1st International Conference on

Tropical Medicine and Infectious

Diseases (ICTROMI 2017)

Held in Conjunction with the 23rd National Congress of the Indonesian Society of Tropical and Infectious Diseases Consultant and the 18th Annual Meeting of Internal Medicine Department

IOP Conference Series: Earth and Environmental Science Volume 125

Medan, Indonesia 15 - 18 November 2017

Part 1 of 2

Editors:

Kevin Baird Limin Wijaya Menno de Jong Putri C. Eyanoer Djoko Widodo Umar Zein Weerawat Manosuthi

ISBN: 978-1-5108-6033-9 ISSN: 1755-1307 Printed from e-media with permission by:

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Curran Associates, Inc. 57 Morehouse Lane Red Hook, NY 12571 USA Phone: 845-758-0400 Fax: 845-758-2633 Email: [email protected] Web: www.proceedings.com TABLE OF CONTENTS

PART 1

TROPICAL MEDICINE AND INFECTIOUS DISEASES

ANALYSIS CLUSTER OF DIFFERENTIATION 4 NUMBER AND C-REACTIVE PROTEIN CONCENTRATION IN PATIENT WITH HUMAN IMMUNODEFICIENCY VIRUS WITH OR WITHOUT LUNG TUBERCULOSIS...... 1 M J Nur, F Kuhuwael, S Katu, H Mubin, R Halim

CORRELATION BETWEEN HIV-1 GENOTYPE AND CLINICAL PROGRESSION IN HIV/AIDS PATIENTS IN SURABAYA, INDONESIA ...... 5 B E Rachman, S Q Khairunisa, A M Witaningrum, M Q Yunifiar, Nasronudin

PREVALENCE OF DRUG-RESISTANT MUTATION AMONG DRUG-TREATED HIV/AIDS INPATIENT IN AIRLANGGA UNIVERSITY TEACHING HOSPITAL, SURABAYA, INDONESIA ...... 11 B E Rachman, S Q Khairunisa, A M Witaningrum, M Q Yunifiar, P Widiyanti, Nasronudin

HIV IMPACT ON WOMEN: GENDER DIFFERENCE AMONG LATE TESTERS AND ADVANCED HIV INFECTION ...... 17 N M D D Sukmawati, T P Merati, A Somia, S Utama, Y Gayatri

ANALYSIS OF THE ASSOCIATION OPPORTUNISTIC INFECTIONS WITH C-REACTIVE PROTEIN FOCUS TOXOPLASMA, CYTOMEGALOVIRUS, RUBELLA,AND HEPATITIS IN HUMAN IMMUNODEFICIENCY VIRUS ...... 23 K H Khadijah, K Ferica, S Katu, R Halim, A H Mubin

EFFECT OF ISONIAZID PREVENTIVE THERAPY ON TUBERCULOSIS INCIDENCE IN PEOPLE LIVING WITH HIV-AIDS AT HASAN SADIKIN HOSPITAL...... 27 I Satiavan, Y Hartantri, B Werry, Y Nababan, R Wisaksana, B Alisjahban

CHRONIC KIDNEY DISEASE IN HIV PATIENTS...... 32 S Bakri, H Rasyid, H Kasim, S Katu

ASSOCIATION BETWEEN CD8 T-CELL SUBSETS AND CD4/CD8 RATIO WITH HS-CRP LEVEL IN HIV-INFECTED PATIENTS ON ANTIRETROVIRAL THERAPY ...... 37 S Isabela, A Nugroho, P N Harijanto

CORRELATION OF DEPRESSION AND QUALITY OF LIFE IN HIV/AIDS PATIENTS...... 43 M L Siregar, V Abdullah, T Mamfaluti

DETECTION OF MICRO RNA HSA-LET-7E IN PERIPHERAL BLOOD MONONUCLEAR CELLS INFECTED WITH DENGUE VIRUS SEROTYPE-2: PRELIMINARY STUDY ...... 49 S Masyeni, U Hadi, Kuntaman, B Yohan, N I Margyaningsih, R T Sasmono

THE WORSENING FACTORS OF DENGUE HEMORRHAGIC FEVER (DHF) BASED ON COHORT STUDY WITH NESTED CASE-CONTROL IN A TERTIARY HOSPITAL...... 54 S Lardo, M H N E Soesatyo, Juffrie, S R Umniyati

A COMPARISON OF THE IMMUNE RESPONSE BETWEEN EARLY EXPOSED AND 1 YEAR POST EXPOSURE TO BACILLUS ANTHRACIS IN INDONESIA...... 59 D Redhono, A Kusumawardani, P Dirgahayu

DOMINANT RISK FACTORS FOR MALARIA AT PUSKESMAS LABUHAN RUKU, TALAWI BATU BARA, INDONESIA ...... 65 P C Eyanoer

DETECTION OF H. PYLORI INFECTION ON DYSPEPSIA PATIENTS WITH IGA H. PYLORI ANTIBODY...... 70 R Loesnihari

SEQUENCE ANALYSIS OF DBL2ß DOMAIN OF VARGENE OF INDONESIAN PLASMODIUM FALCIPARUM...... 76 E Sulistyaningsih, B D Romadhon, I Palupi, F Hidayah, R Dewi, A Prasetyo

THE FIRST EVALUATION OF GLUCOSE-6-PHOSPHATE DEHYDROGENASE DEFICIENCY (G6PD) GENE MUTATION IN MALARIA-ENDEMIC REGION AT SOUTH CENTRAL TIMOR (SCT) DISTRICT, EASTERN INDONESIA 2015-2016 ...... 82 J Hutagalung, H Kusnanto, Supargiyono, A H Sadewa, A W Satyagraha

INTERACTION OF ALPHAMANGOSTIN AND CURCUMIN WITH DIHYDROARTEMISININ AS ANTIMALARIA IN VITRO ...... 88 S Tjahjani, Syafruddin, R Tjokropranoto

RDT ACCURACY BASED ON AGE GROUP IN HYPOENDEMIC MALARIA...... 94 L Siahaan, M Panggabean, Y C Panggabean

THE COMPARISON OF DETECTION METHODS OF ASYMPTOMATIC MALARIA IN HYPOENDEMIC AREAS...... 99 L Siahaan, M Panggabean, Y C Panggabean

THE COMPARATIVE ACCURACY OF RAPID DIAGNOSTIC TEST WITH MICROSCOPY TO DIAGNOSE MALARIA IN SUBDISTRICT LIMA PULUH BATUBARA REGENCY NORTH SUMATERA PROVINCE ...... 103 S Rezeki, A P Pasaribu

SEVERE FALCIPARUM MALARIA: A CASE REPORT...... 108 F Arcelia, F Asymida, N F M Lubis, A P Pasaribu

DEGREE OF AGREEMENT AMONG SEPSIS DIAGNOSIS CRITERIA IN ADULT EMERGENCY ROOM PATIENTS WITH INFECTION...... 111 R Sinto, A T Chandra, K C Lie, S Suwarto

