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Berat Badan Bayi Usia 4-5 Bulan berdasarkan Kadar CU Dalam ASI Di Puskesmas Lumpo Pesisir Selatan Dewi Asmawati; Ellyza Nasrul; Hasmiwati Hasmiwati
JIK-JURNAL ILMU KESEHATAN Vol 5, No 1 (2021): JIK-April Volume 5 Nomor 1 Tahun 2021
Publisher : STIKes ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v5i1.376

Abstract

Tembaga (Cu) salah satu elemen penting dalam tubuh manusia, kelebihan dan kekurangan Cu dapat menyebabkan gangguan pada kesehatan tubuh. Salah satu kandungan yang terdapat dalam ASI adalah Cu. Tujuan penelitian ini adalah mengetahui berat badan bayi umur 4-5 bulan berdasarkan kadar Cu dalam ASI. Penelitian ini menggunakan metode Analisis Deskriptif dan pengambilan sampel menggunakan teknik simpel random sampling dengan jumlah sampel 40 responden pada bayi yang lahir aterm dan mendapat ASI secara eksklusif (4-5bulan). Pemeriksaan kadar Cu dalam ASI dilakukan di Laboratorium Kesehatan Daerah Sumatera Barat. Hasil penelitian menunjukkan kadar tembaga dalam ASI ibu didapatkan hasil (0,209 ± 0,07 mg/dL) dan sesuai dengan kadar normal sesuai kebutuhan bayi, dimana berat badan bayi terdapat peningkatan(6345 ± 847,30) gram, sesuai dengan usia 4-5 bulan. Selisih penambahan berat badan bayi dari lahir hingga usia 4-5 bulan adalah (3286,25 ± 904,900) gram,.Kesimpulan penelitian ini adalah kadar tembaga dalam ASI didapatkan sesuai kadar normal dan kebutuhan bayi. Keywords: Kadar tembaga, ASI, berat badan bayi
Prevalensi dan Pola Sensitivitas Antibiotik Klebsiella pneumoniae dan Escherichia coli Penghasil Extended Spectrum Beta Laktamase di RSUP Dr. M Djamil Padang Muztika, Suci Alillah; Nasrul, Ellyza; Alia, Eugeny
Jurnal Kesehatan Andalas Vol. 9 No. 2 (2020): Online June 2020
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v9i2.1272

Abstract

Prevalensi Escherichia coli dan Klebsiella pneumoniae penghasil Extended spectrum beta Lactamase (ESBL) meningkat dalam beberapa tahun ini. Infeksi bakteri penghasil ESBL memiliki pilihan terapi yang terbatas. Tujuan: Mengetahui prevalensi dan pola sensitivitas antibiotik dari Klebsiella pneumoniae dan Escherichia coli penghasil ESBL di RSUP Dr M Djamil Padang. Metode: Penelitian ini merupakan studi deskriptif dengan rancangan potong lintang terhadap 828 sampel mikrobiologi dengan hasil kultur positif terhadap bakteri Gram negatif pada bulan Juni 2018- Mei 2019 yang memenuhi kriteria inklusi. Identifikasi bakteri, pemeriksaan ESBL dan uji sensitivitas dilakukan dengan alat mikrobiologi otomatis dengan metode kolorimetri dan turbidimetri. Hasil: Prevalensi Klebsiella pneumoniae dan Escherichia coli penghasil ESBL di RSUP Dr M Djamill Padang  masing-masing sebanyak 70,9% dan 75,7%. Sensitivitas Klebsiella pneumoniae dan Escherichia coli penghasil ESBL adalah 96,4% dan 98,8 terhadap antibiotik meropenem, 98,9% dan 99,4% terhadap antibiotik amikasin, 53,5% dan 44,8% terhadap antibiotik sefepim, 46,2% dan 53,4% terhadap antibiotik gentamisin serta 31,5% dan 15,9% terhadap antibiotik siprofloksasin. Prevalensi Klebsiella pneumoniae dan Escherichia coli penghasil ESBL di RSUP Dr. M Djamil Padang cukup tinggi dengan rata-rata prevalensi kedua bakteri 73,2%. Simpulan: Klebsiella pneumoniae dan Escherichia coli penghasil ESBL sensitif terhadap antibiotik meropenem dan amikasin.Kata kunci: ESBL, Escherichia coli, Klebsiella pneumoniae, prevalensi
Korelasi Kadar Protein C-Reaktif dengan Rasio Kolesterol Total / HDL pada Penyandang Obes di RSUP Dr M Djamil Padang Oktavia, Nanda; Nasrul, Ellyza; Efrida, Efrida
Jurnal Kesehatan Andalas Vol. 10 No. 2 (2021): Online July 2021
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v10i2.1714

