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All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Kedokteran Brawijaya Majalah Kedokteran Bandung Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Jurnal Kesehatan Melayu Jurnal Gizi Klinik Indonesia Jurnal Respirologi Indonesia Majalah Kedokteran Andalas Narra J Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara
Dani Rosdiana
Department Of Internal Medicine, Faculty Of Medicine University Of Riau/Arifin Achmad General Hospital, Pekanbaru, Riau
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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GAMBARAN ASUPAN GIZI PADA PENDERITA SINDROM METABOLIK DI RW 04 KELURAHAN SIDOMULYO BARAT KECAMATAN TAMPAN KOTA PEKANBARU Utami, Yurika Utami1 Marthalia; Rosdiana, Dani; Ernalia, Yanti
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Diet in major cities was changed from a traditional diet to a Western diet. This was caused by imbalanced food intake and this was a risk factor of many health problems such as obesity, hypertension, dyslipidemia and insulin resistace were known as metabolic syndrome. This study was a descriptive cross-sectional study to determine energy and nutrient intake in patients with metabolic syndrome in RW 04 Kelurahan Sidomulyo Barat Kecamatan Tampan Kota Pekanbaru with 33 peoples as samples and used FFQ (Food Frequency Questionnaire) for data retrieval. The result showed that most of respondents were women (93,94%) and most of them were housewifes (87,88%) and were low education (51,52%). Range the age of them was 32-72 years old and most of them in 40-49 years old (48,49%) and most of them were Minang (51,52%). Most of respondents were high in energy intake ( 97% of total respondents with average intake: 2867 kcal), carbohydrate ( 78,79% of total respondents ), total fat ( 81% of total respondents) and SFA(Saturated Fatty Acid) ( 97% of total respondents ). Most of them were sufficient in consumed MUFA (Monounsaturated Fatty Acid) ( 69,70 % of total respondents ) and in cholesterol intake were sufficient too ( 64 % of total respondents), but the average value of cholesterol intake in respondents was high ( 315 mg ). All respondents consumed sufficient amounts of PUFA (Polyunsaturated Fatty Acid). Most of respondents ( 94 % of total respondents ) were less consumed fiber.Keywords: Metabolic syndrome, energy intake, nutrient intake
ANGKA KEJADIAN OBESITAS SENTRAL PADA MASYARAKAT KOTA PEKANBARU Sundari, Elsa; Masdar, Huriatul; Rosdiana, Dani
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Obesity has become a big problem in the world mostly known asglobesity. Central obesity can cause degenerative diseases such ascardiovascular diseases, diabetes mellitus and cancer. This research informed theincidence of central obesity in Pekanbaru community. Descriptive cross sectionalstudy method was used in this research and two hundred sixty people were involved.Determination of central obesity in this research used waist circumferencemethode. In which waist circumference ≥ 90 cm in men and ≥ 80 in woman werecategorized as central obesity . The result shows 165 people with central obesity(63,4%). The insidence of central obesity in Pekanbaru community was higher inwoman (55%), age > 60 years old (79,1%), high education (65,9%) and housewife(77,3%).Key word : Obesity, Central obesity, Pekanbaru city.
GAMBARAN STATUS GIZI PASIEN DIABETES MELITUS TIPE 2 DI BANGSAL PENYAKIT DALAM RSUD ARIFIN ACHMAD PROVINSI RIAU ", Suryani; Rosdiana, Dani; Christianto, Erwin
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 3, No 1 (2016): Wisuda Februari 2016
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTType 2 diabetes mellitus is caused by many factors which is characterized by chronic hyperglicemic resulting from defects in insulin secretion, insulin action, or both. The prevalence of diabetes mellitus in Indonesia was increase from previous years. It was caused by demographic factor and westernized lifestyle. The aim of this study is to find the description of nutritional status of type 2 diabetes mellitus patients in internal medicine ward in RSUD Arifin Achmad Provinsi Riau. This is a descriptive study with cross sectional approach with 30 respondents. Nutritional status was assessed by measurement of body mass index, mid-upper arm circumference, and waist circumference. This study showed that 90% of respondents were 40-65 years old with 36,7% male and 63,3% female. Nutritional status based on body mass index, many respondents were obesity grade I (33,3 %), 30 % of respondents were normal, 20% were overweight, 13,3% were underweight and 13,3% were obesity grade II. Based on mid-upper arm circumference, 40% of respondents were CED and 60% without CED. Based on waist circumference, 63,3% of respondents were central obesity and 36,7% were normal.Key words : Type 2 diabetes mellitus, nutritional status, body mass index, mid-upper arm circumference, waist circumference
Peningkatan Rasionalitas Penggunaan Antibiotik Pasca Implementasi Kebijakan Penggunaan Antimikroba di RSUD Arifin Achmad Pekanbaru Rosdiana, Dani; Anggraini, Dewi; Balmas, Mukhyarjon; Effendi, Dasril; Bet, Anwar
Jurnal Kedokteran Brawijaya Vol 30, No. 1 (2018)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2018.030.01.7

