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All Journal Jurnal Kesehatan Andalas Journal of Economic, Bussines and Accounting (COSTING) Jurnal Dunia Kesmas JOURNAL LA MEDIHEALTICO Proceeding ISETH (International Summit on Science, Technology, and Humanity) Urecol Journal. Part C: Health Sciences Prosiding University Research Colloquium
Adji, Iwan Setiawan
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Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Engineering Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Risk Factor Analysis of Maxillary Sinus as Sinusitis with The Highest Incidence Adji, Iwan Setiawan; Widoningrum, Farha Nabila
Urecol Journal. Part C: Health Sciences Vol. 3 No. 1 (2023): January-June
Publisher : Konsorsium LPPM Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53017/ujhs.242

Abstract

Sinusitis is an inflammatory disease of the paranasal sinus cavities that can be caused by infection, allergies, or autoimmune problems, and is a disease that is often found in everyday medical practice and is even considered one of the most common causes of health problems in the world. Epidemiologically, the maxillary sinuses are most commonly affected, then the ethmoidal, frontal, and sphenoidal which are included in the acute sinusitis section. The purpose of this literature review is to collect and synthesize articles describing the maxillary sinus as sinusitis with the highest incidence and to find out the underlying risk factors. This literature review method is done by searching for references in databases and search engines with keywords and then synthesizing the results in the form of a narrative. The results we get can be concluded that the maxillary sinus is the most frequently infected paranasal sinus due to various factors such as the size of the paranasal sinus being the largest, the location of the ostium being higher than the base, the ostium located in the meatus medius, around the hiatus semilunaris which is narrow so it gets easily blocked, and The maxillary sinus is the base of the tooth root (alveolar process) so that dental infection can cause odontogenic maxillary sinusitis in adulthood.
Dampak Kerusakan Osteomeatal Complex terhadap Keberhasilan Terapi Sinusitis Maksillaris Kronis: Perbandingan Pendekatan Fisiologis (FESS) dan Non-Fisiologis (Caldwell-Luc): A Literature Review Adji, Iwan Setiawan; Wulandari, Yasinta Rizky; Putra, I Gede Budiastra Yandita; Fikri, Muhammad Ihsanul; Bekti, Hetty Soelakmi; Putriasari, Firstiara Alifah
Jurnal Dunia Kesmas Vol 15, No 1 (2026): Volume 15 Nomor 1
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v15i1.24224

Abstract

Sinusitis maksillaris kronis merupakan bentuk rinosinusitis kronis yang paling sering dijumpai dan berdampak signifikan terhadap kualitas hidup. Gangguan ventilasi dan drainase sinus, terutama pada osteomeatal complex (OMC), berperan sentral dalam patofisiologi penyakit ini. Kerusakan atau obstruksi OMC dapat mempertahankan inflamasi kronis dan menjadi penyebab utama kegagalan terapi. Saat ini, Functional Endoscopic Sinus Surgery (FESS) sebagai pendekatan fisiologis telah menggantikan prosedur non-fisiologis seperti Caldwell-Luc, meskipun masih digunakan pada indikasi selektif. Metode: Penelitian ini merupakan kajian literatur integratif terhadap publikasi sepuluh tahun terakhir yang membahas peran OMC serta luaran klinis FESS dan Caldwell-Luc. Pencarian dilakukan melalui Google Scholar, PubMed, dan Scopus, kemudian dianalisis secara kualitatif dengan pendekatan deduktif. Hasil: kerusakan atau obstruksi OMC berhubungan erat dengan kegagalan terapi dan kekambuhan. FESS menunjukkan hasil klinis yang lebih baik, pemulihan mukosiliar optimal, serta komplikasi lebih rendah dibandingkan Caldwell-Luc. Diskusi: Keberhasilan terapi jangka panjang sangat bergantung pada pemulihan patensi dan fungsi OMC melalui pendekatan fisiologis. Kesimpulan: FESS merupakan pilihan utama pada sinusitis maksillaris kronis, sedangkan Caldwell-Luc dipertimbangkan secara selektif sesuai indikasi klinis.
Rhinosinusitis Kronis Yang Diperberat Dengan Anemia: A Case Report Adji, Iwan Setiawan; Ayuningrum, Nyovita; Ningtiyas, Devy Ayu; Faqihudin, Fadli Rizal; Al Farghani, Rayhan Fahrezi; Reanita, Ria
Jurnal Dunia Kesmas Vol 15, No 1 (2026): Volume 15 Nomor 1
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v15i1.23647

