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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.
Diagnostic Challenges of Primary Thyroid Lymphoma: A Case Report Murdia; Hendra Zufry
‎ InaJEMD - Indonesian Journal of Endocrinology Metabolic and Diabetes Vol. 2 No. 1 (2025): InaJEMD Vol. 2, No. 1
Publisher : PP PERKENI

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Abstract

Primary Thyroid Lymphoma (PTL) requires a pathology confirmatory test to conclude the definitive diagnosis. Concerns arise when insufficient pathology specimen collection results in nonspecific pathological conclusion, in spite of the fact that the patient's clinical and radiological presentation strongly suggests a diagnosis of PTL. Patient with complaint of a painless lump in the neck that has been progressively getting bigger since a month ago. He also reported shortness of breath, intermittent fever, decreased appetite, weight loss of 5 kilograms, and general weakness. Physical examination showed a single and immobile palpated mass measuring ± 10x10x10 centimeters in the neck with hard consistency. Imaging concluded that the patient had a suspected malignant tumor with bilateral lymphadenopathy and cervical thoracic spondyloarthritis. Rapidly growing neck mass leads to heterogeneous diagnosis. Primary Thyroid Lymphoma (PTL) is suggested prominently in progressive thyroid mass expansion. The presented case was a male patient with clinical presentation showing a rapidly growing neck mass with an airway compression. While working on confirmatory testing of pathology examination (to define the type and immunohistochemistry characteristic of the tumor), the patient was treated adequately with supportive treatments. Supportive treatments for suspected PTL patients are important in securing airway patency, adequate fluid and nutritional intake, and prevent aspiration while working on confirmatory test. Diagnostic challenges of PTL not only limited to insufficient sample collection leading to unspecified pathologic results. Repetitive testing may result in delayed treatment and increase risk of complications.
Successful Management of Antithyroid Drug-Induced Agranulocytosis Using Granulocyte Colony-Stimulating Factor: A Case Report Nur Arfah Rizki; Hendra Zufry; Krishna W Sucipto; Agustia Sukri Ekadamayanti
‎ InaJEMD - Indonesian Journal of Endocrinology Metabolic and Diabetes Vol. 2 No. 1 (2025): InaJEMD Vol. 2, No. 1
Publisher : PP PERKENI

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Abstract

Agranulocytosis is a rare condition and occurs in all age groups. Incidence ranges from 6 to 8 cases per million population per year. About 70% of the cases are found to be involved with medication usage. The use of granulocyte colony-stimulating factor (G-CSF) is effective for ATD-induced agranulocytosis, though some patients do not respond. A 22-year-old female was diagnosed with Grave's disease (GD) three months ago and began using Methimazole (MMI) at an initial dose of 20 mg/day. She was taken to the emergency room after complaining of a fever and stomachache for a week. Laboratories: The patient had leucopenia (white blood cell count 2040/mm3) and severe neutropenia, with an absolute neutrophil count (ANC) of 122.4/μL, thyroid stimulating hormone (TSH) of 0.005 IU/mL, and free thyroxine (FT4) of 46.81 pmol/L. The patient received G-CSF, which normalized her neutrophil counts after the first injection and resolved her fever. She was recommended to quit methimazole therapy. MMI is thionamide used as a first-line treatment for GD. The most severe side effect is agranulocytosis. Agranulocytosis can have various presentations; it most frequently occurs between 2 weeks and 3 months after the initiation of treatment. If the patient recovers, granulocytes begin to reappear in the periphery within a few days to 3 weeks. This drug-induced agranulocytosis is a lethal condition but reversible if recognized early and treated accordingly. G-CSF may shorten the recovery period.
Varicella Zoster-Induced Severe Diabetic Ketoacidosis Asri Mukti Nanta; Agustia Sukri Ekadamayanti; Krishna Wardhana Sucipto; Hendra Zufry
‎ InaJEMD - Indonesian Journal of Endocrinology Metabolic and Diabetes Vol. 2 No. 1 (2025): InaJEMD Vol. 2, No. 1
Publisher : PP PERKENI

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Abstract

Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes. There are not many cases reported relate to this case. This case report aims to present a case of DKA which is a common and potentially life-threatening complication in T1DM and can be the first sign of undiagnosed diabetes. A 36-year-old female presented with altered mental status and breathing difficulty. The patient's three children had recently contracted varicella (chickenpox). The patient was diagnosed with type 1 diabetes mellitus 8 months ago, with irregular adherence to treatment. Vital signs included a blood pressure of 84/60 mmHg on norepinephrine at 12 mcg/min, heart rate of 135 bpm, respiratory rate of 33 breaths/min, and temperature of 38.9°C. Physical examination revealed multiple lenticular, circumscribed vesicles with an erythematous base across the entire body. Laboratory results showed leukocytosis (leukocytes: 16,000 x 103/μL), hyperglycemia (random blood glucose: 273 mg/dL), severe metabolic acidosis (pH: 7.002, HCO3: 5.7 mEq/L, BE: -23.6 mEq/L), hypoxemia (pO2: 38 mmHg, SaO2: 52.8%), hypoalbuminemia (albumin: 3.48 g/dL), and stage I acute kidney injury (creatinine: 1.36 mg/dL). Urinalysis revealed the presence of ketone bodies. The patient was subsequently diagnosed with severe diabetic ketoacidosis, varicella zoster infection, septic shock with multiorgan failure, and type 1 diabetes mellitus. Despite initial treatment efforts, the patient’s condition continued to deteriorate, with no signs of clinical improvement. After 3 days, the patient deceased. In conclusion, although varicella zoster infection is an uncommon precipitant of DKA, the present case report highlights the critical role of varicella zoster vaccination and optimal glycemic control in DMT1 to prevent infection-related DKA progression.