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All Journal Folia Medica Indonesiana Indonesian Journal of Tropical and Infectious Disease Oto Rhino Laryngologica Indonesiana JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Majalah Biomorfologi (Biomorphology Journal) Jurnal Layanan Masyarakat (Journal of Public Service) JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH Jurnal Pengabdian Masyarakat dalam Kesehatan Indian Journal of Forensic Medicine & Toxicology Asian Journal of Health Research eJournal Kedokteran Indonesia

Nyilo Purnami

Departement Of Otorhinolaryngology Head And Neck Surgery, Faculty Of Medicine, Universitas Airlangga, Surabaya, Indonesia

Author-ID : 508757

Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Earth & Planetary Sciences Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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SIGN LANGUAGE TRAINING FOR HEALTH STAFF Puguh Setyo Nugroho; Nyilo Purnami; Rosa Falerina; Rizka Fathoni Perdana; Yoga Rahmadiyanto; Hendra Kurnia Rakhma; Sumarman Sumarman; Sriati Sriati
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 6 No. 1 (2022): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v6i1.2022.99-108

Effective communication is a pillar of excellent service in the healthcare unit. Communication among health workers, hearing impaired and speech impaired will cause obstacles to services. Sign language skills need to be possessed by health workers in communicating with people who are deaf and speech impaired. Socializing sign language and developing sign language skills for health workers in health services. After participating in the training, health workers are expected to know and have sign language skills. Community service activities in the form of sign language training for health workers in health services are carried out with lectures, quiz, discussions and practice of sign language skills. Activities are carried out through online method. The activity was attended by 1,593 participants. The most participants were midwives (570 participants-35.8%), nurses (518 participants -32.5%) and doctors (191 participants -12%). A total of 1,333 participants (83.7%) experienced communication problems with the hearing impaired and speech impaired. The training was felt to be useful by 1,215 participants (76.3%). The average result of the pre-test quiz was 33.54 (+13.11) and the average post-test quiz was 61.23 (+10.41). Comparison of pre-test and post-test results of hearing health education obtained statistically significant differences (p < 0.0001). The benefits of training activities are felt to be useful and needs to be intensified to improve the quality of services and the quality of life for people who are hearing impaired and speech impaired.

EARLY DETECTION TRAINING OF HEARING DISORDERS IN THE ERA OF THE COVID 19 PANDEMIC FOR HEALTH PERSONNEL AT GENTENG KULON BANYUWANGI HEALTH CENTER, EAST JAVA Puguh Setyo Nugroho; Nyilo Purnami; Rizka Fathoni Perdana; Rosa Falerina; Hendra Kurnia Rakhma
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 6 No. 1 (2022): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v6i1.2022.129-142

The COVID 19 pandemic impacts the early detection of hearing impairment. Socialization is needed in the form of early detection education of hearing loss in the era of the COVID 19 pandemic to health workers in the front line. The purpose of educational activities is to improve the knowledge and skills of health workers to conduct early detection of hearing impairment in the era of the COVID 19 pandemic. The condition of the COVID 19 pandemic changed the interaction pattern between people, including in education and training activities in the field of health. Education with on line means is becoming a common thing to do today. This training activity is conducted on line and off line methods with limited participants. The training for health workers was carried out using an off line method and was attended by 39 participants. The average result of the pre test was 45.20 (+ 15.69), and the average post test was 80.67 (+ 22.73). Comparison of the pre test and post test results with the t-test, the results were significantly different (p < 0.0001). The training with the on line method was attended by 1,145 participants. The results of the average pre test score were 55.30 (+15.61), and the post test average score was 72.82 (+21.61). Comparison of the pre test and post test scores with the t-test results was significantly different (p < 0.0001). On line and off line methods in training activities provide significant results in increasing the knowledge of health workers so that the pandemic does not hinder the implementation of training activities to increase the knowledge of health workers in an effort to improve the quality of life of the community, in this case, hearing.

