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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 Scientific Journal Jurnal Ilmu Kesehatan Indonesia (JIKSI)
Fortuna, Fory
Universitas Andalas
Biochemistry, Genetics & Molecular Biology 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
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.
Skin Graft Care on Large Wound Defect After Necrotizing Fasciitis of The Leg Fory Fortuna; Amanda Yulita Amalia
Scientific Journal Vol. 4 No. 4 (2025): SCIENA Volume IV No 4, July 2025
Publisher : CV. AKBAR PUTRA MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56260/sciena.v4i4.233

Abstract

Introduction:  Necrotizing fasciitis (NF) is an aggressive bacterial infection that causes extensive necrosis of subcutaneous tissue and fascia. Treatment of NF includes radical surgical debridement, often resulting in large wounds that need to be closed using split-thickness skin grafts (STSG).  However, clinicians should be fully aware of the postoperative management of patients with skin grafts due to its high risk of failure, especially in the lower limb. The success of a skin graft depends on the graft care along each step to provide the graft with the best chance of survival.  Case Illustration: A 79-year-old male with a large open wound on the left foot after debridement of an abscess 1 month ago due to necrotizing fasciitis. A skin graft was performed on the patient one day after being treated. Donor skin was taken from the left femur area and attached to the open wound area of the left cruris region. The skin graft was fixed with prolene, then covered with antibiotic ointment gauze and sterile gauze, and immobilized with a backslab. One week later, graft take and no sign of infection or graft failure. Redressing was done, and the patient was controlled again in one week. Discussion: The healing process of the graft heavily relies on vascular integration and careful management, with special attention to short-term complications. Conclusion: STSG is an effective procedure for covering large area wounds, with advantages such as lower metabolic burden for recipient and better nutrient diffusion than FTSG. However, STSG needs proper graft care, and follow-up in the success of STSG.
A Triangular Cut for Premaxillary Setback on Severe Crooked Protusio Maxilla Congenital with Cleft Lip Bilateral : A Case Report Fory Fortuna; Intan Rahmi Nasya
Scientific Journal Vol. 5 No. 3 (2026): SCIENA Volume V No 3, May 2026
Publisher : CV. AKBAR PUTRA MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56260/sciena.v5i3.367

Abstract

Latar Belakang: Celah bibir dan lelangit bilateral seringkali disertai komplikasi berupa protrusi rahang atas bawaan yang signifikan, yang disebabkan oleh perkembangan yang tidak terkendali pada sutura vomeromaksilaris dan septum hidung anterior. Deformitas kerangka yang berat ini menjadi tantangan rekonstruksi yang cukup besar dalam membangun kontinuitas otot, mencapai fusi bibir yang stabil, dan mengoptimalkan estetika nasolabial. Meskipun intervensi ortopedi praoperasi seperti pembentukan nasoalveolar sering digunakan, teknik bedah seperti osteotomi premaksilaris atau setback primer tetap menjadi alternatif klinis yang penting. Namun, waktu yang optimal untuk intervensi ini dan efek jangka panjangnya terhadap pertumbuhan maksilofasial masih menjadi topik perdebatan yang berkelanjutan. Kasus: Bayi perempuan berusia 9 bulan datang dengan deformitas nasolabial kompleks, protrusi premaksila yang persisten, dan bibir sumbing bilateral. Pasien memiliki riwayat bedah labiaplasti bilateral sebelumnya. Karena inkompetensi bibir yang berat dan premaksila yang menonjol, intervensi bedah lanjutan diindikasikan. Di bawah anestesi umum, pasien berhasil menjalani prosedur setback premaksila satu tahap dengan design segitiga untuk menyesuaikan kondisi bengkok, yang dikombinasikan dengan prosedur flap lanjutan untuk mengembalikan segmen yang menonjol ke posisi semula. Diskusi: Pendekatan bedah ini sejalan dengan paradigma bedah kontemporer yang mengintegrasikan setback premaksila dan osteotomi vomer posterior ke dalam satu prosedur tahap tunggal. Mempertahankan suplai vaskular selama mobilisasi segmen sangat penting untuk memastikan keamanan dan keefektifan teknik ini. Keputusan untuk melakukan intervensi bedah dini memerlukan keseimbangan klinis yang cermat, dengan mempertimbangkan manfaat estetika dan fungsional jangka pendek terhadap potensi implikasi skeletal jangka panjang. Oleh karena itu, pengelolaan multidisiplin yang komprehensif, dengan penekanan pada pemantauan sefalometri longitudinal dan perawatan ortodontik dini, sangatlah penting untuk hasil optimal bagi pasien. Kesimpulan: Setback premaksila dengan dengan design segitiga merupakan modalitas bedah yang terbukti aman dan sangat efektif untuk mengoreksi protrusi maksila kongenital berat pada kelainan bibir sumbing bilateral, terutama ketika terapi ortopedi pra-bedah tidak dapat dilakukan secara klinis.
Analisis Perbedaan Tarif Riil dengan INA-CBG'S Pelayanan Operasi Bedah Plastik di Rumah Sakit Universitas Andalas Fory Fortuna; Yurniwati Yurniwati; Rima Semiarty
MAHESA : Malahayati Health Student Journal Vol 4, No 10 (2024): Volume 4 Nomor 10 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i10.15099

