scholarly journals Gambaran Fungsi Kognitif pada Pasien Epilepsi di Poliklinik Saraf RSUP Prof. Dr. R.D. Kandou Manado

e-CliniC ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Raymond J. Sigar ◽  
Mieke A.H. Kembuan ◽  
Corry N. Mahama

Abstract: Epilepsy is one of most common neurological disorders that causes cognitive decline. This stuayd was aimed to ascertain the overview of cognitive function in epilepsy patients at the Neurology Clinic of Prof Dr. R. D. Kandou Hospital Manado. This was a prospective descriptive study with a cross-sectional design. Data were obtained through anamnesis and direct test to 35 epileptic patients by using questionnaire, MMSE, and Ina-MoCA instruments in the Neurology Clinic of Prof. Dr. R. D. Kandou Hospital Manado from October to November 2017. The results MMSE showed 77.10% of patients had normal cognitive function. Meanwhile, the Ina-MoCa resulted in 89% of respondents suffering from cognitive decline. Conclusion: There were impaired cognitive functions ranging from mild to severe in epileptic patients that could affect their quality of life and functional status.Keywords: epilepsy, cognitive function Abstrak: Epilepsi adalah salah satu gangguan neurologik yang terbanyak yang menyebabkan gangguan fungsi kognitif. Penelitian ini bertujuan untuk mengetahui gambaran fungsi kognitif pada pasien epilepsi di Poliklinik Saraf RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif prospektif dengan desain potong-lintang. Pengumpulan data diperoleh melalui wawancara dan pengujian langsung terhadap pasien epilepsy yang berjumlah 35 orang. Penelitian ini menggunakan kuesioner, serta instrumen MMSE dan Ina-MoCA dilakukan di Poliklinik Saraf RSUP Prof Dr. R. D. Kandou Manado sejak bulan Oktober s/d November 2017. Hasil pemeriksaan dengan MMSE menunjukkan 77,10% dari pasien dengan fungsi kognitif normal sedangkan pemeriksaan dengan Ina-MoCA menunjukkan 89% dari pasien mengalami gangguan fungsi kognitif. Simpulan: Terdapat gangguan fungsi kognitif ringan-berat pada pasien epilepsi yang dapat memengaruhi kualitas hidup dan status fungsional.Kata kunci: epilepsi, fungsi kogntif

2021 ◽  
Vol 7 (1) ◽  
pp. 34
Author(s):  
Maria Manungkalit ◽  
Ni Putu Wulan Purnama Sari ◽  
Ninda Ayu Prabasari

As age increases, various body deteriorioration will follow, one of them is cognitive function. The brain function of memory recall or remembering something is part of cognitive function. If this function weaken, daily activities will be disturbed and may have impacts on quality of life. This study aimed to analyze the correlation between cognitive function and quality of life in elderly. This was a cross-sectional design. Population was all elderly living in a private nursing home in Surabaya (N=150). Based on sample's selection criteria, there were 145 elderly participated as respondents. Instruments used were Mini Mental State Exam (MMSE) for measuring cognitive function, and Older People Quality of Life (OPQOL) for measuring quality of life in elderly. Most respondents had normal cognitive function, but their quality of life was mostly sufficient. Statistical analysis by Spearman's Rho correlation test showed that cognitive function was significantly correlated with quality of life in elderly (p=0.008). The aging process has impact on cognitive function deterioration which resulted in a decrease in elderly's quality of life.  Keywords: cognitive function, elderly, quality of life


2017 ◽  
Vol 5 (1) ◽  
pp. 21
Author(s):  
Cindy Kusuma Dewi

Performance evaluation was showed that average service time from January to October 2016 was 35.56 minutes. The average service time ensuring provision of medical records of outpatients was under targets because the standard of service time of the Minister of Health No. 129 at 2008 is <10 minutes. This research aimed to determine the information quality of medical record documents outpatients as helped efforts to improve the information quality of medical record documents. This was a descriptive study with cross-sectional design. Data was collected through observation outpatient medical record on December. The samples consisted 115 medical record documents. The sampling method used was random sampling. Variable used by researchers was the quality dimensions of The Product and Service Performance for Information Quality Model. The results showed the dimensions free of error of 68.33%, dimensions of concise representation of 58.44%, and the dimensions of completeness by 55.56%, and dimensions of consistent representation of 52.22%. Based on research result, average score of information quality assessment were good enough. Recommendation for Medical Record Departementbased on research results was made guidelines or standard operating procedures could be used to increase the quality of medical record documents. Keywords: assessment, dimension, information quality, Medical Record Document,outpatient


