61 research outputs found
Epithelial Rate Difference on Donor Wound of Split Thickness Skin Graft in the Thigh Area by Applying Leukocrepe® and Medicrepe®
No full textBackground: applying split thickness graft (STSG) is as one of the reconstruction techniques and it is often conducted. Applying the technique creates superficial wound on the donor wound or it is known by donor site. The elastic bandage USAge is one of the tools which is used in giving treatment to donor site as a standard operational procedure treatment at Dr. Moewardi hospital (RSDM) Surakarta. RSDM Surakarta has not had clinic test yet to compare between applying elastic bandage Leukocrepe® and Medicrepe® on wound care STSG on the thigh area.Subject and Method: The study used post-test only control group design with the total of the sample was 18 patients. The study was conducted in intermediate STSG donor wound with 0.018 inches thickness on the lateral thighs. By dividing two donor wounds, a half-sided of upper part was bandaged by applying Leukocrepe® and the other half of the lower part was bandaged by Medicrepe®. After that, epithelialization score was conducted on the seventh day. All the data then were collected and after that the data were tested by applying Wilcoxon rank test.Result: according to the study conducted to 18 patients of plastic surgery section at RSUD Dr. Moewardi during November 2016-Juni 2017, the result showed that the epithelialization chart was approximately 61.39 ± 30.05% for STSG donor wound on the lateral thighs part and it was done on the seventh day by applying Leukocrepe, meanwhile applying Medicrepe, the result was approximately 43.67 ± 30.69 %. The mean score of epithelialization applying Medicrepe® was more significant than applying Leukocrepe® and it showed that there was significantly different statistically with the score (p<0.001).Conclusion: According to the result above, it can be seen that the STSG donor wound care on the thighs using Medicrepe® is more effective in accelerating epithelialization process than the one which is applied by Leukocrepe®.Key Word: Epithelization, Elastic Bandage, Medicrepe®, Leukocrepe®Correspondence: Ivan Rinaldi. Public Surgery Resident of Medical Faculty of UNS. Email: [email protected] Journal of Medicine (2017), 2(3): 146-153https://doi.org/10.26911/theijmed.2017.02.03.0
PERBEDAAN PENGARUH PEMBERIAN PARACETAMOL DAN KETOROLAK TERHADAP AGREGASI TROMBOSIT PADA PASIEN SIRS/SEPSIS
No full textLatar belakang : Sepsis adalah respon inflamasi tubuh terhadap infeksi dan merupakan kejadian yang umum dan serius pada pasien di unit perawatan intensif (ICU). Angka mortalitas sepsis berkisar antara 25-80% diseluruh dunia. Paracetamol bekerja melalui mekanisme menghambat sintesis prostaglandin di sel, menghambat enzim siklooksigenase di pusat, dan bekerja di kemoreseptor nyeri di perifer. Ketorolak menghambat sintesa prostaglandin di saraf perifer dengan penghambatan pembetukan tromboksan. Interaksi kedua obat tersebut dapat mempengaruhi agregasi trombosit dapat kita periksa melalui Tes Agregasi Trombosit.\ud
Tujuan:.Mengetahui adanya perbedaan pengaruh pemberian paracetamol dan ketorolak pada pasien SIRS atau sepsis terhadap agregasi trombosit.\ud
Metode :Penelitian ini adalah penelitian eksperimental dengan pendekatan Uji Klinis dengan rancangan penelitian pre dan post.Terdapat 30 subyek penelitian pasien SIRS atau sepsis yang dirawat di Ruang Intensive Care Unit dengan umur antara 18 - 65 tahun. Distribusi sampel meliputi 15 subyek dengan pemberian paracetamol dan 15 subyek dengan pemberian ketorolak. Setelah dilakukan randomisasi, dilakukan pemeriksaan Agregasi Trombosit sebelum dan 60 menit sesudah perlakuan dengan menggunakan induktor 10 ??M ADP. Penelitian ini menggunkan data kategori dengan skala ordinal sehingga uji beda dilakukan dengan uji statistik Non Parametris. Uji beda pada kelompok tidak berpasangan menggunakan uji Mann Whitney. Sedangkan uji beda pada kelompok sampel berpasangan menggunakan uji Wilcoxon\ud
Hasil : Hasil uji beda terhadap karakteristik subyek penelitian didapatkan bahwa nilai p > 0,05, hal ini menyatakan bahwa tidak ada pebedaan yang signifikan karakteristik dasar subyek penelitian. Analisa selanjutnya berdasarkan hasil uji beda Mann Whitney pada kelompok tidak berpasangan mendapatkan nilai p=0,355, yang berarti bahwa tidak ada perbedaan yang signifikan antara kelompok paracetamol dan ketorolak sebelum perlakuan dan mendapatkan nilai p=0,098, yang berarti bahwa tidak ada perbedaan yang signifikan antara kelompok parasetamol dan ketorolak sesudah perlakuan. Analisa selanjutnya berdasarkan hasil uji beda Wilcoxon pada kelompok berpasangan mendapat nilai p=0,705 (p>0,05) yang berarti bahwa tidak terdapat perbedaan yang signifikan agregasi trombosit antara sebelum dan sesudah pemberian ketorolak dan mendapat nilai p=0,317 (p>0,05) yang berarti bahwa tidak terdapat perbedaan yang signifikan agregasi trombosit antara sebelum dan sesudah pemberian parasetamol\ud
