scholarly journals Profil Penderita Keterlambatan Bicara Dengan Pemeriksaan ASSR di TOA Jala Puspa Rumkital Dr. Ramelan Surabaya Tahun 2016 - 2017

2019 ◽  
Vol 16 (2) ◽  
pp. 161
Author(s):  
YOICE EMILIA GUNAWAN ◽  
PRIJANTI EKA POERWANTININGROEM
Keyword(s):  
Hearing Loss ◽  
Brain Disorders ◽  
Speech Delay ◽  
Medical Record Data ◽  
Profound Hearing Loss ◽  
Descriptive Research ◽  
Record Data ◽  
Articulation Disorders ◽  
History Of ◽  
Specific Disorders

<p><strong>Background</strong>: Speech and language delay is experienced by 5-8% of preschoolers and 17% of 5-year-olds. Delay in speech can be caused by hearing loss, brain disorders (such as mental retardation, receptive and / or expressive language-specific disorders), autism or disorders of the mouth organs that make it difficult for children to pronounce words (known as articulation disorders). The procedure for delay in speech depends on the cause, and also involves cooperation between pediatricians, other related specialists, speech therapists and of course parents.</p><p><strong>Aim</strong>: to investigate the profile of patients with speech delay with ASSR examination at TOA Jala Puspa RUMKITAL DR. RAMELAN Surabaya</p><p><strong>Research methods</strong>: This research is a descriptive research. 57 medical record data are recorded, checked for completeness, analyzed in descriptive form then presented in the form of diagrams and tables.</p><p><strong>Results</strong>: The average age of people with speech delay is 2.67 years. Most patients are male. The most prenatal history experienced by people with delayed speech is Rubella infection. The most history of Christmas is hyperbilirubinemia. Most postnatal history is autism. Hearing examination using ASSR mostly shows profound hearing loss.</p><p><strong>Keywords</strong>: Speech delay, ASSR, TOA Jala Puspa</p>

Antimicrobial Treatment of Acute Otitis Media

1994 ◽  
Vol 103 (5_suppl) ◽  
pp. 11-14 ◽  
Author(s):  
Daniel M. Canafax ◽  
G. Scott Giebink
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Antimicrobial Agents ◽  
Acute Otitis Media ◽  
Antimicrobial Treatment ◽  
Speech Delay ◽  
Significant Morbidity ◽  
Antimicrobial Drugs ◽  
Etiologic Role ◽  
History Of

Episodes of acute otitis media frequently occur in childhood and are attended by significant morbidity, such as hearing loss and possible speech delay. Bacteria play an important etiologic role in the pathogenesis of otitis media; therefore, antimicrobial agents are the cornerstone in the treatment of this disease. Many antimicrobial choices are available for treating children with acute otitis media. To choose an antimicrobial for each patient, consideration must be given to the patient's age, history of otitis media episodes, and responses to previously used antimicrobial drugs, and the regional antimicrobial susceptibility of the otitis media pathogens.

Transcranial direct current stimulation (tDCS), a treatment option for tinnitus in profound hearing loss

2021 ◽  
Vol 14 (5) ◽  
pp. e240300
Author(s):  
Harini Vasudevan ◽  
Hari Prakash Palaniswamy ◽  
Samir Kumar Praharaj
Keyword(s):  
Hearing Loss ◽  
Direct Current ◽  
Transcranial Direct Current Stimulation ◽  
Substantial Improvement ◽  
Profound Hearing Loss ◽  
Direct Current Stimulation ◽  
Sound Therapy ◽  
History Of ◽  
Sensory Neural ◽  
Sensory Neural Hearing Loss

