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PERBEDAAN TINGKAT DEPRESI PADA FASE PRAMENSTRUASI MAHASISWA FAKULTAS KEDOKTERAN DAN FAKULTAS EKONOMI UNIVERSITAS LAMBUNG MANGKURAT Yasmina, Alfi; Noor, Meitria Syahadatina; Risnawati, Risnawati
Jurnal Publikasi Kesehatan Masyarakat Indonesia Vol 1, No 1 (2014): Desember 2014
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jpkmi.v1i1.583

Abstract

Depression may be caused by external factors, such as the pressure of study load, and by internal factors, such as depression in premenstrual phase affected by the decrease in estrogen level. The aim of this research was to find out the difference in depression level in premenstrual phase between Medical Faculty students and Economic Faculty students in Lambung Mangkurat University. It was an analytic survey with cross-sectional approach. Samples were taken by non-probability sampling with purposive sampling technique. The samples were 26 students of Medical Faculty from Basic Medical Education Study Program and  16 students of Economic Faculty from Management Study Program, based on the inclusion criteria. Result showed that there were 22 Medical Faculty students (84.62%) who had mild depression, and there were 9 Economic Faculty students who had mild depression and 4 students (25%) who had moderate depression. Data analysis with Mann Whotney U test showed the o value of 0.196. It was concluded that there were no significant difference in depression level in premenstrual phase between Medical Faculty students and Economic Faculty students.Keywords: depression level, premenstrual phase, study load.
HUBUNGAN INDEKS MASSA TUBUH DENGAN KECEPATAN BERJALAN PADA LANSIA DI PPRSLU BUDI SEJAHTERA BANJARBARU Firdaus, Muhammad Rizqi; Cahyawati, Wiwit Agung Sri Nur; Yasmina, Alfi; Noor, Zairin; Wahyuni, Wahyuni
Homeostasis Vol 7, No 1 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i1.12401

Abstract

Abstract: The walking speed is one of the indicators of the fitness in the elderly. One of the factors that influence walking speed is the Body Mass Index (BMI). This study aimed to determine the relationship between BMI and walking speed in the elderly. This cross-sectional study involved 40 elderly individuals living in PPRSLU Budi Sejahtera Banjarbaru who met the inclusion criteria. Data on walking speed were collected using the 4 Meters Walk Test. The relationship between BMI and walking speed was analyzed using Pearson correlation. The mean BMI was 23.4±4.6 kg/m2, the average walking speed was 0.44±0.18 m/s, and no elderlies with normal walking speed were found. There was a negative, moderate, and significant relationship between BMI and walking speed in elderly individuals with normal BMI (r = -0.528; p = 0.014), but no significant relationships were found in underweight and overweight-obese BMI categories (underweight: r = 0.387; p = 0.520; overweight-obese: r = -0.342; p = 0.231). In conclusion, there is a significant relationship between normal BMI and walking speed in the elderly living in PPRSLU Budi Sejahtera. Keywords: walking speed, body mass index, 4 Meters Walk Test, elderly Abstrak: Kecepatan berjalan merupakan salah satu tolok ukur kebugaran lansia. Salah satu faktor yang mempengaruhi kecepatan berjalan adalah indeks massa tubuh (IMT). Penelitian ini bertujuan mengetahui hubungan IMT dengan kecepatan berjalan lansia. Penelitian cross sectional ini melibatkan 40 lansia di PPRSLU Budi Sejahtera Banjarbaru sesuai kriteria inklusi. Pengambilan data kecepatan berjalan menggunakan 4 Meters Walk Test. Hubungan IMT dan kecepatan berjalan dianalisis dengan uji Pearson correlation. Didapatkan rerata IMT sebesar 23,4±4,6 kg/m2, sedangkan kecepatan berjalan adalah 0,44±0,18 m/s dan tidak ada yang mempunyai kecepatan berjalan normal. Terdapat hubungan negatif, moderat, dan bermakna antara IMT dengan kecepatan berjalan lansia dengan IMT normal (r = -0,528; p = 0,014), tetapi tidak terdapat pada IMT underweight dan overweight-obese (underweight: r = 0,387; p = 0,520; overweight-obese: r = -0,342; p = 0,231). Dapat disimpulkan bahwa terdapat hubungan bermakna antara IMT normal dengan kecepatan berjalan pada lansia di PPRSLU Budi Sejahtera. Kata-kata kunci: kecepatan berjalan, indeks massa tubuh, 4 meters walk test, lansia
HUBUNGAN INDEKS MASSA TUBUH DENGAN FRAILTY PADA LANSIA DI PPRSLU BUDI SEJAHTERA BANJARBARU Ansharullah, M Rifky; Cahyawati, Wiwit Agung Sri Nur; Yasmina, Alfi; Noor, Zairin; Wahyuni, Wahyuni
Homeostasis Vol 7, No 1 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i1.12380

