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Functional Disorders of the Biliary System: Biliary Dyskinesia and Sphincter of Oddi Dysfunction Mikailla, Romy Healthy; Wulandari, Baiq Nurhandini; Wardana, Shira Putri; Firdaus, Nadine Aisyah Sultan; Ramadhan, Panji Sena; Aghni, Hasna Tazkia; Nurhidayati, Nurhidayati
Jurnal Biologi Tropis Vol. 25 No. 4 (2025): in Progress
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.v25i4.9955

Abstract

Functional biliary disorders are conditions caused by biliary dysmotility without the presence of gallstones, sludge, microlithiasis, or microcrystalline disease. The most common functional biliary disorders are biliary dyskinesia and sphincter of Oddi dysfunction. This study employed a literature review method by searching and reviewing various references from online databases such as PubMed, Google Scholar, and ProQuest. Functional biliary disorders such as biliary dyskinesia and sphincter of Oddi dysfunction often cause biliary pain without gallstones. Although not life-threatening, these disorders can affect quality of life and require appropriate management. Pharmacological treatments such as NSAIDs and ursodeoxycholic acid (UDCA) can help alleviate symptoms of biliary disorders, but surgical interventions such as cholecystectomy and sphincterotomy may be necessary for more severe cases. The choice of treatment method should take into account the risks and complications, and be carried out by an experienced medical team.
Tonsillitis in Focus: Clinical Features, Diagnostic Methods, and Evidence-Based Therapy Wardana, Shira Putri; Pardoe, Lalu Dane Pemban; Yolanda, M. Rizky; Yulianti, Arwinda Febri; Habib, Philip
Jurnal Biologi Tropis Vol. 25 No. 4 (2025): in Progress
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.v25i4.10090

Abstract

Tonsillitis is an inflammation and infection of the palatine tonsils, typically caused by viral or bacterial pathogens. It commonly affects children aged 5 to 15 years and has a high prevalence rate in Indonesia, with chronic tonsillitis accounting for 3.8% of ENT cases. This literature review aims to explore the etiology, clinical manifestations, diagnostic approaches, and treatment options for acute tonsillitis. The method used in this paper is a literature-based descriptive analysis drawn from national and international medical sources. The main etiological agent is Group A beta-hemolytic Streptococcus, although viruses like Epstein-Barr Virus (EBV) also play a significant role. Clinical symptoms include sudden fever, sore throat, odynophagia, halitosis, dysphagia, and swollen lymph nodes. Diagnosis is established through clinical history, physical examination using Brodsky's Tonsil Scale, and confirmatory laboratory tests such as throat swab culture. Management of acute tonsillitis includes both pharmacological interventions, such as amoxicillin or clarithromycin, and non-pharmacological strategies including tonsillectomy for recurrent or chronic cases. The review concludes that proper diagnosis and evidence-based treatment are essential to prevent complications and recurrence. Furthermore, public education on personal hygiene and infection control can significantly reduce transmission. This study underscores the importance of comprehensive clinical evaluation and rational antibiotic use in managing acute tonsillitis, particularly in areas with high disease prevalence.  
Human Papillomavirus (HPV) Infection and The Spectrum of Diseases It Causes: A Literature Review Hanifah, Hanum Retno; Hapsari, Yunita; Wardana, Shira Putri; Haikal, Muhammad
Jurnal Biologi Tropis Vol. 25 No. 4 (2025): in Progress
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.v25i4.10158

Abstract

Human Papillomavirus (HPV) is a sexually transmitted infection (STI) pathogen that plays a significant role in the development of benign and malignant diseases. This study used a literature review of national and international articles (2015–2025) obtained through Google Scholar, PubMed, and accredited journals. HPV is classified into high-risk types associated with cancer (primarily HPV 16 and 18) and low-risk types that commonly cause genital warts. Initial infection is often asymptomatic, but persistent infection can lead to cell transformation due to the activity of the oncoproteins E6 and E7. Globally, HPV prevalence remains high, with regional variations and a strong association with low vaccination coverage. Management includes pharmacological therapy, surgery, and a combination of chemotherapy and radiotherapy. While the primary prevention strategy is HPV vaccination (bivalent, quadrivalent, and nonavalent), which is currently being expanded to primary school-aged girls in Indonesia. Recent developments include new-generation therapeutic vaccines (Vvax001, PANHPVAX) that promise broader protection. It can be concluded that primary vaccination remains the most effective strategy to reduce the burden of disease caused by HPV, so that increased immunization coverage, public education, and further research related to new generation vaccines are needed.
Chronic Anal Fissure: A Literature Review Wulandari, Baiq Nurhandini; Mikailla, Romy Healthy; Wardana, Shira Putri; Aisyah S.F., Nadine; Sena R., Panji; Aghni, Hasna Tazkia; Nurhidayati, Nurhidayati
Jurnal Biologi Tropis Vol. 25 No. 4 (2025): in Progress
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.v25i4.10139

Abstract

Chronic anal fissure is a common anorectal condition characterized by persistent mucosal tears that cause severe pain and reduced quality of life. Effective management is essential, as many cases show poor response to conservative treatment. This study aims to review recent advances in the diagnosis and management of chronic anal fissure. A literature review was conducted through PubMed, Google Scholar, and ProQuest using the keywords “Chronic Anal Fissure OR Persistent Anal Fissure,” applying inclusion and exclusion criteria to ensure relevance and scientific quality. The findings indicate that conservative therapy achieves healing in only about 50% of patients, while others require pharmacological or surgical interventions. Newer modalities, including topical calcium channel blockers, botulinum toxin injections, and modified surgical techniques such as anal advancement flap, demonstrate higher success rates with fewer complications. Furthermore, multitarget topical formulations have recently emerged as promising therapeutic options. In conclusion, the management of chronic anal fissure is evolving toward more effective and safer strategies. Further research is recommended to validate multitarget therapies and to develop individualized treatment approaches that improve patient outcomes and long-term quality of life.