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Articles 16 Documents
Search results for , issue "Vol 33, No 04 (2001)" : 16 Documents clear
Continuous ambulatory peritoneal dialysis for infantile chronic renal failure (A case report). Pungky AK, Pungky AK
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 33, No 04 (2001)
Publisher : Universitas Gadjah Mada

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Abstract

A two month old male infant with lethargy, vomiting, and loss of body weight was referred to Kobe University Hospital, Kobe, Japan. He had increased levels of BUN and serum creatinine, and severe metabolic acidosis. Ultrasonography exhibited hypoplasia kidney. Treatment with continuous ambulatory peritoneal dialysis (CAPD), recombinant human erythropoietin, and recombinant human growth hormone was started immediately on the admission day. All of his symptoms were disappeared and he grew up well. He was discharged 3 months after admission and he had been treated with the above therapy in Out Patient Clinic. CAPD on CRF patient is the most essential management. CAPD system should be introduced to save infants and children with chronic renal failure in Indonesia.Keywords : chronic renal failure - peritoneal dialysis — infant - hypoplasia kidney - recombinant growth hormone
Postmortem hemoglobin concentration changing in Sprague-Dawley white mouse Beta Ahlam Gizela, Beta Ahlam Gizela
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 33, No 04 (2001)
Publisher : Universitas Gadjah Mada

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Abstract

Background: Postmortem changes in a death body have a lot of purposes, one of them is predicting the time of death. The common method used to predict the time of death is by detecting hypostasis, rigidity, decreasing temperature, and decomposition.Objectives: To find out postmortem hemoglobin concentration changing pattern.Methods: This research is a preliminary study. We used Quasi Experimental Design. The subjects were 31 white male mice aged of two months old. The mouse blood was taken in a periodic time: antemortem, 0, 1, 2, and 3 hours postmortem, and hemoglobin concentration was examined using Sahli method.Results: Data taken from this research were analyzed by regression analysis and t-test. The result showed that postmortem hemoglobin against time pattern was a curve. The hemoglobin concentration is significantly decreased in the first hour (p<0.05), and then increased 2 hours later (p>0.05). There was no significant difference between antemortem and 0 hour postmortem (p>0.05). There was a significant difference between antemortem and 1, 2, and 3 hours postmortem (p<0.05).Conclusion: Postmortem hemoglobin concentration changing pattern is a curve, not linear. The hemoglo-bin concentration decreased in the first hour since death (statistically significant), then, increased in the second and third hour postmortem (statistically not significant). There is a significant difference between antemortem and 1, 2, and 3 hours postmortem.Keywords: Hemoglobin concentration -postmortem changes - time of death -blood
The astigmatism after cataract surgery by corneoscleral and scleral incision methods at Dr. Sardjito Hospital. Suhardjo, Suhardjo
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 33, No 04 (2001)
Publisher : Universitas Gadjah Mada

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Abstract

Background: Astigmatism change after cataract surgery is common, but if the astigmatism is too high it can affect the visual acuity. The astigmatism change depends on the incision methods, sclera! rigidity, and age.Objectives: To compare the astigmatism change between corneoscieral and sclera! incision methods after cataract surgery and intraocular lens implantation.Methods: Eighty patients after cataract surgery with IOL implantation were evaluated. Keratometry examination was performed pre operative, 2 weeks, 4 weeks, and 8 weeks post operative. All of the patients underwent cataract surgery by fornix base flap conjungtiva, 40 patients were performed corneoscieral incision, and 40 patients were performed sclera! incision. All of them was sutured with ethilon 10.0, consist of 6 stichesResults: The corneoscleral incision induced astigmatisms were 0-8.6 D(dioptri), while the scleral incision was 0-8.50 D. The mean astigmatism of the corneoscieral incision 2 weeks post operative was 3.08 D, 4 weeks was 2.72 D, 8 weeks was 2.13 D, while the astigmatism of the sclera! incision 2 weeks post operative was 3.35 D, 4 weeks was 2.32 D, and 8 weeks post op was 1.75 D. There is no statistical significant difference between the corneoscieral and sclera! incision.Conclusion: The mean astigmatism 2 weeks, 4 weeks, and 8 weeks after operation was decreased in both methods of incisions. Despite no statistical significant difference, the mean astigmatism was lower in scleral incision method.Keywords : astigmatism change - keratometry - cataract surgery - corneoscieral incision - sclera! incision
Perinatal death risks of primipara at five District hospitals in Yogyakarta Haksari EL, Haksari EL
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 33, No 04 (2001)
Publisher : Universitas Gadjah Mada

