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"Latar Belakang: Stroke merupakan penyebab kecacatan fisik jangka panjang dan mental pada usia produktif sehingga akan berdampak pada keadaan psikologis dan sosioekonomi keluarga. Penderita stroke membutuhkan perawatan yang intensif serta memerlukan dukungan dari keluarga. Pemikiran utama setelah stroke bagi penderita dan keluarganya adalah prospek penyembuhan. Penelitian sebelumnya menunjukkan terdapat beberapa faktor yang memmpengaruhi keluaran pasca stroke seperti beratnya kelainan, tekanan darah, kadar gula darah, perawatan fase akut.Tujuan: Mengetahui perbedaan derajat keterbatasan pada penderita pasca stroke terhadap tekanan darah sistolik fase akut, kadar gula darah fase akut, dan subtipe stroke.Disain dan Metode: Studi potting lintang dengan perbandingan internal antara tekanan darah sistolik fase akut, kadar gula darah fase akut. dan subtipe stroke terhadap beratnya derajat keterbatasan setelah 6 bulan awitan stroke. Keluaran fungsional dinilai dengan menggunakan skala Rankin yang dimodifikasi (mRS).Hasil: Dari 93 penderita didapatkan 80 (86%) penderita menunjukkan keluaran fungsional yang baik (skor mRS 0-2), terdiri dari 90.9% laki-laki dan 78,9% perempuan. Sebagian besar penderita (67,5%) yang mempunyai keluaran fungsional yang baik mengalami subtipe stroke sindroma lakunar (LACS), 48,75% penderita memiliki tekanan darah sistolik > 160 mmHg peda fase akut, dan 77,5% menunjukkan kadar gula darah fase akut 8-150 mgldL. Faktor yang berpengaruh terhadap keluaran fungsional setelah 6 bulan awitan stroke adalah subtipe stroke (p<0,05).Kesimpulan: Subtipe stroke merupakan faktor yang berhubungan dengan keluaran fungsional stroke setelah 6 bulan.

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Background: Stroke causes long term physical and mental disability in productive age and impacts on family's psychology and social economy. Stroke patients need intensive care and support from their family. The main question from the patients and their family is prospect to recovery. Previous study showed that there were many factors affecting outcome in stroke patients such as severity or disability, acute blood pressure, acute blood glucose level, and treatment in acute phase.Purpose: To perceive the difference between degree of disability and acute systolic blood pressure, acute blood glucose level, stroke subtype.Design and method: Cross sectional study with internal comparison in acute systolic blood pressure, acute blood glucose level, stroke subtype aspects between group with good and poor functional outcome. Functional outcome was assessed using modified Rankin Scale (mRS).Result: From 93 patients, we have 80 (86%) patients with good functional outcome (mRS score 0-2). consist of 90.9% male and 78.9% female. Most of patients (67.5%) with good outcome had lacunar syndrome (LACS). 48.75% with systolic blood pressure > 160 mmHg, and 77.5% showed blood glucose level 8-1 50 mg/dI,. Factor that independently influenced functional outcome 6 months after stroke is stroke subtype (p<0.05).Conclusion: Stroke subtype is significant factors to functional outcome 6 months after stroke."

"ABSTRACTAlar defects generally mandate replacement of the entire unit. The nasal alar unit is highly contoured, has a free margin, and contributes to the external nasal valve. Many methods exist to reconstruct the ala, including local nasal flaps, skin grafts, composite auricular grafts, and pedicle flaps. In most instances, however, consistent results require a cartilage subsurface framework to resist the forces of contraction and provide a stable external valve and provide a scaffold for contour Main Outcome Measures Observer's and patient's rating of the final results, patient's rating of breathing and level of self-consciousness, and medical record review of complications. Most aesthetic outcomes were excellent to good. Breathing from the reconstructed side can be returned to preoperative status in most of these patients. Staged reconstruction of the nasal ala using free cartilage grafts, interpolated cheek or forehead and mucosal flaps when necessary, result in a highly aesthetic and functional outcome in most patients. "