scholarly journals An Analysis of Factors Related to the Ability of Hypoglycemic and Hyperglycemic Early Detection in patients of Diabetes Mellitus in Bima Public Hospital in 2017

2018 ◽  
Vol 1 (3) ◽  
pp. 18
Author(s):  
Martiningsih Martiningsih
Keyword(s):  
Diabetes Mellitus ◽  
Early Detection ◽  
Public Hospital ◽  
Sampling Technique ◽  
P Value ◽  
Validity And Reliability ◽  
Chi Square ◽  
Cross Sectional ◽  
Acute Hypoglycemia ◽  
The Right

This study aims to determine the ability of early detection, the factors that are most influential and related to the ability of early detection of hypoglycemia and hyperglycemia in diabetes mellitus patients in Bima Public Hospital in 2017. The method used in this research is an analytical descriptive method and uses a cross-sectional approach. The population of this study was all DM patients in Bima Public Hospital in 2017. The sample size was determined by purposive sampling technique, namely 30 people. The study was conducted in the internal medicine room of Bima Hospital. The data were retrieved by using questionnaire of Ability to Detect Hypoglycemia and Hyperglycemia which has been tested for the validity and reliability of the instrument with Cronbach's Alpha value of 0.734. The data analysis process was carried out by using Chi-Square test and logistic regression. Results: The ability of hypoglycemia and hyperglycemia to be detected in DM patients in Bima Public Hospital in 2017 was 47% who were able and 58% who were not able with the average of 42.70, with a minimum-maximum value of 34-52. The results of the multivariate test revealed that the duration of DM disease had the most significant effect on the ability of hypoglycemia and hyperglycemia detection (p-value = 0.001, OR 39.429). Discussion: Improving the quality of nursing care through self-care education in the right nursing perspective with regard to the characteristics of the respondents, one of them is a history of long-term DM disease, can prevent acute hypoglycemia and hyperglycemia.

Hubungan Kadar Kolesterol Total Dan Hipertensi Dengan Kejadian Penyakit Jantung Koroner DI RSUD dr. Soedarso Pontianak

2018 ◽  
Vol 1 (2) ◽  
pp. 99
Author(s):  
Laila Kamila ◽  
Maulidiyah Salim
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Total Cholesterol ◽  
Blood Vessels ◽  
Public Hospital ◽  
Sampling Technique ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Purposive Sampling

Abstract: Coronary heart is a disease that offense to blood vessels and heart attack due to constriction of blood vessels. A high level of cholesterol in blood or exceeds the normal limit can form sediment in wall of blodd vessels which cause blood vessels constriction or blockage. This research object to determine whether there is a correlation between cholesterol level total and hypertension with coronary heart disease in patients who hospitalized in Regional Public Hospital of dr. Soedarso Pontianak. This study was used cross sectional design, purposive sampling technique, it gained 50 people as samples. The measurement of blood pressure was done in heart poly and cholesterol total level in clinic laboratory of Regional Public Hospital of dr. Soedarso by using enzymatic CHOD-PAP method. It can be obtained that 10 people had hypertension and 40 people did not.the average of total cholesterol was 224 mg/dl. Maximum value of total cholesterol was 224 mg/dl and 152 mg/dl as minimum value. Data has been analyzed by using statistical test, Chi-Square, to determine the correlation of total cholesterol wit coronary heart disease, obtained p value=0,024 (less than α=0,05). Correlation of hypertension and coronary heart disease gained p value=0,923 (more than α=0,05), it can be concluded that total cholesterol correlated with coronary heart disease, and there was not a correlation between hypertension and coronary heart disease.Abstrak: Jantung koroner adalah penyakit yang  menyerang pembuluh darah dan serangan jantung, karena penyempitan pada pembuluh darah. Kadar kolesterol yang tinggi dalam darah melebihi normal dapat membentuk endapan pada dinding pembuluh darah sehingga menyebabkan penyempitan dan tersumbatnya pembuluh darah. Penelitian ini bertujuan untuk mengetahui hubungan kadar kolesterol total dan hipertensi dengan penyakit jantung koroner pada pasien di RSUD dr. Soedarso Pontianak. Disain penelitian  ini menggunakan cross sectional, teknik pengambilan sampel yaitu purposive sampling, didapat jumlah sampel 50 orang. Pengukuran Tensi Darah dilakukan di poli Jantung dan pemeriksaan kadar kolesterol total di laboratorium klinik RSUD dr. Soedarso Pontianak dengan metode enzimatik CHOD-PAP. Hasil penelitian didapatkan 10 orang mengalami hipertensi dan 40 orang non hipertensi. Rata-rata kadar kolesterol total 224 mg/ dl. Nilai maksimum kadar kolesterol total yaitu 224 mg/dl dan nilai minimum yaitu 152 mg/dl. Analisa data dengan uji statistik Chi-square untuk mengetahui hubungan kolesterol total dengan penyakit jantung koroner didapatkan nilai p = 0,024 (lebih kecil dari  α 0,05). Uji hubungan hipertensi dengan penyakit jantung koroner didapat nilai p = 0,923 (lebih besar dari α 0,05), dapat disimpulkan terdapat hubungan kadar kolesterol total dengan penyakit jantung koroner dan tidak ada hubungan hipertensi dengan penyakit jantung koroner.

