Alwin Tahid
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Characteristics of Maxillofacial Fractures Resulting from Road Traffic Accidents at Dr. Hasan Sadikin General Hospital Oldi Caesario; Shinta Fitri Boesoirie; Alwin Tahid
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Maxillofacial fracture is a serious injury in the head region which is frequently found in the emergency room. In Indonesia, the road traffic accident is the main etiology. Epidemiological assessments are important to assess trends and set the priorities for treatment and prevention of the injury. This study was conducted to identify the characteristics of maxillofacial fracture resulting from road traffic accidents. Methods: This descriptive retrospective study involved hospitalized patients with maxillofacial fracture resulting from road traffic accidents at Dr. Hasan Sadikin General Hospital in 2011–2013 using the total sampling technique. Data were collected in the period August–October 2014 which included patient demographics, detailed description of the accident and the fracture.Results: A total of 187 patients with male/female ratio of 5:1 and a mean age of 26.78 year. The majority of patients were motorcyclists (92%) with most of them were not wearing safety equipment. Most of the accidents took place in 2011 in Bandung. Mandible was the most common site of injury followed by the maxilla and nasal bone. Open reduction was performed in 69.52% patients).Conclusions: Maxillofacial fracture is more common in men with the mean age of 26.78 years. The majority of patients are motorcyclists. Most of them are not using safety equipment. Most of the accidents occurred in Bandung in 2011. Mandible is the most common site of fracture. Open reduction is the most commonly performed treatment
Cruris Fracture among Child Patients in Dr. Hasan Sadikin General Hospital Bandung Wenny Dwi Chandra; Yoyos Dias Ismiarto; Alwin Tahid; Nucki Nursjamsi Hidayat
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Cruris are lower extremity fractures commonly found in children. These dangerous fracturesmay alter the quality of life of the patients. This study was conducted to explore the characteristics of crurisfractures in children.Methods: A descriptive cross-sectional study was performed by reviewing the medical records of childrenwho were hospitalized at the Department of Orthopaedi and Traumatology, Dr. Hasan Sadikin GeneralHospital Bandung during 2010–2011.Results: On two years study, 62 cases have been reported. Most cases occurred among senior high schoolgroup (37.1%). Boys (71.0%) have a higher rate of fractures than girls. Fractures most frequently occurredby traffic accidents (87.1%). The fractures are mostly open (58.1%). The common fracture site was tibia(50.0%) rather than fibula (3.2%) and the most frequent location was on the right side (79.0%) and on themiddle third of the leg (41.9%). Majority of the patients went home in good condition (79.0%).Conclusion: Fractures are most frequently occurred in April because of high humidity. The causes anddistribution of the fractures based on diagnosis were related to another study. Furthermore, additionalstudies are needed to explore the characteristics of cruris fracture among children, not only in certainhospital but also in Indonesia especially in West Java.[AMJ.2015;2(1):276–80]
Correlation between Postural Stability and Functional Mobility in Patients with Knee Osteoarthritis Arlinda De Hafsari; Vitriana Vitriana; Alwin Tahid
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Osteoarthritis (OA) is a degenerative joint disorder caused by progressive erosion of articular cartilage. The joint which is commonly affected is theknee joint. Patient with knee OA has increasing pain with decreasing postural stability, and may cause decrease infunctional mobility of the body. The aim of this study was to analyze the correlation between stability and mobility in patients with knee OA.Methods: A cross sectional study was performed to 43 patients from the Rheumatology Clinic of Dr. HasanSadikin General Hospital, Bandung, during  September−October 2013. The ‘Timed Up and Go’ (TUG) test and stabillometric platform examination were performed to analyze the mobility and stability in subjects. The data were analyzed with Spearman’s Correlation.Results: Four subjects (9.30%) had normal functional mobility, 31 subjects (72.09%) had good mobility and need no help of others in their activities, and 8 subjects  (18.60%) had problems and could not stand and walk without help. This study also found 39 subjects (90.69%) had high risk of fall. The p value were 0.005 for correlation between knee OA and lateral static postural stability, 0.138 with anteroposterior static stability, 0.067 with dynamic to position of top right stability, 0.344 with dynamic to position of top left stability, 0.384 with dynamic to position of bottom left stability and 0.357 with dynamic to position of bottom right stability.Conclusions: There is a strong correlation between functional mobility with static postural stability, especially to the lateral position. [AMJ.2015;2(4):550–4] DOI: 10.15850/amj.v2n4.639
Body Mass Index and Western Ontario & McMaster Universities Osteoarthritis Index in Patients with Knee Osteoarthritis in Dr. Hasan Sadikin General Hospital, Bandung in November 2012 Ainna Binti Mohamad Dat; Tertianto Prabowo; Alwin Tahid
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Osteoarthritis is one of the major disabilities among elderly. One of its well-recognized potent risk factors is obesity. The aim of this study was to identify the body mass index and severity of knee osteoarthritis patients who were treated in Dr. Hasan Sadikin General Hospital Bandung.Methods: A descriptive study was carried out to 9 patients of the Medical Rehabilitation Policlinic at Dr. Hasan Sadikin General Hospital Bandung in November 2012. Patients were diagnosed as having knee Osteoarthritis based on American College of Rheumatology clinical classification. Exclusion criteria were patient having previous trauma in spine and lower limb, having bleeding disorder like hemophilia, incomplete data in medical records and incomplete data in questionnaire. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to measure the intensity of pain, stiffness, and functional difficulty.  The weight (kg) and height (cm) of the patients were measured and the Body Mass Index was calculated by Weight (kg)/Height² (m). The data were analyzed using frequency distribution.Results: The patients who came to the Medical Rehabilitation Policlinic had ranged in age from 57 to78 years, mostly female with knee Osteoarthritis bilateral. Out of 9 patients, 5 patients were overweight, followed by normal BMI and obese type I. Patient with obese type 1 had the highest WOMAC score.  Conclusions: Most of the patients with knee osteoarthritis bilateral are overweight and the patient with obese type 1 has the highest WOMAC score. DOI: 10.15850/amj.v2n3.521