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"ABSTRAKFractures of the neck of condyle usually are the result of a blow to the mandible. A lateral blow to the body of the mandible commonly cause a contralateral condylar fracture. There are many signs and symptoms of a condylar fracture, for example crepitation, deviation of the mandible to the side of injury, and spasm of the associate group of muscles. These will result in a functional disability, which is usually seen as a limited mandibular movement. This paper reported a patient with a fracture of the right condylar neck. Patient had been treated with closed reduction and immobilization for 2 months. After that, she felt that her bite was charged, she could not occlude her teeth well, and she had clicking sound in the right joint when she opened her mouth. Besides that, patient had difficulties to move the mandible to the left side, and she could not open her mouth widely. The patient was treated with a repositioning splint and she had to do some jaw exercises.The purposes were to regain the position of condyle, to reduce the muscle spasm and finally got the normal jaw movement."

"Penelitian ini bertujuan untuk mengetahui persepsi pasien yang mengalami fraktur pada pengobatan alternatif. Responden penelitian 30 orang. Hasil peneelitian menunjukkan 70% responden berpresepsi positif terhadap pengobatan alternatif untuk menyembuhkan fraktur. "

"Produksi gula adalah industri besar di Australia, yang menghasilkan pendapatan hingga 2,0 miliar Dollar Australia. Namun, terdapat kerugian pendapatan sebesar 7% untuk setiap panen, disebabkan oleh tebu yang rusak oleh pemanen mekanis. Kerusakan tersebut - terutama yang merupakan fraktur - berasal mesih pemanen yang menekuk dan memotong tebu tersebut dapat dipanen. Beberapa penelitian telah dilakukan untuk menemukan bagaimana proses panen dapat merusak tebu selama proses panen; dengan cara menemukan sifat-sifat batang tebu, hubungannya dengan pemotong, dan berapa banyak kekuatan yang ditimbulkan sehingga menyebabkan patah. Namun, tidak ada yang menemukan bagaimana data ini pada akhirnya dapat mengurangi kerusakan pada tongkat, sehingga kerugian dapat diminimalkan. Makalah ini akan mencoba menjawab pertanyaan tersebut: bagaimana cara mengurangi kerugian tebu saat dipanen. Dengan mengejar pemahaman yang lebih dalam tentang batang tebu, serta interaksinya dengan mesin pemanen.

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Sugar production is a major industry in Australia, generating up to $2.0 billion of income. However, 7% of revenue is lost for each harvest, caused by cane being damage by the harvester. The damage—mainly fracture—come from bending and cutting the cane for it to be harvested. Several studies have been conducted to discover how the harvesting process may damage the cane during the harvesting process; by finding the properties of the cane, the relation with the base cutter, and how much force needed to break it. However, nobody has found how these data can eventually reduce the damage on the cane, so the loss can be minimised. This paper will try to answer that question: how to reduce cane loss due to harvesting. By pursuing a deeper understanding of the sugarcane stalk, as well as its interaction with the harvester."

"Definisi : Fraktur Colles adalah fraktur distal radius kurang lebih satu inci diproksimal permukaan sendi pergelangan tangan, disertai deviasi fragmen distal ke posterior. Biasanya terjadi pada wanita tua, dimana tulang telah mengalami osteoporosis, terkadang disertai dengan fraktur avulsi prosesus stiloideus ulna. Kesimpulan : Jadi metoda reposisi modifikasi Bohler dengan fiksasi "circular cast" setinggi siku posisi supinasi lengan bawah dan dorsofleksi deviasi ulna pergelangan tangan lebih efektif dan efisien dibanding dengan metoda fiksasi "circular cast" diatas siku posisi fleksi siku pronasi lengan bawah dan fleksi serta deviasi ulnar pergelangan tanggan ("cotton loader") yang selama ini digunakan.

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Definition: Colles fracture is a distal fracture with a radius of approximately one inch proximal on the surface of the wrist joint, accompanied by a deviation of the distal fragment to posterior. It usually occurs in older women, where the bone has undergone osteoporosis, sometimes accompanied by an avulsion fracture of the stiloideus ulna process. Conclusion: So the Bohler modified repositioning method with "circular cast" fixation at elbow height of forearm supination position and wrist ulna deviation dorsoflexion is more effective and efficient than the "circular cast" fixation method above elbow, elbow flexion position, forearm pronation and flexion and ulnar deviation ("cotton loader") that has been used."

