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ABSTRACT Sudden sensorineural hearing loss (SSNHL) is an otologic event that needs urgent treatment It is defined as a subjective sensation of hearing impairment in one or both ears, usually unilateral, rapid onset, occuring within 72 hours, with greater than 30 dB of hearing loss in at least 3 consecutive audiometric frequencies. The etiopathogenesis is unknown, up to 90% of cases is idiopa…
ABSTRACT Life expectancy improvement caused increasing elderly population proportion from about 20% in 2005 to estimated 33% in 2050. Changes in the elderly is not only physical, but also mental, such as depressive disorders that are often neglected. Knowledge of symptoms and detection of depressive disorders needs to be acquired by family, community, health professionals, and patients. Appr…
ABSTRACT Diabetic complications were the leading cause of death in diabetic patients. Advanced glycation end product (AGE) holds an important role in thE development of diabetic complications. AGE formed by nonenzymatic glycation process of protein, lipid and also nucleic acid. Food intake contro and drug use are important to control AGE level in diabetic patient. Nevertheless, those methods…
ABSTRACT Foreign body in respiratory tract such as in tracheobronchial tree is an emergency requiring prompt treatment to maintain respiratory function. Organic foreign bodies in trachea can be grains, peanut, corn, rice and meat, while the inorganic ones are coin, bone, dental prosthesis, needle, pin and nail. Early diagnosis, immediate and appropriate management will, determine the prognos…
ABSTRACT Patient safety is currently the issue among healthcare institutions and are obliged in all aspects of service. Law requires hospitals to implement patient safety standards. Results of a research collaboration between Indonesia and the Netherlands in Dr. Soetomo Hospital Surabaya and Dr. Kariadi Hospital Semarang in 2000-2004, showed that there were already harmful multi-resistant mi…
ABSTRACT Tuberculous spondylitis is Mycobacterium tuberculosis infection of the spine; its clinical course is relatively indolent. Patient frequently diagnosed at late phase with irreversible kyphosis and neurological deficit. Oral anti tuberculosis agents are treatment of choice at early phase; surgery is reserved for advanced cases with various techniques. Anterior approach with instru…
ABSTRACT There is an increase of dengue hemorrhagic fever (DHF) cases with comorbid diseases such as liverdisorders, kidneydisorders, diabetes, old age, coinfection and pregnancy. These conditions require better understanding and comprehensive approach; that dengueisaviralinfection with a variety of problems that demand more thorough understanding on immunopathogenesis and clinical course, s…
ABSTRACT Cardiac remodeling is commonly defined as a physiological or pathological state that may occur after myocardial infarction, pressure overload, volume overload, or idiopathic dilated cardiomyopathy, which involves genetic, molecular and cellular changes in cardiomyocytes and the interstitium. Underlying mechanisms include myocardial stretch, neurohormonal, and cytokine activation. AC…
ABSTRACT Thyroid hormone is essential for maintaining structure and function of the heart. In normal condition, thyroid hormone preserves the strength of heart contraction (inotropy) to meet physiological demand.Thyroid diseases, either hyperthyroidism or hypothyroidism, cause pathologic heart abnormalities called thyroid heart diseases. The patologic heart abnormalities due to thyroid hormo…
ABSTRACT In day-to-day clinical setting, physician frequently deal with the uncertainty in clinical decision making. Conceptual framework is needed to make valid and satisfying clinical as well as ethico-legal decision. Six steps in conceptual framework for ethical reasoning: (1) state the problem plainly (2) gather and organize data (3) is the problem ethical? (4) is more information or dia…