Kesimpulan: Penggunaan ketorolak lebih berpotensi menghambat aktifitas agregasi trombosit pada pasien SIRS atau sepsis dibandingkan dengan parasetamol akan tetapi secara statistik tidak berbeda signifikan (p=0,098)
Differences in the Effect of Using Sterile Water for Irrigation and Normal Saline Washing to Peritoneal Adhesion Post-Laparotomy on White Rats
No full textBACKGROUND: Peritoneal adhesion is a side effect of abdominal surgery that often occurs. Many efforts were made in abdominal surgery to prevent or minimize the occurrence of this adhesion. One way to reduce the risk of bowel adhesions is through washing peritoneum method, so the differences in the use of washing solution on the incidence of adhesions after laparotomy surgery need to be investigated. The objective of this study is to determine differences in the effect of using sterile water and normal saline for washing irrigation to peritoneal adhesions after laparotomy in white rats.
METHODS: This was an experimental study. Thirty-two sample of white rats were divided into two groups, group A and Group B, each group consists of 16 rats. Group A got washing using normal saline and group B got washing using sterile water for irrigation in laparotomy procedure to assess the peritoneal adhesion microscopically after relaparotomy.
RESULTS: This study was conducted in April-May 2016. The founding of peritoneal adhesion after laparotomy in white rats using sterile water for irrigation in grade 1 were seven samples, grade 2 were five samples and grade 3 were four samples. Meanwhile, the founding of peritoneum adhesion after laparotomy using normal saline grade 1 are two samples, grade 2 are five samples, and grade 3 are nine samples. Statistically, significant differences were found (p<0.05).
CONCLUSION: Some risk factors can lead to adhesion, such as trauma surgery, tissue ischemia, infection blood and foreign body irritating. Intraperitoneal irrigation with sterile water for irrigation is better than the use of normal saline in preventing peritoneal adhesion.
KEYWORDS: peritoneal adhesions, sterile water for irrigation, normal salin
The Difference of Bovine Bone Graft and Iliac Crest Bone Graft Effect on Closure of Bone Defect in Alveolar Bone Graft in Dr. Moewardi Hospital and Panti Waluyo Hospitals, Surakarta
No full textBackground: Cleft lip and palate (CLP) is a case of craniofacial congenital abnormalities that are often found by plastic surgeons. Successful management requires good surgical techniques, deep understanding of anatomical abnormalities and three-dimensional aspects of facial aesthetics. The Alveolar bone graft (ABG) aims to unite and stabilize Maxilla before definitive orthodontic action and restoration of dental care. The use of bone grafts in the surgical field is often done, aimed at maximizing the process of bone healing. Autogenous bone graft is the gold standard bone graft material because it contains all the properties needed in bone formation. The iliac crest bone graft (ICBG) is the most commonly used donor. Bromine bone graft (BBG) is increasingly being used as a substitute for autogenous bone graft. The purpose of this study was to determine the differences in the effect of the percentage of defect closure between CNG and ICBG on the closure of defects in ABG.Subjects and Method: The retrospective cohort study was conducted at Dr. Moewardi and Panti Waluyo Hospitals, Surakarta, Central Java, Indonesia, from February to April 2018. The dependent variable was bone defect closure. The independent variables were bovine bone and iliac crest bone grafts. The data were analyzed by Mann-Whitney.Results: Most patients after ABG surgery have a percentage of bone defect closure of 75-100% with bone resorption of 0-25% and include type I Bergland scale, where ICBG (66.7%) tends to be better than BBG (55.6%), but statistically not significant (p value = 0.678).Conclusion: There is no difference in the effect of the percentage of defect closure between CNG and ICBG on the closure of defects in ABG. ICBG tends to give a better percentage of defect closure than CNG, but it is not statistically significant.Keywords: Cleft lip and palate (CLP), Alveolar bone graft, bovine bone graft, Iliac crest bone graft, closure of bone defects.Correspondence: Ruzbih Bahtiar. Department of Surgery, Dr. Moewardi Hospital, Surakarta/Faculty of Medicine, Universitas Sebelas Maret. Indonesian Journal of Medicine (2018), 3(3): 151-161https://doi.org/10.26911/theijmed.2018.03.03.0
