scholarly journals Insidens Riwayat Hipertensi dan Diabetes Melitus pada Pasien Penyakit Jantung Koroner di RS. Dr. M. Djamil Padang

2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Putri Yuriandini Yulsam ◽  
Fadil Oenzil ◽  
Efrida Efrida

AbstrakPenyakit jantung koroner (PJK) merupakan salah satu penyakit non-infeksi yang menjadi sorotan dunia. Hal ini terkait dengan adanya perubahan gaya hidup seiring dengan perkembangan zaman. WHO pada tahun 2008 memperkirakan 17,3 juta jiwa meninggal akibat penyakit kardiovaskular, 7,3 juta jiwa diakibatkan oleh PJK dan 6,2 juta akibat strok. Tujuan penelitian ini adalah untuk mengetahui gambaran insidens riwayat hipertensi dan diabetes melitus pada pasien PJK di RS. Dr. M. Djamil Padang. Ini merupakan penelitian deskriptif dengan rancangan potong lintang yang dilakukan di Bagian Rekam Medik RS. Dr. M. Djamil Padang yang berlangsung dari Februari 2012 sampai Maret 2013. Populasi penelitian sebanyak 184 rekam medik, tetapi yang memenuhi kriteria inklusi dan eksklusi sebanyak 124 sampel Pengolahan data dilakukan secara manual dan ditampilkan dalam bentuk tabel distribusi frekuensi. Hasil penelitian menunjukkan distribusi frekuensi pasien PJK berdasarkan usia yaitu kelompok usia 51-56 tahun sebesar 30,64% dan sebagian besar adalah laki-laki (75%). Prevalensi riwayat hipertensi pada pasien PJK didapatkan sebesar 46,77%, sedangkan riwayat diabetes melitus sebesar 10,48%.Kata kunci: penyakit jantung koroner, hipertensi, diabetes mellitus AbstractCoronary heart disease (CHD) is one of the non-infectious disease that become the world spotlight. It is associated with a change in lifestyle paralel to the era development. WHO in 2008 estimated that 17,3 million people died from cardiovascular disease, 7,3 million attributable to CHD, and 6,2 million died due to stroke. The objective of this study was to describe the incident history of hypertension and diabetes mellitus in patient with CHD in Dr. M. Djamil Hospital Padang. This was a descriptive study with cross sectional design which carried out in Medical Record of Dr. M. Djamil Hospital Padang from February 2012 until March 2013. The population in this study were 184 medical record, but the samples had the inclusion and exclusion criteria were 124 medical record. All data were processed and analysed by manually and then the data shown by frequency distribution table. The result showed the highest distribution of CHD patient based on age is in the age group of 51-56 years, and majority were male (75%). The prevalence of hipertension history in CHD patient is 46.77% while a history of diabetes mellitus is 10,48%.Keyword: coronary heart disease, hypertension, diabetes mellitus.

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Monica Welliangan ◽  
Mayer F. Wowor ◽  
Arthur E. Mongan

