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Journal : MNJ (Malang Neurology Journal)

FACTORS AFFECTING THE FUNCTIONAL STATUS OF PATIENT WITH MENINGIOMA IN DR. SAIFUL ANWAR GENERAL HOSPITAL MALANG Dessika Rahmawati; Badrul Munir; Nanik Setijowati; Catur Ari Setianto; Ria Damayanti; Bimo Mubyarto
MNJ (Malang Neurology Journal) Vol. 9 No. 1 (2023): January
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf 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.mnj.2023.009.01.17

Abstract

Background: Meningioma is one of the most commonly reported primary central nervous system (CNS) tumors, originating from arachnoid meningeal cells and including intracranial extra-axial neoplasms. Although meningioma is considerably benign, the patient conditions are reported to be diverse resulting in severe and life-threatening neurological deficits. Hence the assessment regarding functional status is deemed pivotal to provide a prognostic perspective as patient presentation exhibits disability due to lesions and other factors. Objective: This research aims to analyze factors affecting the functional status of patients with meningioma in Dr. Saiful Anwar General Hospital Malang. Methods: An analytic retrospective study was conducted with cross-sectional study involving 62 samples from patients visits with meningioma brain tumor in RSUD dr. Saiful Anwar General Hospital Malang from January 2017 to December 2020. The data was selected through non-probability sampling, generating sampling type from brain tumor register data Neurology. Results: Data obtained from 62 meningioma patients in RSUD dr. Saiful Anwar General Hospital Malang met the inclusion criteria from January 2017 to December 2020, based on demographic characteristics such as age of <50 in 38 patients (61.3%) and age of >50 in 24 patients (38.7%). Clinically, it was found that 58 patients (93.5%) experienced headache, 28 patients (45.2%) experienced decreasing consciousness, 15 patients (24.2%) had hemiplegia, and 17 patients (27.4%) had hemiparesis, 17 people had hemiparesis. 17 patients (27.4%) experienced visual disturbances, and 24 patients (38.7%) are with seizures. Based on the radiology screening sites, 46 patients (74.2%) were screened in Convexity sphere, 9 patients (14.5%) were screened at Cranial base, 3 patients (4.8%) were screened at Parasagittal, and 4 patients (6.5%) were screene at Falx, from which the 41 patients (66.1%) exhibited herniation. Based on comorbidities, 12 patients (19.4%) had sepsis, and 1 patient (1.6%) had pneumonia. From the analysis test results, it was found that decreasing consciousness (GCS) was significantly correlated with functional status, referred to Karnofsky Performance Scale of <70 (p: 0.013, p <0.05). Seizures were reported to be correlated significantly with functional status, referred to Karnofsky Performance Scale of > 70 (p: 0.015, p<0.05). Tumor location was significantly correlated with functional status, reffered to Karnofsky Performance Scale of > 70 (p: 0.027, p<0.05). Conclusion: The factors affecting the functional status based on the Karnofsky Performance Scale (KPS) of a patient with meningioma at Dr. Saiful Anwar General Hospital Malang included: decreasing consciousness (GCS), and seizures, and tumor location.
THE ASSOCIATION BETWEEN STROKE DETERMINANT FACTORS AND SLEEP QUALITY IN POST-STROKE PATIENTS Afif, Zamroni; Arisetijono, Eko; Setijowati, Nanik; Sitompul, Boyke
MNJ (Malang Neurology Journal) Vol. 11 No. 1 (2025): January
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf 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.mnj.2025.011.01.09

