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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN JURNAL ILMIAH SIMANTEK Berkala Ilmiah Kedokteran dan Kesehatan Masyarakat
Darumurti, Rissito Centricia
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Results Characteristics of Lipid Profile Examination of Acute Ischemia Stroke Patients at RSUP Dr. Soedono Madiun, East Java Wuryani, Dinik; Darumurti, Rissito Centricia
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 9, No 1 (2018): June 2018
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (741.36 KB) | DOI: 10.30659/sainsmed.v9i1.1019

Abstract

Introduction: Dyslipidemia as reflected in the results of lipid profile examination is among the most common abnormalities found in acute ischemic stroke patients. Studies assessing the characteristic of these results may provide a foundation for an effective plan of treatment and prevention to overcome the burden of the disease.Objective: To study the characteristic of the results of lipid profile examination among acute ischemic stroke patients at Dr. Soedono General Hospital, Madiun, East Java.Methods: This research is a descriptive study with a cross-sectional approach using secondary data taken from the medical records of acute ischemic stroke inpatients at the Stroke Unit of Dr. Soedono General Hospital, Madiun, East Java admitted in January-December 2015. Results of lipid profile examination consisting of total cholesterol, LDL, HDL, and triglycerides were categorized as high, normal, and low based on their respective levels.Results: There were 72 subjects selected using simple random sampling. Level of total cholesterol was high in 52.78%, normal in 36.11%, and low in 11.11% of the subjects. Level of LDL was high in 54.17%, normal in 22.22%, and low in 23.61% of the subjects. Level of HDL was low in 31.94%, normal in 50.00%, and high in 18.06% of the subjects. Level of triglycerides was high in 26.39%, normal in 33.33%, and low in 40.28% of the subjects.Conclusion: Total cholesterol and LDL are generally high, HDL is generally normal, while triglycerides is generally low among acute ischemic stroke patients in Dr. Soedono General Hospital, Madiun, East Java.
TRAUMATIC BRAIN INJURY (TBI) ET CAUSA HEMATOM SUBDURAL TRAUMATIK DAN FRAKTUR OS OCCIPITAL: SEBUAH LAPORAN KASUS DARUMURTI, RISSITO CENTRICIA; RACHMAWATI, FITRI FAIZA
JURNAL ILMIAH SIMANTEK Vol 8 No 1 (2024): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Head injury or traumatic brain injury (TBI) is defined as a mechanical trauma to the head directly or indirectly that causes impaired neurological function, namely physical, cognitive, psychosocial functioning, both temporarily and permanently. The national prevalence of head trauma according to Riskesdas in 2013 increased 0.7% to 8.2% where men are twice as likely to experience head injuries than women. The diagnosis of head injury is established based on anamnesis in the form of post-traumatic disorders of the head followed by the presence or absence of disturbances of consciousness or lucid intervals, otorrhea or rhinorrhea, and post-traumatic amnesia. Neurological clinical assessment is necessary to assess whether there are signs of focal deficits. Supporting examinations in the form of imaging with a plain photo of the head in the AP/lateral/tangential position or with a CT scan of the head. 61-year-old man came with a history of fainting for five minutes which was preceded by a headache and profuse vomiting after being hit by a tree branch on the back of his head. On physical examination he was conscious of compos mentis and found a 4cm hematom in right occipital region. On ECG found sinus bradycardia. General status and other neurological status within normal limits. Radiological results showed an extracranial hematoma in the occipitoparietal region, a subdural hematoma in the right occipital lobe and a fracture of the right occipital bone. Patient received nasal cannula oxygenation, asering and mannitol infusion, tranexamic acid, citicholin and piracetam injection. The condition of the head injury in this case was a severe head injury as indicated by the presence of a subdural hematoma and fracture in the right occipital region even though the patient's consciousness from GCS was normal. The patient's condition improved after administration of osmotic diuretics, antifibrinolytics and neuroprotectant agents.
Epilepsi Terkait Tumor Otak Pada Suspek Tumor Sinonasal Dengan Infiltrasi Serebral: Sebuah Laporan Kasus Darumurti, Rissito Centricia; Setyana, Michael Kevin Robby; Khairani, Atitya Fithri; Taufiqurrohman, Agus
Berkala Ilmiah Kedokteran dan Kesehatan Masyarakat Vol. 1 No. 2 (2023)
Publisher : Fakultas Kedokteran, Universitas Islam Indonesia

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Abstract

Epilepsi adalah gangguan otak yang ditandai dengan kecenderungan terjadinya kejang atau bangkitan epileptik. Epilepsi yang ditimbulkan oleh tumor otak disebut epilepsi terkait tumor otak. Patofisiologi yang mendasarinya masih belum banyak dipahami tetapi telah terbukti bersifat multifaktorial. Tujuan penulisan artikel ini adalah untuk melaporkan kasus dari seorang pasien perempuan berusia 50 tahun datang dengan keluhan utama kejang disertai benjolan di mata kanan yang terus membesar selama 6 bulan terakhir. Pemeriksaan fisik menunjukkan proptosis, gangguan visus dan papilatrofi pada mata kanan, paresis nervus kranialis III, IV, dan VI dekstra, lesi nervus kranialis V sensoris cabang I dan II dekstra, refleks primitif glabela positif, dan gangguan kognitif berat dengan ketergantungan ringan-sedang. Hasil radiologi menunjukkan suspek tumor sinonasal dekstra dengan infitrasi serebral. Hasil elektroensefalografi menunjukkan gambaran abnormal dengan frontal bilateral epileptiform discharges (L>R) disertai focal slowing regio frontalis dan frontal intermittent rhythmic delta activity (FIRDA) yang konsisten dengan klinis focal seizures disorder dapat sesuai dengan epilepsi lobus frontalis. Pasien mendapatkan terapi steroid deksametason intravena, fenitoin, asam valproat, asam folat, kalium aspartat, dan haloperidol. Pasien dipulangkan setelah perawatan hari kesepuluh dalam kondisi bebas kejang selama tujuh hari. Kondisi tumor pada kasus telah mencapai stadium lanjut, sebagaimana ditunjukkan oleh invasi tumor ke struktur tulang di sekitarnya dan struktur intrakranial sehingga memicu terjadinya epilepsi. Epilepsi dapat terkontrol dengan terapi steroid intravena serta obat anti epilepsi kombinasi.  KATA KUNCI: epilepsi; tumor otak; tumor sinonasal.
Co-Authors Khairani, Atitya Fithri RACHMAWATI, FITRI FAIZA Setyana, Michael Kevin Robby Taufiqurrohman, Agus Wuryani, Dinik