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Universa Medicina
Published by Universitas Trisakti
ISSN : 19073062     EISSN : 24072230     DOI : -
Core Subject : Health, Science,
Universa Medicina (univ.med) is a four-monthly medical journal that publishes new research findings on a wide variety of topics of importance to biomedical science and clinical practice. Universa Medicina Online contains both the current issue and an online archive that can be accessed through browsing, advanced searching, or collections by disease or topic
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Articles 4 Documents
Search results for , issue " Vol 28, No 1 (2009)" : 4 Documents clear
Risk factors of intracranial stenosis among older adults with acute ischemic stroke Pinzon, Rizaldy; Asanti, Laksmi; Sugianto, Sugianto; Widyo, Kriswanto
Universa Medicina Vol 28, No 1 (2009)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2009.v28.1-7

Abstract

Intracranial large artery atherosclerosis is an important cause of stroke worldwide. Previous studies have shown that it is found more commonly in Asians. However, studies of intracranial stenosis in Indonesian stroke patients have been very few in number. The aim of this cross-sectional study was to determine the frequency and risk factors of intracranial stenosis in acute ischemic stroke. The data were obtained from 234 consecutive patients in the transcranial doppler (TCD) registry. Documentation of risk factors was performed systematically and for TCD sonography TD-DOP 9000 equipment with a 2-MHz probe was used for the examination of the intracranial circulation. The criteria of middle cerebral artery (MCA) stenosis used in this study were a peak systolic velocity (PSV) >140 cm/s or mean systolic velocity (MSV) >80 cm/s. For stenosis of the posterior circulation the criteria were PSV > 90 cm/s or MSV >60 cm/s. The data were obtained from 234 patients, and complete examinations were performed in 182 patients (77.7%). Ischemic stroke is the most common indication for performing TCD sonography. Stenosis was present in 38% of cases, with stenosis iof the anterior circulation being the more common. The most frequent risk factors were hypertension, dyslipidemia, and diabetes. Intracranial stenosis is common in stroke patients, in whom the risk factors are hypertension and diabetes.
Restless legs syndrome and impact on work performance Samara, Diana
Universa Medicina Vol 28, No 1 (2009)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2009.v28.42-48

Abstract

Restless legs syndrome (RLS) is a neurological sensorimotor disorder characterized by unpleasant sensations in the legs and an uncontrollable urge to move them for relief. The RSL prevalence in the general population is 0.1% - 11.5%, and increases with age, with the highest effect of producing a primary sleep disorder (70%-80%). Women appear to be at increased risk, as do individuals with certain chronic conditions, including renal failure and anemia. The pathophysiology of RLS is incompletely understood, but it probably results from derangements in dopamine and iron metabolism, and has a genetic component. RSL could be idiopathic or secondary (usually related with iron deficiency, terminal renal failure, pregnancy, and spinal cord lesions). RLS patients usually have sleep disorders, so the disease can cause difficulties and problems in occupational and social life. Subjects with RLS symptoms appear to experience significantly more daytime problems, including being late for work, making errors at work, or missing work because of sleepiness. The diagnosis of RLS is made by following the criteria of the International Restless Legs Syndrome Study Group (IRLSSG). Pharmacologic RLS therapy, in which dopaminergic drugs constitute the first line, is effective and may have a dramatic effect on symptoms and quality of life. Identifying and treating RLS may improve sleep quality, daytime function and work performance.
Novel swine origin influenza a (H1N1) virus in humans Merijanti, Lie T.
Universa Medicina Vol 28, No 1 (2009)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2009.v28.i-ii

Abstract

In March and early April 2009, while much of the world was focusing on the threat of avian influenza originating in Asia, intelligence gathering systems were also extracting evidence of an epidemic of acute respiratory infections in Mexico and southern California. Although the exact sequence of events is uncertain, the Centers for Disease Control and Prevention (CDC) had confirmed the presence of a novel reassortment of Influenza A strain H1N1 from avian, swine, and human strains. On 25 April 2009, The World Health Organization (WHO) declared the swine flu outbreak in North America a public health emergency of international concern. On 29 April 2009, the International Health Regulations emergency committee recommended a change from WHO pandemic influenza phase 4 to phase 5. This means that WHO views a pandemic as imminent. WHO and the CDC have confirmed that the new swine flu virus is transmitted between humans.
Body mass index and quality of life among the elderly Kusumaratna, Rina K.; Hidayat, Adi
Universa Medicina Vol 28, No 1 (2009)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2009.v28.34-41

Abstract

Obesity in many countries is a major public health problem. The health problems associated with an increase in the proportion of elderly in the population are further compounded by the increasing prevalence of obesity and overweight in older people. The aimed of this study was to explore any difference of quality of life (QOL) attributable body mass index (BMI) categories using the WHOQOL-BREF instruments. An observational cross-sectional study was conducted in Mampang Prapatan district, South Jakarta. A total of 296 free-living elderly aged 60 years and above were participated in this study. BMI was calculated as the weight (kg) divided by the square of the height (m2). Quality of life was measured by WHOQOL-BREF questionnaire in the Indonesian language version. The results showed that the percentage of overweight subjects was 27.5% in male and 22.2% in female elderly, while the percentage of obese subjects was respectively 8.3 and 13.2.1% respectively. In males, the mean scores on each domain of the QOL were higher compared with females. The significant differences were in social relationship (p=0.000) and environment (p=0018) domains. Among male and female elderly the highest mean scores of each domain of QOL was observed in the environment domain, and mean scores of the environment domain was significantly higher in males compare with females (p=0.018). The results have practical implications for the health of older persons because they show that the overweight have a worse score in two QOL domains, namely psychological health and environment.

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