Claim Missing Document
Check
Articles

Measurement of Visceral Adipose Tissue using Abdomen CT scan As A Predictor of Type 2 Diabetes Mellitus at H. Adam Malik General Hospital Medan Nasution, Duma Ratna Sari; Putri Chairani Eyanoer; Pase, M Aron; Lubis, Netty Delvrita
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 7 No. 1 (2025): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v7i1.15891

Abstract

ABSTRACT Background: Obesity is a condition where the BMI is ≥ 25 kg/m2. Deposition of visceral adipose tissue (VAT) in obese conditions is a predictor of the incidence of type 2 diabetes mellitus. CT scan is an accurate measurement of VAT. A cut-off point value is needed to determine the stratification of VAT at risk for type 2 DM. Method: Cross-sectional study of patients undergoing CT scans of the abdominal area at the Radiology Installation of H. Adam Malik General Hospital, Medan during February 2024. Some of the data was taken from the Master of Clinical Medicine study in 2022. Data was collected in the form of examination BMI, waist circumference, DM risk score, and VAT volume in patients examined by abdominal CT scan at L4 level. The DM risk score was obtained using the ADA diabetes risk score questionnaire. VAT volume measurement using 3D segmentation tools. Results: Of the 116 patients studied, the number of samples was 53,4% male and 46,6% female. High DM risk score proportion of 59,5 %. The most frequent DM risk score was 5. Spearman’s correlation is used too. The best cut-off point between sensitivity 44.93% and specificity 80,85% is 1.311,9 cm3. The accuracy of CT scan as a predictor of type 2 DM is good (AUC 0.7). The positive predictive value (PPV) is 77,50%, and the negative predictive value (NPV) is 50%. The positive likelihood ratio value (LR +) is 2,34 and the negative likelihood ratio value (LR -) is 0,68. Conclusion: VAT measurement using abdominal CT scan as a predictor of type 2 DM has good accuracy. Keywords: Visceral adipose tissue, cut off, diabetes mellitus, body mass index, waist circumference, abdominal CT scan
Factors Related to Depression Level among Malaysian Students Batch 2015-2018 in Universitas Sumatera Utara Amaiappan, Jesvinder; Eyanoer, Putri Chairani
Journal of Epidemiology and Public Health Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Depression is the most common psychological disorder encountered and is a disorder that is mainly characterized by sad and depressed emotional conditions and is associa
Effect of Ethanol Extract of Rosella Flower Petals (Hibiscus sabdariffa L.) on Healing Cut Wounds in White Rats (Rattus norvegicus) Pratiwi, Ade Dwi; Siahaan , Jekson Martiar; Anto, Endy Juli; Eyanoer, Putri Chairani
Indonesian Journal of Medicine Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.1.718

Abstract

Background: Wounds are skin disorders in the form of damage to continuity due to a pathological process, if not treated properly it can cause serious complications such as failure to heal and chronic problems due to untreated wound infections, especially post-operative infections and scar tissue. The next problem is that excessive antibiotics can cause side effects and increase the risk of antimicrobial resistance and delay wound healing. So a new strategy is needed with herbal-based therapy that has the effect of treating infections and does not cause side effects in patients. Subjects and Method: The research was conducted with a post test only randomized control group design to test macroscopic observations of the average size of the wound length, hyperemia and swelling in 30 white Wistar rats (Rattus norvegicus) after receiving ethanol extract of rosella petals (Hibiscus sabdarifa L.). The dependent variables of the study were wound closure time, hyperemia and wound swelling. The independent variable of the research was varying doses of ethanol extract of rosella flower petals (Hibiscus sabdarifa L.) 6%, 12% and 15%. The parameters assessed are the length of the wound and the macroscopic assessment of the wound. Data were analyzed using the Kruskal-Wallis test, p<0.05 was considered statistically significant. Results: Administration of Hibiscus sabdariffa L. 6%, 12% and 15% ethanol extract gel on the 12th day resulted in a significant acceleration of the wound healing process (p=0.024). There was a significant difference between negative control (Mean=3,281 mm ; SD=1,681 mm), positive control (Mean=2,813 mm ; SD=1,106 mm), 6% Rosella flower petal extract gel (Mean=2,916 mm ; SD=1,224 mm ), 12% (Mean=1,290 mm ; SD=1,098 mm), and 15% (Mean=1,035 mm ; SD=0.952 mm) (p=0.024), in the macroscopic assessment there was no significant difference in the wound healing process on day 3, 6, 9, 12 and 15 except for signs of swelling on days 6 (p=0.038) and 9 (p=0.038) which had a significant difference compared to controls. Conclusion: Administration of Hibiscus sabdariffa L. 15% ethanol extract gel had the fastest time in wound closure and healing (Mean=1.035 mm ; SD=0.952 mm) for 12 days (p=0.024), the longest time in wound closure and healing was the negative control (gel placebo) (Mean=0.976 mm ; SD=1.103 mm) namely for 15 days (p=0.158). Keywords: Wound healing, Roselle, Gel Ekstrak Etanol, Hyperemia
Effect of Ethanol Extract of Suruhan Leaves (Peperomia Pellucida L. Kunth) on Blood Sugar Levels and Macroscopic Wounds in Male White Rats of the Wistar Strain (Rattus norvegicus) Diabetic Ulcer Model Hakim, Enggrek Pelita; Siahaan, Jekson Martiar; Anto, Endy Juli; Eyanoer, Putri Chairani
Indonesian Journal of Medicine Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.2.733

