Latar belakang. Masalah yang timbul pada menstruasi seperti dismenorea merupakan masalah ginekologi yang sering dialami remaja putri. Walaupun demikian jarang remaja mencari pertolongan dokter, pada umumnya teman wanita dan orangtua menjadi tempat mencari nasehat. Ketersediaan informasi mengenai hal ikhwal menstruasi dan permasalahannya, khususnya dismenorea merupakan hal yang penting untuk perkembangan pelayanan kesehatan remaja.Tujuan. Mengetahui gambaran dismenore pada remaja putri di SMPN 3 Manado.Metode. Desain studi deskriptif potong lintang, pengambilan sampel secara konsekutif dilakukan pada bulan September 2009, dengan menggunakan kuesioner. Subjek penelitian adalah siswi SMPN 3 Manado yang sudah menstruasi.Hasil. Dua ratus dua responden masuk dalam penelitian, 199 responden (98,5%) di antaranya pernah mengalami dismenorea. Sebagian besar responden (94,5%) mengalami nyeri ringan dan 40,7% remaja putri mengalami dismenorea disertai dengan gejala penyerta. Meski merupakan suatu masalah, 82% remaja hanya membiarkan saja saat nyeri timbul atau hanya minum air hangat dan menekan bagian yang sakit (40,2%), dan hanya 5,5% berobat ke dokter. Para remaja mencari pertolongan ke orangtua (37,2%) mengenai masalah yang timbul dan hanya 6,9% dari remaja putri yang mencari pertolongan ke dokter. Sumber informasi tentang dismenorea sebagian besar berasal dari teman wanita (76,7%) dan orangtua (14,4%).Kesimpulan. Sebagian besar responden pernah mengalami dismenorea. Umumnya informasi tentang dismenorea paling banyak didapatkan dari teman wanita dan orangtua. Saat mengalami dismenore sebagian besar remaja meminta pertolongan kepada orangtua. Edukasi kesehatan tentang masalah menstruasi penting untuk remaja dan orangtuanya, dan perlunya evaluasi rutin masalah menstruasi oleh para klinisi.
Background Systematic exercise leads to increased left ventricular mass, which may be misleading in a differential diagnosis of heart disease in athletes (physiologic hypertrophy versus pathologic hypertrophy). T he cause of left ventricular hypertrophy is an important risk factor in the morbidity and mortality of cardiovascular diseases.Objective To compare left ventricular mass and left ventricular hypertrophy in male adolescent athletes and non-athletes.Methods We conducted a cross-sectional, analytic study, from September to December 2012 in male adolescents aged 15-18 years. The case group included athletes from the Bina Taruna Football Club Manado, while the control group included non-athlete adolescents. All subjects underwent history-taking, physical examinations and further supporting examinations. Left ventricular mass was measured by cardiovascular echocardiography (Esaote Mylab 4.0) and calculated based on a formula. Left ventricular hypertrophy was defined as left ventricular mass of > 134 g/m2 body surface area.Results Subjects' mean left ventricular masses were 359.69 (SD 188.4; 95%CI 283.58 to 435.81) grams in the athlete group and 173.04 (SD 50.69; 95%CI 152.56 to 103.51) grams in the non· athlete group, a statistically significant difference (P=0.0001). Ventricular hypertrophy was found 76.9% compared to 11.5% in the non-athlete group (P= 0.0001).Conclusion Left ventricular mass in athletes is bigger than in non-athletes. In addition, left ventricular hypertrophy is more cornmon in male adolescent athletes than in non-athletes.
Background Malaria is a major cause of morbidity and mortalityin children, especially in developing countries. Art emisinincombination therapy (ACT) has higher rates of parasite clearanceand inhibition of anti-malarial drugs resistance than non-ACT.Hence, we compared the efficacies of artesunate-amodiaquine(AS-AQ) versus artesunate-sulfadoxine pyrimethamine (AS-SP)combination therapies in children with uncomplicated falciparummalaria.Objective To compare the fever clearance time, parasite clearancetime, and length of hospital stay in uncomplicated falciparummalaria patients treated with AS-AQ and AS-SP.Methods We reviewed the medical records of children aged 1- 14years with uncomplicated falciparum malaria admitted to Prof.Dr. R. D. Kandou Hospital between January 2002 - June 2010.Treatment efficacy was evaluated by fever clearance time, parasiteclearan ce time, and length of hospital stay. The differencesof treatment efficacy between the two groups of therapy werean alyzed by independent T test.Results We identified 185 children with uncomplicatedfalciparum malaria, 104 cases were treated with AS-AQ whilethe other 81 received AS-SP. Parasite clearance time was shorterin AS-AQ group than in AS-SP group at 1.38 (SD 0.69) versus1.91 (SD 0.93) days, respectively (95%CI of differences 0.3 0 to0. 76, P<0.05) . The length of hospital stay was shorterin AS-AQgroup than in the AS-SP group, at 5.01 (SD 1.22) versus 6.04(SD 0.98) days, respectively (95%CI of differences 0. 71 to 1.35,P < 0.05). However, there was no statistically significant differencein fever clearance time between the groups.Conclusion AS-AQ combination therapy reduces parasiteclearance time and length of hospital stay compared to AS-SP46 • Paediatrlndones, Vol. 54, No. 1, January 2014combination therapy in children with uncomplicated falciparummalaria.
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