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All Journal Jurnal Respirologi Indonesia Majalah Kedokteran Andalas Bioscientia Medicina : Journal of Biomedicine and Translational Research Jurnal Ilmu Kesehatan Indonesia (JIKSI) Jurnal Endurance: Kajian Ilmiah Problema Kesehatan Jurnal Otorinolaringologi Kepala dan Leher Indonesia (JOKLI) Jurnal Penelitian dan Pengkajian Ilmiah

Tuti Handayani

Departemen Radiologi - Fakultas Kedokteran Universitas Andalas

Author-ID : 4165692

Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Economics, Econometrics & Finance Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

Published : 8 Documents Claim Missing Document

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Articles

Gambaran radiologi leiomioma intravena dengan perluasan ke intrakardiak Tuti Handayani
Majalah Kedokteran Andalas Vol 41, No 1 (2018): Published in January 2018
Publisher : Faculty of Medicine, Universitas Andalas

Leiomioma intravena (IVL) merupakan kasus yang sangat jarang terjadi. Keterlibatan jantung yang terjadi pada kasus IVL sering salah dikenali sebagai tumor jantung primer atau trombus. Hal ini mengakibatkan tingginya angka kejadian misdiagnosis atau keterlambatan diagnosis yang selanjutnya dapat menyebabkan penatalaksanaan yang kurang tepat. Pemeriksaan radiologi dapat memberikan informasi perluasan tumor yang sangat bermanfaat dalam diagnosis dan perencanaan operasi. Ultrasonografi (USG), computed tomography (CT scan), Magnetic Resonance Imaging (MRI) dan radiologi intervensi adalah modalitas radiologi yang sangat bermanfaat dalam mendeteksi leiomioma ekstrauterin. Pengetahuan ahli radiologi dari gambaran karakteristik leiomioma ini dapat membantu mengarahkan para klinisi menuju tatalaksana yang tepat, cepat dan jauh dari pengobatan yang tidak diperlukan atau berpotensi bahaya.

Hubungan Dukungan Suami terhadap Kelengkapan Kunjungan ANC di Puskesmas Lubuk Buaya Inge De Laila; Ida Rahman Burhan; Tuti Handayani
Jurnal Ilmu Kesehatan Indonesia Vol 1 No 2 (2020): Juli 2020
Publisher : Fakultas Kedokteran, Universitas Andalas

Melakukan kunjungan ANC sesuai standar merupakan salah satu cara untuk meningkatkan status kesehatan ibu hamil dalam rangka menurunkan angka kematian ibu di Indonesia. Cakupan ANC di Puskesmas Lubuk Buaya yang belum mencapai target dalam dua tahun terakhir, menggambarkan bahwa masih ada ibu hamil yang tidak melakukan kunjungan ANC sesuai standar. Keterlibatan suami selama kehamilan dapat menjadi faktor pendorong untuk memeriksakan kehamilan. Penelitian ini adalah penelitian analitik menggunakan desain cross sectional dan dianalisis dengan menggunakan uji chi-square. Teknik pengambilan sampel yang digunakan dalam penelitian ini adalah consecutive sampling dengan jumlah sampel sebanyak tiga puluh enam orang ibu hamil yang berkunjung ke Puskesmas Lubuk Buaya dari bulan Januari 2019 - Februari 2019 dengan usia kandungan ≥ tiga puluh enam minggu. Data diambil menggunakan kuesioner untuk menilai dukungan suami. Sebanyak 52.8% ibu hamil melakukan ANC lengkap sesuai standar (K4). Dukungan suami baik pada ibu hamil ditemukan sebanyak 61.1 % dari total responden Berdasarkan dari hasil penelitian terdapat hubungan antara dukungan suami dengan kelengkapan kunjungan ANC (=0.003). Adanya hubungan yang signfikan antara dukungan suami dengan kelengkapan kunjungan ANC. Untuk itu tenaga kesehatan perlu memberikan informasi dan pendidikan tentang kesehatan ibu hamil tidak hanya kepada ibu hamil tetapi juga kepada suaminya. Kata kunci: Kunjungan ANC, K4, Dukungan Suami

Hubungan Tekanan Darah dengan Volume Perdarahan Intraserebral Berdasarkan Hasil CT Scan Kepala Sri Rahma Liza; Tuti Handayani; Ade Asyari
Jurnal Ilmu Kesehatan Indonesia Vol 2 No 2 (2021): Juni 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

