FRIDAY, Oct. 11, 2019 (American Heart Association News) — Women are just as likely as men to survive after a heart transplant despite often getting poorer-quality donor hearts, new research shows.
The findings, published this week in the American Heart Association journal Circulation: Heart Failure, sought to shed new light on what role, if any, gender plays in surviving a heart transplant. Past research on post-transplant survival rates and gender have told conflicting stories.
For the new study, researchers looked at data from 34,198 international heart transplant recipients from 2004 to 2014 and, after adjusting for recipient and donor factors, they found “no significant survival difference” between men and women.
“That’s a pretty novel finding,” said study author Dr. Yasbanoo Moayedi, a postdoctoral medical fellow at Stanford University in California. “We already know that women are hugely under-represented as recipients of heart transplants, but the striking thing about the new findings is there’s no difference in survival when matched to their male counterparts.”
The study also found women who get heart transplants appear to have lower-risk features than male recipients, with fewer instances of diabetes, high blood pressure, smoking, peripheral vascular disease and past cardiovascular surgery. Yet, women appear to receive higher-risk hearts than men.
“We need to better understand the matching of risk with recipient,” Moayedi said. “We hypothesize that women tend to deteriorate more acutely, and they’re sicker, so they take any heart that’s available.”
She said the findings suggest women with advanced heart failure need to be referred a bit earlier for transplant.
“One takeaway of the study is that maybe we’re missing the optimal window [for women],” she said. “Many factors may determine access to transplant, but gender should not be one of the them.”
The study was limited by its observational nature and its lack of data on waitlist mortalities, donor race and information about how sick patients where when they received a transplant.
Dr. Monica Colvin, a heart failure-transplant cardiologist who was not involved in the research, called it “a contemporary analysis” because it included newer devices and current medical therapy.
“There have been anecdotes of women having worse survival than men after heart transplant and studies have been conflicting,” said Colvin, director of the Heart Failure Network Strategy at the University of Michigan. “This study should dispel that myth and inform doctors that there really is no difference. We should not delay or defer referral for this lifesaving treatment based on concern for differential survival in women.”
An estimated 6.2 million U.S. adults have heart failure. In 2018, there were 3,408 heart transplants, according to the federal Organ Procurement and Transplantation Network.
Moayedi would like to see future studies explore why more women don’t undergo heart transplants and how a doctor’s gender might play into that decision.
“Is it that women don’t see themselves worthy enough for a heart transplant? As a patient, should I be more of an advocate for my symptoms? These things need to be looked at more systematically to learn how to best help the patient,” Moayedi said.
Colvin advises women with advanced heart failure to be seen at an advanced heart failure center “and seek out as much information as they can. It’s important to know what all your options are.”
We’ve been covering the phenomenal performance of Chinese animated feature Ne Zha in the country for the past few weeks, and now, we’re happy to report that the movie will be released in the U.S. on August 29 by indie distributor Well Go USA Entertainment. The film will play exclusively in 3D Imax Theaters on that date, and will get a nationwide expansion on Sept. 6. Ne Zha has earned over $ 555 million in China and is the biggest animated release and the fourth biggest theatrical release of all time in that country.
Produced by Beijing Enlight Pictures and written and directed by first-time feature filmmaker Yang Yu (aka Jiao Zi). The pic is described as a fresh take on a well-known work of classical Chinese mythology. It centers on a son of the gods who finds himself a feared outcast because of a divine prophecy that he will bring destruction to the world. He faces a choice between good and evil in order to break with the prophecy and become a hero. The movie has struck a chord with audiences, as it has scored 9.7/10 on the ticketing app Maoyan.
Among Well Go’s other recent releases are Lee Chang-dong’s Burning, Zhang Yimou’s Shadow and Yuen Woo-Ping’s Master Z: The Ip Man Legacy.
THURSDAY, May 30, 2019 — Bulges (aneurysms) in the abdominal aorta can pose real danger, but research suggests a less invasive method may be as good a fix for the problem as traditional surgery.
The less invasive procedure is called endovascular repair. There are a number of short-term benefits to this less invasive fix, such as shorter hospital stays and faster recovery. But until now, it wasn’t clear if long-term survival was as good.
“Endovascular repair is durable, and mortality is similar to open surgery,” said study co-author Dr. Julie Freischlag, chief executive officer of Wake Forest Baptist Health in Winston-Salem, N.C.
