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All Journal Jurnal Kedokteran Brawijaya Berkala Kedokteran MAGNA MEDICA: Berkala Ilmiah Kedokteran dan Kesehatan Journal of Pain, Vertigo and Headache Homeostasis: Jurnal Mahasiswa Pendidikan Dokter Neurona
Pagan Pambudi
http://ejournal.unlam.ac.id/index.php/bk
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Perbandingan Efektifitas Asetol-Klopidogrel Terhadap Pasien Penderita Stroke Iskemik Akut Purnama, Sari Dianita; Pambudi, Pagan; Al Audhah, Nelly
Jurnal Berkala Kedokteran Vol 9, No 2 (2013): September 2013
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v9i2.941

Abstract

ABSTRACT: Acute ischemic stroke can make patients get neurology problems that show the signs of paralyze in some part of body and  suddenly decrease awareness. The prevalence of acute ischemic stroke which  high enough and the bad effects cause the preventing of acute ischemic stroke with right medicine becomes important. Acetosal works as an anti-thromboxane which often known as aspiryn. Clopidogrel is kind of thienophiridyn class drugs that works as an anti-platelet for acute ischemic stroke therapy so that can avoid blood cloting happened. This research aims to know if they have different effectivity or not to acute ischemic stroke therapy by acetosal and combine of acetosal-clopidogrel together. The method uses analythic observational with cohort. The research begins by counting the stroke scale use NIHSS (National Institute of Health Stroke Scale) at the first come to hospital, before patient cured by any drugs, and then repeat the NIHSS’s scoring at seventh day after therapy. Research did for four months with sample that gathered 32 people. First, did normality test to data and after the normality have been proven, use unpaired T-test with interval of confidence 95% that shows the result, there’s no significant difference between acetosal and combined acetosal-clopidogrel for acute ischemic stroke. Keywords: acetosal, clopidogrel, acute ischemic stroke, NIHSS ABSTRAK: Stroke iskemik akut dapat mengakibatkan defisit neurologi yang sebagian besar akan menimbulkan gejala kelumpuhan pada bagian tertentu dan atau terjadi penurunan kesadaran secara mendadak. Angka kejadian yang cukup tinggi dan efeknya terhadap penderita membuat pencegahan stroke iskemik akut dengan obat yang tepat sangat diperlukan. Asetosal adalah terapi yang bekerja sebagai antitromboksan yang sering pula dikenal dengan nama aspirin. Klopidogrel merupakan obat oral kelas tienopiridin yang berperan sebagai antiplatelet dalam terapi stroke iskemik akut sehingga mencegah terjadinya gumpalan darah.  Penelitian ini bertujuan untuk mengetahui apakah terdapat  perbedaan efektivitas pada terapi stroke iskemik akut menggunakan asetosal dan kombinasi asetosal-klopidogrel. Metode yang digunakan bersifat observasional analitik dengan pendekatan cohort. Penelitian dilakukan dengan cara menghitung derajat stroke pasien menggunakan NIHSS (National Institute of Health Stroke Scale) ketika hari pertama dirawat di rumah sakit sebelum mendapat terapi dan hari ketujuh setelah dilakukan terapi. Penelitian dilakukan selama empat bulan dengan jumlah sampel sebanyak 32 orang. Data pertama-tama diuji normalitas distribusinya kemudian setelah terbukti distribusi normal maka dilakukan uji T tidak berpasangan dengan tingkat kepercayaan sebesar 95% yang menunjukan bahwa tidak terdapat perbedaan bermakna pada terapi stroke iskemik akut dengan asetosal dan kombinasi asetosal klopidogrel. Kata-kata kunci: asetosal, klopidogrel, stroke iskemik akut, NIHSS
Correlation between the Degree of Psychological Stress with Pain Intensity in Tension-Type Headache Patients Pambudi, Pagan; Sidabutar, Oktaviana
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.2

