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POLA KOMPLIKASI SISTEMIK PADA PASIEN DIABETES MELITUS TIPE 2 DI RUMAH SAKIT PERTAMINA BINTANG AMIN LAMPUNG PERIODE 1 JANUARI - 31 DESEMBER 2015 Toni Prasetia
Jurnal Medika Malahayati Vol 3, No 1 (2016): Volume 3 Nomor 1
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (125.201 KB) | DOI: 10.33024/jmm.v3i1.2004

Abstract

Latar Belakang : Diabetes Melitus (DM) adalah grup penyakit metabolik dengan karakteristik hiperglikemi yangdihasilkan oleh defek pada sekresi insulin, kerja insulin, atau keduanya. Awal perjalanan penyakit DM bersifat asimptomatiksehingga banyak yang tidak terdiagnosis. Pasien DM baru menyadari bahaya penyakit ini setelah munculnya komplikasi,baik akut maupun kronik. Penelitian ini bertujuan mengidentifikasi profil komplikasi sistemik pada pasien DM tipe 2 diRSPBA lampung.Metode : Penelitian ini merupakan penelitian deskriptif. Data rekam medis pasien DM tipe 2 di RSPBA lampungperiode 1 Januari–31 Desember 2015 adalah populasi penelitian berjumlah 313. Besar sampel pada penelitian ini adalah163 pasien.Hasil : Penderita DM lebih banyak perempuan (68,72%) dibandingkan laki-laki (31,28%), dengan jumlah kasustertinggi pada kelompok usia 51–60 tahun (33,12%). Komplikasi akut terbanyak adalah ketoasidosis diabetik (KAD).Komplikasi mikrovaskuler terbanyak adalah retinopati, dan komplikasi makrovaskuler terbanyak adalah ulkus.Kesimpulan : Komplikasi sistemik terbanyak pada pasien DM tipe 2, untuk komplikasi akut adalah KAD, komplikasimikrovaskuler adalah retinopati, dan komplikasi makrovaskuler adalah ulkus.
ANALISIS PERBANDINGAN KADAR KOLESTEROL TOTAL ANTARA PASIEN YANG MEROKOK DAN TIDAK MEROKOK PADA PENYAKIT JANTUNG KORONER DI RSUD Dr. H. ABDUL MOELOEK PROVINSI LAMPUNG Toni Prasetia; Zulhafis Mandala
Jurnal Medika Malahayati Vol 1, No 3 (2014): Volume 1 Nomor 3
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (106.631 KB) | DOI: 10.33024/jmm.v1i3.1927

Abstract

Latar Belakang : Penyakit jantung koroner (PJK) merupakan penyakit jantung yang disebabkan adanya gangguandi pembuluh darah koroner. Salah satu penyebab utama adanya penyempitan atau sumbatan yang sering diakibatkan olehpenimbunan plak di dinding arteri. Plak terbentuk dari kelebihan kolesterol, terjadinya kenaikan kadar kolesterol bisadisebabkan karena terlalu banyak merokok Karena zat-zat kimia yang terkandung dalam rokok, terutama nikotin, dapatmenurunkan kadar kolesterol baik (HDL) dan meningkatkan kadar kolesterol buruk (LDL) dalam darah.Tujuan Penelitian : Untuk mengetahui perbandingan kadar kolesterol total dengan kebiasaan merokok pada pasienpenyakit jantung koroner di RSUD Dr. H. Abdul Moeloek Provinsi Lampung.Metode Penelitian : Jenis penelitian yang digunakan adalah analitik komparatif dengan pendekatan potong lintang(cross sectional). Populasi pada penelitian adalah semua pasien penyakit jantung koroner di Poli Jantung RSUD Dr. H.Abdul Moeloek Provinsi Lampung. Sampel sejumlah 64 orang terdiri dari 32 orang pasien penyakit jantung koroner dengankebiasaan merokok dan 32 orang yang tidak merokok. Analisis data menggunakan independent sample T Test.Hasil Penelitian : Rata-rata kadar kolesterol total pasien PJK dengan kebiasaan merokok sebesar 198,59 dan padapasien PJK yang tidak mempunyai kebiasaan merokok sebesar 175,16 dengan selisih 23,43.Kesimpulan : Ada perbedaan kadar koleseterol total pasien yang merokok dan tidak merokok pada penyakitjantung koroner di RSUD Dr. H. Abdul Moeloek Provinsi Lampung dengan p-value = 0,031.
HUBUNGAN LAMA SAKIT DENGAN MANIFESTASI KLINIS PADA PASIEN CUTANEOUS LUPUS ERYTHEMATOSUS DI KOMUNITAS LAMPUNG TAHUN 2019 Vini Nugraheni; Resati Nando Panonsih; Ratna Purwaningrum; Toni Prasetia
HUMAN CARE JOURNAL Vol 5, No 4 (2020): Human Care Journal
Publisher : Universitas Fort De Kock

