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Clinical Outcomes of Cholangioscopy as a Minimally Invasive Intervention for Common Bile Duct Stones Putri, Septy Rianty Salsabilla Dwi; Wahyudi, Reza Rizwandipa; Prameswari, Devi Shanti; Dwiandika, Rizky Ary; Tahriani, Ridha; Salsabila, Ruhania Najwa; Sena, Cantika Brilian; Jibriel, Diaz Azhalea; Budyono, Catarina
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 26, No 2 (2025): VOLUME 26, NUMBER 2, AGUSTUS, 2025
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/2622025176-183

Abstract

Choledocholithiasis is a condition of obstruction in the bile duct due to stones, which is classified into primary and secondary. Primary choledocholithiasis occurs due to obstruction of bile flow that triggers stone formation, while the secondary form is caused by gallstones that have formed previously and moved to the common bile duct, causing obstruction. This condition can cause various serious complications that require different treatments. This article discusses the role of cholangioscopy as a minimally invasive intervention in the diagnosis and therapy of choledocholithiasis. The results of the study showed that cholangioscopy plays an important role in endoscopic therapy and lithotripsy. However, the availability of cholangioscopy equipment in Indonesia is still limited, so its current use is more as a supporting procedure for Endoscopic Retrograde Cholangiopancreatography (ERCP). The purpose of this study was to evaluate the clinical effectiveness of cholangioscopy in the treatment of choledocholithiasis, especially in complex cases that are difficult to treat with conventional methods.
Caring for HIV Person in Dermatology Jibriel, Diaz Azhalea; Dharma, Yoga Prawira Wedha Swara; Nuriasti, Rovera; Pambudi, Balqis Prudena Kurnia; Sugiono, Muhammad Rafly Adrian; Febriana, Nanggi Qoriatul; Dwiandika, Rizki Ary; Zulkifli, Yasmin Sabrina; Larasati, A. A. A. Regina; Senna, Cantika Brilliant; Tahriani, Ridha; Arif Zuhan
Jurnal Biologi Tropis Vol. 25 No. 4 (2025): Oktober-Desember
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v25i4.10075

Abstract

More than 90% of individuals infected with Human Immunodeficiency Virus (HIV) exhibit skin abnormalities that can serve as important clues for early diagnosis, monitoring disease progression, and assessing the effectiveness of antiretroviral therapy (ART). However, the diverse presentation of skin problems often complicates clinical management. Methods: This article is based on a literature review of various international and national publications on skin manifestations in HIV patients, as well as dermatological management guidelines. The analysis focused on the types of skin infections, non-infectious conditions, side effects of ART, and recommended treatment strategies. Results: The literature review revealed that skin problems in HIV patients include fungal infections (such as candidiasis, dermatophytosis), bacterial (CA-MRSA, syphilis), viral (HSV, VZV, HPV, molluscum contagiosum), and non-infectious conditions such as seborrheic dermatitis, psoriasis, and severe drug reactions. These skin conditions are influenced by a weakened immune system, treatment side effects, and socioeconomic factors. Treatment requires a combination of ART therapy, dermatological care tailored to the type of skin problem, and psychosocial support. Conclusion: Skin manifestations in HIV patients reflect their immune system and quality of life. Comprehensive treatment, including ART, dermatological therapy, and a psychosocial approach, has been shown to be effective in reducing morbidity and stigma. The results of this study underscore the importance of interdisciplinary collaboration to improve treatment outcomes for HIV patients with skin problems in Indonesia.
The Effects of Gonorrhea on Women's Reproductive Health Wedha , Yoga Prawira; Azhalea, Diaz; Nuriasti, Rovera; Prudena, Balqis; Rafly, Muhammad; Qoriatul , Nanggi; Ary, Rizky; Sabrina, Yasmin; Regina, Anak Agung Ayu; Brilliant , Cantika; Tahriani, Ridha
Jurnal Biologi Tropis Vol. 25 No. 4 (2025): Oktober-Desember
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v25i4.10288

Abstract

Neisseria gonorrhoeae is the bacteria that causes gonorrhea, a sexually transmitted infection (STI). The reproductive system, rectum, and pharynx are particularly susceptible to this infection. Both men and women can have gonorrhea, but women frequently have moderate or even nonexistent symptoms, which makes the infection go undiagnosed and untreated. This raises the possibility of severe side effects like infertility, pelvic inflammatory disease (PID), and transmission to fetuses or infants. According to a World Health Organization (WHO) assessment, gonorrhea is still a common global health issue, particularly in underdeveloped nations. Factors such as low awareness of STIs, limited access to health services, and increasing antibiotic resistance contribute to the challenges of controlling this disease. Throughout the twentieth century, gonorrhea (GO) was the most prevalent sexually transmitted infection (STI) globally due to delayed diagnosis. Gonorrhea was more common in women than in men in 2009, and the most common sources of reporting for women were emergency rooms (5.8%), STI clinics (16.7%), family planning clinics (9.1%), and other health department clinics (8.1%). Other sources of reporting were private physicians and health maintenance organizations (30.9%). According to WHO figures from 2012, there were 78 million GO infection cases. The frequency was 0.8% for women and 0.6% for males among those aged 15 to 49. According to WHO estimates from 2016, the combined global prevalence of urogenital gonorrhea (the percentage of the world's population that has gonorrhea in a given year) was 0.9% for women and 0.7% for men, or 30.6 million cases globally.
Risky Sexual Behavior in Adolescents Tahriani, Ridha; Pratiwi, Baiq Bunga Citra; Pujiarohman, Pujiarohman
Jurnal Biologi Tropis Vol. 25 No. 4 (2025): Oktober-Desember
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v25i4.10117

Abstract

Adolescence is a transitional period characterized by physical, mental, and social changes that often encourage risk taking behaviors, including sexual activity. According to the World Health Organization (WHO), adolescents are individuals aged 10–19 years. In Nusa Tenggara Barat (NTB), the prevalence of early marriage reaches 58.1%, which is higher than the national average of 34.0%, and there is a growing trend of premarital sexual activity. These behaviors can lead to unintended pregnancies, abortions, sexually transmitted infections (STIs), and psychosocial problems. This study aims to describe the phenomenon of risky sexual behavior among adolescents in NTB, identify the contributing factors, and discuss its impacts and possible preventive strategies. This research employed a literature review method by collecting, reviewing, and synthesizing scientific articles and relevant reports. The findings indicate that risky sexual behavior is influenced by parenting style, peer pressure, pornography exposure, personality traits, and limited knowledge of sexual and reproductive health, resulting in early marriage, unintended pregnancies, abortions, and an increased risk of STIs and HIV/AIDS. In conclusion, risky sexual behavior among adolescents in NTB remains a significant public health concern. Strengthening comprehensive sexual education, enhancing parental communication, and expanding access to youth friendly reproductive health services are recommended to reduce its prevalence and negative impacts.