Anak Agung Bagus Ngurah Nuartha
Departemen Neurologi, FK Universitas Udayana/RSUP Sanglah, Denpasar, Bali, Indonesia

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The correlation of anxiety disorders and tension-type headache among medical students of Udayana University Christine Kathy Putri Sari; Sri Yenni Trisnawati GS; Ida Ayu Sri Wijayanti; AA Bagus Ngurah Nuartha
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.678 KB) | DOI: 10.15562/ism.v10i2.407

Abstract

Introduction: a Tension-type headache (TTH) is a headache that is commonly happened in almost two-thirds of the world population, especially in medical students. Psychosocial factors, such as anxiety, is often contributed to the incidence of a tension-type headache.Method: The research was using a cross sectional design study to prove the correlation of anxiety disorders and TTH in medical students. Samples were collected by a consecutive method from medical students on second semester, fourth semester, and sixth semesters of Udayana University study year 2017/2018. TTH was diagnosed based on Konsensus Nasional IV PERDOSSI 2013 and anxiety was scored by Hamilton Rating Scale for Anxiety (HARS). Lambda test was used to prove the correlation between anxiety disorders and TTH.Result: There were 300 subjects with dominant age was between 19-20 years old (60.7%) and mostly woman (56.7%). The proportion of TTH was 85.3% while anxiety disorders were 66.7%. The incidence of TTH was found more commonly happened in a subject with anxiety disorders (94.5%) and statistically significant (p=0.001) with weak correlation (r=0.153).Conclusion: These data show a correlation of anxiety disorders and TTH with weak correlation.
The correlation between location and size of infarction toward the quality of life in acute ischemic stroke patients at Sanglah General Hospital, Bali, Indonesia Mirani Ulfa Yusrika; Anak Agung Bagus Ngurah Nuartha; Ida Ayu Sri Wijayanti; Made Widhi Asih; Skolastika Savitri Sujatmiko
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (285.507 KB) | DOI: 10.15562/ism.v11i2.675

Abstract

Background: Location and size of infarction in acute ischemic stroke can cause different levels of neurological deficits and disabilities according to the function of the area of brain whose blood flow is disrupted, thus affecting the quality of life in patients. This study was aimed to explore the correlation between location and size of infarction toward the quality of life in acute ischemic stroke patients in SanglahเGeneralเHospitalเDenpasar.Methods: A cross-sectional study was conducted among 41 acute ischemic stroke patients at NeurologyเCare Unit, SanglahเGeneral Hospital Denpasar duringเMay-September 2019. The location of the infarct was grouped by the cerebral area. The largest diameter of infarction determined the size of the infarct. Data were taken from head ComputedเTomography (CT) scan results to assess the location and size of infarction and Barthel Index (BI) to measure the quality of life-based on Activity of Daily Living (ADL). Data were analyzed using univariate and bivariate analysisเ(Chi-SquareเtestเwithเCramer’sเV for location and BI scores, Spearmanเtest for size and BI scores) on SPSSเversion 23 for Windows.Results: Most of the respondents were males 59.0%, the average age of 60.03±14.4 years, ischemic thrombus stroke (71.8%), subcortical infarction (41.0%), small size (≤ 1.5 cm) of infarction (48.7%), and independent criteria for Barthel Index Scores (23.1%). There were significant correlations between the location of infarction and BI scores (r=0.636; p<0.000) and the size of infarction and BI scores (r=0.553; p<0.000).Conclusion: Infarct that located in the cortical area with small size are related to independent or mild dependency outcome. Conversely, infarct that located and associated with a subcortical area with larger size are related to severe or total dependency.