Tuesday, 25 August 2009

Bloody Monday - Dorama and Manga Review


I wanted to resume and review about one of my favourite manga and dorama. The title is “Bloody Monday”. The title is provocative indeed! This manga is categorized as sci-fi, shonen, mature and mystery. The dorama has 11 episodes. Each episode has cliff-hanger that make viewer always wants to know the continuation. (Gemes!!!). Is there still any hope that there will be Bloody Monday season 2 or maybe Bloody Monday special? WHY? The dorama has a hanging ending.... AAAH! Kuyashi desu. I want to see their acting though.

Sunday, 23 August 2009

Steven Johnson's Syndrome (Problem Based Learning) - Oral Medicine Department




Konnichiwa, minna-san. It's cloudy outside. I wonder whether it's going to rain here (refer to It's Gonna Rain/ Bonnie Pink/ Rurouni Kenshin). This is our scenario of Problem Based Learning. Our supervisor for this discussion was drg. Sri Hadiati, S.U. She sometimes gave us cold feet but, yeah, no pain no gain. Atashi tachi wa dekittan desu! BANZAI BANZAI!
Jaa~ let's start!

Oral Manifestation of Patient With B20 Infection - a cup of Oolong Tea


How’s life there? I felt like post my latest case report in Oral Medicine. It is about The Oral Manifestation of Patient with B20 case. And you know what? He is MOSLEM now!! My patient here! Subhanallah! Shinjirarenai, demo yokatta! For your information, B20 refers to Human Immunodeficiency Syndrome (HIV) infection. Mr. Panda told me before not to address that infection bluntly due to ethics issues. So, from now, should we say that infection with CDC code.
Hai, hajimarimasho ka.

Oral Manifestation of Smoking Patient - a cup of white tea



Halitosis? What exactly was that? It sometimes makes us embarrassed and uncomfortable due to its potential to destroy our proximity to others (what the?!). But, yes, indeed, halitosis can be be the major lead of mouthwash industry movement. Without halitosis, they can't make their factory puffing their fog and smoke. Aiya...... sorry for the blabbing. My supervisor for this case was drg. Sri Budiarti, M.S.

Oral Manifestation of Smoking Patient


LAPORAN KASUS
Seorang laki-laki berusia 23 tahun mengeluhkan merasa terganggu dengan bau mulut yang tidak sedap saat berbicara karena merokok. Keluhan in dirasakan sejak 4 tahun yang lalu hingga sekarang. Ia merokok sejak kelas VI SD, kira-kira 10 tahun yang lalu. Setiap hari menghabiskan sekitar 14 batang rokok. Jenis rokok yang dikonsumsi adalah rokok filter dan tidak menggunakan pipa. Memiliki kebiasaan minum kopi tiga kali sehari (pagi, siang dan malam) untuk mengimbangi kebiasaan merokok. Pernah berhenti merokok sama sekali sekitar setahun yang lalu selama 2 bulan atas permintaan ibu. Kebiasaan merokok kembali lagi karena stress. Keadaan ini belum pernah diperiksakan ke dokter atau mendapat perawatan sebelumnya.

Oral Manifestation of Geriatric Dental Patient

LAPORAN KASUS

Seorang wanita berusia 63 tahun datang ke klinik OM RSGM Prof. Soedomo dengan keluhan merasa kesulitan saat makan karena banyak gigi yang hilang. Keadaan ini mulai dirasakan sejak sekitar 10 tahun yang lalu. Satu persatu giginya “grimpil”, berlubang lalu akhirnya tanggal beserta akarnya. Riwayat kesehatan oral pernah mencabutkan gigi belakang kiri atas saat masih kecil, gigi belakang kanan atas. Kedua gigi tersebut tidak mengalami komplikasi saat dicabut. Mempunyai kebiasaan menyikat gigi secara horizontal. Kedua orang tua sudah meninggal karena usia tua. Riwayat kehidupan pribadi menikah, mempunyai 3 orang anak yang masing-masing tinggal di Jambi, Magelang dan Yogyakarta. Sekarang tinggal bersama anak ketiga. Riwayat kesehatan umum tidak mempunyai alergi terhadap makanan, obat ataupun cuaca, tidak sedang dalam perawatan dokter. Pernah dirawat di RS untuk operasi katarak mata kanan sekitar 1,5 tahun yang lalu. Obat yang diminum saat itu terdiri atas 3 macam yang diminum 3 kali sehari. Dijadwalkan operasi katarak mata kiri setelah kontrol mata kanan pada bulan Mei 2009.

