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Profile Comparison of Patients with Staphylococcus aureus and Staphylococcus haemolyticus on Pus Specimen at Dr. Moewardi Hospital MAHARANI, AMANDA DIAH; ., Marwoto; Nefihancoro, Udi Heru
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.048 KB)

Introduction: Staphylococcus aureus and Staphylococcus haemolyticus were some of bacteria that often found in pus specimen. Unlike S. aureus, which is true pathogen, S. haemolyticus which is known by opportunistic bacteria were not considered as caused of infection. Therefore, the need of comparative data that can determine whether S. haemolyticus were cause of infection or just colonization was necessary. The purpose of this research is to compare clinical profile of patientsâ with S. aureus and S. haemolyticus found in pus specimen. Methods: This study was a descriptive research using cross-sectional approach. The object of the research were patientsâ medical records which have been identified by pus culture with positive result of Staphylococcus aureus and Staphylococcus haemolyticus on 2013-2014. Sampling was held during November and December 2015 at Dr. Moewardi Hospital, Surakarta with inclusion and exclusion criterias. Sampling was done and 69 people taken from the population. The data was statically analyzed by frequency distributive technique. Result: In 2 years, it is found that patients with Staphylococcus aureus and Staphylococcus haemolyticus are dominantly by men. Most of patients are adult (19-65 years old). Body temperature of patients with Staphylococcus aureus risk 2,04 times of increasing than patients with Staphylococcus haemolyticus. Conclusions: There are differences in clinical profile of patient with Staphylococcus aureus and Staphylococcus haemolyticus on pus specimen at Dr. Moewardi Hospital. Keywords: Pus Specimen, Pus Culture, Staphylococcus aureus, Â Staphylococcus haemolyticus

To Pin a SCFE One Screw is Preferred than Two Screws in Children Nefihancoro, Udi Heru
Indonesian Journal of Medicine Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Slipped capital femoral epiÂphyÂsis (SCFE) is one of the most frequent hip disÂorÂders in children. SCFE is due to the disÂplacÂement of the epiphysis (femoral head that keeps its location in the acetabulum) relative to the meÂtaphysis (femoral neck) and shaft at the phyÂsic level. Treatment seeks to prevent worÂsenÂÂing of epiphyseal slippage on the metaÂphyÂsis, and percutaneous in situ fixation (ISF) using a single cannulated screw has long shown effiÂcacy.Case Presentation: An 11 years old boy preÂsented with diagnosed with slipped capital feÂmoÂral epiphysiolysis of right hip and treated opeÂÂÂratively with one screw pinning guiding fluÂoÂÂroscopy. Post operatively, from X-Ray evaÂluÂaÂtion confirmed the proper position without joÂint penetration. Patient is then advised to walk with crutches for gradual weight bearing to full weight bearing after 4 weeks. Then after 6 weeks, patient had already walked normally again.Conclusion: In unstable moderate-to-severe SCFE, the best reduction indications and techÂniÂÂque remain controversial. There are many theÂÂories supporting one or two screws pinning techÂÂnique. In this case we used one screw pinÂning fixation with excellent result.Keywords: slipped capital femoral epiphysis, treatment, one screw in situ fixationCorrespondence: Udi Heru Nefihancoro. Department of OrthÂoÂpaeÂdic and Traumatology, Dr. Moewardi HosÂpiÂtal/ Faculty of Medicine, Universitas Sebelas MaÂret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email:udyheÂrunefy@ymail.Âcom. MoÂbile: +62 816-672-767.Indonesian Journal of Medicine (2020), 5(1): 24-30https://doi.org/10.26911/theijmed.2020.05.01.04

Profile Comparison of Patients with Staphylococcus aureus and Staphylococcus haemolyticus on Pus Specimen at Dr. Moewardi Hospital AMANDA DIAH MAHARANI; Marwoto .; Udi Heru Nefihancoro
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.048 KB)

