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HUBUNGAN ANTARA KADAR ASAM URAT SERUM DENGAN TINGKAT KEPARAHAN PENYAKIT JANTUNG KORONER DI RSU PKU MUHAMMADIYAH YOGYAKARTA Utami Setiasih; Erlina Marfianti
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 6, No 2, (2014)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol6.Iss2.Art6

Abstract

Latar Belakang Penyakit jantung koroner (PJK) dikenal sebagai penyebab utama kematian. Faktor risiko yang jarang disebutkan yaitu, tingginya kadar asam urat serum. Hubungan yang pasti antara keduanya sebenarnya masih kontroversial dan masih terus diteliti kebenarannya. Beberapa penelitian menyebutkan bahwa asam urat berkorelasi dengan perburukan PJK. Tujuan Tujuan penelitian ini adalah untuk mengetahui hubungan antara kadar asam urat serum dengan tingkat keparahan penyakit jantung koroner di RSU PKU Muhammadiyah Yogyakarta. Metode Desain penelitian adalah cross sectional. Data diambil dengan metode consecutive sampling dari catatan rekam medis pasien PJK periode 1 Januari 2010 - 31 Desember 2012. Subyek penelitian adalah (1) Pasien didiagnosis dokter menderita PJK dengan kriteria PERKI, (2) Kelengkapan rekam medis meliputi nama, umur, jenis kelamin, kadar asam urat, dan tingkat keparahan PJK (kejadian komplikasi). Kadar asam urat yang dipakai adalah kadar asam urat yang pertama kali diukur saat masuk rumah sakit. Tingkat keparahan PJK dibagi kedalam PJK fatal dan non-fatal berdasarkan ada tidaknya komplikasi dan ancaman kematian. Analisis data dilakukan dengan uji Chi Square. Hasil Berdasarkan hasil analisis data dengan menggunakan uji Chi Square dari total 68 sampel penelitian (n1=n2=34) diperoleh nilai p = 0,28 dengan Rasio Prevalence = 1,643 (95% CI = 1,033 - 2,613). Kesimpulan Terdapat hubungan antara kadar asam urat serum dengan tingkat keparahan penyakit jantung koroner di RSU PKU Muhammadiyah Yogyakarta. Kata Kunci: Asam urat, tingkat keparahan, penyakit jantung koroner
Perbedaan Tekanan Darah Sebelum dan Sesudah Paparan Heat Stress pada Pekerja Perusahaan Industri Alumunium Yogyakarta Zuhdan Marwanto; Erlina Marfianti
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 3, No 8, (2011)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

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Abstract

One source of danger in workplace is heat stress. Heat stress can cause changes in the cardiovascular system. The workload of heart will increase to regulate body temperature when body temperature rises due to exposure to heatstress. The objectives of this study were to find out the differences of blood pressure before and after exposure to heat stress on workers of Industrial Company Aluminium Yogyakarta. This study uses observational analytic methodwith cross sectional approach. The sample in this study that meets inclusion criteria is 25 people from two Industrial company Aluminium Yogyakarta (TS and ED). Data is collected by interview using a questionnaire to determine thecharacteristics of the respondents and measurements of heat stress, blood pressure in supine and standing position and axillary temperature. The statistical test performed using Wilcoxon match pair test with computer program. The average of heat stress in production section of Industrial Company TS Aluminium is 31.7 °C and ED Alumunium 32.6 °C. The average body temperature increased by 0.8 °C after exposure to heat stress (P <0,001). Systolic and diastolic blood pressure in supine and standing position decreased significantly after exposure to heat stress. Heat stress decreased systolic in supine (P<0,001) and standing (P<0.001) likewise diastolic in supine (P<0,001) and standing (P<0,001). Difference in systolic and diastolic blood pressure when changing body position prior heat stress compared to after heat stress no significant changes. Difference in systolic (P = 0.093) and difference in diastolic (P = 0.379). Based on this research, it can be concluded that there is significant differences in blood pressure before and after exposure to heat stress on workers of Industrial Company Aluminium Yogyakarta.
Hubungan Kadar Glukosa Darah dengan Kulitas Hidup pada Pasien Diabetes Melitus Tipe II di RSUD Sleman Yogyakarta Zurdayanis Zurdayanis; Erlina Marfianti
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 2, No 6, (2010)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

