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All Journal MIMBAR (Jurnal Sosial dan Pembangunan) Majalah Kedokteran Journal of General Procedural Dermatology and Venereology Indonesia SEIKO : Journal of Management & Business YUME : Journal of Management Jurnal Plastik Rekonstruksi AMMA : Jurnal Pengabdian Masyarakat Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education and Research Institute
Wardhana, Aditya
Department Of Plastic And Reconstructive Surgery, Faculty Of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia
Humanities Chemistry Civil Engineering, Building, Construction & Architecture Economics, Econometrics & Finance Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Epidemiology And Mortality Of Burn Injury In Ciptomangunkusumo Hospital, Jakarta: A 5 Year Retrospective Study Aditya Wardhana; Gammaditya Adhibarata Winarno
Jurnal Plastik Rekonstruksi Vol. 6 No. 1 (2019): March Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jpr.v6i2.269

Abstract

Background : Burns is a significant cause of morbidity and mortality worldwide. Particularly in low- and middle-income countries (LMICs), burns account for an estimated 180.000 deaths every year. Burn-related mortality rates are exceptionally high in South-East Asia (11.6 deaths per 100 000 population per year) compare with much lower rates of 1.0 deaths per 100.000 people per year in high-income countries. This study aims to investigate the demographic data, etiology, and outcome of the patients treated in burn unit Ciptomangunkusumo Hospital, Jakarta, Indonesia. Method: This is a retrospective cross-sectional study, collecting epidemiologic data from the medical record through Electronic Health Record. A total of 709 patients admitted to burn unit between 2013-2017 were reviewed based on age, sex, total burn surface area (TBSA), burn grade, inhalation injury, etiology, length of stay, outcome, and payment method. Inclusion criteria are patients that were admitted to burn unit of Ciptomangunkusumo Hospital between 2013-2017, while there are no exclusion criteria in this study. Result : Admission of patients between 2013-2017 has inclined throughout the year, from 97 in 2013 to 166 in 2017. Average patient admission per year, reaching 141,8±26,761. Jakarta, and its suburb Bogor, Depok, Tangerang, and Bekasi, has dominated the proportion of referring hospital with 538(75.9%) The most amount of payment method is NHI (JKN/BPJS) with 534(75.3%) population. A total of 465 were male, and 244 were female, with a ratio of 1.9:1. The highest incidence in terms of age group is 16-35 years old (269, with the average age of patients, is 29±19. The highest incidence of burn injury is caused by a stove gas explosion with 253(35.7%), followed by flame 189(26.7%). There are 63 out of 709 patients with inhalation injury, where the incidence rate is 8.9%. Patients admitted to the Ciptomangunkusumo burn unit has an average length of stay of 15 days hospitalization. The most frequent population of extent, staying >14 days is 21-30% TBSA (88). The mortality rate in the Ciptomangunkusumo burn unit is 25.8% (183), with the highest number of death came from TBSA >40% (136). Conclusion: A total of 709 patients were admitted to the Ciptomangunkusumo burn unit in Jakarta, Indonesia, over 5 years, with an average of 141 patients per year and an increase of 171% from 2013 to 2017. Most patients were diagnosed with >40% TBSA and 2nd-3rd grade burn injury. An average of 15 days of hospitalization for patients leading up to 25.8% mortality rate, they are with septic shock as the most common condition causing death in the burn unit.
Tissue Engineering and Regenerative Medicine: A Review Aditya Wardhana; Michelle Valeria
Jurnal Plastik Rekonstruksi Vol. 7 No. 1 (2020): March Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1264.186 KB) | DOI: 10.14228/jpr.v7i1.278

