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Penatalaksanaan Trauma Tembus Leher Akibat Luka Sayat Rahman, Sukri; ., Novialdi
Jurnal Kesehatan Andalas Vol 1, No 3 (2012)
Publisher : Faculty of Medicine Andalas University

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Abstrak Pendahuluan :Trauma tembus leher merupakan keadaan gawat darurat yang bersifat mengancam nyawa karena dapat menyebabkan cedera terhadap struktur-struktur vital di leher seperti jalan nafas, pembuluh darah besar, esofagus dan saraf.Sebagian besar penyebab luka tembus leher adalah luka tembak diikuti luka tusuk/ sayat. Trauma ini memerlukan penanganan yang segera. Keberhasilan penatalaksanaan trauma tembus leher bergantung pada waktu mulai mendapat pertolongan, ketepatan diagnosis dan ketepatan penanganan. Tujuan : Laporan kasus ini diajukan untuk memberikan gambaran penatalaksanaan pada kasus trauma tembus leher akibat luka sayat. Kasus :Dilaporkan satu kasus luka tembus leher pada seorang laki-laki umur 15 tahun akibat luka sayat (digorok). Penatalaksanaan : Pada pasien ini dilakukan penatalaksanaan keadaan gawat darurat dan eksplorasi segera terhadap luka.Kesimpulan:Keberhasilan penatalaksanaan trauma tembus leher bergantung pada waktu mulai mendapat pertolongan, ketepatan diagnosis dan ketepatan penatalaksanaan. Kata kunci: trauma tembus leher, penatalaksanaan, luka sayat leher (gorok) Abstract Introduction: Penetrating neck trauma is life threatening emergency because of the potential injury to vital structures of the neck such as the air passages, major vascular vessels, esophagus and neurological structures. The majority of penetrating neck trauma is presenting as result from gunshot followed by stab wound.Penetrating neck traumas require emergency treatment. Successful management of penetrating neck trauma depends on prompt recognition of injury, appropriate diagnosis and proper treatment.Purpose :This case reportpresentedto give an overviewon themanagement ofpenetratingnecktraumadue tocuts. Case :A case of 15 years old man with penetratingneck trauma due to cut throat is presented. Case Management :This case was managed with emergency resuscitation and immediate neck exploration. Conclusion :Successful management of penetrating neck trauma depends on prompt recognition of injury, appropriate diagnosis and proper management. Keywords:penetrating neck trauma, management ,cut throat

Kelainan Hemostasis pada Leukemia J Budiman, Bestari; Hafiz, Al
Jurnal Kesehatan Andalas Vol 1, No 2 (2012)
Publisher : Faculty of Medicine Andalas University

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AbstrakLatar belakang: Leukemia adalah penyakit keganasan pada jaringan hematopoietik yang ditandai denganpenggantian elemen sumsum tulang normal oleh sel darah abnormal atau sel leukemik. Salah satu manifestasi klinisdari leukemia adalah perdarahan yang disebabkan oleh berbagai kelainan hemostasis.Kelainan hemostasis yang dapat terjadi pada leukemia berupa trombositopenia, disfungsi trombosit,koagulasi intravaskuler diseminata, defek protein koagulasi, fibrinolisis primer dan trombosis. Patogenesis danpatofosiologi kelainan hemostasis pada leukemia tersebut terjadi dengan berbagai mekanisme.Kata kunci: leukemia, kelainan hemostasisAbstractBackground: AbstractLeukemia is a malignancy of hematopoietic tissue which is characterized bysubstituted of bone marrow element with abnormal blood cell or leukemic cell. One of clinical manifestation ofleukemia is bleeding that is caused by several hemostasis disorders.Hemostasis disorders in leukemia such asthrombocytopenia, platelet dysfunction, disseminated intravascular coagulation, coagulation protein defect, primaryfibrinolysis and thrombosis. Pathogenesis and pathophysiology of thus hemostasis disorders in leukemia occur withdifferent mechanism.Keywords: leukemia, hemostasis disorder

Pengaruh Cairan Cultur Filtrate Fibroblast (CFF) Terhadap Penyembuhan Luka; Penelitian eksperimental pada Rattus Norvegicus Galur Wistar Masir, Oky; Manjas, Menkher; Eka Putra, Andani; Agus, Salmiah
Jurnal Kesehatan Andalas Vol 1, No 3 (2012)
Publisher : Faculty of Medicine Andalas University

