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All Journal Jurnal Kedokteran Syiah Kuala Berkala Ilmu Kesehatan Kulit dan Kelamin AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Journal of Medical Science; Jurnal Ilmu Medis Rumah Sakit Umum Daerah dr. Zainoel Abidin, Banda Aceh Indonesian Journal of Endocrinology Metabolism and Diabetes (InaJEMD)
Hendra Zufry
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Hubungan Pengetahuan dengan Kepatuhan Pasien Diabetes Melitus dalam Menjalani Terapi di RSUD dr. Zainoel Abidin Banda Aceh Husnah Husnah; Hendra Zufry; Maisura Maisura
Jurnal Kedokteran Syiah Kuala Vol 14, No 2 (2014): Volume 14 Nomor 2 Agustus 2014
Publisher : Universitas Syiah Kuala

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Abstract

Hubungan Pengetahuan dengan Kepatuhan Pasien Diabetes Melitus dalam Menjalani Terapi di RSUD dr. Zainoel Abidin Banda Aceh
LAMA RAWATAN DAN DIRECT COST PASIEN KAKI DIABETIK TERAMPUTASIDI RS DR. ZAINOEL ABIDIN BANDA ACEH : PRE-ELIMINARY STUDY Hendra Zufry
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Vol. 4: No. 1 (Mei, 2018)
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/averrous.v4i1.807

Abstract

Kaki Diabetik adalah salah satu komplikasi Diabetes Mellitus (DM) yang sangat umum terjadi dan dapat menyebabkan infeksi, amputasi bahkan kematian. Amputasi sendiri menghabiskan banyak kerugian sehingga menjadi beban dalam pelayanan kesehatan. TujuanPenelitian ini bertujuan melihat gambaran lama rawatan dan direct cost pasien kaki diabetik teramputasi di RS Dr.Zainoel Abidin Banda Aceh.Metode Penelitian :Penelitian ini merupakan suatu pre-eliminary study yang bersifat deskriptif. Data pasien diambil dari rekam medis pasien. Setiap pasien akan dinilai tipe luka , masa rawatan dan biaya yang dihabiskan selama rawatan.Hasil  : Dari 37 pasien yang menjalani amputasi , didapatkan rerata  rawatan selama 15 hari dengan rerata  biaya yang dihabiskan sebesar 45,5 juta rupiah. Dari keseluruhan, 5 orang (14%) memiliki tipe luka  neuropati, 20 orang (54 %)  tipe vaskulopati dan 12 orang (32%) tipe infeksi. Dari 5 orang pasien dengan luka neuropati, lama  rawatan adalah 11 ± 7,19 hari dan rerata biaya yang dihabiskan sebesar 42,3 juta rupiah . Pada 20 pasien dluka vaskulopati, lama rawatan adalah 14  ± 6,95hari serta rerata biaya yang dikeluarkan adalah 41,1 juta rupiah. Sedangkan 12 pasien luka infeksi, didapatkan rerata lama rawatan adalah 17 ± 8,13 hari dengan rerata  biaya sebesar 54 juta rupiah  Kesimpulan  : Hasil penelitian ini memperlihatkan  bahwa rerata  masa  rawatan dan rerata biaya rawatan pasien ulkus diabetikum yang menjalani amputasi di RS dr.Zainoel Abidin pada tahun 2017  cukup tinggi. Akan tetapi untuk masing – masing tipe luka, lama masa rawatan dan biaya yang dikeluarkan tidak terlalu jauh berbeda.
The Correlation between Blood Glucose and Lipid Profile with Skin tag Wahyu Lestari; Sulamsih Sri Budini; Cut Yunita; Hendra Zufry; Sitti Hajar
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 35 No. 2 (2023): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V35.2.2023.136-141

Abstract

Background: Skin tags or acrochordons are benign fibroepithelioma skin tumors with soft consistency, usually pedunculated, primarily originating from the dermis. High levels of blood sugar and a high lipid profile are risk factors for inflammation and hormonal imbalance, which can contribute to the development of skin tags. Purpose: The objective of this study is to identify the association between blood sugar and lipid profile with skin tags. Methods: This study is a cross-sectional study conducted from April to August 2019 at the Dermatovenereology and Endocrine Policlinic, Dr. Zainoel Abidin General Hospital, Banda Aceh. The sampling method of this study was consecutive sampling with 60 samples that met the inclusion and exclusion criteria. A blood glucose, lipid profile, and skin tag examination was conducted on all subjects. Result: The majority of the subjects are women (61.5%), have an average age of 41-50 years old (43.3%), are obese (41.7%), and have one to five lessions of 1-5 (53.3%). There was a significant correlation between blood glucose, 2 hours post-prandial, total cholesterol, triglyceride, high-density lipoprotein (HDL), and low-density lipoprotein (LDL) levels with skin tags with Spearman's correlation values of 0.645, 0.645, 0.794, 0.704, 0.606, and 0.606 consecutively. Conclusion: A high level of blood sugar and lipid profile, whether it is total cholesterol, triglycerides, HDL, or LDL level, can contribute to the development of skin tags.
Mixed Hyperglycemic Crisis in a Young Obese DiabeticTriggered by Hypertriglyceridemia-Induced Pancreatitis:A Case Report and Review of Pathophysiolo Teuku Mirzal Safari; Agustia Sukri Ekadamayanti; Krishna W. Sucipto; Hendra Zufry
‎ InaJEMD - Indonesian Journal of Endocrinology Metabolic and Diabetes Vol. 2 No. 2 (2025): InaJEMD Vol. 2, No. 2
Publisher : PP PERKENI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66266/inajemd.v2i2.60

