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All Journal CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL Jurnal Penyakit Dalam Indonesia Panorama Nusantara
Febrianto, Dicky
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Management of Diabetic Ketoacidosis in Patient with HeartFailure Febrianto, Dicky; Hindariati, Est
Jurnal Penyakit Dalam Indonesia Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

Diabetic ketoacidosis (DKA) is diabetes mellitus emergency which is defined by the biochemical triad of hyperglycemia, ketonemia, and acidemia. Diabetic ketoacidosis continues to have high rates of morbidity and mortality despite advances in the treatment of diabetes. Crucial aspects of DKA management involve adequate replacement of fluids and electrolytes, particularly potassium, and the continuous administration of insulin. Hydration status in patients with DKA and heart failure can be assessed by physical examination, such as consciousness, vital signs, capillary refill time, skin turgor, jugular venous pressure, and signs of pulmonary edema. Invasive and non-invasive methods can also assess fluid adequacy in rehydration of patients with DKA and heart failure. Invasive methods include central venous pressure (CVP) and pulmonary artery pressure, while non-invasive methods include echocardiography, bioimpedance vector analysis (BIVA), and brain natriuretic peptide (BNP). By assessing hemodinamic status properly in an intensive care setting, a patient with heart failure who develops DKA can be administered adequate quantities of fluid to avoid dehydration or overhydration.
Correlation between Serum High-Sensitivity C-Reactive Protein Level and Severity of Albuminuria Measured by Urine Albumin-to-Creatinine Ratio in Type 2 Diabetic Patients Febrianto, Dicky; Soelistijo, Soebagijo Adi; Tjempakasari, Artaria
Current Internal Medicine Research and Practice Surabaya Journal Vol. 4 No. 2 (2023): CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cimrj.v4i2.49152

Abstract

Introduction: One of complications in type 2 diabetes mellitus (DM) that require high treatment cost is diabetic kidney disease (DKD), which is characterized by the presence of albuminuria, decrease in glomerular filtration rate, or both. Researches show a positive correlation between type 2 DM and serum high-sensitivity C-reactive protein (hs-CRP) level, a sensitive marker of subclinical inflammation. This study aimed to analyze the correlation between serum hs-CRP level and severity of albuminuria measured by urine albumin-to-creatinine ratio (ACR).Methods: The study was conducted at the Endocrinology Outpatient Clinic of Dr. Soetomo General Academic Hospital, Surabaya, on June-July 2020.Results: The study included 50 patients with type 2 DM, consisting of 25 (50%) men and 25 (50%) women, with median age of 58.0 (42-68) years and mean body mass index (BMI) of 21.91 ± 1.310 kg/m2. Median duration of DM was 12.0 (6-22) years, median HbA1c level was 7.20% (5.7%-12.3%), mean serum crEatinine level was 0.83 ± 0.180 mg/dL, and median estimated glomerular filtration rate (eGFR) value was 92.85 (61.6-121.2) mL/minute/1.73 m2. Median serum hs-CRP level was 1.20 (0.1-4.0) mg/L and median urine ACR value was 49.570 (7.78-426.00) mg/g. Normoalbuminuria was detected in 28% of subjects, microalbuminuria in 66% of subjects, and macroalbuminuria in 6% of subjects. This study showed positive and significant correlation between serum hs-CRP level and severity of albuminuria (r = 0.701; p = <0.001).Conclusion: There was positive and significant correlation betweeen serum hs-CRP level and severity of albuminuria in type 2 diabetic patients.
Pengaruh Kualitas Pelayanan, Persepsi Harga dan Suasana terhadap Kepuasan Pelanggan Kobain Coffee Febrianto, Dicky; Siahaan, Sinthon
Panorama Nusantara Vol 19 No 2 (2024): PANORAMA NUSANTARA
Publisher : Panorama Nusantara

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Abstract

Studi ini bertujuan mengevaluasi dampak kualitas pelayanan, persepsi harga, dan suasana terhadap kepuasan pelanggan KOBAin Coffee secara individu maupun secara kolektif. Subyek studi ini ialah para pelanggan KOBAin Coffee, dengan jumlah sampel mencapai 103 responden. Data dikumpulkan melalui distribusi kuesioner menggunakan metode sampling purposif oleh peneliti. Analisis data dijalankan dengan menggunakan SPSS versi 26 dan metode uji pada regresi linear berganda. Hitungan penelitian memberitahukan kalau kualitas pelayanan, persepsi harga, dan suasana secara signifikan memengaruhi kepuasan pelanggan. Lebih lanjut, terdapat pengaruh simultan yang signifikan antara ketiga faktor tersebut terhadap kepuasan pelanggan.
Co-Authors Artaria Tjempakasari, Artaria Hindariati, Est Siahaan, Sinthon Soelistijo, Soebagijo Adi