scholarly journals Diabetes Mellitus and Hypertension are Risk Factor for Endometrial Cancer

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

e-GIGI ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Heldin E. Kasiha ◽  
Shirley E.S. Kawengian ◽  
. Juliatri

Abstract: Pregnant woman are vulnerable to oral diseases. Several studies have claimed that level of knowledge can affect dental oral health. Several dental oral problems can occur in pregnant woman inter alia pregnancy gingivitis. Gingivitis during pregnancy is due to increased concentrations of estrogen and progesterone. This condition is characterized by changes in the interdental papillae which become reddish, swollen, easily bleed accompanied by pain. Additionally, the gingiva becomes particularly sensitive to toxins and irritants such as plaque and calculus resulted in inflammation of the gingiva. This study was aimed to obtain the level of knowledge about gingivitis among pregnant women. This was a descriptive study with a cross sectional design. Data were obtained by using questionnairres. There were 60 respondents in this study obtained by using total sampling technique. Data were presented in frequency distribution tables. The results showed that there where 28 pregnant women (46.7%) with good level of knowledge and 32 woman pregnant (53,3%) with poor knowledge. Conclusion: Pregnant women in Puskesmas Kakaskasen had poor level of knowledge about gingivitis.Keywords: pregnant woman, knowledge, gingivitis Abstrak: Wanita hamil merupakan salah satu kelompok yang rentan akan penyakit gigi dan mulut. Beberapa penelitian menyatakan bahwa tingkat pengetahuan dapat memengaruhi kesehatan gigi dan mulut. Efek kehamilan pada kesehatan gigi dan mulut antara lain gingivitis kehamilan yang disebabkan oleh peningkatan konsentrasi hormon estrogen dan progesteron. Keadaan ini ditandai dengan papila interdental yang memerah, bengkak, mudah berdarah, disertai rasa nyeri dengan gingiva yang sensitif khususnya terhadap toksin maupun iritan seperti plak dan kalkulus yang berakibat lanjut terjadinya inflamasi gingiva. Penelitian ini bertujuan untuk mendapatkan gambaran pengetahuan ibu hamil tentang gingivitis. Jenis penelitian ialah deskriptif dengan desain potong lintang. Data diperoleh dengan menggunakan kuesioner dan disajikan dalam bentuk tabel distribusi frekuensi. Terdapat 60 responden yang diperoleh menggunakan total sampling. Hasil penelitian menunjukkan 28 ibu hamil (46,7%) berpengetahuan baik dan 32 ibu hamil (53,3%) berpengetahuan kurang. Simpulan: Tingkat pengetahuan ibu hamil terhadap gingivitis di Puskesmas Kakaskasen masih kurang.Kata kunci: ibu hamil. pengetahuan, gingivitis


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 47 (2) ◽  
pp. 97-106
Author(s):  
Made Agus Nurjana ◽  
Ni Nyoman Veridiana

Abstrak   Prevalensi Diabetes mellitus (DM) mengalami peningkatan secara global baik di negara berpenghasilan tinggi maupun negara berpenghasilan rendah dan menengah termasuk di Indonesia. Indonesia menduduki urutan ke empat dengan prevalensi diabetes tertinggi di dunia setelah India, China, dan Amerika Serikat. Tujuan dari tulisan ini adalah untuk mengkaji hubungan pola konsumsi dan aktivitas fisik dengan kejadian DM di Indonesia berdasarkan data Riskesdas tahun 2013.  Pengumpulan data dilakukan pada bulan Mei - Juni 2013 di 33 provinsi dan 497 kabupaten/kota di Indonesia. Desain penelitian ini adalah cross sectional. Jumlah sampel sebanyak 722.329 responden yang berusia 15 tahun ke atas. Hasil penelitian menunjukkan bahwa aktivitas fisik merupakan faktor risiko dominan terhadap kejadian DM di Indonesia. Masyarakat yang memiliki kebiasaan hanya melakukan aktifitas ringan mempunyai peluang untuk terkena DM 2,9 kali dibandingkan dengan masyarakat yang memiliki kebiasaan melakukan aktifitas berat, sedangkan masyarakat yang memiliki kebiasaan melakukan aktivitas sedang mempunyai peluang lebih rendah terkena DM yaitu 1,8 kali dibandingkan dengan aktivitas berat. Semakin berat aktivitas fisik yang dilakukan maka semakin sedikit kemungkinan terkena DM. Dalam mencegah semakin tingginya prevalensi DM di Indonesia maka diperlukan peningkatkan kesadaran masyarakat untuk meningkatkan intensitas aktivitas fisik terutama bagi masyarakat yang aktivitas fisiknya rendah.   Kata kunci : Diabetes mellitus, perilaku konsumsi, aktivitas fisik   Abstract   Prevalency Diabetes Mellitus (DM) experience increasing globally either in high income states or in the low and middle income states including Indonesia. Indonesia is the fourth prevalency Diabetes Mellitus in the world after India, China, and United States. The aim of this study is to analyze the relationship between consumsion pattern and physical activity on DM in Indonesia based on Riskesdas data in 2013. Data are gathered from may up to June 2013 in 33 provinces and 497 regencies/cities in Indonesia. The research is cross sectional design. The samples are 722.329 respondents aging among 15 years and over. The results show that the physical activity is the risk factor dominantly on the DM in Indonesia. Society having only light activity have a tendency to get DM 2.9 times compared to those who have the strongest activity, while those who are stronger activity have lower tendency to get DM that is 1.8 times compared to those who have the strongest activity. To prevent higher prevalency DM in Indonesia, it is expected to rise the societal care to increase physical activity intensity primarily for those who has the low physical activities.   Keywords : Diabetes mellitus, consumtive behavior, physical activity


