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Damayanti, Marshavina
Sultan Ageng Tirtayasa University
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Hubungan Profil D-dimer Terhadap Tingkat Keparahan Stroke Iskemik Teritori di Rumah Sakit Umum Daerah Banten Damayanti, Marshavina; Rusmana, Ahmad Irwan; Utami, Louisa Ivana
Tirtayasa Medical Journal Vol 3, No 2 (2024): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v3i2.25429

Abstract

Ischemic stroke become the most common cause of mortality and disability for elderly in Indonesia. Territorial ischemic stroke are often associated with the presence of blood clots that clog blood vessels in the brain. There were somehow association in different studies between increased levels of d-dimer as a fibrinolysis factor and the severity of territorial ischemic stroke which evaluated by using National Institutes of Health Stroke Scale (NIHSS) scores. This study aimed to analyze the association of d-dimer profile to the severity of territorial ischemic stroke. A Cross sectional study was conducted by taking secondary data retrospectively through medical records at the Medical Record and Radiolgy Installation at Banten Regional Public Hospital. D-dimer profile was categorized with a cutoff point 1000 ng/mL and NIHSS score was categorized with a cutoff point 10. The statistical analysis test used in this study was Fischer Exact Test. Forty-One of territorial ischemic stroke patients data were included in this study. Territorial ischemic stroke patients were mostly in the age group of 51—60 years with 16 patients (39%), males with 22 patients (53,7%), education in elementary school with 14 patients (34,1%), and territorial ischemic at left brain hemisphere precisely on frontal lobe with 14 patients (34,1%), temporal lobe with 15 patients (36,6%), and parietal lobe with 15 patients (36,6%). There was statistically significant association (p = 0,016) between the d-dimer profile and severity of territorial ischemic stroke (OR 9,6; 95% CI (1,5—60,6)). Early abnormal d-dimer levels on admission cause worsening of the condition in patients with territorial ischemic stroke based on NIHSS scores.
Hubungan Profil D-dimer Terhadap Tingkat Keparahan Stroke Iskemik Teritori di Rumah Sakit Umum Daerah Banten Damayanti, Marshavina; Rusmana, Ahmad Irwan; Utami, Louisa Ivana
Tirtayasa Medical Journal Vol 3, No 2 (2024): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v3i2.25429

Abstract

Ischemic stroke become the most common cause of mortality and disability for elderly in Indonesia. Territorial ischemic stroke are often associated with the presence of blood clots that clog blood vessels in the brain. There were somehow association in different studies between increased levels of d-dimer as a fibrinolysis factor and the severity of territorial ischemic stroke which evaluated by using National Institutes of Health Stroke Scale (NIHSS) scores. This study aimed to analyze the association of d-dimer profile to the severity of territorial ischemic stroke. A Cross sectional study was conducted by taking secondary data retrospectively through medical records at the Medical Record and Radiolgy Installation at Banten Regional Public Hospital. D-dimer profile was categorized with a cutoff point 1000 ng/mL and NIHSS score was categorized with a cutoff point 10. The statistical analysis test used in this study was Fischer Exact Test. Forty-One of territorial ischemic stroke patients data were included in this study. Territorial ischemic stroke patients were mostly in the age group of 51—60 years with 16 patients (39%), males with 22 patients (53,7%), education in elementary school with 14 patients (34,1%), and territorial ischemic at left brain hemisphere precisely on frontal lobe with 14 patients (34,1%), temporal lobe with 15 patients (36,6%), and parietal lobe with 15 patients (36,6%). There was statistically significant association (p = 0,016) between the d-dimer profile and severity of territorial ischemic stroke (OR 9,6; 95% CI (1,5—60,6)). Early abnormal d-dimer levels on admission cause worsening of the condition in patients with territorial ischemic stroke based on NIHSS scores.
KEHAMILAN HETEROTOPIK DENGAN SYOK HIPOVOLEMIK – SEBUAH LAPORAN KASUS Putra, Novitrian Eka; Damayanti, Marshavina
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.29563

Abstract

Heterotropic pregnancy is refers to the coexistence of multifetus pregnancy in intrauterine and extrauterine simultaneously. It is a rare and life-threatening condition. The risks of heterotropic pregnancy accounts for 1 per 30.000 from natural conception. This case report presents a case of first trimester pregnancy diagnosed by Transabdominal Ultrasound with Culdocentesis technique and underwent salpingectomy procedure successfully. A 33 years old, multigravida with history of abortion lady at 9 weeks period of gestation was presented to the Maternity Emergency Room, at Banten Regional Public Hospital, by increasing abdominal pain for 4 days and nausea episodes with the presence of Chandelier Sign. Transabdominal ultrasound revealed a left adnexal mass at fallopian tube and presence of gestational sac intrauterine. Upon the examination, patient was hemodynamically unstable, tender on palpation and diffusely distended. The patient’s final diagnosis was 9 weeks heterotropic pregnancy with a live intrauterine fetus and rupture left ectopic pregnancy. Patient underwent an emergency laparotomy with salpingectomy procedure for presumed ruptured tubal ectopic pregnancy. Earlier time to diagnose rupture ectopic pregnancy gives a good maternal outcome and hence crucial in the management.
KEHAMILAN HETEROTOPIK DENGAN SYOK HIPOVOLEMIK – SEBUAH LAPORAN KASUS Putra, Novitrian Eka; Damayanti, Marshavina
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.29563

Abstract

Heterotropic pregnancy is refers to the coexistence of multifetus pregnancy in intrauterine and extrauterine simultaneously. It is a rare and life-threatening condition. The risks of heterotropic pregnancy accounts for 1 per 30.000 from natural conception. This case report presents a case of first trimester pregnancy diagnosed by Transabdominal Ultrasound with Culdocentesis technique and underwent salpingectomy procedure successfully. A 33 years old, multigravida with history of abortion lady at 9 weeks period of gestation was presented to the Maternity Emergency Room, at Banten Regional Public Hospital, by increasing abdominal pain for 4 days and nausea episodes with the presence of Chandelier Sign. Transabdominal ultrasound revealed a left adnexal mass at fallopian tube and presence of gestational sac intrauterine. Upon the examination, patient was hemodynamically unstable, tender on palpation and diffusely distended. The patient’s final diagnosis was 9 weeks heterotropic pregnancy with a live intrauterine fetus and rupture left ectopic pregnancy. Patient underwent an emergency laparotomy with salpingectomy procedure for presumed ruptured tubal ectopic pregnancy. Earlier time to diagnose rupture ectopic pregnancy gives a good maternal outcome and hence crucial in the management.
Co-Authors Putra, Novitrian Eka Rusmana, Ahmad Irwan Utami, Louisa Ivana