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Abstrak :
This book is your go-to clinical guide to assessing and treating the full range of skin and wound conditions--from common to less common, simple to complex, and acute to chronic. This comprehensive, easy-read handbook provides practical guidance on the many aspects of wound care, including the legal, ethical, psychological, and social aspects.

Abstrak :
ABSTRAK
Permasalahan luka kanker bukan hanya permasalahan fisik namun psikososial. Perawatan luka kanker yang benar akan mengatasi permasalahan fisik dan psikologis sehingga meningkatkan kualitas hidup. Penelitian ini bertujuan untuk mengeksplorasi pengetahuan, pengalaman yang membentuk persepsi pasien luka kanker dalam menjalani perawatan luka. Desain penelitian adalah penelitian kualitatif dengan pendekatan fenomenologi pada delapan partisipan. Pengumpulan data dengan wawancara mendalam dan catatan lapangan. Analisa data menggunakan metode Collaizi. Ditemukan enam tema yaitu 1 literasi kesehatan yang tidak adekuat dan informasi negatif mengarahkan pengambilan keputusan perawatan luka, 2 penurunan kemampuan aktifitas dan tidur akibat nyeri, bau dan perdarahan pada luka, 3 distress sosial akibat anggapan negatif masyarakat, 4 intuisi dan sumber informasi informal mempengaruhi bahan dan cara perawatan luka, 5 ketergantungan perawatan luka pada keluarga karena keterbatasan sumber daya dan 6 mampu beraktifitas normal sebagai tujuan perawatan luka. Hasil penelitian diharapkan menjadi bahan pemikiran bagi perawat dalam melakukan pendekatan dan pengkajian perawatan luka kanker.Kata kunci : Persepsi, Pengetahuan, Pengalaman, Luka Kanker, Perawatan luka.

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ABSTRACT
Wound cancer involves physical and psychosocial problems. The proper wound care will overcome the physical and psychological problems so it will improve the quality of life. The purpose of this study was to explore the knowledge, experience and perceptions of cancer patients undergoing wound care. This is a qualitative study with phenomenological approach involving eight participants. In depth interviews and field notes were used to collect the data and analyzed with Collaizi rsquo s method. The result found six themes 1 inadequate health literacy and negative information influence the decision making of wound care, 2 decrease of activity and sleep due to pain, odor and bleeding of the wound, 3 social distress due to the negative perception of society, 4 intuition and informal sources of information affects the instrument and technique of wound care, 5 family dependence on wound care because of limited resources, and 6 wound healing and capable of normal activity as wound care purposes. This study can be used as a perspective in caring patients with wound cancerKeywords Perception, Knowledge, Experience, Wound cancer, Wound care

Abstrak :
Lansia merupakan suatu kelompok usia yang seringkali merasakan dampak dari penuaan. Salah satunya yaitu lebih lamanya penyembuhan luka pada lansia dan jika tidak ditangani dengan tepat, maka luka akut bisa menjadi luka kronik. Di lain sisi, sejak dahulu, madu telah digunakan untuk merawat luka karena memiliki sifat antimikroba, anti inflamasi, dan debridement luka yang membantu proses penyembuhan luka. Bahkan jika dibandingkan dengan antibakteri lain, perawatan luka dengan madu dapat mempercepat penyembuhan luka lebih baik dari yang lain. Oleh karena itu, pengembangan tatalaksana berbasis bukti dalam melakukan perawatan luka menggunakan madu dilakukan untuk mendukung proses penyembuhan luka dan meningkatkan kenyamanan lansia. Dalam karya ilmiah ini, perawatan luka dengan madu menghasilkan peningkatan penyembuhan luka dan pengurangan kualitas nyeri pada lansia setelah dua minggu intervensi. Hasil ini dibuktikan dengan adanya penurunan skala Bates-Jensen Wound Assessment Tool dan Visual Analog Scale serta Numeric Rate Scale setelah perawatan dua minggu. Skala BWAT klien dari 30 menjadi 15, nilai VAS 2 dan Numeric Rating Scale 3 (nyeri ringan) menjadi 0 atau tidak nyeri. Setiap intervensi dilakukan sehari sekali selama 5-10 menit. Kesimpulannya, setelah dilakukan intervensi, terdapat penyembuhan luka diamati dengan tidak adanya jaringan nekrotik, pus, dan adanya jaringan granulasi yang menutupi keseluruhan luka. ...... The elderly are an age group that often feel the impact of aging. One of them is the longer healing time of wounds in the elderly and if not treated properly, then acute wounds can become chronic wounds. On the other hand, honey has long been used to treat wounds as it has antimicrobial, anti-inflammatory, and wound debridement properties that help the wound healing process. Even when compared to other antibacterials, wound treatment with honey can accelerate wound healing better than others. Therefore, the development of evidence-based management in performing wound care using honey is carried out to support the wound healing process and improve the comfort of the elderly. In this scientific work, wound care with honey resulted in improved wound healing and reduced pain quality in the elderly after two weeks of intervention. This result was evidenced by a decrease in the Bates-Jensen Wound Assessment Tool scale and Visual Analog Scale and Numeric Rate Scale after two weeks of treatment. The client's BWAT scale from 30 to 15, VAS value 2 and Numeric Rating Scale 3 (mild pain) to 0 or no pain. Each intervention is done once a day for 5-10 minutes. In conclusion, after the intervention, wound healing was observed with the absence of necrotic tissue, pus, and granulation tissue covering the entire wound.

