Presentasi Pleno Pbl Skenario 1 (Inggris)

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    SCENARIO 1

    GROUP 1

    PLENO PBL

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    SCENARIO 1TETANUS KILLS 18 QUAKE SURVIVORS IN

    INDONESIA

    GENEVA (Reuters) Tetanus has killed at least 18 earthquakesurvivors in Indonesia among more than ! kno"n #ases o$ thein$e#tion s%read through &a#teria' the orld ealth *rgani+ation(*) said, -The * has identi$ied has . #ases o$ tetanus "ith18 #on$irmed deaths as o$ /une 10' the 2nited Nations said in astatement,

    Indonesian health "orkers and the 2nited Nations agen#3 have&een #ondu#ting va##ination #am%aigns against tetanus a$ter the 4a356 quake around 7og3akarta that killed more than '6!! %eo%le andle$t tens o$ thousand homeless, anitation has emerged as a ma9or#on#ern $or Indonesia:s earthquake survivors' man3 o$ "hom are %oor

    la&orers no" living under %lasti# sheets and tar%aulins and in donatedtents,

    Tetanus' the onl3 va##ine;%reventa&le disease that is not#ommuni#a&le &ut a#quired through e

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    STEP 11. Lockjaw : (Tris!s" o#orik $isor$%r

    o& #'% #ri%i)a* )%r+%, %s-%cia**s-as o& #'% !sc*%s o& as#ica#io),wi#' $i/c!*# i) o-%)i) o!#'.

    0. P)%!o)ia: I)aa#io) o& #'% *!)swi#' %2!$a#io) a)$ co)so*i$a#io).

    3. Sa)i#a#io) : Cr%a#i) a oo$

    %)+iro)%)# &or #'% s#a#% o& '%a*#'.4. 5!sc!*ar : S'a-i) #'% !sc*%.

    6. S-#os : T'% s-#os.

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    STEP 01. Why there are earthquakes every commonly found cases of

    tetanus?

    2. Why tetanus can cause death?

    3. What is the mechanism of tetanus?

    4. The process of what caused the seizure?

    . What purpose do sanitation main?

    !. "ow do vaccines?

    #. "ow the clinical symptoms of tetanus?

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    STEP 0$. "ow is the handlin% of tetanus?

    &. "ow is the handlin% of the pharmacolo%ical and non

    pharmacolo%ical in tetanus?

    1'. What are the types of tetanus?

    11. "ow does the to(in )tetanospasmin and tetanolisin*?

    12. "ow is the epidemiolo%y of tetanus?

    13. "ow complications of tetanus?

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    STEP 3

    1.Because there is a damagedbuilding the !ictims su"eredcuts and tetanus bacteria enter.

    #.$ %he dela& in treatmentresulting in 'neum(nia.

    $ %here is n( treatment.

    ). %here is a *(und then enterthe bacteria Cl(stridium tetani.

    +.$ Increased t(,in (- cerebralan li(side.

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    STEP 3

    . Sanitati(n g(al is t( a!(id thedisease tetanus.

    /. %he *a& the !accine is

    in0ected.. Clinical s&m't(ms2 $ Sei3ures in the 0a* nausea

    headache.$ Restlessness s(re thr(at$ C(m'licati(ns

    4. 5andling2

    $ Sanitati(n.

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    S%EP +

    1. 7%ca!s% a# #'% #i% o& #'%%ar#'!ak% #'%r% ar% i)j!ri%s ca!s%$9 a $aa%$ 9!i*$i), so #'a#

    w'%) 9ro!'# #o #'% %+ac!a#io)w'ic' !s!a** #%)$ #o 9% *%ss c*%a)co)#ai)a#%$ wi#'

    9ak#%ric*os#ri$i! #%#a)i.0. A# #'% #i% o& s%i!r% )o '%*- &ro

    #'% %$ica* si$%.

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    S%EP +

    3. ; C*os#ri$i! #%#a)i 9ac#%ria ca)*i+% i) soi* &or a) %ars a)$ a*soi) ca##*% &%c%s, %)#%r #'% wo!)$s

    ca!si) #%#a)!s.

    ; 7%ca!s% #'%r% #%#a)os-asi)a)$ #%#a)o*isi) #o2i).

    4. I)cr%as%$ #o2i) #'a# ca) ca!s%#%)sio) o) #'% )%r+% %$ici)%.

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    S%EP +6. ; Sa)i#a#io) is a$% #o a+oi$ #'% $is%as%

    #'ro!' sa)i#a#io) #%#a)!s 9%ca!s% i) cr%a#i)a '%a*#' a)$ c*%a) %)+iro)%)#s.