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Abstract

Diabetes mellitus is a chronic disease with blood glucose levels higher than normal. Prevalence of diabetes mellitus is increasing, especially diabetes mellitus type 2 caused by various factors like lifestyle changed that affect the quality of health care. The quality of health-related quality of life. The aim this study to investigated the relationship between blood glucose level with the quality of life in patients with diabetes mellitus type 2 in Sleman district hospital. The study is descriptive quantitative research with cross sectional analytic. Data taken from questionnaires of quality of life and the medical records patients with diabetes mellitus type 2 in Sleman district hospital, Yogyakarta. Analityc methods to shown association between blood glucose level with the quality of life in patients with diabetes mellitus type 2 used Chi-Square Test. The sample in this study were 64 cases of diabetes mellitus type 2 with inclusion criteria. Diabetes mellitus type 2 with high blood glucose level and lower quality of life as much as 41 cases. For patients diabetes mellitus type 2 with high blood glucose levels and high quality of life for as much as 4 cases. While people with diabetes mellitus type 2 with low blood glucose levels and lower quality of life as much as 5 cases. Patients of diabetes mellitus type 2 with blood glucose levels low and high quality of life as much as 14 cases. There is a significant Association between blood glucose level with the quality of life in patients with diabetes mellitus type 2 (p=0,000). This study concluded that there was a a significant Association between blood glucose level with the quality of life in patients with diabetes mellitus type 2,
PERBEDAAN PERUBAHAN KADAR KOLESTEROL TOTAL DAN TRIGLISERID ANTARA PEMAKAIAN MONOTERAPI INSULIN DENGAN TERAPI KOMBINASI INSULIN DAN METFORMIN PADA PASIEN DIABETES MELITUS TIPE II Prita Murani Nugraheti; Erlina Marfianti; Linda Rosita
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 10, No 1, (2019)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol10.Iss1.art3

Abstract

Backround: Diabetes mellitus (DM) is a degenerative disease predicted by WHO to increase in Indonesia from 8.4 million in 2000 to around 21.3 million in 2030. Diabetes mellitus is closely related to dyslipidemia which can increase the risk of coronary artery disease (CAD). Current DM treatment is using oral hypoglycemic drugs, insulin, or a combination of both. Many previous studies have not examined the effect of these therapies on lipid profiles, specifically total cholesterol and triglyceride levels.Objective: To determine the differences in changes in total cholesterol and triglyceride levels between the use of insulin monotherapy and combination therapy of insulin and metformin in patients with type II diabetes mellitus in Sleman Yogyakarta Hospital from January 2010 toJune 2012.Methods: This study was an observational analytic study using a retrospective cohort study method with samples (n = 64). Samples were taken by non-probability consecutive sampling, carried out in DM patients inpatient or outpatient at Sleman Yogyakarta Hospital for the period of January 2010 - June 2012. The samples were divided into two groups, insulin monotherapy group and insulin and metformin combination therapy group. The data taken was the total cholesterol and the first triglyceride level, then the second total cholesterol and triglyceride data were made after four months of getting therapy.Result: Analysis of statistical data using the Mann Whitney test for changes in total cholesterol levels in the two treatment groups showed p = 0.166, whereas for changes in triglyceride levels in the two treatment groups it was found that p = 0.840.Conclusion: There were no significant differences in changes in total cholesterol and triglyceride levels between the two treatment groups.
N Terminal-Pro B Type Natriuretic Peptide (NT- PRO BNP) levels and severity of disease in elderly with heart failure Erlina Marfianti; Ana Fauziyati; Barmawi Hisyam
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 11, No 3, (2020)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol11.Iss3.art9

Abstract

Background: Heart failure is a major health problem in the world. It is associated with high morbidity and high mortality especially in elderly patients. Most studies reported using N terminal pro-B type natriuretic peptide (NT-proBNP) in diagnosis of heart failure, but about of these tests in determining classification of severity of heart failure in the elderly remain unclear.Objective: To determine the differences NT-pro BNP levels based on the severity of diease of heart failure in elderly patients.Methods: This is an observational study with cross sectional design. Subjects were patients with diagnosed heart failure and aged = 60 years. Patients were divided into two groups, mild and severe heart failure groups according to severity of heart failure in New York Heart Association (NYHA) class. The NT Pro-BNP levels were measured for all subjects in both groups. Data was analyzed with using unpaired t test and was considered significant if p <0.05.Results: This study involved 24 subjects, consisting of 2 gorups, there were mild heart failure groups (NYHA class I-II) and groups of patients with severe heart failure (NYHA III-IV). The mean age of the subjects was 64.50 ± 4.65 years with a minimum age of 60 years and a maximum of 78 years. The NT pro-BNP levels in the severe heart failure group (1.2587.58 ± 574.85 pg / ml) was higher than the mild heart failure group (867.83 ± 333.27 pg / ml), it was statistically significant with p = 0.040.Conclusion: The levels of NT-pro BNP serum in elderly patients with severe heart failure (NYHA III-IV) were significantly higher than in patients with mild heart failure (NYHA I-II).
Pemberdayaan Kader dalam Pembentukan Pos Pembinaan Terpadu (Posbindu) Penyakit Tidak Menular di Ngandong Sleman Yogyakarta: Empowerment of Cadres in the Establishment of Posbindu Non-Communicable Diseases in Ngandong Sleman Yogyakarta Erlina Marfianti; Sunarto Sunarto; Dimas Adhi Pradana
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 7 No. 4 (2022): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v7i4.2928