Author(s):  
Budi I Santoso, ◽  
Satriyo Pamungkas

Objective: To describe the incidence of 3rd and 4th grade perineal tear in Dr. Cipto Mangunkusumo hospital on the period of 2011 - 2014 and its compatibility of treatment based on RCOG guidelines. Methods: Data were collected through medical records on women who had vaginal delivery in Dr. Cipto Mangunkusumo hospital from January 2011 to December 2014. This was a descriptive study with cross sectional design. Results: The incidence of 3rd and 4th grade perineal tear each year were 3.55%, 4.35%, 3.95%, and 1.77% consecutively. About 100% treatment were accompanied by consultant; 3.5% performed in operating theatre; 90.7% were given postoperative antibiotic; 42.2% were given urinal catheter in 1x24 hour postoperative; 100% were given analgesic. About 61.4% of procedures were not compatible with RCOG guidelines. Conclusion: The study showed that the incidence of 3rd and 4th grade of perineal tear was 3.66% for 4 years and the compliance to RCOG standard was 38.6%. [Indones J Obstet Gynecol 2017; 5-1: 35-41] Keywords: incidence, RCOG, third and fourth grade of perineal tear, treatment


Author(s):  
Linda Lestari ◽  
Gatot Purwoto ◽  
Laila Nuranna

Objective: To evaluate the efficacy and safety of cryotherapy in "See and Treat" program in Jakarta Primary Health Care. Method: Using descriptive cross-sectional design, data from medical records were taken with total sampling method. We took the VIA result, cryotherapy procedure, first-marriage age, number of marriage, parity, smoking habit, and the use of contraception. Data were analyzed univariately. Result: Of 86 data, the percentage of cryotherapy to change from positive to negative of VIA result was 90.70%. We did not find the progressivity to invasive cancer. Conclusion: Cryotherapy is effective to manage the cervical precancerous lesion in "See and Treat" program. [Indones J Obstet Gynecol 2016; 4-4: 227-233] Keywords: cryotherapy, Indonesia, see and treat, visual inspection of acetic acid (VIA)


2018 ◽  
Vol 6 (2) ◽  
pp. 197
Author(s):  
KARINA AMALIA SHOLIHAH

Background: First Level Clinic is a health facility that provides first-layer clinical services to the community. Efforts that can be made to improve the quality and safety of clinical services at the Pratama clinic are through accreditation. The medical record unit is part of the Pratama clinic support service unit included in the Pratama clinical accreditation assessment section. The readiness of medical record units needs to be assessed to see what documents and implementations do not yet exist and are done. Identification of readiness of Clinic X medicalrecord unit accreditation was carried out two years earlier in 2015.Aims: The purpose of this study was to determine the continuity of readiness of medical record unit accreditationin 2018.Method: This study was an observational descriptive study using a cross-sectional design. Data collection was carried out through observation and interviews with medical record officers., Analysis was done by comparing the prediction of Clinic X medical record unit accreditation readiness scores between 2015 and 2018.Results: The result showed that the prediction score increased from 41.7% in 2015 to 65.8% in 2018. The comparison of readiness for accreditation can be used as an evaluation to complement the needs of documents that do not yet exist and procedures that have not been implemented.Conclusion: The clinic has not been accredited because most of the elements being evaluated were the incomplete supporting documents. The clinic can make a framework, determine the method, and analyze the instruments based on the suitable method.Keywords: accreditation, medical record, primary clinic


2020 ◽  
Vol 4 (1) ◽  
pp. 1-6
Author(s):  
NINDY VARA MEIGIA

Minimum Standards Service is basic service quality regulation that is entitled to be obtained by every citizen. Elderly people must obtain 100% health services. Various factors can lead to low visits to the elderly posyandu in the Gading Puskesmas area in 2017. Objective: to find out the relationship between family support, knowledge, and elderly activities in the elderly posyandu in Gading Surabaya puskesmas. Method: The type of research is observational analytic with a cross-sectional design. Data processing and analysis is done by univariate and bivariate. Data collection techniques by conducting simple random sampling with a sample of 94 elderly people. Location and time of research from December 2018 at the posyandu in the Gading Surabaya health center area. Results: There is a significant value of 0,000 <0,05, so it can be concluded is have a relationship with family support, knowledge of elderly with activity following the elderly posyandu at Gading Surabaya health center


2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Selfesina Sikoway ◽  
Yanti Mewo ◽  
Youla Assa

