Touraine Solente Gole syndrome is a rare hereditary syndrome of primary pachydermoperiostosis, with the characteristic triad of pachydermia (or elephant like skin), periostosis and acropachia. A 27-year-old patient presented with aesthetic deformity of forehead due to deep skin folds and coarsening of facial features due to progressive thickening of skin. Associated palmoplantar hyperkeratosis with broadened of finger and toe tips and digital clubbing were noticed. Dermatologic evaluation revealed cutis verticis gyrata of scalp, seborrhoeic hyperplasia of face and hyperhidrosis. Natural history of the disease and aetiopathogenesis were reviewed. Aesthetic correction of forehead through frontal rhytidectomy was attempted.

Rosai-Dorfman syndrome is characterized by sinus histiocytosis with massive lymphadenopathy. A 25-year-old woman presented with multiple erythematous and yellowish papules on the forehead, cheeks, chin and thigh. She had massive generalized, firm, non-tender and non-matted lymphadenopathy and mild hepatomegaly. Her hemogram was normal. A skin biopsy showed collections of histiocytes with emperipolesis and plenty of plasma cells. A lymph node biopsy showed partial loss of architecture, dilated sinuses filled with histiocytes, which showed lymphocytophagocytosis, anisonucleosis and a clear cytoplasm. She was referred to an oncologist for further management.

<p><strong>Background: </strong>AIDS is characterized by the waning of body’s immunity leaving the victim to the multitude of life threatening opportunistic infections, neurological disorders or malignancies. Dermatologic manifestations occur in more than 90% of patients with HIV infection most often due to infections.  The awareness of the varied patterns of these skin lesions would help in early diagnosis and management of these in HIV infection, which in turn reduce the morbidity and improve quality of life.<strong></strong></p><p><strong>Methods: </strong>Observational study from 1^st April 2012 to 31^st March 2013 in a tertiary care institution of North Kerala. HIV positive patients attending sexually transmitted infection clinic of Dermato venereology department, anti-retroviral treatment clinic (ART clinic) and infectious diseases ward of Department of Medicine of a tertiary care centre were examined after consent for mucocutaneous infections.  <strong></strong></p><p><strong>Results: </strong>The study population comprised of 206 HIV infected patients with mucocutaneous infections. The male to female ratio was 2.07:1. Most of the affected belong to 30-50 years age group. Majority were manual laborers(49.3%) and in stage3 HIV disease. 107 patients had CD4 Count below 350 at the time of study(51.9%) whereas 40 cases (19.4%) had CD4Count above 500.<strong> </strong>Most common mucocutaneous infection was oral candidiasis (51%), followed by onychomycosis (16.5%). Out of 29 patients with dermatophytosis majority had tinea cruris (18 patients). Bacterial was second commonest infection. Only 3 patients had tuberculoid leprosy, one with type 1 reaction.<strong> </strong>Common viral infection was herpes zoster followed by herpes genitalis and conyloma accuminata. 11 patients had verruca vulgaris, one with extensive lesions.<strong> </strong>Out of 206 patients 28 had sexually transmitted infections (STIs) other than HIV, herpes genitalis being the commonest. Syphilis observed in 4 patients (1.9%). 162 patients (78.6%) were on HAART. The response to treatment was better in patients with CD4 Count above 500cells/mm³. <strong></strong></p><p><strong>Conclusions:</strong>Oral candidiasis, onychomycosis, pyoderma and ulcerative STIs were noted in significant number of HIV infected individuals. These were more common in those with CD4Count below 300 cells/ mm³. ^.Those patients with CD4 Count above 500 cells/ mm³ responded well to treatment. </p>

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Foot dermatoses are a common malady in children. It has a varied presentation ranging from patchy fissured scaly lesions to disabling highly inflammatory vesicular eruption. A role for foot wear exacerbating these dermatoses is a possibility, which could be confirmed by patch testing.</span><span lang="EN-IN">To evaluate the role of patch testing in   determining the allergen either causing or exacerbating various foot dermatoses in children.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">Patch testing was done in 40   children with various foot dermatoses using the standard footwear series and the results were read after 48 hours, 96 hours and again after 7 days. Also, skin biopsy was done in 10 cases from the representative lesions</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Patch test was positive in 24(60%) patients to different antigens. Disperse orange (25%) was found to be the commonest allergen followed by epoxy resin (15%),   neomycin sulphate (12.5%) and black rubber mix (10%). </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Patch testing has a major role in finding out the causative agent or at least the exacerbating footwear in various foot dermatoses. Disperse orange was found to be the most common allergen. The diagnosis of acrodermatitis or JPD should not deter doing a patch testing.</span></p><p> </p>

