http://localhost:8080/xmlui/handle/123456789/10789 2026-04-08T23:48:44Z http://localhost:8080/xmlui/handle/123456789/10797 Title: ST-Elevation myocardial infarction, severe cardiogenic shock, and myocarditis secondary to leptospirosis: A rare case report Authors: Sukmagautama, Coana; Muhammad, Faizal; Zuraida Maharestri, Ken; Hanif, Ihsan; Myrtha, Risalina Abstract: Background: Leptospirosis is a bacterial infection that can lead to several organ dysfunctions. The unknown pathogenesis and association between leptospirosis and cardiac involvements can lead to a diagnostic challenge and case rarity. This study aims to report a diagnosis challenge through physical and laboratory examination of a patient with STelevation myocardial infarction (STEMI) and myocarditis without common leptospiral-associated organ dysfunction features. Case: A 35-year-old male patient came to the emergency department with flu-like symptoms. Twenty-four hours later, the patient showed acute angina, STEMI, and elevated high-sensitivity cardiac troponin followed by cardiogenic shock without significant modifiable and non-modifiable risk factors for heart diseases. The patient received fibrinolytic, supportive therapy and correction of hemodynamic derangement. We found thrombocytopenia on the second day. Surprisingly, the immunoserology showed positive anti-leptospira IgM and negative anti-dengue IgM and IgG. Direct cardiac tissue damage due to systemic vasculitis, disseminated intravascular coagulation, and pro-inflammatory cytokine storm is believed to be pathomechanism in leptospirosis with cardiac involvement. After diagnosis establishment, his final therapies in the hospital were Aspirin, Atorvastatin, Clopidogrel, Spironolactone, Ramipril, Carvedilol, Omeprazole, Doxycycline, and Ceftriaxone. Subsequently, he was discharged from hospital and continued to receive cardiovascular medications, antibiotics, antiplatelet, potassium-sparing diuretics, and omeprazole. Conclusion: This case highlights the importance of thorough clinicallaboratory evaluation in a patient with an atypical leptospiral presentation. Although leptospirosis is not a common cause of heart diseases such as STEMI, cardiogenic shock, and myocarditis, we recommend supportive therapy and correction of hemodynamic derangement for leptospirosis with cardiac involvement, in addition to leptospiral antibiotic drug itself. 2023-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10795 Title: A successful separation of omphalopagus twins during COVID-19 pandemic: A case report Authors: Bellynda, Monica; David Perdana Putra, Muhammad; Suwardi, Suwardi; Agustriani, Nunik; Muhammad, Faizal Abstract: Background: Omphalopagus is a rare condition involving digestive system and abdominal wall fusion. This study reports an omphalopagus case during the early phase of the coronavirus disease 2019 (COVID-19) pandemic in Indonesia. Case: Male conjoined twins, aged 14 months, were diagnosed with omphalopagus and several organ failures. We performed separation surgery of the omphalopagus with primary closure and post-surgical care for fifteen days. The early surgery was preferable in this case due to lifethreatening issues of COVID-19, despite omphalopagus separation may cause post-surgical complications. Furthermore, the emerging pandemic conditions also required a more stringent procedure to avoid the risk of viral spread. Conclusion: We conclude that, in the lack of evidence-based instruction for hospital care during the early phase of COVID-19 in Indonesia, life-saving surgical considerations from death due to complications of COVID-19 infection and acute respiratory distress syndrome must be performed and prioritized. However, potential omphalopagus complications must be evaluated. 2023-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10794 Title: Analysis of religious coping relationships with family resilience in utilizing socio-economic resources during the covid-19 pandemic Authors: Bekti Prasetyo, Yoyok; Faridi, Faridi; Lailatul Masruroh, Nur Abstract: Background: Religious coping has a very important role in overcoming difficult problems in the family. Purpose: The purpose of this study was to determine the relationship between religious coping with family resilience in utilizing socioeconomic resources during the COVID-19 pandemic. Methods: The research design used was analytical descriptive with a crosssectional approach. The respondents in this study were 242 villagers in East Java Province. Data were collected by SWBS for religious coping and FRAS for family resilience. Data analysis used logistic regression. Results: Factors that influence family resilience in utilizing socioeconomic resources involve religious coping. Families that have adequate religious coping will have a greater opportunity to have resilience in communication and problem-solving compared to families with inadequate religious coping (OR: 1.081; 95% CI: 1.038 – 1.127). Conclusion: Family resilience in utilizing socioeconomic resources is strongly influenced by religious coping factors. Strengthening the community with a religious approach is needed to support the family’s line of defense against this pandemic condition. 2023-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10793 Title: Development and psychometric properties of the transphobia scale among Indian adolescents Authors: Lonkar, Yashwee; Sharma, Pushpalata Abstract: Background: Most of the studies employed in the concerning area use foreign scales or translated versions for measurement of transphobia. It is really unfortunate a democratic country like India does not possesses any standardized scale to measure the transphobia of adolescents. Purpose: Therefore, this study includes the development and validation of a scale for the assessment of transphobia in Indian adolescents. Methods: A total 516 students of CBSE school aged 14-16 years were sampled. The items for the preliminary transphobia scale were drawn after interviewing the adolescents, consultation with a reference group and review from existing standardized scales. A total 516 participants were assessed for psychometric properties of the scale. Criterion validity was evaluated by using the ATTMW (attitude toward transgender men and women) Scale. Results: Exploratory Factor Analysis (EFA) revealed six factors accounting for 65.30% of observed variance. The final 31-item scale contained six factors: Interpersonal Ease, Gender Prejudices, Gender Obstinacy, Human Values, Gender Stereotype and Gender Abuse. Transphobia scale was highly reliable in terms of internal consistency (Cronbach’s alpha 0.927). Criterion validity with the ATTMW was statistically significant. Conclusion: As the conclusion of the study, the Indian transphobia scale can be used as a reliable and valid tool for the measurement of transphobia for Indian adolescents. 2023-01-01T00:00:00Z