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All Journal Jurnal Anestesi Obstetri Indonesia AKSONA Jurnal Penyakit Dalam Indonesia
Nurmalasari, Mifta
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Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Correlation between History of Fall and Timed Up and Go Test in Geriatric Nurmalasari, Mifta; Widajanti, Novira; Dharmanta, Rwahita Satyawati
Jurnal Penyakit Dalam Indonesia Vol. 5, No. 4
Publisher : UI Scholars Hub

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Abstract

Introduction. Fall is the global major problem in geriatrics as it causes physical and physicological impairment, even leads to mortality. Timed up and go test (TUG) is the screening method which commonly used in medical practice as standard examination to assess mobility, balance, and fall risk.This study aimed to determine the correlation between TUG and history of falls in geriatric patients at General Hospital Dr. Soetomo Surabaya, Indonesia. Methods. A cross-sectional study was conducted among geriatric patients in Dr. Soetomo hospital with criteria ≥ 60 years old, mini mental state examination (MMSE) score ≥ 17, did not suffer from hemiplegic stroke, and did not use walking aids. Subjects with these criteria were interviewed to know the fall history from the past 12 months, level of education, and comorbidity. Then the subjects carried out MMSE assessment, BMI (body mass index) measurement, and TUG assessment. Statistical analysis was done with Fisher exact test.. Results. A total of 73 subjects participated in this study of which 56.16% were women. Among 73 subjects, 18 subjects had a history of falls and 72.22% of them were women. The Fisher test results showed a significant relationship between history of falls and TUG with p value= 0.048 and a contingency coefficient= 0.305. Conclusion. There was weak correlation between history of falls and TUG. Subsequent studies need to add and select samples with uniform distribution of characteristics, so that the results could represent the entire elderly population at General Hospital Dr. Soetomo Surabaya, Indonesia.
Spontaneous Intracranial Hemorrhage in a 34-Year-Old Male Patient Related to Hypertensive Emergency Nurmalasari, Mifta; Widodo, Djoko
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.v4i2.51228

Abstract

Highlight: Unhealthy lifestyles are believed to be cause of hypertension at a young age. Untreated hypertension increases cardiovascular disease morbidity and mortality. The incidence of intracranial hemorrhage associated with hypertension is approximately 60%. It commonly occurs in the deep brain structure, which is considered to have a poor clinical outcome.   ABSTRACT Introduction: The incidence of hypertension is currently moving toward younger ages. It’s thought that an unhealthy lifestyle serves as a trigger. Hypertension can increase morbidity and mortality related to cardiovascular disease, even at a young age. This case report is intended to report the incidence of spontaneous intracranial hemorrhage in a 34-year-old male patient during a hypertensive emergency. Case: A 34-year-old male patient was rushed to the emergency unit at midnight due to a sudden decrease in consciousness. Headaches and seizures occurred before admission. The patient denied having any history of head trauma. The patient’s habits included excessive caffeine consumption, frequent late-night sleeping, and extensive smoking. At the time of admission, the patient’s vital signs indicated a poor clinical condition: GCS E1V1M1, BP 212/118 mm/Hg, deep irregular rapid breathing, sometimes followed by periodic apnea, RR 28 breath/minute, HR 111 beat/minute, SpO2 50%, T 36.8°C, which gradually developed hyperthermia. Both eyes had constricted and fixed pupils; the light reflexes were negative. A neurological examination revealed the body’s left lateralization. The head CT scan without contrast indicated hemorrhage in the right intracerebral, midbrain, pons, intraventricular, and subarachnoid areas, with estimated total volume of about 31 ml. Conservative treatment was chosen due to the bleeding location in the deep brain structure of GCS 3, which was considered to have a poor outcome. Conclusion: Hypertension in the younger age group is commonly associated with unhealthy lifestyles, which increase morbidity and mortality related to cardiovascular disease.    
Total Intravenous Anesthesia untuk Prosedur Cerclage Serviks pada Wanita Hamil dengan Obesitas Nurmalasari, Mifta; Andika Bachtiar Effendi
Jurnal Anestesi Obstetri Indonesia Vol 7 No 3 (2024): November
Publisher : Indonesian Society of Obstetric Anesthesia and Critical Care (INA-SOACC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47507/obstetri.v7i3.198

Abstract

Inkompetensi serviks merupakan penyakit obstetrik yang jarang terjadi. Hal ini menjadi penyebab 8% kelahiran prematur spontan atau aborsi berulang pada trimester kedua kehamilan. Terdapat kemungkinan untuk dilakukan prosedur obstetri yang tidak terkait dengan persalinan selama masa kehamilan, salah satunya adalah prosedur cerclage serviks. Hal ini merupakan tantangan karena kesejahteraan ibu dan janin harus dipertimbangkan dengan cermat. Pemilihan prosedur anestesi dan waktu tindakan yang tepat sangat penting untuk menghindari komplikasi pada ibu dan janin. Laporan kasus ini bertujuan untuk melaporkan penatalaksanaan anestesi menggunakan Total Intravenous Anesthesia (TIVA) pada ibu hamil dengan usia kehamilan (UK) 23 minggu dengan obesitas dan riwayat kelahiran prematur berulang yang menjalani prosedur cerclage serviks. Seorang wanita berusia 21 tahun UK 23 minggu pada kehamilan ketiga dengan riwayat sebelumnya pernah mengalami dua kali kelahiran prematur (G3P2A0). Kondisi pasien baik dan tidak memiliki riwayat penyakit penyerta kecuali obesitas. Pasien didiagnosis menderita inkompetensi serviks dan berencana menjalani prosedur cerclage serviks elektif dengan anestesi TIVA. Prosedur tersebut berhasil dilaksanakan dengan hasil yang memuaskan. Penatalaksanaan anestesi menggunakan TIVA pada wanita hamil 23 minggu dengan obesitas dan riwayat kelahiran prematur berulang yang menjalani prosedur cerclage serviks telah dilaporkan aman bagi ibu dan bayi dalam laporan kasus ini
Co-Authors Andika Bachtiar Effendi Djoko Widodo Novira Widajanti, Novira Rwahita Satyawati Dharmanta