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Deka in Medicine
Published by PT. DEKA RESEARCH GROUP
ISSN : 30472024     EISSN : 30472024     DOI : https://doi.org/10.69863
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
Deka in Medicine is the open-access journal of Deka Institute (PT. Deka Research Group), which is established to support open access and knowledge sharing among medical scientists. The journal publishes three highly informative issues every year (in April, August, and December) at the appropriate intervals to circulate research findings properly throughout the year. As a beacon of high standards in academics, Deka in Medicine observes very stringent measures in peer reviewing and kindly welcomes the contributions of world scholars and researchers with open arms. The journal aims to promote knowledge by being disseminated across the globe in English and further advocates for a platform that would enable scholars and researchers to carry on scientific discussion and collaboration within the discipline. The key objective of this journal is to serve as a medium through which clinical and basic research can be promoted in the varied medical sciences. The journal was noted for its broad material cover, embracing topics in different areas under the dominion of medical sciences—from clinical and basic medical sciences to medicine and applied medical sciences. It is through such comprehensive coverage that the journal hopes to provide an integrated view of the dynamic complexities within the sphere of medical sciences, from which the spread of new insights and innovations in clinical practices, research methodologies, and therapeutic interventions may emanate. It additionally aims to contribute to the development and improvement of medical knowledge and practices around the world. To address the wide range of interests of clinical practitioners and researchers, it is a leading forum whereby different scholars, intellectuals, and practitioners from diverse regions across the globe present their academic perspectives and research activities. These are intended to foster mutual intellectual interchange internationally, open up educational opportunities, and initiate collaborations. Deka in Medicine publishes diversified scholarly contributions, ranging from original research articles, review articles, brief reports, case studies, and case series elucidating enlightening editorial reports, and commentaries. The breadth of publication by the journal is an attempt to be more than just a vehicle for the dissemination of the latest research but aims to be a channel that allows for scholarly exchange, facilitates the distribution of knowledge, and advances medical sciences.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 6 Documents
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Search results for , issue "Vol. 1 No. 2 (2024): August 2024" : 6 Documents clear
Investigating the connection between age progression and erectile dysfunction incidence in chronic kidney disease patients undergoing hemodialysis Widiaputro, Dandi; Suwito, Heru; Eldatarina, Helsa; Firmansah, Wahyu; Akbar, Muhamad; Wattimury, Rosmince; Rahardja, Ketut; Haryanto, Dheni; Gunawan, Atma
Deka in Medicine Vol. 1 No. 2 (2024): August 2024
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2024.e210

Abstract

BACKGROUND: Erectile dysfunction is frequently observed in patients with chronic kidney disease (CKD), especially in the elderly population. However, studies have presented diverse outcomes on this matter. OBJECTIVES: To assess the correlation between age progression and the prevalence of erectile dysfunction in chronic kidney disease patients receiving hemodialysis. METHODS: The study employed a retrospective design and was conducted at RSUD Dr. Saiful Anwar, Malang, during June-July 2022. Data collection involved retrieving age, the erection hardness score (EHS), and baseline characteristics from medical records. Statistical analysis focused on assessing the correlation between age and erectile dysfunction using linear regression. RESULTS: The study population consisted of 59 patients with erectile dysfunction and 61 patients without erectile dysfunction. The primary findings highlighted a substantial and moderately negative association between age and the EHS score, which serves as a key indicator of erectile function. The results suggested that as individuals aged, there was a noticeable trend towards a decrease in the EHS score, implying a decrease in erectile capacity. CONCLUSION: Our findings emphasize the crucial importance of age as a determining factor in the development of erectile dysfunction.
Prevalence of streptococcus pneumoniae in elderly with pneumonia: A meta-analysis and systematic review in Asia Soenarti, Sri; Wijaya, Yannita; Pratama, Adhya; Nugraha, Aditya; Seto, Agnes; Fathoni, Alfan; Sekarani, Ayu; Utama, Gede; Juhandana, Madya; Ardiyanti, Putri; Utomo, Vidi; Safira, Zahra; Sholichah, Zuhrotus; Santoso, Dimas
Deka in Medicine Vol. 1 No. 2 (2024): August 2024
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2024.e278

