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All Journal Journal Of Widya Medika Junior Community Development Journal: Jurnal Pengabdian Masyarakat Jurnal Widya Medika
Kartikasari, Desy
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Humanities Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Public Health

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CLINICAL PROFILE OF STROKE PATIENTS IN GOTONG ROYONG HOSPITAL Supit, Paulus; Kurniawati, Nita; Kartikasari, Desy; Raymond Desun, Evander Aloysius; Erwin, Ferdinand
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 3 (2024): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i3.5781

Abstract

Background: Stroke is a global health issue due to its high prevalence, mortality, and associated disabilities. The Global Burden of Disease Study identifies ischemic and hemorrhagic strokes as significant contributors to global health burdens. Understanding these factors in different populations is crucial for developing targeted interventions and improving patient outcomes.Methods: This retrospective descriptive study analyzed medical records of stroke patients at Gotong Royong Hospital from January to December 2023. Patients aged 18 years or older with acute stroke confirmed by CT or MRI were included.Results: Out of 224 stroke patients, 58% were male and 42% female. Most patients were over 70 years old (31.7%), with 29% aged 51-60 and 26.3% aged 61-70. Ischemic stroke was predominant (91.5%), while 8.5% had hemorrhagic stroke. Many patients (40.2%) arrived at the emergency department more than 24 hours after symptom onset. Hypertension was present in 68.8% of patients, diabetes in 36.6%, and dyslipidemia in 24.1%. The average length of stay was 4.13 days. Blood pressure measurements showed high prevalence of Grade 2 hypertension in systolic (37.05%) and prehypertension in diastolic (30.80%). Laboratory results revealed mean random blood glucose of 174.3 mg/dL, fasting blood glucose of 110.42 mg/dL, HbA1C of 8.06%, LDL cholesterol of 120.31 mg/dL, and triglycerides of 151.26 mg/dL.Conclusion: The majority of acute stroke patients at Gotong Royong Hospital are male, over 60, with ischemic stroke, and present more than 24 hours post-onset. These patients typically have a history of hypertension but no previous strokes, with an average hospital stay of 4 days. Many exhibit Grade 2 hypertension in systolic blood pressure and prehypertension in diastolic pressure. Understanding these profiles can guide better management and preventive strategies for stroke patients.
PENYULUHAN KESEHATAN PENCEGAHAN DAN PENANGANAN NYERI PUNGGUNG BAWAH Kartikasari, Desy; Supit, Paulus Alexander; Kurniawati, Nita; Erwin, Ferdinand
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 4 No. 6 (2023): Volume 4 Nomor 6 Tahun 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v4i6.22061

Abstract

Nyeri punggung bawah (NPB), seperti yang didefinisikan oleh Persatuan Dokter Saraf Indonesia (PERDOSSI), merupakan persepsi nyeri yang terlokalisasi pada daerah punggung bagian bawah, dapat berupa nyeri lokal atau radikuler, atau keduanya. Nyeri ini terjadi di antara sudut iga terbawah dan lipat bokong bawah, yang merupakan daerah lumbal atau lumbosakral, seringkali disertai dengan penjalaran nyeri ke arah tungkai dan kaki. Berdasarkan penelitian multisenter PERDOSSI, sebanyak 18,37% dari 819 orang yang menjadi subjek penelitian pada 14 rumah sakit pendidikan Indonesia pada Mei 2002 mengalami NPB. Kejadian NPB ini terkait dengan berbagai faktor risiko, termasuk karakteristik pekerjaan, faktor lingkungan, aktivitas fisik, serta faktor genetik. NPB menjadi masalah kesehatan global yang umum, menyebabkan pembatasan aktivitas dan disabilitas kerja. Pentingnya penanganan NPB tercermin dalam data disabilitas terkait NPB di negara Barat, di mana sekitar 45-55% populasi pekerja mengalami NPB dalam periode 12 bulan. Penanganan NPB melibatkan pendekatan farmakologis dan non-farmakologis. Kegiatan ini merupakan kegiatan penyuluhan kesehatan yang bertujuan untuk meningkatkan pengetahuan masyarakat umum mengenai nyeri punggung bawah.
AKINETIC MUTISM AS A NEUROPSYCHIATRIC SYMPTOM OF PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY : A COMPLICATIONS OF HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION Kartikasari, Desy; Tamasse, Jumraini; Joewana, Patricia GT; Putri, Maria PD
JURNAL WIDYA MEDIKA Vol. 11 No. 2 (2025): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v11i2.7714

Abstract

Progressive Multifocal Leukoencephalopathy (PML) is a rare complication of Human Immunodeficiency Virus (HIV) infection.  The disease carries a poor prognosis, with rapid progression and death usually occurring within 6 months. Mental disorders are a fairly common symptom in patients with PML (1/3 of cases). A 39-year-old male came with akinetic mutism. He has difficulty communicating, is unwilling to speak, has lost voluntary movements, and lacks motivation and initiative to perform daily activities. Managing this case is quite challenging, requiring careful history taking, physical examination, and selecting appropriate supporting tests. The management of this case involves a neurologist, internist, psychiatrist, and nutritionist. Correct diagnosis and treatment lead to clinical improvement. On the 15th day of treatment, the patient began to speak briefly with his family. Furthermore, his sleep has improved. Recognising this rare case earlier can be a clinical experience if at some point a similar case is found. 
Co-Authors Erwin, Ferdinand Joewana, Patricia GT Kurniawati, Nita Paulus Alexander Supit Putri, Maria PD Raymond Desun, Evander Aloysius Supit, Paulus Tamasse, Jumraini