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All Journal Jurnal Kedokteran Brawijaya Journal of Saintech Transfer SCRIPTA SCORE Scientific Medical Journal Jurnal Kedokteran Ibnu Nafis The Journal of Society Medicine (JSOCMED) Innovative: Journal Of Social Science Research Neurona
Rambe, Aldy Safruddin
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Cognitive Function and Blood Pressure Examination in Padang Bulan Selayang II Subdistrict Nasution, Irina Kemala; Rambe, Aldy Safruddin; Fitri, Fasihah Irfani; Iswandi Erwin
Journal of Saintech Transfer Vol. 1 No. 2 (2018): Journal of Saintech Transfer
Publisher : Talenta Publisher Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (317.854 KB) | DOI: 10.32734/jst.v1i2.817

Abstract

Hypertension is one of the main health problems in Indonesia, which if not controlled will result in health, psychological, social and economic burdens. A common clinical consequence of hypertension is impaired cognitive function, namely dementia and senility, which can be examined through the Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina). The service program which is carried out by the Faculty of Medicine, Universitas Sumatera Utara (FK USU) is an examination of cognitive function and blood pressure in Padang Bulan Selayang II region. Examinations are carried out in accordance with the 2017 World Alzheimer Month and are followed by lay seminars on dementia, brain gym exercises (gerak latih otak/GLO) as well as brain teasers. The activity involved 26 participants from integrated development post (pos pembinaan terpadu/Posbindu) with a mean systolic blood pressure (TDS) 131.54 + 18.70 mmHg, mean diastolic blood pressure (TDD) 83.85 + 8.98 mmHg, mean mean arterial pressure 99, 69 + 9.47 mmHg and a mean MoCA-Ina score of22 + 5.03. Blood pressure monitoring, education of community awareness and cognitive stimulation at regular intervals are expected to prevent and reduce the incidence of hypertension, dementia and senility.
Correlation between Chronic Kidney Disease Severity and Cognitive Function Surbakti, Epa Danisa; Fitri, Fasihah Irfani; Rambe, Aldy Safruddin
Jurnal Kedokteran Brawijaya Vol 31, No 3 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.03.2

Abstract

Chronic kidney disease (CKD) is an independent risk factor for cognitive impairment in all domains, especially delayed memory and executive function. The purpose of this study was to determine the correlation between chronic kidney disease severity and cognitive function. This study used a cross-sectional design in stage III, IV, and V CKD patients in the Nephrology Polyclinic of Haji Adam Malik Central General Hospital. Cognitive function tests were performed using the Montreal Cognitive Assessment (MoCA INA), digit span, and Trail Making Test A & B. The Spearman test was used to analyze the correlation between CKD severity and cognitive function. This study involved 45 chronic kidney disease patients consisting of 28 (62.2%) males and 17 (37.8%) females with a mean age of 49.67±12.18 years. The results of statistical analysis showed that there was a significant positive correlation between CKD on the MoCA-INA examination (r=0.618, p=<0.001), FDS (r=0.414, p=0.005), there was a significant negative correlation on the TMT A time examination (r=-0.425, p=0.004), TMT A error (r=-0.497, p=0.001), TMT B time (r=-0.618, p=<0.001), TMT B error (r=-0.370, p=0.012). The results of this study prove a significant correlation between the severity of CKD and cognitive function.
The Relationship between Cognitive Function and Quality of Life in Patient with Intracranial Tumors at Haji Adam Malik Hospital Medan Sari, Effi Rohani Nuzul; Rambe, Aldy Safruddin; Nasution, Irina Kemala
Journal of Society Medicine Vol. 2 No. 8 (2023): August
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i8.73

Abstract

Introduction: Cognitive function, which is also known as the higher cortical function, is the most important aspect in determining the independence of patient. In patients with intracranial tumors, the presence of a tumor can directly affect cognitive function which affects quality of life. Quality of life is an important component in clinical neurooncology, especially intracranial tumors in determining the independence and choice of therapeutic approach. However, research related to the relationship between cognitive function and quality of life is still minimal. Method: This study used a cross-sectional method using an observational analytic approach in patients with intracranial tumors. The study subjects were 30 intracranial tumor patients and the MoCA-INA and Barthel Index were assessed. Results: Of the 30 research subjects, the majority were female (60.0%), average age 49.8 years, university education (50.0%), and Javanese ethnicity (53.3%). Headache is the most common manifestation (83.3%). Most of the patients had tumor involvement of one lobe (63.3%), and located in the parietal lobe (63.3%). There is a significant relationship between cognitive function and quality of life of intracranial tumor patients (p = 0.012). Conclusion: There is a relationship between cognitive function and quality of life of intracranial tumor patients.
Hubungan Antara Status Nutrisi Berdasarkan Skor Geriatric Nutrition Risk Index Terhadap Perubahan Tingkat Keparahan pada Pasien Stroke Iskemik Simarmata, Junius F. A.; Rambe, Aldy Safruddin; Kadri, Alfansuri
Innovative: Journal Of Social Science Research Vol. 4 No. 6 (2024): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v4i6.16984

