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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. 2 No. 1 (2025): April 2025" : 6 Documents clear
Eccentricity index as an adjunctive indicator of coronary ischemia: Correlation with ischemic burden based on myocardial perfusion imaging Pratama, Prima; Christina, Edelyn; Soeriadi, Rd; Kartamihardja , Achmad
Deka in Medicine Vol. 2 No. 1 (2025): April 2025
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2025.e515

Abstract

BACKGROUND: One of the main challenges in managing CAD is the measurement of ischemic burden experienced by patients, which can influence therapy decisions and prognosis. The Left Ventricular Eccentricity Index (EI) has become a potential additional indicator for assessing the severity of ischemia in CAD patients. OBJECTIVES: This study aims to analyze the correlation between the Left Ventricular EI and ischemic burden measured using myocardial perfusion imaging (MPI) in CAD patients. METHODS: This retrospective cohort study was conducted at Dr. Hasan Sadikin Hospital in Bandung from August 2023 to June 2024. Data were collected using MPI with 99mTc sestamibi gated SPECT. Statistical analysis was performed using the Mann-Whitney U test and Spearman's correlation. RESULTS: A total of 78 patients who met the inclusion and exclusion criteria were included in this study. The analysis showed that EI values in both the stress and rest phases were significantly higher in the group with ischemic burden ≥10%. The median ejection fraction value in the stress phase was also lower in this group (p = 0.013). Correlation analysis revealed a significant relationship between EI and ischemic burden (p < 0.05). CONCLUSION: This study demonstrates that EI can be used as an additional indicator to assess the severity of ischemia in CAD patients. Integrating EI into routine MPI protocols can improve the accuracy of risk stratification and management of CAD patients.
Non-alcoholic fatty liver disease: Patient profiles and key contributing factors Mustika, Syifa; Rosita, Firdha; Sagala, Ida; Satiti, Ika
Deka in Medicine Vol. 2 No. 1 (2025): April 2025
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2025.e595

Abstract

BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) is a growing global health concern, strongly associated with obesity, metabolic syndrome, and cardiovascular diseases. Recognizing the key risk factors is essential for early detection and prevention. OBJECTIVES: This study aims to examine patient profiles and identify the primary contributing factors to NAFLD. METHODS: This cross-sectional study was conducted in the Gastroenterohepatology Division of Dr. Saiful Anwar Hospital, Malang, from May to October 2022. A total of 31 patients diagnosed with NAFLD based on abdominal ultrasound findings were included. Data were collected through medical history assessments, physical examinations, laboratory tests, and transient elastography. Multivariate logistic regression analysis was performed using SPSS 25 software. RESULTS: The findings revealed that age (p = 0.029), body mass index (BMI) ≥23 kg/m² (p < 0.001), abdominal circumference exceeding normal limits (p < 0.001), and dyslipidemia (p < 0.001) were significantly associated with NAFLD. However, blood pressure, gender, fasting blood sugar, aspartate aminotransferase (AST), and alanine aminotransferase (ALT) did not exhibit significant associations (p > 0.05). CONCLUSION: The study identified age, obesity, abdominal circumference, and dyslipidemia as the main contributing factors to NAFLD. Early detection and targeted intervention for metabolic risk factors are crucial in preventing disease progression.
The role of clinical supervision in transforming novice physical therapists into compassionate clinicians Anwar, Sahreen; Perveen, Wajida
Deka in Medicine Vol. 2 No. 1 (2025): April 2025
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2025.e556

Abstract

Clinical supervision is a pivotal process in developing beginning physical therapy practitioners into proficient clinicians. Transcending from internee to clinician requires systematic mentoring in order to gain confidence, professional identity, and therapeutic competencies. Physical therapy differs from other medical specialties with standardized diagnostic machines; rather, it is based on the clinical competence of the assessor in diagnosing and treating patients. Successful supervision enhances clinical proficiency alongside empathy, communication, and integrative patient care. However, maximizing supervision of physical therapy education continues to be a challenge. Clinical mentorship helps novice therapists present complex medical concepts in brief and empathetic terms to enhance trainees' as well as instructors' benefits. Successful rehabilitation communication has been linked to enhanced patient outcomes through research. Supervision also facilitates clinical decision-making by integrating evidence-based practice with interdisciplinary practice. Nevertheless, increased reliance on technology and artificial intelligence calls for technology-balancing with real-time mentorship. One of the primary supervision issues is the knowledge gap between supervisors and trainees. The majority of experienced clinicians have not been formally trained in educational techniques, which can undermine the quality of mentorship. Additionally, the rising prevalence of musculoskeletal disorders due to overuse of electronic devices necessitates new clinical knowledge, which needs to be integrated into training. Clinical supervision is crucial for the production of competent physical therapists. Mentorship can also be made more effective by supplementing it with formal training programs for supervisors and incorporating emerging healthcare issues into training. Strengthened clinical supervision will lead to better professional development, evidence-based decision-making, and finally better-quality patient care.
The role of parathyroid and bone scintigraphy in detecting multiple parathyroid adenomas with fibrous dysplasia: A case report Khairunnisa, Alifina; Budiawan, Hendra; Affandi, Erwin; Kartamihardja, Achmad
Deka in Medicine Vol. 2 No. 1 (2025): April 2025
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2025.e576

