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All Journal Jurnal Farmasi Udayana Majalah Kedokteran Bandung MNJ (Malang Neurology Journal) Jurnal Ilmu Kefarmasian Indonesia Journal Pharmasci (Journal of Pharmacy and Science) Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan AKSONA Jurnal Keperawatan Magna Neurologica
Islamiyah, Wardah Rahmatul
Departemen Neurologi, Fakultas Kedokteran, Universitas Airlangga; RS Universitas Airlangga, Surabaya, Indonesia
Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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PROFILE OF SUBJECTIVE SLEEP DISTURBANCE IN PATIENT WITH ANTIEPILEPTIC DRUGS Zahra, Farah Az; Islamiyah, Wardah Rahmatul; Budiono, Budiono
Malang Neurology Journal Vol 5, No 2 (2019): July
Publisher : Malang Neurology Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2019.005.02.2

Abstract

Background: Epilepsy and sleep are well recognized for having bidirectional influences upon one another. The effects of antiepileptic drugs (AEDs) on sleep are of particular concern.
Objective: The objective of this study is to know the profile of AEDs effect in patient’s sleep cycle. Methods: This analytical observational study observed total sleep time, sleep onset latency, sleep efficiency, daytime sleepiness, and insomnia in epileptic patient with AEDs of Neurology Clinic Airlangga University Hospital during May-September 2016. A cross sectional study was done by questionnaire and interview directly to the epileptic patients. Data collected was being analyzed analytically.Results: This research was conducted among 27 patients with epilepsy based on inclusion and exclusion criteria. Sleep disturbances that had been found in patients with phenytoin are prolong sleep onset latency (11.11%), decreased sleep efficiency (11.11%), and excessive daytime sleepiness (66.67%). Sleep disturbances that had been found in patients with valproate are decreased total sleep time (33.33%), prolong sleep onset latency (11.11%), decreased sleep efficiency (11.11%), excessive daytime sleepiness (66.67%), and insomnia (11.11%). Sleep disturbances that had been found in patients with carbamazepine are decreased total sleep time (44.44%), prolong sleep onset latency (33.33%), decreased sleep efficiency (22.22%), excessive daytime sleepiness (77.78%), and insomnia (11.11%).Conclusion: In conclusion, this study shows that epileptic patients who consumed AEDs regularly may have sleep disturbance that vary based on the type of AEDs, patients with carbamazepine may have bigger sleep disturbance than with phenytoin and valproate. It is necessary to give information and education to the epileptic patients who consumed AEDs regularly so that they will become aware of the sign of sleep disturbance.
PROFILE OF TYPE 2 DIABETES MELLITUS IN ACUTE THROMBOTIC STROKE Jordan, Danny Randy; Islamiyah, Wardah Rahmatul; Prayitno, Jongky Hendro
Malang Neurology Journal Vol 5, No 2 (2019): July
Publisher : Malang Neurology Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2019.005.02.6

Abstract

Background: Stroke is a brain disorder in blood circulation that occur suddenly and last more than 24 hours, which is one leading cause of death in the world. One of the main risk factors of stroke is diabetes mellitus type 2. One complication is that when thrombosis occurs in the brain causing a stroke.Objective: This study aimed to determine the profile of type 2 diabetes mellitus in patients with acute thrombotic stroke who were treated in the Neurology Department at the Hospital Dr. Soetomo.Methods: Sampling was done with purposive sampling by observing the medical records of patients in the period of January 2014 to December 2015 based on inclusion and exclusion criterias that havebeen set.Results: Women with a history of type 2 diabetes are more exposed to acute thrombotic stroke; the age group which is most at risk for stroke is between age of 56-60 years; the average duration of DM until the occurence of stroke is 6,54 ± 4,85 years; more than two-thirds of patients come to the hospital when the acute thrombotic stroke occurs with a condition of hyperglycemia; the most common comorbid disease is hypertension; and insulin therapy is the most widely used therapy in acute thrombotic stroke patients with type 2 diabetes.Conclusion: Managing the risk factors of stroke should prolong or prevent the incident of acute thrombotic stroke since most of the patients with type 2 diabetes mellitus came to the hospital with a condition of hyperglycemia and hypertension.
Hubungan Kepatuhan Penggunaan Obat Anti Epilepsi terhadap Kejadian Kejang Pasien Epilepsi menggunakan kuesioner ARMS (Adherence Refill Medication Scale) Ernawati, Iin; Islamiyah, Wardah Rahmatul
Journal of Pharmacy and Science Vol. 4 No. 1 (2019): Journal of Pharmacy and Science
Publisher : Akademi Farmasi Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53342/pharmasci.v4i1.128

