Article Per Year (5 Year)
p-Index From 2019 - 2024
0.817
P-Index
This Author published in this journals
All Journal Asian Australasian Neuro and Health Science Journal (AANHS-J) The Journal of Society Medicine (JSOCMED)
Nasution, Iskandar
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

Published : 4 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 4 Documents
Search

 1 
The Association of Nutrition Status Towards The Outcome of Acute Ischemic Stroke Patients with Type-2 Diabetes Mellitus Chaniago, Siti Alimahtun Sodiah; Nasution, Iskandar; Nasution, Irina Kemala
Journal of Society Medicine Vol. 2 No. 1 (2023): January
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1083.117 KB) | DOI: 10.47353/jsocmed.v2i1.26

Abstract

Introduction: Stroke is a sudden-onset neurologic deficit and having a type 2 diabetes increases the risk of stroke twice as much. In addition to affecting physical and mental abilities, stroke can also lead to a decline in nutritional status. Malnutrition is associated with poor functional outcomes in all stroke subtypes. The Controlling Nutritional Status (CONUT) score is an objective nutritional marker and could reflects malnutrition due to its comprehensive assessment of nutritional status. This study aims to find the association between nutritional status towards the outcome of acute ischemic stroke patients with type 2 diabetes. Method: This was an observational analytic study with prospective cohort design using primary data collected consecutively from patients with both acute ischemic stroke and type 2 diabetes mellitus who were hospitalized in the Stroke Corner Room, Intensive Care Unit (ICU) and inpatient ward of Haji Adam Malik General Hospital who met the inclusion criteria. The nutritional statuses of patients were measured using the CONUT score and patients outcomes were measured by mRS score. Spearman correlation test was used to assess the association between nutritional status and outcome of acute ischemic stroke patients with type 2 diabetes mellitus. Results: There were 43 patients who met the inclusion criteria where the majority of patients were male 22 people (51.2%), in the age group 51-65 years 23 people (53.5%) with a mean age of 57.93 + 10.01, was a housewife 15 people (34.9%) and Bataknese 27 people (62.8%). The majority of patients in this study had mild malnutrition with a total of 15 people (34.9%) and a median CONUT score of 3 (0-11) and poor outcome as many as 29 people (67.4%) with mRS score median 4 (0-6). The result of  Spearman correlation test showed a significant correlation between nutritional status and the outcome of acute ischemic stroke patients with type 2 diabetes mellitus with a moderate correlation. Conclusion: There was a significant correlation between nutritional status and the outcome of acute ischemic stroke patients with type 2 diabetes mellitus with a moderate correlation
The Association Between ASPECTS Score and Dysphagia in Acute Ischemic Stroke Patients Saragih, Diko Hamonangan; Cut Aria Arina; Nasution, Iskandar
Journal of Society Medicine Vol. 2 No. 7 (2023): July
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i7.68

Abstract

Introduction: The Alberta Stroke Program Early CT Score (ASPECTS) is a scoring system assessed from CT scans to investigate the involvement of brain regions experiencing early ischemic changes. Lower scores are known to be associated with worse conditions and the occurrence of complications such as dysphagia. This study aimed to assess the relationship between ASPECTS scores and the occurrence of dysphagia in patients with acute ischemic stroke. Method: This cross-sectional analytical study was conducted at RSUP H. Adam Malik Medan from November 2022 to January 2023. ASPECTS scores were assessed based on CT scan results, while dysphagia was evaluated using the GUSS score. The Mann-Whitney U test was performed to assess the relationship between the two variables. Results: : A total of 34 subjects were included in this study. Among them, 11 (32.4%) subjects experienced dysphagia. The median ASPECTS score was 8 (range 3-9). The Mann-Whitney U test showed a significant association between ASPECTS scores and the occurrence of dysphagia (p<0.001). Conclusion: There is a significant relationship between ASPECTS scores and the occurrence of dysphagia.
The Correlation between Dehydration and Early Neurological Deterioration in Acute Hemorrhagic Stroke Purba, Siti Hasnita Oktavia; Nasution, Iskandar; Pujiastuti, R.A. Dwi
Journal of Society Medicine Vol. 3 No. 1 (2024): January
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i1.118

Abstract

Introduction: Early Neurological Deterioration (END) is a worsening of symptoms within a few hours or days after an acute stroke which occurs in around 25,5% of patients with intracerebral hemorrhage. Dehydration is one of the conditions that is widely observed as a non-neurological cause of END in acute ischemic stroke, but in hemorrhagic stroke the correlation is still unclear. The aim of this study was to determine the correlation between dehydration and END in acute hemorrhagic stroke. Method: In this cross-sectional study, we assessed acute hemorrhagic stroke patients within 72 hours of onset at Haji Adam Malik General Hospital Medan, Indonesia, from April to October 2023. Patients are categorized as dehydrated if BUN/Cr ≥15 and urine specific gravity >1,010. END was defined as an increase in National Institutes of Health Stroke Scale (NIHSS) score of ≥ 2 points on the total score, or ≥ 1 point on motor items. Bivariate analysis was carried out to determine the correlation between dehydration and END in acute hemorrhagic stroke using the contingency correlation test. Results: A total of 30 subjects were included, with a mean age of 56,47 ± 12,75 years and 53,3% women. In this study, END was identified in 11 (36,7%) patients and dehydration was detected in 13 (43,3%) patients. The results of statistical analysis found no significant correlation between dehydration and END in acute hemorrhagic stroke (p=0,88 and r=0,298). Conclusion: There was no significant correlation between dehydration and END in acute hemorrhagic stroke.
Anatomy Variation of Ruptured Anterior Communicating Artery (AcoA) Aneurysm : Serial Cases Irsyad, Muhammad Ari; Nasution, Iskandar; Tala, Muhammad Ihsan Zulkarnain
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 2 No. 2 (2020): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v2i2.4292

Abstract

Introduction : Intracranial aneurysms (IA) is an acquired disease characterized by dilatation of intracranial arteries, and is usually found at the location of arterial branches in the cranii base region. The selection of management and anatomic variations is quite interesting to be discussed in the case of aneurysms. Cases Report : Four cases of AcoA aneurysm were reported with variations in clinical manifestations, A1 segment anatomy, fundal projections and management considerations (Coiling vs. Clipping). This case series illustrates the compatibility with previous case studies that have existed. Discussion : The author concludes that the actions taken in cases I, II and III are in the form of coiling due to age, dome and neck ratio and access to perform such difficult surgical procedures. In case IV , it was considered to be performed surgical clipping action due to the presence of intracerebal hemoraghic, and the approach can be done from a non dominant hemisphere, proximal control only through the right carotid and the location of the posterior dome which was favorable for surgical clipping Conclusion : Aneurysms from the ACA-anterior communicating artery (ACoA) complex are some of the most complex lesions in the field of vascular neurosurgery. This location is where most rupture aneurysms occured with high mortalities due to complications of vasospasm and SAH. The choice of management in aneurysm cases which involved many factors such as age and anatomic variations.  
Co-Authors Chaniago, Siti Alimahtun Sodiah Cut Aria Arina Irsyad, Muhammad Ari Nasution, Irina Kemala Pujiastuti, R.A. Dwi Purba, Siti Hasnita Oktavia Saragih, Diko Hamonangan Tala, Muhammad Ihsan Zulkarnain