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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN Jurnal Kedokteran Diponegoro Medica Hospitalia
Pramudo, Setyo Gundi
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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GAMBARAN KLINIS PASIEN LUPUS ERITEMATOSUS SISTEMIK DI RSUP DR. KARIADI SEMARANG PERIODE JANUARI 2016 – DESEMBER 2016 Putra, Renanda Muki; Pramudo, Setyo Gundi; Warlisti, Ika Vemilia
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 7, No 2 (2018): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (389.39 KB) | DOI: 10.14710/dmj.v7i2.21289

Abstract

Latar Belakang: Lupus Eritematosus Sistemik (LES) adalah penyakit inflamasi autoimun multisistem kronik yang menimbulkan manifestasi klinik dan prognosis penyakit yang beragam. Kejadian penyakit LES di Indonesia terus meningkat. Manifestasi klinik yang beragam sering menyebabkan terjadinya keterlembatan diagnosis.Tujuan: Mengetahui gambaran klinis pasien LES di RSUP Dr. Kariadi Semarang.Metode: Penelitian ini merupakan penelitian desktiptif dengan rancangan penelitian secara belah lintang. Sampel adalah catatan medik pasien LES rawat inap RSUP Dr. Kariadi Semarang periode Januari 2016 – Desember 2016Hasil: Dari 103 pasien terdiagnosis LES periode Januari 2016 – Desember 2016 didapatkan 81 sampel yang terpilih sesuai kriteria inklusi dan ekslusi. Pasien dengan usia 21-30 tahun dan jenis kelamin perempuan paling banyak ditemukan dengan jumlah masing-masing 39 (48,75%) dan 78 (96%) pasien. Pekerjaan terbanyak adalah ibu rumah tangga pada 21 (25,92%) pasien. Lemas adalah keluhan utama dan gambaran klinis konstitusional yang sering muncul, dengan jumlah masing-masing 38 (46,91%) dan 75 (92,59%). Ruam malar ditemukan pada 32 (39,50%) pasien. Artritis/atralgia ditemukan pada 54 (66,66%) pasien. Proteinuria ditemukan pada 56 (69,13%) pasien. Pneumonia ditemukan pada 36 (44,44%) pasien. Efusi perikard ditemukan pada 8 (42,10%) pasien. Sakit kepala ditemukan pada 27 (33,75%) pasien. Ulkus mulut ditemukan pada 23 (28,39%) pasien. Anemia ditemukan pada 45 (55,55%) pasien. ANA positif ditemukan pada 55 (91,67%) pasien.Kesimpulan: Gambaran klinis yang sering muncul pada pasien LES RSUP Dr. Kariadi Semarang periode Januari 2016 – Desember 2016 adalah lemas, ruam malar, artritis / artralgia, pneumonia, ANA positif, ulkus mulut, proteinuria, anemia, sakit kepala, dan efusi perikard.
Factors Affecting Glycemic Control in Diabetes Mellitus Patients Wireno, Eros Hanif; Setiawan, Andreas Arie; Hendrianingtiyas, Meita; Pramudo, Setyo Gundi
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 12, No 2 (2021): December 2021
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (653.192 KB) | DOI: 10.30659/sainsmed.v12i2.7620

Abstract

Introduction: Indonesia ranked seventh in the prevalence of diabetes mellitus in the world. Improved glycemic control has been proven to prevent the diabetes and its complications. Adherence to treatment, weight regulation with benchmarks for Body Mass Index (BMI) indicators, activity or exercise habits, diet, and smoking history play an important role in glycemic control. Objective: The aim  of  this study was to identify factors affecting glycemic control in outpatient with diabetes mellitus.Methods: A cross sectional study  among 32 diabetes mellitus patients.This study was conducted from April 2019 to September 2019 at Rumah Sakit Nasional Diponegoro (RSND), Semarang. The glycemic control status were assesed by HbA1c. Factors such medication adherence, diet adherence, smoking status, and physical activity were assesed with a structured questionnaire. Anthropometric measurement done to get the BMI status. Data were analyzed with bivariat analysis with chi square test (p<0.05).Result: The factors that were significantly have relationship with glycemic control status are diet adherence (p=0.046), and medication adherence (p=0.040). Physical activity, smoking status and BMI doesn’t have significant relationship with glycemic control status.Conclusion: Factors affecting glycemic control of diabetes mellitus patients in this study were diet adherence and medication adherence. History of smoking, BMI, and physical activity were not factors that influenced the control status in diabetes mellitus patients in this study.
Hafidh, THE LEVEL OF KNOWLEDGE OF HEALTH CARE WORKERS WITH THE LATENT TUBERCULOSIS Aji Prasetyo, Hafidh Bagus; Adji, Raden Mas Soerjo; Setiawan, Andreas Arie; Pramudo, Setyo Gundi
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 1 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (275.909 KB) | DOI: 10.36408/mhjcm.v8i1.453

