scholarly journals Perbedaan Hemoglobin Terglikosilasi (Hba1c) terhadap Profil Lipid Pasien Rumah Sakit Islam Surabaya

2021 ◽  
Vol 5 (1) ◽  
pp. 8
Author(s):  
Dwi - Kuswanto ◽  
Hari Basuki Notobroto ◽  
Rachmah Indawati

ABSTRAK Latar Belakang : Diabetes melitus merupakan penyakit metabolik dengan karakteristik hiperglikemia sebagai akibat kelainan sekresi insulin maupun kerja insulin. Diabetes sebagai salah satu penyebab dislipidemia sekunder, sehingga pengelolaan glukosa darah merupakan pencegahan primer timbulnya komplikasi penyakit kardiovaskular. Hasil Riskesdas tahun 2018, prevalensi diabetes melitus yang didiagnosis dokter pada penduduk di semua umur sebesar 3,4% di Kota Surabaya.Tujuan : Penelitian ini untuk mengetahui perbedaan profil lipid pada level HbA1C normal, prediabetes dan diabetes melitus.Metode : Penelitian cross sectional, teknik pengambilan sampel dengan simple random sampling dari data rekam medis pasien rawat jalan di Rumah Sakit Islam Surabaya  dari 1 Januari tahun 2018 sampai dengan 31 Desember 2019 berusia 35-80 tahun dan mendapat pemeriksaan HbA1c, kolesterol, trigliserida dan LDL-kolesterol pada waktu yang sama dan terdokumentasi lengkap pertama sekali sehingga diperoleh besar sampel 73 data pasien. Uji Anova one way digunakan untuk mengetahui perbedaan rata-rata kolesterol, trigliserida dan LDL-kolesterol berdasarkan HbA1C.Hasil : Hasil penelitian menunjukkantidakada perbedaan yang signifikan rata-rata kolesterol, dan LDL-kolesterol dengan tingkatan HbA1C (p>0,05), ada perbedaan yang signifikan rata-rata trigliserid dengan HbA1C normal, prediabetes, dan diabetes (p=0,01). Hasil multiple comparison dengan metode Tukey HSD menunjukkan perbedaan signifikan rata-rata trigliserid  pada HbA1C normal dengan diabetes (p=0,039) dan prediabetes dengan diabetes (p=0,044).Kesimpulan :Perbedaan rata-rata trigliserida signifikanpada HbA1Ckategorinormal dan prediabetes dengan diabetes, pentingnya mengendalikanglukosa darah untuk mencegahkomplikasi kardiovaskuler pada penderita diabetes melitus yang dapat dilakukan melalui pemantauan mandiri glukosa darah, pola hidup sehat, aktivitas fisik secara teratur, terapi nutrisi medis sesuai kebutuhan, menurunkan berat badan bagi yang mengalami obesitas, tidak merokokdan intervensi obat anti hiperglikemia jika dibutuhkan.Kata Kunci : diabetes, HbA1C, kolesterol, trigliserid, LDL-kolesterol. ABSTRACT  Background :Diabetes melitus is a metabolic disease characterized by hyperglicemia as a result of abnormal insulin secretion and insulin action. Diabetes is a cause of secondary dislipidemia, so that diabetes melitus monitoring is a primary deterrent to cardiovascular complication. Riskesdas 2018 said that the prevalence of doctors' diagnosed diabetes in the population at all age 3.4% in Surabaya.Objective : This study is to find out the difference in lipid profiles on normal HbA1Clevels, pre-diabetes and diabetes mellitusMethod: Cross-sectional study, the sampling technique used was simple random sampling fromoutpatient medical recordsthe Surabaya Islamic hospital's from 1st of January 2018 to 31st December 2019 aged 35-80 years and checked for HbA1C, cholesterol, triglyceride and LDL-cholesterol at the same and firsttime documented. Sample sizes of 73 data analized with One Way Anova test was used to identify differences in mean cholesterol, triglyceride and LDL-cholesterol based Hba1C.Results :The results showed that there was no significant difference mean cholesterol and mean LDL-cholesterol with HbA1C levels (p> 0.05), there were significant differences mean the triglyceride with normal HbA1C levels, pre-diabetes, and diabetes (p= 0.01). Multiple comparason results using Tukey HSD methods showed that there was significant differences mean the triglycerid on normal HbA1C levels with diabetes (p= 0.039) and the mean triglyceride ebetween hba1c prediabetesand diabetes (p= 0.044).Conclusions: The mean difference trigliseride signifnificant in normal HbA1C levels and pre-diabetes with diabetes.The importantce of controlling blood glucose to prevent cardiovasculer complication in people with diebetes mellitus can be done through education on independent monitoring of blood glucose, healthy lifestyle, reguler physical activity, medical nutrition therapy according to the needs, lost weight for those who are obese, do not smoke and  anti-hyperglicemia drug intervention if needed.