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AbstrakLatar belakang:Metode penyembuhan luka telah mengalami perkembangan, baik berupa suatu produk atau stimulan terhadap proses biologis tubuh dalam menkompensasi luka. Fibroblas merupakan salah satu komponen penyembuhan yang berperan penting dalam proses fibroplasia. Culture Filtrate Fibroblast (CFF) merupakan hasil kultur fibroblas yang akan dibuktikan efeknya terhadap proses percepatan penyembuhan luka pada penelitian ini. Metode. Penelitian ini menggunakan desain eksperimental dengan metode post test only control group design dan rancangan acak kelompok (RAK) dengan menggunakan tikus putih wistar. Hewan coba dibagi menjadi 4 kelompok, yaitu 2 kelompok perlakuan yang diberikan CFF ke area eksisi luka dan kelompok kontrol yang diberikan larutan NaCl 0,9% ke area eksisi luka. Data diolah dengan SPSS 16.0. Data Kategori dianalisa dengan Chi-squared dan data numerik dengan Independent T-test. Hasil. Dari tingkat penyembuhan tidak ditemukan perbedaan pada kedua kelompok, namun perubahan restriksi jaringan lebih besar pada kelompok perlakuan. Pada skor pembentukan kolagen, derajat epitelisasi serta jumlah pembentukan pembuluh darah baru pada hari ke-3 tidak ditemukan perbedaan antara kedua kelompok. Namun pada pengamatan hari ke-7 memperlihatkan pembentukan kolagen, derajat epitelisasi serta jumlah pembentukan pembuluh darah baru lebih banyak pada kelompok perlakuan. Pada fibrosis hari ke-3 dan hari ke-7 memperlihatkan terjadinya fibrosis lebih banyak pada kelompok perlakuan dibanding kontrol. Pada pengamatan terjadinya infeksi hari ke-3 memperlihatkan infeksi lebih sedikit pada kelompok perlakuan dan terjadinya infeksi sama pada hari ke-7. Kesimpulan. CFF memberikan tingkat penyembuhan luka yang lebih baik dibanding NaCl.Kata kunci: CFF, NaCl 0,9 %, tingkat penyembuhan luka.Abstract Background: Wound healing methods have been developed, either a product or a stimulant to the bodys biological processes in wound compensation. Fibroblasts is one component that plays an important role in the healing process of fibroplasia. Culture filtrat Fibroblast (CFF) is a result of fibroblast culture to be proven effect on the acceleration of wound healing in this study.Methods. This study used an experimental design method post test only control group design and randomized block design (RBD) by using wistar mice. Experimental animals were divided into 4 groups, the two groups of treatment given to the area of excision wound CFF and the control group were given 0.9% NaCl solution to the excision wound area. Data processed with SPSS 16.0. Data were analyzed with categories Chi squared and numerical data by the Independent T-test.Result. From degree of wound healing is not found differences in both groups, but the changes in the network restriction greater in the treatment group. The score formation of collagen, the degree of epithelialization and the amount of neovascularisation formation at 3rd day there was no difference between the two groups. However, the observation of 7th day shows the formation of collagen, the degree of epithelialization and the amount of neovascularisation formation more in the treatment group. On the 3rd day fibrosis and 7th day showed more fibrosis in the treatment group compared to controls. In observation of the 3rd day infection showed fewer infections in the treatment group and the same infection between the two group at 7th day.Conclusion. CFF give wound healing better than NaCl.Keywords:CFF, NaCl 0,9 %, degree of wound healing.