Introduction: Staphylococcus aureus and Staphylococcus haemolyticus were some of bacteria that often found in pus specimen. Unlike S. aureus, which is true pathogen, S. haemolyticus which is known by opportunistic bacteria were not considered as caused of infection. Therefore, the need of comparative data that can determine whether S. haemolyticus were cause of infection or just colonization was necessary. The purpose of this research is to compare clinical profile of patients with S. aureus and S. haemolyticus found in pus specimen. Methods: This study was a descriptive research using cross-sectional approach. The object of the research were patients medical records which have been identified by pus culture with positive result of Staphylococcus aureus and Staphylococcus haemolyticus on 2013-2014. Sampling was held during November and December 2015 at Dr. Moewardi Hospital, Surakarta with inclusion and exclusion criterias. Sampling was done and 69 people taken from the population. The data was statically analyzed by frequency distributive technique. Result: In 2 years, it is found that patients with Staphylococcus aureus and Staphylococcus haemolyticus are dominantly by men. Most of patients are adult (19-65 years old). Body temperature of patients with Staphylococcus aureus risk 2,04 times of increasing than patients with Staphylococcus haemolyticus. Conclusions: There are differences in clinical profile of patient with Staphylococcus aureus and Staphylococcus haemolyticus on pus specimen at Dr. Moewardi Hospital. Keywords: Pus Specimen, Pus Culture, Staphylococcus aureus, Staphylococcus haemolyticus

A Systematic Review On The Outcomes Of Fibular Strut Graft For Femoral Neck Fractures In Adults Bintang Soetjahjo; Udi Heru Nefihancoro; Rieva Ermawan; Gilang Teguh Pratama
Biomolecular and Health Science Journal Vol. 4 No. 1 (2021): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bhsj.v4i1.26912

Introduction: Femoral neck fractures are a type of intracapsular hip fracture which also be found in younger patients who suffered from high-energy trauma such as vehicle accidents. Non-union and avascular necrosis are the most frequent complications following femoral neck fractures. In this study, we reviewed the outcomes of fibular grafting techniques for femoral neck fractures in adults.Methods: Online libraries PubMed, Cochrane Library and Scopus were searched for relevant papers. We searched for scientific publications published between 2009 and 2020. Inclusion and exclusion criteria were used, and prespecified characteristic were extracted from each study.Results: We found 172 papers relevant to the topic. At last, we included 6 papers in this systematic review with a total of 198 patients. Fibular strut graft for femoral neck fractures have shown excellent outcomes, uniting 177 (89,39%) of 198 fractures reviewed. Overall, 15 patients (7,57%) experiencing non-union and 12 patients (6,06%) having avascular necrosis.Conclusion: The outcomes of the intervention turned out to be excellent, assessed by both functional outcome criteria and radiographic bony union. It is important to established a consensus on surgical intervention for femoral neck fractures, specifically including fibular strut grafting.

Pemberdayaan Orang Tua dalam Pemantauan Status Gizi dan Imunisasi pada Balita selama Pandemi Covid-19 Angesti Nugraheni; Atriany Nilam Sari; Sri Mulyani; Vitri Widaningsih; Udi Heru Nefihancoro
Poltekita: Jurnal Pengabdian Masyarakat Vol. 3 No. 4 (2022): Oktober - Desember
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

The Covid-19 pandemic has directly impacted the continuity of children's health services. As many as 10.31% of children experienced delays in immunization, and 17% of toddlers had malnutrition status. The purpose of this service is to provide education for mothers who have toddlers to continue to monitor the nutritional status and immunization of children during a pandemic. The target of this activity is mothers who have toddlers and include members at the Sekolah Komplementer Cinta Ibu as many as 31 mothers. The provision of education is given through a whatsapp group, starting with extracting information about the nutritional status and immunization of children after providing material according to related problems, then giving a questionnaire to find out the level of maternal knowledge. The results showed that 32.26% of toddlers had incomplete basic immunization status, besides that there were still 6.45% with malnutrition status and 9.68% more nutrition, but after providing education, the mother's knowledge level was in the good category. Parents are empowered and aware of the health needs of children, so a quality generation will be created. ABSTRAK Pandemi Covid-19 secara langsung berdampak pada kelangsungan pelayanan kesehatan anak. Sebesar 10,31 % anak mengalami penundaan imunisasi, dan 17% balita berstatus gizi kurang. Tujuan pengabdian ini memberikan edukasi bagi ibu yang memiliki balita untuk tetap melakukan pemantauan status gizi dan imunisasi anak di masa pandemi. Sasaran kegiatan ini adalah ibu yang memiliki balita dan termasuk anggota di Sekolah Komplementer Cinta Ibu sebanyak 31 ibu. Pemberian edukasi diberikan melalui grup whatsapp, diawali dengan penggalian informasi mengenai status gizi dan imunisasi anak setelahnya memberikan materi sesuai dengan masalah terkait, kemudian pemberian kuisioner untuk mengetahui tingkat pengetahuan ibu. Hasil menunjukkan 32,26% balita berstatus imunisasi dasar tidak lengkap, selain itu masih terdapat 6,45% berstatus gizi kurang dan 9,68% gizi lebih, namun setelah pemberian edukasi tingkat pengetahuan ibu berada dalam kategori baik. Orang tua berdaya dan sadar akan kebutuhan kesehatan anak, maka akan tercipta generasi yang berkualitas.