A 45-year-old man presented with a history of sudden sensory neural hearing loss and severe tinnitus in his left ear. Audiological investigations revealed a profound hearing loss on his left ear and mild conductive hearing loss on his right. Tinnitus pitch and loudness were matched to a 4 kHz narrow-band noise at 50dBHL and subjective tinnitus questionnaires revealed that he had a catastrophic handicap (grade IV). Traditional audiological treatment approaches (tinnitus maskers, hearing aid and sound therapy) that stimulate the cochlea to induce cortical reorganisation were futile. Hence, a top-down approach (transcranial direct current stimulation (tDCS)) to directly modulate the cortical centres was attempted. tDCS was provided for a sum of 15 sessions across 2 phases. There was a substantial improvement in the tinnitus loudness, distress and depression scores which maintained for 3 months post-treatment. tDCS is a potential treatment for phantom perceptions (tinnitus) in cases of profound sensory neural hearing loss where there is no residual sensory ability. Tailor-made approaches seem to be more appropriate until a standard protocol for tDCS in tinnitus is established.

scholarly journals A study of brainstem evoked response audiometry in children with severe hearing loss

2019 ◽  
Vol 5 (3) ◽  
pp. 678
Author(s):  
Rakhi Kumari ◽  
Rajiv Kumar Jain ◽  
Dhananjay Kumar
Keyword(s):  
Risk Factors ◽  
Hearing Loss ◽  
Evoked Response ◽  
Profound Hearing Loss ◽  
Cross Sectional ◽  
Prolonged Stay ◽  
Severe Hearing Loss ◽  
Brainstem Evoked Response Audiometry ◽  
History Of ◽  
Evoked Response Audiometry

<p class="abstract"><strong>Background:</strong> Brainstem evoked response audiometry (BERA) is a non-invasive diagnostic tool which can be used to assess the early hearing loss. The objectives of the study were to find out the risk factors for severe hearing loss in children and to evaluate the role of BERA in early diagnosis of severe hearing loss in children.</p><p class="abstract"><strong>Methods:</strong> The present hospital based cross sectional study was conducted on 105 children suffering from severe hearing loss. Risk factors of hearing loss was assessed in these children and brainstem evoked response audiometry was performed.  </p><p class="abstract"><strong>Results:</strong> Out of 105 children studied risk factors for hearing loss were present in 69 cases (65.71%) in which several cases had multiple risk factors. History of prolonged stay at NICU was present in 23 cases (21.9%). 11 (10.5%) cases had suffered from meningitis while history of cerebral malaria was present in 2 cases (1.9%). History of cerebral palsy was present in 5.7% cases. The family history of hearing loss was present in 15 patients (14.3%). Bilateral severe hearing loss was present in 76 cases (72.4%) while in 13 cases (12.4%) there was bilateral severe to profound hearing loss assessed using BERA test.</p><p class="abstract"><strong>Conclusions:</strong> Early detection and timely intervention can not only help prevent this silent handicap of deafness but also contribute to social and economic productivity of a community.</p>

scholarly journals Gambaran Pasien Tuli Mendadak di Bagian THT-KL RSUP Dr. M. Djamil Padang

2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Hedo Hidayat ◽  
Yan Edward ◽  
Noza Hilbertina
Keyword(s):  
General Hospital ◽  
Clinical Symptoms ◽  
Sudden Deafness ◽  
Inclusion Criteria ◽  
Hearing Improvement ◽  
Medical Record Data ◽  
Early Management ◽  
Descriptive Research ◽  
Record Data ◽  
Diabetes Melitus