LACTATE CLEARANCE CUT OFF FOR EARLY MORTALITY PREDICTION IN ADULT SEPSIS AND SEPTIC SHOCK PATIENTS...... 116 R Sinto, D Widodo, H T Pohan

IMMATURE PLATELET FRACTION IN BACTERIAL SEPSIS SEVERITY ASSESSMENT...... 121 M H Djuang, F Ginting, H Hariman

FACTORS ASSOCIATED WITH SYPHILIS SEROPOSITIVE AND HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION AMONG INMATES AT LUBUK PAKAM PRISON, INDONESIA...... 126 E Sembiring, Y Ginting, R H Saragih

SURVIVAL OF HIV/AIDS PATIENTS WITH ANTIRETROVIRAL THERAPY IN ASSOCIATION WITH FIRST-LINE REGIMENS FROM 2007 – 2010 IN HAJI ADAMMALIK GENERAL HOSPITAL MEDAN...... 132 T Kembaren, Y Ginting, R H Saragih

ASSOCIATION BETWEEN RED BLOOD CELL INDICES AND CD4 COUNT IN HIV-POSITIVE REPRODUCTIVE WOMEN...... 137 S N Lumbanraja, D I S Siregar

ASSOCIATION OF SERUM FERRITIN LEVELS WITH IMMUNOLOGICAL STATUS AND CLINICAL STAGING OF HIV PATIENTS: A RETROSPECTIVE STUDY...... 140 R H Saragih, A I Mardia, G C F Purba, H Syahrini

CORRELATION BETWEEN THE NEUTROPHIL-LYMPHOCYTE COUNT RATIO AND BACTERIAL INFECTION IN PATIENT WITH HUMAN IMMUNODEFICIENCY VIRUS...... 145 D Kusnadi, M N I Liwang, S Katu, A H Mubin, R Halim

HIGHER PLASMA CD4 LYMPHOCYTE COUNT CORRELATES WITH BETTER COGNITIVE FUNCTION IN HUMAN IMMUNODEFICIENCY VIRUS-ACQUIRED IMMUNODEFICIENCY SYNDROME (HIV-AIDS) PATIENTS ...... 149 F I Fitri, A S Rambe, A Fitri

CORRELATION OF CD4 COUNTS WITH MICROALBUMINURIA IN HIV PATIENTS...... 155 S Bakri, R Haerani, K Hasyim, K Sudirman, N Tarukallo

CD4 DESCRIPTIONS AT VARIOUS CLINICAL HIV/AIDS STAGES WITH TUBERCULOSIS AND NON-TUBERCULOSIS OPPORTUNISTIC INFECTIONS AT DR. ZAINOEL ABIDIN HOSPITAL IN BANDA ACEH, INDONESIA ...... 160 A S Shaleh, Fahrial, M L Siregar, K F Jamil

PROFILE OF HEPATITIS B AND C VIRUS INFECTION IN PRISONERS IN LUBUK PAKAM CORRECTIONAL FACILITIES ...... 166 I Rey, R H Saragih, R Effendi-Ys, J Sembiring, G A Siregar, L H Zain

ANTIMICROBIAL RESISTANCE PROFILE OF URINARY TRACT INFECTION AT A SECONDARY CARE HOSPITAL IN MEDAN, INDONESIA...... 170 A Rahimi, R H Saragih, R Nainggolan

ASSOCIATED RISK FACTORS FOR URINARY TRACT INFECTION AMONG PREGNANT WOMEN AT PUSKESMAS KENANGAN, DELI SERDANG DISTRICT ...... 175 F Laily, D Lutan, S Amelia, M R Z Tala, T A Nasution

GENETIC DIVERSITY OF MEROZOITE SURFACE PROTEIN-2 IN PLASMODIUM FALCIPARUM ISOLATES FROM ACEH PROVINCE, INDONESIA ...... 181 K F Jamil, S Supargiyono, D Syafruddin, N Pratama, S Silvy

THE GENETIC POLYMORPHISM OF MEROZOITE SURFACE PROTEIN-1 IN PLASMODIUM FALCIPARUM ISOLATES FROM ACEH PROVINCE, INDONESIA ...... 187 K F Jamil, S Supargiyono, D Syafruddin, N Pratama, S Silvy

CLINICAL PROFILE AND WARNING SIGN FINDING IN CHILDREN WITH SEVERE DENGUE AND NON-SEVERE DENGUE...... 193 A S Adam, S Pasaribu, H Wijaya, A P Pasaribu

PREVALENCE OF ANTIBIOTIC RESISTANCE IN ADULT SEPTIC PATIENTS OF H. ADAM MALIK CENTRAL GENERAL HOSPITAL, MEDAN UNDER INDONESIA'S MANDATORY HEALTH SCHEME...... 199 N S Tillasman, R H Saragih, N Umar

THE ACCURACY OF FORMOL-ETHER CONCENTRATION IN DIAGNOSING SOILTRANSMITTED HELMINTHS IN ELEMENTARY SCHOOL 27 PEUSANGAN IN BIREUEN ...... 205 C L Fitriani, M Panggabean, A P Pasaribu

RISK FACTORS RELATED TO METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS INFECTION AMONG INPATIENTS AT PROF. DR. R. D. KANDOU GENERAL HOSPITAL MANADO...... 211 H T Utomo, A Nugroho, P N Harijanto

CLINICAL MANIFESTATION, SEROLOGY MARKER & MICROSCOPIC AGGLUTINATION TEST (MAT) TO MORTALITY IN HUMAN LEPTOSPIROSIS ...... 216 S A P Perdhana, R S B Susilo, Arifin, D Redhono, T Sumandjar

CORRELATION BETWEEN CHRONIC ARTHRITIS PATIENTS CONFIRMED WITH QUESTIONNAIRE AND SEROLOGIC TEST OF LYME DISEASE...... 221 H Rotan, Y Ginting, R Loesnihari, T Kembaren, B Marpaung

SERUM TNF-A LEVELS AND HELICOBACTER PYLORI CAGA AND VACA GENES ...... 227 G A Siregar, S Halim, R R Sitepu, Darmadi

HEPATITIS B VIRUS INFECTION ON MALE PARTNER HAS NEGATIVE IMPACT ON IN- VITRO FERTILIZATION ...... 233 H P Lubis, B Halim, I Adenin, M Rusda, E Prasetiawan

URINARY GLICOSAMINOGLYCANS LEVELS IN WOMEN WITH URINARY TRACT INFECTION AND NON URINARY TRACT INFECTION ...... 239 H P Pasaribu, A Hanifa, R Z Tala, E Ardiansyah, R Y Simanjuntak, I H Effendy

THE INFLUENCE OF PERCEPTION AND PEER SUPPORT ON STI PREVENTION BEHAVIOR (SYPHILIS CASE STUDY) IN GROUP OF MSM AT VETERANS STI-VCT CLINIC IN MEDAN YEAR 2016...... 244 K Sukatendel, T E Napitupulu, Rusmalawati, L S Andayani, I Yustina

