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All Journal JURNAL KESEHATAN INDRA HUSADA Journal of Midwifery Jurnal Plastik Rekonstruksi Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks MAHESA : Malahayati Health Student Journal Jurnal Ilmu Kesehatan Indonesia (JIKSI)
Fortuna, Fory
Universitas Andalas
Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Early Detection of Elevated Serum Procalcitonin Is Required as Warning Sign of Sepsis in Burn Patients Fortuna, Fory; Wardhana, Aditya
Jurnal Plastik Rekonstruksi Vol. 1 No. 4 (2012): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (563.346 KB) | DOI: 10.14228/jpr.v1i4.91

Abstract

Backgrounds: Procalcitonin (PCT) is a marker of the inflammatory response. This biomarker also plays a key role in burn injury, as it is accompanied by systemic inflammatory response syndrome (SIRS). Elevated level of serum PCT possibly interprets the state of inflammation and multiple organ dysfunctions (MOD) with the risk of lethal outcome.Patients and Methods: We detected high serum PCT level associated with its warning state of inflammation in 3 adult patients. We found that each high PCT level was continued by its state of inflammation. These four patients encounter serum PCT level into more than 10 ng/ml. Sepsis was diagnosed according to American Burn Association Sepsis Criteria.Results: High elevated PCT serum level (161.70 ng/mL) was detected on the first patient 8 days post burn injuryand died on the next 5 days. on the second patient, high PCT serum level (40.81 ng/mL) detected 9 days after burn injury and died on the next 2 days. The third patient was detected with high PCT serum level (12.28ng/mL) 2 days after burn injury was died on the next 2 days. The pediatric patient was detected with high PCT level (23.41 ng/ml)11 days after burn injury and died on the next 4 days.Summary: We found that it is important to initiate PCT measurements in burn patients at the time of admission. Daily measurement of PCT levels is needed for an early diagnosis and treatment of burn sepsis, monitoring therapy and MOD prevention.
Incomplete Cleft Palate in Cornelia de Lange Syndrome Fortuna, Fory; Kreshanti, Prasetyanugraheni; Handayani, Siti; Bangun, Kristaninta
Jurnal Plastik Rekonstruksi Vol. 2 No. 1 (2013): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (675.247 KB) | DOI: 10.14228/jpr.v2i1.126

Abstract

Background: Cornelia de Lange Syndrome (CdLS) is a rare congenital anomaly inheritance syndrome. The prevalence is 1.6-2.2/100.000 of 8,558,346 births in Europe. Cleft palate is less frequent malformation of this syndrome (21,7%) than other associated malformations. The diagnosis can be obtained clinically based on CdLS diagnostic criteria by USA CdLS Foundation. This is the first case in our hospital. Patient and Method: A case of a 4-year-old girl who came to our attention at Cleft and Craniofacial Center Cipto Mangunkusumo National General Hospital for incomplete cleft palate. Parents’ major concerns was feeding problem. The clinical investigations showed that the child met diagnostic criteria for CdLS as described in literatures. We manage this case in collaboration with paediatric department and other related specialists, including radiologist and craniofacial orthodontist. We performed Veau-Wardill-Kilner’s palataoplasty for the incomplete cleft palate. Paediatric department arranged provision of dietary. Result: This patient with incomplete cleft palate whom we treated by palatoplasty was moderately involved by CdLS (severity score 17). After 3 weeks follow-up, we have overcome feeding problem and body weight gained. Summary: Patient with CdLS needs early multidisciplinary team approach management for maximum outcome, because variety of associated malformations may present and life-threatening. Diagnostic criteria by USA CdLS Foundation assist health care personnel recognize this syndrome early.
Profile and Description of Injury Victims Died due to Traffic Accidents on Motorcycle Riders at the Forensic Section of Dr. RSUP. M. Djamil Padang Year 2018 – 2019 Rika Susanti; Anggi Rahmi Rusadi; Fory Fortuna
Journal of Midwifery Vol 6, No 1 (2021): Published on June 2021
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.6.1.47-57.2021

Abstract

Backgrounds: Fatalties and injuries in traffic accidents are a serious problem of the world and show that will continue to occur in the future. The cause of injury in traffic accidents mostly occurs in motorcyclists.Objectives: To know the profile and patterns of injury in victims who died due to accidents on motorcyclist at the Forensic Department of RSUP Dr. M. Djamil Padang 2018 – 2019Methods: This is a retrospective descriptive study with a total population sampling design. Data of the victims was taken from secondary data in the Forensic Department of Dr. M. Djamil Hospital, Padang for the period 2018 – 2019.Results: The study showed that a total of 74 victims who died mostly found in men (89.2%) and in the 22-40 year age group (28.4%). Based on the location and types of the injury, the most common injuries were to the head (31%), and abrasions (62%). The location of the victim's death was mostly found in the scope of the hospital with the most length of stay, namely 0 - 3 days and types of acceptance were the reference victims.Conclusion: Victims who died mostly found in males and ages from 22 to 40 years, so it is necessary to conduct socialization on the dangers of death to motorcyclists as well as outreach efforts to the community, especially young people, about traffic awareness and behavior
Webinar “Mengenal Lebih Dekat Kekerasan pada Anak” Berhasil Meningkatkan Pengetahuan Masyarakat mengenai Kekerasan pada Anak Fathiyyatul Khaira; Rahmani Welan; Westi Permata Wati; Noverika Windasari; Rizkia Chairani Asri; Fory Fortuna; Dwi Sabtika Julia; Septi Mayang Sarry; Satya Wydya Yenny
Warta Pengabdian Andalas Vol 29 No 3 (2022)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.29.3.223-230.2022

