scholarly journals POLA PENGGUNAAN OBAT PADA PASIEN STROKE HEMORAGIK DI RSUP PROF. DR. R.D. KANDOU MANADO PERIODE JANUARI-DESEMBER 2018

PHARMACON ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 90
Author(s):  
Nony L. Poana ◽  
Weny I Wiyono ◽  
Deby A Mpila
Keyword(s):  
Drug Use ◽  
Hemorrhagic Stroke ◽  
Patient Characteristics ◽  
Cerebral Blood Vessels ◽  
Stroke Patients ◽  
Duration Of Treatment ◽  
The Right ◽  
Age Range ◽  
The Brain ◽  
Descriptive Method

ABSTRACK Hemorrhagic stroke is a stroke caused by intracerebral hemorrhage or subarachniod hemorrhage due to rupture of cerebral blood vessels in certain areas, so that blood fills the brain tissue. The selection and use of drugs must be rational, so that treatment can achieve maximum therapy with minimal side effects. The purpose of this study was to determine the characteristics and patterns of drug use in hemorrhagic stroke patients at Prof. RSUP Dr. R.D. Kandou Manado. This study uses a descriptive method with a retrospective research design. The sample of this study were 83 patients, including 70 intracerebral hemorrhagic stroke patients and 13 subarachnoid hemorrhagic stroke patients. Patient characteristics were mostly male as many as 46 patients (55.42%) and female as many as 37 patients (44.58%). The largest age range of hemorrhagic stroke patients at the age of 55-64 years was 27 patients (32.52%). The duration of treatment with the highest prevalence was 1-5 days in 37 patients (44.57%). Hypertension is the most common comorbid disease of 60 patients (40.27%), and cholesterol of 15 patients (10.06). The pattern of drug use based on the evaluation of the right indication as many as 83 patients (100%), the right patients as many as 83 patients (100%), the right drugs as many as 82 patients (98.8%), and the right dosage of 73 patients (87.95%). Keywords: Hemorrhagic stroke, drug use ABSTRAK Stroke hemoragik adalah stroke yang disebabkan oleh perdarahan intraserebral atau perdarahan subarakhniod karena pecahnya pembuluh darah otak pada area tertentu, sehingga darah memenuhi jaringan otak. Pemilihan dan penggunaan obat harus secara rasional, sehingga pengobatan dapat mencapai terapi yang maksimal dengan efek samping minimal. Tujuan dari penelitian ini untuk mengetahui karakteristik dan pola penggunaan obat pada pasien stroke hemoragik di RSUP Prof. Dr. R.D. Kandou Manado. Penelitian ini menggunakan metode deskriptif dengan desain penelitian retrospektif. Sampel penelitian ini sebanyak 83 pasien, diantaranya terdapat 70 pasien stroke hemoragik intraserebral dan 13 pasien stroke hemoragik subarakhnoid. Karakteristik pasien sebagian besar adalah laki-laki sebanyak 46 pasien (55,42%) dan perempuan sebanyak 37 pasien (44,58%). Rentang usia pasien stroke hemoragik terbesar pada usia 55-64 tahun sebanyak 27 pasien (32,52%). Lama perawatan dengan prevalensi paling banyak, yaitu 1 – 5 hari pada 37 pasien (44,57%). Hipertensi merupakan penyakit penyerta yang paling banyak diderita sebesar 60 pasien (40,27%), dan kolestrol sebanyak 15 pasien (10,06). Pola penggunaan obat berdasarkan evaluasi tepat indikasi sebanyak 83 pasien (100%), tepat pasien sebanyak 83 pasien (100%), tepat obat sebanyak 82 pasien (98,8%), dan tepat dosis sebanyak 73 pasien (87,95%). Kata kunci : stroke hemoragik, pola penggunaan obat

scholarly journals TINJAUAN PENGGUNAAN DAN POTENSI INTERAKSI OBAT ANTIKEJANG DENGAN OBAT LAIN PADA PASIEN STROKE PERDARAHAN RAWAT INAP RSUP PROF. DR. R. D. KANDOU MANADO