Abstract

ABSTRACT Since BPJS Kesehatan and INA-CBG’s were being applied in Indonesia, various groups were worried about the difference phenomenon with the real rates invented by previous researchers. Plastic surgery services at UNAND Hospital have fluctuated in the last three years. The phenomenon of the difference between the real RS rates and the large INA-CBG's rates was also found. The purpose of the study was to see and to describe the differences between real rates and INA-CBG's in reconstructive plastic surgery patients at UNAND Hospital. This study used secondary data from medical records of 72 cases. The independent variables consist of age, gender, insurance class, action class, length of stay, service, drugs/BMHP, real hospital rates and INA-CBG's rates. The variable that depends on this research is the difference between the real RS rate and the INA-CBG's rate. Characteristics of respondents with an average age of 28,20 ± 19,88 years, more men than women (59.7%:40.3%, n=72), average length of stay was 2,34±1,95 days, average cost of medicine/BMHP was Rp. 884,968, -, average services cost was Rp. 2,393,800. The most treatment class used was class 3, with the most treatment done was khusus 1. Length of stay, operation class and drug/BMHP were significantly related to the difference in both rates (p=0.00, p=0.012, p=0.00). The conclusion that there was a significant difference between the real hospital rates and INA-CBG's rates in plastic surgery cases at UNAND Hospital. Length of stay, class of operation and drug/BMHP were significantly related to the difference in rates. Keywords: Real Rates, INA-CBG's Rates, Service Cost Component  ABSTRAK Sejak BPJS kesehatan dan INA-CBG’s diberlakukan, berbagai kalangan khawatir karena ditemukannya beberapa fenomena selisih tarif oleh peneliti terdahulu. Pelayanan bedah plastik di RS UNAND mengalami fluktuasi tiga tahun terakhir. Ditemukan juga fenomena selisih antara tarif riil RS dengan tarif INA-CBG’s yang besar. Tujuan dari penelitian ini adalah untuk melihat perbedaan antar tarif riil dan INA-CBG’s pada pasien bedah plastik rekonstruksi di RS UNAND. Metode penelitian: Penelitian ini menggunakan data sekunder yaitu sebanyak 72 kasus. Variabel independen terdiri atas umur, jenis kelamin, kelas jaminan, kelas tindakan, lama rawat, jasa pelayanan, obat/BMHP, tarif riil RS dan tarif INA-CBG’s. Variabel dependen pada penelitian ini adalah selisih tarif riil RS dengan tarif INA-CBG’s. Hasil pada penelitian ini didapatkan rerata umur dalam tahun yaitu 28,20 ± 19,88, laki-laki lebih banyak dari perempuan (59,7%:40,3%, n=72), rerata lama rawat 2,34±1,95 hari, rerata biaya obat Rp.884,968,-, rerata jasa pelayanan Rp.2,393,800. Kelas rawatan terbanyak adalah kelas 3, dengan tindakan terbanyak adalah khusus 1. Kesimpulan dari penelitian ini adalah terdapat perbedaan bermakna antar rerata tarif riil dengan INA-CBG’s (p=0,00). Lama rawat, kelas tindakan dan obat/BMHP berhubungan signifikan dengan selisih tarif. Kata Kunci: Tarif Riil, Tarif INA-CBG’s, Komponen Biaya Pelayanan 
Co-Authors Amanda Yulita Amalia Anggi Rahmi Rusadi Asri, Rizkia Chairani Bangun, Kristaninta Dwi Sabtika Julia Endrinaldi Ennesta Asri Fathiyyatul Khaira Gardenia Akhyar Hendriati Iffah Annadiyah Intan Rahmi Nasya Kreshanti, Prasetyanugraheni Nailatul Fadhila Noverika Windasari Rika Susanti Rima Semiarty Satya Wydya Yenny Septi Mayang Sarry Siti Handayani Wati, Westi Permata Yundari, Yundari Yurniwati Yurniwati Yusticia Katar