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Kadri, Alfansuri
Departemen Neurologi, FK Universitas Sumatera Utara/RSUP Haji Adam Malik, Medan, Sumatera Utara, Indonesia
Humanities Computer Science & IT Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Public Health Other

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SINDROM POSTERIOR REVERSIBLE ENCEPHALOPATHY Cut Diana Maya Theresa,* Alfansuri Kadri*
NEURONA Vol 32 No.4 September 2015
Publisher : Neurona Majalah Kedokteran Neuro Sains

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Abstract

REVERSIBLE ENCEPHALOPATHY SYNDROME PRES IS A RARE AND REVERSIBLE SYNDROME WITH MANY ETIOLOGIES AND DIAGNOSED BASED ON CLINICALRADIOLOGICAL ABNORMALITIES THE MAIN CAUSES INCLUDE HYPERTENSION CYTOTOXIC MEDICATION PREECLAMPSIA OR ECLAMPSIA AUTOIMMUNE AND SYSTEMIC DISEASES
Hubungan kadar adiponektin dengan migren dan tension type headache Eva Meutia; Alfansuri Kadri; Khairul P. Surbakti; Hasan Sjahrir
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 45, No 2 (2012): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Background: Migraine and tension type headache (TTH) are the primary headaches that most complained and can lead to disability significantly. Obesity is already known to be one of the headache chronification risk factors, and adiponectin is a cytokine that is secreted by adipocytes tissue primarily. Adiponectin has been known to play a role in modulated some inflammatory pathways of the primary headache pathophysiology or in central sensitization process in conjunction with chronic headache. Objective: To evaluate association level of adiponectin with migraine and TTH.Methods: This cross-sectional study was conducted in migraine and TTH patients who came to sefalgia outpatient department of Adam Malik Hospital, which sex-and age matched for this study sample. Each subject completed a questionnaire adapted from the research Ho KH and BK Ong-C, and do anthropometric examination also adiponectin examination at Prodia laboratory. Result: There is significantly difference of mean adiponectin level between migraine 7.58 (SD 4.69) and TTH 4.99 (SD 2.63) (P = 0.008). Association of adiponectin level with episodic migraine is found not significant (P = 0.35), but the significant association is found with TTH (P = 0.013), which adiponectin level is found higher in chronic TTH 8.5 (SD 1.39) than episodic TTH 4.64 (SD 2.47). From the Spearman correlation test, there is negative association between WHR with adiponectin level significantly (r = -0.28. P = 0.02).Conclusion: There is association between adiponectin level with TTH, but it’s not significant with episodic migraine, and there is negative association between WHR and adiponectin level.Keywords : migraine; tension type headache; adiponectin level; obesity; waist hip ratio
Hubungan antara kadar lipoprotein dengan kejadian stroke dan tumor otak Cut Diana Maya Theresa; Yuneldi Anwar; Alfansuri Kadri
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 3 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Background : Recent evidences showed correlation main class of lipoprotein with stroke and brain tumor. Stroke and brain tumor can caused by multifactor, and nutrition is one of their etiology.Objectives : This study aimed to investigate correlation between lipoprotein with stroke and brain tumor.Methods : This was a cross-sectional study, subjects with stroke (26 persons) and brain tumor (26 persons). All patients underwent physical and neurological examinations, neuroimaging and lipoprotein serum examinations. Results : Stroke subjects consisted of 17 (65.4%) women and 9 (34.6%) men, with mean age ±54.38 years. Mean HDL level was 38.96±15.66 mg/dL, mean LDL level was 131.69±32.37 mg/dL, mean VLDL level was 22.42±6.64 mg/dL. The LDL level were significantly correlated with stroke and had a moderate correlation (r=0.426, p=0.030). The HDL level were not significantly correlated with stroke and had a very weak correlation (r=-0.010, p=0.960). VLDL level were not significantly correlated with stroke and had a very weak correlation (r=-0.087, p=0.672). Brain tumor subjects consisted of 16 (61.5%) men and 10 (38.5%) women, with mean age ±46.46 years. Mean HDL level was 38.58±12.73 mg/dL, mean LDL level was 131.42±43.67 mg/dL, mean HDL level was 26.70±10.75 mg/dL. The LDL level were not significantly correlated with brain tumor and had a very weak correlation (r=-0.103, p=0.618). HDL level were not significantly correlated with brain tumor and had a very weak correlation (r=0.087, p=0.672). VLDL level were not significantly correlated with brain tumor and had a very weak correlation (r=0.031, p=0.881).Conclusion : There was a significant correlation between LDL level and stroke, but no significant corelation between HDL levels with stroke and VLDL levels with stroke . The HDL, LDL and VLDL levels were not significant corelation with brain tumor. Keywords : lipoprotein, HDL, LDL, VLDL, stroke,brain tumor
HUBUNGAN ABNORMALITAS EKG DENGAN MORTALITAS PADA PASIEN STROKE HEMORAGIK Peter Peter; Joshua Asley; Alfansuri Kadri; Putri Chairani Eyanoer; Eddy Bangun; Felisia Felisia
Callosum Neurology Vol 4 No 1 (2021): Callosum Neurology Journal
Publisher : The Indonesia Neurological Association Branch of Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29342/cnj.v4i1.136

