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All Journal Majalah Kedokteran Andalas Eduvest - Journal of Universal Studies
Eka Agustia Rini
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Aerospace Engineering Computer Science & IT Health Professions Medicine & Pharmacology Neuroscience Public Health Social Sciences

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Pengamatan Jangka Panjang dan Intervensi Anak dengan Rakhitis dan Hipovitaminosis D Kurniawan, Toni; Rini, Eka Agustia; Asrawati, Asrawati
Majalah Kedokteran Andalas Vol. 47 No. 1 (2024): MKA Januari 2024
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v47.i1.p111-120.2024

Abstract

Rickets is associated with impaired calcium and phosphate homeostasis, which can lead to short stature and joint deformities. Nutritional rickets results from deficiencies of vitamin D, calcium and phosphate. Vitamin D regulates calcium and phosphorus in the blood, if there is a deficiency of vitamin D it results in inadequate mineralization of osteoid produced by osteoblasts. It is important to ensure adequate vitamin D supplementation in nutritional rickets and rule out vitamin D deficiency in other forms of rickets, which may hinder healing of rickets. Medical rehabilitation can improve functional independence by reducing pain and improving joint mobility, muscle strength, endurance, and gait in rickets patients.
Impact Of The Covid-19 Pandemic On Glycemic Control In Childhood Type 1 DM Patients Kurniawan, Toni; Rini, Eka Agustia; Asrawati, Asrawati
Eduvest - Journal of Universal Studies Vol. 4 No. 3 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i3.1117

Abstract

There has been an increase in cases of diabetic ketoacidosis in children aged 1-14 years from 73% in 2019 to 83% in 2020 during the COVID-19 pandemic. An increase in acute complications of type-1 DM can occur due to lack of compliance with glycemic control and activity restrictions which have the impact of reducing the level of glycemic control in children with type-1 DM. Based on these findings, researchers wanted to know the impact of restrictions on community activities during pandemic on the glycemic control of children with type 1 DM. The aims of this study is to determine the impact of the COVID-19 pandemic on glycemic control through HbA1c parameters in children with type 1 DM. Methods of this research is a cross sectional study with a sample size of 26 patients. Results are The average age of respondents was 15.58 years. More than half of respondents were female (73.1%). The average duration of suffering from type 1 DM was 4.77 years. More than half of the respondents had a history of diabetic ketoacidosis, 53.8%, and all respondents were Health Insurance (BPJS) participants (100%). There was a decrease in HbA1c levels during the pandemic compared to before the pandemic, namely 12.17 ± 2.60 to 10.32 ± 2.21. Statistically, this decrease means that there is an impact of the COVID-19 pandemic on glycemic control through the HbA1c parameter in children with type 1 DM (p<0.05). There was a decrease in HbA1c levels during the pandemic compared to before the pandemic.
Co-Authors Asrawati Asrawati, Asrawati Toni Kurniawan, Toni