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"[ABSTRAKLatar belakang : Cedera ligamentum krusiatum anterior merupakan salah satu cedera olahraga yang sering terjadi. Penanganan dengan operasi rekonstruksi diharapkan dapat membantu pasien untuk kembali melakukan aktivitas fisik seperti semula. Tujuan: Mengetahui aktivitas fisik dan kemampuan fungsional pasien 12-24 bulan pasca operasi rekonstruksi ligamentum krusiatum anterior akibat cedera olahraga, serta faktor-faktor yang mempengaruhinya. Metode: Dikumpulkan 11 subyek dari daftar rumah sakit tempat praktek dokter spesialis bedah ortopedi anggota IHKS dan IOSSMA. Data demografik dan kondisi fungsional subyektif lutut dikumpulkan menggunakan kuesioner IKDC, data aktivitas fisik menggunakan kuesioner aktivitas fisik Tegner, dan data kondisi fungsional obyektif lutut menggunakan tes lompat satu kaki. Hasil: Sebagian besar subyek memiliki indeks massa tubuh di atas normal dan kebiasaan merokok. Seluruh cedera ligamentum krusiatum anterior yang dialami terjadi akibat suatu mekanisme cedera non-kontak dengan biomekanisme yang khas, yaitu: permukaan plantar kaki menempel di lantai dan berada di posisi menjauhi pusat massa tubuh, sendi lutut berada dalam keadaan hampir ekstensi dan valgus, serta batang tubuh bergeser ke lateral. Namun, sebagian besar subyek tidak menjalani program rehabilitasi sebelum operasi rekonstruksi. Hampir seluruh subyek memiliki tingkat aktivitas fisik lebih rendah dibandingkan dengan tingkat aktivitas fisiknya sebelum cedera, dan alasan utamanya adalah karena adanya rasa takut untuk kembali ke aktivitas fisiknya seperti semula. Sebagian besar subyek memiliki kondisi fungsional sendi lutut yang buruk, baik secara subyektif maupun obyektif, dan didapatkan kecenderungan adanya hubungan antara hal tersebut dengan beberapa faktor, yaitu jarak waktu antara terjadinya cedera dengan dilakukannya operasi rekonstruksi, serta pemberian program rehabilitasi sebelum maupun sesudah operasi rekonstruksi. Kesimpulan: Pasien 12-24 bulan pasca operasi rekonstruksi ligamentum krusiatum anterior akibat cedera olahraga memiliki tingkat aktivitas fisik dan kemampuan fungsional yang rendah. Dan terdapat kecenderungan bahwa hal tersebut dipengaruhi oleh jarak waktu antara terjadinya cedera dengan dilakukannya operasi rekonstruksi, serta pemberian program rehabilitasi sebelum dan sesudah operasi rekonstruksi yang dijalani.

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ABSTRACTBackground: Anterior cruciate ligament (ACL) injury is one of the common sports injuries and one of the management strategy is by doing reconstruction surgery. It is hoped that the patient can get back to previous physical activity level after the surgery. Objective: To know the physical activity level and functional ability of patients 12-24 months post anterior cruciate ligament reconstruction surgery due to sports injury and their related factors. Methods: Eleven subjects were selected from hospitals where orthopedic surgeons of IHKS and IOSSMA having their practice. The followings data were collected: demographic and subjective functional knee evaluation using IKDC questionnaire, physical activity level using Tegner activity scale, and objective functional knee evaluation using single leg hop test. Results: Most of the subjects had high body mass index and smoking habit. All the anterior cruciate ligament injuries happened due to a non-contact mechanism with a classic biomechanics: plantar surface of the foot planted on the ground and positioned away from the center of mass of the body, valgus and almost fully extended knee, and lateral trunk motion. Unfortunately, most of the subjects did not have pre-surgical rehabilitation program. Almost all the subjects had a lower physical activity level compare to the one before injury, and the main reason was afraid to do their previous physical activity. Most of the subjects also had bad subjective and objective functional knee condition, and there was a possibility that it was affected by the time interval duration between the injury and reconstruction surgery, and the rehabilitation program given pre- and post-reconstruction surgery. Conclusion: The patients 12-24 months post ACL reconstruction surgery due to sports injury had low physical activity level and functional ability. There was a propensity that this condition was affected by the time interval duration between the injury and reconstruction surgery, and the rehabilitation program given pre- and post-ACL reconstruction surgery., Background: Anterior cruciate ligament (ACL) injury is one of the common sports injuries and one of the management strategy is by doing reconstructionsurgery. It is hoped that the patient can get back to previous physical activity levelafter the surgery.Objective: To know the physical activity level and functional ability of patients12-24 months post anterior cruciate ligament reconstruction surgery due to sportsinjury and their related factors.Methods: Eleven subjects were selected from hospitals where orthopedicsurgeons of IHKS and IOSSMA having their practice. The followings data werecollected: demographic and subjective functional knee evaluation using IKDCquestionnaire, physical activity level using Tegner activity scale, and objectivefunctional knee evaluation using single leg hop test.Results: Most of the subjects had high body mass index and smoking habit. Allthe anterior cruciate ligament injuries happened due to a non-contact mechanismwith a classic biomechanics: plantar surface of the foot planted on the ground andpositioned away from the center of mass of the body, valgus and almost fullyextended knee, and lateral trunk motion. Unfortunately, most of the subjects didnot have pre-surgical rehabilitation program. Almost all the subjects had a lowerphysical activity level compare to the one before injury, and the main reason wasafraid to do their previous physical activity. Most of the subjects also had badsubjective and objective functional knee condition, and there was a possibility thatit was affected by the time interval duration between the injury and reconstructionsurgery, and the rehabilitation program given pre- and post-reconstructionsurgery.Conclusion: The patients 12-24 months post ACL reconstruction surgery due tosports injury had low physical activity level and functional ability. There was apropensity that this condition was affected by the time interval duration betweenthe injury and reconstruction surgery, and the rehabilitation program given pre- and post-ACL reconstruction surgery.]"

