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"Ultrasonografi telah dikenal sebagai suatu modalitas penting dalam dunia kedokteran dan telah memasuki bidang dermatologi klinis. Karakteristiknya yang non-invasif membuatnya mudah digunakan dan sepenuhnya aman. Ultrasonografi menghasilkan informasi diagnostik yang penting pada evaluasi tumor kulit. Selain itu juga dapat menerangkan lesi-lesi subkutan dan hubungannya dengan jaringan sekitarnya. Teknik ultrasonografi lainnya dengan menggunakan Doppler berwarna berguna untuk menilai vaskularisasi pada lesi kulit. Dalam tulisan ini, kami ingin menggambarkan aplikasi ultrasonografi pada sejumlah kasus terpilih dari institusi kami. (Med J Indones 2007; 16:113-6).

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Ultrasonography has been recognized as an important diagnostic modality in medicine and has entered the area of clinical dermatology. Its non-invasive characteristics have made it easily use and completely safe. It provides important diagnostic information in evaluating skin tumors. It also outlines the subcutaneous lesions and their relation to its adjacent tissue. Another ultrasound technique is color Doppler which is useful to assess vascularization of skin lesion. In this article, we would like to report ultrasound imaging in some selected cases from our institution. (Med J Indones 2007; 16:113-6)."

"Telah dilakukan penelitian dengan desain cross-sectional dengan teknik deskriptif dan korelatif untuk mendapatkan gambaran maturasi fistula A V dengan USG Doppler, mengkorelasikan antara kecepatan draining vein, flow darah pada draining vein, diameter internal draining vein, ketebalan dinding draining vein, diameter internal feeding artery, kecepatan feeding artery dengan flow darah pada mesin hemodialisa yang mencerminkan keadekuatan hemodialisis.

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A study has been conducted with a cross-sectional design with descriptive and correlative techniques to obtain an image of the maturation of the A V fistula with Doppler ultrasound, correlating between the velocity of the draining vein, the blood flow at the draining vein, the internal diameter of the draining vein, the thickness of the drainage vein wall, the diameter of the Internal Feeding Artery, the speed of feeding the artery with blood flow on the hemodialysis machine which reflects the adequacy of hemodialysis."

"Introduction: In 2010, the American Venous Forum developed a Venous Clinical Severity Score (VCSS) scoring system to assess the severity of Chronic Venous Insufficiency (CVI), where this system was said to be more comprehensive than the CEAP system. However, VCSS validation was still lacking. The purpose of this study was to examine VCSS for reflux and leg vein diameter based on ultrasonography. Method: This study was a cross-sectional diagnostic test on women workers with standing work positions of 114 people (228 limbs) in Jakarta. VCSS assessment and ultrasound examinations were carried out on all subjects. The relationship between VCSS with reflux and leg vein diameter was analyzed using an odds ratio with a 95% confidence interval. Results: From 228 examined limbs, the VCSS score of 0-3 was 18.4%, and the score of ≥4 was 81.6%. Reflux was found in 21.9% of the limbs. There was a significant relationship between VCSS and reflux in leg veins. The diameter of the great saphenous vein was between 2.1-12.2 mm, the femoral vein was 7.1-17 mm, the popliteal vein as 3-11.4, and the small saphenous vein was 1.7-7mm. When VCSS was analyzed for association with venous diameter, a significant relationship was found. VCSS sensitivity compared with reflux based on USG was 78%, specificity was 98.31%, positive predictive value was 92.86%, and the negative predictive value was 93.86%.Conclusion: From the results of this study, it was concluded that the VCSS score could be used as a method for assessing chronic venous insufficiency. Although VCSS is was to assess the severity of the chronic venous disease, VCSS can also be used for screening because it shows a good relationship with the reflux and venous diameter of the limbs based on ultrasound."

"As it is quick, inexpensive, and non-invasive, ultrasound is the modality of choice for guidance of interventional procedures in the soft tissues. Furthermore, the rising mean age of the general population is being accompanied by increasing demand among patients for minimally invasive procedures to treat painful chronic and degenerative syndromes of the musculoskeletal system. This handbook is a clear, practical guide to ultrasound-guided minimally invasive treatments of musculoskeletal pain in the upper limb. Each chapter is clearly structured, with brief but comprehensive descriptions of the disease to be treated and of the materials and drugs needed. High-quality images and easy-to-follow schemes explain the best approach in each situation, and practical tips and tricks of value in daily clinical routine are provided."

