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All Journal Majalah Kedokteran Nusantara The Journal Of Medical School
Richard Hutapea
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Health Professions Medicine & Pharmacology

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Gambaran spesies candida penyebab kandidiasis vulvovaginalis rekuren di RSUP Haji Adam Malik Medan Deryne Anggia Paramita; Kristina Nadeak; Richard Hutapea
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 2 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Introduction : Recurrent vulvovaginal candidiasis (RVVC) is an episode four times or more vulvovaginal candidiasis within 12 months, nearly 85% up to 95% are caused by Candida albicans. The rest 10% to 20% are caused by non-albicans species. RVVC caused by non-albicans species is clinically indistinguishable from that caused by Candida albicans, and non-albicans species usually are more resistant to therapy.Objective : To reveal which is the most Candida species that cause recurrent vulvovaginal candidiasis in Haji Adam Malik General Hospital MedanMethod : Cross sectional study was conducted in August-September 2012, involving 30 people with RVVC. To each subject, vaginal swab examination, culture and fermentation test was done to see Candida species.Result : The study found the following results: Candida albicans (43.3%) Candida parapsilosis (16.6%), Candida tropicalis (10%), Candida glabrata (6.7%), Candida lusitinae (6.7%), Candida guiliermondi (6.7%), Candida kefyr (6.7%), Candida catenulata (3.3%)Conclusion : Candida albicans is the most widely Candida species that cause RVVC in Haji Adam Malik General Hospital Keywords: recurrent candidiasis vulvovaginalis, Candida species
Karakteristik pasien reaksi kusta di Rumah Sakit Umum Pusat H. Adam Malik Medan periode tahun 2009 – 2012 Teguh Aly’ansyah; Syahril R. Lubis; Richard Hutapea
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 3 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Introduction : Leprosy is a chronic infection disease, caused by Mycobacterium leprae, involved skin and peripheral nerves, but also other organs or system, except central nerves.To determine the characteristics of leprosy reaction patients in H. Adam Malik General Hospital Medan in the period of 2009- 2012.Methods : A retrospective study was performed based on the medical records of leprosy reaction patients from January 2009 to December 2012.Results : There were 42 cases of leprosy reactions, 31 male and 11 female. Most of the cases was found at the age of 25-34 years old group (16 cases). The majority of the ethnic is Batak (21 cases), the education is high school graduate (15 cases). Leprosy reaction most suffered by labour (10 cases), type of leprosy is MB leprosy (33 cases), type of leprosy reaction is type 2 (26 cases) and onset of leprosy reaction is during the treatment of MDT (22 cases).Conclusion : Leprosy reaction in H. Adam Malik General Hospital Medan Hospital more prevalent in male, age group 25-34 years, the ethnics are Batak, high school graduate, civil servant laour. Most leprosy reaction is MB leprosy, type 2 leprosy reaction and during the treatment.Keywords : leprosy reaction; retrospective study; characteristic
Proporsi sifilis dini dan karakteristik wanita risiko tinggi di kabupaten Karo Rini Chrisna; Kristina Nadeak; Richard Hutapea
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 3 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Introduction : Syphilis is chronic sexually transmited infection caused by Treponema pallidum (T. pallidum). The incidence of syphilis was high that its became important to prevent the spread. Karo Regency was selected as location of this study because it is a tourist area and having some locations of prostitution.To find proportion of early syphilis and characteristic of high risk women in Karo regencyMethods : This is a cross sectional descriptive study on 29 high risk women with early syphilis in Sempajaya, Kuta Bangun and Tiga Binanga, Karo Regency. Diagnosis of early syphilis established based on anamnesis, physical examination and serologic tests VDRL/TPHA.Result : Three cases of early latent syphilis were found in Karo Regency which two cases of early latent syphilis were found in Sempajaya and one case of early latent syphilis was found in Tiga Binanga. Most of the case was found at the age of 26- 35 years old group (34.5%). The majority of the ethnic is Karo (37.8%). The majority of patient’s education is elementary school (37.9%). Early syphilis mostly suffered by commercial sex worker (51.7%) and married (72.4%).Conclusion : Proportion of early syphilis in Karo Regency was 10.3%. Proportion of early syphilis in Sempajaya was 6.9%. Proportion of early syphilis in Tiga Binanga was 3.2%. Proportion of early latent syphilis was 100%. The high risk women mostly found in group of 26-35 years old, the ethnic is Karo, elementary school graduate, commercial sex worker and have been married.Key words : proportion; early syphilis; high risk women
Co-Authors Deryne Anggia Paramita Kristina Nadeak Rini Chrisna Syahril R. Lubis Teguh Aly’ansyah