Latar Belakang. Perdarahan intraserebral merupakan subtipe stroke hemoragik yang dapat menyebabkan kematian dan kecacatan. Tekanan darah tinggi merupakan salah satu faktor yang menyebabkan besarnya volume perdarahan intraserebral. Objektif. Penelitian ini untuk mengetahui hubungan tekanan darah saat masuk rumah sakit dengan volume perdarahan intraserebral pada pasien stroke hemoragik berdasarkan hasil CT scan kepala. Metode. Penelitian ini merupakan penelitian analitik dengan pendekatan cross sectional. Teknik pengambilan sampel menggunakan consecutive sampling dengan jumlah sampel sebanyak 35 orang. Sampel penelitian adalah pasien yang didiagnosis perdarahan intraserebral stroke hemoragik berdasarkan hasil CT scan kepala di RSUP Dr. M. Djamil Padang. Penelitian dilaksanakan pada November – Desember 2020. Analisis data menggunakan analisis bivariat dengan uji korelasi Fisher’s Exact Test. Hasil. Hasil penelitian ini menunjukkan sebagian besar pasien dengan tekanan darah tinggi (77,1%) dan volume perdarahan terbanyak yaitu >30 mL (62,9%). Terdapat hubungan yang bermakna secara statistik antara tekanan darah dengan volume perdarahan intraserebral dengan nilai p=0,032. Kesimpulan. Kesimpulan dari penelitian ini adalah terdapat hubungan tekanan darah dengan volume perdarahan intraserebral. Kata kunci: Tekanan Darah, Perdarahan Intraserebral, Volume Perdarahan, CT Scan.

Risk Factors Associated with 28-Day Mortality of COVID-19 Patients at RSUP Dr. M. Djamil Padang Lusi Agustini Arda; Oea Khairsyaf; Russilawati Russilawati; Tuti Handayani
Jurnal Respirologi Indonesia Vol 43, No 1 (2023)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v43i1.238

Background: The COVID-19 mortality rate varies widely around the world. The COVID-19 death rate in Indonesia is currently relatively higher than the world average and is the highest in Southeast Asia. Data regarding risk factors of COVID-19 mortality in Indonesia, particularly West Sumatra, are still scarce. This study aims to determine the risk factors associated with the 28-day mortality of COVID-19 patients at RSUP Dr. M. Djamil Padang.Methods: This was an observational analytic study with a retrospective cohort approach on confirmed COVID-19 inpatients who were treated at RSUP Dr. M. Djamil Padang between January 1 and March 31, 2021. A bivariate analysis using Chi square was calculated to see the correlation between clinical severity, and routine blood values, markers of inflammation, liver function, kidney function, blood gas analysis, the RALE score and comorbidities with a 28-day mortality outcome. To assess the dominant risk factors, multivariate analysis was performed using logistic regression.Results: From 245 samples, patients aged >50 years and women were the most treated group of patients. Bivariate analysis obtained the following critical clinical grade factors: Hb <10 g/dl, leukocyte level >10.0x103/mm3, monocyte level 8.0%, procalcitonin level >0.5 ng/ml, interleukin-6 level >7 pg/ml, ferritin >159/ml, D-Dimer level >500 ng/dl, SGOT level >38 μ/l, urea >50 mg/dl, creatinine >1.3 mg/dl, PO2 <80 mmHg, SO2 ≤90%, PO2/FiO2 ≤300 mmHg, high RALE score, comorbid of chronic renal failure, hypertension, type II DM; and comorbidities >1 were associated with 28 days of death. Multivariate analysis identified critical clinical severity as the dominant risk factor (OR=8.47; 95% CI=2.55–28.14; P<0.001).Conclusion: Critical clinical severity was the dominant risk factor associated with the 28-day mortality of COVID-19 patients at RSUP Dr. M. Djamil.