"In this book we thought of a different approach, mainly aimed at reaching the majority of professionals in cardiology. With this book we want to address chiefly young cardiologists, cardiology residents in training, general practi- tioners, and cardiologists that wish to maintain and improve their clinical mission. Each chapter is devoted to a specific topic of cardiac diseases and is constructed starting from a clinical case, that is thoroughly discussed, then the description of the current referred knowledge and the guidelines in use."

"Essentials of Medical Biochemistry: With Clinical Cases encompasses the fundamental biochemical topics that relate to health and disease, and epitomizes a broad understanding of the mechanisms underlying numerous health problems. An extensive review and reference guide for students and experts alike, Essentials of Medical Biochemistry includes four-color illustrations throughout for the best visual representation of events and processes that occur at the molecular level of physiologic regulations, clinical effects, and interactions. --Useful for students in biochemistry, medicine, and other healthcare disciplines as a refresher to meet USMLE and other professional licensing examination requirements, as well as for experts in the field of basic research, Essentials of Medical Biochemistry includes clinical case studies and offers added study materials on an accompanying website, including interactive multiple-choice questions and supplementary information, to help users best understand the diagnosis, therapy, and monitoring of human diseases. --Book Jacket."

"Ultrasound and carotid bifurcation atherosclerosis provides a comprehensive overview of the most recent advancements in instrumentation, imaging techniques including the use of contrast enhancement agents, plaque image analysis and its automation, elastography and plaque motion analysis; also, the use of ultrasonic and other biomarkers in the detection of the high risk cardiovascular individual. Finally, it deals with the application of IVUS, TCD and carotid plaque characterization in clinical practice and in stroke risk stratification. "

"Latar Belakang : Pankreatitis pasca ERCP adalah komplikasi tersering dan menyebabkan peningkatan morbiditas dan mortalitas. Hidrasi agresif sebagai terapi pencegahan pankreatitis belum diteliti lebih lanjut.Tujuan : Mengetahui perbandingan efektivitas pencegahan pankreatitis pasca ERCP antara hidrasi agresif dengan hidrasi standar.Metode : Uji Klinis Acak tersamar ganda, satu sentral penelitian di Pusat Endoskopi Saluran Cerna (PESC) RS Cipto Mangunkusumo pada pasien usia antara 18-60 tahun yang menjalani tindakan ERCP periode Agustus-Oktober 2018. Randomisasi manual, Teknik sampling konsekutif dilakukan untuk mengalokasikan kelompok hidrasi agresif dan hidrasi standar. Pankreatitis ditegakkan dengan kriteria Atlanta.Hasil :  Didapatkan 92 pasien yang dirandomisasi kedalam dua kelompok. Didapatkan nilai Control Event Rate (CER) sebesar 15,2%, Experiment Event Rate (EER) sebesar 4,3% Absolute Risk Reduction (ARR) 10,9% Relative Risk (RR) 0,28 Relative Risk Reduction (RRR) 71,7% Number Needed to Treat (NNT) 9.  Tidak didapatkan efek samping pada kedua kelompok. Hidrasi agresif lebih efektif dalam mencegah pankreatitis pasca ERCP walaupun secara statistik tidak bermakna.  

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Pancreatitis post ERCP is a common complication and increased morbidity and mortality. Aggressive hydration as prevention of post ERCP pancreatitis has not been fully research.

Aims : To compare effectivity between aggressive hydration and standard hydration in preventing pancreatitis post ERCP.

Design and Methods : A double blind randomized clinical trial in one center at gastrointestinal endoscopy center RSCM was conducted on patients aged between 18-60 years old that had endoscopic retrograde cholangiopancreatography in the period from August to October 2018. Consecutive manual randomization was performed to allocate aggressive hydration and standard hydration. Pancreatitis diagnosed using Atlanta criteria.

Results : Two groups with total 92 subject was randomized equally. Analyzed resulted  Control Event Rate (CER) 15,2%, Experiment Event Rate (EER) 4,3%, Absolute Risk Reduction (ARR) 10,9%, Relative Risk (RR) 0,28, Relative Risk Reduction (RRR) 71,7%, Number Needed to Treat (NNT) 9.  No side effect reported in this trial. Aggressive hydration more effective in perventing post ERCP pancreatitis although statistically not significant.  "