2018 ◽  
Vol 1 (01) ◽  
pp. 1-4
Author(s):  
Bibek Rajbhandari ◽  
Tirtha Man Shrestha ◽  
Ramesh Aacharya

Introduction: This study was done to determine the mean difference and correlation between fasting capillary and venous glucose estimation. Methods: This was cross-sectional analytic study done in United Mission Hospital, Palpa, Tansen. Calculated sample size was 92, convenience sampling technique was used. During 5 month of duration in 92 diabetic patients, where fasting capillary and venous glucose were performed consecutively. Confounding was ruled out with matching approach, adjustment tests were also used like X2 Mantel -Haenszel and logistic regression. Reporting guideline of this observational study was done with the help of SROBE guidelines. Results: The mean venous blood glucose was 9.52% higher than the Mean capillary glucose. A strong correlation was observed between venous and capillary blood glucose, with Pearson correlation coefficient of 0.94. Conclusions: There is a significant difference in the blood glucose results analyzed on a bedside glucometer when the samples are taken from capillary or venous sources. Although good correlation is between venous and capillary derived samples, caution must be exercised in accepting the results as equivalent or using either as substitutes for a laboratory blood glucose result.


2020 ◽  
Vol 8 (3) ◽  
pp. 102-107
Author(s):  
P Rajendran ◽  
R Anandarasu

The present study was Academic Self Image of B.Ed., trainees in the perambalur district. The main objectives of the study are to find out the academic self-image of B.Ed., trainees concerning the Demographic variables such as gender, year of study, subject, locality of college, marital status. A sample was using the survey method, and the simple random sampling technique was adopted for the selection of the sample. The samples of 941 B.Ed., trainees were taken from the study. The main findings of the study are there is no significant difference in the mean scores on the academic selfimage of B.Ed., trainees concerning their gender, subject, and marital status. There is a significant difference in the mean scores on the academic self-image of B.Ed., trainees concerning their year of study, locality of college. It’s my conclusion that the present study reveals that there is morenumber of B.Ed., Trainees have a high academic self-image.


2020 ◽  
Vol 6 (2) ◽  
pp. 168-177
Author(s):  
Rizky Hafifatul Umam ◽  
Ahmad Kholid Fauzi ◽  
Handono Fatkhur Rahman ◽  
Husnul Khotimah ◽  
Abdul Hamid Wahid

Background: Klien dengan Diabetes Melitus tipe 2 dilaporkan memiliki berbagai gangguan tidur dibandingkan dengan subyek kontrol yang sehat. Tidur yang efektif untuk klien dengan Diabetes Mellitus Tipe 2 diperlukan untuk memperbaiki sel yang rusak, termasuk sel beta yang berfungsi untuk memproduksi insulin. Tujuan: untuk mengetahui hubungan kualitas tidur dengan kadar glukosa darah pada klien dengan Diabetes Mellitus Tipe 2. Metode: Penelitian ini adalah penelitian kuantitatif, dengan pendekatan cross sectional. Pemilihan sampel menggunakan simple random sampling dengan jumlah sampel sebanyak 104 responden. Kualitas Tidur klien dengan Diabetes Mellitus Tipe 2 diukur menggunakan kuesioner PSQI (Pittsburgh Sleeping Quality Index) dengan skor PSQI >5 sebagai kualitas tidur yang buruk dan skor ?5 sebagai kualitas tidur yang baik. Kadar glukosa darah diambil menggunakan Blood Glucose Meter. Uji statistik yang digunakan adalah Rank Spearman. Hasil: Hasil uji statistik menunjukkan hubungan positif antara kualitas tidur dan kadar glukosa darah (P = 0,000 <0,05). Kesimpulan: Klien dengan Diabetes Mellitus tipe 2 ditemukan cenderung memiliki kualitas tidur yang buruk seperti durasi tidur yang pendek, kualitas tidur subjektif yang buruk, dan beberapa gangguan tidur yang dapat menyebabkan kadar glukosa darah yang buruk.    


