Peran tes dynamic visual acuity dan tes kalori dalam menilai gangguan keseimbangan pada pasien tuberkulosis yang mendapat terapi streptomisin = The role of dynamic visual acuity test and caloric test for asessing balance disorders in tuberculous patients after streptomycin therapy

Main Authors: Novra Widayanti, author, Add author: Jenny Bashiruddin, author, Add author: Widayat Alviandi, examiner, Add author: Saptawati Bardosono, examiner, Add author: Anna Uyainah ZN, examiner
Format: Bachelors
Terbitan: Fakultas Kedokteran Universitas Indonesia , 2015
Subjects:
Online Access: https://lib.ui.ac.id/detail?id=20404920
ctrlnum 20404920
fullrecord <?xml version="1.0"?> <dc schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"><type>Thesis:Bachelors</type><title>Peran tes dynamic visual acuity dan tes kalori dalam menilai gangguan keseimbangan pada pasien tuberkulosis yang mendapat terapi streptomisin = The role of dynamic visual acuity test and caloric test for asessing balance disorders in tuberculous patients after streptomycin therapy</title><creator>Novra Widayanti, author</creator><creator>Add author: Jenny Bashiruddin, author</creator><creator>Add author: Widayat Alviandi, examiner</creator><creator>Add author: Saptawati Bardosono, examiner</creator><creator>Add author: Anna Uyainah ZN, examiner</creator><publisher>Fakultas Kedokteran Universitas Indonesia</publisher><date>2015</date><subject>Tuberculous</subject><subject>Streptomycin</subject><description>Penelitian ini bertujuan untuk mengetahui peran tes dynamic visual acuity (DVA) dan tes kalori dalam menilai gangguan keseimbangan pada pasien tuberkulosis (TB) yang mendapat terapi streptomisin. Metode penelitian ini merupakan penelitian pra-eksperimental untuk mengetahui perubahan hasil pemeriksaan fungsi keseimbangan vestibuler pada satu kelompok pasien TB sebelum dan setelah 56 kali pemberian streptomisin atau bila timbul keluhan gangguan keseimbangan dengan tes DVA dan tes kalori. Digunakan rancangan uji diagnostik untuk membandingkan kedua carapengukuran setelah pengobatan. Setelah pemberian terapi didapatkan 31 (77,5%) dari 40 subyek mengeluhkan gangguan keseimbangan. Kelemahan fungsi vestibuler perifer bilateral sebanyak 6 (15%) subyek dengan pemeriksaan kalori dan 30 (75%) dengan pemeriksaan DVA. Rerata nilai kalori sebelum terapi sebesar 93,5 &#xB1; 32,07 &#xB0;/detik dan setelah terapi sebesar 82.30 &#xB1; 38,43 &#xB0;/detik, terjadi perubahan sebesar -11,25 &#xB1; 50,55 &#xB0;/detik.Median nilai kenaikan DVA sebelum terapi adalah 0 (minimal 0 ? maksimal 2) baris dan setelah terapi adalah 3 (minimal 0 - maksimal 6) baris, terjadi perubahan sebesar 3 (minimal 0-maksimal5) baris. Sensitivitas pemeriksaan DVA 83%, spesifisitas 27%, nilai duga positif 17%, nilai duga negatif 90%, rasio kemungkinan positif 1,13 dan rasio kemungkinan negatif 0,63 dengan pemeriksaan kalori sebagai baku emas.Pemeriksaan DVA dapat digunakan sebagai skrining pemeriksaan kelemahan vestibuler perifer bilateral pada pasien tuberkulosis yang mendapat terapi streptomisin. &lt;hr&gt; This study aimed to determine the role of dynamic visual acuity (DVA) and caloric test for assessing balance disorders in patients with tuberculosis (TB) which received streptomycin therapy. An pre-experimental study was used to determine changes in the vestibular function test results in a group of patients withTB before and after 56 times administration of streptomycin or when subjects complaint of balance disorders with DVA test and caloric test. We used diagnostic test designed to compare the two methods of measurement after treatment. After therapy there was 31 (77.5%) of 40 subjects who complained of balance disorder. The weakness of bilateral peripheral vestibular function was found in 6 (15%) subjects with caloric examination and in 30 (75%) with DVA examination. The mean value of caloric examination before therapy was 93.5 &#xB1; 32.07 &#xB0;/sec and after therapy was 82.30 &#xB1; 38.43 &#xB0;/sec, the change was -11.25 &#xB1; 50.55 &#xB0;/sec. The median value of increased DVA line before therapy was 0 (minimum 0 - maximum 2) line and after therapy was 3 (minimum 0 - maximum 6) line, there is a change of 3 (minimum 0 - maximum 5) line. DVA examination has sensitivity 83%, specificity 27%, positive predictive value 17%, negative predictive value90%, positive likelihood ratio1.13 and a negative likelihood ratio0.63 with caloric examination as the gold standard. DVA testing can be used as a screening tool in bilateral peripheral vestibular weakness in tuberculosis patients which received streptomycin therapy.</description><identifier>https://lib.ui.ac.id/detail?id=20404920</identifier><recordID>20404920</recordID></dc>
