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Higher G allele frequency of RET C2307t>G polymorphism in female patients with Hirschsprung disease in Yogyakarta, Indonesia Ahmad Hamim Sadewa; Saryono Saryono; Rochadi Rochadi; Wiryatun Lestariana; Wayan T Artama
Paediatrica Indonesiana Vol 48 No 2 (2008): March 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (578.444 KB) | DOI: 10.14238/pi48.2.2008.88-92

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Background Hirschsprung disease (HSCR) is a heterogenouscongenital disorder and the current research show that the RETgene is a major locus involved in its pathogenesis. However,whether these genes take a part in sporadically Indonesian HSCRhave not been fully understood.Objective The aim of this study was to analyze the association ofRET gene c2307T>G polymorphism among HSCR patient inYogyakarta population.Methods Genomic DNA was extracted from bowel tissues of 34patients with sporadic HSCR which were removed by surgery ascase group and blood DNA from 46 healthy persons as controlgroup without history of genetic disorder. Exon 13 of RET genewas amplified by polymerase chain reaction (PCR) and wasanalyzed by restriction fragment length polymorphism (RFLP).Results Of 34 patients, 22 were males and 12 were females, givingmale to female ratio of 1.83:1. The c2307T>G polymorphism inRET exon 13 was not significantly difference between patientand control group (chi-square test P=0.17). However, there wasa significant difference in female patient compare with control(chi-square test P=0,04).Conclusion The RET gene c2307T>G polymorphism was foundamong HSCR patient in Yogyakarta population. This poly-morphism can be used as predictor for development of HSCRamong female individual.
NITRIT OKSIDA DAN VOLUME EDEMA OTAK PADA STROK PERDARAHAN DALAM OTAK DENGAN POLIMORFISME G894T (Nitric Oxide and Cerebral Edema Volume in Intracerebral Hemorrhagic Stroke with G894T Polymorphism) Iskandar Zakaria; Arif Faisal; Sri Sutarni; Ahmad Hamim Sadewa; Imran Imran
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 22, No 1 (2015)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v22i1.1229

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Nitric Oxide (NO) is a vasodilator that regulates vascular smooth muscle tone. Low levels of NO can cause vasoconstriction andhemodynamic disturbances. In stroke the levels of NO are increased. Endothelial nitric oxide synthase gene polymorphism (eNOS) isbelieved to reduce levels of NO in blood. NO levels decreased in stroke patients with G894T polymorphisms of eNOS gene. Mortality rateof hemorrhagic stroke are increased in case with increased peri focal edema volume. The mechanism of the increased of peri focal edemavolume completely unknown yet, suspected genetics factor. This study was conducted to know the correlation between the NO and perifocal edema volume in stroke with eNOS gene G894T polymorphism by determination. The study was conducted by comparing the levelsof NO and edema volume of intra cerebral hemorrhagic stroke of 46 subjects from Neurology department of dr. Zainoel Abidin generalhospital in Banda Aceh from September 2014 through January 2015 with comparison to ischemic stroke patients the same amount.NO levels checked with Cayman Systems kit following the protocol Griess. G894T polymorphism was determined by PCR-RFLP method.The volume of edema was measured with semi-automatic CT volumetry. Chi Square test was used for comparison of two variables andSpearman correlation test to assess the relationship between the NO and perifocal edema volume. The result is significant, if p valuewas <0.05. The results of these study were levels of NO decreases if there were polymorphism (p=0.001). Peri focal edema volume wasincreased if there were G894T polymorphism (p=0.038). The correlation between low levels of NO and increase of edema volume wasobtained p=0.040 and R=0.304. The researchers concluded that in intra cerebral hemorrhagic stroke the level of NO were decreasedand peri focal edema volume increased if there was G894T polymorphism of eNOS gene. There was a less correlation between low levelsof NO and peri focal edema volume.
