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Meryana*, A. Kurnia Bintang**, Muh. Akbar**, Susi Aulina**, Yudy Goysal**, Arifin Limoa***
Neurona Majalah Kedokteran Neuro Sains
Astronomy Biochemistry, Genetics & Molecular Biology Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Electrical & Electronics Engineering Environmental Science Health Professions Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Neuroscience Nursing Physics Public Health Other

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VALIDITAS MICHIGAN NEUROPATHY SCREENING INSTRUMENT VERSI BAHASA INDONESIA DALAM MENDETEKSI POLINEUROPATI DISTAL SIMETRIS DIABETIKA Bintang, Andi Kurnia; Aulina, Susi; Goysal, Yudy; Amran, Muhammad Yunus; Hamid, Firdaus; Setiawan, Denise Dewanto
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 3 (2024): Volume 40, No 3 - Juni 2024
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i3.436

Abstract

Introduction: Distal Symmetric Polyneuropathy (DSPN) is the most common neuropathy subtype found in Diabetes Mellitus (DM) patients. Early screening is important to prevent complications. Michigan Neuropathy Screening Instrument (MNSI) was created in 1994 as an alternative screening tool for diabetic neuropathy. This instrument has not been validated in Indonesia. Aim: Assess validity and reliability of Indonesian version of MNSI in detecting diabetic DSPN. Methods: This cross-sectional study was done in Wahidin Sudirohusodo hospital, Makassar in December 2021-June 2022. Indonesian version of MNSI and Nerve Conduction Studies (NCS) was applied to subjects. Statistics were performed with Statistical Package for the Social Sciences (SPSS) version 25. Study protocol was approved by Health Research Ethics Committee, Faculty of Medicine, Hasanuddin University. Results: 102 subjects were eligible and divided into DM with DSPN (n=60) and DM without DSPN (n=42). Significant differences were found in age, body mass index, duration of DM diagnosis, treatment, HbA1c, Indonesian version of MNSI part B, and all NCS parameters (p<0,05). Area Under Curve (AUC) of part B was bigger than A (0,942 vs 0,606). Cut-off >=2,5 of part B had sensitivity, specificity, Positive Predictive Value (PPV), and Negative Predictive Value (NPV) of 95,0%, 90,5%, 93,4%, and 92,7%, respectively. Discussion: Cut-off >=2,5 for Indonesian version of MNSI part B was considered optimal. EMNG was recommended for DM patients with part B score >=2,5. Conclusion: Indonesian version of MNSI is a valid and reliable instrument to detect DSPN in Indonesian population. Keywords: diabetic neuropathy, DSPN, Indonesia, MNSI
Validity Test of an Alternative Method of Quantitative Pain Assessment (MAPKN) in Assessing Intensity of Nociceptive Pain, Mixed Pain, and Neuropathic Pain Gafur, Rahmi; Susi Aulina; Wuysang, Audry Devisanty; Idris, Irfan; Bahar, Ashari; Hammado, Nurussyariah; Amran, Muhammad Yunus
Journal of Applied Science, Engineering, Technology, and Education Vol. 5 No. 2 (2023)
Publisher : PT Mattawang Mediatama Solution

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35877/454RI.asci1793

Abstract

Pain is a health problem phenomenon that most often brings patients to see a doctor. Pain intensity is the most often domain which assessed in clinical and research settings. Loeser suggests that four elements need to be considered when evaluating patients with pain. Based on the biopsychosocial approach and the concept of pain from Loeser, a pain assessment was made and called "Alternative Method of Quantitative Pain Assessment (MAPKN)". This study was conducted on 415 pain patients consisting of 163 nociceptive pain, 119 mixed pain, and 133 neuropathic pain. In the nociceptive pain group, MAPKN showed sensitivity 92.59%, specificity 96.43%, AUC 0,959 and a p value <0.001. In the mixed pain group, MAPKN showed sensitivity 98.17%, specificity 80.00%, AUC 0,836 and a p -value of 0.001. In the neuropathic pain group, MAPKN showed sensitivity 92.06%, specificity of 85.71%, AUC 0,951 and a p<0.001. The AUC value of 0.959 (96%) indicates that the diagnostic value of the MAPKN score in assessing pain intensity in the nociceptive pain group is excellent (>90%-100%). AUC value of 0.836 (83%) indicates that the diagnostic value of the MAPKN score in assessing pain intensity in the mixed pain group is good (> 80%-90%). The AUC value of 0.951 (95%) indicates that the diagnostic value of the MAPKN score in assessing pain intensity in the neuropathic pain group is excellent (>90%-100%). This is in accordance with research conducted by Eka Pranata 2004 that MAPKN has strong discriminant validity in assessing pain intensity. MAPKN is valid and has excellent diagnostic value in assessing nociceptive and neuropathic pain intensity, MAPKN is valid and has good diagnostic value in assessing mixed pain intensity.
Comparison of Giving Mecobalamin Supplements to Improve the Severity of Painful Diabetic Neuropathy Irsyadat, Andi Muhammad; Aulina, Susi; Goysal, Yudy; Zainuddin, Andi Alfian; Lotisna, Mimi; Amran, Muhammad Yunus
Jurnal Ilmiah Kesehatan (JIKA) Vol. 6 No. 3 (2024): Volume 6 Nomor 3 Desember 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v6i3.874

