CDK 175 / vol.37 no. 2 / Maret - April 2010
86
ENGLISH SUMMARY
Cytologic and DNA HPV
test for Cervical Cancer
Early Detection
Sinta Sasika Novel
1
,
Ratu Sa tri
2,
Sukma
Nuswantara
3
1
Student in Biology, Faculty of Mathematics
and Natural Sciences, Padjadjaran Universi-
ty, Bandung, Indonesia,
2
Lecturer, Dept. of
Microbiology, Faculty of Mathematics and
Natural Sciences, Padjadjaran University,
Bandung, Indonesia.
3
Biotech Coordinator,
Sandia Biotech Diagnosis Centre, Santosa
Bandung International Hospital, Bandung,
Indonesia.
ABSTRACT
Cervical cancer has been known to
have E6 and E7 carcinogen proteins.
Genes E6 and E7 are HPV vectors - the
carcinogen protein carrier. This fact
opens an opportunity for primary and
secondary prevention.
The primary prevention is through
vaccination to prevent HPV infec-
tion, whereas secondary prevention is
through various methods of early de-
tection to prevent transmission, for ex-
ample through cytology and DNA HPV
test.
CDK 2010; 90-94
Acid-base Balance in
Caesarean Section
(Stewart Approach)
M Mukhlis Rudi P
Dept. of Anesthesiology & Reanimation, Facul-
ty of Medicne, Jenderal Soedirman University,
Prof. DR Margono Soekarjo Regional Hospital,
Purwokerto, Central Java, Indonesia
Background. Administration of crys-
talloid solution in surgery, especially
caesarean section can cause electro-
lyte imbalance and in uence metabolic
and healing process. Post operative
electrolyte blood level examination is
important.
Method. A double blind randomized
control trial method was done to com-
pare Ringer Lactate or NaCl 0,9% so-
lution for correcting acid base balance
(Stewart method).
Result. Pre operative strong ion diffe-
rence (SID) of RL (38,58 + 2,28) show
alkalosis state, while SID of NaCl (37,42
+ 1,18) show acidosis. Post operative
mean of RL SID (37,79 + 1,18) is more
stable than alkalosis NaCl SID (39,67 +
3,10).
Conclusion. Administration of RL solu-
tion in caesarean section is more bene-
cial than sodium chloride (NaCl) 0,9%
because of lacks of effect on SID acid-
base balance shift.
Key words. Crystalloid solution, Stew-
art Acid base balance, sectio caesaria,
regional anesthesia.
CDK 2010; 104-108
Post Caesarean Placenta
Increta
Eddy Suparman
Dept. of Obstetrics and Gynecology, Sam
Ratulangi University/General Hospital,
Manado, Indonesia
Post partum bleeding is still a major
cause of mortality and morbidity dur-
ing delivery. The incidence is about
5 % in normal delivery, more com-
monly in primipara. It can occur after
placental retention, sub-involution
of placenta implantation site and in
incision site, lysis of clot and throm-
bus.
This case was primipara, 28 years old,
43-44 weeks of pregnancy, rst stage
of labor; intrauterine fetal, singleton,
alive, cephalic presentation, mac-
rosomia, with decreased of fetal heart
sound. The patient had vaginal bleed-
ing 5 days after operation.
This case was managed with hyster-
ectomy due to uncontrolled bleeding.
Subtotal hysterectomy was chosen to
minimize bleeding. The histopathology
nding was placental increta.
CDK 2010; 112-114
IMAGE BANK
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