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All Journal Jurnal Kesehatan Andalas Jurnal Kesehatan Melayu Buletin Ilmiah Nagari Membangun Oto Rhino Laryngologica Indonesiana Majalah Kedokteran Andalas Jurnal Ilmu Kesehatan Indonesia (JIKSI)
Dolly Irfandy
Bagian Telinga Hidung Tenggorok Dan Bedah Kepala Leher Fakultas Kedokteran Universitas Andalas, RSUP Dr. M. Djamil, Padang 25163, Indonesia
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Anosmia pada Rinitis Virus dan Rinitis COVID-19: Sebuah Tinjauan Naratif Lucky Berliandi; Dolly Irfandy; Husna Yetti
Majalah Kedokteran Andalas Vol 46, No 10 (2024): Supplementary April 2024
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v46.i10.p1688-1695.2024

Abstract

Tujuan: untuk melihat bagaimana anosmia pada rinitis virus dan rinitis COVID-19. Metode: penelitian ini merupakan suatu tinjauan naratif yang menggunakan metode PRISMA berdasarkan kriteria inklusi dan eksklusi. Hasil: anosmia yang disebabkan oleh rinitis COVID-19 memiliki angka kejadian yang lebih tinggi dibandingkan rinitis yang disebabkan oleh virus lain. Kesimpulan: angka kejadian anosmia lebih tinggi terjadi pada rinitis COVID-19 daripada rinitis virus. Anosmia dapat menjadi gejala alarm untuk mencurigai seseorang mengalami rinitis COVID-19.
Pengaruh Melakukan Istinsyaq Terhadap Derajat Sumbatan Hidung Pada Penderita Rinitis Alergi Irfandy, Dolly; Ariani, Novita; Fariz, Kamal
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 1 (2023): VOLUME 53, NO. 1 JANUARY - JUNE 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i1.554

Abstract

AbstrakLatar Belakang: Rinitis alergi adalah inflamasi mukosa hidung yang menyerang 30% populasi dunia. Sebuah penelitian menunjukkan bahwa istinsyaq dapat mengurangi derajat sumbatan hidung.  Objektif: Penelitian ini bertujuan untuk mengetahui pengaruh melakukan istinsyaq dalam wudhu terhadap derajat sumbatan hidung pada penderita rinitis alergi.Metode: Jenis penelitian ini adalah pre-eksperimental dengan desain one group pretest-posttest. Populasi adalah siswa kelas X dan XI di SMA IT Imam Syafi’I Kota Batam tahun ajaran 2020/2021 yang menderita rinitis alergi dan bersedia untuk berpartisipasi. Skrining rinitis alergi menggunakan kuesioner SFAR dan derajat sumbatan hidung dinilai dengan menggunakan kuesioner NOSE.Hasil: Didapatkan sampel berjumlah 24 siswa. Rata–rata total skor NOSE sebelum edukasi perlakuan istinsyaq adalah 30 ± 18, dan setelah perlakuan istinsyaq di hari ke-14 menurun menjadi 21 ± 18 dan di hari ke-28 menurun kembali menjadi 14 ± 16. Didapatkan penurunan bermakna rata–rata total skor NOSE dengan menggunakan uji Wilcoxon yaitu nilai p value (0,019) < 0,05 di hari ke-14 dan nilai p value (0,002) < 0,05 di hari ke-28 setelah perlakuan istinsyaq.Kesimpulan: Istinsyaq dapat menurunkan rata–rata total skor kuesioner NOSE pada siswa dengan rinitis alergi. Dengan demikian, istinsyaq efektif untuk mengurangi derajat sumbatan hidung pada penderita rinitis alergi.Kata kunci:  Istinsyaq, Rinitis Alergi, Score For Allergic Rhinitis, Nasal Obstruction Symptom Evaluation AbstractBackground: Allergic rhinitis is an inflammation of the nasal mucosa that affects 30% of the world's population. A study showed that istinsyaq can reduce the degree of nasal obstruction.Objective: This study aims to determine the effect of performing istinsyaq in wudhu on the degree of nasal obstruction in patients with allergic rhinitis.Methods: This study is a pre-experimental with one group pretest-posttest design. The population is class X and XI students at SMA IT Imam Syafi'I Batam City for the 2020/2021 academic year who suffer from allergic rhinitis and are willing to participate. Allergic rhinitis was screened using the SFAR questionnaire and the degree of nasal obstruction was assessed using the NOSE questionnaire.Results: The sample obtained was 24 students. The average total NOSE score before istinsyaq treatment education was 30 ± 18, and after istinsyaq treatment on the 14th day it decreased to 21 ± 18 and on the 28th day it decreased again to 14 ± 16. There was a significant decrease in the average total NOSE score using the Wilcoxon test, namely the p value (0.019) < 0.05 on the 14th day and p value (0.002) < 0.05 on the 28th day after istinsyaq treatment.Conclusion: In conclusion, istinsyaq can reduce the average total score of the NOSE questionnaire in students with allergic rhinitis. Thus, istinsyaq is effective in reducing the degree of nasal obstruction in patients with allergic rhinitis.Keyword: Istinsyaq, Allergic Rhinitis, Score For Allergic Rhinitis, Nasal Obstruction Symptom Evaluation
TNF-α expression in chronic rhinosinusitis with and without nasal polyps Irfandy, Dolly; Pramita, Arsia Dilla
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 1 (2024): VOLUME 54, NO. 1 JANUARY - JUNE 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i1.589

