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All Journal Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Majalah Kedokteran Sriwijaya Biomedical Journal of Indonesia SRIWIJAYA JOURNAL OF MEDICINE Oto Rhino Laryngologica Indonesiana Bioscientia Medicina : Journal of Biomedicine and Translational Research JK Unila (Jurnal Kedokteran Universitas Lampung) Archives of The Medicine and Case Reports Archives of The Medicine and Case Reports Bioscientia Medicina : Journal of Biomedicine and Translational Research
Puspa Zuleika, Puspa
Department Of Otorhinolaringology-Head And Neck Surgery, Faculty Of Medicine, Universitas Sriwijaya/Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Uji Reliabilitas Voice Handicap Index-30 Adaptasi Bahasa Indonesia dI RSUP Dr. Mohammad Hoesin Palembang Yanti, Lisa Apri; Ghanie, Abla; Zuleika, Puspa; Adelien, Adelien
Sriwijaya Journal of Medicine Vol. 2 No. 1 (2019): Sriwijaya Journal of Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (175.422 KB)

Abstract

Berbicara merupakan cara yang efektif untuk berkomunikasi. Adanya gangguan suara atau disfonia akan mengganggu proses komunikasi yang akan berdampak negatif terhadap kehidupan sosial. Voice Handicap Index (VHI) merupakan salah satu kuesioner untuk menilai persepsi suara dimana Agency of Healthcare Research and Quality pada tahun 2012 mengumumkan VHI sebagai diagnostik instrumen yang valid dan reliabel. Saat ini klinisi di Indonesia belum menggunakan alat ukur ini pada pasien dengan gangguan suara ataupun untuk evaluasi pascaterapi karena belum tersedianya instrumen yang sudah teruji reliabilitasnya dalam bahasa Indonesia. Penelitian ini bertujuan untuk mendapatkan VHI adaptasi bahasa Indonesia yang reliabel, mengetahui sebaran subjek gangguan suara berdasarkan demografi, pemeriksaan perseptual subjektif (GRBAS) dan laringoskopi indirek. Penelitian ini menggunakan rancangan potong lintang. Subjek diambil dengan teknik consecutive sampling hingga terpenuhi jumlah sampel 40 orang. Penelitian dilakukan di poliklinik THT-KL divisi Laring Faring RSMH pada bulan Juni-November 2018. Hasil uji reliabilitas VHI didapatkan skala fungsional, fisik, emosional maupun skor total memiliki nilai alpha lebih dari 0,7. Hal ini menunjukkan bahwa VHI adaptasi bahasa Indonesia reliabel untuk dijadikan suatu instrumen pemeriksaan. Nilai Cronbach-α tertinggi yaitu pada skala VHI total sebesar 0.884. VHI-30 adaptasi bahasa Indonesia reliabel sebagai instrumen penilaian kualitas hidup pasien gangguan suara.
Pemeriksaan Eosinofil Kerokan Mukosa Hidung pada Penderita Rinitis Alergi Adelien, Adelien; Zuleika, Puspa
Jurnal Kedokteran Universitas Lampung Vol 2, No 2 (2018): Jk Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v2i2.1953

Abstract

Rinitis alergi merupakan gangguan fungsi hidung yang terjadi setelah terjadi reaksi alergi yang diperantarai IgE. Rinitis alergi bukan suatu penyakit yang berat, namun dapat menurunkan kualitas hidup penderita. WHO-ARIA (Allergic Rhinitis and Its Impact on Asthma) menganjurkan tes tusuk kulit (TTK) sebagai pemeriksaan penunjang untuk menegakkan diagnosis, tetapi tidak semua sarana kesehatan memiliki fasilitas tersebut. Pemeriksaan penunjang lainnya yang dapat dilakukan untuk mendiagnosis rinitis alergi yaitu pemeriksaan eosinofil mukosa hidung. Pemeriksaan ini dapat dikerjakan di setiap sarana kesehatan dengan pewarnaan sederhana.Suatu penelitian serial kasus dilakukan pada 8 subyek tersangka rinitis alergi di poliklinik alergi Departemen THT-KL RSMH Palembang dan dlakukan pemeriksaan tes tusuk kulit dan eosinofil dari kerokan mukosa hidung. Sebanyak 7 subyek menunjukkan TTK positif, 5 subyek terdapat eosinofil pada mukosa hidung, 4 subyek positif terhadap kedua pemeriksaan. Hasil tersebut menunjukkan bahwa pemeriksaan eosinofil mukosa hidung mendukung suatu rinitis alergi, tetapi diperlukan penelitian lebih lanjut dengan sampel yang lebih banyak. Kata kunci:eosinofil kerokan mukosa hidung, rinitis alergi, tes tusuk kulit
Eosinophilic Esophagitis: Atopy Conditions of the Esophagus Zuleika, Puspa
Archives of The Medicine and Case Reports Vol. 2 No. 1 (2021): Archives of The Medicine and Case Reports
Publisher : Hanif Medisiana Publisher - Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v2i1.27

