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GAMBARAN PEMERIKSAAN BRAINSTEM AUDITORY EVOKED POTENTIAL PADA PEKERJA TERPAJAN BISING DAN GETARAN Nova Dian Lestari*, Manfaluthy Hakim*, Fitri Octaviana*, Widayat Alviandi**,Joedo Prihartono***
NEURONA Vol 28 No. 1 Oktober 2010
Publisher : Neurona Majalah Kedokteran Neuro Sains

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INTRODUCTION NOISE AND VIBRATION ARE BELIEVED TO HAVE A SYNERGY EFFECT WHICH CREATES HEARING PROBLEMS THE EXPERIMENTAL RESEARCH FOUNDS THAT NOISEINDUCED HEARING DISORDERS NOT ONLY DAMAGE THE HAIR CELLS WHICH FUNCTION AS HEARING RECEPTOR BUT ALSO CAUSED NEURAL DEGENERATION IN THE AUDITORY PATHWAYS NOT MUCH ATTENTION IS GIVEN TO THE NOISEINDUCED AUDITORY PATHWAYS DISORDERS NOWADAYS BRAINSTEM AUDITORY EVOKED POTENTIAL BAEP EXAMINATION IS ONE OF MODALITIES WHICH CAN BE USED TO ASSESS THE AUDITORY PATHWAYS FUNCTIONAL DISORDERS
EVALUASI BLOK SENDI FASET LUMBAL PADA NYERI PUNGGUNG BAWAH KRONIK AKIBAT KELAINAN SENDI FASET Dessy Rakhmawati Emril,* Devi Inkha,* Endang Mutiawati,* Nova Dian Lestari,* Thomas Eko Purwata**
NEURONA Vol. 33 No. 3 Juni 2016
Publisher : Neurona Majalah Kedokteran Neuro Sains

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Abstract

INTRODUCTION CHRONIC LOW BACK PAIN LBP REMAINS THE IMMENSE PROBLEM FACED BY DOCTORS NOWADAYS LUMBAR FACET JOINT HAS BEEN SHOWN AS THE SOURCE OF CHRONIC PAIN IN 21 TO 41 OF LOW BACK PAIN PATIENTS
HEMICHOREAHEMIBALISMUS DENGAN HIPERGLIKEMIA NONKETOTIK PADA STROKE ISKEMIK AKUT Safridawati,* Hidayaturrahmi,*Natasya Wanda,* Nova Dian Lestari,* Syahrul*
NEURONA Vol. 37 No. 2 Maret 2020
Publisher : Neurona Majalah Kedokteran Neuro Sains

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Abstract

HCHB ASSOCIATED WITH NONKETOTIC HYPERGLYCEMIA IN ACUTE ISCHEMIC STROKE IS A WELLRECOGNIZED SYNDROME CHARACTERIZED BY THE SUDDEN OCCURRENCE OF HEMICHOREA OR MORE SEVERE EXPRESSION LIKE HEMIBALLISM THE HYPERKINETIC MOVEMENTS INVOLVE THE FACE ARM OR LEG HCHB IN ACUTE ISCHEMIC STROKE IS A MOVEMENT DISORDER THAT IS RARELY REPORTED WITH HYPERKINETIC MOVEMENT
ANALISIS PROPERTI PSIKOMETRI INTERNALIZED STIGMA OF EPILEPSY VERSI INDONESIA Nova Dian Lestari,* Endang Mutiawati,* Etti Rahmawati,** Fitri Octaviana,*** Adang Bachtiar,**** Sya
NEURONA Vol 34 No. 2 Maret 2017
Publisher : Neurona Majalah Kedokteran Neuro Sains

