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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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NEWBORNS HEARING SCREENING WITH OTOACOUSTIC EMISSIONS AND AUDITORY BRAINSTEM RESPONSE Hamam, Kusumagani; Purnami, Nyilo
Journal of Community Medicine and Public Health Research Vol. 1 No. 1 (2020): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Hearing loss in newborns is a serious matter, if it is not quickly diagnosed and starts early intervention, a child will experience social, speech, language, cognitive, and academic impairments. There is a method of hearing screening in newborns, which is divided into two types, universal newborn hearing screening, and targeted newborn screening. Both of these methods use OAEs and ABR as objective examination tools. The hearing screening method varies in each country, this difference is based on the test equipment used, age, frequency, professionals involved in screening, referral procedures, funding, and coverage areas. Indonesia uses two stages of screening, while Italy, America, Nigeria, France, India, and Poland use two to five stages of screening. Hearing screening of newborns using OAEs and ABR has a sensitivity of 100% and specificity of 99,3%.

CASE REPORT: UNCONTROLLED HYPERTENSION CONTRIBUTES TO WORSENING OF PRESBYCUS SYMPTOMS IN THE ELDERLY Saputri, Faradila Budi; Firdha, Azizah Amimathul; Rahma, Safira; Alda, Rieza Rizqy; Inayasari, Syahwina; Purnami, Nyilo
Journal of Community Medicine and Public Health Research Vol. 1 No. 1 (2020): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Presbycusis is a disease that can befall the elderly, caused by a multifactorial process that should be allowed to disrupt communication and social life and cause mental disorders. According to WHO the proportion of the elderly population rises rapidly which is estimated in 2025, there are about 1,2 billion elderly people with a risk of presbycusis. Mr.S was 84 years old, married and had 2 children, complained of hearing loss since 10 years ago on the patient's left ear. The decline in hearing occurred gradually, giving the last 4 years after his wife's death. Patients was taken to Otorhinolaryngologist and expressed age-related hearing impairment and was advised to use hearing aids. Patients are not routinely using hearing aids. In addition, patients have hypertension and heart disease. Patients consumed Captopril 2x1 tablets, Fundifar 2x1, Furosemide 1x40 mg and Fargoxin 1x0.25 mg. Patients do not routinely consumed cardiac medicine and used hearing aids. From the results of heteroanamnesis, physical examination, and audiogram examination conducted in Mr.S patients, it can be concluded that Mr.S suffers from presbycusis with hypertensive and congestive heart failure. Mr.S was advised to routinely have their hearing check to Otorhinolaryngologist the as an evaluation and routine control to Cardiologist.

OBSERVATION OF THE BENEFITS OF EAR MASSAGE THERAPY SKILLS IN EAST JAVA Purnami, Nyilo; Suhariningsih, Suhariningsih; Adianti, Myrna; Septriana, Maya; Frederika, Edith; Puspita, Dwi Indah
Journal of Community Medicine and Public Health Research Vol. 1 No. 2 (2020): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

The high number of patients who come for ear therapy with massage skills, the P3T Center intends to carry out an observational screening of ear therapy. This screening aims to find out how the diagnostic method and application of ear therapy with massage skills and the benefits of ear therapy to overcome the problem of hearing loss (hearing impairment). This screening design uses an observational method in which the researcher makes observations and interviews with respondents. Data collection techniques were carried out by looking at the results of the examination of respondents' hearing tests and the results of interviews with respondents. Patient therapy results in 18 people (60%) no progress or the same as the original condition. this shows that therapy can be said to be ineffective in curing ear disorders. The results of the audiometry examination of the right and left ear stated that none of the patients was normal. Even though there are patients who claim to be able to hear loud sounds in the questionnaire, it is not supported by audiometry results. So it can be concluded that ear therapy with massage skills has no impact on patients suffering from hearing loss.

THE ROLE OF FAMILY INTERVENTION IN EARLY DETECTION OF CONGENITAL DEAFNESS: A CASE STUDY Sholehen, Alif; Pralampito, Fajrinka; Galih, Antonius; Ghaus, Akbar; Airina, Andi; Purnami, Nyilo
Journal of Community Medicine and Public Health Research Vol. 1 No. 2 (2020): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Congenital deafness is a hearing loss disorder that occurs at birth and is one of the disorders that can cause complications when it is not treated.1 Children with hearing loss will face difficulties such as poor development outcomes, including poor speech and language skills and face difficulties with cognition and social-emotional interactions. Early intervention has been proven to be one of the most important factors leading to good outcomes for children with congenital hearing loss.2 This case study is intended to highlight the importance of early case detections, early interventions and how family support plays a crucial role in the development of children with hearing loss. With the support of her family, Ms. DRP has gone through several speech and hearing therapies since her surgery and has proven to have an above-average linguistic abilities, showing that early problem detection does not hinder the development and achievement of children with congenital hearing loss.

