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Rekontruksi Wajah Pasien Dengan Kecelakaan Traumatik : Evaluasi Komplikasi Dini Dan Lanjut Terhadap Hasil Operasi Dan Fungsionalnya Ayuarianti, Ayuarianti; fibrini, Dewi; dalimunthe, Anita rosari
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 4 No. 10 (2025): COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v4i10.2946

Abstract

Trauma wajah merupakan cedera yang sering terjadi akibat kecelakaan lalu lintas, jatuh, atau kecelakaan kerja, yang dapat berdampak pada aspek fisik maupun psikologis pasien. Penanganan yang cepat dan tepat sangat penting untuk meminimalkan komplikasi serta mencapai hasil fungsional dan estetika yang optimal. Penelitian ini bertujuan untuk mengevaluasi komplikasi dini dan lanjut setelah rekonstruksi wajah pada pasien dengan cedera traumatik. Penelitian ini menggunakan pendekatan deskriptif observasional dengan desain potong lintang (cross-sectional), Studi ini melibatkan 28 responden, terdiri dari 20 laki-laki (71,4%) dan 8 perempuan (28,6%), dengan mayoritas berusia di bawah 20 tahun (50,0%). Fraktur mandibula menjadi jenis cedera yang paling umum (28,6%), diikuti oleh fraktur maxilla (25,0%), dengan etiologi utama kecelakaan lalu lintas (64,3%). Dari total pasien, 26 orang (92,9%) menjalani tindakan rekonstruksi, sementara 2 pasien menolak tindakan. Komplikasi dini dan lanjut terjadi pada 1 pasien (3,6%), sedangkan komplikasi lanjut terjadi pada 3 pasien (10,7%). Sebanyak 24 pasien (85,7%) tidak mengalami komplikasi. Hasil penelitian ini menunjukkan bahwa meskipun terdapat risiko komplikasi, sebagian besar pasien berhasil menjalani prosedur dengan baik. Komplikasi lanjut yang ditemukan antara lain nyeri persisten dengan skala 6, abses, serta malunion akibat fiksasi tulang yang tidak memadai atau infeksi. Studi sebelumnya juga mencatat bahwa infeksi merupakan salah satu risiko signifikan pascaoperasi orif, yang dapat menyebabkan osteomyelitis dan memperlambat proses penyembuhan tulang. Oleh karena itu, deteksi dini infeksi serta manajemen nyeri yang optimal menjadi aspek penting dalam mencegah komplikasi lebih lanjut. Penelitian ini menegaskan pentingnya pendekatan multidisiplin dan evaluasi menyeluruh dalam strategi rekonstruksi wajah guna meningkatkan keberhasilan terapi dan mengurangi risiko komplikasi pascaoperasi.
Comparison of Secretome Dental Pulp Stem Cell And Mebo Ointment on The Amount of Fibroblast and Collagen In Superficial Dermal Burns Loviana Hasibuan, Soya; Fibrini, Dewi; Tjipta, Arya; Ruspita, Intan; Yolanda, Eva
Jurnal Health Sains Vol. 5 No. 9 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i9.1368

Abstract

Secretome Dental Pulp Stem Cells have been proposed as a new alternative for wound burn. The aim of this study is to compare Secretome Dental Pulp Stem Cells and MEBO ointment against several fibroblasts and collagen in the healing process of superficial dermal burns. This study used a post-test only controlled group design by using 15 rats that were given superficial dermal burned wounds. Rats were divided into a negative control group of NaCl 0.9% (K1), a treatment group of MEBO (K2), and a treatment group of DPSCs-secretome (K3). Histopathology was done on the 5th, 14th, and 21st days post-induction wound burn. Network-prepared histopathology by colouring Messon Trichomes. Then, it was observed under a microscope with 200x magnification. Scoring in a way semi-qualitative for assessing fibroblasts and collagen. The total score of fibroblasts in the MEBO group was higher than the DPSCs-secretome group on day 5th. In comparison, the score for increasing the amount of collagen in the DPSCs-secretome group on days 5th and 14th was higher than the MEBO group. DPSCs-secretome has better effectiveness in increasing the amount of collagen but not better in increasing fibroblasts compared to MEBO.
A Legal Review of Informed Consent in Plastic Surgery Practice in Indonesia Fibrini, Dewi; Simarmata, Marice; Risdawati, Irsyam
DE LEGA LATA: JURNAL ILMU HUKUM Vol 11, No 1 (2026): January-June
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/dll.v11i1.27531

Abstract

Informed consent, as a statement of agreement by the patient in this therapeutic agreement, is considered valid if the patient expresses his or her will freely. Therefore, when a patient expresses his or her consent in the form of informed consent, the patient must express his or her will without any coercion, error, or deception. What we want to discuss here is that sometimes patients are not honest when asked for information regarding their actual condition by the doctor. This results in the doctor in performing medical procedures having to violate the informed consent agreement because the patient's condition makes it impossible to fulfill the informed consent agreement. Informed consent in medical procedures is one of the elements that must be fulfilled and serves as the basis for justification for medical procedures, especially for invasive medical procedures. Invasive medical procedures can basically be classified as acts of abuse as regulated in Article 351 of the Criminal Code. However, this categorization is removed if the medical procedure meets three justification elements: if the medical procedure is carried out in accordance with scientific knowledge and experience in the medical field; there is a concrete medical purpose; and there is informed consent. Informed consent becomes risky when the patient is in an emergency condition. Therefore, legal protection is needed for medical personnel. Legal protection for doctors in the context of health communication is also an important consideration. When a conflict arises between a doctor's obligation to provide accurate information and the obligation to maintain the confidentiality of patient medical data, doctors are often vulnerable to potential lawsuits. Law No. 17 of 2023 and other regulations provide legal protection for doctors by establishing limits on their obligations and rights in communicating with patients. This legal protection includes protection from unfounded lawsuits, dispute resolution mechanisms through mediation, and support for doctors in more complex medical consultations. Patient dishonesty can seriously impact the quality of medical care. If patients do not provide complete or accurate information, the risk of misdiagnosis or treatment errors increases significantly. The impact of these errors not only endangers the patient's health but also places doctors at risk of lawsuits or malpractice claims.
Hubungan Antara Konsumsi Makanan Junkfood dengan Obesitas pada Kalangan Remaja di Kabupaten Deli Serdang Ginting, Sari Malem br; Henny, Henny; Fibrini, Dewi
Jurnal Pendidikan Indonesia Vol. 6 No. 11 (2025): Jurnal Pendidikan Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/japendi.v6i11.8820

Abstract

Obesity is a very worrying problem, especially for teenagers, because obesity can reduce self-confidence in some teenagers, thereby disturbing the psychology of teenagers. The main factor causing obesity in teenagers is excessive food intake, whether from ready-to-eat processed foods, fizzy drinks or snacks such as junk food. The aim of this research is to analyze the relationship between junk food consumption and obesity among teenagers in Deli Serdang district. The type of research used in this research is observational quantitative research using a cross-sectional research design. Sampling in this study used the Rao Purba formula because the exact population size is unknown, while the sample size was 97 respondents. The data analysis used is univariate and bivariate analysis. The results showed that the majority of respondents in this study were 16-18 years old, 63 (64.9%), and 54 (55.7%) were female, the majority of respondents in this study often consumed junk food, namely 75 respondents (77 .3%), the majority of respondents in this study were obese in the mild category, 46 respondents (47.4%), there was a relationship between junk food consumption and obesity among teenagers in Deli Serdang district P - Value < 0.05.