e-CliniC ◽  
2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Martinus M. Wibowo ◽  
Winifred Karema ◽  
J. Maja. P. S

Abstract: In stroke patients there are damages of neurons resulting in disabilities of sensoric, motoric, and cognitive functions. Evaluation of cognitive function is needed to determine the level of functional ability that is useful in management and prognosis. This study aimed to obtain the cognitive function of post-stroke patients in Neurology Clinic Prof. Dr. R. D. Kandou Hospital Manado form November-December 2014 by using INA-MoCA and MMSE. This was a descriptive study with a cross sectional design. There were 35 patients as samples. The results showed that most of the patients were males (48.57%), age group 56-65 years old (37.1%), high school education (45.7%), and ischemic type stroke (97.1%). There were 97.1% of patients with INA-MoCA score <26. Moreover, there were 91.4% of patients with normal MMSE score, 5.7% probable, and 2.9% definite.Keywords: cognitive function disturbance, INA-MoCA, MMSE, post strokeAbstrak: Pada pasien stroke terjadi kerusakan sel-sel neuron yang dapat berakibat kecacatan fungsi sensoris, motoris, maupun kognitif. Evaluasi fungsi kognitif sangat diperlukan untuk menentukan tingkat kemampuan fungsional yang berguna untuk penanganan dan prognosis. Penelitian ini bertujuan untuk mendapatkan gambaran fungsi kognitif yang diperiksa dengan INA-MoCA dan MMSE pada penderita post-stroke di poliklinik saraf BLU RSUP Prof. Dr. R. D. Kandou Manado. Penelitian ini menggunakan metode deskriptif dengan desain potong lintang. Sampel berjumlah 35 pasien dengan karakteristik populasi paling banyak laki-laki 48,57%, kategori umur 56-65 tahun 37,1%, tingkat pendidikan SMA 45,7%, tipe stroke iskemik 97,1%. Pasien dengan skor INA-MoCA <26 sejumlah 97,1%. Dengan skor MMSE terdapat 91,4% pasien Normal, 5,7% Probable, dan 2,9% Definite.Kata kunci: gangguan fungsi kognitif, INA-MoCA, MMSE, post stroke


2021 ◽  
Vol 10 (2) ◽  
pp. 105
Author(s):  
Etika Indri Astuty ◽  
Lucia Yovita Hendrati

Tuberculosis (TB) can infect all age groups, even children. Three provinces in Indonesia namely West Java (14%), Papua (13%), and Bangka Belitung provinces (11%) have the highest proportion of children with TB disease. Some previous research reveals that there is a relationship between exclusive breastfeeding and BCG immunization status of children with TB disease. This current study identified the increasing trend of children (aged 0-14 years) with TB disease in Bangka Belitung province based on the coverage of exclusive breastfeeding and BCG immunization. It was observational research with a cross-sectional design. Data were retrieved from seven districts/cities in Bangka Belitung province in 2015-2017. The unit of analysis was the number of overall TB cases, the percentage of BCG immunization coverage, and exclusive breastfeeding. The data were analyzed using the Health Mapper application version 4.3.0.0 with product version 4.03. The number of children (aged 0-14 years) with TB disease increased from 2015-2017, and BCG immunization coverage and exclusive breastfeeding decreased in 2015-2016 only, but swelled in 2016-2017. The number of TB cases was still high despite the high coverage of exclusive breastfeeding and BCG immunization. Several factors such as the quality of vaccines and exclusive breastfeeding might influence the prevalence of TB in children. Future studies should employ more variables to garner more references.


