Medan Makna Verba Berbicara Bahasa Melayu Dialek Sambas

. This reaserch focused on the field of semantics, to describe the meaning field of speaking verb Sambas Malay Dialect (Bahasa Melayu Dialek Sambas/BMDS). The method used is descriptive method with a form of qualitative research. Source of data in this reaserch were an informants who said BMDS about the USAge a meaning field of speaking verb. The data in this reasearch was the words that contained a meaning field of speaking verb in BMDS. Data collection techniques used is a direct technique, followed ably techniques, see, record and take a note. Data collection tool was the researcher as a key instrument aided by equipment such as a book registrar, pictures, and guidelines for a list of questions. Data analysis techniques were read, identify, classify, analyze, and draw conclusions. Based on data analysis there are 90 lexsemes verbs speak BMDS. The components of meaning field analyzed based on 11 meaning field perspectives, grouped into 11 types of meaning, categorized based on 3 verb catagories

The Prevalence of Reflux Esophagitis in the Elderly and Its Associated Risk Factors

Background: Reflux esophagitis is a common problem in the elderly. Compare to the Western Countries, esophageal cancer where reflux esophagitis is the most predominant risk factor is considered rare in Asia. Many other risk factors have not been well studied especially in most Asian countries. The objective of this study is to evaluate the presence of reflux esophagitis in elderly patients and its associated risk factors.Method: This was a cross-sectional study in elderly patients who underwent upper gastrointestinal endoscopy. Patients who received long-term proton pump inhibitor (PPI) therapy, suffered from gastrointestinal Malignancies, recently receiving chemotherapy agents, diagnosed with cerebrovascular disease or Helicobacter pylori infection were excluded. Statistical analyses were performed using the SPSS software version 17.00 (SPSS Inc., Chicago, Illinois, USA).Results: A total of 238 elderly patients were enrolled. Patients\u27 mean age was 69.8 ± 6.8 years old. Reflux esophagitis was found in 22 (9.2%) patients. Several comorbidities were found in these patients, such as diabetes, hypertension, coronary artery disease, chronic kidney disease, and liver cirrhosis. The only factor that associated with reflux esophagitis was the presence of hiatus hernia esophagus (p = 0.038). However, reflux esophagitis seemed to be more found in the elderly patients who have history of reflux inducing drugs consumption without any proton pump inhibitor (PPI) protection.Conclusion: Reflux esophagitis is still a major problem in the elderly. The presence of hiatus hernia might give an important consideration of upper gastrointestinal endoscopy screening. However, it would be a debate matter with regards to the cost burden and the low risk of esophageal cancer in Asian countries

Pengamatan Jaringan Lambung Kijing Taiwan (Anodonta Woodiana Lea) Yang Terdedah Pestisida Diazinon 60 EC Pada Beberapa Konsentrasi

Jaringan lambung yang diamati berasal dari kijing (Anodonta woodiana) yang terdedah pestisida Diazinon 60 EC selama 2 minggu dengan pemberian dosis yang berbeda, yaitu 3,5x10-6 ; 1,75x10-6 ; 0,875x10-6 dan 0 ppm. Kondisi kijing diamati sebelum pemberian pestisida dan setelah 1 minggu dan 2 minggu pendedahan. Irisan lambung dibuat dari sampel 1 dan 2 minggu pendedahan menggunakan pewarnaan HE. Analisis histologi lambung kijing menunjukkan bahwa dinding lambung setelah terdedah pestisida akan mengalami kerusakan berupa penebalan dinding (edema), dengan jarak digestive divericula saling berjauhan, silia dalam lambung terlihat menyatu (fusi) dan terjadi pembengkakan silia (hyperplasia). Bahkan setelah pendedahan pestisida selama 2 minggu, dinding lambung makin menebal serta digestive diverticula mengalami pengerutan (atropi) dan pemecahan atau kerusakan sel (nekrosis)

Obstructive Jaundice Due to Bile Duct Tumor

We reported here a rare case of a 62 year old male patient with obstructive jaundice due to bile duct tumor. The main clinical features were yellowish eye and skin, followed by pruritus and clay-colored stool. Ultrasonography showed common bile duct dilatation and without evidence of stones. Computed Tomography Scan of upper abdomen showed a mass which were thought of head of pancreas origin. Endoscopic Retrograde Cholangio Pancreatograph revealed tight narrowing of the distal bile duct to a Malignant tumor. A stent was inserted to allow biliary drainage. A surgical plan for billio digestive anastomosis was rejected by the patient and family

