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Study on the detection of leprosy reactions and the effect of prednisone on various nerves, Indonesia.
This paper presents a retrospective study on the detection of the treatment of leprosy reactions in a field situation, and the effect of prednisone on the various affected nerves. Two patient cohorts were analysed. The leprosy control programme in the testing area is not backed up by a specialized referral leprosy hospital, but patients are treated on an ambulatory basis at peripheral health centres by trained multipurpose health workers supervised by the health centre doctors. For operational purposes the guidelines and procedures for reaction management in the field were adjusted and partially simplified. In both studies it appeared that the time of the occurrence of severe reactions was the same: 80% or more of the severe reactions occurred in the first year of treatment, the majority in the first few months after the start of the multidrug (MDT) treatment. One third of all reaction patients suffered from a silent neuritis. Well-instructed fieldworkers proved to be competent in detecting and treating leprosy reactions. Treatment of severe reactions with prednisone in the field situation can preserve or considerably improve the functions of the affected nerves. It is interesting that often the motor function of a nerve was found to be impaired without any loss in sensibility, which was tested using the ballpoint pen method.
Medical education in Indonesia.
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Platynosomum fastosum in ex-captive orangutans from Indonesia.
The liver fluke Platynosomum fastosum was identified upon necropsy of three ex-captive orangutans (Pongo pygmaeus) which had been part of a rehabilitation program for reintroduction to the wild. This trematode has not been reported in orangutans previously and is commonly found in cats in Southeast Asia. Cross infection from cats via intermediate hosts, to orangutans kept in captivity as pets, could explain their presence in the latter. Although P. fastosum caused intrahepatic and bile duct damage, death of the hosts could not be attributed solely to the presence of the liver fluke infection.
1997 National Health Day in Indonesia--a focus on oral health.
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Blood program and the possibility of applying red cell substitutes in Indonesia.
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Use of SoloShot autodestruct syringes compared with disposable syringes, in a national immunization campaign in Indonesia.
Autodestruct syringes can reduce the improper reuse of syringes, which present a significant risk in the transmission of bloodborne pathogens in developing countries, especially during immunization campaigns owing to the high number of injections given per session. SoloShot is an autodestruct syringe, distributed by UNICEF, which has been shown to be safer and easier to use than standard syringes. This study analyses the accuracy and dose-efficiency of SoloShot, compared with disposable syringes, during a national tetanus toxoid immunization campaign on the Indonesian island of Lombok. Observation and dose measurements revealed that SoloShot syringes delivered more precise and consistent doses and 15% more doses per vial than disposable syringes. Vaccine savings may partially be offset by the higher price of SoloShot. Vaccinators preferred SoloShot, describing it as easier to use, faster, and more accurate than the disposable syringe. The study indicates that SoloShot is highly appropriate for use in immunization campaigns by reducing vaccine wastage and improving injection safety.
Indonesia launches satellite.
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Small mammal ectoparasites from Ancol, Jakarta, Indonesia.
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Angiostrongylus malaysiensis in Indonesia.
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The first record of Hunterellus hookeri parasitizing Rhipicephalus sanguineus in Indonesia.
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Social psychiatric implications of population control in Indonesia.
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Parasitological survey in Gorontalo North Sulawesi, Indonesia.
A survey for blood and intestinal parasites was carried out in the municipality of Gorontalo on the Minahasa peninsula of North Sulawesi. A total of 156 stool specimens were obtained from 83 males and 73 females. Trichuris trichiura, Ascaris lumbricoides, hookworm, unidentified dicrocoeliid-like ova and Entamoeba coli, in that order, were the most common intestinal parasites detected. Other intestinal parasites found less frequently were Entamoeba histolytica, Iodamoeba bütschlii, Endolimax nana, Giardia lamblia, Enterobius vermicularis and Chilomastix mesnili. Brugia malayi microfilaremiar were detected in 6% and Plasmodium falciparum in less than 1% of the population sampled.
Observations on the breeding habitats of Aedes aegypti (L.) in Jakarta, Indonesia.
A one-year study was done of the breeding habitats of Aedes aegypti (L.) and of the water storage habits of the inhabitants in four crowded districts of urban Jakarta. Immature mosquitoes were found in or near houses in containers of relatively clean water used for drinking or bathing purposes. An average of 185 containers were found per 100 houses, of which 60 were positive for Aedes immatures, resulting in a Container Index of 32%. The mean potential water storage capacity per house was 173 liters of which only 92 liters of water was actually being stored at any one time. Water jars were the most common containers found, but bak mandi (cuboidal or oblong concrete reservoirs) held more water per container. Total water storage per house in bak mandi was twice that of water jars and ten times that of drums, which were uncommon. Ant traps and other miscellaneous containers were unimportant for either water storage or mosquito production. A mean of 0.93 pupae per house was found, pupal production indoors being ten times than outdoors. Indoor water jars produced more pupae per house than all other containers combined. The infestation rate of covered containers was significantly higher than that of uncovered containers, perhaps because loose-fitting lids allowed entrance of gravid females to the attractive darkened interior of the container.
[Training of nurse anesthetists in Indonesia].
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Health care in Indonesia in the 21st century.
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Emerging infectious diseases in Indonesia: the role of socio-economic and ecological changes.
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Mosquito immatures in drought-prone and drought-resistant bamboo stumps in Flores, Indonesia.
Mosquito species in water-filled bamboo stumps were compared with those emerged from dormant eggs in dry stumps. Tripteroides spp. was more abundant than Aedes (Stegomyia) spp. (mainly annandalei and albopictus) in water-filled stumps, whereas the latter was more abundant than the former in dry stumps. During 5 days after inundation, Aedes (Stegomyia) spp. developed faster than Tripteroides spp. Density of Tripteroides spp. was high in narrow and deep stumps. Both taxa of mosquitoes were at low densities in water-filled stumps with large detritivores (Tipulidae and Oligochaeta).