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All Journal BALI MEDICAL JOURNAL (BMJ) Sport and Fitness Journal Buletin Udayana Mengabdi E-Jurnal Medika Udayana Kebijakan, Promosi Kesehatan dan Biostatiskik Indonesian Journal of Urology The Indonesian Biomedical Journal Panggung Master Bahasa JBN (Jurnal Bedah Nasional) Callosum Neurology Journal : Jurnal Berkala Neurologi Bali ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Pendidikan dan Kebudayaan Missio Bioscientia Medicina : Journal of Biomedicine and Translational Research Majalah Kedokteran Neurosains JCER (Journal of Chemistry Education Research) Neurologico Spinale Medico Chirurgico Jurnal Ilmu Bedah Indonesia Bioscientia Medicina : Journal of Biomedicine and Translational Research Jurnal Neuroanestesi Indonesia Majalah Anestesia & Critical Care (MACC) Qaumiyyah: Jurnal Hukum Tata Negara Journal of Global Pharma Technology Physical Therapy Journal of Indonesia
Tjokorda Gde Bagus Mahadewa
Departemen Bedah Saraf, Fakultas Kedokteran, Universitas Udayana, Denpasar
Religion Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Journal : Journal of Global Pharma Technology

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Clinical Aspects of Tetanus in Bali, Indonesia mahadewa gde bagus tjokorda
Journal of Global Pharma Technology .
Publisher : Journal of Global Pharma Technology

