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Muchsin, Achmad Harun
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GAMBARAN KLINIS KADAR HEMATOKRIT DENGAN KEJADIAN STROKE DI RUMAH SAKIT IBNU SINA MAKASSAR TAHUN 2023 Albaab, Muh. Ulil; Arifin, Arina Fathiyyah; Muchsin, Achmad Harun; Rachman, Erwin; Wahyu, Sri
Wal'afiat Hospital Journal Vol 4 No 2 (2023): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v4i2.110

Abstract

Penyakit Stroke dapat menyebabkan terjadinya viskositas/kekentalan darah yang dapat memperburuk kejadian stroke , menyebabkan perlambatan aliran darah otak , perluasan infark dan perburukan prognosis. Hematokrit berkolerasi dengan viskositas (kekentalan) yang berpengaruh langsung dengan kecukupan aliran atau suplai darah. Penelitian ini bertujuan untuk mengetahui gambaran klinis kadar hematokrit dengan kejadian stroke di Rumah Sakit Ibnu Sina Makassar tahun 2023. Penelitian ini bersifat Analitik dengan desain cross sectional. Hasil penelitian dari 62 rekam medik pasien stroke berdasarkan jenis kelamin didapatkan hasil 37 responden memiliki jenis kelamin laki-laki (59,7%), dan 25 responden memiliki jenis kelamin perempuan (40,3%), kemudian berdasarkan kejadian stroke terdapat 55 responden dengan kriteria iskemik (88,7%) dan 7 responden dengan kriteria hemoragik (11,3%). Pada kadar hematokrit terdapat 3 responden memiliki kriteria rendah (4,8%), 56 responden memiliki kriteria normal (90,3%), dan 3 responden memiliki kriteria tinggi (4,8%). Hasil penelitian menunjukkan sebagian besar penderita stroke di Rumah Sakit Ibnu Sina Makassar memiliki hematokrit normal. Sebagai kesimpulan bahwa pasien stroke di rumah sakit Ibnu Sina Makassar tahun 2023 adalah mayoritas berjenis kelamin laki-laki dengan kriteria stroke iskemik dan memiliki kadar hematokrit normal.
Insiden Syok Neurogenik pada Pasien dengan Cedera Tulang Belakang Shaleh, Humairah; Rachman, Moch Erwin; Wisudawan, Wisudawan; Muchsin, Achmad Harun; Maricar, Fadillah
Wal'afiat Hospital Journal Vol 4 No 2 (2023): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v4i2.127

Abstract

Neurogenic shock is mostly associated with cervical and thoracic spine injuries. Neurogenic shock after complete spinal cord injury is difficult to treat and the prognosis remains severe most of the time. Research objectives iThis is to find out the incidence of neurogenic shock in patients with spinal cord injuries based on the location of the injury and the patient's mortality.This type of research uses the methodnarrative reviewand data collection was carried out from several literatures in accredited international journals. The results showed that neurogenic shock was 13.0% in living patients and 38.0% of patients who died after experiencing traumatic spinal cord injury and the incidence of neurogenic shock based on the location of the injury, Ruiz et al., in Canada as much as 29.1% cervical 18.5% thoracic. Wechtet al., in the United States as many as 38.7% cervical, 22.2% high thoracic, 22.7% low thoracic. Gulyet al., in England, 19.3% cervical, 7.0% thoracic, 3.0% lumbar. Ravensbergenet al., in the Netherlands as much as 45.6% cervical, 26.3% thoracic, 23.8% lumbar. Katzelnicket al., in the United States, as many as 11% cervical, 8% high thoracic, 0% low thoracic. Based on the results of a review of some of the literature, it can be concluded that the incidence of neurogenic shock in patients with spinal cord injuries based on the location of the injury was mostly at the cervical level and based on the patient's mortality status, it was found that more patients died after experiencing traumatic spinal cord injury.
Gambaran Kadar Profil Lipid dengan Derajat Keparahan pada Penderita Stroke Iskemik di Rumah Sakit Ibnu Sina Makassar Tahun 2021-2023 Pratama, Marhumi Putri; Rachman, Mochammad Erwin; Wahyu, Sri; Muchsin, Achmad Harun; Eka, Andi Kartini
Jurnal Ilmiah Universitas Batanghari Jambi Vol 24, No 3 (2024): Oktober
Publisher : Universitas Batanghari Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33087/jiubj.v24i3.5601

