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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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Correlation between Proteinuria and Glomerular Filtration Rate in Type 2 Diabetes Mellitus Dani Rosdiana; Mukhyarjon Mukhyarjon; Hendra Asputra; Nisa Faradisa Hernita; Olivia Makmur; Prayogo Prayogo; Hetty Hirfawaty
Majalah Kedokteran Bandung Vol 52, No 2 (2020)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2469.618 KB) | DOI: 10.15395/mkb.v52n2.1811

Abstract

Indonesia faces a double burden of communicable and non-communicable diseases, including metabolic and degenerative problems. Delay in the detection of diabetic nephropathy (DN) as one of the chronic microvascular complications is often seen, leading to the need for hemodialysis due to the end-stage renal disease (ESRD). An assessment of diabetes mellitus (DM) control target achievement, based on the guideline from the Indonesian Society of Endocrinology (Perkumpulan Endokrinologi Indonesia, PERKENI), and nephropathy early detection was performed in 54 Type-2 DM patients from 5 private hospitals in Pekanbaru Riau, Indonesia, from November 2018 to September 2019. Results showed poor achievement of DM control with 61.1% had abnormal body mass index, 57.5% had HbA1c>7%, and 77.7% had LDL serum >100 mg/dL. Nevertheless, most patients achieved good blood pressure control (74%). A high percentage of nephropathy-proteinuria was seen (40.7%) with 40.9% of them revealed renal insufficiency classified as chronic kidney disease (CKD) stage 3 and 4. There was a significant correlation between proteinuria and declined GFR (p=0.016), onset of DM (p=0.02), and diastolic blood pressure (p=0.03). No correlation was found between HbA1c and declined GFR, which may be due to the cross-sectional nature of the study. It will be interesting to perform a prospective study on proteinuria modification as a predictor of nephropathy early detection in DM patients since kidney biopsy and urine albumin creatinine ratio assessment are not available in primary health care services in remote areas. Korelasi antara Proteinuria dan Laju Filtrasi Glomerulus pada Diabetes Melitus Tipe 2Indonesia menghadapi beban ganda penyakit menular dan tidak menular, termasuk masalah metabolisme dan degeneratif. Keterlambatan dalam deteksi nefropati diabetik sebagai salah satu komplikasi mikrovaskular kronis sering terlihat, mengarah pada kebutuhan untuk hemodialisis karena penyakit ginjal stadium akhir (ESRD). Dari 54 pasien diabetes melitus (DM) tipe-2 tanpa keluhan edema, sesak, dan lemas dari 5 rumah sakit swasta di Pekanbaru, Riau, Indonesia, dari November 2018 hingga September 2019, dilakukan penilaian kontrol DM sesuai panduan Perkumpulan Endokrinologi Indonesia (PERKENI). Didapatkan hasil bahwa pencapaian kontrol DM masih buruk dengan 61,1% memiliki indeks massa tubuh abnormal 57,5% memiliki HbA1c >7%, dan 77,7% memiliki serum LDL >100 mg/dL. Namun demikian, sebagian besar pasien mencapai kontrol tekanan darah yang baik (74%). Pasien terdeteksi proteinuria >25 mg/dL mencapai 40,7% dengan 40,9% diantaranya mengalami gangguan filtrasi ginjal yang didefinisikan sebagai GFR <60 diklasifikasikan penyakit ginjal kronis tahap 3 dan 4. Walaupun secara statistik tidak ditemukan hubungan bermakna antara kontrol glikemik dengan insufisiensi renal, namun ditemukan hubungan yang bermakna antara nefropati dengan penurunan laju filtrasi glomerulus (GFR) (p=0.016), awitan DM (p=0,02), dan tekanan darah diastolik (p=0,03). Tidak ada hubungan bermakna antara HbA1c dan penurunan GFR yang mungkin disebabkan observasi sesaat. Akan menarik untuk melakukan studi prospektif pada modifikasi proteinuria sebagai prediktor deteksi dini nefropati pada pasien DM karena biopsi ginjal dan penilaian rasio albumin kreatinin urin tidak tersedia di layanan perawatan kesehatan primer di daerah terpencil.
GAMBARAN ASUPAN GIZI PADA PENDERITA SINDROM METABOLIK DI RW 04 KELURAHAN SIDOMULYO BARAT KECAMATAN TAMPAN KOTA PEKANBARU yurika marthalia utami; Dani rosdiana; Yanti Ernalia
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

