scholarly journals TINJAUAN PENGGUNAAN DAN POTENSI INTERAKSI OBAT ANTIKEJANG DENGAN OBAT LAIN PADA PASIEN STROKE PERDARAHAN RAWAT INAP RSUP PROF. DR. R. D. KANDOU MANADO

PHARMACON ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. 239
Author(s):  
Vionita L. Porogoi ◽  
Weny Indayany Wiyono ◽  
Heedy Tjitrosantoso
Keyword(s):  
Drug Interactions ◽  
Medical Records ◽  
Hemorrhagic Stroke ◽  
Scar Tissue ◽  
Retrospective Data ◽  
Inclusion Criteria ◽  
Cerebral Blood Vessels ◽  
Stroke Patients ◽  
Neurological Problem ◽  
The Brain

ABSTRACK Hemorrhagic stroke is a stroke caused by intra-cerebral hemorrhage or subarachniod hemorrhage due to rupture of cerebral blood vessels in certain areas so that blood fills the brain tissue. Seizures are the most common neurological problem in stroke patients. The occurrence of seizures due to stroke is believed to be the presence of lesions in the brain during a stroke and the formation of scar tissue. This study discusses the use of anti-seizures and the potential of anti-seizure interactions of hemorrhagic stroke patients in inpatient at RSUP Prof. Dr. R. D. Kandou Manado. This study is involved retrospective data on 30 medical records of stroke patients with Hemorrhage in inpatients that met the inclusion criteria. Phenytoin as many as 23 (76,67%), phenytoin combined with Diazepam can occur as many as 4 (13,33%) and Diazepam by 3 (10%). Drug interactions, phenytoin combined with nicardipine which occurs as many as 2 (40%) interactions occur, phenytoin combined with Diazepam can occur as many as 3 (60%) interactions occur. Based on interactions, pharmacokinetic interactions were 5 (100%) occurrences.  Keywords: Hemorrhagic Stroke, anti-seizures, drug interactions ABSTRAK Stroke hemoragik adalah stroke yang disebabkan oleh perdarahan intraserebral atau perdarahan subaraknoid akibat pecahnya pembuluh darah otak di daerah tertentu sehingga darah mengisi jaringan otak. Kejang adalah masalah neurologis yang paling umum pada pasien stroke. Terjadinya kejang akibat stroke dipercayai adanya lesi di otak selama stroke dan pembentukan jaringan parut. Penelitian ini membahas penggunaan anti-kejang dan potensi interaksi anti-kejang pasien stroke hemoragik di rawat inap di RSUP Prof. Dr. R. D. Kandou Manado. Penelitian ini melibatkan data retrospektif pada 30 catatan medis pasien stroke dengan Perdarahan pada pasien rawat inap yang memenuhi kriteria inklusi. Fenitoin sebesar 23 (76,67%), Fenitoin dikombinasikan dengan Diazepam sebesar 4 (13,33%)., dan Diazepam sebesar 3 (10%). Interaksi obat, fenitoin yang dikombinasikan dengan nicardipine yang terjadi sebanyak 2 (40%) interaksi terjadi, fenitoin yang dikombinasikan dengan Diazepam dapat terjadi sebanyak 3 (60%) interaksi terjadi. Berdasarkan interaksi, interaksi farmakokinetik adalah 5 (100%) kejadian.  Kata kunci: Stroke Hemoragik, anti-kejang, interaksi obat

scholarly journals GAMBARAN HASIL PEMERIKSAAN CT SCAN KEPALA PADA PENDERITA STROKE HEMORAGIK DI BAGIAN RADIOLOGI FK. UNSRAT/SMF RADIOLOGI BLU RSUP PROF. DR. R. D. KANDOU MANADO

e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Novita T. A. Parinding ◽  
Ramli Haji Ali ◽  
Vonny N. Tubagus
Keyword(s):  
Ct Scan ◽  
Hemorrhagic Stroke ◽  
Recurrent Stroke ◽  
Secondary Data ◽  
Chronic Hypertension ◽  
Inclusion Criteria ◽  
Cerebral Blood Vessels ◽  
Stroke Patients ◽  
Head Ct ◽  
The Brain