2021 ◽  
pp. 263183182110274
Author(s):  
Deblina Roy ◽  
Sujita Kumar Kar ◽  
SM Yasir Arafat ◽  
Pawan Sharma ◽  
Russell Kabir

Background: The COVID-19 pandemic and lockdown measures have affected the sexuality and emotional bonding among the couple across the world. Objectives: We aimed to assess the effects of the COVID-19 pandemic and lockdown on the married people’s emotional bonding and sexual relationships in 3 south Asian counties (Bangladesh, India, and Nepal). Methods: A cross-sectional online survey was conducted among Bangladesh, India, and Nepal residents from April 3 to April 15, 2020. The survey was designed in English. The participants were selected through convenience sampling technique, the link of the online questionnaire was shared with the participants. Only participants older than 18 years and above, married, and living with their spouses were included in the study. Results: A total number of 120 respondents were included finally for analysis from the participating countries (India, Nepal, and Bangladesh). The mean age of the participants was 35.42 (±5.73) years; the majority were males under the age of 40 years and had completed postgraduation as their qualification. Among the study participants, more than half (53.8%) of the women reported being sexually active during the lockdown, whereas 41% of the men reported being sexually active. Among the sexually active participants, most women (57.7%) reported that they perceived positive emotional bonding with their partners. Nevertheless, there was no significant difference observed when compared with men. There are variations in responses. However, no significant association was identified. Conclusion: There are a few insights from the study, that is, there was no significant difference found in almost 3 countries in emotional intimacy. There had been a trend that there is improved emotional bonding with their partners, although no significant difference was observed.


Author(s):  
Jayabharathi Bhaskaran

Background:  Labor is the process by which the fetus and the placenta leave the uterus. Delivery can occur in two ways, vaginally or by a cesarean delivery. The majority of women who have a vaginal birth will sustain perineal trauma from a spontaneous perineal tear or episiotomy or both.Aim: This study aims to assess the effectiveness of hands off versus hands on techniques on perineal trauma and perineal pain among parturient mothers in selected hospitals, Kerala.Methods: The research design adopted in this study was true experimental post test only design. The study was conducted in 3 hospitals at Kerala such as Karothukuzhiyil hospital Pvt, Lakshmi hospital Pvt and Carmal hospital Pvt. Sample size was computed by power analysis based on the previous studies and it would be a total of 90 samples, with 30 parturient mothers in each groups. Simple random sampling technique (Lottery method) was adopted for the selection of parturient mothers into the study. Perineal trauma was assessed by the scale given by Royal College of Obstetrics and Gynaecology (RCOG), 2001, and visual analogue scale (Combined numerical and categorical pain scale) was used to assess the perineal pain of parturient mothers.Results:  The results showed that, there was extremely significant difference found in perineal trauma and perineal pain of parturient mothers between study group I and study II at  p=0.000 level. The mean scores of study group I was lesser than the mean scores of study group II. Conclusion: Different perineal techniques and interventions such as hands on technique, hands off technique, perineal massage, warm compresses etc can be widely used by midwives and birth attendants to prevent perineal trauma during labour.  Key words:  hands off  technique, hands on technique, perineal trauma and perineal pain


2015 ◽  
Vol 3 (3) ◽  
Author(s):  
I Gusti Bagus Magitojaya ◽  
Jehosua S. V. Sinolungan ◽  
Lydia David

Abstract: Nowadays, phenomeneon of juvenile delinquency has been spreading widely. Particularly to students, they usually perform juvenile delinquency that would harm themselves and finally trouble their minds due to consquences they are going to face. This study aimed to investigate the comparison of anxiety levels among students who performed juvenile delinquency. This was an analytical observational study with a cross sectional design. Subjects were 86 students of Swadharma Mopugad High School and Swadharma Werdhi Agung Senior High School obtained by using simple random sampling. Data were analyzed by using T independent test with α=0.005. The T independent test showed a t value of 0.457 and a p value of 0.649 (> 0.005) which indicated that there was no significant difference of anxiety levels among students who performed juvenile delinquency in both high schools. Conclusion: There was no significant difference between anxiety levels of students who performed juvenile delinquency in Swadharma Mopugad Senior High School and Swadharma Werdhi Agung Senior High School.Keywords: juvenile delinquency, anxietyAbstrak: Fenomena kenakalan remaja makin meluas dewasa ini. Hal ini tentunya dapat menimbulkan kecemasan pada siswa yang melakukannya mengingat sanksi yang bisa diperoleh akibat perbuatannya. Penelitian ini bertujuan untuk mengetahui perbandingan kecemasan siswa yang melakukan perilaku kenakalan remaja. Penelitian ini menggunakan metode analitik observasional dengan pendekatan potong lintang. Teknik pengambilan sampel yang digunakan yaitu simple random sampling. Subyek penelitian ialah siswa kelas XI SMA Swadharma Mopugad dan siswa kelas XI SMA Swadharma Werdhi Agung dengan jumlah total 86 siswa. Data dianalisis dengan uji T Independent (α = 0,005). Hasil uji T Independent mendapatkan nilai t sebesar 0,457, p = 0,649, yang menunjukkan tidak terdapat perbedaan tingkat kecemasan pada siswa yang melakukan kenakalan remaja di SMA Swadharma Mopugad dan SMA Swadharma Werdhi Agung. Simpulan: Tidak terdapat perbedaan tingkat kecemasan yang bermakna pada siswa yang melakukan kenakalan remaja di SMA Swadharma Mopugad dan SMA Swadharma Werdhi Agung.Kata kunci: kenakalan remaja, kecemasan


