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All Journal Journal of Pain, Vertigo and Headache Jurnal Atma Inovasia Proceeding ISETH (International Summit on Science, Technology, and Humanity) Cermin Dunia Kedokteran
Silalahi, Lothar Matheus Manson Vanende
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Humanities Computer Science & IT Decision Sciences, Operations Research & Management Engineering Environmental Science Health Professions Medicine & Pharmacology Neuroscience Social Sciences Other

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CLINICAL MANIFESTATIONS OF ISCHEMIC STROKE IN VERTEBROBASILARY ARTERY INSUFICIENCY USING NON-CONTRAST CT-SCAN Hanson, Jevenzley Maxvell; S, Sudharmaji; Lestari, Dewi; Silalahi, Lothar Matheus Manson Vanende
Journal of Pain, Headache and Vertigo Vol. 5 No. 2 (2024): September
Publisher : PERDOSNI (Perhimpunan Dokter Spesialis Neurologi Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jphv.2024.005.02.03

Abstract

Stroke was the highest cause of death in the world in 2015. Stroke was the highest cause of death in Indonesia in 2019. DIY Province was ranked 2nd in most stroke cases in Indonesia in 2018. The severity level of the clinical manifestation of ischemic stroke due to vertebrobasilar artery insufficiency is the worst compared to other areas. This research uses a quantitative descriptive method with a retrospective design. The subjects of this research were ischemic stroke patients at Bethesda Hospital Yogyakarta for the period January 2023. This research used a total sampling technique. Vertebrobasilar artery insufficiency data was obtained from non-contrast CT-scan readings in an umbrella study by dr. Sudharmaji, Sp.Rad. Data on clinical manifestations were obtained from medical records. Data were analyzed using univariate tests with Microsoft Excel. There were 30 research samples with distribution of infarct locations in the cerebellum (6), medulla oblongata (1), occipital lobe (8), pons (15), thalamus (3), and patients whose focal parenchymal lesions were not clearly visualized (3). The distribution of clinical manifestations found was right ipsilateral hemiparesis (11), dysarthria (11), vertigo (11), left ipsilateral hemiparesis (8), alternans hemiparesis (1), dysphagia (2), diplegia (1), drop attack (1), polyuria (1), and others (1). The distribution of the most clinical manifestations is ipsilateral right hemiparesis, dysarthria, and vertigo.
JOGJA SAPA LANSIA Silalahi, Lothar Matheus Manson Vanende; The Maria Meiwati Widagdo; Mitra Andini Sigilipoe
Jurnal Atma Inovasia Vol. 5 No. 1 (2025)
Publisher : Lembaga Penelitian dan Pengabdian pada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24002/jai.v5i1.10224

Abstract

Pendahuluan. Lanjut usia (lansia) dengan disabilitas mempunyai keluhan kesehatan paling tinggi. Meskipun keluhan kesehatannya paling tinggi, lansia dengan disabilitas merupakan populasi yang memiliki persentase paling tinggi yang tidak melakukan pengobatan. Minimnya pengobatan kesehatan ini juga menjadi risiko munculnya masalah kesehatan lain. Badan Perencanaan Pembangunan Daerah (Bappeda) Kota Yogyakarta berkolaborasi dengan Dinas Sosial Tenaga Kerja dan Transmigrasi (Dinsosnakertrans) Kota Yogyakarta melakukan kegiatan bertajuk “Jogja Sapa Lansia” berfokus pada lansia dengan disabilitas. Tujuan. Sebagai perwujudan Kota Yogyakarta ramah lansia. Metode. Program service learning bersama mahasiswa. Kegiatan yang dilakukan adalah dalam bentuk kunjungan ke lansia tirah baring. Dalam kunjungan mahasiswa melakukan observasi langsung dan eksplorasi masalah mengenai pemenuhan kebutuhan lansia. Asesmen menggunakan kuesioner short CANE (Camberwell Assessment Of Need For The Elderly). Hasil. Dilakukan kunjungan kepada sembilan lansia yang tirah baring dan didapatkan kebutuhan dominan yang belum terpenuhi adalah kebutuhan pendengaran/penglihatan, mobilitas dan dukungan sosial. Dari sisi caregiver kebutuhan lansia yang belum terpenuhi adalah kebutuhan informasi kondisi kesehatan. Mahasiswa kemudian melakukan edukasi sesuai dengan kondisi lansia. Kesimpulan. Lansia dengan tirah baring perlu dukungan lebih pada kondisi penglihatan/pendengaran, mobilitas, sosial dan informasi kondisinya.
High Blood Osmolality is Associated with Poor Neurological Status in Acute Ischemic Stroke Patient on Admission Silalahi, Lothar Matheus Manson Vanende; Sutarni, Sri; Gofir, Abdul
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2024: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/iseth.5519

