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Stevens Johnson Syndrome: A Case Report 史蒂文斯约翰逊综合征:1例报告
Pub Date : 2023-02-18 DOI: 10.58376/mcu.v2i1.35
Peter Nugraha Soekmadji, Theresia Monica Rahardjo, Riza Chandra Luthfy, Stevani Abigail, Nadya Naurah Adrina Suardi, Risha Diranti Ananda Putri
Steven Johnson Syndrome is an allergic reaction and in severe condition can be life-threatening. This condition can result in systemic symptoms and sometimes need intensive management. This case report aimed to present a diagnosis and treatment of a Steven Johnson Syndrome in clinic
史蒂文·约翰逊综合症是一种过敏反应,严重时可能危及生命。这种情况可导致全身性症状,有时需要强化治疗。本病例报告旨在介绍史蒂文约翰逊综合征的临床诊断和治疗
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引用次数: 0
Severe Dehydration Due to Low Intake in Patients with Oral Candidiasis in Malignancy: A Case Report 恶性口腔念珠菌病患者低摄入量引起的严重脱水1例报告
Pub Date : 2023-02-18 DOI: 10.58376/mcu.v2i1.36
Theresia Monica Rahardjo, Brenli Orville Sumarlie, Erinetta Koeswandy Kho, Laudry Fanthera, Liyenka Belusi Tantra, Nathalia Gabriella
Oral candidiasis is an infection in oral cavity caused by Candida albicans. This disease is frequently caused by immunological suppression, which can be local or systemic, caused by immunosuppression due to extremes of age (newborns and the elderly), diseases that impair immunity, such as in infection of human immunodeficiency virus (HIV) or Acquired Immunodeficiency Syndrome (AIDS), long-term systemic steroid use, and long-term systemic antibiotic use. Oral candidiasis could lead to low-intake condition due to swallowing difficulties. This case report aimed to present a patient with severe dehydration due to oral candidiasis that needs to be hospitalized.
口腔念珠菌病是由白色念珠菌引起的口腔感染。这种疾病通常是由免疫抑制引起的,可以是局部的或全身性的,由极端年龄(新生儿和老年人)引起的免疫抑制,损害免疫的疾病,如感染人类免疫缺陷病毒(HIV)或获得性免疫缺陷综合征(AIDS),长期全身类固醇使用和长期全身抗生素使用引起的。口腔念珠菌病可导致吞咽困难导致低摄入量。本病例报告的目的是提出一个病人严重脱水由于口腔念珠菌病,需要住院治疗。
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引用次数: 1
X-ray Chest in Congenital Diaphragmatic Hernia: A Case Report 先天性膈疝x线胸片1例
Pub Date : 2023-02-18 DOI: 10.58376/mcu.v2i1.28
Millsep Sieroka, Firstia Anugerah Rerung Allo, Aditya Oktavianto, Sharon Griselda Tedjo, Erica Valencia Imannuel, Richard Gunawan, Fiky Cahyarania Insyara, Ingrid Yesty Giovanni Hutasoit, Suci Sapira Koirunisa, Mathias
Congenital diaphragmatic hernia (CDH) is characterized by the presence of pulmonary hypoplasia or agenesis involving the left, right or both lungs, the failure of diaphragmatic closure, and the herniation of abdominal organs into the thoracic cavity. The incidence of diaphragmatic hernia ranges from approximately 0.8-5/10,000 births and varies across populations. The signs and symptoms including respiratory distress and bowel sounds in the chest cavity, no breathing sounds in one of the hemithorax and shifting of heart sounds. Chest X-ray is simple yet mostly available modality to confirm the diagnosis.
