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All Journal Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Plastik Rekonstruksi
Kartini, Dian
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Humanities Civil Engineering, Building, Construction & Architecture Education Environmental Science Law, Crime, Criminology & Criminal Justice Social Sciences Other

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Free Flap Evaluation Following Reconstruction of Locally Advanced Squamous Cell Carcinoma of The Tongue Atmodiwirjo, Parintosa; Kartini, Dian; Arina, Maryam Nur; Sapphira, Elrica; Ramadan, Mohamad Rachadian; Triatmoko, Sara Ester
Jurnal Plastik Rekonstruksi Vol. 10 No. 2 (2023): (2023) Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v10i2.361

Abstract

Background: Neoadjuvant chemotherapy (NAC) is a crucial component in the management of tongue-based locally advanced squamous cell carcinoma (LASCC) due to its ability to decrease tumor mass and facilitate free tissue transplantation. The utilization of adjuvant radiation and chemotherapy has been observed to decelerate the progression of post-operative tumor growth. Probability of free flap failure is elevated. Post-operative complications and the long-term functional outcomes of speaking, salivation, and swallowing determine the quality of free flaps.Methods: A retrospective review of tongue LASCC patients who underwent NAC followed by glossectomy and free tissue transfer from 2015 to 2018. Tongue functional outcomes of speaking, swallowing, and salivation were assessed using FACE-Q scale in 3 times follow-up period.Result: This study included 7 patients who underwent tongue reconstruction. Treatment modalities were based on tumor presentation, with 4 patients (57.1%) receiving Taxane, 5-Fluorouracil, and Paclitaxel/Doclitaxel (TPF), and 3 patients (42.1%) receiving Paclitaxel and 5-Fluorouracil (PF). Tongue reconstruction utilized the radial forearm free flap in 5 patients (71.4%) and the anterolateral thigh free flap in 2 patients (28.6%). Intraoperatively, NAC had no impact on the integrity of small and reliable donor vessels. Three patients died from tumor metastases after the second follow-up assessment, while one patient was lost to follow-up. The study found no significant association between chemotherapy dosage and free flap vitality (P = 0.629). FACE-Q assessments revealed moderate to low scores in speaking, eating, and drinking outcomes.Conclusion: Tongue reconstruction after NAC in LASCC patients remains a challenging procedure for surgeons. While the consideration of surgical difficulties due to damage of the donor vessels demands a more structured pre-operative plan. No correlation between the exposure of NAC or AR to free flap complication as well as functional outcome.
Penerapan Doa Pagi Bersama Untuk Peningkatan Kinerja Guru di SMPN 1 Singosari Kartini, Dian; Bafadal, Ibrahim; Burhanuddin, Burhanuddin; Akbar, Sa’dun
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v9i6.16505

Abstract

Kepemimpinan kepala sekolah memegang peranan penting dalam meningkatkan kinerja sekolah. Salah satu strategi yang dapat diterapkan adalah dengan membangun budaya religius melalui doa pagi bersama seluruh guru. Penelitian ini bertujuan untuk mengkaji bagaimana penguatan kepemimpinan kepala sekolah melalui kegiatan doa pagi bersama dapat meningkatkan kinerja guru dan berdampak pada peningkatan mutu pendidikan di sekolah. Metode yang digunakan adalah pendekatan kualitatif dengan metode studi kasus, melibatkan observasi partisipatif, wawancara mendalam, dan analisis dokumen di sebuah sekolah menengah pertama di Jakarta. Hasil penelitian menunjukkan bahwa kegiatan doa pagi bersama dapat meningkatkan keimanan, ketakwaan, rasa syukur, optimisme, persaudaraan, kebersamaan, motivasi, semangat kerja, dan moral guru. Guru yang lebih siap dan termotivasi mampu memberikan pembelajaran yang lebih berkualitas kepada siswa. Kesimpulan dari penelitian ini adalah bahwa kepemimpinan kepala sekolah yang memperkuat budaya religius melalui doa pagi memiliki efek positif signifikan terhadap kinerja guru dan mutu pendidikan di sekolah. Implikasi dari penelitian ini adalah perlunya pengembangan model kepemimpinan kepala sekolah berbasis religius untuk memperkuat budaya religius di sekolah.
Co-Authors Arina, Maryam Nur Atmodiwirjo, Parintosa Burhanuddin Burhanuddin Ibrahim Bafadal Mohamad Rachadian Ramadan Sa'dun Akbar Sapphira, Elrica Triatmoko, Sara Ester