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All Journal MNJ (Malang Neurology Journal) Health Notions JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga AKSONA Magna Neurologica
Sita Setyowatie
Department Of Neurology, Faculty Of Medicine, Universitas Airlangga; Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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The Dominant Personality Type in Hemiparetic Patients Andika Darmawan Wahono; Abdurachman Abdurachman; Khairina Khairina; Sita Setyowatie
Health Notions Vol 6, No 01 (2022): January
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn60106

Abstract

McCrae and Costa proposed the big five personality which includes neuroticism, extraversion, openness, agreeableness, and conscientiousness. Certain personalities appear to be dominant in terms of the relevant disease. The aim of this study was to investigate the dominant personality according to the Big Five personality in hemiparetic patients. A descriptive cross-sectional with a survey-based questionnaire design involving 72 hemiparetic patient from outpatient department of Neurology Dr.Soetomo General Hospital hemiparesis in January 2020 to June 2021 was employed. The big five questionnaire was administered online or sent by courier. There were 27 female and 45 male in total with mean age of 53.89 years (SD 12.53). Majority of the hemiparese patiets had a agreeableness dominant personality (N=55). In addition, it was found that 1 hemiparese patient had an openess dominant personality, 3 hemiparese patients had a conscientious dominant personality, 6 hemiparese patients had an extraversion dominant personality, 4 hemiparese patients had a neuroticism dominant personality, and the remaining 3 had a mixed dominant personality. The dominant personality type in hemiparesis patient is agreeableness.Keywords: dominant; hemiparese; personality
Stroke Risk Factor Profile in an Urban Population: A Community-Based Descriptive Study in Mojo Sub-District, Surabaya, Indonesia Ilham Ikhtiar; Muhammad Wijdan Rosyich; Muhammad Arief Ardhanu; Dewi Setyaning Bastiana; Dedy Kurniawan; Sita Setyowatie
AKSONA Vol. 3 No. 1 (2023): JANUARY 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v3i1.40764

Abstract

Highlight: The stroke risk of the urban population in Mojo sub-district, Surabaya, was high (more than 10% risk for 36.3% of the population) . The risk factor for stroke is highly prevalent in Indonesia's urban communities, such as Surabaya. The Indonesian version of the Cardiovascular Disease Risk Index chart aids in determining stroke risk factors. The development of a stroke-spesific index chart has been done before but requires validation for the Indonesian population   ABSTRACT Introduction: Stroke is still a major cardiovascular disease in Indonesia. Locally published data regarding stroke risk factors is still rarely reported. This condition complicates the regulation, policy-making, and community empowerment efforts to reduce modifiable stroke risk factors. Thus, a study is necessary to provide an overview of stroke risk factors and risks in cities in Indonesia, such as Surabaya. Objective: This study aimed to describe stroke risk factors in an urban Indonesian community, such as the Mojo sub-district in Surabaya. Methods: This was a descriptive study to describe stroke risk factors like age, gender, history of comorbidities, and history of cardiovascular disease, as well as patient clinical data like neurological symptoms, cardiovascular symptoms, anthropometry, vital signs, simple laboratory values, and cardiovascular risk categorization in the next ten years based on the Cardiovascular Disease Risk Index chart, Indonesian version. Results: In this study, 33 participants were included. Risk factors showed that many participants had histories of active smoking (18.2%), hypertension (45.5%), and diabetes (24.2%). One-third of the participants had a history of dyslipidemia. Based on the risk chart for cardiovascular disease, 36.3% of participants were at >10% risk of developing cardiovascular disease in the next ten years. Conclusion: The risk index of cardiovascular disease in the Mojo sub-district, Surabaya, was still high. A combination of government policies, public awareness improvement, and community empowerment are urgently required to manage these risk factors epidemiologically.
Hypertensive and Non-hypertensive Hospital Admission Blood Pressure Association with Cognitive Function in Stroke Patients Rifqi, Muhammad Andika; Setyowatie, Sita; Putranto, Johanes Nugroho Eko
AKSONA Vol. 4 No. 1 (2024): JANUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v4i1.51720