Abstract

Latar Belakang: Stroke merupakan penyebab kematian terbanyak kedua di dunia setelah penyakit jantung. Di negara berkembang, stroke hemoragik mencakup 34% dari semua stroke, yang disebabkan oleh perdarahan intraserebral dan perdarahan subaraknoid. Kelainan EKG dapat ditemukan pada pasien stroke hemoragik  pada 72 jam pertama setelah kejadian. Penelitian ini bertujuan menilai hubungan abnormalitas EKG pada pasien stroke hemoragik yang mungkin berdampak pada peningkatan mortalitas, disertai pengaruh faktor usia, jenis kelamin, dan tekanan darah sistolik terhadap mortalitas pasien stroke hemoragik. Metode: Penelitian potong lintang retrospektif pada data rekam medis pasien stroke hemoragik di RS Haji Adam Malik, Medan periode 2017-2020, dengan teknik total sampling. Jumlah sampel yang masuk dalam kriteria inklusi sebanyak 157 sampel, yang kemudian di bagi berdasarkan karakteristik usia, jenis kelamin, tekanan darah sistolik, abnormalitas EKG, dan mortalitas. Hasil: Subjek penelitian yang meninggal dengan EKG abnormal berjumlah 45/77 (58,4%), sedangkan subjek yang meninggal dengan EKG normal sebanyak 32/77 (41,6%). Didapatkan hubungan bermakna antara abnormalitas EKG dan mortalitas pasien stroke hemoragik dengan odd ratio (OR) 3,281; 95% IK 1,698-6,341; p<0,001. Usia (OR 0,985; 95% IK 0,960-1,010; p=0,234), jenis kelamin (OR 0,794; 95% IK 0,424-1,487; p=0,472), dan tekanan darah sistolik (OR 0,993; 95% IK 0,984-1,002; p=0,135) tidak memiliki hubungan yang bermakna dengan mortalitas pasien stroke hemoragik. Simpulan: Pasien stroke hemoragik dengan kelainan EKG memiliki kemungkinan mortalitas lebih tinggi dibandingkan dengan pasien normal, sedangkan variasi usia, jenis kelamin, dan tekanan darah sistolik tidak memiliki hubungan signifikan dengan mortalitas pasien stroke hemoragik. Kata Kunci: EKG, Mortalitas, Stroke, Perdarahan Intrakranial
Demographic, Clinical, and Laboratory Characteristics of HIV Patients with Cerebral Toxoplasmosis at Haji Adam Malik General Hospital Medan Alfansuri Kadri; Eko Yandra
Jurnal Kedokteran Brawijaya Vol. 32 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.02.7