Seropositivity of Anti-Rubella Antibodies as A Marker for Rubella Infection in Infants at High Risk of Congenital Deafness Nyilo Purnami; Risa Etika; Martono Martono; Puspa Wardhani
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 26, No 2 (2020)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v26i2.1479

Hearing loss in newborns or congenital deafness can be caused by the development of several parts of the auditorysystem. Congenital deafness is often associated with infections, such as Toxoplasmosis, Rubella, Cytomegalovirus (CMV),and Herpes (TORCH). Deafness is very difficult to be early detected. Therefore, simple but fast methods are needed. Earlydetection is based on the Newborn Hearing Screening (NHS) program. Otoacoustic Emission (OAE) and AutomatedAuditory Brainstem Response (AABR) checks are raw materials for early detection. Congenital deafness often occurs withpregnancy infections with viruses such as Rubella. Rubella infection during pregnancy, especially during the first trimester,often causes Congenital Rubella Syndrome (CRS). Rubella infection often occurs with other causes, such as Toxoplasma,CMV, and Herpes. A Serological test can be used as one of the diagnostics of this infection. This study used single RubellaIgG and IgM antibodies and double antibodies test as a marker for the infection. The authors wanted to correlate theserological examination of this infection with the auditory function. Rubella infection was detected with single serologicalanti-Rubella IgG and IgM and double multiple Rubella and TORCH serological tests. Also, the auditory function wasassessed using the OAE and AABR test in this research. The result showed 35 (77.7%) patients with positive Rubellaserological tests among 45 NICU patients at Dr. Soetomo Hospital. There were number of patients was 12 (34.2%) patientswith a single positive serological test and 23 (65.7%) patients with positive multiple TORCH serological tests. The number ofpatients with Rubella negative infection was 10 (22.2%). There were 11 (31.4%) patients of positive Rubella infections withpositive hearing loss and 24 (68.6%) patients with negative hearing loss. From the results of the study, 35 patients were athigh risk of disturbance and the statistical analysis showed that there were no significant serological differences in Rubellapositive with hearing loss (p=0.087). Hearing loss in NICU infants has a high risk of factors causing Rubella infection andother related causes. In most Rubella positive serological tests IgG was found, which can be due to maternal factors.Serology tests need to be repeated for confirmation under the surveillance program. How to follow-up the patients anddefine the next laboratory test after six months remain a great challenge. The efforts need to be strengthened in surveillanceprograms.

Characteristics of infants and young children with sensorineural hearing loss in Dr. Soetomo Hospital Nyilo Purnami; Cintya Dipta; Mahrus Ahmad Rahman
Oto Rhino Laryngologica Indonesiana Vol 48, No 1 (2018): Volume 48, No. 1 January - June 2018
Publisher : PERHATI-KL

Background: Hearing loss is one of the congenital abnormalities frequently found in children, which is followed by delayed speech and language development. The majority of cases have unknown causes of hearing loss resulting in late diagnosis. Newborn Hearing Screening Program (NHSP) recommended Otoacoustic Emissions (OAE) and Brainstem Evoked Response Audiometry (BERA) as detection of hearing loss in infants and children. Objective: To obtain the prevalence and description of sensorineural hearing loss in infants and children. Method: A retrospective descriptive study of infants underwent OAE and BERA between 2011-2013 at Dr Soetomo Hospital. The degree of hearing loss was according to the International Standard Organization (ISO). Result: A total number of 552 infant and children were examined, and 377 (68%) were detected with sensorineural hearing loss (SNHL). This group of SNHL consisted of 199 males (52.79%) and 178 females (47.21%). The largest age group was 12 to 36 months, revealed 237 patients (62.86%) with SNHL. The majority degree of hearing loss was profound hearing loss in 329 patients (87.27%). The risk factors of SNHL mostly were not found, in 310 patients (82.23%). The majority number of SNHL was bilateral, in 357 patients (94.69%). Conclusion: SNHL was found in majority of infant and children in the Audiology Clinic of Dr.Soetomo Hospital. The hearing loss found were mostly profound and bilateral, with unknown risk factors, which might contribute to speech and language developmental delay. This is relevance with the Universal NHSP recommendation that early detection should be implemented to all newborn. ABSTRAK Latar belakang: Gangguan pendengaran adalah salah satu kelainan kongenital yang sering ditemukan, dan berpengaruh pada perkembangan bicara dan bahasa anak. Sebagian besar gangguan pendengaran tidak jelas ada faktor risikonya, sehingga tidak segera terdeteksi. Bila tidak dilakukan deteksi dini, akan menyebabkan keterlambatan diagnosis dan intervensi. Telah direkomendasikan oleh Newborn Hearing Screening Program (NHSP) pemeriksaan Otoacoustic Emissions (OAE) dan Brainstem Evoked Rresponse Audiometry (BERA) sebagai alat deteksi dini gangguan pendengaran pada bayi dan anak. Tujuan: Mendapatkan prevalensi dan deskripsi gangguan pendengaran sensorineural pada bayi dan anak. Metode: Penelitian deskriptif retrospektif dengan mengumpulkan data subjek periode 2011- 2013 di Rumah Sakit Dr.Soetomo. Pemeriksaan OAE menggunakan Distortion Product Otoacoustic Emissions. Pemeriksaan BERA berdasarkan International Standard Organization (ISO). Hasil: Terdapat sebanyak 377 pasien (68%) dengan gangguan pendengaran sensorineural dari total 552 bayi dan anak. Pada kelompok umur 12 sampai 36 bulan didapati gangguan pendengaran sensorineural tertinggi sebanyak 237 (62,86%) pasien. Sebagian besar pasien laki-laki sebanyak 199 (52,79%). Mayoritas pasien mengalami gangguan pendengaraan derajat sangat berat sebanyak 329 (87,287%) dari total 377 penderita. Mayoritas faktor risiko dari gangguan pendengaran yang tidak diketahui sebanyak 310 kasus (82,23%), dan mayoritas penderita mengalami gangguan pendengaran sensorineural bilateral sebanyak 357 (94,69%). Kesimpulan: gangguan pendengaran sensorineural ditemukan terbanyak pada bayi dan anak di Klinik Audiologi RSUD Dr. Soetomo. Derajat keparahan terbanyak adalah profound, dan ditemukan terbanyak bilateral. Faktor risiko yang tidak diketahui terbanyak ditemukan, dan bisa merupakan faktor yang berpengaruh pada kejadian lambat bicara dan berbahasa. Temuan ini sesuai dengan rekomendasi program skrining pendengaran yang seharusnya diterapkan pada semua bayi baru lahir.

