Dedi Afandi
Department Forensic and Medico-legal Faculty of Medicine University of Riau/ Arifin Achmad State Hospital Pekanbaru – Riau Telp: (0761) 572725

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Hubungan antara Pola Sidik Bibir dan Jenis Suku Melayu Riau Afandi, Dedi; Mandatasari, Melissa
Majalah Kedokteran Bandung Vol 49, No 4 (2017)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (197.827 KB) | DOI: 10.15395/mkb.v49n4.1147

Abstract

Sidik bibir telah lama digunakan sebagai salah satu metode identifikasi individu.  Penelitian hubungan pola sidik bibir dengan jenis suku belum banyak diteliti, khususnya di Indonesia. Penelitian ini bertujuan mendapatkan hubungan pola sidik bibir antara galur murni suku Melayu Riau dan suku bukan Melayu Riau.Penelitian studi potong lintang dilakukan di Fakultas Kedokteran Universitas Riau antara bulan Juli sampai Agustus tahun 2015.  Sebanyak 160 mahasiswa memenuhi kriteria sampel penelitian dengan metode pengambilan sampel secara acak sederhana.  Kriteria eksklusi adalah mahasiswa Fakultas Kedokteran yang mengalami kelainan anatomi pada bibirnya (labiochisis/ labiopalatochisis), pascatrauma, dan alergi terhadap lipstik. Metode Vahanwal-Nayak-Pagare digunakan untuk mencetak pola sidik bibir. Pola sidik bibir ditetapkan dengan menggunakan klasifikasi Suzuki dan Tsuchihashi pada kedelapan kuadran bibir.  Jenis suku terbanyak adalah suku bukan Melayu Riau 111 (69,4%) dibanding dengan galur murni suku Melayu Riau 49(30,6%). Uji statistik menunjukkan hubungan yang signifikan hanya pada kuadran 3 (p = 0,04).  Dapat disimpulkan bahwa pola sidik bibir dapat digunakan untuk metode alternatif identifikasi personal, akan tetapi tidak dapat digunakan untuk membedakan galur murni suku Melayu Riau dengan bukan Melayu Riau pada populasi penelitian.Kata kunci: Klasifikasi Suzuki dan Tsuchihashi, sidik bibir, suku melayu RiauAssociation between Lip Print Pattern and Riau Malay EthnicsLip print have long been used as one of the personal identification methods. Studies on the lip print pattern associated with ethnicity has not been widely available, especially in Indonesia. This was a  study aimed to identify association between lip printi patterns and pure strains of Riau Malay and non-Malay Riau. A cross-sectional study was conducted at the Faculty of Medicine, University of Riau, between July to August 2015. A total of 160 students who met the criteria were selected through simple random sampling. Exclusion criteria were lip anatomic abnormalities (labiochisis/labiopalatochisis), post trauma experience, and allergic to lipstick. The Vahanwal-Nayak-Pagare method was used for printing the lip pattern. Lip print pattern was established using Suzuki and Tsuchihashi classification on eight lip quadrants. Most subjects were non-Malay Riau 111 (69.4%) with the remainings were identified as (n=49, 30.6%). The statistical test showed a significant relation only in Quadrant 3 (p=0,04). It is concluded that lip print pattern can be used as an alternative method in personal identification; however, it cannot be used to distinguish the pure strains of the Riau Malay ethnics from the non-Riau Malay ethnics in the study population. Key words: Lip print, Riau Malay ethnic, Suzuki and Tsuchihashi classification
A randomized comparative trial of first-dose response to Angiotensin- Converting Enzyme Perindopril and Captopril in Indonesian heart failure patients Makmun, Lukman H.; Abdurachman, Nurhay; Alwi, Idrus; Afandi, Dedi; Siswanto, Bambang B.; Andriantoro, Hananto; Ratnaningsih, Endang; Utomo, Hari
Medical Journal of Indonesia Vol 11, No 1 (2002): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (548.88 KB) | DOI: 10.13181/mji.v11i1.45

