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Articles 16 Documents
Search results for , issue "Vol 36, No 3 (2004)" : 16 Documents clear
Risk factors of the faiture of vaginal delivery after previous Cesarean section history. Heru Pradjatmo, Heru Pradjatmo
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 36, No 3 (2004)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

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Abstract

Objective: To know factors influencing the success rate of vaginal delivery after previous Cesarean section history.Methods: Historical cohortSetting: Sardjito General Hospital YogyakartaParticipants: Women who delivered her child in Sardjito General Hospital between the year 1997 to 2001, and had previous Cesarean section history. Their delivery would be vaginally or recesarean section. The factors which were predicted affect the success of the vaginal delivery will be analyzed. The significance level of Odd Ratio was determined by logistic regression analysis.Results: There were 275 pregnant women with previous Cesarean section history reviewed, 110 (40%) patients successfully delivered the fetus vaginally and 165 (60%) patients unsuccessfully delivered the fetus vaginally and were undergone Cesarean section. Several factors that might influence the success of vaginal delivery were analyzed: place (OR =0.97; CI 0.58-1.65), age of the mother (OR =0.74; CI 0.431.29), mother body length (OR =1.15; CI 0.66-2.0), education of the mother (OR =1.41; CI 0.74-2.69), pregnancy interval (OR =0.83; CI 0.47-1.461, number of antenatal care (OR =4.40; CI 0.45-35.85), gestational age (OR =0.52; CI 0.24-1.12), fetal presentation (OR =0.61; CI 0.24-1.57), fetal body weight (OR =0.43; CI 0.21-0.89), history of vaginal delivery (OR =0.86; CI 0.51-1.43).Conclusions: It seems that only fetal body weight had significant influence to the success of the vaginal delivery after previous Caesarean section history. Anyhow, this result is appropriate to encourage a possible trial of vaginal delivery in almost all patients with a previous low-segment Caesarean section.Key words: Caesarean Section History, trial vaginal delivery, re-Caesarean Section
Clinical pregnancy derived of blastocyst culture and transfer at Permata Hati Infertility Clinic Dr Sardjito Hospital/Faculty of Medicine Gadjah Mada University Yogyakarta. A case report Ita Haryadi, Ita Haryadi
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 36, No 3 (2004)
Publisher : Universitas Gadjah Mada

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Abstract

In the natural environment, human embryos will be only in the uterine cavity at the morula or blastocyst stage. However, in vitro culture of embryos in assisted reproductive technologies remain replacing back embryos at or before four cell stage due to some problems involved. In this case report we aimed to culture and transfer embryos at blastocyst stage. A sub-fertility couple, wife at 33 years old, with bilateral fallopian tube damage. Husband has normal semen analysis. Of 9 oocytes retrieved from ovum pick up (OPU), seven were fertilized. On day 3 observation, five embryos showing considerably good in grade to allow further development. On day 5, four out of 5 embryos were formed blastocysts of which 2 were transferred, and the other two blastocysts were cryopreserved. Blastocysts of this reported patient were formed at the rate of 57.1% (4/7). Pregnancy was confirmed by positive urine semi-quantitative test, two intrauterine gestational sacs with 3 heart pulsations detected by ultrasonography. We reported a pregnancy obtained from our first human blastocyst culture and transfer to the couple undergoing in vitro fertilization (IVF) program at Permata Hati Infertility Clinic, DR Sardjito Hospital/Faculty of Medicine Gadjah Mada University, Yogyakarta.Key words : blastocyst culture - assisted reproductive technologies - in vitro fertilization
Clinical aspect and management of basal cell carsinoma Agus Supartoto, Agus Supartoto
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 36, No 3 (2004)
Publisher : Universitas Gadjah Mada

