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Wienta Diarsvitri
Faculty Of Medicine, Hang Tuah University, Surabaya
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Economics, Econometrics & Finance Education Energy Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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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 Anthony Stephen Halim; Edward Limantara; Wienta Diarsvitri
Jurnal Kesehatan Andalas Vol 10, No 2 (2021): Online July 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

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

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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
Profil Electroencephalogram (EEG) Pasien Rumah Sakit Angkatan Laut Dr. Ramelan Surabaya Periode Januari 2018 sampai Desember 2018 NI KOMANG SRI DWI UTAMI; ERIC HARTONO; WIENTA DIARSVITRI
HANG TUAH MEDICAL JOURNAL Vol 16 No 2 (2019): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

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Abstract

ABSTRACT An electroencephalogram (EEG) is an accepted method in neurophysiology with a wide application. Different types of brain rhythms indicate that simultaneous activity of the brain cortex neurons depend on the person’s mental state. Aim: to know the EEG pattern of patients at dr. Ramelan Naval Hospital Surabaya. Method: this research is a descriptive research with prevalence study method. Using total population for sampling, all patients who did the electroencephalogram examination at dr. Ramelan Naval Hospital Surabaya period January 2018 until December 2018. Result:Toddlers were the most frequently patients who did electroencephalogram examination. Based on sex, male were the most frequent. Based on clinical diagnose, patient with convulsive epilepsy are the most frequent with SW wave result
Pengaruh Pencemaran Logam Berat Timbal (Pb) dan Ekskresi Iodium Urine (EIU) Terhadap Kejadian Stunting Pada Anak di Surabaya LEONI; WIENTA DIARSVITRI; VERNA BIUTIFASARI
HANG TUAH MEDICAL JOURNAL Vol 18 No 2 (2021): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

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ABSTRACT Background : The existence of children, living in the coastal area with such risk of suffering from lead (Pb) intoxication, is still considered high. This pollutant plays a role in children’s growth and development. Lead (Pb), existing in our body, would directly reduce the amount of iodine that is absorbed by our body and in the end, would reduce the number of hormones affecting both physical growth and mental development for instance Growth Hormone, Thyroid Hormone, and Insulin-like Growth Factor (IGF-1). Other than Lead (Pb), growth is affected by another factor such as heredity, nutrition, and physical activity. This study serves the purpose of determining the effect of lead (Pb) pollution and Urinary Iodine Concentration (UIC) on the occurrence of stunting in children at the age of 25-60 months old at the urban village of Kedung Cowek Surabaya. Methods : observational analytic study a cross-sectional study design, by using a quantitative method which was used on 27 mothers whose children are 25-60 months old at Posyandu RW 2 and RW 3 urban village of Kedung Cowek Surabaya. The sample was chosen using a purposive sampling method. Data was collected through weight and height measurement, age, KMS (Card Towards Health), KIA (Kartu Ibu dan Anak), and questionnaires done by interviewing. Bivariate analysis was performed using Kruskal-Wallis. Results : Based on the laboratory test, it is shown that there’s no lead (Pb) pollution detected in seawater with the final result of 0,00035 mg/L (polluted > 0,008 mg/L). Based on Kruskal-Wallis, Urinary Iodine Concentration (UIC) doesn’t influence the occurrence of stunting based on deviation standard and nutritional status from the Ministry of Health (p = 0,409). Conclusion : There is no effect of lead (Pb) pollution and Urinary Iodine Concentration (UIC) on the occurrence of stunting in children at the age of 25-60 months old at the urban village of Kedung Cowek Surabaya.
PENGEMBANGAN WISATA BAHARI PULAU GILI LABAK MELALUI DIGITAL MARKETING Nirmalasari Idha Wijaya; Wienta Diarsvitri; Joko Subur; Herman Herman
As-Sidanah Vol 5 No 1 (2023): APRIL
Publisher : LP2M Universitas Ibrahimy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35316/assidanah.v5i1.250-264

