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All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) Majalah Kedokteran Bandung Althea Medical Journal Berkala Kedokteran Jurnal Sistem Kesehatan Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan Journal of Case Reports in Dental Medicine Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) PREPOTIF : Jurnal Kesehatan Masyarakat Journal Orthopaedi and Traumatology Surabaya (JOINTS) Cermin Dunia Kedokteran Cermin Dunia Kedokteran

Yoyos Dias Ismiarto

Departement Of Orthopaedi And Traumatology, Faculty Of Medicine, Universitas Padjadjaran/ Dr. Hasan Sadikin General Hospital, Bandung

Author-ID : 289635

Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Potensi Zink untuk Terapi Osteoporosis Fajar, Adam; Ismiarto, Yoyos Dias
Cermin Dunia Kedokteran Vol 46, No 3 (2019): Nutrisi
Publisher : PT. Kalbe Farma Tbk.

Osteoporosis ditandai dengan pengurangan massa tulang dan gangguan mikro-arsitektur jaringan tulang, mengakibatkan tulang menjadi rapuh dan meningkatkan risiko fraktur. Terapi osteoporosis meliputi perubahan gaya hidup dan obat-obatan yang dapat meningkatkan kekuatan tulang. Zink berpotensi mengurangi proses penyerapan tulang dan merangsang pembentukan tulang. Penelitian lebih lanjut dibutuhkan untuk mengetahui efektivitas zink dalam tatalaksana osteoporosis.Osteoporosis is characterized by bone mass reduction and bone tissue micro-architectural disorders that result in brittle bone and increased risk of fracture. Osteoporosis therapy includes lifestyle changes and drugs to increase bone strength. Zinc has the potential to decrease bone resorption and stimulate bone formation. Further study are needed to determine the efectivity of zinc is osteoporosis therapy.

Complications of Fracture Treatment by Traditional Bonesetters in West Java, Indonesia Putri Liana Warman; Yoyos Dias Ismiarto; Undang Ruhimat
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Traditional medicine practices are still occurring especially in developing countries such as Indonesia. One of the traditional practitioners is the traditional bonesetter (TBS). Due to lack of knowledge of human anatomy, physiology, infection prevention and control, the practices of the TBS has a risk to increase the complications in fractured patients. The objectives of this study was to identify the complications of fractured patients treated by the TBS who were admitted to dr. Hasan Sadikin General Hospital in West Java, IndonesiaMethods: This descriptive study involved 86 medical records of fractured patients admitted to the hospital, from January to December 2014. The collected data were gender, age, admission time after occurrence of the fracture, site of the fracture and early or delayed complications. Moreover, those data were analyzed and presented using frequency tabulation. Results: Out of 86 patients; 61 (70.93%) were males; 16 (18.60%) were 21–30 years old; 25 (29.07%) had fractures 1–3 months before admitted to the hospital; 83 (96.51%) had closed fractures. There were 86 patients with 109 fractures location; 66 (76.74%) had fractures in one location; 41 (37.61%) had femoral fractures. Half of the patients had malunion.Conclusions: The most complication is malunion.