Abstract

Ancaman global permasalahan resistensi antibiotik membutuhkan strategi pencegahan yang mencakup penggunaan antibiotik secara bijak melalui pengawasan penggunaan antimikroba. Penggunaan antibiotik harus memenuhi beberapa kriteria seperti indikasi, dosis, lama pemakaian, jarak pemberian yang tepat, serta aman dan terjangkau bagi masyarakat, dan juga memenuhi pola mikroba dan kultur. Pada penelitian ini dilakukan analisis rasionalitas penggunaan antibiotik di Bangsal Kenanga RSUD Arifin Achmad Pekanbaru setelah implementasi kebijakan penggunaan antimikroba pada periode Maret hingga Agustus 2016. Terdapat 252 penggunaan antibiotik yang terbagi menjadi dua kelompok, yaitu pre-implementasi sebanyak 92 dan pasca-implementasi sebanyak 160 penggunaan antibiotik. Rasionalitas penggunaan antibiotik dinilai dengan metode Gyssens yang dilakukan oleh tim pengkaji. Penggunaan antibiotik rasional meningkat sebanyak 15,1%, penggunaan antibiotik tanpa indikasi menurun sebanyak 10,9% dan terdapat peningkatan pemeriksaan kultur sebanyak 57,7%. Berdasarkan uji statistik, terdapat peningkatan bermakna rasionalitas penggunaan antibiotik setelah implementasi pedoman penggunaan antibiotik (33,7% vs 48,8%, p=0,020), dan penurunan penggunaan antibiotik tanpa indikasi (27,2% vs 16,3%, p=0,038). Penerapan kebijakan penggunaan antimikroba efektif meningkatkan rasionalitas penggunaan antibiotik. Program ini dapat diperluas di bangsal lain sehingga rasionalitas penggunaan antibiotik merata di seluruh rumah sakit.
Akurasi Indeks Antropometri Obesitas dalam Mempediksi Kontrol Glicemic Pasien Diabetes Mellitus Tipe 2 di Puskesmas Kota Pekanbaru Arfianti, Arfianti; Deyana, Frilly; Rosdiana, Dani; Ardini, Nadiah Yamanza; Armi, Wahyuli; Kesumah, Dewi Iramayana Sandra
Majalah Kedokteran Bandung Vol 50, No 3 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v50n3.1361