Abstract

BACKGROUND: Primary hyperparathyroidism is the leading cause of hypercalcemia, usually caused by a parathyroid adenoma and potentially leading to metabolic bone disorders. Fibrous dysplasia is a rare skeletal disorder that can coexist with hyperparathyroidism, although it is rarely found without McCune-Albright syndrome. CASE: A 31-year-old woman with a history of hemodialysis presented with progressive swelling of the upper and lower jaw over the past two years, accompanied by bone pain and fatigue. Laboratory tests revealed elevated parathyroid hormone levels, serum creatinine, and hypocalcemia. Magnetic resonance imaging (MRI) of the neck identified an isointense lesion in the left thyroid gland but failed to localize the parathyroid adenoma. 99mTc-Sestamibi parathyroid scintigraphy showed multiple adenomas in the lower poles of both thyroid lobes. 99mTc-MDP bone scintigraphy demonstrated a metabolic superscan pattern, leading to a diagnosis of primary hyperparathyroidism with polyostotic fibrous dysplasia. The patient underwent minimally invasive parathyroidectomy, which was histopathologically confirmed as bilateral inferior parathyroid adenomas. Postoperatively, the patient experienced significant symptom improvement, including reduced bone pain and improved quality of life. CONCLUSION: The coexistence of primary hyperparathyroidism and fibrous dysplasia without McCune-Albright syndrome is rare but important to recognize. Parathyroid and bone scintigraphy play a crucial role in diagnosis, assessing bone involvement, and planning appropriate therapy. A multimodal imaging approach enables early detection and more effective surgical strategies, improving clinical outcomes for patients.
Diagnostic challenges in assessing treatment responds of primary bone lymphoma: A case report Angelina, Arlene; Kusumahstuti, Kharisma; Darmawan, Budi; Hidayat, Basuki
Deka in Medicine Vol. 2 No. 1 (2025): April 2025
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2025.e570

Abstract

BACKGROUND: Primary Bone Lymphoma (PBL) is quite difficult to assess treatment responses because of limited access to 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT). Therefore, this study intends to highlight one case regarding alternative imaging modalities, such as technetium-99m methylene diphosphonate (99mTc-MDP) and technetium-99m methoxyisobutyl isonitrile (99mTc-MIBI), for activity assessment in tumors as well as their involvement in the marrow. CASE: A 17-year-old male with persistent pain and swelling in the left knee over one month underwent a bone biopsy that confirmed the diagnosis of Diffuse Large B-Cell Lymphoma (DLBCL) in the tibia. The patient was subjected to chemotherapy using cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP), followed by radiotherapy. PET/CT was unavailable; therefore, metabolic tumor evaluation was performed through 99mTc-MDP and 99mTc-MIBI scintigraphy for tumor activity and bone marrow involvement assessment. Bone scintigraphy with 99mTc-MDP showed increased tracer uptake in the proximal left tibia and distal left femur, indicating ongoing tumor activity. These findings were reinforced by the further assessment with 99mTc-MIBI, which confirmed high metabolic activity in these areas. Subsequently, a bone marrow biopsy evidenced infiltrative lymphoblasts constituting 24.8 percent infiltrating the involved marrow space, thus confirming the bone marrow being infiltrated. Hence, this patient received additional rituximab treatment to enhance treatment outcome. CONCLUSION: This case portrays the difficulties one faces while evaluating the treatment response in Primary Bone Lymphoma (PBL), as well as the role of 99mTc-MDP and 99mTc-MIBI scintigraphy as alternative metabolic imaging modalities in the absence of PET/CT.
The impact of assisted living facilities on hospitalization, length of stay, and mortality rates among the elderly: A systematic review and meta-analysis Sopacua, Andre; Haryanto, Ahmad; Soenarti, Sri
Deka in Medicine Vol. 2 No. 1 (2025): April 2025
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2025.e514

Abstract

BACKGROUND: With 21.3% of the global population aging, the demand for assisted living facilities (ALFs) for individuals with complex medical conditions has surged. However, residing in ALFs may be associated with higher hospital admission rates, longer hospital stays, and increased mortality compared to living at home. The exact relationship between ALFs and these adverse health outcomes remains unclear. OBJECTIVES: To determine the correlation between ALFs—including nursing homes (NH), home care (HC), and residential care (RC)—and hospitalization rates, length of hospital stay, and mortality compared to community-dwelling individuals. METHODS: A literature search was conducted across five databases, focusing on risk ratios for hospitalization and mortality, as well as mean changes in hospital duration. This study compared interventions involving NH, HC, and RC with community dwelling. Quality appraisal was performed using the Newcastle-Ottawa Scale (NOS), and a forest plot was generated using a random-effects model with 95% confidence intervals (CI). RESULTS: Community-dwelling individuals had a 1.21 times higher likelihood of hospitalization compared to those in ALFs (RR 1.21, 95% CI: 0.97–1.51, I²=100%, p=0.10). Subgroup analysis showed that individuals receiving HC and NH had lower hospitalization rates than those in community settings, while RC residents had a higher risk. Additionally, ALF residents experienced longer hospital stays compared to the control group [MD: -1.21 (95% CI: -3.06 to 0.65, I²=99%, p=0.20)]. Mortality rates were 2.83 times higher among community dwellers than ALF residents (RR 2.83, 95% CI: 1.43–5.61, I²=100%, p=0.003). Subgroup analysis also indicated lower mortality risks among individuals receiving RC, NH, and HC compared to those in community settings. CONCLUSION: ALFs are associated with an increased risk of hospitalization and mortality, as well as a shorter length of hospital stay.

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