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A 39-Years-Old Female with Left Anterior Epistaxis: Case Report Anggraini, Irene Oktavia; Gumelar, Halim; Adji, Iwan Setiawan
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2024: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/iseth.5515

Abstract

Purpose: The purpose of this report is to present a case of a left anterior epistaxis in a 39-years-old female, analyze its etiology, risk factors, clinical symptoms, diagnostic examinations, and the treatment provided. This report also highlights the importance of prevention and proper management to improve patient prognosis. Methodology: The methodology used in this report is a clinical case study. Data were collected through anamnesis, physical examination, and supporting examinations such as CT scan and histopathology. The patient's management was analyzed based on existing medical theories and appropriate treatment was provided according to the patient's condition. Results: The patient was diagnosed with a left maxillary abscess, presenting with persistent pain and swelling in the left cheek for two months. CT scan findings suggested left-sided sinusitis with a possible abscess, while histopathology confirmed chronic sinusitis.The patient received antibiotic therapy (Ceftriaxone and Metronidazole), symptomatic treatment (Santagesic, Methylprednisolone, and Ranitidine), and education on oral hygiene and follow-up care.The patient had a history of left maxillary surgery and smoking habits, both of which were identified as significant risk factors for developing the condition. Applications/Originality/Value: This report provides insights into the importance of early diagnosis and proper management in maxillary abscess cases.The findings can be useful for healthcare professionals to understand clinical signs and effective treatment approaches for similar cases.The study emphasizes the need for preventive measures, such as maintaining good oral hygiene and avoiding risk factors like smoking.
Comparison of Biopsies for Diagnosis of Nasopharyngeal Carcinoma Cahya, Laila; Muktasim, Lucky; Adji, Iwan Setiawan
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2024: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/iseth.5518

Abstract

Purpose: This literature review aims to compare accurate biopsy techniques for establishing a diagnosis of nasopharyngeal carcinoma. Methodology: The method used in this research is the systematic literature review method. Results: Several types of biopsy techniques that can be performed to establish a diagnosis of nasopharyngeal carcinoma include nasopharyngeal biopsy and neck biopsy. Nasopharyngeal biopsy is performed if the primary tumor has not spread to other areas. Neck biopsy is performed to determine whether the lump in the neck is a metastasis of nasopharyngeal carcinoma or cancer that originates from the lymph nodes. Applications/Originality/Value: Further research is needed to understand and develop better methods of early detection and diagnosis. With the right approach, the prognosis for patients with nasopharyngeal carcinoma can be significantly improved.
A 62-Year-Old Woman with Oropharyngeal Disphagia et Causa Epiglottic Inversion Dysfunction Sabrina, Nabila Wanda; Nugroho, Kristiyanto Aryo; Adji, Iwan Setiawan
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2024: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/iseth.5524

Abstract

Purpose: The purpose of this report is to present a case of a left maxillary abscess in a 62-year-old woman, analyze its etiology, risk factors, clinical symptoms, diagnostic examinations, and the treatment provided. This report also highlights the importance of prevention and proper management to improve patient prognosis. Methodology: The methodology used in this report is a clinical case study. Data were collected through anamnesis, physical examination, and supporting examinations such as CT scan and histopathology. The patient's management was analyzed based on existing medical theories and appropriate treatment was provided according to the patient's condition. Results: The patient was diagnosed with oropharyngeal disphagia, presenting with difficulty swallowing since 3 weeks ago.Nasal Endoscopy (NE) examination, the results showed that the epiglottis movement tended to be slow and the conclusion was that dysphagia ec suspect Epiglottic Inversion dysfyntion.The patient received vitamin B12 supplements, the patient showed significant improvement, then given omeprazole/24 hours, paracetamol/8 hours and a high-calorie, high-protein diet (TKTP) both of which were identified as significant risk factors for developing the condition. Applications/Originality/Value: This report provides insights into the importance of early diagnosis and proper management in oropharyngeal dysphagia cases.The findings can be useful for healthcare professionals to understand clinical signs and effective treatment approaches for similar cases.The study emphasizes the need for preventive measures, such as maintaining good oral hygiene and avoiding risk factors like smoking.
A 19-Years-Old Male with Left Maxillary Abscess: Case Report Ristyana, Sabira Husna; Aziizah, Reza Salmaa Nur; Adji, Iwan Setiawan
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2024: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/iseth.5534

