Wacana Kritis Berita Online Kasus Penyadapan Pembicaraan Telepon Elit Indonesia oleh Agen Rahasia Australia

News on online portal has advantages over news on conventional media in constructing reality and affecting the audiences. This research aims to analyze online text news about Indonesian\u27s political elites phone-tapping by Australian intelligence agency in Indonesian and Australian online news portal. This research uses text analyzing technique with interpretative explanation application. Data collection were done by observation on four online news portals, and then continued by data selection in the form of related news text. This news text is acquaired by using search engine in the internet. Collected data then being analyzed using Van Dijk Critical Discourse Analysis to apprehend the social discourses constructed by the online news portals, ideologies behind it, and the impact of those news publication on Indonesia-Australia diplomatic relationship. The results of this research indicates that there is a difference in discourses between Australia and Indonesia\u27s online news portal regarding the phone-tapping of Indonesia\u27s political elites by the Australian intelligence agency. Reality construction which is built by those news portals shows some differences, caused by disparities of press system and communication cultures between the two nations. Besides that, media ideologies also affects that phone-tapping publication. Those news publication in the process inflicts reaction on the people of the two nations, which affects the diplomatic relations between the two country

Role of IL-12p40 in cervical carcinoma

Cervix cance

Surgical treatment of early-stage ovarian cancer

Cervix cance

Lymphadenectomy in ovarian cancer: standard of care or unnecessary risk

Cervix cance

Power Doppler Area in the Diagnosis of Endometrial Cancer

Objective: To evaluate the diagnostic accuracy of power Doppler area (PDA) in the detection of endometrial cancer in women with postmenopausal bleeding. Design: Prospective diagnostic study. Setting: University hospital. Population: Seventy-four consecutive women presenting with postmenopausal bleeding and a total endometrial thickness of more than 4 mm. Methods: The PDA was measured by pelvic ultrasound. Endometrial cancer and hyperplasia with complex atypia were considered abnormal. Main Outcome Measures: A receiver operating characteristic curve was constructed and area under curve (AUC) calculated as well as positive and negative likelihood ratios (LR+ and LR-). Results: Eighteen women (24%) had abnormal results of their histological specimen. The AUC of the PDA was 0.88(95% confidence interval [CI], 0.80-0.98). The LR+ and LR- of the PDA were, respectively, 14.5 (95% CI, 4.69-44.9) and 0.23 (95% CI, 0.09-0.55). In women with total endometrial thickness of 4 to 10 mm, the AUC, LR+, and LR- were, respectively, 0.91 (95% CI, 0.78-1.00), 23.9 (95% CI, 3.29-175.0), and 0.34 (95% CI, 0.13-0.86). Conclusions: The PDA is an effective measure in the diagnosis and exclusion of endometrial cancer.Cervix cance

Lymph Node Sampling and Taking of Blind Biopsies Are Important Elements of the Surgical Staging of Early Ovarian Cancer

Background: The purpose of this study was to determine the effect of lymph node sampling and taking of blind biopsies as part of the surgical staging procedure for early ovarian cancer on disease-free survival (DFS) and overall survival (OS) in patients who received no adjuvant chemotherapy. Methods: In the EORTC ACTION Trial, 448 patients with early ovarian carcinoma were randomized between November 1990 and March 2000-224 patients to observation and 224 to adjuvant platin-based chemotherapy. Only patients allocated to observation were included for the current study. Analyses were performed in a subgroup of 75 optimally staged patients (group A), 46 patients in whom all staging steps were performed except para-aortic or pelvic lymph node sampling (group B), and 14 patients who fulfilled all staging criteria but in whom no blind peritoneal biopsies were taken (group C). The study group did not differ in stage distribution, cell type, or tumor grade. Results: Significantly improved 5-year DFS (P = 0.03) and 5-year OS (P = 0.01) were found in group A (optimally staged) versus group B (no lymph node sampling). A significant difference was also shown in 5-year DFS (P = 0.02) and 5-year OS (P = 0.003) between group A and group C (no blind biopsies). Recurrences occurred in 11 (14.6%) of 75 patients in group A, 16 (34.8%) of 46 patients in group B, and 5 (35.7%) of 14 in group C. The 5-year DFS in group Awas 79% versus 61% and 64% in groups B and C, respectively. The 5-year OS decreased from 89% in group A to 71% in group B and 65% in group C. Conclusions: In this study, statistically significant differences were found in patients in whom para-aortic and pelvic lymph node sampling and taking of blind peritoneal biopsies were undertaken compared with patients in whom these staging steps had been omitted. These findings support the relevance of lymph node sampling and the taking of blind peritoneal biopsies in the surgical staging of early ovarian cancer.Cervix cance

Nerve sparing in radical surgery for early-stage cervical cancer: yes we should!

Radical hysterectomy with pelvic lymphadenectomy is considered to be the cornerstone in the treatment of early-stage cervical cancer. Although survival in early-stage cervical cancer is up to 95%, long-term morbidity with regard to bladder, bowel, and sexual function is considerable. Damage to the pelvic autonomic nerves may be the cause of these long-term complications following radical hysterectomy. Some authors have presented surgical techniques to preserve the autonomic nerves (ie, the hypogastric nerves and the splanchnic nerves) without compromising radicality. Safety, efficacy, and the surgical techniques of nerve-sparing radical hysterectomy are presented, and data confirm that whenever the decision is made to perform a radical hysterectomy, nerve-sparing techniques should be considered.Cervix cance

A randomized clinical trial to compare two different approaches in women with chronic pelvic pain

One hundred six patients with chronic pelvic pain were randomly allocated to one of two treatment groups. In the standard-approach group, organic causes of pelvic pain were excluded first and diagnostic laparoscopy was routinely performed. If no somatic cause could be found, attention was given to other causes such as psychological disturbances. In the second group an integrated approach was chosen. From the beginning equal attention was devoted to somatic, psychological, dietary, environmental, and physiotherapeutic factors. In this group, laparoscopy was not routinely performed. Both groups were similar with respect to clinical characteristics of the patients and the severity of their pain as assessed by various pain parameters. Postcoital pain was reported by 27% of the patients. Twenty percent of the patients had had negative sexual experiences such as childhood sexual abuse or rape. Evaluation of the pain 1 year after the institution of treatment revealed that the integrated approach improved pelvic pain significantly more often than the standard approach for three out of four pain parameters (P less than .01). Laparoscopy played no important role in the treatment of pelvic pain. It is concluded that equal attention to both organic and other causative factors from the beginning of therapy is more likely to result in a reduction of pelvic pain than is a standard approachDermatology-oncolog