: An Insight Rahma, Rahma; Barinda, Agian Jeffilano
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 7 No. - (2023): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v7i-.199

Abstract

Aging is defined as a time-dependent decline in organ or tissue function. The rate of physiological aging differs among individuals. In addition to genetics, environmental factors contribute to the acceleration of aging. Gerontogen refers to environmental toxicants that can accelerate cellular aging. Toxicology, which is the study of unintended exposures to toxicants, can provide insight into the aging process. Despite the lack of an excellent biomarker to detect aging at the molecular level, several gerontogens, including UV radiation, have been identified. This study will present concise and brief information regarding several biomarkers that can be used to identify gerontogen, as well as a brief explanation of the fundamental mechanism by which gerontogen causes accelerated aging.
Fasting and Dietary Restriction Impact on Immune System in Aging Population: A Narrative Review Handayani, Luh Gede Laksmi Rahayu; Rahmawati, Fitriana Nur; Saputri, Dianita Susilo
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 7 No. - (2023): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v7i-.200

Abstract

Dietary habits and nutrition metabolism are strongly associated with human physiology. Overnutrition or calorie excess has been shown to have many deleterious effects. At the same time, the impact of fasting as part of dietary restriction (DR) remains elusive, especially on the immune system during the aging process. Here, we describe current updates of fasting and DR impact on the immune system and host responses in the aging population. Generally, fasting causes alteration in immune cell distribution by increasing the homing of peripheral cells to the bone marrow. In the aging population, fasting reduces the inflammatory response and promotes cell regeneration. Additionally, fasting is associated with the B cell clonal expansions important to counter infection. This review offers new perspectives and enhances our understanding of immunosenescence as a key to healthy aging.
Developing “do it yourself” Phantom for Teaching Seldinger Technique in Vascular Access Placement to General Practitioners Hafidz, Noor; Sedono, Rudyanto; Aditianingsih, Dita; Sugiarto, Adhrie; Manggala, Sidharta Kusuma
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 7 No. - (2023): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v7i-.201

Abstract

Establishing a vascular access is a crucial aspect in managing critically ill patients in the Intensive Care Unit (ICU). The skill in placing vascular access varies among healthcare professionals. Clinical experience and level of training among nurses, general practitioners, and intensivists are the determinants of skill in placing vascular access. Training to establish vascular access using the Seldinger technique needs practice using a vascular phantom or a cadaver. Commercially sold phantoms are difficult to get, and an alternative training phantom is needed. We built a simple “do-it-yourself” model of a vascular phantom using “easy-to-find” material that can be used to practice the Seldinger technique. We used a synthetic polyurethane sponge 16x16 cm in size as a base and a polyvinyl alcohol sheet of the same size. We used 22 F urinary catheters trimmed to 12 to represent blood vessels. The final product is a piece of the urinary catheter embedded in the sponge and then covered by polyvinyl alcohol to simulate the epidermis. The phantom can be used in training programs to improve the skill of general practitioners in placing advanced vascular access. 13 general practitioners were involved in this training, and 100% said that this phantom could simulate the experience. “Do-it-yourself” phantom for vascular access training can be used ro practice the Seldinger technique and can simulate the real experience.
The Economic Burden on Private Hospitals in Treating ICU Vs Non-ICU Patients: Investigating The Financial Gap Between Indonesian Case Base Groups (INA-CBG) Rates and Hospital Billing Halim, Ida Juita; Manggala, Sidharta Kusuma
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 8 No. - (2024): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v8i-.241

Abstract

Objectives: Indonesia’s healthcare financing relies on a bundled payment system, the Indonesian Case Base Groups (INA-CBG) rates, whereas private hospitals calculate costs using Activity-Based Costing (ABC). This difference can lead to significant financial gaps, especially in ICU and non-ICU care. Methods: A random sample of 93 ICU and non-ICU patients from a private hospital in Bekasi, West Java, was analyzed. We compared the INA-CBG rates and hospital billing for ICU and non-ICU care by considering comorbidities, hospital length of stay (LOS), and mortality rates. Results: The average LOS was longer for ICU patients (6.78 days) than non-ICU (4.98 days). The ICU mortality rate was 20%, while non-ICU was 2.33%. Globally, ICU LOS averages 5-7 days, with a 30% mortality rate. INA-CBG covered only 41.89% of costs for non-ICU patients and 57.14% for ICU patients. Conclusion: This study demonstrates the significant financial strain created by the discrepancy between the INA-CBG claims and the actual costs particularly for private hospitals handling patients with high severity.
Effect of Laser Therapy on Inflammation in Pneumonia or Pneumonia Sepsis through the Nf-Kb Regulatory Pathway: A Literature Review Study Rahmad, Rahmad; Djaharuddin, Irawati; Fauzi, Yanuar Rahmat; Purbasari, Bethasiwi; Hakimah, Annisatul; Waluyo, Yose
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 8 No. - (2024): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v8i-.242

Abstract

Pneumonia is the most frequent cause of death from infectious diseases is the eighth leading cause of death in the United States. Meanwhile, sepsis and septic shock remain the leading causes of death among critical patients despite decades of significant advances in supportive therapy. A major factor leading to high morbidity and mortality from septic shock is the lack of effective treatment. Many different options have been proposed, among which the prospect of low-level laser therapy is being discussed quite actively. Laser therapy is a viable way to treat pneumonia or sepsis pneumonia. It is known for its benefits as an anti-inflammatory effect that can reduce the levels of pro-inflammatory cytokines, namely IL-6, as well as increase TNFα levels and enhance the balance of inflammatory processes. Additional research is required to confirm the effect of laser therapy on inflammation, especially the NF-kB pathway in cases of pneumonia or sepsis pneumonia in vitro, in vivo and in clinical studies.
Comprehensive Histopathological Properties of Dartos Tissue Associated with Hypospadias Severity and Chordee: A Prospective Study Raharja, Putu Angga Risky; Birowo, Ponco; Rachmadi, Lisnawati; Wibowo, Heri; Kekalih, Aria; Duarsa, Gede Wirya Kusuma; Wahyudi, Irfan
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 8 No. - (2024): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v8i-.243