Abstract: Glycosuria is a condition characterized by an excess of sugar in the urine. Diabetes mellitus (DM) is one of the causes of glycosuria. Mortality risks of pregnant women and their babies increase in diabetes during pregnancy. Gestational diabetes mellitus (GDM) is DM diagnosed in 2nd and 3rd trimesters of pregmancy in women without DM before pregnancy. The probability of GDM among women with family history of DM is 3.46 times higher than those without family history. This study was aimed to evaluate the urine glucose level among primigravids who had diabetic parents in Manado. This was a descriptive observational study with a cross sectional design. Urine samples were obtained by using non-probability sampling with consecutive sampling adjusted to the criteria and time. The results showed that glycosuria (urin sugar level ≥50mg/dL) was found in three subjects (10%), most in age group of 20-35 years old and in 1st trimester. Conclusion: Some of the primigravids in this study had glycosuria.Keywords: DM, glycosuria, DM family history Abstrak: Glukosuria adalah kondisi dimana glukosa ditemukan dalam urin. Salah satu penyebab glukosuria ialah diabetes melitus (DM). Risiko kematian ibu dan bayi meningkat pada DM dalam kehamilan. Diabetes melitus gestasional (DMG) adalah DM yang terdiagnosis pada trimester dua atau tiga kehamilan yang bukan DM sebelum kehamilan. Peluang DMG pada wanita dengan riwayat DM dalam keluarga sebesar 3,46 lebih besar daripada wanita tanpa riwayat keluaarga. Penelitian ini bertujuan untuk mengetahui kadar glukosa urin pada primigravida dengan orang tua penyandang DM di Kota Manado. Jenis penelitian ialah deskriptif observasional dengan desain potong lintang. Penelitian ini menggunakan non-probability sampling jenis consecutive sampling untuk mendapatkan urin dari semua subyek penelitian sesuai dengan kriteria dan waktu yang ditentukan. Hasil penelitian mendapatkan glukosuria (kadar glukosa urin ≥50mg/dL) pada 3 subyek (10%) dengan karakteristik cenderung pada kelompok usia 20-35 tahun dan pada trimester satu. Simpulan: Sebagian primigravida dengan orang tua penyandang DM memiliki glukosuria.Kata kunci: DM, glukosuria, riwayat DM pada orang tua


2019 ◽  
Vol 13 (1) ◽  
pp. 44
Author(s):  
Yossi Maryanti ◽  
Devi Susanti ◽  
Dhea Maulidyastuti

Ischemic stroke is neurological dysfuntion caused by focal cerebral, spinal, or retinal infarction with symptoms persistingfor more than 24 hours. Prevalence of ischemic stroke is 87% of the total stroke. This study aims to describe the riskfactors of ischemic stroke patients in neurology ward Arifin Achmad General Hospital Riau province 1 January 2018−31 December 2018 period. The cross sectional used in this study and the sampling methode was consecutive sampling.There was 150 cases in this study. The result shown that most of ischemic stroke patients at 51−65 year age group(52,0%), female (50,7%), have optimal total cholesterol levels (46,7%), optimal levels of LDL (28,0%), medium levels ofHDL (55,3%), optimal levels of trygliceryde (66,0%), normal uric acid levels (63,3), have history of hypertension(60,0%), have not history of diabetes mellitus (72,7%) and history of heart disease (89,3%).


2018 ◽  
Vol 1 (1) ◽  
pp. 11-18
Author(s):  
OK. Muhammad Al Hafiz ◽  
Rina Amelia ◽  
Nelva Karmila Jusuf

Intertriginous candidiasis is a type of candidiasis which the lesion lies in the folds of the armpit, groin, intergluteal, folding of the breast, between the fingers or the toes, glans penis, and the umbilicus. One of the risk factors for intertriginous candidiasis is diabetes mellitus (DM). DM is a typical clinical syndrome characterized by the presence of hyperglycemia which is caused by deficiency or the decrease of insulin effectivity. Fungal infection of the skin with Candida species becomes easier in patients with immunocompromised conditions such as DM patients. Objective: To identify the Candida species in DM patient's skin. Method: This research is an observational descriptive study with cross sectional design. This research identifies Candida species from 30 DM patients at The Public Health Center Sentosa Baru Medan who met the inclusion and exclusion criteria by skin scraping with KOH 10% and slide culture. Results: The location of the rash was found in the crotch folds 63.3% and in the intergluteal 36.7%. All samples (100%) showed positive fungus structure with KOH 10% examination. On the examination of slide culture with Saboraoud Dextrose Agar media and identification of slide colony with Corn Meal Agar medium as many as 60% Candida spesies was found with overall species are Candida albicans.


e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Febrina R. Wuwung ◽  
Ora I. Palandeng ◽  
Olivia C. P. Pelealu

