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All Journal e-CliniC Universa Medicina Jurnal Kedokteran Klinik Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia
Herlyani Khosama
Faculty of Medicine, University of Indonesia
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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 1 
UJI NEUROLOGICAL DEPRESSION DISORDERS INVENTORY FOR EPILEPSY (NDDI-E) PADA PASIEN EPILEPSI DI POLIKLINIK SARAF RSUP PROF. DR. R. D. KANDOU Lengkoan, Joshua; Khosama, Herlyani; Sampoerno, Maja
e-CliniC Vol 3, No 2 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v3i2.8546

Abstract

Abstract: Depression is a comorbid symptom that often occurs in epileptic patients. This study aimed to obtain the occurence of depression among epileptic patients at the Neurology Department Prof. Dr. R. D. Kandou Hospital Manado. This study used a cross-sectional design for diagnostic test. Respondents were all patients that came to the Neurology clinic at Neurology Department Prof. Dr. R. D. Kandou Hospital Manado. There were 30 epileptic cases during the period of October to November 2014 that fulfilled the inclusion and exclusion criteria. Based on the outcome of questionnaires distributed to respondents and the manual calculation with standardized score of Neurological Depression Disorders Inventory for Epilepsy (NDDI-E) >15, diagnosis of depression was confirmed. There were 10 depression cases among the 30 respondents. Conclusion: Neurological Depression Disorders Inventory for Epilepsy Indonesian Version could be used to detect depression disorders among epileptic patients.Keyword: epilepsy, depression, NDDI-EAbstrak: Depresi adalah salah satu gejala komorbid yang sering terjadi pada pasien epilepsi. Penelitian ini bertujuan untuk mengetahui gambaran depresi pada pasien epilepsi di Poliklinik Saraf RSUP Prof. Dr. R. D. Kandou Manado. Penelitian dilakukan menggunakan desain potong lintang untuk uji diagnostik dengan mengambil sampel semua pasien epilepsi yang datang ke Poliklinik Saraf BLU RSU Prof. Dr. R. D. Kandou Manado. Terdapat 30 pasien epilepsi yang berobat ke poliklinik saraf RSUP Prof. Dr. R. D. Kandou Manado bulan Oktober sampai November 2014 yang memenuhi kriteria inklusi dan ekslusi. Dari hasil kuesioner yang dibagikan kepada responden dan melalui hasil perhitungan manual dengan standar skor Neurological Depression Disorders Inventory for Epilepsy (NDDI-E) >15 diagnosis mengalami depresi ditetapkan. Hasil penelitian menunjukkan 10 dari 30 responden mengalami depresi. Simpulan: Neurological Depression Disorders Inventory for Epilepsy (NDDI-E) versi Bahasa Indonesia dapat digunakan dalam mendeteksi gangguan depresi pada pasien epilepsi.Kata kunci: epilepsi, depresi, NDDI-E
GAMBARAN KUALITAS TIDUR PADA PERAWAT DINAS MALAM RSUP PROF. DR. R. D. KANDOU MANADO Thayeb, Ricky R. T. A.; Kembuan, Mieke A. H. N.; Khosama, Herlyani
e-CliniC Vol 3, No 3 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.3.3.2015.10457

