English Summary
PATTERN OF DISEASES OF HOS-
PITALIZED CHILDREN AT PANYA-
BUNGAN HOSPITAL, 1992
Charles Darwin Siregar
Child Unit, H. Adam Malik General Hos-
pital, Medan, Indanesia
A retrospective study had been
done on hospitalized infants and
children at Panyabungan Hospi-
tal in South Tapanuli Residence,
during the period of 1992,
During this period there were
367 patients, Most of them - 135
(36,78%)were suffered from acute
gastroenteritis; the other diagno-
ses were 76(20,71%) acute bron-
chopneumonia, 70(19,07%) ma-
laria, 18 (4.9%) typhoid fever, 16
(4,36%) encephalitis, 12 (3,27%)
bronchiolitis, 1 2 (3,27%) urinary
tract infection, 8 (2,18%) croup. 8
(2,18%) pleural effusion, and 12
suffered from other diseases.
As an accompanying diseases
were malnutrition (125), anemia
(114), helminthiasis (64), and 2
amoebiasis.
Cermin Dunia Kedokt. 1996; 109: 10-2
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PERFORATED JEJUNAL DIVERTICLE
- CASE REPORT
Nawazir Bustami
Dept. of Surgery, Faculty of Medicine,
Andalas University, Padang. Indonesia
During the last 5 years (July
1989-July 1994) two cases of
peritonitis caused by perforated
jejunal diverticle at Achmad
Mochtar General Hospital Bukit-
tinggi were reported.
Case I, male 75 years-old
suffered from peritonitis and
diabetes melitus, A perforated
diverticle of jejunum was found
during operation. There were 11
diverticles found at proximal
jejunum, 30 cm from the Treitz
ligament and lay at 45 cm along
mesenterial side of jejunum.
Simple closure was done and the
patient survived.
Case II, male 42 years-old
suffered from peritonitis, The
single perforated diverticle at
mesenterial side of jejunum was
found during operation. The
diverticle was located at 50 cm
from the Treitz ligament. Resection
and end-to-end anastomosis
was done. The patient survived.
Cermin Dunia Kedokt. 1996; 109: 50-2
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RESEARCH ON THE FERMENTATION
PROCESS OF SOYA BEAN TEMPE.
III. MICROBIOLOGICAL ANALYSIS
Hestining Pupus Pangastuti, Sito-
resmi Triwibowo
Pharmacies Research and Development
Centre, Health Research and Develop-
ment Board, Department of Health,
Jakarta. Indonesia
Food and Drug Investigation Centre,
Health Research and Development
Board, Department of Health, Jakarta,
Indonesia
The dominant fungus involved
in the preparation of soya bean
tempe is the Rhizopus sp, bacte-
rial involvement can not be pre-
vented. Even when the whole
procedure is done in the labora-
tory under strict hygienic condi-
tions and with the use of a pure
culture of the inocculate, con-
tamination with bacterial spores
present in the soya beans always
occurs.
Complete Randomized Design
(CRD) was chosen for this study,
using three groups of samples with
different soaking times: 12 hours
(P12), 18 hours (P18) and 24 hours
(P 24) respectively. For each
group six different fermentation
times were examined: 24 hours,
36 h, 48 h, 60 h, 84 h and 108 h.
Rhizopus oligosporus L41 was used
as the inocculum. MicrobIologi-
cal analysis involved indirect mold
and bacterial counting, follow-
ing incubation on Petri discs with
Potato Dextrose Agar (PDA) as
the medium.
The results showed that mold
count was high in the early 24 h
fermentation experiment and
decreasing with longer fermen-
tation time. Bacterial count
increased with the increase of
the fermentation time (24 h - 60
h), but decreased again on
further increase of fermentation
time (60 h - 108 h). It was con-
cluded that mold and bacterial
count changes during the fer-
mentation of soya beans in the
process of preparing tempe.
Cermin Dunia Kedokt. 1996, 109: 53-6
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Cermin Dunia Kedokteran No. 109, 1996
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