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The Effect of Establishing Escherichia coli on Balb/C Rats as A Model of Preterm Labor 大肠杆菌对Balb/C大鼠早产模型的影响
IF 0.4 Pub Date : 2023-08-26 DOI: 10.55561/ajhr.v2i2.115
Suheni Ninik Hariyati, D. Santosaningsih, Arief Satria Hardika, Fikhy rizky Hapsari, Nirwan Nugraha, Wildan Aulia Firdaus
Introduction: The prevalence of preterm labor in Indonesia is estimated at 7-14%, which is around 459,200-900,000 babies per year. The mechanism of infection is the biggest cause of preterm labor. The bacteria that often causes infection is Escherichia coli. This study aims to see the effect of giving Escherichia coli to produce premature models of mice.Material and Methods: This study used a true experimental method with a post-test only control group design approach. The independent variables were preterm labor & cervical tissue culture, amniotic membranes, and placenta. The dependent variable of the study was the administration of Escherichia coli 109 CFU to the cervix. This research will be tested with a comparative test.Results: The treatment group were given Escherichia coli experienced parturition with the fastest time of 38 hours 22 minutes and the longest time of 42 hours 12 minutes. Escherichia coli colonies on Eosin Methylene Blue (EMB) culture media with a glowing green image was obtained. Cervical culture, amniotic membranes and placenta from the treatment group of Balb/C mice showed the growth of Escherichia coli colonies. Neutrophil infiltration and edema in the cervical stroma was found to be more severe in Balb/C mice that received treatment with Escherichia coli 109 CFU/ml.Conclusion: Escherichia coli shortens the time of delivery and increases the bacterial load in pregnant Balb/C mice.
引言:印度尼西亚的早产患病率估计为7-14%,即每年约有459,200-900,000名婴儿。感染的机制是早产的最大原因。经常引起感染的细菌是大肠杆菌。这项研究的目的是观察给予大肠杆菌产生过早小鼠模型的效果。材料与方法:本研究采用真正的实验方法,仅采用测试后对照组设计方法。独立变量为早产和宫颈组织培养、羊膜和胎盘。该研究的因变量是给子宫颈注射大肠杆菌109 CFU。这项研究将用比较试验进行检验。结果:治疗组给予大肠杆菌分娩,最快时间为38小时22分钟,最长时间为42小时12分钟。大肠杆菌菌落在伊红亚甲基蓝(EMB)培养基上,呈现绿色发光图像。治疗组Balb/C小鼠宫颈培养物、羊膜和胎盘均有大肠杆菌菌落生长。大肠杆菌浓度为109 CFU/ml的Balb/C小鼠颈间质中性粒细胞浸润和水肿更为严重。结论:大肠杆菌缩短了Balb/C妊娠小鼠的分娩时间,增加了细菌载量。
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引用次数: 0
Headache Characteristic in Covid-19 Infected Patient: A Systematic Review Covid-19感染患者的头痛特征:一项系统综述
IF 0.4 Pub Date : 2023-08-15 DOI: 10.55561/ajhr.v2i2.113
Vina Lidya Setjaputra, Steven Christian Susianto, A. Machin
Introduction: The neurotropism of COVID-19 virus has been addressed in several studies, and headache is one of the most frequent neurologic manifestations of COVID-19, with various results of characteristics and phenotype. In this systematic review, we aimed to characterize the most common phenotype of headache in COVID-19 infected patients.Methods: A systematic literature was conducted through Pubmed, SciElo and Cochrane databases with keywords (headache[Title]) AND (covid-19[Title]), ((neurological) AND (headache) AND (characteristic)) AND (covid-19), ((phenotype) AND (headache)) AND (covid-19). We extracted the study design, demographics of subjects, and characteristics of headache (onset, site, lateralization, quality, intensity, and additional symptoms related to headache).Results: We included 1381 subjects with COVID-19 infection who experienced headache symptoms from eligible 9 studies. The majority of our patients had headaches that occurred with COVID-19 symptoms onset (94.2%), ranging from 1 to 10 days after the first COVID-19 symptoms. The most common headache site was frontal (42.3%), followed by diffuse/ holocranial (40.1%), periorbital/retroorbital (24.2%), and temporal (23.8%), with no lateralization/occurring bilaterally (85.9%), and pain characteristic predominantly pressing and tightening (55.9%), throbbing (25.3%), and stabbing (9.8%). Headache intensity measured by VAS score ranged mild to moderate in most cases with duration mostly 1-24 h. 57% of headache patients were also accompanied by fever symptoms. Additional headache symptoms were also recorded, predominantly anosmia/ageusia, followed by photophobia/phonophobia, and nausea/vomiting.Conclusion: Bilateral, long-lasting, with pressing-tightening characteristic headaches accompanied by fever, were more frequent in COVID-19 infected patients, in conjunction with anosmia/ageusia. These features may help physician to determine the headache related to COVID-19.
