Medica Hospitalia : Journal of Clinical Medicine最新文献

{"title":"Efek Penambahan Latihan Penguatan dengan Resistance Band terhadap Keseimbangan Fungsional Lansia yang Mendapat Latihan Keseimbangan","authors":"Debora Olivia Gunawan, Lanny Indriastuti, Rahmi Isma","doi":"10.36408/mhjcm.v9i3.670","DOIUrl":"https://doi.org/10.36408/mhjcm.v9i3.670","url":null,"abstract":"LATAR BELAKANG : Proses penuaan akan menyebabkan perubahan anatomik maupun penurunan fungsi dari berbagai sistem organ. Pada penuaan terjadi gangguan keseimbangan yang dapat menyebabkan jatuh yang diakibatkan oleh adanya penurunan fungsi pada sistem sensorik maupun motorik. Latihan keseimbangan direkomendasikan untuk meningkatkan keseimbangan lansia dan mencegah timbulnya jatuh. Penelitian ini dilakukan di Paguyuban Lansia Melati 7 Karangasem, Laweyan, Surakarta.\u0000TUJUAN : Mengetahui apakah penambahan latihan penguatan dengan Resistance Band dapat meningkatkan keseimbangan fungsional lansia yang mendapat latihan keseimbangan.\u0000METODE : Metode penelitian ini adalah quasi eksperimental Populasi adalah lansia sehat. 24 subjek lansia yang memenuhi kriteria penelitian dibagi secara acak dengan undian menjadi kelompok Latihan keseimbangan (n=12) dan kelompok Latihan keseimbangan + Resistance Band (n=12). Kedua kelompok mendapatkan latihan tiga kali seminggu selama lima minggu. Keseimbangan diukur sebelum dan setelah intervensi dengan menggunakan Berg Balance Scale (BBS). Inform konsen diberikan pada tanggal 11 September 2020.\u0000HASIL: Terdapat penambahan skor BBS sebelum dan sesudah intervensi pada kelompok Latihan keseimbangan (p=0,047), dan pada kelompok Latihan keseimbangan + Resistance Band (p=0,016). Perbandingan antar kelompok tidak menunjukkan perbedaan signifikan pada rerata peningkatan skor BBS (p=0,882), namun terdapat peningkatan skor BBS yang lebih tinggi pada kelompok Latihan keseimbangan + Resistance Band.\u0000KESIMPULAN : Penambahan latihan penguatan dengan Resistance Band pada latihan keseimbangan tidak berpengaruh secara statistik terhadap peningkatan keseimbangan fungsional lansia.\u0000KATA KUNCI : Keseimbangan fungsional, lansia, latihan keseimbangan, latihan penguatan, resistance band","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115513619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Full Text Volume 9 Nomor 3 November 2022","authors":"Kariadi General Hospital","doi":"10.36408/mhjcm.v9i3.868","DOIUrl":"https://doi.org/10.36408/mhjcm.v9i3.868","url":null,"abstract":"Full Text Volume 9 Nomor 3 November 2022","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123652026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential Of Kenikir (Cosmos Caudatus Kunth) Leaves Essential Oil Against Candida Albicans Atcc 10231 In Vitro","authors":"Siti Zainatun Wasilah, Ratih Hardisari, B. Martono, Wahyu Adi Pratama","doi":"10.36408/mhjcm.v9i3.803","DOIUrl":"https://doi.org/10.36408/mhjcm.v9i3.803","url":null,"abstract":"BACKGROUND : Kenikir is a medicinal plant whose leaves are often consumed as vegetables. Kenikir leaves contain active compounds such as flavonoids, polyphenols, saponins, tannins, alkaloids and essential oils. These compounds are thought to be able to inhibit the growth of Mycobacterium tuberculosa and Candida albicans ATCC 10231 strains\u0000OBJECTIVE : The purpose of this study was to describe the effect of kenikir leaf essential oil on the growth of the Candida albicans ATCC 10231 strains. with 4 concentrations and 6 repetitions in Candida albicans and the concentration of kenikir leaf essential oil concentration of 0.5%, 1%, 1.5%, 2%,\u0000METHOD : This type of research is a pure experimental research by providing treatment in the form of giving essential oil of kenikir leaves with various concentrations on the growth of the Candida albicans ATCC 10231 strains. The inhibition test of kenikir leaf essential oil on the growth of the  Candida albicans ATCC 10231 strains was carried out using the Kirby Bauer disk diffusion method. The