Abstract

Highlight: A comparative study of hypertension and non-hypertension on cognitive function. Hospital admission blood pressure and cognitive function in acute-phase stroke patients. Blood pressure is not associated with cognitive function.   ABSTRACT Introduction: Cognitive impairment is one of the many stroke effects. White matter damage, microinfarcts, microbleeding, atrophy, and amyloid buildup in the brain due to stroke are all potential causes of this condition. Cognitive impairment studies have yet to provide a definitive explanation for how this condition develops following a stroke. Blood pressure is one of several risk factors for stroke. Meanwhile, few studies have been conducted on the association between blood pressure and cognitive function in stroke patients, and no definitive results have been established. Objective: This research was designed to examine and evaluate the difference in the measured cognitive function category between hypertensive and non-hypertensive hospital admission blood pressure stroke patients. Methods: This research used a cross-sectional design with a consecutive sampling method on acute stroke patients at Dr. Soetomo General Academic Hospital. The MMSE (Mini Mental State Examination) was carried out to assess the degree of cognitive function. The blood pressure measured is the hospital admission blood pressure. Results: There were 40 patients included in this study. A total of 36 patients (90%) were in the hypertension group (blood pressure ≥ 130/80 mmHg), and 4 patients (10%) were in the non-hypertension group (blood pressure < 130/80 mmHg). The MMSE results showed that 10 patients performed with no cognitive impairment, 12 patients performed with mild cognitive impairment, and 18 patients performed with severe cognitive impairment. Statistical analysis of the Mann-Whitney U test showed that p = 0.561. Conclusion: There was no difference in the measured cognitive function category between hypertensive and non-hypertensive hospital admission blood pressure stroke patients.  
Profile Patients based on Risk Factors for Ischemic Stroke in the Neurology Inpatient Ward of Dr. Soetomo General Academic Hospital Surabaya during the Period of January to June 2022 Kusuma, Nabila Divandra; Ardhi, Mohammad Saiful; Widodo, Widodo; Setyowatie, Sita
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.v4i2.52354

Abstract

Highlight: Some risk factors exhibited incongruent outcomes and went against existing theories. The age group under 65 years old was the most prevalent modifiable risk factor. Stage 2 hypertension was the most dominant non-modifiable risk factor.   ABSTRACT Introduction: Stroke is a major cause of disability and death worldwide. Among the three types of strokes, the ischemic stroke is the most prevalent. Controlling risk factors is a key approach to preventing ischemic stroke. Due to the limited data availability in Indonesia, it is important to research patient profiles focusing on risk factors for ischemic stroke. Objective: To record the patient profiles based on the risk factors for ischemic stroke in the neurology inpatient ward of Dr. Soetomo General Academic Hospital Surabaya for the period of January–June 2022. Methods: This was a descriptive observational study with a retrospective design. This study examined secondary data from ischemic stroke patients’ medical records at the Dr. Soetomo General Academic Hospital’s neurology inpatient ward in Surabaya between January and June 2022. Results: Out of 176 patients, 108 were under the age of 65. Of these, 97 were male. There were 63 patients with a history of ischemic stroke, 58 with diabetes mellitus, 84 with stage 2 hypertension, 77 with dyslipidemia, 59 with impaired kidney function, 52 with diabetes mellitus by lab tests, and 23 who smoked. Conclusion: In this study, some risk factors exhibited discrepancies and contradicted existing theories. The two dominant variables in the patient population were a combination of risk factors that occur more frequently at a certain age and a combination of risk factors in patients with recurrent strokes.
Septic Cavernous Sinus Thrombosis (CST) with Blindness Caused by Odontogenic Infection – A Case Report Valentine, Putri Permata; Adrianto, Yudhi; Setyowatie, Sita
Magna Neurologica Vol. 1 No. 1 (2023): 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.v1i1.477

