scholarly journals Hypertrophic Scar With Contracture Over the Fourth Toe Secondary to Snake Bite Wound: To Salvage or Amputate?

Cureus ◽  
2020 ◽  
Author(s):  
Shir Lee Ong ◽  
Mohd Yazid Bajuri ◽  
Muhammad Haziq Abdul Suki ◽  
Fatin Nadira ◽  
Kamarul Syariza Zamri
Keyword(s):  
Hypertrophic Scar ◽  
Snake Bite ◽  
Bite Wound

scholarly journals Perbedaan Antara Penanganan Luka Snake Bite dengan Insisi dan Tanpa Insisi Terhadap Kecepatan Penurunan Pembengkakan Luka di RSUD Pacitan

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Akhmad Rifai ◽  
Tri Andriani Cholifah
Keyword(s):  
Experimental Research ◽  
Research Method ◽  
Sampling Technique ◽  
First Aid ◽  
Snake Bite ◽  
Wound Treatment ◽  
Bite Wound ◽  
Chi Square ◽  
The Past ◽  
Life Threatening

Abstrack: Snake Bite, Incision And Without Incision, Decreasing Speed Of Wound Swelling. Snake bite has different effects, ranging from a simple wound up to life-threatening and even can lead to death. The principle of first aid for snake bite is to avoid the spread of snake poison and to prevent the infection in the bitten part. In the past, the snake bite was treated by using incision while some sources recently stated that the snake bite is not necessary treated by using incision. This study aims to determine The differences between snake bite wound treatment with incision and without incision toward the decreasing speed of wound swelling at RSUD Pacitan. The study design used non-experimental research method : a comparative with retrospective or historical documentary approach. The samples were taken by using total sampling technique. The sum of the samples was 88 documents. They were taken from medical record documents. The statistic test used Chi square with significant value 0.05. The result of the study showed that there were differences between snake bite wound treatment with incision and without incision toward the decreasing speed of wound swelling at RSUD Pacitan in 2009 – 2011.

scholarly journals PERTOLONGAN PERTAMA DAN PENILAIAN KEPARAHAN ENVENOMASI PADA PASIEN GIGITAN ULAR

2020 ◽  
pp. 91-98
Author(s):  
Anissa Cindy Nurul Afni ◽  
Fakhrudin Nasrul Sani
Keyword(s):  
Data Collection ◽  
Clinical Signs ◽  
Sampling Technique ◽  
Signs And Symptoms ◽  
First Aid ◽  
Snake Bite ◽  
Bite Wound ◽  
Cross Sectional ◽  
Snake Bites ◽  
Pressure Immobilization