Oral Manifestation of Geriatric Dental Patient - a cup of darjeeling tea

My Oral Manifestation of Geriatric Population Case was supervised by drg. Dewi Agustina, MDSc. Se is kind-hearted teacher and very scrupulous about the report. I underwent four times revision to my geriatric report. And yes, I was satisfied with this report. Thanks to drg. B. Esti Chrismawaty, MKes for the journal she shared to the journal book. Okay, let's start the literature study first.

GERIATRI
Populasi geriatri merupakan populasi yang bertambah paling cepat relatif terhadap populasi total yang membawa dampak besar dalam kesehatan sistemik dan rongga mulut (Ship, 2003). Populasi jumlah penduduk lanjut usia meningkat drastis karena memanjangnya rata-rata harapan hidup sebagai akibat dari peningkatan kualitas hidup dan kemajuan di bidang medis (Peterson dan Yamamoto, 2005). Pergeseran struktur penduduk ini tentunya akan meningkatkan kebutuhan pelayanan kesehatan yang tersedia (Gershen, 1991).

Oral Manifestation of Patient With Diabetes Mellitus Type 2


Alright, minna-san. This was my report case about oral manifestation of patient with systemic disease. I published my report case of diabetes mellitus type 2 because this metabolic syndrome is enormously found in Indonesia. I as a senior clerkship and dentist-soon-will-be have to understand the management of patient with systemic involvement - especially diabetes mellitus type 2. So, here we are~~

Oral Manifestation of Patient With Diabetes Mellitus Type 2 - a cup of green tea

Picture of Diabetic Gingivitis.

Erythematous and hyperplastic gingivitis in a patient with uncontrolled diabetes. (Courtesy of Van Dis ML, Allen CM, Neville BW. Erythematous gingival enlargement in diabetic patients: a report of four cases. J Oral Maxillofac Surg 1988; 46: 794.)

Alright, this is one of my prerequisites case for oral manifestation of systemic diseases. I chose Diabetes Mellitus type 2 because this metabolic syndrome has high prevalence in population. The supervisor for this case was drg. Supriatno, PhD. He is very kind and thoughtful teacher. Arigatou, sensei.

Fire Emblem Sacred Stone: Eirika and Innes

I made some fanfic(s) for this whole time. Fanfic is a term to shorten the alternate or make-up story that is build by fan of a story – example from games, animes, mangas, novels or so on. Fanfic sometimes is considered as a entity to express fan’s like to games, animes, mangas or novels. Fanfic is very subjective and the story that is told won’t be found in the main story. Lately, last year, I played Fire Emblem: Sacred Stone game. The platform was Game Boy Advance (GBA). I was suddenly spellbounded by the game that I wante to make the fanfic. Moreover, the game had a super nice story line and support conversation. I liked Innes very much since he is a handsome, talented, brash, cocky, mindful, dependable, gentle yet skillful archer and jenius strategician. I love archer (kya-kya-kya), and actually willing to join archery club, but haven’t find one here. Can someone tell me?

Recurrent Apthous Stomatitis (RAS)

This is the report case for my ulcer case, one of the prerequisites case.

LAPORAN KASUS

Seorang pria berusia 50 tahun datang ke klinik OM FKG UGM dengan keluhan rasa sakit pada langit-langit yang berdekatan dengan “senthil”. Keluhan tersebut dirasakan sejak 3 hari yang lalu, terasa sakit dan perih jika digunakan untuk menelan. Sariawan sudah sering muncul sejak usia muda dan lokasinya berpindah-pindah. Keadaan ini tidak dikeatuhi penyebabnya, tetapi jika pekerjaan menumpuk, stress ataupun tidur terlalu malam, sariawan muncul. Sariawan biasanya sembuh dalam waktu seminggu, sering berganti pasta gigi dari merek yang satu ke merek yang lain. Sariawan itu diobati dengan albotil, tetapi karena daerah sekitarnya “nglethek” pemakaian dihentikan. Sudah sering berobat ke dokter puskesmas dan diberi obat kumur berwarna kebiruan tetapi sariawan tetap muncul. Seminggu yang lalu berkukur air sirih, tetapi kemudian dihentikan.