DIAGNOSTIC ACCURACY OF TUBERCULOUS LYMPHADENITIS FINE NEEDLE ASPIRATION BIOPSY CONFIRMED BY PCR AS GOLD STANDARD ...... 249 Dsuryadi, Delyuzar, Soekimin

CYTOLOGICAL DIAGNOSTIC OF LYMPHADENITIS TUBERCULOSIS BY EOSINOPHILIC MATERIAL ...... 254 Delyuzar, Z Amir, L Kusumawati

DIAGNOSTIC VALUE OF NESTED-PCR FOR IDENTIFICATION OF MALASSEZIA SPECIES IN DANDRUFF...... 258 N K Jusuf, T A Nasution, S Ullyana

PITYRIASIS VERSICOLOR IN PRIMARY SCHOOL CHILDREN IN MEDAN LABUHAN ...... 264 Febriyanti, Da Paramita, P Eyanoer

ANTIBIOTIC SENSITIVITY PATTERN OF BACTERIA FROM DIABETIC FOOT INFECTIONS HAJI ADAM MALIK CENTRAL GENERAL HOSPITAL ...... 268 B A Bulolo, M A Pase, F Ginting

COMPARISON OF MICROBIAL PATTERN IN EARLY AND LATE ONSET NEONATAL SEPSIS IN REFERRAL CENTER HAJI ADAM MALIK HOSPITAL MEDAN INDONESIA ...... 274 B S Hasibuan

BACTERIAL PATTERN AND ANTIBIOTIC SENSITIVITY IN CHILDREN AND ADOLESCENTS WITH INFECTED ATOPIC DERMATITIS ...... 279 C T Samosir, R H Ruslie, R E Rusli

CASE REPORT: LIVER ABSCESS PYOGENIC AFTER PERITONITIS APPENDIX PERFORATION...... 285 E H Damanik, F Ginting

MICROBIAL PATTERN OF PRESSURE ULCER IN PEDIATRIC PATIENTS ...... 289 D A Paramita, Khairina, N Z Lubis

BACTERIAL PATTERN AND ROLE OF LABORATORY PARAMETERS AS MARKER FOR NEONATAL SEPSIS ...... 292 R H Ruslie, D G Tjipta, C T Samosir, B S Hasibuan

GLUTATHIONE PEROXIDASE LEVEL IN PATIENTS WITH HELICOBACTER PYLORI- ASSOCIATED GASTRITIS...... 298 Z Z Tala, G A Siregar, G P Siregar

CORRELATION BETWEEN IRON DEFICIENCY ANEMIA AND INTESTINAL PARASITIC INFECTION IN SCHOOL-AGE CHILDREN IN MEDAN...... 303 D M Darlan, F R Ananda, M I Sari, N K Arrasyid, D I Sari

CUTANEOUS PENICILLIOSIS DUE TO PENICILLIUM MARNEFFEI INFECTION IN HUMAN IMMUNODEFICIENCY VIRUS INFECTED PATIENTS...... 309 F A Karo, T Kembaren, R Saragih, E Sembiring, F Ginting, Y Ginting

OPPORTUNISTIC INFECTION MANIFESTATION OF HIV-AIDS PATIENTS IN AIRLANGGA UNIVERSITY HOSPITAL SURABAYA...... 314 T P Asmarawati, A Putranti, B E Rachman, U Hadi, Nasronudin

OPPORTUNISTIC INFECTION OF HIV/AIDS PATIENTS IN WEST PAPUA ...... 319 A M Witaningrum, S Q Khairunisa, M Q Yunifiar, R Bramanthi, B E Rachman, Nasronudin

ORAL CANDIDIASIS AS CLINICAL MANIFESTATION OF HIV/AIDS INFECTION IN AIRLANGGA UNIVERSITY HOSPITAL PATIENTS ...... 324 A Putranti, T P Asmarawati, B E Rachman, U Hadi, Nasronudin

SURGICAL TREATMENT FOR PULMONARY ASPERGILLOMA IN SEVENTEENTH YEARS OLD FEMALE: CASE REPORT ...... 330 G N Yanni, M Lubis, C Yoel

ASSOCIATION OF SEROLOGIC AND HEMATOLOGIC TEST RESULTS IN DENGUE INFANT PATIENTS IN RSUP. DR. HASAN SADIKIN BANDUNG ...... 335 A Alam, I Handayani, A R Indrati

WEIL'S DISEASE IN A 36 YEARS OLD FEMALE: A CASE REPORT...... 340 S Rozalena, L Handayani, A Arman, M Permata, H Hudari

DIAGNOSIS AND MANAGEMENT OF TETANUS OUTSIDE THE INTENSIVE CARE UNIT: A CASE REPORT...... 343 T E Bravo, M L Siregar, K F Jamil

CORRELATION BETWEEN HEMATOLOGIC PROFILE AND TRANSAMINASE ENZYMES WITH HOSPITALIZATION DURATION DENGUE...... 346 E Tinambunan, Suryani, S Katu, R Halim, A H Mubin, Sahyuddin

A SUCCESSFUL THERAPY FOR SEVERE MALARIA ACCOMPANIED BY MALARIA- RELATED ACUTE KIDNEY INJURY (MAKI) COMPLICATIONS: A CASE REPORT ...... 351 A Syahputra, M L Siregar, K F Jamil

PLASMODIUM FALCIPARUM-INDUCED SEVERE MALARIA WITH ACUTE KIDNEY INJURY AND JAUNDICE: A CASE REPORT...... 356 A Baswin, M L Siregar, K F Jamil

EFFECTS OF SCHOOL-BASED DEWORMING ON HEMOGLOBIN LEVEL, GROWTH DEVELOPMENT AND SCHOOL PERFORMANCE OF PRIMARY SCHOOL CHILDREN IN NORTH SUMATERA...... 361 A P Pasaribu, J Angellee, S Pasaribu

NECROTIZING FASCIITIS IN NEPHRITIC SYNDROME: A CASE REPORT...... 366 I Junaedi, A P Pasaribu

CASE REPORT: PATIENT WITH WEIL'S DISEASE, CHEST PAIN, HEPATITIS B, HEPATORENAL SYNDROME, AND ELECTROLYTE IMBALANCE ...... 371 Mustopa, R S B Susilo, Arifin, D Redhono, T Sumandjar

THE EFFECT OF BACTERIAL SEPSIS SEVERITY ON TRIGLYCERIDE VALUE ...... 375 R Fahila, T Kembaren, A Rahimi

CUTANEOUS LARVA MIGRANS IN A GARDENER ...... 379 I Agustiningtyas

PROLONGED FEVER AND INVOLUNTARY WEIGHT LOSS AS MANIFESTATIONS OF BACTERIAL ENDOCARDITIS: A CASE REPORT...... 382 N M D D Sukmawati, T P Merati, A Somia, S Utama, Y Gayatri

INCIDENCE OF MULTIDRUG-RESISTANT, EXTENSIVELY DRUG-RESISTANT AND PAN- DRUG-RESISTANT BACTERIA IN CHILDREN HOSPITALIZED AT DR. HASAN SADIKIN GENERAL HOSPITAL BANDUNG INDONESIA...... 388 R Adrizain, F Suryaningrat, A Alam, D Setiabudi

