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Risk Factors for Olfactory Dysfunction in Hospital Setting Following Covid-19 Infection Among Hospital Employees Following Treatment of Covid-19 Infected Patients: A Survey Research Irfandy, Dolly; Afriwardi, Afriwardi; Budiman, Bestari J.; Putra, Andani E.; Elvira, Dwitya; Triananda, Claudia
SENTRI: Jurnal Riset Ilmiah Vol. 4 No. 7 (2025): SENTRI : Jurnal Riset Ilmiah, Juli 2025
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v4i7.4272

Abstract

Coronavirus disease 2019 (COVID-19) is an infectious respiratory disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). To reveal the risk factors for olfactory dysfunction in employees with COVID-19 in the workplace of the subject hospital in Indonesia. This study was quantitative and descriptive, using data from questionnaires distributed to subject hospital in Indonesia employees who have experienced COVID-19. This study shows that anosmia (33.2%) is the most common olfactory dysfunction in COVID-19. COVID-19 infection often occurs in resident doctors (58.1%); women (55.6%); those aged 55 years (92.3%); those with comorbidities such as hypertension (4.3%) and obesity (65%); nonsmokers (91.5%) and smokers 10–20 cigarettes per day (5.1%); and nondrinkers (100%). Anosmia is the most common olfactory dysfunction in COVID-19. It is commonly experienced by resident doctors, women aged ≥55 years, employees without comorbidities, obese employees, nonsmokers, and nondrinker
Pengaruh Pemberian Human Wharton’s jelly mesenchymal stem cells Terhadap Gambaran Histopatologi Sel Hepatosit yang Diinduksi Aluminium Klorida Putri Amran, Fajriana Anggun; Nita Afriani; Dolly Irfandy; Eryati Darwin; Eka Nofita; Tofrizal
Jurnal Ilmu Kesehatan Indonesia Vol. 6 No. 3 (2025): September 2025
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v6i3.1508

Abstract

Latar Belakang:   Aluminium klorida (AlCl3) adalah zat hepatotoksik yang dapat ditemukan dalam air, udara, serta berbagai bahan makanan , sehingga manusia berpotensi terpapar setiap hari. Paparan kronis AlCl3 diketahui menimbulkan akumulasi pada hepar yang berujung pada kerusakan hepatosit. Gambaran histopatologi khas akibat paparan toksik ini meliputi degenerasi hidrofik, piknosis, karioreksis, kariolisis, dan nekrosis.  Dengan. Human Wharton’s jelly mesenchymal stem cells (HWJ-MSCs), yang berasal dari jaringan mucoid plasenta, memiliki sifat multipotent, regenerative dan imunomodulator, sehingga berpotensi memperbaiki kerusakan hepatosit. Objektif:    Penelitian ini bertujuan unutuk mengetahui pengaruh pemberian HWJ-MSCs terhadap gambaran histopatologi sel hepatosit tikus yang diinduksi aluminium klorida Metode:    Penelitian eksperimental laboratorik dengan desain Post Test Only Control Group dilakukan pada 18 ekor tikus wistar jantan. Hewan dibagi menjadi tiga kelompok : kontrol negative, kontrol positif dengan induksi AlCl3 dan perlakuan dengan induksi AlCl3 ditambah pemberian HWJ-MSCs. Hepar difiksasi, diproses histologis, dan diwarnai menggunakan H&E. Presentase kerusakan hepatosit dinilai pada tiga lapangan pandang dengan pembesaran 400x Hasil:      Rerata kerusakan hepatosit adalah 1,7% pada kontrol negative, 68,7% pada kontrol positif, dan 35,8% pada kelompok perlakukan. Tampak perbaikan gambaran histopatologi pada kelompok perlakuan dibanding kelompok kontrol kontrol positif. Kesimpulan:  Pemberian HWJ-MSCs berpotensi menurunkan kerusakan hepatosit akibat induksi AlCl3 meskipun dosis yang diberikan belum cukup untuk mengembalikan kondisi sel hepatosit normal.
Angiofibroma Beyond the Nasopharynx: Diagnostic Challenges and Endoscopic Management of Two Atypical Cases Arising from the Ethmoid and Sphenoid Sinuses Dolly Irfandy; Bestari Jaka Budiman; Jihan Mudrika Rahmi; Auzy Yoana Khalisha; Hippocrates Kam
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 10 No. 2 (2026): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v10i2.1500