Abstract

ABSTRAKEpilepsi termasuk penyakit kronis otak yang dikarakterisasi dengan kejang berulang (2 kali atau lebih), dimana terjadi gerakan involunter yang melibatkan sebagian tubuh (partial) atau seluruh tubuh (generale), dan seringkali disertai dengan hilangnya kesadaran dan kontrol fungsi saluran cerna atau saluran kemih. Pengobatan epeilepsi sering menggunakan OAE (Obat AntiEpilpsi). Diketahui 70% anak-anak dan dewasa dengan epilepsi berhasil diterapi dengan obat antiepilepsi. Salah satu ukuran manajemen terapi obat pada penyakit epilepsi adalah menurun atau hilangnya kejang, sehingga adanya kejadian kejang menjadi salah satu ukuran pencapaian end outcome. Kejadian kejang dipengaruhi oleh beberapa faktor diantaranya ada tidaknya faktor pemicu kejang dan kepatuhan konsumsi obat antiepilepsi. Penelitian ini merupakan penelitian observasional cross sectional yang dilakukan di poli neurologi Instalasi Rawat Jalan RSUD dr. Soetomo dan Instalasi rawat Jalan RS Universitas Airlangga. Selama penelitian diperoleh 52 pasien epilepsi yang menggunakan obat antiepilepsi. Padapenelitian ini diamati hubungan kepatuhan terhadap adanya kejang pasien epilepsi dalam penggunaan obat anti epilepsi. Pada penelitian ini diketahui nilai koefisien korelasi/ nilai rho (r) sebesar -0,348 dengan nilai p= 0,011 (p<0,05) atau signifikan secara statistik. Hasil tersebut menunjukkan adanya hubungan antara kategori kepatuhan (menggunakan kuesioner ARMS) dengan kejadian kejang, dimana semakin tinggi skor ARMS (dianggap semakin tidak patuh) berbanding lurus dengan peningkatan kejang.Kata kunci: Epilepsi, Kepatuhan, OAE, Kejang, ARMS ABSTRACTEpilepsy is a chronic brain disease characterized by recurrent seizures (2 times or more), in which involuntary movements involve part of the body (partial) or whole body (general). Treatment of epilepsy uses antiepileptic drugs. It is known that 70% of children and adults with epilepsy are successfully treated with antiepileptic drugs. One of measurements of drug therapy management in epilepsy is decreasing or losing seizures, so that the event of seizures is one measure of end outcomes. Seizure events are influenced by severalfactors including the presence or absence of seizure trigger factors and adherence with the consumption of antiepileptic drugs. This study was an observational cross sectional study conducted at the neurology department dr. Soetomo and Airlangga University hospital. This study aims to observe the relationship of adherence of antiepileptic drug consumption with seizures of epilepsy patients. This study observed 52outpatients with epilepsy taking antiepileptic drugs. This study showed that the correlation coefficient / rho value (r) is -0,348 with a value of p = 0.011 (p <0.05). These results indicate that an association between adherence categories (using the arms questionnaire) with the events of seizures, whereas the higher of the arms score (considered to be increasingly disobedient) is directly proportional to the increase in seizures.Keywords: Epilepsy, Adherence, AED, Seizure, ARMS
Korelasi Tingkat Kepatuhan Konsumsi Obat Antiepilepsi Menggunakan Kuesioner MGLS (Morisky, Green, Levine Adherence Scale) dengan Frekwensi Kejang Pasien Epilepsi Iin Ernawati; Wardah Rahmatul Islamiyah
Jurnal Farmasi Udayana Vol. 10, No 2, Tahun 2021
Publisher : Departement of Pharmacy, Faculty of Mathematics and Natural Science, Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/JFU.2021.v10.i02.p02

