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All Journal Oto Rhino Laryngologica Indonesiana AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Journal of Medical Science; Jurnal Ilmu Medis Rumah Sakit Umum Daerah dr. Zainoel Abidin, Banda Aceh Jurnal Penyakit Dalam Indonesia
Alia, Dina
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Karakteristik Pasien Rinitis Alergi dengan Hasil Uji Cukit Kulit Positif yang Berobat di Poliklinik THT-KL Rumah Sakit Umum Daerah Zainoel Abidin Banda Aceh T.R, T. Husni; Murzalina, Cut; Elvia, Elvia; Alia, Dina; Razali, Rezania; Annisa, Siti Nur; Putra, Teuku Romi Imansyah; Farhana, Rika
Jurnal Penyakit Dalam Indonesia Vol. 11, No. 2
Publisher : UI Scholars Hub

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Abstract

Introduction. Allergic rhinitis is an inflammatory disease mediated by IgE in the nasal mucosa, resulting from allergen sensitization and causing various clinical symptoms. The skin prick test is the primary diagnostic technique used to detect specific IgE antibodies against allergenic proteins and peptides. The incidence of allergic rhinitis in Indonesia ranges from approximately 1.5% to 12.4% and increases every year. This study aims to determine the characteristics of allergic rhinitis sufferers with positive skin prick test results who received treatment at the ENT outpatient service of Zainoel Abidin Regional General Hospital (RSUDZA) Banda Aceh from January 2019 to March 2020. Methods. This was a retrospective descriptive study with a cross-sectional design that utilized secondary data from patient medical records. The samples were collected using the total sampling technique, encompassing a total of 62 patients in this study. Results. This study revealed that allergic rhinitis sufferers with positive skin prick test results were predominantly in the age group 17-25 years (27.4%), female (69.4%), and from Banda Aceh (56.5%). Most of the rhinitis patients were students (41.9%), with the highest level of education being high school (43.5%). Allergic rhinitis is frequently caused by house dust mites (24.2%) as inhalant allergens and shrimp (26.3%) as ingested allergens. Most allergic rhinitis patients who visited complained most frequently of sneezing more than five times (26.3%). Conclusions. This study concluded that the characteristics of allergic rhinitis sufferers with positive skin prick test results in RSUDZA are predominantly in the late adolescent age group (17-25 years), female, with house dust mites and shrimp as the main allergens, and the most common clinical symptom is sneezing more than 5 times.
Financing hearing aids for patients with congenital deafness in Indonesia Zachreini, Indra; Bashiruddin, Jenny; Zizlavsky, Semiramis; Tamin, Susyana; Priyono, Harim; Mayangsari, Ika Dwi; Alviandi, Widayat; Supartono, Natasha; Soetjipto, Damayanti; Ranakusuma, Respati; Damayanti, Heditya; Alia, Dina; Hajar Haryuna, Tengku Siti; Harahap, Juliandi; Warto, Nirza; Fitria, Hidayatul
Oto Rhino Laryngologica Indonesiana Vol. 52 No. 1 (2022): VOLUME 52, NO. 1 JANUARY - JUNE 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i1.550

Abstract

ABSTRACTBackground: The appropriate management of patients with congenital deafness is installing hearing aids, either external hearing aids or implanted in the ear (cochlear implant), aiming to reduce the medical and social burden, besides improving the quality of life of the sufferers. Objective: To ascertain the cost of hearing aids in patients with congenital deafness, in the form of external hearing aids or cochlear implants. Method: A descriptive study with cross-sectional design using questionnaires through interviews. The sample size was 535 mothers whose children had congenital deafness at 24 hospitals with facilities for establishing a diagnosis of congenital deafness in 17 provinces in Indonesia. Result: Most respondents were aged 30-39 years (55%), occupations were housewives (71.8%), and education level was high school (52.5%). The type of hearing aid used mostly was external (92.7%), with 45.9% paid by personal expense. The surgically planted hearing aids in 22 children was mostly cochlear implants (95.5%), which were financed by the Indonesian Healthcare and Social Security Agency (BPJS) plus personal costs (50%). Discussion: This study found that the most common type of hearing aid used by children with hearing impairments was external hearing aids (92.7%) through independent financing (45.9%). Only 7.3% of patients chose surgery in hearing habilitation, and 95.5% were cochlear implants. The small percentage of surgery were due to the high-priced of cochlear implants, and the government did not cover all financial expenses. Conclusion: Most external hearing aids were paid independently-out-of-pocket, while cochlear implant surgeries were funded by BPJS, plus extra costs independently. ABSTRAKLatar belakang: Penatalaksanaan terbaik untuk penderita tuli kongenital adalah pemasangan alat bantu dengar (ABD), baik berupa ABD eksternal maupun ABD yang ditanam dalam telinga (implan koklea), dengan tujuan untuk mengurangi beban medis dan sosial, serta meningkatkan kualitas hidup penderita. Tujuan: Untuk mengetahui seberapa besar biaya pemasangan ABD pada penderita tuli kongenital, baik berupa ABD eksternal maupun implan koklea. Metode: Penelitian deskriptif dengan rancangan cross sectional study menggunakan kuesioner melalui wawancara. Besar sampel 535 ibu yang anaknya menderita tuli kongenital pada 24 rumah sakit yang memiliki fasilitas penegakkan diagnosis tuli kongenital di 17 provinsi di Indonesia. Hasil: Sebagian besar responden berusia 30-39 tahun (55%), pekerjaan terbanyak adalah ibu rumah tangga (71.8%), dan tingkat pendidikan SMA (52.5%). Jenis ABD yang terbanyak adalah ABD eksternal (92,7%) dengan pembiayaan secara mandiri 45,9%. Pemasangan ABD dengan tindakan operasi dilakukan pada 22 anak, yang terbanyak adalah implan koklea (95,5%) yang dibiayai oleh Badan Penyelenggara Jaminan Sosial (BPJS) ditambah dengan biaya sendiri (50%). Diskusi: Penelitian ini mendapati bahwa ABD yang terbanyak digunakan oleh anak dengan gangguan pendengaran adalah ABD eksternal (92,7%) dengan biaya mandiri (45,9%). Habilitasi pendengaran dengan tindakan operasi hanya dilakukan pada 7,3% pasien, berupa implantasi koklea 95,5%. Kecilnya persentase habilitasi bedah dikarenakan tingginya harga implant koklea, dan bantuan dari BPJS tidak meliputi keseluruhan biaya. Kesimpulan: Sebagian besar pembiayaan alat bantu dengar eksternal secara mandiri, sedangkan operasi implan koklea menggunakan biaya BPJS ditambah biaya sendiri.
Hubungan Faktor Risiko Tuli Kongenital Pada Anak Dengan Hasil Pemeriksaan Fungsi Pendengaran di RSUDZA Haroen, Elvia; Alia, Dina; Osman, Gilbran Ayyubi; Khalilullah
Journal of Medical Science Vol 4 No 2 (2023): Journal of Medical Science
Publisher : LITBANG RSUDZA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55572/jms.v4i2.89

