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"Since it was first published, Accident and Emergency Radiology: A Survival Guide has become the classic in-my-pocket-reference and an indispensable aid to all those who work in the Emergency Department. The core and substantial value lies in the step-by-step analytical approaches which help you to answer this question: "These images look normal to me, but . . . how can I be sure that I am not missing a subtle but important abnormality?" Ensure accuracy in reading and interpretation of any given image. Common sources of error and diagnostic difficulty are highlighted. Prevent mistakes. Pitfalls and associated abnormalities are emphasized throughout. Avoid misdiagnoses. Normal anatomy is outlined alongside schemes for detecting variants of the norm. Each chapter concludes with a summary of key points. Will provide a useful overview of the most important features in diagnosis and interpretation.Easily grasp difficult anatomical concepts. Radiographs accompanied by clear, explanatory line-drawings."

"The majority of female batik workers uses non-ergonomic chairs (dingklik) that pose risks of musculoskeletal disorders.This study aimed to design an ergonomic chair and evaluate its effectiveness in reducing musculoskeletal disordersamong the workers. This is a quasi-experimental study (using one group pre and post-test design) on 50 female batikworkers selected by quota sampling. Musculoskeletal disorders were measured among the samples before and after theuse of the designed ergonomic chair which they were asked to use for two months. T-test, ANCOVA, Wilcoxon test,McNemar test and Chi Square test were used for the analysis. The study found statistical significant differences of riskfactor against musculoskeletal disorders among the workers before and after their use of the designed ergonomic chair(p< 0.05); and of musculoskeletal disorders before and after using the ergonomic chair (p= 0,035). Body Mass Index(BMI) was identified as a confounding factor, and statistical significant difference of musculoskeletal disorders werealso found among the workers with <25 and >25 BMI even before and after using the ergonomic chair (p=0.033 andp=0.015 respectively). By ANCOVA statistical test, after controlling BMI, another statistical difference ofmusculoskeletal disorders was also identified before and after using the ergonomic chair (p=0.033). It is concluded thatthe designed ergonomic chair is effective to reduce the risk of musculoskeletal disorders.Pengaruh Pemakaian Kursi Ergonomis terhadap Gangguan Muskuloskeletal pada Pekerja Wanita Batik Tulisdi Kabupaten Sragen. Sebagian besar posisi kerja pekerja batik tulis di Sragen tidak ergonomis, sehingga berisiko terjadigangguan muskuloskeletal. Penelitian ini bertujuan untuk mendesain kursi ergonomis dan menilai efektifitas desainkursi terhadap gangguan muskuloskeletal pekerja wanita batik tulis. Jenis penelitian adalah eksperimental quasi denganpendekatan one group pre and posttest design. Populasi adalah seluruh pekerja industri Batik Sragen. Teknik samplingquota random sampling. Sampel sebanyak 50 orang diukur tingkat risiko keparahan gangguan muskuloskeletalnyasebelum dan sesudah menggunakan kursi ergonomis. Selanjutnya, dilakukan uji Wilcoxon test, McNemar test, dan ChiSquare test. Perbedaan tingkat risiko keparahan muskuloskeletal sebelum dan sesudah menggunakan kursi ergonomis(p< 0,05). Terdapat perbedaan keluhan muskuloskeletal sebelum dan sesudah menggunakan kursi ergonomis (p=0,035).Indeks massa tubuh teridentifikasi sebagai confounding factor karena terdapat hubungan yang signifikan terhadapgangguan muskuloskeletal, baik sebelum maupun sesudah menggunakan kursi ergonomis (masing-masing p=0,033 danp=0,015). Melalui uji Ancova, confounding factor dikendalikan, diperoleh hasil uji yang tetap signifikan (p=0,033).Kursi kerja ergonomis menurunkan risiko keparahan gangguan muskuloskeletal."

"ABSTRAKPengobatan TB lini kedua pada pasien TB lini MDR diketahui memiliki beberapa efek samping. Etionamid adalah salah satu obat dalam pengobatan TB MDR lini kedua. Hipotiroid merupakan efek samping dari pemberian etionamid. Sikloserin merupakan salah satu dari komponen pengobatan kedua yang bersifat bakteriostatik. Efek samping psikiatri seperti antesietas, halusinasi, depresi, euforia, perubahan kebiasaan, dan bunuh diri dilaporkan sebanyak 9,7-50% pada pasien yang menjalani pengobatan dengan sikloserin. Seorang perempuan berusia 46 tahun dengan diagnosis TB MDR, menjalani pengobatan TB lini kedua sejak januari 2016. Regimen pengobatan terdiri dari levofloksasin, sikloserin, etionamid, pirazinamid, etambutol, dan PAS. Evaluasi pengobatan dibulan pertama menunjukan adanya lelah, komunikasi yang berkurang, dan perubahan perilaku. Pasien sering merasa sedih, putus asa, dan sangat memikirkan penyakitnya. Pasien juga berpikir untuk mengakhiri hidupnya. Kemudian pasien menjalani rawat inap dan didiagnosis sebagai depresi imbas pengobatan TB, kemungkinan disebabkan sikloserin. Kemudian pemberian sikloserin dihentikan. Dalam waktu yang bersamaan, pemeriksaan laboratorium menunjukan adanya peningkatan TSH tanpa disertai gejala klinis hipotiroid. Dilakukan pemberian levotiroksin sebesar 1x100mkg. Pada akhir minggu ke-3 pengobatan, kadar TSH tetap meningkat sehingga pemberian etionamid dihentikan selama 3 bulan. Evaluasi setelah penghentian pemberian etionamid menunjukkan kadar TSH terkendali. Pemberian etionamid kemudian dilanjutkan dengan dosis titrasi per bulan. Kesimpulannya, pada pengobatan TB MDR, timbul efek samping pemberian etionamid perlu diperhatikan. Neorotoksisitas berat yang disebabkan sikloserin dapat ditangani dengan penundaan pemberian obat sementara. Hal lain yang perlu diingat adalah kondisi hipotiroid dapat memperlihatkan gejala depresi. Oleh karena itu, pemantauan efek samping pada obat TB diperlukan. "

"AbstrakHeart failure has become a public health problem with increasing incidence and prevalence. Many patients first came to the primary care and managed by general practitioner. Accurate diagnosis is essential to provide good management of heart failure. However, symptoms and signs alone are often neither sufficient nor specific to confirm the diagnosis. Some studies show that heart failure patients are still incorrectly diagnosed and inadequately treated, despite the availability of current guidelines. Inadequacy of facilities is the main obstacle in diagnosing and managing heart failure, especially in developing countries like Indonesia. The medications recommended for treating heart failure are still under-prescribed. This review discuss about the challenges of diagnosis and management of heart failure in primary care."