Abstract

BACKGROUND: There is currently insufficient study focusing on comprehensive studies that thoroughly assess the prevalence of Streptococcus pneumoniae specifically among elderly patients with pneumonia in Asia. OBJECTIVE: To analyze the prevalence of Streptococcus pneumoniae as a causative factor of pneumonia among elderly populations in Asian countries. METHODS: This meta-analysis was designed to systematically collect data from PubMed, Scopus, and Embase within the timeframe of January to February 2024. The study focused on gathering prevalence data of Streptococcus pneumoniae among elderly patients diagnosed with pneumonia in Asian countries. Statistical analysis employed a single-arm meta-analysis methodology to consolidate and evaluate the cumulative prevalence of Streptococcus pneumoniae in this specific population group. RESULTS: The total sample included in our study comprised 15 articles. Through our analysis, we found that the cumulative prevalence of Streptococcus pneumoniae among elderly patients diagnosed with pneumonia in Asia was 9% (Event rate: 0.09; 95% CI: 0.06, 0.12; Egger's test: p = 0.7047; p Heterogeneity < 0.0001; p < 0.0001). CONCLUSION: Streptococcus pneumoniae remains a plausible causative agent of pneumonia in elderly Asian populations.
Compartment syndrome as reperfusion injury following thrombectomy in acute limb ischemia: A case report Afifuddin, Mokhammad; Kurnianingsih, Novi; Kurniawan, Dea
Deka in Medicine Vol. 1 No. 2 (2024): August 2024
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2024.e209

Abstract

BACKGROUND: Compartment syndrome following reperfusion in acute limb ischemia represents a rare but serious complication. Thus, documenting such cases is essential to enhance comprehension and management of this condition. CASE PRESENTATION: A 51-year-old man was referred from an urban hospital presenting with severe right leg pain persisting for 5 days prior to admission, accompanied by pulselessness, paresthesia, poikilothermia, and paralysis. The patient had underlying risk factors including uncontrolled diabetes mellitus and active smoking. Duplex ultrasound confirmed the diagnosis of acute limb ischemia, which was further supported by CT angiography revealing total occlusion from the right common iliac artery to the distal region. Intravenous heparin was administered, and the patient underwent emergency surgical thrombectomy. Following the intervention, the patient developed clinical signs of compartment syndrome as a manifestation of reperfusion injury, necessitating fasciotomy. Subsequent evaluation of the wound post-fasciotomy indicated it was not suitable for closure, and unfortunately, the patient passed away a few days later. CONCLUSION: This case illustrates acute limb ischemia necessitating thrombectomy and surgical fasciotomy due to compartment syndrome resulting from reperfusion injury, emphasizing the importance of rigorous monitoring.
Navigating heterogeneity in meta-analysis: methods for identification and management Ilmawan, Muhammad
Deka in Medicine Vol. 1 No. 2 (2024): August 2024
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2024.e269

