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All Journal Journal of Innovative and Creativity JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia
Giska Tri Putri
Universitas Lampung
Education Health Professions Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Public Health Social Sciences Other

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Faktor-Faktor yang Mempengaruhi Kejadian Epistaksis Berulang: Literature Review Naila Fathiya Isnanto; Zalfa Aditya Putra; Giska Tri Putri; Maya Ganda Ratna
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Epistaksis berulang meningkatkan beban UGD akibat faktor lokal dan sistemik kompleks; kajian ini bertujuan merangkum pemicu dari studi 2021-2025 melalui literatur naratif kualitatif deskriptif dengan pencarian "Factor AND Recurrent Epistaxis", menyaring 203 artikel menjadi 7 studi (3 case report, 2 retrospektif, 1 kohort, 1 observasional) meliputi 2.192 kasus menggunakan form ekstraksi data terstruktur dan analisis tematik PRISMA; hasil menunjukkan faktor lokal (massa intranasal, trauma swab/kauterisasi silver nitrate HR 2,45, kekeringan musiman) dan sistemik (gagal jantung p=0,001, hipertensi, hemofilia A, HHT, antikoagulan prevalensi 18,1%); kesimpulan merekomendasikan intervensi endoskopik lokal dan pengendalian komorbiditas sistemik untuk kurangi rekurensi plus systematic review/RCT masa depan.
Eksaserbasi Sedang PPOK Grup E TB Paru, Baru Terdiagnosis Klinis pada Bulan Pertama Perawatan Fase Intensif, HIV Negatif Syazili Mustofa; Aisyah Ramadhani; Giska Tri Putri; Hendri Busman; Jordy Oktobiannobel
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 12 No 3 (2026): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol. 12.3 (2026)
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53366/jimki.v12i3.1018

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a progressive respiratory disorder frequently associated with pulmonary tuberculosis (TB), particularly in individuals with risk factors such as smoking. We report a 65-year-old male with COPD group E who presented with dyspnea and chronic productive cough. The patient was diagnosed with newly detected pulmonary TB and was undergoing the intensive phase of anti-tuberculosis drug (OAT) therapy. Physical examination revealed bilateral wheezing with an oxygen saturation of 90%, which increased to 93% after administration of 2 L/min of supplemental oxygen; cardiac function was within normal limits. The patient received inhaled bronchodilators, intravenous methylprednisolone, levofloxacin, and OAT. After 10 days of hospitalization, dyspnea improved along with an increase in daily peak expiratory flow (PEF) values. This case highlights the importance of a multidisciplinary approach involving infection control and pharmacotherapy adjustment to achieve optimal clinical improvement in COPD patients with coexisting tuberculosis.  
Co-Authors Aisyah Ramadhani Dela Putri Hendri Busman Jordy Oktobiannobel Maya Ganda Ratna Mutiara Cheisya Nur Qhaniya Naila Fathiya Isnanto Syazili Mustofa Zalfa Aditya Putra