Correlation of malondialdehyde and hearing threshold level at frequency 4000 Hz post gunshot exposure Nyilo Purnami; Fauzi Helmi; Sri Herawati
Oto Rhino Laryngologica Indonesiana Vol 50, No 1 (2020): Volume 50, No. 1 January - June 2020
Publisher : PERHATI-KL

Background: The incidence of acoustic trauma after gunshot exposure in students of the SekolahPolisi Negara (SPN) is quite high. Malondialdehyde (MDA) is a compound that can portray oxidativestress due to free radicals. The correlation between the levels of MDA and the hearing threshold frequencypost gunshot exposure could be used as the base for administering antioxidants to prevent acoustictrauma. Objective: To find out the correlation between the levels of MDA and the hearing thresholdfrequency post gunshot exposure, in East Java SPN students. Method: An observational analytic studywith a retrospective cross sectional approach using secondary data of medical records of the East JavaSPN students batch 2017/2018. The samples were selected by simple random sampling. Result: Out of50 students, the mean of age was 19.62 years. All samples were male with mean 559.17 and standarddeviation (SD) 959.86. The calculation of the 4000 Hz frequency threshold value obtained an averagevalue of 31.52 and SD of 13.4. Hearing loss complaint was found in 1 student (2%). No complaints oftinnitus and vertigo were found. Statistical tests with Pearson correlation between serum MDA levels and4000 Hz frequency threshold values showed a correlation coefficient (r) of 0.74 and p = 0.00 (p<0.05).Conclusion: There was a significant correlation between MDA levels and the hearing threshold at 4000Hz frequency after gunshot exposure in East Java SPN students.Keywords: acoustic trauma, malondialdehyde, hearing threshold level at frequency 4000 HzABSTRAKLatar belakang: Insiden trauma akustik pasca pajanan letusan senjata api pada siswa Sekolah PolisiNegara (SPN) cukup tinggi. Malondialdehid (MDA) merupakan senyawa yang dapat menggambarkanstres oksidatif akibat radikal bebas. Adanya hubungan antara kadar MDA dengan nilai ambang dengarfrekuensi 4000 Hertz (Hz) dapat menjadi dasar pemberian antioksidan untuk pencegahan traumaakustik. Tujuan: Membuktikan hubungan antara kadar MDA dengan nilai ambang dengar frekuensi4000 Hz pasca pajanan letusan senjata api pada siswa SPN Jawa Timur. Metode: Penelitian ini adalahobservasional analitik dengan pendekatan retrospektif cross sectional menggunakan data sekunderberupa rekam medik siswa SPN Jawa Timur angkatan 2017/2018. Sampel dipilih secara simple random sampling. Hasil: Dari 50 siswa, usia rerata adalah 19,62 tahun. Seluruh sampel penelitian adalah laki-laki, rerata=559,17 dan standar deviasi (SD)=959,86. Penghitungan nilai ambang dengar frekuensi 4000 Hz didapatkan hasil nilai rerata=31,52 dan SD=13,4 Keluhan penurunan pendengaran hanya dijumpai pada 1 siswa (2%). Uji statistik dengan korelasi Pearson antara kadar MDA dalam serum dengan nilai ambang dengar frekuensi 4000 Hz didapatkan hasil koefisien korelasi (r) sebesar 0,74 dan p = 0,00 (p<0,05). Kesimpulan: Terdapat hubungan yang signifikan antara kadar MDA dengan nilai ambang dengar frekuensi 4000 Hz pasca pajanan letusan senjata api pada siswa SPN Jawa Timur.Kata kunci: trauma akustik, malondialdehid, nilai ambang dengar frekuensi 4000 Hz