Terjadinya pergeseran pola makan di kota-kota besar dari pola makan tradisional ke pola makan Western menimbulkan ketidakseimbangan asupan gizi dan merupakan faktor risiko terhadap munculnya berbagai masalah kesehatan seperti obesitas, hipertensi, dislipidemia dan resistensi insulin yang dikenal dengan sindrom metabolik. Penelitian ini merupakan penelitian deskriptif cross sectional untuk mengetahui asupan energi dan zat gizi pada penderita sindrom metabolik di RW 04 Kelurahan Sidomulyo Barat Kecamatan Tampan Kota Pekanbaru dengan sampel sebanyak 33 orang dan menggunakan FFQ dalam pengambilan data. Hasil penelitian ini menunjukkan bahwa responden terbanyak adalah perempuan (93,94%) dengan pekerjaan terbanyak adalah ibu rumah tangga (87,88%) dengan tingkat pendidikan terbanyak adalah rendah (51,52%). Rentang umur responden adalah 32-72 tahun dengan umur terbanyak adalah 40-49 tahun (48,49%) dan suku terbanyak adalah minang (51,52%). Asupan energi responden terbanyak adalah tinggi (97% dari total responden) dengan asupan rata-rata 2867 kkal. Asupan zat gizi yang tinggi pada kebanyakan responden adalah karbohidrat (78,79% dari total responden), lemak total (81% dari total responden) dan SFA (97% dari total responden). Asupan zat gizi yang berjum lah cukup pada kebanyakan responden adalah MUFA (69,70% dari total responden) dan kolesterol (64% dari total responden), tetapi nilai rata-rata asupan kolesterol semua responden adalah tinggi (315 mg). Semua responden mengonsumsi PUFA dalam jumlah cukup. Sebagian besar responden mengonsumsi serat dalam jumlah kurang (94% dari total responden).Kata kunci: sindrom metabolik, asupan energi, asupan gizi
Angka Kejadian Diabetes Melitus Tidak Terdiagnosis pada Masyarakat Kota Pekanbaru Puji Artanti; Huriatul Masdar; Dani Rosdiana
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

ABSTRACTDiabetes mellitus is a chronic disease and the number is rising in theworldwide. One of risk factors of diabetes mellitus is obesity which can causeinsulin resistance. The purpose of this research was to inform the prevalence ofundiagnosed diabetes mellitus (UDDM) in Pekanbaru community. A crossectionalstudy design was performed November 2013-Desember 2014. Two hundred andthirty six subjects were involved in this research. Based on this research, 100subjects with central obesity detected as undiagnosed diabetes mellitus.Keywords: central obesity, undiagnosed diabetes melitus, Pekanbaru
PERILAKU PROFESIONAL TENAGA KESEHATAN DAERAH PESISIR PADA PELAYANAN KESEHATAN PRIMER PUSKESMAS BATU PANJANG KABUPATEN BENGKALIS TAHUN 2014 Indra Fakhreza; Dedi Afandi; Dani Rosdiana
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

Puskesmas as primary health care and development agent needs to be improved, especially in coastal settlement. This improvement depends on professional behavior of its health care workers. The aim of this research is to discover the professional behavior of health-care workers of Selat Baru community health care (Puskesmas), Bengkalis Regency, that was reflected by the six elements of professionalism. The design of this research uses exploration method with qualitative approaches on seven health-care workers of Puskesmas Batu Panjang, Bengkalis Regency, who were selected by using snowball sampling method. Data collection was done by interview and recorded with an audio recorder. The result of this research showed that all the informants possess altruism, accountability, excellence, duty, honor and integrity, and respect for other. In general, all of the Batu Panjang community health center (puskesmas) health-care workers possess the elements of professional behavior in carrying their duty, especially in providing service for the patients.Key word : professional behavior, health-care workers
HUBUNGAN INDEKS MASSA TUBUH DENGAN KADAR GULA DARAH PUASA PADA PEGAWAI SEKRETARIAT DAERAH PROVINSI RIAU Muhammad Arif; Yanti Ernalia; Dani Rosdiana
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