"Tesis ini menyelidiki montase untuk mengembangkan arsitektur sinematik melalui operasi rekonstruksi spasial yang menyajikan serangkaian pengalaman spasial. Montase adalah bagian dari diskursus yang berkaitan dengan sinematik, film, dan arsitektur. Artikel ini mengeksplorasi pendekatan montase sebagai dasar utama dalam proses desain arsitektur melalui pengalaman spasial. Diskusi ini didasarkan pada gagasan bahwa montase menekankan  tiga hal, yaitu sequence, layer of meaning, dan movement. Ketiga aspek ini diamati lebih lanjut melalui preseden yang terdiri dari berbagai preseden sinematik berdasarkan montase dalam arsitektur, yaitu Manhattan Transcripts dan Parc de la Villette dari Bernard Tschumi, Villa Savoye dari Le Corbusier, dan Maison Bordeaux dari Rem Koolhaas. Temuan studi preseden ini menunjukkan pemahaman tentang operasi rekonstruksi ruang, yaitu, pembongkaran (dismantlement), penghilangan (disappearance), dan pemasangan kembali (reassembly). Ketiganya ada sebagai strategi yang akan menjadi bagian dari proses produksi untuk mengembangkan desain arsitektur sinematik berbasis montase, menciptakan rangkaian spasial baru yang memberikan alternatif pengalaman spasial. Eksplorasi montase dan mekanisme desainnya memperluas pengetahuan tentang desain arsitektur berbasis sinematik.

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This thesis investigates montage to develop cinematic architecture through operations of spatial reconstruction that present a sequence of spatial experiences. Montage is a part of discourses related to cinematic, film, and architecture. This article explored the montage approach as the primary basis in the architectural design process through spatial experience. The discussion is based on the idea that a form of montage emphasizes three things, i.e., sequence, multiple layers of meaning, and movement. These three aspects were further observed through the montage precedent comprising various cinematic precedents based on montage in architecture, i.e., Manhattan Transcripts and Parc de la Villette from Bernard Tschumi, Villa Savoye from Le Corbusier, and Maison Bordeaux from Rem Koolhaas. The finding of this precedents study suggests an understanding of space reconstruction operations, i.e., dismantlement, disappearance, and reassembly. All of these three exist as strategies that will be part of the production process to develop montage-based cinematic architectural design, creating new spatial sequence that provide alternative spatial experience. Exploration on montages and its design mechanisms expands the knowledge regarding cinematic-based architectural design."

"Surgical site infection is a harmful problem both for the operator or the patient. Commonly, antibiotics is used irrationally to prevent surgical site infection. In the other hand, irrational use of antibiotics might lead to microbial resistency. Plastic reconstructive surgeryof the ears and nose is classified into clean or clean contaminated surgery which only requires prophylactic antibiotics. The aim of this study is to acquire supporting data for a rational use of antibiotics in plastic reconstructive surgery in ENT-HNS Department FMUI - CMH. This study is a pilot study with negative trial design which includes 12 subjects. Subjects are randomly divided into prophylaxis antibiotic only and combination of prophylaxis antibiotic and post operative antibiotic. This study found 1 subject form the prophylaxis antibiotic only group with surgical site infection. There was no surgical site infection in the control group. There is no significant difference between the two groups. The use of post surgery antibiotic is not neccesary in plastic reconstructive surgery to prevent surgical site infection. Further study is required to support findings of this study.

