Claim Missing Document
Check
Articles

Found 2 Documents
Search

Relationship of D-dimer Value to Mortality in Covid-19 Patients with Acute Coronary Syndrome at Haji Adam Malik Hospital Medan Putri, Dian Primadia; Sembiring, Rahmad Isnanta; Kembaren, Tambar; Eyanoer, Putri
Journal of Society Medicine Vol. 2 No. 4 (2023): April
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i4.45

Abstract

Introduction: Coronaviruses (CoVs) are single-stranded positive-sense RNA viruses, which can trigger cardiovascular disease. Inflammation caused by SARS-CoV-2 can affect atherosclerotic plaques, induced prothrombotic changes in the blood and endothelium and caused their instability and myocardial infarction. Several prospective studies have demonstrated an association between increased baseline D-dimer levels and the risk of subsequent cardiovascular events. Several studied had showed the relationship of D-dimer value to mortality in COVID-19 patients with acute coronary syndrome at H. Adam Malik Hospital Medan. Method: This study was a descriptive analytic study using medical record data from central installation patients at H. Adam Malik Hospital in the period August 2020 to August 2021. The sample was calculated using the Lemeshow formula. Then the distribution test was carried out using Shapiro Wilk test. Inferential statistical analysis was performed to assess the relationship of D-dimer to mortality in COVID-19 patients with acute coronary syndrome at H. Adam Malik Hospital Medan using chi-square test. If chi-square criteria were not met, the inferential statistical analysis used was Fisher's exact or other alternative tests. The results were statistically significant if the p value <0.05. Results: 70 subjects participated in the study and the average age of the research subjects was 58.2 years, majority were male. Most subjects experienced severe COVID-19; ECG found ST elevation and comorbid factors were mostly hypertension followed by hypertension and diabetes type 2. There was a relationship between D-dimer value and mortality in COVID-19 patients with acute coronary syndrome, with p value = 0.005. Conclusion: D-dimer values was associated with mortality in COVID-19 patients with acute coronary syndrome.
HUBUNGAN TINGKAT PENGETAHUAN DAN PERILAKU TENTANG HIGIENE DENGAN KEJADIAN DIARE AKUT Siahaan, David; Eyanoer, Putri; Hutagalung, Sanggam
Jurnal Kedokteran Methodist Vol. 13 No. 1 (2020): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background : Diarrhea is still the main cause of death in the world, accounting for 5-10 million deaths/year. WHO(World Health Organization) estimates there are 4 billion cases that occur worlwide and as many as 2.2 million died, most of which are children under 5 years. In 2016, 5.7 million children died before the age of 5. As many as one in four cases died from diarhhea. Indonesia is one of the developing countries that has problems with diarrheal diseases because of its high prevalence, morbidity, and mortality. Based on the results of a survey by the Ministry of Health in 2016, the number of diarrhea suffers of all ages served in health facilities was 3.176.079 patients and an increase in 2017 was 4.274.790 sufferers or 60.4% of the estimated diarrhea in health facilities. The national incidence of diarrhea for all ages is 270/1.000 population. Methods : The research method used was a literature review, using secondary data. The data were collected using documentation techniques. The research journals used were 16 journals with inclusion criteria in the form of the last 5 year publication, the language used was Indonesian and English, with the research subjects of elementary school children, and full text articles. Conclusion : In accordance with the background and purpose of the literature review of several journals analyzed, it was concluded that there was a relationship between the level of knowledge and behavior about hygiene with the incidence of diarrhea and knowledge of hygiene had an effect on the prevention of diarrhea.