Abstract: Hemoglobin (Hb) is a parameter used to determine anemia prevalence. The average level of normal Hb at the end of pregnancy is around 12.5 g/dL, meanwhile, aproximately 5% of pregnant women have Hb level less than 11.0 g/dL. To date, Hb level below 11.0 g/dL especially at the end of pregnancy should be considered as an abnormal phenomenon and is usually caused by iron deficiency and not by hypervolemia which is commonly found in pregnancy. This study was aimed to determine the hemoglobin level of third semester pregnant women in Robert Wolter Mongisidi Hospital Manado. This was a descriptive study with a cross sectional design. Subjects were 39 third semester pregnant women who visited the Obstetric Department of Robert Wolter Mongisidi Hospital and fulfilled the inclusion criteria. The results showed that 25 subjects (64.1%) had low hemoglobin levels and 14 subjects (35.9%) had normal level of hemoglobin. In conclusion, most third semester pregnant women had low hemoglobin levels.Keywords: hemoglobin rate, third trimester pregnant women, anemia Abstrak: Hemoglobin (Hb) darah merupakan parameter yang digunakan untuk menetapkan prevalensi anemia. Nilai normal Hb pada akhir kehamilan rata-rata 12,5 g/dL, dan sekitar 5% wanita hamil konsentrasinya kurang dari 11,0 g/dL. Nilai Hb dibawah 11,0 g/dL terutama pada akhir kehamilan perlu dianggap abnormal dan biasanya disebabkan oleh defisiensi besi dan bukan karena hipervolemia yang umumnya ditemukan pada kehamilan. Penelitian ini bertujuan untuk mengetahui kadar hemoglobin pada ibu hamil trimester III di Rumah Sakit Robert Wolter Mongisidi Manado. Jenis penelitian ialah deskriptif dengan menggunakan desain potong lintang. Subyek penelitian ialah 39 ibu hamil trimester III yang berkunjung di Poliklinik Kebidanan di Rumah Sakit Robert Wolter Mongisidi Manado yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan 25 subyek (64,1%) memiliki kadar hemoglobin rendah dan 14 subyek (35,9%) memiliki kadar hemoglobin normal. Simpulan penelitian ini ialah sebagian besar ibu hamil trimester III memiliki kadar hemoglobin rendah.Kata kunci: kadar hemoglobin, ibu hamil trimester III, anemia


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Ireine S. Waworuntu ◽  
John . Porotu'o ◽  
Olivia A. Waworuntu

Abstract: Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis (M. tuberculosis). In Indonesia, there are about 430.000 new cases, of which 61.000 cases ended in death. This disease has many clinical varieties, therefore, a gold standard for the right and exact diagnosis is needed. The examination of sputum by using Ziehl-Neelsen staining must be more improved for public health service. This study aimed to determine the profile of Mycobacterium tuberculosis (acid-fast bacteria) among patients with coughing ≥2 weeks at Ranotana, Wenang and Sario Primary Health Cares (PHCs) by using Ziehl-Neelsen staining. This was a descriptive study with a cross sectional design. Samples were obtained by using total sampling method during the period of September 2015 - December 2015. The results showed that there were 38 cases of coughing ≥2 weeks as follows: 15 cases at Wenang PHC, 13 cases at Ranotana PHC, and 10 cases at Sario PHC. The examination of acid-fast bacteria from the 38 cases of three PHCs showed that 1 case (2.7%) had acid-fast bacteria (++). Conclusion: In this study, there was only one case (2,7%) with positive Mycobacterium tuberculosis. Keywords: cough more than two weeks, tuberculosis, BTA Abstrak: Tuberkulosis adalah suatu penyakit infeksi yang disebabkan oleh Mycobacterium tuberculosis (M. tuberculosis). Indonesia memiliki sekitar 430.000 kasus baru dimana 61.000 kasus berakhir dengan kematian. Penyakit ini memiliki gejala klinis yang bervariasi sehingga perlu ditetapkan standar baku untuk menegakkan diagnosis lebih cepat dan akurat. Pemeriksaan sputum dengan pewarnaan Ziehl-Neelsen harus lebih ditingkatkan pada pelayanan kesehatan masyarakat. Penelitian ini bertujuan untuk mendapatkan gambaran Mycobacterium tuberculosis (basil tahan asam, BTA) dengan pewarnaan Ziehl-Neelsen pada pasien batuk ≥2 minggu di Puskesmas Wenang, Puskesmas Ranotana, dan Puskesmas Sario Kota Manado. Jenis penelitian ini deskriptif dengan desain potong lintang. Pengambilan sampel menggunakan cara total sampling pada kurun waktu September 2015 - Desember 2015. Hasil penelitian mendapatkan 38 kasus batuk ≥2 minggu yaitu 15 kasus di Puskesmas Wenang, 13 kasus di Puskesmas Ranotana dan 10 kasus di Puskesmas Sario. Pada pemeriksaan (BTA) di Puskesmas Wenang, Puskesmas Ranotana dan Puskesmas Sario didapatkan BTA (++) 2,7% sedangkan BTA (-) 97,3%.Simpulan: Pada penelitian ini didapatkan 1 kasus (2,7%) Mycobacterium tuberculosis positif


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.


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