Abstract

Cerebral toxoplasmosis is one of the frequent opportunistic infections of the central nervous system of Human Immunodeficiency Virus (HIV) patients in the presence of Toxoplasma Gondii infection. In Indonesia, the incidence of HIV patients with cerebral toxoplasmosis is 45%. This study was done to determine the demographic, clinical, and laboratory characteristics of HIV patients with cerebral toxoplasmosis at Haji Adam Malik Hospital, Medan, based on medical record data in 2022. The total sample was 23 patients with time periods from January to March 2022. Demographically, the data showed that most of the HIV patients with cerebral toxoplasmosis were male (91.3%), a mean age of 36.48 ± 5.74 years, married (87%), high school graduates (69.6%), and working (91.3%). The most common clinical characteristics were headache (69.6%) and cognitive impairment (56.5%). Laboratory characteristics found were (56.5%) non-reactive (<0.8 COI) and (43.5%) reactive (≥1 COI) anti toxoplasma IgM, while reactive anti-toxoplasma IgG (≥3 IU/ml) was obtained in all research samples (100%).
GAMBARAN DISFUNGSI SEKSUAL, DISABILITAS, DAN KUALITAS HIDUP PADA PASIEN PASCASTROKE Hasanul Arifin; Alfansuri Kadri; Yuneldi Anwar
NEURONA Vol 36 No 2 (2019)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v36i2.67

Abstract

  A DESCRIPTION OF SEXUAL DYSFUNCTION, DISABILITY, AND QUALITY OF LIFE OF POST-STROKE PATIENTSABSTRACTIntroduction: Sexual function and disability are post-stroke complications that can affect the long-term quality of life. The problem is being neglected, thus cannot be intervened further. There are simple screenings that can be used to detect the disorder.Aim: To determine the characteristics  of sexual dysfunction, disability and quality of life, and also demographic profile of post stroke patients in Neurology Outpatient Clinic at General Hospital Haji Adam Malik, Medan.Method: A cross sectional descriptive study on poststroke patients in Neurology Outpatient Clinic of General Hospital Adam Malik, Medan between March and July 2018. Subjects were asked to fill three questionnaires; Changes in Sexual Functioning Questionnaire (CSFQ-14) to assess sexual dysfunction, Stroke-Specific Quality of Life (SS-QoL-12) to assess quality of life, and Barthel Index (BI) and modified Rankin Scale (mRS) to assess disability.Results: We identified 45 subjects and the mean of age was 60.27+10.12 years, mostly men (75.6%) and was suffered from ischemic stroke (95.6%). Majority of the subjects (93.3%) were reported of having sexual dysfunction, some have symptoms of disability (35.6%) and full dependence (44.5%). The quality of life was relatively better in male, especially in the physical domain.Discussion: In post stroke population, the prevalence of sexual dysfunction is 93.3%, mostly affected male patients. Majority of the subjects were independent and without significant disability. The quality of life was relatively better in male and the lowest value related to health was the power domain.Keywords: Disability, post-stroke, quality of life, sexual dysfunctionABSTRAKPendahuluan: Salah satu komplikasi pascastroke adalah gangguan fungsi dan disabilitas seksual yang dapat memengaruhi kualitas hidup jangka panjang. Namun hal ini masih terabaikan, hingga tidak dapat diintervensi lebih lanjut. Terdapat beberapa skrining sederhana yang dapat digunakan untuk mendeteksi gangguan tersebut.Tujuan: Untuk mengetahui gambaran disfungsi seksual, disabilitas, dan kualitas hidup pada penderita pascastroke di rawat jalan Neurologi RSUP Haji Adam Malik, Medan.Metode:  Penelitian  deskriptif  dengan  studi  potong  lintang  pada  pasien  pascastroke  di  Poliklinik  Neurologi RSUP Haji Adam Malik, Medan pada bulan Maret–Juli 2018. Subjek diminta mengisi 3 kuesioner, yaitu: Changes in Sexual Functioning Questionnaire (CSFQ-14) untuk menilai perubahan fungsi seksual, Stroke-Specific Quality of Life (SS-QoL-12) untuk menilai kualitas hidup, serta Indeks Barthel (IB) dan modified Rankin Scale (mRS) untuk  menilai disabilitas.Hasil: Didapatkan 45 subjek dengan rerata usia 60,27+10,12 tahun, terutama laki-laki (75,6%) dan menderita stroke iskemik (95,6%). Mayoritas subjek mengalami disfungsi seksual (93,3%), sebagian memiliki gejala disabilitas (35,6%) dan ketergantungan penuh (44,5%). Kualitas hidup relatif lebih baik pada laki-laki dan khususnya pada domain fisik.Diskusi: Didapatkan prevalensi disfungsi seksual sebanyak 93,3% pada pasien pascastroke, terutama laki-laki. Mayoritas subjek pada keadaan mandiri dan disabilitas yang tidak signifikan. Gambaran kualitas hidup secara keseluruhan relatif lebih baik pada laki-laki dengan nilai yang berhubungan dengan kesehatan yang relatif paling rendah adalah domain tenaga.Kata Kunci: Disabilitas, disfungsi seksual, kualitas hidup, pascastroke  
Short-Term Prognostic Model for Non-Traumatic Intracerebral Hemorrhage Patients: A Combination of Four Score, FUNC Score, and ICH Score Saragih, Nurvira Annisa; Alfansuri Kadri; Chairil Amin Batubara
Journal of Society Medicine Vol. 3 No. 1 (2024): January
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i1.114