Abstract

Introduction: Septic cavernous sinus thrombosis (CST) is a rare thrombosis, but severe, causing damage to all nerves inside the cavernous sinus. The incidence rate of CST is estimated at two to four per million people per year. The symptom usually varies, gradually worsening, making diagnosis harder and potentially making permanent disability. Early detection and prompt treatment are very important to lower the morbidity rate. Case: Tn. M had complained of multiple headaches attacks since 8 months ago before being admitted followed by diplopia. Complaints had worsened 3 months before with the loss of vision in the left eye. MRI showed left thrombosis sinus cavernous. The terrible headache was scaled 8-9 with VAS score. The patient’s left eye was found proptosis palpebra, with anisocoria and mydriasis followed by no direct light reflex also indirect light reflex, visual acuity of the left eye is no light response, whereas the patient’s right eye is normal. On the patient’s left eye was found gaze palsy sinistra. The abnormal blood result was leucocytosis and thrombocytosis. The patient was given fondaparinux once a day with a dose of 6000 units subcutaneously for 5 days. After that, the headache was decreased significantly. The patient underwent 5 tooth extraction done by mouth surgeon after being discharged. The patient was given 20 mg rivaroxaban per day for three weeks, then 10mg per day for three months, and evaluated with MRV again. Conclusion: CST is still very rare but very lethal and makes permanent disability on the patient. Through this case, we demonstrate the potential of tooth infection which leads to septic CST and caused ophthalmoplegia and blindness.
Epidemiologic Profile of Ischemic Stroke Patients with Dyslipidemia in Dr. Soetomo General Academic Hospital Patient Prakoso, Raditya Ardra Putra; Ardhi, Mohammad Saiful; Thamrin, Husin; Setyowatie, Sita
AKSONA Vol. 5 No. 1 (2025): JANUARY 2025
Publisher : Universitas Airlangga

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

Abstract

Highlight: This study provides insights into the epidemiologic profile of ischemic stroke patients with dyslipidemia in Dr. Soetomo General Academic Hospital. The majority of patients had hypertension, the most common comorbidity with low HDL-C levels Most patients showed moderate stroke severity and high levels of consciousness, with a majority proportion demonstrating recovery.   ABSTRACT Introduction: Ischemic stroke is a major medical issue, especially in individuals with dyslipidemia, as it can elevate both the likelihood and severity of stroke incidents. This study is essential due to the rising prevalence of stroke and limited data regarding ischemic stroke patients with dyslipidemia in Indonesia. Understanding these traits is important for enhancing preventative and treatment strategies. Objective: This study intended to assess the epidemiologic profile of ischemic stroke patients with dyslipidemia in a tertiary hospital in Indonesia. Methods: This descriptive study assessed 116 medical records of ischemic stroke patients with dyslipidemia admitted to Dr. Soetomo General Academic Hospital in Surabaya, Indonesia, from January to June 2023. The collected data encompassed demographics, comorbidities, lipid profiles, and clinical outcomes. Dyslipidemia was defined based on the PERKENI guidelines, and stroke severity was assessed using the GCS and NIHSS scales. Results: The majority of ischemic stroke patients with dyslipidemia (77.6%) had low HDL-C levels. There were 64 males and 52 females; most of them were between the ages of 56 and 65. Hypertension was the most common comorbidity (64.7%), followed by diabetes (39.7%), heart disease (12.9%), and obesity (11.2%). Of 40 NIHSS-assessed patients, 26 had moderate, 8 mild, 2 moderate-to-severe, and 4 severe strokes. The majority of patients (70.7%) recovered. Conclusion:The majority of dyslipidemia-related ischemic stroke patients, aged 56 to 65, had low HDL-C levels. Hypertension was the main comorbidity, with many experiencing their first stroke. Most patients had high consciousness, moderate stroke severity, and showed improvements.  
Profile of Risk Factors for Hemorrhagic Stroke in Patients at the Neurological Inpatient Installation of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from January to June 2022 Surdji, Almuta'Aaliyati Nur; Ardhi, Mohammad Saiful; Parenrengi, Muhammad Arifin; Setyowatie, Sita
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 2 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I22025.148-154