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Abstract

Objective: To identify the pattern, clinic:al aspect and management of Basal Cell Carsinoma (BCC) at Ophthalmology Department, Dr. Sardjito Hospital, Yogyakarta from 1997 to 2002.Methods: The author reviewed eligible medical records of all patients with BCC diagnosis based on clinical symptoms and histopatologic examination. Operative management with frozen section procedure. Results: Based on the collected data we found 31 cases of BCC in 1997 to 2002. Most of these cases (30) were noduloulcerative types, while 1 case was morphea in type. Most location of lesion were inferior palpebral region. In these cases, the range of age was between 49-75 years. Wide excision with skin graft was performed on 11 cases and 9 cases with orbital exenteration and skin graft, 6 cases with wide excision and skin flap, 5 cases orbital exenteration –wide excision– skin graft, as well as the ensuring 17 cases with radiotherapy. Most of the cases (30 cases) were good at follow up with a period of follow up between 2-14 month, while 1 case died.Conclusions: The most frequent of BCC were ulcerative nodular type, most location in the inferior palpebral region. Wide excision and skin graft management in the majority of cases clinical good result.Key words: BCC-Noduloulcerative type- Wide excision and skin graft.
Sexual dimorphism of pelvimetry in children at the circum puberal age: A study of children in lmogiri District Bantu! Regency Yogyakarta Special Provinc Janatin Hastuti, Janatin Hastuti
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 36, No 3 (2004)
Publisher : Universitas Gadjah Mada

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Abstract

Background: Age of circum puberal is important because during this period primary and secondary sexual characteristics are developing. Morphological sexual differentiations of boys and girls during this period cause sexual dimorphism, i.e. anatomical differences especially in the body measurements. One of the important variations is the measurements of pelvic (pelvimetry).Objective: The aims of this studi were to know the pelvimetric sexual dimorphism of boys and girls at the circum puberal age.Methods: Investigation was conducted on 172 children of 12 up to 15 years old which consisted of 72 boys and 100 girls who were born and lived in Imogiri District, Bantu! Regency, Yogyakarta Special Province.The samples were divided into 4 groups and were measured on height, weight, bicristal breadth, biiliospinal anterior breadth, bitrochanteric breadth, distance of lumbale-symphysion and pelvic girdle. The indices calculated are Livis index, bicristal index, bitrochanteric index, and the sexual dimorphism index of all measurements. The datas were analysed using two-ways anova, student-t analysis, and Kolmogorov-Smirnov test.Results: The result showed that bicristal breadth, biiliospinal anterior breadth and distance of lumbalesymphysion did not indicate sexual dimorphism significantly in children in the circum puberal age, although girls at 12 and 13 years old have greater measurements than boys. Bitrochanteric breadth and pelvic girdle showed sexual dimorphism since the age of 13 years, girls had greater measurements than boys. Sexual dimorphism of pelvic shape showed by bicristal index was happened at 15 years old, girls had greater index than boys. Sexual dimorphism of hip shape showed by bitrochanteric breadth index was happened since 13 years old, girls had greater index than boys.Conclusions: It was concluded that pelvic measurements showed sexual dimorphism in children at the circum puberal age by different time and pattern.Key words: sexual dimorphism - pelvimetry - children - circum puberal
Melanogenesis in freckles patients analysis in facultative color of Melayu ethnic with skin phototype IV & V Catharina Sagita, Catharina Sagita
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 36, No 3 (2004)
Publisher : Universitas Gadjah Mada

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Abstract

Background: Patients with lack of DNA repair capacity syndrome prone to have skin cancers and usually have freckles on their skin. Freckles is considered as a risk factor for skin cancer. Repair of sun induced DNA damage was proved to stimulate melanogenesis. The difference of melanogenesis capacity between freckles and non freckles peoples has never been studied.Objective: To determine the difference of melanogenesis capacity between freckles and non freckles patients by measuring the difference of facultative-constitutive skin color in Melayu peoples with skin ptohotype IV-V.Method: A case control study was performed to determine the difference of melanogenesis capacity between 31 freckles subjects and 32 non freckles subjects.Result: There was no significant difference (p> 0.05) in melanogenesis capacity between freckles and non freckles subjects.Conclusion: There is no difference of melanogenesis respon between freckles and non freckles patient.Key words: freckles, melanogenesis, skin color, IV-V phototype skin
Systemic lupus erythematosus in a 9-year-old patient with beta-thalassemia trait. A case report Ninik Sukartini, Ninik Sukartini
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 36, No 3 (2004)
Publisher : Universitas Gadjah Mada

