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GAMBARAN EEG DAN RESPONS AWAL YANG BAIK TERHADAP OBAT ANTIEPILEPSI Nurcahaya Sinaga
JURNAL ILMIAH MAKSITEK Vol 3 No 4 (2018): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Background. Epilepsy is one of neurological disorder that cause disability and death. Initial response to antiepileptic drugs (AEDs) is the best predictive indicator to determine remission of epilepsy. Electroencephalography (EEG) findings can help determine the type of epilepsy and the best choice of antiepileptic drug to be given. Objectives. To investigate how is response in monotherapy antiepileptic drug in patients with newly diagnosed epilepsy Method. Cohort prospective study was conducted by the looking the eeg findings in neurology outpatient clinic Cipto Mangunkusumo hospitals (RSCM) between January to August 2017 on newly diagnosed pediatric epilepsy. Response of AED monotherapy was observed after three months of treatment. Results. There were 92 subjects that fulfilled the criteria. The incidence of newly diagnosed epilepsy children at RSCM was 21.9%. Initial respons to monotherapy AED are 77,2% and electroencephalography (EEG) findings were normal 57,6% dan abnormal 42.4% to monotherapy AED in newly diagnosed epilepsy patient. Conclusion. Most of the subject have a good initial response to monotherapy AED. The influence factors of the initial response is EEG findings.
GAMBARAN KARAKTERISTIK ANAK PENDERITA TB PARU PADA ANAK USIA 0 – 17 TAHUN DI RUMAH SAKIT UMUM HAJI MEDAN DITA ANNISA DIARA NASUTION; EKA AIRLANGGA; DELYUZAR .; NURCAHAYA SINAGA
JURNAL ILMIAH MAKSITEK Vol 6 No 2 (2021): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Tuberculosis (TB) is a potentially fatal contagious disease caused Mycobacterium tuberculosis, that can affect almost anypart of the body but is mainly an infection of the lungs. If left untreated or treated inadequately, the outcome is dangerouscomplication and death. According to WHO (World Health Organization) in 2013, incidence of pulmonary TB in the world isestimated that there were 9 million cases. The purpose of this study was to discover description of characteristic patient withpulmonary TB age of 0-17 years at Haji General Hospital Medan. This is a descriptive study with collecting medical record tofind out TB characteristic in children at Haji General Hospital Medan. The subjects of this study are all children who affectedpulmonary TB in accordance with the inclusion criteria. This study use total sampling method. Total of children withpulmonary TB is 128 people, those who were more affected pulmonary TB is boys, 66 children (51.6%), the age mostaffected pulmonary TB is age 1 - 5 years, namely 49 children (38.3%). Based on immunization status, the most affectedpulmonary TB is those which not given BCG immunization, 119 children (93.0%), based on history of contact with adult TBpatient was found that more children did not have a history contact with other patients, 106 children (82.8%), based oncharacteristic of symptoms by scoring pulmonary TB in children is fever, 128 children (100%), and for cough is 122 children(95.3%), then based on nutritional status malnutrition is most widely found, 105 (82%). The most affected pulmonary TB ischildren with male sex, with age of 0 - 5 years, and BCG negative immunization status. Based on characteristic of symptomsby scoring pulmonary TB the most common is fever and chronic cough, with poor nutritional status.
TINGKAT PENGETAHUAN MASYARAKAT MENGENAI EPILEPSI DI LINGKUNGAN X KELURAHAN TEGAL SARI MANDALA II MEDAN YUNI VALENTRI LUMBAN TOBING; NURCAHAYA SINAGA
JURNAL ILMIAH SIMANTEK Vol 5 No 1 (2021): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Epilepsy is one of the most common serious a chronic neurological disorder that is present all over the world. Based on thereport of WHO (World Health Organization) more than 50 million people worldwide have epilepsy. Low-level knowledge ofthe disease causes people with epilepsy to be discriminated and stigmatized. This research aims to know The level ofsociety knowledge about epilepsy in X Neighborhood, Tegal Sari Mandala II Village, Medan. This methode use a descriptivestudy with cross sectional design. The populations in this research are all community members in X Neighborhood, TegalSari Mandala II Village, Medan and 91 samples were taken with consecutive sampling technique. The results of the researchshowed that of the 91 respondents, female respondents (70,3%) are more than men (29,7%), The majority of respondentsages ranged from 26-45 years (56,0%), The majority of respondents worked as a self-employed (39,6%). 72,5% of themfinished elementary or junior high school. Majority of respondents have enough knowledge about epilepsy (46,2%). The levelof society knowledge about epilepsy in X Neighborhood, Tegal Sari Mandala II Village, Medan had enough.
ASUPAN ENERGI DAN PROTEIN SERTA GANGGUAN GIZI BERDASARKAN TINGGI BADAN / UMUR PADA ANAK DENGAN PALSI SEREBRAL DI RUMAH SAKIT HAJI MEDAN SUCI AULIYAH SIREGAR; NURCAHAYA SINAGA
JURNAL ILMIAH SIMANTEK Vol 5 No 4 (2021): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Cerebral palsy is a motor disorder due to non-progressive brain damage that occurs during a child's development. It may beassociated with comorbidities such as malnutrition (46% - 90% of patients), impaired growth, mental retardation, epilepticseizures, communication disorders, visual and auditory disabilities, and gastrointestinal symptoms, such as dysphagia, andconstipation. To determine nutritional disorders in children with cerebral palsy at Haji Hospital Medan. This research isdescriptive with a prospective cohort approach and uses 30 respondents from Cerebral Palsy patients seen from medicalrecords and food recall. It was found that the results of the description of energy and protein intake and nutritional status ofchildren with cerebral palsy were very short as many as 12 people. The results of the food recall in children with cerebralpalsy were mostly in the category of low calorie intake as many as 24 people and the category of protein intake being less asmany as 20 people.
Tingkat Pengetahuan Masyarakat Mengenai Epilepsi di Lingkungan X Kelurahan Tegal Sari Mandala II Medan Yuni Valentri L.Tobing; Nurcahaya Sinaga
ANATOMICA MEDICAL JOURNAL | AMJ Vol 4, No 1 (2021)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/amj.v4i1.5423

