BACKGROUND

Burn injuries remain a significant global public health problem, causing substantial morbidity, mortality, and economic burden, particularly in low- and middle-income countries where nearly 90% of cases occur. Despite the importance of timely and appropriate first aid in reducing complications, community responses to burn injuries in many settings continue to rely on traditional or non-evidence-based practices.

OBJECTIVES

This qualitative phenomenological study explored community-based knowledge and responses related to the causes and first aid of burn injuries.

METHODS

The study involved ten (10) purposively selected informants residing in South Mangga Dua Urban Village, Central Jakarta, Indonesia. Data collection methods included semi-structured interviews, direct observations, and focus group discussions (FGDs). Thematic analysis was used.

RESULTS

Three (3) core domains were identified: (1) community perceptions of burn causes and classifications, (2) indigenous first aid practices used in domestic settings, and (3) sources of knowledge and information pathways related to burn first aid. Participants commonly attributed burns to incidents involving fire, hot liquids, and electrical faults. Their understanding of burn severity was limited to superficial assessments, with little awareness of clinical classifications. First aid responses were largely based on traditional practices such as the application of toothpaste, honey, or aloe vera, while evidencebased practices like using running water were rarely mentioned. Notably, most participants relied on familial teachings and informal community experiences as their primary sources of knowledge, with limited exposure to health professionals or verified media content.

CONCLUSION

Community knowledge is culturally rooted but misaligned with medical standards, potentially leading to unsafe practices. Culturally sensitive health education integrating traditional beliefs and accurate information is essential to improve outcomes in burn injury management.

Wounds And Injuries ; Residence Characteristics ; Public Health ; Mortality ; Insemination, Artificial, Heterologous ; Income ; Financial Stress ; Burns ; Health Education ; Attitude ; First Aid ; Medicine ; Health Communication ; Urban Population

Background: Transitioning HIV care toward a client-centered model is a key strategy for improving treatment outcomes and controlling the spread of HIV infection. Evaluating service accessibility, quality, and client satisfaction is essential for improving strategic planning and strengthening health service delivery. Aim: To assess the accessibility and quality of client-centered health services among people living with HIV. Materials and methods: A facility-based cross-sectional study was conducted. Data were collected using structured questionnaires from 50 clients and 30 health managers who participated voluntarily. The reliability of the questionnaire, measured using Cronbach’s alpha, ranged from 0.673 to 0.783. Data were analyzed using SPSS version 23.0 with both descriptive and analytical statistical methods. Quantitative variables were summarized using means and standard deviations, and statistical significance was determined at p < 0.05. Results: HIV-related services were found to be highly centralized at the NCCD, particularly for blood testing (96.8%) and inpatient care (71.4%). Overall, 84% of clients reported the need to access services outside NCCD, with the highest demand for internal medicine (32%), dental services (14%), and surgical services (14%). Among the barriers to accessing care, 75% were related to stigma and discrimination associated with HIV status, while 18% were linked to healthcare workers’ attitudes. In addition, 56.7% of healthcare facilities had not conducted HIV-related training, and only 40% had dedicated rooms ensuring confidentiality. Client satisfaction was strongly correlated with healthcare providers’ attitudes and communication (R = 0.614) and confidentiality (R = 0.578), both showing significant associations (p = 0.000). Conclusion HIV services remain highly centralized at NCCD, while the readiness of primary and referral healthcare facilities remains insufficient. Strengthening a client-centered care approach requires improving healthcare workers’ attitudes and communication, ensuring confidentiality, and implementing continuous HIV-related training for healthcare providers.

