Dyah Wulan Sumekar Rengganis Wardani
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Journal : medula

Kriteria Diagnostik dan Pendekatan Terapeutik pada Pasien dengan DIslipidemia Pediatri nickyta; Dyah Wulan Sumekar Rengganis Wardani; Anggraeni Janar Wulan
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.481

Abstract

Dyslipidemia or hyperlipoproteinemia is a quantitative change in the concentration of total cholesterol, its fraction, or just triglycerides in plasma. In addition, there is ample evidence to support that pediatric dyslipidemia is associated with atherosclerosis in adulthood. To reduce cardiovascular risk in adulthood, early identification and treatment is needed to reduce morbidity and mortality. Dyslipidemia itself can occur due to changes in primary lipoprotein metabolism due to genetic (primary) causes or other pathologies such as the result of accumulation of exogenous (secondary) factors. Therefore, mixed dyslipidemia results from genetic and environmental associations with risk factors for cardiovascular disease. However, lipid metabolism screening in pediatrics is not carried out in a targeted manner, causing problems where the outcome is not generally accepted. In addition, no one knows the effect of long-term pharmacological therapy. Therefore, this study aimed to review the various available literature resources on pediatric dyslipidemia to present data on a structured approach to pediatric dyslipidemia that focuses on screening, atherosclerotic risk stratification, and therapeutic approaches.
Hubungan Antara Determinan Sosial Dan Pengetahuan Dengan Upaya Pencegahan Penularan Penyakit Tuberkulosis (Tbc) Di Puskesmas Panjang Kota Bandar Lampung Jefri Irawan; Dyah Wulan Sumekar Rengganis Wardani; Betta Kurniawan
Medula Vol 16 No 4 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i4.1820

Abstract

Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis. The primary symptom of TB is a cough with phlegm that lasts for two weeks or more. The general objective of this study was to determine the relationship between social determinants and knowledge of TB transmission prevention efforts at Panjang Community Health Center, Bandar Lampung. This was an analytical cross-sectional study, with samples comprised of TB patients registered at Panjang Community Health Center between December and January 2022 and meeting the inclusion criteria. The sampling technique used total sampling. Data were obtained using a questionnaire. Data were analyzed using the Chi-square test. Low income, low education (elementary and junior high school), have a job, belong to the lower social class group, are male and have good knowledge. The results of statistical tests show a significant relationship between income and efforts to prevent TB transmission (p-value = 0.034), There is no significant relationship between education level (p-value = 0.076), employment (p-value = 0.079) and efforts to prevent TB transmission, and there is a significant relationship between class (p-value = 0.026), gender (p-value = 0.017), knowledge (p-value = 0.000) and efforts to prevent TB transmission. There is a relationship between social determinants and knowledge and efforts to prevent tuberculosis (TB) transmission at Panjang Community Health Center, Bandar Lampung City.