The Incidence of type 2 Diabetes Mellitus in Indonesia tends to increase inlast 10 years. This has become a more serious problem especially since diabetesis often undiagnosed due to severe complications occur on long period enough(undiagnosed DM). Because of that screening for blood glucose levels isnecessary to detect diabetes mellitus. On the other hand several studies foundthat Body Mass Index (BMI) also has correlation too with blood glucose levels.Civil servants is a group of people at high risk of developing obesity, whereobesity itself is one of risk factor for increased level of blood glucose. Themeasurements of fasting blood glucose with enzymatic method and body massindex in 43 civil servans of Sekretariat Daerah Provinsi Riau which whom neverdiagnosed as diabetes mellitus has been tested. And the correlation between theBMI and fasting blood glucose has been computed. Spearman test result the Pscores is 0.276 (P>0.05) and therefore concludes that there is no correlationbetween Body Mass Index and Fasting Blood Glucose in this researchKeywords : Diabetes Mellitus, Body Mass Index, Fasting Blood Glucose, Civilservants
GAMBARAN TEKANAN DARAH PRA DAN PASCA BERZIKIR PADA ANGGOTA MAJELIS ZIKIR AL-HIDAYAH PEKANBARU Faradini "; Dani Rosdiana; Eka Bebasari
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 3, No 2 (2016): Wisuda Oktober 2016
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

ABSTRACTDhikr (dzikrullah) means calling and saying the name of Allah with a tongue (oral) or the heart (qalbu). Dhikr can be meditation to induce relaxation response and can affects the autonomic nervous system responding to the blood pressure. The study was descriptive with cross-sectional design by measuring the blood pressure to know the profile of the blood pressure pre and post dhikr of Majelis Zikir Al-Hidayah Pekanbaru member. The data collection was primary data in 66 respondents who have a blood pressure >117/76 mmHg. The results showed that the mean blood pressure of all respondents pre and post dhikr were 138/83 mmHg and 134/81 mmHg (a difference of 4/2 mmHg). The mean decrease in systolic blood pressure and diastolic blood pressure is greatest among respondents in the age group 18-24 years (7/3 mmHg), male gender (7/2 mmHg), educated graduated from D1-D3 / PT (6 / 3 mmHg), worked as an employee (9/10 mmHg), had low body mass index (6/4 mmHg), strenuous physical activity (7/3 mmHg), smoked / ever smoked (6/3 mmHg), has a history of hypertension of family (10/2 mmHg), and has a moderate level of stress (5/4 mmHg). There is a decrease in blood pressure after dhikr done by member of Majelis Zikir Al-Hidayah Pekanbaru.Keywords: Dhikr, meditation, blood pressure
Gambaran Pengendalian Diabetes Melitus Berdasarkan Parameter Indeks Massa Tubuh dan Tekanan Darah di Poli Rawat Jalan Penyakit Dalam RSUD Arifin Achmad Pekanbaru Tami Endriani Pardede; Dani Rosdiana; Erwin Christianto
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 4, No 1 (2017): Wisuda Februari 2017
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

ABSTRACTDiabetes mellitus is a group of metabolic diseases, the characteristic is hyperglycemia that causes by abnormality of insulin secretion, insulin action, or both. The prevalence of diabetes mellitus in Indonesia was increase from previous years. Optimal controlling of DM can reduce the occurrence of metabolic disorder and chronic vascular disease. The aim of this study was to know the description of controlling diabetes mellitus based on parameters of body mass index (BMI) and blood pressure in the outpatients department of internal medicine at RSUD Arifin Achmad Pekanbaru. This research design was a cross sectional descriptive study with 51 respondents. In this study it was found that the level of controlling DM based on the parameter of BMI and blood pressure was 31,4% respondents and 39,2% respondents repeatedly can achieve the target. Meanwhile respondents who reached the target in both parameters showed 19,6% respondents, 11,8% respondents achieve the target on BMI but failed to achieve the target on blood pressure, 41,2% respondents achieve the target blood pressure but failed to achieve the target on BMI, 27,4% respondents failed to achieve the target on both parameters. It can be concluded that level of controlling DM based on parameters of BMI and blood pressure in the outpatients department of internal medicine at RSUD Arifin Achmad Pekanbaru was not reached the target.Key words : Diabetes mellitus,
Profil and Evaluation of Resistant Tuberculosis Drug’s Side Effect in Diabetes and Non Diabetes Mellitus Patient at RSUD Arifin Achmad Dani Rosdiana; Dewi Anggraini; Indra Yovi; Marlina Tasril
Jurnal Respirologi Indonesia Vol 40, No 3 (2020)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v40i3.119

