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All Journal Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Jurnal Pengabdian Masyarakat: Humanity and Medicine AKSONA Neurona
Rini Nindela, Rini
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Peningkatan pemahaman pegawai PT. Semen Baturaja cabang Palembang tentang demensia dan pengenalan metode deteksi penurunan fungsi kognitif pada anggota keluarga Nindela, Rini; Harun, Yusril; Marisidina, Selly; Handayani, Sri
Jurnal Pengabdian Masyarakat: Humanity and Medicine Vol 2 No 2 (2021): Jurnal Pengabdian Masyarakat: Humanity and Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/Hummed.V2I2.48

Abstract

Dementia is a decrease in cognitive function which is quite severe compared to before, so that it interferes with social and professional activities in daily living. Complaints of cognitive decline are often not recognized by the patients themselves. They are often recognized as part of the normal aging process and not sufficient reason to seek treatment. This community service activity in the form of an online seminar aims to provide education to the community about cognitive function and dementia and how to detect it in family members or closest people. The target of this activity is the employees of PT. Semen Baturaja aged 30-50 years as many as 28 people. Evaluation of this activity is carried out by asking participants to fill in a list of questions before and after the seminar via Google Form. Data regarding the level of understanding of the participants is presented descriptively in the form of a diagram. After participating in this activity the participants became more aware that dementia is not a normal condition but a disease that needs to be examined and treated by a doctor. Thus, it can be concluded that this activity is quite effective in increasing public understanding and attitudes about dementia.
Peningkatan pemahaman masyarakat tentang nyeri muskuloskeletal kronik dari aspek neuropsikorehabilitatif Nindela, Rini; Prananjaya, Bintang Arroyantri; Fatimah, Nyimas
Jurnal Pengabdian Masyarakat: Humanity and Medicine Vol 3 No 3 (2022): Jurnal Pengabdian Masyarakat: Humanity and Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/Hummed.V3I3.90

Abstract

Musculoskeletal pain is an unpleasant sensory and emotional experience associated with real or potential damage to musculoskeletal tissue. Musculoskeletal pain such as low back pain, osteoarthritis or rheumatoid arthritis can develop into chronic pain when it lasts more than 3 months. Chronic pain and psychological well-being are very closely related; chronic pain adversely affects psychological well-being and decreases the quality of life, on the contrary, psychological well-being also affects the subjective feeling of pain felt by the patient. Therefore, the treatment of musculoskeletal pain should be carried out comprehensively, not only with medication but also with physical exercise, so as not to proceed into chronic pain. After participating in this activity, the community is expected to have a sufficient understanding of musculoskeletal pain, psychological aspects of pain, and exercise programs that can be done independently at home to treat pain.
Skrining kognitif pada dewasa dan lansia di Kelurahan Gunung Ibul Kota Prabumulih Nindela, Rini; Yusril, Yusril; Marisdina, Selly; Junaidi, Achmad; Okparasta, Andika; Anggraeni, Dya
Jurnal Pengabdian Masyarakat: Humanity and Medicine Vol 4 No 2 (2023): Jurnal Pengabdian Masyarakat: Humanity and Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/Hummed.V4l2.126

Abstract

Development progress in various fields, including health, has an impact on increasing people's life expectancy and increasing the elderly population in Indonesia. The increase in the number of elderly people has resulted in an increase in the prevalence of non-communicable diseases (NCDs), including dementia. Dementia decreases patient’s independency, until it eventually becomes a burden for the family and the state both in terms of economy and psychosocial. With early detection, people with dementia can get treatment earlier so that the progressivity of the disease can be inhibited. Community service activities have been carried out in the form of cognitive function screening with the Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina) examination, which is followed by counseling and distribution of pamphlets about dementia, in Gunung Ibul Village, Prabumulih City, South Sumatra province. This activity was attended by 40 people, consisting of 5 (12.5%) men and 35 (87.5%) women with an average age of 60.68 ± 9.22 years. There were 29 (72.5%) adults and elderly people with decreased cognitive function (MoCA-Ina score less than 26). Memory and visuospatial/executive are the most affected cognitive domains. Early detection of dementia needs to be carried out periodically, especially in at-risk populations. Dementia education activities also need to be intensified to raise public awareness about dementia.
Impact of Age Initiation and Duration of Hemodialysis on Impaired Cognitive Function Experienced by Chronic Kidney Disease (CKD) Patients Nindela, Rini; Prastowo, Sigit Nur; Zulissetiana, Eka Febri; Marisdina, Selly; Fazzaura Putri, Siti Sarahdeaz
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 18 No 1 (2024): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/jpm.v18i1.7830