Abstract

Purpose: The purpose of this study is to evaluate the association between high blood osmolality and neurological status in acute ischemic stroke. Methodology: This is a cross-sectional study. Subjects of this study are acute ischemic stroke patients admitted at Dr. Sardjito Hospital. Subjects who met the inclusion and exclusion criteria were analysed mainly the blood osmolality and NIHSS score at the time of admission. Results: The study involved 58 participants, with 29 (50%) exhibiting blood osmolality exceeding 300 mOsm/kg. A bivariate analysis revealed several factors significantly linked to poor neurological condition upon admission. These included elevated blood osmolality (OR=5,296, p=0,014, 95% CI, 1,29-21,7), presence of infection (OR=11,67, p=0,007, 95% CI, 1,95-6,99), increased white blood cell count (OR=4,750, p=0,028, 95% CI, 1,21-18,5), and an ASPECT Score below 7 (OR=14, p<0,001, 95%CI, 3,34-59). Multivariate analysis revealed that high blood osmolality (p=0,031) significantly associated with poor neurological status at the time of hospital admission. Applications: This study highlighted the importance of evaluating blood osmolality in acute ischemic stroke patients as it is associated with neurological deficit.
JOGJA SAPA LANSIA Silalahi, Lothar Matheus Manson Vanende; The Maria Meiwati Widagdo; Mitra Andini Sigilipoe
Jurnal Atma Inovasia Vol. 5 No. 1 (2025)
Publisher : Lembaga Penelitian dan Pengabdian pada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24002/jai.v5i1.10224

Abstract

Pendahuluan. Lanjut usia (lansia) dengan disabilitas mempunyai keluhan kesehatan paling tinggi. Meskipun keluhan kesehatannya paling tinggi, lansia dengan disabilitas merupakan populasi yang memiliki persentase paling tinggi yang tidak melakukan pengobatan. Minimnya pengobatan kesehatan ini juga menjadi risiko munculnya masalah kesehatan lain. Badan Perencanaan Pembangunan Daerah (Bappeda) Kota Yogyakarta berkolaborasi dengan Dinas Sosial Tenaga Kerja dan Transmigrasi (Dinsosnakertrans) Kota Yogyakarta melakukan kegiatan bertajuk “Jogja Sapa Lansia” berfokus pada lansia dengan disabilitas. Tujuan. Sebagai perwujudan Kota Yogyakarta ramah lansia. Metode. Program service learning bersama mahasiswa. Kegiatan yang dilakukan adalah dalam bentuk kunjungan ke lansia tirah baring. Dalam kunjungan mahasiswa melakukan observasi langsung dan eksplorasi masalah mengenai pemenuhan kebutuhan lansia. Asesmen menggunakan kuesioner short CANE (Camberwell Assessment Of Need For The Elderly). Hasil. Dilakukan kunjungan kepada sembilan lansia yang tirah baring dan didapatkan kebutuhan dominan yang belum terpenuhi adalah kebutuhan pendengaran/penglihatan, mobilitas dan dukungan sosial. Dari sisi caregiver kebutuhan lansia yang belum terpenuhi adalah kebutuhan informasi kondisi kesehatan. Mahasiswa kemudian melakukan edukasi sesuai dengan kondisi lansia. Kesimpulan. Lansia dengan tirah baring perlu dukungan lebih pada kondisi penglihatan/pendengaran, mobilitas, sosial dan informasi kondisinya.
Efektivitas Citicoline sebagai Terapi Gangguan Kognitif pada Stroke Iskemik Akut Silalahi, Lothar Matheus Manson Vanende; Pradita Sri Mitasari
Cermin Dunia Kedokteran Vol 51 No 2 (2024): Dermatologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i2.971

Abstract

Background: Cognitive impairment in acute ischemic stroke is associated with disability, poor functional outcome, and mortality, hence requires effective management. Citicoline is one of pharmacotherapy for central nervous system disorders. This study aims to evaluate current evidence of the effectiveness of citicoline for cognitive impairment in acute ischemic stroke. Methods: Systematic review and meta-analysis on randomized controlled trials searched in PubMed, Cochrane, and Google Scholar databases. Screening was done on 518 articles according to inclusion and exclusion criteria, 3 articles were qualified for review. Results: Cano-Cuenca, et al, (2015) found that citicoline was associated with a mini-mental state examination (MMSE) score of >25 at 12 weeks. Pinzon & Asanyi (2018) found that the use of citicoline can prevent cognitive impairment at 6 and 12 months, especially in attention and temporal orientation. Bonvicini, et al, (2022) found that citicoline is associated with good cognitive outcomes as measured with global cognitive impairment. Conclusion: Citicoline is effective as a therapy for cognitive impairment in acute ischemic stroke.
Co-Authors Abdul Gofir Dewi Lestari Hanson, Jevenzley Maxvell Mitra Andini Sigilipoe Pradita Sri Mitasari S, Sudharmaji Sri Sutarni The Maria Meiwati Widagdo