Pengaruh Cairan Cultur Filtrate Fibroblast (CFF) Terhadap Penyembuhan Luka; Penelitian eksperimental pada Rattus Norvegicus Galur Wistar Masir, Oky; Manjas, Menkher; Eka Putra, Andani; Agus, Salmiah
Jurnal Kesehatan Andalas Vol 1, No 3 (2012)
Publisher : Faculty of Medicine Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar

AbstrakLatar belakang:Metode penyembuhan luka telah mengalami perkembangan, baik berupa suatu produk atau stimulan terhadap proses biologis tubuh dalam menkompensasi luka. Fibroblas merupakan salah satu komponen penyembuhan yang berperan penting dalam proses fibroplasia. Culture Filtrate Fibroblast (CFF) merupakan hasil kultur fibroblas yang akan dibuktikan efeknya terhadap proses percepatan penyembuhan luka pada penelitian ini. Metode. Penelitian ini menggunakan desain eksperimental dengan metode post test only control group design dan rancangan acak kelompok (RAK) dengan menggunakan tikus putih wistar. Hewan coba dibagi menjadi 4 kelompok, yaitu 2 kelompok perlakuan yang diberikan CFF ke area eksisi luka dan kelompok kontrol yang diberikan larutan NaCl 0,9% ke area eksisi luka. Data diolah dengan SPSS 16.0. Data Kategori dianalisa dengan Chi-squared dan data numerik dengan Independent T-test. Hasil. Dari tingkat penyembuhan tidak ditemukan perbedaan pada kedua kelompok, namun perubahan restriksi jaringan lebih besar pada kelompok perlakuan. Pada skor pembentukan kolagen, derajat epitelisasi serta jumlah pembentukan pembuluh darah baru pada hari ke-3 tidak ditemukan perbedaan antara kedua kelompok. Namun pada pengamatan hari ke-7 memperlihatkan pembentukan kolagen, derajat epitelisasi serta jumlah pembentukan pembuluh darah baru lebih banyak pada kelompok perlakuan. Pada fibrosis hari ke-3 dan hari ke-7 memperlihatkan terjadinya fibrosis lebih banyak pada kelompok perlakuan dibanding kontrol. Pada pengamatan terjadinya infeksi hari ke-3 memperlihatkan infeksi lebih sedikit pada kelompok perlakuan dan terjadinya infeksi sama pada hari ke-7. Kesimpulan. CFF memberikan tingkat penyembuhan luka yang lebih baik dibanding NaCl.Kata kunci: CFF, NaCl 0,9 %, tingkat penyembuhan luka.Abstract Background: Wound healing methods have been developed, either a product or a stimulant to the bodys biological processes in wound compensation. Fibroblasts is one component that plays an important role in the healing process of fibroplasia. Culture filtrat Fibroblast (CFF) is a result of fibroblast culture to be proven effect on the acceleration of wound healing in this study.Methods. This study used an experimental design method post test only control group design and randomized block design (RBD) by using wistar mice. Experimental animals were divided into 4 groups, the two groups of treatment given to the area of excision wound CFF and the control group were given 0.9% NaCl solution to the excision wound area. Data processed with SPSS 16.0. Data were analyzed with categories Chi squared and numerical data by the Independent T-test.Result. From degree of wound healing is not found differences in both groups, but the changes in the network restriction greater in the treatment group. The score formation of collagen, the degree of epithelialization and the amount of neovascularisation formation at 3rd day there was no difference between the two groups. However, the observation of 7th day shows the formation of collagen, the degree of epithelialization and the amount of neovascularisation formation more in the treatment group. On the 3rd day fibrosis and 7th day showed more fibrosis in the treatment group compared to controls. In observation of the 3rd day infection showed fewer infections in the treatment group and the same infection between the two group at 7th day.Conclusion. CFF give wound healing better than NaCl.Keywords:CFF, NaCl 0,9 %, degree of wound healing.

Kelainan Hemostasis pada Leukemia Dia Rofinda, Zelly
Jurnal Kesehatan Andalas Vol 1, No 2 (2012)
Publisher : Faculty of Medicine Andalas University

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AbstrakLatar belakang: Leukemia adalah penyakit keganasan pada jaringan hematopoietik yang ditandai denganpenggantian elemen sumsum tulang normal oleh sel darah abnormal atau sel leukemik. Salah satu manifestasi klinisdari leukemia adalah perdarahan yang disebabkan oleh berbagai kelainan hemostasis.Kelainan hemostasis yang dapat terjadi pada leukemia berupa trombositopenia, disfungsi trombosit,koagulasi intravaskuler diseminata, defek protein koagulasi, fibrinolisis primer dan trombosis. Patogenesis danpatofosiologi kelainan hemostasis pada leukemia tersebut terjadi dengan berbagai mekanisme.Kata kunci: leukemia, kelainan hemostasisAbstractBackground: AbstractLeukemia is a malignancy of hematopoietic tissue which is characterized bysubstituted of bone marrow element with abnormal blood cell or leukemic cell. One of clinical manifestation ofleukemia is bleeding that is caused by several hemostasis disorders.Hemostasis disorders in leukemia such asthrombocytopenia, platelet dysfunction, disseminated intravascular coagulation, coagulation protein defect, primaryfibrinolysis and thrombosis. Pathogenesis and pathophysiology of thus hemostasis disorders in leukemia occur withdifferent mechanism.Keywords: leukemia, hemostasis disorder

