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Association of adipokines with major adverse cardiovascular events following acute myocardial infarction: a systematic reviewand meta-analysis

Association of adipokines with major adverse cardiovascular events following acute myocardial infarction: a systematic reviewand meta-analysis

19

Authors
Auda Nadira 1,3, Sunita Sunita 3,4,6, Bima Diokta Alparisi3,7, Amanda Cheryl Fayza3,5, Nur Syifa Rahmatika1,3, Putri Karisa3,4, Nova Sylviana2,3 and Mas Rizky A.A Syamsunarno2,3

Affiliations

1Master Study Program of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia

2Department of Biomedical Sciences, Faculty of Medicine Universitas Padjadjaran, Bandung, West Java, Indonesia

3Cardiometabolic Working Group Study, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia

4Doctoral Program, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia

5Bachelor Study Program, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia

6Department of Medical Laboratory Technology, Poltekkes Kemenkes Bengkulu, Bengkulu, Indonesia

7Clinical Professional Program, RSUD Arifin Achmad, Faculty of Medicine, Universitas Riau, Pekanbaru, Riau, Indonesia

Background

• Major adverse cardiovascular events (MACE) remain a leading cause of poor prognosis after acute myocardial infarction (AMI).

• Adipokines from fat tissue may add cardiometabolic risk information beyond conventional measures.

Methods

• Systematic review and meta-analysis of adiponectin and visfatin levels in adult AMI patients with and without MACE.

• Five cohort studies (707 patients) from China, Taiwan, Japan, and Poland were included.

Key Results

• Adiponectin levels were lower in patients who had MACE.

• Visfatin levels were significantly higher in the MACE group.

Discussion & Conclusion

• Lower adiponectin and higher visfatin are associated with MACE after AMI.

• BMI did not show significant discriminatory value.

Related SDGs

SDG 3: Good Health and Well-Being – Improving risk prediction after heart attack

Journal Information

Journal: BMC Cardiovascular Disorders

DOI: https://doi.org/10.1186/s12872-026-06120-0

Pretreatment out-of-pocket costs for people with drug-resistant tuberculosis in Bandung, Indonesia

Pretreatment out-of-pocket costs for people with drug-resistant tuberculosis in Bandung, Indonesia

18

 

Authors 
Bony Wiem Lestari 1,2, Silvi Indriani 2, Adriana Viola Miranda2, Dyah Ayu Nur Safira 2, Nur Ayu Fitriani2, Raden Desy Nurhayati3, Mirza Purwitasari4, Almira Alifia2, Alamanda Larasmanah2, Iceu Dimas Kulsum5,6, Arto Yuwono Soeroto5,6

Affiliations
1 Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia, 2 Tuberculosis Working Group, Research Center for Care and Control of Infectious Diseases, Universitas Padjadjaran, Bandung, Indonesia, 3Department of Internal Medicine, Dr. H. A. Rotinsulu Pulmonary Hospital, Bandung, West Java, Indonesia, 4 Community Lung Health Center, Bandung, West Java, Indonesia, 5 Department of Internal Medicine, Faculty of Medicine Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia, 6Department of Internal Medicine, Division of Respirology and Critical Care Medicine, Faculty of Medicine Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia

Background

• People with drug-resistant TB (DR-TB) make multiple healthcare visits before diagnosis and treatment.

• This study quantified pretreatment direct costs and the factors linked to higher costs.

Methods

• Cross-sectional study at three DR-TB referral centers in Bandung (February 2023–February 2024).

• 258 adults with pulmonary DR-TB were interviewed about their out-of-pocket costs.

• Costs were analysed descriptively, and quantile regression identified factors linked to higher costs.

Key Results

• The median pretreatment direct cost was USD 44.6 per person (excluding hospitalization).

• Major contributors were hospitalization ($67.3), travel ($13.7), chest radiography ($11.2), and medication ($10.8).

• Higher costs were linked to rural residence, seven or more provider visits, and a first visit to a hospital or private primary care.

Discussion & Conclusion

• People with DR-TB in Indonesia incur substantial costs before treatment even begins.

• Stronger TB diagnostic infrastructure and public–private sample referral networks in rural areas can reduce extra visits and financial burden.

Related SDGs

SDG 1: No Poverty – Easing the financial burden on patients and families

SDG 3: Good Health and Well-Being – Reducing barriers to drug-resistant TB care

Journal Information

Journal: PLoS ONE
DOI: https://doi.org/10.1371/journal.pone.0352658

Successful treatment of rare non-dermatophyte onychomycosis caused by Chaetomium spp. with oral fluconazole and topical terbinafine combination – A case report from Indonesia and literature review

Successful treatment of rare non-dermatophyte onychomycosis caused by Chaetomium spp. with oral fluconazole and topical terbinafine combination – A case report from Indonesia and literature review

17

Authors

Siti N. Kholidaha,b,c,*, Agnes S. Siswatid, Tri Wibawac

Affiliations

aDepartment of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran, Eyckman 38, Bandung, IndonesiabCenter for Translational Biomarker Research, Universitas Padjadjaran, Eyckman 38, Bandung, IndonesiacDepartment of Microbiology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, IndonesiadDepartment of Dermatology, Venereology and Esthetica, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

Background

• Non-dermatophyte mold onychomycosis is rare, and Chaetomium spp. is an extremely rare cause, with fewer than 20 cases reported worldwide.

• Misdiagnosis often leads to treatment failure and relapse.