Abstract

Pendahuluan: Epilepsi adalah salah satu gangguan neurologis kronis serius yang paling umum yang terjadi di seluruh dunia. Berdasarkan data World Health Organization lebih dari 50 juta orang di seluruh dunia menderita epilepsi. Pengetahuan yang rendah tentang penyakit ini menyebabkan penderita epilepsi didiskriminasi dan distigmatisasi. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan masyarakat tentang epilepsi di Lingkungan X Kelurahan Tegal Sari Mandala II Medan. Metode: Penelitian deskriptif ini menggunakan desain cross sectional. Populasi dalam penelitian ini adalah seluruh anggota masyarakat di Lingkungan X Kelurahan Tegal Sari Mandala II Medan dan diambil sampel sebanyak 91 orang dengan teknik consecutive sampling. Hasil: Hasil penelitian menunjukkan bahwa dari 91 responden, perempuan (70,3%) lebih banyak daripada laki-laki (29,7%), usia responden mayoritas berkisar antara 26-45 tahun (56,0%). Mayoritas responden bekerja sebagai wiraswasta (39,6%), dan 72,5% diantaranya tamat SD atau SMP. Sebagian besar responden memiliki pengetahuan cukup tentang epilepsi (46,2%). Kesimpulan: Tingkat pengetahuan masyarakat tentang epilepsi di Kelurahan X Kelurahan Tegal Sari Mandala II Medan adalah sedang. Kata kunci: epilepsi, pengetahuan, tingkat pengetahuan
Penguatan dan Edukasi Keluarga Sebagai Upaya Menekan Angka Stunting dalam Program Kependudukan, Keluarga Berencana dan Pembangunan Keluarga (KKBPK) di Sumatera Utara Nurcahaya Sinaga; Robitah Asfur
JURNAL PRODIKMAS Hasil Pengabdian Kepada Masyarakat Vol 6, No 1 (2021)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (479.161 KB) | DOI: 10.30596/jp.v6i1.7194

