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Relationship between Stress Level and Tension Type Headache among Medical Study Program, Faculty of Medicine, Mulawarman University Bilahmar, Saphira Qayyum; Hutahaean, Yetty Octavia; Nugroho, Hary
Jurnal Kesehatan Pasak Bumi Kalimantan Vol 5, No 2 (2022): JKPBK Desember 2022
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/j.kes.pasmi.kal.v5i2.8768

Abstract

Background: Tension Type Headache (TTH) is the most common type of primary headache. TTH has a major impact on the productivity and social activities of the sufferers, especially students. The most common risk factor for TTH is stress, risk of getting TTH increased along with the stress level. Aims: This study aims to determine the relationship between stress levels and TTH among students of the Medical Study Program, Faculty of Medicine, Mulawarman University. Methods: A questionnaire-based cross-sectional study was conducted among Medical Study Program, Faculty of Medicine, Mulawarman University. The stress levels in this study were measured with the Perceived Stress Scale-10 (PSS-10) questionnaire. The incidence of TTH was assessed with the Headache Screening Questionnaire-Dutch Version (HSQ-DV). 217 respondents from the academic year 2018-2021 carried out with stratified random sampling technique.Results: The results showed that the majority of respondents experienced moderate stress (82.5%) and TTH was 54.4%. Bivariate analysis using the Chi-Square obtained p-value 0,565. Conclusions: There was no relationship between stress level and the incidence of TTH among students of the Medical Study Program, Faculty of Medicine, Mulawarman University.
Age-Associated with Worsening of Neurological Deficits in Ischemic Stroke Patients in Abdoel Wahab Sjahranie Regional Hospital, Samarinda Indria, Muhamad Dino; Rachmi, Eva; Hutahaean, Yetty Octavia
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 15 No. 1 (2024): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V15I12024.34-40

Abstract

Highlights: The worsening of neurological deficits in ischemic stroke patients is associated with the patient's age, with those over 45 years old having a higher risk. The worsening of neurological deficits in ischemic stroke patients does not correlate with hemoglobin level, hematocrit value, gender, smoking history, blood pressure, or hyperglycemic state.   Abstract Introduction: Treatment of impairment is an important step to prevent advanced neurological deficits in ischemic stroke medicine. Ischemic stroke patients with likely worsening neurological deficits should receive appropriate interventions. Therefore, this study aimed to examine predictors that can identify worsening neurological deficits. Methods: This study used a cross-sectional design on 74 hospitalized ischemic stroke patients at Abdoel Wahab Sjahranie Regional Hospital, Samarinda, in 2019. The worsening of neurological deficits was based on the progression of the National Institutes of Health Stroke Scale (NIHSS) scores at hospital admission and discharge. Age, hemoglobin level, hematocrit value, gender, smoking history, blood pressure, and hyperglycemic state were based on patient data at the beginning of hospital admission. The Chi-Square and Fisher's exact tests were used in bivariate analysis. Results: The results showed that age had a significant association with the worsening of neurological deficits in ischemic stroke patients (p = 0.024). Hemoglobin level, hematocrit value, gender, smoking history, blood pressure, and hyperglycemic state showed no relationship with worsening neurological deficits in ischemic stroke patients (p > 0.05). Conclusion: Age can serve as a predictor of worsening neurological deficits in ischemic stroke patients, with those aged over 45 years old having a higher risk. Meanwhile, the other factors were not associated with a worsening neurological deficit in ischemic stroke patients.
PROFIL FUNGSI KOGNITIF PASIEN PASCA STROKE DI RAWAT JALAN RSUD AJI MUHAMMAD PARIKESIT TENGGARONG Nova, Dewa Made Rama; Hutahaean, Yetty Octavia; Irawiraman, Hadi
Jurnal Medika : Karya Ilmiah Kesehatan Vol 8 No 1 (2023): Jurnal Medika Karya Ilmiah Kesehatan
Publisher : ITKES Wiyata Husada Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35728/jmkik.v8i1.1213

Abstract

Stroke is the second mortality and highest disability cause in the world. One of its complications is cognitive impairment. This study aims to determine the cognitive function profile, cognitive impairment domain’s distribution, and profile based on gender, age, educational level, occupational history before stroke, and the pathology types in post-stroke patients at the outpatient department of RSUD Aji Muhammad Parikesit Tenggarong. This study used descriptive observational design with a cross-sectional approach. The primary data were obtained through interviews using MoCA-Ina and the secondary data from the medical records. There were 92 samples of post-stroke patients were collected with the consecutive sampling method. The results showed that 94.6% of the respondent suffered from cognitive impairments. Almost all of the cognitive domains were impaired, the worst of all was delayed recall (98.8%). Mostly male (47.8%), respondents aged 55-64 years old (39,1%) suffered high school level (32.6%), and 42.4% economically inactive, ischemic stroke (91.3%) respondents suffered from cognitive impairment. This research concludes that primarily post-stroke patients suffered from cognitive impairment where delayed recall was the most affected domain and cognitive impairment occur most in male, aged 55-64 years old, enrolled in high School, inactive economically, and with ischemic stroke had cognitive impairment.