A survey of Indonesian otolaryngologist behavior in medical service during the CoVid-19 pandemic Indra Zachreini; Jenny Bashiruddin; Susyana Tamin; Harim Priyono; Ika Dewi Mayangsari; Respati Ranakusuma; Natasha Supartono; Fikri Mirza Putranto; Dewo Aksoro; Selfiyanti Bimantara; Yussy Afriana Dewi; Kote Noordhianta; Bintang Napitupulu; Sagung Rai Indrasari; Nyilo Purnami; Tengku Siti Hajar Haryuna; Juliandi Harahap; Eka Savitri; Tjandra Manukbua
Oto Rhino Laryngologica Indonesiana Vol 51, No 1 (2021): Volume 51, No. 1 January - June 2021
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v51i1.444

Background: World Health Organization (WHO) announced a newly discovered virus that first identified in Wuhan, China on December 2019, namely SARS-CoV-2 as the cause of corona virus disease (COVID-19) which had become global pandemic. Doctors as medical practitioners are categorized as vulnerable group to be infected by corona virus, and many otorhinolaryngologists had been infected and even died in performing medical services. Among the causative factors why otorhinolaryngologists could get infected by corona virus is their behavior. Purpose: To assess the behavioral level of otorhinolaryngologists in medical services during Covid-19 pandemic. Method: Descriptive study with a cross sectional design. Research samples were otorhinolaryngologists in Indonesia who met the inclusions criteria. The samples were selected by consecutive sampling method, and obtained 1299 subjects. Behavioral level was assessed from 3 aspects: knowledge, attitude, and practice, which comprised of 12 questions. Result: It was found that 461 respondents had a good behavioral level (35.5%), 677 respondents had moderate levels (52.1%) and 161 respondents had low level (12.4%). There was a statistically significant correlation between knowledge with behavioral level, attitude with behavioral level, and practice with behavioral level (p=0.001). Conclusion: The study of behavioral level of otorhinolaryngologists in medical service during Covid-19 pandemic obtained the highest number was moderate level 677 respondents (57.2%), and there was a statistically significant correlations between the variable of knowledge with behavioral level, the variable of attitude with behavioral level, and the variable of practice with behavioral level (p=0.001).ABSTRAK Latar belakang: Organisasi kesehatan dunia (WHO) mengumumkan virus baru yang pertama kali muncul di Wuhan China, pada Desember 2019, yaitu SARS-CoV-2 sebagai penyebab corona virus disease 19 (Covid 19) dan menyatakan sebagai pandemi. Dokter sebagai tenaga kesehatan merupakan kelompok yang rentan terinfeksi virus corona dan berdasarkan laporan, sudah banyak dokter Telinga Hidung Tenggorok - Bedah Kepala Leher (THT-KL) yang terinfeksi bahkan meninggal dunia dalam pelayanan medis. Salah satu faktor penyebab dokter THT-KL terinfeksi oleh virus corona adalah tingkat perilaku dokter THT-KL. Tujuan: Mengetahui tingkat perilaku dokter THT-KL dalam melakukan pelayanan medis saat pandemi Covid 19. Metode: Penelitian deskriptif dengan rancangan studi potong lintang. Sampel penelitian adalah dokter THT-KL di Indonesia yang memenuhi kriteria inklusi. Teknik pengambilan sampel secara berurutan, dan mendapatkan 1299 sampel. Tingkat perilaku dinilai dari 3 aspek yaitu dimulai dari pengetahuan, sikap dan tindakan yang terdiri dari 12 pertanyaan. Hasil: Didapatkan tingkat perilaku responden dokter THT-KL dalam pelayanan medis pada pandemi Covid 19, tingkat perilaku baik sebanyak 461 responden (35,4%), tingkat sedang 677 responden (52,1%), dan tingkat kurang 161 responden (12.4%). Terdapat hubungan yang signifikan antara pengetahuan dan tingkat perilaku, sikap dengan tingkat perilaku dan tindakan dengan sikap perilaku (p=0,001). Kesimpulan: Didapatkan tingkat perilaku dokter THT-KL dalam pelayanan medis pada pandemi covid 19, terbanyak adalah tingkat perilaku sedang sebanyak 677 responden (57,2%), dan terdapat hubungan yang bermakna antara variabel pengetahuan dengan tingkat perilaku, variabel sikap dengan tingkat perilaku dan variabel tindakan dengan tingkat perilaku dokter THT-KL dalam pelayanan medis pada pandemi Covid 19, dimana nilai p = 0,001. Kata kunci: perilaku, dokter THT-KL, pandemic, Covid-19

