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All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga. JOURNAL LA MEDIHEALTICO Ahmad Dahlan Medical Journal Magna Neurologica
Selohandono, Andrianto
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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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.
The Relationship between the Classic Triad of Meningitis and Types of Meningitis Budi Iftiyastuti, Selma Nissa; Rizkita, Leonny Dwi; Ihsana, Nuni; Selohandono, Andrianto
Journal La Medihealtico Vol. 5 No. 4 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i4.1542

Abstract

Meningitis is an inflammatory disease of the meninges caused by infection and non-infection. Based on WHO data for 2023, the CFR (Case Fatality Rate) for meningitis is 5.88%. In 2016 at the Southeast Asian level, Indonesia became the country with the highest mortality rate caused by meningitis. The classic triad of meningitis can assist in the early diagnosis of meningitis so that early management can be carried out to reduce mortality and morbidity if a cerebrospinal fluid examination is not possible immediately. Therefore, a study was conducted to determine the characteristics of meningitis patients, prevalence, and the relationship between the classic triad of meningitis and the incidence of infectious and non-infectious meningitis at Dr. Sardjito General Hospital Yogyakarta in 2017-2021. This study uses a cross-sectional method. The data taken is secondary data from 118 medical records of patients who have been treated. From the results, it was obtained that the highest characteristics and distribution were the age category 0-5 years (27.1%), male sex (51.7%), the most domicile outside DIY (54.2%), no/not yet school (36.4%) not/not yet working (38.1%), bacterial meningitis (39.0%), fever (89.8%), neck stiffness (78.8%). There is a significant relationship between the classic triad of meningitis and the type of meningitis (p-value 0.000). Among the three triads, it turned out that there was a solid relationship between the classic triad of meningitis and the type of infectious meningitis as indicated p-value by neck stiffness 0.000, fever 0.000, and headache 0.000.
Description of the Nutritional Status of Children Under Five Years of Age in the Province of Yogyakarta in 2023 Kurniawan, Nurcholid Umam; Yuniasih, Dewi; Selohandono, Andrianto; Nurulita, Febrianti Putri
Saintika Medika Vol. 20 No. 2 (2024): December 2024
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol20.SMUMM2.38242

Abstract

Background: The nutritional status of children under five is a measure that describes the health condition of children under five based on the balance between nutrient intake and body needs for optimal growth, development, and body function. The nutritional status of children under five in the Special Region of Yogyakarta (DIY) in 2023 includes various important indicators such as stunting, wasting, and underweight. Objective: To provide a comprehensive picture of the nutritional status of children under five in Yogyakarta in 2023. Methods: The research design used was descriptive with a quantitative approach. The population in this study was all toddlers living in the Special Region of Yogyakarta in 2023. The sampling technique is purposive sampling, so that the data taken is data on toddlers aged 0-59 months who live in DIY and are contained in the SKI 2023. The data collection method used secondary data, namely the 2023 Indonesian Health Survey (IHS) data. Results: Stunting was highest in Gunungkidul (22.2%) and lowest in Sleman (12.4%). Underweight also had a significant prevalence, especially in Bantul (14.7%) and Gunungkidul (14.5%). Wasting had the highest prevalence in Bantul (7.9%). Conclusion: The most prevalent under-five nutritional status problem is stunting.
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.
A Case Report: Prevost’s as Early Sign of Subcortical Symptom to be Considered or Screening in Acute Ischemic Stroke Febriana, Fitria; Selohandono, Andrianto; Utomo, Yudhanto
Magna Neurologica Vol. 3 No. 2 (2025): July
Publisher : Department of Neurology Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/magnaneurologica.v3i2.0071

Abstract

Background: Stroke is the leading cause of death and disability. Stroke symptoms depend on the location of the lesion, whether cortical or subcortical (white matter, basal ganglia, or thalamus). Prevost's sign or horizontal conjugate eye deviation (CED) must be considered an early motoric sign of ischemic stroke. Case: Mrs. F, 61 years old, came to the ER complaining of headache and dizziness for a day without any complaints about her eyes, and had a history of diabetes mellitus. Neurological examination revealed conjugate eye deviation to the right side without other neurological deficits. A head CT scan showed a minimal infarction of the left putamen and an old minimal infarction of the right corona radiata. Discussion: Pathophysiologic mechanism of Prevost’s sign due to cerebral-mesencephalic-phonto-cerebellar pathway disorder and related to cranial nerves III and VI. The putamen is a nuclear structure part of the basal ganglia involved in that pathway. A provost's sign that appears in less than 90 days can be used for stroke screening for ischemic patients. Previous studies describe CED >140 as being identified as ischemic stroke. Patients with strabismus have an average of CED 14.20. Another retrospective study in 543 acute ischemic strokes showed that CED had a higher specificity value (0.78; 95% CI) than hemiparesis (0.35; 95% CI). The sensitivity values were 0.76 and 0.85 (95% CI). Conclusion: Prevost's sign is one of the signs of motor deficit in acute cerebral infarction. It needs to be considered as a subcortical lesion in stroke patients.
Co-Authors Budi Iftiyastuti, Selma Nissa Budi Rahayu, Ana febriana, fitria Hikmawan Yuliarto Benni Sambada, Taufiek Ihsana, Nuni Kurniawan, Nurcholid Umam Nurulita, Febrianti Putri Rizkita, Leonny Dwi Sukirto, Novi Wijayanti Utomo, Yudhanto Yuniasih, Dewi Zamroni