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Validity and Reliability of The Indonesian Version of Patient Allergic Rhinitis Questionnaire and Allergic Rhinitis Prevalence in A Class Of 2018-2019 Medical Students of Universitas Padjadjaran, Indonesia Sheila Rafifah Yuliantoputri; Melati Sudiro; Arif Dermawan; Lina Lasminingrum; Sally Mahdiani
International Journal of Integrated Health Sciences Vol 10, No 2 (2022)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/ijihs.v10n1.2711

Abstract

Objective: To determine the validity and reliability of the Indonesian version of Patient Allergic Rhinitis Questionnaire as a screening tool for AR and the prevalence of AR in a class of 2018-2019 medical students of Universitas Padjadjaran, Indonesia.Methods: A cross-sectional descriptive study was performed during the period November-December 2021 on a class of 2018-2019 medical students of Padjadjaran University. The Indonesian version of the pre-validated Patient Allergic Rhinitis Questionnaire was distributed online. Allergic rhinitis was determined from history taking by identifying a history of a previous diagnosis of AR and/or 2 or more symptoms (watery runny nose, sneezing, nasal congestion, itching, or conjunctivitis) for more than 1 hour on most days.Results:. The validity of the Indonesian version of the Patient Allergic Rhinitis Questionnaire was good with a 0.895 Cronbach's Alpha coefficient, reflecting a reliable questionnaire. The prevalence of AR was 35.8% with most were female (69.2%). There were 59.9% of respondents who had a history of allergy in their parents. The most common symptom was nasal congestion (85.7%) and the moderate-severe persistent (49.2%) was the most common ARIA-WHO classification. Dusty places (92.1%) were the most common cause of symptoms. The most common comorbidity was rhinosinusitis (35%). The mean symptom severity score was 6.7.Conclusions: The Indonesian version of the Patient Allergic Rhinitis Questionnaire is valid and reliable as a screening tool for AR. The prevalence of AR in this study is quite high, with moderate-severe persistent as the most prominent classification.
Clinical Signs in Allergic Rhinitis Patients at Dr. Hasan Sadikin General Hospital Bandung 2017-2021 Exel Billy Wibowo; Arif Dermawan; Melati Sudiro
Althea Medical Journal Vol 9, No 3 (2022)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v9n3.2682

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Background: The clinical diagnosis of allergic rhinitis requires comprehensive data from the history and physical examination. Despite being a substantial component of the diagnosis for allergic rhinitis, there is a paucity of studies about clinical signs of allergic rhinitis in Indonesia. This study aimed to describe the clinical signs in allergic rhinitis patients at Dr. Hasan Sadikin General Hospital Bandung.Methods: This cross-sectional study was conducted at Dr. Hasan Sadikin General Hospital Bandung in 2021, including secondary data of patients with allergic rhinitis from medical records registered from 2017 to 2021. Data of the characteristics, clinical signs, and allergic rhinitis comorbidities were collected and presented in tables.Results: The most common clinical sign was turbinate hypertrophy (74%), followed by pale nasal mucosa (59%) and clear nasal discharge (59%). The most prevalent comorbidities were chronic rhinosinusitis, adenoid hypertrophy, and asthma.Conclusions: The clinical signs observed from allergic rhinitis patients may vary, with the most common findings, including nasal turbinate hypertrophy, pale nasal mucosa, and clear nasal discharge. The findings may help the clinicians to diagnose allergic rhinitis needed for therapy management. 
Level of Knowledge, Attitude, and Behavior among Specialists of Otorhinolaryngology-Head and Neck Surgery in West Java Towards Cochlear Implants Annisa Ramadhanti; Lina Lasminingrum; Sally Mahdiani; Arif Dermawan; Bambang Purwanto
Althea Medical Journal Vol 10, No 1 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v10n1.2684

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Background: Hearing loss and deafness are still an issue in Indonesia, especially in West Java, with a prevalence of 2.5% and 0.06%, respectively. Cochlear implants are intended for patients with severe sensorineural hearing loss to stimulate the remaining auditory nerves. Based on their competency standards, Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) Specialists are expected to be able to inform patients and families about the cochlear implantation procedures. This study aimed to explore the level of knowledge, attitudes, and behavior of ORL-HNS Specialists in West Java towards cochlear implants.Methods: This study was a descriptive study with a cross-sectional approach. Primary data were collected through a questionnaire filled out by ORL-HNS Specialists who were actively working in West Java in 2021–2022.Results: Data from 157 specialists showed that 41.4% (n=65) had good knowledge about cochlear implants, and 43.9% (n=69) had adequate knowledge, however, 62.4% (n=98) showed a negative attitude. In addition, 99.3% (n=156) showed good behavior.Conclusions: ORL-HNS Specialists in West Java have a sufficient level of knowledge, negative attitude, and good behavior towards cochlear Implants. The negative attitude of the specialists need to be bettered, updating their knowledge about how cochlear implants work and their effectiveness for patients with hearing impairments might give them a new perspective and hopefully change their attitude towards cochlear implants.
Hearing status of children under five years old in Jatinangor district Wijana Wijana; Frino Abrianto; Shinta Fitri Boesoirie; Arif Dermawan
Oto Rhino Laryngologica Indonesiana Vol. 50 No. 1 (2020): Volume 50, No. 1 January - June 2020
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v50i1.348

