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Arkus
Published by HM Publisher
ISSN : 20891393     EISSN : 28085035     DOI : https://doi.org/10.37275/arkus
Core Subject : Religion, Humanities, Health, Social,
Religion Humanities Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Social Sciences
Arkus publishes original articles, article reviews, and case reports and is designed as a place of dissemination of information and scientific knowledge to develop human wealth. Arkus publishes all manuscripts in multidisciplinary fields (social sciences, sciences, technology, engineering, health, education, religion, law, economics and environmental).
Arjuna Subject : Umum - Umum
Articles 5 Documents
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Search results for , issue "Vol. 4 No. 1 (2018): ARKUS" : 5 Documents clear
Transoral Endoscopic Thyroidectomy Vestibular Surgery (TOETVA) Nur Qodir
Arkus Vol. 4 No. 1 (2018): ARKUS
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/arkus.v4i1.70

Abstract

Thyroid nodules are three times more common in women than in men. Most women will develop a thyroid nodule by the time they are 50 years old. The incidence of thyroid nodules increases with age. 50% of 50-year-old women will have at least one thyroid nodule. 60% of 60-year-old women will have at least one thyroid nodule. 70% of 70-year-old women will have at least one thyroid nodule. Requisite to adopting any new surgical technique is scrutiny and analysis to confirm that the procedure is feasible and safe with the ultimate comparison to the gold standard of open transcervical thyroidectomy. However, this approach leaves an unavoidably visible neck scar. Many modified techniques have been developed to reduce the size of the neck scar, including minimally-invasive open thyroid surgery and video-assisted thyroidectomy (MIVAT). Many of the alternative approaches for pure endoscopic thyroidectomy move the wounds to other parts of the body Such an approach is unparalleled compared to other remote-access approaches such as the axilla, breast, or post-auricular area, but cutaneous scars are still apparent and these approaches require a large amount of flap dissection. Natural orifice transluminal endoscopic surgery (NOTES) for thyroidectomy was developed. This surgical technique completely avoids visible cutaneous scarring with an approach through the oral cavity. A major advantage of TOETVA is the midline approach to the central neck, which allows access for a total thyroidectomy and central neck dissection.
Management of Acute Seizures and Status Epilepticus in Children R.M. Indra
Arkus Vol. 4 No. 1 (2018): ARKUS
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/arkus.v4i1.71

Abstract

Seizure and status epilepticus (SE) are most common pediatric neurological emergencies, which can result in mortality and long-term disabilities. Status epilepticus is defined as prolonged epileptic seizure that may result in permanent damages to central nervous system, usually after 30 minutes or more for convulsive SE. In 2016, American Epilepsy Society has developed an evidence-based guideline for the management of SE, and in the same year, the Indonesian Pediatric Society published a recommendation for management of SE which was tailored to specific condition and availability of drugs in Indonesia. First line of SE management generally consists of benzodiazepine, usually rectal diazepam, intramuscular, buccal midazolam or intranasal preparations with an assumption that intravenous access has not been established. Second line of management consist of intravenous phenytoin, phenobarbital, levetiracetam, and valproic acid, some not available in Indonesia. About 90% of cases can be controlled with these two lines of drugs, the rest are categorized as refractory SE and require intensive care.
An Overview of Psoriasis Vulgaris Nopriyati; Reza Mayasari
Arkus Vol. 4 No. 1 (2018): ARKUS
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/arkus.v4i1.72

Abstract

Psoriasis is a chronic inflammatory skin disease with a genetic basis, characterized by impaired growth and differentiation of the epidermis, multiple biochemical, immunological, and vascular disorders. The aetiology of psoriasis is not known with certainty, thought to be triggered by an immune response due to environmental factors such as trauma, infection, or drugs in individuals who are genetically at risk of psoriasis. The pathogenesis of psoriasis begins with an inflammatory immune response that promotes the release of dendritic cells, T cells, keratinocytes, neutrophils, and cytokines.
An Overview of Diabetes Mellitus Type I Yulisnawati Hasanah
Arkus Vol. 4 No. 1 (2018): ARKUS
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/arkus.v4i1.73

Abstract

Diabetes mellitus (DM) is a complex metabolic disorder characterized by the condition of persistent hyperglycemia due to abnormalities in insulin secretion, insulin action, or both. DM type 1 is more often often found in children but with increasing obesity rates, the number of children with type 2 diabetes is increasing. In children who have been diagnosed, determining the type of DM becomes important because of its large clinical implications especially for the choice of therapy. The determination of the type of DM is based on the clinical characteristics of the patient, but differentiating the various types is not always easy and is still a challenge in itself. DM management aims to achieve controlled glucose levels and prevent complications, both acute or chronic complications. Complications related to metabolic control and duration of suffering from DM, so early detection of DM especially in high-risk children should be sought as part of the prevention of DM and its various complications.
Mechanical Thrombectomy as the Treatment of Choice for Ischemic Stroke Large Vessel Acocclusion Pinto Desti Ramadhoni
Arkus Vol. 4 No. 1 (2018): ARKUS
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/arkus.v4i1.122

Abstract

Despite major advances in stroke management in the last 2 decades, stroke is still the leading cause of disability and death worldwide. Current ischemic stroke therapy aims to improve long-term outcomes in stroke patients. For this purpose, early recanalization is the only promising therapy for acute ischemic stroke. The main goal of reperfusion therapy in acute ischemic stroke is to immediately improve blood flow (recanalization) in areas of the brain that are ischemic and have not undergone infarction. The long-term goal is to increase outcomes by reducing disability and death from stroke. The most important factor in the success of reperfusion therapy in acute ischemic stroke is therapy as early as possible. However, selection of suitable candidates for reperfusion therapy requires neurologic evaluation and neuroimaging studies.

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