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All Journal E-Jurnal Medika Udayana The Indonesian Journal of General Medicine
Ida Ayu Trisna Wulandari
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Dentistry Health Professions Medicine & Pharmacology Public Health Veterinary

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GAMBARAN KADAR HBA1C PADA PASIEN DIABETES MELITUS TIPE II DI RSUP SANGLAH PERIODE JULI-DESEMBER 2017 Ida Ayu Trisna Wulandari; Sianny Herawati; I Nyoman Wande
E-Jurnal Medika Udayana Vol 9 No 1 (2020): Vol 9 No 01(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (210.236 KB)

Abstract

Diabetes mellitus (DM) adalah suatu kumpulan penyakit metabolik yang diakibatkan oleh adanya gangguan sekresi insulin, kerja insulin, atau keduanya sehingga memiliki karakteristik hiperglikemia. Kejadian penyakit ini masih mengalami peningkatan di Indonesia khususnya DM tipe II. Pengukuran hemoglobin terglikasi (HbA1c) merupakan kontrol glikemik terbaik untuk mengetahui gambaran kadar glukosa darah selama dua hingga tiga bulan terakhir. Diabetes Mellitus yang tidak terkontrol mengakibatkan berbagai komplikasi kronik baik itu komplikasi makrovaskular maupun mikrovaskular. Pasien yang memiliki kadar HbA1c >7% akan berisiko 2 kali lebih tinggi untuk mengalami komplikasi.Oleh karena itu, pemeriksaan kadar HbA1c sangat penting dilakukan untuk membantu menegakkan diagnosis, kontrol glikemik jangka panjang, manajemen, dan prognosis dari penyakit DM tipe II. Tujuan penelitian ini adalah untuk mengetahui gambaran kadar HbA1c pada pasien diabetes mellitus tipe II di RSUP Sanglah periode Juli-Desember 2017 serta proporsinya berdasarkan jenis kelamin, usia, dan indeks massa tubuh. Penelitian ini menggunakan jenis penelitian deskriptif cross sectional. Sampel penelitian meliputi populasi terjangkau yang sesuai dengan kriteria inklusi dan eksklusi sebanyak 100 sampel. Data penelitian berupa data sekuder yang diperoleh dari rekam medis pasien. Hasil penelitian menunjukan bahwa kadar HbA1c pada sampel didominasi oleh kelompok tidak terkontrol yaitu 64%. Proporsi kadar HbA1c tidak terkontrol lebih banyak ditemukan pada laki-laki (64,2%), usia 41-60 tahun (69,6%), dan IMT normal (68,1%). Kata Kunci: Diabetes Melitus Tipe II, Kadar HbA1c
Characteristics Of Herpes Zoster Patients At The Dermatology And Venereology Outpatient Clinic Of Wangaya Regional Hospital  From January 2021 - December 2024 Ida Ayu Trisna Wulandari; Putu Ayu Krisna Cahyaning Putri; Putu Eksa Bidja; Ida Ayu Uttari Priyadarshini
The Indonesian Journal of General Medicine Vol. 13 No. 2 (2025): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/1v86qx81

Abstract

Introduction: Herpes zoster (HZ) is a clinical condition resulting from the reactivation of the varicella zoster virus (VZV), typically presenting as painful, unilateral vesicular eruptions. Its incidence tends to increase with advancing age and in individuals with compromised immune systems. Objective: This study aims to describe the demographic and clinical characteristics of patients diagnosed with HZ at the Dermatology and Venereology outpatient clinic of Wangaya Regional Hospital. Methods: A retrospective, descriptive study was conducted using a cross-sectional design. Secondary data were obtained from medical records of patients diagnosed with HZ between January 2021 and December 2024. A total sampling method was applied, including 56 eligible patients. Results: The highest proportion of patients was in the 61–80-year age group (30.36%), followed by those aged 41–60 years (28.57%). Females accounted for 53.57% of cases. Vesicular and/or bullous lesions were the most common presentation (89.28%), with the thoracic dermatome being the most frequently affected region (44.64%). A majority of patients (60.71%) had no comorbidities; however, hypertension was the most prevalent comorbid condition (27.28%). Most patients (80.36%) received combination therapy comprising oral antivirals and topical agents. Post-herpetic neuralgia (21.43%) was the most commonly reported complication. Conclusion: Herpes zoster predominantly affects elderly individuals, particularly involving the thoracic dermatomes. Early diagnosis and appropriate management are crucial in minimizing complications.
Co-Authors I Nyoman Wande Ida Ayu Uttari Priyadarshini Putu Ayu Krisna Cahyaning Putri Putu Eksa Bidja Sianny Herawati