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"[Pendahuluan. Sebelum berhadapan dengan pasien yang nyata, seorang ahli bedah plastik pemula berupaya meningkatkan ketrampilan dengan berlatih pada model. Penelitian ini mengimplementasikan metode pelatihan berbasis wet-lab menggunakan perfusi ke a.femoralis ayam untuk mengevaluasi peningkatan keterampilan mikro.Metode. Dua puluh satu residen bedah plastik (wanita n = 14 (66,7%) dan laki-laki n = 7 (33%)) tanpa pengalaman mikro sebelumnya direkrut dalam penelitian ini. Menjalani serangkaian pelatihan, yang terdiri dari satu sesi kognitif dan lima sesi berbasis keterampilan melakukan anastomosis término-terminal arteri femoralis ayam dengan diameter 2 mm. Pre dan post test dinilai menggunakan University of Western Ontario Microsurgical Assessment (UWOMSA). Sesi keterampilan yang direkam pada video, dan dinilai oleh konsultan mikro sebagai evaluator tunggal. Penelitian ini terbatas untuk arteri end-to-end anastomosis. Hasil. Dari total 42 video termasuk 21 modul simpul-mengikat dan 21 modul anastomosis. Median pre-test skor UWOMSA adalah 23 tapi tidak ada subjek yang berhasil mencapai skor maksimal 30. Skor median post-test adalah 27,5 (hampir 5 poin perbaikan, P = 0,0) dan 2 subyek mencapai skor 30. Nilai rata-rata waktu yang dihabiskan untuk menyelesaikan prosedur anastomosis juga lebih cepat dari 41,86 menjadi 34,14 menit (P = 0,01).Kesimpulan. Menerapkan pelatihan yang diusulkan akan meningkatkan keterampilan pemasangan anastomosis., Background. Before entering real clinical setting, a novice plastic surgeon will benefit from repetitive training on non-living models. This study implements the bench-top training method using perfused chicken thigh model to evaluate improvement in microsurgical skills.Methods. Twenty-one plastic surgery residents (women n=14 (66.7%) and men n=7 (33%)) with no prior microsurgical experience were recruited in this study. They underwent a set of training, consisting of one cognitive session and five skill-based sessions performing the end-to-end anastomosis using chicken femoral artery with a diameter of 2 mm. They were assessed using the University of Western Ontario Microsurgical Skills Assessment (UWOMSA) scoring system at the first skill session and re-evaluated at the fifth skill session. The skill sessions are recorded on video, blinded, and assessed by a consultant microsurgery as a single evaluator. The study was limited to arterial end-to-end anastomosis.Results. Forty-two videos were reviewed, including 21 knot-tying sessions and 21 anastomoses. The median pre-test UWOMSA score was 23 but none of the subjects managed to reach the maximal score of 30. The median post-test results were 27.5 (almost 5 points improvement, P=0.0) and 2 subjects achieved a score of 30. The average time spent to accomplish the full anastomosis procedure was also reduced from 41.86 to 34.14 minutes (P=0.01).Conclusion. Using the proposed training skill-based session will improve the subject’s microvascular anastomosis skill.]"

"after the world witnessed groundbreaking early advances in assisted reproduction that utilized conventional in vitro fertilization in the human, more complex invasive techniques of oocyte and embryo manipulation were introduced to treat human subfertility. amongst these were numrous micromanipulation techniques such as partial zona dissection (PZD; 1988), subzonal insemination (SUZI, 1988) and subsequently ICSI, which became the most powelful tool of assisted fertilization (1992). ICSI requires micromanipulation of both the male and the female gamete. another importand approach is laser-assisted opening of the zona pellucida at different stages of preimplantation development either; to assist hatching (1990) or to remove cells for preimplantation genetic diagnosis (1989), or fragments to restore the integrity of an embryo (1999). sometimes even blastocysts considered for vitrification need further manipulation in order to artificially shrink the blastocoel which facilitates survival of expanded blastocyst (2002). other methods for reproductive purposes, however, failed to gain acceptance in population, such as cytoplasm transfer (1997), nuchler transfer (1998) and cloning (1996), to name but a few"

