Garuda - Garba Rujukan Digital

Skrining dan Edukasi Gangguan Pendengaran Pada Anak Sekolah Martini, Endang; Probandari, Ari; Pratiwi, Dewi; Universitas Sebelas Maret Surakarta, Sumardiyono -
IJMS - Indonesian Journal on Medical Science Vol 4, No 1 (2017): IJMS-2017
Publisher : IJMS - Indonesian Journal on Medical Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (543.74 KB)

Abstract: Hearing problems among children should be detected early because it will influence childâs speech ability development. Unlike the other disability, hearing disability in children is not clearly visible. Hearing disabilities in children can cause problems in language learning that then lead to disorders of social ability and emotional disorders. The purpose of this study was to describe the results of the examination of ear function among school children and to educate healthy behaviors in children. The research method used a descriptive observational study. Data of hearing loss was obtained by interviews. The screening of hearing lost was performed by Ear-Nose-Throat specialists. The subjects were elementary school children grade 1 in a public elementary school at Surakarta. The findings showed 80% of the students always perform diligent ear cleaning, 80% of them used cotton bud for ear cleaning, and 88% perceived none ear disorders. About 24% and 79% of the students had ear cerumen probe in the private and public elementary school respectively. The overall screening cerumen found in the ear canal by 33% of the total number of children examined. For education, the children followed a coloring contest image "clean and healthy living behavior".Keywords: Screening, Education, Hearing, School ChildrenÂ Abstrak: Gangguan fungsi pendengaran pada anak perlu dideteksi sedini mungkin mengingat peranan fungsi pendengaran sangat penting dalam proses perkembangan bicara. Berbeda dengan keadaan cacat tubuh yang lain, cacat dengar pada anak tidak terlihat dengan jelas. Cacat dengar pada anak dapat menyebabkan gangguan dalam berbahasa, baik untuk menerima maupun menyampaikan pesan yang selanjutnya mengakibatkan gangguan sosialisasi dan gangguan emosional. Tujuan penelitian ini untuk mendeskripsikan hasil pemeriksaan telinga pada anak-anak sekolah dan memberikan edukasi perilaku hidup bersih dan sehat pada anak-anak. Metode penelitian menggunakan jenis observasional deskriptif dengan penyajian data secara kuantitatif. Data skrining gangguan pendengaran diperoleh dengan wawancara, sedangkan penilaian kesehatan telinga dilakukan pemeriksaan serumen pada liang telinga yang dilakukan oleh dokter spesialis THT-KL. Subjek sasaran anak SD kelas 1 yang dilakukan pada satu sekolah dasar negeri dan satu sekolah dasar swasta di Surakarta. Hasil observasi menunjukkan bahwa 80% subjek rajin membersihkan telinga, alat yang digunakan untuk membersihkan telinga 80% menggunakan cotton bud, dan sebelum pemeriksaan dilakukan 88% menyatakan tidak merasa ada gangguan telinga. Hasil pemeriksaan serumen liang telinga pada anak di SD swasta ditemukan 24% ada serumen, sedangkan pada anak di SD negeri ditemukan 79% ada serumen. Sedangkan skrining secara keseluruhan ditemukan serumen pada liang telinga sebesar 33% dari total anak yang diperiksa. Untuk edukasi, anak-anak mengikuti lomba mewarnai gambar âperilaku hidup bersih dan sehatâ. Kata Kunci: Skrining, Edukasi, Gangguan Pendengaran, Anak Sekolah

TNF-α and TGF-β Contributes in Recurrent Otorrhea of Active Mucosal Chronic Otitis Media Dewi Pratiwi; Marisa Rizqiana; Adisetya Wicaksono; Defitaria Permatasari; Ratna Dwi Restuti; Tri Nugraha Susilawati; Sutarno Sutarno
The Indonesian Biomedical Journal Vol 14, No 1 (2022)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v14i1.1759