Abstract

Purpose: The purpose of this report is to present a case of a left maxillary abscess in a 19-year-old male, analyze its etiology, risk factors, clinical symptoms, diagnostic examinations, and the treatment provided. This report also highlights the importance of prevention and proper management to improve patient prognosis. Methodology: The methodology used in this report is a clinical case study. Data were collected through anamnesis, physical examination, and supporting examinations such as CT scan and histopathology. The patient’s management was analyzed based on existing medical theories and appropriate treatment was provided according to the patient’s condition. Results: The patient was diagnosed with a left maxillary abscess, presenting with persistent pain and swelling in the left cheek for two months.CT scan findings suggested left-sided sinusitis with a possible abscess, while histopathology confirmed chronic sinusitis.The patient received antibiotic therapy (Ceftriaxone and Metronidazole), symptomatic treatment (Santagesic, Methylprednisolone, and Ranitidine), and education on oral hygiene and follow-up care.The patient had a history of left maxillary surgery and smoking habits, both of which were identified as significant risk factors for developing the condition. Applications/Originality/Value: This report provides insights into the importance of early diagnosis and proper management in maxillary abscess cases.The findings can be useful for healthcare professionals to understand clinical signs and effective treatment approaches for similar cases.The study emphasizes the need for preventive measures, such as maintaining good oral hygiene and avoiding risk factors like smoking.
Relationship between Chronic Tonsillitis and Vascular Endothelial Growth Factor, Hypoxia, Biofilm and The Development of Therapies for Tonsillitis: Literature Review Febrian, Rizky; Ristyana, Sabira Husna; Adji, Iwan Setiawan
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2024: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/iseth.5537

Abstract

Purpose: Tonsillitis is an inflammatory process that occurs in the palatine tonsils and can affect all ages, especially children. Chronic tonsillitis is a disease that is still a major health problem in the world. This disease can spread and cause percontinuitatum, hematogenous or lymphogenous complications. To date, tonsillectomy is the best option for tonsillitis management, but it is not the safest option because of the postoperative complications that can occur. With the advancement of health science, there are several studies have tried to find medicamentous treatments based pathogenetically against vascular endothelial growth factor, hypoxia and biofilms in tonsilitis that could be new modalities other than surgical therapy such as tonsillectomy. This scientific paper aims to determine the relationship between chronic tonsillitis and vascular endothelial growth factor, hypoxia and biofilm in the pathogenesis of tonsillitis and the development of medical therapy for chronic tonsillitis. Results: Microbial biofilms can lead of recurrent tonsillitis in population pediatric and adult. Using antibiofilm therapis can improve the efficacy of antimicrobials therapy and reduce the dose of systemically administered drugs. Elevated VEGF expression in the tonsil organ can be involved in the pathogenesis of recurrent or chronic tonsillitis. Anti-VEGF may be a potential treatment for tonsillitis by suppressing VEGF expression., in a hypoxia state may worsen the overall inflammatory status. Value: Our results show that there are several new modalities in the treatment of tonsillitis in the form of antibiofilms, and anti-VEGF.
The Incidence of Maxillofacial Trauma Post ORIF on The Incidence of Chronic Sinusitis Salsabila, Tasya Viona; Hafizh, Imam Nur; Adji, Iwan Setiawan
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2024: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/iseth.5543