Abstract

Several large placebo-controlled trials have confirmed that angiotensin converting enzyme (ACE) inhibitors significantly reduce mortality aid morbidity in all functional grades of congestive heart failure (CHF), nevertheless only a proportion of patients who may benefit from treatment are priscribed an ACE inhibitor. One of the perceived difficulties is the occurrence of first-dose hypotension in susceptible patients. A double-blind, randomised, single-dose therapy, parallel-group study was conducted with the aim to compare the first-dose responses to low dose ACE inhibitors captopril and perindopril in patients with stable chronic heart failure. Seventy patients (New York Heart Association class I-IV) were included. Blood pressure was recorded every 15 minutes 2 hours before starting treatment. The mean of these readings was taken as the baseline blood pressure. Patients were randomised to receive a single-dose of captopril 6.25 mg or perindopril 2 mg. After taking the drug, blood pressure was monitored every 15 minutes for 2 hours, every 30 minutes during 5 hours then hourly after 2 hours. The maximum mean arterial pressure fall from baseline of perindopril was 0.85 mmHg compared to captopril 4.60 mmHg. The maximum mean systolic fall from baseline of perindopril was 3 31 mmHg compared to captopril 6.76 mmHg while the maximum mean diastolic fall from baseline of perindopril was 1.08 mmHg compared to captopril 2.63 mmHg. The hypotensive effect of the captopril group started soon after dosing and reached its maximum after 1 to 2 hours while perindopril showed slight reduction of systolic after 1 hour and slight reduction of diastolic after 4 hours. Compared to captopril, perindopril seemed to be less likely to cause first-dose hypotension in patients with heart failure. (Med J Indones 2002; 11: 19-23)Keywords: first dose hypotension, perindopril, captopril, chronic heart failure
Effects of an additional small group discussion to cognitive achievement and retention in basic principles of bioethics teaching methods Afandi, Dedi; Budiningsih, Yuli; Safitry, Oktavinda; Purwadianto, Agus; Novitasari, Dwi; Widjaja, Ivan R.
Medical Journal of Indonesia Vol 18, No 1 (2009): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (316.893 KB) | DOI: 10.13181/mji.v18i1.340

Abstract

Aim The place of ethics in undergraduate medical curricula is essential but the methods of teaching medical ethics did not show substantial changes. “Basic principles of bioethics” is the best knowledge to develop student’s reasoning analysis in medical ethics In this study, we investigate the effects of an additional small group discussion in basic principles of bioethics conventional lecture methods to cognitive achievement and retention. This study was a randomized controlled trial with parallel design. Cognitive scores of the basic principles of bioethics as a parameter was measured using basic principles of bioethics (Kaidah Dasar Bioetika, KDB) test. Both groups were attending conventional lectures, then the intervention group got an additional small group discussion.Result Conventional lectures with or without small group discussion significantly increased cognitive achievement of basic principles of bioethics (P= 0.001 and P= 0.000, respectively), and there were significant differences in cognitive achievement and retention between the 2 groups (P= 0.000 and P= 0.000, respectively).Conclusion Additional small group discussion method improved cognitive achievement and retention of basic principles of bioethics. (Med J Indones 2009; 18: 48-52)Keywords: lecture, specification checklist, multiple choice questions
Autopsy findings in severe malaria – a case report Afandi, Dedi; Sampurna, Budi; Sutanto, Inge; Marwoto, J. W.; Chairani, Nurjati; Himawan, Sutisna; W, Rawina; Riyanto, Ivan
Medical Journal of Indonesia Vol 17, No 3 (2008): July-September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (728.674 KB) | DOI: 10.13181/mji.v17i3.315

Abstract

Severe malaria, caused by Plasmodium falciparum infection, has a high mortality rate and is the main cause of death in malaria. Since clinical autopsy is unpopular in Indonesia, autopsy examination in malaria cases is rarely done. We reported a forty three year old woman from non endemic area that was dead because of severe malaria. Diagnosis was concluded from autopsy, histopathology, and toxicology. (Med J Indones 2008; 17: 210-5)Keywords: Plasmodium falciparum, cerebral malaria, black water fever
PERILAKU PROFESIONAL TENAGA KESEHATAN DAERAH PESISIR PADA PELAYANAN KESEHATAN PRIMER WILAYAH PUSKESMAS TANAH MERAH KABUPATEN INDRAGIRI HILIR TAHUN 2014 Anggraini, Tiara; Afandi, Dedi; Chandra, Fifia
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