Abstract

Tension-Type Headache (TTH) is a critical health problem, particularly in Indonesia, with psychological stress being the most recognized contributing factor. The mechanism by which stress contributes to TTH is not fully understood, but stress has been found to increase pain sensitivity in peripheral or central patients with TTH, alongside the influence of biopsychosocial factors in different individuals. Therefore, this study aimed to analyze the relationship between the degree of psychological stress and pain intensity in patients with TTH at Dr. H. Moch Ansari Saleh Banjarmasin General Hospital. This observational analytic study was carried out using a cross-sectional approach and the 30 samples employed were taken through a systematic random sampling technique. The data was analyzed using Spearman's test. Our result showed that 63.33% of patients had mild stress, while 36.67% were moderate. In the mild stress group, there were 15.79% mild pain, 73.68% moderate pain, and 10.53% severe pain. Meanwhile, in the moderate stress group, 72.73% reported moderate pain, and 27.27% had severe pain. In conclusion, this study indicated there was a correlation between the degree of psychological stress and the intensity of pain in TTH patients, despite not statistically significant (p=0.102 and R=0.304).
GAMBARAN NILAI KEKUATAN HANDGRIP DAN FATIGUE SEVERITY SCALE PADA PASIEN STROKE DI RSUD ULIN BANJARMASIN Simarmata, Imoia Silvia Y.; Hayati, Azka; Asnawati, Asnawati; Arsyiana, Fathia; Pambudi, Pagan
Homeostasis Vol 7, No 2 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i2.13220

Abstract

Abstract: Stroke is a disease characterized by focal brain functional problems and occurs for ≥ 24 hours. The symptom that sufferers often experience is hemiparesis of the fingers. The way to minimize hand muscle weakness after a stroke with handgrip rehabilitation. Stroke causes many stroke patients to feel tired. Assess the severity of fatigue using the fatigue severity scale (FSS). This study aims to describe the value of handgrip strength and fatigue severity scale in stroke patients at Ulin Hospital, Banjarmasin. The samples taken were post-stroke patients in the medical rehabilitation section of Ulin Banjarmasin Regional Hospital for the period October-November. This research uses descriptive methods and a cross-sectional design. The results obtained on the strength of the handgrip include the least category based on gender, namely women (right: 9.8 kg, left: 10.5 kg) and based on age, namely the right of early adulthood (0 kg) and the left of the elderly (7.7 kg). On the fatigue severity scale the worst category based on gender is women (44.4) and by age is the late elderly age (45). So this shows that the value of handgrip strength and fatigue severity scale in stroke patients are included in the category of less or worse. Keywords: stroke, handgrip, fatigue severity scale Abstrak: Stroke adalah penyakit yang ditandai adanya masalah fungsional otak fokal dan terjadi selama ≥ 24 jam. Gejala yang sering dirasakan penderitanya adalah hemiparesis jari tangan. Cara mengurangi kelemahan otot tangan setelah serangan stroke adalah dengan rehabilitasi handgrip. Stroke menyebabkan banyak penderita stroke yang merasa lelah. Menilai tingkat keparahan kelelahan menggunakan fatigue severity scale (FSS). Penelitian ini bertujuan untuk menggambarkan nilai kekuatan handgrip dan fatigue severity scale pada pasien stroke di RSUD Ulin Banjarmasin. Sampel yang diambil merupakan pasien pasca stroke di bagian rehabilitasi medik RSUD Ulin Banjarmasin periode Oktober-November. Penelitian ini menggunakan metode deskriptif dan desain cross-sectional. Hasil penelitian yang diperoleh pada kekuatan handgrip termasuk kategori sedikit lebih kurang berdasarkan jenis kelamin yaitu perempuan (sebelah kanan: 9,8 kg, sebelah kiri: 10,5 kg) dan berdasarkan usia yaitu sebelah kanan usia dewasa awal (0 kg) dan sebelah kiri usia manula (7,7 kg). Pada fatigue severity scale kategori sedikit lebih buruk berdasarkan jenis kelamin yaitu perempuan (44,4) dan berdasarkan usia yaitu usia lansia akhir (45). Sehingga hal ini menunjukkan bahwa nilai kekuatan handgrip dan fatigue severity scale pada pasien stroke termasuk dalam kategori kurang ataupun buruk. Kata-kata kunci: stroke, handgrip, fatigue severity scale
PERBANDINGAN EFEKTIVITAS NATRIUM DIKLOFENAK DAN MELOKSIKAM PADA DERAJAT KEPARAHAN PASIEN PEREMPUAN DENGAN OSTEOARTRITIS LUTUT Aulia, Ahmad Candra; Pambudi, Pagan; Nur’amin, Hendra Wana; Noor, Zairin; Qamariah, Nur
Homeostasis Vol 7, No 2 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i2.13176