Abstract

Background: Hearing is one of the most influential factors in children developmental process. The critical period of hearing and speech development begins in the first 6 months of life and continues until the age of 3 years. World Health Organization estimates that one to three in a thousand births have sensorineural hearing loss (SNHL). Early detection of hearing loss is substantial so that the diagnosis can be established and appropriate intervention can be done earlier. Purpose: To determine the hearing status in children under five years of age in Jatinangor. Method: A cross-sectional observational study with 240 subjects under the age of five in 12 Integrated Healthcare Center (Posyandu) in Jatinangor. Examinations included parental interviews, Behavioral Observation Audiometry (BOA), Otoacoustic Emissions (OAE), and tympanometry tests. Result: One child (0.4%) had moderate conductive hearing lossin the left ear, 1 child (0.4%) had bilateralsevere SNHL, and 7 children (2.9%) had profound bilateral SNHL. Conclusion: The incidence of hearing loss in children under five in Jatinangor was 3.8%, with bilateral profound SNHL asthe highest number, and the most common cause were prenatal Toxoplasma, Rubella, Cytomegalovirus (CMV) dan Herpes simplex virus (TORCH) infections.Keywords: children under-five, early detection, hearing status ABSTRAKLatar belakang: Pendengaran merupakan salah satu faktor yang sangat berpengaruh dalam proses perkembangan anak. Periode kritis perkembangan pendengaran dan berbicara dimulai dalam 6 bulan pertama kehidupan dan terus berlanjut sampai usia 3 tahun. Badan kesehatan dunia memperkirakan satu sampai tiga dalam seribu kelahiran terdapat kejadian gangguan dengar jenis sensorineural. Deteksi dini gangguan dengar penting untuk dilakukan sehingga diagnosis dapat ditegakkan dan intervensi yang tepat dapat dilakukan sedini mungkin. Tujuan: Untuk mengetahui status pendengaran pada anak usia bawah lima tahun di kecamatan Jatinangor. Metode: Penelitian observasional potong lintang dengan subjek penelitian 240 anak usia bawah lima tahun di 12 Pos Pelayanan Terpadu (Posyandu) Kecamatan Jatinangor. Dilakukan pemeriksaan meliputi wawancara orangtua anak, tes Behavioral Observation Audiometry (BOA), tes Otoacoustic Emissions (OAE) dan tes timpanometri. Hasil: Didapatkan 1 anak (0,4%) mengalami gangguan dengar konduktif derajat sedang pada telinga kiri, 1 anak (0,4%) mengalami gangguan dengar sensorineural derajat berat bilateral, dan 7 anak (2,9%) mengalami gangguan dengar sensorineural derajat sangat berat bilateral. Kesimpulan: Angka kejadian gangguan dengar pada balita di kecamatan Jatinangor sebesar 3,8% dengan gangguan dengar terbanyak berupa sensorineural derajat sangat berat bilateral, dan latar belakang penyebab terbanyak adalah infeksi prenatal Toxoplasma, Rubella, Cytomegalovirus dan Herpes simplex virus (TORCH).
Korelasi otitis media dengan temuan nasoendoskopi pada penderita rinosinusitis akut Anugrahani, Ariel; Madiadipoera, Teti; Dermawan, Arif
Oto Rhino Laryngologica Indonesiana Vol. 45 No. 2 (2015): Volume 45, No. 2 July - December 2015
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v45i2.114

