17 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 textPERBEDAAN PENGARUH PENCUCIAN MENGGUNAKAN STERILE WATER FOR IRRIGATION® DAN NORMAL SALINE TERHADAP ADHESI PERITONEUM PASCA LAPAROTOMI PADA TIKUS PUTIH
No full textOCTAVIANI. NIM : S501108061. 2016. Perbedaan pengaruh pencucian menggunakan sterile water for irrigation dan normal saline terhadap adhesi peritoneum pasca laparotomi pada tikus putih. TESIS. Pembimbing I : Agus Rahardjo, dr. Sp.B(K)BD. Pembimbing II : Dr. Untung Alifianto, dr, Sp.BS. Program Studi Kedokteran Keluarga, Program Pascasarjana, Universitas Sebelas Maret Surakarta. ABSTRAK Latar Belakang : Pembentukan adhesi intra peritoneal merupakan salah satu efek samping yang sering terjadi pasca operasi abdominal sehingga banyak upaya yang dilakukan untuk mencegah atau meminimalkan terjadinya adhesi ini. Tujuan : Mengetahui Apakah ada perbedaan pengaruh pencucian menggunakan sterile water for irrigation® dan normal saline terhadap adhesi peritoneum pasca laparotomi pada tikus putih? Metode : Penelitian ini merupakan penelitian eksperimental laboratorium. Sampel penelitian 32 tikus putih dibagi 2 kelompok, dimana kelompok A dilakukan pencucian menggunakan normal saline dan kelompok B dilakukan pencucian menggunakan sterile water for irrigation® dengan masing-masing jumlah sampel 16, dengan menilai adhesi peritoneum secara mikroskopik setelah dilakukan relaparotomi. Hasil : Adhesi peritoneum pasca laparotomi pada tikus putih yang dilakukan pencucian dengan steril water for irrigation grade 1 sebanyak 7 sampel, grade 2 sebanyak 5 sampel dan grade 3 sebanyak 4 sampel, sedangkan yang dilakukan pencucian dengan menggunakan normal saline grade 1 sebanyak 2 sampel, grade 2 sebanyak 5 sampel dan grade 3 sebanyak 9 sampel. Dimana secara statistik terdapat perbedaan yang signifikan (p<0,05). Simpulan : Dari hasil analisis statistik data penelitian terdapat perbedaan yang signifikan pengaruh pencucian menggunakan sterile water for irrigation® lebih baik dibandingkan dengan normal saline. Kata Kunci : Adhesi peritoneum, sterile water for irrigation®, normal salin
Politik hukum Peraturan Presiden nomor 20 tahun 2018 tentang penggunaan tenaga kerja asing perspektif keadilan sosial Sayyid Quthb
No full textABSTRAK:
Perjalanan otonomi desa di Indonesia sudah cukup lama. Setidaknya sejak Undang-Undang No 32 Tahun 2004 tentang pemerintahan daerah, pemerintah desa memiliki otonomi dalam tata kelola pemerintahan desa. Undang-undang tersebut menegaskan “Desa merupakan suatu kesatuan yang memiliki batasanbatasan wilayah yang berwenang untuk mengatur serta mengurus masyarakat yang berwenang yang berdasarkan asal-usul adat dan istiadat setempat yang telah diakui dan dihormati dalam sistem Pemerintahan Negara Kesatuan Republik Indonesia. Undang-Undang No 6 Tahun 2014 mengenai otoritas dari otonomi daerah yang nantinya berpengaruh kepada proses musyawarah penggunanaan dana desa maupun sebaliknya. Dalam konteks eksistensi BPD sebagai badan legislatif di desa, otonomi desa memungkinkan BPD dapat berperan untuk mengawasi serta ikut andil dalam proses pembangunan desa yang di sebutkan dalam Undang-Undang Nomor 6 tahun 2014 dengan rinci.
Metode penelitian yang di gunakan dalam penelitian ini yaitu penelitian kualitatif dengan pendekatan yuridis empiris atau (law field research). Adapun lokasi penelitian dilakukan di desa takerharjo. Yaitu wawancara dengan beberapa warga yang menjadi objek penelitian serta perangkat desa sebagai implementator kebijakan. Sumber data yang di gunakan dalam penelitian ini adalah data primer, data sekunder dan data tersier, teknik pengumpulan data yang digunakan dalam penelitian ini adalah dengan cara wawancara, dokumentasi, dan studi perpustakaan.
