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All Journal Majalah Kedokteran Bandung Journal of Community Empowerment for Health Science Midwifery Ahmad Dahlan Medical Journal
Daniswara, Deoni
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Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Effect of Saline Nasal Irrigation in Patients with Sinonasal Symptoms Widuri, Asti; Fakhriani, Rizka; Daniswara, Deoni
Majalah Kedokteran Bandung Vol 56, No 3 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v56.3621

Abstract

Nasal irrigation with saline is frequently used as an alternative therapy for sinonasal diseases since it effectively reduces sinonasal symptoms and improves the quality of life when measured by various subjective instruments. The mechanisms of action of saline irrigation remain unclear, but some hypotheses attribute the direct physical cleansing of thick mucus, allergens, and pollutants. This study aimed to determine the effect of nasal saline irrigation on the nasal mucosa using the modified Lund-Kennedy endoscopic score as the objective evaluation. This pre-post-experimental study was conducted at PKU Muhammadiyah Gamping Hospital Yogyakarta, Indonesia, from May to June 2023. The study included 18 individuals presenting with sinonasal symptoms. Participants meeting the inclusion and exclusion criteria who provided informed consent were trained in nasal saline irrigation. Patients were assessed at baseline and one week after nasal saline irrigation using endoscopy, TNSS, and MCC time. Results revealed that the mean of endoscopic scores before and after saline irrigation were 6.89±1.1 and 5.33±1.4, respectively (p-value 0.006),  while the mean of TNSS scores before and after saline irrigation was 6.17±2.3 and 4.28±2.6, respectively (p-value 0.006). Thus, nasal saline irrigation significantly improves the endoscopy and TNSS scores, but not the MCC time.
Validity and reliability of the Indonesian knowledge, attitude, and practice of allergic rhinitis questionnaire Fakhriani, Rizka; Widuri, Asti; Amsriza, Fadli Robby; Daniswara, Deoni
Science Midwifery Vol 12 No 6 (2025): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i6.1837

Abstract

Allergic rhinitis (AR) is a typical chronic condition commonly affecting the upper airway. Allergic rhinitis is marked by nasal congestion, rhinorrhea, pruritus, sneezing, and postnasal drip syndrome (PND), which includes eye itching and erythema. This study aims to assess the validity and reliability of the Indonesian version of the knowledge, attitude, and practice (KAP) of the allergic rhinitis questionnaire. The study employed a cross-sectional design. The study included patients with allergic rhinitis who were 18 or older and visited the otorhinolaryngology clinic between January and February 2024. The questionnaire was generated and disseminated using a Google form, and the statistical analysis was performed with SPSS 22.0. The correlation coefficient (r) between all questions on the knowledge dimension was consistently high, ranging from 0.302 to 0.828. The items on the attitude dimension had a strong positive association with the total score, as seen by the high correlation coefficients (all r = 0.962). The practice dimension also exhibited high correlation coefficients, ranging from 0.273 to 0.810 in total score. The questionnaire's validity and reliability have been established, confirming that the Indonesian version is recommended for future studies.
Reconstruction of the auricular rupture: A case report of treatment of ear trauma Daniswara, Deoni; Widuri, Asti; Fakhriani , Rizka
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1909

Abstract

Auricular rupture is one of the most common ear defects caused by trauma on facial and head regions. Traffic accidents, accidents at home, fights, and human bites are common causes of ear injuries based on several epidemiological studies. In this study, we report a case of ear trauma auricular rupture, with appropriate treatment and the things to watch out for during treatment. A 19-year-old man came to the Emergency Department due to a traffic accident. The results of the vital signs examination were within normal limits, found an injury to the left auris; the wound penetrated the left auris from the Helix to the antihelix with a wound length of approximately 4 cm. Bleeding was controlled with a compression splint using gauze and ligature. The patient underwent elective surgery, which was successful and without complications. Ear trauma involves cartilage is a challenge to treat reconstruction for surgeons. The main treatment for auricular rupture is closure of the open cartilage, skin and prevent complications.
Early Tracheostomy in Adult Patient with Head Trauma: A Case Report Abdullah, Adnan; Arrifqi, Faiyana Nurul; Firmansyah, Rizky; Daniswara, Deoni
Ahmad Dahlan Medical Journal Vol. 6 No. 1 (2025): May 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i1.13239