AbstrakTuli mendadak adalah penurunan pendengaran sensorineural yang berlangsung dalam waktu kurang dari 72 jam. Penyakit ini merupakan salah satu kegawatdaruratan neurotologi dan memerlukan penatalaksanaan dini untuk menghindari kecacatan yang dapat ditimbulkan. Tujuan penelitian ini adalah melihat gambaran kejadian tuli mendadak di Bagian THT-KL RSUP Dr. M.Djamil. Ini merupakan penelititan deskriptif retrospektif dengan menggunakan data rekam medik di RSUP Dr. M. Djamil Padang selama tahun 2010 sampai tahun 2013. Didapatkan hasil sebanyak 26 kasus yang masuk kriteria inklusi pada periode tersebut. Sebaran umur penderita dari 8 sampai 79 tahun, dengan distribusi terbanyak pada usia 40 – 60 tahun. Faktor resiko yang ditemukan berupa hipertensi dan diabetes melitus sama besar yaitu 11,54%. Gejala klinis terdiri atas tinitus (76,92%), diikuti vertigo (38,46%), dan rasa penuh di telinga (15,38%). Pasien terbanyak pada derajat ketulian sangat berat (38,46%), kemudian derajat sedang berat dan berat (23,08%), diikuti derajat ringan (11,54%) dan sedang (3,85%). Distribusi onset terapi terbanyak pada 0 – 7 hari (50,00%), kemudian onset > 14 hari (30,77%) dan onset 8 – 14 hari (19,23%). Perbaikan pendengaran ditemukan sama banyak pada kategori sangat baik dan baik sebanyak 6 kasus dan diikuti kategori sembuh satu kasus. Dari penelitian ini dapat dikatakan tidak hanya satu faktor yang menentukan perbaikan tuli mendadak.Kata kunci: tuli mendadak, retrospektif, gejala klinis1Mahasiswa FK Unand, 2Bagian Pulmonologi FK Unand, 3Bagian Patologi Anatomi FK UnandAbstractSudden deafness is a sensorineural hearing loss  in less than 72 hours. Sudden deafness is a neurotological emergency and requiring an early management to avoid the defects that can be caused. The objective of  this study was to see cases of sudden deafness in Dr. M. Djamil General Hospital. This was a descriptive research with retrospective design using medical record data in Dr. M. Djamil General Hospital in Padang during 2010 to 2013. From the research, 26 cases were obtained that can meet the inclusion criteria in the period. The age ranged from 8 to 79 years old, with most distributions at age 40-60 years old. Risk factors, hypertension and diabetes mellitus, were found equally 11,54%. Clinical symptoms consisted of tinnitus (76,92%), followed by vertigo (38,46%), and ear fullness (15,38%). Using grades of hearing impairment, most of patients were classified profound impairment (38,46%), then moderate and moderate severe impaitment (23,08%), followed by slight (11,54%) and moderate impairment (3,85%). Most therapeutic onset distribution is 0-7 days (50,00%), > 14 days onset (30,77%) and onset 8-14 days (19,23%). Hearing improvement was found equally in very good and good category (6 cases) and followed by recover category (1 case). It can be conclude that there were many factors can affect hearing improvement in sudden deafness case.Keywords: sudden deafness, retrospective, clinical symptoms

Cochlear implantation in a patient with profound hearing loss with the A1555G mitochondrial DNA mutation and no history of aminoglycoside exposure

2005 ◽  
Vol 120 (3) ◽  
pp. 230-232 ◽  
Author(s):  
S Arif Ulubil ◽  
Alexis D Furze ◽  
Simon I Angeli
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Cochlear Implantation ◽  
Sensorineural Hearing ◽  
Mtdna Mutation ◽  
Mitochondrial Dna Mutation ◽  
Profound Hearing Loss ◽  
Dna Mutation ◽  
A1555g Mutation ◽  
History Of

The A1555G mitochondrial deoxyribonucleic acid (mtDNA) point mutation has classically been associated with sensorineural hearing loss in patients following aminoglycoside exposure. More recently, the mutation has been implicated in sensorineural hearing loss in patients without previous aminoglycoside use. In addition, cochlear implantation has been shown to be effective in the group of patients with prior aminoglycoside exposure but, to date, no case of cochlear implantation in a patient with the A1555G mutation and no prior exposure to aminoglycosides has been explicitly described in the literature.We report the case of an 80-year-old woman with the A1555G mtDNA mutation, a 35-year history of bilateral progressive hearing loss and no history of aminoglycoside exposure who underwent successful implantation of a Nucleus 24 Contour device at our institution. Post-operatively, the patient exhibited marked improvement in tests of auditory performance.We conclude that cochlear implantation can be an effective method to restore some sense of hearing in patients with the A1555G mtDNA mutation and sensorineural hearing loss.