THE CORRELATION NITRATE LEVELS AND NITRIC OXIDE (NO) IN BLOOD AS A RISKY FACTOR OF TYPE 2 DIABETES MELLITUS WITH HYPERTENSION AT RSUP DR. SARDJITO OF YOGYAKARTA Fransisca Shinta Maharini; Ahmad Hamim Sadewa; Pramudji Hastuti
Jurnal Kesehatan Prima Vol 12, No 1 (2018): Jurnal Kesehatan Prima
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (0.272 KB) | DOI: 10.32807/jkp.v12i1.97

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Abstract: Diabetes Mellitus (DM) is a metabolic disease characterized by hyperglycemia caused by insulin secretion disorder, insulin function or both of them. Hypertension is a disease identified by the increasing of diastolic blood pressure ≥90 mmHg or systolic blood pressure ≥140 mmHg. Diabetes mellitus and hypertension are two closely related condition and both are health problems which require accurate treatment, since it may accelerate complication of DM and hypertension. The occurrence of  DM and hypertension is higher than solely DM. DM causes hyperglycemia that triggers oxidative stress, increasing NO degradation leads to hypertension.This research utilized a case-control study involving with type 2 DM with hypertension patients as the case (n = 40) and type 2 DM without hypertension as the control groups (n = 40). The level of NO was analyzed using spectrophotometry. Correlation regression was used to analyzed the correlation between NO and blood pressure. A p value ˂ 0,05 was considered as significantly differance. The results showed mean level of NO was lower on subjects type 2 DM with hypertension compared to that of on subjects with type 2 DM without hypertension (p=0,023). There was a negative and week correlation between the level of NO and blood pressure (Systolic r = -0.233, p=0.037 and Diastolic r = -0.149, p=0.188).Keywords: Type 2 DM; Hypertension; Nitric Oxide.
Polimorfisme Gen Ferroportin (FPN1) Q248H dan Karakteristik Sosial Ekonomi Ibu Hamil dengan Anemia di Surakarta Nor Istiqomah; Vitria Sari Dewi; Arta Farmawati; Ahmad Hamim Sadewa; Yuliana Heri Soesilo; Kusumadewi Eka Damayanti; Dono Indarto
Pena Medika Jurnal Kesehatan Vol 4, No 1 (2013): PENA MEDIKA JURNAL KESEHATAN
Publisher : Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/pmjk.v4i1.284

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Background: Iron deficiency anemia in pregnancy remains an important health problem in Indonesia. Ferroportin (FPN1) is one of important gene in iron metabolism encodes ferroportin for iron absorption, release, and recycle inside the body. The polymorphism of FPN1 Q248H alters negative charge of the amino acid sequence positively, hence influenced its ubiquitination and degradation. Beside of that, the high prevalence of anemia not only caused by genetics, nutrition, physiology of each pregant women, but also demographic factor and sosio-economic burden of family. This research will study the polymorphism of ferroportin Q248H and demographic character in pregnant women in Surakarta.Methods: The study using descriptive analytic case-control approach. The data used were from questionaire and blood sampling whose counted for screening anemia in private laboratorium. Pregnant women who had intention and had 10-25 week in pregnant were selected to be research subject.  FPN1 Q248H polymorphism were determined using PCR-RFLP method. Analysis Chi-square dan Independent t-test used to conclude the relationship between each variable to anemic state of pregnant women in Surakarta. A p<0.05 was considered as significant. The study using decriptive analytic design method. Results: Prevalence of anemia in Surakarta is 25.7% with 80.7% have mild anemia. There was no varian in FPN1 Q248H. Majority of pregnant women in group of anaemia have demographic character like 20-25 old, multigravid, last education in High School, housewife, their income range from Rp 500.000,00 to Rp 1.000.000,00, and consume Fe tablet. The bivariat analysis show no statistical significancy of parity, maternal age, education, income, and comsumption of iron tablet to state of anaemia (p>0.05).Conclusions: The FPN1 Q248H polymorphism was not a risk factor for iron deficiency anemia in pregnant women, likewise socio-economic factors had no significant role to incidence of anemia in Surakarta. Keywords: Anemia in pregnancy, Ferroportin (FPN1) Q248H polymorphism, Socio-Economic