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Latar belakang: Rinosinusitis akut adalah inflamasi pada hidung dan sinus paranasal yang berlangsung kurang dari 12 minggu. Adanya sumbatan pada hidung dapat menyebabkan sumbatan pada tuba Eustachius sehingga dapat terjadi gangguan ventilasi dan inflamasi yang dapat menimbulkan otitis media. Tujuan: Melihat adanya hubungan hidung tersumbat, nasal edema, dan rinore pada pasien rinosinusitis akut dengan otitis media. Metode: Penelitian dengan desain cross sectional study dan data diambil secara deskriptif retrospektif dari rekam medis, di Poliklinik Rinologi Alergi Ilmu Kesehatan THT-KL RSHS Bandung, dalam periode Januari 2013 - Juni 2014. Didapatkan jumlah sampel sebanyak 93 pasien yang terdiri dari 38 pasien dengan OMA, 27 pasien dengan OME, dan 28 pasien dengan OMSK, dengan usia 1 sampai 79 tahun, berdasarkan derajat berat penyakit menurut Visual Analogue Scale (VAS), gejala hidung berdasarkan Weeke, Davis dan Okuda, pemeriksaan nasoendoskopi berdasarkan Lund-Kennedy. Analisis data menggunakan uji Kruskal-Wallis, chi square (p<0,05), dan analisis korelasi Spearman. Hasil: Terdapat korelasi yang bermakna antara otitis media dengan temuan nasoendoskopi yaitu edema mukosa dan rinore. Kesimpulan: Terdapat hubungan antara peningkatan gejala obstruksi hidung dan edema mukosa serta rinore pada temuan nasoendoskopi pada penderita rinosinusitis akut dengan otitis media. Kata kunci: rinosinusitis akut, nasoendoskopi, otitis mediaABSTRACT Background: Acute rhinosinusitis is an inflammation of the nose and paranasal sinuses, which going on less than 12 weeks. If the Eustachian tube obstruction occurs, there will be ventilation and inflammatory disorders that can cause otitis media.rPurpose: This study aimed to find out the correlation of nasal obstruction, nasal edema, and rhinorrhea in acute rhinosinusitis patients with otitis media. Methods: The study was a cross sectional study which data were collected from retrospective descriptive study based on medical record at Rhinology-Allergy Clinic of ORL-HNS Department, Dr. Hasan Sadikin General Hospital, Bandung, from January 2013 to June 2014, involved 93 patients from 1 to 79 years old. Data were analyzed by using the Kruskal-Wallis, chi square, and Spearman statistical test based on anamnesis, severity of the disease using Visual Analogue Scale, nasal symptoms from Weeke, Davis and Okuda, nasoendoscopy findings from Lund-Kennedy. Results: There was a significant correlation between otitis media with mucosal edema and rhinorrhea from nasoendoscopy. Conclusion: There was a correlation between the increased symptoms of nasal obstruction,mucosal edema, and rhinorrhea in nasoendoscopy findings in patients with acute rhinosinusitis with the occurrence of otitis media. Key words: acute rhinosinusitis, nasoendoscopy, otitis media
Relationship between stunting and clinical ear, nose and throat disorders Wibowo, Aryo Mandraguna; Dermawan, Arif; Anggraeni, Ratna
Oto Rhino Laryngologica Indonesiana Vol. 52 No. 1 (2022): VOLUME 52, NO. 1 JANUARY - JUNE 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i1.486