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INTRODUCTION EPILEPSY IS STILL STIGMATIZING MEDICAL CONDITION WORLDWIDE STIGMA AFFECTS THE OUTPUT DETERIORATION SUCH AS SOCIAL ISOLATION UNEMPLOYMENT LACK OF OPPORTUNITY TO MARRY AND BECOMES A BARRIER FOR SEEKINGTREATMENT THERE HAS NOT BEEN ANY SCIENTIFIC DATA ON THE PERCEIVED LEVEL OF INTERNAL STIGMA OF EPILEPSY PATIENTS IN INDONESIA AN ACCURATE AND SIMPLE INSTRUMENT IN INDONESIAN VERSION IS NECESSARY TO DETECT THE LEVEL OF PERCEPTION OF INTERNAL STIGMA IN EPILEPSY PATIENTS
UJI AKTIVITAS ANTIBAKTERI EKSTRAK ETANOL KELOPAK BUNGA ROSELLA (Hibiscus sabdariffa L.) TERHADAP Streptococcus pyogenes SECARA IN VITRO Yoo Soo Ji; Nova Dian Lestari; Tristia Rinanda
Jurnal Kedokteran Syiah Kuala Vol 12, No 1 (2012): Volume 12 Nomor 1 April 2012
Publisher : Universitas Syiah Kuala

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Abstract

Abstrak. Penyakit infeksi merupakan penyebab utama kematian di dunia terutama di daerah tropis, seperti Indonesia. Salah satu penyebab penyakit infeksi adalah bakteri Streptococcus pyogenes. Pengobatan penyakit akibat infeksi bakteri menggunakan antibiotik banyak menimbulkan resistensi dan efek samping, sehingga saat ini dikembangkan fitofarmaka yang memiliki potensi tinggi sebagai antibiotik. Salah satu tanaman yang secara empiris banyak digunakan untuk pengobatan adalah Rosella (Hibiscus sabdariffa L.). Tujuan dari penelitian ini adalah untuk mengetahui aktivitas antibakteri ekstrak etanol kelopak bunga Rosella terhadap Streptococcus pyogenes. Kelopak bunga Rosella diekstraksi dengan menggunakan pelarut etanol 96% dengan metode maserasi. Penelitian ini menggunakan Rancangan Acak Lengkap yang terdiri dari 6 kelompok perlakuan yaitu konsentrasi ekstrak 5%, 10%, 20% ,30%, kontrol positif (Ampisilin 10 µg) dan kontrol negatif (akuades steril), dengan 4 kali pengulangan uji aktivitas antibakteri dilakukan dengan metode difusi cakram Kirby-Bauer. Hasil penelitian menunjukkan bahwa ekstrak etanol bunga Rosella memiliki aktivitas antibakteri pada konsentrasi 5%, 10%, 20% dan 30% terhadap Streptococcus pyogenes dengan diameter zona hambat rata-rata berturut-turut 7,13 mm, 8,4 mm, 10,2 mm, 13,3 mm. Hasil analisis data dengan menggunakan Analysis Of Variance (ANOVA) dan dilanjutkan dengan Uji Beda Nyata Jujur/BNJ (p 0,05) menunjukkan bahwa ekstrak etanol kelopak bunga Rosella memiliki aktivitas antibakteri yang nyata terhadap Streptococcus pyogenes dan semakin tinggi konsentrasi, semakin luas zona hambat yang terbentuk.Abstract. Infectious diseases are the main cause of  death in the world, especially in the tropics, such as Indonesia. One cause of disease is a bacterial infection by Streptococcus pyogenes. Treatment of diseases caused by bacterial infection using antibiotics cause a lot of resistance and side effects, so this requires a new product that has great potential as antibiotics. One of the many plants that are empirically used for treatment is Roselle (Hibiscus sabdariffa L.). The aim of this study is to determine the antibacterial activity of Roselle calyx extract against Streptococcus pyogenes. Roselle calyx was extracted by ethanol 96% with maceration method. This study conducted by Completely Randomized Design consists of 6 treatment groups consists of extract with concentration 5%, 10%,   20%, 30%, positive control (Ampicillin 10 µg) and negative control (sterile aquades) with 4 times repeititions. Antibacterial test performed by Kirby-Bauer disk diffusion method. The ethanol extract of Roselle calyx with concentration of 5%, 10%, 20% and 30% showed antibacterial activity. The average inhibition zone respectively were 7,125 mm, 8,4 mm, 10,2 mm, 13,3 mm against Streptococcus pyogenes. The result of this study were analyzed by Analysis Of Variance (ANOVA) and followed by Honestly Significant Difference (HSD) Test (p 0,05). The test showed that ethanol extract of Roselle calyx have a significant antibacterial activity against Streptococcus pyogenes and the higher concentration, the more extensive inhibition zone formed.
Praktik Tim dan Kerjasama Tim Antar Profesional Pemberi Asuhan dalam Implementasi Interprofessional Collaboration di RSUD Meuraxa Kota Banda Aceh Sri Wahyuni; Nova Dian Lestari; Nurjannah Nurjannah; Dedy Syahrizal
Jurnal Kedokteran Syiah Kuala Vol 21, No 3 (2021): Volume 21 Nomor 3 Desember 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i3.20714