Abstract: Diabetes mellitus is a group of chronic metabolic disease which can affect nearly every organ system in the body. Complications of this disease are diverse and include retinopathy, nepropathy and neuropathy. It has a high prevalence and continued to increase. The relationship between diabetes mellitus and hearing loss have been studied. This study aimed to obtain the average of hearing threshold in patients with diabetes mellitus. This was a descriptive observational study with a cross sectional design. Total 38 diabetes mellitus patients were included in the study. Hearing threshold obtained based on air conduction pure tone audiometry average at 500, 1000, 2000, and 4000 Hz. The results showed that subjects were 65.8% females and 32.4% males. There were 9 subjects (23.6%) with normal hearing, 24 subjects (63.2%) with bilateral hearing loss, and 5 subjects (13.2%) with unilateral hearing loss. Of the 29 subjects with hearing loss, the levels were mild and moderate. None of the subjects had moderately severe, severe, or profound. Conclusion: The majority of subjects in this study had hearing loss.Keywords: diabetes mellitus, hearing threshold, pure tone audiometryAbstrak: Diabetes melitus merupakan suatu kelompok penyakit metabolik kronik yang dapat mempengaruhi hampir setiap sistem organ dalam tubuh. Komplikasi penyakit ini beragam, termasuk retinopati, nefropati dan neuropati. Prevalensinya cukup tinggi dan diperkirakan akan terus meningkat. Terdapat beberapa penelitian yang menghubungkan diabetes melitus dan gangguan pendengaran. Penelitian ini bertujuan untuk mengetahui ambang pendengaran rata – rata pada penderita diabetes melitus. Penelitian ini merupakan penelitian deskriptif observasional dengan desain penelitian potong lintang. Sampel total ialah 38 pasien diabetes melitus. Ambang pendengaran rata – rata diperoleh berdasarkan hantaran udara audiometri nada murni rata-rata pada frekuensi 500, 1000, 2000, dan 4000 Hz. Hasil penelitian memperlihatkan bahwa subjek penelitian 65,8% perempuan dan 34,2% laki – laki. Terdapat 9 orang (23,6%) yang mempunyai pendengaran normal, 24 orang (63,2 %) mengalami gangguan pendengaran bilateral dan 5 orang (13,2%) dengan gangguan pendengaran unilateral. Dari 29 subjek penelitian dengan gangguan pendengaran mengalami gangguan pendengaran kategori ringan dan sedang. Tidak ditemukan subjek penelitian dengan gangguan pendengaran kategori sedang berat, berat atau sangat berat. Simpulan: Mayoritas subjek penelitian mengalami gangguan pendengar.Kata kunci: ambang pendengaran, audiometri nada murni, diabetes melitus


2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Rian Panelewen ◽  
Janette M. Rumbayan ◽  
Lusiana Satiawati

Abstract: Diabetes mellitus (DM) is a disease with high blood glucose level due to the inadequasy of insulin. Erectile dysfunction or inability to maintain an erection often occurs among males due to various factors. Males with DM have higher risk of erectile dysfunction compared to those without DM. This study was aimed to determine the relationship of the age of type 2 diabetes mellitus (T2DM) patient and erectile dysfunction. This was an analytical survey study with a cross sectional design. Respondents were all patients with T2DM at the Endocrine Polyclinic of Prof. Dr. R. D. Kandou Hospital Manado from October 2015 to January 2016. There were 38 respondents in this study; most had mild erectile dysfunction (36.8%). The Chi-square analysis showed a significant relationship (p<0.05) between the age of T2DM patients and erectile dysfunction. Conclusion: There was a significant relationship between the age of T2DM patients and erectile dysfunction. The older the patient, the more severe the erectile dysfunction.Keywords: diabetes mellitus, erectile dysfunction Abstrak: Diabetes melitus (DM) adalah penyakit dimana kadar glukosa dalam darah tinggi karena tubuh tidak dapat melepaskan atau menggunakan insulin secara adekuat. Disfungsi ereksi (DE) atau ketidakmampuan mempertahankan ereksi seringkali dialami oleh pria karena berbagai faktor. Laki-laki yang menyandang DM berisiko DE lebih tinggi dibandingkan dengan yang tidak menyandang DM. Penelitian ini bertujuan untuk mengetahui hubungan usia penyandang DMT2 dan tingkat DE. Jenis penelitian ialah survei analitik dengan desain potong lintang. Responden penelitian ialah semua pasien DMT2 di Poliklinik Endokrin periode Oktober 2015-Januari 2016. Hasil penelitian mendapatkan dari 38 responden, terbanyak yang mengalami DE ringan (36,8%). Berdasarkan analisis chi-square didapatkan hubungan bermakna (p <0,05) antara usia penyandang DMT2 dan DE. Simpulan: Terdapat hubungan bermakna antara usia penyandang DMT2 dan disfungsi ereksi. Semakin tinggi usia, semakin parah tingkat disfungsi ereksi yang terjadi.Kata kunci: diabetes mellitus, disfungsi ereksi