Abstract

Chronic rhinosinusitis (CRS) is a ≥12-week inflammation of the paranasal sinuses influenced by anatomical and immunological factors. Iron-deficiency anemia (IDA) can worsen CRS through mucosal hypoxia, impaired ciliary function, oxidative stress, and reduced local immunity. A 15-year-old girl presented with bilateral nasal obstruction, facial pain, and difficulty clearing secretions. She had a history of heavy menstrual bleeding and showed hypochromic microcytic anemia (Hb 7.4 g/dL, serum iron 13 µg/dL, TIBC 385 µg/dL). Examination revealed bilateral inferior turbinate hypertrophy, right maxillary rhinosinusitis, and mild bilateral ethmoiditis. Inferior turbinate hypertrophy impaired sinus ventilation and drainage, leading to mucus retention and chronic inflammation. IDA further aggravated the condition by reducing mucosal oxygenation, weakening ciliary activity, and impairing phagocytic function. The patient underwent left inferior turbinate reduction first due to cross-obstruction, and received two units of PRC with gradual clinical improvement.Correction of anemia improved mucosal oxygenation and supported epithelial recovery after surgery. Overall, IDA contributes to worsening CRS, and its management is an essential component of comprehensive treatment to enhance healing and prevent recurrence.
Leukocytosis Fluctuation Despite Clinical Improvement In Peritonsillar Infiltrate: A Case Report Ristyana, Sabira Husna; Adji, Iwan Setiawan; Faqihudin, Fadli Rizal
Jurnal Dunia Kesmas Vol 15, No 1 (2026): Volume 15 Nomor 1
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v15i1.23646

Abstract

Leukocytosis is an important indicator in assessing the inflammatory response to acute infections, including peritonsillar infiltrate, which represents an early stage preceding the formation of a peritonsillar abscess. However, an increased leukocyte count does not always correlate proportionally with clinical improvement. This case report presents an 11-year-old boy diagnosed with peritonsillar infiltrate, accompanied by odynophagia, mild trismus, and submandibular edema. Laboratory examinations revealed fluctuating leukocytosis, rising from 23,280/µL to 30,800/µL and then decreasing to 23,360/µL, despite significant clinical improvement. The patient initially showed a suboptimal response to ceftriaxone–metronidazole therapy but demonstrated marked improvement after the administration of meropenem. This phenomenon is presumed to result from the interplay between ongoing inflammatory activity, the pharmacologic effect of corticosteroids causing neutrophil demargination, and the physiological stress response during the healing phase. This case underscores the importance of a multidimensional interpretation of hematologic parameters when evaluating the success of therapy in acute infections and highlights the urgency of implementing antibiotic stewardship in response to increasingly complex patterns of antibiotic resistance.
The Sound Horeg Phenomenon: Health Impacts of Infrasound Exposure: A Literature Review Adji, Iwan Setiawan; Ayuningrum, Nyovita; Ningtiyas, Devy Ayu; Faqihudin, Fadli Rizal; Al Farghani, Rayhan Fahrezi; Reanita, Ria
Journal La Medihealtico Vol. 6 No. 6 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i6.2772

Abstract

The sound horeg phenomenon represents a cultural practice involving the use of high-power audio systems during social events in various regions of Indonesia, particularly East Java. While it serves as an important medium of entertainment, cultural expression, and local economic activity, exposure to excessive noise dominated by low-frequency noise (LFN) and infrasound raises public health concerns. This literature review aims to evaluate current scientific evidence regarding the biological, neurophysiological, psychological, and social impacts of infrasound exposure on humans. A comprehensive search was conducted in PubMed, Scopus, ScienceDirect, Google Scholar, and ProQuest for articles published between 2015 and 2025. The results show that moderate-intensity infrasound (≤90 dB) causes sleep disturbances, increased stress, and subtle neurological adaptations that can alter long-term cognitive function. Extreme exposure, such as to high-intensity sound (≥120 dB), carries a high risk of causing Noise-Induced Hearing Loss (NIHL), decreased memory function, and social isolation due to communication disorders. In addition to biological effects, psychological factors such as the nocebo effect play a role in the emergence of health complaints due to negative perceptions of loud noise. Therefore, a balance between preserving cultural values and protecting health needs to be achieved through sound intensity regulation, public education, and adaptive acoustic architectural design
PENGARUH KEPEMIMPINAN SPIRITUAL TERHADAP KEPUASAN KERJA KARYAWAN MELALUI WORK ENGAGEMENT SEBAGAI VARIABEL MODERASI Wella Manovia; Adji, Iwan Setiawan; Saputro, Edy Purwo
Journal of Economic, Bussines and Accounting (COSTING) Vol. 8 No. 4 (2025): COSTING : Journal of Economic, Bussines and Accounting
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/ct63s923

Abstract

This study aims to analyze the influence of spiritual leadership on employee job satisfaction by considering the role of work engagement as a moderating variable at RS PKU Muhammadiyah Karanganyar. Spiritual leadership is viewed as a leadership style that emphasizes ethical values, spirituality, and exemplary behavior in influencing organizational members. These values are expected to provide meaning and a sense of belonging to employees, thereby positively impacting job satisfaction. The study employs a quantitative approach with an associative-causal research design, utilizing data collection through research instruments and statistical analysis. The results show that spiritual leadership, which includes vision, faith/hope, and altruistic love, has a significant and positive effect on employee job satisfaction. Furthermore, work engagement which comprises vigor, dedication, and absorption also shows a significant influence on job satisfaction. In addition, work engagement acts as a moderating variable that strengthens the relationship between spiritual leadership and job satisfaction. This means that higher levels of employee engagement enhance the positive impact of spiritual leadership on job satisfaction. These findings highlight the importance of spiritual leadership and the need to cultivate a work environment that fosters full employee involvement.
Strategi pencegahan non-farmakologis pada rhinitis alergi dalam mengatasi keterbatasan terapi antihistamin jangka panjang: Systematic review Adji, Iwan Setiawan; Ristyana, Sabira Husna; Mahensa, Noval Gentha; Anggrahini, Witrishya; Nabilah, Aisyah; Nadhifa, Marshanda Ariella; Fatimah, Lina Nur; Nadzifa, Dhia Laila
Jurnal Kesehatan Andalas Vol. 15 No. 1 (2026): March 2026
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v15i1.2685

