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Articles 8 Documents
Search results for , issue "Vol 23, No 01 (1991)" : 8 Documents clear
Management of premature rupture of the membrane Risanto Siswosudarmo, Risanto Siswosudarmo
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 23, No 01 (1991)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (259.251 KB)

Abstract

A literature study on the management of premature rupture of the membrane (PROM) is carried out to find out the best method and its impact on maternal and neonatal morbidity.PROM is defined as rupture of the fetal membrane before the onset of true labor. The incidence of PROM varies from 0,7 to 10%. Premature labor and its consequences to the newborn as well as maternal and neonatal infections are complications attributed to early rupture of the membrane.Conservative management for PROM before 37 weeks of gestation is a method used by most obstetricians. Patients should be staying in bed as long as the amniotic fluid is still coming out, no vaginal examination performed, and she should be closedly monitored for signs of infection and prophylac tic antibiotics given. Once the signs of i nfection develop, termination of pregnancy should be carried out and massive antibiotics should be given. Risk of infection becomes evident if rupture of the membrane goes beyond 12 to 24 hours so that prophylactic antibiotics should be given before 12 hours of rupture. Most of the cases will go to labor before 48 hours, although in some cases labor can be postponed for 19, 33, 39, 44, and 55 days. If labor can be postponed for more than 48 hours, the risk of suffering From respiratory distress syndrome (RDS) in neonates is getting lower.The management of premature rupture of the membrane after 37 weeks of gestation depends on the condition of the cervix. Patients with ripe cervix can be induced immediately, but patients with unripe cervix should be managed conservatively.Key Words: PROM - RDS - prophylactic antibiotics - perinatal mortality - maternal infection
Epidemiological study on chronic otitis media in school children in Bantul regency Soenarto Sastrowijoto, Soenarto Sastrowijoto
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 23, No 01 (1991)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (320.547 KB)

Abstract

An epidemiological study on Chronic Otitis Media (COM) in children in Bantu[ regency, especially its prevalence in relation to socioeconomic status and index ofachievement has been done. The study used two-step cluster random sampling. The subject of the study was 16 primary schools with 2896 children, taken out from 17 districts consisting of 514 primary schools with a total number of 90 000 children.The study was carried out for six months from May 1990, and the result showed that the prevalence of COM was 5.28%, consisting of 2.10% serous COM and 3.18% suppurative COM, and middle ear cholesteatoma was found in three of them. A number ofrisk factors, the educational level and job of the father, the mothers educational level, the economic status based on the value of their property, nutrition and tidiness, the status of children, and the size of the family were also studied.The resultof the study showed that the economic status (P <0.05) and the mothers educational level (P < 0.01) had a significant indirect relation to the prevalence of COM. The index of achievement of children in natural sciences, Indonesian language, and mathematics was not influenced by the serous COM, but was significantly (P < 0.01) influenced by the duplex suppurative COM.The study of increasing the mothers educational level, the economic status, and the managementofCOM cases by giving hearing aid or developing national program ofmicracar-sugeryservices are suggested.Key Words: chronic otitis media - school age children - middle ear cholesteatoma - index of achievement - micro-ear-surgery
Isolation and characterization of spore-forming bacilli pathogenic for mosquito larvae in Java Sugeng Juwono Mardihusodo, Sugeng Juwono Mardihusodo
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 23, No 01 (1991)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (373.774 KB)

Abstract

The use of chemical insecticides for controlling mosquito vector of diseases has resulted in a lot of negative impacts. The objective of this study was to search for spore-forming bacilli effective as larvicides for prospective production and being determined as one of the alternatives in the vector control strategies.The bacilli were tried to be isolated from mosquito larvae, soil and water of various mosquito larval habitats surveyed in several areas of Yogyakarta Special Territory, Central Java and EastJava. A number of 549 isolates was obtained from 203 total samples collected. Tests of pathogenicity of all isolates against early fourth stage larvae of Culex quinquefasciatus mosquito revealed the existence of 4 positive bacilli, namely B. pumilus, B. eereus and two new strains of B. sphaericus.Key Wards: spore-forming bacilli -entomopathogens - B. pumilus B. cereus - B. sphaericus
Transcatheter Arterial Embolization in Hepato cellular Carcinoma Arif Faisal, Arif Faisal
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 23, No 01 (1991)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (462.39 KB)

Abstract

Terapi embolisasi intraarterie1 melalui kate ter (transcatheier arterial emboliralion) merupakan terapi alternatif pada hepatoma stadium lanjut. Tindakan ini dapat dilakukan di rumah sakit dengan fasilitas peralatan ang-iografi. Teknik embolisasi intraarteriel tidaic rerlalu sukar, tetapi diperlukan pengalaman dalam bidang angiografi untuk jangka waktu tertentu.Indikasi yang tepatsangatpen Li ng diperhatikan uniuk rnelakukan re rapi embolisasi in iraarreriel, oleh karena beberapa komplikasi dan efek samping dapat terjadi setelah tindakan. Mengenai embolic agenisdapat dipilih dan heberapabentuk yang tersedia Bari hiasanya disesuaikan dengan kebutuhan.Meskipun hasil yang dicapai belum sepenuhnyamemuaskan, tetapi kombinasi terapi embolisasi dengan sitostatika menunjukkan hasil yang lebih baik.Key VVords: anticancer drugs - embolization - hepatocellular carcinoma - hepatoma - lipiodol
Transcatheter Arterial Embolization in Hepato cellular Carcinoma Arif Faisal, Arif Faisal
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 23, No 01 (1991)
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (462.39 KB)