FAKTOR PASIEN YANG MEMPENGARUHI RESPONGLIKEMIK PENGGUNAAN MONOTERAPI METFORMIN PADA DIABETES MELITUS TIPE 2 Vitarani Dwi Ananda Ningrum; Zullies Ikawati; Ahmad Hamim Sadewa; M. Robikhul Ikhsan; Yunilistiaingsih Yunilistiaingsih
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 6, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.355

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Metformin sebagai obat antidiabetik oral terpilih pada terapi diabetes melitus tipe 2 (DMT2) menunjukkan ketidaktercapaian target glikemik pada 35 – 40% pasien. Penelitian ini bertujuan menganalisis faktor pasien yang berpengaruh terhadap respon glikemik penggunaan metformin tunggal pada pasien DMT2. Penelitian kohort prospektif dilakukan pada 5 Puskesmas periode Januari-Oktober 2015 dengan melibatkan pasien DMT2 dewasa tanpa riwayat disfungsi tiroid dan gagal hati kronik. Parameter respon glikemik menggunakan glukosa darah puasa (GDP) dan glycated albumin (GA). Sebanyak 35 pasien dengan rata-rata usia, indeks masa tubuh (IMT), serta eLFG masing-masing yaitu 50,48±6,67 tahun, 25,99±4,79 kg/m2, dan 96,49±18,17 mL/mnt terlibat dalam penelitian. Penelitian menunjukkan selain indeks glikemik awal, faktor demografi pasien tidak berkorelasi baik dengan nilai GDP, GA maupun perubahan nilai keduanya setelah penggunaan rutin monoterapi metformin. Sementara itu, lama terapi metformin sebelumnya mempengaruhi nilai GDP akhir dan perubahan nilai GDP (P<0,05), namun tidak dengan nilai GA setelah penggunaan monoterapi metformin. Penelitian ini merekomendasikan durasi penggunaan rutin metformin sebelumnya perlu dipertimbangkan untuk penentuan waktu pemantauan ketercapaian target glikemik penggunaan metformin dalam implikasinya terhadap penyesuaian besaran dosis pada pasien DMT2. 
Polimorfisme gen ferroportin (FPN1) -1355 G/C sebagai faktor risiko anemia defisiensi besi pada ibu hamil Nor Istiqomah; Sarah Safira Umarghanies; Arta Farmawati; Ahmad Hamim Sadewa; Yuliana Heri Soesilo; Kusumadewi Eka Damayanti; Dono Indarto
Jurnal Gizi Klinik Indonesia Vol 9, No 4 (2013): 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.18364

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Background: According to WHO data, prevalence of anemia pregnancy in Indonesia is 44.3%, it’s higher than world prevalence (41.8%). Ferroportin (FPN1) is one of important iron exsporter for iron absorption, release, and recycle inside the body. The varian of FPN1-1355 G/C in promoter region, leads to increased of ferroportin expression and iron export, increased cellular iron needs, overexpression of soluble transferrin receptor (sTfR), decrease hemoglobin (Hb) and erythrocyte indices that manifest to iron deficiency anemia (IDA).Objective: This research will study the frequency of FPN1-1355 G/C polymorphism as a risk factor of IDA in pregnant women in Indonesia.Method: The research design was a case and control study. Blood samples were taken from 26 pregnant women with anemia and 48 pregnant women without anemia. FPN1-1355G/C polymorphism were determined using PCR-RFLP method. sTfR and ferritin level were measured with ELISA. Hemoglobin, erythrocyte indices, and sTfR level were compared among genotype group, then statistically analyzed using independent sample t-test and one way ANOVA. Bivariat analysis of Pearson test was conducted to analyze correlation between level of blood Hb and ferritin in pregnant women (p<0.05).Results: FPN1-1355 G/C polymorphism with frequency in pregnant women with IDA and in pregnant women with anemia non IDA were 100% and 95.2%, respectively (p=0.710; OR=1.600; 95%CI: 0.296-8.653). The mean of Hb level and erythrocyte indices in subjects carrying C allele were lower than subjects carrying only G allele although Hb level is not significantly different (p>0.05). The sTfR and hepcidin level in subjects carrying C allele were higher than subjects carrying only G allele (p<0.05). Conclusion: In this study the FPN1 gene promoter -1355 G/C polymorphism was not a risk factor for anemia, but it was a risk factor for iron deficiency anemia in pregnant women.