Abstract

Epilepsi merupakan penyakit gangguan kronis pada otak yang tidak menular yang dapat mempengaruhi orang dari segala usia. OAE (obat antiepilepsi) merupakan terapi utama kebanyakan pasien epilepsi dengan tujuan keseluruhan adalah secara menyeluruh untuk mencegah terjadinya kejang tanpa menyebabkan efek samping. Salah satu ukuran manajemen terapi obat pada penyakit epilepsi adalah menurunnya/hilangnya kejang, sehingga frekwensi kejang menjadi salah satu ukuran pencapaian end outcome. Penelitian ini merupakan penelitian observasional cross sectional yang dilakukan pada pasien epilepsi rawat jalan poli syaraf Rumah Sakit Universitas Airlangga, yang bertujuan untuk melihat hubungan antara tingkat kepatuhan menggunakan obat antiepilepsi dengan kejadian kejang pada pasien epilepsi. Tingkat kepatuhan konsumsi OAE pada penelitian ini menggunakan kuesioner MGLS (Morisky, Green, Levine adherence Scale). Tingkat kepatuhan berdasarkan kuesioner MGLS dibagi menjadi 3 tingkatan diantaranya patuh rendah, menengah atau sedang dan patuh tinggi. Kejadian kejang pada pasien epilepsi yang diamati adalah ada atau tidaknya kejang selama sebulan terakhir, yang datanya diperoleh dari wawancara pasien atau keluarganya serta dari diary seizure. Hasil penelitian dari 40 responden diketahui terdapat korelasi positif sedang antara tingkat kepatuhan yang diukur menggunakan kuesioner MGLS yang mayoritas patuh sedang dengan adanya kejadian kejang pada pasien epilepsi (r = 0,423 dengan nilai p = 0,006 <0,05).
UJI VALIDITAS DAN RELIABILITAS KUESIONER KEPATUHAN MGLS (MORISKY, GREEN, LEVINE ADHERENCE SCALE) VERSI BAHASA INDONESIA TERHADAP PASIEN EPILEPSI Iin Ernawati; Wardah Rahmatul Islamiyah
Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan Vol 4 No 2 (2019): JIIS
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (251.407 KB) | DOI: 10.36387/jiis.v4i2.330

Abstract

Epilepsy is a chronic brain disease that is characterized by seizures spontaneously, recurs and there is no improvement in each seizure. One measure of therapy epilepsy is decreased or loss of seizures. One of the things that still causes the uncontrolled seizure is adherence. Measurement of adherence in epilepsy patients is one of the tool for know related to the type of therapy and intervention provided. One of the adherence questionnaires that can be used is MGLS (Morisky, Green, Levine Scale Adherence Scale). The MGLS questionnaire is a adherence questionnaire with 4 items of questions, where the questionnaire questions can describe the level of patient adherence in drug consumption. The purpose of this study is to test the validity and reliability of the MGLS questionnaire with the intention that the questionnaire can be applied to patients.This study was a descriptive observational study conducted on epilepsy patients at Airlangga University Hospital. Sampling was done through consecutive sampling method, obtained 42 epilepsy patients between May-July 2018. Validity test was carried out using the Pearson correlation method (correction value ≥0.3) and the reliability test using internal cronbach alpha coefficient ≥0.6. Based on the results of the validity test it is known that the correlation score of each question with the total score is known to correlate more than r table (N = 42) 0.3496. These results indicate that all questions on the Indonesian version of the MGLS questionnaire are valid. Reliability test showed cronbach alpha coefficient 0.634> 0.6 (p <0.05). The conclusion of this study is the valid and reliable MGLS Indonesian version of the questionnaire instrument to determine the level of adherence in epilepsy patients.
Nocturnal Epilepsy dan Dislokasi Sendi Bahu Anterior Bilateral Berulang Wardah Rahmatul Islamiyah; Ersifa Fatimah; Kurnia Kusumastuti
AKSONA Vol. 1 No. 2 (2021): JULY 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (197.114 KB) | DOI: 10.20473/aksona.v1i2.151

Abstract

Pendahuluan: Penyandang epilepsi sering mengalami cedera pada saat serangan. Tipe bangkitan tonik dan kontraksi kuat dari anggota gerak pada saat serangan seringkali menyebabkan cedera otot pada sendi dan tulang, sehingga menyebabkan dislokasi dan fraktur. Kontraksi hebat pada sekelompok otot dapat menyebabkan dislokasi dan instabilitas sendi bahu. Kejadian dislokasi sendi bahu bilateral patognomonis disebabkan oleh karena kejang. Akan tetapi pada umunya bentuk dislokasi pascakejang berupa dislokasi bahu posterior bilateral.  Laporan kasus berikut akan menyampaikan kejadian dislokasi sendi bahu anterior bilateral berulang pada penyandang nocturnal epilepsy. Kasus ini jarang terjadi dan diharapkan meningkatkan kewaspadaan klinisi dalam merawat penyandang epilepsi.  Kasus: Laki-laki 22 tahun dikonsulkan oleh spesialis bedah orthopedi dengan diagnosis dislokasi sendi bahu anterior berulang. Pasien sudah mengalami dislokasi sebanyak empat kali dalam satu tahun terakhir. Dislokasi bahu selalu terjadi setelah serangan kejang di malam hari ketika pasien tidur. Pasien rutin mengkonsumsi obat phenytoin dengan frekuensi serangan 3 – 4  bulan sekali setiap tidur malam. Pasien menginginkan kejadian ini tidak terulang lagi. Penggantian obat antiepilepsi yang tepat dan memiliki efek samping minimal pada tulang membantu mencegah terjadinya komplikasi dislokasi seperti ini.  Kesimpulan: Dislokasi sendi bahu anterior bilateral berulang merupakan bentuk cedera pascabangkitan yang jarang terjadi. Pemilihan jenis antikejang yang tepat, upaya kontrol kejang yang baik dan penatalaksanaan multidisiplin dapat membantu mencegah terjadinya komplikasi berulang pada kasus serupa.    
Blood Pressure in Patients Obstructive Sleep Apnea and Resistant Hypertension with Continuous Positive Airway Pressure (CPAP) Therapy: A Systematic Review and Meta-Analysis Rivania, Mutiara Rizqia; Pikir, Budi Sustyo; Lestari, Pudji; Islamiyah, Wardah Rahmatul
AKSONA Vol. 4 No. 2 (2024): JULY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v4i2.52801

