
| Pengarang | : | Nino Nasution, Muhammad Bayu Rizaldy |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 45 (No. 5) |
| Halaman | : | 364-366 |
| Abstrak | : | A patient presented with inability to use his right thumb properly after work accident due to ruptured right Extensor Pollicis Longus (EPL). A tendon free grafting from the Palmaris Longus (PL) was performed to repair the ruptured EPL. |
| Pengarang | : | Febrian Mulya Santausa |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 45 (No. 5) |
| Halaman | : | 359-362 |
| Abstrak | : | Shoulder impingement syndrome (SIS) is a syndrome characterized by shoulder pain caused by impingement of subacromial space. Steroid injection is a simple procedure feasible in primary health care, yet seldom used for SIS patients in Indonesia. This study evaluate the efficacy of steroid injection combined with exercise program compared to exercise alone in SIS patients aged >40 years old. Systematic searching was conducted on three databases PubMed¥, Cochrane Library¥, and TRIP Database¥. Two randomized clinical trials were selected to be appraised based on the criteria from Center of Evidence-based Medicine, University of Oxford. Both studies found that steroid injection is effective in reducing pain and improving shoulder function up until six weeks after the injection. The effect is predicted to be better if steroid dose eRuals to 40-80 mg triamcinolone with posterolateral approach injection. |
| Pengarang | : | Christian Nasir, Nelly Rosdiana |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 45 (No. 5) |
| Halaman | : | 354-357 |
| Abstrak | : | Atherosclerosis is a slow progressive disease characterized by gradual intimal thickening. The predisposing factors for premature atherosclerosis are chronic hemolysis, increased serum iron deposit, and dyslipidemia. Premature atherosclerosis has emerged as important cardiovascular complication in beta-thalassemia major. Beta-thalassemia is associated with lower total cholesterol, LDL, and HDL, and higher triglyceride level. Dyslipidemia in beta-thalassemia is caused by several factors, such as plasma dilution due to anemia, increased erythropoietic activity, liver injury due to iron overload, hormonal disturbance, and decreased extra hepatic lipolysis activity. |
| Pengarang | : | Riko Febrian Kunta Adjie |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 45 (No. 5) |
| Halaman | : | 349-352 |
| Abstrak | : | Septic arthritis caused by bacterial infection reRuired diagnostic speed and accuracy to improve prognosis. Final diagnosis rests on isolation of pathogen from joint fluid. The main management objectives are joint decompression, joint sterilization, and to reserve joint function. Sterilization with empirical intravenous antibiotic for at least 2 weeks, then adjusted based on bacterial culture result. Joint decompression can be achieved by various methods including closed-needle aspiration, tidal irrigation, arthroscopy, and arthrotomy. |
| Pengarang | : | Daniel Mahendra Krisna, Akhada Maulana |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 45 (No. 5) |
| Halaman | : | 343-347 |
| Abstrak | : | Overactive bladder (OAB) is a urinary urgency, with or without urinary incontinence, without proven infection or other obvious pathology. OAB affects Ruality of life. The first-line treatment consists of combination of behavioural therapy and drugs, but failure is high due to side effects and noncompliance. Botulinum injection is an optional therapy that should be considered as a first line therapy. Its mechanism is to inhibit neurotransmitter release to reduce smooth muscle contractility. |
| Pengarang | : | - |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 45 (No. 5) |
| Halaman | : | 340-342 |
| Abstrak | : | enitourinary trauma is often overlooked in the setting of acute trauma; other more life-threatening injuries often take precedence for immediate management. Radiology imaging plays a key role in diagnosis. Rapid diagnosis and appropriate management is crucial in limiting mortality and morbidity. |
| Pengarang | : | Yaumil Reiza |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 45 (No. 5) |
| Halaman | : | 336-339 |
| Abstrak | : | Brain tumors usually have poor prognosis, because they often recurs although various diagnostic and therapeutic modalities have been created to improve outcomes. Recently, neutrophil gelatinase-associated lipocalin (N(AL), which binds matrix metalloproteinase-9 (MMP-9) enzyme, forms the N(AL/MMP-9 complex that is found to play a role in the development of malignancies. These substances are known to support tumor development by degrading the basal membrane and extracellular matrix, and allowing tumor angiogenesis, invasion, and metastasis. This article will discuss the role of N(AL, MMP-9, and N(AL/MMP-9 in brain tumors. |
| Pengarang | : | Ramadhyan Respatio |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 45 (No. 5) |
| Halaman | : | 332-334 |
| Abstrak | : | Superior mesenteric arterial (SAM) syndrome is a rare disorder, mostly occurs in adolescent or young adults. It is caused by decreased angle between superior mesenteric arterial originating from abdominal aorta with one-third of the duodenal transverse passage, causing obstruction. The most often symptom is fluctuating abdominal pain accompanied by nausea and vomiting. A CT scan or CT angiogram is the gold standard in diagnostic, as it is capable of measuring the reduced angle of the aorta mesentric, indicating both gastric and duodenal dilatation. Duodenojejunostomy is the best choice with a 90% success rate in which laparoscopic duodenojejunostomy is the best techniRue. |
| Pengarang | : | Astrid Claudya, Herpan Syai Harahap, Emmy Amalia, Yanna Indrayana |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 45 (No. 5) |
| Halaman | : | 327-330 |
| Abstrak | : | Antiepilepsy drug (AED) can decrease cognitive function in epileptic patient. The effect of AED on cognitive function can be evaluated with clock drawing test (CDT). This study is to compare CDT score of epileptic patients on carbamazepine and phenytoin therapy. Method: A cross-sectional comparative analytic observational study on 42 epileptic patients aged >14 years old in Mutiara Sukma Mental Hospital. Patients characteristic data were analyzed with Chi-sRuare, CDT data were analyzed with Mann 8hitney. Result: Among 42 epileptic patients, 62% were using carbamazepine and 38% were using phenytoin. No significant difference in gender, age, etiology, type of seizure, onset of seizure (p>0.05), and a significant difference in highest education and duration of therapy (p<0,05). Mann-8hitney test showed no difference between CDT score of epileptic patients using carbamazepine and phenytoin (p=0,284). Conclusion: CDT score of epileptic outpatients on carbamazepine and phenytoin therapy at Mutiara Sukma Mental Hospital NTB were not significantly different. |
| Pengarang | : | Sidhi Laksono Purwowiyoto |
| Nama Majalah/Jurnal | : | CDK Cermin dunia kedokteran |
| Volume / Edisi | : | 45 (No. 4) |
| Halaman | : | 310-312 |
| Abstrak | : | Acute heart failure is an acute syndrome of heart failure. It is among the most common causes for hospitalization in older than 65 year-olds. It has 6 subtypes with their own characteristics. Pathophysiology of acute heart failure is complex and variable. Various clinical presentations depend on subtypes. Acute treatment is mandatory to relieve symptoms of congestion and perfusion. |