PHARMACON ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. 239
Author(s):  
Vionita L. Porogoi ◽  
Weny Indayany Wiyono ◽  
Heedy Tjitrosantoso
Keyword(s):  
Drug Interactions ◽  
Medical Records ◽  
Hemorrhagic Stroke ◽  
Scar Tissue ◽  
Retrospective Data ◽  
Inclusion Criteria ◽  
Cerebral Blood Vessels ◽  
Stroke Patients ◽  
Neurological Problem ◽  
The Brain

ABSTRACK Hemorrhagic stroke is a stroke caused by intra-cerebral hemorrhage or subarachniod hemorrhage due to rupture of cerebral blood vessels in certain areas so that blood fills the brain tissue. Seizures are the most common neurological problem in stroke patients. The occurrence of seizures due to stroke is believed to be the presence of lesions in the brain during a stroke and the formation of scar tissue. This study discusses the use of anti-seizures and the potential of anti-seizure interactions of hemorrhagic stroke patients in inpatient at RSUP Prof. Dr. R. D. Kandou Manado. This study is involved retrospective data on 30 medical records of stroke patients with Hemorrhage in inpatients that met the inclusion criteria. Phenytoin as many as 23 (76,67%), phenytoin combined with Diazepam can occur as many as 4 (13,33%) and Diazepam by 3 (10%). Drug interactions, phenytoin combined with nicardipine which occurs as many as 2 (40%) interactions occur, phenytoin combined with Diazepam can occur as many as 3 (60%) interactions occur. Based on interactions, pharmacokinetic interactions were 5 (100%) occurrences.  Keywords: Hemorrhagic Stroke, anti-seizures, drug interactions ABSTRAK Stroke hemoragik adalah stroke yang disebabkan oleh perdarahan intraserebral atau perdarahan subaraknoid akibat pecahnya pembuluh darah otak di daerah tertentu sehingga darah mengisi jaringan otak. Kejang adalah masalah neurologis yang paling umum pada pasien stroke. Terjadinya kejang akibat stroke dipercayai adanya lesi di otak selama stroke dan pembentukan jaringan parut. Penelitian ini membahas penggunaan anti-kejang dan potensi interaksi anti-kejang pasien stroke hemoragik di rawat inap di RSUP Prof. Dr. R. D. Kandou Manado. Penelitian ini melibatkan data retrospektif pada 30 catatan medis pasien stroke dengan Perdarahan pada pasien rawat inap yang memenuhi kriteria inklusi. Fenitoin sebesar 23 (76,67%), Fenitoin dikombinasikan dengan Diazepam sebesar 4 (13,33%)., dan Diazepam sebesar 3 (10%). Interaksi obat, fenitoin yang dikombinasikan dengan nicardipine yang terjadi sebanyak 2 (40%) interaksi terjadi, fenitoin yang dikombinasikan dengan Diazepam dapat terjadi sebanyak 3 (60%) interaksi terjadi. Berdasarkan interaksi, interaksi farmakokinetik adalah 5 (100%) kejadian.  Kata kunci: Stroke Hemoragik, anti-kejang, interaksi obat

scholarly journals Hasil pemeriksaan CT scan pada penderita stroke non hemoragik di Bagian Radiologi FK Unsrat/SMF Radiologi RSUP Prof. Dr. R. D. Kandou Manado periode Agustus 2015 – Agustus 2016

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Christian Elim ◽  
Vonny Tubagus ◽  
Ramli Hadji Ali
Keyword(s):  
Ct Scan ◽  
Hemorrhagic Stroke ◽  
Right Hemisphere ◽  
Secondary Data ◽  
Haemorrhagic Stroke ◽  
Descriptive Study ◽  
Body Parts ◽  
Stroke Patients ◽  
The Right ◽  
The Brain