Abstract

Stroke iskemik dapat memicu terjadinya proses inflamasi. Keadaan inflamasi ini dapat menyebabkan terjadinya perluasan infark dan sehinga menginduksi hiperkatabolisme menyebabkan terjadinya perburukan luaran klinis. Kekurangan gizi premorbid telah terbukti memiliki efek buruk pada prognosis pasien stroke. Hal ini terkait dengan peningkatan komplikasi, mortalitas, lama rawat inap, dan hasil neurologis yang buruk pada pasien stroke akut. Oleh karena itu, penting untuk mengevaluasi status gizi dengan tepat dan memberikan suplemen nutrisi yang tepat. Untuk mengetahui hubungan antara status nutrisi berdasarkan skor Geriatric Nutritional Risk Index terhadap perubahan tingkat keparahan pada pasien stroke iskemik akut. Penelitian ini menggunakan desain cohort pada pasien yang terdiagnosa dengan stroke iskemik akut yang menjalani perawatan di RSUP H. Adam Malik Medan. Status nutrisi akan diukur mengunakan skor skor Geriatric Nutritional Risk Index (GNRI) dan tingkat keparahan stroke akan diukur mengunakan skor National Institutes of Health Stroke Scale (NIHSS). Pengukuran skor NIHSS akan dilakukan sebanyak dua kali yakni pada saat admisi dan hari ketujuh setelah admisi. Kejadian malnutrisi berdasarkan skor GNRI pada lansia yang mengalami stroke iskemik sebesar 74,6%. Hasil dari analisis statistik menunjukkan hasil signifikan antara status nutrisi berdasarkan skor GNRI terhadap perubahan tingkat keparahan pada pasien stroke iskemik akut (r=0,655, P<0,001, ). Terdapat hubungan yang signifikan antara status nutrisi berdasarkan skor GNRI terhadap perubahan tingkat keparahan pada pasien stroke iskemik akut.
HUBUNGAN KADAR LEUKOSIT, MONOSIT, DAN PROKALSITONIN DENGAN KEJADIAN INFEKSI DAN LUARAN FUNGSIONAL PADA STROKE AKUT Nasari, Rivita Putri; Rambe, Aldy Safruddin; Fithrie, Aida
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 35 No 2 (2018)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v35i2.106

Abstract

ASSOCIATION OF LEUKOCYTE, MONOCYTE, AND PROCALCITONIN LEVEL WITH INFECTION AND FUNCTIONAL OUTCOME IN ACUTE STROKEABSTRACTIntroduction: Infection is a common complication in the acute of stroke. Stroke can lead to immediate stage of immunosuppression, increasing the risk of infection.Aims: To evaluate the relationship levels of leukocyte, monocyte, and procalcitonin with infection and functional outcome in acute stroke.Methods: A cross-sectional study of acute stroke patients in RSUP Dr. Adam Malik neurology ward, Medan, from June to October 2015. Diagnosis was made by clinical findings and brain CT scan. Patients with previous stroke, treated as having infection or already treated by antibiotics before admission were excluded from this study. All subjects examined for the levels of leukocytes, monocytes, and procalcitonin and observed the infection and assessed functional outcome (mRS) on day 14 of onset.Results: There were 50 subjects with age mean 57.2 (40-73) years old, mostly male (54%) and had ischemic stroke (82%). Leukocytes and procalcitonin level has positive association with infection in acute stroke significantly. Subjects whom had normal leucocyte at baseline tend not to developed infection 3.69 times compared to whom had high leucocyte at baseline. Similar with PCT, subjects with normal level of PCT at base tend not to developed infection 16.9 times compared to subject with high level of PCT at baseline. High level of leucocyte also related with low functional outcome, significantly.Discussions: There were positive associated between leukocytes and procalcitonin levels with risk of infection, and negative associated between leukocytes levels with functional outcome in acute stroke.Keywords: Infection, leukocytes, monocytes, outcome, procalcitoninABSTRAKPendahuluan: Infeksi merupakan komplikasi yang umum pada stroke akut. Stroke dapat menyebabkan immunosupresi dalam tahap awal, sehingga dapat meningkatkan risiko infeksi.Tujuan: Untuk mengetahui hubungan kadar leukosit, monosit, dan prokalsitonin (PCT) dengan kejadian infeksi dan luaran fungsional pada stroke akut.Metode: Penelitian potong lintang terhadap pasien stroke akut yang dirawat di Ruang Rawat Inap Terpadu Departemen Neurologi RSUP Haji Adam Malik, Medan, pada bulan Juni 2015 hingga Oktober 2016. Diagnosis ditegakkan berdasarkan gejala klinis dan pemeriksaan  CT scan kepala. Kriteria eksklusi adalah mengalami infeksi atau sudah menggunakan antibiotik pada saat masuk rumah sakit (RS) serta mengalami stroke berulang. Subjek dilakukan pemeriksaan kadar leukosit, monosit, dan prokalsitonin, lalu diamati ada tidaknya kejadian infeksi selama perawatan dan penilaian mRS pada hari ke-empat belas awitan.Hasil: Didapatkan 50 subjek dengan rerata usia 57,2 (40-73) tahun, mayoritas laki-laki (54%) dan mengalami stroke iskemik (82%). Terdapat hubungan yang signifikan antara kadar leukosit dan prokalsitonin dengan kejadian infeksi pada stroke akut. Subjek dengan kadar leukosit awal yang normal lebih cenderung untuk tidak mengalami kejadian infeksi sebesar 3,69 kali dibandingkan yang leukositnya tinggi. Demikian pula kadar PCT yang normal di awal cenderung untuk tidak mengalami kejadian infeksi sebesar 16,9 kali dibandingkan subjek dengan PCT tinggi. Kadar leukosit yang tinggi juga berhubungan dengan luaran fungsional yang buruk secara bermakna.Diskusi: Terdapat hubungan positif yang signifikan kadar leukosit dan prokalsitonin dengan kejadian infeksi serta hubungan negatif yang signifikan kadar leukosit dengan luaran fungsional  pada stroke akut.Kata kunci: Infeksi, leukosit, luaran, monosit, prokalsitonin
PEMETAAN DAN PENANGGULANAN PENDERITA SINDROMA METABOLIK DI KECAMATAN MEDAN AREA KOTA MEDAN: MAPPING AND HANDLING OF METABOLIC SYNDRO ME PATIENTS IN MEDAN AREA DISTRICT, MEDAN CITY Pratama, Arief; Rambe, Aldy Safruddin; Widyawati, Tri; Darlan, Dewi Masyithah; Sembiring, Rosita Juwita
Jurnal Kedokteran Ibnu Nafis Vol. 14 No. 1 (2025): Juni 2025
Publisher : Fakultas Kedokteran Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/jkin.v14i1.796