Hubungan Berat Badan Berlebih dengan Kejadian Sindrom Syok Dengue pada Anak yang Dirawat dengan Demam Berdarah Denguedi RSUP Dr. M. Djamil Padang Aliffia Luthfiyyana; Dian Pertiwi; Amirah Zatil Izzah; Desmawati Desmawati; Tuti Handayani
CENDEKIA : Jurnal Penelitian dan Pengkajian Ilmiah Vol. 3 No. 6 (2026): CENDEKIA : Jurnal Penelitian Dan Pengkajian Ilmiah, Juni 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/cendekia.v3i6.2694

Dengue hemorrhagic fever (DHF) is one of the highest causes of death due to infection in Indonesia. The death rate will increase if dengue infection develops into dengue shock syndrome (DSS). Children tend to experience DHF and even DSS because their capillary permeability is higher than adults. Being overweight is a risk factor that increases a person's chances of experiencing DSS due to a strong immune response, which causes increased production of pro-inflammatory cytokines. This research aims to determine the relationship between overweight and the incidence of DSS in children. This research was an observational analytical study with the cross-sectional design. Sampling was done by a total sampling technique in pediatric patients treated for dengue hemorrhagic fever at Dr. M. Djamil Padang Hospital for the period 1 January 2018 – 31 December 2021. The data was obtained from the medical records of Dr. M. Djamil Padang Hospital between November 2023 to January 2024 with a total of 179 sample of DHF children aged 0 – 18 years. Chi-square test was used as statistical test. The results of this research were that DSS cases occurred more frequently in the 5 - 10 year age group (33,5%) with female gender (33%). Most of the sampel had good nutritional status, the most common degree of infection was grade III, duration of fever for 4 – 6 days, and good outcome. Bivariate analysis with the chi-square test obtained a p value of 0.007 (p<0.05). This research is concluded that there is a statistically significant relationship between overweight and the incidence of DSS in children treated for DHF at Dr. M. Djamil Padang Hospital.

Konsumsi Suplemen Asam Folat oleh Ibu Hamil di Puskesmas Naras Tahun 2017 Setia Nisa; Tuti Handayani
Jurnal Endurance Vol. 4 No. 3 (2019): Jurnal Endurance: Kajian Ilmiah Problema Kesehatan
Publisher : LLDIKTI Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar

Folic acid (vitamin B9) is a much-needed vitamin during pregnancy. The thing that can be done to fulfill this requirement is to provide folic acid supplements. Consumption of folic acid supplements by pregnant women is influenced by knowledge and attitude factors. This study aims to determine the relationship of Knowledge and Attitudes of Pregnant Women to Consumption of Folic Acid Supplements at Puskesmas Naras. The research type is Quantitative with analytic method and use cross sectional design. Sampling using Total Sampling technique. Univariate analysis showed 56.9% of pregnant women with low knowledge of folic acid supplements, 60.3% pregnant had a negative attitude. There was statistically significant correlation between pregnant mother's knowledge on consumption of folic acid supplements at Puskesmas Naras, chi square test showed p value = 0,000. There was statistically significant correlation between attitude of pregnant mother to consumption of folic acid supplements at Naras, chi square test showed p value = 0,009. Asam folat (vitamin B9) merupakan vitamin yang sangat dibutuhkan pada masa kehamilan. Salah satu upaya yang dapat dilakukan untuk memenuhi kebutuhan ini adalah dengan memberikan suplemen asam folat. Konsumsi suplemen asam folat oleh ibu hamil dipengaruhi oleh faktor pengetahuan dan sikap. Penelitian ini bertujuan untuk mengetahui Hubungan Pengetahuan dan Sikap Ibu Hamil terhadap Konsumsi Suplemen Asam Folat di Puskesmas Naras. Jenis penelitian adalah Kuantitatif dengan metode analitik dan menggunakan desain cross sectional. Pengambilan sampel menggunakan teknik Total Sampling. Analisa univariat menunjukkan 56,9% ibu hamil dengan pengetahuan rendah terhadap suplemen asam folat, 60,3% hamil memiliki sikap negatif. Terdapat hubungan bermakna secara statistik antara pengetahuan ibu hamil terhadap konsumsi suplemen asam folat di Puskesmas Naras, uji chi square menunjukkan hasil p value = 0,000. Terdapat hubungan bermakna secara statistik antara sikap ibu hamil terhadap konsumsi suplemen asam folat di Puskesmas Naras, uji chi square menunjukkan hasil p value = 0,009.

