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All Journal MNJ (Malang Neurology Journal) Abdimasku : Jurnal Pengabdian Masyarakat Neurona Frontiers on Healthcare Research
Desby Juananda, Desby
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Computer Science & IT Economics, Econometrics & Finance Health Professions Industrial & Manufacturing Engineering Medicine & Pharmacology Neuroscience Public Health Social Sciences

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Skrining Gangguan Tidur Dan Penyuluhan Sleep Hygine Pada Petani Penyemprot Pestisida Sari, Dita kartika; Juananda, Desby
ABDIMASKU : JURNAL PENGABDIAN MASYARAKAT Vol 7, No 2 (2024): MEI 2024
Publisher : LPPM UNIVERSITAS DIAN NUSWANTORO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62411/ja.v7i2.1882

Abstract

Pestisida merupakan salah satu modalitas pembasmi hama yang banyak digunakan dibidang pertanian. Hal ini dikarenakan penggunaannya mudah dan dapat memberantas hama secara massal sehingga menjadi pilihan dalam perkebunan kelapa sawit yang mempunyai lahan yang luas, karna mampu menekan biaya tenaga kerja. Namun dampak negatif yang dapat timbul dari paparan yang berlebihan dari pestisida ini belum dapat dikaji dan ditangai dengan baik.Desa Sungai simpang dua adalah salah satu desa yang berada di Kecamatan Kampar Kiri Hilir, Kabupaten Kampar, Provinsi Riau dengan mata pencaharian utama penduduknya adalah sebagai petani, perkebunan dan pedagang. Kegiatan pengabdian kepada masyarakat ini menggunakan metode sosialisasi dan edukasi dengan materi gangguan tidur dan sleep hygine. Sosialiasai diberikan dalam bentuk caramah singkat dan diskusi disertai pemberian leaflet. Kegiatan pengabdian ini memberikan peningkatan pengetahuan yang cukup baik, terlihat dari rerata nilai pre-test dan post-test yang jauh berbeda, yaitu 43,2 pada pre test dan 84,7 pada post test. Sedangkan dari kegiatan skrining kesehatan dan gangguan tidur didapatkan data sebanyak 60% dari peserta mengalami gangguan tidur. Dengan demikian dapat disimpulkan bahwa kegiatan pengabdian ini memberikan pengaruh positif terhadap pengetahuan masyarakat dari dampak negatif dari penggunaan pestisida pada pertanian. Secara keseluruhan ketercapaian program telah berhasil dengan ketercapaian sebesar 70% peserta menyatakan sangat menarik.
PROFIL KLINIS DAN LUARAN PASIEN STROKE-ASSOCIATED PNEUMONIA (SAP) DI RSUD ARIFIN ACHMAD PROVINSI RIAU Juananda, Desby; Sukiandra, Riki; Maryanti, Yossi; Sucipto, Sucipto; Rahmata Illahi, Annisa; Luo Putra Fau, Joyada; Muslimah Syahrianti, Ukhty
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

Abstract

Introduction: Stroke-associated pneumonia (SAP) is a post-stroke complication that increases morbidity and mortality. Aim: This study aims to examine the clinical characteristics and outcomes to facilitate appropriate clinical decision-making for the treatment and prevention of post-stroke complications. Methods: This cohort retrospective study utilizes medical records of SAP patients at RSUD Arifin Achmad from July 2019 to June 2024. The populations were patients who have developed pneumonia within 48 hours to 7 days after stroke onset. Results: Out of 1,040 stroke patients, 108 (10.4%) developed SAP, with 66.7% classified as definite cases and 33.3% as probable cases. Patients in the ≥60 age group accounted for the highest number of cases (54.6%), with a male-to-female predominance of 64.8%. SAP occurred more frequently in ischemic stroke (68.5%) compared to hemorrhagic stroke (31.5%). Most SAP patients required mechanical ventilation (52.8%). SAP patients required hospitalization, with 45.4% staying for ≤14 days and 53.7% for >14 days. Regarding comorbidities, SAP patients also suffered from hypertension (54.1%), followed by other comorbidities such as diabetes mellitus, chronic obstructive pulmonary disease (COPD), and atrial fibrillation (AF). The blood glucose levels upon hospital admission indicated that SAP patients had a glucose distribution range of 80-144 mg/dl (53.7%), 145-179 mg/dl (14.8%), and ≥180 mg/dl (31.5%). The mortality rate was 57.4%, resulting in 62 deaths. Discussion: This study reveals a significant incidence of SAP in older male stroke patients, especially those with ischemic strokes. The strong association to ventilator use and mortality rates emphasizes the need for early identification and management strategies.
Nerve Conduction Study (NCS) in Patients with Cervical Radiculopathy at Arifin Achmad General Hospital, Riau Province Sukiandra, Riki; Putri, Azzahra Nur Aulya; Juananda, Desby; Maryanti, Yossi
Frontiers on Healthcare Research Vol. 2 No. 1 (2025)
Publisher : Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63918/fhr.v2.n1.p9-14.2025