Abstrak :
Negative Pressure Wound Therapy (NPWT) merupakan sistem terapi yang menggunakan tekanan negatif untuk membersihkan luka dari cairan eksudat serta bakteri yang mungkin masih ada di dalam bagian luka, serta juga meningkatkan aliran darah ke dalam bagian luka dan meningkatkan proliferasi sel untuk mempercepat pemulihan. Oleh karena itu, terapi ini berpotensi lebih efektif dalam membantu mengobati berbagai jenis luka, seperti luka ulkus yang disebabkan oleh diabetes daripada teknik konvensional. Tujuan dari penelitian skripsi ini adalah untuk membuat rangkaian kontrol purwarupa alat NPWT menggunakan Arduino UNO sebagai mikrokontroler. Hal tersebut dilakukan dengan menulis kode dalam bahasa C++ pada software Arduino IDE yang kemudian di-upload ke dalam board Arduino UNO, yang kemudian dihubungkan kepada perangkat pendukung seperti push button, LCD, Motor driver L298N, pompa tekanan negatif, dan sensor MPXV4115VC6U. Pengujian purwarupa dilakukan dengan menyalakan alat selama 30 menit dalam tekanan negatif 85, 75, dan 125 mmHg. Hasil dari penelitian adalah purwarupa alat NPWT mampu menjalankan terapi selama 30 menit dan mencapai ketiga tekanan setting tersebut secara konsisten dengan error output tekanan negatif rata-rata 0,45% untuk mode continuous dan 0,96% untuk mode intermittent pada setting 85 mmHg, -0,22% untuk mode continuous dan -0,59% untuk mode intermittent pada setting 75 mmHg, serta -0,20% untuk mode continuous dan -1,50% untuk mode intermittent pada setting 125 mmHg. Pengujian menggunakan alat wound phantom dengan tekanan 85 mmHg memperlihatkan error output tekanan negatif rata-rata -0,56% untuk mode continuous dan -0,20% untuk mode intermittent. Melalui sensor MPXV4115VC6U, alat juga mampu mendeteksi tekanan dengan akurasi 99,46%, dan fungsi timer yang menggunakan internal clock mikrokontroler mampu menjalani terapi tepat waktu dengan deviasi rata-rata 0,05% dari setting waktu yang ditetapkan. Melalui penelitian ini, dibuktikan bahwa Arduino UNO mampu digunakan sebagai mikrokontroler untuk menjalankan alat NPWT dengan efektif. ......Negative Pressure Wound Therapy (NPWT) is a wound therapy system which utilizes negative pressure to clean wound areas from exudate and bacteria, as well as to increase blood flow in order to induce cell proliferation and accelerate healing. This therapy is potentially more effective at assisting the regeneration of wounds, such as diabetic ulcers, compared to other conventional methods. The purpose of this research is to create a control circuit for an NPWT prototype using Arduino UNO as its microcontroller. This is done by writing code into the Arduino IDE software and uploading it into the Arduino UNO board, which has been connected to various supporting components such as push buttons, LCD, Motor Driver L298N, a negative pressure pump, and the pressure sensor MPXV4115VC6U. Testing of the prototype is done by turning the device on for 30 minutes with the negative pressure setting 85, 75, and 125 mmHg. Result of this test is that the NPWT prototype is capable of performing therapy with the aforementioned settings very well, with an average pressure error of 0.45% for the continuous mode and 0.96% for the intermittent mode at 85 mmHg, -0.22% for the continuous mode and -0.59% for the intermittent mode at 75 mmHg, as well as -0.20% for the continuous mode and -1.50% for the intermittent mode at 125 mmHg. Simulation by using a wound phantom resulted in the average pressure errors -0.56% for the continuous mode and -0.20% for the intermittent mode. Using the sensor MPXV4115VC6U, the prototype is able to detect pressure with an average of 99.46% accuracy, and the timer function, which uses the microcontrollers internal clock, is able to keep the timing of the therapy session with a 0.05% average deviation from the intended time setting. From these findings, it can be concluded that Arduino UNO is a microcontroller which is perfectly suitable to run an NPWT device effectively.