Abstract

Abstract: Frailty is a sign of physiological and functional vulnerability in the elderly. One of the risk factors for frailty is BMI. This study aimed to determine the relationship between BMI and frailty in the elderly, using cross-sectional method. The research subjects were elderliesliving in PPRSLU Budi Sejahtera Banjarbaru, using total sampling method according to the inclusion and exclusion criteria. The independent variable was BMI and the dependent variable was frailty. Frailty was measured by physical frailty phenotype. The relationship between BMI and frailty was analyzed using the logistic regression test. A total of 40 elderlies were included; most were women with an average age of 69.8 ± 8.6 years and an average BMI of 23.4 ± 4.6 kg/m2. There were no robust/fit elderlies. Elderlies with underweight and normal BMI tended to be frail, while elderlies with overweight and obese BMI tended to be pre-frail. Increasing BMI was associated with a lower incidence of frailty compared with the pre-frail incidence, but this relationship was not significant (OR 0.53, 95%CI = 0.24-1.17). The conclusion of this research is that there is no significant relationship between BMI and frailty in the elderlies living in PPRSLU Budi Sejahtera Banjarbaru. Keywords: frailty, body mass index, elderly, physical frailty phenotype. Abstrak: Frailty merupakan tanda kerentanan fisiologis dan fungsional pada lansia. Salah satu faktor risiko frailty adalah IMT. Penelitian ini bertujuan mengetahui hubungan IMT dengan frailty pada lansia, dengan metode cross-sectional. Subjek penelitian yaitu lansia di PPRSLU Budi Sejahtera Banjarbaru, menggunakan metode total sampling sesuai kriteria inklusi dan eksklusi. Variabel bebas adalah IMT dan variabel terikatnya frailty. Frailty diukur dengan physical frailty phenotype. Hubungan IMT dan frailty dianalisis dengan uji logistic regression. Sebanyak 40 lansia diinklusi; sebagian besar perempuan dengan rerata usia 69,8±8,6 tahun dan rerata IMT 23,4±4,6 kg/m2. Tidak didapatkan lansia yang robust/fit. Lansia dengan IMT underweight dan normal cenderung frail, sedangkan lansia IMT overweight dan obesitas cenderung pre-frail. Peningkatan IMT berhubungan dengan kejadian frailty yang lebih rendah dibanding kejadian pre-frail, namun hubungan ini tidak bermakna (OR 0,53, 95%CI = 0,24-1,17). Simpulan penelitian ini adalah tidak terdapat hubungan yang signifikan antara IMT dan frailty pada lansia di PPRSLU Budi Sejahtera Banjarbaru. Kata-kata kunci: frailty, indeks massa tubuh, lansia, physical frailty phenotype
GAMBARAN PENGGUNAAN ANTIVIRUS PADA PASIEN COVID-19 DI RUANG ICU RSUD ULIN BANJARMASIN Nirmala, Anisa Feby Insan; Rahmiati, Rahmiati; Nur’Amin, Hendra Wana; Nurrasyidah, Ira; Yasmina, Alfi
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11445

Abstract

Antivirus is one of the main therapies for COVID-19. Patients with COVID-19 who need to be transferred to the ICU are those who are seriously ill to critically ill. The purpose of this study was to describe the use of antivirals in COVID-19 patients in the ICU room at Ulin Hospital, Banjarmasin. This study was necessary because no antiviral has been proven effective and specific yet for COVID-19 therapy, the high rate of spread of COVID-19 over the last two years, the large number of cases requiring ICU care, the risk of using antivirals in COVID-19 patients who have certain comorbidities, and this study had never been done before. This study used a descriptive observational study design with ICU patients aged >18 years who were given COVID-19 antiviral therapy with complete electronic data records and/or medical records in the 2020-2021 period. This study found 59 subjects with antivirals used included remdesevir (52.54%), lopinavir+ritonavir (22.03%), favipiravir (15.25%), and oseltamivir (10.16%). Most of the patients were 46-65 years and used remdesevir (50%). Based on gender, both male and female patients used remdesevir (52.54%) as the antiviral. The most common comorbidities were hypertension with remdesevir (42.30%). Based on the duration of hospitalization, the longest duration of hospitalization was remdesevir with an average of 8.74 days.
The Association between Coagulation Parameters, C-Reactive Protein, D-Dimer and In-Hospital Mortality of Covid-19 Patients with Suspected Pulmonary Embolism Delmi, Anwari; Adiputro, Dwi Laksono; Nurrasyidah, Ira; Yasmina, Alfi
Berkala Kedokteran Vol 20, No 1 (2024)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v20i1.18896

