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Overview of Tuberculosis Epidemiology at PKU Muhammadiyah Bantul Hospital in 2021-2023 Sukirto, Novi; Yuniasih, Dewi; Prisilla, Elvina; Umam Kurniawan, Nurcholid; Budi Rahayu, Ana; Awisarita, Wiwara; Ariani, Rizka
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

The number of tuberculosis cases reported in Bantul Regency in 2022 was 732 cases. Aims this study to determine the epidemiological picture of tuberculosis in PKU Muhammadiyah Bantul Hospital in 2023. Research method: The research method applied in this study was the analytical observational method. The design in this study was cross-sectional. Tuberculosis cases at PKU Muhammadiyah Bantul Hospital in 2021-2023 experienced fluctuations and based on gender, the most cases were 54% males, the most tuberculosis patients were in the age group of 55-64 years, 86% of patients resided in Bantul Regency, the classification of tuberculosis was more in pulmonary tuberculosis, namely 72%, based on the results of the thoracic examination, 68% were known to be positive for tuberculosis, 17% of tuberculosis patients were accompanied by diabetes mellitus and 2% of tuberculosis patients were confirmed HIV positive. The conclusion is Patients at PKU Muhammadiyah Bantul Hospital were more male than female. Most of the patients in the age group of 55-64 years, and resided in Bantul. The TB diagnosis is most pulmonary tuberculosis, with more positive thoracic examination results, fewer patients with diabetes mellitus, and fewer HIV-positive tuberculosis patients. Keywords: epidemiology, characteristics, tuberculosis
Stroke Hemorrhagic after Snakebite: A Scoping Review Budi Rahayu, Ana; Yuniasih, Dewi; Sukirto, Novi Wijayanti; Hikmawan Yuliarto Benni Sambada, Taufiek; Selohandono, Andrianto
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

Snakebite envenomation is a neglected tropical disease that affects millions of individuals living in underdeveloped countries. Cerebral complications are often found in venomous snake bite victims. Certain snake venoms can interfere with the blood's ability to clot, increasing the risk of bleeding in the brain and potentially causing a stroke. previous literature review studies have not comprehensively reviewed stroke hemorrhagic after snake bites. Therefore, we are interested in conducting a literature review using the scoping review method on stroke hemorrhagic after snake bites. The samples in this study were published articles from international journals related to cerebral complications after snakebite that met the inclusion and exclusion criteria. The inclusion criteria used in this study were articles derived from the PubMed, ScienceDirect, and Scopus databases, using the keywords “Snakebite” OR “Snake envenoming” AND “Stroke hemorrhagic”. Based on the eligibility, Six articles were finally synthesized in the study. All of papers were a case report design. Three cases were from Brazil, three cases from Morocco, Burkina Faso and Togo. The snake that causes hemorrhagic stroke in Brazil is Bothropp spp. however, the type of snake in the instances from Burkina Faso and Morocco is unknown. There were a total of 10 instances reported from 6 journals. One patient from Morocco died, while another patient from Brazil suffered from prolonged hemiplegia. Furthermore, a total of 8 more patients were released from the hospital in an improved condition.
Emerging Neuroplasticity-based Therapies in Stroke Rehabilitation: Literature Review Selohandono, Andrianto; Zamroni; Budi Rahayu, Ana
Ahmad Dahlan Medical Journal Vol. 5 No. 2 (2024): November 2024
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v5i2.11626

Abstract

Stroke is a significant global health concern, leading to substantial mortality and long-term disability among survivors. Traditionally, stroke rehabilitation has focused on compensatory strategies to mitigate the effects of impairments rather than addressing their root causes. However, growing recognition of the brain's capacity for neuroplasticity a process involving the brain's ability to reorganize itself in response to injury has prompted a paradigm shift. This review explores the mechanisms of neuroplasticity and the latest neuroplasticity-based interventions for stroke recovery. It highlights the role of neuronal regeneration, synaptic plasticity, and functional reorganization in promoting recovery. Additionally, the review discusses emerging therapies, such as Constraint-Induced Movement Therapy, mirror therapy, robot-assisted training, and non-invasive brain stimulation techniques, which have shown promise in enhancing neuroplasticity and improving functional outcomes. Although the results of these interventions have been complex and the effect sizes modest, they underscore the potential for innovative approaches to harness neuroplasticity in stroke rehabilitation.