Abstract

Background: Chronic rhinosinusitis is an inflammatory disease of the nasal and paranasal sinusesmucosa, that is caused by multifactorial factors, and has a complex and influential etiology among variousmicroorganisms (bacteria, fungi, and viruses), environmental contamination (pollutants or cigarette smoke)and immune system instability. Tumor necrosis factor alpha (TNF-α) is one of the crucial cytokinesin the inflammatory process that plays a role in chronic rhinosinusitis. Purpose: To compare TNF-αgene expression levels in chronic rhinosinusitis patients with and without nasal polyps. Method: Thisquantitative study included a cross-sectional design comparative analysis of 24 samples obtained from theethmoid bulla of chronic rhinosinusitis patients. The patients were subjected to a Functional EndoscopicSinus Surgery (FESS) approach at the Rhinology Clinic of Dr. M. Djamil Regional Hospital, Padang.Patients were selected based on inclusion and exclusion criteria. The expression of TNF-α was measuredby using the Real-Time Polymerase Chain Reaction (RT-PCR). The data were analysed by SPSS witha p-value <0.05. Result: The average value of TNF-α expression in chronic rhinosinusitis with polypswas 4.89±12.65, while that of TNF-α expression in chronic rhinosinusitis patients without polyps was2.77±4.22. However, there was no statistical difference between the two groups of study (p-value >0.05).Conclusion: This study demonstrated the increased levels of TNF-α in chronic rhinosinusitis patientswith polyps compared to patients without polyps.
Analisis Klinis Hidung Penderita Sindrom Down pada Suku Minangkabau Furqan, Muhammad Afif; Lestari, Yuniar; Irvandy, Dolly; Amir, Arni; Ihsan, Indra
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.609

Abstract

Background: Down's syndrome (DS) is a congenital disorder due to prenatal trisomy 21 which causes malformations of organs and body shape, including the nose. The variables measured are the points that determine the aesthetics of the nose. Purpose: This study aimed to describe primary data thus obtained from nose anthropometry of Down syndrome in the Minangkabau tribe can be used as a reference in nose reconstruction in patients with Down syndrome to restore physiological function and add aesthetic value. Methods: This research is a descriptive type study with a cross-sectional method using primary data as subjects. The sample of this study were people with Down syndrome who have Minangkabau ethnicity, totaling 22 samples with an age range of 13-25 years from special schools in Padang city. The study was conducted by observation and anthropometry of the nose using graphical images computerized by software called rhinobase software. Results: The results of this study showed that the nose width is 15.25 mm ± 2.07, the ala nasi width is 41.41 mm ± 3.47, the nasofrontal angle was 133.59° ± 5.89, the nasolabial angle was 109.24° ± 13.60 , the nose length is 32.16 mm ± 3.24. Conclusion: From this study, various results were found on the size of the aesthetic points of the nose of Down syndrome patients in the Minangkabau ethnic group when compared to DS patients in different race, ethnic, or non DS patients.
Ko-Insiden Rhinosinusitis Kronis dengan Polip Hidung dan Neurofibroma Irfandy, Dolly; Budiman, Bestari Jaka; Ikhlas, Khairani Ayunanda; Mayorita, Pamelia
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.611