Abstract

Berdasarkan data Riset Kesehatan Dasar (Riskesdas) 2018, prevalensi penyakit jantung koroner sebagai etiologi utama sindrom koroner akut (SKA) di Indonesia sebesar 1,5%. Sekitar 5,4% pasien dengan penyakit arteri koroner (PAD) dan 0,9% pasien dengan SKA didiagnosis dengan trombositopenia. Menurut American Heart Association (AHA)/American College of Cardiology Foundation (ACCF) dan European Society of Cardiology (ESC), pemberian dual antiplatelet therapy (DAPT) yang terdiri dari aspirin dan antagonis reseptor P2Y12 adalah komponen mendasar dari manajemen SKA. Selain itu, terapi definitif berupa intervensi koroner perkutan (IKP), harus disertai dengan kombinasi obat antiplatelet dan antikoagulan untuk mencegah pembentukan trombus di lokasi intervensi koroner. Studi melaporkan bahwa trombositopenia yang diinduksi agen antiplatelet berkorelasi dengan mortalitas dan komorbiditas jangka pendek dan jangka panjang yang lebih tinggi pada pasien dengan SKA. Pada pasien dengan SKA dan trombositopenia, manajemen terapi pemberian antiplatelet masih sulit untuk dipertimbangkan dan saat ini tidak ada pedoman rekomendasi atau laporan konsensus untuk memandu dokter tentang manajemen pada kelompok ini. Oleh karena itu, kami berusaha untuk menjelaskan dari berbagai macam studi literatur tentang penggunaan DAPT pada pasien SKA dengan trombositopenia.
The Relation Between Upper Respiratory Tract Infection (URTI) and Allergic Rhinitis with Acute Otitis Media in THT-KL Polyclinic RSUDZA Banda Aceh Azzahra, Irchi Amanda; Kurnia, Benny; Alia, Dina; Husnah; Nurjannah
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Volume 11 No.2 November 2025
Publisher : Fakultas Kedokteran Universitas Malikussaleh

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Abstract

Acute otitis media (AOM) is an inflammation of part or all of the middle ear mucosa, including the eustachian tube, mastoid antrum, and mastoid cells, occurring within less than three weeks, accompanied by local symptoms such as fever, pain, reduced hearing, and discharge. Several diseases that are risk factors for AOM include a history of upper respiratory tract infections (URTI) and allergic rhinitis. This study aims to determine the relationship between URTI and allergic rhinitis with AOM at the ENT-KL Polyclinic of RSUDZA Banda Aceh from January 2022 to December 2023. This observational analytical research employs a cross-sectional design. The study utilized medical record data with total sampling techniques, resulting in a sample size of 2.178 people. Data analysis was performed using the Chi-square test. The results indicated that 227 people (10,4%) experienced AOM, 448 people (20,6%) had URTI and 225 people (10,3%) had allergic rhinitis. The age characteristics of patients with the most ear disorders was 55-64 years, namely 409 people (18.8%), and the dominant gender was female, namely 1175 people (32.9%). The Chi-square test results for URTI and AOM showed a p-value of 0.033 (PR=1.35, 95% CI 1.02-1.79), indicating that there is a relationship between URTI and AOM. Similarly, the Chi-results for allergic rhinitis with AOM yielded a p-value of <0.001 (PR=2.26, 95% CI 1.69-3.02), suggesting a relationship between allergic rhinitis and AOM. It can be concluded that patients with URTI are approximately 1,35 times more likely to suffer from AOM, while patients with allergic rhinitis are about 2,26 times more likely to develop AOM.
Co-Authors Annisa, Siti Nur Azzahra, Irchi Amanda Damayanti, Heditya Elvia, Elvia Farhana, Rika Harahap, Juliandi Haroen, Elvia Haryuna, Tengku Siti Hajar Hidayatul Fitria Husnah Jenny Bashiruddin Khalilullah Kurnia, Benny Mayangsari, Ika Dwi Murzalina, Cut Nurjannah Osman, Gilbran Ayyubi Priyono, Harim Ranakusuma, Respati Razali, Rezania Soetjipto, Damayanti Supartono, Natasha T.R, T. Husni Tamin, Susyana Teuku Romi Imansyah Putra Warto, Nirza Widayat Alviandi Zachreini, Indra Zizlavsky, Semiramis