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All Journal Jurnal Ilmiah Kedokteran Wijaya Kusuma Jurnal Nuansa Akademik: Jurnal Pembangunan Masyarakat JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
Yahya, Taufik Nur
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Religion Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Education Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences

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Pelayanan Kesehatan bagi Lansia di Desa Bantulan Sleman melalui Kolaborasi Dokter Umum dan Dokter Spesialis Nugroho, Arie; Yahya, Taufik Nur; Mufattan, Ahmad; Annisa, Viviane
Nuansa Akademik: Jurnal Pembangunan Masyarakat Vol. 10 No. 2 (2025)
Publisher : Lembaga Dakwah dan Pembangunan Masyarakat Universitas Cokroaminoto Yogyakarta (LDPM UCY)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47200/jnajpm.v10i2.3082

Abstract

Bantulan Village, located in Godean District, Sleman Regency, is an area with a relatively high elderly population. However, most of the elderly in this area have not received comprehensive health services, especially from specialist doctors capable of treating chronic complaints often experienced by the elderly, such as joint pain, mobility disorders, and heart or lung disease. Therefore, a Free Health Service activity was held. This series of activities was carried out by a social project team from the Department of Surgery, Faculty of Medicine, University of Indonesia (UII), several members of which are health workers, namely general practitioners, orthopedic specialists, and thoracic surgeons. The social project will take the form of free health checks by general practitioners, orthopedic specialists, and thoracic surgeons, distribution of free medicines by pharmacists, free health consultations, and provision of education and referrals for patients requiring further management. This activity shows the high enthusiasm of the residents in carrying out this activity.
Impact of Internal Mammary Artery Harvesting on Sternal Healing: A Review Yahya, Taufik Nur; Ismail, Naufal Arif
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol. 14 No. 2 (2025): SEPTEMBER 2025
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30742/jikw.v14i2.4282

Abstract

Background: Internal mammary artery (IMA) is the preferred conduit for coronary artery bypass grafting (CABG) due to its superior long-term patency. However, its harvesting disrupts sternal vascularization, potentially leading to impaired sternal healing and complications such as sternal wound infection (SWI). This review aims to synthesize current evidence on how IMA harvesting affects sternal healing after CABG, with a focus on surgical techniques, patient risk factors, and postoperative complications. Objective: This review aims to provide a comprehensive synthesis of current evidence regarding the impact of IMA harvesting on sternal healing following CABG. Methods: A review was conducted using the PubMed and ScienceDirect databases, including studies published from 2015 to 2025. Studies published before 2015 were considered if they provided foundational knowledge and were relevant. Randomized controlled trials (RCTs), propensity studies, and observational studies analyzing IMA harvesting techniques and sternal healing were included. The primary outcomes assessed were SWI, non-union, and delayed healing. Results: A total of 13 studies met the inclusion criteria, comprising 6 observational studies, 3 propensity-matched studies, and 4 RCTs. Bilateral IMA grafting was associated with an increased risk of SWI, especially in diabetic and obese patients. However, skeletonized IMA harvesting was linked to improved sternal perfusion and reduced wound complications compared to pedicled techniques. Additionally, interventions such as continuous insulin infusion and low-level laser therapy showed promise in enhancing sternal healing outcomes. Conclusion: IMA harvesting impacts sternal healing, particularly in high-risk patients undergoing bilateral IMA grafting. Skeletonized harvesting techniques and optimized perioperative care can mitigate the risk of complications.
Blast injury of the hand in a pediatric patient with open fracture: A case report Nugroho, Arie; Zahra, Afifah Az; Yahya, Taufik Nur
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 17, No 1, (2026)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol17.Iss1.art15

Abstract

Blast injuries can cause severe, multi-tissue damage, including open fractures and extensive lacerations. Management of pediatric hand blast injuries is particularly challenging due to a high risk of contamination and infection. We report the case of a 10-year-old boy who sustained a left-hand blast injury caused by a firecracker. The patient presented with a contaminated lacerated wound, active bleeding, tissue avulsion, and retained foreign bodies, accompanied by crepitus and cyanosis of the index finger. Initial management included debridement and irrigation. Surgical intervention consisted thorough debridement, exploration of tendon and neurovascular structure, and K-wires fixation of the index finger. Despite appropriate initial management, the patient developed chronic necrotic tissue infection, necessitating ray amputation of the index finger to control the infection. Further evaluation suggested that primary vascular disruption, exacerbated by contamination and infection, contributed to progressive necrosis, particularly at the metacarpophalangeal level. To prevent further infection spread and salvage overall hand function, repeated debridement followed by amputation at the metacarpophalangeal joint and removal of fixation wires was performed. Structured rehabilitation was subsequently initiated. Pediatric hand blast injuries represent complex traumatic conditions with a high risk of tissue necrosis. Early diagnosis and aggressive surgical management are essential; however, compromised tissue viability and severe infections may necessitate amputation as a limb-salvage strategy. This case underscores the importance of comprehensive management and highlights the need for improved community-based prevention efforts.
Co-Authors Annisa, Viviane Arie Nugroho, Arie Ismail, Naufal Arif Mufattan, Ahmad Zahra, Afifah Az