Abstract

Abstract: Sleep is one of the primary needs of the basic requirement for human survival. Sleep disorders can cause some effects in humans. It is estimated that 60-80% of workers with shift work system have impaired sleep quality. This results in a decrease in work productivity and an increase in the occurence of accidents. This study aimed to obtain the sleep quality of nurses in Prof. Dr. R. D. Kandou Hospital Manado in 2013. This was a descriptive and observational study by using questionnaires. The study population was nurses in the Neurology Department and the Emergency Department (ED) with samples of 52 people. The results showed that the subjective sleep qualities as perceived by the nurses themselves were as follows: good enough (44.23%) and poor (36.54%). Respondents that had sleep disturbance less than once a week were 30.77%, and respondents that had sleep disturbance 1-2 times a week were 59.62%. Most nurses (69.24%) did not use sleeping pills. Respondents that experienced some disruption of their activities during the day over the past 1 month as many as 1-2 times a week were 55.77%. Conclusion: The quality of sleep of night shift nurses in Prof. Dr. R. D Kandou Hospital Manado belonged to poor quality.Keywords: night shift nurse, sleep qualityAbstrak: Tidur merupakan salah satu kebutuhan primer yang menjadi syarat dasar bagi kelangsungan hidup manusia. Gangguan tidur dapat menimbulkan beberapa efek pada manusia. Salah satu hal yang menjadi perhatian adalah 60-80% pekerja dengan system kerja shift mengalami gangguan kualitas tidur. Hal ini mengakibatkan penurunan produktivitas kerja dan dapat menyebabkan kecelakaan. Penelitian ini bertujuan untuk mengetahui gambaran kualitas tidur perawat di RSUP. Prof. Dr. R. D. Kandou Manado tahun 2013. Penelitian ini menggunakan metode deskriptif observasional dan pemberian kuesioner. Populasi ialah perawat Instalasi inap neurologi dan Instalasi gawat darurat (IGD dengan sampel berjumlah 52 orang. Hasil penelitian memperlihatkan kualitas tidur subjektif menurut persepsi perawat itu sendiri ialah cukup baik (44,23%) dan kurang baik (36,54%); gangguan tidur kurang dari sekali dalam seminggu (30,77%); dan gangguan tidur 1-2 kali dalam seminggu (59,62%). Mengenai penggunaan obat tidur, sebagian besar perawat (69,24%) tidak menggunakan obat tidur. Mengenai perawat yang mengalami gangguan beberapa aktifitas di siang hari selama 1 bulan terakhir sebanyak 1-2 kali dalam seminggu yaitu sebesar 55,77%. Simpualn: Kualitas tidur perawat dinas malam di RSUP Prof. Dr. R. D Kandou Manado tergolong kualitas tidur yang buruk.Kata kunci: perawat dinas malam, kualitas tidur
Karateristik perawat di Irina F RSUP Prof. Dr. R. D. Kandou Manado yang mengalami keluhan nyeri punggung bawah Goni, Naftalia T.S.; Khosama, Herlyani; Tumboimbela, Melke J.
e-CliniC Vol 4, No 1 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v4i1.12107

Abstract

Abstract: Low back pain is a clinical syndrome characterized by major symptoms of pain or other uncomfortable feelings in the lower spine. Low back pain is the leading cause of activity limitation and work absence world-wide. This study aimed to obtain the characteristics of nurses in Irina F Prof. Dr. R. D. Kandou Hospital Manado who had low back pain. This was a prospective descriptive study with a cross sectional design. Samples were 43 respondents. The results showed that of 50 respondents there were 43 respondents who suffered from low back pain. Of 43 respondents there were 14 male nurses (32.5%), and 29 female nurses (67.5%). Low back pain was suffered by 16 nurses (37,2%) aged 23-29 years, 19 nurses (44.2%) aged 30-39 years, two nurses (4.6%) aged 40-49 years, and six nurses (14%) aged 50-57 years. There were 16 nurses (37.2%) who had worked less than 5 years, and 27 nurses (72.8%) who had worked more than 5 years. There were seven nurses (16.3%) who had working time <8 hours a day, and 36 nurses (83.7%) who had working time >8 hours a day. Keywords: low back pain, nurse Abstrak: Nyeri punggung bawah (NPB) adalah sindroma klinik yang ditandai dengan gejala utama nyeri atau perasaan lain yang tidak enak di daerah tulang punggung bagian bawah. NPB merupakan penyebab utama dari keterbatasan aktivitas dan absen pekerjaan di sebagian besar dunia. Penelitian ini bertujuan untuk mengetahui karakteristik perawat di Irina F RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ini deskriptif prospektif dengan desain potong lintang. Sampel diperoleh sebanyak 43 responden. Hasil penelitian menunjukkan bahwa dari 50 responden terdapat 43 responden (86%) yang pernah mengalami keluhan NPB. Dari 43 responden terdapat 14 perawat laki-laki (32,5%) dan 29 perawat perempuan (67,5%). NPB dialami oleh 16 perawat (37,2%) berusia 23-29 tahun, 19 perawat (44,2%) berusia 30-39 tahun, 2 perawat (4,6%) berusia 40-49 tahun, dan 6 perawat (14%) berusia 50-57 tahun. Terdapat 16 perawat (37,2%) yang memiliki masa kerja <5 tahun, dan 27 perawat (62,8%) memiliki masa kerja >5 tahun. Terdapat 7 perawat (16,3%) yang memiliki lama kerja <8 jam sehari, dan 36 perawat (83,7%) memiliki lama kerja >8 jam sehari.Kata kunci: nyeri punggung bawah, perawat
Perbedaan Skor INA-MOCA pada Pemain Catur dan Bukan Pemain Catur Pauran, Scivo V.; P.S, Junita Maja; Khosama, Herlyani
e-CliniC Vol 5, No 1 (2017): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v5i1.15459