Abstract

Abstract: Osteoarthritis is a disease characterized by degeneration of cartilage an bone underneath in the joints and excessive bone growth. This tissue damage eventually causes pain and joint stiffness. Non-Steroidal Anti-Inflamatory Drugs (NSAIDs) are usually considered the first line intreatment of osteoarthritis in the treatment of osteoarthritis. NSAIDs that are often used in the treatment are sodium dicofenac and meloxicam. This study aims to compare the effectiveness of sodium diclofenac and meloxicam in the severity of female subject with knee osteoarthritis in RSUD Dr. H. M Ansari Saleh Banjarmasin. The method used in this study is analytical observational with the cohort prospective research design. The sample in this study was chosen in a simple random sampling way with a total of 20 subject, 10 people received sodium diclofenac therapy and 10 people received meloxicam therapy, which would then be analyzed using T test. There is a significal difference in the lequesne index before and after administration of sodium diclofenac (p = 0,008) and meloxicam (p = 0,038). There is no significant difference between sodium diclofenac therapy compared to meloxicam (p = 0,55). Keywords: knee osteoartritis, sodium diclofenac, meloxicam Abstrak: Osteoartritis adalah penyakit sendi yang ditandai dengan degenerasi tulang rawan dan tulang dibawahnya di dalam sendi serta pertumbuhan tulang yang berlebihan. Kerusakan jaringan ini akhirnya menyebabkan nyeri dan kekakuan sendi. Non-Steroidal Anti-Inflamatory Drugs (NSAID) biasanya dianggap sebagai lini pertama dalam pengobatan osteoartritis. NSAID yang sering digunakan dalam pengobatan osteoartritis adalah natrium diklofenak dan meloksikam. Penelitian ini bertujuan untuk membandingkan efektivitas natrium diklofenak dan meloksikam pada derajat keparahan subyek perempuan dengan osteoartritis lutut di RSUD dr H. M. Ansari Saleh Banjarmasin. Metode yang digunakan dalam peneltian ini yaitu observasional analitik dengan desain penelitian cohort prospective. Sampel dalam penelitian ini dipilih dengan cara simple random sampling dengan total subyek sejumlah 20 orang, 10 orang mendapatkan terapi natrium diklofenak dan 10 orang mendapatkan terapi meloksikam, yang kemudian akan dianalisis dengan menggunakan uji T test. Terdapat perbedaan bermakna pada indeks lequesne sebelum dan sesudah pemberian natrium diklofenak (p = 0,008) dan meloksikam (p = 0,038). Tidak terdapat perbedaan signifikan antara terapi natrium diklofenak dibandingkan meloksikam (p = 0,55) Kata-kata kunci: osteoartritis lutut, natrium diklofenak, meloksikam
KORELASI KADAR ASAM URAT DENGAN TUNGKAT KEPARAHAN OSTEOARTRITIS LUTUT PADA PASIEN PEREMPUAN DI RSUD dr. H. MOCH.ANSARI SALEH Rajib, Maulana Nur; Pambudi, Pagan; Nur'amin, Hendra Wana; Noor, Zairin; Qamariah, Nur
Homeostasis Vol 7, No 2 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i2.13235

