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Fulltext Minimal Invasive Plate Osteosynthesis (MIPO) Technique Using Anterolateral Approach for Treating Closed Proximal Humerus Fracture

Ismail H, Boedijono D, Hidayat H, Simbardjo D

Malays Orthop J, 2012 Mar;6(1):18-24.
PMID: 25279037 DOI: 10.5704/MOJ.1203.008

ABSTRACT: Proximal humerus fracture is the second most common fracture of the upper extremity and presents several unique problems such as anatomical complexity, high risk of avascular necrosis, minimal bone stock for purchase, significant morbidity, and lack of a universally accepted treatment. Recent treatments for proximal humerus fractures include use of minimally invasive plate osteosynthysis (MIPO). The aim of this cross-sectional study was to evaluate the outcomes of our less invasive technique using a modified anterolateral approach for treatment of proximal humerus fractures. Ten such operative procedures were performed in patients of varying age and with varied mechanism of injury from 2002-2011. All cases were conducted in an acute setting. There were no cases of infection and the functional outcome scores were good. This approach represents an alternative treatment for closed proximal humerus fracture but more extensive studies are needed.
KEY WORDS: Proximal humerus fracture, MIPO, less invasive,anterolateral approach.
Bacteriological Profile and Antibiotic Susceptibility Pattern of Diabetic Foot Infection in a Tertiary Care Hospital in Lampung, Indonesia

Darwis I, Hidayat H, Wisnu GNPP, Mentari S

Malays J Med Sci, 2021 Oct;28(5):42-53.
PMID: 35115886 DOI: 10.21315/mjms2021.28.5.4

Background: Diabetic foot infection (DFI) is a serious complication of diabetes mellitus and identification of the causative bacteria is an essential step in selecting the appropriate antibiotic therapy. This study aimed to evaluate the bacterial pattern and antibiotic susceptibility of the bacteria causing DFI in Lampung Province in Indonesia.
Methods: This study is a retrospective study reviewing the medical records of DFI patients admitted to the Dr Hi Abdul Moeloek Regional General Hospital in 2017-2019. DFI patients with complete medical record data were included in this study. Demographic, clinical, laboratory, wound culture and antibiotic susceptibility data were collected from the medical records using a short structural chart. The data obtained then reviewed.
Results: In this study, 131 DFI patients met the study criteria and were included. Based on the wound culture results, Gram-negative bacteria were obtained in 112 (85.5%) subjects with Enterobacter spp. as the predominant bacteria. Gram-positive bacteria were found in 19 (14.5%) subjects with Staphylococcus spp. as the predominant bacteria. Gram-negative bacteria found in this study showed high susceptibility to amikacin, meropenem and sulbactam/cefoperazone. Meanwhile, the Gram-positive bacteria showed high susceptibility to meropenem, sulbactam/cefoperazone and amikacin.
Conclusion: The findings of the study revealed Enterobacter spp. as the most predominant bacteria causing DFI in the studied population. The highest antibiotic susceptibility was seen for amikacin, meropenem and sulbactam/cefoperazone.
Fulltext Flower-like SnO2 Nanoparticle Biofabrication Using Pometia pinnata Leaf Extract and Study on Its Photocatalytic and Antibacterial Activities

Fatimah I, Purwiandono G, Hidayat H, Sagadevan S, Ghazali SAISM, Oh WC, et al.

Nanomaterials (Basel), 2021 Nov 10;11(11).
PMID: 34835776 DOI: 10.3390/nano11113012

The present study reported biofabrication of flower-like SnO2 nanoparticles using Pometia pinnata leaf extract. The study focused on the physicochemical characteristics of the prepared SnO2 nanoparticles and its activity as photocatalyst and antibacterial agent. The characterization was performed by XRD, SEM, TEM, UV-DRS and XPS analyses. Photocatalytic activity of the nanoparticles was examined on bromophenol blue photooxidation; meanwhile, the antibacterial activity was evaluated against Klebsiella pneumoniae, Escherichia coli Staphylococcus aureus and Streptococcus pyogenes. XRD and XPS analyses confirmed the single tetragonal SnO2 phase. The result from SEM analysis indicates the flower like morphology of SnO2 nanoparticles, and by TEM analysis, the nanoparticles were seen to be in uniform spherical shapes with a diameter ranging from 8 to 20 nm. SnO2 nanoparticles showed significant photocatalytic activity in photooxidation of bromophenol blue as the degradation efficiency reached 99.93%, and the photocatalyst exhibited the reusability as the degradation efficiency values were insignificantly changed until the fifth cycle. Antibacterial assay indicated that the synthesized SnO2 nanoparticles exhibit an inhibition of tested bacteria and showed a potential to be applied for further environmental and medical applications.
Fulltext Green Synthesis of Antibacterial Nanocomposite of Silver Nanoparticle-Doped Hydroxyapatite Utilizing Curcuma longa Leaf Extract and Land Snail (Achatina fulica) Shell Waste

Fatimah I, Hidayat H, Purwiandono G, Khoirunisa K, Zahra HA, Audita R, et al.