research design used is Post Test Only with Control Group Design.Data obtained in the form of inhibition zone diameter, were analyzed using Variant Analysis (Anova), P£ 0,05 and continued with Post Hoc test. \u0000RESULT : The results showed that 0.5% essential oil concentration had a inhibition zone of 9.67 mm (moderate criteria); essential oil concentration of 1% with a inhibition zone of 9.72 mm with criteria moderate and 1.5% concentration with inhibition zone 11.86% with strong criteria and concentration 2% with inhibition zone 12.67 mm with strong criteria all concentrations affect the growth of Candida albicans  with the most optimal concentration of 2% for the Candida albicans ATCC 10231 strains. \u0000CONCLUSION : The higher the concentration of kenikir leaf extract, the inhibitory effect on the growth of Candida albicans ATCC 10231 strains was also higher.\u0000KEYWORDS : Cosmos caudatus Kunth, Candida albicans ATCC 10231 strains, diameter of the inhibition zone","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129592345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cut-Off Kadar Insulin Like Growth Factor-1, Leptin dan Adiponektin Darah Tali Pusat Pada Bayi Berat Lahir Rendah","authors":"M. Mexitalia, P. Perdani, Epriyan Saputra, Gatot Irawan Saputra","doi":"10.36408/mhjcm.v9i3.765","DOIUrl":"https://doi.org/10.36408/mhjcm.v9i3.765","url":null,"abstract":"LATAR BELAKANG : Insulin-like  Growth Factor-I (IGF-I) berperan dalam pertumbuhan janin terutama pada usia kehamilan lanjut. Adiponektin dan leptin berhubungan dengan depot adipose dalam modulasi metabolisme dan homeostasis energi. Ketiga hormon tersebut memiliki peran penting pada pertumbuhan janin.\u0000TUJUAN : Untuk mengetahui nilai cut off kadar IGF-1, leptin dan adiponektin pada bayi berat lahir rendah  (BBLR) sesuai masa kehamilan dan kecil masa kehamilan.\u0000METODE : Observasional analitik dengan desain belah lintang, dilaksanakan pada bulan November 2018 - Januari 2019. Subjek adalah  bayi baru lahir, kehamilan  tunggal dengan berat lahir >1000 gram dan <2500 gram, serta usia ibu saat hamil <40 tahun Sampel darah tali pusat diambil setelah bayi lahir, sebelum plasenta dilahirkan. Pemeriksaan IGF-1, leptin dan adiponektin menggunakan teknik immunoassay kuantitatif dengan metode ELISA. Data hasil penelitian merupakan data numerik, dilakukan uji ROC dan uji diagnosis untuk mendapatkan nilai cut-off.\u0000HASIL :  Selama periode penelitian, terdapat 46 subyek yang terdiri atas 11 bayi kecil masa kehamilan dan 35 bayi sesuai masa kehamilan. Jenis kelamin laki-laki sebanyak 24 bayi (52,2%) dan perempuan 22 bayi (47,8%). Sebanyak 41,3% bayi lahir dari ibu dengan preeklampsia. Didapatkan nilai cut-off IGF-1 adalah 51,12 ng/ml, nilai cut-off untuk leptin adalah 3,3 ng/ml, dan nilai cut-off adiponectin 19,60 ng/ml.\u0000KESIMPULAN : Terdapat perbedaan kadar IGF-1, leptin dan adiponektin darah tali pusat BBLR sesuai masa kehamilan dengan BBLR kecil masa kehamilan dengan nilai cut-off masing-masing.\u0000KATA KUNCI    : Bayi berat lahir rendah, darah tali pusat, cut-off, IGF-1, leptin, adiponektin","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115365583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Correlation Between Bullous Concha Volume and Type of Nasal Septal Deviation with Lund-Mackay CT Score in Chronic Rhinosinusitis","authors":"Monica Cherlady Anastasia, Anna Mailasari Kusuma Dewi, F. H. Ningrum","doi":"10.36408/mhjcm.v9i3.800","DOIUrl":"https://doi.org/10.36408/mhjcm.v9i3.800","url":null,"abstract":"BACKGROUND: Chronic rhinosinusitis is inflammation of the mucoperiosteum lining of the nose and paranasal sinuses for more than 12 weeks. Computed Tomography (CT scan) of the paranasal sinuses is the gold standard for diagnosing chronic rhinosinusitis. Nasal septal deviation and bullous concha are anatomical variation that often found in CT scan of chronic rhinosinusitis patients. The severity of chronic rhinosinusitis can be evaluated with Lund Mackay CT score.