"Klien fraktur yang terpasang alat Eksasi luar sangat mungkin mengalami gangguan citra tubuh, karena salah satu stressor yang menyebabkan gangguan citra tubuh adalah adanya perubahan bentuk fraktur tubuh yang diakibatkan oleh terpasangnya alat - ala! dalam tubuh klien. Tujuan penelitian ini untuk mengidentifikasi hubungan antara status citra tubuh dengan faktor - faktor resiko. Penelitian ini dilakukan di RSUPN Cipto Mangunkusumo dengan jenis penelitian studi deskriptif menggunakan desain Cross Sectional. Penelitian dilakukan terhadap 13 klien fraktur yang terpasang fiksasi luar yang sedang dirawat di rumah sakit. Pengumpulan data dilakukan dengan menggunakan kuesioner untuk mengumpulkan data demografi, faktor - faktor dan status citra tubuh. Data dianalisa dengan distribusi frekuensi menggunakan sentral tendensi kemudian dilanjutkan dengan uji statistik non parametric fisher exact umuk menguji hubungan antara faktor resiko dengan status citra tubuh yang muncul. Dani penelitian diperoleh bahwa umur responden 69,2 % lebih dari 35 tahun, jenis kelamin 53,8 % adalah laki - laki, tingkat pendidikan 46,2 % Akademi / Perguruan Tinggi, alat Eksasi luar yang terpasang 77 % kurang dari satu bulan. Faktor yang paling dirasakan oleh responden adalah faktor tampilan anatomis dan status citra tubuh yang teljadi 84,6 % adalah positif. Dari penelitian juga diperoleh bahwa tidak terdapat hubungan yang bermakna antara faktor- faktor resiko yang diteliti dengan citra tubuh klien fraktur yang terpasang alat fiksasi luar. Dari hasil penelitian ini diharapkan pelayanan keperawatan tetap memperhatikan pengaruh faktor - faktor resiko terhadap citra tubuh klien fiaktur yang terpasang alat Eksasi Iuar, karena individu itu adalah unik"

"Penyembuhan fraktur masih merupakan masalah besar. Banyak hal dilakukanuntuk mempercepat penyembuhan fraktur dan menghindari komplikasipenyembuhan fraktur. Pemberian vitamin C salah satunya. Penelitian ini bertujuanuntuk mengetahui peran vitamin C dalam mempercepat penyembuhan frakturpada fraktur dengan periosteal stripping di femur tikus putih Spague DawleyEvaluasi percepatan penyembuhan fraktur dilakukan secara radiologis denganskor RUST dan histologis dengan histomorphometri. Penelitian ini adalahpenelitian eksperimental. Penilaian dilakukan terhadap 32 ekor tikus dengandosis vitamin C yang berbeda-beda dan dievaluasi pada minggu ke 2 dan mingguke 4. Terdapat percepatan penyembuhan fraktur pada kelompok dengan dosisbesar pada skor RUST di minggu ke-4. Secara histologis pada histomorphometrididapatkan percepatan penyembuhan fraktur,tetapi secara statistik tidak bermakna.

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Fracture Healing still became a problem. There are many things to do to enhance

and avoid the complication of fracture healing. Vitamin C is one of the way to

enhance the fracture healing.. The purpose of this study is to know the role of

vitamin C in enhancement the fracture healing in fracture with periosteal stripping

at white rats femur. The evaluation of enhancement of fracture healing used

radiograpic with RUST score and histologic with histomorphometry. This is an

experimental study. The study used 32 rats which were given vitamin C in

different dosage and was evaluated at the 2nd and 4th week. There is

enhancement of fracture healing in all dosage, especially the large dosage of

vitamin C in RUST score evaluation in the 4th week. In histomorphometry

evaluation there were enhancement of fracture healing but statistically no

significant"