As a developing country, Indonesia continues to strive for the welfare of society. One of the efforts is to improve the proper health services, especially in coastal areas. The success of health services should be supported by the medical workers who have the role of professional conduct . The aim of this research is to discover the professional behavior of health-care workers of Tanah Merah community health care (Puskesmas), Indragiri Hilir Regency, that was reflected by the six elements of professionalism. The design of this research uses exploration method with qualitative approaches on five health-care workers of Puskesmas Tanah Merah, Indragiri Hilir Regency, who were selected by using snowball sampling method. Data collection was done by interview and recorded with an audio recorder. The result of this research showed that all the informants possess altruism, accountability, excellence, duty, honor and integrity, and respect for other.Key word : professional behavior, health-care workers.
PERILAKU PROFESIONAL TENAGA KESEHATAN DAERAH PESISIR PADA PELAYANANKESEHATAN PRIMER PUSKESMAS SELAT BARU KABUPATEN BENGKALIS TAHUN 2014 Amir, Venni Oktary; Afandi, Dedi; Fidiawati, Wiwit Ade
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Increasing health services for coastal settlement that have low health degree issue should be directional priority of health subtlety. Health workers are the main factor to realize the optimum health effort. Professional health workers action needed for increasing the quality and the development health workers profession. The aim of this research is to discover the professional behavior of health-care workers of Selat Baru community health care (Puskesmas), Bengkalis Regency, that was reflected by the six elements of professionalism. The design of this research uses exploration method with qualitative approaches on seven health-care workers of Puskesmas Selat Baru, Bengkalis Regency, who were selected by using snowball sampling method. Data collection was done by interview and recorded with an audio recorder. The result of this research showed that all the informants possess altruism, accountability, duty and respect for other. Some informant who possess excellence and honor and integrity. In general, half of the Selat Baru community health center (puskesmas) health-care workers possess the elements of professional behavior in carrying their duty, especially in providing service for the patients.Key word : professional behavior, health-care workers.
PENENTUAN DERAJAT LUKA BERDASARKAN METODE EVALUATION OF IMPAIRMENT PADA REKAM MEDIS PASIEN RUMAH SAKIT BHAYANGKARA PROVINSI RIAU PERIODE JANUARI-DESEMBER 2012 Aisyah, Siti; Afandi, Dedi; Burhanuddin, Laode
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Visum et Repertum on living sacrifice is a written report made by physicians at the request of investigators on the case of injury in living sacrifices were examined for the benefit of the judiciary. The injury on someone can result in a defect (impairment) a capacity to do the work everyday. To assess the level of decline or the disability can be used at a reduced rate of assessment methods or disability (evaluation of impairment method). The aim of this study was to find an effective method in determining the degree of qualification were on VeR by assessing WPI (Whole Person Impairmernt) victims contained in the medical record. This descriptive retrospective study was done since March 2014 at Bhayangkara Hospital Riau Province. Based on the results of this study was found the largest of age group 25-44 years old (52,46%) had violence, and most commonly happened in men (55,86%). Types of injuries most commonly found was hematom (66,6%) and the most type of violence was blunt force injury (92,6%). The most common degree of the injury was the first degree (93,20%).Key words: Visum et Repertum, evaluation of impairment, AMA Guides
GAMBARAN DIATOMEA PADA PERAIRAN MUARA SUNGAI ROKAN KECAMATAN BANGKO DAN KECAMATAN BATU HAMPAR KABUPATEN ROKAN HILIR SEBAGAI DIAGNOSIS PENUNJANG IDENTIFIKASI LOKASI KORBAN MATI TENGGELAM Maliki, Muhammad; Afandi, Dedi; Kasry, Adnan
