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ABSTRACT Pneumonia becomes one of the major nealtn problems in the elderly. A characteristic of pneumonia in geriatric patients is its typicalclinical presentation. Immunological status changes due to the aging process to give an important consequence of the pulmonary fungtional reserve ability to cope with decreased lung compliance and increased airway resistance to irfection.Thymus involut…
ABSTRACT Vertigo (or dizziness) and equlilibrium disorders are the third most common symptoms in emergency ward.They can be caused by peripheral or centra pathologic origin.There is an overlap between symptoms of acute vestibularsyndrome with acutevertebro-basilar syrdrorne.Symptoms associated with posterior circulation disorders have wide variations depends on occluded arteries (PICA [poste…
ABSTRACT Neuropathic pain may arise as a consequence of a lesion or disease affecting the sornatosensory system. The management of chronic neuropathic pain is challenging. despite several attempts to develop a more rational thetapeutic approach. The use of NNT (number needed to treat) and NNH (number needed to harm) should be considered for choosing the medications for individual patients. Gab…
ABSTRACT Background: The common complaint in almost half & nasopharyngeal carcinoma (NPC) patients was a lump in the neck. Neurological symptoms occcured less frequently, whereas blindness occurred ir only less than one percent of cases. Case report: A 26 year-old male complained about headache. nasal voice, and blindness in right eye since a month ago. Examination found mass in the right na…
ABSTRACT Type 2 diabetes mellitus (DM) is a syndrome of impaired metabolism caused by reduced insulin secretion or decreased issue sensitivity to insulin. Type 2 DM begins with sustained hyperglycemia causing insulin resistance. Hyperglycemia also causes ROS (Reactive Oxygen Species) increase, especially in pancreatic β cells eventually lead, to cell damage and more severe type 2 DM. Hypoxi…
ABSTRACT Tension-type headaches (TTH) are very common headache worldwide. The oojective of this scientific paper was to review the recent and relevant publication about tension-type headache. This review focuses on epidemiolog), etiopathoPhysiology. clinical portra% physical, examination and additional assessment, management, differential diagnosis. comorbidity, oreventive. and prognosis in TT…
ABSTRACT Chronic headache affects up to 5% of the population and can lead to significant disability. Bothphysician and patient are usually cautious onpossibility of serious cause, such as brain tumor, and make referral to radiological investigation.The diagnostic yield of neuroirnaging in chronicheadache is low, but can be used to exclude secondary causes of chronic headacne. Normal neurolo…
ABSTRACT Individual variations in the response to drugs and drug toxicity occur commonly in the clinical setting and in drug deveoprrent research protocols. Cumulative evidence strongly suggests that genetic polymorphisms in drug metabolizing enzymes, transporters, receptors and other drug targets are contributing to inter-individual differences in the efficacy and toxicity of drugs. Pharrna…
ABSTRACT The improvement of life expectancy has increased old-age population in the world. This condition will increase the problems among elderly among others is cognitive decline. One of the risk factors tor cognitive cedne Is social engagement that can be influenced by living environment.This research was done withcross sectional metnod in kelurahan Jelambar and Jelarnbar Baru on 286 respo…
ABSTRACT Drug-induced liver injury or drug-related hepatotoxicity is injury to the liver caused by exposure to a drug or another noninfectious agent.The clinical signs could vary from very mild condition without any clinical symptoms to severe and life-threatening acute liver failure. Drug-related hepatotoxicity has a low reported incidence, ranging from 1 in 10.000 and in 100.000 patients, …