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ABSTRACTBackground: Stunting is an impediment marker for child welfare. Based on the United Nations Nutrition report, in 2018, as many as 50.5 million children worldwide under the age of 5 years were wasting and 150.8 million were stunting. Stunting is associated with morbidity, mortality, stunted-child- development, decreased learning capacity, increased risk of infection, and decreased productivity. Until now, stunting is still a problem in many countries, including Indonesia which calls for serious solution. Stunting is associated with deficiencies of micronutrients such as vitamins A, D, zinc and iron resulting in impaired physical development and decreased immune system. In the field of ORL-HNS, stunting in toddlers could cause various disorders such as impaired hearing development, otitis media, rhinitis, and tonsillitis. Purpose: To describe the relationship between stunting and clinical abnormalities occurrence in the ORL-HNS, to increase awareness of stunting prevention and the related ORL-HNS disorders, and to be a reference for further research of ORL-HNS disorders in stunting patients. Literature review: Stunting or failure to thrive is a condition that describes a chronic undernutrition status during a child’s growth and development since the beginning of life, which is represented by a z-score of height for age less than minus two standard deviations based on the WHO growth standard curve. Conclusion: Stunting is a condition caused by an unbalanced nutritional intake during the golden period, not by growth hormone abnormalities, nor by certain diseases. Micronutrient deficiency could have a role in the occurrence of several clinical abnormalities of ORL-HNS in stunting children.ABSTRAKLatar belakang: Stunting merupakan penanda untuk kesejahteraan anak. Berdasarkan laporan United Nations Nutrition pada tahun 2018 sebanyak 50,5 juta anak di seluruh dunia yang berusia di bawah 5 tahun mengalami wasting dan sebanyak 150,8 juta mengalami stunting. Stunting berhubungan dengan morbiditas, mortalitas, terhambatnya perkembangan anak, penurunan kapasitas belajar, peningkatan risiko infeksi, dan penurunan produktivitas. Hingga saat ini, stunting masih menjadi salah satu permasalahan yang perlu diperhatikan di banyak negara, termasuk di Indonesia. Stunting berhubungan dengan defisiensi mikronutrien seperti vitamin A, D, zink dan zat besi yang berakibat terganggunya perkembangan fisik dan penurunan sistem imunitas. Di bidang THT-KL, stunting pada balita diduga dapat menimbulkan berbagai kelainan seperti gangguan perkembangan pendengaran, otitis media, rinitis, dan tonsilitis. Tujuan: Untuk menggambarkan adanya hubungan stunting dengan terjadinya kelainan klinis di bidang THT–KL, meningkatkan kewaspadaan untuk mencegah stunting dan    kelainan THT-KL yang berhubungan dengan stunting, serta dapat menjadi rujukan penelitian lebih lanjut mengenai prevalensi gangguan THT-KL pada pasien dengan stunting. Tinjauan pustaka: Stunting atau gagal tumbuh adalah suatu kondisi yang menggambarkan status gizi kurang yang memiliki sifat kronis pada masa pertumbuhan dan perkembangan anak sejak awal masa kehidupan yang dipresentasikan dengan nilai z-score tinggi badan menurut umur kurang dari minus dua standar deviasi berdasarkan kurva standar pertumbuhan WHO. Kesimpulan: Stunting merupakan kondisi yang disebabkan oleh kurang seimbangnya asupan gizi pada masa periode emas, bukan disebabkan oleh kelainan hormon  pertumbuhan maupun akibat dari penyakit tertentu. Hasil dari beberapa penelitian mengungkapkan bahwa defisiensi mikronutrien dapat berperan terhadap terjadinya beberapa kelainan klinis THT–KL pada anak dengan stunting.
Eksistensi Grup Musik Tanjidor Kijang Berantai Desa Penakalan Kecamatan Sejangkung Kabupaten Sambas Dermawan, Arif; Olendo, Yudhistira Oscar; Muniir, Asfar
TACET Jurnal Pendidikan dan Kajian Seni Vol 1, No 2 (2022): Oktober 2022
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tacet.v1i2.60551

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The background of this research is how the development of the existence of the Tanjidor Kijang Berantai Music Group from when it was first established until now and the factors that have influenced the existence of this music group. The problems in this study were influenced by two factors, namely internal and external factors experienced by the Tanjidor Kijang Berantai Music Group from when it was first established until now. This research aims to describe the existence of the Kijang Berantai Tanjidor Music Group which has been able to maintain its existence to date, describe developments, factors that influence existence, and the efforts made by the Kijang Berantai Tanjidor Music Group in maintaining its existence. The research method used is the descriptive qualitative method. Data collection was carried out using observation techniques, and direct interviews with sources, namely Mr. Herbi, Mr. Wilda, and Mr. Irham. Explore information about the development, history, organizational structure, regeneration, and also the efforts made in maintaining the existence of the Tanjidor Kijang Berantai Music Group from its inception until now
Engineering and Process of Investment Casting for Pump Impellers Pramono, Agus Edy; Dermawan, Arif
Recent in Engineering Science and Technology Vol. 1 No. 04 (2023): RiESTech Volume 01 No. 04 Years 2023
Publisher : MBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59511/riestech.v1i04.36

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This article explains the pump impeller fabrication process using the investment casting method as an alternative to sand casting. The process aims to achieve precise dimensions, thereby reducing the need for additional machining processes. The process begins with creating a metal pattern. The metal pattern is conducted through machining with dimensional additions. The dimensions are determined by summing up the dimensional sizes, considering SS316L material shrinkage (2.5~3.5%), wax shrinkage (1%), and machining (5mm). The further process is wax injection to create wax patterns, the making of gating system, and ceramic sintering molding. The wax patterns are made separately for each part of the impeller, and then assembled into a complete wax pattern that matches the impeller's geometry and includes the gating system. The wax patterns undergo repeated dipping into slurry and stucco solutions, forming a thick ceramic layer around the wax impeller patterns. After melting the wax from the ceramic mold, cavities are left according to the impeller's geometry. Sintering the ceramic mold impeller at 1000°C forms a hard ceramic mold with cavities ready to receive the molten metal. Once the molten metal solidifies and is removed from the ceramic mold, the casting impeller is ready for further machining processes.
Evaluasi Pendengaran Pasien Pascatindakan Miringoplasti Berdasarkan Gambaran Audiometri Nada Murni di Rumah Sakit Dr. Hasan Sadikin Bandung Anggie Mutmainnah; Arif Dermawan; Lina Lasminingrum
Journal of Medicine and Health Vol 3 No 1 (2021)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v3i1.3171

