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All Journal MNJ (Malang Neurology Journal) Medika Kartika : Jurnal Kedokteran dan Kesehatan Jurnal Abdi Insani Lombok Medical Journal
Landapa, Raditya Rachman
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SLEEP DISORDERS AND DIVING-ASSOCIATED DECOMPRESSION SICKNESS Harahap, Herpan Syafii; Indrayana, Yanna; Afif, Zamroni; Landapa, Raditya Rachman; Ismiana, Baiq Holisatul; Gea, Endah Irnanda Ulfa; Wiracakra, I Gusti Lanang Krisna
MNJ (Malang Neurology Journal) Vol. 11 No. 2 (2025): July
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf 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.mnj.2025.011.02.09

Abstract

Decompression sickness is considered as an important complication of deep diving. Since the trend of diving activities is increasing throughout the world and is dominated by novice divers, the incidence of decompression sickness should be high. Severe form of decompression sickness can cause damage to the central nervous system with varying manifestations of mild to severe neurological deficits. Recent studies show that sleep disorders need to be considered as an important consequence of decompression sickness. However, the pathophysiology of decompression sickness-associated sleep disorders is currently not well understood. Since sleep disorders are associated with dysfunction of anatomical structures and the neurotransmitter systems in the brain that regulate the sleep-wakefulness cycle, decompression sickness-associated sleep disorders can be postulated to be related to dysfunction of these two regulators of sleep-wakefulness cycle. Sleep disorders found in patients with decompression sickness are more likely to occur in type 2 decompression sickness and may be found in the form of insomnia, hypersomnia, circadian rhythm disorders, obstructive sleep apnea, and narcolepsy. This review aims to discuss the pathophysiology of sleep disorders and decompression sickness as well as possible mechanisms underlying sleep disorders in decompression sickness through theoretical approaches and the results of available studies. In conclusion, decompression sickness-related sleep disorders are thought to involve two pathological conditions in the brain, namely structural lesions and dysfunction of the neurotransmitter system in the brain.
GANGGUAN NEUROPATI AKIBAT PENYELAMAN (NEUROPATHIC DISORDER AFTER UNDERWATER DIVING) Hunaifi, Ilsa; Harahap, Herpan Syafii; Landapa, Raditya Rachman; Ismiana, Baiq Holisatul; Ulfa Gea, Indah Ernanda; Wiracakra, I Gusti Lanang Krisna
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 8 No 2 (2025): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

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Abstract

Indonesia memiliki ribuan pulau. Hal ini berdampak pada meningkatnya kegiatan penyelaman bawah laut. Penyelaman yang tidak sesuai prosedur dapat menimbulkan gangguan kesehatan berupa penyakit dekompresi yang salah satunya mengakibatkan neuropati. Emboli gas nitrogen menimbulkan respons inflamasi sistemik yang dapat memicu kerusakan pada saraf perifer. Faktor risiko gangguan dekompresi antara lain kurang pengalaman dalam menyelam, melakukan penyelaman berulang kali dalam waktu yang sama, tidak mematuhi prinsip-prinsip penyelaman dan sering kali melakukan yo-yo diving. Gangguan saraf perifer yang dapat terjadi berupa sindroma terowongan carpal, neuropati nervus peroneus, neuropati nervus ulnaris, mononeuritis multiplex. Pemeriksaan elektrodiagnostik menunjukkan adanya demielinisasi yang ditandai dengan peningkatan kecepatan hantar saraf. Pemberian terapi hiperbarik oksigen sesuai standar Angkatan Laut Amerika (United State Navy Treatment) menjadi standar dalam pengobatan penyakit dekompresi disertai dengan pemberian terapi simptomatik dapat memperbaiki gejala gangguan saraf tepi. Kata kunci: dekompresi, emboli gas nitrogen, neuropati, penyelaman, saraf perifer DOI : 10.35990/mk.v8n2.p198-208
EDUKASI MENGENAI FAKTA DAN MITOS EPILEPSI DI POLI SARAF RUMAH SAKIT UNIVERSITAS MATARAM Wardi, Baiq Prita Riantiani; Harahap, Herpan Syafii; Putri, Setyawati Asih; Suryani, Dini; Fitriantoro, Santo; Putri, Siti Noururrifqiyati Juna; Landapa, Raditya Rachman; Linggabudi, I Gusti Bagus Widiamtara; Maharani, Amelia Wahyu; Syifa, R.R Ditya Mutiara; Anugrah, M. Fardi; Shafa C, Cloresta; Ismaya, Ferium Trah
Jurnal Abdi Insani Vol 12 No 1 (2025): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v12i1.1939