Abstract

Highlight: CPAP therapy is a medical treatment for individuals suffering from OSA, a condition that is frequently linked to cardiovascular disease and resistant hypertension. Five studies clearly showed that combining CPAP therapy with standard medications had a big effect on the blood pressure of patients with both obstructive sleep apnea (OSA) and resistant hypertension. Administering CPAP in conjunction with standard treatment, as per guidelines, has demonstrated the capability to lower both daytime and nighttime blood pressure in individuals affected by OSA and resistant hypertension.   ABSTRACT Introduction: Obstructive sleep apnea (OSA) is an upper respiratory tract disorder that is often associated with cardiovascular diseases, one of which is resistant hypertension (RH). On the other side, Continuous Positive Airway Pressure (CPAP) is a medical treatment that is often used for patients with OSA and RH. Objective: This meta-analysis aimed to determine the effectiveness of CPAP in patients with OSA and resistant hypertension by measuring systolic and diastolic blood pressure at diurnal, nocturnal, and 24 hours. Methods: We conducted a systematic review using a PRISMA flowchart, utilizing sources such as PubMed, Scopus, Science Direct, and ClinicalTrials.gov with MeSH. We then reviewed these sources for quality studies using RoB2, and analyzed the data using the Revman website version. 5.4.Results: The five studies included in the analysis found that CPAP, while maintaining conventional drugs, significantly affected the blood pressure of patients with OSA and RH. The significant results were made clearer by obtaining data for nocturnal SBP pressure, mean -3.89 mmHg (95% CI: -7.03 to -0.76) with a p-value < 0.02, and then nocturnal DBP obtained a mean of -2.34 mmHg (95% CI: -4.70 to 0.02) with a p-value < 0.05. Meanwhile, the 24-hour results for SBP obtained a mean of -2.97 mmHg (95% CI: -5.88 to -0.06) with a p-value < 0.05, and the 24-hour results for DBP obtained a mean of -2.39 mmHg (95% CI: -4.62 to -0.16) with a p-value < 0.04. Conclusion: CPAP, while maintaining conventional treatment according to indications, can reduce 24-hour and nocturnal blood pressure in patients with OSA and resistant hypertension.  
PROFILE OF HISTORY OF FEBRILE SEIZURE IN PATIENTS WITH EPILEPSY Basyarahil, Rayhan Muhammad; Islamiyah, Wardah Rahmatul; Gunawan, Prastiya Indra
MNJ (Malang Neurology Journal) Vol. 8 No. 1 (2022): 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.2022.008.01.5

Abstract

Background: Febrile seizure is convulsions with fever (temperature ³38°C) with no central nervous system infection that commonly found in children (6-60 months). Febrile seizures do not always mean the child has epilepsy. However, febrile seizures can be a possible long-term risk factor for epilepsy.Objective: The objective of this study is to know the profile of febrile seizure in patients with epilepsy.Methods: A retrospective descriptive study on 23 patients with epilepsy in the EEG Department of Neurology, Dr. Soetomo General Hospital, Surabaya, Indonesia in the period 2018-2019 based on inclusion and exclusion criteria. The total number of epilepsy patients is 849 patients, 216 of whom had a history of febrile seizure. Among 216 epilepsy patients who had a history of febrile seizures, 23 of them were qualified as the sample. The sampling technique used was total population sampling. The instrument of this research is the patients’ medical record. Data analysis is carried out descriptively.Results: The characteristics of the history of febrile seizures that found in patients with epilepsy are more patients are male, have the age of onset on less than 2 years old, have the body temperature more than 38.3°C, have the seizure duration less than 15 minutes, have focal seizures, have recurrent seizures in 24 hours, have a history of more than one febrile seizure, have accompanying neurological disorders, and have no family history of epilepsy.Conclusion: Febrile seizure is still becoming a concern because there is a possibility that it may develop into epilepsy. Even though, not all children who experience febrile seizure will generate epilepsy.
Cerebral Proliferative Angiopathy as the Cause of Symptomatic Epilepsy in a Young Adult Male: A First Case Report from Indonesia Swatan, Jovian Philip; Sani, Achmad Firdaus; Islamiyah, Wardah Rahmatul; Kurniawan, Dedy; Fatimah, Ersifa
Magna Neurologica Vol. 2 No. 1 (2024): January
Publisher : Department of Neurology Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/magnaneurologica.v2i1.895