Abstract

Eosinophilic esophagitis is an immune-allergic pathology of multifactorial etiology (genetic and environmental) characterized by major symptoms of esophageal dysphagia and eosinophil-predominant inflammation of the esophageal mucosa that affects both pediatric and adult patients. EoE is an immune-mediated disease by which environmental and food antigens stimulate the Th2 inflammatory cascade. It is correlated with food allergy and atopy condition such as asthma, atopy dermatitis, rhinitis allergic and often in conjunction with Gastroesophageal Reflux Disease (GERD). Eosinophilic esophagitis (EoE) was first described in the 1990s, showing an increasing incidence and prevalence since then, in the United States is estimated to be approximately 57 per 100,000 persons being the leading cause of food impaction and the major cause of dysphagia. Its symptoms, which include heartburn, regurgitation, and esophageal stenosis. This symptomps similar to those of gastroesophageal reflux disease, causing delays in diagnosis and treatment. The endoscopic findings such as furrows, esophageal mucosa trachealization, and whitish exudates, this diagnosis should be confirmed histologically confirmed by biopsy on the presence of more than 15 eosinophils per high-power field and the exclusion of other causes of eosinophilia. Management includes medications, diet, and surgical dilatation.
Penatalaksanaan Enam Kasus Aspirasi Benda Asing Tajam di Saluran Trakheobronkial Puspa Zuleika; Abla Ghanie
JURNAL KEDOKTERAN DAN KESEHATAN Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

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Abstract

Latar Belakang: Aspirasi benda asing ialah masuknya benda yang berasal dari luar tubuh atau dari dalam tubuh yang dalam keadaan normal tidak ada ke saluran pernafasan. Aspirasi benda tajam di saluran trakheobronkial merupakan permasalahan yang cukup sering terjadi dan meningkat beberapa tahun terakhir seiring dengan peningkatan penggunaan  jarum   pentul, terutama pada wanita muda dan remaja perempuan. Aspirasi benda asing tajam  berpotensi menimbulkan komplikasi serius, seperti distress pernapasan akut, atelektasis, perdarahan, robekan dan infeksi paru, bahkan kematian. Diagnosis aspirasi benda asing tajam dapat ditegakkan melalui anamnesis berupa riwayat tersedak benda asing tajam dan didukung dengan pemeriksaan radiologi berupa gambaran radiopak dari benda asing tajam. Tujuan: Mempresentasikan serial kasus aspirasi benda asing tajam di saluran trakeobronkial. Kasus: Lima kasus aspirasi benda asing tajam jarum pentul dan satu kasus prolong aspirasi benda tajam paku payung plastik di saluran trakeobronkial,           Kesimpulan: Dilaporkan lima kasus aspirasi benda asing tajam jarum pentul dan satu kasus prolong aspirasi benda tajam paku payung plastik di saluran trakeobronkial, yang berhasil ditatalaksana dengan bronkoskopi kaku
Penatalaksanaan Tiga Kasus Miasis Hidung Puspa Zuleika
JURNAL KEDOKTERAN DAN KESEHATAN Vol 2, No 3 (2015)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

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Abstract

Latar belakang: Miasis atau belatungan hidung adalah infestasi larva lalat Diptera pada rongga hidung. Penyakit ini lebih sering dijumpai di negara-negara tropis, terutama pada masyarakat golongan sosio-ekonomi rendah. Di antara lalat penyebab miasis di dunia, lalat Chrysomya bezziana mempunyai nilai medis yang penting karena larvanya bersifat parasit obligat. Pengobatan miasis pada manusia dapat dilakukan secara lokal, sistemik maupun operatif. Tujuan: Mempresentasikan serial kasus miasis hidung di Rumah Sakit Mohammad Hoesin Palembang. Kasus: Tiga kasus miasis hidung pada perempuan berusia 56 tahun dan 9 tahun serta laki- laki berusia 42 tahun. Kesimpulan: Dilaporkan tiga kasus miasis hidung yang dilakukan penatalaksanaan berupa ektraksi larva dengan klem aligator, irigasi rongga hidung dengan H2O2 3% dilanjutkan dengan NaCl 0,9% dan betadine, ekstraksi eksplorasi dalam anastesi umum serta dengan pemberian antibiotik spektrum luas dan analgetik.
Prevalensi Rinosinusitis Kronik di RSUP Dr. Mohammad Hoesin Palembang Nurul Lintang Amelia; Puspa Zuleika; Denny Satria Utama
Majalah Kedokteran Sriwijaya Vol 49, No 2 (2017): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v49i2.8377