Abstract

Epileptic seizures have a significant negative impact on the lives of patients, especially those who frequently experience relapses due to low medication adherence. Epilepsy patients often face stigma and social discrimination. Misunderstandings and negative societal attitudes, influenced by myths surrounding epilepsy, can prevent patients from seeking treatment and living confidently. This community service activity aimed to provide information and education about epilepsy, covering topics from its definition to an in-depth discussion of myths and facts about the disease. The ultimate goal was to enhance the knowledge of patients, their families, and visitors at the neurology outpatient clinic of Mataram University Hospital. The activity was conducted through interactive counseling sessions using PowerPoint presentations. Participants completed a pre-test before the counseling session, followed by a question-and-answer discussion after the material was delivered, and concluded with a post-test. A total of 56 participants attended. Both pre-test and post-test consisted of five questions addressing basic knowledge about the definition of epilepsy, myths and facts, and appropriate actions when encountering an epileptic seizure. The average pre-test score was 68.57, while the average post-test score increased to 76.44 after the educational session and discussion. Effective communication, education, and information dissemination proved to be key solutions for improving participants' knowledge. These efforts are expected to help epilepsy patients avoid stigma, gain full support from family and their surroundings, ensure optimal treatment outcomes, and enable patients to live confidently. Effective education and communication are critical in improving understanding of epilepsy, reducing stigma, and fostering social support for epilepsy patients.
EDUKASI MENGENAI PENYAKIT ALZHEIMER PADA PENGUNJUNG POLI NEUROLOGI DI RSUD PROVINSI NUSA TENGGARA BARAT DAN RS UNIVERSITAS MATARAM fitriantoro, santo; Harahap , Herpan Syafii; Landapa, Raditya Rachman; Suryani, Dini; Wardi, Baiq Prita Riantiani; Putri, Siti Noururrifqiyati Juna; Anjani, Dewa Ayu Vania Novista; Fakar, Wina Arsylia; Wulandari, Rizka; Mawaddah, Alfia; Rahma, Elrica Nadia; Novsyaini, Zhayyin Palna Rial
Jurnal Abdi Insani Vol 11 No 4 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i4.2058

Abstract

Alzheimer’s disease is the most common form of dementia, characterized by progressive cognitive decline, affecting memory, thinking abilities, and behavior. Education about Alzheimer’s disease is crucial to raise awareness regarding early symptoms, risk factors, and appropriate management, especially among neurology clinic visitors who are at high risk. This study aims to evaluate the effectiveness of education about Alzheimer’s disease among visitors of the neurology clinics at the Provincial General Hospital of West Nusa Tenggara and Mataram University Hospital. Educational sessions were conducted at two locations: the Provincial General Hospital of West Nusa Tenggara and Mataram University Hospital. The sessions included visual presentations and Q&A sessions. The effectiveness of the education was assessed by comparing pre-test and post-test scores, which measured participants’ understanding of Alzheimer’s disease. The average post-test score at Mataram University Hospital increased to 88 from a pre-test score of 76. At the Provincial General Hospital of West Nusa Tenggara, the average post-test score increased to 72.3 from a pre-test score of 67.69. This improvement indicates that the educational sessions effectively enhanced participants’ understanding of Alzheimer’s disease. Educational sessions using presentations effectively increased the understanding of neurology clinic visitors regarding Alzheimer’s disease. There is a need for broader dissemination of information at various healthcare facilities to improve public awareness and promote early detection and better management of Alzheimer’s disease.
Klasifikasi dan Faktor Risiko Ruptur Aneurisma Intrakranial; Sebuah Tinjauan Pustaka Baiq Holisatul Ismiana; Putri, Setyawati Asih; Landapa, Raditya Rachman; Jacob, Lusye Diana
Lombok Medical Journal Vol. 4 No. 3 (2025): Lombok Medical Journal
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v4i3.7014