Abstract

Diabetes melitus (DM) tipe 2 adalah penyakit metabolik yang ditandai dengan peningkatan kadar gula darah. Kontrol gula darah merupakan salah satu tujuan utama tata laksana pasien DM. Obesitas merupakan faktor risiko utama dari DM tipe 2. Tujuan penelitian ini adalah mengetahui hubungan indeks antropometri dengan kontrol gula darah pada pasien DM tipe 2 yang dirawat jalan di puskesmas Kota Pekanbaru. Desain penelitian yang digunakan adalah observasional analitik dengan pendekatan cross-sectional. Sampel pada penelitian ini meliputi 103 pasien DM tipe 2 yang diperoleh dari Puskesmas Sidomulyo dan Simpang Tiga Kota Pekanbaru pada bulan Mei–Juni 2018.Subjek penelitian paling banyak perempuan (58,3%) dan berusia ≥45 tahun (96,1%). Tingkat pendidikanterbanyak adalah SMA (42,7%) dan 54,4% tidak bekerja. Riwayat diabetes ditemukan pada 68,9% subjek dan 85,4% subjek tidak memiliki riwayat merokok. Sebanyak 98,1% pasien diabetes mendapat obat hipoglikemik oral dan 84,5% pasien diabetes memiliki kadar gula darah tidak terkontrol. Penelitian ini menunjukkan bahwa obesitas berdasar atas IMT dan WC tidak berhubungan dengan kontrol gula darah. Sebaliknya, obesitas berdasarkan WHR (p=0,014) dan WHtR (p=0,015) memiliki hubungan dengan kontrol gula darah pada pasien DM. Namun WHR dan WHtR secara tunggal memiliki akurasi yang sangat lemah dalam memprediksi kontrol gula darah pada penderita DM tipe 2.Accuracy of anthropometric Indexes of Obesity to Predict Glycemic Control among Type 2 Diabetic Patients in Primary Health Care in PekanbaruType 2 diabetes mellitus (DM) is a metabolic disease characterized by elevated blood sugar levels. Glycemic control is the main goal of DM patient management. Obesity is a major risk factor for DM. This study aimed to investigate the association between anthropometric indexes and glycemic control in DM patients visiting primary health care facilities in Pekanbaru. This was a cross-sectional analytical observational study on 103 type 2 DM patients from Sidomulyo and Simpang Tiga public health centers in Pekanbaru during the period of May-June 2018. More female subjects participated in this study (58.3%) with overall average age of ≥45 years (96.1%). The highest level of education of the subjects was senior high school (42.7%) and most subjects were unemployed (54.4%). The family history of DM was found in 68.9% subjects and majority had no smoking history (86.4%). As many as 98.1% DM patients were taking oral hypoglicemic drugs. Most of the DM patients had uncontrolled glycemic status (84.5%). This study showed that BMI-based and WC-based obesity was not associated with glycemic control in DM patients. On the other hand, the association between obesity based on WHR (P = 0.02; OR = 5.26) and WHtR (P = 0.008; OR = 6.82) and glycemic control in DM patients was statistically significant. However, WHR dan WHtR alone has no discrimination power to predict glycemic control among type 2 diabetic patients.
Tuberkulosis Paru Resisten Obat dengan Komorbiditas Diabetes Mellitus Dani Rosdiana
Jurnal Kesehatan Melayu Vol 1, No 1 (2017): September 2017
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1174.45 KB) | DOI: 10.26891/jkm.v1i1.2017.45-50

Abstract

Kami laporkan kasus seorang laki-laki, 46 tahun dengan tuberkulosis Resisten Obat (TB RO) dengan Diabetes Melitus (DM) sebagai komorbid. Faktor risiko TB RO adalah kekambuhan dan kronisitas infeksi TB. Pasien pernah mendapatkan pengobatan anti tuberkulosis lini pertama kategori I dan kategori 2 tahun 2010 dan 2012 kemudian gejala klinis muncul kembali pada tahun 2014. Diagnosis TB RO ditegakkan dari pemeriksaan tes cepat molekuler dan kultur sensitivitas. Pasien mendapatkan pengobatan TB RO standar terdiri atas kanamisin/capreomisin, levofloksasin dosis tinggi, sikloserin, Etionamid, ethambutol dan pirazinamid yang diselesaikan dalam waktu 2 tahun dengan hasil/Respon klinik dan laboratorium yang baik. Selain monitoring efek samping obat, pengendalian gula darah pada pasien ini menambah kompleksitas managemennya. Kasus ini menggambarkan bahwa DM dan riwayat kekambuhan meningkatkan risiko TB RO. Penanganan TB RO sesuai standar memiliki angka kesembuhan yang menjanjikan.
Cotrimoxasole-Resistant Stenotropomonas maltophilia Infection : Case Report Dani Rosdiana; Dewi Anggraini
Jurnal Ilmu Kedokteran Vol 12, No 1 (2018): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (53.709 KB) | DOI: 10.26891/JIK.v12i1.2018.57-61

