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The Application of Moist Exposed Burn Ointment (MEBO) and Binahong Leaves in Treating Partial Thickness Burn : A Case Report Prasetyo, Arif Tri; Heridadi, Eko
Jurnal Plastik Rekonstruksi Vol. 2 No. 4 (2013): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1188.76 KB) | DOI: 10.14228/jpr.v2i4.178

Abstract

Background: Burn healing is dependent on good wound care management. Infection is one of the cause of wound healing failure. Infectious wound should be treated immediately. Binahong’s leaves is trusted as traditional herbal medicine which is considered capable to help wound healing process. Patient and Method: A 35 years old women suffer from scald and got 3% surface partial thickness burn at her right hand. The patient was initialy treated by application of MEBO. After a week patient came and felt uncomforted with the gauze. So, binahong’s leaves was patched on her wound to help the wound healing process. Result: After a week with binahong’s leaves therapy, the epithelialization is good and there was no infection. The result is satisfactory. Conclusion: This study shows that binahong’s leaves can be used to help wound healing process.
OPTIMISME DAN DUKUNGAN DOSEN TERHADAP GRIT MAHASISWA DI ERA ARTIFICIAL INTELLIGENT, KEMAJUAN ATAU KEMUNDURAN Isnaini, Nurul; Prasetyo, Arif Tri
Hijri Vol 12, No 2 (2023): HIJRI
Publisher : Universitas Islam Negeri Sumatera Utara Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30821/hijri.v12i2.17947

Abstract

Kemudahan yang dialami mahasiswa dalam berbagai tugas yang dibantu oleh AI tersebut sangat berperan dalam menentukan kemajuan atau malah kemunduran mahasiswa. Bantuan artificial Intelligence (AI) dalam berbagai tugas belajar, terutama dengan kecepatan yang sangat tinggi, dapat memengaruhi kegigihan dan optimisme, selain itu, kemudahan yang diberikan oleh AI dalam belajar dapat mengurangi tingkat daya tahan (GRIT) mahasiswa.Optimisme berperan dalam menunjang mahasiswa dalam berbagai tugas, sikap optimisme tersebut mendukung grit untuk terus memiliki daya juang dalam menyelesaikan tugas dan tanggung jawab dengan tepat waktu. Dukungan dosen juga diperlukan mahasiswa karena dorongan dari lingkungan sekitar dapat menumbuhkan kegigihan mahasiswa. Apakah mahasiswa saat ini mengalami kemajuan atau kemunduran dalam menghadapi era AI ini, dan bagaimana optimisme dan dukungan dosen terhadap GRIT memainkan peran dalam hal tersebut. Adapun kelompok subjek yang menjadi populasi dalam penelitian ini adalah Prodi Ekonomi Syariah Universitas Islam Negeri Raden Intan Lampung yang berjumlah 310 mahasiswa. Dengan kriteria responden pada penelitian ini adalah: 1) Usia 20-24 tahun 2) Mahasiswa aktif dan 3) Mahasiswa Angkatan 2019 4) terbiasa menggunakan artificial intelligence. Metode dalam mengumpulkan data menggunakan 3 skala yaitu grit, optimisme dan dukungan dosen. Peneliti menggunakan skala yang diadaptasi dari penelitian yang dilakukan oleh Fatah (2022) berdasarkan teori grit Duckworth (2007) dan Wahyu (2019) berdasarkan teori optimisme Seligman (2006) dan dukungan sosial berdasarkan alat ukur yang dikemukakan oleh Smet (2018) yang telah diadaptasi dari penelitian Maharani (2022) Dalam penelitian ini teknik analisa data menggunakan SPSS 22.0 for windows dan analisis data menggunakan analisis regresi berganda. Terdapat hubungan yang signifikan antara optimisme dan dukungan dosen dengan grit pada mahasiswa dengan nilai koefisien korelasi R 0.723 dan nilai F 93.676 dengan taraf signifikan 0.001, dengan nilai 0.523 atau sebanyak 52,3% sedangkan 47,7% sisanya dipengaruhi oleh faktor-faktor lain yang mempengaruhi grit pada mahasiswa. Di era artificial intelligence akan menjadi sebuah kemajuan jika mahasiswa memiliki optimisme karena optimisme memiliki peran penting dalam meningkatkan Grit. Penelitian ini menunjukan hasil bahwa optimisme memberikan 22% sumbangan efektif terhadap grit. Sumbangan efektif yang diberikan oleh dukungan dosen sebesar 30% terhadap grit. mengapa penting mahasiswa mendapat dukungan dosen karena hal ini berkaitan dengan masalah etika dan privasi. 
MARJOLIN'S ULCER: MALIGNANT TRANSFORMATION FROM BURN SCAR Prasetyo, Arif Tri; Rizaliyana, Sitti; Saputro, Iswinarno Doso
Jurnal Rekonstruksi dan Estetik Vol. 3 No. 1 (2018): Jurnal Rekonstruksi dan Estetik, June 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1430.888 KB) | DOI: 10.20473/jre.v3i1.24368

