BLOOD GLUCOSE AS A DOMINANT FACTOR OF HYPERCHOLESTEROLEMIA

2020 ◽  
Vol 6 (1) ◽  
pp. 25-30
Author(s):  
Ratu Ayu ◽  
Fani Widiartha

Kolesterol merupakan faktor utama terjadinya aterosklerosis. Hiperkolesterolemia dapat meningkatkan risiko berkembangnya penyakit jantung koroner, infark miokardium, trombosis otak, iskemia, dan penyakit serius lainnya dan bahkan kematian. Tujuan dari penelitian ini adalah untuk mengetahui faktor dominan yang berpengaruh terhadap kejadian hiperkolesterolemia pada pasien usia dewasa di Puskesmas Bojong Gede Kabupaten Bogor tahun 2017. Pengambilan data primer secara cross sectional dilakukan di Puskesmas Bojong Gede Kabupaten Bogor pada 85 responden usia 25-64 tahun. Hasil penelitian menemukan bahwa prevalensi hiperkolesterolemia sebanyak 62,4%. Terdapat hubungan yang signifikan antara kadar gula darah dan lingkar pinggang dengan hiperkolesterolemia. Kadar gula darah merupakan faktor dominan terhadap kejadian hiperkolesterolemia. Instansi kesehatan diharapkan dapat lebih aktif melakukan promosi kesehatan berupa pola hidup sehat dan rutin melakukan pemeriksaan kesehatan.

2018 ◽  
Vol 2 (1) ◽  
pp. 14
Author(s):  
Rahmaya Nova Handayani ◽  
Adiratna Sekarsiwi

Introduction. Types of nursing education in Indonesia are vocational, academic and professional. Professional education is higher education after an undergraduate program that prepares students to have jobs with specific skill requirements. The purpose of this study was to identify factors that affect student interest in continuing professional education nurses based on perception, motivation and support system. Method. The study design was a descriptive analytic cross-sectional approach. Unstratified sampling using random sampling with a sample of 111 respondents in health education institutions in karisidenan Banyumas, there are Harapan Bangsa Purwokerto Institute of Health Science, Purwokerto Muhammadiyah University, Jenderal Sudirman University.Data was analysed by using multivariate logistic regression. Results. The results of the study showed that no correlation  perception, motivation, and support system of nurses Profession election interest in health education institutions in-karisidenan Banyumas (p=0,999; 0,956; 0,135).Discussion. The most dominant factor affecting the interest of the nurse profession was support system.Keywords: interest, perception, motivation, support system, professional nurses


BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e044237
Author(s):  
Xiaoming Li ◽  
Mingfeng Xia ◽  
Hui Ma ◽  
Yu Hu ◽  
Hongmei Yan ◽  
...  

ObjectiveNon-alcoholic fatty liver disease (NAFLD) is associated with microalbuminuria (MA) in patients with diabetes/pre-diabetes. Whether this association is mediated by blood glucose and blood pressure (BP) remains unclear. This study investigated whether liver fat content (LFC) was associated with MA in a normotensive and non-diabetic population.DesignA cross-sectional substudy.SettingsLFC was determined from the hepatic/renal echogenicity ratio at ultrasound. MA was defined as an albumin-to-creatinine ratio (ACR) of 30–300 µg/mg (early- morning urine sample). Multivariable logistic regression and receiver operating characteristic (ROC) curve analyses were used to evaluate LFC as a predictor of MA.ParticipantsBetween May 2010 and June 2011, this cross-sectional, community-based study enrolled residents from Shanghai (China), aged ≥40 years and with normal glucose tolerance and BP.ResultsA total of 550 residents (median age, 57 years; 174 men) were enrolled and stratified according to LFC quartiles. ACR (p<0.001) and MA prevalence (p=0.012) increased across the LFC quartiles. Multivariable logistic regression showed that the OR for MA (per SD increase in LFC) was 1.840 (95% CI 1.173 to 2.887, p=0.008) after adjustment for potential confounders including age, gender, waist-hip ratio, blood urea nitrogen, systolic and diastolic BP, fasting blood glucose, postprandial glucose, low-density lipoprotein-cholesterol, triglycerides, high-density lipoprotein-cholesterol, total cholesterol, estimated glomerular filtration rate and lipid-lowering drugs. The ROC analysis revealed that the optimal LFC cut-off value for predicting MA was 6.82%.ConclusionLFC is independently associated with MA in normotensive, euglycaemic middle-aged and elderly Chinese individuals. Screening for MA in people with NAFLD might facilitate early intervention to minimise kidney disease risk.


