No abstract

Background: Ethanol is one types of alcohol used in beverages. Excessive use of ethanol causes damage to organs, especially in the liver. Liver, which is an organ in the body, serves as the metabolism of various substances including ethanol. Liver damage that occurs can be known with one of these liver function examination, which check the levels of SGPT and SGOT.Objective: This research aims to look for the difference of SGPT's and SGOT's levels between ethanol multistep doses group and control group in Wistar rats (Rattus norvegicus) SGPT and SGOT levels. Methods: This study used an experimental research design with post test only control group design. The sample consisted of 21 male Wistar rats, which were divided into 3 groups. Each group consisted of 7 rats. The first group (K1) was the control group, which was given aquades. The second group (K2) were given ethanol 20% as 2 g/kg pe roral. And the third group (K3) were given with 25% ethanol as 2.5g/kg peroral. The treatment was given for 4 weeks. At the 31st day blood was taken from orbitalis sinus as much as 1 ml for check the level of SGPT and SGOT. Results: The results are the average increase of SGPT and SGOT levels in K2 compared to the K1. While on K3 showed that the average levels of SGPT and SGOT were lower than K1. SGPT levels showed a significant difference (p<0.05) in all treatment groups in comparison with the control group. The value of SGOT did not show a significant difference (p>0.05 ). Conclusion:There is significant differences in the levels of SGPT treatment group in comparison with the control group, but there is no significant differences in the level of SGOT.Latar Belakang: Etanol merupakan sebutan untuk alkohol yang digunakan dalam minuman. Penggunaan etanol yang berlebihan akan menyebabkan kerusakan pada organ tubuh, terutama hepar. Hepar berfungsi sebagai tempat metabolisme berbagai zat termasuk etanol. Kerusakan hepar yang terjadi dapat diketahui salah satunya dengan pemeriksaan fungsi hepar, dengan memeriksa kadar SGPT dan SGOT. Tujuan: Penelitian ini bertujuan untuk melihat apakah terdapat perbedaan kadar SGPT dan SGOT antar kelompok yang diberi etanol dosis bertingkat dibandingkan dengan kontrol pada tikus galur Wistar (Rattus norvegicus).

Background: As part of the surgery, sternotomy is a common technique to expose the underlying organs, allowing surgeons to explore the targeted organ. Despite the benefits offered, it has several considerable complications; one of them is wound healing defect. The impairment of sternal wound healing after sternotomy could be superficial and/or deep. This condition is influenced by many factors, including diabetes mellitus, obesity, and other comorbidities. These anomalies will affect the normal healing process of the bone and other connective tissue, particularly after a major invasive event, such as in sternotomy. This study aimed to review the outcome of sternum healing among diabetics that underwent heart surgery with a sternotomy approach. Methods: Works of literature reviewed in this study were obtained from Pubmed and Google Scholar databases starting from 1992 until April 2022. The keywords used were ‘sternal wound healing’, ‘cardiac surgery’, and ‘diabetes mellitus’. An advanced search based on the exact phrases was conducted on Google Scholar. Gathered kinds of literature were then selected based on relevancy. Results: The majority of articles reviewed were observational, and most of them had CABG as a part of open heart surgery, followed by valvular and aortic surgeries and others. The incidence of impaired sternal healing and other complications (superficial and/or deep) was more commonly seen among patients with diabetes. Most studies also reported a significant correlation between DM and the incidence of impaired sternal healing, suggesting that DM was a significant predictor of it. Conclusion: Diabetes mellitus is a medical condition that must be taken into account among the candidates for open heart surgery, particularly if it is poorly controlled. The Hyperglycaemic state experienced by the patients will lead to multiorgan damage and immunological dysfunction that could affect the healing process of the sternum.