Abstract

Gili Labak Island is located in Kombang Village, Talango District, Sumenep Madura Regency. Marine tourism in Gili Labak is in the form of beach tourism (white sand) and snorkeling tours, because Gili Labak has an unspoiled and shallow coral reef ecosystem that is easily accessible to visitors. The current problem is the socio-economic gap between the local residents of Gili Labak Island and tour agents who are people from outside the island. In addition, there is a threat of damage to the coral reef ecosystem due to the activities of tourists who do not understand the code of conduct while traveling on coral reefs. The mentoring method used in this community service is PAR (Participatory Action Research). The UHT community service team built a website with the name https://wonderfulgililabak.com/ for the promotion of Gili Labak coral reef tourism. The dissemination of tour guides on coral reefs using leaflets in the local language (Madura) was quite effective in making local people and visitors understand the importance of preserving coral reef ecosystems. The use of websites for digital marketing of marine tourism in Gili Labak is still not effective due to the limited ability of local people to manage websites.
BIOMARKERS AND PROGNOSTIC SCORING IN CEREBRAL MALARIA Orlando Pikatan; Ellen Ferlita Tirtana; Kezia Seraphine; Wienta Diarsvitri
MNJ (Malang Neurology Journal) Vol. 8 No. 2 (2022): July
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2022.008.02.14

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Malaria remains a public health concern and remain the deadliest in infectious disease in the world. Cerebral malaria is a particularly severe complication of this disease and associated with high mortality. This literature review is made up from 19 literatures consisting of journals, and book. The literature review used data base www.pubmed.com, and www.scholar.google.com using “cerebral malaria and biomarker, predictor of cerebral malaria and treatment of severe malaria”. The languages for this journal are English and Indonesian. From the collection of literatures in this literature review, severe consists of cerebral malaria, blackwater fever, acute kidney injury, pulmonary edema, electrolyte disturbance, hematology disturbance, and obstetrics emergency resulting from malaria which is postpartum hemorrhage. Cerebral malaria increases the mortality of the patient, so they have to be diagnosed early and treated precisely. Patients with infection of plasmodium falciparum and GCS<11 must be suspected as cerebral malaria. Biomarker examination such as Soluble ICAM-1, Specific muscle’s protein, Angiopoetin-1 and 2, and Plasma microparticles is the most precise way to detect malarial emergency earlier Coma Acidosis Malaria score is also found to be useful in predicting the prognosis in cerebral malaria. Early diagnosis should be made as early as possible to reduce mortality from malaria and its emergencies.
KARAKTERISTIK KLINIS DAN HISTOPATOLOGI KARSINOMA NASOFARING DI RSPAL DR. RAMELAN, SURABAYA Muhammad Noer Shoffi; Wienta Diarsvitri
Surabaya Biomedical Journal Vol 1 No 1 (2021): September
Publisher : Fakultas Kedokteran, Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/sbj.v1i1.5

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Penelitian ini bertujuan untukmengetahuikrakteristik penderita karsinoma nasofaring (KNF) di Rumah Sakit Pusat Angkatan Laut (RSPAL)dr. Ramelan, Surabaya. Penelitian deskriptif ini menggunakan rekam medis pasien KNF yang baru terdiagnosis di poliklinik THT, RSPAL dr. Ramelan antara Bulan Oktober – Desember 2020. Karakteristik pasien termasuk gejala yang muncul, stadium klinis dan subtipe histopatologi dicatat dan dievaluasi. Dari 22 orang pasien KNF, dua pertiganya laki-laki, lebih dari setengahnya datang dengan keluhan benjolan di leher, dan hampir seluruh pasien sudah dalam stadium lanjut. Temuan histopatologi menunjukkan WHO subtipe 3 adalah tipe KNF yang paling umum. Diagnosis dini merupakan strategi yang penting untuk meningkatkan hasil terapi kanker dengan memberikan perawatan terbaik sedini mungkin
CHOLEDOCHAL CYST: SERIAL KASUS Redemptus Yudadi; Wienta Diarsvitri
Surabaya Biomedical Journal Vol 1 No 1 (2021): September
Publisher : Fakultas Kedokteran, Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/sbj.v1i1.8