Abstract: Hemorrhagic stroke is a spontaneous blood vessel bursts inside the brain. The main cause is chronic hypertension and the presence of degeneration of cerebral blood vessels. Bleeding can occur in the brain and the subarachnoid space due to rupture of an artery or rupture of the aneurysm. At a stroke, a CT scan is the gold standard examination to distinguish infarction with bleeding, because CT scan can give a very clear picture of the head of the intracranial space persisted as cerebral infarction, intracranial hemorrhage, and hemorrhagic stroke. So it can be helpful to diagnose the disease and neurological disorders. The purpose of this study is to cognize the distribution of hemorrhagic stroke patients who performed a head CT scan at The Department of Radiology of FK UNSRAT / SMF Radiology of BLU Prof. Dr. R. D. Kandou Manado. This is a retrospective descriptive study by using secondary data coming from hemorragic stroke patients medical records in the Department of Radiology of BLU Prof. Dr. R. D. Kandou Manado on the period time from May to October 2014. Patients admitted inclusion criteria age between 30-80 years old, proven hemorrhagic stroke based on history, physical examination and investigations of doctors. The results showed that the total number of head CT Scans are 296 patients and more showed abnormal picture (58.1%) compared with the normal picture (41.9%), there are 64 patients with abnormal CT Scan picture results of hemorrhagic stroke (37.2% ), patients with hemorrhagic stroke are more common in males (65.6%), most in the age group of the early elderly betweeb 46-55 years old (40.6%) with most bleeding type of intracerebral hemorrhage (87.5%). Conclusion: Patient that comes with hemorrhagic stroke case or recurrent stroke should undertake a CT Scan of head to assist diagnose and later on can identify the type of bleeding caused by the stroke.Keywords: head CT scan, haemorrhagic strokeAbstrak: Stroke hemoragik adalah perdarahan spontan di dalam otak. Penyebab utamanya adalah hipertensi kronik dan adanya degenerasi pembuluh darah cerebral. Perdarahan dapat terjadi di dalam otak dan ruang subaraknoid karena ruptur dari arteri atau ruptur dari aneurisma. Pada penyakit stroke, CT Scan merupakan pemeriksaan baku emas untuk membedakan infark dengan perdarahan, karena CT Scan dapat memberikan gambaran kepala yang sangat jelas tentang proses desak ruang intrakranial seperti infark otak, perdarahan intrakranial, dan stroke hemoragik. Sehingga dapat membantu penegakan diagnosis penyakit dan kelainan neurologik. Tujuan penelitian ini untuk mengetahui distribusi penderita stroke hemoragik yang dilakukan pemeriksaan CT Scan kepala di Bagian Radiologi FK UNSRAT/SMF Radiologi BLU RSUP Prof. Dr. R. D. Kandou Manado. Penelitian ini merupakan penelitian deskriptif retrospektif dengan memanfaatkan data sekunder berupa rekam medik pasien stroke hemoragik di Bagian Radiologi BLU RSUP Prof. Dr. R. D. Kandou Manado periode Mei-Oktober 2014. Pasien yang masuk kriteria inklusi yaitu usia 30-80 tahun, terbukti stroke hemoragik berdasarkan anamnesis, pemeriksaan fisik dan penunjang oleh dokter. Hasil pemeriksaan CT Scan kepala berjumlah 296 pasien dan lebih banyak menunjukkan gambaran abnormal (58,1%) dibandingkan gambaran normal (41,9%), pada gambaran abnormal terdapat 64 penderita dengan hasil CT Scan gambaran stroke hemoragik (37,2%), penderita stroke hemoragik lebih banyak terjadi pada laki-laki (65,6%), paling banyak pada kelompok umur lansia awal 46-55 tahun (40,6%) dengan tipe perdarahan paling banyak yaitu perdarahan intraserebral (87,5%). Simpulan : Penderita yang datang dengan keluhan stroke hemoragik atau stroke berulang sebaiknya melakukan pemeriksaan CT Scan kepala untuk membantu diagnosis dan dapat diketahui tipe perdarahan dari stroke tersebut.Kata kunci : CT scan kepala, stroke hemoragik

scholarly journals POLA PENGGUNAAN OBAT PADA PASIEN STROKE HEMORAGIK DI RSUP PROF. DR. R.D. KANDOU MANADO PERIODE JANUARI-DESEMBER 2018