Abstract

Background: Stroke is a serious condition can cause sudden loss of neurological function. Sleep disorders, such as insomnia, hypersomnia, sleep apnea, and restless leg syndrome, often occur in stroke patients and can worsen the post-stroke rehabilitation process, especially who have a history of diabetes mellitus (DM), hypertension, and heavy smoker. Effective management of post-stroke patients requires identifying and treating sleep quality disorders and associated risk factors to improve quality of life. Objective: This study aims to explore the association between DM, hypertension, and smoking in post-stroke patients and sleep quality. Methods: A cross-sectional study was conducted on post-stroke control patients at the Neurology Clinic at Dr. Saiful Anwar Hospital, East Java, from December 2023 to February 2024. Sleep quality disorder were measured using the Pittsburgh Sleep Quality Index (PSQI) within one month after outpatient treatment. Additional data were analyzed using the chi-square test and binary logistic regression. Results: Among the 74 participants, 25 patients (25.7%) had a history of DM, 68 (91.9%) with hypertension, and 20 (27%) were heavy smokers. There were 34 patients (45.9%) who experienced sleep quality disorders. There was a significant association between DM and sleep disorders (p=0.005), while hypertension and smoking did not show a significant correlation. History of DM was a significant predictor of sleep disorders (p=0.09 | OR 4.782, 95% CI 1.483–15.421). Conclusion: This study shows a significant association between history of DM in post-stroke patients and sleep quality based on PSQI.
Co-Authors Aisyah Aisyah Amalia Pradanti Widarso, Amalia Pradanti Anjelin, Isabella Kusuma Arinto Yudi Ponco Wardoyo Asmika Asmika Badrul Munir Bimo Mubyarto Catur Ari Setianto Chozin, Iin Noor Damayanti, Gita Retno DAMAYANTI, ZUHRIA PUSPITA Dasa Novita, Khuznita Dessika Rahmawati Deuina Grishelda, Irma Dewi Santosaningsih Dhelya Widasmara Dhiar Widianingtyas, Dhiar Dian Kusumaningtyas, Dian Djajalaksana, Susanthy Dwi Rahayu, Indriati Eddy, Mochammad Istiadjid Eko Arisetijono Erlangga, Eggi Eviana Norahmawati Fadli, Muhammad Luqman Fitria, Ruman Freddy, Antonius Hanggara, Dian Sukma Hatimul Asmy Hendradi Surjotomo, Hendradi Himawan, Asavita Rhena Holipah, Holipah I Wayan Agung Indrawan Ida Sri Maduretno, Ida Sri Imelda Ritunga Imowanto, Yuddy Indradmojo, Christyaji Indriati Dwi Rahayu irsan , Istan Irmansyah Irsan, Istan Irmansyah Jasin, Jessica Lingga Jemima Lewi Santoso Johan, Willy Johannes, Jeffrey Kartika Rini Kartikasari, Ulfah Kuntadi, Muhammad Lilik Zuhriyah Listuhayu, Kararawi Listyoko, Aditya Sri Maelo, Clara Angraini Mahendra, Reza Aditya Mahulette, Aisyah Nurulhisa Marini . Marini, Gita Mellyanawati Mellyanawati Michaela, Cleine Minarni Wartiningsih Muhammad, Athaya Rahmanardi Natasha Halim, Angie Nazila Tanasya Nia Novita Wirawan, Nia Novita Normawati Normawati, Normawati Novita, Khuznita Dasa Nugroho, Soeryanto Eko Agung Nurul Laili Oktaviana, Ratih Panjaitan, Damaris Gabrielle Valentine Pardosi, Delima Silvani Paskadita, Nafiri Eldya Prasetyadjati, Ari Pratiwi, Suryanti Dwi Pratiwi, Suryanti Dwi Prihatiningsih, Riska Dwi Putra, Ngakan Putu Parsama Putu, Ngakan rahmah, shofi nur Rahmawati Aminingrum Rakhma, Sastia Rakhmani, Alidha Nur Rusnianah, Farida Santosa, Andrew Sartono, Teguh Rahayu Sitompul, Boyke Soehartono Soehartono Soplantila, Chelsy Gravia Sri Andarini Sugiri, Yani Jane Suparno Adi Santika, Suparno Adi Syahrul Chilmi, Syahrul Tantular, Rezki Tita Hariyanti Titin Andri Wihastuti Tri Wahju Astuti, Tri Wahju Triyuliarto, Dwiwardoyo Wahyudi, Mgs Ahmad Widowati, Yenny Wilmida, Anggun Diah Yoga Sedana, I Ketut Yusdianto, Adrian Yuyun Yueniwati Zaiyanah, Munsifah Zamroni Afif Zarithsyafiqah, Siti Zhakia, Jelita Zhufatul