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Abstract

Background: Perinatal death in Indonesia is still high and seems to be difficult to decrease. Beside the characteristics of fetus, neonates, social and environment, there are some maternal characteristics which may increase the risk of perinatal death.Objectives: To identify the risk factors of perinatal death on primipara and multipara.Methods: The data were collected from five district hospitals in Yogyakarta during 1995-1998. The maternal and birth outcome were studied as risk factors of perinatal death.Results: Analysis of multivariate logistic showed primipara aged 5 19 years old had increased Odds ratio (OR) twice as much; prolonged OR stagnated labour and other complications during delivery had increased OR three times as much, haemorrhage had increased OR four times, low birthweight had OR of 3.01 (2.05 -4.43) and preterm had OR 4.15 (2.76-6.16) for perinatal death. Low education and twin of primipara had increased OR twice and three times respectively in univariate analysis. Multipara had increased OR and death of multipara had OR 7.7 (2.0-29.3) for perinatal death.Conclusion: There was a strong association between haemorrhage of delivery, low birth weight and preterm on primipara and perinatal death. Death of multipara had increased OR for perinatal death.Keywords: perinatal death - risk factors - primipara - multipara - district hospital
Severe atopic dermatitis with xerophthalmia in children: A case report Sumadiono, Sumadiono
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 33, No 04 (2001)
Publisher : Universitas Gadjah Mada

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Abstract

The management of the atopic dermatitis is not easy and in the severe cases it is a chalenge for the physician. It was reported a 6 year and 3 month old boy with severe atopic dermatitis with erythroderma, secondary infection, marasmic type of severe malnutrition with xerophthalmia, suspected iron defeciency anemia, acute gastroenteritis and miliary tuberculosis. The child had suffered from this disease since he was 3 months old, spreading and becoming worse. The clinical manifestations were redness and black appearance of the skin, excoriation and cast in the skin, some pats of the skin chaping and watery, there was a lacerated wound around his nose. There were many relatives with atopic history in his family tree. The patient had allergy to some medicines (ampicillin and sulfa), and also to many kinds of food. There was eosinophilia in the peripheral blood. The patient had been treated with topical skin medicine, systemic antihistamin/corticosteroid, anti tuberculosis, antibiotics, and local treatment for his eyes, but no improvement. According to the discussion between pediatricians and dermatologists the patient was suffered from severe atopic dermatitis, and was suspected had another disease (geno dermatitis). It is important to avoid drugs that had triggerred allergy before. The limitation of the diet had caused severe malnutrtion. Vitamin A had to be given early. Second generation antihistamine was actually needed to be given early and for several months. It was necessary to do many examinations to establish more exact diagnosis, but the patient died before the examinations were done.Keywords : Atopi dermatitis in children - eosinophil - marasmus xerophthalmia - treatment
Permanent tooth eruption in Javanese children Etty Indriati, Etty Indriati
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 33, No 04 (2001)
Publisher : Universitas Gadjah Mada

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Abstract

Background: Permanent tooth eruption from the alveolus into the oral cavity is one of the basic growth and developmental processes in humans. The permanent tooth eruption occurs gradually with age and therefore the eruption schedule can be used as an age indicator in forensic cases where only skeletons and teeth of children have been found.Objective: This study examines permanent tooth eruption in Javanese children and compares it with other populations.Material and Method: The subjects were 175 children from the state elementary school of Imogiri II, Bantu! District, Yogyakarta. Examinations were carried out using a mouth mirror under natural light. Data was classified in one-year age interval, based on the questionnaire given to parents to fill out with the birth date of each child. In addition, the mean and median ages of dental eruption in boys and girls maxillary and mandibular dentition were also statistically analyzed.Results: Results show that in their maxillas, boys were more advanced than girls in tooth eruption, except for the upper canine teeth. Similarly, in the mandible, boys were more advanced than girls in tooth eruption, except for lower canine and second premolar teeth. In boys, the upper canines erupt later than upper second molars, which is opposite to the pattern of girls. The order of tooth eruption in boys is 11-M1, M, I, 12, 12, P1, P, P2, P2, CO3 M2, C°, M2. In girls, the order of tooth eruption is 11, M1, M, P, 12,12, PI, P1, Co, P2-P2, co, M2, M2.Conclusion: Age can be determined on the basis of tooth eruption in children and subadults.Keywords: permanent teeth, eruption, children, age, growth, Java
Aged and Aging Wasilah Rochmah, Wasilah Rochmah
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 33, No 04 (2001)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

