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All Journal Majalah Kedokteran Bandung Althea Medical Journal Majalah Kedokteran Gigi Indonesia JURNAL PENDIDIKAN JASMANI DAN OLAHRAGA Jurnal Plastik Rekonstruksi Jurnal Ilmu Bedah Indonesia Action Research Literate (ARL)

Rani Septrina

Department Of Plastic And Reconstructive Surgery, Faculty Of Medicine, Padjajaran University, Bandung, West Java

Author-ID : 1016020

Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Dentistry Education Environmental Science Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Public Health Social Sciences Other

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Articles

The Difficulties of Reconstruction in The Achilles Area Septrina, Rani; Sudjatmiko, Gentur
Jurnal Plastik Rekonstruksi Vol. 1 No. 3 (2012): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: Scar management on the achilles region is also challenging due to its anatomical position, bony prominences, relatively limited skin, less subcutaneous fat, and less vascularization. Primary suture cannot be performed on the wide defect, whilst serial excisions are inapplicable to be done on a thick and tough scar. Wound healing in the lower limbs also typically get impaired due the gravitational effect on the venous system and the unlimited joint movement.Patient and Methods: A 21-year-old woman presented with a hard and thick hypertrophic scar on the achilles area due to deep dermal burns caused by hot metal two years ago. The patient had pruritic chronic ulcer on her scar. Scar excision was performed. In order to reduce the tension, a V-Y advancement flap was used to close the defect primarily. Foreslab was applied to reduce mobilization, and then continued by pressure garment application. On her next visit to the clinic, wound dehiscent was found. 10 days after the first excision, debridement was performed, wound re-sutured and dressed using topical honey covered by gauze.Result: Follow up results after 8 weeks showed a fully epithelialized wound. Compression bandage and limited mobility by foreslab application prevented the vertical growth of scar effectively. Patient no longer complaints about itchiness nor movement limitation.Summary: Planning surgical procedures for achilles reconstruction must take consider the followings: (1) choice of skin graft or flap, (2) choice of donor sites, (3) type of excision (4) hemostasis (5) fixation of skin grafts and splinting, and (6) dressings. Adjuvant preventive measures must also be implemented postsurgery to prevent regrowth of hypertrophic scar.

The Profile of Dietary Patterns and Physical Activity in Preventing Metabolic Syndrome Khairani, Astrid Feinisa; Nurhasanah, Nurhasanah; Rahman, Putri Halleyana A; Septrina, Rani; Nurhayati, Titing; Luftimas, Dimas Erlangga; Usman, Hermin Aminah; Bashari, Muhammad Hasan; Laraswita, Sarah; Labibah, Salma Nur; Nadiah, Zahra; Apriliani, Ardhia Rizki; Nugraha, Marwan Agung; Khafifah, Dinda Salsa; Anjani, Gebby Reviana; Meinarni, Retno; Mustika, Rika; Ramdhani, Muhammad Farid
JURNAL PENDIDIKAN JASMANI DAN OLAHRAGA Vol 4, No 1 (2019): Promote a More Active and Healthier lifestyle Through Physical Education
Publisher : Universitas Pendidikan Indonesia

Indonesia merupakan negara yang mengalami kenaikan kejadian obesitas, hipertensi dan diabetes setiap tahunnya. Keadaan ini membuat meningkatnya prevalensi sindrom metabolik. Sindrom metabolik adalah kombinasi dari sejumlah kondisi, yaitu hipertensi, hiperglikemia, hiperkolesterolemia, hipertrigliserida dan peningkatan ukuran lingkar perut. Asupan energi dan pola makan yang berlebihan, peningkatan kejadian obesitas, aktivitas fisik sedentari dan riwayat risiko penyakit menjadi faktor resiko sejumlah kondisi penyebab terjadinya sindom metabolik. Kabupaten Pangandaran merupakan salah satu daerah pesisir pantai di Provinsi Jawa Barat yang secara demografis dimungkinkan tingginya konsumsi garam yang dapat memicu hipertensi. Pola makan dan aktivitas fisik yang tidak baik bagi kesehatan serta rendahnya tingkat pengetahuan dan kesadaran tentang bahaya sindrom metabolik memengaruhi jumlah kejadian sindrom metabolik. Pengabdian masyarakat ini dilakukan sebagai upaya preventif melalui pengisian kuisioner untuk mengetahui pola makan dan aktivitas fisik masyarakat kecamatan Cijulang Kabupaten Pangandaran serta pengukuran lingkar perut untuk mengetahui prevalensi resiko terjadinya sindrom metabolik. Dari 544 responden rata-rata berusia 30 tahun, 129 orang mempunyai lingkar perut yang tidak normal, 47% mengkonsumsi manis setiap hari 32% mengkonsumsi asin setiap hari dan 56% tidak olahraga setiap hari.