Abstract

Sindroma metabolik merupakan salah satu masalah kesehatan utama yang terus meningkat prevalensinya di Indonesia, termasuk di Sumatera Utara. Penelitian ini bertujuan untuk memetakan prevalensi dan faktor risiko sindroma metabolik di Kecamatan Medan Area, Kota Medan, melalui program pengabdian masyarakat. Metode pelaksanaan meliputi edukasi kesehatan, skrining fisik, dan pengukuran parameter laboratorium seperti gula darah dan kolesterol pada 150 peserta dengan usia rata-rata 45 tahun. Hasil menunjukkan bahwa 38% peserta memenuhi kriteria sindroma metabolik, dengan prevalensi obesitas abdominal sebesar 60%, hipertensi 45%, hiperglikemia 30%, dan hiperkolesterolemia 40%. Menyoroti pentingnya intervensi promotif dan preventif berbasis komunitas untuk menurunkan risiko sindroma metabolik. Data ini diharapkan menjadi dasar pengembangan kebijakan kesehatan di tingkat lokal dan regional.
Hubungan Kualitas Tidur dan Fungsi Kognitif Siswa MAN Binjai Fachlefi, Said; Rambe, Aldy Safruddin
SCRIPTA SCORE Scientific Medical Journal Vol. 3 No. 1 (2021): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v3i1.5351

