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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.