Abstract

Abstract: Subchondral bone sclerosis, articular cartilage destruction, and osteophyte formation are hallmarks of osteoarthritis (OA), a chronic age-related joint disease. As an end product of purine metabolism, uric acid is often detected in body fluids. According to a number of studies, uric acid is a risk factor for the severity of OA. Synovial uric acid with IL-1???? and IL-18, which are known to cause inflammation triggered by uric acid, showed a correlation. The purpose of this study was to determine whether there is a correlation between uric acid levels and the severity of knee osteoarthritis in female patients at Dr. H. Moch. Ansari Saleh Hospital. A total of 15 people will become respondents who are selected by simple random sampling and then will be analyzed using the Spearman test. Uric acid profile data showed 9 patients (60%) had uric acid levels >6.0 mg/dL and 6 patients (40%) had normal uric acid levels (2.4-6.0 mg/dL). According to data from the knee osteoarthritis severity profile, 6 patients (40%) had grade 1 knee OA, 4 patients (26.66%) had grade 2 knee OA, 4 patients (26.66%) had grade 3 knee OA, and 1 patient (6.66%) had grade 4 knee OA. Uric acid levels and severity of knee osteoarthritis in female patients at Dr. H. Moch. Ansari Saleh Hospital showed no significant correlation (p=0.081). Keywords: knee osteoartritis, uric acid, female Abstrak: Sklerosis tulang subkondral, kerusakan tulang rawan artikular, dan pembentukan osteofit adalah ciri khas osteoartritis (OA), suatu penyakit sendi kronis yang berkaitan dengan usia. Sebagai produk akhir dari metabolisme purin, asam urat sering terdeteksi dalam cairan tubuh. Menurut sejumlah penelitian, asam urat merupakan faktor risiko dari keparahan OA. Asam urat sinovial dengan IL-1???? dan IL-18, yang diketahui menyebabkan peradangan yang dipicu oleh asam urat menunjukkan korelasi. Tujuan dari penelitian ini adalah untuk mengetahui apakah terdapat korelasi antara kadar asam urat dengan tingkat keparahan osteoartritis lutut pada pasien perempuan di RSUD dr. H. Moch. Ansari Saleh. Sebanyak 15 orang yang akan menjadi responden yang dipilih dengan cara simple random sampling kemudian akan dianalisis menggunakan uji Spearman. Data profil asam urat menunjukkan 9 pasien (60%) memiliki kadar asam urat >6,0 mg/dL dan 6 pasien (40%) memiliki kadar asam urat normal (2,4-6,0 mg/dL). Menurut data dari profil tingkat keparahan osteoartritis lutut, 6 pasien (40%) memiliki OA lutut derajat 1, 4 pasien (26,66%) memiliki OA lutut derajat 2, 4 pasien (26,66%) memiliki OA lutut derajat 3, dan 1 pasien (6,66%) memiliki OA lutut derajat 4. Kadar asam urat degan tingkat keparahan osteoartritis lutut pada pasien perempuan di RSUD dr. H. Moch. Ansari Saleh menunjukkan hasil korelasi tidak bermakna (p=0,081). Kata-kata kunci: osteoartritis lutut, asam urat, perempuan
Increased Neutrophil Count Related to Bleeding Volume in Intracerebral Hemorrhage Cerebrovascular Accident Pratitan, Alifta Ridzki; Pambudi, Pagan; Illiandri, Oski
MAGNA MEDICA Berkala Ilmiah Kedokteran dan Kesehatan Vol 11, No 1 (2024): February
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.11.1.2024.08-13

