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Articles 3 Documents
Search results for , issue " Vol 19, No 04 (1987)" : 3 Documents clear
Early dejection of glaucoma cases by cupping disc examination
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 19, No 04 (1987)
Publisher : Universitas Gadjah Mada

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Abstract

Two cases of glaucomas were found by papil disc examination. In the elder patient, more than 40 years old, glaucoma was diagnosed by tonometric examination. In the younger patient, less than 40 years old, suspected glaucoma was diagnosed by water drinking test. Key Words: papil disc examination - cupping disc ratio - tonometric examination - water drinking test - glaucoma
Hyperglycemia and chronic diabetic complications Ahmad H Asdie, Ahmad H Asdie
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 19, No 04 (1987)
Publisher : Universitas Gadjah Mada

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Abstract

The paper presented a brief review of the role of hyperglycemia in the development of complications in the diabetic patient. The chronic diabetic complications tend to occur in patients with longstanding diseases. Althoueh the exact mechanism responsible for the development of each complication is not fully clarified, the [actors such as accumulation 01 soronol derived from hyperglycemia through polyol pathway, glycoproteins, myo-inositol deficiency, glycosylated non-enzymatic proteins, ketogenesis, hyperlipidemia, increased adhesiveness of platelet and hyperviscocity are thought to play significant roles in the pathogenesis. If the degree of metabolic abnormalities can be reduced by dietary manipulation and insulin administration, the rate of development of diabetic complications should also be reduced. This hypothesis has been shown to be correct by several investigators. Others disagree with that. However, whatever the cause of the development of chronic diabetic complications were it is believed that diabetic control is important and that each diabetic patient should be encouraged to learn as much as possible about diabetes mellitus in that they will have a better understanding of the necessity as well as the desire for good control. If complete normalization of blood glucose and other metabolic abnormalities can not be achieved, the chronic diabetic complications will continue to occur. And in the severe cases, the result of the treatment may not influence the nature of the complications. Key Words: hyperglycemia - chronic diabetic complications - polyol pathway - glycosylated non-enzymatic proteins - metabolic abnormalities
Return to Fertility After Discontinuation of Copper IUD Usage A study on 55 pregnancies with Multiload Cu-250 users among private patients in Indonesia R. Soeprono., R. Soeprono.
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 19, No 04 (1987)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

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Abstract

Pemulihan kesuburan setelah penggunaan IUD Multiload Cu-250 Pemulihan kesuburan, setelah penggunaan IUD Multiload Cu-250 dihentikan, terjadi datam waktu yang singkat. Hal ini merupakan kesimpulan penelitian reirospektip sclama tujuh tahun, mencakup 53 pemakai ML Cu-250 yang minta dilepas IUD-nya karena menginginkan anak lagi, dan meliputi 55 kehamilan yang kemudian terjadi. Rata-rata umur 25,02 tahun dan paritas 1,25: Lama pemakaian IUD antara 1,00 dan 66,42 bulan, rata-rata 27,28 bulan. Setang waktu antara pelepasan IUD dan hari pertama menstruasi terakhir sebelum konsepsi (REM-LMP) berkisar antara —0,51 dan 49,03 bulan, rata-rata 5.90 bulan. Empat wanita tidak lagi haid setelah IUD dilepas. Terjadi 35 (63.64%) kehamilan dalam waktu 6 bulan dan 7 (12,72%) dalam 6 bulan berikutnya. Dan 55 kehamilan yang terjadi 46 (83,63%) terjadi dalam waktu 1 tahun, dan 52 (94,54%) dalam waktu 2 tahun setelah IUD dilepas, Lama pemakaian ML Cu-250 tidak berpengaruh aims kelancaran pemulihan kesuburan, kecuali bila ada komplikasi infeksi panggul, Kehamilan dan anak yang dilahirkan tidak juga terpengaruh. Pada 14 wanita pemakai IUD di alas tiga tahun, lama rata-rata REM-LMP hanya 4,15 bulan. Kecuali 2 keguguran, 1 persalinan prematur dan 2 postmatur, 1 perdarahan postpartum atonis dan 1 kematian neonatal pada bayi dengan sindrom Down, semua kehamilan lain berlangsung genap bulan, dengan berat lahir rata-rata bagi 43 bayi 3387 g. Dari 42 anak yang diketahui jenis kelaminnya, 26 (61,90%) lelaki dan 36 (38,10%) perempuan. Angka banding bayi lelaki terhadap perempuan sebesar 162,50 ini jauh lebih tinggi dad angka banding normal sebesar 105 -106. Apakah fakta ini bermakna dalam hubungannya dengan pemakaian IUD bertemliege sebelumnya pantas diselidiki lebih lanjut. Key Wards: copper IUD - Multiload Cu-250 - removal for planned pregnancy - return to fertility -- outcome of pregnancy and offspring

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