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All Journal E-Jurnal Medika Udayana Medical and Health Science Journal
Devinta, Made Ratih Santi
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Health Professions Medicine & Pharmacology Social Sciences

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Gambaran Karakteristik Pasien Fraktur Klavikula di Rumah Sakit Umum Pusat (RSUP) Sanglah Periode Januari-Desember 2019 Devinta, Made Ratih Santi; Asmara, Anak Agung Gde Yuda; Dharmayuda, Cokorda Gde Oka
E-Jurnal Medika Udayana Vol 11 No 2 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i02.P17

Abstract

Clavicle fracture is a common cause of injuries in adult, with over 2.6?4% of cases have been found with an incidence rate of 30 over 100.000 population. Although having a high incidence rate, availability of studies on the characteristics of clavicle fractures in Indonesia remains limited. Based on the high incidence of cases, variability of concomitant injuries and the evolution of science and technologies in health, this study was conducted to discover the characteristics of clavicle fractures patients in Rumah Sakit Umum Pusat (RSUP) Sanglah Denpasar. This study used a cross sectional approach with descriptive retrospective as the study design and using secondary data of clavicle fracture patients in RSUP Sanglah in January?December 2019. Secondary data used in this study were obtained from the Morning Reports of Orthopaedic and Traumatology Department in RSUP Sanglah. Variables in this study including age, gender, type of fracture, type of concomitant injuries and type of treatment. The data was obtained using total sampling technique. Among 91 cases of clavicle fracture, they were mainly found in a group of young productive men (17?25 years old) and mostly classifed as closed fractures (97.8%). Most of the patients came with head injuries (45.1%) and thorax injuries (45.1%) and mainly went through surgical procedures (ORIF) 74.7%.
Conservative Wound Treatment in DMT2 Patients Using Honey Laksmi, Putu Pradnyasanti; Saraswati, Made Ratna; Rooseno, Ratna Rayeni Natasha; Devinta, Made Ratih Santi; Santosa, Agus
Jurnal Ilmu Kesehatan dan Kesehatan Vol 7 No 02 (2023): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v7i02.4645

Abstract

Background : The number of diabetic patients in Indonesia is on the rise. In contrast to typical wounds in non DMT2 patients, chronic wounds in DMT2 patients heal more slowly, which makes it difficult to achieve complete primary wound healing. Thus, surgery is frequently required to achieve optimal healing. Patients' physical condition, age, comorbidities, and financial circumstances such as high medical costs frequently limiting patients from receiving comprehensive care, resulting alternative treatments are required to treat chronic wounds in DMT2 patients whom prefer conventional medications, addressing all circumstances. Honey, in addition to having fructose compounds, which has the benefit of increasing glucose homeostasis and insulin response, resulting in lower insulin and plasma glucose levels, also has been shown to contain anti-inflammatory and antimicrobial substances that aid in wound healing. Thus, it may be an alternative therapy for chronic wound in DMT2 patients. Methods : A Case-series studies of four DMT2 patients who were referred to Plastic and Reconstructive Outpatient ward with chronic wound were evaluated on a monthly basis following conservative treatment using Nusantara local honey-coated gauze. Result : Secondary wound healing, which can be assessed from the epithelialization process started from the peri-wound area has been obtained through monthly observations. Conclusion : Honey is used as an alternative therapy for patients with diabetic foot ulcers due to its anti-microbial and anti-inflammatory properties in the wound healing process. Furthermore, honey is considered less expensive and more affordable alternative for patients with co-morbidities that is impossible to operate, or with financial limitations. Keywords: DMT2, Chronic wound, Honey
Co-Authors Agus Santosa Asmara, Anak Agung Gde Yuda Dharmayuda, Cokorda Gde Oka Laksmi, Putu Pradnyasanti MADE RATNA SARASWATI . Rooseno, Ratna Rayeni Natasha