Abstract

Background:  Cerebrovascular accidents (CVA) was increasing per year. In Indonesia reached 550.000 cases per year. Ten to fifteen percent are types of CVA bleeding (CVA-B). Death and disability as complications of CVA-B are more often compared to an ischemic type. Early diagnosis of CVA-B is key to decreasing it’s complications. Unfortunately, diagnosis of early CVA-B requires excellent effort and spending more expense when using an advanced CT scan. Previous research has shown a relationship between leucocyte count and CVA, but there is no adequate data relating leukocyte count and mean arterial pressure (MAP) with bleeding volume in CVA-B patients.Objective: This study aimed to answer whether Leukocyte count combined with MAP can be a choice to diagnose CVA-B at an early stage.Methods: Analytic observational research was conducted with a cross-sectional approach. The population of this study was all patients with CVA intracerebral bleeding at Ulin Hospital of Banjarmasin. The patient's medical records and CT scans were used to assess the bleeding volume. The number of leukocytes and the patient's mean arterial pressure were tabulated and analyzed to their relationship with bleeding volume.Results: In this study, there was a significant relationship between the number of leukocytes and the volume of intracerebral hemorrhage (r=0.801, p=0.000). There was no significant relationship between the MAP and the volume of intracerebral hemorrhage (r=0,17, p=0,361)Conclusion: There is a strong relationship with a significant relationship between the number of leukocytes and the volume of bleeding in patients with intracerebral hemorrhage but no relationship with MAP.  
KORELASI LINGKAR PERUT DENGAN TINGKAT KEPARAHAN OSTEOARTRITIS LUTUT PADA PASIEN PEREMPUAN DI RSUD DR. H. MOCH. ANSARI SALEH Mujiningtyas, Tsalsa Rohmatul Jannah; Pambudi, Pagan; Nur’amin, Hendra Wana; Noor, Zairin; Qamariah, Nur
Homeostasis Vol 7, No 3 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i3.14609

Abstract

Abstract: Osteoartritis (OA) is a chronic inflammatory disease of the synovial joints, accompanied by damage to the joint cartilage and bones. Abdominal circumference measurements are carried out to determine abdominal or central obesity. Several studies show that the larger the abdominal circumference, the higher the severity of OA. This research is an analytical observational study with a cross-sectional research design. The sample in this study was selected using simple random sampling with a total of 30 respondents who would then be analyzed using the Spearman test. Abdominal circumference profile data showed that 23 patients (76,67%) had abdominal circumference >80 cm and 7 patients (23,33%) had abdominal circumference ≤80 cm. Data on the severity profile of knee osteoartritis showed that 17 patients (56,67%) had grade 1 knee OA, 7patients (23,33%) had grade 2, 5 patients (16,67%) had grade 3, and 1 patients (3,33%) had grade 4. The results of Spearman’s correlation analysis showed that there was no significant correlation between abdominal circumference and the severity of knee osteoartritis in female patients at RSUD dr. H. Moch. Ansari Saleh (p=0,563). Keywords: knee osteoartritis, abdominal circumference, female Abstrak: Osteoartritis (OA) adalah penyakit inflamasi kronik pada sendi sinovial, disertai kerusakan pada kartilago sendi dan tulang. Pengukuran lingkar perut dilakukan untuk menentukan obesitas abdomen atau sentral. Beberapa penelitian menunjukkan bahwa semakin besar lingkar perut maka semakin tinggi tingkat keparahan OA. Penelitian ini merupakan penelitian observasional analitik dengan desain penelitian cross-sectional. Sampel dalam penelitian ini dipilih dengan cara simple random sampling dengan total responden sejumlah 30 orang yang kemudian akan dianalisis dengan menggunakan uji Spearman. Data profil lingkat perut menunjukkan sebanyak 23 pasien (76,67%) memiliki lingkar perut >80 cm dan sebanyak 7 pasien (23,33%) memiliki lingkar perut ≤80 cm. Data profil tingkat keparahan osteoartritis lutut menunjukkan sebanyak 17 pasien (56,67%) mengalami OA lutut grade 1, grade 2 sebanyak 7 pasien (23,33%), grade 3 sebanyak 5 pasien (16,67%), dan grade 4 sebanyak 1 pasien (3,33%). Hasil analisis korelasi Spearman menunjukkan tidak terdapat korelasi bermakna antara lingkar perut dengan tingkat keparahan osteoartritis lutut pada pasien perempuan di RSUD dr. H. Moch. Ansari Saleh (p=0,563). Kata-kata kunci: osteoartritis lutut, lingkar perut, perempuan
ANALISIS KORELASI SKOR GEJALA TOTAL, NYERI, DAN KUALITAS HIDUP SETELAH PENGOBATAN VITAMIN B1, B6, DAN B12 DOSIS TINGGI PADA NEUROPATI PERIFER Hakim, Manfaluthy; Kurniani, Nani; Pinzon, Rizaldy; Tugasworo, Dodik; Basuki, Mudjiani; Haddani, Hasnawi; Pambudi, Pagan; Fithrie, Aida; Wuysang, Audry Devisanty
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 35 No 2 (2018)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v35i2.3

