Pelayanan Kesehatan Puskesmas adalah upaya yang diberikan kepada masyarakat, meliputi perencanaan, pelaksanaan, evaluasi, pencatatan, dan pelaporan dituangkan dalam suatu sistem. Tahap akhir Manajemen Pengawasan, Pengendalian, Penilaian (P3), yaitu tahap pemantauan kemajuan, melakukan koreksi terhadap pelaksanaan kegiatan, menilai pencapaian kegiatan dengan Kinerja (PKP). kinerja ini dilakukan ...

Pengajaran dan pembelajaran (PdP) semasa perintah kawalan pergerakan (PKP) merupakan suatu pengalaman pertama yang agak mencabar bagi tidak pernah mengajar belajar dalam talian. Pembelajaran secara berhadapan muka terpaksa bertukar kepada atas talian disebabkan PKP dilaksanakan di seluruh Malaysia. rumah (PdPR) telah diamalkan untuk menggantikan bilik darjah. Tujuan kertas konsep ini adalah men...

Purpose: To report a case of double descemet membrane forming a double anterior chamber following ‘Big bubble’ DALK converted to PKP. Results: A 52-year-old man with keratoconus underwent DALK operation converted to PKP due to macro perforation of the descemet membrane. On the postoperative evaluation a remnant of the host’s descemet membrane formed a double anterior chamber. After a few months...

As I write this Editorial on October 25, I realize it will be the last document submitted through the Public Knowledge Project (PKP) system and published by Multimed. Beginning October 26, we will accept submissions and resubmissions within the Wiley/Electronic Journal Press systems through the links provided in the Announcements and in the Section Editor/Author/Reviewer corresponding emails. W...

Congenital hereditary endothelial dystrophy (CHED), presents in infancy or early childhood with bilateral clouding of corneas. This condition has previously been managed surgically with penetrating keratoplasty (PKP). Performing PKP in pediatric patients has its own set of difficulties. More recently, there has been growing interest in treating this condition with Descemet's stripping automated...

BACKGROUND The standard of care for penetrating keratoplasty (PKP) is either retrobulbar or peribulbar anesthesia combined with seventh cranial nerve akinesia or general anesthesia. These methods are known to be associated with rare but potentially serious adverse ocular and systemic events. PURPOSE To determine the safety and efficacy of combined topical and intracameral anesthesia in additi...

OBJECTIVE To determine the long-term outcomes of keratolimbal allograft (KLAL). METHODS Scores of such risks as infrequent blinking, blink-related microtrauma, conjunctival inflammation, elevated intraocular pressure, dry eye, symblepharon, lagophthalmos, and previous KLAL or penetrating keratoplasty (PKP) failure were calculated and recorded before, during, and after KLAL. Prolonged oral myc...

OBJECTIVES To study the short-term effect of eye opening and use of topical dexamethasone phosphate 0.1% and levofloxacin 0.5% on the cytokine levels in human tears. METHODS Prospective experimental design was used for tear collection from eyes of 10 healthy controls and 20 patients four days after penetrating keratoplasty (PKP) at awakening and after instilling dexamethasone or levofloxacin....

Members of the plakophilin-catenin sub-family (Pkp-1, -2, and -3) facilitate the linkage of desmosome junctional components to each other (e.g. desmosomal cadherins to desmoplakin) and the intermediate-filament cytoskeleton. Pkps also contribute to desmosomal stabilization and the trafficking of its components. The functions of Pkps outside of the desmosome are less well studied, despite eviden...