Abstract: CT-scan is used to analyze the structures of specific body parts, mainly to confirm the diagnosis of non-hemorrhagic stroke. Stroke is a neurological deficit that occurs suddenly and caused by the interruption of blood flow to the brain. The symptoms are corresponding to the location of the stroke. This study was aimed to obtain the CT-scan examination of non-haemorrhagic stroke patients. This was a retrospective descriptive study using secondary data such as request letter and data of head CT-scan performed from August 2015 to August 2016. The results showed that there were 89 cases of non-hemorrhagic stroke. The majority were males (60 patients; 67%), elderly ≥65 years old (27 patients; 30%), and location of lesion in the right hemisphere (38 patients; 43%). Conclusion: In this study most patients diagnosed as non-hemorrhagic stroke with CT-scan were males, over 65 years old, and location of lesion in right hemisphere.Keywords: non-haemorrhagic stroke, CT-scan Abstrak: CT scan digunakan untuk menganalisis struktur dalam dari beberapa bagian tubuh tertentu, antara lain untuk memastikan diagnosis dari stroke non hemoragik, Stroke merupakan suatu defisit neurologik yang terjadi secara tiba-tiba diakibatkan oleh adanya gangguan aliran darah ke otak dan gejala yang terjadi sesuai dengan lokasi dari stroke tersebut. Penelitian ini bertujuan untuk mengetahui hasil pemeriksaan CT scan pada penderita stroke non hemoragik. Jenis penelitian ialah deskriptif retrospektif dengan memanfaatkan data sekunder berupa lembar permintaan dan data hasil CT scan kepala yang dilaksanakan sejak Agustus 2015 sampai Agustus 2016. Hasil penelitian mendapatkan sebanyak 89 kasus didiagnosis stroke non-hemoragik dengan CT-scan, terbanyak ialah jenis kelamin laki-laki berjumlah 60 orang (67%); golongan usia manula (≥65 tahun) berjumlah 27 orang (30%); dan lokasi lesi di hemisfer dekstra berjumlah 38 orang (43%). Simpulan: Pada studi ini, majoritas pasien yang didiagnosis stroke non-hemoragik dengan CT-scan Berjenis kelamin laki-laki, usia ≥65 tahun, dengan lokais lesi pada hemisfer kanan. Kata kunci: stroke non hemoragik, CT-scan

scholarly journals GAMBARAN HASIL PEMERIKSAAN CT SCAN KEPALA PADA PENDERITA STROKE HEMORAGIK DI BAGIAN RADIOLOGI FK. UNSRAT/SMF RADIOLOGI BLU RSUP PROF. DR. R. D. KANDOU MANADO

e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Novita T. A. Parinding ◽  
Ramli Haji Ali ◽  
Vonny N. Tubagus
Keyword(s):  
Ct Scan ◽  
Hemorrhagic Stroke ◽  
Recurrent Stroke ◽  
Secondary Data ◽  
Chronic Hypertension ◽  
Inclusion Criteria ◽  
Cerebral Blood Vessels ◽  
Stroke Patients ◽  
Head Ct ◽  
The Brain

