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p-Index From 2020 - 2025
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This Author published in this journals
All Journal MNJ (Malang Neurology Journal) Formosa Journal of Sustainable Research (FJSR)
Kartika Agustina, Kartika
Unknown Affiliation
Computer Science & IT Decision Sciences, Operations Research & Management Education Industrial & Manufacturing Engineering Neuroscience Social Sciences

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CLINICAL ASPECT OF NORMAL PRESSURE HYDROCEPHALUS: WHAT TO DO? A LITERATURE REVIEW Nazwar, Tommy; Bal’afif, Farhad; Wardhana, Donny; Riskiyana, Riskiyana; Agustina, Kartika; Panjaitan, Christin
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.2025.011.01.14

Abstract

Normal pressure hydrocephalus (NPH) is a medical condition characterized by the enlargement of brain ventricles and associated clinical manifestations, including gait disturbance, cognitive impairment, and urinary incontinence. In many cases, NPH is often misdiagnosed or diagnosed late due to its symptoms closely resembling those seen in other neurological conditions. Therefore, a comprehensive understanding of the clinical characteristics of NPH is crucial. This article aims to present an in-depth literature review on the clinical aspects of NPH and offer valuable insights to clinicians regarding the appropriate approach to diagnosing and managing patients with NPH. Gait apraxia is usually the first symptom, followed by incontinence and cognitive impairment, particularly in attention and memory. The diagnosis of NPH follows specific criteria, classifying patients as "possible" or "probable." Imaging examinations, such as computed tomography (CT) scans and magnetic resonance imaging (MRI), are essential to assess ventricular size and identify radiological findings such as ventriculomegaly, disproportionately enlarged subarachnoid space hydrocephalus (DESH), callosal angle, temporal cornu enlargement, and white matter changes. NPH can be managed through conservative care, ventriculoperitoneal (VP) shunt surgery, and, in select cases, endoscopic third ventriculostomy (ETV). VP shunt surgery is the main surgical option, offering different valve choices such as fixed-pressure, programmable-pressure, and overdrainage prevention mechanisms. VP shunts have been shown to effectively relieve NPH symptoms, with lumbo-peritoneal (LP) shunts considered less favorable due to higher complications. ETV is a possibility for specific patients.
The Effect of Job Stress and Motivation on Employee Performance of Jabodetabek Domicile with Work Method Policy as an Intervening Variable Agustina, Kartika; Safaria, Siti
Formosa Journal of Sustainable Research Vol. 3 No. 6 (2024): June 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjsr.v3i6.9661

Abstract

This research purpose is to find relationship among work stress on work method policies, work motivation on work method policies, work stress to employee performance, work motivation to employee performance, work method policies to employee performance, work stress to employee performance through work method policies as intervening variables, work motivation to employee performance through work method policies as intervening variables. Respondents in this study were workers in the JABODETABEK area totaling 161 people. The results obtained are work stress has a significant effect to work method policy, motivation has a significant effect to work method policy, work stress has a significant effect to performance, motivation has a significant effect to performance, work method policy has a significant effect to performance, work stress has a significant effect on performance through work method policy as intervening variable, motivation has a significant effect to performance through work method policy as intervening variable
Co-Authors Bal’afif, Farhad Nazwar, Tommy Panjaitan, Christin Riskiyana, Riskiyana Siti Safaria Wardhana, Donny