导语:COVID-19病毒的嗜神经性已在多项研究中得到解决,头痛是COVID-19最常见的神经系统表现之一,具有不同的特征和表型结果。在本系统综述中,我们旨在描述COVID-19感染患者中最常见的头痛表型。方法:通过Pubmed、SciElo和Cochrane数据库进行系统文献检索,检索关键词为(头痛[Title])和(covid-19[Title])、(神经学)和(头痛)和(特征性)和(covid-19)、(表型)和(头痛)和(covid-19)。我们提取了研究设计、受试者的人口统计学特征和头痛的特征(发病、部位、偏侧、质量、强度和与头痛相关的其他症状)。结果:我们纳入了1381名符合条件的9项研究中出现头痛症状的COVID-19感染受试者。我们的大多数患者在首次出现COVID-19症状后1至10天出现头痛,并伴有COVID-19症状(94.2%)。最常见的头痛部位是额部(42.3%),其次是弥漫性/全颅(40.1%)、眶周/眶后(24.2%)和颞部(23.8%),无侧方/双侧发生(85.9%),疼痛特征主要是压迫和收紧(55.9%)、悸动(25.3%)和刺痛(9.8%)。多数病例采用VAS评分测量的头痛强度为轻度至中度,持续时间以1 ~ 24 h为主。57%的头痛患者伴有发热症状。还记录了其他头痛症状,主要是嗅觉丧失/听觉障碍,其次是畏光/恐音和恶心/呕吐。结论:新型冠状病毒感染患者以双侧、长时间、紧张性头痛伴发热多见,并伴有嗅觉缺失/听觉障碍。这些特征可以帮助医生确定与COVID-19相关的头痛。
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引用次数: 0
Exploring The Relationship Between Lactate Dehydrogenase Levels, Leukocyte Counts, Low Birth Weight, and The Severity of Preeclampsia in Pregnant Women: A Cross-Sectional Study at Saiful Anwar Hospital Malang (July 2021 to June 2022) 探讨孕妇乳酸脱氢酶水平、白细胞计数、低出生体重和子痫前期严重程度之间的关系:一项横断面研究(2021年7月至2022年6月)
IF 0.4 Pub Date : 2023-08-13 DOI: 10.55561/ajhr.v2i2.112
B. Talita, Nandia Primarintan, Talita Nandia Primarintan
Introduction: This study investigates the connection between lactate dehydrogenase (LDH) levels, leukocyte counts, low birth weight, and the severity of preeclampsia among pregnant women. Conducted at Saiful Anwar Hospital in Malang from July 2021 to June 2022.Material and Methods: This research utilizes a descriptive and analytical observational approach with a cross-sectional design. Pregnant women meeting specific criteria were evaluated for LDH levels, leukocyte counts, preeclampsia severity, and newborn birth weights. Statistical analyses, including the Kruskal-Wallis test and Spearman correlation, were employed to explore relationships and significance among variables.Results: There is significant differences in LDH levels and low birth weight across patients with mild preeclampsia, severe preeclampsia, and eclampsia. LDH levels were linked to preeclampsia severity, while low birth weight correlated with eclampsia. Leukocyte levels, however, did not exhibit notable differences among these group.Conclusion: This study underscores the necessity of early assessment and monitoring of these factors in pregnant women, aiming to enhance maternal and fetal outcomes. Further research is recommended to validate these findings in diverse populations and explore additional risk factors associated with preeclampsia-related conditions. In conclusion, this research illuminates the interplay between LDH levels, leukocyte counts, low birth weight, and preeclampsia severity. The outcomes emphasize their importance as potential markers for evaluating and managing preeclampsia-related complications.