Tatalaksana Paresis Nervus Fasialis akibat Fraktur Temporal Auzy Yoana Khalisha; Rossy Rosalinda; Tuti Handayani
Jurnal Otorinolaringologi Kepala dan Leher Indonesia Vol. 4 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jokli.v4i1.85

Latar Belakang: Fraktur tulang temporal merupakan salah satu cedera kepala yang sering terjadi akibat trauma tumpul berenergi tinggi. Salah satu komplikasi yang dapat terjadi adalah paresis nervus fasialis, yang berdampak signifikan terhadap kualitas hidup pasien. Diagnosis ditegakkan dengan adanya riwayat trauma kepala disertai paresis nervus fasialis satu sisi, penurunan pendengaran dan tampak adanya garis fraktur pada High-Resolution Computed Tomography (HRCT) scan temporal. Laporan kasus: Dilaporkan seorang perempuan 43 tahun dengan keluhan wajah sisi kiri mencong sejak 1 bulan pasca kecelakaan lalu lintas. Pemeriksaan menunjukkan hemotimpanum, paresis nervus fasialis perifer sinistra House-Brackmann V, gangguan pendengaran konduktif, dan hasil HRCT menunjukkan fraktur longitudinal tulang temporal kiri melibatkan dinding kanalis fasialis. Pasien ditatalaksana dengan pemasangan pipa grommet dan injeksi kortikosteroid intratimpani, terapi medikamentosa berupa obat neurotropik dan tetes mata, serta fisioterapi wajah. Perbaikan klinis terjadi bertahap hingga House-Brackmann III dalam 2 bulan pasca tindakan. Kesimpulan: Penatalaksanaan paresis nervus fasialis akibat fraktur tulang temporal memerlukan pendekatan multidisiplin. Deteksi dini, evaluasi menyeluruh, dan tatalaksana yang tepat dapat meningkatkan prognosis, memperbaiki fungsi nervus fasialis, dan mencegah kecacatan jangka panjang.

Segmental Open Mandibular Fracture with Type 2 Diabetes Mellitus Managed by Intraoral Open Reduction, Internal Fixation and 101 Days of Arch Bar Retention: A Case Report with a Structured Care-Gap Analysis Deasy Nurwianti; Al Hafiz; Tuti Handayani
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 10 No. 10 (2026): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v10i10.1665

Background: Mandibular fracture is the maxillofacial injury most often treated operatively, and road traffic collision is its dominant cause. Published series report fixation technique and union; far fewer report the perioperative variables that govern outcome when a metabolic comorbidity is present. Objective: To present the staged intraoral repair of a segmental open mandibular fracture in an adult with type 2 diabetes mellitus and, through a structured audit of the record, to identify the measurable perioperative determinants of outcome that were not documented during care. Case presentation: A 51-year-old man was struck by a car while riding a motorcycle and sustained a multiple open mandibular fracture of the symphysis, right parasymphysis and a segmental right body, with an anterior open bite, an interincisal opening of 24 mm, right mandibular crepitus and an avulsed right mandibular canine. He had treated hypertension and type 2 diabetes mellitus. Computed tomography with three-dimensional reconstruction defined the pattern and excluded condylar and intracranial injury. On the eighth day after injury, intraoral open reduction with four plates was combined with Erich arch bar maxillomandibular fixation. Rigid intermaxillary fixation was released at 21 days and the mandibular arch bar retained for 101 days. At day 116 mouth opening was unrestricted and mastication pain-free, with no infection, dehiscence, malunion or plate exposure. Structured review of the record showed that four determinants of outcome were never documented: any glycaemic measurement, inferior alveolar nerve sensation, the disposition of the avulsed canine and the retained dental roots, and a closing interincisal measurement. Conclusion: A staged intraoral repair restored occlusion and function in a diabetic adult with a segmental open mandibular fracture. The favourable result was achieved despite four recording gaps, each fixable at no cost, that would have converted a good outcome into a demonstrated one.

Co-Authors Ade Asyari Al Hafiz Aliffia Luthfiyyana Amirah Zatil Izzah Auzy Yoana Khalisha Deasy Nurwianti Desmawati Desmawati Dian Pertiwi Ida Rahman Burhan Inge De Laila Lusi Agustini Arda Oea Khairsyaf Rossy Rosalinda Russilawati, Russilawati Setia Nisa Sri Rahma Liza

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