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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 Stretch Mark pada Siswi SMA Global Prima National Plus School Rania Kamila; Imam Budi Putra; Dina Arwina Dalimunthe; Fauzan Azmi Hasti Habibi Samosir; Alfansuri Kadri
SCRIPTA SCORE Scientific Medical Journal Vol. 5 No. 1 (2023): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v5i1.11035

Abstract

ABSTRAK Latar Belakang. Stretch mark merupakan jenis skar atrofi pada kulit yang disebabkan oleh peregangan kulit yang berlebihan. Karakteristik stretch mark bervariasi tahap awal yaitu striae rubrae yang berwarna kemerahan, hingga tahap kronis yaitu striae albae, stretch mark yang halus dan berwarna putih. Prevalensi stretch mark pada populasi remaja dilaporkan berkisar antara 6% hingga 86%. Hal ini dapat terjadi diakibatkan oleh beberapa faktor sehingga gambaran stretch mark pada remaja perempuan penting diketahui. Penelitian ini bertujuan untuk mengetahui gambaran stretch mark pada siswi SMA Global Prima National Plus School. Metode. Penelitian ini merupakan penelitian deskriptif dengan desain cross-sectional study. Subjek penelitian pada penelitian ini adalah siswi kelas XII SMA Global Prima National Plus School sebanyak 47 orang yang memenuhi kriteria inklusi dengan menggunakan metode purposive sampling. Pengumpulan data dilakukan dengan menggunakan lembar penelitian yang ditanyakan langsung kepada subjek penelitian lalu dilanjutkan dengan pemeriksaan fisik pada subjek penelitian secara langsung. Hasil. Stretch mark dijumpai pada 38 siswi dari 47 siswi dengan distribusi paling banyak pada usia 17 tahun (66%) dan reponden dengan usia menarche normal (51,1%) regio stretch mark terbanyak pada regio femur (25,4%) dan jenis stretch mark terbanyak yaitu striae albae (82,5%). Kesimpulan. Secara keseluruhan, sebagian besar subjek penelitian memiliki stretch mark, dimana paling banyak dijumpai pada subjek penelitian dengan IMT kategori normal dan pada subjek penelitian dengan riwayat keluarga memiliki stretch mark. Kata Kunci: Gambaran, stretch mark, striae albae, striae rubrae.   ABSTRACT Background. Stretch mark is a a type of atrophic scar that was caused by excessive stretching of the skin. Stretch mark vary in the early stages as striae rubrae, are characterized with redness and the chronic stage, striae albae which appears white and wrinkly. The prevalence of stretch marks in the adolescent population reportedly ranged from 6% to 86%. This can occur due to several factors so that the picture of stretch marks in adolescent girls is important to know. Aim of this study is to describing stretch mark in Global Prima National Plus School high school students. Methods.This is a descriptive study with cross-sectional study design. The sample in this study were 47 students of SMA Global Prima National Plus School who met the inclusion criteria by using the purposive sampling method. Data acquired by using a research sheet that was asked directly to the research subject followed by physical examination of the research subject directly. Results. Stretch marks were found in 38 students from 47 students with the most distribution at the age of 17 years (66%) and research subject with normal menarche (51.1%) the most common location of stretch marks are in the femur region (25.4%) and the most common types of stretch marks are striae albae (82.5%). Conclusion. Overall, most of the research subjects had stretch marks, where majority of the research subjects had normal BMI with family history of stretch marks with normal BMI and in the research subjects with a family history of stretch marks. Key words: Descriptive,  Stretch mark, striae albae, straie rubrae.
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  
Initial Sofa Score and Mortality of Sepsis Patients in the Intensive Care Unit of Haji Adam Malik Hospital Medan: Does It Correlate? Raisa Syifa Hanif; Tasrif Hamdi; Alfansuri Kadri; Eka Roina Megawati
Indonesian Journal of Anesthesiology and Reanimation Vol. 6 No. 2 (2024): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijar.V6I22024.73-79

Abstract

Introduction: Sepsis is a life-threatening organ dysfunction or failure that is the primary cause of death in infectious disease. the Sepsis-3 Task Force recommends The Sequential (Sepsis-Related) Organ Failure Assessment (SOFA) Score as a means of Sepsis identification. Objective: To determine the correlation between sepsis patients’ deaths in the intensive care unit (ICU) of Haji Adam Malik Hospital Medan and their initial SOFA score. Methods: This study uses a cross-sectional study design and an observational analytical investigation. The sample for this study was sepsis patients who were treated in the ICU of Haji Adam Malik Hospital Medan in 2021-2022, and they were selected using the purposive sampling method. After calculating the Slovin formula, 61 samples are required. The researchers obtained the data from patient medical records. The analyses used are univariate and bivariate, with the Independent-T test and Fisher’s exact. Results: From 71 patients, there were 36 patients (50.7%) in the age group of 46-65 years old; 39 patients (54.9%) were male; 50 patients (70.4%) had comorbidities; and 50 patients (70.4%) had non-surgical disease. The average initial SOFA score was 9.89 ± 3.95, with mortality for sepsis patients in the ICU of 74.6%. The findings of the statistical analysis indicated a substantial difference (p<0.001) in the SOFA scores of those who survived and those who did not, as well as a significant correlation (p<0.001) between the initial SOFA score and mortality. Conclusion: There is a correlation between initial SOFA score and the mortality of sepsis patients in the ICU of Haji Adam Malik Hospital.
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.
Co-Authors Aida Fithrie Chairil Amin Batubara Cut Diana Maya Theresa Dina Arwina Dalimunthe Dwi Putri, Sabrina Eddy Bangun Eka Roina Megawati Eko Yandra Eva Meutia Fauzan Azmi Hasti Habibi Samosir Felisia Felisia Hasan Sjahrir Hasanul Arifin Hutagalung, Haflin Soraya Iswandi Erwin Joshua Asley Khairul P. Surbakti lubis, muhammad rizki zaini Peter Peter Putra, Imam Budi Putri Chairani Eyanoer, Putri Chairani Raisa Syifa Hanif Rambe, Aldy Safruddin Rania Kamila Saragih, Nurvira Annisa Simarmata, Junius F. A. Tasrif Hamdi Yuneldi Anwar Yuneldi Anwar