Identification of Bacteria from Skin Swab in Pre-operative Closed Fracture Orthopedic Surgery Patients at Dr. Hasan Sadikin General Hospital Ghita Bengtissen; Sunarjati Sudigdoadi; Yoyos Dias Ismiarto; Isa Ridwan
Althea Medical Journal Vol 6, No 3 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Surgical site infection (SSI) is the most frequent site of health care- associated infections (HAIs). Surgical incision breaks the protective barrier of the skin and causes bacteria to enter; therefore, pre-operative procedure is very important to reduce the risk of SSI. This study aimed to identify any bacteria in skin swab of pre-operative closed fracture during elective orthopedic surgery patients.Methods: This was a descriptive laboratory study, conducted in the Department of Microbiology, Faculty of Medicine, Universitas Padjadjaran in October to November 2012. Samples were taken from skin swab of patients with closed fracture taken before elective orthopedic surgery. Samples were cultured on blood agar, then incubated in an aerobic condition for 24 hours at 37°C. The bacteria were then identified, including the type and the number of the bacteria colonies, using microscopic gram staining and by biochemistry testing using coagulase, novobiocin, and catalase test. The bacteria colonies formed on blood agar were counted using CFU/mL. Results: Of 24 samples taken, 14 (58.3%) were positive for bacteria, 7 negative and 3 were excluded due to dead bacteria. The bacteria identified in the samples were all staphylococcus species and the colony counting was lower than 10⁵ CFU/mL.Conclusions: Bacteria staphylococcus are detected from more than half of skin swab during pre-operative closed fracture orthopedic surgery patients. Thus, it is important to apply a proper antiseptic procedure before making a surgical incision to reduce the risk of SSI.

Role of Kletik oil, Ginger and Garlic Extracts towards Soft Tissue Injury Benjamin Yong Qing Nan; Yoyos Dias Ismiarto; Adhi Kristianto Sugianli
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (57.845 KB)

Background: There is an increased consumption of herbal medicines throughout the world as an alternative treatment for curing health problems. Several herbal medicines are believed to contain anti-inflammatory properties that could trigger healing process. But little is known about the combination effect of herbal medicines. Therefore, the objective of the study was to determine the effects of garlic, ginger and coconut oil (kletik oil) on soft tissue injury (swelling).Methods: The study was held in the research laboratory of Faculty of Medicine Universitas Padjadjaran, from 24th September until 1st October 2014. This experimental study used 7 healthy rabbits (Lepus curpaeums, ±2.5kg) as animal models for each control and intervention group with induced soft tissue injury in the dorsal ear to mimic swelling (inflammation). The mixture of herbs was applied on the injured site in the trial group, while the healing process was denoted by the thickness of edema and time of observation. The data was analyzed using Wilcoxon test.Results: The study results showed that after observation time of 0.5 hour, 2 hours, and 5 hours, edema thickness was unvaried. Onset of action of the herbal mixture began 24 hours after induced injury, with significant difference of edema thickness on both groups; hence the p-value 0.019 (p<0.05).Conclusions: The herbal mixture of ginger, garlic, and coconut oil (kletik oil) contains anti-inflammatory properties to enhance the healing process of soft tissue injury. [AMJ.2016;3(3):421–4]DOI: 10.15850/amj.v3n3.870

Relationship between Nutritional Status and Flat Foot in Children Joyce Phua Pau Fung; Yoyos Dias Ismiarto; Wulan Mayasari
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.904 KB)

Background: Pediatric flatfoot has been reported as the highest clinical complains for foot problems in pediatric department. Nutritional status has showed great influence on the occurrence of flat foot. There are many debates regarding whether underweight or overweight children are more prone to flatfoot. The aim of this study was to analyze the relationship between nutritional status and flatfoot in children.Methods: A cross sectional study was conducted from July to October 2015 in 3 primary schools in Kecamatan Jatinangor. There were 259 children of grade 4 to 5 included in this study. Flatfoot screening was based on measurement of footprint and calculation using Chippaux-smirak index (CSI). The height and weight of children were measured to obtain their Body Mass Index (BMI). Nutritional status was classified based on CDC BMI-for-age growth charts. Analysis was done using chi-square test.Results: There was significant association between nutritional status and flatfoot with p value<0.001.The prevalence of flatfoot in children grade 4to5is40%. When compared to the normal weight children, the overweight children showed prevalence ratio of 1.97(95% CI:1.47 to 2.64) while the underweight children showed prevalence ratio of 1.34 (95% CI:1.78 to 2.25).This stated that the risk of developing flat foot was higher in overweight children.Conclusions: There is significant association between nutritional status with children grade4 to 5. Overweight children are more prone to flat foot. [AMJ.2017;4(1):152–6] DOI: 10.15850/amj.v4n1.1038