Abstract: Hemorrhagic stroke is a spontaneous blood vessel bursts inside the brain. The main cause is chronic hypertension and the presence of degeneration of cerebral blood vessels. Bleeding can occur in the brain and the subarachnoid space due to rupture of an artery or rupture of the aneurysm. At a stroke, a CT scan is the gold standard examination to distinguish infarction with bleeding, because CT scan can give a very clear picture of the head of the intracranial space persisted as cerebral infarction, intracranial hemorrhage, and hemorrhagic stroke. So it can be helpful to diagnose the disease and neurological disorders. The purpose of this study is to cognize the distribution of hemorrhagic stroke patients who performed a head CT scan at The Department of Radiology of FK UNSRAT / SMF Radiology of BLU Prof. Dr. R. D. Kandou Manado. This is a retrospective descriptive study by using secondary data coming from hemorragic stroke patients medical records in the Department of Radiology of BLU Prof. Dr. R. D. Kandou Manado on the period time from May to October 2014. Patients admitted inclusion criteria age between 30-80 years old, proven hemorrhagic stroke based on history, physical examination and investigations of doctors. The results showed that the total number of head CT Scans are 296 patients and more showed abnormal picture (58.1%) compared with the normal picture (41.9%), there are 64 patients with abnormal CT Scan picture results of hemorrhagic stroke (37.2% ), patients with hemorrhagic stroke are more common in males (65.6%), most in the age group of the early elderly betweeb 46-55 years old (40.6%) with most bleeding type of intracerebral hemorrhage (87.5%). Conclusion: Patient that comes with hemorrhagic stroke case or recurrent stroke should undertake a CT Scan of head to assist diagnose and later on can identify the type of bleeding caused by the stroke.Keywords: head CT scan, haemorrhagic strokeAbstrak: Stroke hemoragik adalah perdarahan spontan di dalam otak. Penyebab utamanya adalah hipertensi kronik dan adanya degenerasi pembuluh darah cerebral. Perdarahan dapat terjadi di dalam otak dan ruang subaraknoid karena ruptur dari arteri atau ruptur dari aneurisma. Pada penyakit stroke, CT Scan merupakan pemeriksaan baku emas untuk membedakan infark dengan perdarahan, karena CT Scan dapat memberikan gambaran kepala yang sangat jelas tentang proses desak ruang intrakranial seperti infark otak, perdarahan intrakranial, dan stroke hemoragik. Sehingga dapat membantu penegakan diagnosis penyakit dan kelainan neurologik. Tujuan penelitian ini untuk mengetahui distribusi penderita stroke hemoragik yang dilakukan pemeriksaan CT Scan kepala di Bagian Radiologi FK UNSRAT/SMF Radiologi BLU RSUP Prof. Dr. R. D. Kandou Manado. Penelitian ini merupakan penelitian deskriptif retrospektif dengan memanfaatkan data sekunder berupa rekam medik pasien stroke hemoragik di Bagian Radiologi BLU RSUP Prof. Dr. R. D. Kandou Manado periode Mei-Oktober 2014. Pasien yang masuk kriteria inklusi yaitu usia 30-80 tahun, terbukti stroke hemoragik berdasarkan anamnesis, pemeriksaan fisik dan penunjang oleh dokter. Hasil pemeriksaan CT Scan kepala berjumlah 296 pasien dan lebih banyak menunjukkan gambaran abnormal (58,1%) dibandingkan gambaran normal (41,9%), pada gambaran abnormal terdapat 64 penderita dengan hasil CT Scan gambaran stroke hemoragik (37,2%), penderita stroke hemoragik lebih banyak terjadi pada laki-laki (65,6%), paling banyak pada kelompok umur lansia awal 46-55 tahun (40,6%) dengan tipe perdarahan paling banyak yaitu perdarahan intraserebral (87,5%). Simpulan : Penderita yang datang dengan keluhan stroke hemoragik atau stroke berulang sebaiknya melakukan pemeriksaan CT Scan kepala untuk membantu diagnosis dan dapat diketahui tipe perdarahan dari stroke tersebut.Kata kunci : CT scan kepala, stroke hemoragik

scholarly journals Overview of The Head CT-Scan in Stroke Patients who was Treated at Muhammadiyah Hospital Palembang

2021 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
Pratrisna Yusastra ◽  
Indriyani Indriyani ◽  
Budi Utama
Keyword(s):  
Ischemic Stroke ◽  
Ct Scan ◽  
Hemorrhagic Stroke ◽  
Right Hemisphere ◽  
Clinical Symptoms ◽  
Neurological Deficits ◽  
Thalamic Lesion ◽  
Stroke Patients ◽  
Head Ct ◽  
The Right