PHARMACON ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 90
Author(s):  
Nony L. Poana ◽  
Weny I Wiyono ◽  
Deby A Mpila
Keyword(s):  
Drug Use ◽  
Hemorrhagic Stroke ◽  
Patient Characteristics ◽  
Cerebral Blood Vessels ◽  
Stroke Patients ◽  
Duration Of Treatment ◽  
The Right ◽  
Age Range ◽  
The Brain ◽  
Descriptive Method

ABSTRACK Hemorrhagic stroke is a stroke caused by intracerebral hemorrhage or subarachniod hemorrhage due to rupture of cerebral blood vessels in certain areas, so that blood fills the brain tissue. The selection and use of drugs must be rational, so that treatment can achieve maximum therapy with minimal side effects. The purpose of this study was to determine the characteristics and patterns of drug use in hemorrhagic stroke patients at Prof. RSUP Dr. R.D. Kandou Manado. This study uses a descriptive method with a retrospective research design. The sample of this study were 83 patients, including 70 intracerebral hemorrhagic stroke patients and 13 subarachnoid hemorrhagic stroke patients. Patient characteristics were mostly male as many as 46 patients (55.42%) and female as many as 37 patients (44.58%). The largest age range of hemorrhagic stroke patients at the age of 55-64 years was 27 patients (32.52%). The duration of treatment with the highest prevalence was 1-5 days in 37 patients (44.57%). Hypertension is the most common comorbid disease of 60 patients (40.27%), and cholesterol of 15 patients (10.06). The pattern of drug use based on the evaluation of the right indication as many as 83 patients (100%), the right patients as many as 83 patients (100%), the right drugs as many as 82 patients (98.8%), and the right dosage of 73 patients (87.95%). Keywords: Hemorrhagic stroke, drug use ABSTRAK Stroke hemoragik adalah stroke yang disebabkan oleh perdarahan intraserebral atau perdarahan subarakhniod karena pecahnya pembuluh darah otak pada area tertentu, sehingga darah memenuhi jaringan otak. Pemilihan dan penggunaan obat harus secara rasional, sehingga pengobatan dapat mencapai terapi yang maksimal dengan efek samping minimal. Tujuan dari penelitian ini untuk mengetahui karakteristik dan pola penggunaan obat pada pasien stroke hemoragik di RSUP Prof. Dr. R.D. Kandou Manado. Penelitian ini menggunakan metode deskriptif dengan desain penelitian retrospektif. Sampel penelitian ini sebanyak 83 pasien, diantaranya terdapat 70 pasien stroke hemoragik intraserebral dan 13 pasien stroke hemoragik subarakhnoid. Karakteristik pasien sebagian besar adalah laki-laki sebanyak 46 pasien (55,42%) dan perempuan sebanyak 37 pasien (44,58%). Rentang usia pasien stroke hemoragik terbesar pada usia 55-64 tahun sebanyak 27 pasien (32,52%). Lama perawatan dengan prevalensi paling banyak, yaitu 1 – 5 hari pada 37 pasien (44,57%). Hipertensi merupakan penyakit penyerta yang paling banyak diderita sebesar 60 pasien (40,27%), dan kolestrol sebanyak 15 pasien (10,06). Pola penggunaan obat berdasarkan evaluasi tepat indikasi sebanyak 83 pasien (100%), tepat pasien sebanyak 83 pasien (100%), tepat obat sebanyak 82 pasien (98,8%), dan tepat dosis sebanyak 73 pasien (87,95%). Kata kunci : stroke hemoragik, pola penggunaan obat

scholarly journals Analisis Kinerja Algoritma Mesin Pembelajaran untuk Klarifikasi Penyakit Stroke Menggunakan Citra CT Scan

2020 ◽  
Vol 7 (4) ◽  
pp. 833
Author(s):  
Nur Sakinah ◽  
Tessy Badriyah ◽  
Iwan Syarif
Keyword(s):  
Deep Learning ◽  
Ct Scan ◽  
Hemorrhagic Stroke ◽  
Image Data ◽  
Machine Learning Algorithms ◽  
Support Vector ◽  
Gray Level ◽  
Stroke Patients ◽  
Occurrence Matrix ◽  
The Brain