Abstract

Abstract: Intracranial aneurysms are cerebrovascular abnormalities resulting from structural weakness in the arterial wall, which may rupture and lead to aneurysmal subarachnoid hemorrhage (aSAH), a condition associated with high morbidity and mortality rates. The formation of aneurysms is a multifactorial process that culminates in degenerative changes within the vessel wall. Aneurysms are classified based on morphology (saccular, fusiform, dissecting), size (ranging from small to giant), and anatomical location. The mechanism underlying aneurysm rupture can be explained by the concept of wall shear stress (WSS) in cerebral vessels. Other critical risk factors for aneurysm rupture include aneurysm size and location. A thorough understanding of the classification and risk factors for aneurysm rupture is essential to improve preventive management strategies in clinical practice.
Patofisiologi Ensefalitis pada Rabies Wahyudi, Safat; Landapa, Raditya Rachman
Lombok Medical Journal Vol. 3 No. 2 (2024): Lombok Medical Journal Volume 3 Nomor 2
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v3i2.4527

Abstract

Rabies, disebabkan oleh Rabies Lyssavirus, virus neurotropik yang menargetkan neuron dan menyebar sepanjang sel saraf, menghasilkan disfungsi neuronal. Virus ini menunjukkan neurotropisme dan neuro-invasivitas yang kuat, menyebabkan manifestasi neurologis yang parah. Penularan penyakit ini biasanya melalui gigitan hewan yang terinfeksi, memungkinkan virus masuk ke dalam tubuh dan bereplikasi sebelum mencapai otak atau medula spinalis. Rabies muncul dalam dua bentuk yang berbeda, yaitu ensefalitik dan paralitik, dengan rabies ensefalitik lebih umum dan ditandai dengan gejala klasik seperti hidrofobia dan aerofobia. Tanda-tanda awal dapat mencakup kesemutan pada anggota tubuh tanpa gangguan kognitif. Pemahaman terhadap patofisiologi serta interaksi antara virus Rabies dan host, antara lain mekanisme masuknya virus, replikasi, dan penyebaran dalam sistem saraf sangat penting untuk menjelaskan tentang proses perjalanan penyakit, termasuk perubahan perilaku yang terjadi. Pencegahan rabies melibatkan vaksinasi yang tepat waktu setelah paparan, sementara pengobatan pasca-infeksi yang adekuat hingga saat ini masih menjadi tantangan.
Co-Authors Afif, Zamroni Anjani, Dewa Ayu Vania Novista Anugrah, M. Fardi Baiq Holisatul Ismiana Dini Suryani, Dini Fakar, Wina Arsylia Fitriantoro, Santo Gea, Endah Irnanda Ulfa Harahap , Herpan Syafii Herpan Syafii Harahap Ilsa Hunaifi, Ilsa Indrayana, Yanna Ismaya, Ferium Trah Ismiana, Baiq Holisatul Jacob, Lusye Diana Linggabudi, I Gusti Bagus Widiamtara Maharani, Amelia Wahyu Mawaddah, Alfia Novsyaini, Zhayyin Palna Rial Putri, Setyawati Asih Putri, Siti Noururrifqiyati Juna Rahma, Elrica Nadia Shafa C, Cloresta Syifa, R.R Ditya Mutiara Ulfa Gea, Indah Ernanda Wahyudi, Safat Wardi, Baiq Prita Riantiani Wiracakra, I Gusti Lanang Krisna Wulandari, Rizka