Dr. John Osborne, an American Heart Association spokesperson and director of cardiology at State of the Heart Cardiology in Dallas, Texas said this is a very important study and the long-term data “clearly swings the balance in favor of endovascular repair.”
Traditionally, repair of a bulge — or aneurysm — in the abdominal aorta required a large incision from the chest to the belly button, according to the U.S. National Institutes of Health. Left untreated, such an aneurysm can burst, creating a life-threatening emergency.
Endovascular repair is done by threading a catheter from the groin to the aneurysm. Then, a stent graft (a flexible tube with metal support) is place in the weakened area of the aorta to strengthen it and lessen pressure on the aorta walls.
Freischlag said there are a number of benefits to the endovascular repair, such as fewer deaths during the procedure than in open surgery, shorter hospital stays and less pain. People also recover faster after endovascular repair.
“Patients who have endovascular graft repair go back to work quicker, usually within a month. With open, it can be three to six months,” Freischlag said.
The study included almost 900 people who needed abdominal aorta aneurysm repair. They were undergoing elective surgery, not emergency surgery.
Slightly more than half (444 patients) were randomly selected to undergo endovascular repair. The other half had open surgery (437 patients). The researchers tracked patients’ health for up to 14 years.
During that time, 68% of those in the endovascular group died, compared to 70% of the open surgery group.
There were 12 deaths related to aneurysms (2.7%) in the endovascular group and 16 (3.7%) in the open group.
More patients in the endovascular group had to undergo second procedures, the study found. Freischlag said this is a known concern with endovascular repair. In fact, people who’ve had endovascular repair have to go back at least yearly to have the repaired area checked (via imaging, such as ultrasound, CT or MRI).
Not everyone who has an abdominal aneurysm is a candidate for endovascular repair. Freischlag said a patient has to have “good anatomy,” which essentially means that surgeons need a good area to place a stent.
Both Freischlag and Osborne said that endovascular repairs for abdominal aneurysms have been done for about 20 years now, so most vascular surgeons should be experienced in doing the procedure.
Both also said that the long-term survival rates might be even better if the study were started today because the grafts have improved and surgeons are now more experienced.
Risk factors for abdominal aortic aneurysms include older age, being male, having high blood pressure or ever smoking more than 100 cigarettes. “That’s how much smoking increases the risk. That’s just five packs of cigarettes,” said Osborne, who wasn’t involved with the study.
While abdominal aortic aneurysms are considered a “white male disease,” Freischlag said that women can get them, and that anyone who has a family history of aortic aneurysms should let their doctor know because about a third of people who have a family history will also have the condition.
People who have an increased risk need to be screened with abdominal ultrasound, Osborne said.
“It’s important to find these aneurysms before they rupture,” he noted.
The findings were published May 29 in the New England Journal of Medicine.
MONDAY, Nov. 26, 2018 — There are many areas of the United States where doctors are in short supply, but the good news for diabetics is that nurse practitioners and physician assistants can often help fill that care gap.
In fact, new research compared the care given by doctors, nurse practitioners and physician assistants to people with diabetes and found no significant differences in care.
“There were no clinically significant differences between nurse practitioners [NPs], physician assistants [PAs] and physicians. This study adds to a body of literature that shows it’s very reasonable to have an NP or PA as a primary care provider,” said study author George Jackson, a research health scientist at the Durham VA Health Care System in North Carolina.
That’s good news since about one-third of those who have a regular primary care provider see a PA or NP at least once a year. Plus, almost half of patients with diabetes see a PA or NP for at least part of their care, according to background information in the study.
“PAs, NPs and physicians have different types of training, different times in training and sometimes a different focus in training. But all three commonly serve as primary care providers,” Jackson explained. All three can prescribe medication and order tests, though there could be limits to what PAs and NPs can prescribe, depending on the state.
The new research included nearly 370,000 patients. They received care at one of 568 primary care practices in the U.S. Veterans Administration health system. All were receiving medication to treat their diabetes.
About 75 percent of the patients were treated by physicians. Eighteen percent were treated by nurse practitioners and 7 percent received care from physician assistants, the study authors said.
The researchers looked at blood sugar, blood pressure and cholesterol levels. There were no significant differences in these measures based on whether a doctor, NP or PA treated patients.
The findings were published Nov. 19 in the Annals of Internal Medicine.
Dr. Anne Peters, from the Keck School of Medicine at the University of Southern California, wrote in an accompanying editorial, “The time has come to embrace many different approaches to providing primary care, particularly for persons with a chronic disease, such as diabetes.”