Abstract

COVID-19 is a respiratory disease with severe cardiovascular complications, one of them is pulmonary embolism (PE). Studies have shown many contributing factors related to mortality of hospitalized COVID-19 patients that developed pulmonary embolism. This study aimed to find the association between coagulation parameters (PT and APTT), C-reactive protein (CRP), and D-dimer with in-hospital mortality of COVID-19 patients with suspected PE. COVID-19 patients in Ulin General Hospital Banjarmasin who met the clinical criteria of suspected PE, assessed with clinical scorings (Well’s score for PE and Padua prediction score for venous thromboembolism), and receiving anticoagulant therapy recorded in medical records were included in this study. A total of 91 patients were included, with most patients were female (59.3%), average age of 53.36 years, average BMI of 25.82 kg/m2, having normal electrocardiogram (79.1%), with history of hypertension (56%), and no histories of smoking (94.5%), diabetes mellitus (70.3%), heart failure (93.4%), coronary artery disease (96.7%), and chronic lung disease (95.6%).  As much as 39.57% patients with suspected PE was deceased during the course of hospitalization. Unadjusted analysis showed significant increased levels of PT, APTT, and CRP, in deceased patients compared to those discharged alive (mean 14.62 vs 11.91 seconds, 42.94 vs 28.57 seconds, and 98.19 vs 47.01 mg/dL, respectively; p value < 0.01), and a non-significant increased level of D-dimer (mean 10.89 mg/L; p = 0.09). Multivariate logistic regression showed non-significant associations between PT, APTT, D-dimer, and CRP with in-hospital mortality (p values of 0.06, 0.14, 0.52, and 0.23, respectively). In conclusion, there is no association between coagulation parameters, CRP, and D-dimer levels with in-hospital mortality in COVID-19 patients with suspected PE.  A further study with a larger sample size is needed to see the role of laboratory findings in predicting in-hospital mortality in COVID-19 patients with suspected PE. 
HUBUNGAN INDEKS MASSA TUBUH DENGAN MOBILITAS FUNGSIONAL PADA LANSIA DI PPRSLU BUDI SEJAHTERA BANJARBARU Khaliq, Rifky Nor; Cahyawati, Wiwit Agung Sri Nur; Yasmina, Alfi; Noor, Zairin; Wahyuni, Wahyuni
Homeostasis Vol 7, No 3 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i3.14582

Abstract

Abstract: Body mass index (BMI) is assumed to affect the ability of the elderly to move independently (functional mobility). This study aimed to determine the relationship between BMI and functional mobility in the elderly. The research design was cross-sectional. The subjects of this study were elderlies living in PPRSLU Budi Sejahtera Banjarbaru who were chosen with total sampling technique based on the criteria of being able to walk alone and willing to be respondents. The independent variable was BMI and the dependent variable was functional mobility. Functional mobility was assessed with the Timed Up and Go test. The relationship between BMI and functional mobility was analysed with the Spearman correlation test. A total of 39 subjects were included, with a mean age of 69.8±8.6 years and a mean BMI of 23.4±4.6 kg/m2. Elderlies with underweight and obese BMI tended to have poor functional mobility compared to those with normal BMI. Spearman test showed a weak non-significant positive relationship (r = 0.147; p = 0.371). The conclusion of this study is that there is no significant relationship between BMI and functional mobility in the elderlies living in PPRSLU Budi Sejahtera Banjarbaru. Keywords: Functional Mobility, Body Mass Index, Elderly, TUG Test Abstrak: Indeks massa tubuh (IMT) diduga mempengaruhi kemampuan lansia untuk bergerak secara mandiri (mobilitas fungsional). Penelitian ini bertujuan mengetahui hubungan IMT dengan mobilitas fungsional pada lansia. Desain penelitian ini adalah cross-sectional. Subjek penelitian ini adalah lansia di PPRSLU Budi Sejahtera Banjarbaru yang diambil dengan teknik total sampling dengan kriteria bisa berjalan sendiri dan bersedia menjadi responden. Variabel bebasnya adalah IMT dan variabel terikatnya adalah mobilitas fungsional. Mobilitas fungsional dinilai dengan tes Timed Up and Go. Hubungan IMT dan mobilitas fungsional dianalisis dengan uji korelasi Spearman. Sebanyak 39 subjek diinklusi, dengan rerata usia 69,8±8,6 tahun dan rerata IMT 23,4±4,6 kg/m2. Lansia dengan IMT underweight dan obesitas cenderung memiliki mobilitas fungsional yang buruk dibandingkan IMT normal. Uji Spearman menunjukkan hubungan positif lemah dan tidak bermakna (r = 0,147; p = 0,371). Simpulan penelitian ini adalah tidak terdapat hubungan bermakna antara IMT dengan mobilitas fungsional pada lansia di PPRSLU Budi Sejahtera Banjarbaru. Kata-kata kunci: mobilitas fungsional, indeks massa tubuh, lansia, tes TUG
Correlation among Blood Sugar Levels, C-Reactive Protein, Total Lymphocyte Count with SOFA Score on Sepsis COVID-19 Patients Fajari, Nanang Miftah; Hartono, Ivan; Rudiansyah, Mohammad; Agung SNC, Wiwit; Yasmina, Alfi
Clinical and Research Journal in Internal Medicine Vol. 5 No. 2 (2024): Volume 5 No 2, November 2024
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.crjim.2024.005.02.06

