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cdk_018_darah

cdk_018_darah

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No.18 , 1980
 Foto : Bagian Patologi FK UNTAR
Alamat redaksi :
Majalah
CERMIN DUNIA KEDOKTERAN
KE D OK TE RA N
P.O.
Box 3105 Telp
.
482808 - Jakarta.
Penanggung jawab :
dr. Oen L.H.
Redaksi
pelaksana :
dr.
Edi
Nugroho,dr. Lukas Tjandra
Leksana.
Dewan redaksi :
dr.
Oen L.H.,
dr.
Lukas
Tjandra
L. dr. B. Suharto,
dr.
S. Pringgoutomo
Pem bantu
khusus :
dr.
SL Purwanto
,
dr.
B Setiawan Ph. D.
drs.
J .
Setiiono,
drs.
Oka
Wangsaputra,
dra. Nina Gunawan.
No. ljin :
151/SK/DitJen
PPG/STT/1976.
tgl. 3 Juli 1976.
Cermin
Dunia Kedokteran
International Standard Serial Number : 0125 — 913X
Majalah triwulan
diterbitkan oleh :
Pusat Penelitian dan Pengembangan 
P.T.
Kalbe Farma
dipersembahkan secara cuma-cuma
Daftar isi
4
ENGLISH SUMMARY
5
KALENDER KEGIATAN ILMIAH
6
EDITORIAL
ARTIKEL
7
ANEMIA GIZI SERTA TINJAUAN PERSPEKTIF TEHNOLOGI INTER-
VENSINYA
1 3
PARASIT DAN PENGARUHNYA TERHADAP DARAH
16
 TRANSFUSI DARAH PADA HDN & AIHA : MASALAH YANG PER -
LU DIPERHATIKAN
1 8
MENGENAL PENYAKIT DARAH DARI PEMERIKSAAN HEMOGLOBIN
DAN HAPUSAN DARAH TEPI
23
KELAINAN PEMBEKUAN DARAH PADA CIRRHOSIS HEPATIS
25
BEBERAPA MASALAH PENYAKIT DARAH DI INDONESIA
30
LIMFOMA MALIGNUM : KANKER ATAU REAKSI IMUNOLOGIK YANG
ABNORMAL?
33
 JILATAN SETAN
35
SPASMOFILIA YANG DISERTAI GEJALA MUDAH TERKEJUT 
PADAKEADAAN KESADARAN MENURUN
37
 TINJAUAN FARMAKOLOGIK BEBERAPA OBAT YANG MENGINDUKSI
OVULASI
42
KOMBINASI AMOKSISILIN — DIKLOKSASILIN : APAKAH TEPAT &
RASIONAL ?
48
PENGALAMAN PRAKTEK
5 1
KORESPONDENSI
5 3
RESENSI BUKU
54
TANYA JAWAB
5 5
HUMOR ILMU KEDOKTERAN
56
UNIVERSITARIA
 