先天性膈疝(CDH)的特点是左、右或双肺肺发育不全或发育不全,膈关闭失败,腹部器官疝入胸腔。膈疝的发生率约为0.8-5/ 10000,在不同人群中有所不同。体征和症状包括呼吸窘迫,胸腔有肠音,其中半胸无呼吸音,心音移位。胸部x光片是一种简单但常用的诊断方法。
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引用次数: 0
Socio-economical Characteristics and Determinants of Indonesian National Health Insurance Subsidized By The Government in Jakarta 雅加达政府补贴的印尼国民健康保险的社会经济特征和决定因素
Pub Date : 2023-02-18 DOI: 10.58376/mcu.v2i1.20
Dr. Jeffrey Christian Mahardhika
The National Health Insurance Program (Jaminan Kesehatan Nasional - JKN) is a social health insurance managed by the National Health Insurance Agency (Badan Penyelenggara Jaminan Sosial Kesehatan – BPJS Kesehatan), aiming to provide health insurance for all Indonesian people. Community groups that receive subsidies from the government are referred to as Contribution Assistance Recipients (Penerima Bantuan Iuran - PBI) participants. One of the issues regarding the JKN program so far is the inaccuracy of PBI targets. Therefore, a study is needed to evaluate the relationship between JKN PBI ownership with their socioeconomic status and history of receiving social aid.
国家健康保险计划(Jaminan Kesehatan Nasional - JKN)是由国家健康保险局(Badan Penyelenggara Jaminan social Kesehatan - BPJS Kesehatan)管理的一项社会健康保险,旨在为所有印度尼西亚人提供健康保险。接受政府补贴的社区团体被称为捐款援助受助人(Penerima Bantuan Iuran - PBI)参与者。到目前为止,关于JKN计划的一个问题是PBI目标的不准确性。因此,有必要研究JKN PBI所有权与其社会经济地位和接受社会救助的历史之间的关系。
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引用次数: 1
Alopecia Areata: A Case Report 斑秃1例报告
Pub Date : 2023-02-18 DOI: 10.58376/mcu.v2i1.27
Peter Nugraha Soekmadji, Tamara Damayanti, Aurellia Tirza Amelinda, Della Hestia Suyanto, Khusnul Hotimah Amimatori, Nindia Aru Khairana
The frequent asymptomatic condition alopecia areata (AA) is characterized by the sudden start oftotal hair loss in a sharply defined, typically spherical area. Complicated autoimmune diseasesboth hereditary and environmental factors affected the susceptibility to and severity of the dis-ease. About 34-50% of patients experience a spontaneous recovery within a year, while patientsmay go through many alopecia bouts. The purpose of this case report is to go over the identifica-tion and management of alopecia areata.
斑秃(AA)是一种常见的无症状状况,其特征是在一个明显的球形区域突然开始全部脱发。复杂的自身免疫性疾病,遗传和环境因素均影响疾病的易感性和严重程度。大约34-50%的患者会在一年内自发恢复,而患者可能会经历多次脱发发作。本病例报告的目的是回顾斑秃的识别和管理。
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引用次数: 0
Respiratory Failure in Acute Decompensated Heart Failure: A Case Report 急性失代偿性心力衰竭并发呼吸衰竭1例报告
Pub Date : 2023-02-18 DOI: 10.58376/mcu.v2i1.29
Nuri Nurhasanah S, Theresia Monica Rahardjo, Gabriel Tangdirerung R, Angelina Simbolon, Andieni Faqhira P, Cyntia Carrisa, I. Gusti A.P, Fauziah Luthfianti, Revalitha Putri, Assyifa Putri U., Muliani Ester R.