BACKGROUND: Active mucosal chronic otitis media (COM) is prevalent in lower-income countries and is associated with recurrent episodes of otorrhea due to chronic inflammation of the middle ear. Cytokines, which are well-known for their effects on the immune system, play an important role in the inflammatory response and tissue remodeling. The specific contributions of proinflammatory and immunoregulatory cytokines in the pathophysiology of active mucosal COM remain unclear. This study aimed to compare the levels of serum tumor necrosis factor (TNF)-α and transforming growth factor (TGF)-β in patients with active mucosal COM vs. healthy subjects.METHODS: Total 20 subjects with active mucosal COM and 20 healthy subjects participated in this study. The levels of serum TNF-α and TGF-β were measured using enzyme-linked immunosorbent assay (ELISA).RESULTS: The average level of serum TNF-α in subjects with active mucosal COM was significantly higher compare to the healthy subjects (46.373±41.76 pg/mL vs. 15.021±7.16 pg/mL; p=0.004). In contrast, the average level of serum TGF-β in subjects with active mucosal COM was lower compared to the healthy subjects, although the difference is not statistically significant (9.963±3.2 ng/mL vs. 11.78±8.48 ng/mL; p=0.552). Further analysis showed that in subjects with active mucosal COM, the levels of serum TNF-α had a medium positive correlation with the level of TGF-β (r=0.525; p=0.018).CONCLUSION: TNF-α and TGF-β, which are proinflammatory and immunoregulatory cytokines, may contribute to the pathogenesis of recurrent episodes of otorrhea in an active mucosal COM.KEYWORDS: tumor necrosis factor-α, transforming growth factor-β, active mucosal chronic otitis media

Hubungan asfiksia perinatal dengan gangguan fungsi sel rambut luar koklea Novi Primadewi; Dewi Pratiwi; Diah Hayustiningsih
Oto Rhino Laryngologica Indonesiana Vol 49 (2019): Volume 49, No. 2 July - December 2019
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v49i20.305

Latar belakang: Bayi baru lahir dengan asfiksia perinatal dapat mengalami gangguan fungsi sel rambut luar pada kokleanya. Tujuan: Mengetahui hubungan asfiksia perinatal dengan gangguan fungsi sel rambut luar koklea. Metode: Penelitian analitik observasional dengan desain Case control yang dilakukan di bagian perinatologi RSUD Dr. Moewardi Surakarta, RSUD Karanganyar, RSUD Wonogiri, dan RSUD Sukoharjo dengan waktu penelitian pada bulan Oktober 2014 – Januari 2015. Sampel penelitian dipilih dengan cara non probability sampling yaitu dengan teknik consecutive sampling, sebanyak 50 orang yang terdiri dari 25 kelompok kasus dan 25 kelompok kontrol. Diagnosis adanya gangguan fungsi sel rambut luar koklea ditegakkan dari hasil pemeriksaan fisik THT dan pemeriksaan Distortion Product Otoacoustic Emissions (DPOAE). Asfiksia perinatal dapat dilihat dengan menggunakan skor APGAR, sedangkan faktor risiko yang lain dapat dilihat dari catatan medis pasien. Analisis statistik menggunakan univariat, bivariat, dengan chi square dan multivariat dengan regresi logistik ganda model faktor risiko. Hasil: Dari 25 kelompok kasus dan 25 kelompok kontrol didapatkan hasil bahwa asfiksia perinatal merupakan faktor risiko yang berpengaruh terjadinya gangguan fungsi sel rambut luar koklea. Bayi baru lahir yang mempunyai gangguan fungsi sel rambut luar koklea dengan asfiksia perinatal mempunyai faktor risiko 29 kali lebih besar daripada bayi dengan bayi baru lahir tanpa gangguan fungsi sel rambut luar koklea, setelah mengontrol pengaruh dari faktor perancu hiperbilirubinemia dan berat badan lahir rendah. Hasil tersebut didapatkan bermakana secara statitistik (OR=29,614; CI – 95 % = 5,454 - 160,792; p<0,001). Kesimpulan: Terdapat hubungan antara asfiksia perinatal dengan gangguan fungsi sel rambut luar koklea. Background: Newborn with perinatal asphyxiae can occur disturbance of function outer hair cell in the cochlea. Objective: was to know the relationship between the degree of perinatal asphyxiae with impaired function of outer hair cell. Methods: The study was an analytic observational study with case control design, that took a place in perinatology department in Doctor Moewardi hospital Surakarta, General hospital in Karanganyar, General hospital in Wonogiri, General hospital in Sukoharjo. The study started from October 2014 until January 2015. The sample study were selected with consecutive sampling method, with total sample of 50 newborns which consist of 25 case group and 25 control group. Impaired function of outer hair cell has been diagnosed from ENT examination and examined with Distortion Product Otoacoustic Emissions (DPOAE). Perinatal asphyxiae were measured with APGAR score and the other risk factor were collected from the medical record of the patients. Data were analyzed with univariat, bivariat (chi square) and multivariat statistic with double logistic regression. Result: From 25 case group and 25 control group, were found that perinatal asphyxiae was the influence risk factor to the occurrence of impaired function of outer hair cell. Newborns have impaired function of outer hair cell with perinatal asphyxiae will have the risk of twenty nine times higher than newborns without perinatal asphyxiae, after controlling of confounding factors low birth weight, and hyperbilirubinemiae. The results was statistically significant. (OR = 29,614; CI – 95 % = 5,454 - 160,792; p < 0,001). Conclusion: There has corellated between perinatal asphyxiae and impaired function of outer hair cell.

