The Tobacco Epidemic: Problems, Conflicts, Solutions

Dear all,

I mentioned before that I was asked to speak about tobacco for a group of medical students few weeks ago. I wrote a more comprehensive review of the tobacco epidemic in Indonesia into my blog in doc2doc, “The Cure of The Tobacco Epidemic”.

At the event I brought up the issue of the tobacco epidemic; the problems, conflicts and solutions. This presentation is aimed to highlight the importance of consumer perception, the tobacco and anti-tobacco campaign “wars”, the socio-economic context of the tobacco epidemic in Indonesia and how physicians can contribute in curing this epidemic.

I have uploaded the presentation from that event to Slideshare.

For further reading, please do check the last slide with a list of great reference sites.

Regards,

Rahajeng

Filed under: miscelaneous, Faculty of Medicine Diponegoro University, medical education, medical students and residents, miscelaneous, presentation, public health, seminars

Identification PPT for Parasitology Students

For students,

The following is now available on slideshare:

http://www.slideshare.net/rntunjung/identification-june-2010

And a very informative video on Schistosomiasis, this is the last of 3 videos:

Wish you all the best for your exams!

-Rahajeng

Filed under: miscelaneous, Faculty of Medicine Diponegoro University, Images and Videos, infectious disease, miscelaneous, Parasitology, presentation

Trematodes presentation

The short version of the powerpoint presentation of trematodes we use for response discussion was just uploaded. This only consists selected (and most important) slides.

You can click the pic below (or click here) to see the presentation on slideshare.

There is an interesting case report on trematode infection on NEJM:

Do Hyun Park, M.D., Ph.D.
Hyun-Young Son, M.D.
University of Ulsan College of Medicine
138-736, Seoul, South Korea
dhpark@amc.seoul.kr

from URL http://content.nejm.org/cgi/content/full/358/16/e18

A 62-year-old man reported having had fatigue, fever, and cramping abdominal pain for 7 days. He also reported that he had recently eaten raw pond smelt (Hypomesus olidus). The results of liver-function tests were abnormal, showing elevated levels of aspartate aminotransferase (350 IU per liter), alanine aminotransferase (352 IU per liter), alkaline phosphatase (204 IU per liter), -glutamyltransferase (434 IU per liter), total bilirubin (6.4 mg per deciliter [109 µmol per liter]), and conjugated bilirubin (3.9 mg per deciliter [67 µmol per liter]). The white-cell count was also elevated (13,000 per cubic millimeter), and there was eosinophilia (27%). A computed tomographic scan of the abdomen showed dilatation of the common bile duct without definite filling defects. Given our concern that the patient might have acute cholangitis, a duodenoscopy was performed, and a prominent major papilla was discovered. After cannulation of the common bile duct, numerous leaf-shaped worms popped out (see video) and were subsequently identified as Clonorchis sinensis (also called Opisthorchis sinensis). The patient was given praziquantel and had a quick and uneventful recovery. The clinical manifestations of clonorchiasis tend to reflect the worm burden and the duration of infection. Clonorchis may persist in the biliary tree for decades, and prolonged infestation is associated with the development of cholangiocarcinoma. Acute cholangitis and pancreatitis are rare but important complications of C. sinensis infestation.

Good luck for your exams!

-Rahajeng-

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Images used in the presentations are not mine, no copyright infringement intended.

Filed under: miscelaneous, Faculty of Medicine Diponegoro University, infectious disease, internal medicine, miscelaneous, Parasitology, presentation, video

Parasitology Identification 1

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Dear Students,

Due to request of the parasitology tutorial I had with my student groups today, I decided to share this with you. Not the file itself obviously, but as usual, it is now available for your viewing pleasure and your studying on Slideshare.

Today we spent about 1 hour in class for “practice-exam” and discussion about these parasites.

Please study, and good luck for your exams. I wish you nothing but the best!

For the powerpoint slides click here

Regards,

Rahajeng

Some extra pics from today’s session:

Filed under: miscelaneous, Images and Videos, infectious disease, medical students and residents, miscelaneous, Parasitology, presentation

Phenylketonuria and Lecture on Inborn Error of Metabolism

As I am writing this I am highly distracted (and disturbed) by the news on TV about a corruption suspect trying to get away from the country for a “medical check-up”.

Let’s just focus on medicine and patient care for now.

Today we had a visiting lecturer from Jakarta, Dr. Damayanti Rusli Sjarif, PhD, SpA(K) about inborn error of metabolism in our Genetic Counseling master programme. The lecture itself was insightful and as most lectures from our visiting lecturers (because they only visit once every semester) is highly dense with information.

What is most interesting is the fact that there are quite a lot of cases of inborn error of metabolism in Indonesia, and since diagnostic examinations for these diseases are most of the time not available in Indonesia, many patients go undiagnosed and therefore untreated. We can never say that it’s not that particular diseases, when we don’t know whether it’s that particular disease or not. Which brings me to quote House of God, a book by Samuel Shem, where the main character said, “If you don’t take a temperature, you can’t find a fever”.

As a part of the lecture we had to prepare and present a case about phenylketonuria.

And here is my presentation (with some corrections after the lecture). As usual, it’s the picture below is linked to the presentation.

As usual, the presentation include some images from other references, no copyright infringement intended. Until next time.

Regards,

Ajeng

Filed under: miscelaneous, genetic counseling, genetics, inborn error of metabolism, miscelaneous, pediatrics, presentation

Presentation slides: Genetic Basis of Parkinson Disease and Bioethics of Genetic Research

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Dear All,

Since we’ve been working on so many presentations in my master class of genetic counseling I thought I’d share some of our presentations for future reference.

Today we had a discussion and presentation of neurological diseases, one of them is Parkinson Disease.

I uploaded the presentations on SlideShare and for some reason the embed code doesn’t work here, so I will just direct you with a link to SlideShare website for viewing the presentation.

Genetic Basis Of Parkinson Disease

View more presentations from rntunjung

I hope you find this is useful

Regards,

Rahajeng

Filed under: miscelaneous, bioethics, genetic counseling, genetics, miscelaneous, neurology, presentation, research