<p>Stroke adalah suatu kondisi dimana pasokan darah ke otak terganggu sehingga bagian tubuh yang dikendalikan oleh area otak yang rusak tidak dapat berfungsi dengan baik. Penyebab stroke antara lain adalah terjadinya penyumbatan pada pembuluh darah (stroke iskemik) atau pecahnya pembuluh darah (stroke hemoragik). Pasien yang terkena stroke harus segera ditangani secepatnya karena sel otak dapat mati dalam hitungan menit. Tindakan penanganan stroke secara cepat dan tepat dapat mengurangi resiko kerusakan otak dan mencegah terjadinya komplikasi. Penelitian ini bertujuan untuk mengembangkan perangkat lunak yang dapat membaca dan menganalisis citra CT scan dari otak, dan kemudian secara otomatis memprediksi apakah citra CT scan tersebut stroke iskemik atau stroke hemoragik. Data citra CT scan berasal dari Rumah Sakit Umum Haji Surabaya yang diambil selama periode Januari-Mei 2019 dan berasal dari 102 pasien yang terindikasi stroke. Sebelum data gambar tersebut diolah dengan menggunakan beberapa algoritma mesin pembelajaran, data tersebut melalui tahap pre-processing yang bertujuan untuk meningkatkan kualitas citra meliputi konversi citra, pemotongan citra, penskalaan, greyscaling, penghilangan noise dan augmentasi. Tahap selanjutnya adalah ekstraksi fitur menggunakan metode Gray-Level Co-Occurrence Matrix (GLCM). Penelitian ini juga bertujuan untuk membandingkan kinerja lima algoritma mesin pembelajaran yaitu Naïve Bayes, Logistic Regression, Neural Network, Support Vector Machine dan Deep Learning yang diterapkan untuk memprediksi penyakit stroke. Hasil percobaan menunjukkan bahwa algoritma Deep Learning menghasilkan tingkat performansi paling tinggi yaitu nilai akurasi 96.78%, presisi 97.59% dan recall 95.92%.</p><p> </p><p><em><strong>Abstract</strong></em></p><p><em>Stroke is a condition in which the blood supply to the brain is interrupted so that parts of the body that are controlled by damaged brain areas cannot function properly. Causes of strokes include blockages in blood vessels (ischemic stroke) or rupture of blood vessels (hemorrhagic stroke). Stroke patients must be treated as soon as possible because brain cells can die within minutes. The handling of stroke patients quickly can reduce the risk of brain damage and prevent complications. This study aims to develop software that can read and analyze CT scan images from the brain, and then automatically predict whether the CT scan images are ischemic stroke or hemorrhagic stroke. The CT scan image data came from the Surabaya Hajj General Hospital which was taken during the January-May 2019 period and came from 102 patients who had indicated a stroke. Before the image data is processed using several machine learning algorithms, the data goes through a pre-processing phase which aims to improve image quality including image conversion, image cutting, scaling, greyscaling, noise removal and augmentation. The next step is feature extraction using the Gray-Level Co-Occurrence Matrix (GLCM) method. This study also aims to compare the performance of five machine learning algorithms, namely Naïve Bayes, Logistic Regression, Neural Networks, Support Vector Machines and Deep Learning which are applied to predict stroke. The experimental results show that the deep learning algorithm produces the highest level of performance where the accuracy value is 96.78%, 97.59% precision and 95.92% recall.</em></p><p><em><br /></em></p>

scholarly journals Gambaran NIHSS pada Pasien Stroke di Ruang Rawat Inap Neurologi RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2014 - Juni 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Yunike M. Arisoy ◽  
Junita Maja PS ◽  
Theresia Runtuwene
Keyword(s):  
Educational Level ◽  
Hemorrhagic Stroke ◽  
Secondary Data ◽  
Measurement Tool ◽  
Stroke Patients ◽  
High School Degree ◽  
Normal Category ◽  
Discharged Patients ◽  
Male Patients ◽  
The Brain