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Abstract

Tetanus is well known for its significant effects to human body. It may cause neurological deficit, systemic symptoms, and mortality in worse cases. The aim of this study was to describe comprehensive clinical aspects of tetanus in Sanglah Hospital. Tetanus prevalence in Sanglah Hospital, from June 2014 - December 2015, were 29 cases. The majority of age was less than 60 years old, predominantly were male patients. All of tetanus cases were classified as moderate-severe general tetanus. We recommended DAKAR classification in order to determine prognosis of tetanus. Most prevalent symptoms were trismus, rigidity and muscle spasm. All patients were hospitalized in isolation ward. There were tendencies to use more than one kind of antibiotics. Metronidazole and cephalosporin were the most frequently used as they were recommended by other researchers. This research showed critical period of treatment for general tetanus were on 6-7 days of admission. Mortality rate of tetanus cases in Sanglah Hospital were 27.6%. Factors that associated with mortality were incubation periods, aspiration pneumonia, sepsis, high fever and opistotonus.Keywords: Tetanus, Prevalence, Symptoms, Treatment, Mortality.
Metastatic Breast Carcinoma on Diffuse Spine Metastatic Process Using Augmented Exoskeleton Cement: Proposing a New Technique Tjokorda Mahadewa GB
Journal of Global Pharma Technology .
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Metastatic breast cancer (MBC) to the cervicothoracic area of the spine is very rare cases. In this case report, we describe a case for this rare lesion. Case: a thirty-nine-year-old female with a history of weakness of the legs and pain in the upper back spine came to the hospital with history of breast biopsy with result of adenocarcinoma and positive long tract signs. On whole-spine MRI, it is shown the bone metastatic process on C5-7, T3, T5-7, T9-10 with bony destructions and extradural mass around T5-7 and T9-10. Two stages of surgery were planned for this patient. The first operation was addressed to cervical metastatic process through the posterior approach, in the form of a cervical fusion with laminectomy biopsy. The second step was via posterior approach for thoracic decompression and fusion. Since the Karnovsky score was 60 and single step surgery was chosen, led to cervicothoracic decompression fusion at single stage using augmented exoskeleton cement technique. During follow-up, the patient was neurologically improved on the both legs function significantly, though gait was still tolerable and recovery program was still ongoing in outpatient department. MBC treatment for long spine involved lesions can also be handled via a single posterior approach with good results especially for case with cervicothoracic metastatic process.Keywords: Metastatic breast cancer, Posterior approach, Cervicothoracic fusion, Exoskeleton.
Co-Authors A. Winata, A. Adityas Sukmadi Karjosukarso Adityawarma, Anak Agung Ngurah Agung Harawikrama Agung Bagus S. Satyarsa Akbar Wido Alex Pangkahilla Aluh Sri Yuliana Ulfa Alvin Hendellyn Anak Agung Gede Eka Septian Utama and D. M. Subawa Arasy, Mohd Firdaus Ariyanta, Kadek Deddy Astawa N. M., Astawa N. Astawa P., Astawa B. Sinaga Bagus Komang Satriyasa Bertha Melyana Bianca Jeanne Bramastha A Rosadi, Bramastha A Budiarta, Ida Bagus Chriswidarma, Dewa Gede Cita Rosita Sigit Prakoeswa Citra Aryanti D.P.W. Wardhana Desak Made Wihandani Desak Putu Dewi Kasih Desie Yuliani Dewa Putu Gede Purwa Samatra Dewa Putu Wisnu Wardhana Dwikinta, Made Anindya Dyah Esti Pranwengrum Ekaputra Ekaputra, Ekaputra Fenty Fauziah G. I. B Bomba Gede Andry Nicolas Gede Wirata Gede Wirya Kusuma Duarsa Glen Sandi Saapang Gunawan, Made Favian Budi Gungun Gunardi Hizkia Lumban Gaol I Dewa Made Sukrama I Dewa Putu Sutjana I Gede Suwedagatha I Gusti Agung Bagus Krisna Wibawa I Gusti Bagus Dharma Prakasa Musti I Gusti Ketut Agung Surya Kencana I Gusti Putu Agung Pratama Putra I Ketut Wedarthana Aditya Prana I Ketut Wiargitha I Komang Yose Antara I Made Bakta I Made Kasmadi Gunawan, I Made Kasmadi I Made Maha Satya Dwi Palguna I Made Mahayasa I MADE MULIARTA . I Made Prema Putra I Made Stepanus Biondi Pramantara I Nyoman Semadi I Putu Adiartha Griadhi I Putu Gede Adiatmika I Putu Gede Sudiartha I W. Sudarsa I Wayan Juli Sumadi I Wayan Niryana I Wayan Yudiana I. B. Tjakra Wibawa Manuaba Ida Ayu Putu Sri Widnyani Inge Kurniawati Intan Permata Wijaya John Nolan K.K. Putra Kadek Biondi Kadek Budi Santosa Kendarini, Ni Putu Yenny Ketut Sudiasa Ketut Tirtayasa Koerniawan, Heru Sutanto Krishna, I Komang O. Kurniyanta, I Putu L. R. M. Lengkong Lauren, Christopher Luh Made Indah Sri Handari Adiputra M Wiryana Made Agus Dwianthara Sueta Made Indra Erlangga Prathiwindya Manuaba, Ida Bagus Tjakra Wibawa Mardliyah, Mumtazah Marleen Marleen Marleen Melissa Krisanty Moses Kharisma Setyawan Muh. Ali Imron Nani Darmayanti Ni Luh Putu Julita Yanti Ni Nyoman Ayu Dewi Niryana, , I Wayan Nova Juwita Nyoman Golden Oka, AA Gde Oka, Anak A.G. Pande Made Wisnu Tirtayasa Paulus Adrianus K. L. Ratumakin Pertiwi, Putu Febry Krisna Pradiptha, I Nyoman Tri Prayuda, Prayuda Putu Astawa Putu Eka Mardhika Putu Eka Mardhika Putu Pramana Suarjaya Rajab Bahry Raka Janitra Raka-Sudewi A. A. Regitha Aulia Putri Rika Lesmana, Rika S Indra Lesmana S. Awyono S. F. Laura, S. F. Satoto D., Satoto Sidemen, IGP Sukrana Sista Satyarsa, Agung Bagus Sista Soetomo, Cindy Thiovany Sri Maliawan Stanley-Ketting Oliver Steven Awyono Sugianto, Ronald Sugijanto - Sulfandi Sulfandi Sunanda Naibaho Suryadi N. T., Suryadi N. Suryawisesa, Ida Bagus Made Susy Purnawati Tito Ade Putra Tjokorda Gde Agung Senapathi Udiyana, Nyoman Dwi Maha W. A., W. Wahyuddin, Wahyuddin Wibawa, I Gusti Agung Bagus Krisna Wildan Wildan Wiryana M., Wiryana Yustinus Robby Budiman Gondowardojo