Latar belakang: Disfagia merupakan gangguan transportasi atau asupan makanan dari mulut ke perut. Disfagia berdampak buruk pada kualitas hidup. Tujuan penulisan laporan kasus ini adalah mengetahui perbaikan kualitas hidup pasien disfagia orofaringeal setelah dilakukan latihan menelanLaporan kasus: Dilaporkan seorang laki-laki usia 65 tahun dengan kesulitan menelan secara tiba-tiba. Pasien didiagnosis dengan disfagia orofaringeal et causa neurogenic (stroke), diprogramkan 8 kali terapi penelanan. Penilaian kualitas hidup dengan kuesioner Eating Assessment Tool (EAT-10) dilakukan sebelum dan setelah 4 kali terapi, didapatkan penurunan skor dari 39 menjadi 17.Pembahasan : Disfagia adalah kondisi umum yang sering mengikuti berbagai kelainan neurogenik. Rehabilitasi penelanan dengan menggunakan neuromuscular electrical stimulus (NMES) dan oromotor exercise. Stimulasi NMES bertujuan memperkuat otot-otot menelan dengan merangsang jalur sensorik yang relevan. Oromotor exercise dilakukan dengan compensatory postural, thermal tactile stimulation, sensory enhancement. Penilaian kualitas hidup terkait disfagia orofaring dapat menggambarkan yang dirasakan seseorang dan interpretasi persepsi berbagai tahap perawatan. EAT-10 sebagai alat penilaian diri yang valid dan solid.Kesimpulan :. Didapatkan perbaikan kualitas hidup pasien dengan disfagia orofaringeal et causa neurogenic setelah dilakukan 4 kali terapi.Kata kunci : Disfagia orofaringeal, kualitas hidup, terapi penelanan, EAT-10

Hearing loss in children may cause social isolation and poor communication skills, potentially affecting mental disorders and quality of life. Hearing aids (HA) provide auditory stimuli that can improve children's speech ability and influence their quality of life. A cross-sectional study in three special schools-B (SLB-B) in Semarang was carried out. A total of 82 children (7-12 years old) with severe hearing loss with or without hearing aids were included. Quality of life was assessed by the Hearing Environments and Reflection on Quality of Life (HEAR-QL) questionnaire. The results showed that 48 (58.54%) subjects used hearing aids, and 34 (41.46%) did not use hearing aids. The average subject's age was 10.77±1.56 years old. Hearing-aid use was associated with a good quality of life of children with hearing loss (p0.001). Good quality of life was found in 68.8% of children with hearing aids compared to only 2.9% in children without hearing aids. Duration of hearing-aid use (p0.001), mother education (p0.006) was associated with good quality of life of children, whereas gender (p=0.49), number of siblings (p=0.06), and socioeconomic status (p=0.63) were not. The quality of life of children who use hearing aids is better than without hearing aids.

Latar belakang: Penyakit ginjal kronis (PGK) adalah kerusakan ginjal atau penurunan laju filtrasi glomerulus (GFR) kurang dari 60 mL / min / 1,73 m2 paling sedikit 3 bulan. Pasien PGK memiliki resiko kejadian kurang pendengaran yang tinggi. Tujuan: Mengetahui gambaran audiogram anak dengan PGK yang menjalani hemodialisis. Metode : Diskriptif retrospektif  7 kasus PGK ada anak yang menjalani hemodialisis di RSUP Dr.Kariadi Semarang Juli 2017. Hasil : didapatkan 5 kasus(71,4%) kurang pendengaran sensorineural, 1 kasus (14,3%) kurang pendengaran campuran (MHL) dan 1 kasus (14,3%) normal. Derajat kurang pendengaran bervariasi dari derajat ringan sampai sangat berat. Kesimpulan: Kurang pendengaran sensorineural sebagian besar terjadi pada anak dengan PGK yang menjalani hemodialisis. Kata kunci : Audiogram, SNHL, PGK   Background: Chronic kidney disease (CKD) is kidney damage or a decrease in glomerular filtration rate (GFR) of less than 60 mL / min / 1.73 m2 for at least 3 months. Patients with CKD have a high risk of hearing loss. Objective: The aim of illustrate the audiogram on  children with chronic kidney disease undergoing hemodialysis. Methode : Descriptif retrospective to seven cases of children with chronic kidney disease who undergoing hemodialysis in Karyadi hospital juli 2017. Result : Five cases (71,4%) with sensorineural hearing loss. One case(14,3%) showed severe mix hearing loss, one cases(14,3%)  with normal audiogram. The degree of hearing loss  from mild to profound Conclusion: Sensorineural hearing loss may occur in the majority of children with CKD on hemodialysis   Keywords : Audiogram, SNHL, PGK