SEVERE MALARIA VIVAX WITH SEPSIS BACTERIAL: A CASE REPORT...... 392 P Tarigan, F Ginting

CHRONIC DIARRHEA CAUSED BY BLASTOCYSTIS HOMINIS AND CRYPTOSPORIDIUM SP. IN IMMUNOCOMPETENT PATIENT-A CASE REPORT...... 398 Y Andriyani, M F Rozi, R H Saragih, D M Darlan

FALCIPARUM MALARIA INFECTION WITH INVASIVE PULMONARY ASPERGILLOSIS IN IMMUNOCOMPETENT HOST – CASE REPORT...... 403 Y Andriyani

PROLONGED FEVER IN PERITONEAL TUBERCULOSIS: A CASE REPORT...... 407 U Zein, S Irwandi, H Habib, H Lim, M Pasha, I Janis, R H Saragih, Y Ginting, R Effendy-Y S

RARE LOCATION OF SPONDYLITIS TUBERCULOSIS;ATLANTO-AXIAL, SACRAL AND CERVICO-THORACIC JUNCTION...... 410 Victorio, M D Nasution, S Ibrahim, R Dharmajaya

CASE REPORT : TUBERCULOSIS LIVER ABSCESS IN MALE ALCOHOLISM PATIENT ...... 415 W P Siahaan, F Ginting

MANAGEMENT OF MULTIDRUG-RESISTANT TUBERCULOSIS IN HUMAN IMMUNODEFICIENCY VIRUS PATIENTS ...... 420 K F Jamil

DIAGNOSIS AND MANAGEMENT OF SEPSIS...... 425 Arifin

MANAGEMENT OF TETANUS COMPLICATION...... 430 I K A Somia

MANAGEMENT OF HEPATITIS C INFECTION IN THE ERA OF DIRECT-ACTING ANTIVIRAL THERAPY...... 435 L H Zain, T Sungkar

THE ROLE OF DRUGS IN HIV PREVENTION...... 440 T Kembaren

DIAGNOSTIC APPROACH IN LEPTOSPIROSIS PATIENTS...... 446 E Sembiring

LABORATORY DIAGNOSTICS OF MALARIA ...... 452 L Siahaan

ANTIMICROBIAL RESISTANCE PROBLEMS IN TYPHOID FEVER...... 458 R H Saragih, G C F Purba

VENTRICULOPERITONEAL SHUNT INFECTION IN HAJI ADAM MALIK HOSPITAL, MEDAN...... 462 R Dharmajaya

MANAGEMENT OF A PATIENT WITH DENGUE VIRUS INFECTION AND TETRALOGY OF FALLOT...... 467 M V Arfijanto, E Oktiawan, Purwati, U Hadi

AN EXPANDED DENGUE SYNDROME PATIENT WITH MANIFESTATION MYOCARDITIS: CASE REPORT...... 473 M V Arifijanto, H P Luqmana, M Rusli, Bramantono

TUBERCULOUS SPONDYLITIS IN HAJI ADAM MALIK HOSPITAL, MEDAN...... 479 R Dharmajaya

VANCOMYCIN-RESISTANT STAPHYLOCOCCUS AUREUS (VRSA) IN HEPATIC CIRRHOSIS PATIENT: A CASE REPORT ...... 484 M Ramazoni, M L Siregar, K F Jamil

HYPOVITAMINOSIS D INCREASES TB CO-INFECTION RISK ON HIV PATIENTS ...... 487 Y A A A Gayatri, D D Sukmawati, S M Utama, I K A Somia, T P Merati

THERAPEUTIC PRINCIPLES OF PRIMAQUINE AGAINST RELAPSE OF PLASMODIUM VIVAX MALARIA...... 493 J K Baird

ANTIRETROVIRAL RESISTANCE IN HIV/AIDS PATIENTS...... 501 W Manosuthi, Md

SOCIAL AND ENVIRONMENTAL IMPACT ON INFECTIOUS DISEASES

SOCIAL ACCEPTANCE AND QUALITY OF LIFE OF LEPROSY PATIENT ...... 505 P C Eyanoer

SOCIAL ACCEPTANCE AMONG TUBERCULOSIS PATIENTS AT PUSKESMAS AMPLAS MEDAN, INDONESIA...... 510 P C Eyanoer

INFECTION PREVENTION AND CONTROL

COMMUNITY EMPOWERMENT PROGRAM FOR INCREASING KNOWLEDGE AND AWARENESS OF TUBERCULOSIS PATIENTS, CADRES AND COMMUNITY IN MEDAN CITY...... 516 J Harahap, R Amelia, A S Wahyuni, L S Andayani

INFLUENCE KNOWLEDGE AND BEHAVIOR OF TB MEDICAL PERSONNELS' CONCORDANCE PRINCIPLE BASED COMMUNICATIONS SKILL AT PRIMARY HEALTHCARE, MEDAN, INDONESIA...... 522 A S Wahyuni, N N Soeroso, I Alona, Y Yunanda, I Siregar

PROTECTION STATUS AGAINST HEPATITIS B INFECTION ASSESSED FROMANTI-HBS LEVEL, HISTORY OF VACCINATION ANDHISTORY OF INFECTION BASED ON ANTI-HBC IN MEDICAL STUDENTS...... 527 Annisa, Lh Zain, R Loesnihari

HOW TO MANAGE AND CONTROL HEALTHCARE ASSOCIATED INFECTIONS ...... 533 L Wijaya

NEPHROLOGY

THE LATEST DEVELOPMENT OF ANTIHYPERTENSIVE MEDICATION...... 540 S Nasution, I Rey, R Effendi-Ys

INFLUENCE OF COMBINATION HEMODIALYSIS/HEMOPERFUSION AGAINST SCORE OF DEPRESSION IN REGULAR HEMODIALYSIS PATIENTS...... 545 T D Permatasari, A Thamrin, H Hanum

ASSOCIATION BETWEEN NEUTROPHIL-TO-LYMPHOCYTE RATIO AND SURVIVAL RATE PATIENT HEMODIALYSIS IN ADAM MALIK GENERAL HOSPITAL IN 2016...... 550 H Sibarani, R A Muzasti, H R Lubis

NEUTROPHIL TO LYMPHOCYTE RATIO AS THE MAIN PREDICTOR OF PERIPHERAL ARTERY DISEASE IN REGULAR HEMODIALYSIS PATIENTS ...... 556 R H Siregar, R A Muzasti

COMPARISON OF BIOIMPEDANCE ANALYSIS SCAN, HEMOGLOBIN AND UREA REDUCTION RATIO IN HEMODIALYSIS PATIENTS FOLLOWING AND NOT FOLLOWING MONITORING PROGRAM FOR IMPROVING QUALITY OF LIFE...... 561 R A Muzasti, H R Lubis

PART 2

CELLULITIS AS COMPLICATION OF NEPHROTIC SYNDROME IN A PEDIATRIC PATIENT ...... 565 R S Siregar, K R Daulay, B Siregar, O R Ramayani, P C Eyanoer