Abstract

Background: Angiofibroma is a histologically benign but locally aggressive vascular neoplasm almost exclusively associated with the nasopharynx of adolescent males (Juvenile Nasopharyngeal Angiofibroma, JNA). Extranasopharyngeal angiofibroma (ENA) is an exceptionally rare variant that originates outside the sphenopalatine foramen, posing significant diagnostic and management challenges due to its atypical locations, age of presentation, and clinical mimicry of other sinonasal pathologies. Case presentation: We present two sophisticated cases of ENA managed at our tertiary center. Case 1: A 35-year-old male presented with unilateral nasal obstruction. Endoscopy and imaging revealed a hypervascular mass centered in the posterior ethmoid sinus, destroying the basal lamella and abutting the skull base. Histopathological analysis was initially confounded by features resembling a solitary fibrous tumor (SFT), requiring a comprehensive immunohistochemical panel (IHC) including STAT6 and nuclear beta-catenin to confirm the diagnosis of angiofibroma. Case 2: A 17-year-old male presented with symptoms and imaging (non-contrast CT) highly suggestive of a benign sphenochoanal polyp. An initial attempt at routine endoscopic removal was aborted due to unexpected, profuse hemorrhage. Subsequent advanced imaging (CTA/MRI) revealed a hypervascular sphenoid-based angiofibroma. Both patients underwent preoperative superselective embolization followed by successful, purely endoscopic tumor resection with no recurrence at 12 and 18-month follow-up, respectively. Conclusion: ENA is a critical, albeit rare, diagnostic consideration for any vascular sinonasal mass, regardless of patient age or tumor location. These cases underscore the unreliability of "classic" clinical and radiological signs, the diagnostic pitfalls of histopathological mimics like SFT and polyps, and the critical role of advanced IHC (nuclear beta-catenin) for definitive diagnosis. A modern, multidisciplinary approach combining preoperative embolization with endoscopic resection offers a safe and effective pathway to cure.
Maternal Hyperthyroidism and Delayed Diagnosis of Bilateral Choanal Atresia in a 4-Month-Old Infant: A Case Report on Stentless Endoscopic Reconstruction Meilia Ghinasari; Bestari Jaka Budiman; Dolly Irfandy
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 10 No. 3 (2026): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v10i3.1543

Abstract

Background: Bilateral choanal atresia (BCA) is a life-threatening congenital anomaly typically presenting as a neonatal respiratory emergency. Survival beyond the neonatal period without surgical intervention is exceptionally rare. While the etiology is multifactorial, emerging evidence implicates maternal thyroid dysregulation in craniofacial malformations. This study reports a rare case of BCA diagnosed in a 4-month-old infant and evaluates the efficacy of stentless endoscopic repair using laterally-based mucoperiosteal flaps. Case presentation: A 4-month-old female infant presented with failure to thrive (weight 5.2 kg, less than the 3rd percentile) and cyclical respiratory distress. Perinatal history revealed the mother had Graves' disease and discontinued methimazole at 6 weeks gestation. Retrospective analysis of maternal serum indicated uncontrolled thyrotoxicosis during the critical organogenesis window (TSH less than 0.01 mIU/L; fT4 2.8 ng/dL at 7 weeks). Diagnostic imaging confirmed mixed bony-membranous atresia. The patient underwent transnasal endoscopic choanoplasty using a laterally-based mucosal preservation technique. A 10-Fr silicone feeding tube was placed transnasally but did not function as a structural stent. Conclusion: The intervention resulted in immediate airway patency. Quantitative outcomes showed an increase in oxygen saturation from 96% to 99% on room air and significant weight gain from 5.2 kg to 6.7 kg over two months. Follow-up at six months showed no restenosis. This case suggests a potential dual-hit teratogenic mechanism involving early methimazole exposure and subsequent uncontrolled maternal hyperthyroidism. Furthermore, it supports the efficacy of stentless repair in minimizing granulation tissue formation.
Co-Authors Ade Asyari Adrial Adrial, Adrial Afriwardi Afriwardi Aini Zhann Al Hafiz Al Hafiz Al Hafiz Ariani, Novita arif fahmi Arni Amir Asterina, Asterina Auzy Yoana Khalisha Aziz Djamal Bestari J. Budiman Bestari Jaka Budiman Bestari Jaka Budiman Bonny Murizky Deka Viotra Delfitri Munir Della Reyhani Putri Delmi Sulastri Desy Ambriani Dewi Yuri Lestari Dwininta Alfathika Dwitya Elvira, Dwitya Effy Huriyati Efrida Ermayanti, Sabrina Eryati Darwin Esmaralda Nurul Amany Fachzi Fitri Fariz, Kamal Fika Tri Anggraini Firdawati, Firdawati Furqan, Muhammad Afif Hanum, Fathiya Juwita Hendradewi, Sarwastuti Hendriati, Hendriati Hera Novianti Hesty Lidya Ningsih Hippocrates Kam Husna Yetti Ihsan, Indra Ikhlas, Khairani Ayunanda Irwandanon Irwandanon Jacky Munilson Jihan Mudrika Rahmi Kusuma Dewi, Anna Mailasari Lucky Berliandi Magdi, Yoan Levia Mardijas Efendi Mayorita, Pamelia Meilia Ghinasari Mohd Redza Qurniawan Muhammad Farel Brian Nugraha Muhammad Farhan Ramadhan Muhammad Reko Danuwirya Nirza Warto Nita Afriani Novialdi . Novita Ariani Nurul Ramadhini Oktavia, Mutiara Pamelia Mayorita Pamelia Mayorita Pramita, Arsia Dilla Primasakti, Pattih Putra, Andani E. Putri Amran, Fajriana Anggun Putri Sari Ivanny Rahmadona Rahmadona Rimelda Aquinas Rizanda Machmud Rizki Saputra Rossy Rosalinda Salshabilla, Miftah Sariwati, Siska Satya Wydya Yenny Sinta Sari Ratunanda Sukri Rahman Sutikno, Budi Tika Hakikah Tofrizal tri aryati octavia Triananda, Claudia Vitresia, Havriza Wardani, Retno Sulistyo Yan Edward Yolazenia Yolazenia Yuniar Lestari Yunita Wulandari Zakiah, Azmi Mir’ah