Cermin Dunia Kedokteran https://cdkjournal.com/index.php/cdk <ol> <li><strong>Journal Title: </strong><a title="Cermin Dunia Kedokteran" href="https://cdkjournal.com/">Cermin Dunia Kedokteran</a></li> <li><strong>Initials: </strong>CDK</li> <li><strong>Frequency: </strong>12/ year</li> <li><strong>Online ISSN: </strong>2503-2720</li> <li><strong>Print ISSN: </strong>0125-913X</li> <li><strong>TD-PSE (Kominfo):</strong> 003119.02/DJAI.PSE/07/2022</li> <li><strong>DOI in Crossref: </strong>10.55175</li> <li><strong>Editor in Chief: </strong>Dr. dr. Budi Riyanto W., SpN</li> <li><strong>Publisher: </strong>PT Kalbe Farma Tbk.</li> <li><strong>Accreditation Number</strong>: <a href="https://cdkjournal.com/index.php/cdk/accreditation" target="_blank" rel="noopener">No. 152/E/KPT/2023</a><strong> (<a href="https://sinta.kemdikbud.go.id/journals?q=25032720" target="_blank" rel="noopener">SINTA 4</a>) </strong>Periode Akreditasi: Volume 48 Nomor 6 Tahun 2021 sampai Volume 53 Nomor 5 Tahun 2026 </li> </ol> PT Kalbe Farma Tbk. en-US Cermin Dunia Kedokteran 0125-913X Analysis of Risks of Low Energy Availability and Eating Disorders in Female Elite Dancers at X Dance School in Jakarta, Indonesia https://cdkjournal.com/index.php/cdk/article/view/1045 <p>Due to their aesthetic demand and high training load, ballet dancers are often at risk of low energy availability (LEA), with or without eating disorders (ED). A prolonged state of LEA may alter physiological function and lead to other major health concerns. This study aims to analyze the risk of LEA and eating disorders in female elite dancers at X dance school in Jakarta. This descriptive cross-sectional design study was followed by 11 dancers. Risk of LEA was assessed using the low energy availability in females questionnaire (LEAF-Q), eating behaviors using the eating attitude test (EAT-26) questionnaire, and body composition using the bioelectrical impedance analysis (BIA) instrument. A total of 18.2% of dancers were at risk of LEA (LEAF-Q score ≥8) and no dancers were at risk of eating disorders. The most common characteristics of LEA are gastrointestinal dysfunction (90.9%), followed by menstrual disturbance (45.5%), and musculoskeletal injury (9.1%). Compared to the first study in Indonesia, this study showed lower proportion of dancers at risk of LEA and ED at X dance school in Jakarta. Despite a lower proportion, most dancers experienced other characteristics of LEA, thus prevention and health management are required to reduce further health issues.</p> Nani Cahyani Sudarsono Ria Lestari Yose Natasa Copyright (c) 2024 Nani Cahyani Sudarsono, Ria Lestari, Yose Natasa https://creativecommons.org/licenses/by-nc/4.0 2024-06-03 2024-06-03 51 6 306 310 10.55175/cdk.v51i6.1045 Diagnosis and Management of Erythroderma https://cdkjournal.com/index.php/cdk/article/view/1086 <p>Erythroderma, also known as exfoliative dermatitis, is a diffuse inflammation-related skin disorder characterized by redness and scales affecting more than 90% of the body surface area. Its incidence is around 1 per 100,000 adults, with a mortality rate of 16% each year, especially in immunodeficient patients. Several conditions as the main cause include psoriasis (23%), atopic dermatitis (16%), drug hypersensitivity reactions (15%), and cutaneous T-cell lymphoma (CTCL) or Sezary syndrome (5%). Erythroderma is a potentially life-threatening condition requiring diagnosis, identification of the etiology, and appropriate management.</p> Nurrul Izza Misturiansyah Umi Miranti Ayu Lilyana Nuridah Muhammad Irsyad Amien R. Ristianto Yoga Copyright (c) 2024 Nurrul Izza Misturiansyah, Umi Miranti, Ayu Lilyana Nuridah, Muhammad Irsyad Amien, R. Ristianto Yoga https://creativecommons.org/licenses/by-nc/4.0 2024-06-03 2024-06-03 51 6 311 315 10.55175/cdk.v51i6.1086 Thyrotoxicosis Cardiomyopathy https://cdkjournal.com/index.php/cdk/article/view/1074 <p>Thyrotoxicosis refers to a syndrome caused by excessive secretion of thyroid hormone (hyperthyroidism). Changes in thyroid hormone levels directly affect the occurrence of abnormal changes in the structure and/or function of the heart, leading to cardiomyopathy, and increase the risk of complications such as heart failure and life-threatening arrhythmias. Global data shows approximately 1% of thyrotoxicosis patients develop dilated cardiomyopathy, leading to severe impairment of left ventricular function and cardiogenic shock. Early diagnosis and proper management are necessary for a better outcome and prognosis.