Abstract

CORRELATION ANALYSIS OF TOTAL SYMPTOM SCORE, PAIN, AND QUALITY OF LIFE POST HIGH DOSE VITAMIN B1, B6, DAN B12 TREATMENT IN PERIPHERAL NEUROPATHYABSTRACTIntroduction: Peripheral neuropathy (PN) is a clinical condition in which nerves of the peripheral nervous system are damaged and is associated with various symptoms affecting the patients’ quality of life (QoL).Aims: To understand the  effect of Vitamin B1, B6, and B12 combination in mild to moderate PN.Methods: This is a prospective, open label, multicenter, single arm observational study involved 399 subjects with PN of different etiology. Subjects received the vitamin B1, B6, and B12 combination tablet orally once daily and were observed for 3 months. Total symptom score (TSS), visual analog score (VAS) and QoL were assessed, and the correlation between these parameters was analyzed.Results: Clinically significant reductions were observed from baseline to subsequent visits for TSS and VAS. Positive correlation  was observed between TSS and components of VAS. The study treatment was associated with a significant improvement in QoL parameters. Inverse correlation was observed between QoL and TSS as well as QoL and components of VAS. The study treatment was found to be well tolerated.Discussion: The correlation  analysis between different outcome measures demonstrated the beneficial effect of combination of vitamin B1, B6, and B12 in relief from symptoms and improvement in QoL of PN.Keyword: Correlation analysis, peripheral neuropathy, SF-8, TSS, VAS, vitamin B1, B6, and B12ABSTRAKPendahuluan: Neuropati perifer (NP) merupakan kondisi klinis akibat kerusakan pada sistem saraf tepi yang memengaruhi kualitas hidup (quality of life/QoL) pasien.Tujuan: Mengetahui efek pemberian kombinasi vitamin B1, B6, and B12 pada NP ringan hingga sedang.Metode: Penelitian observasional dan prospektif secara open label, multisenter, dan single arm, yang melibatkan 399 subjek penderita neuropati perifer dengan etiologi yang berbeda-beda. Subjek mengonsumsi tablet kombinasi vitamin B1, B6, and B12 secara oral satu kali sehari dan diamati selama 3 bulan. Dilakukan penilaian skor gejala total (total symptom score/TSS), visual analog scale (VAS), dan QoL, serta korelasi antara parameter-parameter tersebut.Hasil: Terdapat penurunan TSS dan VAS yang bermakna secara klinis antara baseline (awal) dengan kunjungan berikutnya. Terdapat korelasi yang positif antara TSS dengan komponen-komponen VAS. Pemberian perlakuan dalam penelitian berkorelasi secara bermakna dengan perbaikan parameter dalam QoL. Teramati juga adanya hubungan terbalik antara QoL dengan TSS serta QoL dan komponen VAS. Pengobatan pada penelitian ini juga terbukti dapat ditoleransi dengan baik.Diskusi: Analisis korelasi antara berbagai macam metode pengukuran yang berbeda menunjukkan manfaat dari pemberian kombinasi vitamin B1, B6, and B12 dalam mengurangi gejala dan perbaikan QoL pada pasien PN.Kata kunci: Analisis korelasi, neuropati perifer, kualitas hidup, SF-8, TSS, VAS, vitamin B1, B6, and B12
POLIFARMASI DAN PENGOBATAN YANG KURANG TEPAT DALAM FARMAKOTERAPI STROKE, BAGAIMANA SPESIALIS NEUROLOGI MENSIKAPINYA: POLYPHARMACY AND INAPPROPIATE MEDICATION IN STROKE PATIENT: WHAT NEUROLOGIST SHOULD AWARE? Pambudi, Pagan; Steven
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 41 No 3 (2025): Vol 41 No 3 (2024): Volume 41, No 3 - Juni 2025
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v41i3.585