Prevalensi Polimorfisme Gen CYP2B6*9 pada Populasi Jawa Faisal Rahman; Zullies Ikawati; Viren Ramadhan; Ahmad Hamim Sadewa
Majalah Farmaseutik Vol 18, No 2 (2022)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v1i1.60635

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Polimorfisme enzim mempengaruhi respon obat baik secara langsung maupun tidak langsung. Varian genetik CYP2B6 berkontribusi pada perubahan metabolisme obat dan konsentrasi plasma. Polimorfisme nukleotida tunggal CYP2B6 yang diketahui, CYP2B6*9 (c.516G> T, g.15631, Q172H, rs 3745274) di ekson 4 menunjukkan variabilitas antar-etnis yang cukup besar. Penelitian ini bertujuan untuk mengetahui frekuensi polimorfisme CYP2B6*9 pada populasi suku Jawa di Indonesia. Sebanyak 89 subjek sehat berpartisipasi dalam penelitian ini. Polimorfisme CYP2B6*9 dianalisis dengan metode modifikasi alel-spesifik PCR untuk mengkonfirmasi prevalensi SNP dari 516G> T di ekson 4. Analisis ini melibatkan 89 orang subjek uji. Distribusi genotipe 516G/T CYP2B6 pada populasi Jawa teridentifikasi sebagai berikut: GG - 4,5%, GT - 88,8% dan TT - 6,7%. Frekuensi alel 516G/T dari gen CYP2B6 dalam populasi adalah G = 48,92% dan T = 51,08%. Tidak ada perbedaan signifikan yang diamati antara jenis kelamin (p>0,05, OR = 1,473, 95% CI [0,809-2,684]). Urutan berbasis populasi dianalisis dengan metode Hardy-Weinberg. Polimorfisme gen CYP2B6*9 ditemukan pada populasi suku Jawa. Penelitian lebih lanjut diperlukan untuk mengeksplorasi dampak varian ini pada respons klinis obat.
Katekin dalam Teh Hijau sebagai Kelator Alami pada Individu Terpapar Plumbum Pembawa Polimorfisme Gena Nitrit Oksida Sintase 3 Hernayanti Hernayanti; Sukarti Moeljopawiro; Ahmad Hamim Sadewa; Nurtjahjo Dwi Sasongko; Hexa Apriliana Hidayah
Majalah Ilmiah Biologi BIOSFERA: A Scientific Journal Vol 36, No 2 (2019)
Publisher : Fakultas Biologi | Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mib.2019.36.2.633

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Teh hijau merupakan salah satu jenis teh yang  banyak dikenal karena berkhasiat untuk menyembuhkan berbagai penyakit contohnya hipertensi. Daun teh hijau mengandung senyawa polifenol yang dikenal sebagai catechin. Catechin dapat berfungsi sebagai penangkap radikal bebas seperti senyawa singlet oksigen, radikal hidroksil dan peroksinitrit. Berdasarkan sifat tersebut catechin diharapkan dapat mengatasi keracunan logam berat Pb pada individu terpapar Pb. Pengobatan keracunan Pb selama ini menggunakan senyawa kelator kimiawi dimerkaprol, namun dilaporkan pemakaiannya  menimbulkan efek samping berupa naiknya tekanan darah.Tujuan penelitian ini untuk 1) mengetahui efek teh hijau terhadap kadar NO pada individu terpapar Pb pembawa  polimorfisme dan non polimorfisme gena NOS3. 2) mengetahui efek teh hijau terhadap tekanan darah sistolik dan diastolik pada individu terpapar Pb pembawa  polimorfisme dan non polimorfisme gena NOS3. Penelitian menggunakan metode survai dengan rancangan kasus kontrol. 30 orang pekerja bengkel mobil di Purwokerto sebagai subyek kasus dan 30 orang subyek kontrol berasal dari desa Pamijen, yang diperkirakan tidak terpolusi Pb. Untuk mengetahui adanya polimorfisme, gena individu ditentukan dengan metode PCR-RFLP. Enzim restriksi MboI untuk  gena NOS3. Parameter yang diukur adalah kadar Pb darah, NO, tekanan darah sistolik dan diastolik. Data dianalisis dengan uji t berpasangan. Hasil penelitian menunjukkan bahwa 40% dari 30 orang subyek kasus terdeteksi sebagai individu pembawa polimorfisme gena NOS3 dengan genotip GA dan DNA terpotong enzim MboI sepanjang 206 bp, 119 bp dan 87 bp. Sebanyak  60 % subyek kasus terdeteksi sebagai individu non polimorfisme dengan genotip GG, DNA terletak pada 206 bp. Kadar NO setelah pemberian teh hijau mengalami peningkatan baik pada individu pembawa polimorfisme gena NO3 maupun non polimorfisme, sedangkan tekanan darah sistolik dan diastolik pada kedua kelompok individu mengalami penurunan. Kesimpulan hasil penelitian teh hijau dapat digunakan sebagai kelator alami keracunan Pb.