Abstract

Background: High blood sugar levels can cause diabetes mellitus (DM), which currently means more than one in 10 adults live with diabetes, with the biggest risk factor being obesity. Wound healing in DM patients will be hampered and increase the incidence of diabetic ulcers in Indonesia by 12% and the risk of developing diabetic ulcers by 55.4%. Diabetic ulcers and gangrene cases in Indonesia are the most common cases found in hospitals. Mortality due to ulcers and gangrene ranges from 17-23%, while the amputation rate ranges from 15-30%. Therapeutic potential in the treatment of diabetic ulcers is possessed by suruhan leaves which have anti-inflammatory, antipyretic, antimicrobial and anticancer effects, as well as having analgesic effects. Subjects and Method: A total of 30 male white rats of the Wistar strain (Rattus norvegicus) were divided equally into control groups, negative control (STZ induction 40mg/kgBW), positive control (STZ induction 40mg/kgBW with metformin 50mg/kgBW/day), treatment group I (STZ induction 40mg/kgBW with ethanol extract of shrike leaves 40mg/kgBW), and treatment group II (STZ induction 40mg/kgBW). kgBB with ethanol extract of 80 mg/kgBB leaves). Next, blood sugar levels (KGD) and macroscopic examination of diabetic ulcer wounds are carried out. Data were analyzed using the Anova test. Results: The lowest blood sugar levels (183.83 ± 11.39), the lowest wound area (6.89 ± 0.86), and the highest percentage of excision wound healing (89.67 ± 1.37) were found in the positive control group. There was a significant relationship between groups of mean blood sugar levels, between groups of wound area, and between groups of healing percentage of excision area (P<0.05). Conclusion: Administration of ethanol extract of suruhan leaves (Peperomia pellucida L. Kunth) had an effect on reducing blood glucose levels and healing diabetic ulcer wounds in STZ-induced diabetic ulcer model mice.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN TB PARU PADA USIA PRODUKTIF DI WILAYAH KERJA PUSKESMAS TEGAL SARI KECAMATAN MEDAN DENAI Sikumbang, Rahmat Hidayat; Eyanoer, Putri Chairani; Siregar, Nondang Purnama
Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Vol. 21 No. 1 (2022): Januari 2022
Publisher : Faculty of Medicine Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (194.337 KB) | DOI: 10.30743/ibnusina.v21i1.196

