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All Journal Jurnal Ilmiah Universitas Batanghari Jambi Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya MAGNA MEDICA: Berkala Ilmiah Kedokteran dan Kesehatan Medical and Health Science Journal Indian Journal of Forensic Medicine & Toxicology DedikasiMU: Journal of Community Service Biomedika Jurnal Medis Umum Proceeding UMSurabaya
Laily Irfana, Laily
UM Surabaya
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Hubungan antara Volume Intracerebral Hemorrhage dan Derajat Midline Shift terhadap Tingkat Kesadaran Menurut Glasgow Coma Scale di Rumah Sakit (RS) Siti Khodijah Muhammadiyah Sepanjang Mahendra, Raditya Bayu; Putra, Muslim Andala; Hamdzi, Muhammad Azharul; Irfana, Laily; Mochtar, Nur Mujaddidah
Jurnal Ilmiah Universitas Batanghari Jambi Vol 25, No 1 (2025): Februari
Publisher : Universitas Batanghari Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33087/jiubj.v25i1.5713

Abstract

The aim of this study was to determine the relationship between the volume of intracerebral hemorrhage (ICH) and the degree of midline shift with the level of consciousness according to the Glasgow Coma Scale at Siti Khodijah Muhammadiyah Panjang Hospital. ICH and midline shift data were collected from medical records, and ICH and midline shift measurements were carried out by 3 (three) radiology specialists, then the results of the medical records were linked using the Spearmen's correlation test. The results of the study found that there was a significant relationship between the volume of intracerebral hemorrhage (ICH) and the degree of midline shift on the Glasgow Coma Scale at the Siti Khodijah Muhammadiyah Panjang Hospital.
Relationship between Age and Parity with Late Onset Severe Preeclampsia at PKU Muhammadiyah Surabaya Hospital Ninuk Dwi Ariningtyas; Penta Assidiqi Iman; Laily Irfana; Muhammad Anas
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 01 (2025): Qanun Medika Vol 09 No 01 January 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i01.24220

Abstract

Maternal and fetal mortality is 31.15% due to undetected preeclampsia leading to eclampsia. Pre-occurrence of eclampsia is often characterized by severe preeclampsia symptoms such as increased blood pressure, and proteinuria, furthermore, preeclampsia is also divided into 2 types, based on the time of symptom onset, in early-onset type preeclampsia appears at <34 weeks of gestation while for late-onset appears at >34 weeks of gestation. Extreme age and multigravida parity are risk factors for severe preeclampsia. This study aims to determine the relationship between age and parity with late-onset severe preeclampsia. This study used a cross-sectional study design, sampling method used nonprobability sampling techniques with observational analysis on pregnant women diagnosed with preeclampsia at PKU Muhammadiyah Surabaya Hospital for January 2022 - November 2023. The data collection instrument used medical record data, which was analyzed using Chi-Square. In the analysis obtained for the relationship between age and preeclampsia, the large p-value is 0.16 <0.05. The relationship of parity with preeclampsia is 0.004 < 0.05, thus proving a relationship between age and parity with late-onset severe preeclampsia at PKU Muhammadiyah Surabaya Hospital. In conclusion, there is a relationship between age and parity with late-onset severe preeclampsia at PKU Muhammadiyah Surabaya Hospital.
PERAN FUN GAMES TERHADAP FUNGSI KOGNITIF DAN KEMATANGAN EMOSIONAL PADA SISWA SD MUHAMMADIYAH 18 SURABAYA Gina Noor Djalilah; Yelvi Levani; Laily Irfana; Nurma Yuliyanasari; Nenny Triastuti
DedikasiMU : Journal of Community Service Vol. 7 No. 2 (2025): DedikasiMU Juni
Publisher : Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/dedikasimu.v7i2.9920

