Hasil Pencarian  ::  Simpan CSV :: Kembali

Abstrak :
ABSTRAK Latar belakang: Keputihan merupakan sering dijumpai menjadi alasan wanita berobat ke dokter. Pengenalan faktor risiko dan gejala yang menyertainya serta kaitannya dengan penyebab mikrobiologi keluhan keputihan dapat berguna bagi klinisi dalam praktik sehari-hari. Penelitian ini mencari hubungan antara faktor risiko dan gejala yang dialami terhadap temuan mikrobiologi penyebab keputihan pada wanita usia reproduksi. Metode: Penelitian ini merupakan penelitian potong lintang di Departemen Obstetri & Ginekologi RS Cipto Mangunkusumo, Jakarta. Wawancara dilakukan pada pasien di poliklinik dengan keluhan keputihan untuk identifikasi faktor risiko dan gejala. Temuan mikrobiologi dikonfirmasi dengan pemeriksaan yang spesifik sebagai baku emas. Hasil: Sebanyak 81 subjek ikut serta dalam penelitian ini. Candida sp merupakan penyebab infeksi tunggal terbanyak yang ditemukan (17 subjek, 12,3%). Hubungan seksual yang sering (≥3 times/week, p<0,001) dan keputihan meningkat setelah berhubungan seksual (p=0.04) bmerupakan faktor risiko dan gejala yang berhubungan dengan Bacterial vaginosis, berturut-turut. Bau amis (p=0,09), nyeri vulva (p=0,026), dan peningkatan keputihan setelah hubungan seksual (p=0,002) merupakan gejala yang berhubungan dengan Trichomonas vaginalis. Gatal (p=0,028), keputihan seperti gumpalan susu (p<0,001), dan keputihan meningkat setelah hari ke-14 siklus menstruasi (p<0.001) berhubungan dengan Candida sp sementara penggunaan pil KB kombinasi (p=0,03) dan perdarahan setelah hubungan seksual (p=0,009) merupakan gejala yang berhubungan dengan Chlamydia trachomatis. Kesimpulan: Beberapa faktor risiko dan gejala berhubungan dengan temuan mikrobiologi spesifik sebagai penyebab keluhan keputihan pada populasi wanita usia reproduksi.;