Abstract

ABSTRACT Background : Pulmonary tuberculosis is a contagious infectious disease caused by the Mycobacterium tuberculosis. Health workers have an increased risk of contracting tuberculosis, because they are exposed to TB in their workplaces. The absence of hospital control measures against TB infection makes the risk factor becomes high. Health workers often make contact with TB sufferers. In a good body condition, although infected by TB germs, it does not manifest as a disease or called latent TB. However, latent TB sufferers still have the risk of being active in certain conditions, which then becomes a source of new TB transmission. Objective: This study aims to look at the level of knowledge of health workers towards the incidence of Latent TB in the Hospital. Method : The research method is cross-sectional using a sample of health workers who work in hospitals. The sample size of this study was 46 people using purposive sampling. This study has a variable Health worker knowledge about TB disease and Latent TB incidence. The method of data analysis using Chi Square Test. Result : The results were not significant between the level of knowledge and the incidence of Latent TB in health workers (p = 0.584). While the use of masks with the incidence of latent TB had a significant relationship (p=0,001). Conclusion : There is no significant relationship between the level of knowledge with the incidence of Latent TB in health workers. While the use of masks with the incidence of latent TB has a significant relationship. Keywords : Tuberculin Skin Test, Awareness, Incident, Workplaces.
POLA PEMBERIAN ANTIBIOTIK DI ERA PANDEMI COVID-19 (STUDI KASUS DI RUMAH SAKIT NASIONAL DIPONEGORO) Putra, Dominikus Evano; Pramudo, Setyo Gundi; Arkhaesi, Nahwa; Retnoningrum, Dwi
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 2 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.94 KB) | DOI: 10.36408/mhjcm.v8i2.578

Abstract

Background: Inappropriate use of antibiotics could increase the incidence of antibiotic resistance, hence increasing morbidity, mortality, and health cost. WHO has recommended to conduct a study of rational use of antibiotics in order to overcome this problem. Aim: To analyze the quality and quantity of antibiotic use in inpatient care facility at Diponegoro National Hospital (RSND). Methods: Quality and quantity assessment conducted by the use of DDD/100 patient–days and the Gyssens criteria. The study was conducted retrospectively at 86 patients’ medical records that were obtained by consecutive sampling method. Results: There were 141 antibiotics prescriptions from 86 medical records. Azithromycin, levofloxacin, and ceftriaxone were the most commonly used and had 48,12; 44,01; and 21,13 DDD/100 patient–days. By Gyssens crieteria, 35,4% of antibiotic usage was appropriate, 51,1% of antibiotic usage was inappropriate, and 13,5% no indication of the use of antibiotic. Based on the type of therapy, ADE 89,4% and ADET 10,6%. Conclusion: In terms of quantity, the most commonly used antibiotic was azithromycin. In terms of quality, 35,4% antibiotic were used appropriately according to Gyssens criteria. Keywords: Antibiotic usage; internal medicine; DDD/100 patient–days; Gyssens criteria
Risk Factors for Mortality Among Confirmed Covid-19 Patients At RSUP Dr.Kariadi Junaedi, Husain; Pramudo, Setyo Gundi; Bhima, Sigid Kirana Lintang; Dhanardono, Tuntas
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 1 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i1.834

