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Panjaitan, Vania Christy M
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Hubungan Deviasi Septum Nasi dengan Derajat Obstruksi Nasi Berdasarkan Skor NOSE Panjaitan, Vania Christy M; Imanto, Mukhlis
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i1.920

Abstract

Nasal septum deviation is the occurrence of the nasal septum shifting from the midline. According to the American Academy of Otolaryngology-Head and Neck Surgery, nasal septum deviation is a common condition that affects approximately 80% of the population. The prevalence of nasal septum deviation can increase with age, reaching 72% at the age of 3-14 years old. Although the prevalence is pretty high, specific prevalence for Indonesia is still limited. Nasal septum deviation can be caused by trauma, birth mold theory and hereditary factors. Lateral  trauma of the nose can cause changes in the position of the cartilaginous septum, while frontal trauma can cause indentations, fractures and duplication of the nasal septum. Some nasal septum deviation can also be caused by compression effects on the nose during the intrauterine period and birth, as well as the use of forceps. The classification of nasal septum deviation generally uses the Mladina classification which consists of 7 types. The main symptom of nasal septum deviation is nasal obstruction, which can be measured through subjective and objective measurements. Septoplasty therapy is often performed to reduce subjective complaints. Epidemiological studies indicated that approximately 260,000 septoplasties were performed in the United States and 10,000–95,000 in Europe. The use of questionnaires such as the NOSE score helps in the degree of nasal obstruction and its effect on the patient's quality of life. Studies showed a relationship between nasal septum deviation and complaints of nasal obstruction, especially in the nasal valve area. As a diagnostic tool, CT scan and measuring the angle of septal deviation are used to determine the degree of septal deviation. In Indonesia, more research is still needed to understand the prevalence and characteristics of nasal septum deviation in more detail. Subjective and objective parameters, along with valid questionnaires such as the NOSE score, provide a holistic understanding of the impact of septal deviation on patients and help in the assessment and management of this condition.
Anemia Fanconi : Review Article Syaka, Muthiiah Khodista; Panjaitan, Vania Christy M; Gerliandi, Egi Oktarian; Dewi, Meidiana Kartika
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.931

Abstract

Fanconi anemia (AF) is a rare, multisystem genetic disorder that affects various physiological aspects, especially the bone marrow, and increases the risk of cancer, such as acute myeloid leukemia (AML) and head and neck cancer. This disease is caused by mutations in 23 genes of the FA/BRCA DNA repair pathway. This article presents the results of a literature study on FA, with a focus on etiology, pathophysiology, molecular pathology, diagnosis, risk factors, clinical symptoms, and management. Through literature study methods, the author collected information from national and international journal sources between 2012 and 2021. The etiology of FA involves mutations in 23 FA genes, with variations in carrier frequency depending on ethnic group. The pathophysiology of FA is related to the inability of cells to repair damaged DNA interstrand crosslinks (ICLs), which can lead to bone marrow failure. Molecular pathology involves the function of the FA/BRCA repair pathway and its impact on the genome. Diagnosis of FA requires clinical evaluation, molecular analysis, and bone marrow examination. Risk factors involve genetic aspects and specific carrier frequencies in ethnic populations. Clinical symptoms of FA involve anemia, infection, and somatic manifestations. Management of FA depends on the severity, with hematopoietic stem cell transplantation (HSCT) being the primary choice. HSCT from matched, nonmatched, or haploidentical donors has provided increasingly better results. This study underscores the importance of early diagnosis of FA to improve prognosis. Although HSCT is the primary treatment option, careful consideration of risks and benefits must be taken. The results of this literature study provide in-depth insight into FA, supporting appropriate monitoring and management efforts for individuals with this condition.