Trianggoro Budisulistyo
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EFIKASI TERAPI TRANSKRANIAL MAGNETIK STIMULASI (TMS) TERHADAP PERBAIKAN KLINIS PASIEN NYERI PUNGGUNG BAWAH DI RSUP DR. KARIADI SEMARANG Rian Dwi Kusuma; Trianggoro Budisulistyo; Y.L Aryoko Widodo
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 6, No 2 (2017): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (410.243 KB) | DOI: 10.14710/dmj.v6i2.18657

Abstract

Latar Belakang : Terdapat berbagai macam terapi dalam menurunkan intensitas nyeri punggung bawah, seperti terapi farmakologis, fisioterapi, bedah dan TMS (Transkranial Magnetik Stimulasi). Namun seberapa besar pengaruh TMS terhadap perbaikan klinis nyeri punggung bawah masih belum diketahui.Tujuan : Untuk mengetahui efektifitas terapi TMS terhadap perbaikan klinis nyeri punggung bawah.Metode : Penelitian ini menggunakan metode kohort (prosfektif). Responden penelitian ini berjumlah 34 responden dan di bagi menjadi 2 kelompok yaitu TMS dan Non TMS. Responden di wawancarai sebanyak 2 kali yaitu sebelum terapi dan sesudah terapi yang meliputi kekuatan otot, gangguan fungsional, dan intensitas nyeri. Dilakukan analisa deskritif, univariat dan bivariat. Hasil di nyatakan bermakna apabila nilai p <0,05.Hasil : Dari penelitian didapatkan penurunan kualitas nyeri sebelum – sesudah terapi TMS sebesar 6.76 – 4.11, Sedangkan rata - rata penurunan kualitas nyeri Non TMS sebelum - sesudah 6.47 – 5.11 ini menunjukkan adanya perbedaan rata– rata penurunan kualitas nyeri pasien NPB pada kedua kelompok sebelum dilakukan terapi. Namun setelah dilakukan penghitungan mann-whitney untuk menguji tingkat keefektifitasan terapi TMS lebih efektif dalam menurunkan kualitas nyeri.Simpulan : Terapi TMS dan Non TMS sama sama dapat menurunkan intensitas nyeri. Namun terapi TMS lebih efektif dalam menurunkan kualitas nyeri pada pasien nyeri punggung bawah.
CLINICAL AND HISTOPATHOLOGICAL CHARACTERISTICS OF PRIMARY BRAIN TUMOR DISEASE IN RSUP DR. KARIADI SEMARANG Madani Hastutyosunu; Trianggoro Budisulistyo; Arinta Puspita Wati
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 3 (2020): DIPONEGORO MEDICAL JOURNAL ( Jurnal Kedokteran Diponegoro )
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (539.986 KB) | DOI: 10.14710/dmj.v9i3.27511

Abstract

Introduction: Primary brain tumour is one of the non-communicable diseases that ranks 17th of all types of cancer in the world with an estimated 256,000 new cases each year. The incidence in North America, Europe and Australia is quite high with an estimated 4-8 new cases per 100,000 population per year. The incidence in continental countries of Asia and Africa is less compared to developed countries. The low incidence and mortality of brain tumours in the continents of Asia and Africa, especially in Indonesia, is thought to be due to the low reports of brain tumour disease from some of these countries, so as to increase knowledge and management of brain tumour plenary services in Indonesia, accurate hospital clinical data is needed. Objective: This study aims to look at the frequency of events, symptoms and clinical signs, histopathological characteristics, the stage at diagnosis, and compare the incidence of primary brain tumours in men and women. Methods: This study used a descriptive observational study design that uses data on primary brain tumour patients in the period of January 2017 - December 2018. Data collected includes clinical symptoms and signs, histopathological characteristics, and tumour tissue characteristics. Results: From 72 patients with primary brain tumour, only 36 (50%) of data can be used as samples due to the completeness of the medical record. The most common clinical symptoms and signs are headache, followed by limb disorders, and visual impairment. The most common histopathological features are Astrocytic tumour with a ratio of 17: 5 for men and women respectively. Conclusion: Primary brain tumours in RSUP Dr. Kariadi Semarang is often found with symptoms of headache followed by limb disorders and visual impairment, with a type of Astrocytic tumour that is more commonly found in men.