Methods

• Case report of the first documented Chaetomium onychomycosis in Indonesia, in a 29-year-old immunocompetent woman.

• Identified by direct microscopy and culture; antifungal susceptibility testing guided treatment.

Key Results

• The fungus was resistant to itraconazole and ketoconazole but sensitive to terbinafine and fluconazole.

• Three months of topical terbinafine, salicylic acid, and oral fluconazole achieved complete remission, with no recurrence at three months.

Discussion & Conclusion

• Rare mold pathogens should be considered in refractory nail infections.

• Antifungal susceptibility testing is critical for guiding combination therapy.

Related SDGs

SDG 3: Good Health and Well-Being – Improving diagnosis and treatment of rare infections

Journal Information

Journal: International Journal of Medical Microbiology

DOI: https://doi.org/10.1016/j.ijmm.2026.151728

Acute Knee Flexion Limitation After Sudden Extension: A Clinical Framework Integrating Effusion Decompression and Rotatory Tibial Realignment

Acute Knee Flexion Limitation After Sudden Extension: A Clinical Framework Integrating Effusion Decompression and Rotatory Tibial Realignment

16

Authors
Herry Herman 1,2, Fathurachman Fathurachman 1,2

Affialitions
1Departement Orthopaedic Surgery and Traumatology, Faculty of Medicine Universitas Padjadjaran, Bandung, 40161, Indonesia; 2RS Unpad University Hospital, Jatinangor, 45363, Indonesia

Background

• Acute inability to flex the knee after a sudden extension event is usually attributed to structural damage.

• Some patients have non-mechanical limitation that resolves without invasive treatment.

Methods

• Narrative review and conceptual synthesis on arthrogenic muscle inhibition, knee effusion, and rotational knee biomechanics.

• Combined with clinical observations to build a bedside assessment framework.

Key Results

• A four-component framework: (1) aspirate knee effusion; (2) assess gravity-assisted passive flexion; (3) pain-limited, alignment-facilitated motion; (4) confirm restoration of symmetric motion.

Discussion & Conclusion

• Acute knee flexion limitation may not always reflect fixed mechanical obstruction.

• The framework is hypothesis-generating and needs prospective clinical validation.

Related SDGs

1. SDG 3 – Good Health and Well-Being
The article addresses an orthopedic clinical problem and proposes a framework to improve clinical assessment and management of acute knee flexion limitation. It aims to support clinical reasoning and potentially improve patient care, although the framework still requires prospective validation.

2. SDG 9 – Industry, Innovation and Infrastructure
The article presents a new conceptual clinical framework integrating effusion-mediated inhibition and rotational knee biomechanics. However, it does not develop a new medical technology, device, or infrastructure.

Journal Information

Journal: Orthopedic Research and Reviews

DOI: https://doi.org/10.2147/ORR.S621455

Lipid Profile Differences in HIV‐Infected Populations With Metabolic Dysfunction‐Associated Steatotic Liver Disease: A Systematic Review and Meta‐Analysis

Lipid Profile Differences in HIV‐Infected Populations With Metabolic Dysfunction‐Associated Steatotic Liver Disease: A Systematic Review and Meta‐Analysis

15

Authors
Yovita Hartantri1 | Sherly Lawrensia2 | Steven Yulius Usman3 | Nenny Agustanti4 | Rudi Wisaksana1 | Nanny Natalia Mulyani Soetedjo5 | Bachti Alisjahbana1

Affiliations

1Division of Tropical and Infectious Diseases, Department of Internal Medicine, Hasan Sadikin General Hospital, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia | 2Department of Internal Medicine, Hasan Sadikin General Hospital, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia | 3School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia | 4Division of Gastroenterohepatology, Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia | 5Division of Endocrine and Metabolism, Department of Internal Medicine, Hasan Sadikin General Hospital, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia

Background

• People living with HIV (PLWH) now live longer, so chronic conditions matter more.

• Dyslipidemia and other metabolic risks for MASLD (metabolic dysfunction-associated steatotic liver disease) are common in PLWH.

Methods

• Systematic review and meta-analysis following PRISMA, registered in PROSPERO.

• Seven databases searched; 17 studies with 3,933 HIV-positive participants were included.

• Mean differences were calculated using a random-effects model.

Key Results

• 1,226 participants (37%) had MASLD.

• Male sex and higher BMI were associated with MASLD.

• MASLD patients had higher total cholesterol, LDL, and triglycerides, and lower HDL.

Key Results

• 1,226 participants (37%) had MASLD.

• Male sex and higher BMI were associated with MASLD.

• MASLD patients had higher total cholesterol, LDL, and triglycerides, and lower HDL.

Discussion & Conclusion

• PLWH who develop MASLD show a distinct lipid profile.

• This may represent a metabolic signature of the condition.

Related SDGs

SDG 3 – Good Health and Well-Being

The study focuses directly on HIV, MASLD, metabolic disorders, lipid abnormalities, screening, early intervention, and long-term health outcomes. The authors specifically conclude that routine lipid assessment and targeted MASLD screening are important components of HIV care.

SDG 10 – Reduced Inequalities

The research specifically concerns people living with HIV (PLWH), a population requiring particular attention in healthcare. The article also examines differences across sex, ethnicity, and geographical regions, although these factors were not the main intervention or objective of the study

Journal Information

Journal: Chronic Diseases and Translational Medicine

DOI: https://doi.org/10.1002/cdt3.70028

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