Hearing impairment in hemodyalisis patients with hypertension and diabetes mellitus type-2 Nyilo Purnami; Nunuk Mardiana; Sabrina Izzattisselim; Alfarika Rosmalia; Makhmudyah Indri Cahyani
Oto Rhino Laryngologica Indonesiana Vol 51, No 1 (2021): Volume 51, No. 1 January - June 2021
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v51i1.396

Background: Sensorineural hearing loss could occur in chronic kidney disease (CKD) patients undergoing hemodyalisis. In general, the frequency of hearing impairment in CKD is connected with age and gender, and with associated disorders such as hypertension and diabetes mellitus. Purpose: To find out the incidence of hearing loss (HL) in CKD patients with hypertension and diabetes mellitus who were undergoing hemodialysis, in Dr. Soetomo General Hospital. Method: This was an observational descriptive study. Subjects were all CKD patients who were undergoing hemodialysis from June until December 2019 in Dr. Soetomo General Hospital. Subjects were categorized demographically and the hearing impairment was examined with audiometric examination and otoacoutic emission test. Result: From 52 samples, there were 31 female and 21 male, with the ratio 1.5:1. The highest age group was in 31-40 years old, and the average was 47 years old. Hemodialysis CKD patients with hypertension were 46 subjects, 14 patients with normal hearing and 32 patients had hearing impairment: mild HL 25 patients, moderate HL 5 patients and moderate-severe 2 patients. Hemodialysis CKD patients with DM type-2 were 12 subjects, 3 patients with normal hearing, and 9 patients had hearing impairment: mild HL 4 patients, moderate HL 4 patients, and moderate-severe HL 1 patient. Conclusion: In this study, female hemodyalisis patients were more than male, and the highest age group was between 31-40 years old. Hearing impairment in CKD subjects with hypertension were mostly mild HL, while in CKD subjects with DM type-2 were mostly mild and moderate HL.ABSTRAK Latar belakang: Tindakan hemodialysis yang dilakukan pada penderita penyakit ginjal kronis (PGK) dapat menyebabkan gangguan pendengaran tipe sensorineural. Perlu dikembangkan penatalaksanaan gangguan pendengaran terkait hemodialisis. PGK dan gangguan pendengaran secara umum berhubungan dengan usia dan jenis kelamin, serta penyakit yang sering menyertai PGK seperti hipertensi dan diabetes mellitus. Tujuan: Mendapatkan angka kejadian gangguan pendengaran pada penderita PGK yang menjalani hemodialisis, dengan disertai hipertensi dan diabetes mellitus (DM) di RSUD. Dr. Soetomo. Metode: Disain penelitian ini adalah deskriptif observasional dengan sampel semua penderita PGK yang dilakukan hemodialisis di RSUD Dr Soetomo yang memenuhi kriteria inklusi. Sampel yang diambil berdasarkan data demografi kemudian dilakukan pemeriksaan audiometri dan otoacoustic emission. Hasil: Didapati penderita PGK perempuan sebanyak 31 orang dan laki-laki 21 orang, dengan rasio 1,5:1. Kelompok usia terbanyak adalah 31-40 tahun, dan rerata usia penderita 47 tahun. Pasien PGK yang dihemodialsis dengan disertai hipertensi ada 46 subjek, 14 orang tanpa gangguan pendengaran dan 32 orang mengalami gangguan pendengaran: derajat ringan 25 penderita, derajat sedang 5 penderita, dan derajat sedang-berat 2 penderita. Pasien PGK yang dihemodialisis dengan DM type-2 ada 12 orang: tanpa ganguan pendengaran 3 orang, gangguan pendengaran derajat ringan 4 penderita, derajat sedang 4 penderita,dan derajat sedang-berat 1 penderita. Kesimpulan: Penderita PGK jenis kelamin perempuan lebih banyak daripada laki-laki. Kelompok usia terbanyak adalah 31-40 tahun. Sebagian besar pasien PGK dengan HD mengalami gangguan pendengaran derajat ringan. PGK yang disertai hipertensi terbanyak mengalami gangguan pendengaran derajat ringan, sedangkan yang disertai DM yaitu derajat ringan dan derajat sedang.Kata kunci: gangguan pendengaran, hipertensi, diabetes mellitus tipe 2, penyakit ginjal kronis,hemodialisis