Abstract

Summary: The concept of tissue engineering has now been accounted for one of the most prospective answers to the growing needs of tissue and organ replacements. Many studies and researches are continuously done to achieve a paramount strategy in tissue engineering and regenerative medicine. This review emphasizes the concept, strategies, current application, and current challenges in tissue engineering. The strategy in tissue engineering has much improved and successfully applied in several reconstructive cases. Understanding of isolated cells’ behaviors, materials suitable for its’ scaffolds, in adjuncts with specific growth-inducing factors for each specific tissue or organ built is the key for successful tissue engineering. Ringkasan: Konsep tissue engineering merupakan salah satu jawaban yang paling diharapkan dapat memenuhi kebutuhan pengganti jaringan dan organ yang terus meningkat pada saat ini. Beragam studi dan penelitian secara terus-menerus dilakukan agar dapat memperoleh strategi terbaik dalam tissue engineering dan regenerative medicine. Artikel ini berfokus pada konsep, strategi, aplikasi terkini, dan tantangan di masa mendatang pada tissue engineering. Strategi tissue engineering telah banyak berkembangan dan berhasil diterapkan pada kasus-kasus rekonstruksi. Pemahaman mengenai perilaku sel, kecocokan material dengan scaffolds, serta faktor pendukung pertumbuhan untuk masing-masing jaringan atau organ spesifik yang akan diciptakan merupakan kunci keberhasian tissue engineering.
Antioxidants Reduce Tissue Necrosis in The Zone of Stasis: Review of Burn Wound Conversion Aditya Wardhana; Jessica Halim
Jurnal Plastik Rekonstruksi Vol. 7 No. 1 (2020): March Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (512.337 KB) | DOI: 10.14228/jpr.v7i1.292

Abstract

Summary: Severe burns are devastating condition identified by loss of hemodynamic stability and intravascular volume. Adequate fluid replacement, nutritional support, and immediate wound grafting can reduce the risk of infection and mortality. Oxidative stress was shown to have significant role in the burn wound conversion, which happens when the zone of stasis can’t be salvaged and progresses to necrosis. Decreasing the level of oxidative stress early may be fundamental in reducing burn injury progression into deeper tissue. Several animal studies have demonstrated the advance of antioxidant supplementation for burns outcomes. Approach to this salvageable burn tissue is a breakthrough for new directions in burn management. Antioxidant supplementations was proven to prevent burn conversion on the ischemic zone. Administering antioxidant post-burn is linked with less progression of burn depth and inflammatory cytokine release, which alleviates burn-related morbidity and mortality and improves patient’s quality of life. To date, no clinical trials have been done to reproduce similar outcomes of this ROS-scavenging therapy as successfully observed in murine models. Antioxidant supplementation is a promising treatment avenue to halt burn wound conversion following severe burns. Keywords: Burn wound, wound conversion, burn management, antioxidant
The Effect of Early Tangential Excision and Split Thickness Skin Graft in Reducing Length of Stay in Burns Patients in Jakarta Islamic Hospital Cempaka Putih Aditya Wardhana; Gammaditya Adhibarata Winarno; Sanjaya Faisal Tanjunga; A. S Augiani; An’umillah Arini Zidna
Jurnal Plastik Rekonstruksi Vol. 8 No. 1 (2021): March Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v8i1.309

Abstract

Introduction: Early tangential excision (TE) and split-thickness skin graft (STSG) have increased the outcome in burn patients treated at specialized burn centers. This study was conducted to compare the length of stay (LOS) in burn patients undergoing early TE & STSG and delayed TE & STSG. Method: This is a retrospective cross-sectional study including 42 patients with varied burn degrees, and TBSA admitted to Jakarta Islamic Hospital Cempaka Putih (JIHCP) Burn Unit. Patients were assigned to two study groups, the early TE & STSG group including 32 patients and the delayed TE & STSG group including 10 patients. All data were collected from the medical record and compared between two study groups. Result: The mean of LOS in a group with early TE & STSG was shorter (9.81±6.41 days) than LOS in the delayed TE & STSG group (15.80±5.67 days). The data of LOS between these groups were compared using an independent T-test. The LOS in the early TE & STSG group was significantly shorter than the delayed TE & STSG group (p=0.012). Conclusion: In patients with burn injuries, early TE & STSG is associated with a shorter length of stay than the delayed TE & STSG. Our study indicates that early excision within five days after burn injury is optimal to reduce the length of stay in burn patients.
The Difference in TBSA Estimation Between Emergency Room and Burn Unit in Second Tier Hospital in Central Jakarta Aditya Wardhana; Gammaditya A. Winarno; Sanjaya F. Tanjunga; An’umillah Arini Zidna; Amani S. Augiani
Jurnal Plastik Rekonstruksi Vol. 8 No. 1 (2021): March Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v8i1.310

