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All Journal Jurnal Health Sains Interdisciplinary Social Studies Jurnal Pendidikan Indonesia (Japendi) Folia Medica Indonesiana
Cikita, Rafeni Bunga
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Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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The Future of Personalized Rhinoplasty: Integrating AI with Genomics and Facial Typing Cikita, Rafeni Bunga; Mas'ud, Ahmad Fawzy
Jurnal Pendidikan Indonesia Vol. 6 No. 9 (2025): Jurnal Pendidikan Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/japendi.v6i9.8627

Abstract

Rhinoplasty remains one of the most complex procedures in aesthetic surgery. Traditional standardized approaches often fail to capture the diversity of individual anatomy and cultural expectations. This review evaluates the role of artificial intelligence (AI), facial typing, and genomics in advancing personalized rhinoplasty. We systematically searched PubMed, Scopus, and Google Scholar in July 2025 using terms related to rhinoplasty, AI, facial typing, and genomics. We included studies addressing AI-driven planning or simulations, morphometric analysis, and genetic influences on nasal shape or wound healing. Two reviewers independently screened and extracted data. Because of study heterogeneity, we synthesized findings narratively. Five studies met inclusion criteria, including two narrative reviews, two cross-sectional analyses, and one experimental study. AI-based simulations improved planning accuracy and aligned patient expectations with surgical outcomes. Facial typing studies emphasized the need for culturally inclusive morphometric models. Genomic research identified genetic markers linked to nasal shape and wound healing, suggesting potential for biologically tailored interventions. AI, facial typing, and genomics are actively transforming rhinoplasty into a personalized discipline. To realize this potential, surgeons must expand diverse datasets, validate genomic insights, and communicate outcomes responsibly, ensuring that technology enhances safety, equity, and patient satisfaction.
Antimicrobial Vs Non-Antimicrobial Dressings for Neuropathic Plantar Diabetic Foot Ulcers Under Standardized Offloading: a Systematic Review and Meta-Analysis Cikita, Rafeni Bunga; Mas'ud, Ahmad Fawzy
Interdisciplinary Social Studies Vol. 4 No. 4 (2025): Regular Issue: July-September 2025
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/iss.v4i4.918

Abstract

Neuropathic plantar diabetic foot ulcers (DFUs) represent a major clinical problem due to their high risk of infection, prolonged morbidity, and frequent progression to amputation. Although standardized offloading remains the cornerstone of management, the role of antimicrobial dressings in improving outcomes compared with non-antimicrobial moist dressings remains controversial. This study aimed to evaluate the efficacy of antimicrobial dressings in enhancing ulcer healing and reducing adverse outcomes in patients with neuropathic plantar DFUs managed under standardized offloading. A systematic review and meta-analysis was conducted following PRISMA guidelines. PubMed, Embase, Cochrane Library, and ClinicalTrials.gov were searched through August 2025. Eligible studies included randomized controlled trials (RCTs) and observational studies comparing antimicrobial dressings (silver, PHMB, honey, iodine) with non-antimicrobial moist dressings. Outcomes assessed were complete healing at 12–16 weeks, amputation rates, and antibiotic use. Data were pooled using random-effects models, and risk of bias was assessed with Cochrane RoB 2.0 and the Newcastle-Ottawa Scale. Fifteen studies (eight RCTs, seven observational) met the inclusion criteria. Pooled results indicated antimicrobial dressings improved healing rates (OR ? 2.1, 95% CI 1.5–3.0), with silver dressings showing modest benefits in infection-related outcomes. However, no consistent effect on amputation rates or antibiotic duration was observed, and the largest RCT (2023) showed no significant benefit over standard moist dressings. Antimicrobial dressings may provide selective benefit in severe or infected ulcers but lack consistent superiority for routine use. These findings suggest that clinicians should adopt a targeted, adjunctive approach while further multicenter RCTs clarify subgroup effects.
Exploring the Challenges and Opportunities in Mental Health Care for Adolescents in Urban Indonesia Cikita, Rafeni Bunga
Jurnal Health Sains Vol. 6 No. 2 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i2.2728

Abstract

Mental health issues among adolescents in urban Indonesia are a growing concern, exacerbated by urbanization and socio-cultural factors. This research explores the challenges and opportunities in mental health care for adolescents in urban settings, specifically in cities like Jakarta, Surabaya, and Bandung. The study employs a mixed-methods approach, combining quantitative surveys of 300 adolescents and qualitative interviews to identify the prevalence of mental health disorders and the barriers to accessing care. The findings reveal a high prevalence of anxiety, depression, and stress, with significant gender differences—females reporting higher rates of anxiety and depression. The study also identifies key barriers, including cultural stigma, lack of awareness, and limited access to services, particularly for those from lower socioeconomic backgrounds. While existing interventions show promise, they are insufficient in addressing the specific needs of adolescents. The research emphasizes the importance of gender-sensitive, community-based mental health programs and the potential role of digital solutions in improving accessibility and reducing stigma. The study concludes with actionable recommendations for policymakers, mental health professionals, and educators to enhance adolescent mental health care in urban Indonesia.
ALLOPLASTIC IMPLANTS FOR RHINOPLASTY: A SYSTEMATIC REVIEW AND META-ANALYSIS OF CLINICAL OUTCOMES AND COMPLICATIONS Cikita, Rafeni Bunga; Nataadmaja, Beta Subakti
Folia Medica Indonesiana Vol. 61, No. 1
Publisher : Folia Medica Indonesiana

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

Abstract

Alloplastic implants emphasize the importance of a comprehensive understanding of both clinical and histological aspects, which are attributed to enhancing patient satisfaction and surgical success rates. The study aims to assess the viability of different implant materials and their related risks over time. A systematic literature search was conducted across multiple databases, including PubMed, Cochrane, and EBSCOhost, to identify 79 records. After eliminating duplicates and applying specific inclusion and exclusion criteria, four new studies were included for evaluation, focusing on postoperative outcomes related to alloplastic implants in rhinoplasty. Late-onset inflammation in non-healthy capsules required removal and showed histological damage. One study also found increased infection rates in soft implants and aesthetic adjustment concerns with firm implants. Other research reported Medpor implants’ long-term durability, but malposition and infection. Silicone implants had a 10% infection rate and 30% displacement rate, while Medpor(R) had contracture and contour difficulties. Overall, complications vary based on implant type and patient factors. The review emphasizes the importance of using the right implant materials and surgical methods to reduce problems. It advocates for further research into alternative materials and personalized approaches to enhance patient outcomes in rhinoplasty procedures.
Co-Authors Mas'ud, Ahmad Fawzy Nataadmaja, Beta Subakti