Abstract

Terapi embolisasi intraarterie1 melalui kate ter (transcatheier arterial emboliralion) merupakan terapi alternatif pada hepatoma stadium lanjut. Tindakan ini dapat dilakukan di rumah sakit dengan fasilitas peralatan ang-iografi. Teknik embolisasi intraarteriel tidaic rerlalu sukar, tetapi diperlukan pengalaman dalam bidang angiografi untuk jangka waktu tertentu.Indikasi yang tepatsangatpen Li ng diperhatikan uniuk rnelakukan re rapi embolisasi in iraarreriel, oleh karena beberapa komplikasi dan efek samping dapat terjadi setelah tindakan. Mengenai embolic agenisdapat dipilih dan heberapabentuk yang tersedia Bari hiasanya disesuaikan dengan kebutuhan.Meskipun hasil yang dicapai belum sepenuhnyamemuaskan, tetapi kombinasi terapi embolisasi dengan sitostatika menunjukkan hasil yang lebih baik.Key VVords: anticancer drugs - embolization - hepatocellular carcinoma - hepatoma - lipiodol
Epidemiological study on chronic otitis media in school children in Bantul regency Soenarto Sastrowijoto, Soenarto Sastrowijoto
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 23, No 01 (1991)
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (320.547 KB)

Abstract

An epidemiological study on Chronic Otitis Media (COM) in children in Bantu[ regency, especially its prevalence in relation to socioeconomic status and index ofachievement has been done. The study used two-step cluster random sampling. The subject of the study was 16 primary schools with 2896 children, taken out from 17 districts consisting of 514 primary schools with a total number of 90 000 children.The study was carried out for six months from May 1990, and the result showed that the prevalence of COM was 5.28%, consisting of 2.10% serous COM and 3.18% suppurative COM, and middle ear cholesteatoma was found in three of them. A number ofrisk factors, the educational level and job of the father, the mother's educational level, the economic status based on the value of their property, nutrition and tidiness, the status of children, and the size of the family were also studied.The resultof the study showed that the economic status (P <0.05) and the mother's educational level (P < 0.01) had a significant indirect relation to the prevalence of COM. The index of achievement of children in natural sciences, Indonesian language, and mathematics was not influenced by the serous COM, but was significantly (P < 0.01) influenced by the duplex suppurative COM.The study of increasing the mother's educational level, the economic status, and the managementofCOM cases by giving hearing aid or developing national program ofmicracar-sugeryservices are suggested.Key Words: chronic otitis media - school age children - middle ear cholesteatoma - index of achievement - micro-ear-surgery
Isolation and characterization of spore-forming bacilli pathogenic for mosquito larvae in Java Sugeng Juwono Mardihusodo, Sugeng Juwono Mardihusodo
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 23, No 01 (1991)
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (373.774 KB)

Abstract

The use of chemical insecticides for controlling mosquito vector of diseases has resulted in a lot of negative impacts. The objective of this study was to search for spore-forming bacilli effective as larvicides for prospective production and being determined as one of the alternatives in the vector control strategies.The bacilli were tried to be isolated from mosquito larvae, soil and water of various mosquito larval habitats surveyed in several areas of Yogyakarta Special Territory, Central Java and EastJava. A number of 549 isolates was obtained from 203 total samples collected. Tests of pathogenicity of all isolates against early fourth stage larvae of Culex quinquefasciatus mosquito revealed the existence of 4 positive bacilli, namely B. pumilus, B. eereus and two new strains of B. sphaericus.Key Wards: spore-forming bacilli -entomopathogens - B. pumilus B. cereus - B. sphaericus
Management of premature rupture of the membrane Risanto Siswosudarmo, Risanto Siswosudarmo
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 23, No 01 (1991)
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (259.251 KB)

Abstract

A literature study on the management of premature rupture of the membrane (PROM) is carried out to find out the best method and its impact on maternal and neonatal morbidity.PROM is defined as rupture of the fetal membrane before the onset of true labor. The incidence of PROM varies from 0,7 to 10%. Premature labor and its consequences to the newborn as well as maternal and neonatal infections are complications attributed to early rupture of the membrane.Conservative management for PROM before 37 weeks of gestation is a method used by most obstetricians. Patients should be staying in bed as long as the amniotic fluid is still coming out, no vaginal examination performed, and she should be closedly monitored for signs of infection and prophylac tic antibiotics given. Once the signs of i nfection develop, termination of pregnancy should be carried out and massive antibiotics should be given. Risk of infection becomes evident if rupture of the membrane goes beyond 12 to 24 hours so that prophylactic antibiotics should be given before 12 hours of rupture. Most of the cases will go to labor before 48 hours, although in some cases labor can be postponed for 19, 33, 39, 44, and 55 days. If labor can be postponed for more than 48 hours, the risk of suffering From respiratory distress syndrome (RDS) in neonates is getting lower.The management of premature rupture of the membrane after 37 weeks of gestation depends on the condition of the cervix. Patients with ripe cervix can be induced immediately, but patients with unripe cervix should be managed conservatively.Key Words: PROM - RDS - prophylactic antibiotics - perinatal mortality - maternal infection

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