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Gloria V. Pandean ◽  
Eko E. Surachmanto

Abstract: Hypertension is an increase in blood pressure above normal. It is categorized as a silent disease because people do not know whether they suffer from hypertension or not until their blood pressures were checked. This study aimed to obtain the relationship between hypertension and cognitive function. This was an analytical study with a cross sectional design. Subjects were adult hypertensive patients who came to the Clinic of Internal Medicine Department Prof. Dr. R. D. Kandou Hospital Manado. The results showed that there were 45 patients as subjects consisted of 20 males and 25 females. There was a tendency that the higher systolic or diastolic blood pressure, the lower the cognitive function. Among patients with hypertension ≥5 years there was a highly significant relationship between duration of hypertension and impaired cognitive function. According to MMSE results of cognitive function, there were 27 patients with normal cognitive function, 2 patients with moderate impairment, and 16 patients with mild impairment. There was no cases of severe disorder.Keywords: hypertension, cognitive functionAbstrak: Hipertensi adalah suatu keadaan dimana terjadi peningkatan tekanan darah di atas normal pada pemeriksaan tekanan darah. Penyakit ini dikategorikan sebagai the silent disease karena penderita tidak mengetahui dirinya mengidap hipertensi sebelum memeriksakan tekanan darahnya. Penelitian ini bertujuan untuk mengetahui apakah terdapat hubungan antara hipertensi dan fungsi kognitif. Jenis penelitian ini analitik dengan desain potong lintang. Sampel ialah pasien dewasa penyandang hipertensi yang datang ke Poliklinik SMF Ilmu Penyakit Dalam RSUP Prof. Dr. R. D. Kandou Manado. Jumlah sampel 45 orang terdiri dari 20 laki-laki dan 25 perempuan. Hasil penelitian memperlihatkan terdapat kecenderungan semakin tinggi tekanan darah sistolik (TDS) dan tekanan darah diastolik (TDD) maka semakin rendah fungsi kognitif. Pada penyandang hipertensi selama ≥5 tahun terdapat hubungan yang sangat signifikan antara durasi menyamdang hipertensi dan gangguan fungsi kognitif. Hasil pemeriksaan MMSE mendapatkan 27 pasien dengan fungsi kognitif normal, 2 pasien dengan gangguan kognitif derajat sedang, dan 16 pasien dengan derajat ringan; tidak terdapat pasien dengan gangguan kognitif derajat beratKata kunci: hipertensi, fungsi kognitif


2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Ega Putri Nurwita ◽  
Tantut Susanto ◽  
Hanny Rasni

Cognitive function disorders in elderly is one of the problems found in Indonesia. Cognitive function is related to a person's lifestyle such as physical activity. Physical activity can increase brain nerve growth and affect cognitive function in elderly. However, the majority of the elderly choose sedentary lifestyle. Sedentary is a lifestyle by applying behavior when sitting, leaning back, and lying down which is done starting from waking up to the night before going to sleep continuously. The purpose of this study was to analyze the relationship between sedentary lifestyle and cognitive function among the elderly at UPT PSTW Jember. A cross-sectional design was conducted among 84 elderly at UPT PSTW Jember by using convenience sampling. A questionnaire was used to identify the sociodemography of participants while the data of sedentary lifestyle was obtained by using Global Physical Activity Questionnaire (GPAQ), and the data of cognitive function was taken using Mini Mental State Exam (MMSE). Spearman rank test was performed to answer the purpose of this study. Among 84 participants, it is shown that elderly are sedentary for 405 minutes/day, which are less than standard score (Ƶ = 1.377; p = 0.045). The cognitive function score of elderly is 27 which are greater than the standard score (Ƶ = 1.401; p = 0.040), so that the elderly has normal cognitive function. According to the result of the study, the sedentary lifestyle is related to cognitive function, the shorter duration of sedentary lifestyle, the cognitive function increases (r = -0.470; p < 0.001). Therefore, planned intervention is to make schedule routine physical activity and aerobic exercise to maintain cognitive function in elderly.


e-CliniC ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Joshua Lengkoan ◽  
Herlyani Khosama ◽  
Maja Sampoerno