    ; Sa)i#a#io) is a$% #o a+oi$ +ario!s

    $is%as%s.

    - Sa)i#a#io) is o)% o& #'% %

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    S%EP +

    >. C*i)ica* s-#os:

    - S-ass i) #'% jaw, )a!s%a, '%a$ac'%,r%s#*%ss)%ss, sor% #'roa#, co-*ica#io)s.

    - S#i $as

    *a#%r ra$!a** i-ro+%$, o) #'% 1@#' $a o&s%i!r%s 9%a) #o $isa--%ar.

    - S%+%r% s%i!r%s 6;> $as. Da 1@ $%cr%as%$,$isa--%ar%$ a# 0 w%%ks, #'%) s-as i) #'%!sc*%s aro!)$ #'% &ac%. I) c'i*$r%), &rac#!r%sca) occ!r.

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    S%EP +

    8. ; I) i)&a)#s i!)i%$.

    ; I& o! a*r%a$ 'a+% co)#rac#%$#%#a)!s, i)i#ia** wo!)$ c*%a)%$ a)$

    #'%) i+%) #'% +acci)%.

    ; N%!#ra*i% -oiso) 9 i+i) #'%+acci)%.

    1@. Loca*i%$ #%#a)!s, c%-'a*ic #%#a)!s,

    )%o)a#or!B)%o)a#a* #%#a)!s, a)$%)%ra*i%$ #%#a)!s.

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    5IND 5APPIN

    CLINICAL

    S78P%O8S

    -S-as%-Na!s%a

    -%a$ac'%

    -orri%$-P'ar)i#is

    TETANUSUN%REA%8E

    N%9EA%5

    Cl(stridiumtetani

    %REA%8EN%

    N(nPharmac(l(gi

    cal

    Pharmac(l(g&

    Pre!enti(n

    -Sanitati(n-Imuni3ati(n

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    S%EP 1.Why tetanus can cause death?

    2.What is the mechanism oftetanus?

    3.The process of what caused theseizure?

    4.What purpose do sanitation

    main?5.How do vaccines?

    6.How the cinica symptoms of

    tetanus?

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    S%EP #. How is the handin" of the

    pharmacoo"ica and nonpharmacoo"ica in tetanus?

    $. What are the types of tetanus?1%. How does the to&in

    'tetanospasmin and tetanoisin(?

    11. How is the epidemioo"y of

    tetanus?

    12. How compications of tetanus?

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    STEP =

    I)$%-%)$%)# L%ar)i) 9 s%arc'i)#'% *i#%ra#!r% &ro r%*ia9*% so!rc%s

    *ik% 9ooks, jo!r)a*s, a)$ %2-%r#co)s!*#a#io) o).

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    STEP >

    Cl t idi t t i

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    Cl(stridium tetani

    S-as%i) &ac%ar%a

    A** o& #'%

    9o$

    menyebar

    Into the Lungcaused

    PNEU5ONIA

    ork o)i)&%c#io

    )wo!)$

    1

    031@11

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    5. Sanitation

    Sanitation aimed to encouraged an optimalized anareas healthy.

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    6. Vacination

    4-6 years old (2, 4, 6, and 15-1 month!ooster, each 1" years a#ter the last$%&, $&, &&

    !ooster, each 1" years a#ter the last2, 4, 6, and 15-1 month

    4-6 years old ($%&, $&, &&

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    '. e)ala *linis

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    8&etanus +andlingon-%harmacologyther management

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    F. T'% ki)$ o&T%#a)!s

    eonatorum

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    11. pidemiology

    / 0n tropic area and deeloped country, such

    as 0ndonesia, !razil, ilipina, Vietnam./ arming area, illage, hot area

    / 3an

    / on-imunitation programe country

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    10.Co-*ica#io)

    5eart:s

    EPIDEMIOLOGY PROGNOSIS

    8

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    MECHANIS

    M

    EPIDEMIOLOGY PROGNOSIS

    Pharmac(

    l(g&N(n;

    Pharmac(l(gical

    %etan(s'asmin

    %etan(lisin

    To2i)

    %E%ANUS

    HANDLING

    CLINICAL

    SYMPTOMS

    PREVENTIO

    N

    Sanitati(n

    Immuni3ati(n