Abstract

Perkembangan anak usia sekolah dasar merupakan tahap penting dalam pembentukan berbagai aspek psikologis, terutama fungsi kognitif dan kematangan emosional. Kegiatan Pengabdian kepada Masyarakat (Abdimas) ini bertujuan mengimplementasikan dan mengevaluasi pengaruh fun games terhadap fungsi kognitif dan kematangan emosional siswa kelas 2 SD Muhammadiyah 18. Metode pelaksanaan dalam kegiatan pengabdian kepada masyarakat ini adalah sebagai berikut: Penyuluhan kesehatan untuk orang tua siswa SD Muhammadiyah 18 Surabaya dan kegiatan fun games untuk siswa SD Muhammadiyah 18 Surabaya. Kegiatan fun games yang diadakan untuk siswa SD Muhammadiyah 18 Surabaya diantaranya adalah: Permainan Puzzle, Permainan Ular Naga, Permainan Match Matching, Permainan Picture Memory, Permainan Lambang Bilangan dan Permainan Clap Boom Snatch. Dari hasil kegiatan pengabdian masyarakat ini ditemukan skor fungsi kognitif yang secara keseluruhan baik. Melalui kegiatan abdimas ini, diharapkan terjadi peningkatan kemampuan berpikir dan kecerdasan emosional siswa SD Muhammadiyah 18 secara simultan.
KOMPARASI TEKNIK ABC/2 DAN ASISTEN ANALISIS VOLUMETRIK KOMPUTER PADA SUBDURAL HEMATOMA DENGAN PEMERIKSAAN CT SCAN DI RUMAH SAKIT SITI KHODIJAH MUHAMMADIYAH SEPANJANG Rahmadhani, Vaiza Eka; Muslim Andala Putra; Laily Irfana
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 02 (2025): Qanun Medika Vol 09 No 02 July 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i02.26123

Abstract

Subdural Hematoma (SDH) is a common pathological condition characterized by venous bleeding in the subdural space between the dura mater and the arachnoid membrane. Computed tomography (CT) scan plays a crucial role in diagnosing SDH and assessing the severity of the hemorrhage by estimating the hematoma volume.  Various measurement techniques, including the ABC/2 formula and volumetric analysis, are used to determine SDH volume. This study aimed to compare the SDH volume results obtained from the ABC/2 technique and the volumetric technique using Philips Access CT V2.0 computer software. A cross-sectional study was conducted involving 30 patients diagnosed with SDH based on CT scan findings at Siti Khodijah Muhammadiyah Hospital, Sepanjang, Sidoarjo. Volume measurements were performed by a radiologist using the hospital’s radiology computer. The ABC/2 technique involved manual measurement using linear dimensions, while the volumetric technique utilized Philips Access CT V2.0 computer software to obtain three-dimensional volume estimates. Data were analyzed using the Wilcoxon signed-rank test to determine statistical differences between the two techniques. The analysis showed no significant difference between the volumes measured by the ABC/2 and the volumetric techniques (p = 0.382; p > 0.05). In conclusion, the ABC/2 technique remains a practical and time-efficient method for estimating SDH volume, especially in clinical settings where rapid assessment is required.
The management of post-stroke pain Indrawati, Nina Devi; Irfana, Laily; Levani, Yelvi
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 01 (2024): Qanun Medika Vol 08 No 01 January 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i01.18969

Abstract

Stroke is a metabolic illness that causes significant impairment in the working-age population. Disability develops due to the consequences of neurological deficiencies and the failure of the medical rehabilitation process. Post-stroke pain is one of the causes of this failure. In a post-stroke patient, pain is an unpleasant physical and emotional experience. In contrast, range of motion barriers might cause the medical rehabilitation procedure to fail. This paper aims to review the various methods of post-stroke pain management that can be used as an alternative therapy that helps post-stroke patients' rehabilitation. The PubMed database was used to search for different kinds of literature. The study includes clinical studies, pilot studies, and randomized control trials published between January 2015 and June 2023. The authors omit several publications to ensure that the final selection of papers includes only the most relevant and reputable sources of information on post-stroke pain, post-stroke pain management, and pain as a measure of outcome. There are 28 publications to be reviewed. The most prevalent cause of post-stroke pain was hemiplegic shoulder pain in numerous studies that have an impact on the post-stroke recovery process. In conclusion, the options for post-stroke therapy range from conservative rehabilitation to interventional therapy. Several innovative experimental rehabilitation treatment approaches have been studied. However, the findings do not outperform conventional rehabilitation treatment.
Relationship between Age and Parity with Late Onset Severe Preeclampsia at PKU Muhammadiyah Surabaya Hospital Dwi Ariningtyas, Ninuk; Assidiqi Iman, Penta; Irfana, Laily; Anas, Muhammad
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 01 (2025): Qanun Medika Vol 09 No 01 January 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i01.24220