Abstract

Non-pharmacological prevention strategies for allergic rhinitis in addressing the limitations of long-term antihistamine therapy: A systematic review Antihistamine therapy in Allergic rhinitis is generally the primary choice for symptom management. However, long-term use often presents side effects such as sedation, tolerance, and lack of control over allergen exposure. Non-pharmacological preventive strategies are important to explore as complementary and alternative approaches. Objective: To analyze effective non-pharmacological strategies for the prevention of allergic rhinitis. Methods: A literature search was conducted across electronic databases such as PubMed, Scopus, and Google Scholar, focusing on publications published between 2015 and 2024. The selected studies included experimental studies, systematic reviews, and clinical guidelines addressing non-pharmacological interventions for allergic rhinitis. The most frequently discussed non-pharmacological strategies included environmental controls (e.g., reducing exposure to dust, mites, and air pollution), nasal saline irrigation, mask use, lifestyle modifications, and patient education. Results: Several interventions have shown significant reductions in symptom scores and improvements in patients' quality of life, especially when combined with pharmacological therapy. Non-pharmacological approaches have significant potential as long-term management strategies for allergic rhinitis. Conclusion: The combination of education, environmental modifications, and physical interventions can reduce symptom frequency and the need for antihistamines. Keywords: allergic rhinitis, antihistamines, environmental modifications, non-pharmacological, prevention
Immunological and Clinical Approaches in Determining Indications for Tonsillectomy: A Literature Review Anantasya, Arum Widya; Adji, Iwan Setiawan; Megaranti, Ardhini Tyas; Ramadhani, Zerlina Norberta; Mukti, Gavin Editya; Devano, Mohammad Alifiya
Jurnal Dunia Kesmas Vol 15, No 2 (2026): Volume 15 Nomor 2
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v15i2.25317

Abstract

The palatine tonsils play a key role in mucosal immune defense; however, chronic tonsillitis leads to structural and immunological impairment, resulting in loss of protective function and persistent infection. Current indications for tonsillectomy rely mainly on infection frequency and anatomical findings, which may be insufficient. This literature review aims to evaluate tonsillar immune dysfunction and the role of clinical parameters in establishing a more comprehensive indication for tonsillectomy. A PRISMA-based literature review of studies published between 2010 and 2025 was conducted. The findings demonstrate impaired lymphocyte maturation, reduced secretory IgA production, chronic inflammatory activity, and bacterial biofilm formation in chronic tonsillitis. Clinical parameters including the Centor score, McIsaac score, FeverPAIN score, Paradise criteria, tonsillar hypertrophy, airway obstruction such as obstructive sleep apnea, and quality-of-life assessment using the Tonsillectomy Outcome Inventory-14 (TOI-14) provide objective evaluation of disease severity and functional burden. In conclusion, tonsillectomy should be considered based on an integrated assessment of clinical, anatomical, immunological, and quality-of-life parameters to support evidence-based surgical decision-making.
Co-Authors Al Farghani, Rayhan Fahrezi Anantasya, Arum Widya Andarista, Aprilia Intan Anggrahini, Witrishya Anggraini, Irene Oktavia Ayuningrum, Nyovita Aziizah, Reza Salmaa Nur Bekti, Hetty Soelakmi Cahya, Laila Devano, Mohammad Alifiya Edy Purwo Saputro Faqihudin, Fadli Rizal FATIMAH, Lina Nur Febrian, Rizky Fikri, Muhammad Ihsanul Gumelar, Halim Hafizh, Imam Nur Indah Kurniawati Mahensa, Noval Gentha Megaranti, Ardhini Tyas Muktasim, Lucky Mukti, Gavin Editya Muzakar Isa Nabilah, Aisyah Nadhifa, Marshanda Ariella Nadiroh, Ulayya Azzah Nadzifa, Dhia Laila Ningtiyas, Devy Ayu Nugroho, Kristiyanto Aryo Povitasari, Povitasari Putra, I Gede Budiastra Yandita Putriasari, Firstiara Alifah Ramadhani, Zerlina Norberta Reanita, Ria Ristyana, Sabira Husna Sabrina, Nabila Wanda Salsabila, Tasya Viona Sandy, Aliffa Wella Manovia Widoningrum, Farha Nabila Wulandari, Yasinta Rizky