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All Journal Mutiara Medika: Jurnal Kedokteran dan Kesehatan Berkala Kedokteran MNJ (Malang Neurology Journal) Jurnal Ilmiah Kedokteran Wijaya Kusuma Community Empowerment Prosiding Konferensi Nasional PKM-CSR Jurnal Neuroanestesi Indonesia Homeostasis: Jurnal Mahasiswa Pendidikan Dokter
Fakhrurrazy Fakhrurrazy
Bagian Neurologi, Fakultas Kedokteran, Universitas Lambung Mangkurat Banjarmasin
Arts Humanities Biochemistry, Genetics & Molecular Biology Control & Systems Engineering Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Karakteristik Pasien Glioma di RSUD Ulin Banjarmasin Tahun 2018-2020 Muhammad Rozan Al Ishmat; Agus Suhendar; Fakhrurrazy Fakhrurrazy; Ardik Lahdimawan; Istiana Istiana
Homeostasis Vol 5, No 1 (2022)
Publisher : Homeostasis

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (327.114 KB)

Abstract

Abstract: Glioma is a common primary brain tumor. Characteristics data’s of glioma patients are rarely reported. This study aims to determine the characteristics of glioma patients at Ulin Hospital Banjarmasin in 2018-2020. The method of this research is retrospective descriptive from the patient's medical record. During 3 years there were a total of 77 patients. Most characteristics occurred in the age group > 55 years (20%), male gender (53.3%), address from South Kalimantan (83%), Islamic religion (96.6%), private workers (28.3 %), and BPJS patients (81.7%). All patients had no family history and most had no history of allergies (80%). The most common tumor classification was Grade II (31.6%) and astrocytoma was the histological majority (70%). The most common tumor location was Cerebrum (66.8%) and tumor size was 3-6 cm (33%). the most common clinical symptom was headache (36.6%). The biggest in and out GCS score is GCS 13-15. The length of treatment was 15 days (70%) and the outcome improved (65%). There was a recurrence incidence of 10%. In conclusion, the main characteristics of glioma patients who occurred in the age group > 55 years, male dominant, had no family history and allergies, the main tumor classification WHO Grade II and histological Astrocytoma, located in the cerebrum, 3-6 cm, headache. and decreased level of consciousness were common symptoms, duration of treatment 15 days, improved after treatment, and had a low incidence of recurrence. Keywords: characteristics, gliomas, recurrence, tumor location Abstrak: Glioma merupakan tumor otak primer yang umum ditemukan. Data karakteristik pasien glioma jarang dilaporkan. Penelitian ini bertujuan untuk mengetahui karakteristik pasien glioma di RSUD Ulin Banjarmasin tahun 2018-2020. Metode penelitian ini adalah deskriptif retrospektif dari rekam medis pasien. Selama 3 tahun terdapat total 77 pasien. Karakteristik terbanyak terjadi pada kelompok usia >55 tahun (20%), jenis kelamin laki-laki (53,3%), alamat asal Kalimantan Selatan (83%), agama islam (96,6%), pekerja swasta (28,3%), dan pasien BPJS (81,7%). Semua pasien tidak memiliki riwayat keluarga dan mayoritas tidak memiliki riwayat alergi (80%). Klasifikasi tumor terbanyak adalah Grade II (31,6%) dan Astrocytoma merupakan mayoritas histologis (70%). Lokasi tumor terbanyak adalah Cerebrum (66,8%) dan ukuran tumor 3-6 cm (33%). Gejala klinis terbanyak adalah nyeri kepala (36,6%). Skor GCS masuk dan keluar terbanyak adalah GCS 13-15. Mayoritas Lama perawatan adalah ≤15 hari (70%) dan luaran membaik (65%). Ditemukan kejadian rekurensi sebesar 10%. Kesimpulannya, mayoritas karakteristik dari pasien glioma terjadi pada kelompok usia >55 tahun, laki-laki dominan, tidak memiliki riwayat keluarga dan alergi, klasifikasi tumor mayoritas WHO Grade II dan histologis Astrocytoma, berlokasi di Cerebrum, berdiameter 3-6 cm, nyeri kepala dan penurunan kesadaran merupakan gejala yang sering muncul, lama perawatan ≤15 hari, membaik setelah pengobatan, dan memiliki kejadian rekurensi rendah. Kata-Kata Kunci: glioma, karakteristik pasien, lokasi tumor, rekurensi
Guillain Barre Syndrome pada Kehamilan Hermin Sabaruddin; Pribakti Budinurdjaja; Fakhrurrazy Fakhrurrazy
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol 9, No 2 (2020): SEPTEMBER 2020
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (950.586 KB) | DOI: 10.30742/jikw.v9i2.702