Abstract

Introduction: Burn TBSA estimation is essential to administer fluid resuscitation. There are some methods, including Rule of 9 and Lund-Browder Chart. This study aims to identify the difference in TBSA estimation in Emergency Room & Burn Unit. Method: We conducted a retrospective cross-sectional study in design. The Inclusion criteria are patients admitted to the Jakarta Islamic Hospital Cempaka Putih (JIHCP) burn unit between April 2015-September 2018, acute patients who have complete demographic data, complete TBSA estimation in the emergency room (ER) and burn unit (BU). Exclusion criteria are patients who do not have complete demographical data and incomplete TBSA estimation between the emergency room and burn unit. The estimation of TBSA in the emergency room is done by General Practitioner, while in the burn unit is done by Plastic Surgeon. Result: Of all 160 patients admitted, 142 patients are eligible in the inclusion criteria.  Most of it was adult males with an average of 28.3 years old, suffering a grade II burn injury caused by scald. There is a higher mean of TBSA estimation in the Emergency room with 15.83 (SD 12.21) compared to the Burn Unit with 12.92 (SD 12.00). The maximum TBSA overestimation in ER reaches 24% TBSA than BU, while the minimum is 0.5%. The Maximum TBSA underestimation in ER reaches 20% TBSA than BU, while the minimum underestimation is also 0.5%. On average, ER overestimates about 6.7% TBSA and underestimates about 2.8% TBSA compared to BU. Conclusion: The emergency room tends to overestimate the TBSA, with an almost 3% difference in mean (p<0.05). There is an occurrence of a maximum 24% TBSA overestimation while averaging 6.7% TBSA.
Nutrition Therapy in Type 2 Diabetic Burn Patient Dian Araminta Ramadhania; Aditya Wardhana; Wina Sinaga; Yohannessa Wulandari; Mulianah Daya; Lily Indriani Octovia
Jurnal Plastik Rekonstruksi Vol. 8 No. 1 (2021): March Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v8i1.314

Abstract

Summary: Severe burn patients experience pronounced metabolic changes that caused hyperglycemia. Other existing metabolic conditions such as diabetes mellitus may worsen this condition. Early, adequate, and personalized nutrition therapy may result in better glycemic control and prognosis.A 44-year-old male with severe burn injury involving 27,5% total body surface area (TBSA) and type 2 diabetes mellitus (T2DM) was given early and diabetes-specific nutrition therapy to meet the recommended energy and protein needs. Lower carbohydrate contents and higher mono-unsaturated fatty acids (MUFA) were components of diabetes-specific nutrition therapy. Desirable blood glucose levels, a positive trend of albumin levels, and reduced inflammatory markers were achieved while being given this nutrition therapy. Sepsis was not diagnosed in this patient. The patient was discharged from the hospital after an improvement in clinical condition. Hyperglycemia commonly occurs in critically ill patients, especially with pre-existing T2DM. The provision of prompt and personalized nutrition therapy will improve clinical outcomes.
Dietary Soluble Fiber Improved Fecal Consistency in Burned Patients with Diarrhea Evania Setiawan; Aditya Wardhana; Wina Sinaga; Ayu Diandra Sari; Metta Satyani; Lily Indriani Octovia
Jurnal Plastik Rekonstruksi Vol. 8 No. 2 (2021): September Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v8i2.330