Abstract

Rinosinusitis kronik merupakan penyakit yang ditandai dengan peradangan pada mukosa hidung dan sinus paranasal dengan durasi minimal 12 minggu. Diagnosis rinosinusitis kronik dapat ditegakkan dari adanya dua atau lebih keluhan. Berdasarkan anatomi sinus paranasal, rinosinusitis dikelompokkan menjadi rinosinusitis maksila, rinosinustis etmoid, rinosinusitis frontal dan rinosinusitis sfenoid. Faktor-faktor yang dapat menjadi penyebab meliputi faktor penjamu baik sistemik maupun lokal dan faktor lingkungan. Komplikasi yang dapat terjadi yaitu kelainan orbita dan intrakranial, osteomielitis dan kelainan paru. Penelitian ini bertujuan mengetahui prevalensi rinosinusitis kronik di RSUP Dr. Mohammad Hoesin Palembang.Penelitian ini merupakan penelitian observasional deskriptif. Data didapatkan melalui semua rekam medis pasien yang didiagnosis rinosinusitis kronik pada periode 01 Januari 2015 sampai dengan 31 Desember 2015 di RSUP Dr. Mohammad Hoesin Palembang yang memenuhi kriteria inklusi diambil sebagai sampel penelitian. Dari 140 pasien rinosinusitis, didapatkan 73 pasien rinosinusitis kronik, paling banyak (58,9%) pada laki-laki dan pada kelompok usia 46 – 52 (19,2%). Riwayat penyakit keluarga rinitis alergi paling banyak ditemukan (26%). Jenis rinosinusitis terbanyak adalah rinosinusitis maksila (28,8%). Gejala mayor paling sering dikeluhkan (69,9%) adalah hidung tersumbat dan gejala minor paling sering dikeluhkan (87,7%) adalah sakit kepala. Komplikasi yang sering terjadi adalah kelainan orbita (9,6%).Rinosinusitis kronik banyak ditemukan di bagian T.H.T.K.L RSUP Dr. Mohammad Hoesin Palembang. Kasus pada laki-laki lebih banyak dibanding pada perempuan dan banyak ditemukan pada usia 46-52 tahun.Gejala mayor yang sering dikeluhkan adalah hidung tersumbat dan gejala minor yang sering dikeluhkan ada sakit kepala.
Eosinophilic Esophagitis: Atopy Conditions of the Esophagus Puspa Zuleika
Archives of The Medicine and Case Reports Vol. 2 No. 3 (2021): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v2i3.25

Abstract

Eosinophilic esophagitis is an immune-allergic pathology of multifactorial etiology(genetic and environmental) characterized by major symptoms of esophagealdysphagia and eosinophil-predominant inflammation of the esophageal mucosathat affects both pediatric and adult patients. EoE is an immune-mediated diseaseby which environmental and food antigens stimulate the Th2 inflammatorycascade. It is correlated with food allergy and atopy condition such as asthma, atopydermatitis, rhinitis allergic and often in conjunction with Gastroesophageal RefluxDisease (GERD). Eosinophilic esophagitis (EoE) was first described in the 1990s,showing an increasing incidence and prevalence since then, in the United States isestimated to be approximately 57 per 100,000 persons being the leading cause offood impaction and the major cause of dysphagia. Its symptoms, which includeheartburn, regurgitation, and esophageal stenosis. This symptomps similar to thoseof gastroesophageal reflux disease, causing delays in diagnosis and treatment. Theendoscopic findings such as furrows, esophageal mucosa trachealization, andwhitish exudates, this diagnosis should be confirmed histologically confirmed bybiopsy on the presence of more than 15 eosinophils per high-power field and theexclusion of other causes of eosinophilia. Management includes medications, diet,and surgical dilatation.
Characteristics Of Patient With Foreign Body Ingestion In Palembang Adelien; Abla Ghanie; Puspa Zuleika; Lisa Apri Yanti
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 1 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i1.156