Background: People living with human immunodeficiency virus (HIV) are at increased risk of developing opportunistic infections and malignancies due to immunosuppression. Among these, Kaposi’s sarcoma (KS) and lymphoma are malignant conditions affecting mucocutaneous tissues and are considered multifocal angioproliferative disorders, as originally described by Moritz Kaposi. These conditions are more likely to occur in individuals with uncontrolled viral replication and low CD4 cell counts. In Mongolia, although the overall prevalence of HIV infection remains low and early initiation of antiretroviral therapy (ART) has reduced the incidence of opportunistic infections, cases of AIDS-related malignancies continue to be reported. Therefore, evaluating the clinical presentation, diagnosis, and treatment outcomes of malignancies in HIV-infected patients is of significant importance. Aim: To present a case of Kaposi’s sarcoma in a patient living with HIV in Mongolia, and to describe the clinical course, diagnostic findings, treatment outcomes, and the impact of antiretroviral therapy (ART). Materials and Methods: This case report is based on a descriptive analysis of a single patient. Clinical data, including medical history, physical examination findings, laboratory parameters (CD4 cell count and viral load), imaging studies, histopathological results, treatment course, and outcomes were collected from the medical records of the National Center for Communicable Diseases and analyzed qualitatively. Case Presentation: A 35-year-old male patient presented with oral lesions that first appeared in June 2010 and progressively increased in number and size. In July 2010, he underwent computed tomography (CT), magnetic resonance imaging (MRI), and histopathological examination in the Republic of Korea, which confirmed the diagnosis of Kaposi’s sarcoma and lymphosarcoma. The patient was enrolled in care at the National Center for Communicable Diseases on September 2, 2010. According to his history, he had lived in Taiwan for the past 10 years and reported having sex with men. On October 22, 2010, his CD4 cell count was 282 cells/ml and viral load was 210,000 copies/ml. Antiretroviral therapy (tenofovir/lamivudine/efavirenz) was initiated. Between 2010 and 2011, he received six cycles of chemotherapy (DOX, CTX, VCR), and surgical excision of skin lesions was performed. Following treatment, the Kaposi’s sarcoma and lymphosarcoma lesions regressed significantly. By August 31, 2012, his CD4 cell count had increased to 535 cells/µL. Conclusion This case demonstrates that HIV-infected patients are at high risk of developing AIDS-defining malignancies due to immunosuppression. Early initiation of antiretroviral therapy (ART) played a crucial role in immune restoration, as evidenced by the increase in CD4 cell count. In addition, combined treatment with chemotherapy contributed to tumor regression and clinical improvement.

Background: Mycoplasma and Ureaplasma species are considered part of the normal genitourinary microbiota; however, when present in excessive amounts, they may become pathogenic and cause symptoms such as dysuria, vaginal discharge, and lower abdominal pain. Due to the lack of specific clinical manifestations, these infections may remain undiagnosed or be misidentified as other inflammatory conditions. Disseminated infection caused by Mycoplasma and Ureaplasma is rare. Case Presentation: A 27-year-old female presented with progressive pelvic pain and was initially discharged without a definitive diagnosis. The disease subsequently worsened, and laboratory as well as imaging studies revealed a complicated pelvic infection with concurrent pregnancy. Despite surgical intervention and intensive treatment, the patient died due to severe pelvic purulent inflammation, sepsis, septic shock, and multiple organ failure. Multiplex PCR testing was positive for Mycoplasma genitalium (+), Mycoplasma hominis (+), Ureaplasma parvum (+), and Ureaplasma urealyticum (+). The final clinical diagnosis was consistent with the pathological findings. Conclusion Pelvic disease caused by Mycoplasma and Ureaplasma often presents with nonspecific symptoms, making differential diagnosis challenging. In this case, concurrent pregnancy and the use of analgesic medication may have obscured the disease progression. Comprehensive clinical assessment, close observation, appropriate diagnostic testing, and contact tracing with epidemiological investigation are essential in suspected sexually transmitted infections.

Ischemic stroke (IS) is the most recorded case of stroke that is caused by decreased blood flow to the brain. Nowadays, therapeutical agents for IS are limited and they have not shown maximum clinical results. Therefore, the exploration of new candidates for IS treatment continues to be done. Zebrafish as one of the animal models has its advantages and currently is being developed to be incorporated into the drug discovery pipeline of IS. This review explores the latest applications of the zebrafish model in screening potential therapeutic agents for IS. Key factors related to the experimental design such as developmental stage and strain, routes of drug administration, induction methods, and experimental parameters are also elaborated. Finally, this review offers future recommendations for the use of zebrafish in the pre-clinical study of IS. This review is beneficial as a reference for establishing drug screening protocols using the zebrafish IS model.

Purpose: This study aimed to evaluate the efficacy of oil massage as an adjunct therapy for neonatal jaundice during phototherapy. Methods: A total of 160 neonates with unconjugated hyperbilirubinemia were enrolled and randomly allocated into two study groups using a computer-generated random number table.Group 1 (Intervention Group) consisted of 84 patients who received both phototherapy and massage therapy, while Group 2 (Control Group) consisted of 76 patients who received only phototherapy. The intervention group underwent massage therapy three times daily for 20 minutes over two consecutive days. Transcutaneous bilirubin levels were measured every eight hours. Additionally, the total duration of phototherapy and the 24-hour stool and urine output frequency were recorded in both groups. Results: There were no significant differences in the demographic characteristics between the two groups. However, stool frequency and urine output were significantly higher in the intervention group. The average duration of phototherapy was 19.4±4.17 hours in the intervention group compared to 28.4±6.58 hours in the control group (p<0.001). The rate of Transcutaneous bilirubin reduction was significantly higher in the intervention group during the first 24 hours. A rebound increase in bilirubin levels was observed at 40 and 48 hours in both groups after phototherapy was discontinued. Conclusion Phototherapy combined with massage significantly reduced total bilirubin levels in newborns with neonatal hyperbilirubinemia, making it a valuable adjunct treatment for the rapid reduction of bilirubin in neonates.

