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RELATIONSHIP BETWEEN LEVEL OF EDUCATION AND POST-STROKE COGNITIVE STATUS IN HOSPITAL-BASED ISCHEMIC STROKE SURVIVORS Harahap, Herpan Syafii; Indrayana, Yanna; Putri, Setyawati Asih
MNJ (Malang Neurology Journal) Vol. 7 No. 1 (2021): 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.2021.007.01.1

Abstract

Background: Post-ischemic stroke cognitive decline is significantly affecting the quality of life of its survivors. Its prevalence was about 7.5-72% which was mostly determined by the existing of vascular risk factors and cognitive reserve of the subjects. Level of education is one of determinants of cognitive reserve, a factor that affect the susceptibility of subjects to cognitive decline after experiencing ischemic stroke-related neuronal damage. Since level of education is protective for cognitive function, the intervention on it can reduce the occurrence of cognitive decline.Objective: To investigate the relationship between level of education and cognitive status among hospital-based ischemic stroke survivors.Methods: This cross-sectional study involved post-ischemic stroke outpatients in two hospitals. The data collected in this study were demographic data, including level of education, and clinical data as well. The level of education was categorized into ≥12 years and <12 years groups. Cognitive status was assessed using Montreal Cognitive Assessment in Indonesia version (MoCA-Ina) and subjects with score of 26-30 were normal. The relationship between level of education as well as clinical data and cognitive status were analyzed using chi-square test.Results: There were 166 subjects eligible for this study (n=166). The mean age of subjects was 58 years and 68.67% of them were male. Cognitive decline were found 80.12% of subjects (n=133). The level of education was significantly associated with cognitive status of the subjects and hypertension as well.Conclusion: The level of education had significant relationship with cognitive decline in the hospital-based population of ischemic stroke survivors.
A RARE CASE OF CARDIOEMBOLIC STROKE IN PATIENT WITH CARDIAC MYXOMA: CASE REPORT Wiracakra, I Gusti Lanang Krisna; Putri, Setyawati Asih
Jurnal Ilmu Kedokteran dan Kesehatan Vol 10, No 10 (2023): volume 10 Nomor 10
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v10i10.10918

Abstract

Abstract: A Rare Case of Cardioembolic Stroke in Patient with Cardiac Myxoma: Case Report. Cardiac myxoma is a condition where there is a tumor in the heart chambers, which is a rare cause of cardioembolic strokes in patients. The purpose of this case report is to convey a case that is rarely found in daily clinical practice as well as the stages of diagnosis and management of this case. A 42-year-old woman came with a sudden loss of consciousness, and after the patient regained consciousness, there was a neurological deficit. Based on the anamnesis, there was no history or risk factors for stroke in the patient. Through additional physical and supporting examinations, the patient was diagnosed with a cardioembolic stroke accompanied by cardiac myxoma. The patient received stroke therapy such as antiplatelet administration and physiotherapy to improve the condition of the patient's neurological deficits. After passing the treatment period, the patient's condition improved but still required further treatment.
EDUKASI MENGENAI FAKTA DAN MITOS EPILEPSI DI POLI SARAF RUMAH SAKIT UNIVERSITAS MATARAM Wardi, Baiq Prita Riantiani; Harahap, Herpan Syafii; Putri, Setyawati Asih; Suryani, Dini; Fitriantoro, Santo; Putri, Siti Noururrifqiyati Juna; Landapa, Raditya Rachman; Linggabudi, I Gusti Bagus Widiamtara; Maharani, Amelia Wahyu; Syifa, R.R Ditya Mutiara; Anugrah, M. Fardi; Shafa C, Cloresta; Ismaya, Ferium Trah
Jurnal Abdi Insani Vol 12 No 1 (2025): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v12i1.1939

Abstract

Epileptic seizures have a significant negative impact on the lives of patients, especially those who frequently experience relapses due to low medication adherence. Epilepsy patients often face stigma and social discrimination. Misunderstandings and negative societal attitudes, influenced by myths surrounding epilepsy, can prevent patients from seeking treatment and living confidently. This community service activity aimed to provide information and education about epilepsy, covering topics from its definition to an in-depth discussion of myths and facts about the disease. The ultimate goal was to enhance the knowledge of patients, their families, and visitors at the neurology outpatient clinic of Mataram University Hospital. The activity was conducted through interactive counseling sessions using PowerPoint presentations. Participants completed a pre-test before the counseling session, followed by a question-and-answer discussion after the material was delivered, and concluded with a post-test. A total of 56 participants attended. Both pre-test and post-test consisted of five questions addressing basic knowledge about the definition of epilepsy, myths and facts, and appropriate actions when encountering an epileptic seizure. The average pre-test score was 68.57, while the average post-test score increased to 76.44 after the educational session and discussion. Effective communication, education, and information dissemination proved to be key solutions for improving participants' knowledge. These efforts are expected to help epilepsy patients avoid stigma, gain full support from family and their surroundings, ensure optimal treatment outcomes, and enable patients to live confidently. Effective education and communication are critical in improving understanding of epilepsy, reducing stigma, and fostering social support for epilepsy patients.
Klasifikasi dan Faktor Risiko Ruptur Aneurisma Intrakranial; Sebuah Tinjauan Pustaka Baiq Holisatul Ismiana; Putri, Setyawati Asih; Landapa, Raditya Rachman; Jacob, Lusye Diana
Lombok Medical Journal Vol. 4 No. 3 (2025): Lombok Medical Journal
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v4i3.7014

Abstract

Abstract: Intracranial aneurysms are cerebrovascular abnormalities resulting from structural weakness in the arterial wall, which may rupture and lead to aneurysmal subarachnoid hemorrhage (aSAH), a condition associated with high morbidity and mortality rates. The formation of aneurysms is a multifactorial process that culminates in degenerative changes within the vessel wall. Aneurysms are classified based on morphology (saccular, fusiform, dissecting), size (ranging from small to giant), and anatomical location. The mechanism underlying aneurysm rupture can be explained by the concept of wall shear stress (WSS) in cerebral vessels. Other critical risk factors for aneurysm rupture include aneurysm size and location. A thorough understanding of the classification and risk factors for aneurysm rupture is essential to improve preventive management strategies in clinical practice.
Infarct Diameter for Predicting Cognitive Dysfunction in Ischemic Stroke Survivors in West Nusa Tenggara, Indonesia Harahap, Herpan Syafii; Putri, Setyawati Asih; Indrayana, Yanna; Amin, Hasan; Mahardika, Fransisca Ika
Kesmas Vol. 17, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Cognitive dysfunction is an important consequence of ischemic stroke, which can progress in the first few years and is primarily determined by clinical factors. This study aimed to investigate the clinical determinants of cognitive dysfunction in stroke survivors in West Nusa Tenggara Province, Indonesia. This cross-sectional study assessed 255 ischemic stroke survivors with a mean age of 57.1±9.3 years old and 29–79 years old, recruited consecutively in three main hospitals in West Nusa Tenggara Province between March 2019 and October 2021. Categorical data collected included age, sex, education level, clinical determinants of ischemic stroke, and cognitive status of the patients. The association between the clinical determinants of ischemic stroke and the risk of cognitive dysfunction in patients was analyzed using logistic regression after adjusting for age, sex, and level of education. The final multiple logistic regression analysis models revealed infarct diameter as the only clinical determinant significantly associated with an increased risk of cognitive dysfunction (OR = 3.14;95% CI = 1.20–8.23). Thus, a larger infarct diameter is the only clinical determinant of cognitive dysfunction in ischemic stroke survivors in West Nusa Tenggara Province, Indonesia.