Use of modern energetic methods of bone tissue removal during endoscopic dacryocystorhinostomy

The article presents the results of surgical treatment of 22 patients with chronic dacryocystitis accompanied by proximal obstruction of the nasolacrimal duct. A new method of nasolacrimal anastomosis bone window during endonasal endoscopic dacryocystorhinostomy using ultrasound bone dissection is described. The questions of operation technique using SONOCA 185 ultrasound bone dissector and specific features of postoperative treatment are discussed. The obtained data allow to conclude that low temperature process of bone dissection with ultrasound cavitation gives a possibility of adequate bone window formation, reduces surgical trauma of bone structures, surrounding soft tissues and nasal cavity vessels as well as reduces the risk of bleeding and operation time needed for its stopping. It also enables better healing of soft tissues in shorter terms, provides anatomical and functional success of operation in 91 % of cases. Key words: chronic dacryocystitis; endonasal endoscopic dacryocystorhinostomy; ultrasound bone dissection; dacryostoma.

Skrining Osteoporosis Dengan Ultrasonografi Kalkaneus Sebagai Upaya Pencegahan Patah Tulang Pada Usia Lanjut

Abstrak Latar Belakang. Patah tulang osteoporosis pada usia lanjut menimbulkan banyak komplikasi dan menjadi beban ekonomi. Pemerintah telah melakukan strategi pencegahan dan pengobatan namun belum melakukan strategi skrining osteoporosis. Bila hal ini tidak dilakukan maka beban tersebut akan semakin berat di masa mendatang. Skrining dapat dilakukan menggunakan alat pengukur densitas tulang ultrasonografi kalkaneus. Alat ini ringan, mudah dipindah-pindahkan, aman, nyaman dan hasilnya akurat untuk skrining tulang. Alat ini adalah alternatif diagnosis osteoporosis secara dini sebagai strategi pencegahan patah tulang osteoporosis pada kaum lanjut usia terutama bagi warga desa. Kegiatan skrining akan maksimal hasilnya bila menggunakan pendekatan kolaborasi dengan melibatkan berbagai pemangku kepentingan. Analisis situasi. Kelurahan Tugu, Kecamatan Cimanggis, Depok mempunyai banyak warga lanjut usia yang berisiko patah tulang. Terdapat kegiatan pos pembinaan terpadu (Posbindu) namun tidak mempunyai program pencegahan osteoporosis. Permasalahan. Belum adanya kegiatan pencegahan osteoporosis bagi warga desa lanjut usia. Solusi. Kegiatan pengabdian masyarakat berupa skrining osteoporosis dengan melibatkan Pos Pembinaan Terpadu menggunakan alat ultrasonografi kalkaneus. Kesimpulan. Pencegahan osteoporosis wanita lansia di desa berhasil dilakukan melalui skrining tulang menggunakan alat ultrasonografi kalkaneus berkolaborasi dengan Posbindu setempat. Kata Kunci: pengabdian masyarakat, osteoporosis, patah tulang, usia lanjut, ultrasonografi kalkaneus Abstract Background. Osteoporotic fractures in the elderly cause many complications and become an economic burden. The government has implemented prevention and treatment strategies but has not implemented osteoporosis screening strategies. If this is not done, the burden will become heavier in the future. Screening can be performed using a calcaneus ultrasound bone densitometry. This device is lightweight, portable, safe, comfortable, and accurate for bone screening. This tool is an alternative early diagnosis of osteoporosis as a strategy to prevent osteoporosis fractures in the elderly, especially for rural residents. Screening activities will have maximum results when using a collaborative approach involving various stakeholders. Situation analysis. Tugu Village, Cimanggis District, Depok has many elderly populations who are at risk of fractures. This village has an Integrated Healthcare Center (Posbindu), but it has no osteoporosis prevention program. Problem. There are no osteoporosis prevention activities for elderly villagers. Solution. Community service activities in the form of an osteoporosis screening program involving the Integrated Guidance Post using a calcaneus ultrasound. densitometry Conclusion. The prevention of osteoporosis fracture in elderly villagers has been successfully carried out through bone screening using a calcaneus ultrasound bone densitometry in collaboration with the local Posbindu. Keywords: community service, osteoporosis, fractures, elderly, calcaneus ultrasound densitometry

Preliminary Planning for a Multi-institutional Database for Ultrasound Bone Segmentation

Ultrasound (US) bone segmentation is a key component in many US-based computer assisted orthopaedic systems. Although numerous US bone segmentations techniques exist, there remains no direct way of comparing their performances. This is primarily due to the lack of an accessible US bone image database, and secondly due to a lack of standard vali- dation practices. To address this issue, we are beginning a multi-institutional international collaboration across multiple research centres with the aim of creating an open database for US bone segmentation consisting of several thousand US images and corresponding bone surface segmentations. Our collaboration also aims to address outstanding issues in US bone segmentation, such as determining the reliability of manual segmentations and establishing a set of evaluation metrics which should be reported in future segmentation studies. Finally, we strongly encourage interested researchers to join and contribute to this project as this will help to create a more diverse database and knowledgeable collaboration.

Gambaran Indeks Massa Tubuh dan Densitas Massa Tulang sebagai Faktor Risiko Osteoporosis pada Wanita

<p>Osteoporosis merupakan suatu kondisi kelainan yang ditandai penurunan densitas massa tulang dengan risiko mikrofraktur, terutama fraktur pinggul. Faktor risiko osteoporosis diantaranya adalah indeks massa tubuh (IMT) yang rendah. Penelitian ini bertujuan untuk membuktikan hubungan antara IMT dan status densitas massa tulang (DMT) pada 347 orang wanita dewasa di kota Jambi pada tahun 2017 melalui pemeriksaan Ultrasound bone densitometry. Penelitian dilakukan dengan rancangan penelitian observasional analitik dengan pendekatan cross-sectional. Sampel penelitian terbanyak pada kelompok IMT normal 37,2% dengan hasil DMT pada kelompok osteoporosis 48,7%. Hasil penelitian menunjukkan bahwa pada kelompok obesitas memiliki nilai DMT osteoporosis yang lebih banyak dibandingkan kelompok lainnya namun tidak ada hubungan yang bermakna secara statistik antara IMT dengan DMT (p=0,132). </p>