Distribusi keracunan dan kematian akibat  gigitan  ular  di  dunia  bevariasi. Dalam  kasus  berat,  akan  luka  gigitan  akan  berkembang menjadi bula dan jaringan nekrotik, serta muncul gejala sistemik berupa mual, muntah dan kelemahan otot atau kejang. Tingginya angka kejadian snake bite di Indonesia belum diimbangi dengan penanganan yang optimal di prehospital. Fenomena yang muncul, Masyarakat cenderung melakukan pertolongan pertama menggunakan cara-cara tradisional, sedangkan WHO sejak tahun 2016 tidak lagi merekomendasikan bentuk pertolongan tersebut.Metode  penelitian ini yaitu deskriptif kuantitatif. Penelitian ini menggunakan teknik total sampling dengan jumlah 35 responden, waktu pengambilan data Januari – September 2019 (9 bulan) dengan kriteria eksklusi: Pasien dengan gigitan ular yang meninggal saat datang ke IGD RSUD Gemolong. Teknik pengumpulan data dengan kuesioner meliputi pertolongan pertama prehospital dan tanda dan gejala klinis yang muncul pada pasien saat tiba di rumah sakit utnuk menentukan derajat keparahan envenomasi. Analisa data univariat digunakan untuk menggambarkan deskriptif masing-masing variabel.Gambaran Pertolongan pertama prehospital yang dilakukan yaitu: 40,3% mengikat luka gigitan ular dengan tali, 31% responden menghisap ara luka, 14,3% responden merobek luka dengan pisau, 8,5% responden mencuci luka dengan sabun, 2,9% responden membakar luka dan memberikan jahe bakar pada area luka. Gambaran tingkat keparahan envenomasi responden yaitu: 57,2% responden menglami envenomasi derajat 2, sejumlah 22,8% responden mengalami envenomasi derajat 3, dan 20% responden mengalami envenomasi derajat 1. Tidak ada responden yang mengalami envenomasi derajat 4.Tindakan tradisional yang dilakukan dapat meningkatkan keparahan luka dan juga mempercepat penyebaran bisa. Prinsipn utama yang direkomendasikan untuk penanganan pertama gigitan ular adalah mecegah kecemasan yang berlebihan, melakukan imobilisasi area dengan balut tekan (pressure immobilitation tehnik) dan segera rujuk ke rumah sakit.   The distribution of poisoning and mortality caused by snake bites in the world is increasing. In severe cases, the bite wound will develop into bullae and necrotic tissue, as well as systemic symptoms such as nausea, vomiting and muscle weakness or spasms. The high incidence of snake bite in Indonesia has not been matched by optimal handling at prehospital. The phenomenon that arises, the community tends to do first aid using traditional methods, WHO since 2016 no longer recommends this form of help. Design of this study is quantitative descriptive with cross sectional approach. This study used a total sampling technique with a total of 35 respondents, data collection time was January - September 2019 (9 months) with exclusion criteria: Patients with snake bites who died when they came to the Emergency Room. Data collection techniques using questionnaires included prehospital first aid and clinical signs and symptoms that appeared in patients when they arrived at the hospital to determine the severity of envenomation. Univariate data analysis is used to describe the descriptive of each variable. Result of this study showed the Prehospital First Aid overview: 40.3% respondent used a tourniquet technique, 31% of respondents sucking wound, 14.3% of respondents give an incission of the bite wound, 8.5% of respondents washed wounds with soap, 2.9% of respondents burn wounds and give burnt ginger to the injured area. The description of the severity of envenomation is: 57.2% of respondents in grade 2, 22.8% of respondents in grade 3, and 20% of respondents in grade 1. No one respondents experienced grade 4 envenomation.The traditional actions taken by the lay persone can increase the severity of the wound and also accelerate the spread of bacteria. The main principles recommended for the first treatment of snake bites are preventing excessive anxiety, immobilizing the area with pressure immobilization technique and immediately referring to the hospital.

scholarly journals Cutaneous Fusariosis in Unprotected Snake Bite Wound of Farmer's Hand

2015 ◽  
Vol 42 (2) ◽  
pp. 254
Author(s):  
Eun Taik Son ◽  
Hwan Jun Choi ◽  
Young Man Lee ◽  
Jun Hyuk Kim ◽  
Doo Hyun Nam ◽  
...  
Keyword(s):  
Snake Bite ◽  
Bite Wound

scholarly journals Klasifikasi Gambar Gigitan Ular Menggunakan Regionprops dan Algoritma Decision Tree

2020 ◽  
Vol 1 (2) ◽  
pp. 69
Author(s):  
Yoga Widi Pamungkas ◽  
Adiwijaya Adiwijaya ◽  
Dody Qori Utama
Keyword(s):  
Feature Extraction ◽  
Decision Tree ◽  
Significant Influence ◽  
Snake Bite ◽  
Decision Tree Algorithm ◽  
Bite Wound ◽  
Know How ◽  
Classification Of Images ◽  
Bite Wounds

Indonesia has a high biodiversity of snakes. Snake species that exist throughout Indonesia, consisting of venomous and non-venomous snakes. One of the dangers that can be posed by snakes is the bite of several types of deadly snakes. Snake bite cases recorded in Indonesia are quite high with not a few fatalities. Most of the deaths caused by snakebite occur due to errors in the handling procedure for the bite wound. This problem can be overcome one of them if we know how to classify snake bite wounds, whether venomous or non-venomous. In this study, a classification system for snake bite wound image was built using Regionprops feature extraction and Decision Tree algorithm. Snake bite images are classified as either venomous or non-venomous without knowing the kind of the snake. In Regionprops several features are used to help the process of feature extraction, including the number of centroids, area, distance, and eccentricity. Evaluation of the model that was built was found that the parameters of the number of centroids and the distance between centroids had the most significant influence in helping the classification of images of snakebite wounds with an accuracy of 97.14%, precision 92.85%, recall 91.42%, and F1 score 92.06%.