Abstract

Purpose: This study aims to investigate the incidence of chronic sinusitis following Open Reduction and Internal Fixation (ORIF) for maxillofacial fractures. The research focuses on the impact of ORIF on sinus anatomy, drainage, and ventilation, leading to potential sinus complications. Methodology: The methodology used in this report is a clinical case study. Data were collected through anamnesis, physical examination, and supporting examinations. The patient's management was analyzed based on existing medical theories and appropriate treatment was provided according to the patient's condition. Results: Cases analyzed show common risk factors such as hematosinus, sinus flow obstruction, and postoperative swelling. The study emphasizes the need for post-surgical monitoring (3-6 months) to assess the development of sinusitis and related complications. Applications/Originality/Value: This report provides insights into the importance of early diagnosis and proper management maxillofacial trauma.The findings can be useful for healthcare professionals to understand clinical signs and effective treatment approaches for similar cases. Postoperative monitoring should include imaging and clinical evaluations to detect early signs of sinusitis.
Stevens Johnson Sindrome (SJS) in a Patient Presenting with Acute Pharyngitis Ristyana, Sabira Husna; Nadiroh, Ulayya Azzah; Adji, Iwan Setiawan
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2024: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/iseth.5546

Abstract

Purpose: The purpose of this report is to present a case of Stevens Johnson Syndrome (SJS) in a Patient with Acute Pharyngitis, analyzing its etiology, risk factors, clinical symptoms, diagnostic tests, and treatment. This report also highlights the importance of prevention and proper management to improve the prognosis of the patient. Methodology: The methodology used in this report is a clinical case study. Data were collected through anamnesis, physical examination, and supporting examinations such as laboratorium. The patient's management was analyzed based on existing medical theories and appropriate treatment was provided according to the patient's condition. Results: The patient was diagnosed with acute pharyngitis with a differential diagnosis of Steven Johnson syndrome, with complaints of sore throat since 5 days ago. Blood laboratory results; leukocyte count 10.75 thousand/ul, leukocyte differential count; neutrophils 78.7% (H), lymphocytes 12.9% (L), eosinophils 0.9%, NLR 6.10% (H). Patients received therapies such as neurobion injections, metamizole injections, and dexamethasone injections. The patient was consulted to a dermatovenerology because the patient was suspected of having Steven Johnson Syndrome. So it is true that the patient has Steven Johnson Syndrome. The therapy given by the dermatovenerology was a 10 mg dexamethasone injection, followed by 5 mg every hour. Other therapies were stopped. The patient had a history of taking medication for headaches which was identified as a significant risk factor for developing the condition. Applications/Originality/Value: This report provides insights into the importance of early diagnosis and proper management in steven jhonson syndrome. sore throat most frequently recorded as a prodromal symptom for SJS, before the onset of skin rashes and oral cavity lesions. Painful skin rash when pressed and Nikolsky's sign are indicators to suspect Stevens-Johnson syndrome. Delayed management of SJS can be fatal, so misdiagnosis must be avoided. The findings can be useful for healthcare professionals to understand clinical signs and effective treatment approaches for similar cases. The study emphasizes the need for preventive measures. A thorough investigation of the drug usage history must be conducted to establish the diagnosis and determine the management plan. Management through multidisciplinary collaboration is highly expected for the patient's recovery.
Analysis of Nasal Septal Deviation Types on Sinusitis Incidence: Literature Review Ristyana, Sabira Husna; Povitasari, Povitasari; Andarista, Aprilia Intan; Adji, Iwan Setiawan
Journal La Medihealtico Vol. 6 No. 4 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i4.2187