Abstract

Highlights: Marjolin's ulcer can develop into squamous cell carcinoma, typically resulting from chronic scar tissue due. Diagnosis and treatment follow standard malignant lesion protocols, with staging based on UICC classification using histopathological findings. Abstract: Introduction:  Marjolin's ulcer is a malignant lesion from a scar due to burn trauma, chronic osteomyelitis, chronic inflammation, or chronic fistulae. This type of ulcer is rare, usually progressively growing on unhealed wound, accompanied by chronic trauma especially burn scar. Marjolin's ulcer can form different types of pathologies`. Squamous cell carcinoma is the most type of histology. Previously, there was 3 Marjolin's ulcer reported in Indonesia. Case Illustration: Reporting 3 Marjolin's ulcer case on Dr. Soetomo General Academic Hospital since 2008 to 2016. Two patients have history of unhealed chronic wound and one patient has history of burn injury 27 years ago. From the histopathology examination, all the results are squamous cell carcinoma. All patient undergo wide excision surgery done by surgical oncologist. All the defect is closed by flap modality. One patient's defect is closed by latissimus dorsi flap, the other with anterolateral thigh free flap, and the latter is closed by latissimus dorsi free flap. Remain raw surface close by split thickness skin graft. Discussion: Marjolin's ulcer is malignant lesion from scar due to burn trauma, chronic osteomyelitis, chronic inflammation, or chronic fistulae. Marjolin's ulcer sometimes grow become squamous cell carcinoma although require a long time. Treatment this case is same the other malignancy. Diagnosis should be confirmed by clinical, radiological, and pathological. Staging can use the classification of UICC (Union for International Cancer Control) in accordance with the histopathological results.   Conclusion: Surgery serves as the primary approach for achieving local control, and radiotherapy plays a supplementary role, which must be supported by vigilant oncological monitoring.
PALATAL FRACTURE FIXATION ON SEVERE PANFACIAL FRACTURE: IS THERE ANY CLINICAL SIGNIFICANCE? Prasetyo, Arif Tri; Hutagalung, Magda Rosalina; Zarasade, Lobredia
Jurnal Rekonstruksi dan Estetik Vol. 3 No. 1 (2018): Jurnal Rekonstruksi dan Estetik, June 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1354.774 KB) | DOI: 10.20473/jre.v3i1.24369

Abstract

Highlights: A panfacial fracture patient received effective surgical treatment, with a primary focus on aligning the upper jaw arch by addressing the hard palate through various surgical methods. Palate fractures, while relatively rare, require plate stabilization and can lead to challenges such as teeth misalignment and wound issues. Abstract: Introduction: Fractures of the hard palate are infrequent. They are found in less then 10% of patients with midfacial fractures. They practically never occur in isolation and are usually part of alveolar process fractures or more complex midfacial fractures of the Le Fort type. Treatment of palatal fractures is planned and performed with the goal of restoring the transverse width of the palate, the anteroposterior projection of the maxillary arch, and the patient's pretraumatic occlusal plane, as well as maintaining horizontal stability of the midface. Case Illustration: Reporting patient female 17 years old with panfacial fracture due to traffic accident. There was slight epidural haemorrhage on frontal area. The fractures are on upper face, midface, and lower face including the hard palate. We performed open reduction internal fixation on palate to correct the arch of the upper jaw. The other fracture site can be corrected easier. The approaches that we done are bicoronal, subsilier, and intraoral. Discussion: In a case of severe panfacial fracture with upper jaw misalignment and an existing laceration, we opted to use miniplates for palatal fixation without making new incisions. Palate fractures are relatively uncommon and are associated with significant rates of malocclusion and wound complications. These injuries are typically managed with plate fixation of the alveolar ridge with variable approaches to the palatal vault.   Conclusion: The patient was successfully treated using bottom-up and outside-in sequence by accessing all facial injuries. Postoperatively, radiograph examination revealed good reduction and fixation of titanium plates, and physical examination revealed good functional and aesthetic outcomes. However, it's important to note that there's a risk of osteosynthesis material exposure in the future.
PASIEN SINDROMA APERT YANG DILAKUKAN OPERASI FRONTO ORBITAL ADVANCEMENT SETELAH OCCIPITAL EXPANSION Putria, Almahitta Cintami; Prasetyo, Arif Tri; Febrina, Amelia
Jurnal Rekonstruksi dan Estetik Vol. 7 No. 1 (2022): Jurnal Rekonstruksi dan Estetik, Juni 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v7i1.36382