Background: Stroke is a collection of symptoms of neurological deficits due to sudden acute disturbance of brain function, both focal and global, caused by blockage or rupture of arteries and veins and proven by imaging and/or reflex pathology. Using CT-Scan, the description of acute phase stroke can be easier and can determine the appropriate treatment criteria for stroke. Purposes: To determine characteristic Head CT-Scan image of stroke patients hospitalized in Muhammadiyah Palembang Hospital. Methods: This study was conducted in a retrospective descriptive manner and obtained a sample of 41 stroke patients according to the inclusion and exclusion criteria using total sampling. Result: In this study, there were 28 patients (68.2%) with ischemic stroke and 13 patients (31.7%) with hemorrhagic stroke. Head CT-Scan image of ischemic stroke shows basal ganglia lesion (28.5%) and the right hemisphere lesions (57.1%) as the most predominant area. Head CT-Scan image of hemorrhagic stroke (58.3%) had intracerebral hemorrhage with the dominant thalamic lesion area (66.6%) and the right hemisphere (58.3%) had the most lesions with 8 patients (66, 6%) had a midline shift. Stroke patients were treated as experienced by the elderly (90.2%) and were dominated by the female sex (63.4%) and are dominated by clinical symptoms of hemiparesis (29.2%). Conclusion: Stroke patients at Muhammadiyah Palembang hospital dominated by ischemic stroke and on head CT Scan image predominantly shows lesions on the right cerebral hemisphere.

scholarly journals Auditory Hallucinations in Acute Stroke

2005 ◽  
Vol 16 (4) ◽  
pp. 211-216 ◽  
Author(s):  
Yair Lampl ◽  
Mordechai Lorberboym ◽  
Ronit Gilad ◽  
Mona Boaz ◽  
Menachem Sadeh
Keyword(s):  
Acute Stroke ◽  
Cross Sectional Study ◽  
Auditory Hallucinations ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Ischemic Lesion ◽  
Cortical Stroke ◽  
The Right ◽  
The Brain

Auditory hallucinations are uncommon phenomena which can be directly caused by acute stroke, mostly described after lesions of the brain stem, very rarely reported after cortical strokes. The purpose of this study is to determine the frequency of this phenomenon. In a cross sectional study, 641 stroke patients were followed in the period between 1996–2000. Each patient underwent comprehensive investigation and follow-up. Four patients were found to have post cortical stroke auditory hallucinations. All of them occurred after an ischemic lesion of the right temporal lobe. After no more than four months, all patients were symptom-free and without therapy. The fact the auditory hallucinations may be of cortical origin must be taken into consideration in the treatment of stroke patients. The phenomenon may be completely reversible after a couple of months.

scholarly journals Analisis Kinerja Algoritma Mesin Pembelajaran untuk Klarifikasi Penyakit Stroke Menggunakan Citra CT Scan

2020 ◽  
Vol 7 (4) ◽  
pp. 833
Author(s):  
Nur Sakinah ◽  
Tessy Badriyah ◽  
Iwan Syarif
Keyword(s):  
Deep Learning ◽  
Ct Scan ◽  
Hemorrhagic Stroke ◽  
Image Data ◽  
Machine Learning Algorithms ◽  
Support Vector ◽  
Gray Level ◽  
Stroke Patients ◽  
Occurrence Matrix ◽  
The Brain