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/hcj.v5i4.735

Abstract

Cutaneous Lupus Erythematosus (CLE) is a chronic disease of the skin that may require a long-term care and follow-up. Erythema, burning, scaling, itching, scarring, dyspigmentation, as well as the pain and the length of one of these diseases can be divided into acute and chronic.To the purpose of this research was to determine the correlatiom between long sick with clinical manifestasions in Cutaneous Lupus Erythematosus (CLE) patients in Lampung year 2020. This type of research is peneltian observational analytic with cross sectional approach. Samples of this research that people with lupus in Lampung as many as 45 people. Data were obtained through a questionnaire to fill a long illness and a physical examination. Data analysis techniques to test the hypothesis that the Chi-square test. The research showed a correlation between long sick with clinical manifestasions in Cutaneous Lupus Erythematosus (CLE) in Lampung Year 2019. Given between long sick with clinical manifestasions in Cutaneous Lupus Erythematosus (CLE) that the statistical test results obtained with p-value 0.000 (less than ɑ 0,05) which means Ha accepted.  
PERBANDINGAN ANGKA KESEMBUHAN ANTARA PASIEN COVID-19 YANG MEMILIKI KOMORBID DIABETES MELITUS DENGAN PASIEN COVID-19 TANPA KOMORBID DIABETES MELITUS DI RUMAH SAKIT NATAR MEDIKA NATAR TAHUN 2021 Firhat Esfandiari; Doni Rahman Nurdiana; Tusy Triwahyuni; Toni Prasetia
Medula Vol 12 No 2 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i2.367

Abstract

COVID-19 is a disease caused by the SARS-CoV-2 virus. Most people infected with the virus can experience moderate to severe respiratory problems and recover without requiring special treatment. However, some will become severe and require medical treatment.Diabetes mellitus (DM) is a chronic disease that poses a challenge in the world of health, diabetes mellitus is one of the non-communicable diseases (PTM) which caused 1.6 million deaths in 2010. The cure rate among COVID-19 patients who have comorbid diabetes mellitus is higher. small compared to COVID-19 patients without comorbidities. Knowing the comparison of the cure rate of COVID-19 patients with diabetes mellitus as comorbid and COVID-19 patients without comorbidities at Natar Medika Hospital, Natar District, 2021. This study uses a descriptive-comparative research method with a cross sectional approach. Based on the results of this study, the majority of respondents were 71 respondents consisting of age > 45 years with a total of 50 patients (70.4%) the majority of respondents were women with 37 patients (52.1%) most patients with COVID-19 were without comorbid as many as 44 people (62%) of COVID-19 patients who recovered were more than COVID-19 patients who died, namely 59 patients (83.1%). In the results of statistical test analysis with Mann Whitney obtained p value = 0.000 (p <0.05) which means that there is a significant difference in the cure rate between COVID-19 patients who have comorbid diabetes mellitus and COVID-19 patients without comorbidities at Natar Hospital. Medika Natar in 2021.
HUBUNGAN LAMA MENDERITA DIABETES MELITUS DAN KADAR GULA DARAH DENGAN KADAR KREATININ PASIEN DIABETES MELITUS TIPE 2 PADA PEREMPUAN DAN LAKI-LAKI Rina Kriswiastiny; ketut yoeby sena; Rinto Hadiarto; Toni Prasetia
Medula Vol 12 No 3 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i3.373

Abstract

Diabetes mellitus is a chronic or long-term condition that occurs due to high blood sugar levels caused by the inability of the pancreas to be able to produce enough insulin or even unable to produce insulin. The number of uncomplicated type 2 DM patients who were hospitalized at Pertamina Bintang Amin Husada Hospital Bandar Lampung in the January-October 2021 was 497 patients. This observational analytic study with cross sectional method used a total sampling of 30 samples of type 2 DM patients who met the inclusion criteria. Data collection began in January 2022. Data were evaluated by chi-square test. The research sample was 30 patients with type 2 DM with a duration of suffering >5 years as many as 15 patients and <5 years as many as 15 patients, with a mean blood sugar level (GDS) of 223, the lowest GDS 87 and the highest GDS 530. The mean creatinine level of patients Type 2 diabetes mellitus out of 30 respondents was 0.9 with the lowest creatinine level 0.2 and the highest 3.2. The results of the chi-square correlation between the length of suffering from type 2 diabetes and creatinine levels obtained p value = 0.048, because the p value = 0.048 <0.05 so it can be stated that there is a relationship. In the results of the chi-square correlation between blood sugar levels and creatinine levels, the p value = 0.060, because the p value = 0.060 > 0.05, it can be stated that there is no significant correlation between blood sugar levels and creatinine levels in type 2 DM patients.
ANGKA KEJADIAN NEFROBLASTOMA BERDASARKAN USIA DAN JENIS KELAMIN PADA CT SCAN ABDOMEN DI INSTALASI RADIOLOGI RUMAH SAKIT UMUM DAERAH DR. H. ABDOEL MOELOEK TAHUN 2015-2020 Moch Rifly Hidayat; Alfi Wahyudi; Doni Rahman Nurdiana; Esteria Maharani; Toni Prasetia
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.553

Abstract

Nefroblastoma is one of the most common malignancies of primary kidney tumors in children, the incidence of nephroblastoma reaches 6-7% in cases of malignancy that occurs in children. To find out the incidence of nephroblastoma based on age and gender on an abdominal CT scan at the radiology installation at Dr.H. Abdoel Moeloek in 2015-2020. This study used a descriptive research design with retrospective method and cross sectional design. In this study, from 42 patients who were respondents, the most age group data were obtained at the age of 0-5 years with a total of 32 people with a percentage of 76.2%, followed by the age group of 6-10 years with 6 people with a percentage of 14.3% and the least was the age group of 11-15 years as many as 4 people with a percentage of 9.5%. In this study, the most common sex group was men with a total of 27 people with a percentage of 64.3%. In this study, there were 15 female respondents with a percentage of 35.7%. Obtained the age group, most at the age of 0-5 years with a total of 32 people with a percentage of 76.2%. Most of the sex group is male with a total of 27 people with a percentage of 67.6%.