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Embolisasi Pra Operatif Untuk Angiofibroma Nasofaringeal Abdillah, Fauzan; Nugroho, Dwi Agustawan; Fadillah, Ibnu Harris; Mashabi, Yasmine; Hairunisa, Nany; Yousif, Emad
Jurnal Biomedika dan Kesehatan Vol 8 No 3 (2025)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2025.v8.334-349

Abstract

Background: Juvenile nasopharyngeal angiofibroma (JNA) is a rare benign vascular tumor that almost exclusively affects adolescent males. Despite its benign nature, JNA demonstrates locally aggressive behavior and is associated with significant intraoperative bleeding. Preoperative embolization has become an important modality to reduce tumor vascularization and minimize intraoperative blood loss. The Objective of this case report is to discuss the role of preoperative embolization in the management of JNA, including relevant vascular anatomy, embolic materials, benefits and limitations, as well as local case experiences in Indonesia. Methods: A literature review was conducted on the external carotid artery anatomy, etiology, epidemiology, histopathology, tumor spread and staging, and preoperative embolization techniques using various materials such as gelfoam, polyvinyl alcohol, ethanol, and microspheres. Additionally, two cases of JNA at Cipto Mangunkusumo Hospital were reported, both treated with preoperative embolization using gelfoam prior to transpalatal tumor resection. Results: In both cases, embolization successfully reduced tumor vascularity. However, due to surgical delay beyond 48 hours after embolization, intraoperative bleeding remained significant (800–1000 mL). Both patients recovered uneventfully without postoperative complications, and histopathological findings confirmed JNA. Conclusion: Preoperative embolization is effective in reducing intraoperative blood loss during JNA surgery and should ideally be performed within 24–48 hours before resection. This approach facilitates safer tumor removal, although its optimal success depends on timing, embolization technique, and operator expertise.
Obesity and Diabetes Counseling for PPSU Officers in Kapuk Subdistrict, West Jakarta Alvina, Alvina; Pusparini, Pusparini; Mario, Mario; Mashabi, Yasmine; Merijanti, Lie Tanu
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 11 No. 2 (2026): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v11i2.10125

Abstract

Good performance and productivity of public infrastructure and facilities (PPSU) officers will have a positive impact on public services. Work productivity is influenced by physical fitness, nutritional status, work capacity, and additional burdens imposed by the work environment. Each individual's work productivity may differ depending on their nutritional status. Poor dietary status generally affects health, activities, and work productivity. Nutritional status is also related to anthropometric conditions, which dietary habits may influence. The dietary intake of PPSU officers is sometimes not considered in terms of food portions. A dietary intake of too much carbohydrate may increase blood glucose levels, thereby potentially causing diabetes. Dietary intakes of high-fat and carbohydrate content may also cause obesity. Diabetes and obesity can affect work performance, reducing productivity. This can be a problem for the productivity of PPSU officers. The purpose of implementing Community Service (PKM) is to provide education on the concepts of blood glucose levels and obesity, and on prevention through blood glucose level and obesity control. This knowledge needs to be imparted to PPSU officers. such that they may pay more attention to food intake and control blood glucose levels and BMI, thereby preventing diabetes and obesity and increasing work productivity. The implementation of PKM was carried out through counseling and Q&A involving 52 PPSU officers in Kapuk subdistrict, West Jakarta. The counseling results showed an increase in knowledge of obesity and diabetes among PPSU officers. Continuous counseling is needed for PPSU officers to prevent obesity and DM and increase work productivity.