scholarly journals COMPARISON OF CLOPIDOGREL AND ACETOSAL IN THE PREVENTION OF RECCURENT ISCHEMIC STROKE AT DR. MOEWARDI REGIONAL GENERAL HOSPITAL

2017 ◽  
Vol 10 (10) ◽  
pp. 145
Author(s):  
Anis Dwi Kristiyowati ◽  
Retnosari Andrajati ◽  
Anton Bahtiar
Keyword(s):  
Ischemic Stroke ◽  
General Hospital ◽  
Medical Record ◽  
Medical Records ◽  
Recurrent Stroke ◽  
Control Group ◽  
Medical Record Data ◽  
Record Data ◽  
History Of ◽  
Almost All

  Objective: This study was conducted to determine the effect of clopidogrel on the prevention of recurrent stroke.Methods: This study used case–control study; data were taken from patient’s medical record of DR. Moewardi Regional General Hospital in the period of January 2013 – February 2017. Case group is a recurrent stroke patient receiving an acetosal or clopidogrel. The control group is a nonrecurrent stroke patient who receives an acetosal or clopidogrel.Results: During the period of study, the number of medical sample record data are 177 samples from the entire study subjects that met the inclusion and exclusion criteria, 50 medical records entered as subject of case study, 32 medical record samples was excluded because medical record data at the first stroke was gone (obselete), 35 medical record was excluded because medical record data at first stroke was not at of DR. Moewardi Regional General Hospital, 4 samples of medical records was excluded for using a combination of acetosal and clopidogrel, 55 samples of medical records as control subjects. Patients who use clopidogrel have a tendency to prevent recurrent stroke, but statistically not significantly different. This study shows that men tend to suffer more recurrent ischemic stroke (64.0%) than women. While in the control group of recurrent ischemic stroke of women (56.4%) more experienced the first stroke than men. Patients who had a stroke almost all had a history of hypertension (90.2%). Recurrent stroke patients in this study almost all had a history of hypertension. Bivariate analysis was showed that gender, history of diabetes mellitus (DM) and history of hypertension had an effect on recurrent stroke events. From the multivariate analysis, it was found that men had a risk of 2.328 for recurrent stroke (p=0.047), the history of DM had a risk of 3.975 times for recurrent stroke (p=0.016) and history of hypertension was 4.021 times for recurrent stroke (p=0.03)

scholarly journals Biotinidase deficiency and its impact on the auditory system in Iranian children

2020 ◽  
Author(s):  
Hossein Talebi ◽  
Omid Yaghini ◽  
Zahra Habibi
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Demographic Data ◽  
Positive Family History ◽  
Biotinidase Deficiency ◽  
Profound Hearing Loss ◽  
Bilateral Absence ◽  
Brainstem Response ◽  
History Of ◽  
Iranian Children

Background and Aim: Biotinidase deficiency (BTD) is a rare autosomal recessive abnormality of biotin metabolism. If left untreated, it may lead to auditory symptoms. In this study, we examined the possible relationship between BTD and hearing impairment among Iranian children. Methods: This descriptive cross-sectional study was performed on 9 children (8 boys, 1 girl) with BTD, who referred to Imam Hossein Hos­pital in Isfahan City, Iran, in 2018. After coll­ecting their demographic data, including age, gender, weight, height, and history of diseases, we performed routine otolaryngologic and neu­rologic examination, audiological examinations, including otoscopic, acoustic immittance mea­surements, and auditory brainstem response (ABR). We recorded cochlear microphonic res­ults in most cases, too. Results: The subjects’ mean ± SD age of BTD diagnosis was 4.33 ± 5.36 months. Of all par­ticipants, 11.1% had a positive family history of the disease, and 66.7% of families had the first-degree consanguineous marriage. About 44.5% of participants had a normal hearing; 22.2% had moderate sensorineural hearing loss, and 33.3% showed no response to ABR test. All subjects showed normal acoustic immittance results. However, children with profound hearing loss showed bilateral absence of acoustic reflexes. Conclusion: BTD has a high impact on a chi­ld’s hearing system. The high prevalence of hearing loss among BTD patients suggests that parents of BTD children (diagnosed at birth) should pay special attention to auditory scree­ning and follow-up programs, as early diagnosis is important for preventing hearing loss. Also, families with first-degree of consanguineous marriages should consider genetic counseling before having children.   Keywords: Biotinidase deficiency; hearing impairment; children  