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Dr Thiyam Kiran Singh ◽  
Dr. M.V.R. Raju ◽  
Noreen Choudhri ◽  
Thiyam Sushma Devi ◽  
Omprakash Patel ◽  
...  

This study is to bring some of the patterns of Alcohol Dependents on Rorschach test. In this study random sampling technique was used through which a sample of 20 Alcohol Dependents and 20 Non dependents were included with the mean age of 33.60 years and 30.70 years. All participants were administered Rorschach Ink Blot test to see the different patterns between the groups. The result of the study reflects that there exists a significant difference between groups in the area of total responses, contents categories, space responses (S), ordinary (O) responses, synthesized responses (V/+), vague responses (V), form (F) responses, Popular (P) responses, Raw sum6 and Wgtd sum6. It was found that Non dependents produce more in: total responses, contents categories, space responses, ordinary responses, form responses and popular responses. Whereas alcohol dependents reflect more response in the areas of: vague responses, synthesized responses, unusual responses, Rawsum6 and Wgtdsum6.


2019 ◽  
Vol 4 (3) ◽  
pp. 82
Author(s):  
Said Alhadi ◽  
Wahyu Nanda Eka Saputra ◽  
Purwadi Purwadi ◽  
Siti Muyana ◽  
Agus Supriyanto ◽  
...  

Abstract: The purpose of this study was to identify whether there are differences in self-regulation of emotion skills of male and female students. This study is a comparative study with a sample of 796 students (452 males, 344 females). The sample selection is taken using simple random sampling technique. The instrument used is the scale of self-regulation of emotion. Data analysis used to identify differences in self-regulation of emotion skills of male and female students is independent samples test. The findings of the study indicate that there is a significant difference between the self-regulation of emotion skills of male and female students. This study recommends counseling service to improve self-regulation of emotion skills.Abstrak: Tujuan dari penelitian ini adalah untuk mengidentifikasi apakah terdapat perbedaan self-regulation of emotion antara siswa laki-laki dan perempuan. Penelitian ini adalah penelitian komparatif dengan sampel 796 siswa (452 laki-laki, 344 perempuan). Pemilihan sampel diambil menggunakan teknik cluster random sampling. Instrumen yang digunakan adalah skala self-regulation of emotion. Analisis data yang digunakan untuk mengidentifikasi perbedaan self-regulation of emotion siswa laki-laki dan perempuan adalah independent samples test. Temuan penelitian menunjukkan bahwa terdapat perbedaan yang signifikan antara self-regulation of emotion siswa laki-laki dan perempuan. Studi ini merekomendasikan layanan konseling untuk meningkatkan self-regulation of emotion siswa.


2017 ◽  
Vol 1 (01) ◽  
pp. 61
Author(s):  
Hepi Diah Apika ◽  
Endo Dardjito ◽  
Dyah Umiyarni Purnamasari