Abstract

Pendahuluan: Praktik Interprofessional Collaboration (IPC) merupakan bentuk kerjasama antar tenaga kesehatan yang dilakukan secara kolaboratif untuk memastikan asuhan pasien berjalan secara optimal dan berkesinambungan. Profesional Pemberi Asuhan (PPA) dengan profesi dan keilmuan yang berbeda dituntut untuk bisa berkontribusi secara individu maupun dalam tim. Penelitian ini bertujuan untuk mengetahui gambaran praktik tim dan kerjasama tim antar PPA dalam implementasi Interprofessional Collaboration di RSUD Meuraxa Kota Banda Aceh.Metode: Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi menggunakan metode in-depth interview dan Focus Group Discussion (FGD). Data direkam, ditranskripsi kemudian dianalisis menggunakan analisis tematik. Informan penelitian ini sebanyak 12 orang PPA yang terdiri dari Dokter Penanggung Jawab Pasien (DPJP), perawat, apoteker, dan dietisien. Penelitian dilakukan di RSUD Meuraxa Kota Banda Aceh selama bulan Juni-Juli tahun 2020.Hasil: Hasil penelitian menggambarkan bahwa tim dan kerjasama tim secara interprofessional di RSUD Meuraxa belum efektif. Kegiatan visite bersama yang melibatkan keempat profesi belum pernah dilakukan. Profesi apoteker dan dietisien yang dibutuhkan dalam melakukan kolaborasi tidak cukup dari segi kuantitas. Perawat sesuai kompetensi klinis dalam melaksanakan kolaborasi belum sesuai. PPA belum memahami konsep IPC dengan baik sehingga dominansi kerjasama tim dilakukan oleh profesi dokter-perawat.Diskusi: Rumah Sakit harus melakukan tela’ah staf untuk menyediakan dan mendistribusikan PPA yang cukup secara kuantitas maupun kualitas sesuai kebutuhan kolaborasi. Sosialisasi tentang regulasi dan pelaksanaan Interprofessional Collaboration perlu dilakukan secara berkala agar PPA memahami konsep IPC dengan baik.
SCN1A exon 26 variants in epilepsy and migraine patients Nova Dian Lestari; Endang Mutiawati; Ahmad Hamim Sadewa; Hasan Sjahrir; . Syahrul; Dessy Rakhmawati Emril; . Harapan
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 4 (2018)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (331.556 KB) | DOI: 10.19106/JMedScie/005004201806

