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Journal : Muhammadiyah Medical Journal

The Severity Measurement of Chronic Venous Insufficiency in Patients with Type 2 Diabetes Mellitus Using Duplex Sonography Budiman, Muhamad Arif; Madiastuti, Septi; Nanang, Fitry Rahayu
Muhammadiyah Medical Journal Vol 5, No 1 (2024): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.5.1.51-58

Abstract

Chronic Venous Insufficiency (CVI) is a long-term condition that affects the veins in the legs, disrupting the blood flow to the heart. It is more common in patients with type 2 Diabetes Mellitus as it is one of the risk factors. Patients with CVI and a history of Type 2 Diabetes Mellitus may experience various symptoms depending on the severity of their condition. The severity of chronic venous insufficiency (CVI) was assessed in three patients from Cibinong Regional General Hospital with a history of type 2 diabetes using duplex sonography. According to the results, Patient I was diagnosed with moderate severity of CVI in the left leg (500 msec) and mild in the right (330 msec). Patient II was identified with moderate severity in both legs (430 msec left, 460 msec right). Patient III was found to have severe severity in both legs (750 msec left, 760 msec right). Patient I, who has mild-moderate chronic venous insufficiency (CVI) and a history of type 2 diabetes mellitus, experiences swollen feet, changes in skin texture, pitting edema, and a sense of heaviness and numbness in their legs. Patient II, who has moderate CVI, suffers from swollen legs, diabetic ulcers, pitting edema, discomfort and numbness in their legs, and skin discoloration. Patients III with severe CVI suffer swelling in both legs, pitting edema, venous dermatitis, ulcers, and numbness in their legs during activities and at night. Compression bandage treatment is recommended for patients who have moderate and severe CVI and a history of type 2 diabetes.
Prevalence of Regional Wall Motion Abnormalities in Patients Coronary Artery Disease at Tangerang District Hospital Hasni, Hasni; Nauli, Siti Elkana; Budiman, Muhamad Arif
Muhammadiyah Medical Journal Vol 5, No 2 (2024): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.5.2.76-82

Abstract

Background: Coronary artery disease (CAD) is when the coronary blood vessels cannot supply blood to the heart due to a pile of atherosclerotic plaque in the coronary arteries, so blood flow to the myocardium is disrupted. This blood flow disturbance will cause myocardial contractile dysfunction and Regional Wall Motion Abnormalities (RWMA). Purposes: This study aims to determine the prevalence of Regional Wall Motion Abnormalities in CAD patients based on a single-center study at Tangerang District Hospital in January - May 2024. Methods: Our study used a descriptive approach in 130 CAD patients grouped based on gender, age, hypertension, and diabetes mellitus. In addition, the determination of RWMA severity cases in CAD was measured by only the Wall Motion Score Index (WMSI) and Wall Motion Score Index (WMSI) followed by the Bull's-eye plot parameters. Results: The prevalence of CAD patients with RWMA using the WMSI method was found to be 41 patients (32%) who were predominantly male (76%) and occurred at the mean of age 61,14 years, 27% hypertension, and 17% diabetes mellitus. Conclusion: WMSI parameters followed by the Bull's-eye plot could identify 14.6% more RWMA cases than only WMSI.
Nutritional Status and Diarrhea in Toddlers Aged 0 – 59 Months Kantri, Wafa Afrodita; Harahap, Roito Elmina Gogo; Budiman, Muhamad Arif
Muhammadiyah Medical Journal Vol 3, No 2 (2022): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.3.2.60-66

Abstract

Background: Diarrhea is one of the diseases that ranks in the top ten diseases in Depok City. Data from the Depok City Health Service (2020) states that diarrhea in toddlers is still above 5%. There are various factors (multifactor) related to diarrhea disease, one of which is nutritional status. Purposes: Our study aims to analyze the relationship between nutritional status and diarrhea in toddlers in the Pancoran Mas District Health Center. Methods: We used an observational analytic method with a cross-sectional approach on 396 toddlers aged 0 – 59 months. This research was conducted from October 2021 – March 2022. The type of data in this study is secondary data taken through medical records and analyzed using the chi-square test. Result: The prevalence of low-poor nutritional status was 38,9%, the prevalence of diarrhea was 21,2%, and the results of the chi-square analysis between diarrhea and nutritional status obtained p value = 0.334. Conclusion: Incidence of diarrhea in Depok City is still relatively large. There are many other factors that associated with the incidence of diarrhea such as personal hygiene, environmental hygiene and various other factors.
Case Study: The Permanent Pacemaker in Managing Sinus Node Dysfunction in a Patient with a History of CAD post PCI Syabani, Ines Nur; NG, Ignatius Yansen; Budiman, Muhamad Arif; Nurhayati, Nurhayati; Pudyastuti, Erlina
Muhammadiyah Medical Journal Vol. 6 No. 2 (2025): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.6.2.96-101

Abstract

Sinus Node Dysfunction (SND) is an arrhythmia characterized by rhythm abnormalities in the heart. The incidence of SND increases with age due to degenerative changes in the sinoatrial node. Symptoms of SND are often subtle and nonspecific, leading to diverse ECG findings. In patients with a history of coronary artery disease (CAD), post-percutaneous coronary intervention (PCI), managing SND can be challenging. The primary treatment for SND is Permanent Pacemaker (PPM) implantation, which delivers electrical pulses to the myocardium to correct rhythm abnormalities. The results of the patient's ECG evaluation have improved, as indicated by the regular PR interval and QRS complex following PPM installation. The patient's heart rate increased by 44.7% after the PPM was inserted. In patients with SND and a history of CAD after PCI, Permanent Pacemaker (PPM) implantation plays a crucial role in managing heart rhythm abnormalities, ultimately improving the patient’s quality of life.