Polymorphism of Fat Mass and Obesity Associated (FTO) gene as a risk Factor for Type 2 Diabetes Mellitus with Metabolic Syndrome at DR Sardjito Hospital Yogyakarta Seto Priyambodo; Ahmad Hamim Sadewa; Maliyah Madiyan
Unram Medical Journal Vol 1 No 1 (2012)
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v3i2.741

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Introduction . FTO gen is one of the new recently studied and still requires a lot of studies on the role of this gen on the incidence of metabolic syndrome. FTO rs 9939609 polymorphism in some populations have mentioned as the risk factors for obesity, type 2 diabetes mellitus and metabolic syndrome. Protein FTO role in demethylations of the genes in the hypothalamus that helps maintain energy intake and expenditure. Methods This study used a case- control design with type 2 DM subjects with metabolic syndrome (n = 40) as cases and type 2 diabetes mellitus without metabolic syndrome (n = 40) as a control from DR.Sardjito Hospital Yogyakarta 2009-2010. FTO gen rs9939609 polymorphism was analyzed by PCR-RFLP. Chi square test and odds ratio test are used to examine FTO rs9939609 polymorphism and the relationship with the incidence of type 2 diabetes with metabolic syndrome and it’s components. Results The frequency of TT genotype in subjects with type 2 DM patients with metabolic syndrome 2(5%), AT genotype 35 (87.5%) and AA genotype 3 (7.5%) (n = 40). In subjects with type 2 DM patients without metabolic syndrome TT genotype frequency 6 (15%), AT genotype 32 (80%) and AA genotype 2 (5%) (n = 40).OR are significant for sistolic hypertension (OR=0,039) and for HDL plasma level (OR=0,046) as the components of metabolic syndrome. Conclusion The FTO gen rs9939609 polymorphism is the risk factor for hypertension and high HDL plasma level as the components of metabolic syndrome at DR Sardjito Hospital Yogyakarta.
Kadar glukosa darah dan tekanan darah pada penduduk pedesaan dan perkotaan di Daerah Istimewa Yogyakarta Tasmini Tasmini; Arta Farmawati; Sunarti Sunarti; Pramudji Hastuti; Ahmad Hamim Sadewa; Prasetyastuti Prasetyastuti; Ngadikun Ngadikun
Journal of Community Empowerment for Health Vol 1, No 1 (2018)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1152.927 KB) | DOI: 10.22146/jcoemph.39569

Abstract

ABSTRAK Sebagian besar penduduk di daerah pedesaan bertaraf ekonomi menengah ke bawah, memiliki keterbatasan akses informasi, dan memiliki mata pencaharian berbeda dibanding penduduk kota. Bantar Kulon merupakan daerah pedesaan dan Kronggahan adalah daerah perkotaan di Yogyakarta. Mengingat terjadinya pergeseran pola penyakit dari penyakit menular ke penyakit tidak menular serta adanya pengaruh lingkungan dan gaya hidup terhadap terjadinya penyakit degeneratif, dilakukan pengkajian mengenai faktor risiko sindroma metabolik di dua daerah tersebut. Penelitian ini dilakukan untuk mengetahui apakah ada perbedaan kadar glukosa darah puasa (GDP) dan tekanan darah (TD), serta keluhan/ penyakit utama pada penduduk di daerah pedesaan dan perkotaan. Sebanyak 71 orang dari Bantar Kulon dan 91 orang dari Kronggahan diperiksa kadar GDP-nya menggunakan GCU Multi-Function Monitoring System (EasyTouch®). Tekanan darah diperiksa dengan sphygmomanometer raksa dan otomatis. Kadar