Abstract

Highlights: Modifiable risk factors of hemorrhagic stroke were hypertension, DM, dyslipidemia, and smoking history. Non-modifiable risk factors of hemorrhagic stroke were gender and age.   Abstract Introduction: Stroke is one of the top ten causes of death worldwide. Hemorrhagic strokes are more common in men, and their risks increase with age. This study aimed to determine the risk factor profile for hemorrhagic stroke (intracerebral hemorrhage/ICH and subarachnoid hemorrhage/SAH) among patients in the neurological inpatient installation of Dr. Soetomo General Academic Hospital, Surabaya, from January to June 2022. Methods: This study employed a descriptive observational method, utilizing secondary data obtained from the medical records of patients with hemorrhagic stroke at Dr. Soetomo General Academic Hospital, Surabaya, from January to June 2022. The data calculations were performed using the International Business Machines Corporation (IBM) Statistical Package for Social Sciences (SPSS) version 26. The variables examined in this study included the type of hemorrhagic stroke, non-modifiable risk factors, modifiable risk factors, and other risk factors. Results: In total, 50 medical records were retrieved. The type of hemorrhagic stroke was dominated by intracerebral hemorrhage. Among them, 29 (58%) patients were males, 35 (70%) patients were 46-65 years old, 41 (82%) patients had hypertension, 16 (32%) patients had diabetes mellitus (DM), 19 (38%) patients had dyslipidemia, 8 (16%) patients had a history of smoking, 14% of patients had aneurysms. Only 2% of patients had arteriovenous malformation (AVM). Conclusion: The dominant risk factors for hemorrhagic stroke were gender, age 46-65 years old, and hypertension.
RISK FACTOR PROFILE OF ISCHEMIC STROKE PATIENTS Divastuti, Kedyatasya Rae Fahirah; Setyowatie, Sita; Suryantoro, Satriyo Dwi; Ardhi, Mohammad Saiful
MNJ (Malang Neurology Journal) Vol. 11 No. 2 (2025): July
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.2025.011.02.16

Abstract

Background: Stroke remains a leading cause of disability and mortality, with ischemic stroke being the most prevalent type. The high incidence of ischemic stroke is associated with various risk factors, both modifiable and non-modifiable. In Indonesia, limited public awarness and data availability contribute to the increasing burden of ischemic stroke. Objective: This study aims to identify the risk factor profile of ischemic stroke patients in the Inpatient Unit of Universitas Airlangga Hospital, Surabaya. Methods: This retrospective descriptive study utilized secondary data from medical records of patients diagnosed with ischemic stroke between January and December 2023. The variables analyzed included age, gender, hypertension, diabetes mellitus, dyslipidemia, and smoking habits. A total sampling method was applied to the medical records of ischemic stroke patients admitted to the Inpatient Unit of Universitas Airlangga Hospital, Surabaya, during the specified period. Results: Based on 412 collected medical records, the results showed that the most prevalent non-modifiable risk factor was male gender (55.1%), followed by age 45–60 years (44.42%). Meanwhile, the most common modifiable risk factor was dyslipidemia (71.04%), followed by hypertension (66.5%), diabetes mellitus (33.33%), and smoking habit (25.97%). Conclusion: Dyslipidemia was the most prevalent risk factor, followed by hypertension, male gender, age 45–60 years, diabetes mellitus, and smoking habit.
Co-Authors Abdurachman Abdurachman Adrianto, Yudhi Andika Darmawan Wahono Ardhi, Mohammad Saiful Dedy Kurniawan Dewi Setyaning Bastiana Divastuti, Kedyatasya Rae Fahirah Ilham Ikhtiar Khairina Khairina Kusuma, Nabila Divandra Muhammad Arief Ardhanu Muhammad Wijdan Rosyich Parenrengi, Muhammad Arifin Prakoso, Raditya Ardra Putra Putranto, Johanes Nugroho Eko Rifqi, Muhammad Andika Surdji, Almuta'Aaliyati Nur Suryantoro, Satriyo Dwi Thamrin, Husin Valentine, Putri Permata Widodo Widodo