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Diagnosis and Management of Interventional Endovascular Carotid-cavernous Fistula: a Retrospective Study Luh Putu Lina Kamelia
Journal of Global Pharma Technology Volume 12 Issue 09 (2020) Sept. 2020
Publisher : Journal of Global Pharma Technology

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Abstract

Carotid-cavernous fistula (CCF) is a consequence of incremental intracavernous pressure. The direction of drainage is usually multidirectional. Initial DSA (digital subtraction angiography) solves in obtaining its information along with advanced technology nowadays. Aim: The study aims to analyze clinical characteristics, cerebral angiographic features, and management of endovascular embolization of CCF. Methods: The study is a retrospective analysis of each patient diagnosed with CCF. They were treated with endovascular embolization from January 2019 to April 2010 at the Brain Center Dr. Wahidin Sudirohusodo (DWS) General Hospital Makassar. We performed DSA on all patients before the endovascular procedure with catheterized access through the right femoral artery. Result: Angiograms of all patients showed typical CCF lesions, 8 patients then received endovascular management by coiling method, 2 were treated with a detachable balloon, while 1 received an Onyx injection. All patients experienced gradual improvement for orbital symptoms. Conclusion: Endovascular embolization-followed cerebral DSA is a useful diagnostic and therapeutic management to improve patients' clinical symptoms with CCF. Keywords: Carotid-cavernous fistula, Digital subtraction angiography, Embolization, Balloon, Onyx.
The Relationship Between Nutritional Status and The Incidence of Hypertension in the Elderly in Kekeran Village, Mengwi District, Badung Regency, Bali Ni Putu Sinta Maharani; Luh Putu Lina Kamelia; Ni Nyoman Mestri Agustini
International Journal of Health Engineering and Technology Vol. 4 No. 4 (2025): IJHET NOVEMBER 2025
Publisher : CV. AFDIFAL MAJU BERKAH

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Abstract

This study aims to analyze the relationship between nutritional status and the incidence of hypertension among elderly people in Kekeran Village, Mengwi District, Badung Regency, Bali. This study uses an observational analytical method with a cross-sectional research design. The results show that most elderly people in Kekeran Village are overweight, accounting for 53.15% of the total respondents. Meanwhile, 20.28% of the elderly were underweight, 18.18% had normal nutritional status, and 8.39% were obese. This condition illustrates that being overweight is still a prominent nutritional problem among the elderly in this region. Based on blood pressure distribution, most respondents were classified as having stage I hypertension (39.16%), followed by prehypertension (36.36%), stage II hypertension (18.88%), and only 5.59% of the elderly had normal blood pressure. This indicates that high blood pressure remains a fairly common health problem among the elderly in Kekeran Village. The results of the analysis using Spearman's rank correlation test showed a significant relationship between nutritional status and the incidence of hypertension in the elderly in Kekeran Village with a p-value of 0.003 (p < 0.05) and a correlation coefficient (r) of 0.244. This relationship is positive with weak strength, which means that an increase in nutritional status or body mass index is directly proportional to an increase in the risk of hypertension.
Karakteristik Sosiodemografi dan Klinis Pasien Stroke Iskemik di Rumah Sakit Umum Daerah Kabupaten Buleleng Periode Januari – Juni Tahun 2025: Sociodemographic and Clinical Characteristics of Ischemic Stroke Patients at Buleleng Regency General Hospital in the Period January – June 2025 Gede Wahyu Siddhi Artha; Made Suadnyani Pasek; Luh Putu Lina Kamelia
Jurnal Kolaboratif Sains Vol. 8 No. 11: November 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jks.v8i11.8898

Abstract

Stroke iskemik merupakan salah satu penyebab utama kecacatan dan kematian di Indonesia, termasuk di Kabupaten Buleleng. Penelitian ini bertujuan untuk mengetahui karakteristik sosiodemografi dan klinis pasien stroke iskemik yang dirawat di Rumah Sakit Umum Daerah Kabupaten Buleleng selama periode Januari hingga Juni 2025. Penelitian ini menggunakan desain retrospektif deskriptif dengan pengambilan data rekam medis pasien stroke iskemik yang memenuhi kriteria. Variabel yang meliputi jenis kelamin, usia, asal kecamatan, komorbid, lama rawat inap, dan status akhir pasien. Sebanyak 351 pasien stroke iskemik dianalisis. Mayoritas pasien berusia 60 - 79 tahun (52,1%), laki-laki (53,8%), dan berasal dari Kecamatan Buleleng (24,5%). Komorbid utama adalah penyakit jantung (27,1%) dan hipertensi (19,7%). Mayoritas pasien dapat dipulangkan (84%), namun terdapat juga kasus kematian (16%). Penanganan cepat dan pengendalian faktor risiko seperti penyakit jantung dan hipertensi sangat penting untuk meningkatkan hasil klinis pasien.