Abstract

TB paru merupakan penyakit yang paling banyak menyerang usia produktif dan masih menjadi masalah kesehatan dunia termasuk Indonesia. Banyak faktor yang mempengaruhi penyakit TB Paru antara lain jenis kelamin, usia, dan kondisi fisik rumah, kepadatan hunian, dan pencahayaan hunian. Jenis penelitian ini adalah penelitian analitik dengan desain penelitian Cross Sectional. Sampel penelitian menggunakan metode non probability sampling yaitu consecutive sampling sebanyak 94 orang dan penelitian ini menggunakan uji Chi-Square. Hubungan penyakit TB paru dengan jenis kelamin, umur, kondisi fisik rumah, kepadatan hunian dan okupansi penerangan dengan nilai p <0,05.Ada hubungan antara penyakit TB Paru dengan jenis kelamin, umur, kepadatan hunian dan okupansi pencahayaan pada penelitian ini.
Aplikasi Citicoline dalam Pengobatan Stroke Hemoragik: Laporan Kasus Berbasis Bukti endyjulianto; jekson martiar siahaan; kenvin rusli; Putri Chairani Eyanoer
Cermin Dunia Kedokteran Vol 51 No 4 (2024): Oftalmologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i4.1057

Abstract

Background: Choline-containing phospholipids, citicoline, and choline alphoscerate have been proposed as adjuvants in acute stroke treatment. An evidence-based case report (EBCR) was conducted to examine the benefits of citicoline in hemorrhagic stroke (SH) patients. Method: Search for articles published from October 2019-2023 from PubMed, Cochrane, Google Scholar, and ProQuest sources using the keywords “Citicoline”, “Hemorrhagic Stroke”, “Choline”, and “Intracerebral Hemorrhage”. The search results were evaluated using inclusion and exclusion criteria. Selected full-text studies were evaluated. The final selection results were critically reviewed based on validity, importance, and applicability by the three authors. Results: One study was considered valid, important, and applicable. The quality of this study is very high based on the literature review. Conclusion: The study shows that citicoline has the potential as an adjuvant therapy to improve clinical outcomes in SH patients, although it does not sufficiently improve neurological or functional outcomes.
Levels of Squamous Cell Carcinoma Antigen and Interleukin-6 as Biomarkers in NSCLC Patients Arieta, Lydia; Soeroso, Noni Novisari; Tarigan, Setia Putra; Eyanoer, Putri Chairani
Sumatera Medical Journal Vol. 8 No. 2 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i2.20027

Abstract

Background: Squamous Cell Carcinoma Antigen (SCC-Ag) and Interleukin-6 (IL‐6) has been widely used for monitoring Non-Small Cell Lung Cancer (NSCLC). Objective: This concentration also known to be higher in Non Small Cell Lung Cancer. Methods: This research used descriptive study among NSCLC patients. Blood sampling was used with serum. ELISA platform was used to rate SCC-Ag and IL-6 serum. Results: From 20 samples NSCLC, we found 20 males (100%), active smokers (80%). From histology type, Adenocarcinoma 12 cases (60%). The most of subjects were in stage IVA (70%). The Squamous Cell Carcinoma Antigen levels of NSCLC patients showed that as many as 20 samples (100%) were within normal limits and did not show an increased. Conclusion: Levels of IL-6 increased as many as 15 samples (75%), and IL-6 levels were still within the normal range sample (25%). Tumor marker are not meant to detect marker growth, but only as a marker that found in lung cancer,but IL-6 as the one of the pro-inflammation cytokines that shows an increased in patients NSCLC.
SONOGRAPHIC EVALUATION OF ADULT RENAL VOLUME AND ITS CORRELATION WITH BODY SURFACE AREA Hafizhalaila Ammar; Evo Elidar Harahap; Alwi Thamrin Nasution; Henny Maisara Sipahutar; Elvita Rahmi Daulay; Netty Delvrita Lubis; Putri Chairani Eyanoer
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 2 (2025): June
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i2.198