Hasil dari penelitian yang dilakukan oleh penulis bahwasanya pada desa takerharjo fungsi Badan Permusyawaran Desa di desa takerharjo sebagaimana di atur dalam Undang Undang Nomor 6 Tahun 2014 cukup berjalan efektif sebagai lembaga legislasi adapun dalam hal pengawasan agaknya lembaga BPD di desa takerharjo masih harus berbenah agar menjadi lebih baik di kemudian hari, khusunya dalam hal pengawasan dana desa, hal ini dapat dilihat dengan masih terjadinya ke tidak sesuaian antara angaran dana desa yang telah disepakati oleh BPD dan kepala desa bersama perangkat tidak di jalankan dengan semestinya oleh kepala desa, terlebih hal tersebut mencakup hajat warga banyak dalam pengangunan jalan desa yang semestinya berasal dari dana desa tetepi dalam pengaplikasianya malah di dapat dari iuran warga desa.
ABSTRACT:
The journey of village autonomy in Indonesia has been quite long. At least since Law No. 32 of 2004 on regional governance, village governments have had autonomy in village governance. The law emphasizes that "a village is a unit that has territorial boundaries and is authorized to regulate and administer an authorized community based on the origin of local customs and traditions that have been recognized and respected in the Government system of the Unitary State of the Republic of Indonesia. Law No. 6 of 2014 regarding the authority of regional autonomy which later affects the deliberation process for the use of village funds and vice versa. In the context of the existence of the BPD as a legislative body in the village, village autonomy allows the BPD to play a role in supervising and taking part in the village development process mentioned in Law Number 6 of 2014 in detail.
The research method used in this research is qualitative research with an empirical juridical approach or (law field research). The research location was conducted in the village of Takerharjo. Namely interviews with several residents who were the object of research and village officials as policy implementers. Sources of data used in this study are primary data, secondary data and tertiary data. Data collection techniques used in this study are interviews, documentation, and library studies.
The results of the research conducted by the author show that in the village of Takerharjo the function of the Village Consultative Body in the village of Takerharjo as regulated in Law Number 6 of 2014 is quite effective as a legislative institution while in terms of supervision, it seems that the BPD institutions in the Takerharjo village still have to improve in order to become more In the future, especially in terms of monitoring village funds, this can be seen from the mismatch between the village fund budget that has been agreed upon by the BPD and the village head and the apparatus are not being carried out properly by the village head, especially this includes the Many residents are involved in the construction of village roads, which should have come from village funds, but in the application, they were even obtained from villagers' fees.
مستخلص البحث:
فخريال فجر عليفيانتو. )15230076( .2020 الالئحة التنفيذية للقانون السياسي رقم 20 لسنة 2018 بشأن استخدام منظور العدالة االجتماعية للعمال األجانب ، سيد قطب ، األطروحة. القانون الدستوري ، كلية ، S.H.I، Budi Setyo Teguh .الشريعة. جامعة موالنا مالك إبراهيم اإلسالمية في ماالنغ. معلمه M.H.
الكلمات المفتاحية: القانون السياسي ، العدالة االجتماعية ، التنظيم الرئاسي
المادة 10 يجب أن تكون الالئحة الرئاسية رقم 20 لعام 2018 بشأن استخدام العمال األجانب في ترتيب التصاريح متوافقة مع أحكام اللوائح األخرى. الترخيص المعني هو الترخيص من خالل تبسيط شكل عملية الترخيص بهدف زيادة المستثمرين والنقد األجنبي االقتصادي للبالد. في الالئحة الرئاسية رقم 20 لعام 2018 ، تنص المادة 10 على أن المساهمين األجانب الذين يعملون كمديرين أو مفوضين ليسوا مطالبين (RPTKA). بالحصول على خطة استخدام العمال األجانب
يركز هذا البحث على وصف: )1 الالئحة الرئاسية رقم 20 سنة 2018 بشأن استخدام العمال األجانب من حيث السياسة القانونية. .)2 القانون السياسي لالئحة الرئاسية رقم 20 سنة 2018 من منظور العدالة .االجتماعية سيد قطب
تستخدم هذه الدراسة نوع البحث القانوني المعياري مع نهجين هما النهج القانوني. والنهج المفاهيمي. في حين أن المواد القانونية المستخدمة هي مواد قانونية أولية وثانوية وثالثية. في البحث استخدم الباحثون طرق التحليل الوصفي
نتائج البحوث واالستنتاجات التي تم الحصول عليها من القانون السياسي لالئحة الرئاسية رقم 20 لعام 2018 بشأن استخدام العمال األجانب: )1 يميل القانون السياسي لالئحة الرئاسية رقم 20 لعام 2018 بشأن استخدام العمال األجانب إلى التحسن االقتصادي وتجاهل عوامل العدالة والرفاهية ، وخاصة العمال العمل المحلي. .)2 لم تستوف الالئحة الرئاسية رقم 20 لعام 2018 بشكل كامل عناصر العدالة االجتماعية لسيد قطب ، ومن النظرية السياسية للقانون ، لم يكتمل مختار كوسوماتتمجة تما ًما بالعناص