Abstract

Abstract: Aging is progressive declining process of many body functions, including cognitive function. Cognitive function is a conscious mental activity such as thinking, memory, learning, as well as language, and can be evaluated by using INA-MoCA. Chess is a popular game that requires intelligence. Some researchers believe that there is a close relation between cognitive function and chess. This study was aimed to determine whether there was any difference between the cognitive function of chess players and non-chess player. This was an analytic study with a cross-sectional study. Primary data were obtained from INA-MoCA score of the chess players and non-chess players. The results showed that in non-elderly category, the average score of INA-MoCA indicated that chess players had higher cognitive functions than non-chess players (p=0.43). In elderly category, the average score of INA-MoCA indicated that the chess players had better cognitive function than the non-chess players by 2.77 (p=0.03). Conclusion: Either elderly or non-elderly, chess players had higher cognitive function than non-chess players.Keywords: cognitive function, elder, chess, INA-MoCA Abstrak: Menua adalah proses penurunan banyak fungsi tubuh yang progresif, termasuk penurunan kognitif. Fungsi kognitif adalah aktivitas mental secara sadar seperti berpikir, mengingat, belajar, dan bahasa. Salah satu evaluasi fungsi kognitif dengan menggunakan INA-MoCA. Permainan catur merupakan permainan yang populer dan memerlukan kecerdasan. Beberapa peneliti percaya bahwa ada hubungan yang erat antara fungsi kognitif dan permainan catur. Penelitian ini bertujuan untuk mengetahui apakah terdapat perbedaan fungsi kognitif antara pemain catur dan bukan pemain catur. Jenis penelitian ialah analitik dengan desain potong lintang. Data primer ialah skor INA-MoCA pemain catur dan bukan pemain catur. Hasil penelitian pada kelompok bukan lansia, rerata skor INA-MoCA mengindikasikan pemain catur memiliki fungsi kognitif yang lebih tinggi daripada yang bukan pemain catur (p=0,43). Pada kelompok lansia, rerata skor INA-MoCA menunjukan pemain catur memiliki fungsi kognitif yang lebih baik daripada bukan pemain catur dengan selisih 2,77 (p=0,03). Simpulan: Fungsi kognitif pemain catur baik pada lansia maupun bukan lansia lebih baik daripada bukan pemain catur.Kata kunci: fungsi kognitif, lansia, pemain catur, INA-MoCA
GAMBARAN PENOLAKAN MASYARAKAT TERHADAP PUNGSI LUMBAL DI BAGIAN NEUROLOGI BLU RSUP. PROF. DR. R.D. KANDOU MANADO Pasomba, Selvyani; Khosama, Herlyani; Sampoerno, Junita M.P.
e-CliniC Vol 1, No 1 (2013)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.1.1.2013.1180

