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WIJANA WIJANA
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Gejala Klinis Sindroma Waardenburg Laporan Kasus Finisia, Febri Wisudawan; Wijana, Wijana; Lasminingrum, Lina; Suseno, Bogi
Jurnal Sistem Kesehatan Vol 2, No 2 (2016): Volume 2 Nomor 2 Desember 2016
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.422 KB) | DOI: 10.24198/jsk.v2i2.11265

Abstract

sindroma Waardenburg adalah kelainan bawaan yang jarang ditemukan, dengan prevalensi di Amerika Serikat 1 per 42000 orang. Ditandai dengan ketulian sensorineural, berhubungan dengan kelainan pigmen dan kecacatan jaringan yang berasal dari neural crest. Berdasarkan gejala yang menyertai, sindroma Waardenburg terbagi menjadi 4 tipe, insidensi tersering adalah tipe 1 dan 2. Gejala klinis kelainan ini diantaranya adalah: dystopia canthorum, kelainan pigmen (white forelock, kelainan pada alis mata, bulu mata, rambut tubuh dan heterochromia iris), ketulian sensorineural, pangkal hidung yang menonjol dan rambut  memutih pada usia muda (<30 tahun). Tujuan: mempresentasikan 3 kasus sindroma Waardenburg di poli audiovestibuler RS Hasan Sadikin Bandung pada periode Januari 2015-Desember 2015. Kasus:  Tiga anak dengan dugaan sindroma Waardenburg tipe 2, keluhan utama belum dapat berbicara.  Pemeriksaan audiologi didapatkan ketulian sensorineural, pemeriksaan fisik didapatkan kelainan pigmen iris. Kesimpulan: sindroma Waardenburg merupakan kelainan bawaan yang jarang ditemukan, diagnosis dapat ditegakan dengan mudah. Intervensi dini dapat menghasilkan perkembangan bicara dan bahasa yang lebih baik.Kata Kunci: keterlambatan bicara, dystopia canthorum, sindroma Waardenburg tipe 2.
Oto–Acoustic Emission and Auditory Brainstem Response Profile in Children with Speech Delay at Dr. Hasan Sadikin General Hospital Bandung Gunawan, Liani Mulasari; Wijana, Wijana; Pratiwi, Yuni S
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (132.268 KB)

Abstract

Background: Language and speech delay are the most common developmental disorders found in children. Hearing loss is the most common cause of speech delay among children. Hearing loss can be detected by subjective and objective examinations. Oto–acoustic emission (OAE) and auditory brainstem response (ABR) are objective electrophysiological examination with 100% sensitivity and 99% specificity. This study was aimed to describe OAE and ABR profile in children with speech delay at Dr. Hasan Sadikin General Hospital BandungMethods: This study was conducted in 2014 used the descriptive cross–sectional design with a total sampling of 333 medical records of children diagnosed with speech delay with inclusion criteria patients aged 1–5 years at the Hearing Disorders Clinic of Otorhinolaryngology–Head and Neck Surgery Policlinic at Dr. Hasan Sadikin General Hospital Bandung during the period of 2011–2012.Results: Out of all of the samples, there were 176 boys (52.9%) and 157 girls (47.1%). Most of children aged 24–35 months. Eighty children (24%) with normal hearing and 253 children (76%) with hearing loss. Hearing loss with Sensorineural hearing loss (SNHL) type most occured at the profound degree with 244 cases.Conclusions: Hearing loss is the most common cause of speech delay in children. Speech delay can be prevented by conducting the OAE and ABR examinations as early as possible. [AMJ.2016;3(2):265–8]  DOI: 10.15850/amj.v3n2.771
PENGARUH PREDNISON TERHADAP PERBAIKAN PENDENGARAN PENDERITA LUPUS ERITEMATOSUS Wijana, Wijana; Mutiara, Ira Agustine; Agustian, Ratna Aggraeni
Majalah Kedokteran Bandung Vol 48, No 2 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (146.473 KB)