"ABSTRAK Pendahuluan. Kesulitan dalam tatalaksana defek tulang yang luas merupakan salah satu tantangan dewasa ini. Selain tatalaksananya yang kompleks juga dapat memberikan dampak jangka panjang negatif yang berat. Penggunaan BMP-2 dalam tatalaksana fraktur dengan defek tulang yang luas memegang peranan penting. BMP-2 berperan pada proses osteogenesis dan chondrogenesis dan menghambat osteoclastogenesis melalui RANKL signaling. Penelitian ini bertujuan untuk mengetahui efek dari perbedaan dosis BMP-2 terhadap penyembuhan fraktur dengan defek tulang yang luas. Metode. Penelitian dilakukan di Laboratorium Animal Gizi di FKUI dan Laboratorium Patologi Anatomi FKUI-RSCM, pada bulan Juli hingga September 2015. Desain penelitian adalah randomized post test control group. Sejumlah 25 ekor tikus putih Sprague Dawley dengan usia 3-4 bulan dan berat badan antara 250 ? 350 gram, dibagi secara acak menjadi kelompok kontrol hidroksiapatit (HA) saja dan kelompok kombinasi HA + BMP-2 1 μg/ml, HA + BMP-2 5 μg/ml, HA + BMP-2 10 μg/ml, HA + BMP-2 20 µg/ml. Tiap kelompok dilakukan tindakan berupa frakturisasi dengan defek tulang 10mm pada femur kanan dan dilakukan fiksasi interna dengan menggunakan intramedullary k-wire ukuran 1,4 mm secara retrograd. Setelah 6 minggu dilakukan penilaian secara histomorfometri, radiologis dan Scanning Electron Microscope (SEM). Hasil. Berdasarkan hasil penelitian secara histomorfometri ditemukan terdapat perbedaan rerata total area kalus yang bermakna diantara kelompok penelitian (p<0,001),terdapat perbedaan bermakna rerata area penulangan antara kelompok kontrol dengan kelompok 1 μg/ml, 5 μg/ml, 10 μg/ml, 20 μg/ml (masing-masing p=0,009, p=0,016, p=0,009 dan p=0,016), terdapat perbedaan bermakna rerata area kartilago antara kelompok kontrol dengan kelompok 1 μg/ml, 5 μg/ml, 10 μg/ml, 20 μg/ml (masing-masing p=0,009, p=0,009, p=0,009 dan p=0,028), terdapat perbedaan bermakna rerata area fibrosis antara kelompok kontrol dengan kelompok 1 μg/ml dengan kelompok kontrol dan 10 μg/ml(masing-masing p=0,047 dan p=0,009).Secara radiologis dengan RUST score didapatkan perbedaan bermakna antara kelompok kontrol dengan kelompok 1 μg/ml, 5 μg/ml, 10 μg/ml, 20 μg/ml (masing-masing p=0,005, p=0,006, p=0,005 dan p=0,006). Dengan SEM didapatkan gambaran kalus yang lebih homogen dan padat pada kelompok 10μg/ml dibandingkan dengan 5 μg/ml dan 20 μg/ml. Kesimpulan: Pemberian BMP-2 dapat menstimulasi proses penyembuhan fraktur pada defek tulang luas (critical bone defect) yang bermakna secara statistik, histomorfometri, radiologis maupun secara kualitatif dengan SEM. Terdapat dosis optimal dalam pemberian BMP-2.ABSTRACT Introduction: Difficulties in the management of extensive bone defects is one of today's challenges. It is not only complex treatment but also can provide long-term negative severe effects. The use of BMP-2 in the treatment of fractures with extensive bone defect plays an important role. BMP-2 plays a role in the process of osteogenesis and chondrogenesis and inhibits osteoclastogenesis via the RANKL signaling. This study aims to determine the effect of differences in doses of BMP-2 on the healing of the fracture with extensive bone defects. Methods: The study was conducted at the Laboratory of Animal Nutrition at the Faculty of Medicine University of Indonesia (FMUI) in July until September 2015. The study design was randomized posttest control group. A number of 25 Sprague Dawley rats aged 3-4 months and bodyweight between 250-350 grams, were randomly divided into a control group of hydroxyapatite (HA) alone and HA+BMP-2 1 µg / ml, HA+BMP -2 5 ug / ml, HA + BMP-2 10 µg / ml, HA + BMP-2 20 ug / ml. Each group carried out fracturization with 10mm bone defect in right femur and internal fixation by using intramedullary K-wire size of 1.4 mm retrograde. After 6 weeks we did histomorfometri assessment, radiological and Scanning Electron Microscope (SEM). Results: Based on the research results histomorfometrcally found there are differences in the mean total area