She concluded, “Nurse practitioners and PAs are competent PCPs [primary care providers] in their own right and should be fully accepted as such.”
Dr. Jonathan Sobel, president and chair of the Board of Directors of the American Academy of PAs, said he wasn’t at all surprised by the findings. “People should feel confident in PAs. More and more studies are demonstrating the high quality care provided by PAs,” he said.
Sobel explained that physician assistants receive thousands of hours of training. And, he said that diabetes is a perfect example of a condition that PAs can manage well.
“PAs are a very important part of the solution to the physician shortage, especially in rural areas,” Sobel said.
He noted that insurance — especially Medicare — may dictate what types of services these providers can offer. For example, he said, Medicare won’t allow PAs to prescribe special shoes for people with diabetes.
Learn more about physician assistants and nurse practitioners from the Nurse Journal.
As Canada prepares to reintegrate cannabis into society after an almost 100-year deep freeze, the palpable anticipation in the retail sector is evident. This includes the massive wine, beer, and spirits industries as well. Canada’s wine industry alone hovers around the $ 9 billion mark annually, according to a report commissioned for Canadian wine trade associations. […] Marijuana
MONDAY, Dec. 18, 2017 (HealthDay News) — As the flu barrels across the United States, the good news is that this year’s vaccine may work better than many expected.
The flu has reached epidemic proportions in seven of the 10 regions in the country, according to Lynnette Brammer, an epidemiologist in the U.S. Centers for Disease Control and Prevention’s influenza division.
Even more troubling, the same, more severe H3N2 flu strain that was around last year is circulating again this year, she said.
That concerned flu experts who had watched the vaccine show only 10 percent effectiveness against the H3N2 strain that circulated in Australia, where the flu season has just ended.
But a recent report in the journal F1000 Research found the Australian strain of H3N2 is not identical to the predominant virus circulating in the United States.
“The majority of the viruses are well-covered by the vaccine,” said lead researcher Dr. Slobodan Paessler, a professor in the department of pathology at the University of Texas Medical Branch in Galveston.
“There are some minor groups of viruses that are not well-covered,” he added.
“The current vaccine in the U.S., in contrast to the Australian [vaccine], will work because we have most of the American H3N2 viruses, rather than the Australian one,” Paessler explained.
Using a computer program to compare the viruses used in the vaccine to the circulating strains of flu in the United States, Paessler and his colleague, Veljko Veljkovic from Biomed Protection in Galveston, found they are a good match. That means the vaccine should be as effective as it was last year.
Last year, the vaccine was 43 percent effective against the H3N2 virus and 48 percent effective overall, according to the CDC.
While vaccine effectiveness can vary from year to year, recent studies show that flu vaccination reduces the risk of flu illness by between 40 and 60 percent among the general population.
Brammer said that other types of flu are around, including influenza A H1N1 and a couple of influenza B viruses. The flu vaccine is very effective against these strains, she said.
“The vaccine doesn’t work as well for H3N2 as we would like, but does work for some, and it may provide partial protection. And there are a lot of H1N1 and B viruses out there,” she said.
And even though the vaccine is only partially effective, it still will prevent many people from coming down with flu and make it milder for those who catch it, Brammer said.
If you do get flu, Brammer suggests taking antivirals such as Tamiflu to reduce the number of days you are sick. The drug works best when taken right when you get sick, so seeing your doctor early is a good move, she said.
The CDC also advises people to wash their hands often to prevent spreading flu and to stay home if they’re sick so they won’t spread it to others.
The flu is being seen throughout the country and is very active in Alabama, Alaska, Arizona, Georgia, Kentucky, Louisiana, Mississippi, South Carolina, and Texas, the CDC reports.
And CNN reports that the CDC says more than 6,000 people have tested positive for the flu this year. That number is twice that of reported cases at the same time last year.
It’s too early to tell if H3N2 will continue to be the predominant strain or whether H1N1 will surpass it, Brammer said.
Usually, a H3N2 portends a severe flu year, but mild H3N2 years have also occurred, she added.
SUNDAY, Nov. 5, 2017 — A healthy diet may translate into a healthier old age, researchers report.
The scientists followed close to 1,000 men and women in England, who were born in March 1946, throughout their adulthood. Those who ate more fruits, vegetables and whole-grain cereals — and fewer highly processed foods — throughout adulthood did better on three tests of physical function in their early 60s than those with less healthy eating habits.