Abstract

Backgrounds: Diarrhea frequently occurs in severely burned patients attributable to impaired intestinal integrity and dysbiosis. Soluble fiber may improve intestinal barrier function, avoid bacterial translocation, then subsequently prevent and treat diarrhea. Soluble fiber is rapidly fermented by commensal bacteria and produces short-chain fatty acids (SCFA). Case Reports: A 51-year-old male with severe burn injury involving 53,5% total body surface area (TBSA) and diarrhea were given soluble fiber as part of his diet. Results: Administration of 6–10 g/d soluble fiber clinically improves stool consistency, assessed by Bristol Stool Scale, in the severely burned patient. The patient was discharged after 19 days of hospitalization with improvement in clinical condition. Summary: SCFA maintains intestinal integrity, supports the growth of commensal bacteria, and inhibits pathogens. There is no specific recommendation regarding fiber intake in burned patients
Pengaruh Brand Image dan Kualitas Produk Terhadap Minat Beli Produk Pepsodent di Kota Bandung Ellyne Annida Pramesti; Aditya Wardhana
SEIKO : Journal of Management & Business Vol 4, No 3 (2022)
Publisher : Program Pascasarjana STIE Amkop Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37531/sejaman.v4i3.3261

Abstract

Abstrak Kemajuan produk perawatan gigi dan mulut di Indonesia saat ini semakin pesat karena tingginya pemahaman orang-orang pada perawatan kesehatan gigi dan mulut, sehingga mendorong produsen untuk melepas produk andalannya. Pembuat seharusnya memiliki opsi untuk meningkatkan penawaran melalui minat beli pada barang mereka, ada beberapa cara yang dapat dilakukan pembuat untuk menarik pertimbangan pembeli mereka. Organisasi harus memiliki imajinasi dan kemajuan sehingga barang-barang ini dapat diingat secara efektif dalam kepribadian pembeli dengan berfokus pada sifat barang mereka. Pada riset ini penulis ingin mengetahui brand image dan kualitas produk memengaruhi pada minat pembelian produk Pepsodent di kota Bandung. Pada riset ini penulis memakai metode penelitian kuantitatif dan menggunakan kategori penelitian deskriptif. Teknik sampling yang dipakai penulis pada hasil riset ini yaitu teknik Non-Probability Sampling kategori Purposive Sampling. Responden hasil riset ini adalah 100 penduduk di Kota Bandung yang menggunakan produk Pepsodent. Penulis memakai penjabaran deskriptif dan penjabaran linear berganda untuk mendapatkan analisis data. Hasil riset memperlihatkan bahwa brand image produk Pepsodent berada pada kelas unggulan, kualitas produk Pepsodent sangat baik, dan minat untuk membeli produk Pepsodent berada pada kategori sangat baik. Hasil riset secara bersama-sama memperlihatkan bahwa brand image memengaruhi sasaran pembelian dan signifikan, dengan nilai (thitung 4,287) > (ttabel 1,98472) dan angka signifikan 0,000 (ttabel 1,98472) dan angka signifikan 0,004 Ftabel 3,09) dan nilai signifikan 0,000 adalah dibawah 0,05, sehingga sangat beralasan bahwa brand image beserta kualitas produk berpengaruh secara bersama-sama pada Minat Beli Produk Pepsodent di Kota Bandung. Kata Kunci: Brand Image, Kualitas Produk, Minat Beli
Increased Nutrition Intake from Day 1 to Day 7 and Its Correlation with LOS in The Burn Unit of Dr. Cipto Mangunkusumo Hospital Jakarta Wina Sinaga; Nurul Ratna Mutu Manikam; Aditya Wardhana; Nandita Melati Putri; Lily Indriani Octovia; Akhmad Noviandi Syarif
Jurnal Plastik Rekonstruksi Vol. 9 No. 2 (2022): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v9i2.339