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Abstract

We reported a case of lupus nephritis in a 9-year-old patient with beta-thalassemia trait who was treated in Cipto Mangunkusumo Hospital. The patient presented with bicytopenia, hepatosplenomegaly and lymphadenopathy. Laboratory results revealed hematologic disorder, i.e. hemolytic anemia with positive Coombs test and thrombocytopenia, positive ANA and antibody to double-stranded DNA, and proteinuria of 1230 mg/24 hrs, which fulfilled 4 criteria of ACR for the diagnosis of systemic lupus erythematosus ISLE). Signs of pericarditis was not found. In the follow up, the patient showed microcytic hypochromic anemia with high transferrin saturation level, leading to hemoglobin analysis which revealed beta thalassemia trait. This case is interesting because this patient didnt present with characteristic clinical features, and because SLE is seldom diagnosed before 16 years of age. Moreover, this patient also suffered from beta thalassemia trait, which is known to be associated with rheumatoid arthritis, another autoimmune disorder.Key words: SLE, lupus nephritis, beta thalassemia trait, childhood age
The Effect of Food Supplementation Program on Anthropometry, Hematology, and Parasites of Primary School Children Christin M. Santosa, Christin M. Santosa
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 36, No 3 (2004)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

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Abstract

Background: Food supplementation is problem solving efforts during multidimensional crisis.Objectives: This research was carried to evaluate further the advantages of the food supplementation in the primary school children towards their physical development and health status.Methods: Students with completely participation on these research and their parents agreed to informed consent were taken as inclusion criteria. The subjects of this experiment were sixth grade school children and divided into 2 groups i.e 25 control and 31 treated groups. The treatment group was given food supplementation consisting of one boiled egg and one glass of green-peas porridge (220 ml) each, three times a week for 10 weeks, whereas the control group was not given any. Observations were carried out five times: at 0, 3, 7, 10, and 13 weeks. The results were analized by the Student-t test.Results: The results showed significant increases in body weights (p0.05) between control and treatment groups neither for the boys nor girls. And until the last week faeces samples, it is never detected the situation where it is free from worm investation and protozoa infection either for control or treatment group.Conclusion: The food supplementation was apparently adequate to meet the optimal caloric and proteins requirements of these children, so that could improve physical development and health status as shown by the increased anthropometric measurements, decreasing parasite infection and steady hematological picture.Key words: food supplementation - anthropometry - hematology - parasites - primary school children
Reference value of quantitative. examination of urine sediment using Shih-Yung (S-Y) system Riadi Wirawan, Riadi Wirawan
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 36, No 3 (2004)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

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Abstract

Background: Conventional urine sediment examination was reported semiquantitatively, Shih-Yung system was quantitative and standaridizeci method.Objective: To evaluate urine sediment examination using Shih-Yung systems and to determine the reference value.Material and methods: Normal and pathologic urine from patients who have renal and urinary tract disorders, control material for urine microscopic examination Kova-TrolTm I and also urine from 120 healthy men and 120 healthy women.Results: Within run precision using normal urine, pathologic urine, and Kova-TrolTm I yielded a different coefficient of variation (CV) for small and large amount urine sediment component. Laboratory agreement between two observer using Kappa test were >80% for each urine sediment component. Reference values of urine sediment component were as follows: red cells 0-2/4, white cells 0-4/4, hyalin cast 0/ pL, epithelial cell for men 0-1/4 and epithelial cell for women 0-9/4.Conclusion: a relative big CV for small amount urine sediment component and vice versa. Reference values of urine sediment component were as follows: red cells 0-2/4, white cells 0-4/4, hyalin cast 0/epithelial cell for men 0-1/4 and epithelial cell for women 0-9/4. Shih-Yung system yielded a good laboratory agreement between two observers using Kappa test.Key words: urinalysis - urine sediment - quantitative examination - S-Y system - normal value
Risk factors of the faiture of vaginal delivery after previous Cesarean section history. Heru Pradjatmo, Heru Pradjatmo
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 36, No 3 (2004)
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