Abstract

Background: Nasal polyps are painless inflammatory lesions originated from around the middlemeatus or paranasal sinus cavity; while neurofibroma is benign peripheral nerve sheath tumor. Purpose:To report a rare case of neurofibroma concurrently with nasal polyps in chronic rhinosinusitis. Casereport: A 64-year-old female with chief complaint congestion on the right nose cavity. There was a mass on both nasal cavities. Patient diagnosed with benign mass at right nasal cavity and chronic rhinosinusitis with nasal polyps at left nasal cavity; with a differential diagnosis of chronic rhinosinusitis with bilateral nasal polyps. Computer tomography scan results showed homogeneous isodense lesion in the right nasal cavity, and mucosal thickening in left nasal cavity and maxillary sinus. Patient was managed with total extirpation of the bilateral nasal cavity mass and functional endoscopic sinus surgery. Pathological examination revealed neurofibroma in the right nasal cavity and polyps in the left nasal cavity. Clinical question: “How to differentiate inflammation with tumor of nasal and paranasal sinuses? Is there a causal relationship?” Review method: Literature searching was performed with the keywords “nasal cavity neurofibroma”, AND “nasal polyps”, AND ”chronic rhinosinusitis” through database Google Scholar, PubMed, and hand searching/e-book. Result: There were 11 literatures published in the last 5 years, and 7 articles relevant with the subject. Conclusion: Chronic rhinosinusitis with nasal polyps, along with neurofibroma on nasal cavity is a rare co-incidence, and there was no correlation between those lesions. Pathological examination is a gold standard in differentiating a definite diagnosis of neurofibromas and polyps.Keywords: nasal cavity neurofibroma, nasal polyps, chronic rhinosinusitis
Gambaran kasus epistaksis di IGD RSUP Dr. M. Djamil Padang periode 2018-2022 Irfandy, Dolly; Adrial, Adrial; Sariwati, Siska; Asyari, Ade; Nofita, Eka; Anggraini, Fika Tri
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 2 (2024): VOLUME 54, NO. 2 JULY - DECEMBER 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i2.675

Abstract

Background: Epistaxis is a common case that occurs in Ear Nose Throat (ENT) Department. Epistaxis can be managed independently, but mortality and morbidity rates will increase if it occurs in children, elderly, and patient with systemic conditions. Purpose: To understand epistaxis in terms of patient age, gender, risk factor, bleeding location, treatment, and age distribution based on etiology and risk factors. Method: A descriptive retrospective study, using secondary data from medical records of patients with chief complaints of epistaxis at the emergency installation of Dr. M. Djamil General Hospital in Padang, from 2018 to 2022. Result: The study found 329 patients who came with chief complaints of epistaxis. Epistaxis mostly found at age above 45 years old. Most cases happen in males (64.1%). The most common etiology and risk factors found were hypertension (21.4%). Most frequent bleeding location found in the anterior part (80.5%). Most epistaxis patients were treated with nasal compression (26.4%). The most common causes of epistaxis in children were mechanical trauma, in young adults fractures of the maxillofacial region, and hypertension in elderly. Conclusion: Epistaxis can occur in all age groups and can occur spontaneously or accompanying a disease. The etiology and risk factors of epistaxis vary based on age groups. Epistaxis is treated according to the cause. Keywords: epistaxis, age, risk factors, treatment   ABSTRAK Latar belakang: Epistaksis merupakan kasus yang sering terjadi di bagian THT. Epistaksis dapat ditangani secara mandiri, namun angka mortalitas dan morbiditas akan meningkat jika terjadi pada anak-anak, lansia, dan pasien dengan kondisi sistemik. Tujuan: Untuk mengetahui gambaran epistaksis ditinjau dari usia pasien, jenis kelamin, faktor risiko, lokasi perdarahan, penanganan, dan distribusi usia berdasarkan etiologi dan faktor risiko. Metode: Studi deskriptif retrospektif dengan menggunakan data sekunder dari rekam medis pasien dengan keluhan utama epistaksis di Instalasi Gawat Darurat RSUP Dr. M. Djamil di Padang, dari 2018-2022. Hasil: Penelitian menemukan 329 pasien yang datang dengan keluhan utama epistaksis. Epistaksis paling banyak ditemukan pada usia di atas 45 tahun. Sebagian besar kasus terjadi pada laki-laki (64,1%). Etiologi dan faktor risiko yang paling banyak ditemukan adalah hipertensi (21,4%). Lokasi perdarahan yang paling sering ditemukan di bagian anterior (80,5%). Sebagian besar pasien epistaksis ditangani dengan kompresi hidung (26,4%). Penyebab epistaksis yang paling sering ditemukan pada anak-anak adalah trauma mekanik, pada dewasa muda fraktur pada daerah maksilofasial, dan hipertensi pada lansia. Kesimpulan: Epistaksis dapat terjadi pada semua kelompok usia dan dapat terjadi secara spontan atau menyertai suatu penyakit. Etiologi dan faktor risiko epistaksis bervariasi berdasarkan kelompok usia. Penatalaksanaan epistaksis dilakukan sesuai dengan penyebabnya. Overview of epistaxis cases in emergency installation. Kata kunci: epistaksis, usia, faktor risiko, tatalaksana
Two Walls Orbital Decompression pada Thyroid Eye Disease Efendi, Mardijas; Irfandy, Dolly; Primasakti, Pattih
Andalas Journal of Health Vol. 13 No. 2 (2024): July 2024
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v13i2.2295