of ​​callus significantly between the study group (p <0.001), there were significant differences in the mean area of ​​woven bone between the control group with group 1 ug / ml, 5 µg / ml, 10 µg / ml, 20 ug / ml (respectively p = 0.009, p = 0.016, p = 0.009 and p = 0.016), there were significant differences in the average area of ​​the cartilage between the control group with group 1 ug / ml, 5 µg / ml, 10 µg / ml, 20 ug / ml (respectively p = 0.009, p = 0.009, p = 0.009 and p = 0.028), there were significant differences in the average area of ​​fibrosis between the control group with group 1 ug / ml in the control group and 10 mg / ml (respectively -masing p = 0.047 and p = 0.009) .In radiologist assessment with RUST scores obtained significant differences between the control group and group 1 ug / ml, 5 µg / ml, 10 µg / ml, 20 µg / ml (respectively p = 0.005 , p = 0.006, p = 0.005 and p = 0.006). SEM features with callus more homogeneous and dense in the group of 10μg / mL compared with 5 ug / ml and 20 µg / ml. Conclusion: Administration of BMP-2 could stimulate the process of fracture healing in large bone defects (critical bone defect) which was statistically significant with histomorfometri assestment, radiological and qualitatively with the SEM. There is an optimal dose in the administration of BMP-2.;Introduction: Difficulties in the management of extensive bone defects is one of today's challenges. It is not only complex treatment but also can provide long-term negative severe effects. The use of BMP-2 in the treatment of fractures with extensive bone defect plays an important role. BMP-2 plays a role in the process of osteogenesis and chondrogenesis and inhibits osteoclastogenesis via the RANKL signaling. This study aims to determine the effect of differences in doses of BMP-2 on the healing of the fracture with extensive bone defects. Methods: The study was conducted at the Laboratory of Animal Nutrition at the Faculty of Medicine University of Indonesia (FMUI) in July until September 2015. The study design was randomized posttest control group. A number of 25 Sprague Dawley rats aged 3-4 months and bodyweight between 250-350 grams, were randomly divided into a control group of hydroxyapatite (HA) alone and HA+BMP-2 1 µg / ml, HA+BMP -2 5 ug / ml, HA + BMP-2 10 µg / ml, HA + BMP-2 20 ug / ml. Each group carried out fracturization with 10mm bone defect in right femur and internal fixation by using intramedullary K-wire size of 1.4 mm retrograde. After 6 weeks we did histomorfometri assessment, radiological and Scanning Electron Microscope (SEM). Results: Based on the research results histomorfometrcally found there are differences in the mean total area of ​​callus significantly between the study group (p <0.001), there were significant differences in the mean area of ​​woven bone between the control group with group 1 ug / ml, 5 µg / ml, 10 µg / ml, 20 ug / ml (respectively p = 0.009, p = 0.016, p = 0.009 and p = 0.016), there were significant differences in the average area of ​​the cartilage between the control group with group 1 ug / ml, 5 µg / ml, 10 µg / ml, 20 ug / ml (respectively p = 0.009, p = 0.009, p = 0.009 and p = 0.028), there were significant differences in the average area of ​​fibrosis between the control group with group 1 ug / ml in the control group and 10 mg / ml (respectively -masing p = 0.047 and p = 0.009) .In radiologist assessment with RUST scores obtained significant differences between the control group and group 1 ug / ml, 5 µg / ml, 10 µg / ml, 20 µg / ml (respectively p = 0.005 , p = 0.006, p = 0.005 and p = 0.006). SEM features with callus more homogeneous and dense in the group of 10μg / mL compared with 5 ug / ml and 20 µg / ml. Conclusion: Administration of BMP-2 could stimulate the process of fracture healing in large bone defects (critical bone defect) which was statistically significant with histomorfometri assestment, radiological and qualitatively with the SEM. There is an optimal dose in the administration of BMP-2."