Abstract

Stenotrophomonas maltophilia is an important multidrug-resistant nosocomial pathogen associated with high mortality. This infection did not elucide clearly in Riau. We reported two Cotrimoxaxole Resistant Stenotrophomonas maltophilia in patient of Arifin Achmad Hospital which refered from peripheral hospital in another region. They had similar clinical appereance such as long stay hospitalization, bad clinical appearance and had a history of meropenem exposure before. We performed urin culture to make appropriate diagnostic and treatment also. Stenotrophomonas maltophilia bacteria was found in urine isolate. The sensitivity test showed that this bacteria had Cotrimoxasole resistant that standard antibiotic of this bacteria. The management of these cases become complicated due to decrease of renal function in one patient. We had to make dose adjustment of parenteral levofloxacin, giving good nutrition,  counted fluid balance and repaired others clinical conditions.Beside of its high mortality and morbidity, the outcomes of both these patients were good.
Gambaran Pemakaian Antibiotika Setelah Implementasi Pedoman Pemakaian Antibiotika di Bangsal Kenanga RSUD Arifin Achmad Provinsi Riau Periode Juni-Agustus 2016 Dani Rosdiana; Mukhyarjon Mukhyarjon; Dewi Anggraini
Jurnal Ilmu Kedokteran Vol 11, No 1 (2017): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (54.733 KB) | DOI: 10.26891/JIK.v11i1.2017.7-11

Abstract

Implementation of antibiotic guideline as part of “Antibiotic Stewardship Programs (ASPs)”, can both optimize thetreatment of infections and reduce adverse events associated with antibiotic use, antibiotic resistance and savinghospitals funds. This study describes quantitative and qualitative evaluation and cost of antibiotic use afterimplementation of antibiotic guideline in Kenanga ward Arifin Achmad General Hospital.This research was a descriptiveprospective study. All inpatients given antibiotic in Kenanga ward from June – August 2016 were evaluated. Thequantitative antibiotic use was calculated with DDD (daily define dose) meanwhile Gyssens method was used tocalculate qualitative of antibiotic use. There were 137 patients fulfilled inclusion criteria. The most antibiotic usedwere ceftriaxone, ciprofloxacin, levofloxacin, meropenem and cefoperazone. There was increased consumption ofquinolone class antibiotics. The highest DDD’s antibiotic was ceftriaxone (96.5). Qualitative measurement showedthat rational antibiotic (Gyssens category 0) was 46%, irrational (Gyssens category I - IV) was 35 % and no indicationof antibiotic use (Gyssens category V) was 19%. The total cost of antibiotics in this period were Rp 41,444,766.Afterantibiotic guideline implementation, we found that the most frequent antibiotic was ceftriaxone and irrational use ofantibiotic was still high.
Gambaran Hasil Pemeriksaan Monofilamen pada Pasien Diabetes Melitus (DM) yang Berkunjung ke Poliklinik Penyakit Dalam RSUD Arifin Achmad Provinsi Riau Viona Ayu Safitri; Dani Rosdiana; Riezky Valentina Astari
Jurnal Ilmu Kedokteran Vol 11, No 2 (2017): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (95.251 KB) | DOI: 10.26891/JIK.v11i2.2017.34-39