2021 ◽  
Vol 14 ◽  
pp. 117863882110352
Author(s):  
Yordanos Mengistu ◽  
Gobena Dedefo ◽  
Mesay Arkew ◽  
Gebeyehu Asefa ◽  
Gutema Jebessa ◽  
...  

Background: Khat chewing is a long standing social-cultural habit in several countries. Even though many people chew khat simply for its pleasurable and stimulatory effect, evidence showed widely-held belief among khat chewers in Ethiopia and other part of the world that khat helps to lower blood glucose while some studies are contradicted on the effect of khat. There is limited data about khat’s effect on blood glucose especially in our setting, Harar estern Ethiopia. Objective: Primarily the present study aims to compare fasting blood sugar level among khat chewer diabetic and healthy individuals, and to asses risk factors associated with poor glycemic control in diabetic subjects. Method: A cross-sectional study included 200 confirmed diabetic and healthy subjects. Fasting blood sugar was determined by enzymatic method glucose oxidase and glucose hexokinase. Glycemic control was also determined for diabetic subjects based on the last 2-month diabetic clinic visits and current measurement. Result: (Median ± IQR [interquartile range]) fasting blood sugar difference among Khat chewer and non khat chewer were 159 ± 83 mg/dl and 202 ± 79 mg/dl respectively in diabetic subjects when tested by glucose oxidase. Similarly, in healthy non khat chewer and khat chewer, khat chewers has lower (Median ± IQR) fasting blood glucose level 82 ± 18 mg/dl than non khat chewers 94 ± 13 mg/dl when tested by glucose oxidase. Regarding risk factors associated with poor glycemic control in diabetic subjects, positive parental diabetes history, insulin medication, being overweight, obese were significantly associated with poor glycemic control. Conclusion: There was significant effect of khat on median FBS among khat chewers in diabetic and healthy individuals. And the proportion of glycemic control was high among diabetic subjects. Recommendation: Health care professional and patients should manage the risk factors to delay disease progression and restrain the damage. More studies should be conducted in randomized control trial manner to further elucidate khat effect on blood sugar level so that the actual effect of khat can be identified unlike in cross sectional where there may not be strong causal relationship.


2021 ◽  
Vol 9 (1) ◽  
pp. e001861
Author(s):  
Lorena Baccaglini ◽  
Adams Kusi Appiah ◽  
Mahua Ray ◽  
Fang Yu

IntroductionPatients with diabetes are advised to follow standard medical care including daily blood glucose and foot checks, eye examinations with pupil dilation, and cholesterol checks to prevent diabetes-related complications. It is unclear how these practices currently vary across different US population subgroups. The objective of this study was to assess variation in overall and individual diabetes care practices and identify specific factors associated with differences in these practices in a representative sample of US diabetic adults.Research design and methodsCross-sectional data were from the 2017 Behavioral Risk Factor Surveillance System. Survey logistic regression was used to account for the complex sampling design.ResultsAmong 30 780 eligible participants, 8957 (equivalent to 28% of the target population) followed all four diabetes care practices. Insulin-dependent participants had higher adjusted odds (adjusted OR=2.95; 95% CI 2.62 to 3.31) of following all four diabetic care practices compared with those who did not. Cost-related variables (having healthcare coverage and/or a personal doctor) were positively associated with diabetes care practices, with the strongest association observed for adherence to more costly practices (annual eye examination and cholesterol check) versus less costly ones (daily blood glucose check, daily foot check).ConclusionsOur findings suggest the need for diabetes care practice-specific and population subgroup-specific public health interventions to encourage early adherence to diabetic care practices and reduce complications.


2021 ◽  
Vol 99 (Supplement_1) ◽  
pp. 1-2
Author(s):  
Brian P Yeich ◽  
Rafael Ovidio Bautista Rivas ◽  
Naomi C Willard ◽  
Katherine D Vande Pol ◽  
Jenny R Morris ◽  
...  