Abstract

Background: Radiculopathy is one of the most common causes of neck pain in everyday clinical practice. Radiculopathy can occur in the cervical segment. The prevalence of cervical radiculopathy is lower than lumbar radiculopathy. NCS is an attempt to confirm the diagnosis of radiculopathy. This study aims to describe the NCS findings in cervical radiculopathy patients at RSUD Arifin Achmad, Riau Province. Methods: This descriptive quantitative study was conducted from January to September 2024 at RSUD Arifin Achmad, Riau Province, using total sampling. Data from NCS tests, including latency, amplitude, nerve conduction velocity (NCV), and F-wave parameters for motor and sensory nerves, were analyzed using descriptive statistics. Result: The majority of the results were ≥40 years old (69.2%), female (61.5%), and predominance of one extremity testing in cervical radiculopathy (60%). NCS of cervical radiculopathy motor, n.medianus latency was elongated (5.13 ± 2.22 ms), amplitude was normal (4.42 ± 3.03 mV), and KHS was decreased (46.50 ± 11.79 m/s). The n.ulnaris latency lengthened (4.49 ± 5.53 ms), amplitude shortened (5.02 ± 2.70 mV), and KHS decreased (46.44 ± 16.51 m/s). The n.radialis latency (2.34 ± 0.98 ms), amplitude (3.25 ± 0.98 mV), and KHS (78.91 ± 27.47 m/s) were normal. Cervical radiculopathy sensory NCS, n.medianus latency was normal (2.86 ± 0.51 ms), amplitude shortened (19.37 ± 19.38 µV), and KHS decreased (43.82 ± 20.27 m/s). In n.ulnaris, latency lengthened (3.30 ± 1.78 ms), amplitude was normal (17.13 ± 13.98 µV), and KHS decreased (42.62 ± 16.63 m/s). The n.medianus (26.47 ± 2.74 ms) and ulnar (24.83 ± 1.63 ms) F-waves were normal. Conclusion: NCS findings in cervical radiculopathy patients at RSUD Arifin Achmad reveal prolonged distal latency, decreased nerve conduction velocity, and reduced amplitude, suggesting demyelination and axonal loss. These results reinforce the role of NCS as a key diagnostic tool for cervical radiculopathy. Further research is needed to evaluate its correlation with clinical severity.
Incidence and Risk Factors of Stroke-Associated Pneumonia in Ischemic Stroke with Dysphagia: A Cross-Sectional Study Sukiandra, Riki; Maryanti, Yossi; Sucipto; Juananda, Desby; Trihardi, Rizfan; Risman, Salsa Wiratama; Qadriyyah, Lu’lu’ul; Ashiddiqi, Hafil
Frontiers on Healthcare Research Vol. 2 No. 2 (2025)
Publisher : Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63918/fhr.v2.n2.p51-57.2025

