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Prasetyadi Mawardi
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Bagian Pendidikan & Penelitian RSUD Dr. Moewardi Jl. Kol. Soetarto 132 Fax (0271) 666954 Surakarta
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Kota surakarta,
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INDONESIA
Indonesian Basic and Experimental Health Sciences
Published by RSUD Dr. Moewardi
ISSN : -     EISSN : 30255929     DOI : 10.11594/ibehs
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Indonesian Basic and Experimental Health Sciences Journal (IBEHS) is a health journal published by RSUD Dr. Moewardi Surakarta, Central Java, Indonesia as a contribution to RSUD Dr. Moewardi for the development and progress of health science which is marked by various innovations and creativity of health workers, both in the Dr. Moewardi or other health workers who are always concerned about education, research, and community service in the health sector.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 5 Documents
 1 
Search results for , issue "Vol. 12 No. 2 (2024): April" : 5 Documents clear
Trigeminal Block for Submandibular Abscess in Pediatric with Difficult Intubation: A Case Report Septian Adi Permana; Cipta, Juan
Indonesian Basic and Experimental Health Sciences Vol. 12 No. 2 (2024): April
Publisher : Rumah Sakit Umum Daerah Dr. Moewardi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ibehs.vol12iss2pp55-58

Abstract

Background: The use of trigeminal block with/without ultrasonography guidance as a pain management in outpatient settings are common, mainly for neuralgic pain. Whereas, the use of trigeminal block are not widely performed intraoperatively especially for oral-maxillofacial surgery. Case: We present a case of 16 year old boy diagnose with mandibular abscess prior to Open Reduction Internal Fixation (ORIF) due to mandibular fracture 1 months prior. Patient admitted with complaints of pain and swelling on right jaw, difficult opening his mouth and experienced a salty taste in mouth which we suspect the abscess penetrate into the oral cavity. Patient was in a limp condition, shortness of breath in supine position, with oxygen saturation of  96% room air. We use LEMON method to assess the intubation difficulties, we found swelling on the right jaw, Incisor distance less than 2 cm, make it impossible to evaluate mallampati score, and limited neck mobility due to pain. We decided to avoid general anesthesia since preoperative airway assessment indicates difficult intubation. We sedate the patient with midazolam and administered trigeminal block using 22-G needle with local anesthetic solution of levobupivacaine 0,375% and dexamethasone 2,5mg as an adjuvant with classic landmark trigeminal technique. The patient tolerated the procedure well and return to the ward after the procedure. Conclusion: The use of trigeminal block can be as an alternative general anesthesia oral-maxillofacial surgery area that may have predisposing difficult airway intubation and may be valuable in contributing better patients outcomes.
The Role Of Magic Oil As A Modification Substitute Of Plant-Based Side Dish Tofu Curry Based On Nutritional Content And Organoleptic Properties At Dr. Moewardi Regional General Hospital Martini; Fadzillah; Hidayah, Halimah Nurul
Indonesian Basic and Experimental Health Sciences Vol. 12 No. 2 (2024): April
Publisher : Rumah Sakit Umum Daerah Dr. Moewardi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ibehs.vol12iss2pp78-84