Abstract

This study aims to describe the lipid profile levels and severity in ischemic stroke sufferers at Ibnu Sina Hospital Makassar in 2021-2023. The method used in this research is descriptive with a cross sectional study design. The results of this study found that the majority were female with 98 patients (58%) from the total population. The majority had high total cholesterol levels with 106 patients (63%) of the total population. The majority of triglyceride levels were normal with 159 patients (95%) of the total population. The majority of High Density Lipoprotein (HDL) levels were normal with 125 patients (74%) of the total population. The majority of Low Density Lipoprotein (LDL) levels were normal with 121 patients (72%) of the total population. Patients were measured using the National Institute of Health Stroke Scale (NIHSS), the majority of patients experienced moderate stroke with a total of 103 patients (61%) at Ibnu Sina Hospital Makassar during 2021-2023.
Analisa Kandungan Antioksidan Polifenol Pada Buah Tin (Ficus Carica) Dan Buah Anggur Merah (Vitis Vinifera) Dengan Metode 2,2-Diphenyl-1- Picrylhydrazyl (DPPH): Analysis of Antioxidant Content of Polyphenols in Figs (Ficus Carica) and Red Grapes (Vitis Vinifera) Using the 2,2-Diphenyl-1- Picrylhydrazyl (DPPH) Method Syamsu, Rachmat Faisal; Listin, Nurhalisa; Putra, Fadil Mula; Muchsin, Achmad Harun; Mulyadi, Farah Ekawati
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.159

Abstract

Antioxidants play an important role in counteracting free radicals that can damage body cells. Indonesia has a wide variety of natural antioxidant sources, including fig fruit (Ficus carica) and red grapes (Vitis vinifera), which are rich in polyphenol and flavonoid compounds. To determine the antioxidant activity of these fruits, the DPPH method is used because it is simple, rapid, and accurate in measuring the ability of compounds to scavenge free radicals. This study aimed to determine the extraction method for fig fruit (Ficus carica) and red grapes (Vitis vinifera), as well as to analyze the polyphenol antioxidant content of both fruits using the DPPH method. This research was an experimental laboratory study. The results showed that the extraction of fig fruit (Ficus carica) and red grapes (Vitis vinifera) was carried out using the maceration method. This method was chosen because it is simple, easy to perform, requires readily available equipment, and is effective in maintaining the stability of heat-sensitive active compounds, making it suitable for extracting polyphenol compounds. Based on the results of the antioxidant activity test using the DPPH method, the fig fruit extract of the Iraqi variety showed an IC₅₀ value classified as very strong antioxidant activity, while the red grape extract of the Red Globe variety showed an IC₅₀ value classified as strong according to the Blois classification. These results indicate that both fruits contain polyphenol compounds with antioxidant potential, with higher antioxidant activity observed in fig fruit compared to red grapes.
Hubungan Kadar Hematokrit dengan Angka Kejadian Stroke Albaab, Muh. Ulil; Muchsin, Achmad Harun; Juliana, Anastasia; Julyani, Sri; Pancawati, Erni
GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Vol. 5 No. 1 (2026): GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh - Februari 2
Publisher : Program Studi Kedokteran Fakultas Kedokteran Universitas Malikussaleh

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

Abstract

Stroke adalah kelainan pada sistem serebrovaskular (pembuluh darah otak), yang ditandai dengan berkurang atau terhambatnya aliran darah dan oksigen ke otak. Hematokrit merupakan jumlah sel darah merah di dalam darah oleh karena itu dilakukan pemeriksaan hematokrit untuk mengetahui hasil perbandingan jumlah sel darah merah (eritrosit) terhadap volume darah yang ditulis dengan satuan persen. Penelitian ini bertujuan untuk mengetahui hubungan antara kadar hematokrit dengan angka kejadian stroke. Penelitian menggunakan studi kepustakaan atau literature review. Penelitian ini menggunakan pendekatan sistematik literatur review mengenai hubungan kadar hematokrit dengan angka kejadian stroke. 10 jurnal dikumpulkan untuk ditelaah oleh peneliti dan disintesis menjadi satu data yang komprehensif untuk dilaporkan. Hasil yang didapatkan berdasarkan artikel-artikel penelitian yang dikumpulkan menunjukkan bahwa hematokrit merupakan parameter yang penting dalam evaluasi risiko, prognosis, dan manajemen pasien stroke. Kadar hematokrit yang abnormal baik tinggi maupun rendah, dapat mempengaruhi hasil klinis melalui mekanisme yang berkaitan dengan viskositas darah, oksigenasi jaringan, dan gangguan mikrosirkulasi. Kesimpulan dari penelitian ini mengenai hubungan antara kadar hematokrit dan risiko stroke bersifat non-linear, di mana kadar terlalu tinggi maupun terlalu rendah sama-sama meningkatkan risiko. Faktor seperti usia, jenis kelamin, hipertensi, merokok, dan komorbiditas turut memengaruhi hubungan tersebut. Pemantauan kadar hematokrit secara rutin dan upaya menjaga nilainya dalam batas normal dinilai penting untuk pencegahan dan deteksi dini stroke.
Perbandingan iskemik dan hemoragik terhadap prognosis dan pemulihan pasca stroke: Literatur review Bakri, Zarah Asvirah; Kaelan, Cahyono; Muchsin, Achmad Harun
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 2 (2026): February Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i2.2484