GDP dan TD pada subjek dari kedua lokasi ditampilkan dalam bentuk deskriptif berdasarkan cut-off (GDP: ≥ 100 mg/dL; TD: ≥140/90 mmHg). Uji t atau Mann Whitney U dilakukan untuk mengetahui perbedaaan nilai variabel antara kedua lokasi. Hasil dinyatakan berbeda bermakna jika p < 0,05. Data keluhan penyakit utama ditampilkan secara deskriptif. Tidak ada perbedaan kadar GDP antara desa dan kota (p = 0,385). Persentase subjek yang memiliki GDP ≥ 100 mg/dL lebih banyak di desa dibanding di kota (42,3% vs 26,4%). Persentase hipertensi lebih tinggi di kota dibanding di desa (50,5% vs 33,8%). Berdasarkan wawancara, keluhan/ penyakit utama terbanyak pada kedua wilayah adalah hipertensi sebanyak 23 orang (32,4%) di desa dan 30 orang (33,0%) di kota. Kadar GDP di atas normal lebih banyak ditemukan di desa sedangkan hipertensi lebih banyak ditemukan di kota. Keluhan/ penyakit utama di kedua wilayah adalah hipertensi. KATA KUNCI kadar glukosa darah; penyakit metabolik; hipertensi; pedesaan; perkotaanABSTRACT Most people living in rural areas are from lower to middle income class, have limited access to information, and have different occupations compared to those in urban areas. In Yogyakarta, Bantar Kulon is a rural area, while Kronggahan is an urban area. Currently, the pattern of disease is shifting from infectious diseases to non-communicable diseases with environment and lifestyle factors as determinants. Thus, it is necessary to study the trends of risk factors for metabolic syndrome in both areas. This study aimed to seek the difference of fasting blood glucose (FBG), blood pressure (BP), and major complaints/illness between rural and urban areas. Seventy one people from Bantar Kulon and 91 people from Kronggahan were examined for FBG levels using GCU Multi-Function Monitoring System (EasyTouch®). Blood pressures were checked using sphygmomanometer. Levels of FBG and BP were presented as frequencies based on cut-offs (FBG: ≥ 100mg/dL; BP: ≥ 140/90 mmHg). T-test or Mann-Whitney U test were used to analyze the difference of variables between both areas. Results were significantly different if p < 0.05. Chief complaint ilness data were displayed descriptively. There was no difference in FBG level between rural and urban areas (p = 0.385). The percentage of subjects with FBG ≥ 100 mg / dL was higher in Bantar Kulon than inKronggahan (42.3% vs 26.4%). Percentage of hypertension was higher in urban than rural areas (50.5% vs. 33.8%). Based on interviews, the chief complaint/ illness in both areas was hypertension. The number of subjects who were diagnosed with hypertension were 23 (32.4%) and 30 (33.0%) from Bantar Kulon and Kronggahan respectively. Impaired fasting glucose was more common in rural area while hypertension is more common in urban area. The chief complaint /illness in both regions is hypertension.KEYWORDS blood glucose; metabolic syndrome; hypertension; rural area; urban area