Abstract

Introduction : Burn patients as well as the critically ill experience strong oxidative stress, an intense inflammatory response, and a prolonged months-long hypermetabolic and catabolic response that affect nutritional requirements. This study aimed to investigate the nutrition intake in the acute phase from day 1 to day 7 and the correlation with length of stay (LOS) in burn patients in Dr. Cipto Mangunkusumo General Hospital.Method : This cross-sectional study was conducted from January to December 2020 in the Burn Unit of Dr. Cipto Mangunkusumo General Hospital. Research subjects were burns patients who were willing to take part in this research and met the research criteria. The characteristics data included gender, age, burn area, cause of burns, body mass index, and intake analysis were obtained from medical records and were analyzed using Spearman’s correlation and linear regression.Result : A total of 68 subjects were included in this study. There was an increase in energy intake from day 1 to day 7 of 10.81 + 12.73 Kcal/kgBW. There was a significant negative weak correlation between energy changes from day-1 to day-7 and length of stay (r = -0.25, p = 0.03).Conclusion: The higher energy increases within 7 days of treatment, the shorter the LOS of burn patients. Further research is still needed to assess the components that influence nutrition intake and how they impact the clinical outcome of burn patients.
Sosialisasi Google Family Link Sebagai Sarana Pengawasan Penggunaan Gawai Pada Anak : Sosialisasi Google Family Link Sebagai Sarana Pengawasan Penggunaan Gawai Pada Anak aditya wardhana; Aded Rifaldy; Bintang Mahesa Nugraha; Muhamad Pahmil Mahdi; Khalil Gibran Almaulidi; Ednas Prasetio; Muhamad Buge Mahara
AMMA : Jurnal Pengabdian Masyarakat Vol. 1 No. 10 (2022): AMMA : Jurnal Pengabdian Masyarakat
Publisher : CV. Multi Kreasi Media

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

Abstract

The introduction of technology or gadgets to children is not wrong, but it is hoped that the role of parents is to participate in supervising the use of gadgets in children. The use of gadgets without supervision has several negative impacts on social interaction such as they are more comfortable using gadgets than interacting or playing with their peers. However, there is also a positive influence on the introduction of gadgets to children, such as being able to hone cognitive abilities, learn to be responsive to technology and think more creatively. The introduction of technology/gadgets to children is not wrong, but it is hoped that the role of parents is to participate in supervising the use of gadgets in children.
Co-Authors A. S Augiani Aded Rifaldy Afriyanti Sandhi Akhmad Noviandi Syarif Amani S. Augiani An’umillah Arini Zidna An’umillah Arini Zidna Aulya Rahman Putri Pratama Ayu Diandra Sari Bintang Mahesa Nugraha Chintya Tedjaatmadja Cindy D. Christie DHITA KURNIASARI Dian Araminta Ramadhania Dyah Juliana Pudjiti Ednas Prasetio Eliza Miranda Ellyne Annida Pramesti Erdina Hardiono D Pusponegoro Evania Setiawan Fajar Mujadid Gammaditya A. Winarno Gammaditya Adhibarata Winarno Gammaditya Adhibarata Winarno Irmia Kusumadewi Isabella Kurnia Liem Jessica Halim Karina Kaltha Khalil gibran Almaulidi Lily Indriani Octovia Lily Indriani Octovia Lily Indriani Octovia Lily Indriani Octovia Mahir Pradana Metta Satyani Michelle Valeria Mohamad Rachadian Ramadan Muhamad Buge Mahara Muhamad Pahmil Mahdi Mulianah Daya Nandita Melati Putri Natalia Widiasih Raharjanti Novialdi . Nurhayati M Rasyid Nurul Ratna Mutu Manikam Piprim B. Yanuarso Rismala Dewi Rizki Aniza Winanda Sanjaya F. Tanjunga Sanjaya Faisal Tanjunga Siphora Dien Sudung O Pardede, Sudung O Sugiarto, Adhrie Tera Kispa Tjhin Wiguna Wina Sinaga Wina Sinaga Wina Sinaga Wina Sinaga Yoanni Maria Lauda Feroniasanti Yohannessa Wulandari Yohannessa Wulandari