English Summary
LEPTOSPIROSIS
Masri S Maha
Disease Eradication Research
Centre, Health Research Deve-
lopment Board, Department of
Health, Jakarta, Indonesia
Leptospirosis is a zoonosis
frequently found in tropical and
subtropical regions; caused by
several species of Leptospira, a
spiral-shaped microorganism
(spirochetes). Infection can lead
to asymptomatic infection, a non-
specific influenza like febrile
illness, or a wide variety of severe
clinical syndromes including
severe icterus, hemorrhagic syn-
dromes, renal failure, and death.
Risk factors include occu-pational
exposure, recreational activities
and household expo-sure.
Doxycycline is effective for
treatment in anicteric patient and
also for prophylaxis in short - term
exposure. Severe leptospirosis
needs supportive care and close
observation.
Cermin Dunia Kedokt.2006;152 : 24 - 6
msm
BABESIOSIS
Faisal Yatim Lubis
Disease Eradication Research
Centre, Health Research Deve-
lopment Board, Department of
Health, Jakarta, Indonesia
Babesiosis or piroplasmosis, is
a hemoprotozoan infection cha-
racterized by fever, hemolytic
anemia, hemoglobinuria and
renal failure. This disease is
caused by protozoa Babesia
spread by animal tick bites.
Clinicians should be aware of
this disease because clinically
resembles malaria with fever, and
hemolytic anemia.
Cermin Dunia Kedokt.2006;152: 27 - 9
fyl
CORRELATION BETWEEN MEDICAL
EMERGENCY RESPONSE TIME AND
MEDICAL CARE QUALITY IN BANTUL
DISTRICT GENERAL HOSPITAL
EMERGENCY ROOM
Hendrik, Kurnianto Trubus Prano-
wo, Anton Sulistyo, Andi Triatmo-
no, Subarano
Accident and Emergency Unit,
Bantul General Hospital, Yogya-
karta, Indonesia
Medical emergency average
response time in Bantul District
General Hospital (RSUD Bantul)
had been increasing 5.4%
annually since the last 5 years; it
was 15 minutes longer than the
medical care quality standard.
This observational-prospective
(quantitative) study aimed to
analyze the correlation between
medical emergency response
time and medical care quality in
the emergency room of RSUD
Bantul based on the emergency
response time data.
The results showed that the
average medical emergency
response time was 12.51 minutes
with the average modus of 10
minutes; the quality analysis
results showed that the emer-
gency response time in the
emergency room of RSUD Bantul
was not late or able to prevent up
to 30% emergency case mor-
tality. Statistical test results showed
that there was a significant strong
correlation between the medical
emergency response time to the
medical care quality in the
emergency room of RSUD Bantul.
Cermin Dunia Kedokt.2006;152 : 46-52
H et al
RISK FACTOR ANALYSIS ON BREAST
CANCER PATIENTS In Dr. M. DJAMIL
GENERAL HOSPITAL PADANG
Azamris
Department of Surgery, Faculty of
Medicine, Andalas University, Dr.
M. Djamil General Hospital
Padang, Indonesia
A case-control study has been
done to identify breast cancer
risk factors in Dr. M. Djamil
General Hospital Padang
Seventy newly diagnosed primary
breast cancer cases, histopatho-
logically confirmed, were match-
ed by age and socio-economic
status, with 140 controls. Cases
were between 23 72 ( mean
46,7) year-old. Peak incidence of
breast cancer was at 40-50 year-
old. Risk factors were never
pregnant (OR 5,91), very short
period of lactation (OR 4) and
menopause(OR 1,89). Overweight
(BMI 23) increased the risk (OR
2,29) and also high fat intake (OR
4,97).
Other factors were urban
dwellings (OR 1,3), breast cancer
in family (OR 3,16) and breast
blunt trauma (OR 1,55). Marital
status, education level, menstrual
cycle did not influence the risk of
the breast cancer.
Cermin Dunia Kedokt.2006;152: 53-6
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Cermin Dunia Kedokteran No. 152, 2006
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