Perbandingan Perubahan Luas Luka dan Angiogenesis pada Jaringan Luka Bakar Derajat IIB Tikus Sprague Dawley yang Diberikan Platelet Rich Fibrin dan Advanced Platelet Rich Fibrin Shantika Aqilla Kurnia; Komang Ardi Wahyuningsih
Jurnal Kesehatan Andalas Vol 10, No 1 (2021): Online March 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v10i1.1464

Burns increase tissue damage by free radicals, thus hindering the healing process. Platelet Rich Fibrin (PRF) and Advanced Platelet Rich Fibrin (A-PRF) are autologous fibrin matrices that contain growth factors and have been proven to increase tissue formation and regeneration. Objectives: To determined the effect of applying PRF and A-PRF on deep second-degree burns. Methods: This study was experimental research on twenty male Sprague Dawley rats were randomly divided into four groups. Group A and B as control groups received NaCl 0,9% and silver sulfadiazine ointment, respectively. Group C was given PRF and group D was given A-PRF. Burns are photographed and the area was calculated using the ImageJ application. After 14 days of therapy, the burn areas were excised and made into histological slides. Microscopic study of angiogenesis was observed using a microscope at 400x magnification. Results: Changes in wound surface area in PRF and A-PRF groups were 3,106 cm and 2,333 cm. The number of angiogenesis in PRF and A-PRF groups were 3.88 and 5.88. The data was analyzed using One-Way Anova and the results showed that there were no significant differences between the changes in the wound area and angiogenesis of PRF and A-PRF groups. Conclusion: This study showed that there are no significant differences in changes in wound surface area and angiogenesis of burn injury after topical application of PRF and A-PRF.Keywords: angiogenesis, burn injury, changes in wound surface area, A-PRF, PRF

Identifikasi Bakteri Escherichia coli dalam Air Minum Galon pada Kantin yang ada di Universitas Andalas Padang Muhammad Rayhan Braja Gitawama; Netti Suharti; Nora Harminarti
Jurnal Kesehatan Andalas Vol 10, No 1 (2021): Online March 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v10i1.1507

The National Food and Drug Agency has controlled the refill drinking water in drinking water depots and also controlled food at school canteens ranging from elementary, junior high, to high school, but the National Food and Drug Agency never do food quality controlling in canteens at universities. Objectives: To identified the contamination by coliform and E. coli bacteria in drinking water at Andalas University canteen. Methods: This research was descriptive to identify coliform bacteria on 15 drinking water at the Andalas University faculty canteens. Samples were taken directly using a sterile bottle, while data analysis using Most Probable Number (MPN) tables 5-1-1 and the presence of E. coli bacteria colonies from drinking water samples. Results: 9 of 15 water samples were contaminated by coliform bacteria with the highest MPN index of 240/100 ml that was found in 2 samples. From 9 samples containing coliform bacteria, all of them were found to contain E. coli bacteria. Conclusion: Most of the samples were contaminated by coliform and E. coli bacteria. Drinking water served using a kettle was more contaminated than drinking water served using gallons.Keywords: Coliform, Escherichia coli, MPN

Uji Daya Hambat Isolat Actinomycetes sebagai Antibakteri terhadap Pertumbuhan Pseudomonas aeruginosa ATCC 27853 secara In Vitro Saskia Arientika Wahyuningrum; Meiskha Bahar; Andri Pramesyanti Pramono
Jurnal Kesehatan Andalas Vol 10, No 1 (2021): Online March 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v10i1.1595