The Profile of Osteogenesis Imperfecta in Dr. Moewardi General Hospital Year 2020-2021: A Retrospective Study Udi Heru Nefihancoro; Ricat Hinaywan Malik
Jurnal Kedokteran Brawijaya Vol. 32 No. 4 (2023)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2023.032.04.6

Osteogenesis imperfecta (OI) is a heritable bone dysplasia characterized by bone fragility and long bone deformities. This study aims to report the profile of osteogenesis imperfecta in Dr. Moewardi General Hospital. The patients were searched from the medical record, registered from January 1, 2020, to December 31, 2021, in Dr. Moewardi General Hospital, a tertiary hospital in Surakarta, Indonesia. The data were recorded and described in tables as age, sex, type of OI according to Sillence, clinic, ward admission, signs and symptoms, bisphosphonate therapy and its discipline, as well as the surgical/non-surgical treatment. The quantity of male patients is higher than that of females, OI type IV is the most common, the most common sign/symptoms are fracture and blue sclera, and the most common bone to be fractured is the femur. More than half of patients received bisphosphonate therapy, but only a quarter received it routinely. More than half of patients have performed surgery as the treatment of fractures. Osteogenesis imperfecta patients require an interdisciplinary and tailored treatment that involves both medical and surgical components.

Hubungan Antara Riwayat Pekerjaan Dengan Derajat Osteoarthritis Pada Wanita Usia Di Atas 65 Tahun Deni Prasetyo Utomo; Dhoni Akbar Ghozali; Rhyan Darma Saputra; Udi Heru Nefihancoro
Plexus Medical Journal Vol. 1 No. 2 (2022): Plexus Medical Journal
Publisher : Fakultas Kedokteran, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/plexus.v1i2.23

Introduction: Osteoarthritis is a chronic degenerative disease characterized by pain and joint cartilage damage. Osteoarthritis is a disease that disrupts the homeostasis of cartilage metabolism so that it damages the proteoglycan structure in cartilage caused by age, excessive joint wear, anatomic defects, mechanical or chemical stress, obesity, genetics and humoral. Osteoarthritis generally occurs in the knees, feet, shoulders, hands, spine, and hips. Certain work conditions that require more strenuous physical movements such as lifting heavy weights and going up and down stairs are a risk factor for osteoarthritis. The purpose of this study was to determine the relationship between work history and the degree of osteoarthritis in women aged over 65 years. Methods: This is an analytical observational research with cross sectional study design. The Subject in this research is medical record patient RSUD DR MOEWARDI SURAKARTA Hospital who have met the criteria. Sampling was done using simple random sampling technique. Data was collected and then analyzed using Spearman correlation test. Results: The analysis result from 46 samples using Spearman correlation test obtained a p value of less than 0.05 indicating that there is a significant relationship between work history and the degree of osteoarthritis in women aged over 65 years. Conclusion: There is a significant relationship between work history and the degree of osteoarthritis in women aged over 65 years. Keywords: Osteoarthritis; Occupational History; Degree of OA

Analysis of the Role of Vitamin C Hypovitaminosis in Scurvy on Bone Health: A Single Center Observational Study at Dr. Moewardi General Hospital, Surakarta, Indonesia Udi Heru Nefihancoro; Rachmad Faisal
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 9 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i9.1066