Abstract The purpose of this study analyze the relationship between the iodine content of salt consumption and the level of consumption of iodine levels in women of childbearing age UIE. The study was observational with cross sectional design. The research location in the village of Kebumen, Baturraden subdistrict, Banyumas. Subjects were 38 selected by simple random sampling technique. The consumption level of iodine was measured by the method of Food Recall 2x24 hours. Salt iodine content was measured by iodometric titration method and UIE levels measured by acid digestion method in the laboratory BP2GAKI Magelang. Data analysis using spearman correlation. A total of 71.1% women of childbearing age using the iodine content of salt consumption of <30 ppm. The consumption level of iodine less subject category (86.8%). UIE levels by an average of 156.50 μg/L category of normal iodine intake. There was no relationship with the iodine content of salt UIE levels (p=0.671). No correlation with levels of iodine consumption levels UIE (p=0.586). Levels of UIE women of childbearing age are not affected by the iodine content of salt and iodine consumption levels.   Keywords: Iodized salt, consumption levels, UIE   Abstrak   Tujuan penelitian ini adalah menganalisis hubungan kadar yodium konsumsi garam dan tingkat konsumsi kadar yodium pada wanita usia subur UIE. Penelitian ini bersifat observasional dengan rancangan cross sectional. Lokasi penelitian di desa Kebumen, Kecamatan Baturraden, Banyumas. Subjek penelitian dipilih dengan teknik simple random sampling. Tingkat konsumsi yodium diukur dengan metode Food Recall 2x24 jam. Kandungan garam yodium diukur dengan metode titrasi iodometrik dan tingkat UIE yang diukur dengan metode pencernaan asam di laboratorium BP2GAKI Magelang. Analisis data menggunakan korelasi spearman. Sebanyak 71,1% wanita usia subur menggunakan kandungan yodium konsumsi garam <30 ppm. Tingkat konsumsi kategori subjek kurang yodium (86,8%). Tingkat UIE rata-rata 156,50 μg / L kategori asupan yodium normal. Tidak ada hubungan dengan kadar yodium kadar garam UIE (p = 0,671). Tidak ada korelasi dengan tingkat kadar konsumsi yodium UIE (p = 0,586). Tingkat wanita UIE pada usia subur tidak terpengaruh oleh kadar yodium tingkat konsumsi garam dan yodium.  Kata kunci: garam beryodium, tingkat konsumsi, UIE


2020 ◽  
Vol 14 (3) ◽  
pp. 332-337
Author(s):  
Lalu Dedy Supriatna ◽  
Indasah Indasah ◽  
Byba Melda Suhita

Pesantren Health Post (Poskestren) promotional program for Clean and Healthy Living Behavior (CHLB)  among students at Islamic boarding schoolsBackground: Clean and Healthy Living Behavior (CHLB) school environment structure is an effort to empower students, teachers, and the school community to know, want, and be able to treat CHLB. This is in line with Health Promotion in educational institutions (Health Promoting School) launched by the World Health Organization which uses a holistic model that includes the relationship between physical, mental, social and environmental aspects.Purpose: To analyze the influence of the health post promotion program for Clean and Healthy Living Behavior (CHLB)  among students at Islamic boarding schoolsMethod: An observational analytic study using a cross sectional approach. The sampling technique used simple random sampling, a sample of 271 respondents. The research instrument used a questionnaire with 20 question items. The data analysis technique used the chi-square test.Results: Obtained from 271 respondents with the Poskestren program (Promotive) in the less category, it will have an influence in the moderate category on the (CHLB)   of students (36.16%). It is necessary to plan that is directed and sustainable in improving the quality for the implementation of the poskestren program in a promotional manner so that it can get better results.Conclusion: The Pesantren Health Post program promoted a significant effect on (CHLB)  among students at Ad Diinul Qayyim Islamic Boarding School, West Lombok Regency, NTB.Keywords: Pesantren Health Post (Poskestren); Promotional program; Clean and Healthy Living Behavior (CHLB); Students; Islamic boarding schoolsPendahuluan: Perilaku Hidup Bersih dan Sehat (PHBS) tatanan lingkungan sekolah adalah upaya untuk memberdayakan siswa, guru, dan masyarakat lingkungan sekolah agar tahu, mau, dan mampu memperlakukan PHBS. Hal ini sejalan dengan Promosi Kesehatan di institusi pendidikan (Health Promoting School) yang dicanangkan oleh Organisasi Kesehatan Dunia yang menggunakan model holistik yang meliputi hubungan antar aspek fisik, mental, sosial, dan lingkungan.Tujuan: Untuk menganalisis pengaruh program promotif  poskestren terhadap PHBS Santri di Pondok PesantrenMetode: Penelitian analitik observasional dengan menggunakan pendekatan cross sectional. Teknik sampling menggunakan simple random sampling, sampel sebanyak 271 responden. Instrumen penelitian menggunakan kuisioner dengan 20 item pertanyaan. Teknik analisa data menggunakan uji chi-square.Hasil: Didapatkan dari 271 responden dengan program Poskestren (Promotif) dalam kategori kurang maka akan memberikan pengaruh dalam kategori cukup pada PHBS santri (36.16%). Perlu perencanaan yang terarah dan berkesinambungan dalam meningkatkan kualitas untuk penerapan program poskestren secara promotif sehingga mendapatkan hasil yang lebih baik.Simpulan: Program Poskestren secara promotif berpengaruh secara signifikan terhadap PHBS pada santri di Pondok Pesantren Ad Diinul Qayyim Kabupaten Lombok Barat NTB.


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