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All Journal Jambura Health and Sport Journal Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Eduvest - Journal of Universal Studies Cermin Dunia Kedokteran
Rangkuti, Deske Muhadi
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Aerospace Engineering Computer Science & IT Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Social Sciences

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Fracture Risk Assessment Tool (Frax Tool) Scores in Type 2 Diabetes Mellitus Patients in Haji Hospital Medan T. Shafira; Rangkuti, Deske Muhadi; Laksmi, Lidya Imelda; Rachmatsyah, M. Yusuf
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 6 No. 1 (2024): 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.v6i1.14889

Abstract

Background: Diabetes mellitus (DM) is a metabolic disease characterized by chronic hyperglycemia resulting from defects in insulin secretion and/or insulin action. Bone fragility in T2DM, which mirrored bone mineral density and bone mass reduction. Classical diagnosis of osteoporosis in T2DM is performed by dual-energy X-ray absorptiometry (DXA) and the risk of fracture can be assessed using the FRAX tool (Fracture Risk Assessment Tool). The purpose of the study was to assess the risk of osteoporosis using FRAX tool calculation (without BMD) in T2DM patients at the endocrine metabolic clinic of Haji Hospital Medan. Method: Descriptive observational with a cross-sectional study approach using primary and secondary data from the medical records of the Endocrine and Metabolic Clinic of Haji Hospital Medan in September-October 2023.Results: Of the 80 respondents with a risk of major osteoporosis, there were 77 respondents (96.3%) with low risk, 3 respondents (3%) with moderate risk, and no respondents with high risk (0%). The FRAX score for the risk of hip fracture received a low risk of 72 respondents (90%). At the same time, the high-risk was 8 respondents (10%).Conclusion: The majority of T2DM patients at Haji Hospital Medan are at low- risk for major osteoporosis and hip fracture
HUBUNGAN ANTARA TINGKAT AKTIVITAS FISIK DENGAN DERAJAT KEPARAHAN OSTEOARTRITIS Mustaqim, M Rifqi Rahmat; Lufiana, Fardella; Rangkuti, Deske Muhadi
Jambura Health and Sport Journal Vol 7, No 2 (2025): Agustus
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jhsj.v7i2.31935

Abstract

Osteoartritis adalah penyakit degeneratif yang ditandai dengan degradasi matriks kartilago articular yang dipengaruhi oleh beberapa faktor, salah satunya adalah tingkat aktivitas fisik yang dapat diukur dengan international physical activity questionnaire (IPAQ). Tujuan dari penelitian untuk menentukan apakah ada korelasi antara tingkat aktivitas dengan derajat keparahan osteoartritis. Penelitian ini mengaplikasikan metode deskriptif analitik dengan pendekatan Cross Sectional. Sebanyak 67 pasien osteoartritis di poli reumatologi Rumah Sakit Umum (RSU) Haji Medan diambil sebagai sampel dengan menggunakan teknik purposive sampling, kriteria inklusi meliputi pasien yang terdiagnosis osteoartritis lutut berdasarkan kriteria radiografi Kellgren-lawrence dengan hasil pemeriksaan X-ray pada rekam medik, berusia diatas 50 tahun dan bersedia berpartisipasi setelah mengisi lembar informed consent. Pasien dengan kondisi medis lain yang dapat memengaruhi tingkat aktivitas fisik seperti gangguan neurologis dan muskuloskeletal atau yang tidak dapat mengisi kuesioner pada pasien yang mengalami gangguan kognitif akan dieksklusi dari penelitian. Analisa penelitian dilakukan dengan menggunakan uji Spearman. Temuan penelitian menunjukkan bahwa tingkat aktivitas fisik sebagian besar pasien adalah tinggi (44,8%) dan aktivitas tingkat sedang (31,3%). Derajat keparahan osteoartritis paling banyak adalah grade 2 dengan jumlah 30 orang (44,8%) diikuti oleh grade 3 dengan jumlah 21 orang (31,3%). Analisis korelasi spearman didapati nilai (p = 0,000 0,05, r = -0,453). Kesimpulannya bahwa ada hubungan yang signifikan antara tingkat aktivitas fisik dengan derajat keparahan osteoartritis dengan kekuatan korelasi yang cukup dan arah hubungan yang negatif. Indikasinya, bahwa intervensi berbasis aktivitas fisik dapat menjadi komponen penting dalam penatalaksanaan osteoartritis.
The Relationship Between Knowledge and the Utilization of the Maternal and Child Health (MCH) Book Among Pregnant Women at Tanjung Rejo Public Health Center, Deli Serdang Regency Hamonangan Sihombing, Rahmat Jody; Sukatendel, Khairani; Rangkuti, Deske Muhadi; Mayasari, Evita; Hasiana Siburian, Miranda Olivia
Eduvest - Journal of Universal Studies Vol. 5 No. 11 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i11.52192