\u0000AIM: To analyse the correlation between bullous concha volume and type of nasal septum deviation with Lund-Mackay CT Score in chronic rhinosinusitis\u0000METHOD: This was an observational study with a cross sectional design. This study was conducted from March-May 2019. Subjects were CRS patients whom underwent paranasal sinuses CT scan in Dr. Kariadi Hospital Semarang whom met the criteria. The inclusion criteria were chronic rhinosinusitis patients more than 17 years old with deviated nasal septum and conchae bullosa.\u0000RESULT:  There were 50 CRS patients, the age average is 18 – 67 years. The mean volume of the bullous concha was  0.534 cm3. The highest deviation of the nasal septum is to the right (53.2%) and the highest total Lund-Mackay CT Score was 4 (56%). The correlation between septal type and bullous concha volume with Lund-Mackay CT Score\u0000CONCLUSION: Lund Mackay CT score didn't correlate with  septal type and bullous concha volume.\u0000KEYWORDS: Bullous Concha, Chronic Rhinosinusitis, Lund Mackay CT score, Nasal Septum Deviation","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"04 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129043994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peran Fisioterapi pada Myastenia Gravis Paska Thymectomy","authors":"I. S. Jaya, Kartika Anatasia Kosasih, Anak Agung Ayu Srikandhyawati Karang","doi":"10.36408/mhjcm.v9i3.599","DOIUrl":"https://doi.org/10.36408/mhjcm.v9i3.599","url":null,"abstract":"Latar Belakang : Myastenia gravis (MG) merupakan penyakit autoimun yang disebabkan akibat timbulnya antibody terhadap reseptor asetilkolin esterase (AChR) pada neuromuscular junction yang menimbulkan kelemahan otot okular, bulbar, respirasi, aksial dan ekstremitas. Berdasarkan rekomendasi, rehabilitasi memiliki peran penting dalam pencegahan dari komplikasi MG seperti kontraktur dan kegagalan pernapasan. Namun, pada MG akan terjadi kelemahan otot dengan latihan fisis dan penggunaan otot secara repetitive yang menyebabkan dokter menjadi ragu untuk merekomendasikan rehabilitasi medik pada pasien MG. Tujuan dari laporan kasus ini adalah untuk mengetahui peran rehabilitasi medik pada pasien MG. \u0000Presentasi Kasus : Pasien laki-laki 20 tahun dengan MG paska operasi video-assisted thoracoscopic surgery (VATS) thymectomy. Operasi berjalan lancar dan program rehabilitasi dilakukan pada hari kedua perawatan dengan supervisi dokter rehabilitasi medik dengan program: latihan pernapasan, latihan peregangan anggota gerak, dan relaksasi selama 30 menit pagi hari. Pada hari ke-3 pasien mengalami perburukan klinis sehingga terpasang ventilator mekanik. Pada hari berikutnya kondisi pasien membaik dan program rehabilitasi dilanjutkan setelah kesadaran pasien membaik sebanyak  2x dalam sehari dengan durasi 30-60 menit. Kondisi pasien berangsur membaik  dan pada hari ke-10 pasien dipulangkan dengan bantuan oksigenasi ResMed. \u0000Pembahasan: Pada pasien dengan MG generalisata dan gangguan sistem respirasi, pelatihan otot respirasi terbukti efektif untuk menangani kelemahan otot akibat fatigue atau kegagalan pernasasan. Manfaat dari latihan pernapasan tidak hanya berupa peningkatan kekuatan otot respirasi, ketahanan pernapasan dan performa fisis, namun juga penurunan dari beberapa komplikasi MG dan meningkatkan kualitas hidup pasien. Pada pasien MG paska operasi, latihan dapat dengan aman dilakukan segera setelah terekstubasi dengan supervisi dokter rehabilitasi medik. \u0000Simpulan: Fisioterapi bermanfaat pada pasien MG paska thymectomy. Program rehabilitasi medik sebaiknya dirancang sesuai dengan kondisi pasien MG dan dilakukan dalam supervisi dokter rehabilitasi medik.