The study also found that those whose eating habits improved during adulthood did better on two of the tests, chair rise speed and standing balance time. The third test was timed up-and-go speeds.
“Improving the quality of your diet can have a beneficial effect on health, whatever your age,” said study author Sian Robinson, a professor of nutritional epidemiology at the University of Southampton.
“However, this study suggests that making good dietary choices throughout adulthood — by cutting down on highly processed foods and incorporating more fruit, vegetables and whole grains into your diet — can have a significant beneficial effect on strength and physical performance later in life, helping to ensure a much healthier old age,” Robinson said in a university news release.
The study was published recently in The Journals of Gerontology: Series A.
While the study didn’t prove cause and effect, Cyrus Cooper, director of the university’s Medical Research Council Lifecourse Epidemiology Unit, said, “The link between dietary patterns and frailty in older people will open the door to effective interventions against the age-related decline in musculoskeletal function, which is such a growing cause of disability in aging populations worldwide.”
I remember feeling like an impostor when I was younger. I was held back in second grade. In high school, though I was in a lot of higher-level classes, I always felt like I was working harder than anyone else. Reading took much longer for me, it seemed. I’d read a paragraph and think, “I have no clue what I just read.” I’d skip ahead, never read directions, and make a lot of careless mistakes.
In my junior year of high school, I was taking two Advanced Placement courses and was on the soccer and dance teams. I’d get home after practice and would have a ton of homework and no idea where to start. I had no organization or time-management skills, no ability to prioritize. I’d get started on one subject and think, “This is taking forever. I’m never going to get any of this done.” Then I’d be paralyzed and stress out, cry, take a break, and come back and be even more stressed because I hadn’t gotten anything done.
My coach taught me how to plan my time. She had me organize every 15 minutes of my day. She showed me that I could complete all my work and explained strategies for reading to help me remember things better, like previewing chapters and not just jumping ahead. She taught me to break big tasks into small ones, how to stop procrastinating, prioritize, start a task, focus, and finish. I started using a planner to organize everything. The medication helped as well.
I’m also really lucky to have an amazing family who was very supportive. My mom would copy pages from my textbooks because I couldn’t write in them, and then she’d sit with me as a silent partner while I worked.
I continued to take medication through my junior year of college and apply the executive function skills I’d learned. I became a teacher and then an executive functions coach, where I taught kids how they could improve the skills that I had learned. I’m 30 now and run my own company, an educational nonprofit that helps parents improve the academic lives of their children.
Once I was diagnosed, it kind of empowered me to think, “So I have ADHD. I’m smart and capable. I have something that’s holding me back, but I can create strategies to help me overcome it.” I don’t feel like an impostor anymore.
“For me, not feeling like a failure and taking the medication when I need it are key.”
“I can’t say enough about having a really great support system. I had great teachers. My parents and my husband have been very supportive.”
“Being self-aware and embracing all parts of myself, including the ADHD, has been very important in my success.”
“Practicing executive function skills was a huge part of my success. Know that adults can have coaches, too.”
The District of Columbia held its Democratic primary yesterday, and the results are mostly good news for supporters of marijuana policy reform. Below are the (unofficial) results, along with the grade the council candidates received in MPP’s voter guide:
Ward 2: Jack Evans (A+) won (unopposed)
Ward 4: Incumbent Brandon Todd (F) beat challenger Leon Andrews (A), 49% to 41%
Ward 7: Challenger Vincent Gray (C+) beat incumbent Yvette Alexander (D), 60% to 33%
Ward 8: Challenger Trayon White (C+) beat incumbent LaRuby May (D), 51% to 42%
In the at-large race, all the candidates received an A or A+ from MPP. Challenger Robert White beat incumbent Vincent Orange 40% to 37%.
As the general election on November 8 approaches, MPP plans to update our voter guide to keep you informed on all the candidates’ positions, so stay tuned!
You know diet is a key part of diabetes care, but what kind of diet?
A recent study found that a low-carb, low-calorie diet of about 1,400 calories per day helped control blood sugar better than a low-fat diet with the same number of calories. The low-carb diet, which contained less than 50 grams of carbohydrates per day, also helped raise good cholesterol while lowering bad cholesterol and some other risks for heart disease.