Skrining dan Edukasi Gangguan Pendengaran Pada Anak Sekolah Endang Martini; Ari Probandari; Dewi Pratiwi; Sumardiyono - Universitas Sebelas Maret Surakarta
Indonesian Journal on Medical Science Vol 4 No 1 (2017): IJMS-2017
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Kesehatan Bhakti Mulial

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (543.74 KB)

Abstract: Hearing problems among children should be detected early because it will influence childâ€™s speech ability development. Unlike the other disability, hearing disability in children is not clearly visible. Hearing disabilities in children can cause problems in language learning that then lead to disorders of social ability and emotional disorders. The purpose of this study was to describe the results of the examination of ear function among school children and to educate healthy behaviors in children. The research method used a descriptive observational study. Data of hearing loss was obtained by interviews. The screening of hearing lost was performed by Ear-Nose-Throat specialists. The subjects were elementary school children grade 1 in a public elementary school at Surakarta. The findings showed 80% of the students always perform diligent ear cleaning, 80% of them used cotton bud for ear cleaning, and 88% perceived none ear disorders. About 24% and 79% of the students had ear cerumen probe in the private and public elementary school respectively. The overall screening cerumen found in the ear canal by 33% of the total number of children examined. For education, the children followed a coloring contest image "clean and healthy living behavior".Keywords: Screening, Education, Hearing, School ChildrenÂ Abstrak: Gangguan fungsi pendengaran pada anak perlu dideteksi sedini mungkin mengingat peranan fungsi pendengaran sangat penting dalam proses perkembangan bicara. Berbeda dengan keadaan cacat tubuh yang lain, cacat dengar pada anak tidak terlihat dengan jelas. Cacat dengar pada anak dapat menyebabkan gangguan dalam berbahasa, baik untuk menerima maupun menyampaikan pesan yang selanjutnya mengakibatkan gangguan sosialisasi dan gangguan emosional. Tujuan penelitian ini untuk mendeskripsikan hasil pemeriksaan telinga pada anak-anak sekolah dan memberikan edukasi perilaku hidup bersih dan sehat pada anak-anak. Metode penelitian menggunakan jenis observasional deskriptif dengan penyajian data secara kuantitatif. Data skrining gangguan pendengaran diperoleh dengan wawancara, sedangkan penilaian kesehatan telinga dilakukan pemeriksaan serumen pada liang telinga yang dilakukan oleh dokter spesialis THT-KL. Subjek sasaran anak SD kelas 1 yang dilakukan pada satu sekolah dasar negeri dan satu sekolah dasar swasta di Surakarta. Hasil observasi menunjukkan bahwa 80% subjek rajin membersihkan telinga, alat yang digunakan untuk membersihkan telinga 80% menggunakan cotton bud, dan sebelum pemeriksaan dilakukan 88% menyatakan tidak merasa ada gangguan telinga. Hasil pemeriksaan serumen liang telinga pada anak di SD swasta ditemukan 24% ada serumen, sedangkan pada anak di SD negeri ditemukan 79% ada serumen. Sedangkan skrining secara keseluruhan ditemukan serumen pada liang telinga sebesar 33% dari total anak yang diperiksa. Untuk edukasi, anak-anak mengikuti lomba mewarnai gambar â€œperilaku hidup bersih dan sehatâ€. Kata Kunci: Skrining, Edukasi, Gangguan Pendengaran, Anak Sekolah