Abstract

AbstrakStunting atau sering disebut balita pendek adalah suatu permasalahn gizi yang dialami balita didunia saat ini. Pada tahun 2017 sekitar 150,8 juta balita di dunia mengalami stunting. Angka prevalensi di Asia sekitar 55% balita yang mengalami stunting. Sepertiganya 39% berada di afrika. Menurut World health Organization(WHO) Indonesia masuk nominasi ketiga dengan prevalensi tertinggi di regional Asia Tenggara/South-East Asia Regional(SEAR). Rata-rata prevalensi balita stunting adalah 36,4% pada tahun 2005-2017.Menurut Profil Kesehatan Sumatera Utara pada tahun 2013, terdapat 25 Kabupaten/Kota di Sumatera Utara mempunyai angka prevalensi stunting diatas angka prevalensi nasional yaitu sebesar 30-39%, urutan 5 Kabupaten/Kota dengan angka prevalensi stunting tertinggi yaitu Langkat 55%, Padang Lawas 54,9%, Nias Utara 54,8%, Batu Bara, 54,7%, dan Pakpak Barat 52,3%. Banyak faktor yang menyebabkan terjadinya keadaan stunting pada anak. Faktor penyebab timbulnya stunting salah satunya yaitu sanitasi lingkungan. Menurut Survei Sosial Ekonomi Nasional(SUSENAS) 2017, rumah tangga yang mempunyai sanitasi yang layak apabila prasarana sanitasi digunakan memenuhi syarat kesehatan seperti, dilengkapi dengan jenis kloset leher angsa atau plengsengan dengan tutup dan mempunyai tempat pembuangan akhir tinja, dan merupakan fasilitas buang air besar yang digunakan sendiri atau bersama. Presentase rumah tangga yang memilki akses terhadap sanitasi yang layak di Indonesia pada tahun 2017 adalah 67,89%. Di provinsi sumatera utara memilki presentase 73,00%. Provinsi yang memiliki presentase tertinggi yaitu DKI Jakarta sekitar 91,13%, dan presentase terendah yaitu provinsi Papua sekitar 33,06%...
Kasus Porensefali pada Seorang Anak Laki-Laki Berusia 12 Tahun Nurcahaya Sinaga
Sriwijaya Journal of Medicine Vol. 2 No. 1 (2019): Vol 2, No 1, 2019
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v2i1.37

Abstract

Kista porensefali merupakan keadaan terdapatnya celah kavitas kistik pada otak atau lebih spesifik menunjukkan adanya area kistik fokal dari encephalomalasia yang berhubungan dengan ventrikel dan atau ruang subarachnoid. Manifestasi klinis dari kista porensefali sangatlah beragam, tergantung dari ukuran kista dan lokasi pada hemisfer otak. Bisa asimtomatik sampai pada sangat terganggu. Porensefali klinis harus dicurigai jika pasien menunjukkan hemiplegia spastik, makrosefali asimetris, transiluminasi tengkorak unilateral, atau terdapatnya supresi tegangan pada satu sisi pada EEG. Pada laporan kasus ini dilaporkan seorang anak laki-laki berusia 12 tahun dengan kista porensefali yang telah dilakukan drainase dan menunjukkan perbaikan klinis. Diagnosis porensefali dikonfirmasi dengan CT scan. Tatalaksana dan pathogenesis porensefali masih sedikit diketahui. Perlu penelitian dan evaluasi lanjut terhadap perkembangan kedepannya.
KARAKTERISTIK PASIEN PALSI SEREBRAL DI RUMAH SAKIT HAJI MEDAN TAHUN 2020-2021 AFDILA SANDI TANJUNG; NURCAHAYA SINAGA
JURNAL ILMIAH SIMANTEK Vol 6 No 4 (2022): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Cerebral Palsy is a permanent disorder that occurs in motor cells in the central nervous system that occurs early in brain development and is non-progressive. This condition can occur in the prenatal, natal, and postnatal periods. Cerebral palsy is a major cause of child disability that affects developmental function. To determine the characteristics of cerebral palsy patients at the Medan Haji Hospital in 2020-2021. This research is descriptive with a cross sectional approach. The study was conducted in October – Desember 2021. From 70 children with cerebral palsy, 55 children with cerebral palsy were found as research samples that met the inclusion criteria. The most common findings were cerebral palsy with motor spastic clinical (96.4%), clinical topographic quadriplegia (74.5%), in the age range of 1-5 years (60.0%), female (50.9%) and male. male (49.1%), the most nutritional deficiency status was malnutrition (45.5%), the most common etiology was brain infection (45.5%), the most comorbid disease was epilepsy (56.4%), and the most treatment was physiotherapy with drugs (65.5%). Conclusion: Cerebral Palsy is a non-progressive permanent brain disorder that occurs early in brain development. The most common type was spastic quadriplegia, age range 1-5 years, poor nutritional status, the most common etiology was brain infection, and the most common comorbidity was epilepsy.
The Relationship Between Speech Delay with Cerebral Palsies in Children at Rs Haji Medan Armand Surya Nugraha; Nurcahaya Sinaga
Journal of Social Research Vol. 2 No. 7 (2023): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v2i7.1129