Abstract

Nasal septal deviation is a common anatomical abnormality found in the general population and is thought to play a role in the pathogenesis of sinusitis. Some types of nasal septal deviation can impair sinus drainage and airflow, leading to inflammation and infection. However, there is no consensus on which type of septal deviation contributes most to sinusitis. Objective: This literature review aims to analyze and identify the types of nasal septal deviation that are most frequently associated with sinusitis. Methods: The data review was conducted using the PRISMA method, with data searches from PubMed, Google Scholar, ScienceDirect and Wiley with research data criteria between 2020-2024. The keywords used to search for data were "Type", "Nasal Septal Deviation", and "Sinusitis". A total of 23,943 articles were screened, with the final result being 20 articles that met the criteria for review. Results: Based on the review of the review in this study, nasal septal deviation (SND), especially types 3 and 5 according to the Mladina classification, contributes to chronic sinusitis through impaired ventilation and sinus drainage. Discussion : Nasal septal deviation (SND) is an anatomical abnormality that can interfere with airflow and sinus drainage, thus playing a role in the pathogenesis of sinusitis, especially types 3 and 5 according to the Mladina classification. These two types are often associated with osteomeatal complex obstruction and chronic mucosal irritation. The mechanisms involved include local hypoxia, mucociliary disorders, chronic inflammation, and changes in the microbiome.
STRATEGI PENGUATAN KINERJA KLINIK PRATAMA UNTUK PENINGKATAN LAYANAN KESEHATAN MASYARAKAT Isa, Muzakar; Sandy, Aliffa; Adji, Iwan Setiawan
Prosiding University Research Colloquium Proceeding of The 12th University Research Colloquium 2020: Sosial Ekonomi dan Psikologi
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Penelitian ini bertujuan menganalisis tingkat efisiensi klinikpratama, menganalisis efisiensi penggunaan input pada klinikpratama, menganalisis efisiensi perolehan output pada klinikpratama dan merumuskan strategi penguatan kinerja klinikpratama untuk layanan kesehatan masyarakat. Penelitian inidilakukan di Kabupaten Sragen dengan menggunakan sampeljenuh, yaitu semua anggota populasi yang memiliki datapenelitian secara lengkap, yaitu sebanyak 20 klinik. Penelitianini menggunakan data sekunder yang diperoleh dari DinasKesehatan Kabupaten Sragen. Pengumpulan data menggunakanstudi pustaka, dan alat analisis yang digunakan adalah analisisefisiensi dengan metode Data Envelopment Analysis (DEA).Hasil penelitian menunjukkan klinik pratama secara umumbelum efisien, dimana hanya 3 Klinik pratama rawat inap BPJSyang efisien, 4 Klinik pratama rawat inap Non-BPJS yangefisien. Klinik pratama juga belum optimal dalammenggunakan input dan perolehan outpunya, sehingga perluada efisiensi penggunaan jumlah dokter umum, perawat, analis,apoteker, laboratorium dan jumlah kapitasi, serta optimalisasidalam perolehan jumlah pasien, BOR dan LOS.
Pengaruh Kepercayaan, Keamanan, Persepsi Resiko dan Kualitas Pelayanan terhadap Keputusan Berobat di Rumah Sakit Gigi dan Mulut Soelastri di Masa Pandemi Covid-19 Kurniawati, Indah; Isa, Muzakar; Adji, Iwan Setiawan
Prosiding University Research Colloquium Proceeding of The 14th University Research Colloquium 2021: Bidang Ekonomi dan Bisnis
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Penelitian ini bertujuan untuk mengetahui pengaruh kepercayaan, keamanan, persepsi risiko dan kualitas pelayanan terhadap keputusan berobat di Rumah Sakit Gigi dan Mulut Soelastri pada masa Pandemi Covid-19. Sampel dalam penelitian ini berjumlah 96 pasien di Rumah Sakit Gigi dan Mulut dengan menggunakan kuesioner untuk pengumpulan datanya. Teknik pengambilan sampel dengan metode non-probability sampling. Teknik analisis data menggunakan analisis regresi linier berganda. Hasil penelitian ini menunjukkan bahwa: 1) Kepercayaan berpengaruh positif dan signifikan terhadap keputusan berobat di Rumah Sakit Gigi dan Mulut Soelastri. 2) Safety, risk, dan service quality berpengaruh positif tetapi tidak signifikan pada alpha 5% terhadap keputusan berobat di RS Gigi dan Mulut Soelastri.