前言:本研究探讨孕妇乳酸脱氢酶(LDH)水平、白细胞计数、低出生体重和子痫前期严重程度之间的关系。2021年7月至2022年6月在玛琅的赛弗·安瓦尔医院进行。材料和方法:本研究采用横断面设计的描述性和分析性观察方法。对符合特定标准的孕妇进行LDH水平、白细胞计数、子痫前期严重程度和新生儿体重的评估。统计分析包括Kruskal-Wallis检验和Spearman相关来探讨变量之间的关系和显著性。结果:LDH水平和低出生体重在轻度子痫前期、重度子痫前期和子痫患者中存在显著差异。LDH水平与子痫前期的严重程度有关,而低出生体重与子痫相关。然而,白细胞水平在这两组之间没有显着差异。结论:本研究强调了早期评估和监测孕妇这些因素的必要性,旨在提高母婴结局。建议进一步研究以在不同人群中验证这些发现,并探索与子痫前期相关疾病相关的其他危险因素。总之,本研究阐明了LDH水平、白细胞计数、低出生体重和子痫前期严重程度之间的相互作用。结果强调了它们作为评估和管理子痫前期相关并发症的潜在标记物的重要性。
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引用次数: 0
Effect of Red Bean Extract (Phaseolus vulgaris L.) on IL-10 Levels in Systemic Lupus Erythematosus Model 红豆提取物对系统性红斑狼疮模型IL-10水平的影响
IF 0.4 Pub Date : 2023-08-11 DOI: 10.55561/ajhr.v2i2.96
Ikatan Dokter, Indonesia Wilayah, Jawa Timur, Mukhamad Nooryanto, T. Nurseta, Cholid Rohman Riskianto, Syah Sembuh Wasiso, Yudistira Yunus
Introduction: Systemic Lupus Erythematosus (SLE) is a is a chronic autoimmune inflammatory disease of unknown etiologic. Multiorgan dysfunction in women with SLE causes menstrual irregularities, ovarian failure, follicular atresia, and premature ovarian failure (POF) leading to the cessation of menstruation. Phaseolus vulgaris L. contains isoflavones that can trigger oocyte maturation, stimulate the formation of antral follicles, increase FSH receptor expression and proliferate cell nuclear antigen (PCNA) expression. This study aims to prove the effect of red bean extract (isoflavones) in SLE by and increasing the secretion of anti-inflammatory IL-10 levels.Material and Methods: This study used a true experimental design with a post-test-only controlled group design. The samples used in this study were at least 25 female Balb/c mice. Data on serum IL-10 levels in mice were obtained by measurement using ELISA. The data were statistically analysed using SPSS 16 for Windows software program. The data were tested for normality and homogeneity using parametric non-parametric analysis.Results: The results showed that there was a significant difference in ANA levels with a p-value of 0.000 in each sample. From this test, it was proven that there was a significant increase in IL-10 levels at doses of 75 mg/KgBW (P2) and 100 mg/KgBW (P3) (p-value=0.000) due to the administration of various doses of red bean extract (isoflavones).Conclusion: Red bean extract (isoflavones) had a significant effect in increasing IL-10 levels.
系统性红斑狼疮(SLE)是一种病因不明的慢性自身免疫性炎症性疾病。SLE患者的多器官功能障碍导致月经不规律、卵巢功能衰竭、卵泡闭锁和卵巢早衰(POF),导致月经停止。Phaseolus vulgaris L.含有异黄酮,可触发卵母细胞成熟,刺激窦卵泡形成,增加FSH受体表达和增殖细胞核抗原(PCNA)表达。本研究旨在通过提高抗炎IL-10的分泌水平来证明红豆提取物(异黄酮)在SLE中的作用。材料与方法:本研究采用真正的实验设计和仅限测试后的对照组设计。本研究中使用的样本至少为25只雌性Balb/c小鼠。采用ELISA法测定小鼠血清IL-10水平。采用SPSS 16软件对数据进行统计学分析。使用参数非参数分析对数据进行正态性和均匀性检验。结果:各样本ANA水平差异显著,p值为0.000。从该试验中可以证明,在75 mg/KgBW (P2)和100 mg/KgBW (P3)剂量下,由于给予不同剂量的红豆提取物(异黄酮),IL-10水平显著增加(p值=0.000)。结论:红豆提取物(异黄酮)具有显著的提高IL-10水平的作用。
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引用次数: 0
The Relationship and Factors The Parenting Style of Parents Who Married Early with The Development of Children Aged 1-5 Years 早婚父母教养方式与1 ~ 5岁儿童发育的关系及影响因素
IF 0.4 Pub Date : 2023-08-11 DOI: 10.55561/ajhr.v2i2.106
Faza Nabila, Ariani Ariani, S. Ratnaningrum
