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Universa Medicina
Published by Universitas Trisakti
ISSN : 19073062     EISSN : 24072230     DOI : -
Core Subject : Health, Science,
Universa Medicina (univ.med) is a four-monthly medical journal that publishes new research findings on a wide variety of topics of importance to biomedical science and clinical practice. Universa Medicina Online contains both the current issue and an online archive that can be accessed through browsing, advanced searching, or collections by disease or topic
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Articles 3 Documents
Search results for , issue " Vol 27, No 2 (2008)" : 3 Documents clear
Comparative analysis of transport media for isolating Shigella Lesmana, Murad; Salim, Oktavianus Ch.; Herwana, Elly; Bukitwetan, Paul; Surjawidjaja, Julius E
Universa Medicina Vol 27, No 2 (2008)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2008.v27.51-56

Abstract

Transport media for Shigella include buffered glycerol saline (BGS), and Cary-Blair (CB). However being a liquid medium BGS may leak or spill during transport and thus may cause contamination. The other concern is the 30% concentration of glycerol in the BGS which may be inhibitory to some susceptible Shigella species. This study was conducted to determine the best and safe transport media for Shigella. Rectal swab samples were obtained from 289 dysenteric patients and transported to the laboratory in Cary-Blair (CB) transport medium, standard buffered glycerol saline (BGS), BGS with the addition of 0.5% agar (BGS-A), and BGS with the addition of 0.5% agar and reduced glycerol to 15% (BGS-M). Recovery rates between CB, BGS, BGS-A and BGS-M and their combinations were compared. The overall prevalence of Shigella recovered from any of the four tubes was 24.9% (72/289). CB and BGS-M recovered Shigella in 54 out of 289 patients (18.7%), CB and BGS-A in 50 (17.3%), and CB and BGS in 49 (17.0%), while CB, BGS, BGS-A, and BGS-M alone gave positive Shigella in 30 (10,4%), 29 (10.0%), 34 (11.8%) and 46 (15.9%), respectively. This study suggests that a minor modification to the BGS raised the recovery rate of Shigella.
The association between shift work and body mass index among female nurses Samara, Diana; Merijanti, Lie T; Tandean, Reza; Harrianto, Ridwan
Universa Medicina Vol 27, No 2 (2008)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2008.v27.72-77

Abstract

Possibly due to a disturbance of biological rhythms, shift work is associated with several health problems, particularly an increased risk of coronary heart disease (CHD). Obesity is a well known independent cardiovascular risk factor and has been shown to be more prevalent among shift workers. The objective of this study was to examine the association between shift work and body mass index in nurses working in one hospital in Central Jakarta. A cross-sectional study was conducted among 152 female nurses, ranging from 22 to 55 years of age, with determination of body mass index (BMI), and systolic and diastolic blood pressure (SBP and DBP). The results show a mean age of 30.9 ± 7.2 years and mean job experience of 8.9 ± 7.6 years. There was no significant difference in the prevalence of gastrointestinal disorders between shift and day workers. Mean BMI (23.1 ± 3.6) and mean job experience (6.9 ± 5.9 years) in shift nurses were significantly different from those in day workers (BMI = 24.8 ± 3.8; job experience 15.4 ± 8.4 years). In shift working nurses the BMI increased significantly in proportion to job experience (p=0.014). In conclusion, the present study has proven that job experience significantly increased BMI in shift working nurses.
Clinical and laboratory aspect of leptospirosis in humans Setiawan, I Made
Universa Medicina Vol 27, No 2 (2008)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2008.v27.87-97

Abstract

Leptospirosis is a world-wide zoonotic disease, especially in tropical and subtropical regions. The disease is found in rural and urban areas with poor environmental conditions. The spectrum of human disease ranges from subclinical infection to severe clinical disease with multi-organ failure (Weil’s disease) and high mortality rate, and depends both on the host and the infecting serovar. Leptospirosis may occur either sporadically or in the context of an outbreak and is commonly related to occupational or recreational activities that involve direct or indirect contact with the urine of animal species that are reservoirs of the disease. The disease infects man through contact with contaminated environments or direct contact with carrier animals such as rats, dogs, cattle, pigs, etc. Leptospirosis has clinical symptoms similar to such diseases as dengue, malaria, typhoid, influenza, thus laboratory methods are required for early detection to facilitate appropriate treatment of patients. The diagnosis of leptospirosis should be considered in any patient presenting with an abrupt onset of fever, chills, conjunctival suffusion, headache, myalgia, and jaundice. Suspicion is further increased if there is a history of occupational or recreational exposure to infected animals or to an environment potentially contaminated with animal urine. Treatment commonly consists of administration of antibiotics such as penicillin, ampicillin, amoxicillin, tetracycline and doxycycline. Prevention by immunization is uncommon, as the available vaccines are ineffective in preventing the disease. In general, prevention is by avoiding environmental exposure.

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