Abstract

Background: The use of spices and herbs in the nutrition installation of Dr. Moewardi Regional General Hospital to make kitchen seasoning generates waste. The results of the researcher's interview with officers at the Food Production of Nutrition Installation of Dr. Moewardi Hospital, it was discovered that there was no utilization of spices and herbs waste. The spices and herbs waste was thrown away. Therefore, the researchers initiated to use herbs waste such as onion peels, garlic peels, leek, kaffir lime leaves, lemongrass, pandan leaves, and ginger as an alternative to additional seasoning in the form of oil called magic oil to increase the taste of patients' food, especially plant-based side dishes because based on the results of a study by Martini et al, 2022 it is discovered that there is more than 20% of leftover plant-based side dishes. Hence, a study to be conducted on the nutritional content and organoleptic properties of the variety of plant-based side dishes with the substitution of spice waste oil called magic oil. The plant-based side dish to be used was tofu curry because tofu curry was one of the plant-based side dishes used in previous study. In addition, tofu curry uses one of the basic seasonings, namely yellow seasoning. Purpose of the Study: Discovering the nutritional content and organoleptic properties of plant-based side dish modification with magic oil substitution. Method of the Study: The study used observational analytic design with its experimental nature. This study describes the nutritional content and organoleptic test of the modification of tofu curry with magic oil substitution. Nutritional content data were processed using  the Shapiro-Wilk test because the number of samples <50. The results were normally distributed, subsequently it was continued using the Anova test and Post-Hoc test. Data on organoleptic properties were processed using  the Shapiro-Wilk test  because the number of samples <50 results were not normally distributed, therefore it was tested using the Kruskal-Wallis test and continued with the Mann-Whitney test, providing that it was significant. Results: Based on the results of the Anova test, there was a significant difference in nutritional content data and continued with post-hoc  test. It was discovered that the treatment groups, namely B, C, and D, had high nutritional content compared to group A. The highest water, mineral, and protein content was discovered in group D, the highest fat and fiber content was discovered in group B,  and the highest carbohydrate content was discovered in group C. In organoleptic tests  consisting of color, taste, aroma, and texture, and it had a p value of <0.05 which means the data was not normally distributed therefore it used Kruskal-Wallis test  and continued with Mann-Whitney test,  providing that it was significant. After the Kruskal-Wallis test, the most influential was the taste factor in group D with a median value in taste of 3 which means “like”. Conclusion: The results of the Nutritional Content Test and Oraganoleptic Test of Tofu Curry Magic Oil Substitution show significant differences between group A (standard) and treatment groups, namely groups B, C and D. The higher the level of Magic Oil substitution, the higher the nutritional content and acceptability  of organoleptic  properties to the modification of Tofu Curry.
The Effect Of Feeding Modification On Changes In The Troponin Level Of Heart Patients In Aster Inpatient Ward Of Dr. Moewardi Regional General Hospital Surakarta Farudin, Ahmad; Sari, Anita Wulan; Fauzia, Marliana Tiwi
Indonesian Basic and Experimental Health Sciences Vol. 12 No. 2 (2024): April
Publisher : Rumah Sakit Umum Daerah Dr. Moewardi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ibehs.vol12iss2pp73-77

Abstract

Background: The heart is an organ that pump blood to the entire body system and draw the blood back into the heart. The inability of the heart to perform its functions is generated by damage to the anatomy or physiology of the heart, which induces various diseases of the cardiovascular system. Cardiovascular disease is the leading cause of death in the world. (Dewanti, I.P, 2014). One in ten deaths in the world is caused by heart disease. This makes heart attacks the leading cause of death in the world every year. One of the criteria for Infarc Myocard Acute (IMA)  diagnosis by World Health Organization (WHO) is an increase in heart enzyme levels. Troponin is one of the heart enzymes that will increase if there is a myocardial cell damage. A study conducted at West Sumatra Main Branch of YJI Heart Specialist Hospital in the period of July 2013 – June 2014, discovered 81 patient data with IMA diagnosis and 37 data with Troponin and ECG examination results. (Primananda, M.L, Syafri, M, and Meinapuri, 2014) Dr. Moewardi Regional General Hospital is one of the hospitals in Surakarta City that has specialized wards for patients with heart disease, one of which is the Aster room. Food intake in heart patients is part of the therapy given. The dietary intake of heart patients treated at Dr. Moewardi Hospital is still below 80% of the target quality of the Nutrition Installation. Low food intake can be instigated by low appetite, a feeling of abdominal bloating. Small frequent feeding portions is one way to increase the feeding intake of heart patients. Based on these circumstances, it is necessary to conduct a study to determine the effect of feeding modification and eating frequency on nutrient intake and changes in troponin level of heart patients in the Aster Ward of Dr. Moewardi Regional General Hospital Surakarta. Purpose of the Study: discovering the description of the effect of feeding modification on changes in troponin level of heart patients in Aster inpatient ward of Dr. Moewardi Regional General Hospital. Method of the Study: It was an analytical description study the study design used in this study was "One Group Pretest-Posttest Design", which is a study design that contains pretest before treatment and posttest after treatment. Thus, it can be more accurately discovered, since it compares the result before and after the treatment is applied Result: The troponin level before the administration of High Protein Low Fat (HPLF) diet was higher compared to the troponin level of respondents who obtained HPLF diet. The highest Pre- and post-treatment troponin levels were > 40,000 ng/mL, while the lowest pre-treatment troponin level was 18 ng/mL, and the lowest post-treatment level was 10 ng/ml. The average difference in troponin levels was the average decrease in pre- and post-troponin tests of 1895.7 ng/ml. Conclusion: The description of the effect of feeding modification on changes in troponin level of heart patients in Aster inpatient ward of Dr. Moewardi Regional General Hospital is as follows: (a) The number of samples in this study is 21 respondents, with 17 men and 4 women. (b) The highest energy intake value of pre-treatment is 1638 calories, the highest intake on the first day of post-treatment is 1845 calories, while on the second day of post-treatment is 1843 calories (c) There is an average decrease in troponin level post-treatment of feeding modification of 1895.7 ng/ml.
The Relationship Between Measurements Of Medial Tibial Plateau Depth And Femoral Notch (Notch Witdh & Shape) On Genu Mri And The Severity Of The Isolated Anterior Cruciate Ligament Tear Cross Sectional Study At Tertiary Refferal Hospital Dr. Moewardi General Hospital & Prof. Soeharso Orthopedic Hospita Irawan, Amelia Tjandra; Adhie, Anistyaning Wahyu; Anindyarani, Yutrisa Sasti; Lillah, Yudhi
Indonesian Basic and Experimental Health Sciences Vol. 12 No. 2 (2024): April
Publisher : Rumah Sakit Umum Daerah Dr. Moewardi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ibehs.vol12iss2pp63-72

