Oral Presentation PIT PERDOSKI XI

GUIDELINES FOR PRESENTATION

-Presentations will be in English for IUSTI.  For PIT, the power point must be in English, while oral presentation may be in English or bahasa Indonesia.

- A slide counter will be provided within the exhibition area.  All presentation must be submitted to the slide counter at the latest 2 (two) hours before the presentation is scheduled.

Guideline:

1. Genital discharge
2. Genital ulcer
3. Diagnostic procedures
4. HIV/ AIDS
5. Social and epidemiologic aspect
6. Others

SAMPLE FORMAT IN WRITING FREE PAPER

1. SAMPLE IN WRITING THE RESULT OF RESEARCH

Prevalence of HBsAg Seropositivity and Its Association with Hepatitis B Knowledge,

Attitudes, and Practices Among Female Commercial Sex Workers in Bitung

Nurdjannah J. Niode, Adolf  H. Mitaart*, Erdina H.D. Pusponegoro,

Sjaiful F. Daili

Department of Dermatology and Venereology,

University of Indonesia, Jakarta-Indonesia *Department of Dermatology and Venereology,

Sam Ratulangi University, Manado-Indonesia

Background

Hepatitis B can be transmitted sexually with high morbidity and mortality. Commercial sex workers (CSWs) are at risk for that and potentially infect others. In Indonesia, female CSWs’s hepatitis B seroepidemiologic data is unsufficient.  The hepatitis B knowledge, attitudes, and practices (KAP) has never been investigated before. Bitung as an international port and a tourist destination  in North Sulawesi is one of the Indonesian Ministry of Health target areas of Sexually Transmitted Infection control programmes.

Aim of Study

To determine the HBsAg prevalence; KAP surrounding hepatitis B, and to asses the association of HBsAg seropositivity with hepatitis B KAP among female CSWs in Bitung.

Material and Method

The investigation was conducted among 81 female CSWs; ELISA was used to determine HBsAg; level of hepatitis B KAP was carried out by questionnaires analyzed by Pearson’s correlation test.

Results

Sixty-six point seven persent of 81 subjects predominantly 21-30 years old, 59.3% low level education, 51.8% disrupted marriage, 60.5% direct CSWs, 70.4% did their first sexual intercourse in 16 to 20-year of age, 40.7% engaged in prostitution more than 24 months, and 35.8% handled one client weekly. Hepatitis B knowledge (mostly low level) was 82,7%; negative attitudes 90,1%; risk behavior 100%. The seropositivity of HBsAg was 6.2%. Mostly (92.6%) had got information about HIV-AIDS prevention; 11.1% had heard about hepatitis B. No significant correlation among sosiodemographic characteristic, jobs description, and hepatitis B information with HBsAg seropositivity. Those with low level of knowledge, negative attitudes, delayed orgasm and risk behavior for hepatitis B tend to be positive for HBsAg, but not statistically significant.

Conclusion

No significant difference of the HBsAg seropositivity prevalence among female CSWs in Bitung and some other places. Knowledge and attitudes were lack; all had high risk behaviour for hepatitis B. No significant association among risk factors and HBsAg seropositivity.

Keywords: hepatitis B – HBsAg – female commercial sex workers

2. SAMPLE IN WRITING THE CASE REPORT

CUSHING’S SYNDROME

G. RAHMAYUNITA*, A.B. PULUNGAN**, B.E. WIRYADI*,

* Department of Dermatovenereology

** Pediatric Endocrinology Division, Department of Child Health

Faculty of Medicine, University of Indonesia / dr. Cipto Mangunkusumo Hospital

Jakarta, Indonesia

Background

Cushing’s syndrome is the physical manifestation of hypercortisolemia. In children, it may occur as a result of prolonged exogenous corticosteroid administration. However, the development of Cushing’s syndrome from topical corticosteroid therapy is rare.

Case report

A 7 ½ -year-old boy had suffered from psoriasis vulgaris since the age of 2 years, which became wide spread since 4 years old. He was treated by a private dermatologist with a mixture of 3% salicylic acid, 5% liquor carbonis detergens, 10 grams of 0.1% mometasone furoate ointment and 5 grams of gentamycin and 0.025% fluocinolone acetonide cream. The parents continued the treament without the doctor’s permission, by applying it to all over his body, 3 times daily, continually for almost 3 ½ years. There was no other topical or systemic medication. He also had history of small for gestational age (SGA) with birth weight 2400 grams. The patient showed mild hypertension, moon face, buffalo hump, obesity, and numerous hyperpigmented striae on upper arms, buttock, abdominal areas, and lower extremities. The morning plasma cortisol was decreased which revealed a suppression of hypothalamus-pituitary-adrenal axis. The bone mineral density and bone age were normal. Ten months after stopping the corticosteroids, the morning plasma cortisol returned to normal value.

Discussion

In this case, the diagnosis of Cushing’s syndrome was based on clinical features and laboratory examination. The patient continually applied a combination of class 2 (potent) and class 4 (midstrength) topical corticosteroids on a large body surface area frequently for a long-term period. The usage of ointment as the vehicle and the addition of 3% salicylic acid enhanced the drug penetration. Children are more prone to develop systemic reactions to topical corticosteroid because of their higher ratio of total body surface to body weight. This patient was obese, with hypertension, Cushing’s syndrome, and history of small for gestational age, so he is more prone to develop metabolic syndrome. Corticosteroid must be used with great care, especially in children. It is very important to inform the parents about the potential side effects of corticosteroid.

Keywords: Cushing’s syndrome – topical corticosteroids