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KEJADIAN NEUROPATI DAN VASKULOPATI PADA PASIEN ULKUS DIABETIK DI POLIKLINIK KAKI DIABETIK Christia, Srisabrina; Yuwono, Agus; Fakhrurrazy, Fakhrurrazy
Jurnal Berkala Kedokteran Vol 11, No 1 (2015): Februari 2015
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v11i1.181

Abstract

Diabetic ulcer is a diabetes mellitus (DM) complication, where its growth is affected by many factors such as neuropathy and vasculopathy. The aim of this study was to identify the incidence number of neuropathy and vasculopathy on diabetic ulcer patients at RSUD Ulin Banjarmasin and RSUD Dr. H. M. Ansari Saleh Banjarmasin from June to August 2014. This is an observational descriptive study with cross sectional approach. A total of 100 diabetic ulcer patient samples were chosen using purposive sampling method. Neuropathy was assessed using Michigan neuropathy screening instrument (MNSI) and vasculopathy was assessed using Ankle Brachial Index (ABI). The results showed that from 100 samples, 100 (100%) persons were neuropathic, while 31 (31%) of them were vasculopathic hence they suffered from both neuropathy and vasculopathy, a condition commonly known as neuroischemia. Keywords: diabetic ulcer, neuropathy, vasculopathy
CLINICAL AND RADIOLOGICAL APPROACH OF POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME ON ECLAMPSIA Fakhrurrazy, Fakhrurrazy; Surdhawati, Herly Maulida
Malang Neurology Journal Vol 3, No 2 (2017): July
Publisher : Malang Neurology Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (939.214 KB) | DOI: 10.21776/ub.mnj.2017.003.02.6

Abstract

Posterior reversible encephalopathy syndrome (PRES) is rare clinico-neuroradiologic condition and not commonly reported in the literature, a recently recognized syndrome characterized clinically by headache, confusion, seizure and visual loss associated, with imaging findings of bilateral cortical and subcortical oedema, predominantly posterior cerebral lesions (mainly occipito-parietal). Posterior reversible encephalopathy syndrome is an uncommon complication of severe preeclampsia/ eclampsia. The objective of this study is to report PRES case on eclampsia with clinical and radiological approach. We report a case of woman, 34 years old woman, with chief complaint tonic clonic general seizure and sudden headache previously. This patient had pregnancy 8 gestational month and had pregnancy termination with cesarean section recently. Patient had loss of consciousness, vision disturbance, and weakness of right extremities, all this symptom become well during treatment. The result of laboratory examination was HELLP syndrome (haemolysis, elevated liver enzymes and low-platelets). Head CT scan showed hypodense lesion in left parietooccipital region and MRI on T2W and T2FLAIR ADC MAPS found hyperintens lesion in right and left parietooccipital. Then it can be concluded that it have been reported cases of eclampsia with PRES with symptom of headache, seizure, mental status disturbance, visual disturbances. The pathological association between PRES and HELLP syndrome in a patient with eclampsia is poorly described.
Hubungan Tingkat Aktivitas Fisik dengan Fungsi Kognitif pada Lansia di Panti Sosial Tresna Wredha Kalimantan Selatan Sesar, Dede Marizal; Fakhrurrazy, Fakhrurrazy; Panghiyangani, Roselina
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 19, No 1: January 2019
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mm.190125

Abstract

Salah satu masalah kesehatan yang sering terjadi pada golongan lanjut usia adalah gangguan fungsi kognitif. Penurunan tingkat aktivitas fisik diduga menjadi faktor menurunnya fungsi kognitif pada lansia. Tujuan penelitian ini dilakukan untuk mengetahui hubungan tingkat aktivitas fisik dengan fungsi kognitif pada lansia. Penelitian ini menggunakan metode observasional analitik, dengan pendekatan cross sectional study. Populasi penelitian adalah lansia yang tinggal di Panti Sosial Tresna Wredha Budi Sejahtera Kalimantan Selatan. Sampel penelitian sebanyak 39 responden dengan teknik purposive sampling. Kriteria inklusi adalah usia 60 tahun, laki-laki, bersedia menjadi responden. Lansia yang mengalami gangguan neuropsikiatrik, gangguan pendengaran dan pengelihatan tidak diikutkan sebagai responden. Tingkat aktivitas fisik dinilai menggunakan kuesioner General Practicioner Physical Activity Questionaire (GPPAQ), sedangkan untuk mengetahui nilai fungsi kognitif menggunakan Mini Mental State Examination (MMSE). Analisis data menggunakan uji Fischer. Hasil penelitian menunjukkan bahwa 72% tingkat aktivitas fisik aktif dan 28% pasif. Sebesar 59% fungsi kognitif buruk dan 41% fungsi kognitif baik. Hasil uji statistik menunjukkan tidak terdapat hubungan yang bermakna p 0,05. Disimpulkan bahwa sebagian besar lansia laki-laki memiliki tingkat aktivitas fisik tergolong aktif (72%), namun 59% memiliki fungsi kognitif tergolong buruk. Secara statistik terbukti bahwa tingkat aktivitas fisik tidak berhubungan dengan fungsi kognitif.