Abstract

Background: The cause of chordee in hypospadias is not fully understood. Dartos fascia resection has been shown to correct penile curvature, suggesting its potential involvement. This study aimed to evaluate the histopathological properties of dartos tissue and their association with hypospadias severity and chordee.Methods and Materials: Dartos tissue samples were collected from 37 children with hypospadias and ten controls undergoing circumcision between March and October 2024. Histopathological analysis using hematoxylin-eosin and Masson’s trichrome staining assessed for collagen, smooth muscle, and vascular density. Assessment and quantification of all histopathological components were blinded. Results: The hypospadias group showed lower collagen density (60.85±6.75% vs. 67.31±4.61%; p=0.003) and higher smooth muscle density (7.34±4.92% vs. 2.51±2.24%; p<0.001) compared to controls, with no significant difference in vessel density. Sub-analysis showed severe chordee was linked to lower collagen density compared to mild (Mean Difference [MD] -6.24±2.41%; p=0.014) and moderate chordee (MD -5.73±2.54%; p=0.031). Conclusions: The dartos tissue in hypospadias patients exhibited lower collagen density and higher smooth muscle density, with chordee severity specifically linked to decreased collagen density.
Nimotuzumab in Combination with Chemoradiation for Locally Advanced Head and Neck Squamous Cell Carcinoma Cancer Patients: A Single-Arm Observational Study Sari, Sakinah Rahma; Rachman, Andhika
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 8 No. - (2024): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v8i-.244

Abstract

Background: Head and neck squamous cell carcinoma (HNSCC) incidence is predicted to increase in 2030. Most patients with HNSCC are diagnosed as locally advanced (LA), with a worse prognosis even with combination therapy. Nimotuzumab, a humanized-antibody monoclonal against epidermal growth factor receptor (EGFR), was hypothesized to improve LA-HNSCC patients’ survival. This study evaluated the real-world efficacy of adding nimotuzumab to chemoradiation (CRT) in patients with LA-HNSCC survival. Methods:This single-arm retrospective study was conducted in Dr. Cipto Mangunkusumo General Hospital. Patients diagnosed with LA-HNSCC from October 21, 2009, to May 21, 2024 were included. The outcomes assessed were patients’ two-year overall survival (OS), two-year progression-free survival (PFS), and treatment toxicities. Results: From the total of 30 patients included in the analysis, 93.3% were alive, and 86.7% of patients survived disease progression at the end of the two-year observation. The most common side effects were toxicities against the salivary gland (32.7%), mucous lining (21.2%), and skin (30.8%). Conclusions:This single-arm real-world study demonstrated the exceptional efficacy and safety of nimotuzumab in combination with CRT.
The Role of Acupuncture and Stem Cell Therapy in Enhancing Stroke Recovery Dimara, Imelda; Barasila, Atikah Chalida
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 8 No. - (2024): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v8i-.245

Abstract

Stroke is an acute neurological disorder caused by disrupted blood flow to the brain, depriving cells of oxygen. From 1990 to 2019, it was the world’s second-leading cause of death and the third-leading cause of combined death and disability. Acupuncture plays a role in stem cell treatment by activating the body's natural recovery processes through physical stimulation, aiding the recovery and rehabilitation of stroke patients. Several studies have explored combining stem cell therapy with acupuncture, yielding promising results in improving patient outcomes. This review assesses the effectiveness of combining acupuncture with stem cell therapy for stroke recovery. Analysis of seven randomized controlled trials shows that both stem cell transplantation and acupuncture contribute to the rehabilitation of stroke patients. When applied together, this combined therapy improves the survival, retention, and functional differentiation of implanted stem cells, creating a synergistic effect that amplifies the benefits of each treatment and compensates for their individual limitations. Key acupuncture points for this combination therapy include GV20, GV14, LI11, ST36, and GV26, with treatment durations ranging from 10 to 22 days.
Characteristics of Neurophobia Among Medical Students: A Single-Centre Study In Indonesia Zairinal, Ramdinal Aviesena; Hidayati, Diah Balqis Ikfi
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 8 No. - (2024): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v8i-.246

Abstract

Backgrounds: Neurophobia is a fear of neurology among medical students. Early detection is necessary for prevention and further treatment because neurophobia will have a negative impact on patient care. The objective of this study is to investigate the occurrence of neurophobia among medical students. Methods and Materials: A cross-sectional study using the validated NeuroQ questionnaire was distributed to Faculty of Medicine, University of Indonesia (FMUI) students. Inclusion criteria are age ≥18 years, pre-clinical and clerkship students, able to read, understand, speak Indonesian and answer questions independently, and willing to participate in research. Exclusion criteria are questionnaire data that is not filled in completely. Descriptive and comparative tests were carried out to analyze variables. Results: A total of 89 FMUI students completed the questionnaire with an average NeuroQ score of 17.22 (SD 1.999). Most of the students (73 students; 82%) had a NeuroQ score ≥16 points, 32 students (36%) had neurophobia, and 41 students (46%) had marked neurophobia. Gender was not related to the total NeuroQ score (p=0.815). There was no significant difference between pre-clinical and clerkship students with the total NeuroQ score (p=0.246). Conclusions: Most students experience neurophobia. New strategies are needed to change students' perceptions of neurology.

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