Background: Normal Childbirth Care or APN is a standard or a reference for childbirth assistance and a breast crawl, or called IMD, in Indonesia; however, there is lack of its implementation in the midwifery practice. Breast crawl is considered effective in increasing breast milk production among postpartum mothers.Objective: The aim of the study was to determine the effectiveness of breast crawl by midwives to increase the breast milk production in postpartum mothers in Kendari, Indonesia.Methods: True experimental study with posttest only control group design. A total of 30 midwives participated using a total sampling technique. Respondents were given intervention regarding the implementation of breast crawl using the breast crawl pocket book as a research instrument. Data were analyzed using Mann-Whitney test to determine the differences in respondents who were given IMD intervention using the breast crawl pocket book and the control group who did not use the breast crawl pocket book.Result: There was a significant difference between respondents who were given intervention using pocket books and the control group who did not use pocket books with p = 0.039 (0.05).Conclusion: There was a significant difference between the breast milk production of postpartum mothers who were given breast crawl intervention and those who were not given breast crawl intervention by midwives. This intervention is therefore recommended as one of midwifery cares in the community health centers.

Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan rendahnya keikutsertaan Pasangan Usia Subur (PUS) dalam penggunaan alat kontrasepsi Intra Uterine Devices (IUD). Desain penelitian analitik observasional dengan metode cross sectional. Dan populasi penelitian adalah semua PUS yang ada di wilayah kerja Puskesmas Poasia, penentuan sampel menggunakan metode accidental bagi PUS yang berkunjung ke Poliklinik KIA/KB Puskesmas Poasia dengan total sampel sebanyak 43 responden. Data dianalisis secara statistik menggunakan metode uji chi square. Terdapat 14 responden (32,5%) memiliki pengetahuan kurang, 13 responden (30,3%) berpengetahuan cukup dan 16 responden (37,2%) memiliki pengetahuan baik tentang alat kontrasepsi IUD, pada 22 responden (51,3%) pengambilan keputusan dalam memilih alat kontrasepsi IUD melalui diskusi oleh pasangan suami-istri. Ada hubungan antara pengetahuan dengan rendahnya keikutsertaan PUS dalam penggunaan alat kontrasepsi IUD (hasil uji statistik, nilai p 0,02). Ada hubungan antara pengambilan keputusan dengan rendahnya keikutsertaan PUS dalam penggunaan alat kontrasepsi IUD (hasil uji statistik, nilai p 0,04).

No abstract

Asuhan masa nifas sangat diperlukan karena merupakan periode kritis dimana 60% kematian ibu terjadi pada masa nifas. Bidan yang bertanggung jawab dalam memberikan asuhan pada masa nifas sangat membutuhkan bantuan dari masyarakat. Kader sebagai bagian dari masyarakat tersebut sangat penting diberikan pembinaan termasuk perawatan masa nifas sehingga dapat membantu petugas Kesehatan dalam memberikan edukasi ke ibu. Tujuan kegiatan adalah melakukan pembinaan kader tentang perawatan masa nifas dan meningkatkan pengetahuan kader tentang perawatan masa nifas. Metode yang digunakan adalah ceramah dan simulasi. Kegiatan dengan melibatkan bidan koordinator di Puskesmas Soropia dan kader posyandu Kecamatan Soropia yaitu 30 orang sebagai sasaran pembinaan. Hasil pengabdian menunjukkan rerata nilai pre-test pengetahuan adalah 58,52 dan rerata nilai post-test pengetahuan adalah 85,93. Hasil pengabdian dapat disimpulkan terjadi peningkatan pengetahuan kader. Kegiatan ini sangat penting agar kader dapat mengedukasi ibu nifas dan keluarganya sehingga pada masa depan ibu dan bayinya melewati masa nifas dengan sehat dan menyenangkan.