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Promoting Precision Medicine

Precision medicine will enable each patient to receive more sensitive screening, more precise diagnoses, and more effective medical treatment. Not long ago, Deputy Health Minister Dante Saksono Harbuwono said precision medicine was a necessity for future health services. Precision medicine will enable each patient to receive more sensitive screening, more precise diagnoses, and more effective medical treatment. This was conveyed by Dante in his inaugural speech as Professor of Internal Medicine at the School of Medicine, University of Indonesia (Kompas, 23/8/2022).

A Hybrid University-Hospital Based Medical Education to Overcome Scarcity of Specialists

Budi Gunawan Sadikin, Minister of Health, made a startling statement at the end of 2022: we are experiencing a shortage of specialist doctors. The number of specialist doctors available is insufficient to meet national demands. Furthermore, the distribution of specialist doctors is uneven, with the majority concentrated in major cities. We require the deployment of thousands of specialist doctors to small towns, areas outside of Java, as well as remote and underdeveloped areas. According to the Minister, one regional public hospital requires at least seven specialist doctors. According to WHO eligibility standards, Indonesia requires at least one doctor for every 1,000 people, or 1 : 1,000. Indonesia, with a population of approximately 275 million people, requires approximately 275,000 doctors.

Selectively mixed matrix hemodialysis membrane for adequate clearance of p-cresol by the incorporation of imprinted zeolite

Abstract The adequacy in uremic toxin removal upon hemodialysis treatment is essential in patients with kidney failure diseases as poor removal leads to heart failure, hypertension, and stroke. The combination of adsorption and diffusion processes has become very advantageous for hemodialysis membranes. By this mechanism, water-soluble uremic toxins (WSUTs) and protein-bounded uremic toxins (PBUTs) could be removed at one time. Therefore, this study aimed to develop a novel imprinted zeolite by p-cresol (IZC) and then incorporated it into polyethersulfone (PES) and poly(vinyl pyrrolidone) (PVP) to produce hollow fiber mixed matrix membrane (HF-MMM). The IZC proved to be sensitive in attracting the adsorbate, classifying it as having a strong adsorption behavior.

Acute Kidney Failure according to UNAIR Nephrologist

UNAIR NEWS – The rise of mysterious cases of acute kidney failure in early October has been a hot topic. Approximately 131 children in 14 provinces in Indonesia experienced acute kidney failure, the cause was unknown at that time. The Food and Drug Supervisory Agency (BPOM) then gave a statement that the cause of acute kidney failure in children was due to the consumption of syrup containing chemicals that exceeded the threshold, such as Ethylene Glycol (EG) and Diethylene Glycol (DEG). According to Prof. Djoko Santoso dr. PhD SpPD KGH FINASIM, an Internal Medicine Professor of Universitas Airlangga (UNAIR) and Kidney-Hipertension Consultant, acute kidney failure is a disruption of kidney function that happens fast and suddenly marked by the increase of creatinine serum or decreasing urine production.

2023 Health Agenda

Let's close 2022 with optimism, hopefully the pandemic status of COVID-19 can be revoked in 2023. And we hope that the health transformation will increase Indonesia's health resilience. We also hope that there can be a solution to the pros and cons regarding the Health Bill (RUU). Recently, there was a wave of protests against the Omnibus Health Bill, which was an initiative of the House of Representatives (DPR). Several health and medical professional institutions, such as the Indonesian Doctors Association (IDI), the Indonesian Dentists Association (PDGI), the Indonesian Pharmacist Association (IAI), the Indonesian National Nurses Association (PPNI), the Indonesian Association of Medical Laboratory Technologists (Patelki) and the Indonesian Midwives Association (IBI) voiced their anxiety.