Objective: Sellar region tumors may origin from a various number of structures and each of them have a specific clinical and radiological appearance. Among these pathological processes, one of the most challenging is to distinguish between tuberculum sellae meningioma (TSM) and macroadenoma hypophysis (MH). Differentiating these two entities preoperatively is very important to decide which
approach will be most suitable and beneficial. The purpose of this study is to produce a simple preoperative scoring system to differentiate these two that can be applied in specific conditions where MRI is not available or could not be performed.

Methods: This analytical retrospective cohort study
contains data obtained from patients treated in Neurosurgery Department of Dr. Hasan Sadikin
General Hospital-Bandung from 1 January 2008 until 31 December 2010. There were 34 patients enrolled in this study, in which 15 of them were diagnosed with MH and 19 patients diagnosed with TSM confirmed with pathology examination.

Results: From clinical presentation we found that the
event of endocrinopathy occurs significantly in macroadenoma hypophysis (p=0.002). Whereas from radiological evaluation there were 7 parameters that significantly distinguish these two entities including hyperostosis, sellar floor configuration, homogeneity of mass, contrast agent enhancement, waist configuration, peritumoral edema, and dural attachment. From these findings, we propose a simple scoring system to differentiate macroadenoma hypophysis and tuberculum sellae meningioma with a 84.2% sensitivity and 100% specificity.

Conclusion: although MRI is the modality of choice in
differentiating macroadenoma hypophysis and tuberculum

Objective: Anemia is the most common nutritional deficiency disorder in the world. The prevalence of anemia in pregnancy varies considerably because of differences in socioeconomic conditions, lifestyles and health seeking behaviors across different cultures. The aim of this study was to evaluate
the prevalence of anemia among pregnant women in western part of Nepal.

Method: A hospital based study was carried out in Nepalgunj Medical College, Kohalpur, Banke Nepal to determine prevalence of anemia among pregnant women. A total of 512 pregnant (15-45 years old) were included in this
study. Cyanmethaemoglobin method was used to determine the hemoglobin level. The study took place from January 2012 to December 2012. Statistical analyses were carried out by applying percentage and words excel 2007.

Results: Out of five hundred twelve pregnant women, 210
(41.02%) pregnant women were anemic and 302 pregnant women were non anemic (58.98%). Also, among these anemic pregnant women, majority (67.14 %) of these women were mildly anemic, whereas 28.57% were moderately and 4.29% were severely anemic.

Conclusion: Prevalence of anemia was higher in the pregnant women at the second trimester (51.1%) and also at the 20-35 years age group (62.79%).

Objective: ACTH4-10Pro8Gly9Pro10 and HMG Co-A reductase inhibitor had a well-known neuroprotective effects. One important process happened in head injury is apoptotic neuronal death. Bcl-2 is one of anti-apoptotic protein inhibits the intrinsic pathway of apoptosis. This study aimed to
compare the effect of standard therapy, ACTH4-10Pro8Gly9Pro10, and HMG Co-A reductase inhibitor
on serum Bcl-2 levels and the potential effect to a better outcome and reduction of hospital stay.

Method: Subjects of severe head injury without any indication for surgery were taken consecutively (n=60) and separated into three groups of; standard treatment only (control group), standard treatment combined with ACTH4-10Pro8Gly9Pro10, and standard treatment combined withInhibitor HMG CoA
Reductase. Blood samples were taken on day-1 and day-5 from each subject for measurement of Bcl-2 concentration. Barthel index and MMSE were measured at discharge and hospital length of stay was noted.

Results: Bcl-2 serum levels in control group was 1.49±1.01 ng/mL on day one and 1.64±0.61 ng/mL on day five; and 1.72±1.40 ng/mL on day one and 4.02±1.19 ng/mL on day five after treatment with ACTH4-10Pro8Gly9Pro10. In the HMG Co-A reductase inhibitor group, Bcl-2 serum level was
1.55±0.98ng/mL on day one and 2.00±0.90ng/mL on day five. The correlation of outcome (Barthel Index and MMSE) with serum Bcl-2 levels was not significant. We found the length of stay in the ACTH4-10Pro8Gly9Pro10 group was significantly shorter (p<0.05; CI 95%).

Conclusion: ACTH4-10Pro8Gly9Pro10 significantly increased serum Bcl-2 concentration in head injury. Although we didn’t
find any correlation between serum Bcl-2and outcome (Barthel Index and MMSE), therapy with ACTH4-10Pro8Gly9Pro10 resulted in a significantly shorter hospital length of stay.

Objective: Primary survey was conducted on November 10, 2012 at The State Hospitals Bukittinggi, with randomly selected of 100 hospital medical records. There were incomplete contents of 61.66% and 48.33% of late files. This issue is very disturbing process for management of recording medical data, therefore, disrupting functions of medical recorders.

Method: This study applied cross-sectional
study to determine the correlation between respect, responsibility, interpersonal relations, supervision
and compensation for the performance of official recorders at The State Hospitals Bukittinggi West-Sumatra Indonesia. Questionnaires from the subjects were proceed and computed by applying chisquare test.

Results: The results showed that there were significant correlation between the performance of official award recorders (p = 0.003 and OR = 9.208), responsibilities (p = 0.012 and OR = 6.094), interpersonal (p = 0.0025 and OR = 5.417), performance of official (p = 0.012 and OR = 6.094), and compensation of official recorders (p = 0.025 and OR = 5.417) to recorders performance. 

Conclusion: In this research, we observed that there was a significant correlation between respect, responsibility, interpersonal relations, supervision and compensation to the performance of official recorders. A greater

Objectives: Pemphigus vulgaris (PV) is an autoimmune-blistering disease of the skin and mucous membranes caused by auto-antibodies against desmoglein-3 (Dsg-3) on the keratinocyte cell surface of squamous stratified epithelia. Pemphigus is a life-threatening autoimmune bullous disease resulting in the widespread denudation of skin and mucous membrane and severe impact of quality of life. The
purpose of this study was to evaluate retrospectively the prevalence of pemphigus and to elucidate the clinical variants, clinical course, prognosis and quality of life (QOL) of pemphigus patients after discharge from hospitalized.

Method: Observational non analytical retrospective study was conducted by observation of the medical records of all the newly registered patients with pemphigus at Sanglah
General Hospital in Bali-Indonesia during the period of January 1995 and December 2002, and analyzed with regard to personal statistic, history of the diseases including onset, site of affected, symptoms, clinical diagnosis, severity, associated illness, therapy, and quality of life based on the
Finlay’s methods.

Results: During the 8-year periods studies, 33 pemphigus patients were admitted, represented 5.8 % of all patients admitted in our in-patient ward during the periods. Our patients consist of female 20 patients (60.6 %) and male 13 patients (39.4 %). The most common of clinical
type was pemphigus vulgaris 26 patients (78.78 %), followed by pemphigus foleaceous and pemphigus vegetans. Six patients (18.18 %) of 16 severe patients with severe condition at the clinical course of the diseases was death during the course of hospitalized. A number of 2 patients, in this
study were observed with severe impact of quality of life.

Conclusion: Our finding showed that pemphigus vulgaris is common type of our cases has a relatively high prevalence our hospital (5.8 %), and relatively high death rate (18.18 %). In our study, systemic corticosteroid was still applied until
present for life saving drug for Pemphigus.