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All Journal Jurnal Sains dan Kesehatan Journal of World Future Medicine, Health and Nursing
Zahira Husna Aflaha Khansa Siswaya
Universitas Muhammadiyah Surakarta
Health Professions Public Health

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Etiologi Multifaktorial dan Tantangan Diagnostik Disfagia pada Pasien Geriatri Usia Sangat Lanjut : Laporan Kasus dan Tinjauan Skoping Iwan Setiawan Adji; Zahira Husna Aflaha Khansa Siswaya; Hanif Nur Khairuddin; Eillena Noxie Azzahra; Namira Aisya Devi; Sultan Bayu Fahmi
Jurnal Sains dan Kesehatan Vol. 10 No. 1 (2026): Juni : Jurnal Sains dan Kesehatan (JUSIKA)
Publisher : Universitas Muhamadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jusika.v10i1.1172

Abstract

Dysphagia in extremely elderly patients represents a significant clinical challenge because it is frequently associated with frailty, malnutrition, and an increased risk of aspiration. Multifactorial etiologies and atypical clinical manifestations may complicate diagnosis and delay appropriate management. This study aimed to describe the diagnostic evaluation and clinical findings of dysphagia in an extremely elderly patient through a case report supported by a scoping review. A 105-year-old woman with chronic progressive dysphagia underwent comprehensive assessment, including physical examination, upper gastrointestinal endoscopy, histopathological evaluation, and chest radiography. Relevant literature on dysphagia in geriatric populations was reviewed to provide contextual understanding of diagnostic challenges and underlying etiologies. The evaluation revealed chronic active gastritis and a hamartomatous polyp in the gastroesophageal region without evidence of malignancy. Comprehensive assessment successfully excluded malignant and acute obstructive causes, emphasizing the complexity of dysphagia diagnosis in extremely elderly individuals with frailty and aspiration risk. These findings underscore the importance of endoscopic and histopathological examinations in distinguishing benign from malignant etiologies and support early recognition of multifactorial non-malignant causes to optimize clinical management and reduce the risk of adverse outcomes in this vulnerable population
FRACTURE COMPLEXITY AND IMPLANT COSTS IN MAXILLOFACIAL TRAUMA PATIENTS UNDERGOING OPEN REDUCTION AND INTERNAL FIXATION Iwan Setiawan Adji; Namira Aisya Devi; Hanif Nur Khairuddin; Eillena Noxie Azzahra; Zahira Husna Aflaha Khansa Siswaya; Sultan Bayu Fahmi; Betty Dwi Yuliyanti; Farid Adi Prasetya
Journal of World Future Medicine, Health and Nursing Vol. 4 No. 3 (2026)
Publisher : Yayasan Adra Karima Hubbi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70177/health.v4i3.3890

Abstract

Maxillofacial trauma frequently requires open reduction and internal fixation (ORIF) using various implant systems that may increase operative costs, particularly in complex fractures. This study aimed to analyze the relationship between fracture complexity and implant costs in maxillofacial trauma patients undergoing ORIF. A retrospective cross-sectional study was conducted using retrospective medical records from 35 patients treated at PKU Muhammadiyah Karanganyar Hospital during 2025–2026. Statistical analysis was performed using the Shapiro–Wilk test and the Independent Samples T-Test. Most patients were male (80.0%) with a mean age of 36.86 ± 18.44 years. Simple fractures accounted for 57.1% of cases, whereas complex fractures accounted for 42.9%. A total of 66 implant components were used during ORIF procedures, with AT-DRV screws accounting for the largest proportion (69.7%). while multiple-point fixation was the most common fixation strategy (40.0%). The mean implant cost was 6.80 ± 3.76 million rupiahs. Statistical analysis showed no statistically significant association between fracture complexity and implant cost (p = 0.845). However, interpretation is limited by the retrospective design and small sample size (n = 35) may have limited the statistical power to detect a true association. Furthermore, the retrospective study design limits causal inference and depends on the completeness and accuracy of the available medical records.
Co-Authors Betty Dwi Yuliyanti Eillena Noxie Azzahra Farid Adi Prasetya Hanif Nur Khairuddin Iwan Setiawan Adji Iwan Setiawan Adji Namira Aisya Devi Sultan Bayu Fahmi