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Albumin Description of Continuous Ambulatory Peritoneal Dialysis (CAPD) Patients in Sardjito Hospital Yogyakarta Barkah Purwanto; Dewi Yuniasih; Metalia Puspitasari
Ahmad Dahlan Medical Journal Vol. 2 No. 1 (2021): May 2021
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1108.024 KB) | DOI: 10.12928/admj.v2i1.4086

Abstract

Albumin profile is an important sign of nutritional status as a quality-of life parameter, whereas hypoalbuminemia has been shown to be associated with a high mortality rate for patients with End Stage Renal Disease (ESRD) undergoing dialysis including CAPD. The study was conducted to determine serum albumin levels in patients with ESRD undergoing CAPD therapy. The study was conducted in a cross-sectional manner on ESRD patients who were still actively undergoing CAPD in the outpatient Installation of Dr. Sardjito Hospital Yogyakarta until November 2018. Subjects were examined for serum albumin levels. There were 57 research subjects with the category of albumin levels <3.5 g / dL as many as 19 (33.3%), between 3.5-4.0 g / dL as many as 27 (47.3%) and albumin levels> 4.0 g / dL of 11 (19.3%). There were no significant differences in all age groups, BMI and duration of CAPD. Albumin profile can be an independent parameter of quality of life and even a predictor of mortality in CAPD patients because it does not depend on age group, BMI and length of CAPD
Relationship between the amount of protein intake of DM patients with the healing process of diabetic ulcers at the Ampel Sehat Inpatient Primary Clinic Naufal Zuhdi Rabbani; Barkah Purwanto; Dyah Suryani; Dewi Yuniasih
Ahmad Dahlan Medical Journal Vol. 3 No. 1 (2022): May 2022
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (952.823 KB) | DOI: 10.12928/admj.v3i1.6249

Abstract

The healing process of diabetic ulcers is influenced by the nutritional status of the patient, especially the nutritional status of the patient's protein intake.  This study was conducted to determine the relationship between the amount of dietary protein intake of DM patients with the healing process of diabetic ulcers at the Ampel Sehat Inpatient Primary Clinic. This study uses a non-experimental quantitative method with a cross-sectional approach, conducted in May - June 2021 with the research subjects being diabetic ulcer patients who underwent treatment, either outpatient or inpatient stay 1 week with the number of subjects 32 patients aged more than 45 years with this type of male and female, patients with type 2 diabetes mellitus, diabetic ulcers in the leg region, the degree of diabetic ulcers according to Wagner with a score of 1-3, and the patient has full consciousness. Data collection on the amount of dietary protein intake of DM patients was obtained through interviews and questionnaires. The data were analyzed by using the chi-square correlation test or Fisher's exact. The research subjects on average did not have sufficient daily protein intake and did not experience the healing process of their diabetic ulcers. The relationship between the amount of dietary protein intake in DM patients and the healing process of diabetic ulcers was found. This study concludes that there is a relationship between the amount of dietary protein intake of DM patients with the healing process of diabetic ulcers at the Ampel Sehat Inpatient Primary Clinic. Abstrak Proses penyembuhan ulkus diabetikum dipengaruhi oleh status gizi pasien, terutama status gizi asupan protein pasien. Penelitian ini dilakukan untuk mengetahui hubungan antara jumlah asupan protein diet pasien DM dengan proses penyembuhan ulkus diabetikum di Klinik Pratama Rawat Inap Ampel Sehat. Penelitian ini menggunakan metode kuantitatif non eksperimental dengan pendekatan cross sectional, dilakukan pada bulan Mei – Juni 2021. dengan subjek penelitian adalah pasien ulkus diabetikum yang menjalani pengobatan, baik rawat jalan maupun rawat inap 1 minggu dengan jumlah subjek 32 pasien berusia lebih. dari 45 tahun dengan tipe ini pria dan wanita, pasien diabetes mellitus tipe 2, ulkus diabetik di daerah kaki, derajat ulkus diabetik menurut Wagner dengan skor 1-3, dan pasien memiliki kesadaran penuh. Pengumpulan data jumlah asupan protein diet pasien DM diperoleh melalui wawancara dan kuesioner. Analisis data menggunakan uji korelasi chi-square atau Fisher's exact. Subyek penelitian rata-rata tidak memiliki asupan protein harian yang cukup dan tidak mengalami proses penyembuhan ulkus diabetikumnya. Ditemukan hubungan antara jumlah asupan protein diet pada pasien DM dengan proses penyembuhan ulkus diabetikum. Penelitian ini menyimpulkan bahwa ada hubungan antara jumlah asupan protein diet pasien DM dengan proses penyembuhan ulkus diabetik di Klinik Pratama Rawat Inap Ampel Sehat         This is an open access article under the CC–BY-SA license. _______
Mesenchymal Stem Cells Therapy in critical COVID-19 patient: a case report Novi Sukirto; Zainul Arifin; Sumardi Sumardi; Barkah Purwanto; Auliya Azisah Mansur; Naila Sistharani
Ahmad Dahlan Medical Journal Vol. 3 No. 1 (2022): May 2022
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1104.374 KB) | DOI: 10.12928/admj.v3i1.6460

Abstract

COVID-19 pneumonia with critical symptoms causes acute respiratory distress syndrome (ARDS) and multiple organ dysfunction syndromes (MODS) which can be severe complications until death. One therapy for Covid-19 critical was to suppress the effects of cytokine storms, which was administered by Mesenchymal Stem Cells therapy. In this case, we will report a case of COVID-19 with a critical patient that was given MSC therapy there were good outcomes in this case which were improvement of the clinical symptoms and prevent death.   ABSTRAK Pneumonia COVID-19 dengan gejala kritis menyebabkan sindrom gangguan pernapasan akut (ARDS) dan sindrom disfungsi organ multipel (MODS) yang dapat menjadi komplikasi berat hingga kematian. Salah satu terapi kritis Covid-19 adalah menekan efek badai sitokin, yang dilakukan dengan terapi Sel Punca Mesenkim. Dalam kasus ini, kami akan melaporkan kasus COVID-19 dengan pasien kritis yang diberikan terapi MSC ada hasil yang baik dalam kasus ini yaitu perbaikan gejala klinis dan mencegah kematian