Abstract

Background: Cerebral proliferative angiopathy (CPA) is a rare and distinct vascular malformation that was once considered a subset of cerebral arteriovenous malformation (AVM). Due to its relatively benign course with no distinctive clinical feature, CPA may often be overlooked and misdiagnosed with other diseases. We would like to report a case of CPA as the underlying cause of symptomatic epilepsy. Case: A 31-year-old male presented to the outpatient clinic with a history of focal to bilateral tonic-clonic seizure for 2 years. Following conservative management with an oral antiepileptic agent, the seizure frequency significantly decreased from once daily to once or twice monthly. The patient was lost to follow-up; however, he was incidentally referred back to our clinic two years later for further evaluation. A head Magnetic Resonance Imaging and Magnetic Resonance Angiography revealed a suspicion of giant AVM in the left hemisphere. Cerebral digital subtraction angiography (DSA) was performed and revealed a CPA in the left frontal area. The patient was managed conservatively, and during the 6-month follow-up period, the patient did not have any seizures. Discussion: In young adults, seizures may be caused by an underlying vascular abnormality. Cerebral DSA remained the gold standard for distinguishing various etiologies of vascular malformation, including CPA. Conclusion: Conservative treatment using oral antiepileptic agents was effective in controlling the seizure frequency in CPA. However, a complete diagnostic evaluation is still warranted to determine the most appropriate treatment while revealing some peculiar and unexpected etiologies in the process.
Pengaruh Awake Prone Position pada Pasien Covid-19 Gejala Ringan-Sedang untuk Mengurangi Risiko Berkembang menjadi Kasus Berat: Systematic Review Yuswanto, Andis; Bakar, Abu; Islamiyah, Wardah Rahmatul
Jurnal Keperawatan Vol 16 No 3 (2024): Jurnal Keperawatan: September 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v16i3.1857

Abstract

Prone position merupakan salah satu metode untuk meningkatkan ventilasi pada proses pernafasan. Tujuan penelitian ini adalah melakukan tinjauan sistematis terhadap jurnal-jurnal sebelumnya yang membahas tentang dampak posisi tengkurap terjaga pada pasien penyakit COVID-19 yang dapat menurunkan risiko berkembang menjadi kasus parah. Penelusuran literatur dilakukan dalam 5 tahun terakhir penelitian yang dipilih dari beberapa database elektronik yang terindeks (Scopus, Science Direct, PubMed, Web of Science). Sebanyak 278 artikel diperoleh, dan setelah diseleksi ternyata 12 artikel terpilih berdasarkan kriteria dan merupakan uji coba kontrol acak, Cohort Retrospective Study, case control. 8 artikel menjelaskan bahwa posisi tengkurap terjaga efektif memperbaiki kondisi hipoksia yang ditandai dengan peningkatan saturasi oksigen dalam darah pasien penyakit corona virius-19 dengan gejala ringan-sedang. Latihan prone position terjaga masih menjadi pilihan utama terapi pada pasien corona virius disease-19 dengan sindrom gangguan pernapasan akut ringan-sedang. Karena menyebabkan peningkatan oksigenasi dan fungsi pernafasan mekanis pada pasien sehingga mengurangi risiko menjadi kasus yang parah.
Co-Authors Abu Bakar Achmad Firdaus Sani, Achmad Firdaus Basyarahil, Rayhan Muhammad Budiono Budiono Ernawati, Iin Ersifa Fatimah Fatimah, Ersifa Iin Ernawati Iin Ernawati Jordan, Danny Randy Kusumastuti, Kurnia MARIA BINTANG Pikir, Budi Sustyo Pradani, Erwindy Yastika Prastiya Indra Gunawan Prayitno, Jongky Hendro Pudji Lestari Putera, Rudolph Muliawan Rivania, Mutiara Rizqia Swatan, Jovian Philip Wyono, Oktaviani Putri Yunitasari, Fitria Dewi Yuswanto, Andis Zahra, Farah Az