Abstract

Lupus eritematosus sistemik (LES) merupakan penyakit kronik mengenai multisistem, merupakan gangguan autoimun yang ditandai oleh produksi autoantibodi dan deposisi kompleks imun di jaringan. Manifestasi klinis dapat meliputi berbagai organ termasuk telinga. Pada telinga dapat menimbulkan gangguan dengar, tinitus, dan vertigo. Gangguan dengar terjadi bilateral pada frekuensi tinggi. Prednison merupakan kortikosteroid oral yang memiliki efek glukokortikoid yang bersifat anti-inflamasi dan imunosupresif. Penelitian ini bertujuan mengetahui pengaruh prednison terhadap perbaikan pendengaran penderita LES. Penelitian dilakukan periode Maret?Mei 2013 di Poliklinik Gangguan Dengar dan Bicara, Telinga Hidung Tenggorok Bedah Kepala dan Leher Rumah Sakit Dr. Hasan Sadikin Bandung menggunakan metode quasi-experimental dengan rancangan one group pretest-posttest design dan hasilnya dihitung secara statistik menggunakan uji Rank Spearman. Pada 28 subjek pasien LES dilakukan anamnesis, pemeriksaan fisis, laboratorium, audiometri nada murni, timpanometri, dan distortion production otoacoustic emissions. Subjek diberi prednison 1 mg/kgBB/hari (dosis maksimal 60 mg/hari) selama 4 minggu, kemudian dilakukan evaluasi ulang. Sebelum terapi, 26 subjek mengalami gangguan dengar sedang pada frekuensi tinggi, simetris. Sesudah terapi, 24 subjek ambang dengar menjadi normal dan 4 subjek tetap mengalami gangguan dengar (Rs=0,734; p<0,01). Simpulan, prednison dapat memperbaiki status pendengaran penderita LES.  [MKB. 2016;48(2):112?7]Kata kunci: Gangguan dengar, lupus eritematosus sistemik, prednisonPrednisone Effect to on Hearing Status of Systemic Lupus Erythematosus PatientsSystemic lupus erythematosus (SLE) is a chronic, multi-system, autoimmune disorder characterized by the production of autoantibodies and immune complexes deposition in tissue. Clinical manifestations may include skin, mucosa, joints, blood, heart, lungs, kidneys, central nervous system (CNS), immune system, and ears. SLE Iin the ears can caused sensorineural hearing loss, tinnitus, and vertigo. This hearing disorder is commonly bilateral and has high frequencies. Prednisone is an oral corticosteroid with glucocorticoid and mineralocorticoid effects. Glucocorticoids have anti-inflammatory and immunosuppressive effects. The aim of this study was to evaluate the effect of prednisone in improving the degree of hearing loss in patients with SLE. This study was conducted in from March?May 2013, at tThe Hearing and Speech Disorder Clinic of Ear Nose Throat-Head and Neck Surgery, Dr. Hasan Sadikin Hospital Bandung, using quasi-experimental method with pre-post design in which the results were statistically calculated using Rank Spearman test. This study involved 28 subjects who had been diagnosed for SLE. Anamnesis, physical examination, and laboratory test were performed, followed by pure tone audiometry, tympanometry, and distortion product optoacoustic emissions (DPOAE). Subjects were given prednisone 1 mg/kgBW/day with a maximum dose of 6o mg/day. Re-evaluation was performed after 4 weeksof treatment. Before treatment, 26 subjects had mild hearing loss and 2 subjects had symmetric moderate hearing loss at high frequencies symmetrically. After therapy, 24 subjects became normal and 4 subjects still had hearing loss (Rs=0.734, p<0.01). In conclusion, prednisone can improve hearing status of SLE patients. [MKB. 2016;48(2):112?7]Key words: Hearing loss, prednisone, systemic lupus erythematosus DOI: 10.15395/mkb.v48n2.765
Oto–Acoustic Emission and Auditory Brainstem Response Profile in Children with Speech Delay at Dr. Hasan Sadikin General Hospital Bandung Liani Mulasari Gunawan; Wijana Wijana; Yuni S Pratiwi
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (132.268 KB)