<p>Stroke adalah suatu kondisi dimana pasokan darah ke otak terganggu sehingga bagian tubuh yang dikendalikan oleh area otak yang rusak tidak dapat berfungsi dengan baik. Penyebab stroke antara lain adalah terjadinya penyumbatan pada pembuluh darah (stroke iskemik) atau pecahnya pembuluh darah (stroke hemoragik). Pasien yang terkena stroke harus segera ditangani secepatnya karena sel otak dapat mati dalam hitungan menit. Tindakan penanganan stroke secara cepat dan tepat dapat mengurangi resiko kerusakan otak dan mencegah terjadinya komplikasi. Penelitian ini bertujuan untuk mengembangkan perangkat lunak yang dapat membaca dan menganalisis citra CT scan dari otak, dan kemudian secara otomatis memprediksi apakah citra CT scan tersebut stroke iskemik atau stroke hemoragik. Data citra CT scan berasal dari Rumah Sakit Umum Haji Surabaya yang diambil selama periode Januari-Mei 2019 dan berasal dari 102 pasien yang terindikasi stroke. Sebelum data gambar tersebut diolah dengan menggunakan beberapa algoritma mesin pembelajaran, data tersebut melalui tahap pre-processing yang bertujuan untuk meningkatkan kualitas citra meliputi konversi citra, pemotongan citra, penskalaan, greyscaling, penghilangan noise dan augmentasi. Tahap selanjutnya adalah ekstraksi fitur menggunakan metode Gray-Level Co-Occurrence Matrix (GLCM). Penelitian ini juga bertujuan untuk membandingkan kinerja lima algoritma mesin pembelajaran yaitu Naïve Bayes, Logistic Regression, Neural Network, Support Vector Machine dan Deep Learning yang diterapkan untuk memprediksi penyakit stroke. Hasil percobaan menunjukkan bahwa algoritma Deep Learning menghasilkan tingkat performansi paling tinggi yaitu nilai akurasi 96.78%, presisi 97.59% dan recall 95.92%.</p><p> </p><p><em><strong>Abstract</strong></em></p><p><em>Stroke is a condition in which the blood supply to the brain is interrupted so that parts of the body that are controlled by damaged brain areas cannot function properly. Causes of strokes include blockages in blood vessels (ischemic stroke) or rupture of blood vessels (hemorrhagic stroke). Stroke patients must be treated as soon as possible because brain cells can die within minutes. The handling of stroke patients quickly can reduce the risk of brain damage and prevent complications. This study aims to develop software that can read and analyze CT scan images from the brain, and then automatically predict whether the CT scan images are ischemic stroke or hemorrhagic stroke. The CT scan image data came from the Surabaya Hajj General Hospital which was taken during the January-May 2019 period and came from 102 patients who had indicated a stroke. Before the image data is processed using several machine learning algorithms, the data goes through a pre-processing phase which aims to improve image quality including image conversion, image cutting, scaling, greyscaling, noise removal and augmentation. The next step is feature extraction using the Gray-Level Co-Occurrence Matrix (GLCM) method. This study also aims to compare the performance of five machine learning algorithms, namely Naïve Bayes, Logistic Regression, Neural Networks, Support Vector Machines and Deep Learning which are applied to predict stroke. The experimental results show that the deep learning algorithm produces the highest level of performance where the accuracy value is 96.78%, 97.59% precision and 95.92% recall.</em></p><p><em><br /></em></p>

scholarly journals Gambaran NIHSS pada Pasien Stroke di Ruang Rawat Inap Neurologi RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2014 - Juni 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Yunike M. Arisoy ◽  
Junita Maja PS ◽  
Theresia Runtuwene
Keyword(s):  
Educational Level ◽  
Hemorrhagic Stroke ◽  
Secondary Data ◽  
Measurement Tool ◽  
Stroke Patients ◽  
High School Degree ◽  
Normal Category ◽  
Discharged Patients ◽  
Male Patients ◽  
The Brain

