Kondisi flat foot banyak terjadi pada anak-anak. Meskipun seringkali tidak menimbulkan gejala, jika kondisi tersebut menuju tahap yang lebih serius, keadaan tersebut dapat mengganggu fungsi kaki. Sehingga dibutuhkan adanya deteksi untuk mengetahui kondisi flat foot lebih awal. Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko flat foot pada anak umur enam sampai sepuluh tahun di Kecamatan Sukajadi. Metode potong-lintang deskriptif kuantitatif pada 326 anak yang telah memenuhi kriteria inklusi dan eksklusi di SD Citrawinaya, Sejahtera 1, Sukagalih 5, Sarijadi Selatan 1, dan Sukasari 1 sejak bulan September sampai Oktober 2016. Setelah mendapat persetujuan dan identitas anak, dilakukan pengukuran tinggi, berat badan serta pengecapan kaki. Status gizi diinterpretasi berdasarkan klasifikasi WHO. Sedangkan kondisi flat foot diidentifikasi menggunakan Denis grades. Dari 326 anak yang diikutsertakan, kondisi flat foot terjadi pada 129 (40%) anak. Anak laki-laki lebih banyak mengalami flat foot (23,78%) dibandingkan perempuan. Flat foot lebih banyak terjadi pada anak umur tujuh tahun (9,28%), anak dengan status gizi overweight (13,69%), dan pada anak dengan anggota keluarga yang memiliki riwayat flat foot (26,67%). Angka kejadian flat foot pada anak di Kecamatan Sukajadi masih cukup tinggi pada kelompok yang berisiko seperti laki-laki, umur lebih muda, status gizi overweight, dan adanya riwayat flat foot pada keluarga.Kata kunci: anak, faktor risiko, flat foot

Salah satu faktor yang menyebabkan terjadinya delayed union atau nonunion  pada kasus fraktur adalah pemberian OAINS seperti Meloxicam, namun Meloxicam tetap harus diberikan selama fase inflamasi untuk mengurangi rasa nyeri dan reaksi inflamasi. Tujuan penelitian   untuk menganalisis efek Meloxicam terhadap pembentukan kalus paha tikus yang diberikan selama fase inflamasi paska open reduction internal fixation K-wire dinilai secara radiologis. Penelitian merupakan uji eksperimental laboratorium pada 33 tikus jantan dengan metode pengambilan sampel rancang acak sederhana. Penelitian dilakukan di Bagian Farmakologi Klinik FK-Unpad, Departemen/SMF Orthopaedi dan Traumatologi FK Unpad/RSHS Bandung dan Departemen/SMF Radiologi FK Unpad/RSHS Bandung, mulai dari 25 Juli 2017 hingga 7 September 2017. Penelitian menunjukkan kelompok kontrol dan perlakuan I (Meloxicam 7 hari) memiliki skor Tiedeman  lebih baik dibandingkan kelompok perlakuan II (Meloxicam 30 hari) pada hari ke-30 (p < 0.05) dan ke-45 (p < 0.05), diameter kalus kelompok kontrol dan perlakuan I lebih baik dibandingkan perlakuan II pada hari ke-30 (p <0.05) dan hari ke-45 (p < 0.05), volume kalus kelompok kontrol dan perlakuan I lebih baik pada hari ke-30 (p < 0.05) dan hari ke-45 (p < 0.05). Kesimpulan penelitian adalah pemberian Meloxicam selama fase inflamasi paska ORIF intramedullary K-wire setelah terjadi fraktur, tidak mempengaruhi proses penyembuhan fraktur.Kata kunci : Meloxicam, paska ORIF,  fase inflamasi, penyembuhan fraktur

Background: Fracture on long bone is a complicated case to manage. Bone graft procedure involving growth factors has been widely studied with promising results. Recently, platelet-rich fibrin (PRF) has been introduced as having potential in healing process. This study aimed to explore the quality of fracture healing on long bones treated with bone graft with and without PRF combination. Methods: This study was conducted between October to November 2018 on 18 rabbits that were divided into 2 groups. A 5 mm fracture was created on tibial bones and the fracture was stabilized using a 2.0 mm mini plate. The defect was then treated by an autogenic bone graft with and without PRF. Histological analysis was conducted 3 weeks after the treatment and a scoring was performed using the Salkeld system. The quality of union; cortex development and remodeling; and bone graft incorporation and new bone formation were then analyzed. Results: There were significant differences between fractures in rabbits given PRF than those without PRF in terms of union quality (p 0.040), cortex growth and remodeling (p 0.0001), bone graft and new bone union (p 0.0001), as well as in the total Salkeld score (p 0.0001). Conclusion: PRF given with bone graft therapy can enhance the quality of fracture healing of a long bone. Further studies on how the PRF content influences fracture healing process needs to be performed to further explore this effect.

The hospitals' issue in dealing with the healthcare service becomes challenging in the current era of the millennial generation employee. This may make interpersonal working cooperation difficult to achieve. Hence, this study attempts to evaluate the differences between public and private hospital working cultures on the job satisfaction index in the millennial generation. We used AIH public hospital and AIS private hospital in Bandung to conduct the study. All employees were of the millennial generation (born 1981-2000). The job satisfaction index includes passion, salary, supervision, work colleagues, and working conditions. It has a maximum score of 75 and a minimum score of 15. P-value 0.05 was defined as significant differences. The results showed that private hospitals have a job satisfaction index score of passion (50.22±6.51 vs. 42.32±8.01; p= 0.042), salary (51.49±11.54 vs. 27.92±6.61; p= 0.033), supervision (66.78±4.82 vs. 53.32±11.04; p= 0.073), and working conditions (61.41±7.59 vs. 37.72±9.52; p= 0.139) that are higher than public hospitals. The work colleagues’ score was the only higher in public hospitals (35.81±8.98 vs. 29.91±5.94; p= 0.040). This present study showed differences between public and private hospital working cultures on the job satisfaction index in the millennial generation.

Background: Traditional health service is one of the health services that is still currently used in Indonesia, especially in rural communities. The government has been regulating these services since 2014. Despite its long existence, there is a recent increase of potential regulation violation among traditional health service providers. This study aimed to explore the perspective of the Cikahuripan Villagers on Government Regulation on traditional health services. Methods: This was a qualitative study using in-depth interviews and direct observations on traditional health services in Cikahuripan Village. Sixteen informants consisting of 8 villagers who met the inclusion criteria and another 8 informants in the triangulation negative case analysis, member checking, peer debriefing, and observation was involved. Results: There were two different perspectives in the community on traditional health service provisions in the Government Regulation. Supporters of the regulation believed that the regulation would make traditional health services more responsive and safer, which would improve service quality and health benefits as well as imposing effective sanctions. In contrast, the opposition believed that regulations were too late, would make the costs for licensing expensive, and too complicated. Conclusion: There are two different public perspectives on the regulation of traditional health services, which are supporting and opposing the regulation. It is expected that the local government create a derivative of the regulation by making adjustment to the community’s situation.