Differences in Influence Between Intravenous Methylprednisolone and Intramuscular Progesterone Toward Erectile Function After Operation Transurethral Resection of the Prostate (TUR-P) in Patients Benign Prostate Hyperplasia (BPH)
No full textBackground: Erectile function is an important factor for all men in an active sexual condition, as well as to assess the quality of sex life with their partners. Transurethral Resection of the Prostate (TURP) is a gold standard action for Benign Prostate Hyperplasia (BPH). The researcher tried to study to investigate the effect of corticosteroid and progesterone on erectile function in BPH patients who have done TURP surgery by using Erection Hardness Score (EHS). The purpose of this study was to investigate the effect of intra venous methylprednisolone on post-operative erection function of TURP in BPH patients. To investigate the effect of intra-muscular progesterone on postoperative erectile function of TURP in BPH patients. To investigate the different effect between methylprednisolone and progesterone on post-operative erection function of TURP in BPH patients.Subjects and Method: Subjects of all BPH patients who performed TUR-P surgery in the urology sub-section of Dr. Moewardi Hospital, Surakarta. The sampling technique in this study was incidental sampling. This study was a clinical experimental study using Pre and Post-test design-Only Control Design. 3 groups were divided to get different treatment, the first group was given methylprednisolone, the second group was given progesterone and the third group was given TURP therapy protocol only.Results: After 1 month of TURP treatment in BPH patients, the result obtained for the EHS which on a scale of 2 and 3. EHS on scale 2 for the methylprednisolone group was 9 patients (69.2%), the progesterone group had 6 patients (46.2%), and the control group had 8 of patients (66.7%). Meanwhile, EHS on scale 3 for the methylprednisolone group was 4 patients (30.8%), there were 7 patients (53.8%) of the progesterone group, and the control group had 4 patients (33.3%). After 3 months of TURP treatment in BPH patients, EHS on scale 2 in the methylprednisolone group there were 2 patients (15.4%), the progesterone group there were 0 patients (0.0%), and the control group there were 6 patients (50.0%). The methylprednisolone group had 9 patients (69.2%) on EHS 3 scale, the progesterone group had 4 patients (30.8%), and there were 6 patients (50.0%) in the control group. While, EHS scale of 4 the total of the patients in the methylprednisolone group was 2 patients (15.4%), the progesterone group had 9 patients (69.2%), and the control group had 0 patients (0.0%).Conclusion: the methylprednisolone improved the erectile function in post-operative TURP patients. Progesterone improved erectile function in post-operative TURP patients. Therefore, it can be concluded that progesterone was better than methylprednisolone. Keywords: Erectile dysfunction, Methylprednisolone, ProgesteroneCorrespondence: Monica Yolanda. Masters Program in Family Medicine, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: [email protected] Journal of Medicine (2017), 2(2): 116-124https://doi.org/10.26911/theijmed.2017.02.02.0
Differences in Influence between Intravenous Methylprednisolone and Intramuscular Progesterone toward Erectile Function After Operation Transurethral Resection of the Prostate (TUR-P) in Patients Benign Prostate Hyperplasia (BPH)
No full textComparison of Pain in the Kocher and Midline Incisions in Patients with Post Cholecystectomy
No full textBackground: Incision techniques that are often used in cholecystectomy laparotomy are the Kocher incision and midline incision. This study was carried out to compare the pain in the Kocher's incision and midline incision in patients with postoperative cholecystectomy laparotomy.Subjects and Method: : This study was an observational randomized controlled trial double sampling study conducted at the Department of Surgery Dr. Moewardi Hospital Surakarta in October 2018 to February 2019. The sample of this study was 30 patients aged 18-65 years old who were diagnosed with symptomatic cholelithiasis based on clinical, laboratory, and radiological tests. The samples were selected by simple random sampling. The dependent variable of this study was the pain. The independent variables were the Kocher and midline incision techniques. The pain was measured on a 24-hour postoperative VAS scale, range 1-10. Data were analyzed by t-test.Results: There was no significant difference in pain level between the Kocher group (Mean= 2.33; SD=0.72) and the midline group (Mean= 2.20; SD=0.97) with p=0.192.Conclusion: There is no difference in pain level due to the Kocher incision technique and the midline incision technique.Keywords: pain, incision, kocher, midline, cholecystectomyCorrespondence: R. Th. Supraptomo. Anesthesia dan Intensive Therapy Department Dr. Moewardi Hospital, Surakarta. Jl. Kolonel Sutarto 132 Jebres, Surakarta, Central Java 57126. Email: [email protected]. Mobile: 081229229567Indonesian Journal of Medicine (2020), 05(03): 240-245https://doi.org/10.26911/theijmed.2020.05.03.09
