Limited Peritoneal Dialysis in Congenital Polycystic Kidney Disease of Low Birth Weight Infant: A Case Report

@#Neonates with congenital Polycystic Kidney Disease (PKD) are often associated with multiple organ abnormalities and result in poor prognosis. Renal Replacement Therapy (RRT) sometimes required to treat PKD patients with declined renal function. Peritoneal dialysis (PD) widely used as RRT due to several advantages. However, PD installment in neonates had never been performed in Yogyakarta, Indonesia, due to lack of neonatal tenckhoff and inaccuracy of dwelling scale. We present a neonate, preterm, with bilateral PKD and kidney failure, and needed performed RRT. After considering all disadvantages we performed PD in this neonate. This report will elaborate on all issues that ensued, and how to resolve it, to improve management kidney failure for neonates that requiring PD in Yogyakarta, Indonesia.

Factors influencing dental caries in HIV/AIDS patients

@#<p style="text-align: justify;"><strong>BACKGROUND:</strong> Human immunodeficiency viruses (HIV) / Acquired immunodeficiency syndrome (AIDS) is one of the most significant public health challenges in Surabaya, Indonesia where the greatest number of people living with HIV/AIDS (PLWHA) among key populations is in areas served by Sememi Public Health Center. HIV-infected persons have a greater risk for developing dental caries, such as salivary gland enlargement, and decreased salivary glands function. Given the fact that PLWHA are at high risk of dental caries, utilization of dental health service among PLWHA are still low.</p><p style="text-align: justify;"><strong>OBJECTIVE:</strong> This study aims to know the factors influencing dental caries in HIV/AIDS patients.</p><p style="text-align: justify;"><strong>METHODS:</strong> This is a descriptive, cross-sectional study conducted on 16 HIV-seropositive individuals. They were asked to complete a WHO questionnaire concerning basic oral health and quality of life. Dental caries was assessed using the Decayed, Missing, and Filled Teeth (DMFT) index. Whole stimulated saliva samples were also collected.</p><p style="text-align: justify;"><strong>RESULTS:</strong> Nine out of 16 respondents had low salivary flow rate (56.3%). One patient had low DMF-T score (6.3%) and eight had high DMFT score (50%). Among seven respondents who had normal salivary flow rate (43.8%), two of whom had low DMFT score (12.5%) and five of whom had high DMFT score (31.3%).</p>