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All Journal BALI MEDICAL JOURNAL (BMJ) Journal of Islamic Medicine
Nyoman Putu Riasa
Department Of Plastic Surgery Sanglah Hospital, Indonesia
Medicine & Pharmacology

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Hyaluronic Acid Caused of Wider Epithelialization Compare to Normal Saline in Severe Diabetic Ulcer Sudarsa, I W; Semadi, I N; Riasa, N P
BALI MEDICAL JOURNAL Volume 1, Number 1, January-April 2012
Publisher : BALI MEDICAL JOURNAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (304.057 KB)

Abstract

Objectives: Diabetic ulcer, one of chronic complications of diabetes mellitus (DM), showed a high morbidity and mortality rate. The main treatment modality for diabetic ulcer was debridement, followed by wound treatment as local control to promote wound healing. This study aims to compare efficacy of hyaluronic acid (HA) and 0.9% sodium chloride (NaCl) in severe diabetic ulcus two after debridement. Method: This study was a randomized clinical study to compare the efficacy of HA and NaCl 0.9% in severe diabetic ulcer two weeks post debridement. Thirty six severe diabetic ulcer (Wagner ?3) samples were collected using consecutive sampling method and divided into 2 treatment groups: standard wound treatment using NaCl 0.9% and using hyaluronic acid. T-independent test was applied for statistical analysis data and  p<0.05 was consider a statisticalle significant. Results: The two treatment groups showed insignificant difference in characteristics and laboratory findings. The mean tissue epithelialization width after two weeks of wound treatment using NaCl 0.9% was 17,22 ± 3,25 and using HA was 27,33 ± 2,43. Statistical analysis using t-independent test showed t = 10.59, p = 0.001 for both treatment groups. Conclusions: HA improves wound healing rate in severe diabetic ulcer 2 weeks post debridement compared to 0.9% NaCl.
Discrepancies On Burn Management Knowledge Among General Physicians In West Nusa Tenggara, Indonesia Badariyatud Dini; Nyoman Putu Riasa
Journal of Islamic Medicine Vol 6, No 1 (2022): JOURNAL OF ISLAMIC MEDICINE EDISI MARET 2022
Publisher : Faculty of Medicine and Health Science, Universitas Islam Negeri Maulana Malik Ibrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18860/jim.v6i1.15401

Abstract

Background:: ISBI Practice guidelines (PGs) for burn care are designed to improve burn care in resource-limited setting (RLS) and also become the standard of burn care. Discrepancy of burn care knowledge among emergency physicians will influence the implementation of ISBI PGs. Objective: of this study is to determine the discrepancy of burn care knowledge among the general physicians working in emergency unit of public hospitals in West Nusa Tenggara, Indonesia. Method: Validated questionnaires were distributed to emergency unit of 12 hospitals in West Nusa Tenggara, Indonesia. The questionnaire consist of 9 topics regarding: (a) burn center description, (b) referral criteria, (c) complications of burn trauma, (d) initial assessment, (e) burn extent calculation, (f) initial resuscitation, (g) monitoring, (h) inhalation injury and (i) wound management. Each topic consists of 10 questions or statements regarding burn care with ISBI PGs as the reference. The score for each question was 1 or 0. Total score of each topic was 10. The total score was divided into 3 categories (low score was 0-30, moderate score was 31-60 and high score was 61-90). Result: As many as 94 questionnaires were returned out of 108 questionnaires that were distributed. As many as 78% of respondents had high knowledge score while the remaining 22% of respondents had moderate knowledge score. Conclusion: The majority of emergency physicians in West Nusa Tenggara had high knowledge level of burn care. The lowest knowledge level is on initial burn assessment and resuscitation, monitoring of burn resuscitation and burn wound management topics
Co-Authors Badariyatud Dini I Nyoman Semadi I W. Sudarsa