Abstract

Introduction: Currently, the Functional Outcome in Patients With Primary Intracerebral Hemorrhage (FUNC) score, Full Outline of UnResponsiveness (FOUR) score, and Intracerebral Hemorrhage (ICH) score are utilized to predict outcomes in non-traumatic intracerebral hemorrhage (ICH) patients. The high mortality rate in non-traumatic ICH patients emphasizes the importance of scoring systems as predictive models for mortality prognosis. The aim of this study was to determine a short-term prognostic model for non-traumatic ICH patients by combining FUNC score, FOUR score, and ICH score. Method: This observational cohort study took place at the neurology ward and Intensive Care Unit of RSUP H. Adam Malik – Medan, from March to September 2023. Subjects meeting the study criteria were observed for 30 days to assess short-term outcomes (mortality). Multivariate logistic regression analysis was then conducted for the combined scores. Results: Significant effects were found between FUNC score, FOUR score, and ICH score on short-term mortality in non-traumatic ICH patients, each with a p-value < 0.001. However, the multivariate logistic regression analysis yielded statistically non-significant results (p > 0.05). Conclusion: While FUNC, FOUR, and ICH scores individually show a significant correlation with short-term mortality in non-traumatic ICH patients, their combination is ineffective for predicting mortality in this group.
Hubungan Antara Status Nutrisi Berdasarkan Skor Geriatric Nutrition Risk Index Terhadap Perubahan Tingkat Keparahan pada Pasien Stroke Iskemik Simarmata, Junius F. A.; Rambe, Aldy Safruddin; Kadri, Alfansuri
Innovative: Journal Of Social Science Research Vol. 4 No. 6 (2024): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v4i6.16984

Abstract

Stroke iskemik dapat memicu terjadinya proses inflamasi. Keadaan inflamasi ini dapat menyebabkan terjadinya perluasan infark dan sehinga menginduksi hiperkatabolisme menyebabkan terjadinya perburukan luaran klinis. Kekurangan gizi premorbid telah terbukti memiliki efek buruk pada prognosis pasien stroke. Hal ini terkait dengan peningkatan komplikasi, mortalitas, lama rawat inap, dan hasil neurologis yang buruk pada pasien stroke akut. Oleh karena itu, penting untuk mengevaluasi status gizi dengan tepat dan memberikan suplemen nutrisi yang tepat. Untuk mengetahui hubungan antara status nutrisi berdasarkan skor Geriatric Nutritional Risk Index terhadap perubahan tingkat keparahan pada pasien stroke iskemik akut. Penelitian ini menggunakan desain cohort pada pasien yang terdiagnosa dengan stroke iskemik akut yang menjalani perawatan di RSUP H. Adam Malik Medan. Status nutrisi akan diukur mengunakan skor skor Geriatric Nutritional Risk Index (GNRI) dan tingkat keparahan stroke akan diukur mengunakan skor National Institutes of Health Stroke Scale (NIHSS). Pengukuran skor NIHSS akan dilakukan sebanyak dua kali yakni pada saat admisi dan hari ketujuh setelah admisi. Kejadian malnutrisi berdasarkan skor GNRI pada lansia yang mengalami stroke iskemik sebesar 74,6%. Hasil dari analisis statistik menunjukkan hasil signifikan antara status nutrisi berdasarkan skor GNRI terhadap perubahan tingkat keparahan pada pasien stroke iskemik akut (r=0,655, P<0,001, ). Terdapat hubungan yang signifikan antara status nutrisi berdasarkan skor GNRI terhadap perubahan tingkat keparahan pada pasien stroke iskemik akut.
Factors Affecting Malnutrition in Parkinson's Disease Patients Using Mini Nutritional Assessment at H. Adam Malik Hospital and Network Hospitals Dwi Putri, Sabrina; Kadri, Alfansuri; Hutagalung, Haflin Soraya
Journal of Society Medicine Vol. 3 No. 11 (2024): November
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i11.174