EDUCATIONAL VIDEO AS EFFECTIVE COMMUNICATION ON FORMAL AND INFORMAL CAREGIVER TO ELDERLY : A DESCRIPTIVE STUDY Nurdiansyah, Achmad Fajar Putra; Ahyandi, Syarif Syamsi; Mahesya, Alvian Wahyu; Asmaradianti, Aryunidya; Ilmi, Avida Marisa; Aristya, Meutia Putri; Nurvita, Rani; Nuramalia, Lady Sherly; Narottama, Kadek Rama; Purnami, Nyilo; Lestari, Pudji
Journal of Community Medicine and Public Health Research Vol. 2 No. 2 (2021): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Presbycusis is a progressive hearing loss which occurs at the age of 65. Communication difficulties caused by these problems are usually not understood or understood by people with normal hearing functions. Therefore, the understanding of these problems must be improved so that there is no gap between people with normal hearing and people with low hearing. The research method used is a quantitative descriptive research design carried out in a number of elderly care foundations. The data we share is in the form of pre-test and post-test questionnaires to elderly caregivers with hearing loss in order to evaluate the caregiver's understanding of the educational video. There was an increase in the understanding of the caregivers about how to communicate effectively based on the comparison of the scores from the pre-test and post-test final scores carried out before and after the education was given. Providing education to caregivers with educational video media provides effective results in increasing caregiver knowledge in this field. The formal caregiver group has better results than the informal caregiver group at 77.7% on the pre-test by formal caregiver and an assessment of 65% on the pre-test by informal caregiver. In the post-test assessment, the formal caregiver got a score of 87.7% and for the informal caregiver it was 90%. There is an increase in the post-test scores of the two caregiver groups after providing education through video media.

ANALYSIS OF COMPLIANCE OF EAR PROTECTOR USAGE ON THE PREVENTION OF NOISE INDUCE HEARING LOSS AT STERILIZATION INSTALLATION Rahmawati, Rosydiah; Purnami, Nyilo; Cahyani, Makhmudyah Indri
Journal of Community Medicine and Public Health Research Vol. 2 No. 1 (2021): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Noise Induce Hearing Loss (NIHL) is a work disease that is often found in industrial workers. The use of ear protectors that are in accordance with the standard along with the continuity of optimal use can reduce the risk of hearing loss due to noise in the workplace. Adherence to use ear protectors greatly affect the possibility of a person experiencing a more severe hearing loss. The purpose of this study is to prove the existence of relationship of compliance with the use of ear protectors with hearing loss due to noise in the installation of sterilization and laundry. This study used cross sectional methods. Seventeen samples were taken by consecutive sampling for audiometry examination and measurement of compliance with the use of Ear Protective Equipment. Respondents received an average score of 1.86 indicating that compliance with the use of ear protectors was sufficient. Based on the results of the measurement of the auditory threshold in 17 respondents as many as 4 respondents (23%) normal hearing and as many as 13 respondents (77%) experienced NIHL. The results of statistical tests with Pearson correlation show that the Pearson correlation coefficient number of -0.643, which means that the correlation between compliance variables with noise due to noise is 0.643. Based on the criteria above, the relationship between the two variables is significant because the number of significance is P-value / Sig 0.005 <0.05. So, there is a relation between years of work with Noise Induce Hearing Loss, education and Noise Induce Hearing Loss, and compliance with the use of ear protectors with NIHL

Correlation between Tinnitus Handicap Inventory Correlation between Tinnitus Handicap Inventory Purnami, Nyilo; Tiarini, Sofia; Probosutejo, Nico; Utomo, Budi; Cahyani, Makhmudyah Indri
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

BIOFILM BACTERIA PLAYS A ROLE IN CSOM PATHOGENESIS AND HAS SIGNIFICANT CORRELATION WITH UNSAFE TYPE CSOM Artono, Artono; Purnami, Nyilo; Rahmawati, Rosydiah
Folia Medica Indonesiana Vol. 51 No. 4 (2015): Oktober - December 2015
Publisher : Universitas Airlangga