Author(s):  
Chresni F. Wijaya

Objective: To find out whether diabetes mellitus and/or hypertension is associated with endometrial cancer and could increase the staging of the cancer. Method: This was an analytic retrospective descriptive study with cross sectional design. Data were taken from the medical record of patients diagnosed as having endometrial cancer in Obstetrics and Gynecology Department of Dr. Hasan Sadikin Hospital from 1st January 2007 - 31st December 2011 and analyzed descriptively. Result: There were 125 cases of endometrial cancer. Prevalence was 2.56 %. The incidence increased in age > 40 y/o (92 %) and had diabetes mellitus and/or hypertension (66.4 %). Conclusion: Diabetes mellitus and/or hypertension were associated with risk factors of endometrial cancer but not proven to increase the staging of the cancer. [Indones J Obstet Gynecol 2012; 36-3: 140-3] Keywords: diabetes mellitus, endometrial cancer, hypertension


2017 ◽  
Vol 8 (2) ◽  
Author(s):  
Sri Suparti ◽  
Sri Purwanti

Katarak merupakan kelainan  lensa mata yang keruh di dalam bola mata. Kekeruhan lensa atau katarak akan mengakibatkan sinar terhalang masuk ke dalam mata sehingga penglihatan menjadi menurun. Banyak faktor dikaitkan dengan katarak, yaitu usia sebagai faktor utama, dan faktor lain seperti penyakit diabetes melitus (DM), pajanan kronis terhadap sinar ultraviolet (sinar matahari), konsumsi alkohol, merokok, tingkat pendidikan, dan pekerjaan. Desain penelitian yang digunakan adalah desain cross sectional subyek penelitian diobservasi hanya satu kali saja dan faktor risiko serta dampak diukur menurut keadaan atau status pada saat observasi. Penelitian ini dilaksanakan untuk mengetahui risiko pekerjaan.Hasil: faktor pekerjaan yang terbukti sebagai faktor risiko terjadinya katarak adalah Satus gizi (p = 0.033; OR adjusted 2.568; 95% CI = 0.962-6851) Umur tua akan berisiko terjadi katarak dengan nilai (p = 0.05 OR adjusted; OR 0.441; 95% CI = 0.962-6851) Kebiasaan merokok (p = 0.001; OR adjusted 5.182 ;95% CI = 1846-14545) Kadar gula darah dalam  tubuh yang lebih dari dua ratus yeng mengalami DM berisiko terjadi katarak dengan nilai (p = 0.000 OR adjusted OR 0.588; 95% CI = 0.740-4.053) Pekerjaan (p = 0.040; OR adjusted OR 5.902 ;95% CI = 0.740-4.053)Simpulan: Umur yang lebih dari empat puluh tahun berisiko 0.441 kali untuk terjadi katarak. Kebiasaan merokok akan berisiko 5.182 kali terjadi katarak. Kadar gula darah yang tinggi lebih dari dua ratus berisiko 0.588 kali terjadi katarak.  Pekerjaan yang terpapar sinar UV secara langsung akan berisiko 5.902 kali terjadi katarak.Kata Kunci: Katarak, Pekerjaan, Faktor Risiko Cataract is an abnormality of eye's lens.Cloudly lens or cataract Will block the ray to the eye so the vision decreases.Many risk factors of cataract these are:Age(the main of risk factor),and other factors are diabetes mellitus(DM),chronic exposure to ultraviolet rays,alchohol,smoking,education,working. Experience design was used cross sectional design and the subject was observed once in experience,risk factor and also the impact measured according to the situations and statues of the observation.this experience did to know the risk factor in work. The result:Risk of work already proven risk to be cataract,statues of nutritions (p:0,033;OR adjusted 2,568;95%,CI:0,962-6851),old age would risk to be cataract with value(p:0,05,OR adjusted;0,441;95%,CI:0,962-6851), habitually of smoking (p:0,001;OR adjusted:5,182;95%CI:1846-14545).glucose in blood more than two hundred of DM risk to be cataract with value p:0,000,OR adjusted 0,588,95%CI:0,740-4,053,working (p:0,040;OR adjusted OR 5,902;95%,CI :0,740-4053).The conclusion:Age more fourty risk 0,441x to be cataract. Habitually of smoking riks 5,182x,glucose in blood more than two hundred risk 0,588x to be cataract,working with UV exposured risk 5,902x to be cataract.Keywords:cataract,working,risk factor.


