Maria Regina Rachmawati
Departemen Ilmu Kedokteran Fisik Dan Rehabilitasi, Fakultas Kedokteran, Universitas Gunadarma

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The Challenge of Chronic Pain Management by PM&R Specialist Maria Regina Rachmawati
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 01 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.099 KB) | DOI: 10.36803/ijpmr.v7i01.114

Abstract

According to the definition from international association for the study of pain (IASP), pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Besides, there are many term of unpleasant sensory that complaint by patient as a pain, such as allodynia, hyperalgesia, and hyperesthesia. The pain is one of the most cases that came to seeking a doctor. The data from Indonesian National Health Insurance (JKN) from 2014-2017 have revealed that pain cases were the most frequent in Rehabilitation Medicine Services, i.e. low back pain, knee pain, and shoulder pain. The prevalence of pain is increasing along with ageing, sedentary life style, obesity and chronic diseases.
The Challenge of Chronic Pain Management by PM&R Specialist Maria Regina Rachmawati
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 01 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.099 KB) | DOI: 10.36803/ijpmr.v7i01.114

Abstract

According to the definition from international association for the study of pain (IASP), pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Besides, there are many term of unpleasant sensory that complaint by patient as a pain, such as allodynia, hyperalgesia, and hyperesthesia. The pain is one of the most cases that came to seeking a doctor. The data from Indonesian National Health Insurance (JKN) from 2014-2017 have revealed that pain cases were the most frequent in Rehabilitation Medicine Services, i.e. low back pain, knee pain, and shoulder pain. The prevalence of pain is increasing along with ageing, sedentary life style, obesity and chronic diseases.
LUARAN PASIEN STROKE ISKEMIK AKUT DENGAN INFEKSI COVID-19 DI JAKARTA Wiwit Ida Chahyani; Murni Sri Hastuti; Malika Malika; Izati Rahmi; Maria Regina Rachmawati; Anwar Wardy Warongan (alm); Siti Airiza Ahmad
NEURONA Vol 39 No 2 (2022): Vol 39 No 2 (2022)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v39i2.326

Abstract

ABSTRACT Introduction: Ischemic stroke is a life-threatening neurological complication of coronavirus disease 19 (COVID-19). Research on the outcome of acute ischemic stroke patients with COVID-19 infection in Indonesia has not been widely reported. Aims: We investigated the outcome of acute ischemic stroke patients with COVID-19 infection and the factors that affect these outcomes at the Pasar Minggu Regional General Hospital, which is a special COVID-19 referral hospital in Jakarta, Indonesia. Methods: This was a cross sectional study based on the medical records of acute ischemic stroke patients with laboratory-confirmed COVID-19 infection of those ≥18 years of age, who were hospitalized at the Pasar Minggu Regional General Hospital between March 2020 and June 2021. Chi-squared test and unpaired t-test were used for statistical analyses. Results: Thirty-six patients were included in the study. The majority were ≥50 years old (69.4%), comprising of 58.3% women, and 52.8% revealed National Institute of Health Stroke Scale (NIHSS) score of ≤5. The mortality rate of acute ischemic stroke patients with COVID-19 infection was 16.7%, and in the survivors, the median modified Rankin scale score at discharge was 2(1–5). There was a significant association between the severity of COVID-19 and mortality in acute ischemic stroke patients infected with COVID-19 (P=0.019; Odds ratio 1.5 [95% confidence interval 1.08-2.08]). Discussion: The mortality of acute ischemic stroke patients with COVID-19 infection was high, and the factor of significant influence was COVID-19 disease severity. The majority of acute ischemic stroke patients with COVID-19 who survived had mild disabilities.Keywords: COVID-19, ischemic stroke, outcome.