PREVALENCE OF RECURRENT URINARY TRACT INFECTION IN CHILDREN WITH CONGENITAL ANOMALIES OF THE KIDNEY AND URINARY TRACT (CAKUT) ...... 568 O R Ramayani, P C Eyanoer, K Ritarwan, B Siregar, R S Siregar

PREGNANCY IN CHRONIC DIALYSIS, LATE DIAGNOSIS, AND OTHER PROBLEMS...... 573 S Ramadani, A T Nasution, S Nasution, H R Lubis

CORRELATION BETWEEN ULTRAFILTRATION RATE AND PHASE ANGLE MEASURED BY BIA IN CHRONIC KIDNEY DISEASE PATIENTS ON REGULAR HEMODIALYSIS ...... 577 B R Nasution, A R Lubis

COMPARISON OF CARDIOVASCULAR RISK FACTORS IN MAINTENANCE HEMODIALYSIS PATIENTS BASED ON PHASE ANGLE OF BIOIMPEDANCE ANALYSIS...... 583 R A Muzasti, H R Lubis

ASSOCIATION OF PHASE ANGLE ON BIOELECTRICAL IMPEDANCE ANALYSIS AND DIALYSIS FREQUENCY WITH SURVIVAL OF CHRONIC HEMODIALYSIS PATIENTS ...... 587 R A Muzasti, H R Lubis

CARDIOLOGY

ADHERENCE TO THE EUROPEAN SOCIETY OF CARDIOLOGY GUIDELINES FOR THE TREATMENT OF CHRONIC HEART FAILURE ...... 593 A Sitepu, K Hamdani

ACCURACY CRITERIA VOLTAGE ELECTROCARDIOGRAPHY LEFT VENTRICULAR HYPERTROPHY TO DISTINGUISH TYPES OF LEFT VENTRICULAR HYPERTROPHY GEOMETRY ...... 599 O Tumbur, Z Safri, R Hassan

CORRELATION OF SYMPTOM DEPRESSION LEVELS WITH MEAN PLATELET VOLUME RATE ON PATIENTS OF ACUTE CORONARY SYNDROME...... 605 L Hasugian, H Hanum, W Hanida, Z Safri

CARDIAC TAMPONADE AS A MANIFESTATION OF EXTRAPULMONARY TUBERCULOSIS IN ß THALASSEMIA MAJOR PATIENT ...... 610 S Harahap, A Pramudita, Lusiani

AWARENESS OF ANTIPLATELET RESISTANCE IN PATIENT WITH REPEATED EPISODES OF THROMBOTIC EVENTS...... 615 N N Dalimunthe, R Hamonangan, D Antono, I Prasetya, L Rusdi

DIAGNOSTIC VALUE OF MEAN PLATELET VOLUME (MPV) TO TROPONIN T INPATIENTS WITH ACUTE CORONARY SYNDROME...... 619 D Aryanto, R Isnanta, Z Safri, R Hasan

PREDICE SCORE AS A PREDICTOR OF 90 DAYS MORTALITY IN PATIENTS WITH HEART FAILURE ...... 625 D P S Purba, R Hasan

HIGH-SENSITIVITY C-REACTIVE PROTEIN (HS-CRP) VALUE WITH 90 DAYS MORTALITY IN PATIENTS WITH HEART FAILURE...... 630 Nursyamsiah, R Hasan

MANAGEMENT OF CORONARY ARTERY DISEASE...... 635 Z Safri

HEMATOLOGY AND ONCOLOGY

RELATION OF POLYMORPHISM C1236T AND C3435T IN ABCB1 GENE WITH BONE MARROW SUPPRESSION IN CHEMOTHERAPY-TREATED BREAST CANCER PATIENTS...... 641 S Syarifah, T Hamdi, T Widyawati, M I Sari, D R Anggraini

M-RNA MAMMAGLOBIN EXPRESSION IN METASTATIC BREAST CANCER PATIENT AT MEDAN CITY, INDONESIA...... 647 S Rimbun, Y Siregar

PRE-MENOPAUSAL TRIPLE-NEGATIVE BREAST CANCER AT HAM HOSPITAL MEDAN ...... 652 Betty, L I Laksmi, K B Siregar

P38 MITOGEN-ACTIVATED PROTEIN KINASE (P38 MAPK) OVEREXPRESSION IN CLINICAL STAGING OF NASOPHARYNGEAL CARCINOMA...... 657 Farhat, R A Asnir, A Yudhistira, E R Daulay, M M Muzakkir, S Yulius

EVALUATION OF MATRIX METALLOPROTEINASE-9 EXPRESSIONS IN NASOPHARYNGEAL CARCINOMA PATIENTS...... 661 Farhat, R A Asnir, A Yudhistira, E R Daulay, D Puspitasari, S Yulius

DIFFERENCES OF WELLS SCORES ACCURACY, CAPRINI SCORES AND PADUA SCORES IN DEEP VEIN THROMBOSIS DIAGNOSIS...... 665 D Gatot, A I Mardia

LATE DIAGNOSIS OF MULTIPLE MYELOMA: A CASE REPORT...... 670 A Syahreza, D Gatot, A I Mardia

SKIN CANCER PATIENTS PROFILE AT FACULTY OF MEDICINE UNIVERSITY OF NORTH SUMATERA PATHOLOGY ANATOMY LABORATORY AND HAJI ADAM MALIK GENERAL HOSPITAL IN THE YEAR OF 2012-2015...... 673 E K Sembiring, Delyuzar, Soekimin

COMPARISON PLATELET INDICES IN DIABETIC PATIENTS WITH AND WITHOUT DIABETIC FOOT ULCER ...... 678 A I Mardia, D Gatot, D Lindarto

GAMMA-GLUTAMYLTRANSPEPTIDASE TO PLATELET RATIO AND ALBUMIN TO GAMMA-GLUTAMYLTRANSPEPTIDASE BETWEEN DEGREES OF THE BARCELONA CLINIC LIVER CANCER ON HEPATOCELLULAR CARCINOMA PATIENTS IN HAJI ADAM MALIK GENERAL HOSPITAL MEDAN DURING 2015-2016 ...... 682 G A Siregar, R H Siregar

DIAGNOSTIC ACCURACY OF LYMPHOMA ESTABLISHED BY FINE-NEEDLE ASPIRATION CYTOLOGICAL BIOPSY ...... 688 Delyuzar, Z Amir, D Suryadi

FACTORS ASSOCIATED WITH TUMOR SIZE OF HEPATOCELLULAR CARCINOMA...... 691 G A Siregar, B A Buulolo

DIAGNOSTIC TEST PEPSINOGEN I AND COMBINATION WITH TUMOR MARKER CEA IN GASTRIC CANCER...... 696 J Sembiring, K Sarumpaet, R A Ganie

PULMONOLOGY

EFFECT OF SMOKING AND ALCOHOL CONSUMPTION ON PULMONARY TUBERCULOSIS AMONG BATAK ETHNIC POPULATION IN MEDAN, INDONESIA...... 702 B Y M Sinaga, Y Siregar, M Amin, S Sarumpaet