Abstract

A patients with Grave Ophthalmopathy who underwent orbital decompression surgery involving two walls, medial and lateral. The surgery was performed in collaboration with an ENT specialist. This case report described a patient who presented with Thyroid Eye Disease NOSPEC V. It has been reported that a 35-year-old male had complained of bilateral proptosis, decreased visual acuity, and eye pain. The patient had been diagnosed with hyperthyroid 1 year before coming to the eye clinic. The patient was given a peribulbar steroid injection, but no improvement was observed. Visual acuity of the right eye was 3/60 and the left eye was 1/60. Lagophthalmos were seen on both eyes, 6mm in the right and 4mm in the left. The cornea of the right eye had infiltrated due to exposure keratitis. Proper eye movement was restricted to superonasal. The patient underwent medial and lateral orbital wall decompression of the left eye. Left eye visual acuity was improved to 20/150. Lagophthalmos was improved up to 3 mm. Medial and lateral orbital wall decompression are minimally invasive procedures involving removing a small portion of the bone from either the medial or lateral wall of the orbit. This allows more space for the eye to move backward, reducing pressure on the optic nerve and improving vision. This procedure also improves the cosmetic appearance of the eye. The ophthalmologic specialist performed the lateral wall decompression, and the ENT specialist performed the medial wall decompression. Medial and lateral orbital wall decompression has proven to be effective in treating patients with proptosis. The procedures have a low complication rate, and patients typically experience a significant improvement in their symptoms within a few weeks of the surgery.  Keywords:  orbital decompression, trans endoscopic decompression, thyroid eye disease
Gambaran Faktor Risiko Penularan HIV/AIDS pada Kelompok Lelaki Seks Lelaki di Kota Bukittinggi Oktavia, Mutiara; Firdawati, Firdawati; Irfandy, Dolly
Jurnal Ilmu Kesehatan Indonesia Vol. 5 No. 3 (2024): September 2024
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v5i3.933

Abstract

Latar Belakang: Kejadian HIV/AIDS banyak terjadi usia produktif dengan persentase terbanyak pada laki-laki. Di Indonesia kasus HIV pada laki-laki di tahun 2019 lebih tinggi dari perempuan yaitu dengan persentase HIV 64,50% dan AIDS 68,60% pada laki-laki. Lelaki seks lelaki merupakan faktor risiko terbanyak dalam penularan HIV/AIDS yaitu 22 kali lebih besar diantara populasi berisiko di dunia tahun 2018. Kelompok LSL termasuk kelompok yang berisiko tinggi tertular HIV disebabkan karena perilaku hubungan seksual anal intercourse dan praktik seksual berisiko oleh kelompok tersebut. Objektif: Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko penularan HIV/AIDS pada kelompok Lelaki Seks Lelaki di Kota Bukittinggi. Metode: Penelitian ini merupakan penelitian deskriptif kuantitatif dengan desain penelitian cross sectional. Penelitian ini menggunakan data sekunder dari penelitian yang dilaksanakan di Komisi Penanggulangan AIDS (KPA) Kota Bukittinggi. Teknik pengambilan subjek adalah total sampling. Subjek yang memenuhi kriteria inklusi berjumlah 37 orang. Hasil: Hasil penelitian ini memperoleh data responden memiliki status HIV negatif (89,2%), kelompok umur terbanyak 26-35 tahun (59,5%), tingkat pendidikan SMA/sederajat (64,9%), pekerjaan sebagai wiraswasta & pedagang (64,9%), responden belum menikah (91,9%), tingkat pengetahuan yang kurang tentang HIV/AIDS (45,9%), perilaku seksual selalu memakai kondom (67,6%), jumlah pasangan sejenis 1 orang (48,6%), serta peranan seks top (45,9%). Kesimpulan: Hasil tes HIV yang negatif pada LSL perlu dilakukan screening sesuai aturan dari Kementrian Kesehatan. Perilaku seksual dan karakteristik pada LSL penting mendapat perhatian agar tidak meningkatkan angka HIV/AIDS.
UPAYA PENCEGAHAN DAN PENGENDALIAN COVID-19 MELALUI PEMBUATAN DAN PENDISTRIBUSIAN ALAT PELINDUNG DIRI PADA BERBAGAI PUSKESMAS DI KOTA PADANG Efrida Efrida; Fachzi Fitri; Sukri Rahman; Ade Asyari; Al Hafiz; Dolly Irfandy; Yan Edward; Novialdi Novialdi; Bestari Jaka Budiman; Effy Huriyati; Jacky Munilson; Nirza Warto; Rossy Rosalinda
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 3 No. 3 (2020)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v3i3.241

