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Articles 8 Documents
Search results for , issue "Vol 21, No 01 (1989)" : 8 Documents clear
Blokade Jantung Total pada Anak A. Samik Wahab, A. Samik Wahab
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 21, No 01 (1989)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.678 KB)

Abstract

The diagnosis of complete heart block is based on electrocardiogram. There would be few or even no cases missed if electrocardiograms were made of all slow heart rate infants and children. The history, physical signs, and X•ray would lead to the recognition of congenital and acquired complete heart block as an isolated, uncomplicated, anomaly. Incomplete history in healthy asymptomatic older children may cause difficulty in differentiating congenital or acquired origin.The conduction defect is usually discovered accidentally in healthy, asymptomatic children. Adams-Stokes syncopes rarely happen, even in the young. An obstetrician may detect a slow fetal heart rate, in which fetal electrocardiography and echocardiography have diagnostic value. A history of maternal lupus (SLE) or collagen disease or connective tissue disease (CTD) is another-major important diagnostic. The arterial pulse is very slow, the pulse amplitude wide and rhythm regular, The jugular venous pulse is intermittent cannon waves due to independent A waves which are asynchronous with and more rapid than the carotid pulse.The diagnosis is confirmed by electrocardiogram, the P waves and QRS complexes have no constant relation. The QRS duration is normal if the heart beat is initiated high in the His bundle and prolonged if the pacemaker is located below it.The treatment is directed especially to Adams-Stokes syncope. Digitalisation and other anticongestive measures may be indicated if cardiac failure occurs. In patients with recurrent Adams•Stokes attacks, resting ventricular rate of 40 beats per minute or less probably should be paced.The prognosis for congenital and acquired heart block is usually favourable.Key Words: heart block -- a-v block -- congenital heart disease -- acquired heart disease --rheumatic heart disease
Diabetes Mellitus dan Sulfonilurea Ahmad H. Asdie, Ahmad H. Asdie
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 21, No 01 (1989)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (527.96 KB)

Abstract

Diabetes mellitus characterized by increased blood glucose level (hyperglycemia) is currently recognized to be a heterogenous disorder. Although there has been general acceptance of the classification adopted by WHO Expert Committee on Diabetes Mellitus in 1980, the WHO Study Group revised the classification in 1985. The most important change from the previous classification is the appearance of malnutrition-related diabetes mellitus as a major subclass, ranking with IDDM (insulin-dependent diabetes mellitus) or type I diabetes mellitus and NIDDM (non-insulin- dependent diabetes mellitus) or type II diabetes mellitus.Sulfonylurea orally administered hypoglycemic agents have been used in the treatment of NIDDM for more than 30 years. Despite this fact, the mechanism responsible for hypoglycemic action of sulfonylurea agents remains controversial. Sulfonylureas are now generally thought to act by improving both the ability of pancreatic islets to secrete insulin and the response of tissues to insulin. There are two kinds of sulfonylureas, so-called first•generation sulfonylureas (tolbutamide and chlorpropamide) and second-generation sulfonylureas (glybenclamide, glyclazide, glypizide, and glyquidone), now available in Indonesia. The indications, contraindications, and guidelines for the use of these agents, as well as their mechanisms of action and the differences among them, are reviewed in this article.Key Words: classification of diabetes mellitus - sulfonylureas - hyperglycemia - malnutrition -- insulin
Frekwensi Sudut Iridokorneal Terbuka dan Tertutup Mata Sehat dari Sampel Acak di Poliklinik Mata Rumah Sakit Umum Pusat Dr. Sardjito, Yogyakarta
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 21, No 01 (1989)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.671 KB)

Abstract

The classification of primary glaucoma is based on the depth of the iridocorneal angle. Supartoto et al. found in Dr. Sardjito Hospital Yogyakarta, that the cases of angle-closure glaucoma were thee times more than the open-angle glaucoma.Kolker & Hetherington stated that the open-angle glaucoma are 60 - 70% of the primary glau- coma in adults: The study on the iridocorneal angle in normal eye of random samples at the Eye Clinic, Dr Sardjito Hospital was done. The results support the statement of Kolker & Hetherington.Key Words: iridocorneal angle -- primary glaucoma -- open angle glaucoma -- angle closure glaucoma -- ophthalmology
Anatomi Untuk Peningkatan Kualitas Hidup T. Jacob, T. Jacob
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 21, No 01 (1989)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.346 KB)

Abstract

The article describes the various divisions of anatomy made according to the need in facing a particular problem, among others the cla.4ification in functional systems and in levels of the living systems. Since anatomy is determined by both genetics and environment, and the total man also depends on his anatomy, efforts to improve the quality of life necessarily involves improvement in genetic and environmental qualities. The quality of life can thus be studied in terms of the functional anatomical systems and the anatomy at different levels of the living systems.There are many indicators developed to measure the quality of life. Mention is made about demographic indicators, socioeconomic indicators, sociomedical indicators, sociodental indices, biocultural indices and biomedical indices. Indicators based on purely anatomical factors are described, such as body height and weight, growth norms, anthropological measurements, body build and body composition, and biological rhythm.Other approaches could be developed by using vertical and horizontal interrelations of the discipline to study the quality of life from the vantage point of anatomy.Key Words: anatomy -- quality of life -- health indicators -- demographic factors -- height-weight indices
Diabetes Mellitus dan Sulfonilurea Ahmad H. Asdie, Ahmad H. Asdie
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 21, No 01 (1989)
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (527.96 KB)