Abstract

Background: The knee is a complex joint, composed of ligament components, one of which is the Anterior cruciate ligament which functions as a knee stabilizer. ACL injury is the most common ligament injury in the knee joint. Anatomical factors are one of the factors that predict the severity of an ACL tear. Medial Tibial Plateau Depth and Femoral Notch are one of the influencing factors. Genu MRI examination plays an important role in assessing these factors regarding the severity of an Isolated ACL tear. Objective: To determine the relationship between measurements of Medial Tibial Plateau Depth and Femoral Notch (Notch Witdh & Shape) on MRI genu with the severity of Isolated Anterior Cruciate Ligament Tear at Dr. Moewardi Hospital Surakarta and Prof. Soeharso Orthopedic Hospital Surakarta Method: Quantitative analytical research with a cross-sectional design was conducted from May to June 2023. The research sample was patients who underwent a Knee MRI examination with clinical Isolated ACL Tear in the period 1 January 2021 to 30 June 2023. Patients were assessed for the severity of the ACL tear and measurements of the Medial Tibial Plateau Depth and Notch Width and the shape of the Femoral Notch Os Femur Results: Medial tibial plateau depth on MRI Genu was positively correlated with the severity of isolated ACL tear (p value <0.001 and r correlation value of 0.943). Femoral Notch Shape, especially the A shape, has a relationship with the severity of isolated ACL tear (p value = 0.036 (p < 0.05) and r value = 0.274). Meanwhile, the relationship between femoral notch width on MRI Genu and the degree of isolated ACL tear is not significant because the p value obtained is 0.484 (p>0.05) Conclusion: Medial Tibial Plateau Depth and Femoral Notch Shape on MRI Genu have a relationship with the Severity of Isolated Anterior Cruciate Ligament Tear, whereas Femoral Notch Witdh has no relationship
Effect Of Vitamin C On Tnf-Alpha Expression In Recurrent Tonsillitis At Rsud Dr. Moewardi Kandhi, Putu Wijaya
Indonesian Basic and Experimental Health Sciences Vol. 12 No. 2 (2024): April
Publisher : Rumah Sakit Umum Daerah Dr. Moewardi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ibehs.vol12iss2pp59-62

Abstract

Background: The immunopathogenesis of tonsillitis is thought to be due to the involvement of various proinflammatory cytokines including tumor necrosis factor α (TNF-α). Considering the role of TNF-α in the immunopathogenesis of tonsillitis, various interventions have been carried out both surgically and with drugs. Vitamin C, which is one of the important micronutrients in the body, has a role as an antioxidant and immunomodulator so that its administration is thought to be able to overcome the increase in TNF-α during the disease process. This study aims to determine the effect of vitamin C administration on TNF-α levels in patients with recurrent tonsillitis at Dr. Moewardi Hospital. Methods: This study is an experimental quantitative study using Randomized Controlled Trials research design with non-blinding. Samples in the study were divided into two treatment groups, namely treatment with oral vitamin C and placebo 50mg/kg body weight/day which then measured serum TNF-α levels. Results: The average TNF-α level in the Vitamin C group was smaller at 110.72 pg/mL compared to the control group which amounted to 148.96 pg/mL. The results of the independent t-test of TNF-α levels in both groups obtained a significant value <0.05, which was 0.037. This means that there is a significant difference in TNF-α levels between the two treatment groups. Conclusions: Vitamin C administration before tonsillectomy in patients with recurrent tonsillitis can significantly reduce TNF-α levels compared to the control group. This opens the possibility of routine use of vitamin C in recurrent tonsillitis patients to get better treatment results.

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