Abstract

Diabetes mellitus in increasing at an alarming rate and has become a global challenge. Diabetes mellitus type 2 is agroup of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin actionor both. One of the most complications of diabetes is diabetic neuropathy. Diabetic neuropathy refers to damage ofmotor nerves, sensory, and autonomic system. The aim of this study is to identify patients at risk for diabetic neuropathywith monofilament examination in internist polyclinic Arifin Achmad General Hospital from May to July 2017.Monofilament is an inexpensive, practical tool in everyday use and can be used in early detection of sensation loss inthe foot to prevent diabetic ulcer. This study is descriptive research with direct examination of patient diabetes type 2.There were 73 samples that fulfilled the inclusion criteria. Profile patients with diabetes in the polyclinic are female morethan male is 60,3%. The age group 56-65 years is the most age group of DM patients in the polyclinic is 52.1%.Duration of diabetes is 5-10 years (52.1%). The results of monofilament examination in patients with type 2 DM arescore 0-3 as many as 19 people (26%), score of 3.5-5 as many as 27 people (37%), and score> 5,5 as many as 27 people(37%).
Penggunaan Insulin Basal dalam Praktek Sehari-hari: Panduan Praktis untuk Dokter Umum Dani Rosdiana
Jurnal Ilmu Kedokteran Vol 8, No 2 (2014): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (37.195 KB) | DOI: 10.26891/JIK.v8i2.2014.53-57

Abstract

Prevalence of diabetes mellitus in Riau have reached 10,4 %, it’s higher than national pravelence. Hence, it’s needmore attention from physician. The important thing in managing DM is how to restrain controlled blood sugar level.The best parameter to evaluate controlled blood sugar level is level of HbA1c. Fasting blood glucose is one ofimportant component which determine HbA1c especially HbA1c more than 8,5%. There are some pharmacologyagent to decrease HbA1c level, and insulin is the most effective agent. Why physician needs insulin?It was caused by impairment of betha cell pancreas was directly propotional with DM progressiveness. Comprehensionand capability for using basal insulin are important to physician, not only for internist but also for general practinioner.As we know that general practinioner have a competency to manage DM without complication. Guidance for usingsimple and practical basal insulin is expected will facilitate physician to manage blood sugar level of DM patient.
Co-Authors Abd. Rasyid Syamsuri Afladhanti, Putri M. Agung Ramadhan Agustiawan Aisyah Elliyanti Anwar Bet Ardini, Nadiah Yamanza Arfianti Arfianti Armi, Wahyuli Bet, Anwar Carlo Manuel Perangin-angin Cimi Ilmiawati, Cimi Daenansya, Raehan Darmawi Darmawi Dedi Afandi Dewi Anggraini Deyana, Frilly Dina Br Nababan Ediwi, Nabila C. Effendi, Dasril Eka Bebasari Elisabet, Adinda Elsa Sundari Erwin Christianto Esha, Indi Faradini " Fifia Chandra Harahap, Sari Hendra Asputra Hetty Hirfawaty Huriatul Masdar Huriatul Masdar Indra Fakhreza INDRA YOVI Kasih, Rani Rindang Kesumah, Dewi Iramayana Sandra Ligat Pribadi Sembiring Ligat Pribadi Sembiring M Firdaus J Karimi Mardhatilah, Ashifa Marlina Tasril Muhammad Arif Mukhyarjon Nisa Faradisa Hernita Nurrahma, Zuyyina ER. Olivia Makmur Pragita Ayu Saputri Prayogo Prayogo Puji Artanti Putri, Nabila Putri, Rahmi T. Rahmat Azhari Kemal Raja Merlinda Veronica Riezky Valentina Astari Safari, Dodi Safitri, Nuridha Audinia Saputri, Pragita Ayu Sarassari, Rosantia Simanjuntak, Arya M. Siregar, Fajri M. Suryani ", Suryani Suyanto Suyanto Tami Endriani Pardede Triani, Zhana Daisya Utami, Yurika Utami1 Marthalia Veronica, R. Merlinda Viona Ayu Safitri Yanti Ernalia yurika marthalia utami