VITAMIN C SUPPLEMENTATION IMPROVE THE SPUTUM CONVERSION CULTURE RATE IN PULMONARY TUBERCULOSIS TREATMENT WHILE RIFAMPICIN SUSCEPTIBLE ...... 707 L Susanto, Y Siregar, L Kusumawati

THE CORRELATION BETWEEN ALBUMIN LEVELS WITH 30 DAYS MORTALITY IN COMMUNITY ACQUIRED PNEUMONIA PATIENTS...... 713 N Damayanti, A Abidin, E N Keliat

QUALITY OF LIFE OF PULMONARY TB PATIENTS AFTER INTENSIVE PHASE TREATMENTIN THE HEALTH CENTERS OF MEDAN CITY, INDONESIA...... 718 A S Wahyuni, N Soeroso, J Harahap, R Amelia, I Alona

SERUM VITAMIN D LEVEL AND SUSCEPTIBILITY TO MULTIDRUG-RESISTANT TUBERCULOSIS AMONG HOUSEHOLD CONTACTS ...... 724 N Herlina, B Y M Sinaga, P Siagian, E Mutiara

VITAMIN D STATUS DID NOT RELATED TO CALCIUM STATUS IN ACTIVE TUBERCULOSIS PATIENTS IN NORTH SUMATERA, INDONESIA ...... 730 Dina Keumala Sari, Nurfida Khairina Arrasyid

DESCRIPTION OF POLYMERASE CHAIN REACTION AND SEQUENCING DNA MYCOBACTERIUM TUBERCULOSIS FROM SPECIMEN SPUTUM OF TUBERCULOSIS PATIENTS IN MEDAN...... 736 Lily, Y Siregar, S Ilyas

THE INFLUENCE OF MUTATION GENE RPOB OF MYCOBACTERIUM TUBERCULOSIS CLUSTER I (507-534) ON THE ELIMINATION 25-DESACETYL RIFAMPICIN IN URINE OF TUBERCULOSIS SUBJECTS...... 741 Lily, B Y M Sinaga, D Ardinata, Y Siregar

INTERFERON-GAMMA AND INTERLEUKIN-10 PROFILE OF CHILDREN WITH TUBERCULOSIS IN NORTH SUMATERA, INDONESIA ...... 747 R S Daulay, R M Daulay

FACTORS RELATED TO SUCCESSFUL TREATMENT OF DRUG-RESISTANCE TUBERCULOSIS IN H. ADAM MALIK HOSPITAL, MEDAN, INDONESIA...... 751 M P F Manurung, P Siagian, B Y M Sinaga, E Mutiara

RELATIONSHIP BETWEEN DEPRESSION WITH FEV1 PERCENT PREDICTED AND BODE INDEX IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE ...... 756 H Gunawan, H Hanum, A Abidin, W Hanida

THE VARIABILITY OF EXPIRATION PEAK FLOW OF WORKERS EMPLOYED IN THE WASHING INSTALLATION (LAUNDRY) OF HAJI ADAM MALIK GENERAL HOSPITAL MEDAN...... 762 W Saragih, A P Tarigan, N Nainggolan, P C Eyanoer

DIFFERENCE IN SERUM MAGNESIUM LEVEL AMONG PATIENTS WITH STABLE CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND EXACERBATED COPD ...... 767 R Sanowara, E N Keliat, A Abidin

ASSOCIATION BETWEEN LEVEL OF INTERFERON GAMMA AND ACID-FAST BACILLIPOSITIVITY IN PULMONARY TUBERCULOSIS...... 773 N B Priwahyuningtyas, B Y M Sinaga, P Pandia, P C Eyanoer

RESPIRATORY FAILURE IN TETANIC PATIENT: MAINTENANCE OF AIRWAY PROBLEM IN INTENSIVE CARE UNIT SETTING ...... 777 I N Utami, Arifin, R S B Susilo, D Redhono, T Sumandjar

OBSTRUCTIVE LUNG DISEASE AS A COMPLICATION IN POST PULMONARY TB...... 781 A P Tarigan, P Pandia, P Eyanoer, D Tina, R Pratama, A Fresia, Tamara, Silvanna

ALLERGY-IMMUNOLOGY

HENOCH-SCHÖNLEIN PURPURA (HSP) IN AN ADULT ...... 785 C A Negara, Z Zubir

SJOGREN'S SYNDROME: A CASE REPORT...... 790 A Sunata, B Marpaung

DIFFERENCES OF SERUM PROCALCITONIN LEVELS BETWEEN BACTERIAL INFECTION AND FLARE IN SYSTEMIC LUPUS ERYTHEMATOSUS PATIENTS ...... 793 J Patrick, B Marpaung, Y Ginting

SYSTEMIC LUPUS ERYTHEMATOSUS IN A MALE PATIENT...... 799 H Sibarani, Z Zubir

SCLERODERMA: A CASE REPORT...... 803 T A Harahap, B Marpaung

THE RELATIONSHIP BETWEEN INCREASED LEVELS OF ANTI-DSDNA WITH CLINICAL MANIFESTATION IN PATIENTS WITH SLE IN HAJI ADAM MALIK GENERAL HOSPITAL MEDAN...... 808 B Marpaung, J Patrick

ENDOCRINOLOGY

PATHOPHYSIOLOGY DIABETIC FOOT ULCER...... 813 S Syafril

HOLISTIC MANAGEMENT OF DIABETIC FOOT ...... 819 D Lindarto

INCREASED SERUM LEVELS OF INTERLEUKIN-17 AND TRANSFORMING GROWTH FACTOR-ß IN PATIENTS WITH GRAVES' DISEASE ...... 825 D Elvira, E Nasrul, Y Sofyan, E Decroli, E Darwin

ESTRADIOL TO TESTOSTERONE RATIO IN METABOLIC SYNDROME MEN AGED STARTED 40 YEARS ABOVE...... 829 R Kusuma, Y Siregar, Mardianto

ASSOCIATION OF FIBRINOGEN WITH HBA1C IN DIABETIC FOOT ULCER...... 835 M A Pase, D Gatot, D Lindarto

COMPARISON QUALITY OF LIFE PATIENTS TREATED WITH INSULIN AND ORAL HYPOGLYCEMIC DRUGS ...... 839 A W Harahap, M S Nasution

POSITIVE CORRELATION BETWEEN RETINOL BINDING PROTEIN 4 (RBP4) AND TRIGLYCERIDE LEVEL IN CENTRAL OBESITY ...... 845 S Oktaria, D K Sari, D Dalimunthe, P C Eyanoer

CREATININE PLASMA AT UNCONTROLLED TYPE 2 DIABETES MELLITUS AND CONTROLLED TYPE 2 DIABETES MELLITUS PATIENTS AT PRIMARY HEALTH CARE IN BINJAI CITY, INDONESIA ...... 851 Rusdiana, M Savira, M Syahputra, A Santoso