Abstract

Guillain-Barre Syndrome (GBS) is a clinical syndrome characterized by the presence of the complete flaksid that occurs in acute. GBS associated with autoimmune reaction that affect peripheral nerve, radix, and cranial nerve. The incidence of GBS is 1 – 2 per 100,000 people/year. The incident was followed by increased age and the increasing population of obstetrics. GBS in pregnancy ranged from 13% in the first trimester, 47% in the second trimester, and 40% in the third trimester. In this case report reported Mrs. M 27 years old with a diagnosis of G2P1A0 h. 39-40 weeks + insimanation + living single fetal Presentation Head + Inpartu kala II + GBS + Failed + Vacuum Severily Underweight (BMI = 17) + TBJ 3000 Gr. Diagnosis of GBS are enforced based on anamnesis, physical examination and complementary examinations. From a previous illness history found anamnesis the weakness of limbs beginning in 2016. A history of the use of breathing apparatus and admitted tot the ICU in the first pregnancy. Mrs. M had a history of infections before being diagnosed with GBS. On this second pregnancy patients cannot move lower extremity but upper extermity is still functioning. Physical examination result of mothers and babies in the normal range even though found in conditions of severily BMI underweight. The patient finally decided to SC (section caesaria) and applied the IUD intracaesarean GBS in pregnancy is a coincidental. GBS is rarely aggravate pregnancy, but if not quickly identified and handled can enhance the high morbidity in both mother and fetus. In acute attacks (AIDP) in pregnant women with GBS increase stress on the mother or the fetus. The stress that occurs can also stimulate the immune system to produce prostaglandins, resulting in premature birth. Patients can give birth when the gestational age is still 7 months. It was different in the second pregnancy in this case where the patient was diagnosed with chronic inflammatory demyelinating polyradiculopathy (CIDP) so that GBS did not affect the mother and the fetus.
HUBUNGAN JUMLAH LEUKOSIT DAN DERAJAT KEPARAHAN PASIEN STROKE ISKEMIK FASE AKUT Bernardus Nathan Geson; Fakhrurrazy Fakhrurrazy; Azma Rosida
Homeostasis Vol 6, No 1 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i1.8795