Background: Understanding the relationship between muscle mass, muscle strength, and bone density in older adults is crucial for addressing age-related conditions like osteoporosis and sarcopenia. This review aims to evaluate the relationship between muscle mass and muscle strength with bone density in older adults. Methods: This systematic review, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, involved a comprehensive search across seven databases from 2014 to April 2024. Included were observational studies in English and Indonesian on adults aged 60 and older. The Appraisal Tool for Cross-Sectional Studies (AXIS) tool assessed the risk of bias, and the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) framework evaluated the evidence quality. Study selection was independently reviewed, and consensus was reached through discussion. Results: Ten studies were included. For muscle mass and bone density, five studies showed a significant association, while four did not. For muscle strength and bone density, four of seven studies reported a significant association. However, the evidence quality was low due to inconsistency. Conclusion The relationship between muscle mass, muscle strength, and bone density in older adults shows variability and inconsistent evidence.

Background: Understanding the relationship between muscle mass, muscle strength, and bone density in older adults is crucial for addressing age-related conditions like osteoporosis and sarcopenia. This review aims to evaluate the relationship between muscle mass and muscle strength with bone density in older adults. Methods: This systematic review, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, involved a comprehensive search across seven databases from 2014 to April 2024. Included were observational studies in English and Indonesian on adults aged 60 and older. The Appraisal Tool for Cross-Sectional Studies (AXIS) tool assessed the risk of bias, and the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) framework evaluated the evidence quality. Study selection was independently reviewed, and consensus was reached through discussion. Results: Ten studies were included. For muscle mass and bone density, five studies showed a significant association, while four did not. For muscle strength and bone density, four of seven studies reported a significant association. However, the evidence quality was low due to inconsistency. Conclusion The relationship between muscle mass, muscle strength, and bone density in older adults shows variability and inconsistent evidence.

Ischemic stroke (IS) is the most recorded case of stroke that is caused by decreased blood flow to the brain. Nowadays, therapeutical agents for IS are limited and they have not shown maximum clinical results. Therefore, the exploration of new candidates for IS treatment continues to be done. Zebrafish as one of the animal models has its advantages and currently is being developed to be incorporated into the drug discovery pipeline of IS. This review explores the latest applications of the zebrafish model in screening potential therapeutic agents for IS. Key factors related to the experimental design such as developmental stage and strain, routes of drug administration, induction methods, and experimental parameters are also elaborated. Finally, this review offers future recommendations for the use of zebrafish in the pre-clinical study of IS. This review is beneficial as a reference for establishing drug screening protocols using the zebrafish IS model.

Purpose: This study aimed to evaluate the efficacy of oil massage as an adjunct therapy for neonatal jaundice during phototherapy. Methods: A total of 160 neonates with unconjugated hyperbilirubinemia were enrolled and randomly allocated into two study groups using a computer-generated random number table.Group 1 (Intervention Group) consisted of 84 patients who received both phototherapy and massage therapy, while Group 2 (Control Group) consisted of 76 patients who received only phototherapy. The intervention group underwent massage therapy three times daily for 20 minutes over two consecutive days. Transcutaneous bilirubin levels were measured every eight hours. Additionally, the total duration of phototherapy and the 24-hour stool and urine output frequency were recorded in both groups. Results: There were no significant differences in the demographic characteristics between the two groups. However, stool frequency and urine output were significantly higher in the intervention group. The average duration of phototherapy was 19.4±4.17 hours in the intervention group compared to 28.4±6.58 hours in the control group (p<0.001). The rate of Transcutaneous bilirubin reduction was significantly higher in the intervention group during the first 24 hours. A rebound increase in bilirubin levels was observed at 40 and 48 hours in both groups after phototherapy was discontinued. Conclusion Phototherapy combined with massage significantly reduced total bilirubin levels in newborns with neonatal hyperbilirubinemia, making it a valuable adjunct treatment for the rapid reduction of bilirubin in neonates.