Abstract

Epilepsy and migraine are common neurological diseases in many populations. Mutation of the voltage gated natrium channel Nav1.1 (SCN1A) are important causes of different genetic epilepsies and can also cause familial hemiplegic migraine (FHM-III). This study aimed to identify SCN1A gene variation in patients with epilepsy and common migraine. Gene variation analysis of exon 26 of the SCN1A gene was carried out in 33 patients with epilepsy, 33 patients with migraine and 30 control individuals from Neurology Polyclinic at Dr. Zainoel Abidin General Hospital, Banda Aceh. The PCR and direct sequencing methods were performed in this study. SCN1A gene variations were identified in two epilepsy patients. These gene variations located at exon 26 were four silent mutations in patient E27 at position A4440T (Leu1480Leu), T4443C (Leu1481Leu), A5046G (Leu1682Leu) and C5121T (Asp1707Asp). One silent mutation in patient E30 at position G5505A (Glu1835Glu). None of these gene variations were identified in controls and patients with common migraine in this study. This study has identified 5 genetic variations of SCN1A in patients with epilepsy but not in common migraine. The mechanism and relationship between these variants and epilepsy need to be clarified.
COMMUNICATION OF PROFESSIONAL CAREGIVERS IN ESTABLISHING INTERPROFESSIONAL COLLABORATION AT MEURAXA HOSPITAL, BANDA ACEH Sri Wahyuni; Nova Dian Lestari; Dedy Syahrizal
Indonesian Journal of Health Administration Vol. 9 No. 2 (2021): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i2.2021.110-123

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Background: Interprofessional collaboration for patient care is integrated cooperation between health workers in ensuring optimally consecutive patient care. Interprofessional decisions should be made in two ways between professional caregivers.Aims: This study aimed to analyze communication between professional caregivers in establishing interprofessional collaboration at Meuraxa District General Hospital in Banda Aceh.Method: This study was qualitative research and used a phenomenological approach. In-depth interviews and FGD were conducted with professional caregivers consisting of doctors in charge, nurses, pharmacists, and dietitians. All of the in-depth interviews and FGD were recorded and transcribed. Data obtained were analyzed thematically.Results: Communication between professional caregivers in establishing interprofessional collaboration at the hospital had not been well-performed. Overall, they had not optimally utilized integrated patient progress records as they focused on taking care of their patients individually. They also lacked literacy about the information in the records. Inadequate time in serving patients and the insufficient number of human resources were presumed to hamper interprofessional communication.Conclusion: Promoting interprofessional collaboration and effective communication regularly is required by the hospital management. They also need to evaluate the sufficiency of human resources, especially pharmacist positions. Besides, they can formulate supervision and evaluation systems of interprofessional communication between professional caregivers. Keywords : communication, integrated patient progress record, interprofessional collaboration, professional caregivers
The Clinical Characteristics of Patients with Embolic Strokes among Indonesian Subjects Syahrul; Imran; Farida; Suherman; Nasrul Musadir; Nurul Fajri; Endang Mutiawati; Nova Dian Lestari
Britain International of Exact Sciences (BIoEx) Journal Vol 2 No 3 (2020): Britain International of Exact Sciences Journal, September
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v2i3.296

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Stroke accounts for 10% of the world's deaths and causes severe long-term disabilities. Twenty-six million people world wide experience a stroke each year. Two-thirds represents cerebral ischemia. Age, a history of stroke or transient ischemic attack, hypertension, diabetes and heart failure characterize a stroke. Early detection with a proper treatment could improve clinical outcomes in such cases.
Comparison Analysis of Real Costs with Ina-CBG Rate's Ischemic Stroke Disease in Installations in Regional Public Hospitals X in Banda Aceh 2019 Mulyanti Mulyanti; Irwan Saputra; Maimun Syukri; Nurjannah Nurjannah; Nova Dian Lestari
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 3, No 3 (2020): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v3i3.1203

Abstract

The government health financing system paid for hospital using the INA-CBG’s method. Stroke is the third most common cause of death after heart disease and cancer and stroke rank first as a cause of disability. Thus, the treatment of strokes due to disability and recurrent strokes requires a fairly high maintenance cost. Results: The total cost of ischemic stroke in 345 hospitalized cases with a total real cost was IDR 2.800.210.362 and a total cost of INA-CBG's of IDR 2.830.254.600.This has a significant difference, as well as severity levels and comorbidities. There is a difference between the real hospital rates and INA-CBG’s rates with a value of P = 0,000. The cost of caring for ischemic stroke patients the most cost was accommodation (22%). Conclusion: There is a difference between the real hospital costs and the INA-CBG’s rates for ischemic stroke patients at X Hospital, this is because there is still a negative difference associated with severity level, type of comorbid, length of stay and class of care.