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (704.771 KB)

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]

Proportion of Traumatic Avascular Necrosis on Hip Joint at Dr. Hasan Sadikin General Hospital Bandung in 2016–2020 Annisa Nurrizki Baroqah; Undang Ruhimat; Yoyos Dias Ismiarto
Althea Medical Journal Vol 8, No 4 (2021)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v8n4.2195

Background: Traumatic factors affecting the femur such as fractures and dislocations can cause complications in the form of avascular necrosis (AVN), if not treated immediately, AVN is one of the contributors to total hip arthroplasty (THA) usage and disability which will have an impact on productivity and quality of life. Hence, it is necessary to understand the epidemiology of AVN caused by traumatic factors. This study aimed to determine the proportion of traumatic AVN on the hip joint at Dr. Hasan Sadikin General Hospital. Methods: A Descriptive-observational study with a cross-sectional study design was conducted on all patients registered in the medical record database, with a diagnosis of AVN on the hip joint at Dr. Hasan Sadikin General Hospital Bandung in 2016–2020. Traumatic AVN was included and patients with incomplete medical record data were excluded.Results: In total, 210 patients were registered in the medical records and only 56 had complete medical records, and 10.5% (22 of 210) were diagnosed with traumatic AVN of the hip joint, consisting of 14 male with most of the trauma (n=11) caused by AVN were femoral neck fractures and 20 patients were of productive age (18–64 years old). Most of the patients underwent surgical therapy with a THA (n=20).Conclusion: The proportion of AVN on the hip joint caused by trauma is 10.5%. However, this disease should not be underestimated because AVN has the potential to cause disability and impact the quality of life.

The Prevalence of Musculoskeletal Disorders among Orthopaedic and Traumatology Residents in Indonesia Romy Deviandri; Yoyos Dias Ismiarto
Jurnal Ilmu Kedokteran Vol 15, No 2 (2021): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v15i2.2021.87-90

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

Concomitant Distal Radioulnar Joint Disruption in Distal End Radius Fracture Cases Admitted to Emergency Ward Hasan Sadikin Hospital January 2013 – December 2015 Tody Pinandita; Herry Herman; Yoyos Dias Ismiarto
Berkala Kedokteran Vol 15, No 1 (2019)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstract: The distal end radius and ulna is an integral part of the wrist joint and preservation of its normal anatomy is essential for the mobility of the wrist. The most common cause of residual wrist disability after distal end radius fractures is the disruption of distal radioulnar joint (DRUJ). Early recognition and management in the acute stage aim at the anatomic reconstruction of the DRUJ in an effort to reduce incidence of chronic pain and loss of wrist motion. The purpose of this study is to identify the prevalence of accompanying DRUJ in distal end radius fracture cases, highlighting its significance in occurance. This was a retrospective study with an analytic descriptive method and data from January 2013-December 2015 taken from medical records of Dr. Hasan Sadikin Hospital. From research, we found 74 cases of distal end radius fracture. The most common injured wrist were dominant hand as 46 cases (62,2%), and non-dominant hand as 28 cases (37,8%). From all data, DRUJ disruption were marked as 37 cases (50%). Extraarticular fracture with concomitant DRUJ disruption were marked in 3 cases (8,1%) and in intraarticular involvement were 34 cases (91,9 %). From this study, we can conclude that half of the distal end radius fracture cases, especially intraarticular, were accompanied by DRUJ disruption. This should be an issue to be concerned by the physician when evaluating distal end radius fracture cases and to perform proper treatment.

