Humans have been using coffee powder for over a hundred years to manage wounds. Here will be explained the historical reason why to use it for wound management and scientific explanation that raised it as new thinking in wound management.
Case reports of a chronic diabetic wound treated topically using coffee powder. It is a useful dressing that changed every week with keep dry without repeated manipulation to wound bed to protect the new cell growth. It claimed to be a safe procedure to preserve the vulnerable cells in wound bed by the coffee powder producing the best healing with acceptable wound scar.
<p>Kejadian infeksi, baik di lingkungan rumah sakit yang disebut infeksi nosokomial maupun di luar rumah sakit, cukup besar. Infeksi mempertinggi angka kematian dan kesakitan, serta memperlama waktu perawatan di rumah sakit. Saat ini banyak tanaman yang terbukti secara empiris memiliki efek antibakteri, diantaranya adalah minyak kelapa murni (<em>Virgin Coconut Oil / </em>VCO<em>)</em>, oleh karena itu perlu dilakukan penelitian ini guna mengetahui efek anti bakteri VCO pada luka yang telah diinfeksi dengan <em>Methicillin Resistant Staphylococcus aureus </em>(MRSA).</p><p>Telah dilakukan penelitian eksperimental laboratorium dengan desain penelitian Rancangan Acak Lengkap. Hewan coba yang digunakan adalah marmut jantan galur albino sebanyak 15 ekor . Dermis hewan coba diinsisi hingga diperoleh luka berukuran 9cm<sup>2 </sup>dasar otot, luka diinfeksi dengan suspensi bakteri MRSA, kemudian diberi 3 macam perlakuan yaitu dibiarkan saja tanpa pengobatan untuk control negatif, terapi VCO per oral 3 cc / hari dan terapi VCO topikal 0,4 cc / hari. Data yang diperoleh dianalisis dengan <em>analysis of variance </em>(ANOVA) dan <em>two sample – T test.</em>Hasil penelitian menunjukkan bahwa pemberian VCO topikal dengan dosis 0,4 cc / hari mampu mengobati infeksi dan mempercepat penyembuhan luka hewan coba secara bermakna (p = 0,043 < α = 0,05), tetapi pemberian VCO peroral 3 cc / hari menunjukkan hasil yang tidak bermakna (p = 0,376 > α = 0,05). Pemberian VCO per oral 3 cc / hari dan topikal 0,4 cc / hari mampu menurunkan jumlah lekosit darah pada hewan coba. Pemberian VCO topikal 0,4 cc / hari mampu membunuh bakteri sehingga dapat mengurangi jumlah bakteri pada luka secara bermakna (p = 0,0092 < α = 0,05), namun pemberian VCO per oral tidak mampu mengurangi jumlah bakteri pada luka secara bermakna (p = 0,17 > α = 0,05). Pada hasil penelitian di atas, dapat disimpulkan bahwa pemberian VCO topikal menunjukkan efek antibakteri yang bermakna untuk mengatasiinfeksi MRSA.</p>
Background: Cardiopulmonary resuscitation (CPR) is a series of actions performed on cardiac arrest patients. Not all patients receiving CPR can survive. The outcome of CPR is influenced by several factors. This study was conducted to determine the success rate of CPR and the factors influencing it in Dr. Hasan Sadikin General Hospital in 2013. Methods: This study was conducted by using 168 patient medical records who underwent CPR and met the inclusion criteria in the Resuscitation Room of Dr. Hasan Sadikin General Hospital from January to December 2013. The collected data consisted of age, gender, pre-arrest diagnosis, initial rhythm, response time and clinical outcome of CPR. The results were expressed in frequencies and percentage. The data were analyzed using the chi-square test. Results: The Success rate of CPR was 15.5%. The success rate was higher in patients with cardiac prearrest diagnoses (8.33%, p=0.024). The most common initial rhythm was unshockable rhythms (83.92%), yet patients with shockable heart rhythms had higher success rates (40.74%, p<0.001). All of the surviving patients had response time within the first minute from cardiac arrest. Conclusions: Success rate of CPR in the resuscitation room of Dr. Hasan Sadikin General Hospital during 2013 is still low. The factors influencing the survival rate are the pre-arrest diagnosis and initial heart rhythm.
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