Abstract

Traumatic brain injury (TBI) is a serious condition that can cause temporary or permanent physical, cognitive, and emotional impairments. Tracheostomy in TBI patients can help reduce airway resistance, improve secretion clearance, and support weaning from mechanical ventilation. Early tracheostomy (ET) may also reduce ICU stay, ventilation time, and long-term mortality. A 30-yearold female was referred after a motorbike accident without a helmet. She was unconscious, with a Glasgow Coma Scale (GCS) of E1V2M1. Vital signs: temperature 38.1°C, pulse 74/min, respiratory rate 25/min, blood pressure 84/47 mmHg. Eye examination revealed lagophthalmos, chemosis, and a corneal epithelial defect. Neurological findings included anisocoria (right pupil 5 mm, left 3 mm), with no response in cranial nerves III, IV, and VI. Reflexes were normal, and no neck stiffness was observed. CT scan showed subdural hematoma (SDH), subarachnoid hemorrhage (SAH), and intracerebral hemorrhage (ICH). The patient underwent tracheostomy, central venous catheter placement, craniotomy, decompression, and hematoma evacuation. The bleeding volume was 15 cc. She survived and regained consciousness (GCS compos mentis). This case highlights the potential benefit of early tracheostomy in severe TBI. While patients with more severe injuries may face delays due to instability, early intervention can support better outcomes and survival.
Laser tonsillectomy as a treatment on chronic tonsillitis: a case report Fakhriani, Rizka; Amsriza, Fadli Robby; Widuri, Asti; Daniswara, Deoni
Science Midwifery Vol 12 No 2 (2024): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i2.1546

Abstract

Tonsillectomy is one of the most often conducted surgical procedures in children. It has several surgical techniques, such as tonsillectomy with thermal welding, guillotine excision, electrocautery, cryosurgery, coblation, ultrasonic removal, laser removal, monopolar and bipolar surgery, and tonsillectomy with ligatures. This case report aims to present a detailed description of a 9-year-old boy who is suffering from tonsillitis. The patient came to the Ear, Nose, and Throat (ENT) clinic with a chronic history of reoccurring throat pain over the past two years, which has lately intensified over the past six months. Complaints are experienced nearly monthly, occasionally accompanied by pain while swallowing, coughing, and a runny nose. The patient experiences a laser-assisted surgical procedure to remove the tonsils. We performed a surgical procedure to excise the tonsil mass using a gallium aluminum arsenide (GaAlAs) diode laser with a wavelength of 980nm/1470nm and a power of 4 watts. This procedure was successfully performed. After laser tonsillectomy treatment on days 1-3, the Visual Analog Scale (VAS) score was 1, indicating no bleeding. On the fourth day, the patient had no pain or bleeding.
Education on maintaining ear and hearing health for medical students at Universitas Muhammadiyah Yogyakarta Daniswara, Deoni; Widuri, Asti; Fakhriani, Rizka; Abdullah, Adnan
Journal of Community Empowerment for Health Vol 7, No 3 (2024)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.95327

Abstract

Introduction: Maintaining ear health and hygiene is crucial as it directly influences one's auditory capabilities and overall quality of life. Previous research on university students states that almost all respondents (98%) do their ear cleaning routinely, which causes ear pain, ringing, and itching. According to WHO data, over 1 billion young individuals are susceptible to hearing loss due to exposure to noise or loud sounds. Therefore, the dedicated team provided education to students in the Medical Study Programme, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, on maintaining ear and hearing health to avoid hearing impairment.Methods: The participants of this community service consisted of 27 students. This community service program was carried out in January 2024. The methods used in implementing this program in detail included preparing a pretest, providing educational material on how to maintain ear and hearing health, and ending with posttest activities.Results: On average, Participants who participated in this community service activity were 18-20 years old. Of the participants, only 21 participated in the pretest session, and only 24 participated in the posttest session. The results of the analysis showed that there was a significant increase in knowledge (p=0.001) between before education and after education.Conclusions: In this study, medical students' knowledge level at Universitas Muhammadiyah Yogyakarta regarding how to maintain ear and hearing health still needs to be improved. Education on maintaining ear and hearing health proved significant in improving knowledge.
Awareness education on the prevention and control of upper respiratory tract infections in medical students of Universitas Muhammadiyah Yogyakarta Widuri, Asti; Daniswara, Deoni; Herdini, Camelia
Journal of Community Empowerment for Health Vol 7, No 3 (2024)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.95359

Abstract

Introduction: Respiratory tract infections are a subject of public health concern due to their widespread occurrence and significant rates of disease and mortality reported worldwide. Viruses trigger most of these respiratory infections, but bacteria also trigger some. Current measures in prevention efforts are to limit the spread of cases. Health education is crucial in preventing and managing infectious diseases. Given the provided background information, the Faculty of Medicine and Health Sciences service team Universitas Muhammadiyah Yogyakarta, conducted awareness education on preventing and controlling upper respiratory tract infections in medical students of Universitas Muhammadiyah Yogyakarta.Methods: The participants of this community service consisted of 49 students. This community service program was carried out in March 2024. The techniques used in implementing this program in detail are preparation before the implementation of community service, pretest, providing educational material on preventing and controlling upper respiratory tract infections and ending with posttest activities. The delivery of educational material was carried out with a PowerPoint presentation for 90 minutes. Results: This community service activity was attended by 49 participants, with the majority of respondents aged 21 years (51%) and females (61.2%). The analysis found a statistically significant increase in knowledge (p=0.000) between before and after education.Conclusion: In this study, education on preventing and managing upper respiratory tract infections proved significant in enhancing knowledge.
Co-Authors Abdullah, Adnan Amsriza, Fadli Robby Arrifqi, Faiyana Nurul Asti Widuri, Asti Camelia Herdini Fakhriani , Rizka Rizka Fakhriani Rizky Firmansyah