ASSOCIATION OF SERUM URIC ACID LEVEL AND BLOOD PRESSURE IN TYPE 2 DIABETES MELLITUS ...... 855 M Savira, Rusdiana, M Syahputra

RELATIONSHIP BETWEEN DEPRESSION AND GLYCEMIC CONTROL AMONG PATIENTS WITH TYPE 2 DIABETES IN MEDAN...... 859 R Amelia, Y Yunanda

QUALITY OF LIFE AND GLYCEMIC PROFILE OF TYPE 2 DIABETES MELLITUS PATIENTS OF INDONESIAN: A DESCRIPTIVE STUDY...... 865 R Amelia, A Lelo, D Lindarto, E Mutiara

PERICARDIOCENTESIS IN MASSIVE PERICARDIAL EFFUSIONS DUE TO HYPOTHYROIDISM ...... 870 F H Nainggolan, N N Dalimunthe, S Harahap, R Isnanta, T Realsyah, Z Safri, R Hasan

FULMINANT TYPE 1 DIABETES MELLITUS: A CASE REPORT ...... 876 E Yunir, Nenfiati

ENDOCRINOPATHIES IN THALASSEMIA MAJOR PATIENT ...... 879 D A Lubis, E M Yunir

GERIATRIC MEDICINE

HEALTH STATUS OF ELDERLY BASED ON DAILY ACTIVITIES LIVING, CHOLESTEROL AND URIC ACID PROFILE IN MEDAN CITY ...... 883 R Amelia, J Harahap, A S Wahyuni, A Pratama

FRAILTY PROFILE FOR GERIATRIC PATIENTS IN OUTPATIENT CLINIC OF RSUP H. ADAM MALIK MEDAN...... 889 T D Permatasari, B Sihombing, P Arianto

CORRELATION BETWEEN HYPERTENSION AND COGNITIVE FUNCTION IN ELDERLY ...... 894 F I Fitri, A S Rambe

PSYCHOSOMATIC MEDICINE AND PSYCHIATRY

DEPRESSIVE SYNDROMES AMONG FEMALE CAREGIVERS OF SCHIZOPHRENIC PATIENTS IN PROF. DR. M. ILDREM MENTAL HOSPITAL MEDAN...... 900 A Handi, M S Husada, D P Gultom

CORRELATION AMONG PERSONAL, SOCIAL PERFORMANCE AND COGNITIVE IMPAIRMENT IN MALE SCHIZOPHRENIC PATIENT...... 904 R Damanik, E Effendy, V Camellia

VITAMIN D AND PLAIN TYPE: A STUDY OF MALE PATIENTS WITH SCHIZOPHRENIA ...... 909 N L Akbar, E Effendy, Mm Amin

BDNF (BRAIN-DERIVED NEUROTROPHIC FACTOR) SERUM LEVELS IN SCHIZOPHRENIC PATIENTS WITH COGNITIVE DEFICITS ...... 913 N Utami, E Effendy, M M Amin

THE LEVEL OF DEPRESSION IN LOWER BACK PAIN PATIENT AT OUTPATIENT OF NEUROLOGY HAJI ADAM MALIK HOSPITAL MEDAN (RS HAM ...... 918 M C Pardosi, B Loebis', M S Husada

THE CORRELATION OF PAIN INTENSITY AND QUALITY OF LIFE IN CHRONIC LBP PATIENTS IN ADAM MALIK GENERAL HOSPITAL...... 922 I K Nasution, N D A Lubis, S Amelia, K Hocin

THE RELATIONSHIP BETWEEN INTELLIGENCE AND COGNITIVE FUNCTION IN SCHIZOPHRENIC ...... 927 Catherine, M M Amin, E Effendy

COMPARISON OF FOLIC ACID LEVELS IN SCHIZOPHRENIC PATIENTS AND CONTROL GROUPS ...... 932 C C Arthy, M M Amin, E Effendy

MENTAL HEALTH PROBLEM IN HIV/AIDS PATIENTS...... 935 V Camellia

EXPLORING THE LINK BETWEEN INFLAMMATION AND MENTAL DISORDERS ...... 941 E Effendy

RHEUMATOLOGY

EFFECT OF SIDAGURI (SIDARHOMBIFOLIA L) ON C-REACTIVE PROTEIN (CRP) AND ERYTHROCYTE SEDIMENTATION RATE (ESR) IN OSTEOARTHRITIS PATIENTS...... 944 B Marpaung, J Siregar

OBSTETRICS AND GYNAECOLOGY

EXPRESSION OF NATURAL KILLER CELL ACTIVITY WITH CD107A ON ECTOPIC ENDOMETRIUM IN WOMAN WITH ENDOMETRIOSIS COMPARED WITH NON- ENDOMETRIOSIS ...... 950 H P Lubis, D Aldiansyah, H S Siregar, R Rivany, T S Hariadi

DIFFERENCE OF PROTEIN 53 EXPRESSION BASED ON RADIATION THERAPY RESPONSE IN CERVICAL CANCER...... 955 H P Pasaribu, L I Lubis, S Dina, R Y Simanjuntak, H S Siregar, R Rivany

PLACENTAL PERFUSION IN 3RD TRIMESTER PREGNANCY...... 960 M Sitepu, A Syahriza, D Sibuea, T M Hanafiah

RISK FACTOR FOR PRETERM LABOR IN HAJI ADAM MALIK GENERAL HOSPITAL, PIRNGADI GENERAL HOSPITAL AND SATELLITE HOSPITALS IN MEDAN FROM JANUARY 2014 TO DECEMBER 2016...... 965 K Sukatendel, C L Hasibuan, H P Pasaribu, H Sihite, E Ardyansah, M F Situmorang

EFFECTS OF RED GINGER CAPSULE SUPPLEMENTIN REDUCING PGF2A CONCENTRATIONS AND PAIN INTENSITY IN PRIMARY DYSMENORRHEA ...... 969 M Simarmata, B Halim, D Ardinata

KNOWLEDGE OF CERVICAL CANCER, ATTITUDE AND HUSBAND'S SUPPORT OF PAP SMEAR AMONG MULTIPAROUS WOMEN WHICH HAVE PAP'S SMEAR EXAMINATION IN AVIATI CLINIC PADANG BULAN MEDAN...... 975 L Feriyawati, D R Anggraini, A A Fitrie, R N Anggreini

THE PREVALENCE OF ANEMIA IN PREGNANT WOMEN AND ITS ASSOCIATED RISK FACTORS IN NORTH SUMATERA, INDONESIA ...... 981 S Lestari, I I Fujiati, D Keumalasari, M Daulay, S J Martina, S Syarifah

PAP SMEAR CYTOLOGY AND IDENTIFICATION OF HUMAN PAPILLOMAVIRUS (HPV) TYPE 16 AND 18 IN MULTIPARITY WOMEN AT AVIATI CLINIC PADANG BULAN MEDAN ...... 987 D R Anggraini, L Feriyawati, A A Fitrie, R N A Ginting