Abstract

Stroke merupakan penyakit yang menimbulkan kecacatan nomor satu dan penyebab kematian nomor tiga di dunia. Stroke iskemik merupakan jenis stroke yang terbanyak. Stroke iskemik terjadi akibat plak aterosklerosis yang menyebabkan terjadinya iskemia jaringan. Mikroglia yang teraktivasi akan mengeluarkan sitokin proinflamasi yang menyebabkan aktivasi leukosit. Proses aktivasi leukosit dimulai dari marginasi, rolling, adhesi dan migrasi antar sel endotel. Derajat keparahan stroke iskemik dinilai berdasarkan skor NIHSS. Penelitian ini bertujuan menjelaskan hubungan antara jumlah leukosit dan derajat keparahan pasien stroke iskemik kurang dari 72 jam onset stroke. Penelitiaan ini dilakukan dengan metode observasional analitik dengan pendekatan cross sectional pada 40 pasien stroke iskemik kurang dari 72 jam onset stroke di Rumah Sakit Ulin Banjarmasin. Teknik pengambilan sampel dilakukan dengan metode non-probability sampling yaitu consecutive sampling dimana semua responden yang memenuhi kriteria inklusi dan ekslusi dijadikan sebagai subjek penelitian. Data primer adalah derajat keparahan stroke berdasarkan skor NIHSS dan data sekunder adalah jumlah leukosit dari rekam medis. Analisis data menggunakan uji statistik chi square. Hasil analisis data didapatkan nilai p=0,502, yang berarti tidak terdapat hubungan antara jumlah leukosit dan derajat keparahan pasien stroke iskemik kurang dari 72 jam onset stroke.
PERBANDINGAN EFEKTIVITAS MICROWAVE DIATHERMY DAN TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION DENGAN HIGH INTENSITY LASER DAN TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION Raihan Mahfud; Azka Hayati; Zairin Noor; Muhammad Siddik; Fakhrurrazy Fakhrurrazy
Homeostasis Vol 6, No 1 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i1.8809

Abstract

Low back pain (LBP) merupakan salah satu gangguan muskuloskeletal akibat adanya ergonomi yang salah. Nyeri yang ditimbulkan dapat menyebabkan seseorang mengalami gangguan mobilisasi dan berpotensi mengganggu keseimbangannya. Etiologi potensial yang dapat menyebabkan LBP, yaitu : mekanis, degeneratif, peradangan, onkologis, dan infeksi pada tulang belakang. Peneltian ini bertujuan untuk mengetahui perbedaan efektivitas terapi MWD dan TENS dengan  HILT dan TENS terhadap fungsi keseimbangan pasein LBP di RSUD Ulin Banjarmasin. Penelitian ini menggunakan rancangan penelitian observasional analitik dengan pendekatan cross sectional pada 8 sampel yang memenuhi kriteria inklusi, yang dibagi menjadi 2 kelompok perlakuan. Hasil penelitian didapatkan pada kelompok perlakuan I (MWD dan TENS) didapatkan nilai p=0,713 dan kelompok perlakuan II (HILT dan TENS) didapatkan nilai p=0,102 yang menunjukkan nilai p>0,05 maka tidak didapatkan perbedaan yang bermakna terhadap perubahan time up and go test (TUG) sebelum dan sesudah pemberian intervensi. Sedangkan untuk perbedaan efektivitas pada kelompok I dan kelompok II  didapatkan hasil p=0,564 yang menunjukkan bahwa nilai p>0,05, maka tidak terdapat perbedaan yang bermakna pada nilai fungsi keseimbangan pasien.
EFEKTIVITAS PEMBERIAN INFRARED DAN WFE TERHADAP FUNGSI KONTROL POSTUR PASIEN LBP MEKANIK Noradzkia Humairah; Azka Hayati; Asnawati Asnawati; Zairin Noor; Fakhrurrazy Fakhrurrazy
Homeostasis Vol 6, No 2 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i2.9998