Comparison of the Colonies Number of the Germs Formed Post Operation between the Utilization of Single, Double, and Orthopedic Gloves in Closed Fracture Operations More Than 2 Hours Deni Maulana; Yoyos Dias Ismiarto; Widya Arsa
Berkala Kedokteran Vol 17, No 2 (2021)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Abstract: Post-operative infection is still one of the most common nosocomial diseases that can cause great losses because it will increase the length of stay, use of drugs, and reduce the quality of life of the patients. The risk will increase if the number of colonies is> 105 bacteria per gram of tissue. Various ways have been done to reduce the number of bacteria in the operation area, including the use of surgical gloves. This study analyzed the comparison of the level of bacterial colonies that grew on the surface of single, double, and orthopedic surgical gloves in closed fracture management for more than 2 hours at Hasan Sadikin Hospital. The statistical analysis was done with p-value = 0.011 (<0.05), which means a significant difference in the number of germ colonies that grow between single, double, and orthopedic gloves. Double gloves and orthopedic gloves have a better ability to reduce bacterial colony growth. Meanwhile, there was no significant difference in the number of bacterial colonies formed between double gloves and orthopedics. Perforation is a factor affecting the number of germ colonies that formed. The use of double gloves and orthopedic gloves in closed fracture surgery for more than 2 hours shows the number of bacterial colonies formed is less than single gloves. There was a significant difference in the rate of perforation between standard surgical gloves and orthopedic gloves. Keywords: Bacteria colony, Single glove, Double glove, Orthopaedic glove, Perforation

Co-Authors Achmad, Iwan Hipsa Adam Fajar Adam Fajar Adhi Kristianto Sugianli Adriel Benedict Haryono Agus Hadian Rahim Ahmad Ramdan Ahmad Ramdan Ahmad Ramdan Alwin Tahid Andreas Vincent Handoyo Anglita Yantisetiasti Anita Kurniawati Anita Kurniawati, Anita Annisa Nur Maulidya Annisa Nurrizki Baroqah Arif, Yoan Putrasos Arnold David Pardamean Benjamin Yong Qing Nan Boby Harul Priono Chaidir, M Rizal Darmadji Ismono Darmadji Ismono, Darmadji Delita Prihatni Deni Maulana Dicky Mulyadi Edhyana Sahiratmadja Endang Syamsudin fachri, Dliyauddin Fadli, Sanditya Fadly Husain Fajar Yulianto KR Fajar, Adam Farry, Farry Faturrachman, Yoga Fung, Joyce Phua Pau Ghita Bengtissen Ghuna Arioharjo Utoyo Helmi Ismunandar Helmi Ismunandar Hermawan Nagar Rasyid, Hermawan Nagar Herry Herman Iman Dwi Winanto Isa Ridwan Joyce Phua Pau Fung Liliek Yudhantoro Luthfi, Kemas Abdul Mutholib M Rizal Chaidir M. Rizal Chaidir, M. Rizal Mahyudin Mahyudin Mahyudin Mahyudin Mayasari, Wulan Mohammad Rizal Chaidir Nucki Nursjamsi Hidajat, Nucki Nursjamsi Nucki Nursjamsi Hidayat Nucki Nursjamsi Hidayat, Nucki Nursjamsi Nugraha, Fitrahadi Nugraha, Yudi Purnama Pardamean, Arnold David Perdana, M. F. Nanda Perdana, Mohammad Fatikh Nanda Pinandita, Tody Putri Liana Warman Qing Nan, Benjamin Yong Ramadiputra, Gamal Renaldi Satria Handika Reni Nurazizah Rifki Albana Romy Deviandri Setiawanto, Teguh Siahaan, Denny Maulana Siauw, Cahyadi Sitanggang, Gustman Lumanda Siwendro, Afrisya Bimo Sunarjati Sudigdoadi Tody Pinandita Tody Pinandita Undang Ruhimat Undang Ruhimat Undang Ruhimat Warman, Putri Liana Wenny Dwi Chandra Wenny Dwi Chandra, Wenny Dwi Widya Arsa Wulan Mayasari Wulan Mayasari Yudhantoro, Liliek

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