Abstract

Background: COVID-19 is a caused a pandemic since early January 2020. Sequential Organ Failure Assessment (SOFA) score can assess organ dysfunction in the state of Sepsis MODS. Aim: This study aims to determine the relationship between Blood Sugar Levels, C-Reactive Protein (CRP), and Total Lymphocyte Count (TLC) with SOFA score in COVID-19 patients with Sepsis. Methods: An observational study using the cross-sectional method was carried out in 2020-2021 at Ulin Hospital Banjarmasin with a total sample of 87 participants. Results: Based on the Spearman test, there were a positive correlation between Random Blood Sugar levels and SOFA with the scores r = 0.778 (p = 0.000); significant negative correlation between TLC and SOFA with the score r = -0.409 (p = 0.000); and no significant correlation between CRP and SOFA with the score r = -0.077 (p = 0.507). The multivariate test showed that the correlation value for each Random Blood Sugar with a SOFA score is R=0.664 (p=0.000), and the Total Lymphocyte Count with a SOFA score is R=-0.270 (p=0.001). The statistical analysis model revealed that Blood Sugar Levels and Total Lymphocyte Count could predict SOFA scores of as much as 60.9%. Conclusion: Blood sugar levels can be a marker of poor prognosis in COVID-19 patients with Sepsis. Hyperglycemia can be caused by pancreatic cell damage due to SARS-CoV2 invasion, acute insulin resistance, and inflammation caused by Sepsis and COVID-19. Total Lymphocyte Count is one of the many factors contributing to organ dysfunction caused by Sepsis in COVID-19. Keywords: COVID-19, Sepsis, SOFA Score, Prognosis
The Relationship Between Age And Gender And The Time To Achieve Euthyroid Condition In Graves' Disease Patients Who Receive Antithyroid Drug Therapy Miftah, Nanang; Mohtar, Ladika Avicena Dzikaf Masyahiro; Nur'Amin, Hendra Wana; Liani, Fauzia Noor; Yasmina, Alfi
Eduvest - Journal of Universal Studies Vol. 5 No. 3 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i3.1813

Abstract

Graves' disease is an autoimmune disease that most common cause of hyperthyroidism which is characterized by diffuse thyroid disease, thyrotoxicosis, and can be accompanied by orbitopathy and dermopathy. Age and gender are factors that are thought to influence the time it takes for GD patients to reach a euthyroid state who receive antithyroid drug therapy. The aim of this study was to determine the relationship between age and gender on the time to achieve euthyroidism in GD patients who received anti- thyroid drug therapy. This analytical observational study is a cohort study conducted using the Borneo Wetland Study on Thyroid 2 (BEST-T 2) Endocrine Polyclinic, Ulin Hospital Banjarmasin database. Data on 68 GD patients were taken using the total sampling method. Data were analyzed using the Cox Regression test with SPSS version 26 with a confidence level of 95%. Survival data will be displayed using the Kaplan Meier curve. This study showed that there was no relationship with age (p=0.064), but showed there was a relationship with gender (p=0.044) on the time to achieve euthyroidism in Graves' disease patients.