Correlation between duration of chronic renal failure patients undergoing hemodialysis and sensorineural hearing loss Novi Primadewi; Dewi Pratiwi; Taufani Dewi
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

ABSTRACTBackground: Along with the increasing incidence of chronic renal failure patients receiving hemodialysis, recently, the incidence of sensorineural hearing loss (SNHL) among patients with end-stage kidney disease undergoing hemodialysis had also increased. The cochlea and kidney have many anatomical, physiological, pharmacological and pathological similarities. Dialysis sometimes causes worsening of hearing function. Objective: To determine the correlation between the duration of renal failure patients undergoing hemodialysis and the degree of sensorineural hearing loss. Method: A retrospective study using cross sectional method, conducted from August–September 2018. The study began by identifying patients with chronic renal failure and then continued with Oto Acoustic Emission (OAE) examination and pure tone audiometry. Result: The results of the Spearman rank statistical test for the correlation between duration of hemodialysis and the degree of SNHL in the right and left ears in patients with chronic renal failure found a significant positive correlation r= 0.498 and p=0.001 (right) , and r= 0.400 and p=0.006 (left). Conclusion: There was a significant correlation between the length of hemodialysis and the degree of sensorineural hearing loss. ABSTRAKLatar belakang: Seiring dengan peningkatan angka kejadian pasien gagal ginjal kronik yang mendapatkan hemodialisa, akhir-akhir ini didapati peningkatan angka kejadian Sensorineural Hearing Loss (SNHL) di antara pasien dengan penyakit ginjal stadium akhir yang menjalani hemodialisa. Koklea dan ginjal memiliki banyak kesamaan anatomis, fisiologis, farmakologis dan patologis. Dialisa terkadang menyebabkan memburuknya fungsi pendengaran. Tujuan: Untuk mengetahui hubungan lama pasien gagal ginjal yang menjalani hemodialisa dengan derajat gangguan pendengaran tuli sensorineural. Metode: Penelitian retrospektif dengan metode potong lintang, dilakukan dari Agustus-September 2018. Penelitian dimulai dengan mengidentifikasi pasien gagal ginjal kronik kemudian dilanjutkan dengan pemeriksaan tes Oto Acoustic Emission (OAE) dan audiometri nada murni. Hasil: Hasil uji statistik Spearman rank untuk korelasi lama hemodialisa dengan derajat SNHL telinga kanan dan kiri pada pasien gagal ginjal kronik didapatkan korelasi positif yang signifikan: r= 0,498 dan p=0,001 (kanan) dan r= 0,400 dan p=0,006 (kiri). Kesimpulan: Terdapat korelasi yang bermakna antara lama hemodialisis dengan derajat tuli sensorineural.