Abstract

The prevalence of non-communicable diseases (NCD) in Indonesia is currently increasing. Data from WHO states that 71% of the causes of death worldwide are NCD. Control of risk factors and early detection of non-communicable diseases (NCD) are the keys to reducing the number of cases and mortality of NCD. Posbindu is a preventive, promotive effort that involves community participation. The ability of cadres and community awareness are not the same in every area. In this regard, our community service activities aim to optimize cadres in controlling NCD through the establishment and implementation of Posbindu. This program consists of 5 actions: Training of cadres about Posbindu, Counseling, and education to cadres and the community about non-communicable diseases, especially hypertension and diabetes mellitus, Procurement and training on the use of medical devices for Posbindu, Creation of information and communication media for health education to the public, and Establishment of Posbindu and its implementation. The results of this program are increasing the understanding of cadres about Posbindu, increasing the knowledge of cadres and the community about NCD, and the formation of Posbindu, which has been implemented in the community. Active participation of the cadres and the community is expected to ensure the continuity of this activity.
Death in Patients with Regular Hemodialysis Due to CKD in RSUD Dr. Soedono Madiun Not Correlated to Various Risk Factors Lumaksono, Tulus; Rachmawati, Anisa; Marfianti, Erlina
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 8, No 1 (2017): June 2017
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (443.442 KB) | DOI: 10.30659/sainsmed.v8i1.1007

Abstract

Background: Chronic Kidney Disease (CKD) indicated by the inability of the kidneys in maintaining homeostasis of the body.1 This causes the patient to undergo renal replacement therapy for life. Patients undergoing regular hemodialysis have a higher risk of death in the last 2 decades. The survival of hemodialysis patients is different because it is influenced by several factors, including age, sex, duration of hemodialysis, duration of hemodialysis and accompanying comorbid patients.Objective: To identify risk factors that affect mortality in patients with CKD undergoing regular hemodialysis.Method: This research is an observational research with case-control design. Research done in dr.Soedono Madiun Hospital in December 2016 with a sample size of 41 cases and 41 control. Data retrieved through the medical records of patients with CKD who undergo regular HD from January to November 2016. Data analysis was performed including analysis of univariate,  bivariate analysis using chi-square test with 95% CI, 5% significance level (α = 0.05) and analysis multivariste using logistic regression.Results: There was no significant relationship between age (p = 0.23; OR = 1.78; 95% CI 0.68 to 4.64), gender (p = 0.623; OR = 1.24; 95% CI 0, 49 to 3.18), long live HD (p = 0.12; OR = 0.50; 95% CI 0.20 to 1.20), duration of HD (p = 0.81, OR = 0.89; 95% CI 0.34 to 2.28), hypertension (p = 0.21; OR = 0.44; 95% CI 0.12 to 1.61), diabetes mellitus (p = 0.17; OR = 1 , 83, 95% CI 0.75 to 4.47), hemoglobin level (p = 0.26; OR = 1.66; 95% CI 0.68 to 4.05) and intradialitik complications (p = 0.81 , OR = 1.11; 95% CI 0.44 to 2.80) with mortality in patients with CKD.Conclusion: There is no significant relationship between age, gender, length undergoing hemodialysis, duration of HD, hypertension, diabetes, hemoglobin, and complications intradialitik in CKD patients undergoing hemodialysis in dr.Soedono Madiun Hospitals.  
Pengaruh Yoga Terhadap Waist Hip Ratio Dalam Mengontrol Terjadinya Obesitas Sentral Pada Wanita Dinda Alsayla; Raden Edi Fitriyanto; Erlina Marfianti
Pontianak Nutrition Journal (PNJ) Vol 3, No 2 (2020): September 2020
Publisher : Poltekkes Kemenkes Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.088 KB) | DOI: 10.30602/pnj.v3i2.700

