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All Journal Sumatera Medical Journal MAHESA : Malahayati Health Student Journal Nusantara Hasana Journal
Pitra, Dian Ayu Hamama
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Agriculture, Biological Sciences & Forestry Humanities Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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CORRELATION BETWEEN NEURON-SPECIFIC ENOLASE (NSE) SERUM LEVEL AND TRAUMATIC BRAIN INJURY SEVERITY Pitra, Dian Ayu Hamama; Syafrita, Yuliarni; Susanti, Rika; Rita, Rauza Sukma
Nusantara Hasana Journal Vol. 5 No. 1 (2025): Nusantara Hasana Journal, June 2025
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v5i1.1498

Abstract

Traumatic brain injuries (TBIs) are a health and socio-economic problem worldwide, both in low- and high-income countries, that affects all age groups. Computed Tomography (CT) is a diagnostic modality that can be used to assess brain damage. However, there are some limitations in the use of CT in TBIs. Therefore, biomarkers are expected to be a solution to identify brain injuries. Neuron-Specific Enolase (NSE) is a more practical and cheaper alternative. It does not require patient mobilization, especially for patients with severe TBIs, to accompany clinical examinations and CT. Methods: A cross-sectional design was used to determine the correlation between Neuron Specific Enolase (NSE) serum levels and the severity of TBIs at RSUP Dr. M. Djamil, Padang. Results: The study found that most patients were 23 men (76.7%), consisting of adults (40.0%). The majority of patients had mild traumatic brain injury (GCS 13-15) in 18 people (60.0%). The cut-off point for serum NSE was 6.6 ng/ml using the ROC curve. There was a negative correlation between serum NSE levels and the severity of TBI (r=-0.211). Conclusion: The correlation of serum NSE levels with the severity of TBI was very weak.
Primary Spinal Syringomyelia with Hemianhidrosis: A Rare Case Report Nova, Dwi Fitria; Pitra, Dian Ayu Hamama
Sumatera Medical Journal Vol. 8 No. 3 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i3.14462

Abstract

Background: The incidence of syringomyelia is very rare, at 8.4 per 100,000 people, or about 2%. It is characterized by a cyst filled with cerebrospinal fluid (CSF) within the spinal cord tissue or central canal. Symptoms may include sensory and motor disturbances. Objective: We report a case of a 35-year-old woman who presented with pain, weakness, and stiffness in her back, shoulders, arms, and legs. Methods: She experienced weakness on her right side for the past five years and had no sweating on that side for two years. Motor examination showed flaccid hemiparesis and muscle atrophy in her right upper limb. Reflex testing revealed hyperreflexia in her right hand and leg. Sensory testing (touch, temperature, pain, vibration) showed dissociation of sensation on the medial-lateral side of her right arm and leg. Results: After 1.5 years of treatment, including routine Short Wave Diathermy (SWD), Transcutaneous Electrical Nerve Stimulation (TENS), physical therapy, and medication, her condition improved, and her quality of life was enhanced. Conclusion: This case highlights that a multidisciplinary approach, including SWD, TENS, physical therapy, and medication, can effectively reduce symptoms and improve quality of life in syringomyelia patients, even with extensive spinal involvement (C1-T11).
Uji Diagnostik Dan Analisis Multivariat Prediktor Skor Glasgow Outcome Scale (GOS) pada Cedera Kepala Traumatik Rabiva, Elmaeda; Pitra, Dian Ayu Hamama; Efriza, Efriza
MAHESA : Malahayati Health Student Journal Vol 5, No 10 (2025): Volume 5 Nomor 10 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i10.19496

Abstract

ABSTRACT Traumatic head injury is an injury that results in impaired brain function with high morbidity and mortality rates. Early patient outcome assessment plays an important role in clinical decision-making, resource allocation, and communication between clinicians and patients' families. Outcome in traumatic head injury patients is influenced by several interrelated predictors. This study was aimed to analyze variables (patient characteristics, Rotterdam score, Helsinki score, and Glial Fibrillary Acidic Protein (GFAP) levels) that may act as predictors of outcome in traumatic head injury patients. This study used an observational analytic design with a cross-sectional approach. Data collection was carried out prospectively in the medical record installation of RSUP Dr. M. Djamil Padang and the Biomedical Laboratory of Andalas University. From the results of bivariate analysis, the variables of age, Glasgow Coma Scale (GCS) score, Rotterdam score, and Helsinki score have a significant relationship with the value of the Glasgow Outcome Scale (GOS) score. The higher the age, the lower the GCS score, and the large number of rotterdam and helsinki scores indicate a higher risk of patients experiencing poor outcomes. From multivariate analysis, the most significant variable was GCS score with a p value of 0.00.Conclusion: Variables that have an association with GOS score are age, GCS score, Rotterdam score, and Helsinki score. The most significant variable is GCS score. Keywords: GCS, GFAP, GOS, Helsinki Score, Rotterdam Score, Traumatic Head Injury.  ABSTRAK Cedera kepala traumatik adalah cedera yang mengakibatkan kerusakan otak dengan angka morbiditas dan mortalitas yang tinggi. Penilaian outcome dini pada pasien berperan penting dalam pengambilan keputusan klinis, pengalokasian sumber daya, dan komunikasi antara dokter dan keluarga pasien. Outcome pada pasien cedera kepala traumatik dipengaruhi oleh sejumlah prediktor yang saling mempengaruhi. Penelitian ini bertujuan untuk menganalisis variabel- variabel (karakteristik pasien, skor Rotterdam, skor Helsinki, dan kadar Glial Fibrillary Acidic Protein (GFAP) yang dapat berperan sebagai prediktor outcome pasien cedera kepala traumatik. Studi ini menggunakan desain analitik observasional dengan pendekatan cross-sectional. Data dikumpulkan secara prospektif di Instalasi rekam medis RSUP Dr. M. Djamil Padang dan Laboratorium Biomedik Universitas Andalas. Dari hasil analisis bivariat variabel usia, skor Glasgow Coma Scale (GCS), skor Rotterdam, dan skor Helsinki memiliki hubungan yang bermakna dengan nilai skor Glasgow Outcome Scale (GOS). Semakin tinggi usia, skor GCS yang rendah, serta jumlah skor rotterdam dan helsinki yang besar menunjukkan risiko pasien mengalami outcome buruk lebih tinggi. Dari analisis multivariat didapatkan variabel yang paling bermakna adalah skor GCS dengan nilai p value 0,00.  Variabel yang memiliki hubungan dengan skor GOS adalah usia, skor GCS, skor Rotterdam, dan skor Helsinki. Variabel yang paling bermakna adalah skor GCS. Kata Kunci: Cedera Kepala Traumatik, GCS, GFAP, GOS, Skor Helsinki, Skor Rotterdam.
Co-Authors Efriza Efriza Nova, Dwi Fitria Rabiva, Elmaeda Rauza Sukma Rita Rika Susanti Yuliarni Syafrita