Abstract

Background: Language and speech delay are the most common developmental disorders found in children. Hearing loss is the most common cause of speech delay among children. Hearing loss can be detected by subjective and objective examinations. Oto–acoustic emission (OAE) and auditory brainstem response (ABR) are objective electrophysiological examination with 100% sensitivity and 99% specificity. This study was aimed to describe OAE and ABR profile in children with speech delay at Dr. Hasan Sadikin General Hospital BandungMethods: This study was conducted in 2014 used the descriptive cross–sectional design with a total sampling of 333 medical records of children diagnosed with speech delay with inclusion criteria patients aged 1–5 years at the Hearing Disorders Clinic of Otorhinolaryngology–Head and Neck Surgery Policlinic at Dr. Hasan Sadikin General Hospital Bandung during the period of 2011–2012.Results: Out of all of the samples, there were 176 boys (52.9%) and 157 girls (47.1%). Most of children aged 24–35 months. Eighty children (24%) with normal hearing and 253 children (76%) with hearing loss. Hearing loss with Sensorineural hearing loss (SNHL) type most occured at the profound degree with 244 cases.Conclusions: Hearing loss is the most common cause of speech delay in children. Speech delay can be prevented by conducting the OAE and ABR examinations as early as possible. [AMJ.2016;3(2):265–8]  DOI: 10.15850/amj.v3n2.771
Timpanogram pada Anak Usia 1-5 Tahun Desti Kusmardiani; Wijana Wijana; Shinta Fitri Boesoirie; Sally Mahdiani
MEDULA JURNAL ILMIAH FAKULLTAS KEDOKTERAN UNIVERSITAS HALU OLEO Vol 5, No 1 (2017)
Publisher : Halu Oleo University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (173.095 KB) | DOI: 10.46496/medula.v5i1.3892

Abstract

ABSTRACT Tympanometry is an objective examination that used to test condition of middle ear, mobility of tympanic membrane and the ossicles.The results are displayed in a curve called timpanogram. Timpanogram influenced by several factors, including age and race.The purpose of this study was to provide normal values of tympanogram in children aged 1 to 5 years. This study was an analytic research with cross sectional approach in 90 normal children aged 1-5 years through a routine examination with ear otoscopy and tympanometry. From the 90 samples (180 ears) the average value of the volume of the ear canal / Vea was 0.469 mL in the right ear and 0,495 mL in the left ear, the mean compliance / SAA 0.396 mL in the right ear and 0.380 mL in the left ear, and the average pressure / TPP -56.78 daPa on the right ear and the left ear daPa-53.26. Compared with the results of existing studies, the average value of the ear canal volume/ Vea and mean compliance/ SAA in children aged 1-5 years in Bandung showed lower. Statistically, in the Vea, there was a significant differences between men and women, with p = 0.041 in the right ear and p = 0.027 in the left ear. There was a correlation between variables Vea with SAA. Keywords: tympanogram, children ages 1-5 years.
PENERAPAN TEKNOLOGI PEMANFAATAN CEKER AYAM BROILER MENJADI KRUPUK KULIT UNTUK HOME INDUSTRI DALAM RANGKA PEMBERDAYAAN EKONOMI MASYARAKAT DESA KELATING IN.S. MIWADA; S.A. LINDAWATI; WIJANA WIJANA
Buletin Udayana Mengabdi Vol 5 No 1 (2006): Volume 5 No.1 – April 2006
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (8.273 KB)