Abstract

Yoga merupakan salah satu aktivitas fisik yang menggunakan berbagai postur untuk mengembangkan kekuatan fisik, kelenturan dan ketahanan dimana dapat digunakan sebagai latihan berintensitas sedang untuk pasien dengan kapasitas latihan terbatas sehingga lebih mudah bagi orang-orang yang inaktif secara fisik. Tujuan Penelitian yaitu untuk mengetahui pengaruh yoga terhadap waist hip ratio (WHR) pada wanita di Desa Lodadi Kecamatan Ngemplak Kabupaten Sleman  Yogyakarta. Penelitian ini merupakan penelitian pre–eksperimental dengan One Group Pretest - Postest Design. Subyek penelitian diperoleh dengan teknik purposive sampling di Desa Lodadi. Subyek berjumlah 30 orang. Yoga dilakukan sejak November 2018 hingga Januari 2019 setiap 2x seminggu selama 90 menit. WHR diukur dengan menggunakan meter ukur. Setelah itu data akan dianalisis dengan paired sample t-test. Hasil Penelitian menunjukkan dari 30 subyek penelitian 17 peserta termasuk dalam kriteria eksklusi. Hasil analisis statistik paired sample t-test didapatkan p<0,05 yang menunjukkan perbedaan bermakna antara WHR peserta sebelum dan sesudah pelaksanaan yoga. Kesimpulan pada penelitian ini adalah Yoga dapat mempengaruhi waist hip ratio pada wanita di Desa Lodadi Kecamatan Ngemplak Kabupaten Sleman Yogyakarta.
Ekstraksi Ciri Polip dan Pendarahan Berdasarkan Citra Endoskopi Kolorektal Ummi Athiyah; Izzati Muhimmah; Erlina Marfianti
Jurnal Informatika: Jurnal Pengembangan IT Vol 3, No 1 (2018): JPIT, Januari 2018
Publisher : Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/jpit.v3i1.704

Abstract

Cancer is one of the main causes of mortality in the world. Colorectal cancer, also known as colon cancer, is a malignant tumor of the colon and rectum that begins with a polyp. Early inspection is needed to prevent and cure of colorectal cancer because in the early stages colorectal cancer showed no symptoms. At this time the development of information technology allows the quick information retrieval from an image. The aim of this research is to produce a preliminary work in the stages of information analyzing on colorectal endoscopic image extraction result in the form of polyp and bleeding by utilizing extraction technique of image information based on shape and texture. This research aimed can be the basis for the development of colorectal cancer detection system framework. The research that has been carried out gives result of characteristics that can be differentiate between colon bleeding, colon polyp, and normal colon conditions, they are aspect ratio, triangle, correlation, and energy.
PENATALAKSANAAN KOMPREHENSIF LANSIA DENGAN PENURUNAN FUNGSI KOGNITIF DAN DEMENSIA Gea Pandhita S; Purwita W Laksmi; Erlina Marfianti
Sanus Medical Journal Vol. 2 No. 2 (2021): Vol. 2 No. 2 (2021): Sanus Medical Journal
Publisher : Universitas Muhammadiyah Prof. Dr. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/sanus.v2i2.7430

Abstract

Pasien Geriatri mempunyai karakteristik yang khusus, berbeda dengan karakteristik pasien pada golongan usia yang lain. Pasien geriatri antara lain ditandai dengan karakteristik memiliki multi-morbiditas atau multi-penyakit, kapasitas fisiologis yang menurun, manifestasi klinis penyakit yang tidak khas, status fungsional menurun, dan malnutrisi. Kondisi ini akan menimbulkan masalah kesehatan spesifik yang lazim ditemui pada pasien geriatri, yaitu: Frailty, Sarkopenia, Delirium, Jatuh, Gangguan Tidur, Dizziness, Syncope, Ulkus Dekubitus, Inkontinensia, dan Elder mistreatment. Beberapa masalah kesehatan yang sering dialami oleh pasien geriatri adalah Instability, Immobility, Infection, Incontinence, Intellectual impairment (Mild/Vascular Cognitive Impairment, Dementia), Impairment of hearing & vision, Impaction (konstipasi), Isolation (depresi), Inanition (malnutrisi), Impecunity (kemiskinan), Iatrogenic, Insomnia, Immune deficiency, dan Impotence. Berbagai syndrome geriatri ini saling berinteraksi secara kompleks. Oleh karena itu perlu pendekatan khusus dalam penilaian dan penatalaksanaan kasus geriatri,. Pendekatan ini sering dikenal sebagai Comprehensive Geriatric Assessment (CGA).