e-GIGI ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Gracecylia R. Salampessy ◽  
Ni Wayan Mariati ◽  
Christy Mintjelungan

Abstack: A person who has entered the elderly group will experience a change in the composition of saliva, causing the production of saliva does not function normally and lead to a complaint of dry mouth or xerostomia. This study aimed to identify and clarify the picture of xerostomia in the elderly group who use denture in Minahasa district. Xerostomia is a common problem that many occur in the elderly. Clinically, patients with dry mouth will feel dry on the lips and the corners of the mouth become irritated. This was a descriptive study using a cross sectional design. This study was carried out in all elderly nursing homes in Minahasa district. The samples of this study were all elderly who used denture in nursing homes in Minahasa district. Salivary flow rate was measured with a measuring cup. The results showed that xerostomia was found in 93.75% of the elderly, more dominant in females (96.7%), and more frequent in the age group 65-69 years (63.3%). Conclusion: Xerostomia was more common in female elderly, therefore, it is expected that the elderly have to maintain their oral health by eating nutritious foods and vitamin C.Keywords: denture, elderly, xerostomia.Abstrak: Seseorang yang sudah memasuki kelompok lansia akan mengalami perubahan dalam komposisi saliva, sehingga menyebabkan produksi saliva tidak berfungsi dengan normal dan mengakibatkan keluhan mulut kering atau xerostomia. Penelitian ini bertujuan untuk mengetahui dan menjelaskan gambaran xerostomia pada kelompok lansia yang menggunakan gigi tiruan di kabupaten Minahasa. Xerostomia merupakan masalah umum yang banyak terjadi pada lansia. Secara klinis pasien dengan mulut kering akan terasa kering pada bibir dan bagian sudut mulut mengalami iritasi. Penelitian ini menggunakan desain penelitian deskriptif dengan pendekatan potong lintang. Penelitian ini dilakukan di seluruh panti werda di kabupaten Minahasa. Sampel penelitian ini ialah semua lansia yang menggunakan gigi tiruan di panti werda di kabupaten Minahasa. Pengukuran laju aliran saliva dilakukan dengan menggunakan metode gelas ukur. Hasil penelitian menunjukkan bahwa xerostomia ditemukan pada 93,75% dari populasi, kelamin lebih dominan pada perempuan (96,7%), dan tersering pada rentang usia 65-69 tahun (63,3%). Simpulan: Xerostomia sering terjadi pada lansia terutama yang berjenis kelamin perempuan. Diharapkan para lansia dapat menjaga kesehatan gigi dan mulut dengan mengonsumsi makanan bergizi dan kaya vitamin C.Kata kunci: gigi tiruan, lansia, xerostomia