Abstract

Maternal and fetal mortality is 31.15% due to undetected preeclampsia leading to eclampsia. Pre-occurrence of eclampsia is often characterized by severe preeclampsia symptoms such as increased blood pressure, and proteinuria, furthermore, preeclampsia is also divided into 2 types, based on the time of symptom onset, in early-onset type preeclampsia appears at <34 weeks of gestation while for late-onset appears at >34 weeks of gestation. Extreme age and multigravida parity are risk factors for severe preeclampsia. This study aims to determine the relationship between age and parity with late-onset severe preeclampsia. This study used a cross-sectional study design, sampling method used nonprobability sampling techniques with observational analysis on pregnant women diagnosed with preeclampsia at PKU Muhammadiyah Surabaya Hospital for January 2022 - November 2023. The data collection instrument used medical record data, which was analyzed using Chi-Square. In the analysis obtained for the relationship between age and preeclampsia, the large p-value is 0.16 <0.05. The relationship of parity with preeclampsia is 0.004 < 0.05, thus proving a relationship between age and parity with late-onset severe preeclampsia at PKU Muhammadiyah Surabaya Hospital. In conclusion, there is a relationship between age and parity with late-onset severe preeclampsia at PKU Muhammadiyah Surabaya Hospital.
Perbedaan Efek Monoterapi dan Politerapi Obat Antiepilepsi (OAE) terhadap Kekambuhan Kejang Pasien Epilepsi di Rumah Sakit Siti Khodijah Sepanjang NURULLAH, ARIA; Irfana, Laily; Triastuti , Nenny
JurnalMU: Jurnal Medis Umum Vol 2 No 2 (2025): JurnalMU: Jurnal Medis Umum
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jmu.v2i2.25668

Abstract

Epilepsi merupakan satu dari penyakit neurologi yang dapat menyebabkan kematian dan disabilitas. Menurut World Health Organization (WHO) terdapat sekitar 50 juta orang menderita epilepsi di dunia. Negara berkembang seperti Indonesia memiliki angka kejadian epilepsi yang lebih tinggi dibandingkan dengan negara maju yaitu 139 per 100.000 penduduk. Terapi utama epilepsi adalah dengan pemberian obat antiepilepsi (OAE) jangka panjang dengan tujuan untuk mengontrol kekambuhan kejang. Kendala pengobatan yang dapat ditemui pada pasien epilepsi adalah efek samping obat, jenis obat lebih dari satu (politerapi), jangka waktu konsumsi obat yang panjang membuat pasien cenderung berujung putus pengobatan. Tujuan penelitian ini untuk mengetahui perbedaan efek monoterapi dan politerapi OAE terhadap kekambuhan kejang pasien di RS Siti Khodijah Sepanjang. Penelitian ini merupakan penelitian non-eksperimental dengan teknik pengambilan sampel secara consecutive sampling yang didasarkan pada kriteria inklusi dna eksklusi. Hasil penelitian menunjukkan 32 (68%) sampel mendapatkan OAE monoterapi, 31 (96.9%) diantaranya mengalami kekambuhan dan 1 (3.1%) lainnya tidak mengalami kekambuhan kejang. Sedangkan 15 (32%) sampel lainnya mendapatkan OAE politerapi dengan 11 (73.3%) sampel mengalami kekambuhan kejang dan 5 (26.7%) lainnya tidak mengalami kekambuhan kejang. Kesimpulan dari penelitian ini adalah terdapat perbedaan efek monoterapi dan politerapi OAE pada pasien epilepsi di RS Siti Khodijah Sepanjang.
Hubungan Jenis Nyeri dengan Tingkat Keparahan Osteoartritis pada Pasien Osteoartritis Lutut Tahun 2023 di Rumah Sakit Siti Khodijah Sepanjang Sabila, Fida; Irfana, Laily; Wirashada , Brilliant Citra
JurnalMU: Jurnal Medis Umum Vol 2 No 2 (2025): JurnalMU: Jurnal Medis Umum
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jmu.v2i2.25702

