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The Effect Of Obesity On Diabetic Ulcers In Diabetes Mellitus Patients Muhammad Salman Naguib; Pratiwi Nasir Hamzah; Nur Nasri Arsyad
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

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Abstract

Diabetes mellitus ( DM ) is disease metabolic characterized with hyperglycemia Because lack of insulin secretion, insulin action, or both of them. Diabetes was diagnosed when blood sugar fasting >126 mg/dL and 2-hour blood sugar >200 mg/dL. Diabetic foot ulcers is one of complications chronic from Diabetes mellitus (DM) disease in the form of surface wound skin of the feet of diabetics accompanied by with damage network part in or death network. Risk factors can influence incident DM ulcers are cigarettes, obesity, increasing work physique especially in men. Method: Review literature review using Google Scholar, National Center for Biotechnology Information (NCBI) & Research Science 20 journals obtained from criteria inclusion & exclusion. Results: Complications ulcer diabetic in patients with diabetes mellitus type 2 is one of the the most cases treated at home sick. There are several modifiable factors, including obesity. Condition obesity can cause insulin resistance which results in atherosclerosis so that happen disturbance circulation blood in the legs that can cause ulcer diabetic. Conclusion: Risk factors can influence incident DM ulcers are obesity, condition obesity can cause insulin resistance which results in atherosclerosis so that happen disturbance circulation blood in the legs that can cause ulcer diabetic.
Narrative Review: Pathogenesis and Management Of Diabetic Retinopathy Febriansyah, Febriansyah; Marlyanti Nur Rahmah; Muhammad Jabal Nur; Pratiwi Nasir Hamzah; Sri Irmandha Kusumawardhani
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

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Abstract

Diabetic Retinopathy is a microvascular disorder that occurs due to the long-term effects of diabetes mellitus. Diabetes mellitus (DM) is caused by metabolic disorders that occur in the pancreas organ which is characterized by increased blood sugar or often referred to as hyperglycemia which is caused by a decrease in the amount of insulin from the pancreas. This can cause damage to the retina that threatens vision and can cause blindness. Effective management requires a multidisciplinary approach that includes glucose control, medical intervention, and patient education. This study aims to determine the pathogenesis and management of Diabetic Retinopathy. This research is a literature study with a narrative review approach. The literature reviewed is literature obtained from databases that have been accredited or indexed by Sinta. The results of this literature study show that vascular dysfunction including loss of pericyte cells, formation of acellular capillaries (endothelial cell death), thickening of the basement membrane and increased capillary permeability to the closure of blood vessels leading to retinal ischemia-infarction is the pathogenesis of diabetic retinopathy. Management of diabetic retinopathy depends on the severity of the symptoms. Treatment does not only consist of observing blood sugar control, systemic hypertension and hypercholesterolemia, but also therapy such as laser photocoagulation, administration of Anti-Vascular Endothelial Growth Factor (Anti-VEGF), intravitreous steroids or IVTA (Intra Vitreous Triamcinolone Acetonide), and other procedures. pars plana virectomy.
Hubungan Durasi Penggunaan Gadget dengan Tingkat Stres pada Mahasiswa Kedokteran Ikbar, Nurfika Octavianti; Ida Royani; Pratiwi Nasir Hamzah; Ilma Khaerina Amaliyah
Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran Vol. 5 No. 4 (2025): Desember
Publisher : Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/fmj.v5i4.589

Abstract

Perkembangan teknologi dan meningkatnya penggunaan gadget memberi manfaat seperti mempermudah akses informasi, komunikasi, dan pembelajaran. Namun, penggunaan yang berlebihan juga dikaitkan dengan berbagai dampak negatif, termasuk risiko kecanduan, gangguan tidur, penurunan produktivitas, serta masalah kesehatan mental. Penelitian ini bertujuan menganalisis hubungan durasi penggunaan gadget dengan tingkat stres pada mahasiswa Fakultas Kedokteran Universitas Muslim Indonesia angkatan 2023. Penelitian menggunakan desain cross-sectional dengan pendekatan deskriptif analitik pada 181 mahasiswa angkatan 2023. Besar sampel ditentukan berdasarkan perhitungan rumus slovin, sedangkan pemilihan responden dilakukan menggunakan teknik purposive sampling. Variabel bebas adalah durasi penggunaan gadget, sedangkan variabel terikat adalah tingkat stres yang diukur menggunakan Perceived Stress Scale (PSS-10). Durasi penggunaan gadget diukur menggunakan kuesioner berbasis skala Likert. Data dikumpulkan melalui Google Form dan dianalisis menggunakan uji Chi-square dengan bantuan SPSS. Hasil menunjukkan mayoritas responden menggunakan gadget lebih dari 4 jam per hari. Tingkat stres responden sebagian besar berada pada kategori sedang (75,7%), diikuti kategori rendah dan tinggi. Uji Chi-square menunjukkan terdapat hubungan yang signifikan antara durasi penggunaan gadget dan tingkat stres mahasiswa. Hasil ini menunjukkan adanya asosiasi, di mana durasi penggunaan gadget yang lebih lama cenderung berkaitan dengan tingkat stres yang lebih tinggi. Namun, karena desain cross-sectional, penelitian ini tidak dapat menyimpulkan hubungan sebab-akibat, sehingga diperlukan penelitian longitudinal untuk mengonfirmasi arah hubungan tersebut.
Literature Review: The Effectiveness Of Brown Rice Diet As Nonpharmacological Nutritional Therapy In Type 2 Diabetes Mellitus Patients Andi Nur Azizah Alifuddin; Hasan Hasan; Pratiwi Nasir Hamzah
International Journal of Health Engineering and Technology Vol. 4 No. 6 (2026): IJHET MARCH 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i6.618

Abstract

Type 2 diabetes mellitus is a global health problem with a high prevalence in Indonesia and requires comprehensive management, including non-pharmacological nutritional therapy. The choice of carbohydrate sources plays an important role because white rice has a high glycemic index, while brown rice has a lower glycemic index and contains fiber and bioactive compounds that have the potential to help control blood glucose. Therefore, this study aims to determine the nutritional content of brown rice that is relevant to the management of type 2 diabetes, to analyze the effect of brown rice consumption on glycemic control in patients with type 2 diabetes, to determine the effect of a brown rice diet on other metabolic parameters such as body weight, lipid profile, and insulin sensitivity, and to summarize the scientific evidence related to the potential of brown rice as an alternative dietary intervention for patients with type 2 diabetes. This study used a literature review method with a narrative review design. The results of the study showed that brown rice has nutritional content that is relevant to the management of type 2 DM, especially fiber, vitamins, minerals, and bioactive compounds that support improved glucose metabolism. The application of a brown rice diet contributes to improved glycemic control, as indicated by a decrease in fasting blood glucose, postprandial glucose, and HbA1c. In addition, brown rice consumption also has a positive impact on other metabolic parameters, including improved lipid profile, insulin sensitivity, and potential weight control. Overall, brown rice has the potential to be a healthier alternative source of carbohydrates and is applicable as part of non-pharmacological nutritional therapy in patients with type 2 diabetes. It can be concluded that a brown rice diet is an effective and safe non-pharmacological nutritional intervention to support the management of type 2 DM through improved glycemic control and metabolic parameters, making it a recommended alternative carbohydrate source in the patient's diet.