Abstract

ABSTRACT The activity of community service was carried out with tittle ? Aplication of the foot birds technology be snack food for home industry to using the economic society at Kelating village?. It was carried out at Balai Desa Kelating on 23th September 2005. This socialization aimed to demonstration of the foot birds technology be snack food. The methods of activity was demonstration with the implementation three methods doing the snack food, that is one method with added lime, two method with added baking powder and three method without lime and baking powder. Previously it is explained by the theory. The result of activity on the whole success. The participant prefer the snack food for one method and two method. It can be concluded that, the participant very enthusiastic follow application of the foot birds technology be snack food and its never before the snack food production.
Chronic Rhinosinusitis Patient with Nasal Polyp Characteristics at Otorhinolaryngology-Head and Neck Surgery Outpatient Clinic, Dr. Hasan Sadikin General Hospital, Bandung Dina Riana; Arif Dermawan; Wijana Wijana; Ongka Muhammad Saifuddin
International Journal of Integrated Health Sciences Vol 4, No 2 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (627.53 KB)

Abstract

Objective: To evaluate chronic rhinosinusitis (CRS) with nasal polyp (NP) characteristics in patients with routine visits to the Otolaryngology-Head and Neck Surgery outpatient clinic of Dr. Hasan Sadikin General Hospital, Bandung.Methods: This descriptive retrospective cross-sectional study was conducted at the Rhinology-Allergy Outpatient Clinic, Departement of Otolaryngology-Head and Neck Surgery, Dr. Hasan Sadikin General Hospital, Bandung, in the period of January 2014 to December 2014. Data were obtained from medical records and the sampling method used was total sampling. A total of 100 CRS with NP patients were evaluated. Nasal endoscopy examinations were performed. Patients were classified based on age into 10–20 years, 21–31 years, 32–42 years, 43–53 years, and >54 years groups. Results: Chronic rhinosinusitis with NP incidences were mostly found in male patients compared to females. There were several CRS cases with NP risk factors, including smoking and allergy. Conclusions: In the study, CRS with NP patients may possibly have one or more risk factors. Smoking is the major risk factor from CRS with NP after allergy. Keywords: Nasal polyp, nasal endoscopy, rhinosinusitis, risk factor DOI: 10.15850/ijihs.v4n2.834
GAMBARAN AUDIOGRAM PADA PASIEN TB-MDR DI RSUP DR. HASAN SADIKIN BANDUNG: AUDIOGRAM PROFILE OF MDR-TB PATIENTS IN HASAN SADIKIN GENERAL HOSPITAL BANDUNG Hilman, Anton; wijana, Wijana; Anggraeni, Ratna
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.571 KB) | DOI: 10.36408/mhjcm.v8i3.613

Abstract

BACKGROUND: Multidrug-resistant tuberculosis (MDR TB) is a disease condition of TB that resistant to isoniazid and rifampin, with or without resistance to other anti-tuberculosis drugs. An important problem arising from MDR TB therapy is the ototoxicity associated with use of aminoglycosides. Monitoring of hearing function is important to evaluate ototoxic effects. OBJECTIVE: This study was conducted to determine the audiogram profile in MDR-TB patients who received kanamycin therapy in Dr. Hasan Sadikin General Hospital Bandung METHODS: A retrospective descriptive study with a cross sectional design was conducted on MDR TB patients at Dr. Hasan Sadikin General Hospital Bandung (RSHS) Bandung. The inclusion criteria of this study is all medical records of MDR TB patients at the MDR TB polyclinic RSHS Bandung in the period January 1 - December 31 2018. Exclusions criteria were a history of tympanic membrane perforation, congenital ear abnormalities, hearing loss before therapy, and incomplete medical record data. RESULTS: There were 97 patients in the study sample. MDR TB mostly affects the 18–34 year age group. At the end of the first month of therapy, audiogram changes were found in 9.3% of patients and in the fourth month, 22.7% of patients have sensorineural hearing loss with varying degrees. CONCLUSION: Changes in the audiogram profile have occurred at the end of the first month of MDR TB therapy which is characterized by sensorineural hearing loss.
Validity-Reliability Test of Indonesian-translated MBD-MBS questionnaire as screening method for mouth breathers Winastuti, Retno Arun; Ratunanda, Sinta Sari; Wijana, Wijana
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.605