DIFFERENCES OF SERUM INTERLEUKIN-6 LEVELS IN NORMOTENSIVE AND PREECLAMPSIA WOMEN ...... 993 S N Lumbanraja, R Junitasari, H P Pasaribu

MISCELLANEOUS

NEUROLOGICAL COMPLICATION IN HIV PATIENTS ...... 997 K Ritarwan

NON OPERATIVE MANAGEMENT OF CEREBRAL ABSCESS...... 1001 C A Batubara

ASSOCIATION OF TOOTH BRUSHING BEHAVIOR WITH ORAL HYGIENE INDEX AMONG STUDENTS USING FIXED APPLIANCE ...... 1006 N Ria, P Eyanoer

EFFECT OF ADMINISTERING BLACK CUMIN (NIGELLA SATIVA) TOWARD POSTPARTUM MICE (MUSMUSCULUS L.)...... 1011 F Imelda, N A Darti

PORTAL HYPERTENSIVE GASTROPATHY: ASSOCIATION WITH CHILD-PUGH SCORE IN LIVER CIRRHOSIS ...... 1016 T Sungkar, L H Zain, G A Siregar

COMPARISON OF CHANGES IN MEAN FLOW VELOCITY IN ANTERIOR CEREBRAL ARTERY BEFORE AND DURING COGNITIVE STIMULATION BETWEEN NON-STROKE AND POST-STROKE PEOPLE ...... 1020 F I Fitri, I Erwin, C A Batubara, A S Rambe, Y Anwar

THE RELATIONSHIP BETWEEN PNEUMONIA AND GLASGOW COMA SCALE ASSESSMENT ON ACUTE STROKE PATIENTS...... 1025 K Ritarwan, C A Batubara, R Dhanu

EFFECTIVENESS DIFFERENCES OF RANITIDINE AND OMEPRAZOLE IN PREVENTION OF STRESS ULCER AND ITS EFFECT ON PNEUMONIA OCCURRENCE AND OUTCOME OF ACUTE STROKE PATIENTS...... 1030 C A Batubara, K Ritarwan, A S Rambe

DETERMINANTS OF GLASGOW OUTCOME SCALE IN PATIENTS WITH SEVERE TRAUMATIC BRAIN INJURY FOR BETTER QUALITY OF LIFE...... 1036 R Dharmajaya, D K Sari, R A Ganie

SERUM CONCENTRATION OF UBIQUITIN C-TERMINAL HYDROLASE-L1 IN DETECTING SEVERITY OF TRAUMATIC BRAIN INJURY...... 1042 A M P Siahaan, I Japardi, A A Hakim

THE ROLE OF MARSHALL AND ROTTERDAM SCORE IN PREDICTING 30-DAY OUTCOME OF TRAUMATIC BRAIN INJURY...... 1047 A M P Siahaan, T Y M Akbar, M D Nasution

A CASE REPORT OF ACHALASIA...... 1052 F Sarumpaet, L Dairi

MODERATE ACUTE PANCREATITIS WITH PLEURAL EFFUSION AND IMPAIRED KIDNEY FUNCTIONS...... 1057 O H Lumbantoruan, L B Dairi

POLYCYSTIC LIVER DISEASE WITH RIGHT PLEURAL EFFUSION ...... 1062 A Y Anggreini, L B Dairi

ACUTE DISSEMINATED ENCEPHALOMYELITIS: A CASE REPORT OF EFFECTIVE EARLY IMMUNOTHERAPY...... 1068 K Ritarwan, O R Ramayani, P Eyanoer

DEGREE OF NEUTROPHIL, ATROPHY, AND METAPLASIA INTESTINAL WERE ASSOCIATE WITH MALONDIALDEHYDE LEVEL IN GASTRITIS PATIENTS...... 1073 G A Siregar, D K Sari, T Sungkar

RENAL DYSFUNCTION IN LIVER CIRRHOSIS AND ITS CORRELATION WITH CHILD- PUGH SCORE AND MELD SCORE...... 1079 G A Siregar, M Gurning

DIAGNOSTIC ACCURACY OF LIVER FIBROSIS BASED ON RED CELL DISTRIBUTION WIDTH (RDW) TO PLATELET RATIO WITH FIBROSCAN IN CHRONIC HEPATITIS B...... 1085 J Sembiring, F Jones

COMPARISON OF LIPID PROFILE BETWEEN DEGREES OF SEVERITY OF HEPATIC CIRRHOSIS IN HAJI ADAM MALIK GENERAL HOSPITAL MEDAN ...... 1091 G A Siregar, S E Tampubolon

SERUM IRON PARAMETERS IN LIVER CIRRHOSIS...... 1097 G A Siregar, W Maail

MILIARIAPUSTULOSA IN POST CRANIOTOMY PATIENT ...... 1102 D A Dalimunthe, I B Putra, N K Jusuf

THE PREVALENCE AND RISK FACTORS OF STUNTING AMONG PRIMARY SCHOOL CHILDREN IN NORTH SUMATERA, INDONESIA...... 1107 S Lestari, I I Fujiati, D Keumalasari, M Daulay

AGNOR HISTOCHEMICAL EXPRESSION IN BENIGN PROSTATIC HYPERPLASIA AND PROSTATIC ADENOCARCINOMA ...... 1114 R Rita, Delyuzar, L I Laksmi

OPTIMIZATION AND VALIDATION OF HIGH-PERFORMANCE LIQUID CHROMATOGRAPHY METHOD FOR ANALYZING 25-DESACETYL RIFAMPICIN IN HUMAN URINE...... 1119 Lily, L Laila, B E Prasetyo

ACUTE HYPERSENSITIVITY TO MANNITOL: A CASE REPORT...... 1125 A M Siahaan, A Fithrie

SCROTAL MIGRATION OF VENTRICULOPERITONEAL SHUNT: A CASE REPORT AT HAJI ADAM MALIK HOSPITAL, MEDAN ...... 1129 R Dharmajaya

HEPATOBILIARY ULTRASONOGRAPHY ...... 1133 J Sembiring

SERUM LEVEL OF IL-6 IN LIVER CIRRHOSIS PATIENTS...... 1137 I Rey, R Effendi-Ys, L B Dairi, G A Siregar, L H Zain

CORRELATION OF NUTRITIONAL STATUS WITH ACADEMIC ACHIEVEMENT IN ADOLESCENTS ...... 1141 R S Sinurat, T Sembiring, E Azlin, T Faranita, W Pratita

ASSOCIATION BETWEEN SERUM CONCENTRATION OF 25-HYDROXYVITAMIN D [25(OH)D] AND CHRONIC PERIODONTITIS ...... 1147 A Primasari, K P Sihombing

COMPARISON BETWEEN THE ANGLE OF EUSTACHIAN TUBE IN PATIENTS WITH CHRONIC SUPPURATIVE OTITIS MEDIA AND NORMAL EARS BASED ON COMPUTED TOMOGRAPHY SCAN OF TEMPORAL BONES IN HAJI ADAM MALIK GENERAL HOSPITAL MEDAN...... 1153 S Masita, D Zahara, A Aboet

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