A DESCRIPTION OF PERINATAL AS A RISK FACTOR OF CHILDREN’S SENSORINEURAL HEARING DISORDER IN OTOLARYNGOLOGY (ENT) POLYCLINIC OF ABDUL WAHAB HOSPITAL SJAHRANIE IN SAMARINDA

Sensorineural Hearing Disorder in children could give a significant impact on everyday life and would cause loneliness, isolation, and frustration on children. Perinatal risk factors are important to note because they could be detected from newborn and could be an indication for the baby to do the screening. The purpose of hearing screening in newborns is to find hearing loss as early as possible so that habilitation can be done immediately. The purpose of this study was to describe perinatal period as risk factors for Sensorineural Hearing Disorder in children. The subjects of this study were children who has done BERA examinations at the Otolaryngology (ENT) Polyclinic of Abdul Wahab Sjahranie Hospital in Samarinda from January 2017 – June 2019. The design of this study was observational descriptive with cross-sectional method. There were 65 children as sample which consisted of 39 (60%) boys and 26 (40%) girls. BERA examination age that was found in this study has not reached the optimal standard if it is referring to the JCIH standard with the most age group is 3 years old. 37 (56.9%) children suffered from Sensorineural Hearing Disorder. 27 (41.5%) children had perinatal risk factors. The most common risk factors was jaundice which the researchers found on 11 (16.9%) children. 20 (30.8%) children who have perinatal risk factors and Sensorineural Hearing Disorder with the most common risk factor is LBW are as many as 10 (15.4%). &nbsp

NILAI SENSITIVITAS, SPESIFISITAS, POSITIVE PREDICTIVE VALUE (PPV), DAN NEGATIVE PREDICTIVE VALUE (NPV) RAPID DIAGNOSTIC TEST (RDT) ANTIGEN PADA SKRINING PASIEN CORONA VIRUS DISEASE-19 (COVID-19) DI POLIKLINIK FAKULTAS KEDOKTERAN UNIVERSITAS MULAWARMAN, SAMARINDA

Coronavirus disease (covid-19) merupakan masalah kesehatan yang mendunia. Dikarenakan manifestasi klinis nya yang dapat mengancam jiwa, maka diperlukan diagnosa yang cepat dan tepat agar pasien segera mendapatkan penanganan yang sesuai. Pemeriksaan laboratorium terbaik saat ini untuk mendeteksi virus SARS-CoV-2 adalah pemeriksaan PCR, akan tetapi dikarenakan harganya yang relatif mahal bagi sebagian besar masyarakat Indonesia, maka di perlukan suatu tes yang lebih terjangkau dan dapat dijadikan sebagai alternatif, yaitu pemeriksaan Rapid Diagnostic Test Antigen (Ag-RDT). Angka sensitivitas, spesifisitas, positive predictive value (PPV), dan negative predictive value (NPV) merupakan hal yang penting dalam mempertimbangkan kemampuan suatu alat diagnostik yang baru. Peneltian ini merupakan uji diagnostik dengan pendekatan cross-sectional untuk mengetahui angka sensitivitas, spesifisitas, positive predictive value (PPV), dan negative predictive value (NPV) Ag-RDT di Poliklinik Fakultas Kedokteran Universitas Mulawarman Samarinda. Jumlah sampel yang memenuhi kriteria inklusi dan eksklusi adalah 100 sampel dengan teknik consecutive sampling. Hasil penelitian ini didapatkan sensitivitas 54,54%, spesifisitas 100%, positive predictive value (PPV) 100%, dan negative predictive value (NPV) 81,7%, sehingga dapat disimpulkan bahwa RDT-Antigen dapat digunakan sebagai alat diagnostik terutama bagi pasien bergejala, namun perlu di perhatikan bahwa RDT-Antigen bisa memberikan false negative, sehingga pasien bergejala dengan hasil antigen negatif disarankan untuk mengulangi pemeriksaan dengan alat yang lebih sensitif seperti PCR