Abstract Low blood glucose levels at the start of farrowing have been associated with increased farrowing duration and stillbirth rate. This study evaluated changes in sow blood glucose (BG) on the day of farrowing and investigated relationships between sow and litter parameters and BG. The study was carried out over 12 h from 0600h (time of last feeding) on the day sows were induced to farrow (d 115 of gestation) as a cross-sectional survey using 42 sows/gilts of which 32 farrowed. Blood samples (1.2 μL) were collected from an ear vein of each sow every 2 h from 0600 h; glucose was measured using a glucometer (Accuchek Aviva; Roche Diabetes Care, Inc., Indianapolis, IN). Sow parameters recorded included parity, body condition score (BCS: 1 = extremely thin to 5 = extremely fat), number of piglets born, total litter birth weight, and farrowing duration. Linear relationships between sow parameters and BG were developed using PROC REG of SAS. Sows that farrowed had similar (P &gt; 0.05) BG to those that did not (84.4 vs. 86.8 mg/dL; SEM 1.76). Regression relationships between sow parameters and BG were generally weak (adjusted R2 ≤ 0.20). There was no effect (P &gt; 0.05) of time after feeding, time after start of farrowing, or time interval between piglet births on BG. Average BG levels increased linearly (P &lt; 0.05) with sow BCS (7.6 mg/dL/BCS; SE 2.63) but decreased linearly (P &lt; 0.05) with sow parity (-2.5 mg/dL/litter; SE 0.96), litter size (-0.8 mg/dL/piglet; SE 0.28), litter weight (-0.06 mg/dL/kg; SE 0.26), and farrowing duration (-1.8 mg/dL/h; SE 0.82). In contrast to previous research, changes in BG from last feed to start of farrowing (which ranged from 0 to 9 h) and relationship with other sow and litter parameters were relatively limited.


2021 ◽  
Vol 99 (Supplement_1) ◽  
pp. 154-155
Author(s):  
Rafael Ovidio Bautista Rivas ◽  
Naomi C Willard ◽  
Katherine D Vande Pol ◽  
Jenny R Morris ◽  
Alicia Olivo Espinal ◽  
...  

Abstract Blood glucose levels in piglets at birth are potentially associated with survival, however, there has been limited research to quantify these and to establish any associations with piglet characteristics. This study, which evaluated the effects of a number of piglet characteristics on blood glucose levels at birth, was conducted as a cross-sectional survey involving 32 litters. Litter was the experimental unit; piglet was a sub-sample of litter. At birth, piglets were weighed and assigned a vitality score [1 = high vitality; 2 = low vitality (limited mobility and/or respiration)]. Piglets were then dried with a cellulose-based desiccant, and blood samples were collected from half of the piglets in each litter with a vitality score of 1 (n = 226) and all piglets with a vitality score of 2 (n = 7). Samples (1.2 μL) were collected from the vena subcutanea abdominis; blood glucose was measured using a glucometer (Accuchek Aviva; Roche Diabetes Care, Inc., Indianapolis, IN). Effects of piglet characteristics and relationships with blood glucose levels were analyzed using PROC MIXED, PROC GLIMMIX, and PROC REG of SAS, as appropriate. There were no effects (P &gt; 0.05) of piglet birth weight or gender on blood glucose levels. Piglets with a vitality score of 2 had higher (P &lt; 0.05) blood glucose levels than those with a score of 1. Blood glucose levels increased linearly (P &lt; 0.05) with birth order (0.8 mg/dL for each piglet increase). In conclusion, blood glucose levels at birth were higher for piglets with low compared to high vitality and for those born later in the birth order. Further research is needed to establish relationships between blood glucose levels in piglets at birth and subsequent survival.


