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Anak Agung Gede Budhitresna
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Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Hubungan Lama Menjalani Hemodialisis Dengan Status Gizi Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisis Reguler di RSUD Sanjiwani Gianyar Dewa Gde Agung Wikananda Besang; Anak Agung Gede Budhitresna; Putu Arya Suryandhita
Aesculapius Medical Journal Vol 3 No 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.1.2023.81-85

Abstract

One of the most often seen condition in Chronic Kidney Failure patients that undergo regular hemodialysis is decreasing nutritional status with the length of time these patients underwent therapy. This study aims to determine the relationship between the duration of undergoing hemodialysis and nutritional status of chronic kidney failure patients undergoing regular hemodialysis at the Sanjiwani Hospital, Gianyar. This study uses analytical method and a cross-sectional approach. Data was taken at Sanjiwani Hospital, Gianyar with a medical record data recording form. The sample were patients that underwent hemodialysis regularly at hemodialysis unit of the Sanjiwani Hospital Gianyar using a criterion that had been chosen using the sampling technique, which is purposive sampling. Chi-Square Test was used to assess the relationship of the variables. The results showed that most of the chronic kidney failure patients who underwent regular hemodialysis at the Sanjiwani Hospital, Gianyar, in this study underwent hemodialysis for less than 3 years, which is 52.2%. Chronic kidney failure patients who underwent regular hemodialysis at the Sanjiwani Hospital Gianyar in this study had a normal nutritional status of 40%, 26,7% patients are underweight, 20% patients are pre-obesity, 11,1% patients are obesity I, and 2,2% patients are obesity II. Chi-Square test result showed that there was a significant relationship between length of time undergoing hemodialysis and nutritional status of chronic kidney failure patients undergoing regular hemodialysis at the Sanjiwani Hospital, Gianyar (p = 0.011).
Hubungan Kadar Hb-A1c (Glikosilasi Hemoglobin) dengan Komplikasi Makrovaskular pada Penderita Diabetes Melitus tipe 2 di RSUD Sanjiwani Gianyar I Gede Ari Purnama Putra; Anak Agung Gede Budhitresna; Suka Astini
Aesculapius Medical Journal Vol 3 No 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.1.2023.37-42

Abstract

Several studies have stated that HbA1c levels are known to be associated with the incidence of macrovascular complications in patients with type 2 diabetes. Patients often have higher HbA1c levels than non-diabetic patients, so it is used as a way to test blood sugar control for patients with type 2 diabetes. 2 to prevent complications. This study was done to assess the relationship between HbA1c levels and macrovascular complications so that HbA1c levels can be used to predict the prognosis and the main controller in preventing macrovascular complications. Analytic method was used and the design was cross-sectional. The research was done at the Sanjiwani Hospital Gianyar with a total sample of 53 people. The results of the chi-square test showed that t a significant relationship was found between Glycosylated Hemoglobin (HbA1c) levels and the incidence of macrovascular complications with p value = 0.021 with HbA1c levels as a risk factor with POR value = 1.705. The conclusion was that there was a significant relationship between HbA1c levels and the occurrence of macrovascular complications in patients with type 2 diabetes.
Hubungan Antara Komorbiditas Dengan Derajat Keparahan Infeksi Covid-19 Di Rumah Sakit Sanjiwani Gianyar I Nyoman Arep Kusuma Negara; Anak Agung Gede Budhitresna; Ni Luh Putu Eka Kartika Sari
Aesculapius Medical Journal Vol 2 No 1 (2022): Juni
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.2.1.2022.13-20

Abstract

COVID-19 is the leading cause of respiratory disease outbreaks worldwide. 30,949,804 cases of COVID19 have been confirmed since September 21, 2020, and 959,116 people have died worldwide. There are still differences of opinion regarding several diseases that underlie the worsening condition of COVID-19 patients. This study aims to determine the relationship between comorbidities and the severity of COVID-19 infection at the Sanjiwani Hospital. The research method used is analytic observational with a cross-sectional approach, by analyzing secondary data in the form of medical records. A sample of 164 people who have met the exclusion and inclusion criteria, were obtained using the Consecutive sampling technique. Data were analyzed by SPSS. The chi-square test and multiple logistic regression were used to determine the relationship among comorbidities and the severity of COVID-19 infection. Based on the results of multiple logistic regression, the comorbid factors for the severity of COVID-19 infection were hypertension, type 2 diabetes mellitus, COPD, pulmonary TB, chronic heart failure. The most dominant comorbid factor was pulmonary TB (Exp(B)=12,566 95% CI; 3,560 - 44,353).
Co-Authors Dewa Gde Agung Wikananda Besang Dewa Gde Agung Wikananda Besang I Gede Ari Purnama Putra I Gede Ari Purnama Putra I Nyoman Arep Kusuma Negara I Nyoman Arep Kusuma Negara Ni Luh Putu Eka Kartika Sari Putu Arya Suryandhita Suka Astini