Abstrak :

Latar Belakang: Madu telah digunakan sebagai makanan dan obat-obatan di banyak negara sejak dahulu kala. Untuk tujuan pengobatan, madu juga digunakan dalam perawatan luka kronis dan kompleks. Telah banyak studi yang menyatakan fungsi madu dan efek yang menguntungkan selama perawatan. Luka kronis adalah luka yang gagal untuk melalui fase penyembuhan normal secara tepat. Studi ini merupakan studi dengan hewan percobaan yang membandingkan dua madu lokal dan madu Manuka untuk menemukan madu lokal yang memiliki efek yang lebih baik dalam perawatan luka kronis

Metode: menggunakan 36 hewan percobaan tikus dengan strain Sprague Dawley yang dibuat perlukaan pada bagian kulit punggung dan diberi bakteri Pseudomonas Sp. hingga luka memiliki gambaran sebagai luka kronis dan luka dirawat dengan Manuka Honey, Madu Murni Nusantara dan Java Honey. Evaluasi makroskopis dilakukan pada hari 0, 3, 5, 7, 10 dan 13 pasca perawatan dan pada hari 5 dan 13 pasca perawatan, hewan dinekropsi. Parameter yang diamati, luas luka, presentasi jaringan nekrotik, slough dan granulasi dievaluasi dengan aplikasi Image J dan dibandingkan diantara tiga kelompok perawatan madu. 

Hasil: secara statistik, didapatkan perbedaan yang signifikan antara tiga kelompok perawatan madu pada parameter luas luka pada hari 3 – hari 0 (p=0.021) dengan analisa post-hoc didapatkan perbedaan signifikan antara Manuka Honey dan Java Honey (p=0.009) serta Madu Murni Nusantara dan Java Honey (p=0.03) dan presentasi slough pada hari 3 – hari 0 (p=0.025) dengan analisa post-hoc didapatkan perbedaan signifikan antara Manuka Honey dan Java Honey (p=0.059) serta Madu Murni Nusantara dan Java Honey (p=0.008). Hari perawatan selanjutnya tidak didapatkan perbedaan signifikan pada semua parameter evaluasi makroskopis.

Kesimpulan: madu lokal dapat digunakan sebagai modalitas alternative pada perawatan luka kronis, seperti halnya Manuka Honey, namun dengan biaya rendah dan kemudahan mendapatkannya di pasaran.

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Background: Honey has been used for food and medicine in many centuries and countries. For medicinal purposes, honey is used to treat chronic and complex wounds. There have been many reports stating its function and beneficial effect during treatment. A chronic wound is a wound that fails to progress through the normal phases of healing in an orderly and timely manner. This research is an experimental animal study comparing two local honey and Manuka Honey to find which has a better effect in chronic wound treatment

Methods: 36 rats, Sprague Dawley strain were had wounded at muscle based on the dorsum side and were given bacteria Pseudomonas Sp. until the wound has a chronic wound appearance and then treated with Manuka Honey, Madu Murni Nusantara, and Java Honey. A Macroscopic evaluation was observed on day 0, 3, 5, 7, 10, and 13 post wound treatment and on day 5 dan day 13 post wound treatment, the rats were euthanized. The observed parameters, wound area, presentation of necrotic tissue, slough and granulation were evaluated by Image J application and compared between the three honey treatment groups.

Result: Statistically, there was a significant difference between the three honey treatment groups on the wound area parameters on day 3 - day 0 (p = 0.021) with post-hoc analysis found a significant difference between Manuka Honey and Java Honey (p = 0.009) and Madu Murni Nusantara and Java Honey (p = 0.03) and slough presentation on day 3 - day 0 (p = 0.025) with post-hoc analysis found significant differences between Manuka Honey and Java Honey (p = 0.059) and Madu Murni Nusantara and Java Honey (p = 0.008). The next day of treatment there was no significant difference in all macroscopic evaluation parameters.

Conclusion: Local honey can be used as an alternative modality for wound chronic treatment the same as Manuka Honey, but with low cost and easily available in the market.