Abstract: Stroke is the interruption of blood flow to the brain that occurs suddenly and persists for more than 24 hours, which can cause disability. NIHSS is a measurement tool assessing the outcomes of stroke. This study aimed to describe NIHSS in stroke patients in the Neurology Departement of Prof. Dr. R. D. Kandou Manado, for the period of July 2014 – June 2015. This is a descriptive retrospective study which used secondary data in the form of inpatients medical record. The result of this study showed that 136 stroke patients who met the criteria used the NIHSS examination with a total of 73 male patients (53,7%) and 63 female patients (46,3%). The largest age group was 41 – 65 years with a total of 96 patients (70,58%) and based on the educational level, most patients had high school degree or equivalent as the latest educational level with a total of 66 patients (48,52%). NIHSS examination in admitted hemorrhagic stroke patients were 28 patients (60%) consisting of 3 patients in the minor category, 16 patients in the moderate category, and 9 patients in the severe category, whereas the discharged patients were 19 patients (40%), consisting of 6 patients in the normal category, 5 patients in the minor category, 6 patients in the moderate category, and 2 patients in the severe category. NIHSS examination in admitted non-hemorrhagic stroke patients were 45 patients (51%), consisting of 3 patients in the minor category, 32 patients in the moderate category, and 10 patients in the severe category, whereas discharged patients were 44 patients (49%) consisting of 6 patients in the normal category, 10 patients in the minor category, 26 patients in the moderate category, and 2 patients in the severe category.Keywords: Stroke Patients, NIHSS Examination Abstrak: Stroke adalah gangguan aliran darah ke otak yang terjadi mendadak dan bertahan dalam waktu lebih dari 24 jam, yang dapat menimbulkan kecacatan. Pemeriksaan NIHSS merupakan alat ukur yang di gunakan menilai luaran stroke. Penelitian ini bertujuan untuk mengetahui gambaran NIHSS pada pasien stroke di ruang rawat inap Neurologi Prof. Dr. R. D. Kandou Manado, periode Juli 2014 - Juni 2015. Penelitian ini bersifat deskriptif retrospektif dengan memanfaatkan data sekunder berupa catatan rekam medik pasien rawat inap. Hasil penelitian ini didapatkan 136 pasien stroke yang memenuhi kriteria menggunakan pemeriksaan NIHSS dengan jumlah pasien laki-laki sebanyak 73 pasien (53,7%) dan perempuan 63 pasien(46,3%). Kelompok umur terbanyak adalah 41-65 tahun dengan jumlah 96 pasien (70,58%) dan kategori pendidikan terakhir paling banyak SMA atau sederajat didapatkan sebanyak 66 pasien (48,52%). Pemeriksaan NIHSS pada stroke hemoragik yang masuk sebanyak 28 pasien (60%) dengan kategori ringan 3 pasien, sedang 16 pasien, dan berat 9 pasien sedangkan pasien keluar sebanyak 19 pasien (40%) dengan kategori normal 6 pasien, ringan 5 pasien, sedang 6 pasien, dan berat 2 pasien. Pemeriksaan NIHSS pada stroke non hemoragik yang masuk sebanyak 45 pasien (51%) dengan kategori ringan 3 pasien, sedang 32 pasien, dan berat 10 pasien sedangkan pasien keluar sebanyak 44 pasien (49%) dengankategori normal 6 pasien, ringan 10 pasien, sedang 26 pasien, dan berat 2 pasien.Kata kunci : Pasien Stroke, Pemeriksaan NIHSS

scholarly journals Gambaran obesitas pada pasien stroke akut di Rumah Sakit Umum DaerahArifin Achmad Provinsi Riau periode Januari-Desember 2019

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Muhammad Ikhwan Fuadi ◽  
Dimas Pramita Nugraha ◽  
Eka Bebasari
Keyword(s):  
Risk Factors ◽  
Acute Stroke ◽  
Medical Records ◽  
Hemorrhagic Stroke ◽  
Cross Sectional Study ◽  
Regional Hospital ◽  
Obese Patients ◽  
Age Group ◽  
Cross Sectional ◽  
The Brain