Abstract

The prevalence of people with chronic kidney disease (CKD) in Indonesia increases with age. Various complications to death can occur in CKD patients, one of which is impaired cognitive function. In addition, end-stage CKD treatment options, such as hemodialysis, further increase the risk of complications of cognitive impairment in CKD patients. About 10%-40% of CKD patients experience a decline in cognitive function. This study aims to determine the factors that influence the occurrence of cognitive impairment in hemodialysis patients. This study was conducted at Mohammad Hoesin Hospital Palembang in October-November 2022. Cognitive decline was detected by examination of the Montreal Cognitive Assessment-Indonesian version (MoCA-Ina) while other variables were obtained through interviews. The data were analyzed with Chi-square or Fisher exact tests. Age, education level, and age at hemodialysis initiation affect global cognitive function in CKD patients. In cognitive domain analysis, a significant relationship was found between age and duration of hemodialysis and attentional function, as well as the impact of age, sex, and age at hemodialysis initiation on executive/visuospatial function. Several demographic and hemodialysis characteristics are associated with cognitive decline in hemodialysis patients. Education and periodic cognitive screening are necessary to prevent and detect cognitive decline in these at-risk populations.
COGNITIVE FUNCTION OF THE ELDERLY IN PALEMBANG CITY NURSING HOMES: AN EPIDEMIOLOGICAL STUDY Nindela, Rini; Nurusman, Fadilah Aisyah; Suryani, Puji Rizki; Marisdina, Selly; Aini, Syarifah
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 11 No. 3 (2024): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v11i3.431

Abstract

Elderly refers to individuals who have reached the final stage of life, namely 60 years old and above. Physiologically, the elderly will experience various declines in body functions. The decline in cognitive function is among the most common in the elderly. The incidence of cognitive decline in the elderly in Indonesia is relatively high, which is as much as 32.4%, and is most vulnerable at the age of 65 years. Cognitive impairment can cause older adults to have difficulty in doing daily activities (bathing, dressing, washing, cooking), managing finances, getting lost on the road, and other disturbances that make the elderly less independent and confident, then tend to withdraw from social activities. The disturbances can also lead to anxiety disorders and depression. This study aims to determine the profile of cognitive function in the elderly at Palembang Nursing Homes. This cross-sectional study involves all elderly individuals in Palembang City Nursing Homes who meet the inclusion-exclusion criteria. The Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina) was used to assess cognitive function. In this study, as many as 69 elderly (87.34%) had experienced a decline in cognitive function. Then, the dominant characteristics in the group that experienced a decrease in cognitive function were >90 years old (100%), women (91.38%), college graduates (100%), never worked (100%), had a history of stroke (92.86%), did not remember or did not know about cognitive impairment history in the family (93.33%). Delayed recall was the aspect that experienced the most disruption (96.2%). This study has revealed that the prevalence of cognitive impairment in Palembang Nursing Homes is exceptionally high. Therefore, it is imperative to implement routine screenings to identify early cognitive impairment in the elderly to provide immediate treatment.
Pengayaan pembelajaran dalam upaya peningkatan pengetahuan mengenai ambigus genitalia pada mahasiswi Sekolah Tinggi Ilmu Kesehatan Abdurrahman Palembang Maritska, Ziske; Alkaf, Syifa; Inggarsih, Rara; Hafy, Zen; Purnamasari, Septi; Nindela, Rini
Jurnal Pengabdian Masyarakat: Humanity and Medicine Vol 6 No 1 (2025): Jurnal Pengabdian Masyarakat: Humanity and Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/Hummed.V6I1.163

Abstract

Learning Enrichment to increase knowledge about ambiguous genitalia in students at STIKES Abdurrahman Palembang. Disorders of Sex Development (DSD) is a rare disease in which atypical gonads, chromosomes, and sex anatomy are found. Although it has a significant impact on both the physical and mental health of individuals with DSD, DSD cases are often undetected and underdiagnosed. Efforts to enrich material and learning to training on DSD for prospective midwife health workers are one of the real actions that can be taken to increase knowledge and awareness of DSD which is then expected to increase early identification efforts to improve the quality of life and patient outcomes. This community service activity was carried out for one semester through a series of activities in the form of guest lectures for enrichment of learning which were carried out in stages three times online for 55 students of STIKES Abdurrahman Palembang. Measurement of the level of knowledge of STIKES Abdurrahman students was carried out twice, namely before the series of activities began (pre-test) and after the activities were completed (post-test). From the results of the pre- and post-test, an increase in knowledge was obtained, which was originally only 36.4% with a sufficient level of knowledge at the time of the pre-test, to 69.1% with a sufficient level of knowledge at the time of the post-test. It is hoped that with the enrichment of learning, prospective midwives can know and understand DSD so that in the future they can improve early screening for ambiguous genitalia cases which can lead to improving the quality of life of sufferers.
Gambaran Quantitative Electroencephalography Pada Penderita Gangguan Kognitif Pascastroke di RSUP Dr. Mohammad Hoesin Palembang Febrianto, Yohanes; Nindela, Rini; Harun, Yusril; Handayani, Sri; Legiran, Legiran
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 3 (2024): Volume 40, No 3 - Juni 2024
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i3.573