Abstract

Although meta-analysis is a powerful way to synthesize research findings from multiple studies, the problem of heterogeneity usually arises due to variation in study outcomes. Differences between studies regarding heterogeneity in results can arise from populations, interventions, outcome measures, and methodologies both within and between the studies. This article aims to provide an overview of the methods for identifying and dealing with heterogeneity in meta-analyses to ensure accurate and reliable conclusions. The article aims to describe the application of several statistical methods for detecting heterogeneity, namely the Q statistic and the I² statistic. The Q statistic is used to test whether observed variability in effect sizes exceeds chance expectations, while the I² statistic quantifies the proportion of variability due to heterogeneity. Other methods include the DerSimonian-Laird between-studies variance in random-effects models and the T and T² methods, which use both observed and expected information about effect size dispersion. Methods for dealing with heterogeneity are discussed, including choices between using fixed- versus random-effects models, and techniques for assessing and dealing with outliers using methods such as the Hedges technique. Additionally, the article explores methods to investigate sources of heterogeneity through subgroup analysis and meta-regression. Recognizing limitations such as residual heterogeneity, publication bias, and study quality is also important in making meta-analytical findings more robust. In conclusion, these methods enable researchers to more effectively address heterogeneity issues in meta-analyses, thereby providing more reliable and valid conclusions that contribute to evidence-based practice
Exploring a rare oncologic complication: alveolar rhabdomyosarcoma in HIV patient Santoso, Dimas; Santoso, Budi; Kristyana, Septian; Candradikusuma, Didi; Natasia, Septalisa; Evatta, Arde
Deka in Medicine Vol. 1 No. 2 (2024): August 2024
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2024.e277

Abstract

BACKGROUND: Alveolar rhabdomyosarcoma is one of the rare oncological complications in Human Immunodeficiency Virus (HIV) patients, but it has a serious impact. Therefore, case report study discussing case of alveolar rhabdomyosarcoma in HIV patient is very important. CASE: A 22-year-old man complained of pain and a growing lump behind his right knee for 9 months. The lump, initially small, became larger and more painful, affecting his ability to move his leg. The patient was diagnosed with HIV 3 years ago and also had leprosy. Additionally, the patient had a history of weight loss and a low body mass index (BMI). Physical examination revealed a 10x15x10 cm mass behind the right knee. Magnetic Resonance Imaging (MRI) of the right knee showed a complex cystic solid lesion involving several muscles and blood vessels. Fine Needle Aspiration Biopsy (FNAB) suggested a High-Grade Sarcoma. Open biopsy confirmed alveolar rhabdomyosarcoma with aggressive features and high mitotic activity. CONCLUSION: In conclusion, our study reported the first case of alveolar rhabdomyosarcoma in an HIV patient. Our study emphasizes the importance of thorough diagnosis for suspected malignancies in HIV patients.
Multiple malformations due to dysplastic changes in connective tissue in children Protsailo, Mykhailo; Dzhyvak , Volodymyr; Krycky, Ihor; Hoshchynskyi, Pavlo; Wijaya, Andreas
Deka in Medicine Vol. 1 No. 2 (2024): August 2024
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2024.e275

Abstract

BACKGROUND: Connective Tissue Dysplasia (CTD) in pediatric populations represents a heterogeneous group of heritable disorders characterized by structural and functional anomalies in connective tissues, primarily involving abnormalities in collagen, elastin, and other essential extracellular matrix components. These anomalies manifest through a spectrum of clinical phenotypes affecting multiple organ systems. This study aimed to investigate lesser-known systemic lesions in children with dysplastic changes in connective tissue to enable timely diagnosis and comprehensive treatment. CASE PRESENTATION: Clinical Case 1: A 15-year-old boy presented with recurrent bronchitis, pneumonia with obstructive syndrome, and asthma attacks. Allergological examination revealed significant increases in total Immunoglobulin E (IgE). Computed Tomography (CT) scans showed fibrous cortical defects and severe osteoporosis in various bones. The clinical diagnosis included undifferentiated CTD syndrome, joint hypermobility syndrome, and multiple fibrous cortical defects, among other conditions. Clinical Case 2: A 15-year-old girl with bilateral flat feet, increased thoracic kyphosis, and leftward spinal axis deviation was diagnosed with joint hypermobility syndrome. An incidental finding of a large cyst in the lower pole of the spleen was surgically treated. CONCLUSION: Dysplastic changes in connective tissue present through various clinical conditions, highlighting the need for a comprehensive examination. The combination of undifferentiated CTD with fibrous cortical defects, osteochondropathy, cystic changes in internal organs, and other developmental anomalies underscores the need for further in-depth research

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