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Abstract

Since the last two decades the history has witnessed that aging and gerontology have been the focus of extensive discourse and concern. Aging has arrived as an issue and object of study, and academic community recognized aging as a legitimate area of study. As the number of elderly has increased exponentially, the professional and paraprofessional occupations dealing with that problems of the elderly has also increased. Chronologically, a person is considered to be old if he/she experiences a long life. Old is not only viewed by its chronological aspect, but also by its physical and psychological aspects as well. Aging results in body structural and functional changes, and it generates impairment, disability, and sometimes conform to a disease. The mechanisms and factors underlying aging process are still controversial. In attempts to explain aging process some numbers of theories have been proposed. It is, therefore, the emerging issues concerning old and aging process are: how the aging process takes place and which theories are still plausible? Aging process is a life-long process, characterized by body- failures in maintaining homeostatic conditions to physiological stresses. There are a variety of theories of aging that are proposed in which some of them are still plausible.Keywords: elderly - aging process - body structural & functional changes - impairment & disability -theories of aging
Prophylactic uterotonic agent to avoid postpartum bleeding on normal vaginal delivery Ibnu Pranoto, Ibnu Pranoto
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 33, No 04 (2001)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

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Abstract

Objective: To compare the volume of blood loss after normal vaginal delivery that have been given prophylactic uterotonic agents, 2.5 IU oxytocin, 5 IU oxytocin, 2.5 IU oxytocin plus 0.2 mg ergometrin, and 5 IU oxytocin plus 0.2 mg ergometrin.Methods: A Randomized control trial study was performed, 22 normal vaginal deliveries were given 2.5 IU oxytocin. 5 IU oxytocin was for 26 normal deliveries, 2.5 IU oxytocin plus 0.2 mg ergometrin for 29 deliveries and 5 lU oxytocin plus 0.2 mg ergometrin for 27 deliveries. The agents were administered intramuscularly or intravenously at a time of crowning. One way-anova test was used in this study. Intrapartum mothers with the normal vaginal delivery in Obstetrics and Gyneclogy Department of Sardjito General Hospital, Yogyakarta and Soeradji General Hospital, Klaten, between April 1t and July 28th 1988. Results: There is no significant difference between the second stage blood loss in the deliveries given 2.5 IU and 5 IU oxytocin with or without ergometrin. On the other hand, administration of 2.5 IU oxytocin has been statistically significant to reduce the mean blood loss on the third stage of labor compared to the other regiments. Prophylactic 2.5 IU and 5 IU oxytocin with or without ergometrin did not show any significant difference on the fourth stage of labor. The mean of blood loss after normal vaginal delivery was statisticaly significantly reduced by giving 2.5 IU oxytocin as the prophylactic agent compared to the other treatments in this study.Conclusion: The administering of 2.5 IU oxytocin was more significant in preventing postpartum bleeding in the third stage of labor and the postpartum bleeding. Ergometrin addition to oxytocin was not proved to decrease the blood loss in any stage of labor and portpartum bleeding as well.Keywords : Prophylactic uterotonic agents - oxytocin - ergometrin - normal vaginal delivery - postpartum bleeding.
Continuous ambulatory peritoneal dialysis for infantile chronic renal failure (A case report). Pungky AK, Pungky AK
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 33, No 04 (2001)
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

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Abstract

A two month old male infant with lethargy, vomiting, and loss of body weight was referred to Kobe University Hospital, Kobe, Japan. He had increased levels of BUN and serum creatinine, and severe metabolic acidosis. Ultrasonography exhibited hypoplasia kidney. Treatment with continuous ambulatory peritoneal dialysis (CAPD), recombinant human erythropoietin, and recombinant human growth hormone was started immediately on the admission day. All of his symptoms were disappeared and he grew up well. He was discharged 3 months after admission and he had been treated with the above therapy in Out Patient Clinic. CAPD on CRF patient is the most essential management. CAPD system should be introduced to save infants and children with chronic renal failure in Indonesia.Keywords : chronic renal failure - peritoneal dialysis — infant - hypoplasia kidney - recombinant growth hormone
Perinatal death risks of primipara at five District hospitals in Yogyakarta Haksari EL, Haksari EL
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 33, No 04 (2001)
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (164.847 KB)

Abstract

Background: Perinatal death in Indonesia is still high and seems to be difficult to decrease. Beside the characteristics of fetus, neonates, social and environment, there are some maternal characteristics which may increase the risk of perinatal death.Objectives: To identify the risk factors of perinatal death on primipara and multipara.Methods: The data were collected from five district hospitals in Yogyakarta during 1995-1998. The maternal and birth outcome were studied as risk factors of perinatal death.Results: Analysis of multivariate logistic showed primipara aged 5 19 years old had increased Odds ratio (OR) twice as much; prolonged OR stagnated labour and other complications during delivery had increased OR three times as much, haemorrhage had increased OR four times, low birthweight had OR of 3.01 (2.05 -4.43) and preterm had OR 4.15 (2.76-6.16) for perinatal death. Low education and twin of primipara had increased OR twice and three times respectively in univariate analysis. Multipara had increased OR and death of multipara had OR 7.7 (2.0-29.3) for perinatal death.Conclusion: There was a strong association between haemorrhage of delivery, low birth weight and preterm on primipara and perinatal death. Death of multipara had increased OR for perinatal death.Keywords: perinatal death - risk factors - primipara - multipara - district hospital

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