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All Journal Jurnal Fisika Unand Dinamisia: Jurnal Pengabdian Kepada Masyarakat Radioterapi & Onkologi Indonesia Jurnal Kreativitas PKM Majalah Kedokteran Andalas Health and Medical Journal Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences jurnal abdimas saintika Jurnal Kesehatan Saintika Meditory Nusantara Hasana Journal BrMJ Indonesian Journal of Cancer Jurnal Riset Multidisiplin dan Inovasi Teknologi Jurnal Pengabdian Masyarakat Kesehatan (JURABDIKES)
Rafli, Rhandyka
Universitas Andalas
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GAMBARAN FUNGSI TIROID PADA BAYI BARU LAHIR DI RSI SITI RAHMAH PADANG TAHUN 2023 Anggraini, Debie; Muhammad Fharel; Rhandyka Rafli
Nusantara Hasana Journal Vol. 4 No. 12 (2025): Nusantara Hasana Journal, May 2025
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v4i12.1426

Abstract

Thyroid disorders, including congenital hypothyroidism (HK), can have a serious impact on a baby's development if not detected early. The congenital hypothyroidism (SHK) screening program aims to detect HK early in newborns. In Indonesia, the SHK program began in 2008 and in West Sumatra since 2011. Iodine deficiency in some regions increases the risk of thyroid disorders. Padang City will start implementing this program in 2023 at Siti Rahmah Hospital. This study describes thyroid function in newborns in the SHK program at Siti Rahmah Padang Hospital in 2023. This study analyzes the thyroid function of newborns in the SHK program at Siti Rahmah Padang Hospital in 2023. The study used a cross-sectional design with secondary data through the total sampling technique. This study analyzed the frequency distribution of TSH levels, gender, weight, body length, head circumference, chest circumference, abdominal circumspect, and gestational age in newborns (BBL) in the SHK program at Siti Rahmah Padang Islamic Hospital 2023. The majority of respondents had normal status in a variety of parameters, with more babies born at full term. Most newborns have euthyroid TSH with normal physical development. Genetic factors, maternal nutrition, and prematurity affect the growth and development of the baby.
Patients-Reported Outcomes of Acute Side Effects During Head and Neck Cancer Radiotherapy: A Cross-Sectional Study at Andalas University Hospital Padang Ismail, Fikri Wahyuda; Rafli, Rhandyka; Putriyuni, Anandia
Indonesian Journal of Cancer Vol 18, No 3 (2024): September
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v18i3.1070

Abstract

Background: Head and neck cancer is a malignancy originating from the upper aerodigestive tract. Head and neck cancer patients undergoing radiotherapy using brachytherapy, 2DRT, 3CDRT, and IMRT techniques. Patients undergoing radiotherapy will experience several acute side effects consisting of mucositis, dysphagia, xerostomia, and dermatitis. This is influenced by the technique and dose given. This study aims to grade and time the acute side effects of radiotherapy for head and neck cancer at the Andalas University Hospital Padang. Methods: A quantitative descriptive method with a cross-sectional approach is used. Secondary data with a total sample of 88 patients. This research uses medical record data and is analyzed using statistical analysis methods. Results: This study found that the most head and neck cancer patients who underwent radiotherapy were male 57 (64.8%) patients, nasopharyngeal subsite 41 (46.6%) patients with non-keratinizing nasopharyngeal carcinoma 32 (36.4%) patients. The most common radiotherapy technique for head and neck cancer was IMRT in 58 (65.9%) patients with a dose of 61-70 Gy in 78 (88.6%) patients and the most common stage was IV A in 51 (58%) patients. Patients did not undergo chemotherapy treatment in 51 (58%) and surgery in 69 (78.4%). Body mass index (BMI) before radiotherapy was normal in 74 (84.1%) patients and after radiotherapy became underweight in 57 (64.8%) patients resulting in weight loss 1 kg in 83 (94.3%) patients. The highest grade of radiotherapy side effects was grade 1 which consisted of mucositis 84 (95.5%), dysphagia 83 (94.3%), xerostomia 78 (88.6%), and dermatitis 78 (88.6%) patients. The most frequent timing of mucositis side effects occurred in the 3rd week in 40 (45%) patients, dysphagia in the 3rd week in 41 (47%) patients, xerostomia in the 3rd week in 33 (38%) patients, and dermatitis at week 6 in 24 (27%) patients. Conclusions: Patients with head and neck cancer who undergo radiotherapy from week 1 to week 7 will experience side effects, including mucositis, dysphagia, xerostomia, and dermatitis. The average side effect appears in the 3rd week with grade 1. 
Descriptive Analysis of CT Scan Findings in Breast Cancer Patients with Bone Metastases in Universitas Andalas Hospital Radiotherapy Installation Yusriono, Irfan; Tri Septiana, Vina; Rafli, Rhandyka
Indonesian Journal of Cancer Vol 18, No 3 (2024): September
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v18i3.1097