---

ABSTRACT Background: Vaginal discharge is a common reason for women to seek medical attention worldwide. Recognition risk factors and symptoms and their association to specific microbiological causes of vaginal discharge can be benefical for clinician in clinical practice. This study aimed to identify risk factors and symptoms and their association to specific microbiological causes of vaginal discharge among reproductive aged women. Methods: This was a cross-sectional study conducted in Department of Obstetric & Gynecology, Cipto Mangunkusumo Hospital, Jakarta. We interviewed outpatient subjects with vaginal discharge for risk factors and symptoms. Microbiological causes identification was performed using gold standard methods. Results: A total of 81 subjects were included in this study. Candida sp was the commonest single infection (17 subjects, 12.3%). Frequent (≥3 times/week) sexual intercourse (p <0.001) and increased discharge after sex (p=0.04) were risk factor and symptom associated with Bacterial vaginosis, respectively. Fishy odor (p=0.09), vulva pain (p=0.026), and increased discharge after sex (p=0.002) were symptoms associated with Trichomonas vaginalis. Itchy sensation (p=0.028), clumps of milk appearance (p<0.001), and discharge increased after 14th day of cycle (p<0.001) were associated with Candida sp while taking combination pill (p=0.03) and bloody discharge after sex (p=0.009) were associated with Chlamydia trachomatis. Conclusion: Several risk factors and symptoms found to be associated with microbiological causes of vaginal discharge in our population.;Background: Vaginal discharge is a common reason for women to seek medical attention worldwide. Recognition risk factors and symptoms and their association to specific microbiological causes of vaginal discharge can be benefical for clinician in clinical practice. This study aimed to identify risk factors and symptoms and their association to specific microbiological causes of vaginal discharge among reproductive aged women. Methods: This was a cross-sectional study conducted in Department of Obstetric & Gynecology, Cipto Mangunkusumo Hospital, Jakarta. We interviewed outpatient subjects with vaginal discharge for risk factors and symptoms. Microbiological causes identification was performed using gold standard methods. Results: A total of 81 subjects were included in this study. Candida sp was the commonest single infection (17 subjects, 12.3%). Frequent (≥3 times/week) sexual intercourse (p <0.001) and increased discharge after sex (p=0.04) were risk factor and symptom associated with Bacterial vaginosis, respectively. Fishy odor (p=0.09), vulva pain (p=0.026), and increased discharge after sex (p=0.002) were symptoms associated with Trichomonas vaginalis. Itchy sensation (p=0.028), clumps of milk appearance (p<0.001), and discharge increased after 14th day of cycle (p<0.001) were associated with Candida sp while taking combination pill (p=0.03) and bloody discharge after sex (p=0.009) were associated with Chlamydia trachomatis. Conclusion: Several risk factors and symptoms found to be associated with microbiological causes of vaginal discharge in our population.;Background: Vaginal discharge is a common reason for women to seek medical attention worldwide. Recognition risk factors and symptoms and their association to specific microbiological causes of vaginal discharge can be benefical for clinician in clinical practice. This study aimed to identify risk factors and symptoms and their association to specific microbiological causes of vaginal discharge among reproductive aged women. Methods: This was a cross-sectional study conducted in Department of Obstetric & Gynecology, Cipto Mangunkusumo Hospital, Jakarta. We interviewed outpatient subjects with vaginal discharge for risk factors and symptoms. Microbiological causes identification was performed using gold standard methods. Results: A total of 81 subjects were included in this study. Candida sp was the commonest single infection (17 subjects, 12.3%). Frequent (≥3 times/week) sexual intercourse (p <0.001) and increased discharge after sex (p=0.04) were risk factor and symptom associated with Bacterial vaginosis, respectively. Fishy odor (p=0.09), vulva pain (p=0.026), and increased discharge after sex (p=0.002) were symptoms associated with Trichomonas vaginalis. Itchy sensation (p=0.028), clumps of milk appearance (p<0.001), and discharge increased after 14th day of cycle (p<0.001) were associated with Candida sp while taking combination pill (p=0.03) and bloody discharge after sex (p=0.009) were associated with Chlamydia trachomatis. Conclusion: Several risk factors and symptoms found to be associated with microbiological causes of vaginal discharge in our population.;Background: Vaginal discharge is a common reason for women to seek medical attention worldwide. Recognition risk factors and symptoms and their association to specific microbiological causes of vaginal discharge can be benefical for clinician in clinical practice. This study aimed to identify risk factors and symptoms and their association to specific microbiological causes of vaginal discharge among reproductive aged women. Methods: This was a cross-sectional study conducted in Department of Obstetric & Gynecology, Cipto Mangunkusumo Hospital, Jakarta. We interviewed outpatient subjects with vaginal discharge for risk factors and symptoms. Microbiological causes identification was performed using gold standard methods. Results: A total of 81 subjects were included in this study. Candida sp was the commonest single infection (17 subjects, 12.3%). Frequent (≥3 times/week) sexual intercourse (p <0.001) and increased discharge after sex (p=0.04) were risk factor and symptom associated with Bacterial vaginosis, respectively. Fishy odor (p=0.09), vulva pain (p=0.026), and increased discharge after sex (p=0.002) were symptoms associated with Trichomonas vaginalis. Itchy sensation (p=0.028), clumps of milk appearance (p<0.001), and discharge increased after 14th day of cycle (p<0.001) were associated with Candida sp while taking combination pill (p=0.03) and bloody discharge after sex (p=0.009) were associated with Chlamydia trachomatis. Conclusion: Several risk factors and symptoms found to be associated with microbiological causes of vaginal discharge in our population.;Background: Vaginal discharge is a common reason for women to seek medical attention worldwide. Recognition risk factors and symptoms and their association to specific microbiological causes of vaginal discharge can be benefical for clinician in clinical practice. This study aimed to identify risk factors and symptoms and their association to specific microbiological causes of vaginal discharge among reproductive aged women. Methods: This was a cross-sectional study conducted in Department of Obstetric & Gynecology, Cipto Mangunkusumo Hospital, Jakarta. We interviewed outpatient subjects with vaginal discharge for risk factors and symptoms. Microbiological causes identification was performed using gold standard methods. Results: A total of 81 subjects were included in this study. Candida sp was the commonest single infection (17 subjects, 12.3%). Frequent (≥3 times/week) sexual intercourse (p <0.001) and increased discharge after sex (p=0.04) were risk factor and symptom associated with Bacterial vaginosis, respectively. Fishy odor (p=0.09), vulva pain (p=0.026), and increased discharge after sex (p=0.002) were symptoms associated with Trichomonas vaginalis. Itchy sensation (p=0.028), clumps of milk appearance (p<0.001), and discharge increased after 14th day of cycle (p<0.001) were associated with Candida sp while taking combination pill (p=0.03) and bloody discharge after sex (p=0.009) were associated with Chlamydia trachomatis. Conclusion: Several risk factors and symptoms found to be associated with microbiological causes of vaginal discharge in our population.