Orbital cellulitis as a complication of odontogenic infection Puji Yuli Christiani Purba; Melita Sylvyana; Endang Syamsudin; Rani Septrina
Majalah Kedokteran Gigi Indonesia Vol 5, No 2 (2019): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.37802

Orbital cellulitis is uncommon sequelae of the spread of odontogenic infection to adjacent maxillary sinuses or to distant sites such as the orbits. Once it happened, the spread of such infection can be of serious complication such as complete blindness or even more serious and life threatening situations as cavernous sinus thrombosis, intra-cranial abscess, or even death. This paper aimed to expose the guideline treatment of orbital cellulitis as a complication of odontogenic infection. It reported one case of orbital cellulitis in the emergency unit of Hasan Sadikin hospital Bandung, with complaints of pain, swelling at cheek and periorbital region, and the history of toothache. The treatment include incision drainage, extraction of tooth, and parenteral administration of antibiotic and analgesic. Odontogenic infections are derived from dental infection and can potentially spread rapidly to be ascending infection like orbital cellulitis. Odontogenic infection and orbital cellulitis should be adequately treated with incision drainage, extraction of tooth and parenteral administration of antibiotic, steroid and analgesic. Without immediate treatment, odontogenic infection can lead to ascending infection. Orbital cellulitis due to spreading of odontogenic infection is a rare case. In this case report, the patient had a significantimprovement due to immediate and proper treatment.

Accuracy of SVS-WIfI Classification in Predicting Major Amputation in Critical Limb Ischemic Patients Teguh Marfen Djajakusumah; Rani Septrina; Putie Hapsari; Rendy Susanto
Majalah Kedokteran Bandung Vol 52, No 4 (2020)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v52n4.2029

In 2014, The Society for Vascular Surgery revealed a new classification system for Critical Limb Ischemia (CLI) referred as the Society for Vascular Surgery Lower Extremity Threatened Limb Classification System based on Wound, Ischemia, and foot Infection (SVS WIfI). This scoring system was created to stratify major amputations risk within 1 year and benefit of revascularization for the patient. This study aimed to assess the accuracy of SVS WIFi in predicting major amputations in patients with lower limb ischemia underwent revascularization at Department of Surgery, Faculty of Medicine, Universitas Padjadjaran-Dr. Hasan Sadikin General Hospital in 2016 - 2019. This was a retrospective observational analytic study with cohort design. Patients who fulfilled the inclusion criteria were assessed with SVS WIfI and results after 1 year of revascularization were identified. Data were analyzed statistically using the Chi-square test. 0f 56 subjects, 39 had limb salvage and 17 underwent major amputations within 1 year. In high revascularization benefit group, 31 had limb salvage and 7 underwent amputation. Meanwhile, in moderate-low revascularization benefits group, 8 had limb salvage and 10 underwent amputation. The accuracy of the SVS WIfI recommendation was 73.2%. Therefore, WIfI SVS classification accurately predicts the incidence of major amputations in patients with lower limb ischemia who underwent revascularization. Akurasi Klasifikasi SVS-WIfI dalam Memprediksi Amputasi Mayor pada Pasien Iskemik Tungkai BawahPada tahun 2014, The Society for Vascular Surgery mengemukakan sistem klasifikasi baru untuk CLI yaitu SVS-WIfI. Sistem skoring ini dibuat untuk menstratifikasi risiko amputasi mayor dalam 1 tahun bila dilakukan revaskularisasi pada pasien. Penelitian ini dilakukan untuk melihat akurasi SVS WIfI dalam memprediksi kejadian amputasi mayor pada pasien iskemia tungkai bawah yang menjalani revaskularisasi dan di lakukan di Departemen Ilmu Bedah Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin pada tahun 2016-2019. Penelitian ini merupakan penelitian observasional analitik dengan rancangan retrospective cohort study. Pasien yang memenuhi persyaratan dilakukan penilaian dengan SVS WIfI dan di-follow up selama 1 tahun, hasil hasilnya dianalisis menggunakan tes Chi-square dan dilakukan perhitungan sensitivitas, spesifisitas, dan akurasi. Berdasarkan penelitian yang dilakukan terhadap 56 pasien yang menjalani revaskularisasi, didapatkan sebanyak 39 pasien yang tidak mengalami amputasi mayor dan 17 pasien yang mengalami amputasi mayor dalam 1 tahun. Dari penelitian ini kelompok pasien dengan manfaat revaskularisasi yang tinggi didapatkan 31 pasien tidak mengalami amputasi, sedangkan 7 pasien mengalami amputasi, pada kelompok pasien dengan manfaat revaskularisasi sedang-rendah, 8 pasien tidak mengalami amputasi, sedangkan 10 pasien mengalami amputasi dan didapatkan hasil uji chi square berdasarkan manfaat vaskularisasi dan kejadian amputasi diperoleh nilai P=0,005, dan Akurasi dari rekomendasi SVS WIfI adalah 73,2%. Dari hasil penelitian didapatkan Klasifikasi SVS WIfI akurat dalam memprediksi kejadian amputasi mayor pada pasien iskemia tungkai bawah yang menjalani revaskularisasi.