Abstract

Abstract: The examination of cerebrospinal fluid obtained by a lumbar puncture is important in the diagnosis of CNS infection. There have been no reports of refusals of lumbar punctures in Manado. This study is a descriptive preliminary using interviews and questionnaires. The subjects were all patients or families of patients in the inpatient unit at the Department of Neurology BLU. Prof. Dr. R. D. Kandou Manado in November 2012. The results showed that of the total number of 60 respondents, 27 (45%) under advice, agreed to undergo lumbar punctures; 30 (50%) refused, and 3 (5%) were not able to decide and thus abstained. While 93.3% of respondents knew the definition and indications of lumbar puncture, 86.7% refused eventhough they knew that the lumbar puncture procedure was important in the management of the disease; 86.7% assumed that the lumbar puncture was a dangerous procedure; 80% felt unsure enough to refuse; and 86.7% were afraid to have the lumbar puncture procedure done. All respondents knew that lumbar puncture had complications. Conclusion: nearly all respondents who refused knew that the lumbar puncture procedure is important in the management of the disease, yet they assumed the lumbar puncture was dangerous, uncomfortable, and felt fearful. Keywords: lumbar puncture, neurology, refusal description, society. Abstrak: Pemeriksaan cairan serebrospinal yang diperoleh melalui tindakan pungsi lumbal penting untuk mendiagnosis infeksi susunan saraf pusat. Meskipun demikian, sering terjadi penolakan terhadap pemeriksaan ini. Sampai saat ini belum ada laporan tentang gambaran penolakan pungsi lumbal di Manado. Penelitian ini bersifat deskriptif dengan wawancara menggunakan kuesioner. Subjek penelitian ialah semua pasien atau keluarga pasien di ruang rawat inap Bagian Neurologi BLU RSUP. Prof. Dr. R.D. Kandou Manado bulan November 2012. Hasil penelitian memperlihatkan jumlah responden sebanyak 60 orang, 27 (45%) setuju jika seandainya disarankan untuk menjalani pungsi lumbal, 30 (50%) menolak, dan tiga (5%) tidak dapat memutuskan setuju atau menolak (abstain). Sebanyak 93,3% responden mengetahui definisi dan indikasi pungsi lumbal, 86,7% responden yang menolak menganggap pungsi lumbal penting dalam penatalaksanaan penyakit, 86,7% menganggap pungsi lumbal merupakan tindakan yang berbahaya, 80% responden merasa tidak nyaman, dan 86,7% takut terhadap pungsi lumbal. Simpulan: hampir seluruh responden yang menolak mengetahui bahwa tindakan pungsi lumbal penting dalam penatalaksanaan penyakit, dan menganggap pungsi lumbal sebagai tindakan berbahaya, tidak nyaman dan merasa takut pada tindakan ini. Kata kunci: pungsi lumbal, neurologi, gambaran penolakan, masyarakat.
Gambaran gangguan pemusatan perhatian pada remaja gamers di Manado periode November 2014 – Desember 2014 Kaseger, Kevin A.; Khosama, Herlyani; Mahama, Corry N.
e-CliniC Vol 4, No 2 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v4i2.13923

Abstract

Abstract: Attention deficit disorders (ADD) is a medical disorder that has its own characteristics and tends to be hereditary. Generally, there are three types of behavior associated with this disorder, namely: lack of surrounding attention (inattentiveness), easily distracted (distractibility), and impulsive attitude (impulsiveness). This study was aimed to obtain the prevalence of ADD among adolescent gamers. This was a descriptive-quantitative study with a cross-sectional design. This study was carried out on regular gamers aged 12-15 years who were students of junior high schools. The total respondents in this study were 30 regular gamer teenagers. The digit span, backward digit span, and the stroop test were performed on all respondents. The results showed that among teenagers who played video games more than 1 time per week there were 36.67% with attention deficit disorders.Keywords: ADD, videogames, adolescents, digit span, backward digit span, stroop test Abstrak: Gangguan pemusatan perhatian (GPP) adalah suatu kelainan medis yang memiliki ciri tersendiri dan cenderung merupakan keturunan. Secara umum terdapat tiga jenis perilaku yang dikaitkan dengan kelainan ini, yaitu: sikap kurang memperhatikan sekeliling (inattentiveness), mudah terganggu (distractibility), dan sikap menurutkan kata hati (impulsiveness). Penelitian ini bertujuan untuk mendapatkan prevalensi GPP di kalangan remaja gamers. Jenis penelitian ialah deskriptif-kuantitatif dengan desain potong lintang. Penelitian ini dilakukan pada remaja regular gamers berusia 12-15 tahun yang masih duduk di bangku SMP dengan total 30 remaja regular gamers sebagai responden. Pada responden dilakukan pemeriksaan digit span, backward digit span, dan stroop test. Hasil penellitian memperlihatkan bahwa dari ketiga macam pemeriksaan tersebut yang dilakukan pada remaja yang bermain videogame lebih dari 1 kali per minggu didapatkan GPP rata-rata 36,67%. Kata kunci: GPP, videogame, remaja, digit span, backward digit span, stroop test.
Co-Authors Corry N. Mahama Floransia, Imelda Jehosua, Seilly Yunita Joshua Lengkoan, Joshua Junita M.P. Sampoerno Kaseger, Kevin A. Kastilong, Merlin Linda, Amanda V Mahama, Corry N Maja Sampoerno, Maja Melke J. Tumboimbela Mieke A. H. N. Kembuan Naftalia T.S. Goni, Naftalia T.S. P.S, Junita Maja Pauran, Scivo V. Pertiwi, Junita Maja Ricky R. T. A. Thayeb, Ricky R. T. A. Selvyani Pasomba Subrata, Irene Tangkudung, Gilbert Wariki, Windy M. V. Warouw, Finny Wiradarma, Elbert