Model Pertumbuhan Ekonomi Antar Kelompok dan Simulasinya

Domar\u27s economic growth model only considers capital as primary variable for production function. On the other hand, Solow\u27s economic growth model has added the labor as variable in the production function. The aim of this paper is to study distribution model of economic growth among groups in two regions proposed by Zhang (2005). This model considers human capital productivity as one of parameters of the production function. It has been shown that the dynamical system has a unique equilibrium. Therefore, the changes of human capital and propensity to save will influence total capital stocks and capital stocks in each group. Analytically, it is found that an increase in human capital and propensity to save will increase total capital stocks and capital stocks in each group

Diagnostic Approach and Treatment of Choledocholithiasis

Choledocolithiasis may cause acute cholangitis which is life-threatening condition. It has non specific clinical signs from mild to severe condition such as septicemia. Diagnostic and treatment modalities had developed a great deal recently. Therapeutic options include endoscopic retrograde cholangio pancreatography (ERCP),common bile duct exploration (CBDE), laparoscopic CBDE and stone retrieval. The important thing is to choose the appropriate method for each patient. We reported a case of choledocolithiasis in 40 years old, male patients who was clinically diagnosed as acute cholangitis. Diagnostic approach to find the etiology was done. Abdominal USG and CT were performed and showed multiple stones in gallbladder and intrahepatic biliary duct, suspected mass at caput of the pancreas and hepatomegaly. The ERCP showed dilatation of intra and extra hepatic biliary ducts with multiple stone in common bile duct (CBD), hepatic duct and gallbladder. The stent was placed for biliary drainage. The patient underwent cholecystectomy per laparoscopy, but further evaluation of the cholangiography still showed the presence of stones in intrahepatic biliary duct. Laparotomy exploration of CBD was done and it revealed multiple stones and dilatation of distal CBD. Surgical treatment selected for this case was choledocojejunostomy

Management of Pyogenic Liver Abscess and Empyema as Its Complication

Pyogenic liver abscess may have serious complications that need specific management. We reported a case of a young male patient aged 24 years old and complained of abdominal enlargement since 2 (two) weeks before. Abdominal ultrasound revealed multiple liver abscesses. Liver aspiration was performed and about 500 cc of yellowish purulent fluid was drained. During hospitalization the symptoms of fever and shortness of breath were getting worse although adequate antibiotic treatment had been given. Chest X-ray examination showed elevated right hemidiaphragm and right pleural effusion. Thoracocentesis and proof puncture showed purulent fluid. He was diagnosed with empyema as a complication of pyogenic liver abscess. Water Sealed Drainage (WSD) was performed to evacuate the fluid and he was given antibiotics. The patient\u27s condition improved in several days

Non-Surgical Biliary Drainage on Biliary Obstruction Due to Malignancy

Surgery is still the golden standard of curative therapy for Malignant biliary obstruction, but only 10- 20% of cases considered resectable. Therefore, palliative therapy to relieve pain, cholestasis, and biliary obstruction, is the main treatment for most patients. The development of percutaneous transhepatic biliary drainage and endoscopic biliary drainage had brought about minimally invasive treatment for Malignant biliary obstruction, which had lower morbidity and mortality than surgical drainage. The choice of drainage technique depends on type of tumor, site of obstruction, also the available expert and instrumentation

Esophageal Varices Bleeding in Portal Hypertension Due to Portal Vein and Splenic Vein Obstruction

Based on its relation to the liver sinusoid, increased pressure of portal vein can occur at three levels: presinusoid, sinusoid ,and postsinusoid. Obstruction of the presinusoid veins can be caused by extra- hepatic condition such as venous thrombosis. We reported a case of portal hypertension with esophageal varices bleeding was a result of obstruction due to thrombosis of the splenic vein and portal vein under hypercoagulant conditions due to thrombocytosis. The management of esophageal varices was sclerotherapy while for overcome the thrombosis the patient was given hydroxy urea

Benign Recurrent Intrahepatic Cholestases

Benign recurrent intrahepatic cholestasis (BRIC) or idiopathic recurrent intrahepatic cholestasis is a rare case. It is a familial and autosomal recessive. The etiology of BRIC is still unknown. We report the case of a patient with BRIC who suffered from recurrent jaundice 7 times in 7 years that occurred for 1-3 months with spontaneous resolutieon. This patient received ursodeoxycholic acid, cholestiramine and prednisone. And within 2 months, the jaundice resolved together with other complaints