Abstract

Maternal Mortality (MMR) is still a global health problem that needs serious attention. In 2022, Deli Serdang Regency was recorded to have the highest AKI in North Sumatra Province, which was 16 per 42,363 live births. One of the efforts that can be made to reduce this number is by using the Maternal and Child Health Book (KIA). This study aims to analyze the relationship between the level of knowledge of pregnant women and the use of KIA books at the Tanjung Rejo Health Center, Deli Serdang Regency. This study uses an analytical observational design with a cross-sectional approach. A total of 100 pregnant women became respondents to the study. Data was collected through questionnaires, then analyzed using the Spearman statistical test. The use of KIA books is assessed through indicators of readability, comprehension, and application of information, while mother's knowledge is measured through the level of mastery of the content of KIA books. The results showed that the majority of pregnant women were at healthy reproductive age (55%), poorly educated (72%), unemployed (89%), and had high parity (56%). Most respondents (73%) fall into the category of poor utilization of KIA books, while 79% have a low level of knowledge. Statistical analysis showed a significant relationship between the level of knowledge of pregnant women and the use of KIA books (p = 0.001). The use of KIA books in pregnant women is significantly influenced by the level of knowledge.
Hubungan Kadar Interleukin 6 (IL-6) dengan Derajat Aktivitas Penyakit (SLEDAI-2K) dan Manifestasi Kerusakan Renal-Non-Renal Penderita Lupus Eritematosus Sistemik: Penelitian Sianturi, Yesanopa; Rangkuti, Deske Muhadi; Ginting, Andi Raga
Cermin Dunia Kedokteran Vol 53 No 01 (2026): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v53i01.1596

Abstract

Introduction: Systemic lupus erythematosus (SLE) is a chronic, heterogeneous, and complex autoimmune disease. Several studies have linked IL-6 levels and SLE. This study sought to investigate the relationship between IL-6 levels and degree of disease activity and manifestations of renal-non-renal damage in SLE. Methods: A retrospective cross-sectional study of 67 SLE patients based on the SLICC 2012/ACR EULAR 2019 criteria for at least 6 months at the Rheumatology Polyclinic of AM General Hospital, Medan from June to August 2023 who met the inclusion and exclusion criteria. Assessment of renal-non-renal damage used the SLICC DamageIndex-SDI score and the degree of disease activity was measured with SLEDAI-2K. Results: The highest median IL-6 level of 87.32 pg/mL was found in the remission group, while the lowest median IL-6 level of 46.05 pg/mL was found in patients with mild disease. No significant relationship between IL-6 levels and the degree of SLE disease activity (p = 0.158). The median interleukin-6 value in the group of subjects with renal damage was 71.95 pg/mL, while in the group of subjects with non-renal damage it was 53.05 pg/mL. No correlation was found between IL-6 levels and disease activity (p = 0.158), but there was a significant correlation between IL-6 levelsand renal damage (p = 0.045). Conclusion: No relationship between IL-6 levels and the degree of disease activity (p = 0.158), but a significant relationship between IL-6 levels and renal damage (p = 0.045).
Co-Authors Ginting, Andi Raga Hamonangan Sihombing, Rahmat Jody Hasiana Siburian, Miranda Olivia Laksmi, Lidya Imelda Lufiana, Fardella Mayasari, Evita Mustaqim, M Rifqi Rahmat Rachmatsyah, M. Yusuf Sianturi, Yesanopa Sukatendel, Khairani T. Shafira