scholarly journals Women’s knowledge and participation in early detection of cervical cancer: a cross-sectional study

2020 ◽  
Vol 3 (1) ◽  
pp. 1-7
Author(s):  
Elia Ika Rahmawati ◽  
Dini Andriyani ◽  
Fathiyatur Rohmah
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
P Value ◽  
Women Of Reproductive Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Incidence And Mortality

Cervical cancer is a malignant disease that remains a major cause of morbidity and mortality among women in the world. In Indonesia, only 5% of women of reproductive age screen for cervical cancer. 76.6% of cervical cancer patients are detected with the disease when they entered the advanced stage. Early detection of cervical cancer is the key intervention in the reduction of incidence and mortality of cervical cancer. Other studies reported that the awareness of women of reproductive age to do cervical cancer screening is still very low due to a lack of knowledge about cervical cancer. This study aimed to determine the correlation of knowledge and participation in early detection of cervical cancer in women in reproductive age. This study used an analytical survey with a cross-sectional approach. The sampling technique used incidental sampling with a total of 36 women in reproductive age. Data analysis used Chi-Square test. Statistical results showed that there was a significant correlation between knowledge of women in reproductive age about cervical cancer and participation in early detection of cervical cancer, which is p value = 0.020 ( 0.05) and coefficient of contingency (r) = 0.423. The level of closeness of the correlation is medium. Therefore, there is a need for tailored services that could improve knowledge of women in reproductive age about cervical cancer to improve participation with a view to preventing cervical cancer by early detection.

scholarly journals Faktor-Faktor yang Mempengaruhi Kepatuhan Pengobatan pada Pasien Diabetes Mellitus Rawat Jalan di RSUD Sukoharjo

2020 ◽  
Vol 17 (2) ◽  
pp. 110-120
Author(s):  
Tri Yulianti ◽  
Lusi Anggraini
Keyword(s):  
Diabetes Mellitus ◽  
Medication Adherence ◽  
Diabetes Mellitus Type 2 ◽  
Sampling Technique ◽  
Diabetes Mellitus Type ◽  
P Value ◽  
Affecting Factors ◽  
Chi Square ◽  
Cross Sectional

Diabetes mellitus is a chronic metabolic with high prevalence and it can increase the risk of the complications, if it not handled properly. Medication adherence is one of the determining factor to achive therapeutic outcome. This research aims to determine the affecting factors of adherence in  diabetes mellitus type 2 outpatient at RSUD Sukoharjo in 2020. This research type is  cross sectional with a purposive sampling technique. A total of 85 patients diabetes mellitus type 2 outpatient at RSUD Sukoharjo with inclusion criteria received OAD therapy (Oral Antidiabetic Drugs) or a combination of OAD with insulin for at least 1 month, recruited in this study. The data was collected from medical records and questionnaires. Adherence was measured by using the MARS 5 questionnaire (Medication Adherence Report Scale 5). Factors contributing to medication adherence was analyzed by using chi-square test. The results showed that 37 respondents (43.5%) were obedient. The significant factors of medication adherence are monthly income (p-value = 0.018 and OR = 2.887), Medication (p - value = 0.007 and OR = 3,551), the frequency of treatment (p-value = 0.006 and OR = 3,529) and blood glucose level (p-value = 0.006 and OR = 3,529).

