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Hubungan Karakteristik Pasien Diabetes Melitus Tipe 2 dengan Gangguan Fungsi Kognitif di Puskesmas Andalas Khairy, Faldi Arkan; Firdawati, Firdawati; Liza, Rini Gusya; Rasyid, Rosfita; Julizar, Julizar
Jurnal Kesehatan Andalas Vol. 14 No. 3 (2025): November 2025
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v14i3.2644

Abstract

Type 2 Diabetes Mellitus (T2DM) is a metabolic disease that can cause various complications, one of which is cognitive dysfunction. Specific characteristics in T2DM patients can be risk factors for cognitive dysfunction, such as sex, age, employment status, education level, duration of diagnosis, comorbidity status, and degree of treatment adherence. Objective: To determine the association between the characteristics of Type 2 DM patients and cognitive dysfunction. Methods: This study used an observational analytical method with a cross-sectional study design conducted on 104 Type 2 DM patients at the Andalas Community Health Center, Padang, who met the inclusion and exclusion criteria. This study utilized the Montreal Cognitive Assessment-Indonesia (MoCA-Indonesia) questionnaire to evaluate the cognitive level of patients. This study was conducted from January to October 2024. Results: The Chi-square test showed a significant association between employment status (p = 0.038) and education level (p = 0.046) and cognitive dysfunction. Meanwhile, there is no significant association between sex (p = 1.000), age (p = 0.456), duration of diagnosis (p = 1.000), comorbidity status (p = 1.000), and degree of treatment adherence (p = 0.188) with cognitive dysfunction. Conclusion: Employment status and education level are significantly associated with cognitive impairment. Keywords: cognitive dysfunction, T2DM, patient characteristics
NILAI AMBANG PROKALSITONIN DAN RISIKO KEMATIAN DINI PADA ABSES LEHER DALAM: PERSPEKTIF KLINIS: procalciton pada abses leher dalam Asyari, Ade; Tri Novriansyah, Wahyu; Novialdi, Novialdi; Dia Rofinda, Zelly; Rasyid, Rosfita; Utami, Refi Amalia
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 2 (2025): VOLUME 55, NO. 2 JULY - DECEMBER 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i2.744

Abstract

Background: Procalcitonin (PCT) is widely used as an inflammatory marker in sepsis, but still controversial in deep neck abscesses. Purpose: To evaluate the usefulness of PCT as outcome predictor in deep neck abscess. Method: A prospective observational cohort study was conducted at Dr. M. Djamil Hospital, Padang, Indonesia (March 2022–May 2023). Patients with confirmed deep neck abscess by pus aspiration in the Emergency Department were included. Baseline laboratory and serum PCT tests were performed before surgical drainage. All patients received broad-spectrum antibiotics and standard postoperative care. Assessed outcomes were mortality, septic shock, organ failure, mediastinitis, empyema/ pleural effusion, necrotizing fasciitis, tracheostomy, pharyngocutaneous fistula, Intensive Care Unit >24 hours, and hospital stay. Result: Thirty-five patients met inclusion criteria. Multiple neck space involvement was found in 74.3%, and 93.4% underwent surgery. Mortality occurred in 28.6%, septic shock in 20%, mediastinitis in 14.3%, empyema/pleural effusion in 11.4%, necrotizing fasciitis in 8.6%, tracheostomy in 5.7%, fistula in 8.6%, and ICU stay >24 hours in 20%. Mean hospital stay was 9.03±7.90 days. Mean admission PCT was 0.313±0.677 ng/mL, with 17.1% having elevated PCT>0.5 ng/mL. No significant correlation was found between PCT and overall outcome. However, Receiver Operating Characteristic (ROC) analysis showed PCT≥0.14 ng/mL, predicted <5-day mortality (sensitivity 85.7%, specificity 78.4%), Area Under Curve (AUC) 0.773, p=0.027). Conclusion: Procalcitonin showed potential as an adjunctive marker in deep neck abscess. Although low initial levels are frequent, they do not exclude severe complications, highlighting its role in early risk stratification and clinical decisions.
The Relationship Between Knowledge Level and Social Media Use with Participation in the COVID-19 Vaccination Program in Pangkalan Kerinci Urban Village Fitri Salwa Huriani; Lili Irawati; Hardisman; Rosfita Rasyid; Biomechy Oktomalio Putri
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 12 No 2 (2025): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol. 12.2 (2025)
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53366/jimki.v12i2.1001