Nutrition Counseling Need in Burn Patients Kiki Lukman; Hardisiswo Soedjana; Rani Septrina; Lisa Hasibuan; Selvy Harianti; Amelia Febrina
Majalah Kedokteran Bandung Vol 52, No 2 (2020)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v52n2.1882

Burns can increase metabolic responses of the sufferers, making adequate nutrition important for burn patients and needs to be considered in the management of burns. Counseling on the importance of nutrition for burn patients can reduce the risk of burn complications. This study was an intervention study designed to increase the community's knowledge and awareness of the importance of nutrition in burn patients. In this study, a lecture session and discussion session on nutrition in burn patients were held by the Division of Plastic Surgery, Department of Surgery, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia at the Jatinangor Public Health Center, Sumedang, Indonesia, on August 14, 2019. Of all participants attending this event, thirty-one participants who participated in through the whole agenda of this event were sampled to be the respondents. Data were collected using a pre- and post-test questionnaires consisting of items on basic knowledge, first treatment, and nutrition for burn patients. More women (74%) participated in this study. Most respondents were over 40 years old (39%) and graduated from senior high school (39%). There was a significant increase in knowledge of the respondents before and after counseling the nutrition of burn patients (p<0.05). Thus, counseling is proven to increase knowledge in the general population that it should be performed routinely in various areas. Perlunya Penyuluhan Nutrisi Pada Pasien Luka Bakar Luka bakar dapat meningkatkan respons metabolik penderitanya. Nutrisi adekuat pada pasien luka bakar merupakan hal yang cukup penting dan perlu diperhatikan dalam penatalaksanaan luka bakar. Penyuluhan tentang pentingnya nutrisi untuk pasien luka bakar dapat mengurangi risiko komplikasi luka bakar. Penelitian ini adalah studi intervensi yang dirancang untuk meningkatkan pengetahuan dan kesadaran masyarakat tentang pentingnya nutrisi pada pasien luka bakar. Dalam penelitian ini, sesi kuliah dan sesi diskusi tentang nutrisi pada pasien luka bakar diadakan oleh Divisi Bedah Plastik, Departemen Bedah, Rumah Sakit Umum Dr. Hasan Sadikin, Bandung, Indonesia di Pusat Kesehatan Masyarakat Jatinangor, Sumedang, Indonesia, pada 14 Agustus 2019. Dari semua peserta yang menghadiri acara ini, tiga puluh satu peserta yang berpartisipasi melalui seluruh agenda acara ini dijadikan sampel untuk menjadi responden. Data dikumpulkan menggunakan kuesioner sebelum dan sesudah tes yang terdiri atas pengetahuan dasar, pengobatan pertama, dan nutrisi untuk pasien luka bakar. Lebih banyak perempuan (74%) yang berpartisipasi dalam penelitian ini. Sebagian besar responden berusia di atas 40 tahun (39%) dan lulus dari sekolah menengah atas (39%). Ada peningkatan yang signifikan dalam pengetahuan responden sebelum dan sesudah penyuluhan nutrisi pasien luka bakar (p<0,05). Simpulan, penyuluhan terbukti meningkatkan pengetahuan masyarakat bahwa itu harus dilakukan secara rutin di berbagai bidang.

