The Prevalence of Musculoskeletal Disorders among Orthopaedic and Traumatology Residents in Indonesia

Gangguan muskuloskeletal sangat sering terjadi pada residen orthopedi. Penelitian ini bertujuan untuk menggambarkan jenis gangguan muskulosketal pada residen orthopedi di rumah sakit Hasak Sadikin, Bandung. Penelitian ini merupakan suatu survei deskriptif-analitik pada semua residen orthopedi di kota Bandung dengan jumlah total subjek 56 orang. Hasil penelitian menunjukkan bahwa prevalensi gangguan muskuloskeletal terbanyak terdapat pada area punggung bawah (50%), diikuti pada leher (46,5%), pergelangan tangan (28,6%), pergelangan kaki (28,6%), bahu (21,4%), lutut (10,7%), paha dan bokong (10,7%), punggung atas (7,1%), dan siku (0%). Kesimpulan penelitian ini, nyeri punggung bawah serta nyeri leher merupakan gangguan muskuloskeletal tersering pada residen orthopedi. Oleh karena itu, diperlukan strategi efektif untuk mencegah terjadinya gangguan ini pada populasi residen orthopedi

Resistensi Aedes aegypti Terhadap Insektisida: Studi pada Insektisida Rumah Tangga

Dengue hemorrhagic fever is a public health problem in Pekanbaru. It is transmitted by Aedes aegypti mosquitoes. The use of insecticides to kill vectors is a common practice. It is often used in outbreaks by fogging and daily use of insecticides in households. Household insecticides contain a variety of active ingredients such as organophosphates, carbamates, synthetic pyrethroids, and their combinations. This study aims to determine the sensitivity of Ae. aegypti mosquitoes from various household insecticides. This research was descriptive research by conducting a susceptibility test from World Health Organization. Adult mosquitoes were obtained from the breeding of larvae collected from dengue-endemic areas in Pekanbaru. Three types of insecticides are widely distributed in the market consisting of insecticides X with the active ingredient cypermethrin, transfluthrin, and imiprothrin, insecticide Y containing transfluthrin, and insecticide Z containing pralethrin and sifluthrin. Each insecticide was exposed to an adult mosquito by applying insecticides to filter paper and exposed for 1 hour and observed after 24 hours. The death of mosquitoes in the three types of insecticides is less than 80%. Based on the WHO criteria mortality of less than 80% showed a resistant mosquito. This tendency of resistance is probably caused by long-term continuous use.

Tatalaksana Penggunaan Forceps pada Posisi Oksiput Posterior Persisten

Maternal health is the health of women during pregnancy, childbirth and the postnatal period. World Health Organization (WHO) record every day in 2017 about 810 women died from preventable causes related to pregnancy and childbirth. Between 2000-2017, the maternal mortality ratio dropped by about 38% worldwide, but 4% of all maternal deaths occur in low and lower middle-income countries. Persistent occiput posterior (OP) is associated with increased rates of maternal and newborn morbidity. Cesarean delivery is higher (3 times greater risk of death) maternal morbidity and mortality than vaginal delivery and also costs more than normal childbirth. Forceps extraction is one of the operative obstetric actions that aims to help childbirth through normal childbirth. This is done for all conditions that threaten the mother and fetus that have indications to undergo childbirth. the use of forceps techniques, will assure successful, safe, and steady performance of forced delivery. Therefore, obstetric forceps should be inherited of skills to the trainee at this time. Therefore, it is reasonable for the standards establishing the proper position for forceps delivery to vary between experienced and inexperienced operators. The first priority is safe and secure implementation of the procedure.

Nilai Prognostik FLT3 Pada Pasien Leukemia Mieloid Akut

Acute myeloid leukemia (AML) is a disease characterized by neoplastic transformation and abnormality of progenitor cells differentiation from myeloid cells. In AML there is a heterogeneous abnormality in hematopoietic progenitor cells, this abnormality has been identified and affects the balance between proliferation, survival and differentiation of body cells. Mutation of FMS-like tyrosin kinase 3 (FLT3) gene causes overexpression which is one of the most often found mechanism that has been identified could trigger genetic changes that can disturb intracellular signaling tissue in pathogenesis of leukemia. Besides being used as a diagnostic tool, FLT3 overexpression can also be used to assess the prognosis of AML.

Superior Capsular Reconstruction: A Literature Review About Comparison Autograft Using Long Head Biceps Tendon and Fascia Lata in Rotator Cuff Tear

Cedera otot supraspinatus masif merupakan salah satu cedera yang sering terjadi pada kelompok olahragawan. Pasien akan mengeluhkan nyeri serta kelemahan di bahu yang cedera. Terdapat banyak pilihan teknik untuk menangani cedera tersebut. Penelitian ini akan membandingkan penanganan cedera ini dengan teknik rekonstruksi menggunakan graft dari tendon long head biceps (LHB) dan tendon fascia lata (TFL). Penelitian ini merupakan studi literatur untuk membandingkan teknik dan outcome antara prosedur LHB dan TFL. Dari hasil penelitian, didapatkan hasil bahwa LHB lebih mudah untuk dilakukan dengan efek biomekanika yang sebanding dengan TFL, serta lebih baik dalam hal mencegah migrasi humeral head ke superior. Namun, TFL tampak lebih kuat dan penyembuhannya lebih baik karena mempunyai karakteristik dan struktur biomekanis yang lebih mirip dengan tendon supraspinatus. Kesimpulan penelitian ini, kedua teknik mempunyai keuntungan dan kerugian masing-masing. Namun, kedua teknik sama-sama mempunyai kemampuan yang baik serta dapat menjadi pilihan dalam penanganan cedera otot supraspinatus.