English Summary
Nutritional
 Anemia and a Perspective View of its lnter-
vention Technology.
dr. Muhilal*
& Dr. Darwin Karyadi"
**Division of Biochemistryof Nutrition, **Headof ResearchandDeve
l
opment of Nutrition, Department of Health, lndonesia.
Nutritional anemia is one of the four most important
problems on nutrition in lndonesia. ln this article the authors
discussed the possibility of intervention by means of 
supplement-
ation
with proper nutrients and by fortification of foods with
various iron compounds. A new prospect, i.e. the correction of 
nutritional
anemia by giving vitamin A to pre-school childrenwas presented. (CDK No.18, 1980, p.7)
Parasites and Their Effects on the Blood
dr.
Wita Pribadi
Department of Parasito
l
ogy, University of lndonesia,
Jakarta
.
The presence of parasites in the human body often causeshematological changes. Mild leukocytosis in helmintic infections
is
usually
associated
with the increase of eosinophils in the
peripheral
blood.
Loeffler's syndrome characterized by eosino-
philia and migratory pulmonary infiltration has been associatedwith various aetiology, including parasitic infections. Occult fita-
riasis is closely related to Loeffler's syndrome. The species in-
volved are filarialworms of human and animal origin. Anemia,
due to chronic blood loss and resulting in iron deficiency, is
the cause of severe hookworm infection. There is a significant
relationship between the anemia, the worm burden, the species of 
the hookworm and the duration of the infection. Hemolytic
anemia is also a common complication of malaria. The degree of anemia is not always correlated with the degree of parasitemia.
Auto-immunity seems to play an important role in the patho-
genesis
of anemia. Blackwater fever characterized by massive
intravascular hemolysis, is one of the dangerous complications of malaria falciparum.
Quinine dependent hypersensitivity reaction
is
probably one of the factors. (CDK No.18, 1980, p.13)
Blood Transfusion in HDN & AIHA 
dr.
Putrasatia lrawan
Central lnstitute for B
l
ood Transfusion, PM
I
, Jakarta
Hemolytic
Disease
of 
The Newborn and Auto-lmmuneHemolytic Anemia were encountered quite frequently, but the
choice
of 
blood to correct the anemias often presented a
difficult
problem.
Here, the author discussed some important
points to remember in selecting blood for those diseases.
(CDK No.18, 1980, p. 16)
Recognizing Blood Diseases through Hemoglobin Measure-
ment and Peripheral—Blood—Smear Examination.
dr. Soenarto
Department of lnternal Medicine, Faculty of Medicine, DiponegoroUniversity, Semarang.
Hemoglobin
measurement and peripheral blood smear
examination which
were done accurately contribute much to
establishing the diagnosis of blood diseases. ln this article theauthor reviews some important points in performing the exa-mination (CDK No.18, 1980, p. 18 )
Blood Clotting Disorder in Liver Cirrhosis.
dr. Karmel L. Tambunan.
Sub division of Hemato
lo
gy, Department of lnternal Medicine,
Faculty of Medicine, University of lndonesia, Jakarta.
Massive hemorrhage in one of the most dangerous compli-
cation in cirrhotic patients. ln cirrhosis of the liver, body
hemostatic
mechanism is disturbed in 3 ways : deficiency of 
clotting factors, hepatic clearance deficiency, and thrombocy-
topenia. Those mechanisms were discussed and a guide to therapy
was presented by the author. (CDK No.18, 1980, p
.
23 )
Some Problems on Blood Diseases in lndonesia.
dr. L.K. Kho, dr. T. Himawan
Department of Hematology, Sumber Waras Hospital, Facu
l
ty of 
Medicine, University of Tarumanegara, Jakarta.
ln the last 20 years, blood disorders, or diseases which
result in haematological changes, have attracted much interest
in the medical world, including that of lndonesia. ln this articlethe following diseases : dengue haemorrhagic fever, DIC and
acute haemolysis are presented as observed for about ten years
inJakarta.
Their clinical pictures, pathogenesis, and treatment
are presented. (CDK No.18, 1980, p.25)
Malignant Lymphoma : Cancer or an Abnormal lmmuno-
logic Reaction ?
dr. A. Harryanto R.
Sub division of Hemato/ogy, Department of /nternal Medicine,
Faculty of Medicine, University of /ndonesia, CiptomangunkusumoHospital, Jakarta.
There are close similarity between malignant lymphoma
cells
and lymphocytes in inflamatory conditions. Research on
cell
morphology and immunology supports the hypothesis that
in fact malignant lymphoma is nothing but an abnormal immuno-
logic reaction to an oncogenic event. The controversy was dis-
cussed by the author in his article. (CDK No.18, 1980, p. 30 )
"
Devil's Pinches
dr. Zubairi D.
Sub division of Hemato%gy, Department of lnternal Medicine,
Faculty of Medicine, University of /ndonesia, Cipto MangunkusumoHospital, Jakarta.
Patiens
,
especially female ones, often complain about blue
spots
—"the devil
'
s
pinches"
— that appear on their legs.
This lesion, known as purpura simplex, appears suddenly and
fade away without treatment. ln spite of this, we should examine
the spot, because sometimes this turned out to be petecchiaeor hematoma, which need quite a different management. The
author reviews
mechanism involved in that disorder, theclinical and laboratory
findings, and its treatment. (CDK No.18,
1980, p.33)
(
Bersambung ke halaman
5 )
4
Cermin Dunia Kedokteran No.18, 1980

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