Abstract

Background: Breast cancer is experiencing the most significant increase in cases among all cancers worldwide. Approximately 65% to 75 % of advanced breast cancer patients will experience bone metastases. CT scan is the most affordable and accessible method for evaluating bone metastases. This study aims to describe the characteristics of CT scan examination of bone metastases in breast cancer patients in the radiotherapy installation at Universitas Andalas Hospital from 2019 until 2021. Methods: A total of 51 patients with breast cancer who had bone metastases were included in this quantitative descriptive study, using a total sampling approach. The clinical data was taken from the medical records at the radiotherapy installation at Andalas University Hospital. The collected data was processed and analyzed using SPSS statistical software. Results: Based on the results, the mean age of patients was 49 years. The most histopathological type was invasive carcinoma mammae of no special type (57%). The most common site for bone metastases is osteo vertebrae (35%). Mixed lesions were the most frequent bone metastatic finding (51%), with fractures occurring in 27% of cases. Conclusions: The results of this study are breast cancer with bone metastases occurring on average at the age of 49 years, histopathological type the most is invasive carcinoma mammae of no special type. Breast cancer with bone metastases is most common in Osteo Vertebrae with mixed lesions as well as pathological fracture with a low percentage.
Factors Causing Diagnostic Delay and Treatment Delay Patient Breast Cancer in Universitas Andalas Hospital Alfaini, Fadhli; Rafli, Rhandyka; Oktara, Meta Zulyati
Indonesian Journal of Cancer Vol 18, No 3 (2024): September
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v18i3.1072

Abstract

Background: Diagnostic and treatment delays are contributing factors to the increasing incidence and mortality of breast cancer worldwide, including in Indonesia. The study aimed to discern the underlying factors contributing to diagnostic and treatment delays in breast cancer patients.  Methods: This study uses a descriptive method. Primary data collection through guided interviews using questionnaires to 40 breast cancer patients who underwent treatment. This study was conducted at the University Andalas Hospital from January 2022 to September 2022. Results: The breast cancer diagnostic delay is caused by poor knowledge (52.5%), negative attitudes and behaviors (57.5%), a strong fear of breast cancer (55.0%), good social support (65.0%), and the impact of the Coronavirus Disease 2019 (COVID-19) pandemic on breast cancer examination (75.0%). The breast cancer treatment delay is due to poor knowledge (52.5%), positive attitudes and behaviors (52.5%), a strong fear of breast cancer treatment (55.0%), good social support (67.5%), the impact of the COVID-19 pandemic on breast cancer treatment (75.0%). Conclusions: The overview of factors causing diagnostic delay and treatment delays in breast cancer patients is dominated by negative categories, particularly in terms of knowledge, attitudes and behaviors, fear, and the COVID-19 pandemic. Only social support is positive, falling into a good category, as well as the attitudes and behaviors related to breast cancer treatment, which are also categorized as good.
Rekonstruksi Fantom Toraks Menggunakan Nilai Densitas Hounsfield Unit sebagai Fantom Alternatif untuk Verifikasi Dosis Radiasi Diyona, Fiqi; Muttaqin, Afdhal; Rafli, Rhandyka
Jurnal Fisika Unand Vol 14 No 6 (2025)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jfu.14.6.540-545.2025

