Gambaran Disonansi Kognitif pada Wanita Perokok Dewasa Muda Berpendidikan Tinggi

This research aims to get the description of cognitive dissonance of high educated young adult smoker women, such as the source of dissonance and how to lessen their dissonance. By qualitative research method through depth interview with four research subjects, it is found out that logical inconsistency, general opinion, and past experience are the source of dissonance. Culture norm becomes the source of dissonance only on three subjects. The way the four subjects lessen their cognitive dissonance are changing behavior element and increasing cognitive element whereas changing cognitive element is only done by one subject.

Acute epididymo-orchitis complicating Streptococcus pneumoniae bacteremia in an adult smoker and alcoholic with community acquired pneumonia

INTRODUCTION: Although hematogenous acute epididymo-orchitis complicating Gram negative bacteremia, tuberculosis and brucellosis have been reported in medical literature, there is paucity of report on acute epididymo-orchitis complicating Streptococcus pneumoniae bacteremia. CASE REPORT: We report the case of hematogenous acute epididymo-orchitis from S. pneumoniae bacteremia in an adult chronic cigarette smoker and alcoholic with community acquired pneumonia. CONCLUSION: We recommend that acute epididymo-orchitis should be remember as a sequel of S. pneumoniae bacteremia especially in adult males with immune suppression DOI: http://dx.doi.org/10.3126/ijim.v1i2.7411 Int J Infect Microbiol 2012;1(1):80-83

Langerhans Cell Histiocytosis Presenting as Uncontrolled Asthma

Langerhans cell histiocytosis (LCH) is an uncommon disorder affecting primarily young adult smokers. It is characterized by abnormal proliferation of Langerhans cells, specialized monocyte-macrophage lineage antigen-presenting cells. LCH can affect the lungs in isolation or as part of a systemic disease. Most commonly, the disease presents in the third or fourth decade without gender predominance. Symptoms typically include dyspnea and cough. Commonly, physical examination is unremarkable but cor pulmonale may be observed in advanced disease. The chest radiograph is typically abnormal with nodular or interstitial infiltrates and cystic changes. High-resolution computed tomography of the chest with these findings in the middle and upper lobes of an adult smoker is virtually diagnostic of LCH. Pulmonary function assessment is variable. Asthma has rarely been reported in association with this disorder. There are only three reported cases of the diagnosis of concomitant asthma which have been made in association with the diagnosis of LCH. We present a case in which our patient presented with signs and symptoms of asthma to include confirmatory findings of airway hyperresponsiveness. The diagnosis of LCH was established after the patient failed to respond to conventional treatment for asthma, and further evaluation was completed.