Epithelial Rate Difference on Donor Wound of Split Thickness Skin Graft in the Thigh Area by Applying Leukocrepe® and Medicrepe®
No full textKajian Musikologis “Ya’ahowu” Movement Pertama Dalam “Moroi Ba Danö Niha Numalö Ba Danö Jawa” Musik Program Budaya Nias
No full textStudi ini dilakukan dalam ranah penciptaan karya komposisi musik yang menceritakan tentang kehidupan penulis berdasarkan budaya sendiri (Nias). Penulis menceritakan proses penyusunan karya dan menganalisis karya tersebut. Metode penelitian ini menggunakan studi pustaka, penelitian kualitatif, melakukan analisis menggunakan pendekatan musikologi dan pengumpulan data didasarkan dari beberapa artikel jurnal, hasil wawancara dan observasi. Hasil penelitian ini menunjukkan bahwa proses cipta dari karya yang disusun dan analisis struktural dari karya terbagi menjadi enam bagian yang telah disusun didasarkan atas pengalaman empiris dari penulis. Tulisan ini menyarankan perlunya berbagai sumber informasi yang lebih luas yang diteliti dalam penambahan sumber data untuk memungkinkan karya yang disusun dapat dipahami oleh masyarakat.This study was carried out in the realm of creating musical compositions that tell about the author's life based on his own culture (Nias). The author tells the process of compiling the work and analyzing the work. This research method uses literature study, qualitative research, carries out analysis using a musicological approach and data collection is based on several journal articles, interview results and observations. The results of this research show that the creative process of the work compiled and the structural analysis of the work is divided into six parts which have been prepared based on the author's empirical experience. This paper suggests the need for a wider variety of information sources to be researched in additional data sources to enable the work compiled to be understood by the public
Analisa Struktural dalam Komposisi "Kepadamu Bunda" karya Trisutji Kamal
No full textDalam masa studi, Trisutji Kamal menggubah sebuah karya yang dipersembahkan untuk ibunya, Kepadamu Bunda. Karya ini menceritakan pengalaman pilu yang dialami oleh Trisutji Kamal saat kehilangan ibunya yang wafat ketika ia masih studi di Roma. Lirik dari tembang puitik karya Trisutji Kamal dibuat jauh sebelum digubah menjadi sebuah karya komposisi vokal. Tidak seperti puisi-puisi pada umumnya, puisi karya Trisutji terasa seperti buku harian. Dengan menempatkan aspek-aspek musikal seperti; legato, sostenuto, dinamika, fermata, dan tempo yang tepat menjadikan karya puitik Trisutji Kamal lebih dramatik. Metode penelitian yang dilakukan adalah Practice Based Research yang menekankan pada investigasi/penyelidikan untuk mendapatkan pengetahuan. Pengolahan data dilakukan dengan pengamatan berulang terhadap tayangan video rekaman dan melakukan praktek bernyanyi secara mandiri oleh penulis. Analisa data dilakukan dengan analisa secara musikologis, bentuk lagu, irama, tempo, birama, melodi, dan dinamika. Dalam penulisan laporan, penulis merangkum semua proses penelitian dalam bentuk narasi.During her studies, Trisutji Kamal composed a work dedicated to her mother, Kepadamu Bunda. This work tells the sad experience by Trisutji Kamal when she lost her mother who died while he was still studying in Rome. The lyrics of Trisutji Kamal's poetic song were created long before it was composed into a vocal composition. Unlike most poems, Trisutji's poetry feels like a diary. By placing musical aspects such as; legato, sostenuto, dynamics, fermata, and the right tempo make Trisutji Kamal's poetic works more dramatic. The research method is Practice Based Research which emphasizes on investigation to gain knowledge. Data processing is done by repeated observation of video recordings and independent singing practice by the author. Data analysis is done by analyzing musicologically, song form, rhythm, tempo, rhythm, melody, and dynamics. In writing the report, the author summarizes all research processes in the form of a narrative
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