Introduction: Early marriage is a major problem in the process of child rearing. Improper parenting patterns can hinder the growth and development of children. This study aims to analyze the relationship and factors that influence the parenting style of parents who marry early on the development of children aged 1 to 5 years in the Tulungagung district.Material and Methods: Research using cross-sectional analitic observation, a sample of 203 respondents who were married under 19 years of age in 2017-2021 and had children aged 1-5 years using a questionnaire and Denver II. Statistical analysis calculation using chi-square and path analysis.Results: The chi-square test results showed a significant relationship between the parenting style of parents who early marriage and the development of children aged 1-5 years (p<0.05). Path analysis showed that there is an influence of the parenting style of parents who early marriage on the development of children through education and number of children (p<0.05). while in terms of occupation, income, and family support, there is no influence of the parenting style of parents who early marriage on the development of children (p>0.05).Conclusion: Parents who marry early tend to adopt an authoritarian parenting style, which can lead to poor child development. Authoritarian parenting styles have low levels of democracy and parental affection. High achievement demands on children are not matched by parental love so that it makes children feel depressed.
早婚是孩子抚养过程中的一个主要问题。不当的养育方式会阻碍孩子的成长和发展。本研究旨在分析土伦加岗地区早婚父母教养方式对1 ~ 5岁儿童发育的关系及影响因素。材料与方法:采用横断面分析观察法,对2017-2021年结婚年龄在19岁以下,子女年龄在1-5岁的203名受访者进行问卷调查和丹佛II。统计分析计算采用卡方分析和通径分析。结果:卡方检验结果显示,早婚父母的教养方式与1 ~ 5岁儿童的发育有显著相关(p0.05)。结论:早婚的父母倾向于采用专制的教育方式,这可能导致儿童发育不良。专制式教育方式的民主程度和父母的感情程度都较低。对孩子的高成就要求与父母的爱不匹配,这让孩子感到沮丧。
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引用次数: 0
Hepatotoxicity Oral Administration of Flavonoids Rich Extract from Phaleria Macrocarpha in Mice 口服富黄酮类提取物对小鼠肝毒性的影响
IF 0.4 Pub Date : 2023-08-11 DOI: 10.55561/ajhr.v2i2.109
Ikatan Dokter, Indonesia Wilayah, Jawa Timur, Siskanita Nur Fitriana, S. Sutrisno, Gita Nawangtantrini
Introduction : Herbal medications are increasingly being used to treat a wide range of illnesses. Phaleria macrocarpa, often known as the crown of the gods, is a plant rich in flavonoids that is frequently used in herbal therapy. The goal of this study was to see what effect a flavonoid-rich extract from phaleria macrocarpa has on the livers of mice. Material  and Methode : This study used adult female mice aged 6-8 weeks and weighing 20-30 gr as experimental animals, which were divided into four groups: the control group was given distilled water, group 2 was given a flavonoid dose of 500 mg/kg/day, group 3 was given a flavonoid dose of 1000 mg/kg/day, and group 4 was given a flavonoid dose of 2000 mg/kg/day. The flavonoid-rich extract of Phaleria macrocarpa was administered for 28 days. On the 29th day, the mice were necropsied, followed by surgery and examination of the mice's livers. Result : The flavonoid-rich extract of phaleria macrocarpa at a dose of 500 mg/kg body weight/day resulted in no changes in the weight or histological structure of the liver (p>0.05). Hydropic degeneration and necrosis were observed in the group administered the flavonoid-rich extract of phaleria macrocarpa at doses of 1000 and 2000 mg/kg body weight/day. Conclusion : The administration of a flavonoid-rich extract from Phaleria macrocarpa at a level of 500 mg/kg body weight/day caused no harm in the liver of mice. The use of more than 500 mg/kg body weight/day over an extended period of time has hazardous effects and is not recommended.