Abstract

Introduction: Parkinson's Disease (PD) is a progressive neurodegenerative disorder characterized by the loss of motor control due to the degeneration of dopamine neurons in the brain and the formation of Lewy bodies. The exact cause of PD is still unknown, but factors such as free radicals, mitochondrial dysfunction, and protein degradation are believed to play a role. To identify the factors that influence malnutrition in patients with Parkinson's disease. Method: This study is an observational analytical study with a cross-sectional design, conducted at RSUP H. Adam Malik Medan and its hospital network. The subjects were 45 Parkinson's patients selected consecutively from March to June 2024. The data in this study used primary data using the Mini Nutritional Assessment (MNA) questionnaire obtained from anamnesis, physical examination and nutritional status examination using body weight, height, calf circumference and upper arm circumference. Results: Statistical analysis showed no significant results between gender, therapy regimen, and symptoms such as bradykinesia, rigidity, hyposmia, and dysphagia on malnutrition with values of p = 0.157, p = 0.377, p = 0.173, p = 0.173, p = 0.264, and p = 0.154, respectively. However, the results of the statistical analysis showed significant results between age and malnutrition with a p-value of 0.003 and a substantial relationship between disease duration, severity, and symptoms such as postural instability and constipation on malnutrition with the same p-value of p <0.001. Conclusion: There was an association between age, disease duration, severity, and symptoms such as postural instability and constipation in Parkinson's disease patients with malnutrition status.
Correlation Between Blue Light Exposure from Digital Device Screens and Sleep Quality Among Students in the Faculty of Medicine, Universitas Sumatera Utara Class of 2019 Lubis, Muhammad Rizki Zaini; Kadri, Alfansuri
Sumatera Medical Journal Vol. 6 No. 2 (2023): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v6i2.11051

Abstract

Background: The use of information and communication technology facilities such as cellphones, laptops, computers, and other information facilities is really needed. From several previous studies it was noted that blue light has an impact on sleep quality, as we already know sleep quality is one of the foundations of health. Objective: The aim is to determine the relationship between blue light exposure on digital device screens and sleep quality, knowing the level of blue light exposure and sleep quality. Methods: This research is an analytical study with a cross-sectional design, namely a type of research in which the measurement of the variables is carried out simultaneously at one time. Results: Of the 150 study subjects, there were 64% women, 36% men. Age, 1.30% were 19 years old, 18.70% were 20 years old, 58% were 21 years old, 20% were 22 years old, 2% were 23 years old. Blue light exposure, bad 94%, good 6%. Sleep quality, bad 87.30%, good 12.70%. The relationship between blue light exposure and sleep quality obtained p-value <0.01 and coefficent r is 0.663. Conclusion: there is significant relationship between blue light exposure on digital screen device and sleep quality of student.
Co-Authors Aida Fithrie Chairil Amin Batubara Cut Diana Maya Theresa Dina Arwina Dalimunthe, Dina Arwina Dwi Putri, Sabrina Eddy Bangun Eka Roina Megawati, Eka Roina Eko Yandra Eva Meutia Felisia Felisia Hamdi, Tasrif Hanif, Raisa Syifa Hasan Sjahrir Hasanul Arifin Hutagalung, Haflin Soraya Iswandi Erwin Joshua Asley Kamila, Rania Khairul P. Surbakti lubis, muhammad rizki zaini Peter Peter Putra, Imam Budi Putri Chairani Eyanoer, Putri Chairani Rambe, Aldy Safruddin Samosir, Fauzan Azmi Hasti Habibi Saragih, Nurvira Annisa Simarmata, Junius F. A. Yuneldi Anwar Yuneldi Anwar