Pneumonia is a lung parenchymal infection caused by Pseudomonas aeruginosa.It is Gram negative bacteria that have developed antibiotic resistance. Actinomycetes are Gram-positive bacteria that produce secondary metabolites which have the ability as antimicrobial. Objectives: To identified the ability of Actinomycetes isolates to inhibit the growth of the bacterium Pseudomonas aeruginosa ATCC 27853. The samples in this experiment were from Kebun Raya Bogor that had been rejuvenated on Starch Casein Agar (SCA). Methods: Six dilution series 10-1; 10-2; 10-3; 10-4; 10-5; 10-6 Actinomycetes isolates were used to observe the inhibition zone of P.aeruginosa growth on Mueller Hinton Agar (MHA) media by diffusion method. Results: The effective incubation time occurred at 24 hours, and then it resulted in the average clear zone diameter of 14.70 mm, 10.57 mm, 8.53 mm, 8.47 mm, 6.97 mm, and 5.30 mm. The results of the One – Way Anova test with p-value = 0.000 (p < 0.005) showed some differences at each concentration to inhibit the growth of P.aeruginosa ATCC 27853 at 24 hours incubation period. Conclusion: The most effective concentration of Actinomycetes isolates that can potentially be antibacterial was the concentration of 10-1 with potential solid inhibitory power.Keywords: Actinomycetes, antibacterial, Pseudomonas aeruginosa

Perpaduan Isometric Exercise dan Latihan Pernafasan Yoga Terhadap Penurunan Tekanan Darah pada Pasien Hipertensi di Desa Mojojajar Wilayah Kerja Puskesmas Kedungsari Kabupaten Mojokerto Dinda Risma Putri Anjarsari; Abdul Hanan; Esti Widiani
Jurnal Kesehatan Andalas Vol 10, No 1 (2021): Online March 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v10i1.1601

One of the non-pharmacological treatments that can be done to lower blood pressure is to increase the patient's physical activity, such as Isometric Exercise and Yoga breathing exercises. Objectives: To determined isometric exercise and yoga breathing on reducing blood pressure in hypertension. Methods: This study used a pre-experimental design with a one-group pretest-postest design. The sampling technique was purposive sampling. The number of samples in this study was 25 people. Results: The paired t-test statistical test results were a decrease in blood pressure after being given the intervention of isometric exercise and yoga breathing exercises with a p-value of 0.000 (p<0.05). Conclusion: Isometric exercise and yoga breathing exercises can be an alternative non-pharmacological therapy to reduce blood pressure in hypertension.Keywords: Isometric Exercise, Yoga Breathing Exercise, Hypertension

Perbandingan Tingkat Keparahan Infeksi Sekunder Virus Dengue pada Keempat Serotipe di Indonesia: Systematic Review Annelin Kurniati; Ahmad Fandi; Mardhatillah Sariyanti; Ety Febrianti; Debie Rizqoh
Jurnal Kesehatan Andalas Vol 10, No 1 (2021): Online March 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v10i1.1615

Secondary infection with the dengue virus causes mild to severe manifestations. The distribution of dengue virus serotypes varies in various areas and can change over time. There are four dengue serotypes, namely DENV-1, DENV-2, DENV-3 and DENV-4. Objectives: To knew the distribution of virus serotypes in an area and determined the pathogenesis of the disease, which can cause severe manifestations in patients with secondary infections. Methods: The data taken is the severity of secondary infections and dengue serotypes. The literature search was performed on PMC and Cochrane. Search criteria were performed using keywords (secondary infection * OR secondary dengue infection *) AND (Dengue Virus * OR Dengue Infection * OR Dengue * OR DENV) AND (Serotype * OR Serogroup) AND (severe dengue * OR severity * OR severity of illness indexs * OR dengue fever * OR dengue haemorrhage fever * OR dengue shock syndrome * OR DF * OR DHF * OR DSS *) AND (Indonesia *). Results: Literature study search found 387 literature with five studies conducted the analysis. From the results of the analysis, it was found that secondary infections were more common in patients with recurrent dengue infection with serotype 2 (DENV-2), serotype 3 (DENV-3) and serotype 4 (DENV-4). Conclusion: Secondary infection of dengue virus serotype 2 (DENV-2) and serotype 3 (DENV-3) can cause severe dengue infection.Keywords: Dengue Virus, Indonesia, Secondary Infection, Serotype, Severity

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