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 1 (2014): Wisuda Februari Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Diatomea investigation in the body of drowning victims is one of important investigation todetermination the drowning victims location. Diatomea is sould in the lung or another organfrom the body of victims as prove of drowning intra-vitality it means the victims are still alivewhen they are in the water and they are dead because of it. Diatomea species determining can beconcluded as a supporting diagnose to identify the location of drowning victims by comparingthe diatomea in the victims body with diatomea species in the water this research is a descriptiveresearch which is purposed for recognizing the species and the diatomea abundant in theRokan’s River Estuary of Bangko Sub-district and Batu Hampar Sub-district Rokan HilirRegency this research sample is taken from five research of stasions as purposive sampling. Thisresearch was done in April and May 2013 at Rokan’s River Estuary in Sub-district BangkoAnd Subdistrict Batu Hampar Rokan Hilir Regency. Diatomea investigation was done by usingBinocular microscope. This determining was done by using Masaharu and Yunfang atlas theabundant was searched by counted and numbered by using American Public Health Associations(APHA) formula.Diatomea was founded eight species they are: Aulocoseira sp, Diatoma sp, Nitzchia sp,Isthmia sp, Melosira sp, Navicula sp, Skeletonema sp, Bitdulphia sp. The abundant of diatomeais founded 11152,2 sel/L when the water comes up and I found 9132,6 sel/L when the water comedown with the Diatoma sp as the most dominant diatomea as a mount as 4986,4 sel/L when thewater comes up and with diatoma sp as the most dominant Diatomea as amount as 3799,8 sel/L.Keyword : Rokan’s river estuary drowning, species and abundant diatomea
KUALITAS VISUM ET REPERTUM PERLUKAAN DI RSUD DR.RM.PRATOMO BAGAN SIAPI-API PERIODE 1 JANUARI 2009 - 31 DESEMBER 2013 Ramadhan, Fadlan Tri; Afandi, Dedi; Mursali, Laode Burhanuddin
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 1 (2015): Wisuda Februari 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTThe most frequent Visum et repertum (VeR) requested by investigators is VeR of injury. It is because 50-70% of cases that come to the Emergency Unit are injury cases. A good quality of VeR is required in view of its important role in litigation of a criminal offense. This study was aimed to understand the quality of VeR of injury in Dr.RM.Pratomo General Hospital of Bagan Siapi-api during 1 January 2009-31 December 2013. The research was an observational study using descriptive retrospective design. This study used Herkutanto’s scoring method towards 13 VeR substances. Samples of this study were all data of VeR of injury that had fulfilled inclusion criteria. The total of samples were 48 samples of VeR. This study suggested that the highest number of living victims of injury cases was 29 victims (60,4%) in age group 22-40 years old with the most frequent sex was male as many as 36 victims (75%). The most frequent violence was sharp violence as many as 28 cases (58,3%) with the most frequent age group was 22-40 years old. The quality of VeR in preface was 71% (medium), in body part was 51,56% (medium) and in conclusion was 28,12% (poor). In general, quality of VeR of injury in RSUD Dr.RM.Pratomo General Hospital of Bagan Siapi-api during 1 january 2009-31 december 2013 was 39,46% that could be categorized as poor quality.Keywords: Visum et Repertum, injury, quality of VeR of injury
GAMBARAN PERILAKU MEROKOK GURU DI LINGKUNGAN SEKOLAH MENENGAH PERTAMA DI PEKANBARU Sari, Suci Maya; Afandi, Dedi; Fauzi, Zarfiardy Aksa
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 1 (2015): Wisuda Februari 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTSmoking remains one of the leading problem that can't be resolved until now. One of the important factor is the junior high school as education institutions that produce the next generations that not only excellent in achievment but also care about health of themselves and environment. Teachers as role models in schools also had important role in students attitude and behavior formation. This research aims to determined the smoking behavior among teachers in junior high school in Pekanbaru. This research was a descriptive study with cross-sectional approach. This study had been done on September 2014 with 210 teachers from seven Junior High Schools in Pekanbaru as respondents. Results showed that all respondents (100%) had good knowledge, good attitude as much as 202 respondents (96.2%), and as many as 187 people (89%) had good behavior. Keywords : smoking , knowledge , attitudes and behavior