</p> Nikolaus Lizu Tallo Meri Estivo Sihombing Copyright (c) 2024 Nikolaus Lizu Tallo, Meri Estivo Sihombing https://creativecommons.org/licenses/by-nc/4.0 2024-06-03 2024-06-03 51 6 316 320 10.55175/cdk.v51i6.1074 Saphenous Vein Graft (SVG) Stenosis Revascularization with Percutaneous Coronary Intervention (PCI) https://cdkjournal.com/index.php/cdk/article/view/983 <p>Coronary artery bypass grafting (CABG) is the most ideal and frequently performed procedure for multi-vascular coronary artery stenosis, but its long-term prognosis is unfavorable. A 64-year-old male with a history of coronary artery graft surgery seven years ago complained of recurrent chest pain radiating to the jaw, relieved by isosorbide dinitrate. Physical examination, electrocardiography, and echocardiography test results were within normal limits. Laboratory results showed critical blood urea nitrogen (BUN) values requiring hemodialysis, on angiographic examination showed stenosis in all grafted and native coronary arteries. The diagnoses were grade III coronary artery disease and renal failure. Percutaneous coronary intervention using a drug-eluting stent (DES) in the saphenous vein graft conduit of the right coronary artery was performed, along with dual antiplatelet agents, b-blockers, nitrates, and statins.</p> Amalia Nurjanah Wynne Putradana Djoen Herdianto Copyright (c) 2024 Amalia Nurjanah, Wynne Putradana, Djoen Herdianto https://creativecommons.org/licenses/by-nc/4.0 2024-06-03 2024-06-03 51 6 321 324 10.55175/cdk.v51i6.983 Management of Acute Coronary Syndrome with ST Segment Elevation aVR Leads in Hospitals with Limited Facilities https://cdkjournal.com/index.php/cdk/article/view/934 <p>Analysis of aVR leads on electrocardiography (ECG) is often given less attention, when in fact ST-segment elevation in aVR leads and diffuse ST-segment depression in other leads indicates circumferential subendocardial ischemia, which can be caused by left main coronary artery occlusion (LMCA) or three-vessel coronary artery disease (3VD) and is associated with a poor prognosis. An 83-year-old male came to the emergency room with chest pain for 18 hours. The ECG showed ST-segment elevation in the aVR with diffuse ST-segment depression in the anteroinferolateral leads. He was diagnosed with acute coronary syndrome (ACS), suspected occlusion of the left main coronary artery (LMCA), and a differential diagnosis of three-vessel coronary artery disease (3VD). Examination of cardiac markers and cardiac catheterization facilities were not available. A loading dose of aspirin and clopidogrel was given. During in-hospital treatment, ECG evaluation showed improvement of aVR ST-segment elevation. Early recognition of ACS with aVR ST-segment elevation and prompt early management are important.</p> David Kristianus Yuliana Rias Mayasari Leona Friyanti Ngadiah Copyright (c) 2024 David Kristianus, Yuliana Rias Mayasari, Leona Friyanti Ngadiah https://creativecommons.org/licenses/by-nc/4.0 2024-06-03 2024-06-03 51 6 325 329 10.55175/cdk.v51i6.934 Hearing Improvement in Autoinflated Otitis Media Effusion Patients https://cdkjournal.com/index.php/cdk/article/view/1024 <p><strong>Background:</strong> Otitis media with effusion (OME) is the presence of middle ear fluid without acute ear infection signs or symptoms. OME is one of the causes of hearing loss. Chronic asymptomatic OME could be managed by careful waiting for 3 months because it is a self-limiting disease. During surveillance, autoinflation is a beneficial intervention with minimal side effects and high adherence. <strong>Objective:</strong> To evaluate the effectiveness of autoinflation to improve hearing in otitis media with effusion and hearing loss. <strong>Methods</strong>: Literature searching was conducted through PubMed, Cochrane, ScienceDirect, Scopus, and EBSCOHost with inclusion and exclusion criteria. The articles were selected and underwent critical appraisal using rapid critical appraisal of systematic review and level of evidence by the Oxford Centre for Evidence-based Medicine in 2011. <strong>Result:</strong> One systematic review and meta-analysis, or RCT, met the criteria. This article revealed a pooled estimate of RR 1.74; 95% CI [1.22-2.50] with a Z-score of 3.02 (p=0.0025). This result showed substantial significant (p=0.01) heterogeneity (I2=69%). <strong>Conclusion</strong>: OME patients with hearing loss who performed autoinflation &gt;1 month had a 1.74 times greater chance of achieving hearing improvement than controls. Autoinflation with the Politzer method gives significant results in improving hearing loss. Large-scale RCT research is recommended to evaluate the effectiveness of autoinflation with the Politzer method or other available methods in OME patients with hearing loss.