Co-Authors . Harapan . HERNAYANTI . Syahrul Abdul Salam M Sofro, Abdul Salam Abdul Salam M. Sofro Abdul Salam Mudzakir Sofro Abdul Salam Mudzakir Sofro, Abdul Salam Mudzakir Abdurahman Laqif Abdurahman Laqif Abdus Samik Wahab Abrory Agus Cahya Pramana Ahmad Husain Asdie Ahmad Husain Asdie Ahmad Husain Asdie Ajeng Viska Icanervilia Akhmad Kharis Nugroho Alfasunu, Serafim Anggelia Puspasari Anggoro Budi Hartopo Ani Kristiyani Arif Faisal Arif Faisal Arta Farmawati Arta Farmawati Atmaja, Sarah Awal Prasetyo Bai Apris Bambang Hariono Bambang Hariono Bambang Hariono Bansai Immanuel Bernadia Branitamahisi Bernadia Branitamahisi Budi Yuli Setianto Cahyono Hadi Cahyono Hadi Christine Patramurti Citra Maharani Danarsih, Dwi Eni Darojatun Ida Demas Bayu Handika Dessy Rakhmawati Emril Dewajani Purnomosari Dian Caturini Sulistyonigrum Dian Lestari, Nova Dianandha Septiana Rubi Dibyo Pramono Didik Setyo Heriyanto Djaswadi Dasuki Djaswadi Dasuki Djaswadi Dasuki Dono Indarto Dono Indarto DONO INDARTO Dwi Aris Agung Nugrahaningsih Dyah Wulan Anggrahini Ellsya Angeline Rawar Emilia Vivi Arsita Emy Huriyati Endang Mutiawati Rahayuningsih* Faisal Rahman Fransisca Shinta Maharini Hanafi, Arif Riswahyudi Hari Kusnanto Hasan Sjahrir Hemi Sinorita Hendi Wicaksono Hernayanti , Hernayanti Hernayanti Hernayanti HERNAYANTI HERNAYANTI Hexa Apriliana Hidayah I Gusti Ayu Nyoman Danuyanti I NYOMAN MANTIK ASTAWA Ida Ayu Preharsini Ida Ayu Preharsini Kusuma Ika Rahayu Ika Setyawati Ikhsan, M. Robikhul Imelda, Priscillia Indwiani Astuti Indwiani Astuti Indwiani Astuti Inna Narayani Iskandar Zakaria Jayusman, Achmad Mulawarman Jenny Hidayat Jontari Hutagalung Kik Hao Samuel Kris Herawan Timotius Kusumadewi Eka Damayanti Kusumadewi Eka Damayanti Kusumadewi Eka Damayanti Lina Choridah Linawati Hananta, Linawati Lucia Krisdinarti Lukman Hakim M. Robikhul Ikhsan Maliyah Madiyan Maria Dara Novi Handayani, Maria Dara Novi Marsetyawan HNE Soesatyo Mega Tyas Prihatin Mohammad Robikhul Ikhsan Mus, Rosdiana Mustofa Mustofa Mustofa Mustofa Ngadikun - Ngadikun Ngadikun Nor Istiqomah Nor Istiqomah Nor Istiqomah Nor Sri Inayati Nor Sri Inayati Novijanti Rintis Nurtjahjo Dwi Sasongko P. Purwono Pinda Hutajulu Pinda Hutajulu, Pinda Pramudji Hastuti Pramudji Hastuti Pramudji Hastuti Pramudji Hastuti Pramudji Hastuti Pramudji Hastuti Pramudji Hastuti Pramudji Hastuti, Pramudji Prasetyastuti Prasetyastuti Prasetyastuti Prasetyastuti Prasetyastuti Prasetyastuti, . Rasmaya Niruri Ratih Feraritra Danu Atmaja Rina Pratiwi Pudja I. A Rina Susilowati RIZKI FAJAR UTAMI Rochadi Rochadi Rochadi Rochadi, Rochadi S. Supargiyono Sabirin, Rahmaningsih Mara Sarah Safira Umarghanies Saryono Saryono Satyagraha Ari Winasti Seto Priyambodo Setyo Purwono Siti Boedina Kresno Siti Wahyuningsih Sofia Mubarika Haryana Sri Sutarni Sri Wahyuni Subagus Wahyuono Subagus Wahyuono Sukarti Moeljopawiro Sukarti Moeljopawiro Sukarti Moeljopawiro Sunarti Sunarti Sunarti Sunarti Sunarti Sunarti Sunarti Sunarti, Sunarti Sunarto Ang Tasmini - Tasmini Tasmini Teguh Aryandono Titiek Suhardi Haripurnomo Kushadiwijaya Hidayati Totok Utoro Totok Utoro Triwibowo A. Garjito Umarghanies, Sarah Safira Viren Ramadhan Vitarani Dwi Ananda Ningrum Vitria Sari Dewi Vitria Sari Dewi Waode Astria Sahrani Wasilah Rochmah wayan T Artama wayan T Artama Wayan Tunas Artama Widhiastuti, Stefani Santi Wiryatun Lestariana Wiryatun Lestariana, Wiryatun Wiwik Handayani Yuliana Heri Soesilo Yuliana Heri Soesilo Yuliana Heri Soesilo Yuliani, Fara Silvia Yunilistiaingsih Yunilistiaingsih Yunilistiaingsih, Yunilistiaingsih Yuningtyaswari Yuningtyaswari Zainal Arifin Nang Agus Zullies Ikawati