Abstract

C-reactive protein is an acute-phase protein produced by the liver in response to inflammation. Dyslipidemia can trigger the inflammatory reaction in the blood vessels, causing atherosclerosis. The ratio of total cholesterol/High Density Lipoprotein (HDL) is considered as one of the sensitive predictor lipid ratio for the cardiovascular disease risk factor. Objectives: To determined the correlation of C reactive protein between cholesterol levels with total cholesterol/HDL ratio in obese people. Methods: This study was an analytical study with a cross-sectional design of 59 people who met the inclusion and exclusion criteria at the RSUP Dr. M. Djamil Padang from January to September 2019. Research subjects consisted of first degree obesity (25.0 ≤IMT <30.0 kg/m2) and second degree (≥30.0 kg/m2). C reactive protein levels were measured as high-sensitivity C-reactive protein. Total cholesterol and HDL levels were measured using automated clinical chemicals with the enzymatic colorimetric method. Data were analyzed by Pearson, significant if p <0.05. Results: The study subjects were 59 people (17 men and 22 women) with an average age was 35 (8.04) years. CRP levels in stage II obesity were slightly higher than grade I, with a mean difference between groups of 0.26 mg/L (95% CI: -1.80-1.2; p=0.74). The average ratio of total cholesterol/HDL levels in the obese group I and II was 5.13 and 4.80 (p=0.93). The correlation showed a very weak positive (r=0.12) and was statistically not significant (p=0.35). The results of the subanalysis showed relatively similar patterns between the first-degree obesity population (r=0.10; p=0.58) and second-degree (r=0.16; p=0.41). Conclusion: There is no significant correlation between protein C-reactive and total cholesterol/HDL ratio.Keywords: Obesity, C-Reactive Protein, total cholesterol/HDL ratio
Gambaran Pemeriksaan Kadar SGOT, SGPT, Ureum dan Kreatinin Pasien Covid-19 dengan dan tanpa Komorbid Fadillah, Rachmi; Nasrul, Ellyza; Prihandani, Tuty
Jurnal Kesehatan Andalas Vol. 10 No. 2 (2021): Online July 2021
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v10i2.1722

Abstract

Coronavirus disease (COVID-19) causes damage through mechanisms: cytotoxic to the bile duct, liver and renal tubular epithelial cells; severe inflammatory response due to excessive pro-inflammatory cytokines (cytokine storm); tissue anoxia; and drug-induced liver and kidney damage. AST and ALT enzymes are used to determine liver damage, while kidney damage is examined from increased urea and creatinine levels. Objectives: To know AST, ALT, urea and creatinine levels in COVID-19 patients with and without comorbidity in RSUP Dr. M. Djamil Padang. Methods: A retrospective descriptive study was conducted by taking chemical data for COVID-19 patients with and without comorbidity for March-August 2020. AST and ALT levels were examined by using an automatic chemistry analyzer with NADH method (without P-5'-P), urea with enzymatic colorimetry, and creatinine with Jaffe's modification. The data was presented in table and average (standard deviation). Results:  A study of 76 patients found 28 with comorbidity and 48 without comorbidity. Patients with comorbidity AST in average was 33.0 (20.3) U/l; SGPT 29.0 (23.4) U/l; urea 58.3 (66.9) mg/dl; and creatinine 3.0 (5.1) mg/dl. Patients without comorbidity AST in average 31.9 (28.7) mg/dl; SGPT 28.8 (21.4) mg/dl; urea 24.6 (20.1) mg/dl; creatinine 0.9 (0.4) mg/dl. In average, AST and ALT in patients with and without comorbidity were in the normal range. Urea and creatinine in patients with comorbidity were higher than normal. Conclusion: Covid-19 patients with comorbidity at admission had urea and creatinine levels in average higher than normal values.Keywords: aminotransaminase, COVID-19, creatinine
Perbedaan Rerata Indeks Fibrosis-4 Antara Manifestasi Klinis Berat Dan Kritis Pada Pasien COVID-19. Syarif, Umar; Nasrul, Ellyza; Yulia, Dwi
Majalah Kedokteran Andalas Vol. 46 No. 3 (2023): Online Juli 2023
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v46.i4.p680-685.2023