Abstract

Introduction Mouth breathing, the process of air entry from the mouth to the lungs without passing through the nose, is an abnormal behaviour that may imply the presence of a comorbidity. Mouth breathing in children, teenagers, and adults leads to numerous pathological consequences, especially in children. There are several methods available to diagnose mouth breathing, one of them being the provision of questionnaires, however, there is yet any mouth breathing questionnaire that has been translated into Indonesian. Therefore, this research aims to translate the MBD-MBS questionnaire in Indonesian, and conduct a validity and reliability test for the translated questionnaire. Hence, this translated questionnaire may be used as a tool to diagnose the presence of mouth breathing. Methods This cross-sectional study was conducted to 33 parents of children in day-cares or preschools in Bandung city that fulfilled the inclusion and exclusion criteria. Translation of the questionnaire was conducted by a sworn translator after permission was granted by the original author through email. The questionnaire was then distributed to the subjects after being given consent. Afterwards, the validity and reliability test were then conducted using Spearman and Cronbach-α formulas respectively.   Results All six questions in the Indonesian translated MBD-MBS questionnaire is validated (rcount > rtable, which is 0.355) and reliable (Cronbach’s Alpha 0.643 > 0.6). Conclusion Based on both validity and reliability tests, all questions in the Indonesian-translated MBD-MBS questionnaire are considered valid and reliable. Hence, this questionnaire is suitable to be utilized for further studies about mouth breathing.
Pendidikan Islam Inklusif Di Sekolah Dasar: Merangkul Perbedaan Dan Membangun Toleransi Di Kecamatan Paseh Kabupaten Sumedang Alfazri, Dimas; Permana, Rifki Adit Tia; Putri, Natasya Dwi Meilany; Wijana, Wijana; Supriyadi, Tedi
Edification Journal : Pendidikan Agama Islam Vol. 8 No. 1 (2025): Juli
Publisher : Sekolah Tinggi Agama Islam (STAI) Bumi Silampari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37092/ej.v8i1.1158

Abstract

This article explores the implementation of inclusive Islamic education in elementary schools to foster a fair, open, and respectful learning environment. It highlights how Islamic stories, open discussion, and mutual respect can cultivate tolerance among students. The study employs a case study method, involving Islamic Education (PAI) teachers from five elementary schools in Paseh District, Sumedang Regency. The findings reveal the crucial role of PAI teachers in developing students' tolerance through their examples, diverse teaching strategies, and the use of varied media. Examples of inclusive practices include adjusting teaching methods, disseminating relevant materials, and creating a classroom atmosphere that considers students' diverse backgrounds. However, the research also identifies existing challenges, such as teachers lacking the skills to support students with special needs, insufficient understanding of individual differences, and inadequate collaboration between schools and parents. Consequently, the article emphasizes the necessity of supportive policies, strong collaborative efforts, and ongoing teacher training to address these issues. Ultimately, it underscores the importance of integrating Islamic teachings, multicultural values, and the principle of inclusiveness within religious education. Keywords : Inclusiveness, Tolerance, Islam, Teacher, Diversity.
Co-Authors Agustian, Ratna Aggraeni Alfazri, Dimas Arif Dermawan Bogi Suseno, Bogi Desti Kusmardiani Dina Riana Febri Wisudawan Finisia, Febri Wisudawan Gunawan, Liani Mulasari Hilman, Anton I Nyoman Sumerta Miwada Liani Mulasari Gunawan Lina Lasminingrum Mutiara, Ira Agustine Ongka Muhammad Saifuddin Permana, Rifki Adit Tia Pratiwi, Yuni S Putri, Natasya Dwi Meilany Ratna Anggraeni Sally Mahdiani Shinta Fitri Boesoirie Sinta Sari Ratunanda Sri Anggreni Lindawati Supriyadi, Tedi Winastuti, Retno Arun Yuni S Pratiwi