scholarly journals Faktor-faktor yang Mempengaruhi Perilaku Agresif pada Remaja yang Tinggal di Pesantren

2019 ◽  
Vol 6 (1) ◽  
pp. 36-43
Author(s):  
Athi Linda Yani ◽  
Arifa Retnowuni
Keyword(s):  
Aggressive Behavior ◽  
Sampling Technique ◽  
Boarding Schools ◽  
Bivariate Analysis ◽  
P Value ◽  
Validity And Reliability ◽  
Chi Square ◽  
Cross Sectional ◽  
Existing Problems ◽  
Chi Square Test

Adolescence can be said to be a period of storm and stress, which is characterized by disequilibrium or imbalance of attitudes and emotions, which makes adolescents easily change, fluctuate, and uncertain. Adolescence is also a period of transition where at that time it was necessary to adjust from childhood to adulthood. Adolescents who have not been able to solve the problems experienced will lead to prolonged conflict, the inability to face existing problems can cause frustration and bring up aggressive reactions. The purpose of this study is to find out the factors related to the aggressiveness of adolescents who live in the boarding school. This study uses a descriptive correlation design using a cross sectional approach. The study was conducted in Islamic boarding schools with a sample of 150 santri. The sampling technique used was proportionate stratified random sampling. The measuring instrument used is a questionnaire that has been tested for validity and reliability. This study uses univariate and bivariate analysis using chi-square test. The results of the study revealed that there was a significant effect (P value <0.05) between parenting (p value = 0.000), and the aggressive behavior of adolescents in boarding schools. And there was a significant effect (P value <0.05) between peers (p value = 0.003), with the aggressive behavior of adolescents in boarding schools. The environment has a large influence on adolescent behavior. With the imitation process they learn to do the same thing as they can witness with their aggressive behavior.

scholarly journals Factors associated with the occurrence of hypertension in the Talaud islands regency

2021 ◽  
Author(s):  
Febi K. Kolibu ◽  
Chreisye Mandagi ◽  
Paul Kawatu
Keyword(s):  
Family History ◽  
Sampling Technique ◽  
Communicable Diseases ◽  
P Value ◽  
Validity And Reliability ◽  
Chi Square ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Factors Associated ◽  
Chi Square Analysis

Background: Hypertension is one of the leading causes of death for cases of non-communicable diseases in Indonesia. Basic Health Research in 2018 by the ministry of health of the republic of Indonesia found the number of non-communicable diseases such as hypertension, stroke and diabetes mellitus has increased compared to revious research. The aim of this study was to determine the factors associated with the occurrence of hypertension in the Talaud Islands Regency.  Methods: This is a survey research using cross sectional method, the instrument used is a questionnaire that has been tested for validity and reliability. The number of samples are 100 people with purposive sampling technique.  Results: The results of the chi square analysis show that gender does not associate with the occurrence of hypertension (p value 0.641), age has no association with the occurrence of hypertension (p value 0.641), obesity and hypertension showed that there was a significant association (p value 0.033), family history and hypertension were associated (p value 0.033), no association between smoking and hypertension (p value 0.582), consumption of risky food do not have an association with the occurrence of hypertension (p value 0.612), there is no association between physical activity and the occurrence of hypertension (p value 0.641), alcohol consumtion and hypertension were associated (p value 0.024), stress has no association with the occurrence of hypertension (p value 0.083).Conclusions: Factors associated with hypertension in the Talaud Islands Regency are obesity, family history of hypertension and alcohol consumption.

scholarly journals Faktor Deteksi Dini Kanker Serviks Metode IVA pada Wanita Usia Subur

2018 ◽  
Vol 2 (2) ◽  
pp. 100
Author(s):  
Nur Asni Arti
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Active Role ◽  
Reproductive Age ◽  
P Value ◽  
Validity And Reliability ◽  
Women Of Reproductive Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Probability Sampling