Abstract

Latar Belakang: Rasa nyeri diartikan sebagai pengalaman sensori dan emosional yang tidak menyenangkan, seringkali disebabkan karena kerusakan jaringan aktual maupun potensial, dan merupakan gejala yang dirasakan hampir setiap penyakit, termasuk osteoartritis. Selama ini, nyeri pada osteoartritis dianggap sebagai nyeri nosiseptif. Namun, terdapat publikasi yang mendukung gagasan bahwa mekanisme nyeri neuropatik berkontribusi terhadap nyeri pada sebagian pasien osteoartitis. Osteoartritis merupakan penyakit yang melibatkan berbagai perubahan anatomi dan fisiologis jaringan sendi. Tingkat keparahan OA dapat dibagi menjadi 5 menurut KellgrenLawrence. Berdasarkan penelitian terdahulu, masih terdapat perbedaan hasil, sehingga perlu dilakukan penelitian lanjutan. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan jenis nyeri dengan tingkat keparahan osteoartritis pada pasien osteoartritis lutut tahun 2023 di RS Siti Khadijah Sepanjang. Metode: Penelitian ini dilakukan dengan metode cross-sectional menggunakan teknik consecutive sampling dengan sampel sebanyak 45 pasien osteoarthritis lutut RS Siti Khodijah Sepanjang, dianalisis menggunakan uji korelasi spearman. Hasil: Responden didominasi oleh wanita berusia >50 tahun dengan nyeri nosiseptif dan stage III berdasarkan klasifikasi kellgrenlawrence. Hasil uji korelasi spearman didapatkan p>0,05 atau tidak terdapat hubungan bermakna antara jenis nyeri dengan derajat keparahan Kellgren-Lawrence. Kesimpulan: Tidak terdapat hubungan yang signifikan antara jenis nyeri dengan tingkat keparahan osteoartritis pada pasien osteoartritis lutut tahun 2023 di RS Siti Khadijah Sepanjang.
Significant Correlation Between Pain Severity and Lumbosacral Radiology Findings in Patients with Low Back Pain Nabila Sarah Shafira; Laily Irfana; Muslim Andala Putra; Brilliant Citra Wirashada
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 10 No 01 (2026): Qanun Medika Vol 10 No 01 January 2026
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v10i01.26164