Abstrak. Stroke adalah penyakit akibat gangguan peredaran darah otak yang dipengaruhi oleh banyak faktor risiko. Stroke merupakan penyebab utama disabilitas. Stroke secara umum diklasifikasikan menjadi stroke iskemik atau stroke non hemoragik dan stroke hemoragik. Salah satu faktor risiko terjadinya stroke adalah obesitas. Tujuan penelitian ini adalah untuk mengetahui gambaran obesitas pada pasien stroke akut di RSUD Arifin Achmad Provinsi Riau Periode Januari–Desember 2019. Desain penelitian yang digunakan adalah penelitian deskriptif dengan rancangan cross sectional menggunakan data sekunder rekam medis pasien stroke akut di RSUD Arifin Achmad Provinsi Riau Periode Januari-Desember 2019 dengan jumlah sampel sebanyak 115 kasus. Hasil penelitian menunjukkan stroke banyak terjadi pada usia terbanyak terjadi pada rentang usia 51-65 sebanyak 60 kasus (52,2%). Jenis kelamin terbanyak yaitu laki-laki sebanyak 67 kasus (58,3%). Jenis stroke terbanyak adalah stroke hemoragik yaitu 62 kasus (53,9%). Terdapat 65 kasus (56,5%) pasien obesitas, sebanyak 34 kasus (52,3%) adalah stroke hemoragik. Kesimpulan dari penelitian ini adalah obesitas lebih banyak terjadi pada stroke hemoragik dibanding stroke iskemik.Kata kunci:  obesitas, strokeAbstract. Stroke is a disease caused by the interrupted of blood supply to the brain which can be influenced by several risk factors. Stroke is a major cause of disability. Stroke is generally classified as ischemic or non-hemorrhagic and hemorrhagic stroke. One of those risk factors of stroke is obesity. The aim of this study was to describe obesity in acute stroke patients at Arifin Achmad Regional Hospital of Riau Province in January- December 2019. This was a descriptive study design with cross sectional study method while using medical records of the acute stroke patient’s at Arifin Achmad Regional Hospital of Riau Province in January to December 2019. There were 115 cases fulfilled the criteria. The results show that the majority happened within 51-65 years age group with 60 cases (52,2%) and frequently in male as much as 67 cases (58,3%). Most patients had hemorrhagic stroke with 62 cases (53,9%). In 65 cases (56,5%) of obese patients cases, 34 cases (52,3%) were hemorrhagic strokes. The conclusion of this study is that obesity more commonly occurs in hemorrhagic stroke types compared to the ischemic.Keywords: acute stroke, obesity

scholarly journals Electrolyte disturbances and lipid profiles in ischaemic and hemorrhagic stroke patients in Aisyiyah Bojonegoro Hospital, Indonesia

2020 ◽  
Vol 8 (6) ◽  
pp. 2028
Author(s):  
Yunita Dwi Setyawati ◽  
Rila Ruis Mastura
Keyword(s):  
Ischaemic Stroke ◽  
Medical Records ◽  
Hemorrhagic Stroke ◽  
Previous History ◽  
Lipid Profiles ◽  
Electrolyte Imbalance ◽  
P Value ◽  
High Morbidity ◽  
Lipid Levels ◽  
Stroke Patients

Background: The prevalence of stroke continues to increase every year. Electrolyte imbalance and metabolic disorder can cause high morbidity and mortality of stroke. There are very few studies conducted on serum electrolytes and lipid levels in stroke patients. Authors aimed to know the electrolyte disturbance and lipid profiles in acute stroke.Methods: Retrospective case analysis was used in this study. Patients who diagnosed with hemorrhagic and ischaemic stroke in Aisyiyah Bojonegoro Hospital from January to September 2019 were selected trough electronic medical records system. Authors examine the electrolyte levels and lipid profiles. Patients with a previous history of stroke, complication that might affect electrolyte level and incomplete data in medical records were excluded. Independent T-test or Mann Whitney test were used to analyze the difference of parameters between hemorrhagic and ischaemic stroke patients. P value was considered as significant at p<0.05.Results: Most common electrolyte imbalance in both hemorrhagic and ischaemic stroke was hypokalemia which is statistically significant. Comparison between stroke patients was statistically significant for mean potassium and high density lipoprotein (HDL), while other mean serum values were not different. Potassium significantly lower (p=0.002) in hemorrhagic stroke and HDL significantly lower (p=0.034) in ischaemic stroke.Conclusions: This study reveals that hypokalemia was higher in hemorrhagic stroke and HDL was lower in ischaemic stroke. Regular monitoring of lipid levels in patients with high risk factors and correction of electrolytes imbalance for stroke patients will help in decreasing the mortality and morbidity.

scholarly journals Pengaruh hidroterapi rendam kaki air hangat terhadap kekuatan otot pada pasien stroke non hemoragik

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Setiyawan Setiyawan ◽  
Lina Pratiwi ◽  
Noerma Shovie Rizqiea
Keyword(s):  
Muscular Strength ◽  
Hemorrhagic Stroke ◽  
Blood Clot ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Control Group Design ◽  
Quasi Experimental ◽  
The Brain