ABSTRAKMeningkatnya kejadian kanker serviks terutama disebabkan masih rendahnya perilaku wanita usia subur (WUS) untuk deteksi dini kanker serviks. Salah satu upaya pemerintah untuk mendeteksi kanker serviks secara dini adalah melalui metode inspeksi visual asam asetat (IVA). Cakupan IVA di Desa Payageli sangat rendah sebesar 2,8%, masih di bawah target nasional (80%). Tujuan penelitian: Menganalisis hubungan pendidikan dan pengetahuan dengan deteksi dini kanker serviks metode IVA pada WUS di Desa Payageli, Kecamatan Sunggal, Kabupaten Deli Serdang. Metode: Penelitian ini merupakan studi analitik dengan metode potong lintang yang dilaksanakan dari bulan Februari sampai Juni 2016. Cara pemilihan sampel ialah probability sampling dengan jumlah sampel sebanyak 65 orang wanita usia 20-45 tahun. Pengumpulan data menggunakan kuesioner yang disusun oleh peneliti dan telah diuji validitas dan reliabilitasnya. Data dianalisis dengan uji chi square. Hasil: Penelitian menunjukkan bahwa secara statistik faktor pendidikan dan pengetahuan berhubungan dengan deteksi dini kanker serviks metode IVA dengan nilai p0,05. Variabel pendidikan merupakan variabel yang paling dominan berhubungan dengan deteksi dini kanker serviks metode IVA. Diskusi: Rendahnya pengetahuan dapat memengaruhi WUS untuk melakukan deteksi dini kanker serviks. Kesimpulan: Peran petugas kesehatan untuk lebih aktif melakukan penyuluhan atau memberikan KIE (komunikasi, informasi, edukasi) kepada WUS tentang deteksi dini kanker serviks dengan metode IVA.Kata Kunci: IVA, kanker serviks, deteksi diniFACTORS RELATED TO EARLY DETECTION OF CERVICAL CANCER USING IVA METHOD AY PAYAGELI VILLAGE, SUNGGAL , DELI SERDANGABSTRACTThe increasing incidence of cervical cancer is primarily caused by low behavior of women of reproductive age towards early detection of cervical cancer One of the government’s efforts to detect cervical cancer early is through a visual inspection with acetic acid (VIA) method. The coverage of VIA at Payageli Village is very low by 2.8%, which is below the national target of 80%. Objective: To analyze the correlation of education and knowledge with early detection of cervical cancer using VIA method in women of reproductive age in Payageli Village, Sunggal Subdistrict, Deli Serdang Regency. Methods: This research is an analytic study using a cross sectional method which was conductedfrom February to June 2016. Samples were taken using probability sampling with a sample size of 65 women aged 20-45 years. Data were collected through in-depth interviews using questionnaires that was made by the researcher and its validity and reliability had been tested. Data was analyzed using chi square test. Results: The research indicated that statistically the factors of education and knowledge correlated with early detection of cervical cancer using VIA method with p value of <0.05. the education variable was the most dominant variables correlated with early detection of cervical cancer using VIA method. Discussion: Poor knowledge may affect women of reproductive age to perform early detection of cervical cancer. Conclusion: Healthcare workers should play more active role in giving counseling or providing communication, information and education to women of reproductive age about early detection of cervical cancer by using VIA method.Keywords: VIA, cervical cancer, early detection

scholarly journals FACTORS RELATED TO THE EVENT OF STUNTING TOddlers in the WORK AREA OF THE BOJONEGORO KANOR HEALTH CENTER

2021 ◽  
Vol 8 (2) ◽  
pp. 62-69
Author(s):  
Sarni Anggoro
Keyword(s):  
Health Center ◽  
Family Income ◽  
Failure To Thrive ◽  
Sampling Technique ◽  
Nutritional Intake ◽  
P Value ◽  
Validity And Reliability ◽  
Chi Square ◽  
Cross Sectional ◽  
Maternal Parenting