Abstract

LBP mekanik mengacu pada nyeri punggung yang timbul secara intrinsik dari tulang belakang, diskus intervertebralis, atau jaringan lunak di sekitarnya. Keterbatasan aktivitas dan kemampuan kerja menjadi menurun disebabkan oleh penurunan fungsi fisiologis, neurologis, dan kemampuan fisik. Oleh karena itu dilakukan pemeriksaan uji fungsi kontrol postur untuk menilai keseimbangan atau fungsi kontrol terhadap posisi tubuh pada dengan gangguan fungsi keseimbangan dengan menilai performa dalam menjalankan tugas fungsional BBS. Selain terapi farmakologis, penatalaksanaan LBP didukung juga dengan pemberian terapi fisik baik terapi modalitas maupun terapi latihan. Penelitian ini bertujuan untuk mengetahui efektivitas pemberian IR dan terapi latihan WFE terhadap fungsi kontrol postur pada pasien LBP mekanik yang di lakukan pada pasien rawat jalan RSUD Ulin Banjarmasin. Penelitian ini menggunakan rancangan observasional analitik dalam satu kelompok (one group pre test-post test design) dengan pendekatan cross-sectional. Pada subjek penelitian dilakukan pengamatan kontrol postur sebelum dan sesudah terapi dengan menggunakan BBS. Rerata±SD nilai BBS sebelum diberikan intervensi sebesar 49.5±2.34521 dan setelah diberikan intervensi selama 1 bulan menjadi 52.3±1.86190. Analisis data menggunakan uji T berpasangan mendapatkan nilai p=0,02. Disimpulkan bahwa terdapat efektivitas pemberian terapi modalitas dan terapi latihan pada fungsi kontrol postur pasien LBP rawat jalan di RSUD Ulin Banjarmasin.
EFEK TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION DAN LATIHAN MCKENZIE TERHADAP KESEIMBANGAN PASIEN LOW BACK PAIN NYERI RADIKULER Fitria Alfani; Azka Hayati; Zairin Noor; Muhammad Siddik; Fakhrurrazy Fakhrurrazy
Homeostasis Vol 6, No 2 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i2.9981

Abstract

Low back pain (LBP) memiliki penyebab yang beragam, salah satunya disebabkan nyeri radikuler. Nyeri radikuler terjadi karena cedera langsung pada akar saraf baik akibat kerusakan ataupun kompresi. LBP nyeri radikuler dapat menyebabkan gejala seperti nyeri, peningkatan sensitivitas, paresthesia, serta kelemahan otot. Dengan gejala seperti itu, LBP nyeri radikuler memiliki kecenderungan untuk menimbulkan gangguan fungsi keseimbangan yang berakibat pada keterbatasan aktivitas. Pada penelitian ini, peneliti ingin meneliti bagaimana pengaruh terapi TENS dengan terapi latihan McKenzie terhadap fungsi keseimbangan pasien dengan LBP nyeri radikuler di RSUD Ulin Banjarmasin. Penelitian ini menggunakan rancangan penelitian quasi experimental dengan pendekatan one group pre and post experimental pada 7 sampel yang sudah memenuhi kriteria inklusi. Hasil penelitian didapatkan bahwa nilai fungsi keseimbangan pada pasien antara sebelum dan sesudah pemberian TENS dengan latihan McKenzie didapatkan nilai p=1,000 pada kondisi 1, nilai p=0,034 pada kondisi 2, nilai p=0,102 pada kondisi 3, dan nilai p=0,017 pada kondisi 4. Ini menunjukkan pada kondisi 1 dan 3 tidak terdapat perbedaan bermakna. Sementara pada kondisi 2 dan 4, didapatkan perubahan bermakna pada perbaikan fungsi keseimbangan.
Optimizing PAMSIMAS management: community-based training to enhance knowledge and skills of Village Officials in Banjar Regency Husnul Khatimah; Fakhrurrazy Fakhrurrazy; M Zakiyuddin; Afif Fakhri
Community Empowerment Vol 9 No 1 (2024)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.10522

Abstract

The Community-Based Drinking Water and Sanitation Provision Program (PAMSIMAS) serves as a community-driven platform for rural drinking water and sanitation development. In the Banjar Regency area, PAMSIMAS management faces challenges, including a limited number of available water reservoirs and a slow water-filling process into these reservoirs. Additionally, there is a shortage of qualified human resources for community training. To address these issues, activities were conducted to enhance community skills in maintaining PASMIMAS equipment. Collaboration took place with work units in the Banjar Regency government, involving 30 village officials in the West Martapura District. The method employed included lectures and question-and-answer sessions. The analysis utilized to evaluate the training's success involved pre-test and post-test assessments. The results indicated an increase in participants' knowledge, with a pre-test average of 40.66 and a post-test average of 70.50, yielding a p-value of > 0.00 (paired t-test). In conclusion, this training effectively enhanced PAMSIMAS knowledge among village officials.
PERBEDAAN GANGGUAN FUNGSI TANGAN DITINJAU BERDASARKAN KARAKTERISTIK PASIEN PASCA STROKE DI POLI REHABILITASI MEDIK RSUD ULIN BANJARMASIN Putri, Aulia Aurora Raflia; Siddik, Muhammad; Sanyoto, Didik Dwi; Hayati, Azka; Fakhrurrazy, Fakhrurrazy
Homeostasis Vol 7, No 2 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i2.13214