"Fraktur merupakan salah satu kejadian cedera yang paling sering terjadi pada masyarakat perkotaan. Salah satu bentuk intervensi yang dapat diberikan untuk mengatasi masalah hambatan mobilitas fisik pada klien dengan fraktur adalah latihan kekuatan otot. Latihan kekuatan otot bertujuan untuk mencegah atropi otot, memelihara kekuatan otot sebelum operasi dan mempersiapkan ambulasi dini pasca operasi. Pada kasus fraktur di ruangan Anggrek Tenggah Kanan RSUP Persahabatan telah diterapkan penggunaaan latihan kekuatan otot dan dapat dilihat adanya perkembangan kemampuan mobilisasi klien. Rekomendasi dari tulisan ini adalah penggunaan latihan kekuatan otot dapat dijadikan sebagai latihan wajib yang diterapkan di rumah sakit untuk klien dengan masalah fraktur agar dapat meningkatkan kemampuan mobilisasi klien.

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Fracture is one of the most common injury events occurred in urban communities. One form of intervention that can be provided to overcome barriers to physical mobility problems in clients with fracture is muscle strength exercise. Muscle strength exercise have function to prevent muscle atrophy, maintain muscle strength before surgery and preparing for early ambulation postoperative. From the case of fracture in the room Anggrek Tengah Kanan RSUP Persahabatan has implemented the use of muscle strength exercise and can be seen the development of the ability to mobilize the client. Recommendation of this paper is the use of muscle strength exercise can be applied as a mandatory practice in the hospital for a client with a fracture problems in order to improve the client's ability to mobilize."

"Sistem muskuloskeletal memberikan perlindungan terhadap organ vital tubuh gangguan pada sistem tersebut memberikan dampak serius bagi kondisi kesehatan seseorang kualitas hidup keuangan kenyamanan fisik dan kesehatan psikologis Penyakit dan cidera di Indonesia paling banyak merupakan kejadian patah tulang Pada kondisi patah tulang dapat mengakibatkan insufisiensi vaskuler dan kompresi saraf serta sindroma kompartemen Perawat spesialis medikal bedah berperan penting dalam penatalaksanaan asuhan keperawatan melalui pendekatan Model Adaptasi Roy pada kasus multipel fraktur dan sindroma kompartemen penerapan pemberian edukasi singkat dan latihan relaksasi nafas dalam sebagai upaya menurunkan nyeri pada klien post operasi ORIF Open Reduction Intra Fixation serta peran sebagai inovator melalui pengembangan program SBAR Situation Background Assessment Recommendation dalam handover perawat ruangan Hasil analisis praktik menunjukkan bahwa Model Adaptasi Roy sesuai dalam pengelolaan asuhan keperawatan pada multipel fraktur dan sindroma kompartemen Pemberian edukasi singkat dan latihan relaksasi nafas dalam mampu menurunkan tingkat nyeri secara efektif hingga hari ke 7 setelah operasi pemasangan ORIF Pengembangan program SBAR dilakukan melalui pembuatan panduan berdasarkan kasus yang sering terjadi di ruangan bedah orthopedi RSUP Fatmawati sehingga melalui panduan tersebut perawat dapat melakukan timbang terima menggunakan SBAR khususnya pada pasien dengan gangguan muskuloskeletal Kata kunci Model Adaptasi Roy fraktur multipel Edukasi singkat dan nafas dalam SBAR Depok 21 Agustus 2015 Mengetahui Suvervisor Utama Mahasiswa Dr Debie Dahlia S Kp MHSM Annas Sumeru.

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The musculoskeletal system provides protection against the body 39 s vital organs disturbances in the system create serious implications for a person 39 s health condition quality of life financial physical comfort and psychological health Disease and injury in Indonesia mostly caused by incidence of fractures Fractures could possibly lead to vascular insufficiency and nerve compression as well as compartment syndrome Medical surgical nurse specialist plays an important role in the management of nursing care by Roy Adaptation Model approach in the case of multiple fractures and compartment syndrome the application of brief educational and breathing relaxation exercises to reduce pain level of patient attempt ORIF Open Reduction Intra Fixation as well as a role as innovator through the development of SBAR Situation Background Assessment Recommendation programs for nurse handover The results of the analysis of practices shows that Roy Adaptation Model fit in the management of nursing care in multiple fractures and compartment syndrome Giving a brief educational and breathing relaxation exercises able to effectively reduce pain until the 7th day after ORIF surgery SBAR program development is done through the creation of guidelines based on the case that often occur in orthopedic ward of RSUP Fatmawati so that through the guidance of nurses can using SBAR particularly in patients with musculoskeletal disorders Keywords Roy Adaptation Model multiple fracture brief educational and breathing relaxation exercise SBAR Depok 21 Agustus 2015 Mengetahui Suvervisor Utama Mahasiswa Dr Debie Dahlia S Kp MHSM Annas Sumeru."