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Gendang telinga atau membran timpani merupakan membran di antara telinga luar dantelinga tengah. Membran ini sangat berperan dalam proses pendengaran. Apabila terjadikerusakan pada membran,timpani, maka fungsi pendengaran seseorang akan terganggu.Miringoplasti adalah prosedur rekonstruksi perforasi membran timpani dengan menggunakantandur pada telinga dengan rantai tulang pendengaran utuh, gerak baik, dan tidak terdapat jaringanpatologik di dalam telinga tengah. Miringoplasti bertujuan memperbaiki fungsi pendengaran danmencegah infeksi berulang ke telinga tengah dan telinga dalam. Tujuan penelitian ini adalah untukmengetahui karakteristik dan peningkatan ambang pendengaran penderita membran timpaniperforasi pascatindakan miringoplasti berdasarkan gambaran audiometri nada murni pada pasienOMSK tanpa kolesteatoma di Poli THT-KL RSHS Bandung periode 1 Januari 2012-31 Desember2016. Penelitian ini bersifat deskriptif retrospektif dari pasien yang telah menjalani miringoplasti.Terdapat 285 kasus baru perforasi membran timpani; laki-laki 153 (53,7 %), perempuan 132 (46,3%), sebanyak 169 (59,3%) pasien didapatkan peningkatan ambang dengar sebesar 10,1 dB - 20dB, mencapai ambang dengar normal sebanyak 249 (87,4%) pasien, dan penutupan perforasisebanyak 254 (89,1%) pasien. Simpulan penelitian ini didapatkan peningkatan pendengaran yangbaik pasca tindakan miringoplasti pada perforasi membran timpani tanpa kelainan yang lain. Kata kunci: Perforasi membran timpani, miringoplasti, peningkatan ambang dengar.
Pemanfaatan Sampah Organik Untuk Pembuatan Briket Arang Sebagai Energi Ramah Lingkungan dan Usaha Meningkatkan Kemandirian Desa Nufus, Tatun Hayatun; Pramono, Agus Edy; Dermawan, Arif; Ridlwan, Hasvienda Mohammad; Arnanda, Rachmat; Rizkia, Vika
Mitra Akademia: Jurnal Pengabdian Masyarakat Vol 7 No 1 (2024): Mitra Akademia: Jurnal Pengabdian Masyarakat
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat (P3M) Politeknik Negeri Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32722/mapnj.v7i1.6095

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Program pengabdian masyarakat ini bertujuan memanfaatkan potensi alam yang ada di Kampung Sawah Rumpin, Bogor sebagai alternatif solusi bahan bakar fosil yang merupakan sumber daya yang tidak dapat diperbaharui dan harganyaterus meningkat. Mitra Program pengabdian ini adalah warga kampung sawah, Rumpin Bogor. Kampung tersebut banyak terdapat sampah organik yang selama ini belum dimanfaatkan. Program ini berupa pelatihan bagi kelompok masyarakat untuk menciptakan energi alternatif yang dapat diperbaharui dan bersih dengan memanfaatkan sampah organik antara lain berupa daun kering dan ranting pohon. Metode pelaksanaan dilakukan dengan cara mengolah sampah organik tersebut melalui pembakaran dengan tungku pirolisis. Pembuatan briket arang dari limbah organik dapat mengurangi timbunan limbah yang berbahaya bagi kesehatan lingkungan dan dapat dipakai masyarakat sebagai bahan bakar rumah tangga karena murah dan memenuhi standar kesehatan. Selain pelatihan, program ini jugamenyebarkan kuisioner terkait dengan pengetahuan dan keterampilan masyrakat terkait dengan briket limbah organik, hasilnya terjadi peningkatan yang cukup signifikan (93-100%) antara sebelum dan sesudah diberi pelatihan. Pembuatan briket dengan nilai kalor yang tinggi dapat diperoleh dengan treatment C (arang yang berasal dari kayu dicampur kanji cair 10% w) yaitu 6391 cal/gr. Terakhir perangkat alat pembuat briket arang ini diserahkan pada masyarakat agar dapat dimanfaatkan bagi masyarakat luas agar masyarakat bisa membuat sendiri sehingga dapat memanfaatkan limbah organik di sekitarnya dan bahkan meningkatkan kesejahteraan masyarakat.