Chronic respiratory failure is an acute respiratory failure that develop slowly. The symptoms are shortness of breath, extreme tiredness, an inability to exercise, and sleepiness. One of the causes of respiratory failure is acute decompensated heart failure (ADHF). ADHF It can be defined suddenly heart failure requiring hospitalization. ADHF is caused by acute coronary syndromes, COPD exacerbation, asthma, surgery, and drugs. If not treated properly, it can lead to stroke, liver congestion, atrial fibrillation, arrhythmia ventricular, and venous thrombosis
慢性呼吸衰竭是一种发展缓慢的急性呼吸衰竭。症状是呼吸短促、极度疲劳、不能运动和困倦。呼吸衰竭的原因之一是急性失代偿性心力衰竭(ADHF)。ADHF可定义为需要住院治疗的突发性心力衰竭。ADHF由急性冠状动脉综合征、COPD加重、哮喘、手术和药物引起。如果治疗不当,可导致中风、肝充血、心房颤动、室性心律失常和静脉血栓形成
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引用次数: 0
Pediatric Lung Abscess: A Case Report 小儿肺脓肿1例报告
Pub Date : 2023-02-18 DOI: 10.58376/mcu.v2i1.34
Melissa Adriani Tjahyadi, Basaria Lidya Sinurat, Hosea Gerry Leesander, Nadya Angelica, Rini Riantie
Lung abscess is an infection that destroys the lung parenchyma, resulting in cavity formation and central necrosis, with purulent material. Lung abscess are much less common in children, with estimated incidence at 0.7 per 100,000 admissions per year, than in adults
肺脓肿是一种破坏肺实质的感染,导致空腔形成和中央坏死,伴有化脓性物质。肺脓肿在儿童中较不常见,估计发病率为每年每10万人中有0.7人,而在成人中则较少
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引用次数: 0
Abdominal Tuberculosis with Malnutrition: A Case Report 腹部结核伴营养不良1例
Pub Date : 2023-02-18 DOI: 10.58376/mcu.v2i1.30
Nuri Nurhasanah Sugandi, Shiela Stefani, Novie Kartika, Karina Febiani Widjaja, Marcellino Bulain, Medylin Duallo, Moses Arky Krisnanda, Nabila Cahya Putri, Nerissa Arviana Fuad, Revena Astanti Percunda
Tuberculosis is caused by the bacterium Mycobacterium tuberculosis, 20% diagnosed as extrapulmonary TB. Abdominal becomes the most case of extrapulmonary TB. Patients with malnutrition are at risk of developing TB by 6-10 times. This study is aimed to learn more about the features of aabdominal TB with malnutrition in children.
结核病是由结核分枝杆菌引起的,20%被诊断为肺外结核。腹部成为肺外结核的最多病例。营养不良患者患结核病的风险要高出6-10倍。本研究旨在进一步了解儿童腹部结核伴营养不良的特点。
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引用次数: 0
Multisystem Inflammatory Syndrome in Children: A Review 儿童多系统炎症综合征:综述
Pub Date : 2023-02-18 DOI: 10.58376/mcu.v2i1.26
Chandni P. Daryanani, Theresia Monica Rahardjo, Harris Utama, Angga Trie Buana, Eaufira Mereditha Pasaribu, Euodia Eunike
Pediatric inflammatory multisystem syndrome, temporally associated with SARS-CoV-2 (PIMS-TS) or multisystem inflammatory syndrome in children (MIS-C) is a condition identified recently. Children who were previously healthy may experience cardiac, neurological, respiratory, gastrointestinal, and dermatological dysfunction. Majority of patients (73%) require intensive care treatment, and more than half (56%) of patients arrive in shock. Different management are used for MIS-C patients, but they all primarily focus on immunomodulatory drugs such as IVIG and glucocorticoids as initial therapy. Biologic agents like anakinra, tocilizumab, and infliximab should be intensified when the patients are resistant to IVIG and glucocorticoids.
儿童炎症性多系统综合征,与SARS-CoV-2 (PIMS-TS)或儿童多系统炎症综合征(MIS-C)暂时相关,是最近发现的一种疾病。以前健康的儿童可能会出现心脏、神经、呼吸、胃肠和皮肤功能障碍。大多数患者(73%)需要重症监护治疗,超过一半(56%)的患者休克。MIS-C患者有不同的治疗方法,但它们都主要集中在免疫调节药物,如IVIG和糖皮质激素作为初始治疗。当患者对IVIG和糖皮质激素耐药时,应加强使用阿那单抗、托珠单抗和英夫利昔单抗等生物制剂。
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引用次数: 1
The Impact of Childhood Malnutrition: A Case Report 儿童营养不良的影响:一个案例报告
Pub Date : 2023-02-18 DOI: 10.58376/mcu.v2i1.31
Chandni P. Daryanani, Bryan Kohen, Ellen G White Br Manik, Joseph Gerard Un Nahak, Xena Syafira
Childhood malnutrition is a widespread issue in low-income and middle-income countries, which increases the occurrence and severity of infections, including pneumonia. The impaired immune function of malnourished children contributes significantly to the heightened incidence and severity of infections, caused by limited production or reduced functional capacity of immune system cells
儿童营养不良是低收入和中等收入国家普遍存在的问题,它增加了包括肺炎在内的感染的发生和严重程度。营养不良儿童的免疫功能受损会显著增加感染的发生率和严重程度,这是由免疫系统细胞产生有限或功能能力降低引起的
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引用次数: 2
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Medical Clinical Update
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