Abstract

Backgrounds: Diabetes mellitus (DM) increases the risk of reactivation of tuberculosis included multi-resistant drug tuberculosis (MDR-TB). This situation is threatening Riau province due to the high prevalence of DM. Since 2014 Arifin Achmad Hospital as a referral hospital of MDR-TB management. It’s treatment especially in DM patients, requires an evaluation of both outcome and side effects. This evaluation needs to be compared with non-DM MDR TB patients. The aim of this study was to evaluate and analyse patient’s characteristic, conversion of smear or culture, drugs side effect and treatment outcome. Methods: This is a cross sectional retrospective study in RSUD Arifin Achmad Pekanbaru on April-October 2018. Sample of this study were all patients from 2014 – 2017. This study was divided into 2 groups, namely the DM and non-DM groups, then analysed the differences between the two groups Results: There were 113 MDR TB patients had its treatment, which 61% of the patients were male. Baseline data show 26.5% of MDR TB patients have comorbid DM. The most common side effects were nausea and vomiting (100%) in all subjects. In the MDR TB DM group, we found included: well controlled plasma glucose level was 33.3%, severe side effects was16.7%, conversion in the second month 40% and cured or complete treatment was 30%. Conclusions: As many as 26,5% of MDR TB patients had DM comorbidity. There were no differences in the percentage of drugs side effects, smear conversion in the second month and treatment outcome between MDR TB DM and MDR TB non-DM group. (J Respir Indo. 2020; 40(3): 156-62)
Depresi, ansietas dan stres serta hubungannya dengan obesitas pada remaja Huriatul Masdar; Pragita Ayu Saputri; Dani Rosdiana; Fifia Chandra; Darmawi Darmawi
Jurnal Gizi Klinik Indonesia Vol 12, No 4 (2016): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.23021

Abstract

Background: Obesity can occur in all ages, including adolescents. Multiple factors were known related to obesity including psychological factor. Eating excessively could be response toward loneliness, grief or depression. Anxiety can contribute to determining the food intake and nutrient substance, and stress can cause behavioral disorders such as abnormal (excessive) eating behavior that leads to obesity. Objective: The aimed of this research was to know depression, anxiety, and stress and their relationship with obesity in adolescents in Pekanbaru. Method: A cross-sectional research was performed, involving 132 subjects taken from 7 of 14 State Senior High Schools in Pekanbaru, 66 subjects were overweight/obese and 66 subjects were normal. Body mass index per age was used to determine their nutritional status according to Indonesian Ministry of Health Standard 2010 for nutritional status of 5-18 years old children. Depression, anxiety, and stress were measured by using DASS 42 Scale, and categorized only into normal or having depression/anxiety/stress. Data were statistically analyzed by using Chi-Square test with significance level 95%.Results: The results showed 17.4% subjects were categorized depression, 65.2% were anxiety and 34.8% were stress. Statistically analyzed using Fisher test showed that there was significant association between depression with obesity (p=0.003, OR=0,219) and stress with obesity (p=0.044, OR=0,028).Conclusion: Psychological aspects such as depression and stress were related to obesity in State Senior High Schools Students in Pekanbaru
Breakhthrough Infection Pasca Pemberian Booster mRNA Heterolog pada Tenaga Kesehatan di RSUD Arifin Achmad Dina Br Nababan; Eka Bebasari; Ligat Pribadi Sembiring; Dani Rosdiana; Rahmat Azhari Kemal
Majalah Kedokteran Andalas Vol 46, No 2 (2023): Online April 2023
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v46.i2.p343-347.2023

Abstract

Tujuan: Mengetahui prevalensi dan karakteristik responden breakthrough infection pada tenaga kesehatan di RSUD Arifin Achmad Provinsi Riau dalam 14 hari – 6 bulan pasca vaksinasi booster mRNA-1273. Metode: Metode penelitian cross sectional yang dilakukan pada Juli – September 2022 menggunakan sampel sebanyak 123 responden melalui wawancara. Hasil: 14 responden (11,4%) mengalami breakthrough infection. Mayoritas responden breakthrough infection berjenis kelamin perempuan (78,6%), rata-rata usia 44,1 tahun, pekerjaan dokter (42,9%), IMT obesitas (57,1%), mayoritas tidak ada komorbid (85,7%) dan bukan penyintas (85,7%). Simpulan: Terdapat kejadian breakthrough infection pada tenaga kesehatan di RSUD Arifin Ahmad pada 14 hari – 6 bulan pasca pemberian booster mRNA Heterolog (mRNA-1273).Kata kunci: breakthrough infection; vaksin booster; mRNA-1273; vaksin heterolog; COVID-19
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