Abstract

Diabetic Painful Neuropathy (DPN) is caused by the progressive loss of nerve fibers due to hyperglycemia, oxidative stress, andhomocysteinemia. Mecobalamin supplementation has shown potential in improving peripheral neuropathy symptoms by enhancing nerve conduction and alleviating neuropathic pain. However, its efficacy data remains limited. This research to investigated the effect of mecobalamin supplementation on the severity of Painful Diabetic Neuropathy in type 2 diabetes mellitus patients. This research is a non-randomized clinical trial, 16 patients were given 500 ?g of intramuscular Mecobalamin 8 times over 30 days (n=8) and 5 times over 10 days (n=8). Subjects underwent measurements VAS, TSS, BDNC and ENMG before and after intervention. VAS (p-value=0,022), TSS (p-value=0,020) and BDC (p-value=0,003) was significant improved in 8 times administration group. VAS (p-value=0,045) dan BDC (p-value=0,014) was significant improved in 5 times administration group, where TSS improved but not significant. The 8 times administration group was better compared to the 5 times administration group in improvement of VAS (p-value=0,016). Based on this research, The addition of mecobalamin 8 times and over 5 times in the management of Diabetic Neuropathic Pain can be useful in reducing neuropathic pain.
KEGIATAN PREVENTIF MELALUI PEMERIKSAAN UMUM DAN EDUKASI KESEHATAN SECARA DINI PADA MASYARAKAT DI DESA BAK BULOH ACEH BESAR Nanda Desreza; Ade Israwadi; Tri Wahyuni; Nadya Hardiani; Rifal Hardian; Nofa Alesia; Mahyuni Mahyuni; Nyak Marwati; Susi Maulina; Miftahul Amalia; Dessy Zadriana; Rizki Phonna
JURNAL PENGABDIAN KEPADA MASYARAKAT BIDANG KESEHATAN Vol 5, No 1 (2023): April 2023
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Desa bak buloh yang termasuk dalam wilayah Kecamatan kuta baro. Masalah kesehatan pada lansia yang banyak dihadapi di desa bak buloh saat ini antara lain adalah Rheumatik, diabetes melitus dan Hipertensi. Pelaksanaan kegiatan pengabdian masyarakat dilaksanakan untuk memberikan pelayanan pemeriksaan umum dan edukasi Kesehatan secara dini untuk menjaga Kesehatan masyarakat. Target dalam pelaksanaan pengabdian masyarakat ini adalah masyarakat Dusun Selat, Desa Bak Buloh, Kecamatan Kuta Baro, Kabupaten Aceh besar. Luaran dari kegiatan ini adalah meningkatan kesadaran dan pengetahuan masyarakat dalam upaya menjaga kesehatannya. Kapasitas pelayanan kegiatan pengabdian kepada masyarakat kami batasi untuk 50 peserta yang didistribusikan secara merata di wilayah Dusun Lampoh cek dan Lampoh Paseh. Pada hasil pemeriksaan ditemukan 8 orang yang memiliki tekanan darah tinggi, 6 orang yang memiliki kadar gula darah yang tinggi dan 16 orang memiliki kadar asam urat melebihi batas normal. Kesimpulan dari pelaksanaan kegiatan ini secara umum berjalan dengan lancar dengan permasalahan kesehatan pada lansia paling banyak adalah asam urat. Oleh karena itu diharapkan melalui kegiatan pengabdian ini kesadaran masyarakat khususnya lansia dapat meningkatkan derajat kesehatan yang optimal.Kata kunci : Pemeriksaan kesehatan, Asam Urat, Diabetes Melitus,HipertensiBak Buloh village, which is included in the Kuta Baro sub-district The health problems faced by the elderly in Bak Buloh Village today include rheumatism, diabetes mellitus, and hypertension. The implementation of community service activities is carried out to provide general examination services and early health education to maintain public health. The target population in implementing this community service is the people of Selat Hamlet, Bak Buloh Village, Kuta Baro District, and Aceh Besar District. The output of this activity is to increase public awareness and knowledge in an effort to maintain their health. We limit the capacity of community service activities to 50 participants who are distributed evenly in the Lampoh Cek and Lampoh Paseh hamlets. The results of the examination found that eight people had high blood pressure, six had high blood sugar levels, and sixteen had uric acid levels that exceeded normal limits. The implementation of this activity in general led to the conclusion that health problems in the elderly were mostly caused by gout. Therefore, it is hoped that through this service activity, public awareness, especially among the elderly, can improve their optimal health status.Keywords: health check, gout,diabetes melitus, hipertensi
Co-Authors Ade Israwadi Amran, Muhammad Yunus Andi Alfian Zainuddin Andi Kurnia Bintang, Andi Kurnia Bahar, Ashari Dessy Zadriana Fitriah Handayani Gafur, Rahmi Goysal, Yudy Hamid, Firdaus Hammado, Nurussyariah IRFAN IDRIS Irsyadat, Andi Muhammad Lia Anggraeni Lia Angraeni Lotisna, Mimi Mahyuni Mahyuni Miftahul Amalia Minarti, Deri Lidya Nadya Hardiani Nanda Desreza Nofa Alesia Nyak Marwati Rifal Hardian Riyan Mulfianda Rizki Phonna RR. Ella Evrita Hestiandari Saiful Riza Saiful Riza Setiawan, Denise Dewanto Tammasse, Jumraini Tri Wahyuni Wuysang, Audry Devisanty Zuhair, Muhammad Naufal