Stunting is a condition of failure to thrive in children under five. One of the signs that appears is a child with a stunted stature when he reaches the age of 2 years. Stunting occurs due to lack of nutritional intake. Many factors affect the provision of nutritional intake by parents to their toddlers. This study aims to determine what factors are associated with the incidence of stunting in the working area of ​​the Kanor Bojonegoro Health Center. This research uses quantitative descriptive research with cross sectional design. Respondents in this study were all mothers who have toddlers in the working area of ​​Kanor Health Center, Bojonegoro, as many as 128. The sampling technique used was accidental sampling. This research was conducted in January 2021. The data collection technique used in this study used a questionnaire on parenting, knowledge and income. The questionnaire has been tested for validity and reliability. Analysis of the data used to test the relationship between variables is the chi square test. The results showed that the majority of maternal parenting patterns were in the bad category, with poor knowledge of the mother and with income that was in the poor category. The correlation results show that the p-value of each variable is <0.05. The conclusion of the study showed that the factors of maternal parenting, mother's knowledge about stunting and family income were related to the incidence of stunting.  

HUBUNGAN KEPATUHAN PERAWATAN KAKI DENGAN KEJADIAN NEUROPATI PADA PASIEN DIABETES MELITUS DI RSUP H. ADAM MALIK MEDAN TAHUN 2019

2020 ◽  
Vol 5 (1) ◽  
pp. 53-61
Author(s):  
Murni Sari Dewi Simanullang ◽  
Ance M Siallagan ◽  
Rusnitha Br. Munthe
Keyword(s):  
Diabetes Mellitus ◽  
General Hospital ◽  
Health Workers ◽  
Sampling Technique ◽  
P Value ◽  
Foot Care ◽  
Chi Square ◽  
Cross Sectional ◽  
Glucose Levels ◽  
Patients With Diabetes

Introduction. Diabetes mellitus (DM) is a metabolic disease characterized by increased blood glucose levels or hyperglycemia. Long-term hyperglycemia can cause various complications including neuropathy. Some measures can be taken to prevent neuropathy, such as foot care. The purpose of this study was to identify the relationship between adherence foot care with the incidence of neuropathy in patients with diabetes mellitus in H. Adam Malik General Hospital Medan in 2019.Method. This research is a descriptive correlational study using cross sectional design. The population in this study were all DM patients who came to the Polyclinic disease in H. Adam Malik General Hospital Medan. The sampling technique used was purposive sampling with a sample size of 44 respondents. Data collection was performed using a foot care compliance questionnaire and a neuropathic event observation sheet.Result. Data analysis with Chi-square test obtained p value = 0.001, which means there is a relationship between adherence of foot care with the incidence of neuropathy in DM patients at H. Adam Malik General Hospital Medan in 2019.Duscussion. DM patients can prevent neuropathy by doing regular foot care. Health workers and families can play a role in providing support to patients to improve the independence of doing foot care at home.

scholarly journals HUBUNGAN SIKAP IBU DENGAN KESIAPAN TOILET TRAINING DI PAUD AVICENA YOGYAKARTA

2020 ◽  
Vol 8 (2) ◽  
pp. 155-161
Author(s):  
Suryati ◽  
Nita Ana Pratiwi
Keyword(s):  
Sampling Technique ◽  
Toilet Training ◽  
P Value ◽  
Testing Technique ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
The Right ◽  
Relationship Of ◽  
The Relationship

Background: Toddler age children are in important concept in the growth process. That age is the right time for children to learn various skills, such as learning to defecate and urinate. In do defecate and urinate in toddler need preparation by physical, psychological, and intellectual. The attitude of mother determines the children to use toilet training. Objective:This research is aim to determine the relationship of mother’s attitude with the readiness of toilet training in PAUD Avicena Yogyakarta Methods: This research design is descriptive correlational with cross-sectional approach. The sample of this research was 32 respondents taken with total sampling technique. The data collection is use questionnares with hypothesis testing technique using Chi Square test Results:This research shows that the majority of mother’s attitude in use of diapers in the postive category  (84,4%), the readiness of  toilet training majority are in category less ( 53,1%) Chi Square correlation value between mother’s attitude in use of diapers to the toilet training readiness is p value 0,000 < 0,05 Conclusion:The more attitude of the mother in supports of using diapers, it will be influential in less toilet training readiness in toddler children Keywords: Attitude, Toilet Training Readiness    

scholarly journals HUBUNGAN DIABETES MELLITUS PADA KLIEN YANG MENGGUNAKAN INSULIN DENGAN GEJALA OSTEOARTHRITIS DI RSUD DR. H. ABDUL MOELOEK PROVINSI LAMPUNG