Abstract

BACKGROUND: Coronavirus Disease 2019 (COVID-19) is a communicable disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). On March 11, 2020 the World Health Organization (WHO) declared COVID-19 as pandemic causing mortality in more than 150 countries. China reports the most case is among people aged 30 – 79 years old and male, meanwhile in Italia the most case is among patients with cardiovascular disease, diabetes, chronic diseases, hypertension, and cancer. This encourages researcher to examine risk factors causing mortality among patients with confirmed COVID-19. METHOD: This is an observational study with multivariate analytical test. The samples involved medical records of died patients with confirmed COVID-19 at RSUP Dr.Kariadi. Risk factors being studied involved age, gender and comorbidities such as hypertension, diabetes, pneumonia, chronic obstructive pulmonary disease (COPD), heart disease, kidney disease, and cancer. Data were analyzed using multiple logistic regression with univariate, bivariate, multivariate, confounding and interaction tests. RESULT: An increased risk for mortality was found among confirmed COVID-19 patients aged over 60 years (3.25 times), suffered from hypertension (2.09 times), pneumonia (4.77 times), cancer (11.89 times), heart disease (3.55 times), and kidney disease (5.23 times). CONCLUSION: Risk factors involving age, hypertension, pneumonia, cancer, heart disease, and kidney disease increase risk for mortality among patients with confirmed COVID-19. The risk is heightened as patients aged older than 60 years old suffering from pneumonia and cancer simultaneously.
Risk Factors of Mortality In Probable Covid-19 Cases In RSUP Dr. Kariadi Semarang Prashandika, Yui; Pramudo, Setyo Gundi; Lintang Bhima, Sigid Kirana; Dhanardhono, Tuntas
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 3 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i3.957

Abstract

BACKGROUND: On February 19th, 2021, City of Semarang recorded 164 death cases of probable COVID-19. A study of patients who died from COVID-19 found that the death cases occured mostly in patients with comorbidities, such as hypertension, diabetes, heart disease, renal disease, chronic lung disease, and malignancy. The definitions of probable COVID-19 by WHO is a suspected case with radiological features leading to COVID-19 infection. AIMS: The purpose of this study was to prove pneumoniae, chronic lung disease, heart disease, hypertension, DM, renal disease, and malignancy as risk factors of mortality in probable COVID-19 patients. METHOD: This study used analytic observational design with  cross-sectional study approach. Consecutive sampling technique was used with minimum sample of 57 probable COVID-19 medical records. The collected data was analyzed using the SPSS program with univariate, bivariate, and multivariate analysis. RESULT:  The majority of probable COVID-19 patients died with a number of 65 subjects (91,5%), while the probable COVID-19 patients that survived are only 6 subjects (8,5%). Risk factors like pneumoniae (p=0,151; PR=0,9; 95%CI[0,78-1,03]), chronic lung disease (p=0,764; PR=1,09; 95%CI[1,02-1,18]), heart disease (p=0,591; PR=1,03; 95%CI[0,88-1.20]), hypertension (p=0,254; PR=1,08; 95%CI[0,95-1,23]), DM (p=0,361 PR=1,06; 95%CI[0,93-1,21]), renal disease (p=0,523; PR=1,10; 95%CI[1,02-1,19]), and malignancy (p=0,523; PR=1,10; 95%CI[1,02-1,19]) have not been proven to be risk factors for death in patients probable of COVID-19 at dr. Kariadi General Hospital, Semarang. CONCLUSION: Pneumoniae, chronic lung disease, heart disease, hypertension, diabetes mellitus, kidney disease, and malignancy have not been proven to be risk factors for death in patients probable of COVID-19 at dr. Kariadi General Hospital, Semarang.
Co-Authors Adji, Raden Mas Soerjo Aji Prasetyo, Hafidh Bagus Andreas Arie Setiawan, Andreas Arie Bhima, Sigid Kirana Lintang Dhanardono, Tuntas Hendrianingtiyas, Meita Junaedi, Husain Lintang Bhima, Sigid Kirana Nahwa Arkhaesi Prashandika, Yui Putra, Dominikus Evano Putra, Renanda Muki Retnoningrum, Dwi Tuntas Dhanardhono Warlisti, Ika Vemilia Wireno, Eros Hanif