Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar

GET THE APP

Dilemma in Management of Retinoblastoma | OMICS International | Abstract
ISSN: 2161-0711

Journal of Community Medicine & Health Education
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Dilemma in Management of Retinoblastoma

Ardizal Rahman*

Department of Ophthalmology, Faculty of Medicine Andalas University/Dr.M.Djamil Hospital Padang, Indonesia

*Corresponding Author:
Ardizal Rahman
Department of phthalmology
Faculty of Medicine Andalas University/Dr. M. Djamil Hospital Padang, Indonesia,
Tel: +6285277533907
E-mail: ardizalrahman@yahoo.com

Received date August 27, 2014; Accepted date December 23, 2014; Published date December 25, 2014

Citation: Rahman A (2014) Dilemma in Management of Retinoblastoma. J Community Med Health Educ 4:323. doi: 10.4172/2161-0711.1000323

Copyright: ©2014 Rahman A. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Retinoblastoma, although rare, is the most common intraocular malignancy in children. Early detection plays an important role in the management of retinoblastoma because it greatly affects the prognosis. But unfortunately, this was difficult to done in a developing country with a low socioeconomic level population. This study aims to describe the profile of retinoblastoma in Dr. M. Djamil Hospital Padang, Indonesia from 2003 until 2012 and to shows the relationship between socioeconomic factors with the management of retinoblastoma. Data were obtained from medical records of patients during the period of January 2003 until December 2012 include of age, sex, diagnose, management, ocular presentations, subjected eye, socioeconomic circumstances and patients parent knowledge about retinoblastoma. There were 99 retinoblastoma patients in this period, 56 (56.56%) male patients and 43 (43.44%) female patients. The most common range of age was 3-4 years as many as 40 patients (40.40%). Unilateral involvement present in 76 patients (76.76%) and 23 patients with bilateral involvement (23.24%). Protusio is the most common ocular presentation as much as 65.66% (65 patients). Combination of exenteration and chemotherapy was the most common management which performed on 32 patients (32.32%). The most common reason which caused delayed to seek treatment due to financial problem (42.42%) followed by lack of information about the complication of the disease (35.35%). Both of these factors had become a dilemma and a problem for us because on one hand we are trying to detect the disease as soon as possible while in terms of financial and socioeconomic factors do not support the patient's family.

Keywords

Top