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Andoko Andoko ◽  
Dessy Hermawan ◽  
Rika Yulendasari
Keyword(s):  
Diabetes Mellitus ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Insulin Dependent Diabetes Mellitus ◽  
Dependent Diabetes Mellitus ◽  
P Value ◽  
Diabetic Patients ◽  
Chi Square ◽  
Cross Sectional ◽  
Relationship Of

ABSTRACT : DIABETES MELLITUS RELATIONSHIP IN CLIENTS USING INSULIN WITH SYMPTOMS OSTEOARTHRITIS IN DR. H. ABDULMOELOEK PROVINSI LAMPUNGYEAR 2018 Background : Based on data from Lampung  Provincial Health Office, pravelensi of insulin-dependent diabetes mellitus in Lampung Province in 2015 amounted to 123 clients who were hospitalized, while client  with outpatient as many 40 people. In 2016, the number of outpatient visits in patients with diabetes mellitus amounted to 28 people, while in hospitalization increased to 185 clients (Provincial Health Office of Lampung, 2016).Purpose : The purpose of this study is to know the relationship of diabetes mellitus in clients who use insulin with symptoms of osteoarthritis in RSUD Dr. H. Abdul Moeloek Lampung Province Year 2018.Method : This type of research is quantitative (non-experimental). The design of this study was an analytical survey using the cross sectional approach, the population of all diabetic patients using insulin in Dr. H. Abdul Moeloek Province 2018 as many as 214 people and got the number of samples of 59 respondents, the sampling technique in this study is simple random sampling, statistical test using chi-square test.Result : The result of chi square statistic test obtained P-Value <α (0,02 <0,05) then H0 is rejected. So it can be concluded there is a relationship of diabetes mellitus in patients who use insulin with the incidence oeteoartritis in RSUD Dr. H. Abdul Moeloek Lampung Province Year 2018 with Odds Ratio (OR) = 2.037.Conclusion : Suggestions can be used as an information and input material to improve the patient's knowledge of using insulin, which can affect weight gain, and affect lower extremity and muscle function, thus causing symptoms of osteoarthritis.Keywords: Diabetes Mellitus, Insulin, OsteoarthritisABSTRACT : DIABETES MELLITUS RELATIONSHIP IN CLIENTS USING INSULIN WITH SYMPTOMS OSTEOARTHRITIS IN DR. H. ABDULMOELOEK PROVINSI LAMPUNGYEAR 2018 Background :Based on data from Lampung  Provincial Health Office, pravelensi of insulin-dependent diabetes mellitus in Lampung Province in 2015 amounted to 123 clients who were hospitalized, while client  with outpatient as many 40 people. In 2016, the number of outpatient visits in patients with diabetes mellitus amounted to 28 people, while in hospitalization increased to 185 clients (Provincial Health Office of Lampung, 2016). Purpose :The purpose of this study is to know the relationship of diabetes mellitus in clients who use insulin with symptoms of osteoarthritis in RSUD Dr. H. Abdul Moeloek Lampung Province Year 2018.Method :This type of research is quantitative (non-experimental). The design of this study was an analytical survey using the cross sectional approach, the population of all diabetic patients using insulin in Dr. H. Abdul Moeloek Province 2018 as many as 214 people and got the number of samples of 59 respondents, the sampling technique in this study is simple random sampling, statistical test using chi-square test.Result :The result of chi square statistic test obtained P-Value <α (0,02 <0,05) then H0 is rejected. So it can be concluded there is a relationship of diabetes mellitus in patients who use insulin with the incidence oeteoartritis in RSUD Dr. H. Abdul Moeloek Lampung Province Year 2018 with Odds Ratio (OR) = 2.037.Conclusion :Suggestions can be used as an information and input material to improve the patient's knowledge of using insulin, which can affect weight gain, and affect lower extremity and muscle function, thus causing symptoms of osteoarthritis.Keywords: Diabetes Mellitus, Insulin, Osteoarthritis

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