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Symptoms Improvement of Cerebral Venous Sinus Thrombosis: A Case Report Komang Yunita Wiryaning Putri; Novan Krisno Adji; Azham Purwandhono; Muhammad Yudha Nugraha; Salsabila Maula Zalfa El Hamzah
Journal of Agromedicine and Medical Sciences Vol 8 No 2 (2022)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v8i2.30193

Cerebral venous sinus thrombosis (CVT) is a rare cause of stroke, a life-threatening disorder that occurs in approximately 0,5-1% of all stroke incidents. Various clinical presentations, risk factors, and neuroimaging findings of this disease may cause a delay in the early diagnosis and treatment of CVT. We discuss a case of a 34-year-old female who was admitted to the emergency room (ER) with the onset of a generalized tonic-clonic seizure with a progressive headache in the occipitotemporal region. Based on head CT, there was multiple hyperdense and cerebral venous infarction in the posterior left parietal lobe. D-dimer evaluation, there was an increasing level of D-dimer (>10.000 ng/mL). The patient was treated with the primary therapy heparin. After 15 days of being hospitalized, the patient was discharged without any sequelae. Keywords: CVT, heparin, stroke

Pengaruh Murottal Al-Qur’an Surah Ar Rahman Terhadap Kualitas Tidur Mahasiswa Fakultas Kedokteran Universitas Jember Musdalifana Vega Ratrinda; Komang Yunita Wiryaning Putri; Kristianningrum Dian Sofiana
Journal of Islamic Medicine Vol 7, No 1 (2023): JOURNAL OF ISLAMIC MEDICINE EDISI MARET 2023
Publisher : Faculty of Medicine and Health Science, Universitas Islam Negeri Maulana Malik Ibrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18860/jim.v7i1.20817

Background:Medical students are at risk for experiencing sleep disturbances due to the demands of the academic assignments they face. Al-Quran murottal therapy is a sound therapy that is given to someone to have a relaxing effect Objectif : This study aims to determine the effect of murottal AlQuran on sleep quality of medical students, University of Jember Methods :This type of research is quasi experimental with one group pretest-postest design. The research was carried out for 1 week listen to the murotal Al Quran Surah Ar Rahman read by Qori Misyari Rasyid Al Afasy for 15 minutes at the respondent's location using the zoom application. The sample of this research was 18 students of medical student, University of Jember, class of 2018 and 2019. Samples were taken using the technique purposive sampling. Data were analyzed univariately and bivariately using testwilcoxon signed rank test and carried out the normality test using shapiro wilk Results: The results of the univariate analysis showed changes mean sleep quality pretest and posttest. Before listening to murottal Al-Quran have mean 8.16 and after listening to the Al-Quran to 3.66. The result of bivariate analysis is test wilcoxon signed rank test value is obtained p-value= 0.000 indicates that there is a significant difference between the provision of murottal Al-Quran and the sleep quality of medical students, University of Jember Conclusion : The conclusion of this study is that there is an effect of murottal AlQuran on improving the sleep quality of medical students, University of Jember

Effectivity of Pyridoxine as Adjuvant Therapy of Phenytoin in Patients with Epilepsy at Soebandi Regional Hospital Jember Yovita Karina Pandan Putri; Cholis Abrori; Komang Yunita Wiryaning Putri
Jember Medical Journal Vol. 1 No. 1 (2022)
Publisher : Faculty of Medicine, University of Jember

Phenytoin is an antiepileptic drug Â used as monotherapy for partial and generalized tonic-clonic seizures for more than 50 years. Pyridoxine is a water-soluble vitamin widely used for seizure patientsÂ unresponsive to standard treatment regimens. This study was conducted to determine the effect of pyridoxine as adjuvant therapy in epilepsy patients receiving phenytoin and to determine the relationship between age, gender, type of epilepsy, and duration of therapy on the incidence of seizures in epilepsy patients at Soebandi Regional Hospital Jember. This research is an observational analytic study with a cross sectional design. The data was taken from the patient's medical record at Soebandi Hospital Jember. The number of samples in each treatment group was 18 samples so the total number of samples in this study was 36 samples. Samples were taken using total sampling technique. Data analysis was performed using Chi-Square Â test on bivariate analysis and The Logistic test on multivariate analysis. The sample in this study was dominated by male patients (52.8%), aged 19-59 years (52.8%), had epilepsy with generalized seizure type (86.1%), and received therapy for < 3 years (77.8%). The results of bivariate and multivariate analysis showed correlation between the administration of pyridoxine and the incidence of seizures, indicating that phenytoin therapy with pyridoxine adjuvants was more effective than monotherapy phenytoin. Other factors such as gender, age, type of epilepsy, and duration of therapy were not proven to have a correlationÂ with the incidence of seizures in epilepsy patients at Soebandi Hospital Jember. Â Â Â Â

