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Siti Aminah
Departemen Neurologi FK Universitas Padjajaran/RSUP Dr. Hasan Sadikin, Bandung

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HUBUNGAN ANTARA NEUROLOGICAL SOFT SIGN DENGAN INTELLIGENCE QUOTIENT PADA ANAK USIA 8-9 TAHUN Lani Satiyani; Siti Aminah; Paulus Anam Ong
NEURONA Vol 35 No 4 (2018)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v35i4.28

Abstract

   ASSOCIATION BETWEEN NEUROLOGICAL SOFT SIGN AND IQ IN 8-9 YEARS OLDABSTRACTIntroduction: Neurological soft signs (NSS) are common findings in developing children and tend to disappear as the child grows up. Their persistence into later years correlate with motor and cognitive development disturbance.Aim: To examine the relationship between NSS and intelligence quotient (IQ) in 8-9 years old children in Bandung.Methods: This analytic observational case control study was conducted in elementary school children in Bandung from May to July 2017. The case group is defined as subject with NSS score ≥7, while controls are those with NSS score <7. Neurological soft signs was assessed with Gillberg method and IQ (original, full scale, performance, and performance) was assessed with Wechsler Intelligence Scale for Children (WISC)-III. Statistical analyses were performed to find the relationship between NSS and IQ score.Results: Sixty eight subjects, majority were male (61.76%) with median age 8.8 (8-9) years old took part in the study. Case group had lower mean score of IQ significantly. Subjects with higher NSS score had risk of having having lower full scale and performance IQ 4.94 and 11.20 times compared to subjects with lower NSS. There was an inverse correlation between NSS score and organizational IQ.Discussion: Subjects retaining neurological soft sign have the possibility of having lower IQ compared to subjects without NSS.Keyword: Children, intelligence quotient, neurological soft signABSTRAKPendahuluan: Neurological soft sign (NSS) sering ditemukan pada anak dalam masa tumbuh kembang dan menghilang dengan bertambahnya usia. Menetapnya NSS pada usia tertentu berhubungan dengan gangguan perkembangan motorik dan fungsi kognisi.Tujuan: Mengetahui hubungan antara NSS dengan nilai intelligence quotient (IQ) anak usia 8-9 tahun di kota Bandung.Metode: Penelitian observasi analitik dengan desain kasus kontrol pada anak sekolah dasar di kota Bandung pada bulan Mei sampai Juli 2017. Kelompok kasus adalah subjek dengan skor NSS ≥7, sedangkan kontrol adalah subjek dengan skor NSS <7. Pemeriksaan NSS menurut metode Gillberg, sedangkan kecerdasan anak berdasarkan IQ menggunakan Wechsler Intelligence Scale for Children (WISC)-III. Dilakukan uji statistik untuk mencari hubungan antara NSS dengan IQ.Hasil: Didapatkan 68 subjek yang mayoritas laki-laki (61,76%) dengan median usia 8,8 (8-9,9) tahun. Kelompok kasus memiliki nilai rerata IQ lebih rendah dibandingkan dengan kontrol secara bermakna. Subjek dengan skor NSS tinggi mempunyai kemungkinan sebesar 4,94 dan 11,20 kali untuk memiliki skor full scale IQ (FSIQ) dan performance IQ (PIQ) yang lebih rendah dibandingkan subjek dengan NSS rendah. Terdapat korelasi negatif yang bermakna antara skor NSS dengan organizational IQ (OIQ).Diskusi: Subjek dengan neurological soft sign yang menetap memiliki kemungkinan nilai IQ yang lebih rendah dari pada yang tanpa gejala NSS.Kata kunci: Anak, intelligence quotient, neurological soft sign 
PENGETAHUAN PESERTA PROGRAM PENDIDIKAN DOKTER SPESIALIS NEUROLOGI INDONESIA TENTANG SEMIOLOGI BANGKITAN EPILEPSI Suryani Gunadharma; Yovita Stevina; Anam Ong; Siti Aminah; Lisda Amalia; Uni Gamayani
NEURONA Vol 37 No 3 (2020)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v37i3.159

Abstract

Introduction: Seizure semiology is an effective method for syndrome diagnosis, especially when electroencephalogram (EEG) and brain magnetic resonance imaging (MRI) cannot provide sufficient information. Diagnosis of clinical epilepsy based on semiology required a comprehensive knowledge especially for neurology residentsandidate of neurology specialist. Aim: To assess the knowledge of Indonesian neurology resident about seizure semiology. Methods: This observational descriptive study was conducted from 4 choosen university in Indonesia from February to September 2019. Participants were neurology residents from 1st semester to 8th semester. Participants were asked to fill in that quetionnaire consist of 6 questions about the teaching of seizure semiology in their university. Five ictal videos were presented to be analyzed for semiology, lateralization, and localization. These videos were chosen by 3 epilepsy consultants from different universities. Results: The participants consist of 135 residents, 16 in the 1st semester, 21 in the 2nd, 18 in the 3rd, 14 in the 4th, 14 in the 5th, 15 in the 6th, 19 in the 7th, 18 in the 8th semester. Video semiology were already lectured from the 3rd semester in 66.7%-83%. Only 30.3% of semiology features from 5 videos can be recognized by the participants, semiology knowledge was improved from 2nd semester. An average of 55.6% participants could answer lateralization and 52% localization. Discussion: Neurology resident knowledge about seizure semiology is still insufficient, improvement and uniformity in teaching methodology of semiology is needed. Keywords: Indonesian neurology resident, knowledge, seizure semiology