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

Published : 59 Documents
Articles

Physical violence cases in Pekanbaru, Indonesia: a 5 years retrospective study Afandi, Dedi
Majalah Kedokteran Andalas Vol 41, No 2 (2018): Published in May 2018
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v41.i2.p78-87.2018

Abstract

Violence is a global public health problem. This study aims to identify the prevalence and patterns of injury among physical violence victims in Pekanbaru, Indonesia. Methods: A retrospective descriptive study was conducted at the Forensic Medical Service Center Bhayangkara Hospital Pekanbaru. All medicolegal reports of physical violence victims from January 1, 2010 to December 31, 2014 were studied for the prevalence of physical violence cases using basic data, such as sex, age, occupation, and forensic examination findings. Results: The average prevalence of sexual violence was 51.47/100,000 population/year. The total number of cases was 5,206, of which 75.7% were males. The 18-34-year-old age groups accounted for the highest proportion of cases for both genders. Bruises and abrasions were the most frequently found injuries (67.8% and 57.3%, respectively), with the head being the most common injury sites. The majority of victims had blunt and mild degree of injuries (85.6% and 83.8%, respectively). Conclusions: the prevalence of physical violence cases was high among study populated. Although most of the victims had non-fatal injury but physical violence can affect all age group and both genders.
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 | 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
KUALITAS VISUM ET REPERTUM PERLUKAAN DI RSUD INDRASARI KABUPATEN INDRAGIRI HULU PERIODE 1 JANUARI 2009-31 DESEMBER 2013 Afandi, Dedi; Restuastuti, Tuti; Kristanti, Winda
Jurnal Ilmu Kedokteran Vol 9, No 1 (2015): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (44.032 KB) | DOI: 10.26891/JIK.v9i1.2015.11-16

Abstract

Visum et Repertum (VeR) of injury is the most case that requested by the investigator to emergency physician.Because VeR gives the important role in the judicial process in criminal offense cases, so that the good quality VeR isrequired. This study was aimed to know the quality VeR of injury in Indrasari General Hospital Indragiri Huluregency during 1 January 2009-31 December 2013. This study used descriptive retrospective aproach. This studyused Herkutanto?s score to evaluate 13 subtances in VeR. The sample of this study was all data of VeR of injury inIndrasari General Hospital Indragiri Hulu regency during 1January 2009 -31 December 2013 and the total data inIndrasari Hospital was 137 data. This study suggested that the highest living injury victim are living in the age group22 - 40 years amount 73 VeR (53.28%). The most injury case to the male as much as 92 VeR (67.153%). The highesttype of violence is blunt violent as much as 109 VeR and the most in 22-40 ages group. The VeR quality preliminarypart is 69.34% (medium), the reporting part is 37.83% (poor) and the conclusion part is 49.45% (poor). Based fromthat data, the conclusion of the quality of VeR indrasari hospital is poor (46.82%).
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
KUALITAS VISUM ET REPERTUM PERLUKAAN DI RUMAH SAKIT UMUM DAERAH DUMAI PERIODE 1 JANUARI 2008 - 31 DESEMBER 2012 Maulana, Ridho; 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

About 50%-70% of case that come to a hospital especially to theemergency room are physical trauma or injuries cases. The quality of VeR servicedirectly reflect medicolegal services in hospital because it has broad impactjuridical and can determine one’s fate. This research were done to find out thequality of VeR of injury in Dumai General Hospital during 1 January 2008-31December 2012. This is a descriptive retrospective research. It used Herkutantosscoring method. The sample was all of population were the VeR data in DumaiGeneral Hospital during 1 January 2008-31 December 2012 that were completeand has been signed by the doctor who did the examination. It had been gotten166 VeR reports in Dumai General Hospital during 1 January 2008-31 December2012. Injury survivors most cases are in the age group <18 years old as many as55 victims (33,1%). The overview of the living victims were most frequent malewas 131 victims (78,9%) and the most frequent violence that were experienced bythe victims were blunt violence was 154 VeR (92,8%) with the highest age group<18 years old. About 90% showed good quality in preliminary unit of VeR,44,15% showed poor quality in reporting unit and about 26,65% also showedpoor quality in inference unit. It can be concluded that quality of VeR reports inDumai General Hospital during 1 January 2008-31 December 2012 was 37,46%which was mean it was poor quality.Keywords: Visum et Repertum, injury, the quality of Visum et Repertum of injury
PERILAKU PROFESIONAL TENAGA KESEHATAN PADA PELAYANAN KESEHATAN PRIMER PUSKESMAS PELALAWAN KABUPATEN PELALAWAN TAHUN 2013 Putri, Eka Sri Indra; 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

Professional behaviour is an effectuate that is expected of health professionals who provide services to the community including remote areas like in the littoral, one of which coastal settlement. This research aims for discovering the professional behaviour of health-care workes of Pelalawan community health center (Puskesmas), Pelalawan Regency that was assessed basing on the six elements of professional behaviour. The design of this reseacrh uses exploration method with qualitative approaches on nine health-care workers of Pelalawan community health center (Puskesmas), Pelalawan Regency, who selected by using snowball sampling method. Data collection was done by interview method and recorded with an audio recorder. The result of this research showed that all informants possess altruism, accountability, excellence, duty, honor and integrity and respect for other, and there are some informant who possess excellence. In general, half of the Pelalawan community health center (puskesmas) health-care workers possess the elements of professional behaviour in carrying their duty,especially in providing service the patients.Key word : professional behavior, health workers.
PERILAKU PROFESIONAL TENAGA KESEHATAN PADA PELAYANAN KESEHATAN PRIMER PUSKESMAS SELAT PANJANG KABUPATEN KEPULAUAN MERANTI TAHUN 2013 Nisa, Asiyah Uswatun; Afandi, Dedi; Lesmana, Suri Lesmana Dwi
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