EHANCING COMMUNITY SERVICE ACTIVITIES ON EARLY DETECTION AND MANAGEMENT OF HEARING IMPAIRMENT IN THE ERA OF THE COVID-19 PANDEMIC Puguh Setyo Nugroho; Nyilo Purnami; Rizka Fathoni Perdana; Rosa Falerina; Alfian nurfaizi
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 3 No. 2 (2021): OCTOBER 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v3i2.25545

PENDAHULUAN: Telinga adalah salah satu organ yang paling penting dari akal , yang memungkinkan manusia untuk mendengar, menerima informasi, berkomunikasi, dan bersosialisasi dengan orang lain. Gangguan pendengaran akan menghambat kehidupan dan sosialisasi manusia. Anak-anak yang lahir dengan gangguan pendengaran akan menjadi tuna rungu; karena itu, gangguan pendengaran harus dideteksi dan bertindak dini dan menyeluruh. Wabah COVID-19 berdampak pada deteksi dini dan gangguan pendengaran. Sosialisasi berupa edukasi tentang deteksi dini dan gangguan pendengaran di era pandemi COVID-19 kepada tenaga medis garis depan yang diperlukan. Kegiatan edukasi tersebut bertujuan untuk meningkatkan pengetahuan dan keterampilan tenaga medis untuk melakukan deteksi dini dan penanganan gangguan pendengaran dalam pandemi COVID-19.METODE: Kondisi wabah COVID-19 juga telah mengubah pola interaksi manusia, termasuk kegiatan pendidikan dan pelatihan di bidang medis. Pendidikan online kini sudah menjadi praktik yang lumrah. Studi Penyanyi mengikuti kegiatan Metode edukasi DetEksi dini Dan Gangguan pendengaran di era Pandemi COVID-19.HASIL: Seminar dengan metode online ini dilaksanakan dengan ceramah dan tanya jawab (Tanya Jawab) yang diikuti oleh 1.4 84 peserta. Skor rata-rata dari tes awal adalah 55. 05 (+ 15,61) dan skor rata-rata post-tes adalah 72. 00 (+ 21,61). Perbandingan hasil kedua dengan uji-t memberikan hasil yang berbeda nyata (p <0,0 5 ).KESIMPULAN: Metode online dalam kegiatan pendidikan menunjukkan hasil yang signifikan dalam meningkatkan pengetahuan tenaga medis.

Factors Affecting Adverse Events Following SARS-CoV-2 Vaccine among Indonesian Ear, Nose, and Throat Specialist, and Residences Susyana Tamin; Jenny Bashiruddin; Indra Zachreini; Harim Priyono; Ika Dewi Mayangsari; Respati Ranakusuma; Natasha Supartono; Khoirul Anam; Anggina Diksita; Yussy Afriana Dewi; Sagung Rai Indrasari; Nyilo Purnami; Tengku Siti Hajar Haryuna; Juliandi Harahap; Eka Savitri; Tjandra Manukbua
eJournal Kedokteran Indonesia Vol. 10 No. 2 - Agustus 2022
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.10.165.129-37