Abstract

The Covid-19 case that has spread in Indonesia requires efforts from various parties to resolve it. The Faculty of Medicine, Andalas University, is also making efforts to prevent and control Covid-19. The purpose of this activity is to minimize the possibility of the rapid spread of Covid-19 and preventive efforts to keep the people around Pauh, Kuranji, and Air Cold healthy and protected from Covid-19. This activity was carried out in three health centers: Pauh Puskesmas, Kuranji Health Center, and Padang City Puskesmas Air Cold. The method used is KIE (Educational Information Communication) about the COVID-19 disease in publishing articles in the mass media and giving masks. The target of the activity is the community around Pauh, Kuranji, and Air Cold Padang City. The results of the activities obtained include producing PPE (Personal Protective Equipment) as many as 80 face shields, 400 masks, and 60 hazmat suits involving MSMEs (Micro, Small, and Medium Enterprises) and convection. Furthermore, this PPE is distributed to health centers in need, namely Pauh Puskesmas, Kuranji Health Center, and Puskesmas Air Cold Padang City. Furthermore, it is distributed to parties in need, namely the public and medical personnel. The Covid-19 prevention and control program is carried out to suppress and reduce the positive number of Covid-19 and protect medical personnel from providing top service to patients. Furthermore, making PPE that involves MSMEs and convection can help the community's economy, which has declined due to this pandemic.
Co-Authors Ade Asyari Adrial Adrial, Adrial Aini Zhann Al Hafiz Al Hafiz Al Hafiz Ariani, Novita arif fahmi Arni Amir Aziz Djamal Bestari Jaka Budiman Bestari Jaka Budiman Bonny Murizky Deka Viotra Delfitri Munir Della Reyhani Putri Delmi Sulastri Desy Ambriani Dewi Yuri Lestari Dwininta Alfathika Efendi, Mardijas Effy Huriyati Efrida Ermayanti, Sabrina Esmaralda Nurul Amany Fachzi Fitri Fariz, Kamal Fika Tri Anggraini Firdawati, Firdawati Furqan, Muhammad Afif Hendradewi, Sarwastuti Hendriati, Hendriati Hera Novianti Hesty Lidya Ningsih Husna Yetti Ihsan, Indra Ikhlas, Khairani Ayunanda Irwandanon Irwandanon Jacky Munilson Kusuma Dewi, Anna Mailasari Lucky Berliandi Magdi, Yoan Levia Mayorita, Pamelia Mohd Redza Qurniawan Muhammad Farel Brian Nugraha Muhammad Farhan Ramadhan Muhammad Reko Danuwirya Nirza Warto Novialdi . Novita Ariani Nurul Ramadhini Oktavia, Mutiara Pamelia Mayorita Pamelia Mayorita Pramita, Arsia Dilla Primasakti, Pattih Putri Sari Ivanny Rahmadona Rahmadona Rimelda Aquinas Rizanda Machmud Rizki Saputra Rossy Rosalinda Sariwati, Siska Satya Wydya Yenny Sinta Sari Ratunanda Sukri Rahman Sutikno, Budi Tika Hakikah tri aryati octavia Vitresia, Havriza Wardani, Retno Sulistyo Yan Edward Yolazenia Yolazenia Yuniar Lestari Yunita Wulandari Zakiah, Azmi Mir’ah