Abstract

Background: Renal size and volume play important roles in the diagnosis, treatment, and evaluation of renal pathology, and are excellent predictors of renal function. Renal size is associated with somatic growth parameters such as height, weight, and age, which are related to body mass index and body surface area. Objective: The aim of this study is to determine renal volume in the adult population using ultrasound and to analyze factors affecting the renal volume in patients. Methods: This was a case-series study of 35 renal in adult patients aged from >19 to 59 years without renal pathology. Renal length, width, depth, mean volume, and cortical thickness were sonographically measured. Patient age, gender, weight, height, and body surface area were recorded. Results: The mean body weight, body height, and body surface area were 69.8 ± 18.6 kg, 159.7 ± 8.1 cm, and 1.7 ± 0.2 m2, respectively. There was a significant difference in mean renal volume between the right and left renal, with measurements of 107 ± 30,9 cm3 and 125,5 ± 27,8 cm3, respectively. The mean renal volume in male was 118,4 ± 37,2 cm3 and 137,2 ± 32,6 cm3 for the right and left sides, respectively, and was found to be larger than in females. Both renals had a mean cortical thickness of 1.3 ± 0.1 cm. There was a positive and significant correlation between renal volume and body surface area (r=0.805 for the right renal, and r=0.604 for the left renal) with p<0.001. Conclusions: Renal volume is positively and significantly correlated with body surface area. Body index, age, gender, and side should also be taken into consideration when reporting renal volume.
Association Between Glycated Hemoglobin (HBA1C) Levels and The Incidence of Pulmonary Drug-Resistant Tuberculosis Among Patients With Type 2 Diabetes Mellitus Harahap, Kartini; Syarani, Fajrinur; Sinaga, Bintang Yinke Magdalena; Eyanoer, Putri Chairani
Jurnal Impresi Indonesia Vol. 4 No. 8 (2025): Indonesian Impression Journal (JII)
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v4i8.6939

Abstract

Patients with type 2 diabetes mellitus (T2DM) are at increased risk of developing multidrug-resistant tuberculosis (MDR-TB). In Indonesia, data regarding the characteristics and risk factors for MDR-TB among diabetic populations remain limited. Managing MDR-TB in individuals with T2DM is complicated by potential drug interactions and challenges associated with poor glycemic control. This study aimed to assess the association between glycated hemoglobin (HbA1c) levels and the risk of developing MDR-TB among T2DM patients at Adam Malik General Hospital, Medan. A case-control analytical study was conducted using secondary data from medical records. A total of 120 participants were, including 60 MDR-TB cases and 60 drug-sensitive tuberculosis controls. Variables analyzed included age, sex, education, employment status, body mass index, smoking status, and HbA1c levels. Statistical analyses involved chi-square tests and multivariate logistic regression. Multivariate analysis identified smoking as the strongest risk factor for MDR-TB, followed by poor glycemic control, indicated by elevated HbA1c levels. Smoking substantially increases the risk of MDR-TB among patients with T2DM, with smokers being twelve times more likely to develop MDR-TB. These findings emphasize the need to integrate smoking cessation initiatives into MDR-TB prevention and management strategies targeting diabetic populations.
Education and Socialization of Mosquito Nest Erradication with 3M Plus Movement to Students and Teachers at SMA Negeri 1 Binjai District, Langkat District, North Sumatera, Indonesia Amelia, Rina; Wijaya, Hendri; Eyanoer, Putri Chairani; Yunanda, Yuki; Wahyuni, Arlinda Sari; Fujiati, Isti Ilmiati; Harahap, Juliandi; Alona, Ivana
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 9 No. 1 (2024): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/abdimastalenta.v9i1.17177