Abstract

Abstract: Impaired hand function in post-stroke patients due to brain lesions can result in weakness/paralysis. The research aims to determine whether there are differences in hand function disorders in post-stroke patients based on the characteristics of post-stroke patients. This research is an analytical observational study with a cross-sectional approach. Primary data collection took the form of observations of the FMA-UA questionnaire. The study population was post-stroke patients. The number of samples was taken in the period November-December 2023 using purposive sampling technique. The results of the study showed that there were differences in hand function disorders based on Brunstrom stage and dominant side of the hand, while there were no differences based on gender, age, onset, lesion location, history of attacks, comorbidities. and history of therapy in post-stroke patients. The conclusion of this study was that 2 of the 9 patient characteristics were associated with impaired hand function at the Medical Rehabilitation Polytechnic of Ulin Regional Hospital, Banjarmasin. Keywords: hand function disorder, post stroke, FMA-UE. Abstrak: Gangguan fungsi tangan pada pasien pasca stroke karena lesi pada otak bisa mengakibatkan kelemahan/kelumpuhan. Penelitian bertujuan mengetahui apakah terdapat perbedaan gangguan fungsi tangan pada pasien pasca stroke yang ditinjau berdasarkan karakteristik pasien pasca stroke. Metode penelitian yang digunakan adalah analisis observasional dan desain potong lintang. Data yang diambil adalah data primer melalui pengamatan kuesioner FMA-UE. Populasi penelitian adalah pasien pasca stroke. Jumlah sampel diambil periode November-Desember 2023 dengan teknik purposive sampling. Hasil penelitian ini didapatkan perbedaan gangguan fungsi tangan ditinjau berdasarkan stadium brunnstrom dan sisi dominan tangan sedangkan berdasarkan jenis kelamin, usia, onset, letak lesi, riwayat serangan, komorbid, dan riwayat terapi pada pasien pasca stroke tidak terdapat perbedaan. Kesimpulan penelitian ini didapatkan 2 dari 9 karakteristik pasien  yang memiliki hubungan dengan gangguan fungsi tangan di Poli Rehabilitasi Medik RSUD Ulin Banjarmasin. Kata-kata kunci: gangguan fungsi tangan, pasca stroke, FMA-UE
HUBUNGAN POSISI DAN LAMA DUDUK SELAMA PERKULIAHAN TERHADAP KELUHAN LOW BACK PAIN MEKANIK Tinjauan pada mahasiswa program studi kedokteran program sarjana FK ULM angkatan 2019-2021 Somantri, Nizam Al Fikri; Hayati, Azka; Asnawati, Asnawati; Noor, Zairin; Fakhrurrazy, Fakhrurrazy
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11464