Abstrak :
[Pendahuluan: Luka penetrasi akibat kekerasan tajam merupakan temuan yang umum dalam pemeriksaan luar tindakan autopsi. Namun, sebagian besar mayat korban kekerasan tidak menjalani pemeriksaan dalam karena beragam alasan. Dengan demikian, temuan luka luar dapat berperan sebagai salah satu pertimbangan ahli forensik dalam memperkirakan kerusakan organ dalam walau tidak memiliki kekuatan secara hukum. Penelitian ini dilakukan untuk menghasilkan bukti empiris terkait kerusakan organ dalam yang ditimbulkan kekerasan tajam. Metode: Peneliti mengambil sampel 5 luka penetrasi ke rongga peritoneal pada masing-masing area abdomen dari 36 subjek penelitian yang diotopsi di Departemen Forensik dan Medikolegal FKUI-RSCM, kemudian mencari tahu organ yang terlibat melalui data pemeriksaan baku emas. Hasil: Melalui uji hipotesis menggunakan uji Fisher, didapatkan nilai yang bermakna (p< 0,05) pada beberapa korelasi terkait temuan luka dan kerusakan organ dalam, yakni pada luka penetrasi di epigastrik dengan kerusakan hati (p= 0,01), luka penetrasi di hipokondriak kanan dengan kerusakan hati (p= 0,01), luka penetrasi di hipokondriak kiri dengan kerusakan lambung (p= 0,002), luka penetrasi di umbilikal dengan kerusakan pembuluh darah abdomen mayor (p= 0,004), serta luka penetrasi di iliaka kiri dan kerusakan pankreas (p= 0,01). Pembahasan: Korelasi yang bermakna pada temuan luka luar dan kerusakan organ dalam terkait regio anatomi dan arah luka. Besaran gaya yang diberikan turut mempengaruhi organ-organ yang terlibat;Introduction: Penetrating wounds from sharp force injuries are common findings in external examination of autopsy. Unfortunately, the majority of the victims do not undergo the internal examination part due to various reasons. Even though the forensic doctors do not perform the autopsy completely, the external findings can prove to be useful to predict the resulted organ damages. Therefore, they would still be able to release their expertise opinions based on evidence based medicine. The aim of this study is to produce the empirical evidence related to penetrating wound and organ damage. Method: Five penetrating wounds into peritoneal cavity for each abdominal region from 36 corpses, that had already been autopsied in Forensic and Medicolegal Department FKUI-RSCM, was analyzed to identify organ damage by using gold standard examination (e.g. internal examination in forensic practice), and then to find the correlation between them. Result: The results from hypothesis testing Fisher shows that the p< 0,05 appeared in some correlation findings between variables (penetration wound in epigastric and right hypochondriac and liver damage (p= 0,01), penetration wound in left hypochondriac and stomach damage (p= 0,002), penetration wound in umbilical and major abdomen blood vessel (p= 0,004), and penetration wound in left iliaca and pancreas damage (p= 0,01), thus made them statistically significant. Discussion: The significant results strongly associated with anatomical region and the direction of the wound. The amount of force applied to each wound affected the outcome of the damaged organs, Introduction: Penetrating wounds from sharp force injuries are common findings in external examination of autopsy. Unfortunately, the majority of the victims do not undergo the internal examination part due to various reasons. Even though the forensic doctors do not perform the autopsy completely, the external findings can prove to be useful to predict the resulted organ damages. Therefore, they would still be able to release their expertise opinions based on evidence based medicine. The aim of this study is to produce the empirical evidence related to penetrating wound and organ damage. Method: Five penetrating wounds into peritoneal cavity for each abdominal region from 36 corpses, that had already been autopsied in Forensic and Medicolegal Department FKUI-RSCM, was analyzed to identify organ damage by using gold standard examination (e.g. internal examination in forensic practice), and then to find the correlation between them. Result: The results from hypothesis testing Fisher shows that the p< 0,05 appeared in some correlation findings between variables (penetration wound in epigastric and right hypochondriac and liver damage (p= 0,01), penetration wound in left hypochondriac and stomach damage (p= 0,002), penetration wound in umbilical and major abdomen blood vessel (p= 0,004), and penetration wound in left iliaca and pancreas damage (p= 0,01), thus made them statistically significant. Discussion: The significant results strongly associated with anatomical region and the direction of the wound. The amount of force applied to each wound affected the outcome of the damaged organs]

Abstrak :
Provides complete information on the functional anatomy of the shoulder, the mechanics of movement, and the evaluation and treatment of shoulder disorders. It promotes current, evidence-based practice with coverage of the latest rehabilitation and surgical techniques. Case studies show the clinical application of key principles, and follow the practice patterns from the APTA Guide to Physical Therapist Practice, 2nd Edition, relating to shoulder disorders.