Abstract

Polypharmacy and inappropriate medication use are often found in elderly stroke patients and have negative consequences such as less than optimal functional outcomes, increased incidence of drug side effects, increased treatment time and costs. However, polypharmacy seems difficult to avoid in stroke patients where there are many underlying comorbidities that require pharmacotherapy. Neurology specialist doctors as doctors responsible for patients need to manage polypharmacy and inappropriate use of drugs in order to achieve treatment goals, namely optimal functional outcomes and patient safety at an efficient cost.
PREVALENCE OF NEUROPATHIC PAIN IN LOW BACK PAIN PATIENTS AT COMMUNITY HEALTH CENTER M, Muna; Pambudi, Pagan
Journal of Pain, Headache and Vertigo Vol. 6 No. 2 (2025): September
Publisher : PERDOSNI (Perhimpunan Dokter Spesialis Neurologi 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.jphv.2025.006.02.01

Abstract

Low back pain (LBP) is a musculoskeletal disorder that is widely found in the community starting at the age of 25 years and increasing at 50 years. Patients who experience LBP mostly experience neuropathic pain as much as 37% which complicates management. The neuropathic pain component is rarely considered in First Level Health Facilities (FKTP) due to lack of knowledge about simple clinical instruments that can identify pain characteristics and lack of data or research on neuropathic pain in LBP in FKTP so that the management of neuropathic pain in LBP in FKTP is less comprehensive. Therefore, research on neuropathic pain in LBP patients in primary care facilities needs to be done. This research aim to determine the prevalence of neuropathic pain among LBP patients at Puskesmas Simpang Empat 2 Banjar Regency. The study approach used was descriptive, using variables such as Low Back Pain (LBP), age, and gender. This research included LBP patients from Puskesmas Simpang Empat. 2.The research employed Pain Detection Questionnaire (PD-Q). The sample method used was incidental sampling. The results shows that During the study period, 95 samples were collected, with LBP patients with neuropathic pain accounting for 42 (44.2%), nociceptive 32 (33.7%), and ambiguous 21 (22.1%). According to gender, 58.9% were women and 41.1% were men. The greatest age group (40-49 years) had a frequency of 27.4%, while the lowest frequency (<20 years) was only 1.1%. Neuropathic pain is a prevalent issue in clinical practice.
Co-Authors Arsyiana, Fathia Asnawati Asnawati Aulia, Ahmad Candra Basuki, Mudjiani Dodik Tugasworo Fithrie, Aida Hakim, Manfaluthy Hayati, Azka M, Muna Muhammad Hasnawi Haddani Mujiningtyas, Tsalsa Rohmatul Jannah Nani Kurniani Nelly Al Audhah Nur Qamariah Nur'amin, Hendra Wana Nur’amin, Hendra Wana Oski Illiandri Pratitan, Alifta Ridzki Rajib, Maulana Nur Rizaldy Pinzon Sari Dianita Purnama Sidabutar, Oktaviana Simarmata, Imoia Silvia Y. Steven Wuysang, Audry Devisanty Zairin Noor