Abstract

Mixed diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS), accompanied by hypertriglyceridemia-induced pancreatitis, represent a rare but life-threatening complication of type 2 diabetes mellitus (T2DM). This case report aimed to illustrate a young adult in whom these three critical conditions converged, highlighting the complexity of such presentations—a 28-year-old male presented with altered consciousness and Kussmaul respiration. The patient was diagnosed with T2DM two weeks earlier but had not yet initiated treatment. Physical examination revealed obesity (BMI: 31 kg/m²) and acanthosis nigricans on the neck and in the axillary regions. Laboratory results showed hyperglycemia (798 mg/dL), metabolic acidosis (pH: 7.08; anion gap: 24), ketonuria, hyperosmolarity (336 mOsm/kg), severe hypertriglyceridemia (965 mg/dL), and elevated lipase (892 U/L). A diagnosis of mixed DKA-HHS secondary to hypertriglyceridemic pancreatitis was established. Treatment included aggressive intravenous (IV) fluid resuscitation of 0.9% sodium chloride (6 L in the first 12 hours) and insulin infusion (0.1 units/kg/hour). During hospitalization, the patient developed acute kidney injury, necessitating continuous renal replacement therapy (CRRT). The patient gradually recovered and was discharged after 20 days. In obese T2DM patients, insulin resistance drives severe hyperglycemia typical of HHS. However, metabolic stress caused by acute pancreatitis induces relative insulin deficiency, triggering lipolysis, ketogenesis, and hypertriglyceridemia, leading to overlapping DKA. Severe hypertriglyceridemia exacerbates systemic inflammation, insulin resistance, and ketosis, creating a vicious cycle that worsens mixed DKA-HHS. This case report highlights the importance of recognizing that T2DM can occasionally present with atypical, life-threatening metabolic complications, necessitatingprompt diagnosis and multidisciplinary management.
Model Matematika Sebagai Kecerdasan Buatan dalam Memprediksi Lama Rawatan Pasien Diabetes Melitus dengan Hipoglikemia Hendra Zufry; Krishna Wardhana Sucipto; agustia sukri ekadamayanti
Journal of Medical Science Vol 2 No 2 (2021): Journal of Medical Science
Publisher : LITBANG RSUDZA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (352.345 KB) | DOI: 10.55572/jms.v2i2.48

Abstract

Background: Diabetes Mellitus (DM), a burden disease that has contributed to the health burden globally. The most common acute complication is hypoglycemia. Hypoglycemia in hospitalized diabetic patients is associated with increased length of stay (LOS), mortality, and costs. Patients with co-morbidities are often not in accordance with the clinical pathway, so a mathematical model is needed which estimates length of stay and the required resources can be estimated. Aim: To formulate a mathematical model predicting the LOS of hypoglycemic patients treated with various conditions Methode: This study is a retrospective cohort study using secondary data of DM patients who experienced hypoglycemia from January 1, 2011 to December 2020 which obtained from the medical records of Zainoel Abidin Hospital Banda Aceh, Indonesia. Data collected from May to November 2021. The data were analyzed using multivariate analysis with logistic regression test. using R software to obtain a mathematical modeling of length of stay. The variables that affect the length of stay using logistic regression test with p value <0.05. Result: There were 573 hypoglycemic patients, most of the patients who experienced hypoglycemia were male (51.3 %), the average age was 59.6 years. Most of the patients who experienced hypoglycemia were type 2 DM patients (96.4%), Infection was the main comorbid (46.6 %), Mild hypoglycemia was the highest (47.2%) and the average length of stay was 8.06 days. Based on mathematical modeling, it was found that for every additional unit of age, the length of treatment increased by 6.99 7 days. Then a logistic regression test was carried out to see the influential variables. Conclusion: Based on the mathematical modeling obtained, it is known that for each additional unit of age, the length of stay will increase by about 6.9≈7 days. Furthermore, the formulation of this mathematical model is expected to be able to predict the length of stay for various comorbidities, predict the number of consumable materials and as a basis for making artificial intelligence applications that is beneficial to efficiency.
Co-Authors agustia sukri ekadamayanti agustia sukri ekadamayanti Cut Yunita Husnah Husnah Krishna W. Sucipto Krishna Wardhana Sucipto Maisura Maisura Sitti Hajar Sulamsih Sri Budini Teuku Mirzal Safari Wahyu Lestari