The professional behaviour of health-care workers is highly required in concession regions, especially in the coastal regions. This research aims for discovering the professional behaviour of health-care workers of Selat Panjang community health center (Puskesmas), Meranti Islands Regency that was assessed basing on the six elements of professional behaviour. The design of this research uses exploration method with qualitative approaches on nine health-care workers of Selat Panjang community health center (Puskesmas), Meranti Islands Regency, who selected by using snowball sampling method. Data collection was done by interview method and recorded with an audio recorder. The result of this study shows that all the respondents possess altruism, respect for others, honor and integrity, accountability, and duty. There are only some informants who possess excellence. In general, half of the Selat Panjang community health center (Puskesmas) health-care workers possess the elements of professional behaviour in carrying their duty, especially in providing service for the patients.Keyword: professional behaviour, altruism, respect for others, honor and integrity, accountability, excellence, and duty
PERILAKU PROFESIONAL TENAGA KESEHATAN DAERAH PESISIR PADA PELAYANAN KESEHATAN PRIMER PUSKESMAS SINABOI KABUPTEN ROKAN HLIR TAHUN 2014 Arwen, Bhelprinosa; FIDIAWATI, WIWIT ADE; Afandi, Dedi
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

Indonesia is a developing country that continues its effort to actualizing the community prosperity. The effort of enhancing the primary health care service, especially in the coastal area is a priority to health development because it can cover all the remote areas. Health care success depends on the behavior of its health-care workers. Workers with professional behavior are the main elements in actualizing an effort to an optimal health. Professional behavior is very important to build a trust in a middle of society that becomes critical with the quality of health care performance in health service. The aim of this research is to discover the professional behavior of Sinaboi community health care in Rokan Hilir Regency based on six professionalism elements. This study is using an exploration method with quantitative approaches on seven health workers in Sinaboi community health care that was chosen with the snowball sampling method. Data were collected by using interview method recorded with an audio recorder. The result shows that all informants possess altruism, accountability, duty and respect for others and some of the informants possess excellence. In general, some of the health care workers in Sinaboi community health care have possessed a professional behavior in performing their proffesion, especially in providing service for patients.Key word : professional behavior, health-care workers
Co-Authors - Thamrin Achsanul Kubri Adnan Kasry Agus Purwadianto Andita, Deby Annisa Abdi Ghifari Ardiani, Vani Aria Gusti Asiyah Uswatun Nisa B Isyandi Bambang B. Siswanto Bhelprinosa Arwen Budi Sampurna D, Fauzia Andrini Damri Damri Dani Rosdiana Danisha, Dinda Desby Juananda, Desby Dian Rahmi Yenti, Dian Rahmi Dicky Pangestu Sandjaya Dwi Novitasari Dwi P, Sunki Yulia Eka Sri Indra Putri Elva Susanty, Elva Endang Ratnaningsih Fadila, Nur Fitri Fadlan Tri Ramadhan Fifia Chandra Fika, Rana Citra Hananto Andriantoro Hari Utomo Harima Gumanty, Harima Herkutanto Herkutanto Hetty Hirfawaty, Hetty Huriatul Masdar Idrus Alwi Indra Fakhreza Indrayana, Mohammad T. Inge Sutanto Intan Rosaline Simangunsong, Intan Rosaline Ivan R. Widjaja Ivan Riyanto J. W. Marwoto Jefryanto " Jimmi Copriady Laode Burhannudin Mursali, Laode Burhannudin Laode Burhanuddin Laode Burhanuddin Mursali Laode Burhauddin Mursali Leni Marlina Lilly Haslinda Lukman H. Makmun Mandatasari, Melissa Mirna Ilza Mohammad Tegar Indrayana Muhammad Maliki Muhammad Yulis Hamidy Ningsih, Ratih Wirda Novia, Popi Nugraha, Iriandanu Nurhay Abdurachman Nurjati Chairani Oktavinda Safitry Rahayu, Endang Purnawati Rahmi, Sarah Miftahul Rani, Novita Rawina W Ricky Rusydi Satriawan Ridho Maulana Rieskariesha Kiswara Rifardi, Dhandia Rima Ayu Lestari Riswandi " Saghita, Elnovrian Purnama Siti Aisyah Suci Maya Sari Sukendi Sukendi, Sukendi Sukma, Olvhantiara Suri Dwi Lesmana Suri Lesmana Dwi Lesmana Sutisna Himawan Suyanto " Syaiful Bahri Syarifah Hidayah Fatriah T.Resty Yulandari Taufik Sofistiawan Tiara Anggraini Tinardy, Satrio Mandala Tuti Restuastuti Venni Oktary Amir Wahyu Setiawan Wanda, Stella Putri Widiawaty, Alida Wilda Septi Pratiwi Winda Kristanti, Winda Wiwit Ade Fidiawati Yolanda Nurliza Yuli Budiningsih Yullya Tri Utari Zarfiardy Aksa Fauzi Zulfan Saam Zulharman "