Dimas Dwi Saputro

Coffee hunter•Toys lover•Pediatrician of Harapan Kita Women and Children Hospital #dokteranakjakarta #dokteranakrespirologi wannabe #pediatricrespirology

[Dimas Dwi Saputro @dym_ds]

Something cool is coming

[JAMA @JAMA_current]

💡 JAMA Insights: Point-of-care ultrasound (POCUS) is an imaging modality that the 2025 American Thoracic Society Clinical Practice Guideline on CAP endorses as an acceptable diagnostic alternative to chest radiography for adults with suspected CAP at centers with appropriate clinical expertise.

#POCUS by trained clinicians is a guideline-endorsed alternative to chest #radiography for #pneumonia diagnosis, offering higher sensitivity and specificity, immediate results, and no ionizing radiation.

https://t.co/u6Y2zXOXJI

[ERS publications @ERSpublications]

ERJOR: In preterm-born adults with and without a history of bronchopulmonary dysplasia, MUC5AC and MUC5B expression is associated with lung function, symptoms and quality of life, suggesting a potential clinical role for these mucins in this population https://t.co/70gGiOq7g4

[ERS publications @ERSpublications]

European Respiratory Review: Earthquake-related dust and toxic particle exposures pose acute and chronic respiratory risks for survivors and responders, highlighting the urgent need for health protection and monitoring. https://t.co/ycTuZkqDS9

[ATS Blue Journal @ATSBlueEditor]

Lower airway dysbiosis fuels NETosis in nontuberculous mycobacterial bronchiectasis: rethinking the microbiome-host axis

https://t.co/R7kG8IKnYz
@atscommunity

[NephroPOCUS @NephroP]

Pleased to have had the opportunity to write this CJASN editorial @asnpublications on the USE-the-FORCE-for-Acute Kidney Injury trial by our Canadian colleagues.
🔗https://t.co/3ouwPLv2wZ
I'm especially glad to see mainstream #nephrology journals taking interest in multi-organ #POCUS. Even better, I managed to sneak my proprietary hemodynamic circuit illustration into the article!!

[Leonardo Santos @Leo_Santo5]

🫁🦠Neumonía Adquirida en la Comunidad Grave

🔰📚Intensive Care Med 2026

https://t.co/yMpWBDKRNb

Enlace a Artículo Completo👇🏻🆓✅
https://t.co/xumUMHb5Li

[ERS publications @ERSpublications]

European Respiratory Journal: Tidal breathing nNO measurement is a useful adjunctive test to distinguish young children with primary ciliary dyskinesia from healthy controls as young as 2 months of age https://t.co/IOvKnVZI7c

[Dr. Shiv_Kumar @Dr_Shiv_kumar_]

🚨 Breakdown of CXR

✅Granulomatosis with Polyangiitis (Wegener’s) when you see:

🔻Multiple cavitary pulmonary nodules
🔻C-ANCA positivity (PR3 antibodies)
🔻Necrotizing granulomatous inflammation
🔻Renal involvement :- pauci-immune rapidly progressive GN

⚠️ Important: Always rule out infection especially TB and fungal disease before starting immunosuppressive therapy.

#MedX #RadioTwitter

[ERS publications @ERSpublications]

ERJ Open Research: In high-risk immunosuppressed patients, a dual IGRA testing strategy not only enhances diagnostic sensitivity but also strengthens clinical decision-making https://t.co/z2ucGe8E80

[Wataru Hayashi / 林 航 @DraWataru]

Hospital-Acquired Infections Due to Gram-Negative Bacteria | New England Journal of Medicine

(https://t.co/Q6bUR35qB8)

[Respiratory Therapy Zone @RespiratoryZone]

Several disease processes can impair the function of the alveolar-capillary membrane, each requiring specific therapeutic approaches https://t.co/RirsKJQvGT

[ERS publications @ERSpublications]

Intermittent hypercapnia in OSA and OHS impact ventilatory drive, autonomic balance and renal function; early diagnosis, personalised therapy, and combined lifestyle and pharmacological interventions offer the best combination to improve long-term outcomes https://t.co/0BXwEYVqpk

[Dr. Shiv_Kumar @Dr_Shiv_kumar_]

CXR breakdown 🩻

🔻Multiple air-filled cystic lucencies occupying the left hemithorax

🔻Rounded bowel-like gas patterns with visible wall contours in the left mid/upper thorax

🔻Relative compression of the adjacent left lung

🔻Right lung remains relatively well aerated. Air-filled bowel loops also seen in the upper abdomen

✅Most likely: Congenital diaphragmatic hernia (CDH)

Ddx:-
🔻CPAM (Congenital Pulmonary Airway Malformation?

#MedX

[The Lancet @TheLancet]

Inhaled corticosteroids are the foundation of asthma therapy and play a crucial role in reducing the risk of asthma attacks.

In @LancetRespirMed, a Personal View discusses how inhaled corticosteroids have changed asthma treatment over the last 50 years: https://t.co/wPKdt6Byw1

[ERS publications @ERSpublications]

European Respiratory Review: @EuroRespSoc recommended oscillometry thresholds to diagnose asthma following bronchodilation have low sensitivity and future threshold studies require adoption of standards for measuring and reporting oscillometry parameters. https://t.co/eo4RteXxnM

[S.Enf.Infecciosas HRUM @infeccHRUmalaga]

En @NEJM técnica #MiniDockMTB🧬 resulto SIMILAR a #XpertMTB/RIFUltra 🧬 y MEJOR q baciloscopia🔬
Sensibilidad 85% #esputo💦 y 79% en exudado lengua 👅 (ÚTIL si no tienen esputo). Siendo prueba útil como #PuntoCercanoCuidadoTBC q promueve la @WHO 👌
🆓 🔗 https://t.co/einTCurdTW

[みらいの認定薬剤師 @8djoDmu1r]

広域抗菌薬と内服抗菌薬の使い方💊

スペクトル意識して監査できるように頑張るぞ💪

[Y Kano @ykano21]

2025年のIDSAの尿路感染症ガイドラインのアップデートのまとめ。ポイントが簡潔でわかりやすい。
https://t.co/DLUIhyPF28

[Fede Gordo-Vidal @ventilacionmeca]

Management of severe infections by multi-resistant Gram-negative bacteria in critically ill patients https://t.co/d77Y0Xi1YK

[MEDICINE MADNESS @Doctors_GUILD]

Pulmonary CT Signs and Differential diagnosis