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Piperacillin has antimicrobial action but it is not absorbed from gastrointestinal tract Therefore, it needs structure modification to increase its absorption while keeping its antimicrobial action. The 4-methy/piperazin¬N-carbonyl ampicillin was the product of reaction between ampicillin and 4-methylpiperazin-N-carbonyl chloride using Schotten Baumann method. The aim of this research was to c…
Objective: To find out the diagnostic value of CA125 and HE4 as a tumor marker, and also RM1 and ROMA as a malignancy predictor in patients with ovarian tumors. Methods: This study was a diagnostic study using cross-sectional design.This study was performed in Jakarta from November 2010 to May 2011. One hundred and twenty eight serum samples of patients diagnosed with ovarian tumors were col…
Perioperative management on patients undergoing pituitary surgery is varies according to the size of pituitary lesion, type of lesion, surgical method used and the ideal preoperative function of endocrine. Specific problems in most patients relate to primary hormonal hypersecretion conditions and its complications. It cause by the absence of best methods for all patients undergoing this kind o…
Abstract Traumatic Brain Injury (TBI) is a big problem in the world because of high mortality and morbidity. TBI burdens approximately 600,000 people every year in USA. Head injuries are found in 17.6% of all trauma in-patients and are the most common cause of death after injury (26.6%) in Germany. Here we report anesthetic management in male, 19 yrs old, 65 kgs body wieght, diagnose was Epid…
Anesthesia procedure in the prone position was often necessary in order to facilitate access to a variety of surgical operations, including neurosurgery among others, the spine surgery. In addition to physiological changes, some complications can also occur in the prone position that should receive special attention, so it requires a good understanding of this issue. Case: Laminectomy was bein…
Traumatic brain injury (TBI) is a major cause of death and dissability, if it doesn 't get any therapy quickly and accurately. Anesthesiologist is important in case to handling the therapy from the accident site until in the neuro intensive care. A standard therapy in TBI is always moving forward by years, that is expected to achieve maximal results in that case. Aman, 37 years old, weight 75…
Background: The foremost problems of nasopharyngeal carcinoma (NPC) management are high loco-regional remission, local recurrence and spreading rate post therapy. Photodynamic therapy (PDT) has been done for treatment of tumors less than 1 cm in size and depth in a very diffzcult location, where radical excision by surgery was not possible. The aim of th is study is determining 5-year-overall s…
In order to reduce waterborne diseases, the current government and its partners are developing a household water treatment and safety storage (HWTS). This article is part of a study on Development of An Evidenci-Based Guidelines for Promotion of HWTS which is conducted in three pilot sites: Bandung city, Bandung district (West Java) and Sikka district (East Nusa Tenggara) in 2008. The aim of th…
Leptospirosis is one of zoonosis disease that spread widely in the world. This disease found in some species of animals and human, domestic animals as reservoar of leptospirosis are dog, cat, goat, pig and cow and rodent specially rat. According to International Leptospirosis Socienty (ILS) Indonesia is country with high leptospirosis incidence and in 3"I rank for leptospirosis mortality in the…