Abstrak :
Latar belakang : Pasien luka bakar sedang dan berat mempunyai angka mortalitas dan morbiditas yang tinggi. Morbiditas terjadi karena gangguan fisik maupun psikis. Sebanyak 46,6 % dari pasien luka bakar mengalami gangguan psikiatri. Gangguan stres pasca trauma merupakan salah satu gangguan psikiatri yang sering terjadi dan sering tidak terdiagnosis pada pasien luka bakar. Gangguan ini sering menjadi penyulit terhadap kesembuhan optimal dari pasien luka bakar. Angka prevalensi dari berbagai penelitian yang sudah dilakukan di luar negeri menunjukan hasil yang berbeda-beda, umumnya angka prevalensi meningkat dalam sate tahun pertama. Tujuan penelitian ini adalah untuk mengetahui berapa prevalensi gangguan stres pasca trauma yang terjadi pada pasien luka bakar di RSUPN DR.Ciptomangunkusumo Jakarta. Metode: Penelitian menggunakan rancangan cross sectional, dilakukan pada 66 pasien luka bakar sedang dan berat yang berobat di RSUPN DR.Ciptomangunkusumo Jakarta. Sampel diambil secara consecutive sampling, observasi pada 34 subyek dilakukan di lingkungan RSUPN DR.Ciptomangunkusumo dan pada 32 subyek lainnya di rumah subyek. Instrumen yang digunakan adalah Structured Clinical Interview for DSM-IV Axis-1 Disorder (SCID-I) dalam terjemahan bahasa Indonesia. Hasil dan Simpulan : Angka prevalensi gangguan stres pasca trauma adalah 16,2% (11 subyek). Prevalensi pada subyek pasca rawat inap 21,1% sedangkan subyek rawat inap 10,7%. Hasil uji statistik X2 pada berbagai faktor demografi dan faktor yang berpengaruh terhadap terjadinya gangguan stres pasca trauma menemukan satu variabel yaitu jenis kelamin wanita mempunyai nilai p = 0,035. Observasi pada 11 subyek yang mengalami gangguan stres pasca trauma menemukan bahwa karakteristik gejala gangguan stres pasca trauma dari SCID1/ DSM-IV yang terbanyak adalah gejala perasaan bahwa masa depan menjadi pendek (kelompok C) dan respon kejut yang berlebihan yaitu 81,8% sedangkan yang paling sedikit adalah gejala tidak mampu untuk mengingat aspek penting dari trauma yaitu 27,3%.

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Background: Patients with moderate and severe burn wounds have high morbidity and mortality. Morbidity occurs due to physical as well as psychological disorders. Up to 46.6% of the burn wound patients develop psychiatric disorders. Post-traumatic stress disorder constitutes one of the common psychiatric disorders and is frequently under diagnosed in burn wound patients. This disorder often becomes a complicating factor for optional recovery of burn wound patients. The prevalence rates from a variety of studies in other countries reveal different outcomes; generally the prevalence rate increase in the first year. The purpose of this study was to elicit information on how high the prevalence of post-traumatic stress disorder was among the burn wound patients at Cipto Mangunkusumo Hospital, Jakarta. Methods: This study was cross-sectional, performed on 66 moderate and severe burn wound patients who presented to Cipto Mangunkusumo Hospital, Jakarta. The samples were taken by consecutive sampling. The observation of the 34 subjects was conducted on the premises of Cipto Mangunkusumo Hospital and the other 32 subjects were observed in their homes. The used instrument was structured clinical interview for D5M-IV Axis-1 Disorder (SCID-1) in the Indonesian version. Result and conclusion: The prevalence rate of post-traumatic stress disorder was 16.2% (11 subjects). The prevalence in the post-hospitalized subjects was 21.1% and 10.7% for the hospitalized subjects. The result of X2 statistic tests of a variety of demographic factor and factors that influenced the incidence of post-traumatic stress disorder found one variable, namely female gender whose p value was 0.035. Observation of 11 subjects who developed post-traumatic stress disorder found the most common characteristics of post-traumatic stress disorder from SCID-1/DSM-IV were a feeling that the future became short (group C), and response of excessive surprise (81.8%) whereas the least common was the symptom of being unable to recall the significant aspect of the trauma (27.3%).