Abstract

Background: According to the World Health Organization (WHO), stroke is a disturbance in brain function with clinical signs that last more than 24 hours or can lead to death. Stroke is divided into ischemic and hemorrhagic strokes, which have different pathophysiological mechanisms, prognoses, and functional outcomes. Rehabilitation interventions, particularly physical therapy, are the primary approach to improving motor function recovery after stroke. Purpose: To determine the differences in prognosis and recovery between ischemic and hemorrhagic strokes. Method: This study is a systematic literature review that discusses prognosis and recovery after stroke by comparing ischemic and hemorrhagic strokes. Twenty journals were analyzed and synthesized. Results: Prognosis and recovery after stroke are influenced by stroke type, initial severity, and the quality and intensity of rehabilitation. Ischemic strokes generally have a better prognosis than hemorrhagic strokes, which tend to have higher mortality and disability rates. However, intensive rehabilitation interventions, including specific therapies such as mirror therapy, can result in significant functional recovery in both types of stroke. Conclusion: An individualized and comprehensive rehabilitation approach is essential to maximize functional outcomes. Early prognostic predictions should be used cautiously, and intervention strategies targeting cerebral edema and blood-brain barrier dysfunction have the potential to support long-term outcomes. Keywords: Hemorrhagic; Ischemic; Post-Stroke; Prognosis; Recovery. Pendahuluan: Stroke menurut World Health Organization (WHO) merupakan gangguan fungsi otak dengan tanda klinis yang berlangsung lebih dari 24 jam atau dapat menyebabkan kematian. Stroke dibedakan menjadi stroke iskemik dan hemoragik yang memiliki mekanisme patofisiologi, prognosis, serta luaran fungsional yang berbeda. Intervensi rehabilitasi, terutama terapi fisik, menjadi pendekatan utama untuk meningkatkan pemulihan fungsi motorik pasca-stroke. Tujuan: Untuk mengetahui perbedaan prognosis dan pemulihan stroke iskemik dan hemoragik pasca-stroke. Metode: Penelitian ini merupakan studi kepustakaan dengan pendekatan systematic literature review yang membahas prognosis dan pemulihan pasca-stroke melalui perbandingan stroke iskemik dan hemoragik. Sebanyak 20 jurnal dianalisis dan disintesis. Hasil: Prognosis dan pemulihan pasca-stroke dipengaruhi oleh tipe stroke, tingkat keparahan awal, serta kualitas dan intensitas rehabilitasi. Stroke iskemik umumnya memiliki prognosis yang lebih baik dibandingkan stroke hemoragik yang cenderung menunjukkan angka mortalitas dan disabilitas lebih tinggi. Namun, intervensi rehabilitasi yang intensif termasuk terapi spesifik seperti mirror therapy dapat menghasilkan pemulihan fungsional yang bermakna pada kedua tipe stroke. Simpulan: Pendekatan rehabilitasi yang individual dan komprehensif sangat penting untuk memaksimalkan luaran fungsional. Prediksi prognosis awal perlu digunakan secara hati-hati, dan strategi intervensi yang menargetkan edema serebral serta disfungsi blood–brain barrier berpotensi mendukung outcome jangka panjang. Kata Kunci: Hemoragik; Iskemik; Pasca-Stroke; Pemulihan; Prognosis.      
Co-Authors Akib, Rahmawati Albaab, Muh. Ulil Ananda, Fadli Arfah, Arni Isnaini Arief, Erwin Arifin, Arina Fathiyyah Bakhtiar, Ilma Khaerina Amaliyah Bakri, Zarah Asvirah Balqis, Nur Huriyah Basir, Hasmawati Cahyono Kaelan, Cahyono Eka, Andi Kartini Fitriah Fitriah Gani, Aziz Beru Gayatri, Sri Wahyuni Haslinda Haslinda, Haslinda Herdiansyah, Muh. Irsandy, Febie Isra Yustika, Aulia Jaya, Muh. Alim Jaya, Muhammad Alim Juliana, Anastasia Kamaluddin, Irna Diyana Kartika Khairunnisah, Sitti Zhahirah Listin, Nurhalisa M Azzahra, Mu’awiyah Aulia M. Yogi Riyantama Isjoni Makiko, Adrian Mardiana Mardiana Maricar, Fadillah Mochammad Erwin Rachman, Mochammad Erwin Mulyadi, Farah Ekawati Nurmadilla, Nesyana Pancawati, Erni Prasatia Sam, Andi Dhedie Pratama, Marhumi Putri Putra, Fadil Mula Rachman, Erwin Rachman, Moch Erwin Rachman, St Magfira Rachmat Faisal Syamsu, Rachmat Faisal Ratnawati, Wahida S Limba, Afirah Khairunnisa Safitri, Asrini Salsabilla, Rifdah Shaleh, Humairah Sri Julyani Sri Wahyu Surdam, Zulfiyah Tammasesse, Jumraini Utami, Dian Fahmi Wardani, Emy Wiriansya, Edward Pandu Wisudawan, Wisudawan Zhachrani, Noer Fitri Zulfahmidah, Zulfahmidah