J Funct Biomater, 2022 Jun 20;13(2).
PMID: 35735939 DOI: 10.3390/jfb13020084

Preparation of green synthesized silver nanoparticle (AgNPs)-doped hydroxyapatite (Ag/HA) utilizing Curcuma longa leaf extract and land snail (Achatina fulica) shell waste was performed. Physicochemical characteristics and antibacterial activity of Ag/HA composite as a function of Ag content was studied. Instrumental analysis such as XRD, SEM-EDX, TEM, and XPS were employed to characterize the nanocomposites. The physicochemical study revealed the maintained porous structure of HA after Ag immobilization, and from TEM analyses, it was found that the distributed spherical particles are associated with the dispersed Ag and have a particle diameter of around 5-25 nm. Antibacterial activity of the nanocomposite was evaluated against Escherichia coli, Staphylococcus aureus, Kliebsiella, pneumonia, and Streptococcus pyogenes. The results showed that the varied Ag content (1.0; 1.6; and 2.4% wt) influenced the nanoparticle distribution in the nanocomposite and enhanced the antibacterial feature.
Fulltext Hydrothermally synthesized titanium/hydroxyapatite as photoactive and antibacterial biomaterial

Fatimah I, Hidayat H, Citradewi PW, Tamyiz M, Doong RA, Sagadevan S

Heliyon, 2023 Mar;9(3):e14434.
PMID: 36950579 DOI: 10.1016/j.heliyon.2023.e14434

The present work investigated hydrothermal synthesis of titanium/hydroxyapatite (Ti/HA) nanocomposite at varied Ti content. The synthesis was performed by coprecipitation method using CaO, ammonium dihydrogen phosphate and titanium oxide chloride precursor with the additional cetyl trimethyl ammonium chloride as templating agent, followed by hydrothermal treatment at 150 °C. The derived materials were characterized by x-ray diffraction, x-ray photoelectron spectroscopy, scanning electron microscopy, transmission electron microscopy analyses. The photocatalytic properties of materials were tested on methyl violet (MV) photocatalytic oxidation, meanwhile the antibacterial testing was performed against Escherichia coli, Staphylococcus aureus, Klebsiella pneumonia, and Streptococcus pyogenes. In addition, cytotoxicity evaluation of the materials as potential biomaterial was also conducted. The results showed that physicochemical character of Ti/HA exhibits exhibit the excellent properties to be photocatalyst along with antibacterial activity. From the detail study of effect of varied titanium content ranging from 5 to 10 %wt., the increasing crystallite size of anatase phase of about 25.81 nm and 38.22 nm for Ti content of 5 and 10 % wt., respectively. In other side, the band gap energy value increases as the increasing Ti content, i.e. the values are 3.08; 3.18; and 3.20 eV for Ti content of 5, 10, 20 % wt., respectively. The band gap energy is correlated with the photocatalytic activity which the highest MV degradation was 96.46% over Ti/HA with 20% wt. of Ti (Ti20/HA). The nanocomposites also express the antibacterial activity with comparable minimum inhibitory concentration (MIC) with other similar Ti/HA nanocomposites. The MIC values of Ti20/HA against E. coli, S. aureus, K. pneumonia, and S. pyogenes are 25; 25; 50 and 50 μg/mL, respectively. In addition, the cytotoxicity test revealed the potency to be a biomimetic material as shown by severe toxicity.
Fulltext Efficient photocatalytic bactericidal performance of green-synthesised TiO2/reduced graphene oxide using banana peel extracts

Utami M, Yenn TW, Alam MW, Ravindran B, Husniati, Purnama I, et al.

Heliyon, 2024 Feb 29;10(4):e26636.
PMID: 38420369 DOI: 10.1016/j.heliyon.2024.e26636

In this study, the fabrication of titanium dioxide/reduced graphene oxide (TiO2/rGO) utilising banana peel extracts (Musa paradisiaca L.) as a reducing agent for the photoinactivation of Escherichia coli (E. coli) and Staphylococcus aureus (S. aureus) was explored. The GO synthesis was conducted using a modified Tour method, whereas the production of rGO involved banana peel extracts through a reflux method. The integration of TiO2 into rGO was achieved via a hydrothermal process. The successful synthesis of TiO2/rGO was verified through various analytical techniques, including X-ray diffraction (XRD), gas sorption analysis (GSA), Fourier-transform infrared (FT-IR) spectroscopy, ultraviolet-visible diffuse reflectance spectroscopy (UV-Vis DRS), scanning electron microscope-energy dispersive X-ray (SEM-EDX) and transmission electron microscopy (TEM) analyses. The results indicated that the hydrothermal-assisted green synthesis effectively produced TiO2/rGO with a particle size of 60.5 nm. Compared with pure TiO2, TiO2/rGO demonstrated a reduced crystallite size (88.505 nm) and an enhanced surface area (22.664 m2/g). Moreover, TiO2/rGO featured a low direct bandgap energy (3.052 eV), leading to elevated electrical conductivity and superior photoconductivity. To evaluate the biological efficacy of TiO2/rGO, photoinactivation experiments targeting E. coli and S. aureus were conducted using the disc method. Sunlight irradiation emerged as the most effective catalyst, achieving optimal inactivation results within 6 and 4 h.