Valentino, Andrea
KJFD/KSM Bedah Divisi Bedah Saraf Fakultas Kedokteran Universitas Riau / RSUD Arifin Achmad Provinsi Riau, Indonesia

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Journal : Jurnal Ilmu Kedokteran (Journal of Medical Science)

Gambaran Kasus Spina Bifida di RSUD Arifin Achmad Provinsi Riau Periode 2015-2017 Syntha Novianti Rahmad; Andrea Valentino; Huriatul Masdar
Jurnal Ilmu Kedokteran Vol 14, No 1 (2020): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v14i1.2020.52-58

Abstract

Spina bifida is a fault in the development of spine and the bones around until it leaves gap or defect in the spine. About 36 cases of spina bifida were involved in this research. The characteristis of spina bifida patients, mostly occurs at the patients at the age of > 28 days (83,3%). Most of them were male (52,8%). The most frequent spina bifida patients were the second child (44,4%) and location where spina bifida occurs were at the lumbosakral (72,2%). Classified into spina bifida aperta type (86,1%). The highest age of patients’ mother suffering from spina bifida was at the age of  20-40 (80,6%). In general, rupture didn’t occur on spina bifida patients (94.4%). The weight of spina bifida patients were between 2.500-4.000 gr (94,4%) and they didn’t have other congenital abnormalities (47,2%). The most gestational age of spina bifida patients’ mothers when giving birth were, is at 28-40 weeks (94.4%).
Gambaran Kejadian Pneumonia pada Pasien Pasca Kraniotomi di Ruang Rawat Intensif RSUD Arifin Achmad Provinsi Riau Periode Januari 2015 sampai Desember 2019 Andrea Valentino; Rita Endriani; Fitria Ameini
Jurnal Ilmu Kedokteran Vol 14, No 2 (2020): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v14i2.2020.111-120

Abstract

Operasi kraniotomi merupakan tindakan membuka sebagian tulang tengkorak hingga dapat memberikan akses langsung menuju otak. Komplikasi yang paling sering terjadi merupakan Ventilator Associated Pneumonia (VAP) dan Healthcare Associated Pneumonia (HAP). Penelitian ini dilakukan untuk melihat gambaran kejadian pneumonia pada pasien pasca kraniotomi di ICU RSUD Arifin Achmad Provinsi Riau periode Januari 2015 s/d Desember 2019. Data penelitian ini didapatkan dari rekam medik pasien pasca kraniotomi di ruang ICU RSUD Arifin Achmad Provinsi Riau, dengan total rekam medik yang ditemukan sebanyak 216 rekam medik. Hasil penelitian ini berupa, didapatkan kejadian pneumonia pada 56 pasien (26%), dengan kejadian HAP 3,7% dan VAP 22,7%. Kejadian HAP lebih banyak terjadi pada pasien perempuan (62,5%) dengan kelompok usia 56-65 tahun (50%), serta lama rawatan >5 hari (75%). Kejadian VAP memiliki distribusi yang sama antara laki-laki dan perempuan (50%) dengan kelompok usia 36-45 tahun (29,2%) dan lama rawatan >5 hari (45,8%), serta lama pemakaian ventilator mekanik <96 jam (66,7%). Kejadian pneumonia paling banyak terjadi pada pasien tanpa komorbid (71,4%) atau memiliki komorbid berupa hipertensi (21,4%) dengan diagnosis meningioma (28,6%), jumlah leukosit >11.000 (76,8%), lama pembedahan ≥2 jam (55,4%), dan patogen penyebab terbanyak berupa Acinetobacter baumanii (30,3%). Angka kematian pada penelitian ini sebesar 7,1%.
Korelasi Luaran dengan Ketebalan dan Lokasi Perdarahan Subaraknoid pada Pasien Cedera Kepala di RSUD Arifin Achmad Andrea Valentino
Jurnal Ilmu Kedokteran Vol 10, No 2 (2016): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (65.048 KB) | DOI: 10.26891/JIK.v10i2.2016.92-97

Abstract

Subarachnoid hemorrhage (SAH)in head injury is a very common case. Research showed that 33% moderate andsevere head injury patients had SAH during initial CT scan. A prospective study was performed on 37 head injurypatients with SAH which had been treated in Arifin Achmad Hospital during January to June 2014 period. Bivariableanalysis that was used in this research was an unpaired categorical analytic statistical test, the chi square test. Meanwhile,multivariable analysis used was multiple logistic regression test. Significance was determined based on p value,which was d”0.05, and confidence interval (CI) of 95%. There were unfavourable outcome upon head injury patientswith SAH of >5mm thickness (p=0,028) and located at cerebral hemisphere and basal cistern (p=0,001). Thicknessand SAH location was found to be associated with head injury patient outcome. SAH thickness of > 5mm againstoutcome had a stronger association than location as a factor.
Laporan Kasus: Melanoma Maligna Intrakranial Primer Andrea Valentino; Rijalun Arridho
Jurnal Ilmu Kedokteran Vol 13, No 1 (2019): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (145.118 KB) | DOI: 10.26891/JIK.v13i1.2019.73-76

Abstract

Primary intracranial malignant melanoma is an extremely rare tumor. Most of the intracranial malignant melanoma are metastatic from skin. Diagnosis needs multidisciplinary workup to exclude metastatic melanoma. We are reporting a case of young girl with decrease consciousness and tetraplegia. CT scan revealed a solitary tumor mass in the brain. Histopathological examination and confirmed by immunohistochemistry showed that the type of tumor was intracranial primary malignant melanoma and by excluding metastatic melanoma. Tumor excision was performed in patient and adjuvant chemotherapy was given, but residual tumors were present multiple.
Abses Otak Andrea Valentino; Gebby Puspita Angraini
Jurnal Ilmu Kedokteran Vol 13, No 2 (2019): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v13i2.2019.4-15

Abstract

Cerebral abscess may rise from hematogenous spread, contiguous spread, or direct trauma. Some risk factors include pulmonary abcess or AV fistulas, congenital cyanotic heart disease, immune compromise, chonic sinusitis / otitis, dental problems. Symptoms are similar to any other mass lessions but tend to progress rapidly. Streptococcus is most common organism that recovered, while up to 25% of cases sterile. Staging of cerebral abcess is very important to differentiate therapeutic management based on clinical findings and imaging. Mortality and morbidity rate has been reduced due to improvement in antibiotics, surgery and ability to diagnose.