Hubungan asfiksia perinatal dengan gangguan fungsi sel rambut luar koklea Novi Primadewi; Dewi Pratiwi; Diah Hayustiningsih
Oto Rhino Laryngologica Indonesiana Vol. 49 (2019): Volume 49, No. 2 July - December 2019
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v49i20.305

Latar belakang: Bayi baru lahir dengan asfiksia perinatal dapat mengalami gangguan fungsi sel rambut luar pada kokleanya. Tujuan: Mengetahui hubungan asfiksia perinatal dengan gangguan fungsi sel rambut luar koklea. Metode: Penelitian analitik observasional dengan desain Case control yang dilakukan di bagian perinatologi RSUD Dr. Moewardi Surakarta, RSUD Karanganyar, RSUD Wonogiri, dan RSUD Sukoharjo dengan waktu penelitian pada bulan Oktober 2014 – Januari 2015. Sampel penelitian dipilih dengan cara non probability sampling yaitu dengan teknik consecutive sampling, sebanyak 50 orang yang terdiri dari 25 kelompok kasus dan 25 kelompok kontrol. Diagnosis adanya gangguan fungsi sel rambut luar koklea ditegakkan dari hasil pemeriksaan fisik THT dan pemeriksaan Distortion Product Otoacoustic Emissions (DPOAE). Asfiksia perinatal dapat dilihat dengan menggunakan skor APGAR, sedangkan faktor risiko yang lain dapat dilihat dari catatan medis pasien. Analisis statistik menggunakan univariat, bivariat, dengan chi square dan multivariat dengan regresi logistik ganda model faktor risiko. Hasil: Dari 25 kelompok kasus dan 25 kelompok kontrol didapatkan hasil bahwa asfiksia perinatal merupakan faktor risiko yang berpengaruh terjadinya gangguan fungsi sel rambut luar koklea. Bayi baru lahir yang mempunyai gangguan fungsi sel rambut luar koklea dengan asfiksia perinatal mempunyai faktor risiko 29 kali lebih besar daripada bayi dengan bayi baru lahir tanpa gangguan fungsi sel rambut luar koklea, setelah mengontrol pengaruh dari faktor perancu hiperbilirubinemia dan berat badan lahir rendah. Hasil tersebut didapatkan bermakana secara statitistik (OR=29,614; CI – 95 % = 5,454 - 160,792; p<0,001). Kesimpulan: Terdapat hubungan antara asfiksia perinatal dengan gangguan fungsi sel rambut luar koklea. Background: Newborn with perinatal asphyxiae can occur disturbance of function outer hair cell in the cochlea. Objective: was to know the relationship between the degree of perinatal asphyxiae with impaired function of outer hair cell. Methods: The study was an analytic observational study with case control design, that took a place in perinatology department in Doctor Moewardi hospital Surakarta, General hospital in Karanganyar, General hospital in Wonogiri, General hospital in Sukoharjo. The study started from October 2014 until January 2015. The sample study were selected with consecutive sampling method, with total sample of 50 newborns which consist of 25 case group and 25 control group. Impaired function of outer hair cell has been diagnosed from ENT examination and examined with Distortion Product Otoacoustic Emissions (DPOAE). Perinatal asphyxiae were measured with APGAR score and the other risk factor were collected from the medical record of the patients. Data were analyzed with univariat, bivariat (chi square) and multivariat statistic with double logistic regression. Result: From 25 case group and 25 control group, were found that perinatal asphyxiae was the influence risk factor to the occurrence of impaired function of outer hair cell. Newborns have impaired function of outer hair cell with perinatal asphyxiae will have the risk of twenty nine times higher than newborns without perinatal asphyxiae, after controlling of confounding factors low birth weight, and hyperbilirubinemiae. The results was statistically significant. (OR = 29,614; CI – 95 % = 5,454 - 160,792; p < 0,001). Conclusion: There has corellated between perinatal asphyxiae and impaired function of outer hair cell.