Abstrak :
Angka kematian neonatus yang tinggi dengan jumlah 19 per 1000 kelahiran hidup masih menjadi masalah di Indonesia. Cara persalinan dan evaluasi kondisi awal kehidupan bayi melalui Apgar score merupakan hal yang sangat penting untuk peningkatan pelayanan, dan kualitas kesehatan ibu dan anak. Tujuan penelitian ini adalah untuk mengetahui proporsi melahirkan pervaginam dan perabdominal dan mengetahui hubungan cara persalinan dengan Apgar score neonatus. Desain penelitian adalah studi potong lintang (cross-sectional) dengan data sekunder dari rekam medik pasien melahirkan di rumah sakit Cipto Mangunkusumo pada tahun 2011 (n=2238). Hasil penelitian menunjukkan bahwa persalinan perabdominal lebih sering dilakukan (54,4%) daripada persalinan pervaginam (45,5%). Apgar score menit pertama yang baik sebanyak 88,7%, dan buruk sebanyak 11,3%. Hampir seluruh Apgar score menit kelima (96,4%) memiliki jumlah nilai ≥ 7. Uji Chi-square menunjukkan tidak adanya perbedaan bermakna antara Apgar score buruk menit pertama dengan cara melahirkan (p=0,072), tetapi didapatkan perbedaan bermakna antara Apgar score buruk menit kelima dan cara melahirkan (p=0,004). Disimpulkan bahwa cara persalinan berhubungan dengan Apgar score menit kelima. ...... High neonatal mortality rate 19 per 1.000 live births is one of the health problems in Indonesia. Mode of delivery, and early evaluation of neonatal condition after birth by Apgar score are important to increase the service and quality of maternal and child health. The purpose of this study was to acknowledge the proportion of vaginal and abdominal deliveries, and the relationship between mode of delivery and neonatal Apgar score. A cross-sectional study of 2,238 data from medical record was conducted to obtain sociodemographic characteristic, mode of delivery, and Apgar score at National General Hospital of Cipto Mangunkusumo. Among the data, abdominal delivery was more done than vaginal one (54,4% and 45,5%, respectively). Good first-minute Apgar score was higher (88,7%) than the bad one (11,3%). Most data showed that fifth-minute Apgar score was good (96,4%). There was relation between mode of delivery and fifth-minute Apgar score (p=0,004). Although the mode of delivery and first-minute Apgar score had no relation (p=0,072). This study showed that the mode of delivery had correlation with fifth-minute Apgar score.

Abstrak :
Akibat kekurangan estrogen pada wanita menopause timbullah berbagai masalah kesehatan. Gangguan susunan saraf pusat seperti stroke dan Alzheimer sering ditemukan pada wanita menopause. Estrogen sangat berperan memicu regulasi pertumbuhan sel-sel neuron dan memiliki juga khasiat sinaptogenik yang meningkatkan fungsi memori. Terapi sulih hormon (TSH) menurunkan risiko stroke hingga 30% dan mengurangi risiko kematian karena stroke hingga 60%. Terapi sulih hormon mempengaruhi fungsi memori wanita menopause dan menurunkan risiko timbulnya demensia. Wanita yang mendapatkan TSH menunjukkan peningkatan fungsi memori dan dapat menjawab soal-soal dengan lebih baik dibandingkan wanita yang mendapatkan plasebo. Perdarahan pervaginam merupakan keluhan terbanyak bagi wanita dengan TSH kombinasi. (Med J Indones 2002; 11: 246-9)

---

As a result of estrogen deficiency in menopausal women various health problems occur. Disorders of central nervous system such as stroke and dementia due to Alzheimer?s disease are frequently encountered in menopausal women. Estrogen plays an important role in the maintenance of the dense network of neural fibres connecting one nerve cell to another, and in the synaptic activity facilitating cognitive thought and memory. Hormone replacement therapy (HRT) reduced the risk of stroke by 30 % and a reduction of 60 % in risk of stroke mortality. The HRT influence cognitive functioning in menopausal women and may reduce the risk of developing dementia. Women who received HRT performed better on several tests of memory and logical reasoning than women taking placebo. Vaginal bleeding episodes constitute the major cause of women?s dissatisfaction with combined HRT. (Med J Indones 2002; 11: 246-9