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All Journal Jurnal Dunia Kesmas JOURNAL LA MEDIHEALTICO
Al Farghani, Rayhan Fahrezi
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Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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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.
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
Co-Authors Adji, Iwan Setiawan Ayuningrum, Nyovita Faqihudin, Fadli Rizal Ningtiyas, Devy Ayu Reanita, Ria