Non-hemorrhagic stroke is a disease which is related to a functional disorder of the brain due to the blood vessel blockage by a blood clot, or by the narrowing of an artery or some arteries that lead to the brain which causes weakness of muscular strength. One of the non-pharmacological therapies, which are beneficial to non-hemorrhagic stroke patients, is hydrotherapy. Hydrotherapy is a therapy which utilizes water to cure or relieve various complaints. One of which is the complaint of how to strengthen muscular strength. The objective of this research is to investigate the effect of warm footbath hydrotherapy to increase the muscular strength of non-hemorrhagic stroke patients. This research used the quasi-experimental research method ith pre-test and post-test nonequivalent control group design. Non-probability sampling with purposive sampling was used to determine its samples. The samples consisted of 40 respondents, into two groups: intervention and control group. The data of the research were analyzed by using the Wilcoxon’s Test and Mann Whitney’s Test. The result of the research shows that the footbath hydrotherapy had an effect on the muscular strength of the non-hemorrhagic stroke patients as indicated by the p-value = 0.000, and there was a difference between the control group and the intervention group where the p-value was 0. 008. The footbath hydrotherapy affected the muscular strength of non-hemorrhagic stroke patients. Thus, nurses as health practitioners are expected to administer warm footbath hydrotherapy to increase the muscular strength of non-hemorrhagic stroke patients.

scholarly journals Drug interactions in patients with hypertension at Persahabatan hospital in 2015

2021 ◽  
pp. 309-314
Author(s):  
Zainul Islam ◽  
Atika Vitasari ◽  
Muhammad Arif Ridwan
Keyword(s):  
Drug Interactions ◽  
Medical Records ◽  
Secondary Data ◽  
Sampling Technique ◽  
Descriptive Study ◽  
Retrospective Data ◽  
Potential Drug ◽  
Literature Study ◽  
Hypertensive Disease ◽  
Hypertensive Patients

Introduction: Hypertensive disease can cause various complications, such as cardiovascular disease, stroke, diabetes mellitus, and kidney failure. To overcome these complications, patients are given polypharmacy therapy, which can potentially lead to drug interactions. Aim: The purpose of this study was to determine the potential incidence of drug interactions in hypertensive inpatients at the Persahabatan Hospital in 2015. Methods: The research is a descriptive study with retrospective data by purposive sampling technique using secondary data, medical records of hypertensive inpatients. The study of drug interactions was conducted theoretically, based on a literature study using Drug Interaction Facts 2014. Results: The results showed out of 174 hypertensive patients, 141 (81.0%) had potential drug interactions, with a total of 1444 cases. The highest drug interactions were at three levels of significance in 383 cases (26.5%), with 554 cases (38.4%) of pharmacodynamic mechanisms.

scholarly journals Gambaran length of stay pada pasien stroke rawat inap di RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2015-Juni 2016

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Reunita C. Amiman ◽  
Melke J. Tumboimbela ◽  
Mieke A.H.N. Kembuan
Keyword(s):  
Cardiovascular Disease ◽  
Length Of Stay ◽  
Medical Records ◽  
Hemorrhagic Stroke ◽  
Treatment Process ◽  
Secondary Data ◽  
Stroke Patients ◽  
Stroke Length ◽  
Dm Type 2