Abstract: Depression is a comorbid symptom that often occurs in epileptic patients. This study aimed to obtain the occurence of depression among epileptic patients at the Neurology Department Prof. Dr. R. D. Kandou Hospital Manado. This study used a cross-sectional design for diagnostic test. Respondents were all patients that came to the Neurology clinic at Neurology Department Prof. Dr. R. D. Kandou Hospital Manado. There were 30 epileptic cases during the period of October to November 2014 that fulfilled the inclusion and exclusion criteria. Based on the outcome of questionnaires distributed to respondents and the manual calculation with standardized score of Neurological Depression Disorders Inventory for Epilepsy (NDDI-E) >15, diagnosis of depression was confirmed. There were 10 depression cases among the 30 respondents. Conclusion: Neurological Depression Disorders Inventory for Epilepsy Indonesian Version could be used to detect depression disorders among epileptic patients.Keyword: epilepsy, depression, NDDI-EAbstrak: Depresi adalah salah satu gejala komorbid yang sering terjadi pada pasien epilepsi. Penelitian ini bertujuan untuk mengetahui gambaran depresi pada pasien epilepsi di Poliklinik Saraf RSUP Prof. Dr. R. D. Kandou Manado. Penelitian dilakukan menggunakan desain potong lintang untuk uji diagnostik dengan mengambil sampel semua pasien epilepsi yang datang ke Poliklinik Saraf BLU RSU Prof. Dr. R. D. Kandou Manado. Terdapat 30 pasien epilepsi yang berobat ke poliklinik saraf RSUP Prof. Dr. R. D. Kandou Manado bulan Oktober sampai November 2014 yang memenuhi kriteria inklusi dan ekslusi. Dari hasil kuesioner yang dibagikan kepada responden dan melalui hasil perhitungan manual dengan standar skor Neurological Depression Disorders Inventory for Epilepsy (NDDI-E) >15 diagnosis mengalami depresi ditetapkan. Hasil penelitian menunjukkan 10 dari 30 responden mengalami depresi. Simpulan: Neurological Depression Disorders Inventory for Epilepsy (NDDI-E) versi Bahasa Indonesia dapat digunakan dalam mendeteksi gangguan depresi pada pasien epilepsi.Kata kunci: epilepsi, depresi, NDDI-E


2016 ◽  
Vol 8 (1) ◽  
pp. 36
Author(s):  
Feryalin Navyanti ◽  
Retno Adriyani

Abstract: Fresh cow’s  milk consumed by many people so that the quality must be maintained so that people can safely consume. This study  was conducted to identify the state of hygiene and sanitation measures the quality of fresh cow’s milk dairies  X in Surabaya.  This study  is a descriptive study,  with a cross sectional design. Data collection sanitary hygienic milk performed using observations corporate environment. Interviews  with owners and  cow  milker.  The existence Escherecia coli in fresh cow’s  milk was tested by using the MPN method. The presence of the bacteria tested with Total Plate count  method. Physical quality is measured by means of sensory. The results  showed that the sanitation in the milk Milk Company X included in the category are not eligible. Variables that have  not met  the requirements of health and hygiene milker, cow  health and hygiene, health and hygiene cage. The quality of fresh cow’s milk in terms of bacteriological content of escherechia coli negative while  for the  Total Plate Count  parameter ranges  5,4 ×  103 CFU/ml - 67,5 × 104 CFU / ml. Physical qualities which include the color white, the typical smell of milk and sweetened slightly salty. The conclusion that can  be  drawn is sanitary hygiene while still qualify from the bacteriological quality, Total Plate Count parameters and the presence of Escherechia coli 01.3141.1998 meet the requirements of SNI and SNI 3141.01.2011. In order to improve  the quality of milk produced before milking cows should always be washed first and milked milk should be placed in containers or milk can is sealed to avoid contamination.Keywords: Total Plate count,  Escherichia coli, sanitary higiene of dairy milk