Make losing weight with diabetes easier by setting S.M.A.R.T. goals. S.M.A.R.T. stands for Specific, Measurable, Attainable, Relevant, and Time-bound. When your goals are S.M.A.R.T., it will be simpler to stay on track with your diet. To help manage your diabetes, you need to spread carbs out more evenly throughout the day. So, for example, a S.M.A.R.T. goal is “I will eat a breakfast containing 45 grams of carbohydrates every day for the next 2 weeks.” Here’s the S.M.A.R.T. breakdown: Specific:…
After 6 months, more people on the low-carb diet were able to cut down on medications compared with those on the low-fat diet.
You might gain better control of your diabetes with a little help from your friends.
In a study of more than 75,000 people with the condition, those who received group diabetes education, as opposed to individual counseling, were less likely to end up in the hospital or ER for severely low or high blood sugar. They were also less likely to get diabetes-related foot ulcers and skin infections, and more likely to be up to date on screening tests and how to take appropriate medications.
3 in 10
That’s the number of Americans with diabetes who don’t know they have it.
Hideaki Itsuno is a seasoned veteran of the Devil May Cry series. Having served as director for Devil May Cry 2, 3, and 4, the developer has been with Dante, the son of Sparda, for a long time. With Devil May Cry 4: Special Edition out now, the creator has finally returned to the series once more.
I got the chance to speak to Itsuno during E3 last week. The following discussion contains a variety of topics, including the challenges of adding new characters into Devil May Cry 4, his thoughts on DMC: Devil May Cry, and some of Itsuno’s hopes for the series moving forward. But what was most intriguing out of all of this in our conversation was how the sales of Devil May Cry 4: Special Edition will not determine the future of the series. If anything, the game’s existence is more of a message to fans that the main series is far from over.
What were some of the challenges introducing three new characters into Devil May Cry: Special Edition?
Itsuno: We always planned to have Virgil added to the game because he was in the special edition of Devil May Cry 3. That was there right from the start, but we were originally planning on having Lady and Trish be alternate re-skins of Dante, Nero, and Vergil. Then we looked at it and thought, “Maybe people don’t want that.” Even though we were already part way through the project, we already accounted time for making costume diversions of Lady and Trish, so we decided to go the the extra mile and add them in as full-fledged characters with their own unique move-sets. Though, the toughest part of adding them was having less time than we anticipated we would have to do more work, but we got there in the end.
Did Lady and Trish necessitate any sort of tweaks or changes to the original gameplay in terms of level design or balance to be able to put them in?
Rather than changing the game’s level design, we put our effort towards designing Lady and Trish to be gameplay experiences that are different from Dante, Nero, and Virgil. The only thing we changed was some of the bosses in order to accommodate Lady and Trish’s different play styles so they don’t get caught in an attack exploit due to the new gameplay that wasn’t anticipated during original development.
However, these changes are per character. So if you’re playing as Dante, you’ll get the same boss fight experience you had in the original game. But if you play Lady, for example, that’s when the bosses become Lady compatible bosses so to speak.
Now that Devil May Cry 4: Special Edition is complete, do you have a favorite character that stands out for you of the five that are in the game?
I would probably say Lady. It’s a real discovery I made myself when we created her. To put a long range character into DMC and to take on the challenge of making that work was clearly something very different from what we’ve done before. We worked really hard on her and I’m really pleased with the way she came out. The fact that something that is something totally new to existing players is really fun.
Is Lady a character that you think that is strong enough to support her own game, maybe, in some stage?
Yeah, as a matter of fact we considered that after making Devil May Cry 3. We thought we could have a Lady spin-off. It never happened, but she’s definitely cool enough and strong enough character.
Something I read, and I wanted to confirm with you, is there a survey within the game for fans, which will help determine the future of the franchise?
I think it’s a bit of a misunderstanding. At the time of Devil May Cry 4, I spoke to an interviewer in Japan and I had given a message to the fans at the end of the interview saying “Let us know what you want to see in the future of DMC.” I spoke to the same guy this time around for the special edition and I kind of just made an off-the-cuff comment along the lines of, “We’re always listening to your feedback, please buy the special edition.” So I think the fans with internet have taken that there is a literal survey somewhere with check boxes that will feed into a future game, but it was just a general comment on my part saying that Capcom values fan feedback.
Because that headline read as the future of the franchise is dependent on this, and that’s not the case, is that correct?
No, I have never said anything along the lines of holding anything in the future hostage to sales of this title.
The Devil May Cry series has a very dedicated fan base who are still playing Devil May Cry 4 to this day. What do you want to say to them in regards to what they can look forward to with the Devil May Cry series?
