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Journal : Althea Medical Journal

Antiplatelet Drugs and Its Gastrointestinal Side Effects among Ischemic Stroke Patients in Dr. Hasan Sadikin General Hospital 2011 A/L Rajendram, Ananthakrishnan; Husen, Ike Rostikawati; Basuki, Andi
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Althea Medical Journal

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Abstract

 Background: Antiplatelet drugs with known side effects are given in long term therapies to prevent secondary ischemic stroke. Gastrointestinal side effect is the most prevalent issue. The aim of this study was to identify which antiplatelet drugs have the most gastrointestinal side effects and the duration of administration. Methods: Seven hundred twenty six medical records were obtained from the Medical Record Department of Dr.Hasan Sadikin General Hospital Bandung from August to December 2011. Inclusion criteria were >18 years old and treated by long term antiplatelet drugs with complete medical records. Data analyzed descriptively consist of antiplatelet type, gastrointestinal effects, and drug administration duration. Results: Of 726 medical records only 246 were enrolled this study. Aspirin 80 mg was the most frequent drug given to ischemic stroke patients (65.9%). GI bleeding and nausea were the two side effects mostly found in aspirin >80 mg group (90%; 95% respectively). The side effects was found after less than 3 months in the aspirin >80 mg group, while it took longer to appear in clopidogrel 75 mg group. Conclusions: Aspirin (>80 mg) presents the most frequent gastrointestinal side effect compared to low dose aspirin 80 mg , clopidogrel, and combination of clopidogrel and aspirin.Keywords: Antiplatelet, ischemic stroke, side effects DOI: 10.15850/amj.v2n1.425  
Profile of Knowledge on Stroke among Paramedics at Jatinangor and Tanjungsari Public Health Centers Wardhana, Rangga Kusuma; Basuki, Andi; Suryosutanto, Suryosutanto
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: A knowledge of stroke is important for paramedics, to minimize delays and increase the numbers of potentially treatable patients. Paramedics are health workers who devote themselves in the field of health, have knowledge and/or skills through education in the health field that requires authority in running health services. The aim of this study was to measure the level of knowledge of paramedics about stroke in Jatinangor and Tanjungsari Public Health Center.Methods: A cross–sectional descriptive study was conducted from August to October 2013. An 11-item questionnaire has been established and were submitted to 43 paramedics at Jatinangor and Tanjungsari Public Health Center.The determination of level of knowledge was based on the T–score of each respondent compared with the mean T–score of the subject population.Result: The most respondents were female. Midwifery had the highest frequency of respondents. Largely, the source of information about stroke derived from education.The mean of T-score was 50. There were 28 respondents had a good level of knowledge about stroke and 15 respondents had a poor level of knowledge about stroke.Conclusions: Most paramedics have a good level of knowledge of stroke. [AMJ.2016;3(3):355–8]DOI: 10.15850/amj.v3n3.879Â