Abstract

Until now, there has been a tendency for dengue fever patients to increase, and its transmission has become one of Indonesia's most common public health problems. Getting rid of mosquito nest eradication (MNE) with the 3M Plus Movement regularly, which includes draining water reservoirs, burying used items, and closing water reservoirs, which make it harder for mosquitoes to breed, can stop the spread of dengue. Even though this disease can attack all groups, several studies have shown that children and teenagers are more susceptible to dengue fever, so it is essential to make efforts to increase understanding and education for school-aged children, including high school students and teachers, who must work together to prevent dengue fever. As a result, the community service team from the Medical Faculty of Universitas Sumatera Utara carried out this activity using an outreach strategy that included questions and answers with students about MNE, Clean and Healthy Living Behavior, and other topics as well as the actual implementation of 3M Plus. A good understanding of MNE among students and teachers allows for the formation of awareness of MNE's significance in the school environment, which is the outcome of this activity.
Co-Authors -, Fadhlia Ade Rahmaini Adlin Adnan Alona, Ivana Alwi Thamrin Nasution Amaiappan, Jesvinder Andika Pradana Andika Pradana Andika Pradana Arieta, Lydia Arlinda Sari Wahyuni Armon Rahimi Asnir, Rizalina Arwinati Azali, Chairul Nurdin Azizah Ghanie Icksan Bintang Yinke Magdalena Sinaga Bintang Yinke Magdalena Sinaga Bintang YM Sinaga Bintang YM Sinaga Budi Jefri Budi Wiweko Chairiza Muttaqien Dana Jauhara Layali Delfitri Munir Delfitri Munir Delores Elisabeth Sormin Destylya, Dyana Dyana Destylya Eddy Bangun Elisabeth Elisabeth Elizabeth Napitupulu Elmeida Effendy Elok Ariyani Safitri Elva Susanty Elvita Rahmi Daulay Endy Juli Anto Endy Todo Sirait endyjulianto endyjulianto Eva Susanti Debora Hutabarat Evo Elidar Harahap Fachrezi, Muhammad Alfian FAHDI, FIRDAUS Fajrinur Syahrani Fajrinur Syahrani Fajrinur Syaran Fajrinur Syarani Fajrinur Syarani Fajrinur Syarani Faradila, Devita Farhat, Farhat Faried, Mukhamad Febiyanti, Mica Felisia Felisia Firdaus, Ruby Fransisco Sentosa Pakpahan Fujiati, Isti Ilmiati Ganda M. Leonard Samosir Ghazali Akhmad Putranta Ginting, Franciscus Hadi Suhendra Hafizhalaila Ammar Hakim, Enggrek Pelita Hamdi, Tasrif Harahap, Juliandi Haryuna, Tengku Siti Hajar Hasibuan, Mangain Hemma Yulfi Hendri Wijaya, Hendri Henny Maisara Sipahutar Herani Mutia Riandini Hidayat Hidayat Ihsan, Mhd. Joshua Asley Juli Anto, Endy Juliandi Harahap Kadri, Alfansuri Kartini harahap Kembaren, Tambar kenvin rusli Kiking Ritarwan Listyoko, Aditya Sri Lubis, Muhammad Allif Syafrin Lubis, Netty Delvrita Maesyara Adinda Sari Maulidina Hsb, Putri Sari Muhammad Ichwan Muhammad Zainul A Muntasir Abdullah Nababan, Windika Nasution, Duma Ratna Sari Netty Delvrita Lubis Netty Delvrita Lubis Noni Novisari Soeroso Noni Novisari Soeroso Noni Novisari Soeroso Nurdiansah, Firman Nurul Citta Banu Putri Nurul Ramadhani Nuryunita Nainggolan Octavia, Nur Afni Heryanti Pandia, Pandiaman Pandiaman Pandia Pandiaman Pandia Panjaitan, Alfred Johnatan Pardede, Sujahn Anto Parluhutan Siagian Parluhutan Siagian Parluhutan Siagian Pase, M Aron Pendiaman Pandia Perangin-angin, Gwanita Nawariantina Peter Peter Pratama, Mhd. Rizki Pratiwi, Ade Dwi R.A Henny Anggriani Ramadhani, Adini Arifah Rambe, Andrina Yunita Murni Restuti Hidayani Saragih Ribawanto, Muhammad Rafif Rifda Hayati Rina Amelia Rina Yunita Ririe Fachrina Malisie Risqin, Muhammad Anas Fatah Rosita Juwita Sembiring Salsabila, Anisa Samodra, Yoseph Leonardo Sarah, Dewi Maya Sekali, Oktaviani Karo Selvy Wulandari Siahaan, Jekson Martiar Sikumbang, Rahmat Hidayat Sinaga, Bintang Yinke Magdalena Sinaga, Joshua Princeman Sinaga, Sudirman Parningotan Sirait, Asima Rodiarta Siregar, Nondang Purnama Syamsul Bihar Syamsul Bihar Syamsul Bihar Syarani, Fajrinur Tarigan, Amira Permatasari Tarigan, Setia Putra Tri Setia Negara Sinulingga Vera, Yeni Wahyuni, Arlinda Sari Wan Betty Pratiwi Yahwardiah Siregar Yessi Andriani Zainal Yunanda, Yuki Zainuddin Amir Zakirah, Sarah Chairani