</p> Ugiadam Farhan Firmansyah Kemal Akbar Suryoadji Jenny Bashirudin Brastho Bramantyo Widayat Alviandi Copyright (c) 2024 Ugiadam Farhan Firmansyah, Kemal Akbar Suryoadji, Jenny Bashirudin, Brastho Bramantyo, Widayat Alviandi https://creativecommons.org/licenses/by-nc/4.0 2024-06-03 2024-06-03 51 6 330 339 10.55175/cdk.v51i6.1024 Predictive Factors of Early Recurrence of Pancreatic Adenocarcinoma After Curative Resection Surgery https://cdkjournal.com/index.php/cdk/article/view/965 <p><strong>Introduction</strong>: Pancreatic adenocarcinoma stands as one of the most devastating forms of cancer, with a survival rate of less than 5% after 5 years. Despite resection surgery being the only curative option, recurrence occurs in up to 85% of cases. It is crucial to identify factors that can accurately predict the probability of recurrence for more effective management strategies. <strong>Method</strong>: Following the PRISMA guidelines, a systematic review was carried out by extracting relevant studies from the PubMed MEDLINE database. <strong>Results</strong>: A total of 1,345 studies were initially identified, and 34 studies were analyzed. A total of thirty-five predictive factors were identified and classified into preoperative and postoperative categories. These factors were be further subdivided into patient characteristics, biomarkers, tumor characteristics, and genetics. The most frequently observed factors were lymph node metastasis, serum CA 19-9 level, and tumor size. <strong>Conclusion</strong>: Preoperative and postoperative patient characteristics, genetics, biomarkers, and tumor characteristics data can be utilized to predict and implement suitable follow-up strategies aimed at enhancing patient survival rates.</p> Muhammad Faza Soelaeman Favian Ariiq Rahmat Aji Wahyu Wardhana Copyright (c) 2024 Muhammad Faza Soelaeman, Favian Ariiq Rahmat, Aji Wahyu Wardhana https://creativecommons.org/licenses/by-nc/4.0 2024-06-03 2024-06-03 51 6 340 351 10.55175/cdk.v51i6.965 Use of Low Level Laser in Cosmetic Dermatology https://cdkjournal.com/index.php/cdk/article/view/991 <p><em>Low level laser therapy</em> (LLLT) is used in almost all areas of modern medicine, including cosmetic dermatology. LLLT has been beneficial for the treatment of wrinkles, acne vulgaris, hypertrophic scars, hair loss, cellulite, and burns. LLLT can reduce UV damage both as a treatment and as a prophylaxis. In pigmentation disorders such as vitiligo, LLLT can increase pigmentation by stimulating melanocyte proliferation and reducing depigmentation. The non-invasive nature and near absence of side effects of LLLT encourage further research in cosmetic dermatology. </p> Mutia Fadhila Sy Nelva Karmila Jusuf Copyright (c) 2024 Mutia Fadhila Sy, Nelva Karmila Jusuf https://creativecommons.org/licenses/by-nc/4.0 2024-06-03 2024-06-03 51 6 352 356 10.55175/cdk.v51i6.991 Use of CONUT Score for Determination of Ischemic Stroke Patients https://cdkjournal.com/index.php/cdk/article/view/1054 <p>Stroke patients are vulnerable to malnutrition, which is associated with poor outcomes, both in the acute and rehabilitation phases. Malnutrition at admission and one week after admission is a predictor of poor outcomes within or after three months of stroke. Adequate nutritional assessment and management are necessary to improve the outcomes of stroke patients. The CONUT score can be used for nutrition assessment in stroke patients.</p> Agustiawan Dewi Novita Ayu Meilina Copyright (c) 2024 Agustiawan, Dewi Novita, Ayu Meilina https://creativecommons.org/licenses/by-nc/4.0 2024-06-06 2024-06-06 51 6 357 360 10.55175/cdk.v51i6.1054 Pain Management in Critical Patients in the ICU https://cdkjournal.com/index.php/cdk/article/view/1044 <p>Critically ill patients are patients in life-threatening conditions and will result in significant increment of mortality and morbidity if not given immediate medical intervention. Critically ill patients, especially those using ventilators, often experience pain. Pain can be caused by interventions or procedures in the ICU or by other unknown causes. Pain management in critically ill patients can be non-pharmacological or pharmacological.</p> Laurencia Ardi Copyright (c) 2024 Laurencia Ardi https://creativecommons.org/licenses/by-nc/4.0 2024-06-03 2024-06-03 51 6 361 366 10.55175/cdk.v51i6.1044