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All Journal Jurnal Kesehatan Andalas Journal Of World Science
Limantara, Edward
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Computer Science & IT Economics, Econometrics & Finance Engineering Health Professions Law, Crime, Criminology & Criminal Justice Social Sciences

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Delayed Speech Dengan dan Tanpa Gangguan Pendengaran pada Anak Usia 6 Bulan sampai 3 Tahun di Jala Puspa RSPAL Dr. Ramelan Surabaya Periode 2017-2020 Halim, Anthony Stephen; Limantara, Edward; Diarsvitri, Wienta
Jurnal Kesehatan Andalas Vol. 10 No. 2 (2021): Online July 2021
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v10i2.1710

Abstract

Late or untreated delayed speech can be a risk for social, emotional, behavioral and cognitive problems in adulthood. Delayed speech is associated with hearing loss, mental retardation, autism spectrum disorder (OSD), bilingualism, and lack of psychosocial stimuli. Objectives: To determine the prevalence of delayed speech with and without hearing loss in children aged six months until three years. Methods: This study used 872 medical records of delayed speech children aged six months until three years with and without hearing loss in 2017 until 2020 period at Jala Puspa RSPAL Dr. Ramelan, Surabaya. The presence or absence of hearing loss was examined using Brainstem Evoked Response Audiometry (BERA), and the degree of hearing loss was examined using Auditory Steady-State Response (ASSR) test. Results: From a total of 872 medical records data studied, 558 (64.0%) were males and 314 (36.0%) were females. The majority (44.8%) of delayed speech children were from the two-year age group. There were 565 (64.8%) delayed speech children with hearing loss and 307 (35.2%) without hearing loss. Of those with hearing loss, 48.0% showed a profound degree. There was an increase in delayed speech children without hearing loss compared to those with hearing loss, from 1:2.04 in 2017 to 1:1.12 in 2020. Conclusion: There was an increase in delayed speech children without hearing loss compared to those with hearing loss.Keywords:  ASSR, BERA, delayed speech, hearing loss
Can't be Overlooked: A Case Report of Pansinusitis Causing a Rare and Life-Threatening Cavernous Sinus Thrombosis Puspanadi, Theresa; Sugianto, Paulus; Limantara, Edward; Metaputra, Teguh Filbert
Journal of World Science Vol. 4 No. 11 (2025): Journal of World Science
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jws.v4i11.1536

Abstract

Sinusitis is a prevalent, mostly favorable medical condition. However, in rare cases, inadequately treated sinusitis can lead to devastating and life-threatening complications, such as cavernous sinus thrombosis (CST). We present the case of a 41-year-old woman presenting with diplopia and ophthalmoplegia, ptosis, facial paresthesia, and less common facial paresis. Diagnostic imaging–including magnetic resonance imaging (MRI), magnetic resonance angiography (MRA), and digital subtraction angiography (DSA) confirmed bilateral CST secondary to untreated pansinusitis. Cultures of sinus drainage revealed uncommon pathogens: Staphylococcus epidermidis and Chryseobacterium indologenes. A multidisciplinary approach involving intravenous antibiotics, anticoagulation, and functional endoscopic sinus surgery (FESS) resulted in significant clinical improvement. This case highlights the critical need for accurate diagnosis, timely and prudent intervention, and enhanced public health education to prevent potentially life-threatening complications of untreated sinusitis. Moreover, it contributes novel insights into the atypical microbiological profile and neurological manifestations of CST.
Co-Authors Halim, Anthony Stephen Metaputra, Teguh Filbert Paulus Sugianto, Paulus Puspanadi, Theresa Wienta Diarsvitri