This study’s objectives were to investigate factors affecting the adverse events of the COVID-19 vaccine in Indonesia among health care workers and compare adverse events following SARS-CoV-2 vaccine using CoronaVac as the first and second dose and Moderna used as the booster third dose. A cross-sectional study was conducted using the Self-reporting Online Survey Platform (Google Form) from August to October 2021. Subjects included in the study were ENT specialists and residents all over Indonesia who had been vaccinated with both doses of CoronaVac COVID-19 vaccine and Moderna COVID-19 vaccine as a booster dose. Among a total of 1394 participants, 51.2% and 43.7% of subjects experienced adverse events following the first and second dose of the CoronaVac vaccine. Adverse events are significantly higher following the third dose of Moderna vaccine (95.3%) with p-value <0.001, odds ratio (OR) 26.63 (95% CI 19.87-35.7). Adverse events following the CoronaVac vaccine were significantly higher in females and individuals with comorbidities in the first dose (p=0.002 and p=0.04), and the second dose (p=0.008 and p=0.042). Adverse events following the Moderna vaccine were significantly higher in females (p=0.01) and lower in individuals ≥40 years of age (p=0.017). Comorbidity status did not affect adverse events following the Moderna vaccine. Keywords: adverse events, SARS-CoV-2, COVID-19, vaccine, otorhinolaryngology. Faktor yang Mempengaruhi Efek Samping Vaksin SARS-CoV-2 terhadap Dokter Spesialis dan Residen Telinga, Hidung, dan Tenggorok di Indonesia Abstrak Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi efek samping vaksin COVID-19 di Indonesia pada petugas kesehatan dan membandingkan efek samping setelah vaksin SARS-CoV-2 menggunakan CoronaVac sebagai dosis pertama dan kedua dan Moderna sebagai booster dosis ketiga. Studi potong lintang dilakukan dengan menggunakan self-reporting survei online (Google Form) dari Agustus-Oktober 2021. Subjek yang termasuk dalam penelitian adalah dokter residen dan spesialis THT di Indonesia yang telah divaksinasi dengan kedua dosis vaksin CoronaVac COVID-19 dan vaksin Moderna COVID-19 sebagai dosis tambahan. Dari total 1394 peserta, 51,2% dan 43,7% subjek mengalami efek samping setelah dosis pertama dan kedua vaksin CoronaVac. Efek samping secara signifikan lebih tinggi setelah dosis ketiga vaksin Moderna (95,3%) dengan p-value <0,001, rasio odds (OR) 26,63 (95% CI 19,87-35,7). Efek samping setelah vaksin CoronaVac secara signifikan lebih tinggi pada wanita dan individu dengan penyakit penyerta pada dosis pertama (p=0,002 dan p=0,04), dan dosis kedua (p=0,008 dan p=0,042). Efek samping setelah vaksin Moderna secara signifikan lebih tinggi pada wanita (p=0,01), dan lebih rendah pada individu ≥ 40 tahun (p=0,017). Status komorbiditas tidak mempengaruhi efek samping setelah vaksin Moderna. Kata kunci: efek samping, SARS-CoV-2, COVID-19, vaksin, otorinolaringologi.

Correlation between Tinnitus Handicap Inventory Correlation between Tinnitus Handicap Inventory Nyilo Purnami; Sofia Tiarini; Nico Probosutejo; Budi Utomo; Makhmudyah Indri Cahyani
Oto Rhino Laryngologica Indonesiana Vol 52, No 2 (2022): VOLUME 52, NO. 2 JULY - DECEMBER 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i2.582

ABSTRACTBackground: Complaints of tinnitus sufferers are generally subjective, while there is no objective examination in establishing the diagnosis of tinnitus so far, so that a questionnaire is needed to help establish it. The limitations of objectively assessing tinnitus have led to self-report questionnaires as the best option for evaluating tinnitus symptoms and measuring the extent to which quality of life is negatively impacted. Objective: to compare the scores between the Indonesian Tinnitus Handicap Inventory (THI) and the Indonesian version of the 12-item Tinnitus Primary Function Questionnaire (TPFQ). Method: A descriptive analytic study with a cross sectional design, where both variables were observed at the same time. This research was conducted at the Neurotology Outpatient Unit (URJ) RSUD Dr. Soetomo Hospital, Surabaya from September 2019 to April 2020. Result: A total of 29 tinnitus patients who met the criteria were divided by age, gender, degree of hearing loss, THI score, THI severity, and TPFQ score. Conclusion: The results of the correlation test between the degree of hearing loss with THI-Indonesia and the degree of hearing loss with the Indonesian 12-item TPFQ showed no difference in the results, namely both were not correlated, so the Indonesian 12-items TPFQ was valid and reliable, and it could be used to shorten the assessment time of tinnitus sufferers in hectic outpatient clinics. ABSTRAKLatar belakang: Keluhan penderita tinitus umumnya bersifat subyektif, sedangkan sampai saat ini belum ada sarana pemeriksaan obyektif dalam menegakkan diagnosis tinitus, maka diperlukan kuesioner untuk membantu. Keterbatasan menilai tinitus secara obyektif telah menjadikan kuesioner mandiri (self-report) sebagai pilihan terbaik untuk mengevaluasi gejala tinitus dan mengukur sejauh mana kualitas hidup terkena dampak negatif. Tujuan: membandingkan skor antara Tinnitus Handicap Inventory (THI) Indonesia dengan Tinnitus Primary Function Questionnaire (TPFQ) 12-item versi Indonesia. Metode: Penelitian ini bersifat deskriptif analitik dengan desain potong lintang, dimana kedua variabel diamati dalam waktu yang bersamaan. Penelitian ini dilakukan di Unit Rawat Jalan (URJ) Neurotologi RSUD Dr. Soetomo pada bulan September 2019 sampai dengan April 2020. Hasil: Sebanyak 29 pasien tinitus yang memenuhi kriteria dibagi berdasarkan kategori usia, jenis kelamin, derajat gangguan pendengaran, skor THI, derajat keparahan THI, dan skor TPFQ. Kesimpulan: Hasil uji korelasi antara derajat gangguan pendengaran dengan THI-Indonesia maupun derajat gangguan pendengaran dengan TPFQ 12-item Indonesia menunjukkan tidak ada perbedaan hasil, yaitu sama-sama tidak berkorelasi, sehingga TPFQ 12-item Indonesia adalah valid dan handal dapat digunakan untuk mempersingkat penilaian penderita tinitus di klinik rawat jalan yang sibuk