Abstract

Diabetes mellitus characterized by increased blood glucose level (hyperglycemia) is currently recognized to be a heterogenous disorder. Although there has been general acceptance of the classification adopted by WHO Expert Committee on Diabetes Mellitus in 1980, the WHO Study Group revised the classification in 1985. The most important change from the previous classification is the appearance of malnutrition-related diabetes mellitus as a major subclass, ranking with IDDM (insulin-dependent diabetes mellitus) or type I diabetes mellitus and NIDDM (non-insulin- dependent diabetes mellitus) or type II diabetes mellitus.Sulfonylurea orally administered hypoglycemic agents have been used in the treatment of NIDDM for more than 30 years. Despite this fact, the mechanism responsible for hypoglycemic action of sulfonylurea agents remains controversial. Sulfonylureas are now generally thought to act by improving both the ability of pancreatic islets to secrete insulin and the response of tissues to insulin. There are two kinds of sulfonylureas, so-called first•generation sulfonylureas (tolbutamide and chlorpropamide) and second-generation sulfonylureas (glybenclamide, glyclazide, glypizide, and glyquidone), now available in Indonesia. The indications, contraindications, and guidelines for the use of these agents, as well as their mechanisms of action and the differences among them, are reviewed in this article.Key Words: classification of diabetes mellitus - sulfonylureas - hyperglycemia - malnutrition -- insulin
Anatomi Untuk Peningkatan Kualitas Hidup T. Jacob, T. Jacob
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 21, No 01 (1989)
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.346 KB)

Abstract

The article describes the various divisions of anatomy made according to the need in facing a particular problem, among others the cla.4ification in functional systems and in levels of the living systems. Since anatomy is determined by both genetics and environment, and the total man also depends on his anatomy, efforts to improve the quality of life necessarily involves improvement in genetic and environmental qualities. The quality of life can thus be studied in terms of the functional anatomical systems and the anatomy at different levels of the living systems.There are many indicators developed to measure the quality of life. Mention is made about demographic indicators, socioeconomic indicators, sociomedical indicators, sociodental indices, biocultural indices and biomedical indices. Indicators based on purely anatomical factors are described, such as body height and weight, growth norms, anthropological measurements, body build and body composition, and biological rhythm.Other approaches could be developed by using vertical and horizontal interrelations of the discipline to study the quality of life from the vantage point of anatomy.Key Words: anatomy -- quality of life -- health indicators -- demographic factors -- height-weight indices
Blokade Jantung Total pada Anak A. Samik Wahab, A. Samik Wahab
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 21, No 01 (1989)
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.678 KB)

Abstract

The diagnosis of complete heart block is based on electrocardiogram. There would be few or even no cases missed if electrocardiograms were made of all slow heart rate infants and children. The history, physical signs, and X•ray would lead to the recognition of congenital and acquired complete heart block as an isolated, uncomplicated, anomaly. Incomplete history in healthy asymptomatic older children may cause difficulty in differentiating congenital or acquired origin.The conduction defect is usually discovered accidentally in healthy, asymptomatic children. Adams-Stokes syncopes rarely happen, even in the young. An obstetrician may detect a slow fetal heart rate, in which fetal electrocardiography and echocardiography have diagnostic value. A history of maternal lupus (SLE) or collagen disease or connective tissue disease (CTD) is another-major important diagnostic. The arterial pulse is very slow, the pulse amplitude wide and rhythm regular, The jugular venous pulse is intermittent cannon waves due to independent A waves which are asynchronous with and more rapid than the carotid pulse.The diagnosis is confirmed by electrocardiogram, the P waves and QRS complexes have no constant relation. The QRS duration is normal if the heart beat is initiated high in the His bundle and prolonged if the pacemaker is located below it.The treatment is directed especially to Adams-Stokes syncope. Digitalisation and other anticongestive measures may be indicated if cardiac failure occurs. In patients with recurrent Adams•Stokes attacks, resting ventricular rate of 40 beats per minute or less probably should be paced.The prognosis for congenital and acquired heart block is usually favourable.Key Words: heart block -- a-v block -- congenital heart disease -- acquired heart disease --rheumatic heart disease
Frekwensi Sudut Iridokorneal Terbuka dan Tertutup Mata Sehat dari Sampel Acak di Poliklinik Mata Rumah Sakit Umum Pusat Dr. Sardjito, Yogyakarta Mu'tasimbillah Ghozi, Mu'tasimbillah Ghozi
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 21, No 01 (1989)
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.671 KB)

Abstract

The classification of primary glaucoma is based on the depth of the iridocorneal angle. Supartoto et al. found in Dr. Sardjito Hospital Yogyakarta, that the cases of angle-closure glaucoma were thee times more than the open-angle glaucoma.Kolker & Hetherington stated that the open-angle glaucoma are 60 - 70% of the primary glau- coma in adults: The study on the iridocorneal angle in normal eye of random samples at the Eye Clinic, Dr Sardjito Hospital was done. The results support the statement of Kolker & Hetherington.Key Words: iridocorneal angle -- primary glaucoma -- open angle glaucoma -- angle closure glaucoma -- ophthalmology

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