Abstract: Stroke is a cardiovascular disease which is the second rank of worldwide disease leading to death. Hospitalization is a treatment process which including patient to stay at hospital and length of stay (LOS) is a calculated time periode when patient admitted until discharged. This studywas aimed to obtain the profile of hospitalized stroke patients’ LOS at Prof. Dr. R. D. Kandou Hospital Manado from July 2015 to Juni 2016. This was a descriptive retrospective study using secondary data of the medical records. Samples consisted of 293 patients.The results presented ischemic stroke in 58.02% with LOS 6.84 days and hemorrhagic stroke in 41.98% with LOS 10.84 days. Patients with the highest LOS were females with hemorrhagic stroke (11.04 days); age 45-54 years (9.47 days); hemorrhagic stroke with hypertension (11.26 days); hemorrhagic stroke without dyslipidemia (10.67 days); hemorrhagic stroke with DM type 2 (12.67 days); and hemorrhagic stroke with tuberculosis (23.50 days). Conclusion: In this study, hemorrhagic stroke patients had higher LOS.Keywords: stroke, length of stay. Abstrak: Stroke adalah penyakit kardiovaskular yang menempati peringkat kedua sebagai penyakit yang menyebabkan kematian di dunia. Pelayanan rawat inap merupakan proses perawatan pasien dengan menginap di rumah sakit dan length of stay (LOS) merupakan periode yang dihitung ketika pasien masuk hingga keluar dari rumah sakit. Penelitian ini bertujuan untuk mengetahui gambaran LOS pada pasien stroke rawat inap di RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2015-Juni 2016. Jenis penelitian ialah deskriptif retrospektif dengan menggunakan data sekunder pasien stroke periode Juli 2015-Juni 2016 dari bagian rekam medik. Sampel penelitian berjumlah 293 pasien. Hasil penelitian menunjukkan persentase jumlah pasien stroke iskemik 58,02% dengan LOS 6,84 hari dan persentase jumlah pasien stroke hemoragik 41,98% dengan LOS 10,64 hari. Pasien stroke dengan LOS tertinggi terdapat pada jenis kelamin perempuan dengan stroke hemoragik, 11,04 hari; usia 45-54 tahun, 9,47 hari; stroke hemoragik dengan hipertensi, 11,26 hari; stroke hemoragik tanpa dislipidemia, 10,67 hari; stroke hemoragik dengan DM tipe 2, 12,67 hari; stroke dengan komplikasi, 9,33 hari; stroke hemoragik dengan pneumonia, 10,65 hari; dan stroke hemoragik dengan tuberculosis, 23,50 hari. Simpulan: Pasien stroke hemoragik memiliki LOS yang lebih tinggi.Kata kunci: stroke, lama rawat

scholarly journals GAMBARAN FAKTOR RISIKO PADA PENDERITA STROKE ISKEMIK YANG DIRAWAT INAP NEUROLOGI RSUP PROF. DR. R. D. KANDOU MANADO PERIODE JULI 2012 - JUNI 2013

e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Glen Y. C. R. Kabi ◽  
Rizal Tumewah ◽  
Mieke A. H. N. Kembuan
Keyword(s):  
Risk Factors ◽  
Blood Flow ◽  
Ischemic Stroke ◽  
Brain Tissue ◽  
Tissue Damage ◽  
Medical Records ◽  
Clinical Signs ◽  
Stroke Patients ◽  
Brain Tissue Damage ◽  
The Brain

Abstract: Ischemic stroke is a clinical sign of dysfunction or brain tissue damage caused by lack of blood flow to the brain that disrupts the need for blood and oxygen to the brain. WHO defines stroke as a rapidly developing clinical signs of focal brain due to interference (or global) with symptoms - that last for 24 hours or more- and can cause death without any other obvious cause other than vascular. This study aimed to obtain an overview of risk factors in ischemic stroke patients in the Inpatient Neurology Department of Prof. Dr. R. D. Kandou Hospital Manado period July 2012 - June 2013. Data were taken by collecting data of ischemic stroke patients medical records. There were 60 patients during that period. Patients affected by stroke were aged between 51 - 65 years and had histories of hypertension.Keywords: risk factors, ischemic stroke.Abstrak: Stroke iskemik adalah tanda klinis disfungsi atau kerusakan jaringan otak yang disebabkan kurangnya aliran darah ke otak sehingga mengganggu kebutuhan darah dan oksigen di otak. WHO mendefiniskan stroke merupakan suatu tanda klinis yang berkembang cepat akibat gangguan otak fokal (atau global) dengan gejala - gejala yang berlangsung selama 24 jam atau lebih dan dapat menyebabkan kematian tanpa adanya penyebab lain yang jelas selain vaskuler. Penelitian ini bertujuan untuk mendapatkan gambaran tentang faktor resiko pada pasien stroke iskemik di rawat inap Neurologi RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2012 - Juni 2013. Penelitian dilakukan dengan cara mengumpulkan data pasien yang terkena stroke iskemik di bagian rekam medik RSUP Prof. Dr. R. D. Kandou Manado. Didapatkan 60 pasiem selama periode Juli 2012 – Juni 2013. Berdasarkan hasil yang didapat maka disimpulkan bahwa pasien yang sering terkena stroke adalah pasien yang berumur antara 51-65 tahun, dan pasien yang memiliki riwayat hipertensi.Kata kunci: faktor risiko, stroke iskemik

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