Abstract

Background: Stroke-associated pneumonia (SAP) is a common and debilitating complication following stroke, typically occurring within the first 7 days of onset in about one-third of patients with acute ischemic stroke. SAP significantly contributes to increased morbidity, mortality, and healthcare costs due to prolonged hospitalizations. In Riau, the reported prevalence of stroke is 8.3%, which has been rising since 2013, alongside an increase in SAP cases. Dysphagia, defined as difficulty swallowing, is a major risk factor for SAP as it predisposes patients to aspiration, a leading cause of pneumonia. If left untreated, dysphagia can lead to dehydration and electrolyte imbalance. Despite the clinical importance of SAP, local data regarding its incidence and associated risk factors at Arifin Achmad General Hospital in Riau Province is lacking. This study aims to investigate the incidence and risk factors associated with SAP in ischemic stroke patients with dysphagia. The findings are expected to provide evidence-based references to improve neurointensive care and preventive strategies for SAP in this patient population. Methods: This cross-sectional study was conducted at Arifin Achmad General Hospital, Riau Province, from August to November 2023. Ischemic stroke patients who underwent the Water Swallow Test (WST) were included. Dysphagia, electrolyte imbalance, and SAP were the key variables. Data were collected from medical records and observation sheets. Statistical analysis was performed using the Chi-square test (p < 0.05) with SPSS version 25. Results: The study found that 37.5% (15 patients) of ischemic stroke patients developed stroke-associated pneumonia, while 42.5% experienced dysphagia. The majority of these patients were aged 51-60 years (41.2%), male (58.8%), had their first stroke attack (60%), and had multiple risk factors (73.3%). A significant number of dysphagia patients had low electrolyte levels. The most common lesion locations in dysphagia patients were bilateral (66.7%). There was a significant correlation between dysphagia and the incidence of SAP (p=0.000). Patients with dysphagia had 78.75 times higher odds of developing SAP (95% CI: 9.95-622.6) compared to those without dysphagia. Conclusion: SAP is a frequent complication in ischemic stroke patients. Future prospective studies should adopt a unified definition, strict inclusion criteria, and long-term follow-up to better identify the incidence, prognosis, and related factors of SAP.
SUDDEN PROGRESSIVE LOWER LIMB WEAKNESS CAUSED BY TRANSVERSE MYELITIS, MENINGITIS, AND COMMUNICANS HYDROCEPHALUS DUE TO TUBERCULOSIS: A RARE CASE REPORT Simanjuntak, Arya Marganda; Candra, Riky; Gracia, Felicita; Maryanti, Yossi; Sucipto; Sukiandra, Riki; Juananda, Desby
MNJ (Malang Neurology Journal) Vol. 12 No. 1 (2026): 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.2025.012.01.17

Abstract

Background: This report presents a rare case of TB myelitis with concurrent TBM, emphasizing the importance of early detection and intervention due to its atypical symptoms and high risk of neurological disability. Objective: To report a rare case of tuberculous myelitis occurring concurrently with TBM and to highlight the importance of early recognition, appropriate imaging, and timely therapeutic intervention to improve neurological outcomes. Methods: A clinical case review was conducted involving a 32-year-old male presenting with progressive neurological deficits. Clinical evaluation, neuroimaging, cerebrospinal fluid (CSF) analysis, and treatment response were assessed. Management consisted of anti-tuberculosis therapy, corticosteroids, and intensive rehabilitation, with neurosurgical intervention deferred due to medical instability. Result: he patient initially developed chronic headache, fever, and cough, followed by worsening lower limb weakness, numbness, and urinary retention. Neurological examination revealed paraplegia with sensory level at T4. Imaging demonstrated hydrocephalus and pulmonary tuberculosis, while CSF analysis confirmed TBM. A diagnosis of TB myelitis with concurrent meningitis was established. Following initiation of anti-tuberculosis therapy (2RHZE/10RH), corticosteroids, and rehabilitation, the patient showed gradual neurological improvement despite the postponement of neurosurgical procedures. However, there are still few standardized protocols for diagnosing and treating TB myelitis, which calls for more research. Conclusion: Rapid diagnosis of TB myelitis, a treatable complication of CNS tuberculosis, can significantly improve patient outcomes, necessitating further research and development of new therapeutic approaches.
CLINICAL CHARACTERISTICS, MOTOR AND NON-MOTOR COMPLICATIONS, AND QUALITY OF LIFE OF PARKINSON’S DISEASE PATIENTS Maryanti, Yossi; Sukiandra, Riki; Juananda, Desby; Lestari, Enny; Octaria, Allysa; Andrilla, Faiza; Zahira, Mifta; Putri, Reta Amelia
MNJ (Malang Neurology Journal) Vol. 12 No. 1 (2026): 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.2026.012.01.14