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121448321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Korelasi Indeks Massa Tubuh dan Tekanan Darah dengan Rasio TG/HDL pada Penderita Diabetes Mellitus Tipe 2 Etnis Jawa","authors":"Yanuarita Tursinawati, Lilis Setiowati, Zulfachmi Wahab, Arum Kartikadewi","doi":"10.36408/mhjcm.v9i3.817","DOIUrl":"https://doi.org/10.36408/mhjcm.v9i3.817","url":null,"abstract":"LATAR BELAKANG: Salah satu komplikasi makrovaskuler penderita diabetes melitus tipe 2 (DMT2) yaitu penyakit jantung koroner (PJK). Kematian utama pada DMT2 disebabkan karena PJK. Rasio trigliserida (TG)/ high density lipoprotein (HDL) dapat memprediksi perkembangan PJK dan berkorelasi dengan indeks massa tubuh (IMT) dan tingkat tekanan darah.\u0000TUJUAN: Penelitian ini bertujuan membuktikan korelasi IMT dan tekanan darah dengan rasio TG/HDL penderita DMT2 Etnis Jawa.\u0000METODE : Sampel penelitian sejumlah 107 subjek DMT2 etnis Jawa. Data sekunder berupa rekam medis pasien DMT2 di Puskesmas, Semarang. Uji korelasi Spearman dipakai untuk menganalisis korelasi IMT dan tekanan darah dengan rasio TG/HDL dengan p<0,05.\u0000HASIL: Pada DMT2 etnis Jawa ditemukan rerata IMT adalah 24,3 + 3,3 kg/m2 dengan mayoritas IMT obesitas (42,1%), rerata tekanan darah sistolik (138,4+19 mmHg) dan tekanan darah diastolik (80,5+8,9 mmHg) dengan mayoritas mengalami prehipertensi (46,7%). Terdapat korelasi positif lemah yang signifikan antara IMT terhadap rasio TG/HDL pada penderita DMT2 etnis Jawa (r= 0,262, p= 0,006). Tekanan darah tidak terdapat korelasi signifikan terhadap rasio TG/HDL pada penderita DMT2 etnis Jawa (r= -0,114, p=0,243,).\u0000KESIMPULAN: Terdapat korelasi signifikan antara indeks massa tubuh (IMT) dengan rasio TG/HDL pada penderita DMT2 etnis Jawa. Sedangkan tingkat tekanan darah tidak berkontribusi terhadap rasio TG/HDL pada penderita DMT2 etnis Jawa.\u0000KATA KUNCI: Indeks massa tubuh, tekanan darah, rasio TG/HDL, DMT2","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117235952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knee Pain due to Loose body in the Knee Joint: A Case Report in Dr. Kariadi General Hospital Semarang","authors":"Robin Novriansyah, Faizurrahman Andi Kusuma","doi":"10.36408/mhjcm.v9i3.528","DOIUrl":"https://doi.org/10.36408/mhjcm.v9i3.528","url":null,"abstract":"BACKGROUND: Loose Bodies are fragments consisting of cartilage or bone that move freely in the joint space. The occurrence of Loose Bodies associated with OCD is considered a rare case in Indonesia. The presence of Loose Bodies can cause several symptoms such as pain and resistance to extension and flexion of the knee joint. The presence of an impinging osteophyte in the lateral condyle of the femur, and a pedunculated osteophyte, can provide a clinical feature similar to Loose Bodies. Good anamnesis, physical examination, and diagnosis for correct management can provide a good outcome.\u0000OBJECTIVE: To provide an overview regarding diagnosis in loose body cases and arthroscopy debridement therapy in loose body cases in the knee joint.\u0000CASE: A 42-year-old man was presented with chronic pain in the left knee and limited left knee flexion since 3 years prior. Initially, the patient was diagnosed with grade 2 genu joint osteoarthritis with osteophytes in the lateral condylus. Anamnesis and physical examination were performed at dr. Kariadi General Hospital Semarang. X-photo showed a picture of the Loose Bodies. A debridement arthroscopy was performed. 8 weeks of follow-up no pain, no resistance in flexion and extension, KOOS Score from 18.6 to 92.3.\u0000CONCLUSION: It is advised to remove loose body in knee joint through arthroscopy debridement. Loose bodies should always undergo thorough workup to determine the diagnosis and treat the patient accordingly.