The Peran Inflamasi Pepsin dan IL-8 pada Otitis Media Supuratif Kronis Aktif dengan Refluks Laringofaringeal: Studi Cross-Sectional Danni Mahendra; Pratiwi Dewi; Hadi Sudrajad
Oto Rhino Laryngologica Indonesiana Vol. 56 No. 1 (2026): VOLUME 56, NO. 1 JANUARY - JUNE 2026
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v56i1.766

Background: Chronic suppurative otitis media (CSOM) is a chronic inflammatory condition of the middle ear, characterized by tympanic membrane perforation and persistent or recurrent ear discharge. The active phase of CSOM refers to a period of ongoing intense inflammation, marked by purulent exudate production, active infection, and heightened immune response. One of the contributing factors in CSOM pathogenesis is laryngopharyngeal reflux (LPR). Studies suggest that refluxed pepsin from LPR can reach the middle ear through the Eustachian tube, triggering local inflammation and exacerbating tissue damage during the active phase. Pepsin plays a role in upregulating pro-inflammatory cytokines, such as interleukin-8 (IL-8), thereby intensifying the inflammatory response and worsening CSOM symptoms in this stage. Purpose: To determine the correlation between pepsin and IL-8 levels in middle ear secretions of patients with active CSOM and LPR. Method: This cross-sectional study involved 32 patients with active CSOM and clinical signs of LPR. Middle ear secretions were analyzed for pepsin and IL-8 concentrations using enzyme-linked immunosorbent assay (ELISA). Pearson correlation was used to assess the relationship. Result: The study population was predominantly aged 36-45 years (28.12%) and female (59.4%). The mean pepsin concentration in middle ear secretions was 71.52±84.64 ng/mL, while the mean IL-8 level was 33.47±17.56 pg/mL. A strong and statistically significant positive correlation was observed between pepsin and IL-8 levels (r = 0.682; p = 0.001). Conclusion: Elevated pepsin levels due to LPR, strongly correlate with increased IL-8 expression, suggesting a reflux-mediated inflammatory mechanism in the pathogenesis of active CSOM.

Validity And Reliability Of Parents' Knowledge And Attitudes Toward Hearing Impairment In Children Questionnaire Adaptation In Bahasa Indonesia Annisa Nurul Khakimah; Dewi Pratiwi; Novi Primadewi
Eduvest - Journal of Universal Studies Vol. 6 No. 2 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i2.52312

Hearing impairment in children is a health issue that significantly affects communication abilities and social development. The role of parents is crucial in the early detection and intervention process, which is influenced by the level of knowledge and attitude toward the child’s condition. The research aim to evaluate the validity and reliability parents' knowledge and attitudes toward hearing impairment in children questionnaire adaptation in bahasa indonesia. In the context of the Deaf Family Solo Raya (DFSR) community. This research employed a descriptive quantitative approach with a cross-sectional design. The sample consisted of 30 parents who are members of the DFSR community. The instrument used was a questionnaire adapted from the 2007 Position Statement and studies by Kaspar et al. and Alsudays et al., comprising 25 items on knowledge and 6 items on attitude. Validity was tested using Pearson correlation, and reliability was assessed using Cronbach’s Alpha. The relationship between variables was analyzed using Pearson correlation with the assistance of SPSS version 26. All items on the knowledge and attitude variables were declared valid (p < 0.05) and reliable, with Cronbach’s Alpha values of 0.963 (knowledge) and 0.761 (attitude). A significant positive correlation was found between parental knowledge and attitudes toward childhood hearing loss (r = 0.761; p = 0.000). A high level of knowledge is closely associated with a positive attitude in addressing childhood hearing loss. This study recommends the importance of community-based educational and parental empowerment programs to support optimal early detection and intervention.

Title

Found 8 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 8 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 8 Documents
Search