"[ABSTRAK Mayoritas populasi masyarakat dunia menepati daerah perkotaan. Akibat darikepadatan penduduk di daerah perkotaan timbul masalah yang berkaitan dengan lalulintassalah satunya adalah tingginya jumlah kecelakaan lalu-lintas. Frakturmerupakan salah satu akibat dari kecelakaan lalu-lintas yang memerlukanpenanganan segera untuk mempertahankan anatomi dan fungsi tubuh seperti semula.Pasien post ORIF tibia dan fibula memerlukan tindakan ambulasi untukmemperlancar sistem peredaran darah pasien. Karya ilmiah ini bertujuan untukmenganalisis intervensi keperawatan ambulasi yang diberikan pada pasien post ORIFfraktur tibia dan fibula di Ruang Angrek tengah kanan RSUP Persahabatan. Pasienyang dilakukan tindakan ambulasi secara bertahap adalah pasien dapat terhindar darikomplikasi akibat vaskularisasi yang buruk, dapat mempercepat proses penyembuhanserta memperpendek masa perawatan pasien di rumah sakit.ABSTRACT The majority of world's population lived in urban areas. As a result of population

density in urban areas, problem relating to traffic is the high number of traffic

accident. Fracture is one result of a traffic accident that requires immediate action to

preserve the anatomy and function of the body as before. The tibia and fibula

fractures post ORIF patient requires ambulation intervention to expedite the

circulatory system of the patient. This scientific work aimed to analyze ambulation of

the nursing intervention which given to tibia and fibula fractures post ORIF patient

at Angrek tengah kanan ward RSUP Persahabatan. The patient who performed the

gradually ambulation intervention can avoid the complications due to poor

vascularization, accelerate the healing process, and shorten patient care in hospital.;The majority of world's population lived in urban areas. As a result of population

density in urban areas, problem relating to traffic is the high number of traffic

accident. Fracture is one result of a traffic accident that requires immediate action to

preserve the anatomy and function of the body as before. The tibia and fibula

fractures post ORIF patient requires ambulation intervention to expedite the

circulatory system of the patient. This scientific work aimed to analyze ambulation of

the nursing intervention which given to tibia and fibula fractures post ORIF patient

at Angrek tengah kanan ward RSUP Persahabatan. The patient who performed the

gradually ambulation intervention can avoid the complications due to poor

vascularization, accelerate the healing process, and shorten patient care in hospital.;The majority of world's population lived in urban areas. As a result of population

density in urban areas, problem relating to traffic is the high number of traffic

accident. Fracture is one result of a traffic accident that requires immediate action to

preserve the anatomy and function of the body as before. The tibia and fibula

fractures post ORIF patient requires ambulation intervention to expedite the

circulatory system of the patient. This scientific work aimed to analyze ambulation of

the nursing intervention which given to tibia and fibula fractures post ORIF patient

at Angrek tengah kanan ward RSUP Persahabatan. The patient who performed the

gradually ambulation intervention can avoid the complications due to poor

vascularization, accelerate the healing process, and shorten patient care in hospital., The majority of world's population lived in urban areas. As a result of population

density in urban areas, problem relating to traffic is the high number of traffic

accident. Fracture is one result of a traffic accident that requires immediate action to

preserve the anatomy and function of the body as before. The tibia and fibula

fractures post ORIF patient requires ambulation intervention to expedite the

circulatory system of the patient. This scientific work aimed to analyze ambulation of

the nursing intervention which given to tibia and fibula fractures post ORIF patient

at Angrek tengah kanan ward RSUP Persahabatan. The patient who performed the

gradually ambulation intervention can avoid the complications due to poor

vascularization, accelerate the healing process, and shorten patient care in hospital.]"