Abstract

Latar Belakang: Coronavirus disease 2019 (COVID-19) adalah penyakit menular baru yang disebabkan SARS-CoV-2. Indeks Fibrosis-4 (FIB-4) saat ini digunakan sebagai prediktor awal menilai derajat berat dan perburukan COVID-19. Tujuan: Mengetahui perbedaan rerata indeks FIB-4 antara manifestasi klinis berat dan kritis pada pasien COVID-19. Metode: Penelitian analitik dengan rancangan potong lintang dilakukan terhadap 100 pasien COVID-19 dengan manifestasi klinis berat dan kritis di   RSUP Dr. M. Djamil Padang sejak Juli 2022 hingga Februari 2023. Indeks FIB-4  dihitung dengan rumus umur × SGOT dibagi jumlah trombosit × √SGPT. Data dianalisis dengan uji T tidak berpasangan, bermakna jika p <0,05. Hasil: Subjek penelitian sebagian besar laki-laki (62%). Rerata umur subjek penelitian 57 tahun, rentang 38-80 tahun. Rerata indeks FIB-4  seluruh subjek penelitian 4,24 (1,72-8,66). Rerata indeks FIB-4 dengan manifestasi klinis berat 2,83 dan manifestasi klinis kritis 5,65 bermakna (p=0,001). Pembahasan: Terdapat peningkatan indeks FIB-4 yang lebih tinggi pada pasien manifestasi klinis kritis dibandingkan dengan manifestasi klinis  berat, sehingga pasien dengan manifestasi klinis kritis sudah terjadi fibrosis hati. Keterbatasan pada penelitian ini adalah tidak dilakukannya fibroscan sebagai konfirmasi fibrosis hati. Simpulan:Terdapat peningkatan indeks FIB-4 yang lebih tinggi pada manifestasi klinis kritis dibandingkan dengan manifestasi klinis berat pada pasien COVID-19. 
Korelasi Mean Platelet Volume dengan Child-Pugh Score pada Pasien Sirosis Hepatis Stadium Dekompensata Shara, Fhany El; Nasrul, Ellyza; Yulia, Dwi
Majalah Kedokteran Andalas Vol. 46 No. 3 (2023): Online Juli 2023
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v46.i4.p633-638.2023

Abstract

Tujuan : Sirosis hepatis stadium dekompensata memiliki angka ketahanan hidup yang lebih rendah. Child-Pugh Score secara klinis banyak digunakan untuk menentukan derajat penyakit sirosis hepatis. Relevansi nilai mean platelet volume (MPV) dengan Child-Pugh Score menggambarkan kondisi inflamasi kronis pada sirosis hepatis. Tujuan penelitian ini untuk mengetahui korelasi nilai MPV dengan Child-Pugh Score pada pasien sirosis hepatis stadium dekompensata; Metode : Penelitian analitik dengan pendekatan retrospektif dilakukan terhadap 54 pasien sirosis hepatis stadium dekompensata dengan etiologi infeksi virus hepatitis B dan C di RSUP Dr. M. Djamil Padang sejak Mei hingga Agustus 2022. Nilai MPV dan Child-Pugh Score diperoleh dari observasi data rekam medis. Data dianalisis dengan uji korelasi Spearman, bermakna jika p<0,05; Hasil : Subjek penelitian sebagian besar laki-laki (75,9%) dengan rerata usia 53,3 (10,87) tahun. Rerata nilai MPV didapatkan 10,49 (0,13) fL. Median Child-Pugh Score adalah 11 (7–15). Uji korelasi Spearman menunjukkan terdapat korelasi positif lemah antara nilai MPV dengan Child-Pugh Score (r=0,29) dan bermakna secara statistik (p=0,03); Kesimpulan : Terdapat korelasi positif lemah antara nilai MPV dengan Child-Pugh Score pada pasien sirosis hepatis stadium dekompensata di RSUP Dr. M. Djamil Padang
Analisis Status Gizi Siswa SD Bustanul Ulum Batu Busuk Padang Melalui Pengabdian Masyarakat Berbasis Pengukuran Indeks Massa Tubuh yulia, Dwi; Rikarni, Rikarni; Nasrul, Ellyza; Husni, Husni; Yusri, Elfira; Rofinda, Zelly Dia; Efrida, Efrida; Syofiati, Syofiati; Chicamy, Yhosie Anto; Sari, Deswita; Desywar, Desywar; Pertiwi, Dian; Almurdi, Almurdi; Yaswir, Rismawati; Sari, Atika Indah; Oktavia, Nanda
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 8 No. 3 (2025)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v8i3.762

Abstract

Nutritional status is an important indicator that determines the quality of health and development of school-age children. Adequate nutrition supports children's physical growth and cognitive abilities, and contributes to academic achievement. This community service activity aims to analyze the nutritional status of Bustanul Ulum Elementary School students by measuring height, weight, and Body Mass Index (BMI). The method used is quantitative descriptive with a sample of 150 students from grades 1 to 6. Measurements were carried out using standard and calibrated measuring instruments, while BMI was calculated using the formula body weight (kg) divided by the square of height (m²). The results showed that 75% of students had normal nutritional status, 10% were underweight and stunted, and 15% were overweight and obese. Factors that influence nutritional status include an unbalanced diet, lack of physical activity, and family socio-economic background. Children from families who have access to healthy food and good nutrition education tend to have better nutritional status. Based on these results, a comprehensive intervention program is needed in the form of nutrition education for students and parents, provision of healthy food at school, and promotion of regular physical activity. Collaboration between schools, health workers, and parents is essential to create an environment that supports optimal and sustainable child growth and development.