scholarly journals Geographic and Racial Disparities in Infant Hearing Loss

2018 ◽  
Vol 159 (6) ◽  
pp. 1051-1057 ◽  
Author(s):  
Paul M. Lantos ◽  
Gabriela Maradiaga-Panayotti ◽  
Xavier Barber ◽  
Eileen Raynor ◽  
Debara Tucci ◽  
...  
Keyword(s):  
North Carolina ◽  
Hearing Loss ◽  
Retrospective Study ◽  
Rural Communities ◽  
Medical Record ◽  
Low Income ◽  
Bayesian Regression ◽  
Medical Record Data ◽  
Record Data ◽  
Geostatistical Models

Objective Approximately 1 to 2 of every 1000 American newborns has hearing loss identified by newborn screening. This study was designed to determine if infant hearing loss is more common in socioeconomically disadvantaged communities. Study Design In this retrospective study, we analyzed electronic medical record data using geostatistical models. Setting Infants were residents of Durham County, North Carolina, born in 2 hospitals of the Duke University Health System. This county includes the city of Durham and surrounding suburban and rural communities. Subjects and Methods Subjects were hearing-screened newborns, born between 2005 and 2016, whose residential address was in Durham County, North Carolina. This was a retrospective study using medical record data. We used Bayesian regression models with smoothing of coordinate date to identify both spatial and nonspatial predictors of infant hearing loss. Results We identified 19,348 infants from Durham County, of whom 675 had failed initial hearing screening and 191 had hearing loss confirmed on follow-up. Hearing loss was significantly associated with minority race (odds ratio [OR], 2.45; 95% confidence interval, 1.97-3.06), as well as lower gestational age and maternal sexually transmitted infections. We identified significant geographic heterogeneity, with a higher probability of hearing loss in poorer urban neighborhoods (local OR range, 0.59-1.39). Neighborhood disadvantage was a significant predictor of hearing loss, as was high local seroprevalence of cytomegalovirus (CMV) among pregnant women. Conclusions Urban, low-income neighborhoods have a high prevalence of infant hearing loss compared with more affluent surrounding communities, particularly among minorities. This distribution may be attributable to congenital CMV infection.

SOME CHARECTERISTIC EPIDEMIC OF HEARING LOSS CHILDREN UNDER 3 YEARS OLD IN NATIONAL CHILDREN HOSPITAL IN 2018-2019

2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Vu Dinh Thiem ◽  
Lai Thu Ha ◽  
Phan Huu Phuc
Keyword(s):  
Hearing Loss ◽  
Cochlear Implants ◽  
Hearing Aids ◽  
Language Therapy ◽  
Profound Hearing Loss ◽  
Cross Sectional ◽  
High Risk Factors ◽  
History Of ◽  
Children With Hearing Loss ◽  
Impaired Children

A cross-sectional descriptive study was conducted on a group of 461 hearing impaired children who were diagnosed and treated at the Audiology and Speech language therapy centre at the National Children Hospital from January 2018 to August 2019. The purpose of the study is to assess the distribution of children by age group, gender, degree of hearing loss, high risk factors of hearing loss, and status of intervention in this group of children. Data were taken by using questionnaires and analyzed using Stata software. The results showed in the study group, there were 281 boys and 180 girls. Children with profound hearing loss have the highest rate with 58.4%, followed by the severe (11,9%) and the moderate to severe (6,9%). ANSD accounts for 16.7%. The majority of children with hearing loss in both ears (90,5%), only 9,5% children with hearing loss in one ear. The most common age at which children with hearing loss are detected is 13-24 months (33,2%). Among ANSD children, 73,6% had a history of jaundice in the newborn period. Only 17,6% of children had hearing aids and 8,9% of children with severe to profound hearing loss had cochlear implants.

