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Hypothyroidism with Myxedema Coma Complications: A Review of Articles during November 2024 Paramadinda, Ni Made Ayu Mas Sista; Aulia, Siti Zahroni; Rahmawati, Fadila; Yuar, Alana Akmal; Valencia, Perlin Nigel; Qadri, Annisa Salsabila; Rabbani, Yaskuna Urfi; Hakim, Baiq Sheila Oktalia; Yolanda, Rizki; Wibawa, Galang Edi
Jurnal Biologi Tropis Vol. 25 No. 3 (2025): Juli-September
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.v25i3.9984

Abstract

Hypothyroidism is a condition characterized by decreased thyroid hormone production due to impaired thyroid or hypothalamic-pituitary gland function. Hypothyroidism is more common in women due to iodine deficiency. This condition can also be caused by autoimmune disorders. Symptoms of hypothyroidism vary, from mild, with few or no symptoms, to severe. Most symptoms are variable, vague, and delayed in onset. This paper aims to provide a comprehensive understanding of the diagnosis and management of hypothyroidism complicated by myxedema coma. The writing method used in this literature review is references from various Indonesian and English-language literature. The literature search was conducted during November 2024, with 10 articles obtained. The review results showed that severe and uncontrolled hypothyroidism can lead to myxedema coma. Myxedema coma is a condition characterized by decreased consciousness accompanied by generalized edema. This condition frequently associated with hypothermia and hyponatremia. Myxedema coma can be diagnosed using a scoring system. Therefore, an understanding of how to diagnose and properly manage hypothyroidism with complications of myxedema coma is needed for early detection so as not to worsen the patient's prognosis.
TINJAUAN PUSTAKA TERBARU SKELETAL TRAKSI : INDIKASI, TEKNIK, DAN PERANNYA DALAM PENANGANAN FRAKTUR Rabbani, Yaskuna Urfi; Qadri, Annisa Salsabila; Yuar, Alana Akmal; Rahmawati, Fadila; Wibawa, Galang Edi; Maurae, Perlin Nigel Valencia; Hakim, Baiq Sheila Oktalia; Surya, Muhammad Rizky Yolanda Biman; Paramadinda, Ni Made Ayu Mas Sista; Aulia, Siti Zahroni
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.49184

Abstract

Fraktur merupakan kondisi medis akibat patahnya tulang akibat trauma seperti kecelakaan lalu lintas, jatuh, atau cedera olahraga. Indonesia termasuk negara dengan jumlah kasus fraktur tertinggi di Asia Tenggara. Penanganan fraktur yang tidak tepat dapat menimbulkan komplikasi serius. Salah satu metode tatalaksana definitif yang digunakan adalah traksi skeletal, yakni teknik invasif yang menggunakan pin yang ditanamkan langsung ke tulang untuk menciptakan gaya tarik yang stabil. Tulisan ini bertujuan memberikan pemahaman menyeluruh mengenai indikasi, teknik, dan peran traksi skeletal dalam manajemen fraktur. Metode penulisan berbentuk tinjauan pustaka berdasarkan artikel jurnal nasional dan internasional yang relevan. Hasil pembahasan menunjukkan bahwa skeletal traksi memiliki banyak manfaat seperti stabilisasi fraktur, mengurangi nyeri akibat spasme otot, hingga memfasilitasi tindakan pembedahan lebih lanjut. Tindakan ini memerlukan teknik yang tepat dan perawatan khusus untuk mencegah komplikasi seperti infeksi dan kerusakan neurovaskular. Oleh karena itu, pemahaman terhadap teknik pemasangan, indikasi, kontraindikasi, dan pelepasan sangat penting untuk meningkatkan hasil klinis pasien dengan fraktur.
Comparison of Effectiveness of Peroral Endoscopic Myotomy-Transoral Incisionless Fundoplication (POEM-TIF) Compared with Laparoscopic Heller Myotomy (LHM) in the Management of Achalasia Qadri, Annisa Salsabila; Zahroni, Siti; Naradhea, Gede; Maurae, Perlin Nigel Valencia; Yolanda, Rizky; Mahasuary, Shaffany; Nabila, Aqilla Nasywa
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.v25i4.10374

Abstract

Achalasia is a condition characterized by the absence of lower esophageal peristalsis and the lower esophageal sphincter, resulting in incomplete relaxation and swallowing difficulties. This literature review aims to identify POEM-TIF as a modified technique that can be directly compared with LHM, currently considered the gold standard, to evaluate long-term effectiveness, safety, and quality of life in postoperative patients. The article was compiled using a literature review method. The literature used was selected based on inclusion criteria, namely articles relevant to achalasia, Peroral Endoscopic Myotomy (POEM), and Laparoscopic Heller Myotomy (LHM). The literature review found that achalasia is a rare condition with a global prevalence ranging from 1.8 to 12.6 per 100,000 people per year. As understanding of the pathophysiology of achalasia increases, various treatment options have evolved. The latest technique, Peroral Endoscopic Myotomy (POEM), offers the advantage of being less invasive and having a higher success rate for type III achalasia compared to LHM. However, POEM has the same drawbacks, namely a higher incidence of postoperative GERD compared to LHM. This latest research developed a modification of POEM therapy known as POEM-TIF, a combination of POEM and Transoral Incisionless Fundoplication (TIF). The addition of Transoral Incisionless Fundoplication (TIF) as an additional procedure can help reduce reflux symptoms and improve patients' quality of life by creating a more effective barrier between the stomach and esophagus. Understanding the advantages and disadvantages of LHM compared to POEM-TIF, which has anti-reflux properties, is crucial for in-depth study considering the impact of achalasia on quality of life.