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All Journal E-Jurnal Medika Udayana Damianus Journal of Medicine MNJ (Malang Neurology Journal)
Putra, Ida Bagus Kusuma
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Health Professions Medicine & Pharmacology Neuroscience Public Health

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PREVALENSI MIGREN DAN KOMORBIDITAS DEPRESI PADA MAHASISWA PROGRAM STUDI SARJANA KEDOKTERAN DAN PROFESI DOKTER FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA Tirtha, Putu Bagus Bramanthana; Adnyana, I Made Oka; Putra, Ida Bagus Kusuma; Laksmidewi, Anak Agung Ayu Putri
E-Jurnal Medika Udayana Vol 11 No 2 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i02.P09

Abstract

Introduction: Depression is one of the world’s major causes of disability, and the comorbidity of depression with migraine can worsen the patient's prognosis. By studying this comorbidity, the treatment quality can be improved. In addition, data regarding comorbidity of migraine and depression among students in Bali are still limited. Method: This is a descriptive analytic cross-sectional research. The sample population are pre-clinical students of the Undergraduate Program of Medicine and Medical Profession, Faculty of Medicine, Udayana University, aged 18 to 22 years. The total sample is 100 people. The purpose of this research is to describe the prevalence of migraine and depression in the sample population, and to understand whether there is a relationship between the prevalence of migraine and the prevalence of depression. This study used a questionnaire containing questions about headache status, depression status, and confounding variables status (gender, menstrual period, eating and drinking patterns, and socioeconomic status). Result and discussion: Migraine prevalence is 7%, and depression prevalence is 4%. 42,9% of the people who have migraine also have depression. 1,1% of the people who did not have migraine have depression. 2-sided P = 0.001 is derived from Fischer’s Exact Test. Conclusion: There is a relationship between migraine prevalence and depression prevalence.
PNEUMONIA IN ICU HOSPITALIZED NEUROLOGIC PATIENTS: THE RELATIONSHIP BETWEEN C-REACTIVE PROTEIN AND PROCALCITONIN LEVELS WITH THE RESULTS OF BLOOD AND SPUTUM CULTURES Indah, Carolin Tiara Lestari; Widyantara, I Wayan; Putra, Ida Bagus Kusuma; Tini, Kumara
MNJ (Malang Neurology Journal) Vol. 10 No. 1 (2024): January
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2024.010.01.7

Abstract

Background: Pneumonia is often experienced by neurology patients, especially in the intensive care unit (ICU). Culture and antibiotic sensitivity tests as the gold standard of pneumonia require a long time, then other examinations are needed, namely C-reactive protein markers (CRP), and procalcitonin (PCT). Objective: To determine the relationship between CRP and PCT levels with the results of blood and sputum cultures in ICU hospitalized neurologic patients Prof I.G.N.G. Ngoerah General Hospital, Denpasar, Bali. Methods: A cross-sectional study that includes all neurology patients with pneumonia in the ICU of Prof I.G.N.G. Ngoerah General Hospital in 2018-2022. The required examination data are demographic data, CRP and procalcitonin levels, and blood and sputum culture results. Data analysis using SPSS Version 24 qualitatively. Results: We identified 121 ICU hospitalized neurologic patients with pneumonia involving 59 blood and 85 sputum culture-positive and 15 isolated pathogens. The leading pathogens were Klebsiella pneumoniae, Acinetobacter baumanii, Pseudomonas aeuroginosa, Escherichia coli, Staphylococcus aureus,  Candida albican, Streptococcus suis, and Staphylococcus haemolyticus, and other pathogens which were isolated in 31 (19,7%), 25 (15.9%), 20 (12.7%), 11 (7%), 10 (6.4%), 4 (2.5%), 3 (1.9%), and 1 (0.6%) cases, respectively, however Klebsiella pneumoniae has the highest number of resistance cases, especially ESBL. There was a significant relationship between high CRP (>97.9) and blood culture (OR 6.42, p <0.03). Conclusion: CRP can be considered as a fast and appropriate examination to establish an early diagnosis of pneumonia in patients.
Prediktor Klinis dan Pencitraan Hematoma Subdural Kronik pada Pasien Lanjut Usia di Instalasi Gawat Darurat Vania, Aurelia; Arimbawa, I Komang; Laksmidewi, Anak Agung Ayu Putri; Putra, Ida Bagus Kusuma; Widyantara, I Wayan
Bahasa Indonesia Vol 23 No 3 (2024): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v23i3.5416

Abstract

Pendahuluan: Subdural hematoma kronik (cSDH) merupakan salah kasus emergensi neurologi yang sering terjadi yang lebih sering terjadi pada lansia. Diagnosis cSDH memiliki kesulitan tersendiri pada pasien lansia. Studi ini bertujuan untuk mempelajari karakteristik klinis pasien lansia yang dapat menjadi prediktor adanya cSDH dan derajat keparahan gambaran cSDH yang ditemukan pada hasil CT-scan kepala. Metode: Penelitian ini merupakan studi kasus-kontrol yang dilakukan di Instalasi Gawat Darurat Neurologi RSUP Prof. dr. I.G.N.G. Ngoerah dalam periode 3 tahun. Studi melibatkan 85 pasien lansia cSDH dan 85 kontrol yang terbukti tidak ada perdarahan intrakranial dari data imaging. Pengumpulan dan pengolahan data yang dilakukan meliputi variabel karakteristik demografi, faktor risiko, presentasi klinis, dan karakteristik cSDH pada gambaran computed-tomography scan (CT-scan) kepala. Hasil: Studi ini menemukan pasien cSDH dengan rata-rata usia 72,9±8.1 tahun dan 75,3% laki-laki. Penurunan kesadaran dan defisit fokal merupakan presentasi klinis yang paling sering ditemukan dengan median onset 3 hari (rentang 1-30 hari). Usia lebih tua, laki-laki (RO=2,84, 95% IK 1,45-5,45, p=0,001), hipertensi (RO=3,66, 95% IK 1,89-7,06, p=0,000), dan gangguan ginjal kronik (RO=2,77, 95% IK 1,34-5,72, p=0,005) merupakan faktor risiko terjadinya cSDH yang signifikan. Efek massa dan Glasgow Coma Scale (GCS) yang rendah lebih sering terjadi pada cSDH dengan midline shift (MLS) >5mm. Simpulan: Adanya cSDH perlu dipertimbangkan pada pasien lansia yang datang dengan onset manifestasi neurologis akut-subakut terutama pasien laki-laki, mengalami penurunan kesadaran dengan atau tanpa defisit fokal, disertai adanya komorbid hipertensi dan gangguan ginjal. Penurunan GCS dan efek massa dapat memperkirakan adanya MLS pada CT-scan kepala.
Co-Authors Anak Agung Ayu Putri Laksmidewi Arimbawa, I Komang I Made Oka Adnyana I WAYAN WIDYANTARA Indah, Carolin Tiara Lestari Tini, Kumara Tirtha, Putu Bagus Bramanthana Vania, Aurelia