Abstract

Mechanical low back pain is lower back pain in normal anatomical structures that are overused or secondary to mechanical trauma that puts stress on muscles, tendons, and ligaments. This study aims to determine the association between position and long sitting during lectures to complaints mechanical LBP in PSKPS FK ULM students class of 2019-2021. This study used a descriptive analytic research design with a cross sectional approach to 45 students who met the criteria. The results of this study found that the sitting position was not ergonomic (64.4%), the sitting position was ergonomic (35.6%), sitting ≤4 hours/day (44.4%), and sitting >4 hours/day (55.6%). Analysis using the chi square test, the association between sitting position during lectures to complaints mechanical LBP was obtained p value=0.005; and the association between long sitting during lectures to complaints mechanical LBP obtained p value=0.027. The conclusion of this study is that there is a significant association between position and long sitting during lectures to complaints mechanical LBP in PSKPS FK ULM students class of 2019-2021. 
PERBANDINGAN EFEKTIVITAS WILLIAM’S FLEXION EXERCISE DAN MCKENZIE EXERCISE Terhadap Perubahan Nyeri dan Lingkup Gerak Sendi Lumbosakral pada Low Back Pain Mekanik Pasien Tinjauan di RSUD Ulin Banjarmasin Periode 2022 Pambudi, Zanuba Tarieq Ridho; Hayati, Azka; Noor, Zairin; Siddik, Muhammad; Fakhrurrazy, Fakhrurrazy
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11474

Abstract

Low back pain is a pain that is felt in the lower back area, with various variations of the duration of the pain. This pain is localized below the angle of the last rib to the lumbar region, which can cause movement limitations in the lumbosacral joints. The causes of low back pain can be caused by musculoskeletal diseases, psychological disorders, and incorrect mobilization. This study aims to determine the differences in the effectiveness of the william’s flexion exercise and the mckenzie exercise on changes in pain and the range of motion of the lumbosacral joints in mechanical low back pain in review patients at Ulin General Hospital, Banjarmasin. This study used a quasi-experimental research design with a two group pretest-posttest design with an approach through direct observation and interviews with respondents at Ulin Hospital, Banjarmasin, on 23 samples that met the inclusion criteria. The results of this study indicated that there was a decrease in the pain scale (VAS) in group I (william flexion exercise) with a value of p = 0.03 and group II (mckenzie exercise) with p = 0.02, which means there is a significant difference. Whereas in ROM groups I and II the value of p = 0.317 which means there is no significant difference. For differences in the effectiveness of groups I and II, p = 0.795 on VAS and p = 0.606 on ROM, which means there is no significant difference between them.
Co-Authors Aditya Purnama Meidarahman Afif Fakhri Agus Suhendar Agus Yuwono Agus Yuwono Ananda Rosalinda Andi Ari Sandy Ardik Lahdimawan Arganita, Fidya Rahmadhany Asnawati Asnawati Asnawati Asnawati Azka Hayati Azma Rosida Azma Rosida Bernardus Nathan Geson Dede Marizal Sesar Didik Dwi Sanyoto Didik Dwi Sanyoto Sanyoto Eko Suhartono Fahrina Ulfah Faradila Hayuning Raharjanti Farida Heriyani Fauzan Muttaqien Fitria Alfani Fuadi Rifqa Shafari Fujianti, Annisa Hayati, Azka Hermin Sabaruddin Ida Yuliana Ida Yuliana Irfan Maulana Irfan Maulana, Irfan Istiana Istiana Kartinasari, Apidha Khatimah, Husnul Luthfiyyah, Rifaa M Zakiyuddin Mohammad Bakhriansyah Muhammad Ananda Putera Muhammad Ananta Firdaus Muhammad Ervin Muhammad Rajif Muttaqin Muhammad Ramazali Muhammad Rozan Al Ishmat Muhammad Siddik Mutttaqien, Fauzan Noradzkia Humairah NURUL HIDAYAH Pambudi, Zanuba Tarieq Ridho Panghiyangani, Roselina Pradana Ady Saputra Pribakti Budinurdjaja Putri, Aulia Aurora Raflia Raihan Mahfud Sandaga, Putri Noor Sanyoto, Didik Dwi Sesar, Dede Marizal Siddik, Muhammad Sikumbang, Kenanga M. Siti Khairiyah Somantri, Nizam Al Fikri Srisabrina Christia Srisabrina Christia, Srisabrina Surdhawati, Herly Maulida Triawanti Triawanti Triawanti Triawanti Zairin Noor Zairin Noor