Abstract

Incidents of child abuse increase every year, including cases in West Sumatra. Violence experienced by children can cause physical disorders, impairment in cognitive, emotional, and social development, and discrimination in the social environment. The government has set rules regarding the protection of children against violence. Still, not all people know the forms of child abuse, their impact on children, and how to report child abuse cases. Therefore, we held a webinar, "Knowing more about child abuse," to educate people. One hundred three participants from various backgrounds attended this activity, but only 90 completed the pre-test and post-test questionnaires. Based on paired T-test, there was a significant increase in the mean score of participants' knowledge about emotional violence, sexual violence, and neglect/abandonment after the webinar (p<0.05). In addition, there was also an increase in the mean score of participants' knowledge about physical violence, although it was not statistically significant (p=0.103). In conclusion, education in webinars can increase public knowledge about child abuse.
Efek Suplementasi Probiotik Oral Sebagai Terapi Tambahan pada Pasien Dermatitis Atopik Nailatul Fadhila; Gardenia Akhyar; Fory Fortuna; Ennesta Asri; Endrinaldi Endrinaldi; Yusticia Katar
Jurnal Ilmu Kesehatan Indonesia Vol 4 No 2 (2023): Juni 2023
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v4i2.849

Abstract

Latar Belakang: Dermatitis atopik merupakan peradangan kulit yang menjadi beban penyakit non-fatal dalam dermatologi. Etiologinya belum diketahui secara pasti. Probiotik merupakan bakteri baik yang memiliki potensial untuk menjadi terapi tambahan dermatitis atopik. Objektif: Kajian literatur sistematis ini dilakukan untuk mengetahui efek dari suplementasi probiotik oral sebagai terapi tambahan pada pasien dermatitis atopik. Metode: Studi literatur ini merupakan kajian literature sistematis. Pencarian literatur dilakukan di tiga pangkalan data, yaitu Pubmed, Proquest, dan The Cochrane Central Register of Controlled Trials (CENTRAL). Hasil: Terdapat sebelas studi yang dimasukkan dalam kajian literature sistematis ini dengan 918 kasus dermatitis atopik. Kesimpulan: Probiotik memberikan efek terapi berupa penurunan indeks SCORAD dan meningkatkan kualitas hidup pasien. serta dapat dijadikan sebagai opsi terapi tambahan pada pasien dermatitis atopik
Gambaran Format dan Kelengkapan Pengisian Sertifikat Kematian di Rumah Sakit : Sebuah Tinjauan Pustaka Fikri Alhafizd Marwin; Rika Susanti; Fory Fortuna; Noverika Windasari; Rony Rustam; Hasmiwati Hasmiwati
MAHESA : Malahayati Health Student Journal Vol 4, No 7 (2024): Volume 4 Nomor 7 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i7.14520