Accuracy of D-Dimer Levels and C-reactive Protein in Predicting Perforation of Acute Appendicitis Gema Putra Lesmana; Reno Rudiman; Rani Septrina
Jurnal llmu Bedah Indonesia Vol. 48 No. 1 (2020): Juni 2020
Publisher : Ikatan Ahli Bedah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46800/jibi-ikabi.v48i1.57

Introduction: D-Dimer as the primary product of fibrin degradation, was found to be increased in appendicitis patients. CRP still gives different results in predicting perforated appendicitis. The purpose of this study is to find out the accuracy of D-Dimer and CRP in predicting appendicitis perforation at the Central General Hospital Dr. Hasan Sadikin Bandung 2019. Method: This study used prospective observational design with cross-sectional approach. The subject were taken from the Emergency Department (ED) patient between September 2018-September 2019 who met the inclusion criteria. Preoperative D-Dimer and CRP serum were measured and the results of the surgery were noted. Chi-Square test was conducted and the data were analyzed using SPSS Version 22.0 for windows at a 95% confidence level. The value is significant if p <0.05. Results: The sample included in this study were 41 patients, with 24 perforated appendicitis patients. The average age of patients was 34.8 ± 13.8. The majority of patients were male, 24 patients ( 58.5%). Area for ROC curve for D-Dimer is 0.929, with a cut-off point of 0.51 mg / l for sensitivity perforation appendicitis 95.8%, specificity 76.5%, positive predictive value (PPV) 85.2%, negative predictive value (NPV) 92.9% and accuracy 87.8%. For CRP with a cut-off point at 18.84 for sensitivity perforation appendicitis 58.3%, specificity 94.1%, positive predictive value (PPV) 93.3%, negative predictive value (NPV) 61.5% with an accuracy of 73.2%. Conclusion: D-dimer and CRP level can be used in predicting perforation of appendicitis. (ISSN 2723-7494 J Bedah Indonesia. 2020;48:3-14)

Antropometric Evaluation Of Gentur's Cheiloplasty Method In Unilateral Cleft Lip Septrina, Rani; Sudjatmiko, Gentur
Jurnal Plastik Rekonstruksi Vol. 3 No. 2 (2016): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Background: Cheiloplasty, the earliest surgical procedure in cleft lip and palate patient, has impact on functional and aesthetical appearance1. The Gentur’s technique is a method of cleft lip surgery that has been developed by him and has been used in RSUPN Cipto Mangunkusumo/Faculty of Medicine Universitas Indonesia2. It uses the rotation-advancement, small triangular, preventing notching concepts with some other details to overcome the wide cleft. This study was conducted to answer whether the Gentur’s technique gives symmetrical result in anthropometric measurements. Methods: Cross sectional analytic study will be taken from medical record in 14 unilateral cleft lip patients underwent cheiloplasty procedure. Direct anthropometric data before and after procedure were analyzed using SPSS17. Anthropometric data such as cupid’s bow, vertical height, horizontal height, vermillion and nostril were noted. Results: From 14 patients, we found 9 patients who underwent surgery in 3 months of age (64.3%) are mostly female (n=9, 64.3%), have complete defect (n=12, 85.8%) and left sided defect (n=8, 57.1%). Gentur’s technique is able to produce significant lip and nose symmetry (CI 95%, pvalue <0.005) in cupid’s bow, vertical height, horizontal height, thickness of vermillion and nose. By doing this technique, the author is able to create good lip and nose symmetry (78.57%) even in wide defect (64.3%) and palatal collapse (57.1%). Conclusion: Gentur’s technique is able to utilize tissue deficiency to create ideal lip and nose in unilateral cleft lip repair even in patients with wide gap.

Accuracy of Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Score System as An Early Diagnostic Predictor of Necrotizing Fasciitis in A Tertiary Referral Hospital in Bandung, Indonesia Djajakusumah, Teguh Marfen; Septrina, Rani; Dwinanda, Arief
Althea Medical Journal Vol 11, No 3 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v11n3.3341