Fibroblasts During Hypertrophic Scar Formation and Resolution

1973 ◽  
Vol 31 ◽  
pp. 428-429
Author(s):  
C. W. Kischer
Keyword(s):  
Electron Microscopy ◽  
Scanning Electron Microscopy ◽  
Cell Proliferation ◽  
Fine Structure ◽  
Metabolic Activity ◽  
Hypertrophic Scar ◽  
Normal Skin ◽  
Ground Substance ◽  
Hypertrophic Scars ◽  
Scanning Electron

The morphology of the fibroblasts changes markedly as the healing period from burn wounds progresses, through development of the hypertrophic scar, to resolution of the scar by a self-limiting process of maturation or therapeutic resolution. In addition, hypertrophic scars contain an increased cell proliferation largely made up of fibroblasts. This tremendous population of fibroblasts seems congruous with the abundance of collagen and ground substance. The fine structure of these cells should reflect some aspects of the metabolic activity necessary for production of the scar, and might presage the stage of maturation.A comparison of the fine structure of the fibroblasts from normal skin, different scar types, and granulation tissue has been made by transmission (TEM) and scanning electron microscopy (SEM).

Dupuytren's Contracture and Microvessels

1981 ◽  
Vol 39 ◽  
pp. 470-471
Author(s):  
C. W. Klscher ◽  
D. Speer
Keyword(s):  
Hypertrophic Scar ◽  
Active Form ◽  
Scar Tissue ◽  
Vascular Supply ◽  
Fiber Bundles ◽  
Dupuytren’S Contracture ◽  
Palmar Fascia ◽  
Immune Disease ◽  
Dupuytren's Contracture ◽  
Longitudinal Fiber

Dupuytren's Contracture is a nodular proliferation of the longitudinal fiber bundles of palmar fascia with its attendant contraction. The factors attributed to its etiology have included trauma, diabetes, alcoholism, arthritis, and auto-immune disease. The tissue has been observed by electron microscopy and found to contain myofibroblasts.Dupuytren's Contracture constitutes a scar, and as such, excessive collagen can be observed, along with an active form of fibroblast.Previous studies of the hypertrophic scar have led us to propose that integral in the initiation and sustenance of scar tissue is a profusion of microvascular regeneration, much of which becomes and remains occluded producing a hypoxia which stimulates fibroblast synthesis. Thus, when considering a study of Dupuytren's Contracture, we predicted finding occluded microvessels at or near the fascial scarring focus.Three cases of Dupuytren's Contracture yielded similar specimens, which were fixed in Karnovskys fluid for 2 to 20 days. Upon removal of the contracture bands care was taken to include the contiguous fatty and areolar tissue which contain the vascular supply and to identify the junctional area between old and new fascia.

Pressure Techniques For The Prevention Of Hypertrophic Scar

1992 ◽  
Vol 19 (3) ◽  
pp. 733-743 ◽  
Author(s):  
Judith A. Carr-Collins
Keyword(s):  
Hypertrophic Scar

Plasma Thrombin Assay using a Chromogenic Substrate in Disseminated Intravascular Coagulation due to Snake Bite Envenomation

1979 ◽  
Vol 41 (03) ◽  
pp. 544-552 ◽  
Author(s):  
R P Herrmann ◽  
P E Bailey
Keyword(s):  
Disseminated Intravascular Coagulation ◽  
Degradation Products ◽  
Snake Bite ◽  
Chromogenic Substrate ◽  
Coagulation Parameters ◽  
Fibrinogen Degradation Products ◽  
Intravascular Coagulation

SummaryUsing the chromogenic substrate, Tos-Gly-Pro-Arg-pNA-HCL (Chromozym TH, Boehringer Mannheim) plasma thrombin was estimated in six cases of envenomation by Australian elapid snakes. All patients manifested findings chracteristic of defibrination due to envenomation by these snakes. Fibrin-fibrinogen degradation products were grossly elevated, as was plasma thrombin in all cases.Following treatment with antivenene, all abnormal coagulation parameters returned rapidly towards normal by 24 hours and plasma thrombin disappeared.

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