Recurrent Apthous Stomatitis (RAS) - a cup of rose tea

Good day, everyone. Konnichiwa minna-san, ogenki desu ka. Watashi wa genki da yo!! Saa, kore wa atashi no Ulcer keesu deshita. This was my Ulcer case.My supervisor for this case was drg. Hendri Susanto MKes. Suddenly (or not) he was appointed to study abroad - to German for exact. So after that, my supervisor was transfered to drg. Dewi Agustina, MDSc. Hai, soko made desu. Hajimarimashou ka.

White Lesion - a cup of Black Tea

Before I posted my report, I just found a good reference for white lesion. Credit goes to this site. Uwaa--- I think I also have to publish this to my blog. The black tea is still hot, be careful for burned tongue. (I'm a cat-tongue-person).

Lesi Putih

Lesi putih merujuk pada suatu istilah non –spesifik yang digunakan untuk menunjuk suatu daerah abnormal pada mukosa mulut yangpada pemeriksaan klinis tampak lebih putih daripada jaringan sekitarnya dan biasanya agak lebih tinggi, lebih kasar atau memiliki tekstur yang berbeda dari jaringan normal di dekatnya. Lesi putih terjadi akibat berbagai macam perubahan patologis dan memiliki etiologi yang bermacam-macam pula. Pemeriksaan klinis yang lebih teliti dapat mengarahkan lesi pada kategori lebih jauh, misalnya melalui riwayat, lokasi, tekstur dan kemudahan lesi itu untuk diangkat dari mukosa. Pada beberapa kasus diperlukan pemeriksaan mikroskopis biopsi jaringan lesi tersebut untuk menegakkan diagnosis yang akurat (Lynch, 1994).

Focal Frictional Hyperkeratosis

Well, I think I should put this report case. I found that my prerequisites case were all interesting. so I decide to put them in my blog. Oh, sorry, the case is still in Bahasa Indonesia. I might translate it to English when I have free time. but, for now, Bahasa Indonesia will do just fine.
Ehehe. O-tanoshi mi ni~


Laporan Kasus

Seorang wanita berusia 23 tahun datang ke klinik OM RSGM Prof Soedomo karena khawatir dengan adanya penebalan kasar berwarna putih pada pipi bagian dalam sebelah kanan dan kiri. Keadaan ini mulai disadari sejak kira-kira 4 bulan yang lalu saat ujung lidah menyentuh pipi bagian dalam. Keadaan ini belum pernah diperiksakan ke dokter karena tidak sakit. Riwayat kesehatan oral pernah menambalkan gigi geraham bawah kanan dengan tambalan sewarna gigi setahun yang lalu. Riwayat kesehatan keluarga menunjukkan bahwa ayah dan ibu sehat, tidak dicurigai menderita penyakit sistemik. Riwayat kehidupan pribadi seorang mahasiswa, tinggal di kos dan belum menikah. Riwayat kesehatan umum menunjukkan kondisi sehat, tidak dicurigai menderita penyakit sistemik, tidak mempunyai alergi terhadap obat, makanan ataupun cuaca, belum menjalani rawat inap di rumah sakit dan tidak sedang mengkonsumsi obat apapun. Peninjauan sistem tubuh menunjukkan tidak adanya keterlibatan sistem.

Karla from Fire Emblem: Rekka no Ken (The Blazing Sword)



This week chara is Karla. If you played Fire Emblem: Rekka no Ken (English version: Fire Emblem: The Blazing Sword), you will understand. She is a swordmaster came from Western Island in Liebe. She is super exclusive character to be obtained because it is pretty hard to get her. To get her, player must set Hector as the main lord and Bartre have to be at least level 5 warrior. See... it is not just level 5 fighter.


Wednesday, 19 August 2009

Dietary Fiber versus Diabetes Mellitus


From Medscape Medical News

Dietary Fiber Is Linked to Lower Diabetes Risk

Laurie Barclay, MD
August 10, 2009 —- Dietary fiber is linked to a reduced risk for type 2 diabetes, which may be partly explained by inflammatory markers and hepatic fat deposition, according to the results of a prospective study reported ahead of print in the July 23 issue of Diabetes Care.
"Several prospective cohort studies have observed a protective effect of dietary fiber on risk of type 2 diabetes," write S. Goya Wannamethee, PhD, from University College Medical School in London, United Kingdom, and colleagues. "However, this has not been observed in all studies and the biological mechanisms by which dietary fiber may be beneficial for diabetes are unclear. Several studies have shown inverse associations between dietary fiber and markers of inflammation, insulin sensitivity and hepatic function, factors which have been linked to the development of diabetes in other studies."