草药越来越多地被用于治疗各种各样的疾病。大樱草,通常被称为众神之冠,是一种富含类黄酮的植物,经常用于草药治疗。这项研究的目的是为了观察从大鳞草中提取的富含类黄酮的提取物对小鼠肝脏的影响。材料与方法:以6-8周龄、体重20-30克的成年雌性小鼠为实验动物,分为4组:对照组给予蒸馏水,2组给予类黄酮500 mg/kg/d, 3组给予类黄酮1000 mg/kg/d, 4组给予类黄酮2000 mg/kg/d。富黄酮提取液给药28 d。第29天,对小鼠进行尸检,随后进行手术并检查小鼠的肝脏。结果:富黄酮类提取物500 mg/kg体重/d对大鼠肝脏重量和组织结构无显著影响(p>0.05)。给药1000和2000 mg/kg体重/天的富黄酮类提取物组出现水肿变性和坏死。结论:以500 mg/kg体重/天的剂量给予富黄酮提取物对小鼠肝脏无损害。长期使用超过500毫克/公斤体重/天会产生有害影响,不建议使用。
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引用次数: 0
Characteristics of Pediatric Tuberculosis Patients at Simpang Lima Gumul Hospital, Kediri, East Java 东爪哇Kediri Simpang Lima Gumul医院儿童结核病患者的特征
IF 0.4 Pub Date : 2023-08-11 DOI: 10.55561/ajhr.v2i2.110
Ikatan Dokter, Indonesia Wilayah, Jawa Timur, Rika Oktania, Bayu Prabowo, Prabowo Sari RO
Introduction: Pediatric tuberculosis can cause a variety of problems, including growth failure, disability, and death. In 2021, WHO recorded 10.6 million individuals had tuberculosis globally, with pediatric tuberculosis accounting for 11% of these cases. Indonesia is the second highest high-burden country for tuberculosis, according to the WHO. Children with tuberculosis often present non-specific and uncommon symptoms, making diagnosis challenging and frequently delayed. This study aims to present an overview of the characteristics of pediatric tuberculosis patients at Simpang Lima Gumul Hospital in Kediri, East Java.Material and Methods: This was a descriptive retrospective study with a cross-sectional method. Pediatric tuberculosis patients who received treatment at the Simpang Lima Gumul Hospital in Kediri, East Java, were the subject of research. We compiled pediatric tuberculosis patients' demographic data and clinical characteristics using medical records.Results: Sixty-one children included in the study. Most of them were male (56%) between 1 to 5 years old (52%). Seventy-two percent had a positive tuberculin skin test; chronic cough was noted in 69% of cases. An adult contact history of tuberculosis was reported in 64% of cases, while 61% had radiographic findings from TB. 52% also had fever, 51% had lymphadenopathy, and 72% had good nutritional status.Conclusion: Tuberculosis occurs most commonly in male children 1 to 5 years of age. The most common symptoms of pediatric tuberculosis include a positive tuberculin skin test, chronic cough, contact with adults with tuberculosis, positive radiographic findings, fever, and lymphadenopathy.
儿童结核可引起多种问题,包括生长衰竭、残疾和死亡。根据世卫组织的记录,2021年全球有1060万人患有结核病,其中儿科结核病占这些病例的11%。根据世界卫生组织的数据,印度尼西亚是结核病的第二大高负担国家。患有结核病的儿童往往表现出非特异性和不常见的症状,使诊断具有挑战性并经常被延误。本研究旨在概述东爪哇Kediri的Simpang Lima Gumul医院儿科结核病患者的特征。材料和方法:这是一项采用横断面方法的描述性回顾性研究。在东爪哇Kediri的Simpang Lima Gumul医院接受治疗的儿童结核病患者是研究对象。我们利用医疗记录汇编了儿童结核病患者的人口统计数据和临床特征。结果:61名儿童纳入研究。以1 ~ 5岁(52%)男性居多(56%)。72%的人结核菌素皮肤试验呈阳性;慢性咳嗽发生率为69%。64%的病例报告有成人结核接触史,61%的病例有结核放射学检查结果。52%有发热,51%有淋巴结病,72%营养状况良好。结论:结核以1 ~ 5岁男性儿童最为常见。儿童结核病最常见的症状包括结核菌素皮肤试验阳性、慢性咳嗽、与患有结核病的成人接触、放射检查阳性、发烧和淋巴结病。
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引用次数: 0
Cutaneous Manifestations of Scleroderma: A Case Report 硬皮病的皮肤表现1例
IF 0.4 Pub Date : 2023-08-11 DOI: 10.55561/ajhr.v2i2.103
Tessa Thendria, Amira Suryani Rahmatika, Evy Ervianti, Sawitri Dwi, Murtiastutik Trisiswati, Indranarum Hasnikmah, Mappamasing Septiana, Widyantari