Abstract

Phantoms play an essential role in medical physics, particularly for radiation dose verification, yet the high cost of commercial standard phantoms often limits their availability. This study aimed to reconstruct a thoracic phantom as a replica of the human chest cavity using simple and low-cost materials. The reconstruction process began with evaluating the density values of the selected materials: cadaver bone was used as a substitute for human bone, styrofoam for lung tissue, and plasticine for soft tissues such as muscle and fat. Density measurements showed that cadaver bone ranged from +350 HU to +1000 HU, styrofoam from –700 HU to –950 HU, and plasticine from +39 HU to +234 HU. The skeletal-based reconstruction successfully represented the anatomical alignment of thoracic organs, as confirmed by CT simulator imaging. These findings indicate that the reconstructed thoracic phantom provides a feasible and cost-effective alternative to expensive commercial phantoms and can be effectively utilized for radiation dose verification in medical physics applications.
Navigating Delays: A Study on Diagnostic and Treatment Intervals in Nasopharyngeal Carcinoma Patients Ezra, Moza Azzaria; Rafli, Rhandyka
Indonesian Journal of Cancer Vol 20, No 1 (2026): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v20i1.1402

Abstract

Background: Nasopharyngeal carcinoma (NPC) presents significant diagnostic and treatment challenges in Indonesia, where delays are common. This study aimed to describe patient characteristics, symptom profiles, diagnostic and treatment delays, and contributing factors.Methods: A cross-sectional study was conducted in October and November 2023, involving 67 NPC patients. Data were collected through a self-administered Google Form distributed through cancer survivor communities and oncology networks. The survey included demographic information, symptom history, treatment timelines, and contributing factors. Descriptive statistics were used to analyze the data. Results: Of the 67 patients, 62.7% were male, and the most common age group was 36–45 years. Most were diagnosed at stage IV (59.7%) and resided in West Sumatra (55.2%). The median diagnostic delay was 20 weeks, and the median time to first and second treatment was 6 weeks. Patient-related factors, such as lack of knowledge (77.6%), contributed to diagnostic delay, while healthcare-related factors (68.7%) caused treatment delays. Conclusions: NPC patients in this study experienced substantial diagnostic and treatment delays. Key contributing factors include limited symptom awareness, psychological barriers, and service access limitations. Efforts to reduce delays should focus on public education, improved healthcare infrastructure, and reducing financial barriers.
Co-Authors Afdhal Muttaqin Akbar, Resti Rahmadika Alfaini, Fadhli Anggraini, Debie Anggun Luisma Annisa Lidra Maribeth Arina Widya Murni Ashan, Haves Ayu Hamama Pitra, Dian Billy Yuliandri Sinulingga Cindy Fatricia Therescova Debie Anggraini Debie Anggraini Dessy Abdullah Dian Ayu Hamama Pitra Dian Ayu Hamama Pitra Dita Hasni Ezra, Moza Azzaria Ferry Iskandar Fharel, Muhammad Fiqi Diyona, Fiqi Fitriyasti, Betty Hanum, Fathiya Juwita Hasni, Dita Haves Ashan Heti Lestari Indah Salsabila Insil Pendri Hariyani Irwan Ramli Ismail, Fikri Wahyuda Laura Zeffira Maribeth, Annisa Lidra Melian, Ruella Rivenska Meta Oktora Mila Octavia Usti Muhammad Fharel Mutiara Anissa Nurul Septi Arbi Astuti Oktara, Meta Zulyati Primadella Fegita Puja Agung Antonius Putriyuni, Anandia Rasyidin Rasyid Seres Triola Soehartati Argadikoesoema Gondhowiardjo Sri Mutya Sekarutami Tia Reza Tri Septiana, Vina Vina Muspita Yevri Zulfiqar Yusriono, Irfan