Abstract

Post-stroke cognitive impairment (PSCI) is one of the post-stroke complications that is often overlooked. Quantitative electroencephalography (QEEG) is an alternative examination in patients with PSCI. QEEG results of PSCI patients shows abnormalities in spectral power, coherence, power ratio, and peak alpha frequency (PAF). Aim: Knowing the QEEG characteristic in PSCI patients and the characteristic differences between the post stroke dementia (PSD) and post stroke cognitive impairment no dementia (PSCI-ND). This research is a descriptive study of PSCI patients at the RSMH Palembang from September-November 2023, followed by a QEEG examination. There were 31 patients who completed the research. There is higher median absolute and relative power delta and theta both per region and globally, decreased interhemsiferous coherence at F3-F4, P3-P4, O1-O2, T5-T6, C3-C4, increased delta alpha ratio and delta theta alpha beta ratio in the frontal region, as well as a decrease in peak alpha frequency in all regions. Patients with post-stroke dementia have more abnormality in relative global power, frontal DAR and DTABR, and PAF than patients with PSCI-ND Stroke can cause slowed conduction along the cortical-subcortical pathways, disruption of cholinergic pathways and impaired communication in various parts of the brain. This condition can cause a decrease in alpha power as an important wave in cognitive function and an increase in delta power in various brain regions. A decrease in the fast wave spectrum and an increase in the slow wave spectrum may lead to decreased cognitive function as seen in patients with PSCI Post stroke cognitive impairement, Power ratio, Quantitative electroencephalography, spectral power.
Factor Associated with Orthostatic Hypotension in Parkinson’s Disease Marisdina, Selly; Nindela, Rini; Haddani, Muhammad Hasnawi; Minda Nur'aini; Ratnasari, Nurlia Puspita
AKSONA Vol. 5 No. 2 (2025): JULY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v5i2.65006

Abstract

Highlight: Neurogenic orthostatic hypotension is commonly found in Parkinson’s disease (PD) and unnoticed by both patients and clinicians. Underweight has been associated to orthostatic hypotension in Parkinson’s disease, among other factors.   ABSTRACT Introduction: Orthostatic hypotension (OH) affect approximately 30% of patients with Parkinson's disease (PD). This condition not only reduces quality of life  but is also associated with increased mortality. OH has been shown to double the risk of falls in the elderly, worsens motor function, and  accelerate cognitive decline. There has been limited study into the prevalence and contributing factors of OH in Parkinson’s disease patients in Indonesia. Objective: This study aimed to determine factors associated with OH in patients with Parkinson’s disease. The variables analyzed included age, sex, duration of PD, disease stage based on the Hoehn and Yahr scale, levodopa equivalent dose (LED), the length of antiparkinsonian agents use, MoCA Ina (Montreal Cognitive Assessment Indonesian version) score, comorbid conditions, use of antihypertensive agents, and body mass index (BMI). Methods: This is a descriptive-analytic study with a cross-sectional design. The study population consisted of all Parkinson’s disease patients who visited the neurology polyclinics at  two hospitals in Palembang. Patients were selected based on specific inclusion and exclusion criteria. To discover associations, bivariate and multivariate analyses were performed. Results: The study involved 41 patients with PD at Mohammad Hoesin Hospital and Pusri Medika Hospital in Palembang, from June to December 2024. OH, was found in 43.9% of PD patients, most of whom reported symptoms. Bivariate and multivariate analyses revealed no significant associations between OH and factors such as comorbidities, the length of antiparkinsonian medication use, total LED, age, sex, duration of PD, disease stage (Hoehn and Yahr scale), and of the use of antihypertensive agents. However, underweight BMI was significantly associated with OH in PD patients (p = 0.002, OR = 34.571, 95% CI: 3.77–317.28). Conclusion:Underweight was identified as a significant associated factor for OH in PD patients.  
Co-Authors Achmad Junaidi, Achmad Anggraeni, Dya Eka Febri Zulissetiana Fatimah, Nyimas Fazzaura Putri, Siti Sarahdeaz Febrianto, Yohanes Handayani, Sri Harun, Yusril Inggarsih, Rara Legiran Legiran marisdina, selly Marisidina, Selly Minda Nur'aini Muhammad Hasnawi Haddani Nurusman, Fadilah Aisyah Okparasta, Andika Prananjaya, Bintang Arroyantri Prastowo, Sigit Nur Purnamasari, Septi Ratnasari, Nurlia Puspita Suryani, Puji Rizki Syarifah Aini Syifa Alkaf Yusril Yusril Zen Hafy Ziske Maritska