Abstract

Speech delay in children is a condition in which the child's expressive language development is inappropriate or below his age. The incidence of speech delay for Indonesian children who are not in school yet reaches 5–10%. There are more male children with speech disorders than females. The causes of speech delay can be hearing loss, cerebral palsy, low thinking ability, or autism. Cerebral palsy patients may experience uncontrollable movements and muscle spasms in the mouth. This will have an impact on the development of children's speech. This research is a descriptive-analytical study with a cross-sectional approach. The subjects of this study are patients with cerebral palsy in RS Haji Medan, with a total sample size of 132 people. Data analysis using the Chi-square tes. There was a significant relationship between speech delay and cerebral palsy among pediatric patients in RS Haji Medan. The result using Fisher’s exact test showed a P value less than 0.05, which validated the hypothesis. There was a significant relationship between speech delay and cerebral palsy among pediatric patients in RS Haji Medan.
Tuberculous Lymphadenitis with Dark Specks Cytomorphology: Focus on the Presence of Eosinophils and History of Atopy in Children Humairah Medina Liza Lubis; Nurcahaya Sinaga; Emni Purwoningsih; Qatrunnada Medina Salim; Muhammad Fathurridha Arabia Salim
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (830.895 KB) | DOI: 10.30604/jika.v8i2.1790

Abstract

Background. Research on eosinophils in lymph node cytology in tuberculous lymphadenitis (TBLN) patients with dark specks cytomorphology and its association with a history of atopies are still very little. Although neutrophils have been reported as predominant phagocytic cells in TB patients, eosinophils are also abundant in blood and lung tissue, but their role and pathogenesis are still unclear. Objective. To analyze the relationship between TBLN and eosinophils, dark specks, and history of atopy in pediatric TBLN patients. Methods. This study is a cross-sectional study of 35 indicative cytology results of patients with TBLN stained with May Grunwald Giemsa. Data on atopy history were measured by filling out the standard questionnaire of The International Study of Asthma and Allergies in Childhood (ISAAC). Results. Based on the cytological examination, 22 samples (62.9%) were found with positive eosinophils, and 13 samples (37.1%) with negative eosinophils. A total of 23 samples (65.7%) had a history of atopy. The Fisher's Exact Test results showed that TBLN with dark specks cytomorphology tends to find eosinophils with a test value of p=0.001, indicating a relationship between the two cytomorphological features. The results also showed a relationship between TBLN with dark specks cytomorphology with a history of allergies (p=0.038), and there was a relationship between the presence of eosinophils and a history of allergies (p=0.001). Conclusion.  Tuberculous lymphadenitis with dark specks cytomorphology was significantly associated with eosinophils and a history of atopy.Abstrak: Latar Belakang. Penelitian eosinofil pada sitologi kelenjar getah bening pada pasien limfadenitis tuberkulosis (LNTB) dengan sitomorfologi bintik gelap dan kaitannya dengan riwayat atopi masih terbatas. Meskipun neutrofil telah dilaporkan sebagai sel fagosit dominan pada pasien TB, eosinofil juga banyak ditemukan pada darah dan jaringan paru tetapi peran dan patogenesisnya masih belum jelas. Tujuan. Menganalisis hubungan antara LNTB dengan eosinofil, bintik gelap dan riwayat atopi pada pasien limfadenitis TB anak. Metode. Studi dilakukan secara cross-sectional dengan sampel 35 hasil sitologi indikatif pasien LNTB yang diwarnai dengan May Grunwald Giemsa. Data riwayat atopi diukur dengan pengisian kuesioner standar The International Study of Asthma and Allergies in Childhood (ISAAC). Hasil. Berdasarkan pemeriksaan sitologi didapatkan 22 sampel (62,9%) dengan eosinofil positif dan 13 sampel (37,1%) dengan eosinofil negatif. Sebanyak 23 sampel (65,7%) memiliki riwayat atopi. Hasil uji Fisher’s Exact menunjukkan bahwa LNTB dengan sitomorfologi bintik gelap cenderung ditemukan eosinofil dengan nilai uji p=0,001, menunjukkan adanya hubungan antara kedua gambaran sitomorfologi. Hasil penelitian juga menunjukkan adanya hubungan sitomorfologi LNTB dengan sitomorfologi bintik gelap dengan riwayat alergi (p=0,038), dan ada hubungan antara adanya eosinofil dengan riwayat alergi (p=0,001). Simpulan. Limfadenitis tuberkulosis dengan sitomorfologi bintik gelap berhubungan secara signifikan dengan eosinofil dan riwayat atopi.