Abstract: Stroke is the interruption of blood flow to the brain that occurs suddenly and persists for more than 24 hours, which can cause disability. NIHSS is a measurement tool assessing the outcomes of stroke. This study aimed to describe NIHSS in stroke patients in the Neurology Departement of Prof. Dr. R. D. Kandou Manado, for the period of July 2014 – June 2015. This is a descriptive retrospective study which used secondary data in the form of inpatients medical record. The result of this study showed that 136 stroke patients who met the criteria used the NIHSS examination with a total of 73 male patients (53,7%) and 63 female patients (46,3%). The largest age group was 41 – 65 years with a total of 96 patients (70,58%) and based on the educational level, most patients had high school degree or equivalent as the latest educational level with a total of 66 patients (48,52%). NIHSS examination in admitted hemorrhagic stroke patients were 28 patients (60%) consisting of 3 patients in the minor category, 16 patients in the moderate category, and 9 patients in the severe category, whereas the discharged patients were 19 patients (40%), consisting of 6 patients in the normal category, 5 patients in the minor category, 6 patients in the moderate category, and 2 patients in the severe category. NIHSS examination in admitted non-hemorrhagic stroke patients were 45 patients (51%), consisting of 3 patients in the minor category, 32 patients in the moderate category, and 10 patients in the severe category, whereas discharged patients were 44 patients (49%) consisting of 6 patients in the normal category, 10 patients in the minor category, 26 patients in the moderate category, and 2 patients in the severe category.Keywords: Stroke Patients, NIHSS Examination Abstrak: Stroke adalah gangguan aliran darah ke otak yang terjadi mendadak dan bertahan dalam waktu lebih dari 24 jam, yang dapat menimbulkan kecacatan. Pemeriksaan NIHSS merupakan alat ukur yang di gunakan menilai luaran stroke. Penelitian ini bertujuan untuk mengetahui gambaran NIHSS pada pasien stroke di ruang rawat inap Neurologi Prof. Dr. R. D. Kandou Manado, periode Juli 2014 - Juni 2015. Penelitian ini bersifat deskriptif retrospektif dengan memanfaatkan data sekunder berupa catatan rekam medik pasien rawat inap. Hasil penelitian ini didapatkan 136 pasien stroke yang memenuhi kriteria menggunakan pemeriksaan NIHSS dengan jumlah pasien laki-laki sebanyak 73 pasien (53,7%) dan perempuan 63 pasien(46,3%). Kelompok umur terbanyak adalah 41-65 tahun dengan jumlah 96 pasien (70,58%) dan kategori pendidikan terakhir paling banyak SMA atau sederajat didapatkan sebanyak 66 pasien (48,52%). Pemeriksaan NIHSS pada stroke hemoragik yang masuk sebanyak 28 pasien (60%) dengan kategori ringan 3 pasien, sedang 16 pasien, dan berat 9 pasien sedangkan pasien keluar sebanyak 19 pasien (40%) dengan kategori normal 6 pasien, ringan 5 pasien, sedang 6 pasien, dan berat 2 pasien. Pemeriksaan NIHSS pada stroke non hemoragik yang masuk sebanyak 45 pasien (51%) dengan kategori ringan 3 pasien, sedang 32 pasien, dan berat 10 pasien sedangkan pasien keluar sebanyak 44 pasien (49%) dengankategori normal 6 pasien, ringan 10 pasien, sedang 26 pasien, dan berat 2 pasien.Kata kunci : Pasien Stroke, Pemeriksaan NIHSS

scholarly journals Pengaruh hidroterapi rendam kaki air hangat terhadap kekuatan otot pada pasien stroke non hemoragik

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Setiyawan Setiyawan ◽  
Lina Pratiwi ◽  
Noerma Shovie Rizqiea
Keyword(s):  
Muscular Strength ◽  
Hemorrhagic Stroke ◽  
Blood Clot ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Control Group Design ◽  
Quasi Experimental ◽  
The Brain

Non-hemorrhagic stroke is a disease which is related to a functional disorder of the brain due to the blood vessel blockage by a blood clot, or by the narrowing of an artery or some arteries that lead to the brain which causes weakness of muscular strength. One of the non-pharmacological therapies, which are beneficial to non-hemorrhagic stroke patients, is hydrotherapy. Hydrotherapy is a therapy which utilizes water to cure or relieve various complaints. One of which is the complaint of how to strengthen muscular strength. The objective of this research is to investigate the effect of warm footbath hydrotherapy to increase the muscular strength of non-hemorrhagic stroke patients. This research used the quasi-experimental research method ith pre-test and post-test nonequivalent control group design. Non-probability sampling with purposive sampling was used to determine its samples. The samples consisted of 40 respondents, into two groups: intervention and control group. The data of the research were analyzed by using the Wilcoxon’s Test and Mann Whitney’s Test. The result of the research shows that the footbath hydrotherapy had an effect on the muscular strength of the non-hemorrhagic stroke patients as indicated by the p-value = 0.000, and there was a difference between the control group and the intervention group where the p-value was 0. 008. The footbath hydrotherapy affected the muscular strength of non-hemorrhagic stroke patients. Thus, nurses as health practitioners are expected to administer warm footbath hydrotherapy to increase the muscular strength of non-hemorrhagic stroke patients.