Abstract

Introduction. Foreign body ingestion is a common diagnosis that presents in emergency departments—coins as the oesophagal foreign body most commonly found in infants and children. Coins retained in the oesophagus require intervention to prevent complications. This study aimed to determine oesophagal coin foreign body patient's characteristic at Mohammad Hoesin General Hospital Palembang. Method. This study design was retrospective descriptive. Samples were all patient diagnosed with oesophagal coin foreign bodies which underwent Extraction with esophagoscopy guidance that was performed at Mohammad Hoesin General Hospital Palembang during January 2013 – August 2017. Result. Forty-three patients had diagnosed with oesophageal coin foreign bodies consist of 22 males and 21 females. The most frequent age was 4fouryears old. The most presenting symptoms are Globus sensation on the throat (79%) and odynophagia (51,1%). Radiologist confirmation was done in every patient with foreign coin bodies in oesophagus. All patients underwent oesophagoscopy. 65,1% of cases of foreign coin bodies were found in the second constriction of throat. Duration of stay in hospital was the range from 1- 4 days, with the most frequent, was two days. There was no complication found in all patients. Conclusion. Oesophagal coin foreign body is most commonly ingested in children. The most presenting symptom is globus sensation on the throat. There is no complication found in this study.
Fiberoptic Endoscopic Examination of Swallowing (FEES) Evaluation in Post Stroke Patients Puspa Zuleika; Abla Ghanie; Adelien; Indriati Purwasari
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 4 No. 4 (2020): Bioscientia Medicina: Journal of Biomedicine and Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v4i4.157

Abstract

Introduction. Complications caused by post-stroke dysphagia increase the morbidity and mortality of patients. Although it has a significant effect on the functional abilities and worsening of the patient's prognosis, post-stroke dysphagia is still under-noticed and often undiagnosed. The importance of knowing the incidence of post-stroke dysphagia, not only to determine its relationship to the pathology of the disease but also to determine treatment plans or follow-up interventions. This study aims to determine the incidence of FEES findings in post-stroke dysphagia both hemorrhagic and non-hemorrhagic stroke. Methods. Forty post-stroke patients in the Inpatient and Outpatient Installation of the THTKL Section and the Neurology Section of Dr. Hospital. Mohammad Hoesin Palembang conducted a FEES examination to see leakage, residue, penetration, and aspiration after being given six different types of food boluses ranging from filter porridge, rice porridge, oatmeal, water, milk, and biscuits. The results of the assessment are recorded and analyzed descriptively. Results. From 40 research subjects found 25 people experiencing dysphagia, where subjects with non-hemorrhagic stroke types were 21 people (52.5%), while hemorrhagic stroke types were four people (10%). The occurrence of leakage of filter porridge was 5 findings, leakage of rice porridge was eight findings, oatmeal leakage, water, and milk were seven findings each, and biscuit leakage was two findings. The incidence of filtered pulp residues was 12 findings, rice porridge residues were 14 findings, oatmeal residues were 15 findings, water and milk residues were five findings each, and biscuit residues were eight findings. The incidence of penetration of filter porridge, rice porridge, and biscuits was one finding each, oatmeal penetration was not found, while water and milk penetration were six events each. The aspirations of filter porridge, rice porridge, oatmeal, and biscuits were not found, while water and milk aspirations were seven findings. Conclusion. The incidence of dysphagia in post-stroke patients both hemorrhagic and non-hemorrhagic in the Inpatient and Outpatient Installation of the THTKL Section and the Neurology Section of the Mohammad Hoesin Hospital Palembang Palembang is quite high at 62.5%. The occurrence of food residues is the most FEES findings. While aspirations are the fewest findings.
A Case of Whistle as Foreign Body in Trachea Puspa Zuleika
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 1 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v6i1.434

Abstract

Background. Most of foreign body aspiration cases are found in children under the age of fifteen. Pediatric patients often presents with non-food foreign body aspiration, such as toys. The most common clinical manifestation are history of choking following foreign object insertion into the mouth (85%), paroxysmal cough (59%), wheezing (57%) and airway obstruction (5%). Case presentation. Main principle of airway foreign body extraction is to do it immediately in the most optimal condition with slightest possible trauma. Rigid bronchoscopy is a suitable choice for tracheal foreign body extraction. We reported a case of seven years old male with tracheal foreign body presented with history of whistle ingestion five hours prior to admission. This patient was discharged from hospital after third days of rigid bronchoscopy procedure. Conclusion. History of foreign body aspiration in children should be suspected as a tracheobronchial foreign body. Rigid bronchoscopy is preferred to extract foreign bodies present in the trachea. The prognosis for tracheobronchial foreign body aspiration is good if the foreign body is treated early and without complications.
Co-Authors Abla Ghanie Abla Ghanie Abla Ghanie, Abla Adelien Adelien, Adelien Ahmad Hifni Denny Satria Utama Erial Bahar Erial Bahar Ermalinda Kurnia Fiona Widyasari Iche Andriyani Liberty Indriati Purwasari Irsan Saleh Krisna Murti Legiran Legiran Lisa Apri Yanti M Ricky Al Hafiz Sazili Mariance Melania Jalili Nurul Lintang Amelia Yanti, Lisa Apri Yanti, Lisa Apri