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Carbondioxide (C02) insufflations in laparoscopy with gas will increase intraabdominal pressure that influences the hemodynamic, lungs, and kidneys. One of important hemodynamic changes is temporary reduction of hepatic blood flow because of pneumoperitoneum, Pressure caused by pneumoperitoneum can influence ischemia degree of hepatic cell and cause hepatic enzymes increase. Enzyme that include…
Heart disease is a major cause of death in both men and women in industrialized countries. In fact, many individuals, who develop heart disease, have normal cholesterol and blood pressure levels. It suggests that other risk factors may also play a role. Iron (Fe), zinc (Zn) and copper ICul may promote CHD by increasing lipid peroxidation and causing oxidant-induced damage in various organs. The…
Based on guideline of the American Association of Clinical Endocrinologist. fine needle aspiration (FNA) is believed as effective method to differentiate between benign and malignant thyroid nodule. At Dr. Sardjito Hospital,during 2004 - 2008 there were 12 cases of false negative from 14 cases of thyroid malignancy. The high false negative value raised question about the role of FNA in determin…
Abstract. In 2006 Faculty of Medicine Syiah Kuala University introduced an integrated, spiral curriculum, using problem-based learning (PBL) approach with a number of innovative features. The faculty of medicine now had four years experience of the curriculum. This paper describes the changes that have taken place in the curriculum oyer the four years. Evidence from internal and external review…
Abstract Infection of intestine worm still become public health problem in developing country including Indonesia. Ascariasis is the mostly second paracitic disease. Adult Ascaris lumbricoides may cause some mechanics trouble include intestine obstruction, peptic perforation, and airway obstruction. Highest frequency could be found in children. Diagnose can be confirmed if adult worm was seen i…
Abstract. Gout Arthritis is a disease caused by monosodium urate (MSU) crystals deposition in articular and periarticular tissues because of ex tra cellular fluid super saturation and result in fir; one or many clinical manifestation. About 90% patient with primary gout arthritis are male, usually above 30 years old. In women, it usually happen after menopause. Diagnose of gout arthritis is bas…
Abstract. The program to eradicate leprosy in the world has been taken for the last 20 years, but the incidence of new leprosy cases do not decline yet. In other words, the transmission of leprosy is still occurring everywhere. Up today, humans are still believed to be a major source infection of Leprae Mycobacterium, particularly on the patients with lepromatous type of cases that are extremel…
Abstract. Systemic sclerosis (scleroderma) is a connective tissue disease of the unknown causes that characterized by fibrosis of skin and visceral organs as well as micro vascular abnormalities. The prevalency of the patients is relatively low with 50-300 cases per 1 million of the population and the incidence of 2.3 to 22.8 cases per I million population per year; however, the risk on women i…
Abstrak. Pada kelompok usia lanjut Community Acquired Pneumonia rnerupakan salah satu infeksi yang rentan terjadi pada saluran nafas bawah, hal ini dikaitkan dengan mekanisme pertahanan tubuh diantaranya gangguan mukosilier, gangguan reflek, gangguan sistirn imunologi, gangguan neurologi dan gangguan sistim kardiopulmoner. Manifestasi Pneumonia pad a usia lanjut tidak khas, dan sering disertai …