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INDONESIA
Indonesian Journal of Medicine
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490265     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Indonesian Journal of Medicine (IJM) is an international, open-access, and double-blind peer-reviewed journal, focusing on the intersection of biomedical science, clinical medicine, and community medicine. The journal began its publication on August 20, 2015, and is published online three times yearly. It is academically designed for all physicians, health researchers, and health care professionals, regardless of their medical specialties, or type of employment.
Arjuna Subject : -
Articles 12 Documents
 1   2 
Search results for , issue "Vol. 5 No. 2 (2020)" : 12 Documents clear
Mixed-Type Melasma Treated with Low Fluence Q-Switched Nd-YAG 1064 nm Laser: A Case Report Nugrahani, Aninda Fitri; Murlistyarini, Sinta
Indonesian Journal of Medicine Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Melasma is an acquired, chro­nic hypermelanosis condition. Melasma is more common in women of all races and occur espe­cially on the face. The pathogenesis of melasma is very complex and the treatment is still a challenge. The purpose of this study was to report mixed-type melasma treated with low fluence Q-switched Nd-YAG 1064 nm laser.Case Presentation: A case of melasma in 54 year old woman was reported. Dermatological examination showed presence of brownish macules and patches in the centro facial area with symmetrical distribution. Examination with wood lamp showed mixed type. Patients have received topical therapy but there were no improvement.Results: The patient was then treated with low fluence Q-switched Nd-YAG 1064 nm laser for three sessions with an interval of 2 weeks. At 6 weeks of treatment the modified MASI (mMASI) value was reduced from 8.4 to 4.6 and the VAS value was increased from 2 to 8.Conclusion: The depth of the pigment deter­mined the response to therapy. In the mixed type melasma the response for therapy is only partial. The low-fluence Q-switched Nd-YAG 1064 nm laser can penetrate deeper into the dermis and damage melanin in a short time.Keywords: mixed typed melasma, low fluence, Q-switched Nd-YAG laserCorrespondence: Aninda Fitri Nugrahani. Department of Derma­tology and Venereology, DR. Saiful Anwar Hospital, Malang, East Java/ Faculty of Medi­cine, Universitas Brawijaya, Malang, East Java. Email: aninda16fitri@gmail.comIndonesian Journal of Medicine (2020), 05(02): 95-101https://doi.org/10.26911/theijmed.2020.05.02.01
Difference of Calcium Levels in Infants with Low Birth Weight Nugraha, Sandi; Salimo, Harsono; Hidayah, Dwi
Indonesian Journal of Medicine Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Hypocalcemia is a condition that can cause serious disorders, especially in new­borns. The occurrence of hypocalcemia is an event that often occurs in babies born that can be caused due to late parathyroid hormone function in calcium metabolism in the baby's body. Hypo­calcemia is often associated with hypotension and disorders of the heart rhythm, symptoms that are often seen are apnea, tachycardia, lethar­gy, vomiting, and gastrointestinal disor­ders. This study aimed to analyze differences in calcium level between low birth weight infants.Subjects and Method: A cross sectional study was conducted at Dr Moewardi Hospital, Sura­kar­ta, Central Java, from December 2016 to April 2017. A sample of 158 LBW children was selected using consecutive sampling. The dependent va­ria­­ble is a decrease in calcium levels. The inde­pen­dent variable is low birth weight babies. Data collected by medical records. Data were analyzed using multiple logistic regression.Results: Calcium level ≥1.13 mmol/L (OR= 0.30; 95% CI= 0.15 to 0.57; p <0.001), no seizures (OR= 0.20; 95% CI= 0.06 to 0.64; p = 0.004), and QoTC (OR= 0.20; 95% CI= 0.07 to 0.572; p= 0.003) decreased the risk of low birth weight.Conclusion: Calcium level ≥1.13, no seizures, and QoTC decrease the risk of low birth weight.Keywords: low birth weight, hypo­calcemiaCorrespondence: Sandi Nugraha. Department of Pediatrics, Uni­ver­sitas Sebelas Maret/ Dr. Moewardi Hospital, Surakarta. Phone/Fax.0271-633348. Email:sssa­n­di­nugraha@gmail.comIndonesian Journal of Medicine (2020), 05(02): 131-136https://doi.org/10.26911/theijmed.2020.05.02.06

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