Abstract

Low Back Pain (LBP) is one of the most common pain complaints in daily life, with significant impacts on patients' quality of life. This study aims to analyze the correlation between pain severity, as measured by the Numeric Rating Scale (NRS), and lumbosacral radiographic findings in LBP patients at Siti Khodijah Sepanjang Hospital. This observational-analytical study used a cross-sectional design. A total of 45 patients who met the inclusion and exclusion criteria and had undergone a lumbosacral X-ray (AP/lateral) within the last 3 months were included in the sample. Pain severity was measured using the NRS questionnaire, and lumbosacral radiology findings were evaluated for muscle spasms, spondylolisthesis, osteophytes, intervertebral disc (IVD) narrowing, and compression fractures. The analysis revealed that 84.4% of patients experienced moderate pain. Regarding lumbosacral radiology abnormalities, 62.2% were classified as moderate in severity. Osteophyte formation was the most prevalent radiology finding, present in 86.7% of cases. Spearman's correlation test showed a significant correlation between pain severity and lumbosacral radiology findings (p = 0.00 < 0.05). The analysis demonstrated a strong, statistically significant positive correlation between radiology findings and pain severity (r = 0.62). These findings suggest that pain severity may serve as an indicator of the severity of lumbosacral radiological conditions in patients with low back pain and could be used as an adjunct in clinical evaluation and management strategies.
NEUROPATI OPTIK TOKSIK AKIBAT ETAMBUTOL Laily Irfana
PROCEEDING UMSURABAYA 2018
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Neuropati Optik Toksik (NOT) adalah kelainan pada fungsi penglihatan akibat kerusakan saraf optik yang disebabkan oleh zat beracun salah satunya adalah etambutol. Kejadian NOT terkait etambutol ini sangat bervariasi dari beberapa studi berkisar antara 0,5 - 35% penderita. Neuropati optik toksik dapat memberikan gejala berupa penurunan penglihatan yang berlangsung progresif, semakin memberat hingga dapat terjadi kebutaan. Meskipun hilangnya penglihatan ini bersifat reversibel saat etambutol diturunkan dosisnya atau dihentikan, beberapa pasien mengalami gangguan penglihatan permanen bahkan dengan dosis obat yang standar. Beberapa kasus progresifitas tetap berjalan meskipun obat telah dihentikan. Seringkali dijumpai perbaikan yang tidak sempurna. Bahkan ada pula yang mengalami kebutaan permanen. Tujuan dari penelitian ini adalah Melaporkan kasus Neuropati Optik Toksik akibat terapi Etambutol pada penderita TB. Seorang wanita usia 28 tahun, dengan keluhan pandangan kabur sejak satu minggu yang lalu dan dirasakan semakin memberat. Tidak didapatkan keluhan mata merah, nerocoh, maupun nyeri pada mata. Pasien juga mengeluhkan nyeri kepala terasa berat pada seluruh kepala disertai mual. Keluhan lain seperti kejang, penurunan kesadaran, kelemahan separo tubuh, kesemutan, merot, maupun pelo tidak didapatkan. Tidak ada riwayat diabetes maupun hipertensi. Pasien terdiagnosis TB paru satu bulan yang lalu, kemudian mulai menjalani pengobatan TB regimen HRZE dengan dosis standar sejak dua minggu ini. Pemeriksaan Fisik dan neurologis hanya didapatkan penurunan visus VOD 6/20, VOS 6/40, scotoma central, funduskopi macular reflex OS menurun, pemeriksaan lain dalam batas normal.  Pada pasien ini, keluhan pandangan kabur mulai dirasakan setelah satu minggu mengkonsumsi etambutol, durasi ini cukup cepat mengingat pada literatur disebutkan onset munculnya gejala mulai dua bulan hingga enam bulanan. Dosis etambutol yang dikonsumsi oleh pasien ini adalah dosis standar, yaitu 15 mg/kgBB. Pada pemeriksaan fisik& neurologis semua pemeriksaan normal kecuali status oftalmologis. Didapatkan VOD 6/20 VOS 6/20, scotoma central, funduskopi macular reflex menurun. Pemeriksaan laboratorium juga telah dilengkapi dan tidak didapatkan abnormalitas. Pada awalnya pasien juga mengeluh nyeri kepala disertai muntah. Sehingga neurologis juga memikirkan diferential diagnosis suatu proses intrakranial. Namun hal ini telah disingkirkan dengan hasil CT Scan kepala yang menunjukkan gambaran normal. Selama perawatan terapi yang diberikan adalah berupa anti inflamasi, neurotropik, obat simtomatis untuk keluhan nyeri kepala mual muntahnya, dan melanjutkan terapi TBnya tanpa etambutol. Evaluasi visus dilakukan setiap hari saat opname, dilanjutkan tiap minggu saat rawat jalan. Perbaikan mulai dirasakan oleh pasien setidaknya tiga hari setelah dilakukan penghentian regimen etambutol. Perubahan yang signifikan tampak setelah dua minggu penghentian. Kemudian tiga minggu setelah keluhan, di klinik rawat jalan pasien mengatakan bahwa penglihatannya sudah kembali normal, demikian pula hasil pemeriksaannya, VODS 6/6, scotoma central-, funduskopi dbn. Neuropati optic akibat etambutol dapat reversibel. Penghentian obat harus segera dilakukan bila didapatkan keluhan terkait penglihatan pada pasien, yaitu berupa penurunan visus, gangguan lapang pandang, maupun abnormalitas funduskopi. Dari evaluasi visus selama perawatan, pasien mengalami perbaikan visus sempurna dalam waktu tiga minggu setelah obat dihentikan.
Co-Authors Airlangga, M. Perdana Alwi, Muhammad Najib Mohamad Assidiqi Iman, Penta Bagus Aulia Mahdi Bella Auliya Puspita Ningrum Brilliant Citra Wirashada Detti Nur Irawati Dwi ariningtyas, Ninuk Dza’wan Maula Iwanatud Diana Era Catur Prasetya Gina Noor Djalilah Hamdzi, Muhammad Azharul Indrawati, Nina Devi Irawati, Detti Nur Irma Kartikasari Kamila Aisyah Kartika Prahasanti Laitupa , Afrita Amalia Mahendra, Raditya Bayu Mahyuddin, M. Hanun Marlina, Uning Mochamad Reza Irmansyah Mohammad Subkhan Muhammad Anas Muhammad Anas Nabila Sarah Shafira Nenny Triastuti Nina Devi Indrawati Nur Mujaddidah, Nur Nurma Yuliyanasari Nurma Yuliyanasari Nurma Yuliyanasari, Nurma NURULLAH, ARIA Paramitasari, Aprilia Penta Assidiqi Iman Permana, Putu Bagus Dharma Putra, Muslim Andala Putri Indriyani Rahmadhani, Vaiza Eka Rezacharawa, Meltritania Arief Sabila, Fida Savitri, Delfia Sharfina Sharfina, Sharfina Wirashada , Brilliant Citra Yelvi Levani Yustin, Annisa