Co-Authors A Ratna Kartika M, A Ratna Ahmad Suryawan Ahyandi, Syarif Syamsi Airina, Andi Alda, Rieza Rizqy Aldri Frinaldi Alfarika Rosmalia Alfian nurfaizi Alfian Nurfaizi Alfian Nurfaizi Aminuyati Anggina Diksita Anita Nuraini Aristya, Meutia Putri Artono Artono Artono, Artono Asmaradianti, Aryunidya Aulia Sakinah Awalia, Awalia Ayuning Tetirah Ramadhani Baiq Dwi Hadiatul Azni Belanny Dwi Desihartati Berliana Nur Azizah Bintang Napitupulu Brahmono, Aditya Budi Utomo Budi Utomo Cahyani, Makhmudyah Indri Chriscelia Valery So Chriscelia Valery So Cintya Dipta Crysciando Jefryco Putra Dewo Aksoro Eddy Bagus Wasito Edith Frederika, Edith Eka Savitri Eka Savitri Falerina, Rosa Fauzi Helmi Fikri Mirza Putranto Firdha, Azizah Amimathul Fis Citra Ariyanto Galih, Antonius Ghaus, Akbar Hamam, Kusumagani Haryuna, Tengku Siti Hajar Hendra Kurnia Rakhma Hendra Kurnia Rakhma I'tishom, Reny Ika Dewi Mayangsari Ilmi, Avida Marisa Inayasari, Syahwina Indira Syahraya Indra Zachreini Indra Zachreini Izzattisselim, Sabrina Jenny Bashiruddin Jenny Bashiruddin Juliandi Harahap Juliandi Harahap Kote Noordhianta Lelyana Sih Afgriyuspita Mahesya, Alvian Wahyu Mahrus A Rahman, Mahrus A Makhmudyah Indri Cahyani Makhmudyah Indri Cahyani Martono Martono Mayangsari, Ika Dewi Myrna Adianti Narottama, Kadek Rama Natasha Supartono Natasha Supartono Ni Made Adnya Suasti Nico Probosutejo Ninuk Dwi Ariningtyas Nugroho, Puguh Setyo Nuniek Nugraheni Nunuk Mardiana, Nunuk Nuraini, Anita Nuramalia, Lady Sherly Nurdiansyah, Achmad Fajar Putra Nurvita, Rani Nurwasis Nurwasis Paulus Liben, Paulus Perdana, Rizka Fathoni Prabowo, Gwenny Ichsan Pralampito, Fajrinka Priyono, Harim Probosutejo, Nico Pudji Lestari Puspa Wardhani Puspita, Dwi Indah Rahma, Safira Respati Ranakusuma Respati Ranakusuma Retno Handajani Risa Etika, Risa Rizka Fathoni Perdana Rizka Fathoni, Rizka Romdhoni, Achmad Chusnu Rosydiah Rahmawati, Rosydiah S.Pd. M Kes I Ketut Sudiana . Sabrina Izzattisselim Sagung Rai Indrasari Sagung Rai Indrasari Salsabila, Aisyah Nur Saputri, Faradila Budi Selfiyanti Bimantara Septriana, Maya Sholehen, Alif Sofia Tiarini Sri Herawati Sriati Sriati Suhariningsih Sulistiawati Sumarman Sumarman Surarso, Bakti Susyana Tamin Susyana Tamin Tiarini, Sofia Tjandra Manukbua Tjandra Manukbua Ummi Imamatal Muttaqin WINARTO Wungu, Citrawati Dyah Kencono Yoga Rahmadiyanto Yoga Rahmadiyanto Yoga Rahmadiyanto Yussy Afriana Dewi Yussy Afriana Dewi Zamrotu Iva Purwanti Zuhria, Ismi

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