Background: Scurvy, vitamin C deficiency, is a rare condition but remains relevant in Indonesia. This study aims to analyze the role of vitamin C hypovitaminosis in the development of scurvy and its impact on bone health through an observational study at Dr. Moewardi General Hospital. Surakarta. Methods: A cross-sectional observational study was conducted on 30 patients diagnosed with scurvy at Dr. Moewardi General Hospital Surakarta during the 2020-2023 period. Demographic data, medical history, nutritional status, and severity of scurvy were collected. A radiological examination of the bone is performed to assess scurvy-related changes. Descriptive, comparative, and Spearman correlation statistical analyzes were used. Results: The majority of patients were men (66.7%) with a mean age of 45 years. A history of an unbalanced diet with low fruit and vegetable intake was found in the majority of patients (86.7%). Common symptoms include fatigue (86.7%), joint pain (73.3%), bleeding gums (60%), and skin bleeding (53.3%). The severity of scurvy varied, with 10 patients (33.3%) experiencing severe scurvy. Radiological examination shows significant changes in long bones, especially osteoporosis and thinning of the cortex, which is more obvious in patients with severe scurvy. Spearman correlation analysis showed a positive correlation between the severity of scurvy and the incidence of osteoporosis (rho = 0.495, p = 0.005) and cortical thinning (rho = 0.394, p = 0.031). Conclusion: Vitamin C hypovitaminosis plays a significant role in the development of scurvy and has a negative impact on bone health. Early screening and diagnosis of scurvy are important to prevent musculoskeletal complications. Nutritional education and dietary interventions to increase vitamin C intake need to be intensified, especially in high-risk groups.

Effectiveness of Mechanical Treatments (Periosteal Stripping VS Non-Periosteal Stripping) on Fracture Healing: In Vivo Study Udi Heru Nefihancoro; Septriarta Parlindungan; Ida Bagus Budhi Surya Adnyana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 9 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i9.1071

Background: Periosteal stripping (PS) is a controversial technique in fracture management, with studies reporting both positive and negative effects on bone healing. This study aims to evaluate the effectiveness of PS and non-periosteal stripping (NPS) on fracture healing in the Sprague Dawley rat model. Methods: This study is an in vivo experimental research. Male Sprague Dawley rats (8-10 weeks old) were divided into four groups (n=10 per group): Group I: NPS, evaluation day 14; Group II: PS, evaluation day 14; Group III: NPS, evaluation day 28 and Group IV: PS, evaluation day 28. A standard fracture was created in the tibia, and PS or NPS was performed. Radiographic evaluation was performed on days 14 and 28, with the RUST score (Radiographic Union Score for Tibia) used to assess fracture healing. Statistical analysis was performed using the Kruskal-Wallis test. Results: The RUST score showed better fracture healing in the NPS group compared to PS on day 28 (p<0.05). There was no significant difference on day 14 (p>0.05). Conclusion: NPS was more effective in accelerating fracture healing in Sprague Dawley rats than PS, especially in the later stages of healing. These findings provide further evidence of the potential adverse effects of PS and highlight the importance of considering time in assessing its efficacy.

Analysis of the Role of Vitamin C Hypovitaminosis in Scurvy on Bone Health: A Single Center Observational Study at Dr. Moewardi General Hospital, Surakarta, Indonesia Udi Heru Nefihancoro; Rachmad Faisal
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 9 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i9.1066

Background: Scurvy, vitamin C deficiency, is a rare condition but remains relevant in Indonesia. This study aims to analyze the role of vitamin C hypovitaminosis in the development of scurvy and its impact on bone health through an observational study at Dr. Moewardi General Hospital. Surakarta. Methods: A cross-sectional observational study was conducted on 30 patients diagnosed with scurvy at Dr. Moewardi General Hospital Surakarta during the 2020-2023 period. Demographic data, medical history, nutritional status, and severity of scurvy were collected. A radiological examination of the bone is performed to assess scurvy-related changes. Descriptive, comparative, and Spearman correlation statistical analyzes were used. Results: The majority of patients were men (66.7%) with a mean age of 45 years. A history of an unbalanced diet with low fruit and vegetable intake was found in the majority of patients (86.7%). Common symptoms include fatigue (86.7%), joint pain (73.3%), bleeding gums (60%), and skin bleeding (53.3%). The severity of scurvy varied, with 10 patients (33.3%) experiencing severe scurvy. Radiological examination shows significant changes in long bones, especially osteoporosis and thinning of the cortex, which is more obvious in patients with severe scurvy. Spearman correlation analysis showed a positive correlation between the severity of scurvy and the incidence of osteoporosis (rho = 0.495, p = 0.005) and cortical thinning (rho = 0.394, p = 0.031). Conclusion: Vitamin C hypovitaminosis plays a significant role in the development of scurvy and has a negative impact on bone health. Early screening and diagnosis of scurvy are important to prevent musculoskeletal complications. Nutritional education and dietary interventions to increase vitamin C intake need to be intensified, especially in high-risk groups.

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