2017 ◽  
Vol 12 (1) ◽  
pp. 138
Author(s):  
Iriyanto Pagala ◽  
Zahroh Shaluhiyah ◽  
Baju Widjasena

ABSTRAKKeselamatan pasien adalah pasien bebas dari cedera yang tidak seharusnya terjadi atau bebas dari cedera yang potensial akan terjadi (penyakit,cedera fisik/sosial psikologis, cacat, kematian) terkait dengan pelayanan kesehatan. Di Rumah Sakit X Kendari  data kejadian keselamatan pasien pada tahun 2012 terdiri dari  kesalahan dalam pemeriksaan laborat,  pasien jatuh, salah pemberian seri kolf darah, pasien terbentur, salah dalam pemberian obat, kasus kematian pasien. Berdasarkan penentuan perioritas masalah yang akan di teliti yaitu pasien jatuh dari tempat tidur. Salah satu penyebabnya yaitu kurang patuhnya perawat dalam melaksanakan SOP resiko pasien jatuh. Tujuan penelitian ini adalah menganalisa faktor yang berhubungan antara karakteristik, pengetahuan, sikap, presepsi dukungan supervisior, presepsi dukungan sesama perawat, kenyamanan tempat/unit kerja dengan prilaku kepatuhan perawat dalam melaksanakan SOP resiko pasien jatuh terhadap terjadinya kejadian keselamatan pasien di Unit Rawat Inap Rumah Sakit X Kendari. Jenis penelitian yang digunakan adalah penelitian Explanatory Research dengan rancangan Cross sectional. Sampel dalam penelitian ini berjumlah 134 perawat ruang rawat inap. Hasil penelitian menunjukan terdapat 4 variabel yang berhubungan yaitu pengetahuan (p= 0,005), sikap (p = 0,035), persepsi dukungan supervisior (p= 0,000), persepsi dukungan sesama perawat (p= 0,003) dan faktor yang paling dominan berhubungan adalah persepsi dukungan supervisior (OR = 5,504).Kata Kunci : Perawat, Kepatuhan Melaksanakan SOP Compliance Behavior of Nurses Against Genesis SOP Implementing Patient Safety in Hospital X Kendari : The safety of patients were free of injury that is not supposed to happen or free from potential injury will occur (disease, physical injury / social psychological, disability, death) associated with health care. Hospital X Kendari patient safety event data in 2012 consisted of errors in laboratory examination, patient falls, one giving blood kolf series, patient knock, one in drug delivery, patient death cases. Based on the determination of the issues to be priorities in carefully which patients falling out of bed. One reason is lack of nurses in implementing SOP obedient, patient risk falling. The purpose of this study was to analyze factors related to the characteristics, knowledge, attitudes, perception supervisior support, perception of peer support nurse, comfort / unit with the behavior of nurses in implementing SOP compliance risk of the patient fell against the occurrence of patient safety in the Hospital Inpatient Unit X Kendari. This type of research is Explanatory Research research with cross sectional design. The sample in this study amounted to 134 inpatient room nurse. The results showed there were four variables related to that knowledge (p = 0.005), attitude (p = 0.035), perception of support supervisior (p = 0.000), perception of peer support nurses (p = 0.003) and the most dominant factor is the perception of support supervisior (OR = 5.504).Keywords: Nurses, SOP Implement Compliance


2021 ◽  
Vol 2 (2) ◽  
pp. 58-68
Author(s):  
Dherma Wati Bangun ◽  
Dherma Wati Bangun ◽  
Vivi Eulis Diana

Patients in health services have different behaviors in deciding to take advantage of health services. Patients used various considerations to make decisions based on the health products or services for re-treatment. The study aimed to analyze the factors that influence the patient's decision in using health services for re-treatment. This research was quantitative with cross-sectional design and conducted at Tanjung Pura Regional Hospital. The population was 3.946 people, and the sample were 247 respondents taken by using purposive sampling. Data analysis was univariate and bivariate using chi-square and multivariate using multiple logistic regression at the 95% confidence level (a= .05). The results showed that the factors that influenced the patient's decision to use health services for re-treatment at the Tanjung Pura Regional Hospital were the service quality of doctors / nurses (p= .000), distance (p=.049), facilities (p=0.000), and service speed (p = .000). The factors that did not influence we age (p=.461). gender (p=.895), education (p=.371), occupation (p=.593). The most dominant factor influencing is facilities with Exp (B)/OR =14.477, meaning that respondents who stated that the hospital facilities were good, had the opportunity to use health services for re-treatment by 14.4 times higher the respondents who stated that the hospital facilities were not good. It is suggested to Tanjung Pura Regional Hospital to propose and allocate a budget for improving hospital facilities that are still lacking and adding new service facilities so that it can increase public confidence for repeat treatment


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