Sinonasal Bone Destruction caused by Frontal Meningioma Invasion related with Respiratory Tract Infection Incident: A Case Report Novan Krisno Adji; Komang Yunita Wiryaning Putri; Laksmi Indreswari; Muhammad Yuda Nugraha
Jember Medical Journal Vol. 1 No. 1 (2022)
Publisher : Faculty of Medicine, University of Jember

Meningioma is uncommonly found in extracranial. Extracranial meningioma can be extension from primary intracranial tumors that accompany osteolytic changes in the skull or causes bone destruction. In this article, we report about intracranial meningioma in the frontal region that extend to the sinonasal bone causes bone destruction and being predisposing factor for respiratory tract infection. A 47-years old female brought to the emergency department due to dyspnea and fever since a week ago and there was found a lump in the frontal region. During the surgical procedure, there was invasion of tumor and caused sinonasal bone destruction. The endotracheal tube (ETT) can be seen from the surgical field. In this case the patient was threated pneumonia infection, it can be related as complication of sinonasal bone destruction that caused by invasion of meningioma to extracranial manifestation. The clinical important that must be informed to the patient the possibility of recurrent respiratory tract infection incidents.

Pengaruh Murottal Al-Qur’an Surah Ar Rahman Terhadap Kualitas Tidur Mahasiswa Fakultas Kedokteran Universitas Jember Musdalifana Vega Ratrinda; Komang Yunita Wiryaning Putri; Kristianningrum Dian Sofiana
Journal of Islamic Medicine Vol 7, No 1 (2023): JOURNAL OF ISLAMIC MEDICINE EDISI MARET 2023
Publisher : Faculty of Medicine and Health Science, Universitas Islam Negeri Maulana Malik Ibrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18860/jim.v7i1.20817

Background:Medical students are at risk for experiencing sleep disturbances due to the demands of the academic assignments they face. Al-Quran murottal therapy is a sound therapy that is given to someone to have a relaxing effect Objectif : This study aims to determine the effect of murottal AlQuran on sleep quality of medical students, University of Jember Methods :This type of research is quasi experimental with one group pretest-postest design. The research was carried out for 1 week listen to the murotal Al Quran Surah Ar Rahman read by Qori Misyari Rasyid Al Afasy for 15 minutes at the respondent's location using the zoom application. The sample of this research was 18 students of medical student, University of Jember, class of 2018 and 2019. Samples were taken using the technique purposive sampling. Data were analyzed univariately and bivariately using testwilcoxon signed rank test and carried out the normality test using shapiro wilk Results: The results of the univariate analysis showed changes mean sleep quality pretest and posttest. Before listening to murottal Al-Quran have mean 8.16 and after listening to the Al-Quran to 3.66. The result of bivariate analysis is test wilcoxon signed rank test value is obtained p-value= 0.000 indicates that there is a significant difference between the provision of murottal Al-Quran and the sleep quality of medical students, University of Jember Conclusion : The conclusion of this study is that there is an effect of murottal AlQuran on improving the sleep quality of medical students, University of Jember

Hyponatremia in Young Patients with Pulmonary Tuberculosis and Tuberculous Meningoencephalitis Muhammad Iqbal Fanani; Komang Yunita Wiryaning Putri; Retna Dwi Puspitarini; Ali Santosa; Indah Kusuma Wardani
Journal of Agromedicine and Medical Sciences Vol 9 No 3 (2023)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v9i3.41104

Pulmonary tuberculosis (PTB) is an uncommon respiratory infection that rarely leads to the development of hyponatremia, a condition characterized by low levels of sodium in the blood. In most cases symptoms andiated hyponatremia are mild to moderate, often lacks noticeable symptoms, and can be effectively reversed through treatment with anti-TB medications. Hyponatremia is diagnosed when the serum sodium level falls below 135 mmol/L, and it is considered severe when the level drops below 125 mmol/L. Among electrolyte imbalances, hyponatremia is one of the most frequently observed, with a prevalence ranging from 1 to 4% in its severe manifestation. This journal reports the case of a male patient who presented with decreased consciousness, suspected to be associated with moderate hyponatremia, tuberculous meningoencephalitis, pulmonary tuberculosis, and sinus bradycardia. The patient's symptoms associated with hyponatremia were relatively mild, prompting the need for further evaluation to ascertain the root cause of the electrolyte imbalance. This is particularly important for patients with suspected tuberculosis who are also experiencing complications related to hyponatremia.

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