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All Journal Jurnal MedScientiae Jurnal Kedokteran Meditek
Febrian, Reynard
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Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Aplikasi Klinis Repetitive Transcranial Magnetic Stimulation (rTMS) pada Disfagia Neurogenik – Studi pada Stroke Iskemik Akut Febrian, Reynard
Jurnal Kedokteran Meditek Vol 29 No 3 (2023): SEPTEMBER
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v29i3.2901

Abstract

Disfagia paska-stroke mengakibatkan gangguan fungsi menelan karena terjadinya ketidakseimbangan koordinasi otot-otot menelan perifer dan regulasi sentral. Disfagia menyebabkan komplikasi berupa aspirasi, malnutrisi, hingga kematian. Studi menunjukkan bahwa penggunaan rTMS pada disfagia memberikan luaran klinis yang baik. Laki-laki 55 tahun; lemah separuh tubuh sisi kanan, bicara pelo, dan sulit menelan dengan onset 15 jam. Pasien memiliki riwayat stroke 1 bulan yang lalu dengan lemah separuh tubuh sisi kiri. Pemeriksaan fisik didapatkan hipertensi, GCS E4M6Vx, afasia motorik, parese nervus kranial VII dan XII dekstra tipe sentral, hemiparese dupleks dengan kekuatan 3 pada kedua ekstremitas kanan dan 2 pada kedua ekstremitas kiri. Hipertonus, peningkatan refleks, serta refleks patologis positif pada keempat ekstremitas. Pemeriksaan computed tomography (CT) scan kepala non-kontras, menunjukkan infark serebri bilateral. Pasien mendapatkan tata laksana anti-platelet, neuroprotektor, fisioterapi, dan 5 siklus rTMS. Setelah dilakukan 5 siklus rTMS, didapatkan perbaikan fungsi menelan, yang ditunjukkan dengan perubahan skor National Institutes of Health Stroke Scale (NIHSS) dari 18 menjadi 12, skor brief bedside dysphagia screening test-revision (BBDST) dari 8 menjadi 4, dan skor modified water swallowing test (MWST) dari 1 menjadi 5. Penggunaan rTMS terbukti memberikan luaran klinis yang baik pada disfagia neurogenik akibat stroke iskemik akut.
INSIDENSI NYERI PUNGGUNG BAWAH PADA TENAGA KESEHATAN DI RUMAH SAKIT INDONESIA : Tinjauan Pustaka Tan, Ashley Juan; Sakasasmita, Steven; Febrian, Reynard
Jurnal MedScientiae Vol. 4 No. 3 (2025): Desember
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v4i3.3979

Abstract

Low Back Pain (LBP) is one of the most common musculoskeletal complaints among healthcare workers, potentially reducing productivity and the quality of hospital services. In Indonesia, data regarding the incidence of LBP among healthcare workers remains limited.This study is a systematic literature review following the PRISMA 2020 guidelines. Articles were retrieved from Google Scholar and Garuda databases, focusing on publications from 2016 to 2025. Inclusion criteria consisted of studies discussing LBP among healthcare workers in Indonesian hospitals. Case reports, cohort studies, meta-analyses, and narrative reviews were excluded. A total of 1,110 articles was identified, and after the selection process, 10 articles met the criteria. The majority of studies used a cross-sectional method and questionnaire instruments to measure the incidence and risk factors of low back pain (LBP). The average incidence of LBP among healthcare workers, particularly nurses, identified the main risk factors as age, gender, years of service, working hours, and working posture. It was estimated around 37,3% to 86,6% case of LBP incidence among healthcare workers in Indonesia. Preventive measures, such as ergonomic education and workplace modifications, are recommended to reduce the risk and negative impacts of LBP in hospital settings.  
Co-Authors Sakasasmita, Steven Tan, Ashley Juan