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Universa Medicina
Published by Universitas Trisakti
ISSN : 19073062     EISSN : 24072230     DOI : -
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
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
Arjuna Subject : -
Articles 4 Documents
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Search results for , issue " Vol 28, No 2 (2009)" : 4 Documents clear
Homocysteine and cognitive function in the elderly Pusparini, Pusparini
Universa Medicina Vol 28, No 2 (2009)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2009.v28.106-116

Abstract

Dementia is prevalent among elderly people, and projections show that the number of affected might triple over the next 50 years, because of a large increase in the oldest segment of the population. The objective of this study was to investigate the relationship between cognitive function and serum homocysteine level. This study was a cross-sectional study carried out in Mampang district, South Jakarta. A total of 94 elderly people was recruited for this study consisting of 44 females and 50 males. In this study serum homocysteine level was assessed by fluorescent polarization immunoassay and cognitive function with the mini mental state examination (MMSE). In elderly women MMSE scores for plasma homocysteine concentrations of <11.7 mmol/L, 11.7-14.9 mmol/L and >14.9 mmol/L were 24.00 ± 3.68, 23.80 ± 6.51, and 20.80 ± 9.00 respectively, with p=0.000. In elderly men the MMSE scores for plasma homocysteine concentrations of <11.7 mmol/L, 11.7-14.9 mmol/L and >14.9 mmol/L were respectively 27.66 ± 2.06, 26.33 ± 3.79 and 24.03 ± 5.52 with p=0.008. Homocysteine concentrations of >14.9 mmol/L were more commonly found in males (66%) than in females (22.70%). The results of a regression analysis indicated that the factors influencing cognitive function were level of education (p=0.001) and age (p=0.035), whereas gender and homocysteine concentration did not affect cognitive function (p=0.554 and p=0.714, respectively). Plasma homocysteine concentration was inversely related to cognitive function. The most important factors affecting cognitive function were level of education and age.
The polypill: the solution for prevention of coronary heart disease? Natadidjaja, Hendarto
Universa Medicina Vol 28, No 2 (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 Western countries, cardiovascular disease is the most common cause of death and it is expected that it will continue to be so in the near future.(1) If the resulting physical impairment and psychosocial disturbances are also taken into account, clearly this is a serious problem from the viewpoint of productivity, quality of life, as well as community health level. Therefore the institution of preventive measures is an important issue. Unfortunately, however, currently preventive measures that are effective, safe, and at the same time practical and economical, are almost nonexistent.
Gastrointestinal symptoms and sleep disturbance in female nurses Samara, Diana
Universa Medicina Vol 28, No 2 (2009)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2009.v28.100-105

Abstract

Sleep disturbance is a common symptom in the general population. An association between sleep disturbances and functional gastrointestinal (GI) disorders has been reported by several investigators. GI symptoms are more common among people with sleep disturbance in female nurses. To explore this issue further, a study using a cross sectional design was conducted to determine whether unexplained GI symptoms are more common in female nurses with self-reported sleep disturbance. This study was conducted from February through April 2007 in Hospital X in Central Jakarta. A total of 152 female nurses participated in this study. A questionnaire consisting mainly of items concerning sleep disturbance was distributed to the subjects. Significant associations were observed between gastrointestinal symptoms such as anorexia and constipation and sleep disturbance. Constipation was significantly more common in female nurses with sleep disturbance (prevalence ratio=6.1;95% C.I. 1.76 – 20.56), but the association between shift work and sleep disturbance was not statistically significant (prevalence ratio=1.67;95% C.I. 0.53-5.24). Both constipation and anorexia are more prevalent in female nurses with self-reported sleep disturbance. Further research to understand the associations between GI symptoms and sleep disturbance is warranted.
A retrospective study of spontaneous intracranial hemorrhage Wahjoepramono, Eka J.
Universa Medicina Vol 28, No 2 (2009)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2009.v28.69-76

Abstract

Spontaneous intracerebral hemorrhage (SICH) is a serious disease despite progressing medical knowledge. SICH appears suddenly without warning, unlike ischemic strokes that are often preceded by a transient ischemic attack. Outcome is determined by the initial severity of the bleeding; mortality and morbidity of SICH are high. The aim of this study was to describe the characteristics of type, location, and outcome of SICH. A retrospective review was conducted on the records of 2042 cases admitted to a private hospital in Karawaci, Tangerang, between 1 January 1996 to 31 December 2008. Analysis was done on type, location, and the final outcome measures by the Glasgow Outcome Scale (GOS). The results of the study showed that the most prevalent type of SICH was hypertensive stroke, amounting to 1698 cases (83.1%), and the least commonly encountered type was dural fistula totaling  5 cases (0.3%). SICH due to hypertensive stroke frequently occurred in the basal ganglia (50.8%) comprising the putamen, caudate nucleus and globus pallidus. On average, the outcome at the time of dismissal was good, where 105 cases (88.2%) were GOS 4 and 5. SICH requires prompt and appropriate management. Therefore the signs and symptoms of intracranial hemorrhage should be promptly recognized and followed by appropriate ancillary examinations in order to promptly determine the management required, including possible surgical interventions.

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