2020 ◽  
Vol 4 (1) ◽  
pp. 1-6
Author(s):  
NINDY VARA MEIGIA

Minimum Standards Service is basic service quality regulation that is entitled to be obtained by every citizen. Elderly people must obtain 100% health services. Various factors can lead to low visits to the elderly posyandu in the Gading Puskesmas area in 2017. Objective: to find out the relationship between family support, knowledge, and elderly activities in the elderly posyandu in Gading Surabaya puskesmas. Method: The type of research is observational analytic with a cross-sectional design. Data processing and analysis is done by univariate and bivariate. Data collection techniques by conducting simple random sampling with a sample of 94 elderly people. Location and time of research from December 2018 at the posyandu in the Gading Surabaya health center area. Results: There is a significant value of 0,000 <0,05, so it can be concluded is have a relationship with family support, knowledge of elderly with activity following the elderly posyandu at Gading Surabaya health center


2019 ◽  
pp. 137-143
Author(s):  
Dennys Christovel Dese ◽  
Cahyo Wibowo

Peningkatan jumlah lansia setiap tahunnya harus dijadikan perhatian, akibat adanya peningkatan jumlah lansia masalah yang dihadapi akan menjadi semakin kompleks, salah satunya adalah masalah yang berkaitan dengan gejala penuaan. Menurunnya kapasitas intelektual berhubungan erat dengan fungsi kognitif pada lansia. Aktivitas fisik diidentifikasi sebagai salah satu faktor yang mempengaruhi fungsi kognitif. Aktivitas fisik bermanfaat untuk lansia sebagai pencegahan dan demensia. Penelitian ini merupakan penelitian analitik observasional dengan menggunakan pendekatan cross sectional. Penelitian dilakukan di yayasan sosial Panti Wredha Salib Putih Salatiga pada bulan Juni 2018. Populasi dalam penelitian ini adalah lansia yang berumur ?60 tahun. Subjek pada penelitian ini berjumlah 16 responden. Variabel independen dalam penelitian ini adalah aktivitas fisik yang dinilai dengan menggunakan instrument GPAQ. Sedangkan variabel dependen dalam penelitian ini adalah fungsi kognitif yang dinilai dengan instrument MMSE. Terdapat 4 orang (25%) yang masuk dalam kategori fungsi kognitif normal dengan kategori aktifitas fisik sedang 1 orang dan aktifitas berat 3 orang, kemudian yang termasuk dalam kategori gangguan fungsi kognitif ringan sebanyak 11 orang (68,75%), dengan kategori aktifitas fisik sedang 8 orang dan aktifitas ringan 3 orang. Sedangkan yang termasuk dalam kategori gangguan fungsi kognitif berat, terdapat 1 orang (6,25%) dengan kategori aktifitasnya ringan. Taraf signifikansi antar variabel tingkat aktifitas fisik dan fungsi kognitif pada lansia adalah p=0.007 atau p<0,05, sehingga dapat disimpulkan ada  hubungan antara tingkat aktifitas fisik dengan fungsi kognitif pada lansia.   Increasing the number of elderly people every year should be a concern, due to an increase in the number of elderly problems faced will become increasingly complex, one of which is a problem related to the symptoms of aging. Decreased intellectual capacity is closely related to cognitive function in the elderly. Physical activity is identified as one of the factors that influence cognitive function. Physical activity is beneficial for the elderly as prevention and dementia. This study was an observational analytic study using a cross sectional approach. The study was conducted at the social foundation nursing home in the white cross in June 2018. The population in this study was elderly aged ≥60 years. The subjects in this study were 16 respondents. The independent variable in this study is physical activity that is assessed using the GPAQ instrument. While the dependent variable in this study was cognitive function which was assessed by the MMSE instrument. There are 4 people (25%) who fall into the category of normal cognitive function with moderate physical activity categories 1 person and heavy activities 3 people, then those included in the category of mild cognitive function disorders are 11 people (68.75%), with the category of physical activity being 8 people and 3 light activities. While those included in the category of severe cognitive function disorders, there is 1 person (6.25%) with a mild activity category. The significance level between the level of physical activity and cognitive function in the elderly is p = 0.007 or p <0.05, so it can be concluded that there is a relationship between the level of physical activity and cognitive function in the elderly.


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