Abstract

Introduction: COVID-19 vaccination represents a crucial public health strategy for controlling viral transmission by inducing protective immunity and reducing the severity of symptoms. Knowledge levels and social media exposure are among the factors that may influence individuals’ willingness to participate in vaccination programs. This study aimed to analyze the relationships between knowledge level, social media use, and community participation in the COVID-19 vaccination program in Pangkalan Kerinci Kota Urban Village. Methods: An analytic, cross-sectional design was employed involving 106 residents aged 17–65 years selected through proportionate stratified random sampling and consecutive recruitment. Data were analyzed using the Chi-square test. Results:Most respondents demonstrated good knowledge regarding COVID-19 vaccination and reported frequent use of social media platforms. Statistical analysis revealed no significant relationship between knowledge level and participation in the vaccination program (p = 0.610) or between social media use and vaccination participation (p = 0.302). Discussion:The absence of significant associations suggests that vaccination uptake in this population may be influenced more strongly by structural or contextual factors, such as access to health services, trust in local authorities, and availability of vaccination sites, rather than by cognitive understanding or social media exposure alone. High knowledge levels and active social media use do not necessarily translate into health-seeking behavior, indicating a possible gap between awareness and action. Future studies should explore additional determinants, including perception of risk, cultural influences, and policy-driven motivators. Conclusion: Knowledge level and social media use were not significantly associated with participation in the COVID-19 vaccination program in Pangkalan Kerinci Kota Urban Village.
Co-Authors Abdiana Abdiana Abdiana Abdiana Abdiana, Abdiana Addina Fitri Islami Ade Asyari Ade Wahyulian Wijaksono Adnan, Fitrianti Adnil Edwin Nurdin Adrial Adrial Agung Tri Sasongko Agustina, Sarah Aisah Aisah Aisyah Herviana Rifka Amel Yanis Amirah Zatil Izzah Andani Eka Putra Andi Ridho Azmi andifriada, Andi Friadi Angela, Sonnya Morisa Anggraini, Dessy Anggreiny, Nila Asrawati Nurdin Asterina, Asterina Astiena, Adila Kasni Aswiyanti Asri Basyir, Vaulinne Birman, Yuliza Cimi Ilmiawati, Cimi Daan Khambri Dachriyanus Defrin Defrin Defrin, Defrin Delmi Sulastri Deni Hendra Suryadi Deri Zarwita Desmawati Desmawati Desmawati Desmawati Deswinda Deswinda Dia Rofinda, Zelly Dia Ditha Noviantika Efrida . Eka Nofita Ellyza Nasrul Erda, Roza Fadila, Zurayya Fadrian, Fadrian Fannya, Puteri Fathiyyatul Khaira, Fathiyyatul Febrian Febrian Finny Fitri Yani Firdawati Firdawati Firdawati Firdawati Firdawati Firdawati Firdawati Firdawati, Firdawati Fitri Salwa Huriani Fivi Melva Diana, Fivi Melva Gita Sri Ramadhani Hadi Ihsan Hadi Nasbey Hamidatul Yuni Hamidi, Dachriyanus Hanif, Rayhendra Hanum, Fathiya Juwita Hardisman Hasmiwati Hendriani, Berliana Herman, Deddy Huriyah Fauzani Husna Yetti Husnil Kadri Ida Rahma Burhan Ida Rahmah Burhan Jihan Wafda Ramadhan Julizar Julizar Kamal Kasra Khairy, Faldi Arkan Lamuna Fathila Leza Fidyah Restiana Lili Irawati Lubis, Basyariah Machdawaty Masri Mafaza, Mafaza Mareza Dwithania Masrizal Masrizal Masrul Mayetti Mayetti Menkher Manjas Muhammad Hendri Muhammad Syauqi Nadiah Fadhilah Nelmi Silvia Netti Suharti, Netti Nofendra, Ade Nora Harminarti Novialdi . Nugroho, Faisal Nur Afany Nur Indrawaty Lipoeto Nurhalimah Juneldi Nurhayati Nurhayati Nuzulia Irawati Oktahermoniza Oktahermoniza Putri, Biomechy Oktomalio Putri, Viona Salsabila Randi Septiah Hendri Rashieka, Shaydi Amala Resi Marta Rezka Gustya Sari Ria Anggraini Rigo Junaidi Rika Sarfika Rima Semiarty Rinang Mariko Rini Gusya Liza, Rini Gusya Rismawati Yaswir Rita Hamdani Ritonga, Dewi Rizanda Machmud Rosdiyanto, Rosdiyanto Roslaili Rasyid Rozi Sastra Purna Rusnita, Dewi Russilawati, Russilawati Saptino Miro, Saptino Sari, Fitri Yunita Selfi Renita Rusjdi Suci Lestari Sutas, Bima Ferdana Syamel Muhammad Syofyan Syofyan Tofriza Tofriza Tri Novriansyah, Wahyu Ulfa Hulkarimah Ulya Uti Fasrini Utami, Refi Amalia Utami, Sherly Putri Vaulline Basyir Vini Jamarin Vithiya Chandra Sagaran Wahyu Tri Novriansyah Waldani, Dina Wetra Fauza Wirsma Arif Harahap Yantri Miaputra Yessy Setiawati Yessy Susanty Sabri Yulia, Dwi Yulistini, Yulistini Yuniar Lestari Yuniar Lestari Zelly Dia Rofinda Zulkarnain Agus Zulkarnain Edward