Background: Scleroderma or systemic sclerosis is a rare multisystemic autoimmune disease characterized by vasculopathy, inflammation, and progressive fibrosis of the skin and multiple organs. Cutaneous manifestations and Raynaud’s phenomenon, usually becomes the initial presentation of scleroderma which noticed by the patient. Case: A 47-year-old-women presented with hardened and thickened skin on her arms and legs for 3 years which spreaded to her face and trunk. The lesions initially appeared as multiple red patches which progressed into white, thick and hard patches. The patient had history of recurrent Raynaud's phenomenon, dry cough, and shortness of breath. In the physical examination, the patient had skin hardening with salt and pepper appearance on her upper back and chest. The thoracic CT scan revealed interstitial lung disease. The patient diagnosed as definitive scleroderma based on The European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) criteria with score of 18. She has treated with methotrexate, methylprednisolone, topical corticosteroid and moisturizer. The skin lesion improved with the reduction of Rodnan skin score from 31 to 19 after 4 months of treatment. Conclusion:  Cutaneous manifestation  could  be  the  early  alarm  and  initial  manifestation  of scleroderma.  As the pathology  is deep beyond  the skin,  throughout examination  should  be performed to find any organ involvement. Dermatologist play a significant role in early identification of skin disorder and made multidiciplinary refferal. Early diagnosis and prompt treatment could reduce morbidity and mortality in scleroderma
背景:硬皮病或系统性硬化症是一种罕见的多系统自身免疫性疾病,其特征是皮肤和多器官的血管病变、炎症和进行性纤维化。皮肤表现和雷诺现象,通常成为硬皮病患者注意到的最初表现。病例:一名47岁女性,手臂和腿部皮肤硬化和增厚3年,并蔓延至面部和躯干。病变最初表现为多个红色斑块,逐渐发展为白色,厚而硬的斑块。患者有反复出现雷诺氏现象、干咳、呼吸短促等病史。查体时,患者上背部及胸部皮肤硬化,呈盐椒样。胸部CT扫描显示肺间质性疾病。根据欧洲抗风湿病联盟(EULAR)/美国风湿病学会(ACR)标准,患者被诊断为明确的硬皮病,评分为18分。她接受了甲氨蝶呤、甲基强的松龙、局部皮质类固醇和保湿霜的治疗。治疗4个月后,罗德曼皮肤评分从31分降至19分,皮肤病变得到改善。结论:皮肤表现可能是硬皮病的早期报警和初始表现。由于病理深度超出皮肤,应进行全面检查以发现任何器官受累。皮肤科医生在皮肤病的早期识别中发挥着重要作用,并进行了多学科转诊。早期诊断和及时治疗可降低硬皮病的发病率和死亡率
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引用次数: 0
Bilateral Steroid Induced Glaucoma In A 10-year-old Boy 双侧类固醇性青光眼一例10岁男孩
IF 0.4 Pub Date : 2023-08-11 DOI: 10.55561/ajhr.v2i2.97
Ikatan Dokter, Indonesia Wilayah, Jawa Timur, Rosalia Adriani, Lydia Nuradianti
Introduction: Topical steroids are used in the treatment of various ocular disorders. However, it can cause numerous side effects. Steroid-induced glaucoma is the most severe complication of the unmonitored use of steroids. It is diagnosed by visual field defects, increased intraocular pressure (IOP), and glaucomatous optic neuropathy (GON) due to prolonged usage of steroids.Case Presentation: a 10-year-old boy presented to the outpatient clinic in Undaan Eye Hospital complaining of headache, re dness and itchiness in both eyes. He started using dexamethasone 0.1% eye drops without a physician's supervision for the last 2 years. Steroid-induced glaucoma was diagnosed in both eyes. Topical and oral glaucoma medications were given. Both eyes IOP were still elevated in the following months. Trabeculectomy in both eyes was performed due to medically uncontrolled glaucoma. Furthermore, both eyes IOP were getting normal without any topical and oral glaucoma medications.Conclusion: Unmonitored steroid usage must be avoided. This case suggests general practitioners and health care providers in the front line be aware of the usage of topical steroids. By increasing awareness concerning steroid-induced glaucoma, a patient's visual acuity can be saved, and irreversible blindness can be prevented, especially in children.