Chronic suppurative otitis media (CSOM) may cause severe morbidity and mortality and remains a major health problem worldwide. The incidence of CSOM in Indonesia (1994-1996) is estimated at about 8.36 million people and CSOM general prevalence is 3.8% (Helmi 2005). This study aims to prove the existence of bacterial biofilm in patients with safe type and hazard type CSOM from mastoidectomy. The design was observational analytic with cross sectional approach. This study was conducted at the Teratai Wards, IBP Dr. Soetomo Hospital, and Electron Microscopy Unit, Faculty of Medicine, Airlangga University Surabaya, from November 2013 to June 2014. Samples of pathological tissues were taken by consecutive sampling and bacterial biofilms examination was done by SEM. SEM results categorized the biofilm bacteria as positive or negative. Biofilm bacteria tested positive when it shows three-dimensional representation of bacteria with clear shapes and sizes and clusters, the formation of amorphous material consisting of glycocalyx material surrounding the bacteria, and surface attachment. Biofilm bacteria was regarded as negative when there is no bacterial cluster, glycocalyx and surface attachment. This study was performed on 33 CSOM patients. Samples were divided into unsafe type CSOM (17 patients) and safe type CSOM (16 patients). Positive biofilm bacteria was found in 12 patients with unsafe type (75%) and 6 patients with safe type (35.35%). Negative biofilm bacteria was found in 4 patients with the unsafe type (25%) and 11 patients with safe type (67.9%). Logistic regression analysis revealed p value = 0.027, indicating the biofilm bacteria have a significant correlation with unsafe type CSOM (p <0.05). In conclusion, biofilm bacteria plays a role in CSOM pathogenesis of biofilm bacteria has significant correlation with unsafe type CSOM.

CORRELATION OF HEARING IMPAIRMENT AND COMMUNICATION DISORDER AMONG GERIATRIC IN GERIATRIC CLINIC, DR. SOETOMO HOSPITAL SURABAYA Kartika M, A Ratna; Purnami, Nyilo; Liben, Paulus
Folia Medica Indonesiana Vol. 51 No. 4 (2015): Oktober - December 2015
Publisher : Universitas Airlangga

The objective of this study was to analyze correlation between hearing impairment and communication disorder among geriatrics in Geriatric Clinic, Dr. Soetomo Hospital. A randomized cross-sectional study design has been used in this study. Analysis was done by filling in some questionnaire and interview to some patients who were randomly selected according to predetermined condition. The data were collected and reviewed for the factors, which were assumed as risk factors of hearing disorder and life's quality deterioration. Statistical analysis was performed using Fisher's Exact Test using SPSS program version 17. Results showed correlation between hearing impairment and the quality of life and social communication (p=0.033, OR=6.11). However, there was no correlation between hearing impairment with diabetes mellitus (p=0.255), with hypertension (p=0.565), and noisy environment (p=0.689). In conclusion, the study showed that there is correlation between hearing impairment and communication disorder.

Cochlear Dysfunction after Kanamycin Injection in Multidrug Resistant Tuberculosis Patients Brahmono, Aditya; Purnami, Nyilo; Surarso, Bakti
Folia Medica Indonesiana Vol. 56 No. 3 (2020): September
Publisher : Universitas Airlangga

Background: Longterm exposure to aminoglycoside such as kanamycin to cochlear cells is known to be associated with damage to outer hair cells in the organ Cortiand type 1 sensory hair cells in the vestibular organs which ultimately causes permanent damage to hair cells. Hair cell damage occurs from the basal cochlea (high frequency area) to the apex cochlea (low frequency area) and followed by damage from the auditory nerve. Evaluation of cochlear dysfunction on multidrug resistant tuberculosis (MDR TB) patients have been rarelyreported in the literature based on distortion product otoacoustic emission (DPOAE).Objectives: To prove cochlear dysfunction after kanamycin injection in MDR TB patient based on DPOAE examination of the overall frequencies and specific frequency.Methods: An observational longitudinal analytic with pre and post design without control group conducted in the infection division of MDR TB Outpatients Pulmonology Department and Otorhinolaryngology Community division of ORL-HNS Department Dr. Soetomo general hospital Surabaya, within 3 months in 2018, 15 ear with the best baseline examination were taken by consecutive sampling and statistical analysis for cochlear dysfunction based on overall frequency and specific frequency DPOAE examination using Mc Nemar test.Results: Based on DPOAE examination of overall frequencies there was no cochlear dysfunction (p > 0.05) but a significant difference was found at frequency of 10,000 Hertz (Hz) (p = 0.002 ).Conclusion:On ototoxicity monitoring there was no cochlear dysfunction after 4 weeks Kanamycin injection but cochlear dysfunction occurs at a specific frequency of 10,000 Hz.

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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