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Penelitian ini bertujuan untuk melaporkan diagnosis dan manajemen dari beberapa kasus langka choledochal cyst (CC), kelainan kongenital saluran bilier yang ditangani di Sub Departemen Bedah Digestif RSPAL Dr. Ramelan, Surabaya. Artikel ini disusun berdasarkan laporan tiga serial kasus CC yang ditangani di Sub Departmen Bedah Digestif RSPAL dr. Ramelan tahun 2018-2020. Dilaporkan tiga kasus CC pada pasien perempuan: dua kasus pada pasien berusia 20 tahun, dan satu kasus pada pasien berusia 64 tahun. Pada ketiga pasien tersebut ditemukan gejala berupa nyeri abdomen di daerah epigastrium, dua orang dengan ikterus intermiten dan seorang pasien dengan kondisi situs inversus. Hanya seorang pasien teraba massa di daerah epigastrium. Pada pemeriksaan penunjang dengan USG abdomen, MRCP dan cholangiografi intraoperatif ditemukan gambaran dilatasi kistik choledocus (common bile duct) yang mendukung suatu CC, dan tidak tampak batu di saluran bilier. Pada saat operasi, pada ketiga pasien tersebut ditemukan CC tipe I (klasifikasi Todani tipe I) dengan bentuk fusiformis. Diputuskan dilakukan eksisi CC dan rekonstruksi biliodigestif dengan hepatikojejunostomi Roux-en-Y. Hasil pemeriksaan patologi anatomi menunjukkan tanda radang dinding saluran bilier dan tidak ditemukan tanda keganasan. Pasca operasi, kondisi ketiga pasien tersebut baik. CC pada pasien dewasa sering ditemukan dengan gejala yang tidak jelas dan disertai komplikasi. Manajemen CC dengan eksisi dan rekonstruksi biliodigestif hepatikojejunostomi Roux-en-Y berhasil dengan baik.
KELAINAN KONGENITAL MULTIPEL PADA NEONATUS DENGAN SPINA BIFIDA: SERIAL KASUS Amiril Mukminin; Wienta Diarsvitri
Surabaya Biomedical Journal Vol 1 No 2 (2022): Januari
Publisher : Fakultas Kedokteran, Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/sbj.v1i2.19

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Pendahuluan: Spina bifida (SB) merupakan suatu kelainan kongenital sistem saraf pusat dengan prevalensi tertinggi dalam spektrum cacat tabung saraf (neural tube defect) akibat gangguan penutupan tulang belakang janin pada bulan pertama kehamilan. Laporan kasus: Dilaporkan dua kasus SB pada bayi laki-laki berusia dua hari dan tiga hari yang lahir prematur. Pada kedua pasien ditemukan massa di area lumbosakral disertai rembesan cairan serebrospinal (cerebro spinal fluid) serta kelainan kongenital multipel antara lain berupa congenital talipes equinovarus (CTEV) bilateral, hipospadia dan atresia ani. Kedua pasien menjalani pemeriksaan darah, ekokardiografi, CT scan tanpa kontras dan babygram. Hasil pemeriksaan darah menunjukkan peningkatan prothrombine time, thromboplastine time dan kalium. Hasil CT scan menunjukkan ventriculomegali dan edema otak. Echocardiography menunjukkan adanya PDA. Pasien menjalani kolostomi, repair spina bifida dan pemasangan ventriculoperitoneal (VP) shunt. Pembahasan: SB sering disertai dengan kelainan kongenital lain yang berasal dari lapisan neuroektoderm saat embriogenesis. Segera setelah bayi lahir perlu dilakukan pemeriksaan dan manajemen secara komprehensif dari tim multidisiplin terkait adanya bagian neural placode yang terbuka untuk mengetahui lokasi, ukuran, apakah ada kebocoran cairan serebrospinal serta kelainan kongenital lain yang menyertai.
KEJADIAN DEPRESI PADA IBU POST PARTUM GEMELI DI RSUD Dr. SOEROTO NGAWI Mita Herdiyantini; Wienta Diarsvitri
Surabaya Biomedical Journal Vol 1 No 2 (2022): Januari
Publisher : Fakultas Kedokteran, Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/sbj.v1i2.20