2020 ◽  
Vol 11 (2) ◽  
pp. 205
Author(s):  
Suyanto Suyanto

Pendahuluan: Penurunan vaskuler perifer dapat dideteksi dengan menilai ankle brakhial indext (ABI). ABI dapat terjadi pada seseorang sejalan dengan meningkatnya umur, terlebih lagi pada pasien diabetes mellitus yang mengalami peningkatan resiko aterosklerosis. Tujuan penelitian ini untuk mengetahui hubungan antara umur dengan nilai ABI pada pasien diabetes mellitus. Metode: Cross sectional design digunakan dalam penelitian ini. Adapun jumlah sampelnya sebanyak 39 responden. Tehnik concecutive sampling digunakan pada penelitian ini dengan kriteria inklusinya adalah semua pasien yang mengalami diabetes mellitus tanpa adanya ulkus diabetikum. Analisis data dilakukan dengan uji product moment dengan tingkat kemaknaan (α ≤ 0,05).Hasil: Rata-rata umur responden adalah 54±7,90 rata-rata nilai ABI adalah 1,08±0,13,. Hasil uji analisis didapatkan tidak ada hubungan antara umur dengan nilai ABI (p value > 0,05).Kesimpulan: Banyak faktor yang dapat mempengaruhi nilai ABI pada pasien diabetes mellitus. Faktor utama yang mempengaruhi nilai ABI adalah adanya aterosklerosis yang dikaitkan dengan adanya kolesterol, hiperglikemia kronis. Sehingga perlu adanya penelitian lainnya mengenai hal-hal tersebut yang dihubungkan dengan nilai ABI.


2019 ◽  
Vol 5 (2) ◽  
pp. 106-110
Author(s):  
Provat Kumar Sarkar ◽  
Hasan Zahidur Rahman ◽  
Mahua Chandra ◽  
Anis Ahmed ◽  
Md Enayet Ul Islam ◽  
...  

Background: Depressive illness is present among Parkinson’s disease (PD) patients. Objective: The purpose of the present study was to see the influencing factors of development of depressive illness among Parkinson’s disease patients. Methodology: This comparative cross-sectional study was carried out in the Department of Neurology and Department of Psychiatry at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from July 2009 to June 2011 for a period of two (2) years. Parkinson’s disease patients who were attended at the movement disorder clinic and general OPD of Department of Neurology and in-patient department of Neurology at BSMMU, Dhaka were selected as study population. Patients with Parkinson’s plus syndrome, with dementia or other causes of parkinsonism like vascular or drug induced parkinsonism were excluded from this study. Data were collected by filling structured clinical questionnaire, then filling up of ‘structured clinical interview for DSM-IV Axis I disorders’ (SCID-CV) and self-reported ‘Depression scale` questionnaire. Parkinson disease was diagnosed by neurologist by the presence of two or more of the four cardinal criteria namely tremor, rigidity, bradykinesia and postural instability. Then patients were screened for depression by a psychiatrist of Department of Psychiatry at BSMMU, Dhaka. Result: A total of 100 Parkinson’s disease patients were interviewed and 80 patients ultimately participated in the study. The mean age of total Parkinson’s disease patients was 57.71±12.36 years ranging from 35 to 82 years with highest percentage (35%) had age group 65 years or above, 28.7% in 55 to 64 years, 22.5% in 45 to 54 years and lowest percentage (13.8%) in age group less than 45 years. Among 80 Parkinson’s disease patients, depression was present in 34 (42%) patients and was absent in 46 (58%) patients. Diabetes mellitus (p=0.125), hypertension (p=0.097), hypothyroidism (p=1.000), other illness (p=0.595), family history of PD (p=0.758) and levodopa use (p=0.661) were not significantly associated with the development of depressive illness in Parkinson’s disease. Conclusion: Diabetes mellitus (DM), hypertension (HTN), hypothyroidism, other illness, family history of PD and levodopa use do not significantly influence in the development of depressive illness among the Parkinson’s disease. Journal of National Institute of Neurosciences Bangladesh, 2019;5(2): 106-110


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