""Written by a pioneering leader in the development of vitreoretinal surgical techniques and instruments, Vitreous Microsurgery is a comprehensive how-to guide to all vitreoretinal procedures. This thoroughly updated Fifth Edition describes many new techniques and refinements of established procedures and includes new chapters and new illustrations. More than 170 three-dimensional full-color illustrations--many by the Charles Retina Institute's resident medical artist, Byron Wood--enable surgeons to clearly visualize the techniques. The focus of the text is on the decision making process a surgeon goes through in evaluating the best course of treatment for his/​her patient undergoing vitreous surgery. The book describes in detail clinically proven methods of managing the anterior and posterior segment vitreous surgery patient in a systematic manner. The text is organized in a building block approach with general methodology preceding its application to specific disease states. The book stresses algorithms for intra-operative decision making, relying on knowledge of physical principles and performed in the order of ascending risk. A companion website included with purchase offers the fully searchable text and an online image bank"--Provided by publisher."

"Sebagai negara tropis terbesar ketiga di dunia setelah Brazil dan Kongo, Indonesia dihadapkan pada berbagai masalah kesehatan khususnya di bidang penyakit tropik dan infeksi/ Meskipun terdapat penurunan jumlah kasus tropik infeksi dalam 10 tahun terakhir, namun masalah penyakit tropik infeksi tetap masih membutuhkan perhatian/ Komitmen Indonesia untuk mensejahterakan masyarakat melalui pencapaian target dalam Sustainable Development Goals (SDG) 2030 yaitu mengakhiri epidemi malaria, AIDS, tuberkulosis, hepatitis, penyakit tropis terabaikan dan penyakit infeksi lainnya seperti diare atau demam tifoid masih membutuhkan usaha keras dari semua pihak."

"ABSTRAKLatar belakang: Mikrotia merupakan kelainan perkembangan telinga luar dengan variasi kelainan struktur anatomi daun telinga. Variasi kelainan anatomi telinga tengah pada mikrotia dan angka kejadian kelainan anatomi telinga tengah pada pasien mikrotia telah banyak dilaporkan. Data penelitian variasi anatomi pasien mikrotia tersebut diperlukan untuk memprediksi kelainan anatomi telinga tengah berdasarkan derajat klinis kelainan telinga.Tujuan: Mengetahui hubungan kelainan subunit telinga luar dengan skor Jahrsdoerfer pada pasien mikrotia Metode: Dilakukan penelitian cross sectional menggunakan data retrospektif derajat mikrotia, gambaran CT Scan dan pemeriksaan audiologi (BERA dan audiometri nada murni) di Departemen THT FKUI/RSCM sebanyak 38 pasien mikrotia.Hasil: Subjek penelitian mikrotia didapatkan laki-laki lebih banyak dibandingkan perempuan (65,8%) dengan rerata usia 12,3 ± 8,1 tahun. Kelainan telinga tengah berdasarkan skor Jahrsdoerfer terbanyak adalah kelainan kompleks maleus inkus (72,3%). Gangguan pendengaran terbanyak adalah tuli konduktif (63,1%). Berdasarkan uji korelasi jika jumlah subunit telinga semakin besar maka skor Jahrsdoerfer akan konsisten meningkat menyesuaikan dengan jumlah subunitnya.Kesimpulan: Evaluasi subunit telinga sangat penting dalam evaluasi dan tatalaksana pasien mikrotia.

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ABSTRACT

Background: Microtia is a developmental disorder with a variety of abnormalities of the outer ear anatomical structures. Variations of anatomical abnormalities of the middle ear in microtia and the incidence of middle ear anatomical abnormalities in microtia patients have been reported. The research data is needed to predict the variations in the anatomy of the middle ear abnormalities which are based on the degree of clinical disorders.

Objective: To determine the relationship of auricle subunit with Jahrsdoerfer score on microtia patients Methods: Cross-sectional study using retrospective data of microtia patients, CT Scan and audiological examination (BERA and pure tone audiometry) in the Department of Otolaryngology Faculty of Medicine / RSCM on 38 microtia patients.

Results: Study found male patients more frequent than female (65.8%) with a mean age of 12.3 ± 8.1 years. Most frequent middle ear abnormalities based on Jahrsdoerfer is malleus incus complex disorder (72.3%). Most frequent hearing loss is conductive hearing loss (63.1%). Based on correlation test if the greater auricle subunit value consistently increased with Jahrsdoerfer score.

Conclusion: Evaluation of ear subunit is essential in the evaluation and management of patients with microtia."