Abstract

Background: Sleep is a basic requirement of human beings. Sleeping brain is required to carry out adaptations to long-term structural and chemical needed to learn and remember. Rapid technological advances in recent times can reduce the duration of sleep especially in teenagers. A bad quality of sleep may affect cognitive function that will have an effect on students learning process. Objective: In general, this research aims to know the relationship between sleep quality with cognitive function of MAN Binjai student. Method: This research is a study of analytical method with cross sectional design. Data retrieval is performed only once for collecting primary data with the measuring instrument in the form of a questionnaire. Stratified random sampling technique was used to determine the number of samples. Results: on the analysis of correlation Sprearman obtained a value of 0.001 P (p< 0.05) indicating there is a relationship between sleep quality and cognitive  function. The correlation coefficient (r) is -0.764, which indicates medium relationship between sleep quality and cognitive function of MAN Binjai student. Conclusion:  There is a relationship that is directly proportional between the sleep quality with cognitive function in MAN Binjai students. Keywords: cognitive function, MoCA, PSQI, sleep quality, student   Latar Belakang: Tidur merupakan kebutuhan pokok manusia. Tidur diperlukan otak untuk melaksanakan penyesuaian-penyesuaian kimiawi dan struktural jangka panjang yang diperlukan untuk belajar dan mengingat. Kemajuan teknologi yang begitu pesat belakangan ini dapat mengurangi durasi tidur terutama pada remaja. Kualitas tidur yang buruk dapat memengaruhi fungsi kognitif yang akan berpengaruh terhadap proses belajar siswa. Tujuan: Secara  umum  penelitian  ini  bertujuan  untuk  mengetahui  hubungan kualitas tidur dengan fungsi kognitif siswa MAN Binjai. Metode: Penelitian  ini  merupakan  penelitian  dengan  metode  analitik  dengan desain penelitian potong lintang. Pengambilan data dilakukan hanya sekali untuk mengumpulkan data primer dengan alat ukur berupa kuesioner MoCA dan PSQI. Teknik stratified random sampling digunakan untuk menentukan jumlah sampel. Sampel berjumlah 60 orang. Korelasi spearman digunakan dalam analisis data. Hasil: Dari studi didapatkan r = -0.76(p<0.05) yang menunjukkan adanya korelasi sedang dan berbanding terbalik antara kuesioner M0CA dan PSQI. Kesimpulan:  Terdapat hubungan antara kualitas tidur dengan fungsi kognitif pada siswa MAN Binjai. Kata Kunci: fungsi kognitif, kualitas tidur, MoCA, PSQI, siswa
Hubungan Posisi Menunduk saat Menggunakan Telepon Seluler dengan Nyeri Tengkuk Depari, Ramadhani Dinda Salsalina; Rambe, Aldy Safruddin
SCRIPTA SCORE Scientific Medical Journal Vol. 3 No. 1 (2021): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v3i1.6364

Abstract

Background: Neck pain is pain that includes disorders of the nerves, tendons, muscles and ligaments around the neck. One of the causes of neck pain is the wrong position of the body which causes the neck in a certain position for a long time. In the use of cell phones there will be a process of changing the position of the neck, the position of the head will be bow to look at the cell phone screen and maintained for a long time, causing muscle problems which, if left unchecked, can become chronic muscle pain. Objectives: To find out relationship between the bow position when using a cell phone and neck pain. Methods: This study is an analytic-observational study with a cross-sectional design. The sampling technique used simple random sampling technique. The data will be analyze using chi-square statistical test. In which the p-value < 0.05 is significant. Results: There is a relationship between the bow position when using a cell phone to neck pain with p-value 0.045. On the other test, there is no relationship between the duration of cell phone use and neck pain, both in one use (p = 0.509) and in a day (p = 0.729). Conclusion: There is a significant relationship between the bow position when using a cell phone and neck pain. Keywords: neck pain, cell phone, bowing position   Latar Belakang: Nyeri tengkuk adalah rasa nyeri yang meliputi kelainan saraf, tendon, otot dan ligamen di sekitar leher. Salah satu penyebab dari nyeri tengkuk adalah posisi tubuh yang salah sehingga membuat leher berada dalam posisi tertentu dalam jangka waktu yang lama. Pada penggunaan telepon seluler akan terjadi proses perubahan posisi leher, yang mana posisi kepala akan menunduk untuk melihat ke arah layar telepon seluler dan dipertahankan dalam waktu yang relatif lama, sehingga menimbulkan masalah otot yang apabila dibiarkan dapat menjadi nyeri otot kronis. Tujuan: Untuk mengetahui hubungan posisi menunduk saat menggunakan telepon seluler dengan nyeri tengkuk. Metode: Penelitian ini merupakan penelitian analitik-observasional dengan desain cross-sectional. Pengambilan sampel dilakukan dengan teknik simple random sampling. Hasil pengukuran akan dianalisis menggunakan uji chi-square. Nilai p < 0,05 dianggap signifikan. Hasil: Terdapat hubungan antara posisi menunduk saat menggunakan telepon seluler terhadap nyeri tengkuk dengan nilai P = 0,045. Pada uji hubungan lainnya tidak ada hubungan antara durasi penggunaan telepon seluler terhadap nyeri tengkuk baik dalam sekali penggunaan (P = 0,509) maupun dalam sehari penggunaan (P = 0,729). Kesimpulan: Terdapat hubungan yang signifikan antara posisi menunduk saat menggunakan telepon seluler dengan nyeri tengkuk. Kata Kunci: nyeri tengkuk, telepon seluler, posisi menunduk
Co-Authors Arief Pratama Darlan, Dewi Masyithah Depari, Ramadhani Dinda Salsalina Fachlefi, Said Fithrie, Aida Fitri, Fasihah Irfani Iswandi Erwin Kadri, Alfansuri Nasari, Rivita Putri Nasution, Irina Kemala Sari, Effi Rohani Nuzul Sembiring, Rosita Juwita Simarmata, Junius F. A. Surbakti, Epa Danisa Tri Widyawati, Tri