Abstract

Highlights: Tindakan operasi occipital expansion diterapkan pada kasus Sindroma Apert untuk meluaskan area tengkorak, diikuti oleh fronto orbital advancement (FOA) guna meningkatkan baik fungsi maupun penampilan memperoleh hasil yang memuaskan. Tatalaksana yang terencana, tim medis bedah plastik dan ortopedi yang kompeten, operasi kraniosinostosis dan FOA, membantu mengoptimalkan hasil fungsional dan estetik pasien sindroma Apert. ABSTRAK: Latar Belakang:  Sindroma Apert atau acrocephalosyndactyly tipe I merupakan kelainan kongenital yang ditandai dengan adanya kraniosinositosis, exorbitism, midface hypoplasia dan sindaktili simetris pada tangan dan kaki, hal ini disebabkan oleh mutasi genetik dari FGFR-2, S252W dan P253R. Ilustrasi Kasus: Anak perempuan (2 tahun) datang ke poliklinik bedah plastik konsulan dari TS Orthopaedi dengan mengeluhkan jari-jari tangannya yang menyatu. Pada pemeriksaan awal, didapatkan dismorfik dari kepala dan wajah pasien dengan jari–jari tangannya yang menyatu. Hasil pemeriksaan CT Scan kepala didapat sutura coronarial bilateral. Pada pemeriksaan fisik didapatkan dismorfik pada kepala, wajah, dan extremitas.Pada regio facialis didapatkan exorbitism pada oculi dextra sinistra, hypoplasia maxilla  dan terdapat adanya high arched palate yang disertai dengan soft palate cleft. Pada regio manus dan pedis bilateral ditemukan sindaktili yang simetris.  Pasien didiagnosis dengan sindroma Apert, dan diputuskan untuk dilakukan occipital expansiion. Pembahasan: Tatalaksana  kraniosinostosis bertujuan untuk memperbaiki fungsi serta estetik dari pasien dengan tindakan awal adalah dilakukan dekompresi kalvaria dengan intervensi pembedahan yaitu occipital expansion pada usia 6 bulan dan dilanjutkan  dengan fronto orbital advancement (FOA). Kesimpulan: Pada kasus ini dilakukan tatalaksana occipital expansion dan dilanjutkan dengan FOA dengan hasil yang cukup memuaskan.
Impact of Human Resource Management Practices on Employee Productivity in Hospital Xyz in Jawa Barat: A Multivariate Analysis of Recruitment, Training, And Compensation Prasetyo, Arif Tri; Reynaldo, Giovani; Sorongku, Ronald
Jurnal Manajemen (Edisi Elektronik) Vol. 16 No. 2 (2025): Jurnal Manajemen (Edisi Elektronik)
Publisher : UPT Jurnal & Publikasi Ilmiah SPs Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/jm-uika.v16i2.19614

Abstract

This study explores the impact of Human Resource Management (HRM) practices on employee productivity within hospital settings. The HRM dimensions examined include recruitment and selection, training and development, as well as compensation and rewards. Us-ing Structural Equation Modeling (SEM) with the SmartPLS applica-tion, this research analyzes the relationships among these variables. Data were collected from hospital employees across West Java. The findings reveal that all three HRM practices have a meaningful in-fluence on employee productivity. This indicates that well-structured HRM strategies particularly those focused on equitable compensation and continuous employee development play a vital role in enhancing workforce performance in hospitals. The results underscore the importance of effective HRM in supporting organiza-tional outcomes. Additionally, the study offers valuable insights for hospital management and encourages future research to investigate other relevant factors that may contribute to improved employee productivity in healthcare institutions.