Abstract

ABSTRACT Medical Certificate Cause of Death (MCCD) or death certificate is a letter made by the hospital and filled out by the doctor in charge to explain that someone has died. The standard format and instructions for filling out death certificates in Indonesia are issued by the Research and Development Agency of the Ministry of Health, Republic of Indonesia. In practice, several hospitals in Indonesia produce death certificates that do not comply with the standard format and do not follow the instructions for filling out the information issued by the Research and Development Agency of the Ministry of Health, Republic of Indonesia, so that death certificates are often filled out incompletely. This literature review aims to determine the suitability of the format and completeness of filling out a death certificate as well as the factors causing discrepancies and incomplete filling. This research takes the form of a literature review using provider databases, such as Google Scholar and nationally accredited journal sites with the keywords "Medical Cause of Death Certificate (MCCD)", "Death Certificate", and "Death Certificate (SKK)". The results showed that a total of 4 articles were related to the format of death certificates and 8 articles were related to the completeness of filling out death certificates from 2013-2023. Based on the research that has been carried out, it can be concluded that the format of death certificates issued by hospitals in Indonesia still does not follow the standard format of the Research and Development Agency of the Indonesian Ministry of Health. Overall, the completeness of filling out death certificates in several hospitals in Indonesia is still low. Factors causing format discrepancies are the hospital's ignorance of the standard format and the hospital's failure to evaluate and change the death certificate format. Factors causing incomplete filling in are the absence of guidelines for filling out, the absence of regulations and SOPs for filling out death certificates, lack of attention, and quantitative analysis that has not been optimal. Keywords: Medical Certificate Cause of Death, Death Certificate,  Completeness of Filling  ABSTRAK Sertifikat Medis Penyebab Kematian (SMPK) atau sertifikat kematian adalah surat yang dibuat oleh rumah sakit serta diisi oleh dokter penanggung jawab untuk menerangkan bahwa seseorang telah meninggal. Format baku dan petunjuk pengisian sertifikat kematian di Indonesia dikeluarkan oleh Badan Litbangkes Kemenkes Republik Indonesia. Dalam penerapannya, beberapa rumah sakit di Indonesia membuat sertifikat kematian yang tidak sesuai dengan format baku dan tidak mengikuti petunjuk pengisian yang telah dikeluarkan oleh Badan Litbangkes Kemenkes RI sehingga sering didapatkan pengisian sertifikat kematian yang tidak lengkap. Tinjauan pustaka ini bertujuan untuk mengetahui gambaran kesesuaian format dan kelengkapan pengisian sertifikat kematian serta faktor penyebab ketidaksesuaian dan ketidaklengkapan pengisian. Penelitian ini berupa tinjauan pustaka menggunakan database penyedia, seperti google scholar dan situs jurnal terakreditasi nasional dengan kata kunci “Sertifikat Medis Penyebab Kematian (SMPK)”, “Sertifikat Kematian”, dan “Surat Keterangan Kematian (SKK)”. Hasil didapatkan total 4 artikel terkait dengan format sertifikat kematian dan 8 artikel terkait dengan kelengkapan pengisian sertifikat kematian dari rentang tahun 2013-2023. Berdasarkan penelitian-penelitian yang telah dilakukan dapat disimpulkan bahwa format dari sertifikat kematian yang dikeluarkan oleh rumah sakit di Indonesia masih banyak yang belum mengkuti format baku  dari Badan Litbangkes Kementerian Kesehatan RI. Secara keseluruhan, kelengkapan pengisian sertifikat kematian pada beberapa rumah sakit di Indonesia masih rendah. Faktor penyebab ketidaksesuain format adalah ketidaktahuan pihak rumah sakit terhadap format baku serta pihak rumah sakit yang tidak melakukan evaluasi dan perubahan dari format sertifikat kematian. Faktor penyebab ketidaklengkapan pengisian adalah tidak adanya pedoman pengisian, tidak adanya peraturan dan SOP pengisian sertifikat kematian, kurangnya perhatian, dan analisis kuantitatif yang belum optimal. Kata Kunci: Sertifikat Medis Penyebab Kematian, Sertifikat Kematian, Kelengkapan Pengisian
ANGKA KEBERHASILAN TERAPI EKSISI DAN RADIOTERAPI ADJUVAN PADA PASIEN KELOID YANG DIOPERASI DI RUMAH SAKIT UNAND Iffah Annadiyah; Fory Fortuna; Hendriati
JURNAL KESEHATAN INDRA HUSADA Vol 13 No 1 (2025): Juni 2025
Publisher : SEKOLAH TINGGI ILMU KESEHATAN INDRAMAYU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36973/jkih.v13i1.709

Abstract

Keloid is a benign fibroproliferative tumor of the dermal that extends beyond the original wound and invades adjacent dermal tissue due to an abnormal healing response from the wound in the dermis. Keloids can have a disturbing impact on individuals such as cosmetic disorders, pruritus, pain, and in severe cases, limited joint movement so that it is very necessary to be managed. One of the keloid therapies with quite promising results is surgical excision and adjuvant radiotherapy. This aim of this research was to determine the success rate of excision therapy and adjuvant radiotherapy in keloid patients operated on at Unand Hospital. This research is an observational descriptive study and uses a cross- sectional design using a total sampling technique of 12 samples. Data analysis uses univariate analysis and research data is presented in the form of a table of success rates. The Results In this study, the highest success rate was found in the 12-16 year age group, female gender, lower extremity predilection. All patients received external radiation with the highest success rate in the group of patients who were given a total dose of 20 Gy in 5 fractions, a follow-up interval of 6 months, and a distance of excision and adjuvant radiotherapy for <3x24 hours, and adhered to the fixed therapy protocol. The success of therapy is largely influenced by predilection, age, gender, radiation dose, and patient compliance with therapy.
Co-Authors Anggi Rahmi Rusadi Bangun, Kristaninta Dwi Sabtika Julia Endrinaldi Ennesta Asri Fathiyyatul Khaira Fikri Alhafizd Marwin Gardenia Akhyar Hasmiwati Hendriati Iffah Annadiyah Kreshanti, Prasetyanugraheni Nailatul Fadhila Noverika Windasari Rika Susanti Rizkia Chairani Asri Rony Rustam Satya Wydya Yenny Septi Mayang Sarry Siti Handayani Wati, Westi Permata Yundari, Yundari Yusticia Katar