Background: Necrotizing fasciitis (NF) is a serious infection that can rapidly kill tissue and potentially lead to multiple organ failure. Early diagnosis and treatment are essential for survival. The laboratory risk indicator for necrotizing fasciitis (LRINEC) score may aid in early detection of NF. Although initially promising, studies on the effectiveness of LRINEC have shown mixed results. This study aimed to investigate the accuracy of LRINEC in predicting NF.Methods: This was an observational prospective cohort study, including patients with NF as well as skin and soft tissue infection (SSTI) who were treated at a tertiary referral hospital in Bandung, Indonesia in 2022. The LRINEC scores was calculated to measure sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). The accuracy of LRINEC scores was specified in the area under the curve (AUC) of the receiver operating characteristic (ROC) curve. Results: Of the total 70 patients, 33 were diagnosed with NF and 37 with SSTI. The LRINEC score with ≥6 points cut-off showed a sensitivity of 90.9% (95%CI; 75.67–98.08%), specificity of 75.60% (95%CI; 58.80–88.23%), PPV of 76.9% (95%CI; 60.67–88.87%), and NPV 90.30% (95%CI; 74.25–97.96%). The area under the ROC (AUROC) curve for the accuracy of the LRINEC scores was 0.895 (95%CI; 0.821–0.969).Conclusions: The laboratory risk indicator for necrotizing fasciitis (LRINEC) score is an accurate predictor and feasible early diagnostic indicator in NF. However, clinical judgment remains a crucial factor in diagnosing NF.

Korelasi Rasio Neutrofil Limfosit Dengan Tingkat Kejadian Metastasis KGB Pada Pasien Karsinoma Payudara Stadium Awal Ryanda, Hanno; Rizki, Kiki Akhmad; Septrina, Rani
Action Research Literate Vol. 8 No. 2 (2024): Action Research Literate
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/arl.v8i2.260

Kanker payudara merupakan salah satu keganasan yang paling sering terjadi pada wanita dan merupakan kanker nomor dua paling banyak di dunia. Walaupun sudah ada beberapa parameter yang dapat digunakan untuk memprediksi metastasis KGB dari kanker payudara, dibutuhkan parameter yang akurat, ekonomis dan mudah diakses dari fasilitas kesehatan terpencil. Rasio neutrofil limfosit dianggap dapat memenuhi kriteria tersebut dengan peran neutrofil yang dapat mencerminkan keadaan peradangan inang dan efek anti tumor yang dimediasi oleh sitotoksik limfosit T. Penelitian ini dirancang sebagai penelitian observasional analitik retrospektif dengan rancangan cross-sectional dengan uji korelasi, uji diagnostik dan uji regresi dengan mengambil data sekunder dari pasien yang didiagnosis karsinoma payudara di Divisi Bedah Onkologi RSUP Hasan Sadikin Bandung pada tahun 2018-2023. Teknik pengambilan sampel pada penelitian ini menggunakan consecutive sampling. Pasien dipilih berdasarkan kriteria inklusi dan eksklusi. Pencatatan tersebut terdiri dari data rekam medis berupa biodata pasien, hasil pemeriksaan histopatologi, dan hasil pemeriksaan laboratorium. Dengan 52 sampel, didapatkan korelasi Rasio Neutrofil Limfosit dengan tingkat kejadian metastasis KGB, dimana hasil perhitungan pada kurva AUC menunjukkan nilai cut off untuk rasio NLR adalah sebesar 3,2 dan nilai koefisien AUC (area under curve) sebesar 0,771 dimana nilai ini berada pada kategori baik (>0,7 – 0,8). Penelitian ini juga mencari data antara kejadian metastasis KGB dengan grading histopatologis, invasi limfovaskular, dan subtipe. Penelitian ini menunjukan hubungan yang signifikan antara rasio neutrofil limfosit dengan metastasis KGB pada pasien dengan kanker payudara, dengan cut-off point di angka 3,2

Co-Authors Amelia Febrina Anjani, Gebby Reviana Apriliani, Ardhia Rizki Astrid Feinisa Khairani Bashari, Muhammad Hasan Dimas Erlangga Luftimas Dwinanda, Arief Endang Syamsudin Gema Putra Lesmana Hardisiswo Soedjana Hermin Aminah Usman Khafifah, Dinda Salsa Kiki Akhmad Rizki, Kiki Akhmad Kiki Lukman Labibah, Salma Nur Laraswita, Sarah Lisa Hasibuan Meinarni, Retno Melita Sylvyana Nadiah, Zahra Nugraha, Marwan Agung Nurhasanah Nurhasanah Puji Yuli Christiani Purba Putie Hapsari Rahman, Putri Halleyana A Ramdhani, Muhammad Farid Rendy Susanto Reno Rudiman Rika Mustika Ryanda, Hanno Selvy Harianti Sudjatmiko, Gentur Sudjatmiko, Gentur Teguh Marfen Djajakusumah Teguh Marfen Djajakusumah, Teguh Marfen Titing Nurhayati

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