\u0000KEYWORDS: Knee pain, loose body, osteochondritis dissecans, arthroscopy debridement","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133059449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Cognitive Dysfunction (MoCA-INA Score) with Disease Activity, Erythrocyte Sedimentation Rate, and C-Reactive Protein in Systemic Lupus Erythematosus Patients","authors":"Bantar Sutoko, S. Hadi, Elfian Rachmawati, S. Hadisaputro, H. Kalim","doi":"10.36408/mhjcm.v9i3.799","DOIUrl":"https://doi.org/10.36408/mhjcm.v9i3.799","url":null,"abstract":"BACKGROUND: Neuropsychiatric Systemic Lupus Erythematosus (NPSLE) is one of the clinical manifestations affecting the brain in SLE, which the most frequent condition was cognitive dysfunction (CD). CD has a negative impact on the quality of life of SLE patients and causes impaired social function and reduced work productivity. Previous studies regarding correlation between cognitive dysfunction with disease activity, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) showed various results.\u0000AIM: The purpose of this study was to assess the correlation of CD using MoCA- INA score with disease activity (SLEDAI-2K score), ESR and CRP in SLE patients.\u0000METHODS: A cross-sectional study design was applied in this research. The subjects of this research were SLE patients measured by MoCA-INA score, SLEDAI-2K score, ESR, and CRP. Spearman rank correlation test was applied in this study to assess the relationship of the variables.\u0000RESULT: The study subjects consisted of 53 women diagnosed with SLE with an average age of 34 years old. 49.1 % of the subjects had high school education background. There was a moderate significant correlation between MoCA-INA score and ESR (r= -0.408, p=0.002) and also to CRP (r= -0.314 p=0.022). There was no significant correlation of disease activity and MoCA-INA score (r = -0.086 p = 0.539).\u0000CONCLUSION: The low levels of ESR and CRP were associated with CD in SLE patients.\u0000KEYWORDS: cognitive dysfunction, c-reactive protein, disease activity, erythrocyte sedimentation rate, systemic lupus erythematosus.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121712585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FAKTOR RISIKO KEJADIAN OBSTRUCTIVE SLEEP APNEA PADA PASIEN STROKE ISKEMIK","authors":"Nurul Uly Rosyidah, Anna Mailasari Kusuma Dewi, Dwi Marliyawati, Kanti Yunika, Herlina Suryawati, Rery Budiarti","doi":"10.36408/mhjcm.v9i3.826","DOIUrl":"https://doi.org/10.36408/mhjcm.v9i3.826","url":null,"abstract":"LATAR BELAKANG: Obstructive Sleep Apnea (OSA) memiliki hubungan dua arah dengan stroke iskemik. OSA yang tidak diobati dapat menyebabkan stroke berulang. Penanganan OSA adalah kunci untuk preventif pada pasien stroke. \u0000TUJUAN: Mengetahui bahwa IMT, lingkar leher besar, deviasi septum, hipertrofi konka, hipertrofi tonsila palatina, makroglosia, obstruksi saluran nafas atas merupakan faktor risiko kejadian OSA pasien stroke iskemik. \u0000METODE: Penelitian observasional dengan desain cross sectional, subjek sebanyak 86 pasien stroke iskemik di Poli Neurologi dan THT-KL RSUP Kariadi Semarang bulan Desember 2021-Juli 2022. Data diperoleh melalui kuesioner, pemeriksaan fisik dan pemeriksaan nasolaringoskopi fleksibel. Analisis menggunakan uji chi-square dan uji regresi multivariat. \u0000HASIL: Didapatkan 86 subjek terdiri dari 42 laki-laki(48,8%) dan perempuan 44 (51,2%), usia rerata 54 th, dan 61 subjek (70,9%) stroke iskemik pertama. IMT (p= 0,191), lingkar leher (p= 0,402),  septum deviasi (p= 0,020), hipertrofi konka inferior (p= 0,021), makroglosia (p= 0,012), hipertrofi tonsila palatina (p= 0,013), dan obstruksi saluran nafas atas (p= 0,035) berisiko terhadap kejadian OSA pada pasien stroke iskemik. Septum deviasi berisiko 6,1x, konka inferior hipertrofi berisiko 4,1x, dan hipertrofi tonsila palatina  berisiko 8,8x terhadap kejadian OSA pada pasien stroke iskemik. \u0000KESIMPULAN: Septum deviasi, konka inferior hipertrofi, makroglossia, hipertrofi tonsila palatina, makroglosia, dan obstruksi saluran nafas atas merupakan faktor resiko terhadap kejadian OSA pasien stroke iskemik. Hipertrofi tonsila palatina merupakan faktor risiko yang paling dominan terhadap kejadian OSA pasien stroke iskemik. \u0000Kata Kunci: OSA, faktor risiko, stroke iskemik.","PeriodicalId":117574,"journal":{"name":"Medica Hospitalia : Journal of Clinical Medicine","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133129894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}