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Infeksi luka operasi adalah suatu masalah yang sangat merugikan baik bagi operator maupun pasien. Seringkali antibiotika digunakan secara tidak rasional untuk mencegah terjadinya infeksi luka operasi. Di lain pihak, penggunaan antibiotika secara tidak rasional dapat meningkatkan resistensi mikroba. Operasi plastik rekonstruksi telinga dan hidung adalah operasi bersih atau bersih terkontaminasi yang hanya membutuhkan antibiotika profilaksis. Penelitian ini bertujuan untuk mendapatkan data dukung ilmiah untuk penggunaan antibiotika yang rasional dalam tatalaksana operasi rekonstruksi telinga dan hidung di Departemen THT-KL FKUI - RSUPN Dr. Cipto Mangunkusumo. Penelitian ini merupakan suatu penelitian pendahuluan dengan desain uji klinis negatif dengan melibatkan 12 subyek. Subyek penelitian dibagi secara acak menjadi kelompok antibiotika profilaksis saja dan kombinasi antibiotika profilaksis - pasca operasi. Terdapat 1 subyek pada kelompok antibiotika profilaksis yang mengalami infeksi luka operasi. Pada kelompok kombinasi antibiotika profilaksis - pasca operasi tidak terdapat infeksi luka operasi. Tidak terdapat perbedaan bermakna proporsi angka kejadian infeksi luka operasi pada kedua kelompok. Pemberian antibiotika pasca operasi tidak diperlukan dalam operasi plastik rekonstruksi telinga dan hidung untuk mencegah infeksi luka operasi. Penelitian lebih lanjut diperlukan untuk mendukung hubungan yang tidak bermakna antara kedua kelompok."

"Latar Belakang: Prolaps organ panggul (POP) merupakan suatu penonjolan atau penurunan dinding vagina berserta organ-organ pelvis (uterus, kandung kemih, usus dan rektum) kedalam liang vagina atau keluar dari introitus vagina. Terdapat beberapa teknik operasi rekonstruksi POP dengan berbagai luaran operasi, salah satu teknik operasi rekonstruksi yang sering digunakan adalah Sacrospinosus Fixation (SSF). Sampai saat ini belum ada penelitian tentang gambaran luaran anatomis operasi Sacrospinosus Fixation (SSF) pada pasien prolaps organ panggul ataupun angka rekurensi prolaps organ panggul pascaoperasi. Tujuan: Untuk mengetahui luaran anatomis operasi teknik Sacrospinous Fixation(SSF) Metode: Penelitian ini menggunakan desain kohort retrospektif, archival study. Data diambil dari data sekunder rekam medis untuk evaluasi luaran operasi berupa titik C (POP-Q) pascaoperasi Sacrospinosus Fixation (SSF). Sebanyak 34 pasien yang masuk ke kriteria inklusi dilakukan analisis terhadap titik C praoperasi dan pascaoperasi. Analisis menggunakan Uji T berpasangan pada variabel dengan distribusi normal, dan Uji Wilcoxon-Sign Rank pada variabel distribusi tidak normal. Hasil: Dari 34 pasien yang dilakukan analisis, usia rerata pasien adalah 55,1 tahun, serta memiliki median IMT 25.2 kg/m2, derajat prolaps praoperasi 3-4 (67.6%), multiparitas 67.6%, dan riwayat histerektomi 17.6%. Pengukuran skor POP-Q dilakukan sebelum dan sesudah operasi, dengan rerata titik C praoperasi sebesar 3,62 ±1,12, sedangkan median 3,0 dengan nilai minimum -1 dan maksimum +9. Pada pengukuran pascaoperasi didapatkan rerata -4,56 ±0,82, sedangkan median sebesar -5,0 dengan nilai minimum -8 dan nilai maksimum +4. Analisis perbedaan nilai titik C praoperasi dan pascaoperasi didapatkan perbedaan yang bermakna (p<0,001). Kesimpulan: Teknik Sacrospinous Fixation (SSF) memiliki luaran yang cukup baik dan bermanfaat dalam memperbaiki kasus prolaps organ panggul, terutama kompartemen apikal dengan angka keberhasilan 14/16 (87.5%).

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Background: Pelvic organ prolapse (POP) is a protrusion or the fall of vaginal wall along with the pelvic organs (uterus, bladder, intestine and rectum) into the vagina or out of vaginal introitus. There are several reconstructive surgery with various operating outcomes, but the most often used is Sacrospinosus Fixation (SSF). To this day, there is a lack of study regarding the anatomical outcome of Sacrospinosus Fixation (SSF) surgery or the recurrence of pelvic organ prolapse after SSF, especially in Indonesia. Objective: To determine the anatomical outcome of Sacrospinous Fixation (SSF) technique.

Method: This study uses a retrospective cohort design with archival study. Data was taken from secondary medical record for evaluation of operating outcomes of Sacrospinosus Fixation, in the form of POP-Q scores of pre and post-operative. 34 patients who have gone through inclusion and exclusion criteria were analyzed by their C-point position pre and post-operatively. Paired T-test was used for normally distributed variable while Wilcoxon-Sign Rank test was used for abnormally distributed variable. Result: From 34 patients, we found that the average age is 55,1 years old, with median BMI of 25.2 kg/m2, multiparity 66.7%, prolapse stage III-IV (67.6%), previous Hysterectomy(17.6). The measurement of POP-Q Score were conducted before and after the operative procedure, with average C-point score of 3,62 ±1,12, median 3,0, minimum score -1 and maximum score of +9. In measurement postprocedure, we found average C-point score of -4,56 ±0,82, with median -5,0, minimum score -8, and maximum score +4. From comparative analysis of pre and post-operative procedure it is found to be statistically significant (p<0,001). Conclusion: The Sacrospinous Fixation (SSF) has a good operating outcome especially for the improvement of the apical compartment with succesfull rate

14/16 (87.5%). "