http://localhost:8080/xmlui/handle/123456789/8864 2026-04-09T05:41:50Z http://localhost:8080/xmlui/handle/123456789/8904 Title: Consensus Guidelines for Influenza Vaccination in Patients with Diabetes Authors: Koesnoe, Sukamto; Hasibuan, Anshari Saifuddin; Suastika, Ketut; Kartasasmita, Cissy; Aman, Andi Makbul; Kshanti, Ida Ayu Abstract: Influenza is a prevalent health issue encountered in daily practice. Patients with diabetes mellitus face a higher risk of infections, including influenza, owing to the compromised immune system associated with diabetes. This susceptibility arises from the potential of diabetes mellitus to weaken the immune system. Moreover, elevated blood glucose levels can create a conducive environment for the growth of bacteria and viruses. This consensus is formulated by a multidisciplinary team to serve as practical guidance for the administration of influenza vaccinations to patients with diabetes mellitus in daily practice. 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/8902 Title: The Impact on Working Conditions and Income Amongst Internists in Indonesia: Lesson Learned from the COVID-19 Pandemic Authors: Nasution, Sally Aman; Sukrisman, Lugyanti; Salim, Simon; Hustrini, Ni Made; Hidayat, Rudi; Yunihastuti, Evy Abstract: Internists are at the forefront of providing care for COVID-19 patients. This situation adds more strain on already overburdened internists, particularly in Indonesia, where resources are scarce and unevenly distributed. The pandemic altered working conditions due to restrictions and regulatory changes. Multiple evidence exists for the effect of the COVID-19 pandemic on physicians’ well-being, but less is known about its impact on their work dynamics and livelihoods. This study provides some lessons learned during the COVID-19 pandemic regarding the changes in working conditions and earnings experienced by Indonesian internists. There were 3,115 and 1,772 participants in the first and second survey, respectively. After one year, the proportion of internists handling COVID-19 cases, including critical COVID-19 cases, increased; with fewer internists over 60 years old involved. Working hours, number of patients, and monthly earnings decreased for the majority of internists. The increased workload was experienced by most participants one year of the pandemic, predominantly reported by female internists. The COVID-19 pandemic caused a considerable impact on working conditions and income amongst internists in Indonesia. These findings may provide information to institutions in formulating strategies and tools to improve the working conditions and livelihoods of internists in Indonesia amidst the pandemic and potential public health emergencies in the future. 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/8901 Title: MPox Skin Lesions Authors: Sinto, Robert; Johan, Alvin; Nilasari, Hanny; Yunihastuti, Evy; Nelwan, Erni J. 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/8900 Title: Insulin Use and The Risk of Hepatocellular Carcinoma: Insights and Implications Authors: Kurniawan, Juferdy; Teressa, Maria Abstract: In recent years, the incidence of diabetes mellitus and hepatocellular carcinoma (HCC) has been increasing worldwide, in the context of an increasing prevalence of non-alcoholic fatty liver disease (NAFLD). In patients with diabetes mellitus, exogenous insulin is commonly prescribed and used in long-term settings. Recent studies suggest that insulin use may elevate the risk of HCC. A substantial body of work seeks to unpack the association between insulin use and the risk of developing HCC, although there may be conflicting evidence. Further validation is necessary to clarify the true relationship between insulin mechanisms and its hepatocarcinogenic effect. Given the burden of diabetic patients developing HCC, diabetologists and hepatologists must collaborate, particularly regarding the prevention and surveillance of HCC in diabetic patients. 2024-01-01T00:00:00Z