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Tujuan Penelitian: Perubahan biologis selama kehamilan dapat menjadi penctus terjadinya gangguan psikologis mulai dari yang ringan hingga gangguan jiwa. Penelitian ini memberikan gambaran kejadian depresi pada ibu post partum yang melahirkan bayi kembar (gemeli) di RSUDD Dr. Soeroto Ngawi selama bulan Januari 2016-Maret 2016. Metode : Penelitian deskriptif ini menggunakan kuesioner Edinburgh Postnatal Depresion Scale (EPDS) pada 12 ibu post partum yang melahirkan gemeli di Ruang Nifas Wijaya Kusuma dan kontrol nifas di Poli Hamil/Kandungan Rumah Sakit Umum Dr. Soeroto, Ngawi selama bulan Januari 2016-Maret 2016. Hasil : Sebagian besar responden (75%) berpendidikan SD-SMP, 67% responden berusia 20-24 tahun, 67% responden tidak bekerja, 58% tidak pernah kontrol rutin selama kehamilan. Enam responden (50%) menyatakan jarang mengalami gangguan tidur, 33% menyatakan bahwa hampir setiap waktu mengalami gangguan tidur karena kecemasan yang dialami, 17% tidak pernah mengalami gangguan tidur. Mayoritas responden (58%) tidak pernah mengalami kejadian/peristiwa berat pada satu tahun sebelum hamil. Berdasarkan hasil Kuesioner EPDS didapatkan 58% responden kemungkinan tidak mengalami depresi, 25% responden kemungkinannya sedang untuk mengalami depresi, 17% responden kemungkinannya tinggi untuk mengalami depresi. Kesimpulan : Sebagian besar responden post partum gemeli yang kemungkinan mengalami depresi berasal dari kelompok usia 20-24 tahun, mempunyai anak lebih dari tiga, dan tidak rutin kontrol di poli RSUDD Dr. Soeroto Ngawi. Oleh karena itu diperlukan kerjasama lintas sektor untuk mencegah terjadinya depresi pada ibu post partum gemelli.
Kaitan Antara Gangguan Perkembangan dan Perilaku Anak dengan Gut-Brain Axis Pramita Anindya; Wienta Diarsvitri
Surabaya Biomedical Journal Vol 1 No 2 (2022): Januari
Publisher : Fakultas Kedokteran, Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/sbj.v1i2.21

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Tujuan Penelitian: Gangguan perkembangan dan perilaku pada anak merupakan masalah yang sering ditemukan, namun belum jelas mekanismenya. Penelitian ini bertujuan untuk membahas kaitan antara gangguan perkembangan dan perilaku pada anak dengan gut-brain axis. Metode : Penelitian literature review ini menggunakan 20 artikel dengan kriteria inklusi artikel yang dipublikasikan di jurnal nasional terakreditasi dan jurnal internasional antara tahun 2012-2021, berbahasa Indonesia atau Inggris, dan dapat diakses full text. Artikel didapatkan dari mesin pencari PubMed, Google Scholar dan Cochrane dengan beberapa kata kunci. Hasil : Konsep gut- brain axis berperan penting dalam pertahanan tubuh. Paradigma gut-brain axis merujuk pada adanya hubungan antara saluran cerna dan otak melalui mekanisme dua arah atau bidirectional, suatu alur homeostasis sistem saraf, hormonal dan sistem imun, yang jika salah satu bermasalah maka dapat menimbulkan ketidak seimbangan diantara ketiganya. Kesimpulan : Hasil penelitian mendukung keberadaan gut-brain axis, bahwa ada kaitan antara mikrobiota dalam saluran cerna dengan gangguan perkembangan dan perilaku pada anak. Konsekuensi jangka panjang dari gangguan dalam komposisi mikrobiota usus pada awal kehidupan mempengaruhi kondisi kesehatan di masa dewasa.
Co-Authors Adnaya, Anak Agung Ngurah Maheza Amiril Mukminin Anindya, Pramita Annisa Nurida Anthony Stephen Halim Anwar Santoso Ardiana, Dian Bambang Budi Siswanto Biutifasari, Verna Damayanti, Azarine Ahnafia Dewi, Dewa Ayu Liona Dita, Anastasia Edward Limantara Ellen Ferlita Tirtana ERIC HARTONO Fitria Maharani Subroto, Inggrid Hakim, An Nahl Aulia Halim, Anthony Stephen Hanna Tabita Hasianna Silitonga Herdiyantini, Mita Herman Herman Indri Ngesti Rahayu Joko Subur Kezia Seraphine LEONI Lilik Djuari Limantara, Edward Maya Syahria Saleh Minarni Wartiningsih Mita Herdiyantini Muhammad Noer Shoffi MUKMININ, AMIRIL Nefertiti, Eva Pravitasari NI KOMANG SRI DWI UTAMI Nirmalasari Idha Wijaya Noer Shoffi, Muhammad Oktarina, Virna Dwi Orlando Pikatan Pikir, Rizqi Rokhmadhoni Prajitno, Subur Pramita Anindya Prasetyo, Ananda Bangun Rahmalia, Karina Redemptus Yudadi Rif'ati, Lutfah Risma Rokhmadoni Pikir, Rizqi Seskoati Prayitnaningsih Setianingsih, Herin Shoffi, Muhammad Noer Sincihu, Yudhiakuari Sudiarta, Ketut Edy Suhadi, Ananda Rizki Syntia Nusanti Willy, Johannes Yudadi, Redemptus