scholarly journals Stroke Occurring on the Left or Right Side of the Brain Can Be Identified by the Analysis of Retinal Images: A Case Control Study

2020 ◽  
Author(s):  
Yuanyuan Zhuo ◽  
Jiaye Lin ◽  
Jiaman Wu ◽  
Yimin Qu ◽  
Jock-Wai Lee ◽  
...  
Keyword(s):  
Image Analysis ◽  
Retinal Image ◽  
Retinal Images ◽  
Stroke Patients ◽  
Retinal Image Analysis ◽  
Unit Increase ◽  
Clinical Trail ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
The Brain

Abstract Background: The burden of stroke in China has increased dramatically in the past 30 years. Specifying the treatment according to the side of stroke in the brain might be an effective way to reduce the burden. Current imaging tools to identify the side of brain stroke, such as magnetic resonance imaging (MRI), are expensive and time-consuming. Hence, there is a great need for a rapid and inexpensive assessment. In this case, retinal image analysis is a possible approach for stroke side identification. This study aimed at determining the association between retinal characteristics and the stroke side and to establish a predictive model for further investigation.Methods: A total of 168 patients (89 left-sided stroke patients and 79 right-sided stroke patients) were recruited from the Shenzhen Traditional Chinese Medicine Hospital in the study. Retinal characteristics were analysed using an automated retinal image analysis (ARIA) system. Multivariable logistic regression was used to identify and develop predictive models.Results: Each unit increase in the right eye bifurcation coefficient of arterioles increased the risk of right-side stroke by 7.523 times (95% CI, 1.823–31.044). Additionally, an elevated bifurcation coefficient of venules in the right eye also increased the risk of stroke in the right side of the brain, with an odds ratio (OR) of 7.377 (95% CI, 1.771–30.724). A complex retinal composite score was also associated with a higher risk of right-side stroke (OR, 4.955; 95% CI, 3.061–8.022).Conclusions: This study demonstrated that retinal images can provide useful information for stroke side identification, and specific retinal characteristics may help predict the occurrence of stroke.Trial registration: Acupuncture Clinical Trail Redistry, ChiCTR1800019647, Registered 01 November 2018, AMCTR-OPC-18000228.

scholarly journals Characteristics of Cardioembolic Stroke Patient in Neurologic Ward Dr. Hasan Sadikin General Hospital Bandung

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Adriana Damayanti ◽  
Lisda Amalia ◽  
Reza W. Sudjud
Keyword(s):  
Ischemic Stroke ◽  
General Hospital ◽  
Economic Status ◽  
Patient Characteristics ◽  
Cardioembolic Stroke ◽  
Cerebral Blood Vessels ◽  
Stroke Patients ◽  
Common Cause ◽  
Cardiac Wall ◽  
Stroke Epidemiology

Stroke is the second most common cause of death worldwide after heart disease. About80% stroke cases are ischemic stroke. One of 4 people with ischemic stroke had cardioembolicstroke. Ninety percent of cardiac emboli obstruct cerebral blood vessels and causedneurological deficit. Cardioembolic stroke may be due to abnormalities in cardiac walls,rhythm, valve, or function. Stroke patients with cardiac abnormalities have poor prognosis. Thisretrospective descriptive study was done in May-June 2017. We collected 103 medical recordsof stroke patients from Department of Neurology, Dr. Hasan Sadikin General Hospital duringJanuary 2015- March 2016. Data regarding sex, age, education level, economic status, andcardiac abnormalities were recorded. Majority of subjects were female (53.4%). The mostfrequent age group was 45-65 years old (49.51%). Most subjects had low educational level(76.7%) and low economic status (77.67%). Among subjects, 41.75% had cardiac rhythmabnormalities, 29.13% had cardiac wall abnormalities, 14.56% had cardiac valveabnormalities, and 14.56% had cardiac function abnormalities. The most common cause ofcardioembolic stroke was atrial fibrillation.Keywords: cardioembolic stroke epidemiology, patient characteristics, cardiac disease

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