After Devil May Cry 4 came out and then Ninja Theory’s DMC: Devil May Cry followed it, some fans were disappointed and felt the main series had ended. But I’m glad that the message is out there with Devil May Cry 4: Special Edition that the main series is not over, and that DMC: Devil May Cry did not kill it. But that isn’t to say that the latter was just a one shot, that game also got it’s own next-gen re-release earlier this year.
DMC: Devil May Cry
Speaking of Ninja Theory and DMC: Devil May Cry, at the time you had said that part of the reason you went with them was that you wanted a different sensibility around the franchise. What were your overall thoughts on the final product and the game?
I think I’m happy with the performance of the game. If it had been a world changing hit, it might have changed the course of the series by becoming the new DMC. But at the same time, if it was a lot less successful than it was, it might have just been a flash in the pan failure that never got followed through with the definitive edition this year. In a way, I’m actually really pleased of where we were able to hit between those two separate extremes.
So you see those, I guess, those two series games as fairly separate?
Yeah, they are a little bit apart in that sense that if you didn’t look at it that way you couldn’t release the DMC 4: Special Edition, for example.
Do you see yourself sort of taking that on internally again, or working with partners to develop?
I honestly don’t know. I don’t really know, to be honest, at this stage.
Devil May Cry 4: Special Edition
You mentioned earlier before that you guys are always listening to fan feedback. How much does that influence your decisions about that game? The fan community is very vocal, but you still have to serve a broad audience. What do you pick up from fans and what do you try and stick to your vision about?
I like to listen to all the fan feedback that I can, but listening to it doesn’t mean listening to it and doing everything that the fans request, because that would end up with a not very good game. That’s not to say that the fan feedback isn’t good, but if you took it all on board and put it all together then you would get a mess in the game. You have to make these decisions about what to include and what not to include. The high level play that we see from the really hardcore fans is something that we want to keep.
The high level play that we see from the really hardcore fans is something that we want to keep.
At the same time, I want to expand the base of that structure so that you have this very high peak that the fans can reach, but that you still have an accessible of enough base so that people who aren’t as hardcore can still get in there and enjoy the gameplay. With that in mind, I like to listen to the fan feedback but not necessarily do exactly what they’ve asked. Instead I think “Well that’s what they like and this is why they want that, but how can I even go above and beyond that with my own idea that will hopefully satisfy those fan desires?”
What are the most common things that fans keep asking you about apart from, “Where’s my Devil May Cry?”
People ask me a lot if we can have more development of Sparda as a character, and also I get asked a lot if there’s any possibility of co-op coming to the series, which is something we’ve flirted with in the past. In Devil May Cry 3, and its special edition, there’s certain parts of the game where Dante would have a doppelganger on screen. You can actually plug in a second controller and press start, and a second player can take control of the doppelganger. It’s kind of hidden co-op feature that maybe not many people know about. That also works for a boss battle in that game where Dante and Virgil team up against a boss. So it’s definitely something we’ve had in our minds for a long time that I’d certainly be interested in exploring.
Do you think that the style of gameplay that you want is conducive to co-op?
Well, we wouldn’t go as far to say that, because obviously if it was completely 100% suited to the gameplay we have, we would have put it in by now. Part of the reason co-op has appeared as a secret feature in bits and pieces is because there were problems with simply implementing co-op into Devil May Cry as it is.
(Reuters) – An Indonesian man took a free ride in the wheel well of an aircraft this week, surviving a high-altitude flight of nearly two hours in thin air and sub-zero temperatures.
Mario Stevan Ambarita, 21, was spotted staggering around the tarmac at Jakarta airport on Tuesday, shortly after the Garuda Indonesia domestic flight landed from Sumatra Island to the north.
“The case was quite a surprise to us,” Garuda CEO Arif Wibowo told Reuters.
The stowaway scaled a 2.5-metre fence to reach the aircraft, where he tucked himself into the rear wheel housing, media said.
He collapsed after the flight and was taken to hospital with a bleeding ear and other light injuries before spending the night in a police cell.
“He said he wanted to meet Jokowi,” E Sutrisna, a spokesman for Soekarno-Hatta Airport Police told Kompas TV, referring to Indonesian President Joko Widodo by his nickname.
According to local media reports, Ambarita had spent up to a year studying aircraft taking off and landing, had learned from the Internet how to hide in the wheel well and had made an unsuccessful attempt in the past to hitch a free plane ride.