简介:局部类固醇用于治疗各种眼部疾病。然而,它会引起许多副作用。类固醇性青光眼是未经监测使用类固醇最严重的并发症。它的诊断是视野缺损,眼压升高(IOP)和青光眼视神经病变(GON)由于长期使用类固醇。病例介绍:一名10岁男童,以双眼头痛、发红、发痒为主诉到云丹眼科医院门诊就诊。他开始使用0.1%地塞米松滴眼液在没有医生的监督下,过去两年。两只眼睛都被诊断为类固醇性青光眼。给予局部和口服青光眼药物治疗。在接下来的几个月里,双眼IOP仍然升高。由于医学上无法控制的青光眼,双眼行小梁切除术。此外,在没有任何局部和口服青光眼药物的情况下,两只眼睛的IOP逐渐恢复正常。结论:应避免在未监测的情况下使用类固醇。本病例提示全科医生和卫生保健提供者在前线要注意使用局部类固醇。通过提高对类固醇性青光眼的认识,可以挽救患者的视力,并预防不可逆的失明,特别是儿童。
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引用次数: 0
A Challenging Case: Colorectal Cancer During Pregnancy 一个具有挑战性的案例:妊娠期结直肠癌
IF 0.4 Pub Date : 2023-08-11 DOI: 10.55561/ajhr.v2i2.108
Caesar Ahmad Tidel, Syifa Mustika
Introduction: Colorectal cancer (CRC) occurring in younger women can lead to an increased incidence of colorectal cancer during pregnancy. The estimated frequency of malignancy during pregnancy with colorectal cancer specifically estimated at 1 in 13,000 pregnancies. However, the exact causes of colorectal cancer during pregnancy are not yet fully understood. Diagnosing and managing colorectal cancer during pregnancy pose significant challenges because the symptoms can be masked by the normal signs and symptoms of pregnancy.Case Pesentation: A 42-year-old pregnant patient, Mrs. L, presented with abdominal pain, a history of dark-colored bowel movements, and a lump on the left side of her neck that had been present for a year. She had also experienced a weight loss of 5 kg both before and during pregnancy, and there was no previous history of malignancy. The patient underwent various diagnostic procedures, including pregnancy ultrasound, abdominal ultrasound, and colonoscopy biopsy. Based on the comprehensive evaluation of the patient's medical history, physical examination, and supporting tests, she was diagnosed with stage IV rectal adenocarcinoma with metastases to the liver, kidney, and lymph nodes. The patient was in her second pregnancy (G2P1Ab0) at 27-29 weeks of gestation.Conclusion: Colorectal cancer during pregnancy poses diagnostic and therapeutic challenges, as the signs and symptoms are often attributed to the normal progression of pregnancy, resulting in delayed diagnosis at an advanced stage. Early detection, evaluation, and monitoring of nonspecific symptoms are crucial, and a multidisciplinary approach is necessary for the management of colorectal cancer during pregnancy.
结直肠癌(CRC)发生在年轻女性可导致怀孕期间结直肠癌的发病率增加。怀孕期间结直肠癌的恶性肿瘤发生率估计为1 / 13000。然而,怀孕期间结直肠癌的确切原因尚不完全清楚。诊断和治疗妊娠期结直肠癌是一项重大挑战,因为这些症状可能被正常的妊娠体征和症状所掩盖。病例介绍:42岁孕妇L女士,腹痛,深色肠蠕动史,颈部左侧肿块已存在一年。她在怀孕前和怀孕期间体重减轻了5公斤,以前没有恶性肿瘤史。患者接受了各种诊断程序,包括妊娠超声、腹部超声和结肠镜活检。综合患者病史、体格检查及相关检查,诊断为IV期直肠腺癌,伴肝、肾、淋巴结转移。患者妊娠27-29周,为二胎(G2P1Ab0)。结论:妊娠期结直肠癌给诊断和治疗带来了挑战,因为其体征和症状往往归因于妊娠的正常进展,导致晚期诊断延迟。早期发现、评估和监测非特异性症状是至关重要的,多学科方法对于妊娠期结直肠癌的治疗是必要的。
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Asian Journal of Pharmaceutical Research and Health Care
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