format Thesis:Bachelors
Thesis
author Novra Widayanti, author
Add author: Jenny Bashiruddin, author
Add author: Widayat Alviandi, examiner
Add author: Saptawati Bardosono, examiner
Add author: Anna Uyainah ZN, examiner
title Peran tes dynamic visual acuity dan tes kalori dalam menilai gangguan keseimbangan pada pasien tuberkulosis yang mendapat terapi streptomisin = The role of dynamic visual acuity test and caloric test for asessing balance disorders in tuberculous patients after streptomycin therapy
publisher Fakultas Kedokteran Universitas Indonesia
publishDate 2015
topic Tuberculous
Streptomycin
url https://lib.ui.ac.id/detail?id=20404920
contents Penelitian ini bertujuan untuk mengetahui peran tes dynamic visual acuity (DVA) dan tes kalori dalam menilai gangguan keseimbangan pada pasien tuberkulosis (TB) yang mendapat terapi streptomisin. Metode penelitian ini merupakan penelitian pra-eksperimental untuk mengetahui perubahan hasil pemeriksaan fungsi keseimbangan vestibuler pada satu kelompok pasien TB sebelum dan setelah 56 kali pemberian streptomisin atau bila timbul keluhan gangguan keseimbangan dengan tes DVA dan tes kalori. Digunakan rancangan uji diagnostik untuk membandingkan kedua carapengukuran setelah pengobatan. Setelah pemberian terapi didapatkan 31 (77,5%) dari 40 subyek mengeluhkan gangguan keseimbangan. Kelemahan fungsi vestibuler perifer bilateral sebanyak 6 (15%) subyek dengan pemeriksaan kalori dan 30 (75%) dengan pemeriksaan DVA. Rerata nilai kalori sebelum terapi sebesar 93,5 ± 32,07 °/detik dan setelah terapi sebesar 82.30 ± 38,43 °/detik, terjadi perubahan sebesar -11,25 ± 50,55 °/detik.Median nilai kenaikan DVA sebelum terapi adalah 0 (minimal 0 ? maksimal 2) baris dan setelah terapi adalah 3 (minimal 0 - maksimal 6) baris, terjadi perubahan sebesar 3 (minimal 0-maksimal5) baris. Sensitivitas pemeriksaan DVA 83%, spesifisitas 27%, nilai duga positif 17%, nilai duga negatif 90%, rasio kemungkinan positif 1,13 dan rasio kemungkinan negatif 0,63 dengan pemeriksaan kalori sebagai baku emas.Pemeriksaan DVA dapat digunakan sebagai skrining pemeriksaan kelemahan vestibuler perifer bilateral pada pasien tuberkulosis yang mendapat terapi streptomisin. <hr> This study aimed to determine the role of dynamic visual acuity (DVA) and caloric test for assessing balance disorders in patients with tuberculosis (TB) which received streptomycin therapy. An pre-experimental study was used to determine changes in the vestibular function test results in a group of patients withTB before and after 56 times administration of streptomycin or when subjects complaint of balance disorders with DVA test and caloric test. We used diagnostic test designed to compare the two methods of measurement after treatment. After therapy there was 31 (77.5%) of 40 subjects who complained of balance disorder. The weakness of bilateral peripheral vestibular function was found in 6 (15%) subjects with caloric examination and in 30 (75%) with DVA examination. The mean value of caloric examination before therapy was 93.5 ± 32.07 °/sec and after therapy was 82.30 ± 38.43 °/sec, the change was -11.25 ± 50.55 °/sec. The median value of increased DVA line before therapy was 0 (minimum 0 - maximum 2) line and after therapy was 3 (minimum 0 - maximum 6) line, there is a change of 3 (minimum 0 - maximum 5) line. DVA examination has sensitivity 83%, specificity 27%, positive predictive value 17%, negative predictive value90%, positive likelihood ratio1.13 and a negative likelihood ratio0.63 with caloric examination as the gold standard. DVA testing can be used as a screening tool in bilateral peripheral vestibular weakness in tuberculosis patients which received streptomycin therapy.
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