Pagan Pambudi
Departemen Ilmu Penyakit Saraf, Fakultas Kedokteran, Universitas Lambung Mangkurat Banjarmasin

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LITERATURE REVIEW: PENGARUH PEMBERIAN VITAMIN B TERHADAP PERBAIKAN KLINIS PASIEN DENGAN CARPAL TUNNEL SYNDROME Adeliana Hardinawati; Pagan Pambudi; Pandji Winata Nurikhwan; Muhammad Welly Dafif; Mohammad Bakhriansyah
Homeostasis Vol 5, No 3 (2022)
Publisher : Homeostasis

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Abstract

Carpal tunnel syndrome (CTS) is an entrapment neuropathy with symptoms such as hand pain, paresthesias in the fingers innervated by the median nerve, weakness, and thenar muscle atrophy. The purpose of this literature review is to analyze the effectiveness of vitamin B administration on clinical improvement in CTS patients. Data were obtained by searching using Google Scholar, PubMed, and Science Direct published from 2011 to 2021. After the article selection process, 7 articles were included in this literature review, of which there were two articles showing that vitamin B6 can improve clinical symptoms of patients with CTS, one article showed that methylcobalamin had an effect on clinical improvement of CTS with and without DM, and 4 articles showed that the combination of vitamins B1, B6, and B12 was effective in reducing the VAS and TSS of subjects with CTS. Vitamin B6, methylcobalamin, and a combination of vitamins B1, B6, and B12 are effective as conservative therapy in improving clinical symptoms in patients with mild to moderate CTS
HUBUNGAN TEKANAN DARAH DENGAN FUNGSI KOGNITIF PADA GERIATRI DI RSUD ULIN BANJARMASIN Diva Aurellia Rosa; Pagan Pambudi; Ahmad Husairi; Muhammad Welly Dafif; Dona Marisa
Homeostasis Vol 5, No 3 (2022)
Publisher : Homeostasis

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Abstract

One health problems that often occur in elderly is a decline in cognitive function. The brain needs oxygen and glucose reserves to work, if there is a blood vessel blockage, it can cause oxygen and glucose inadequacy which can reduce the work function of brain nerve cells. Hypertension is a medical condition of an elevated vascular blood pressure above normal limits. The purpose of this study was to analyze the relationship between blood pressure and cognitive function in the elderly at RSUD Ulin Banjarmasin. This study is an analytic observational study using a cross-sectional method with total of 32 elderly people were selected using a purposive sampling method. Data was analyzed by using Pearson. The average value systolic blood pressure was 152,2 ± 5,1 from secondary data of medical record, and the average value of cognitive function using the Mini Mental State Examination (MMSE) was 26,3 ± 1,0 with Pearson correlation test results obtained value of p = 0.594 and r = 0.098. These findings provide additional evidence that there is no relation between blood systolic pressure and cognitive function in the elderly in RSUD Ulin Banjarmasin
LITERATURE REVIEW: KOMPONEN NYERI NEUROPATIK PADA NYERI PUNGGUNG BAWAH Nasywa Maharani Yudiantara; Pagan Pambudi; Ahmad Husairi; Muhammad Welly Dafif; Dona Marisa
Homeostasis Vol 5, No 3 (2022)
Publisher : Homeostasis

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Abstract

Low back pain is a very common health problem and can affect the quality of life. Pain that arises in low back pain can be either nociceptive pain or neuropathic pain. This literature review discusses the neuropathic pain component of low back pain.  This review uses a narrative review method. The articles were obtained from keyword searches in the Science Direct, PubMed, and ProQuest databases with a publication range of 2011-2021 in Indonesian or English, and research on the components of neuropathic pain in low back pain. Of the eight articles included in this literature review, the prevalence of neuropathic pain in low back pain was 2.8% - 65.3%. Neuropathic pain can be ruled out using LANSS, DN4, and PDQ. Low back pain with neuropathic pain had symptoms of burning (34.58% - 82.9%), pinpricks (31.77% - 78%), tingling (32.71% - 84.8%), numbness (42.05% - 97%), electric shock (38.97% - 78%), itching (16.82% - 42.4%), cold sensation (12.15% - 48.5%), allodynia (19.62% - 85.4%), 61% hyperalgesia, 14.6% autonomic dysfunction, 100% had dysesthesia, and 100% experienced a decrease in tenderness/prickling. Radicular low back pain is often caused by L5 or S1 root compression and rarely L4. Neuropathic low back pain can be based on an assessment of the symptom profile. Associated risk factors are older age, being a female, greater anthropometric status, the habit of drinking alcohol, smoking, and history of previous lumbar, abdominal or pelvic surgery