scholarly journals Karakteristik Penderita Penyakit Jantung Bawaan pada Anak di RSUP Dr. M. Djamil Padang Periode Januari 2010 – Mei 2012

2015 ◽  
Vol 4 (3) ◽  
Author(s):  
Nur Ain ◽  
Didik Hariyanto ◽  
Sovina Rusdan
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Failure To Thrive ◽  
Total Sample ◽  
Medical Record Data ◽  
Congenital Diseases ◽  
Descriptive Research ◽  
Record Data ◽  
Cause Of Deaths

Abstrak Penyakit jantung bawaan (PJB) merupakan defek lahir yang sering ditemukan dan merupakan penyebab kematian terbanyak dari semua jenis kelainan bawaan. Banyak penelitian yang menunjukkan bahwa adanya variasi secara geografik yang penting pada insiden PJB. Tujuan penelitian ini adalah untuk mengetahui variasi karakteristik dari penderita PJB anak di RSUP Dr. M. Djamil Padang. Jenis penelitian yang digunakan adalah penelitian deskriptif dengan melihat karakteristik penderita anak dengan PJB pada data rekam medik. Sampel penelitian ini adalah 55pasien anak yang menderita penyakit jantung bawaan di RSUP Dr. M. Djamil Padang dari Januari 2010 sampai Mei 2012. Mayoritas penderita adalah perempuan (61,8%), dan mayoritas umur sampel terdapat pada kelompok umur kurang dari 1 tahun (56.4%). Jenis PJB terbanyak adalah TF (21,8%) dan gejala yang paling sering dijumpai adalah sesak nafas (50,9%). Sebanyak (34,5%) penderita memiliki penyakit kongenital lain, dengan penyakit nonsindroma terbanyak adalah atresia ani dan omfalokel dengan masing-masing (22,2%) dan penyakit sindroma terbanyak adalahsindroma Down (40%). Gagal tumbuh terdapat pada (49,1%) penderita. Nilai Hb PJB sianotik lebih tinggi berbanding asianotik. Tingkat tindakan operatif kasus PJB anak di RSUP Dr. M. Djamil Padang adalah 1,8%. Terdapat variasi karakteristik dari penderita PJB yang ada di RSUP Dr. M. Djamil Padang.Kata kunci: penyakit jantung bawaan, anak, variasi karakteristik Abstract Congenital heart disease (CHD) is a common birth defect, and a leading cause of deaths linked to birth defects. Many studies show that the presence of significant geographic variation in the incidence of CHD. The objective of this study was to determine the variation of the characteristics of patients with CHD in Dr. M. Djamil Hospital Padang. This research is a descriptive research by observing at the characteristics of children with CHD using the medical record data. The total sample of this study was 55 children, which are suffering from CHD in Dr. M. Djamil Hospital Padang from January 2010 - May 2012. The results of this study showed that majority of the patients were female (61.8%), and the majority of samples are at the age group of less than 1 year (56.4%). The most common of CHD was Tetralogy of Fallot (21.8%), and shortness of breath was the highest (50.9%) symptom that had been found. A total of (34.5%)patients had another congenital diseases, the most common nonsyndromic disease are anus atresia and omfalocele (22.2%) respectively, and the most common syndromic disease is Down Syndrome (40%). Failure to thrive presents in 49.1% patients. The level of Hb in patient with cyanotic CHD is higher than the acyanotic CHD. The number of the surgery of CHD cases in children at Dr. M. Djamil Hospital Padang is 1.8%. There are variations in the characteristic of children with CHD in Dr. M. Djamil Hospital Padang. Keywords:  congenital heart disease, children, variation of characteristics

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