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Abstract

Objective: To know factors influencing the success rate of vaginal delivery after previous Cesarean section history.Methods: Historical cohortSetting: Sardjito General Hospital YogyakartaParticipants: Women who delivered her child in Sardjito General Hospital between the year 1997 to 2001, and had previous Cesarean section history. Their delivery would be vaginally or recesarean section. The factors which were predicted affect the success of the vaginal delivery will be analyzed. The significance level of Odd Ratio was determined by logistic regression analysis.Results: There were 275 pregnant women with previous Cesarean section history reviewed, 110 (40%) patients successfully delivered the fetus vaginally and 165 (60%) patients unsuccessfully delivered the fetus vaginally and were undergone Cesarean section. Several factors that might influence the success of vaginal delivery were analyzed: place (OR =0.97; CI 0.58-1.65), age of the mother (OR =0.74; CI 0.431.29), mother body length (OR =1.15; CI 0.66-2.0), education of the mother (OR =1.41; CI 0.74-2.69), pregnancy interval (OR =0.83; CI 0.47-1.461, number of antenatal care (OR =4.40; CI 0.45-35.85), gestational age (OR =0.52; CI 0.24-1.12), fetal presentation (OR =0.61; CI 0.24-1.57), fetal body weight (OR =0.43; CI 0.21-0.89), history of vaginal delivery (OR =0.86; CI 0.51-1.43).Conclusions: It seems that only fetal body weight had significant influence to the success of the vaginal delivery after previous Caesarean section history. Anyhow, this result is appropriate to encourage a possible trial of vaginal delivery in almost all patients with a previous low-segment Caesarean section.Key words: Caesarean Section History, trial vaginal delivery, re-Caesarean Section
Sexual dimorphism of pelvimetry in children at the circum puberal age: A study of children in lmogiri District Bantu! Regency Yogyakarta Special Provinc Janatin Hastuti, Janatin Hastuti
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 36, No 3 (2004)
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (172.375 KB)

Abstract

Background: Age of circum puberal is important because during this period primary and secondary sexual characteristics are developing. Morphological sexual differentiations of boys and girls during this period cause sexual dimorphism, i.e. anatomical differences especially in the body measurements. One of the important variations is the measurements of pelvic (pelvimetry).Objective: The aims of this studi were to know the pelvimetric sexual dimorphism of boys and girls at the circum puberal age.Methods: Investigation was conducted on 172 children of 12 up to 15 years old which consisted of 72 boys and 100 girls who were born and lived in Imogiri District, Bantu! Regency, Yogyakarta Special Province.The samples were divided into 4 groups and were measured on height, weight, bicristal breadth, biiliospinal anterior breadth, bitrochanteric breadth, distance of lumbale-symphysion and pelvic girdle. The indices calculated are Livi's index, bicristal index, bitrochanteric index, and the sexual dimorphism index of all measurements. The datas were analysed using two-ways anova, student-t analysis, and Kolmogorov-Smirnov test.Results: The result showed that bicristal breadth, biiliospinal anterior breadth and distance of lumbalesymphysion did not indicate sexual dimorphism significantly in children in the circum puberal age, although girls at 12 and 13 years old have greater measurements than boys. Bitrochanteric breadth and pelvic girdle showed sexual dimorphism since the age of 13 years, girls had greater measurements than boys. Sexual dimorphism of pelvic shape showed by bicristal index was happened at 15 years old, girls had greater index than boys. Sexual dimorphism of hip shape showed by bitrochanteric breadth index was happened since 13 years old, girls had greater index than boys.Conclusions: It was concluded that pelvic measurements showed sexual dimorphism in children at the circum puberal age by different time and pattern.Key words: sexual dimorphism - pelvimetry - children - circum puberal

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