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Factors Affecting Controlled Blood Sugar Levels in Patients with Type 2 Diabetes Mellitus at the Internal Medicine Polyclinic at the Regional General Hospital of West Nusa Tenggara Province I Wayan Mustika Maha Putra; Catarina Budyono; Ardiana Ekawanti; Joko Anggoro
Jurnal Biologi Tropis Vol. 23 No. 1 (2023): January - March
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v23i1.4509

Abstract

Indonesia is ranked seventh out of countries that contributed to the highest number of DM in the world in 2019 and estimate that in 2045 it could reach 16.6 million cases. West Nusa Tenggara Province is one of the provinces with a fairly high DM rate reaching 21,308 with various complications due to uncontrolled blood sugar levels. High blood sugar levels in DM patients are caused by several uncontrolled factors in DM patients. This study aims to determine the factors associated with uncontrolled blood sugar levels in type 2 DM patients at the NTB Provincial Hospital. This research is a observational with a cross sectional study. The sample selection using the consecutive sampling obtained from the medical records of type 2 DM patients who were treated at the Internal Medicine Polyclinic of the NTB Provincial Hospital. The study sample size were 100 people with univariate and bivariate data analysis using the Chi-square test. The subjects in this study were dominated by patient age > 45 years (75.6%), female (51.2%), using non-insulin therapy (52.4%), and duration of type 2 diabetes < 10 years. (67.07%) with uncontrolled blood sugar status (52.4%). Bivariate analysis using the Chi-square showed that there were a statistically significant relationship between controlled blood sugar levels and patient age (p=0.021), controlled blood sugar levels with gender (p=0.008), controlled blood sugar levels and the type of therapy (p=0.008). = 0.004), and controlled blood sugar levels with duration of diabetes (0.023).
Hepatocellular Carcinoma: Risk Factors and Diagnosis Ghina Syafinatunnajah; Ananda Rizkia; Donna Diva Widyantari; Ni Pt Wr Pradnya Nirmala Putri; Catarina Budyono
Jurnal Biologi Tropis Vol. 23 No. 1 (2023): Special Issue
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v23i1.5750

Abstract

Hepatocellular carcinoma, also known as hepatocarcinoma, is the most frequent type of primary liver cancer and the world's second leading cause of death, with a mortality rate of 700.000 per year. Due to the difficulty in diagnosing hepatocarcinoma because there are no obvious symptoms, the survival rate of hepatocarcinoma patients is still very low, particularly in Southeast Asian countries. Hepatocarcinoma is still a major health issue in Indonesia, with a very low median survival rate. The number of risk factors that cause hepatocarcinoma is what causes differences in hepatocarcinoma incidence across countries. This literature review aims to determine risk factors and to confirm the diagnosis of hepatocarcinoma. This literature review was conducted using the keywords “Hepatocellular Carcinoma AND risk factors AND diagnosis” from PubMed, Google Scholar, and non-peer-reviewed literature. This article uses 16 articles that were used as references in its preparation. In conclusion, hepatitis B and C virus, liver cirrhosis, fatty liver disease, diabetes, alcohol use, aflatoxin exposure, aristolochic acid exposure, smoking, and HIV are risk factors for hepatocarcinoma. On all individuals with hepatocarcinoma risk factors, screening procedures with US and AFP were carried out. An abdominal CT scan or an MRI with contrast can both be used to provide a firm diagnosis of hepatocarcinoma. A liver biopsy is used to confirm the diagnosis of space-occupying lesions that lack typical imaging characteristics.