Abstract

Background: Parkinson’s disease is a chronic and progressive neurodegenerative disorder characterized by both motor and non-motor symptoms that worsen over time, ultimately reducing patients’ quality of life. Objective: This study aimed to describe the clinical characteristics, motor and non-motor complications, and quality of life of Parkinson’s disease patients treated at Arifin Achmad Regional General Hospital, Riau. Methods: This study was a descriptive cross-sectional study conducted at the Neurology Polyclinic of Arifin Achmad Regional General Hospital, Riau, from January to August 2025. Samples were obtained using a total sampling technique. Results: A total of 31 Parkinson’s patients were included. More than half (54.8%) were aged ≥ 60 years, and 51.6% were males. Most had a high school education (32.3%), were unemployed (90.3%), and were not engaged in social activities (61.3%). The majority had no family history of Parkinson’s disease (83.9%) but presented with comorbidities (54.8%). Tremor was the predominant symptom (96.8%), while 67.7% had no motor complications. Cognitive impairment was found in 45.2%, mainly affecting the memory domain (96.8%). Poor sleep quality was common (61.3%), with nocturia as the most frequent disturbance (90.3%). Regarding quality of life, 32.3% of patients were within the acceptable range, with the mobility domain being the most affected (48.4%). Conclusion: Most Parkinson’s patients were elderly males with moderate disease progression. Comprehensive management addressing both motor and non-motor symptoms is essential to improve patients’ overall quality of life.
Quality of Life in Patients with Central Post-Stroke Pain in Riau, Indonesia: A Cross-Sectional Study Sukiandra, Riki; Haikal, M. Zacky; Hanania, Dini; Aiko, Novia; Al Rasyid, Daril; Sucipto, Sucipto; Joko, Agus Tri; Juananda, Desby; Maryanti, Yossi; Adlii, Muhammad Faa’iz
Frontiers on Healthcare Research Vol. 3 No. 1 (2026)
Publisher : Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63918/fhr.v3.n1.p1-7.2026

Abstract

Background: Central Post-Stroke Pain (CPSP) is a chronic neuropathic complication of stroke that substantially impairs long-term well-being. While its clinical characteristics are increasingly recognized, data regarding the multidimensional quality of life (QoL) impact of CPSP in regional Indonesian populations remain limited. This study aimed to describe the QoL profile of CPSP patients at Arifin Achmad General Hospital to provide a comprehensive understanding of the disease burden. Methods: A descriptive cross-sectional study was conducted from August to October 2025 at the Neurology Outpatient Clinic of Arifin Achmad General Hospital, Riau. Forty-four patients diagnosed with CPSP were included. QoL was assessed using the validated Indonesian version of the Stroke-Specific Quality of Life (SS-QoL) scale. Descriptive univariate analysis was performed to determine median scores across domains. Results: QoL scores demonstrated marked heterogeneity across domains. The Vision domain showed the highest median score (4.0), whereas Social Role recorded the lowest (2.7). Notable reductions were observed in Work, Upper Extremity Function, and Energy domains. In contrast, Language and Self-care domains were relatively preserved. These findings indicate that although basic functional abilities may remain intact, CPSP significantly compromises social participation, occupational capacity, and physical activity. Conclusion: CPSP imposes a substantial multidimensional burden, particularly affecting social engagement, productivity, and physical endurance. Comprehensive management strategies extending beyond pharmacological pain control are essential to address the psychosocial and functional consequences of CPSP. Further longitudinal studies with larger sample sizes are needed to clarify determinants of QoL outcomes in this population.
Co-Authors Adlii, Muhammad Faa’iz Agus Tri Joko Aiko, Novia Al Rasyid, Daril Andrilla, Faiza Ashiddiqi, Hafil Candra, Riky Chatarina Umbul Wahyuni Enny Lestari Gracia, Felicita Haikal, M. Zacky Hanania, Dini Luo Putra Fau, Joyada Maryanti, Yossi Muslimah Syahrianti, Ukhty Octaria, Allysa Putri, Azzahra Nur Aulya Putri, Reta Amelia Qadriyyah, Lu’lu’ul Rahmata Illahi, Annisa Riki Sukiandra Risman, Salsa Wiratama Sari, Dita Kartika Simanjuntak, Arya Marganda Sucipto Sucipto Sucipto Trihardi, Rizfan Zahira, Mifta