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Correlation between Troponin I and Serum Sodium and Potassium Levels in Acute Coronary Syndrome Rahma, Hadiyatur; Loesnihari, Ricke; Siregar, Dewi Indah Sari
Indonesian Journal of Medicine Vol. 9 No. 4 (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.2024.9.4.794

Abstract

Background: Acute Coronary Syndrome covers a spectrum of conditions that include patients who have recently changed symptoms or clinical signs, with or without changes in the 12-lead electro­cardiogram, and with or without acute elevations in cardiac troponin (Tn) concentrations. Advances in technology have refined troponin testing and increased its accuracy in detecting and measuring cardiomyocyte injury, high sensitivity, and can detect small myocardial necrosis that is not detected on an electrocardiogram or CKMB examination. This study aims to analyze the correlation between troponin I and sodium and potassium levels in acute coronary syndrome. Subjects and Method: This study was an analytical observational research with a cross-sectional design, involving 40 patients with acute coronary syndrome who visited the Integrated Heart Center Emergency Department. The independent variable is acute coronary syndrome, while the dependent variables are troponin I, sodium, and potassium. The study was conducted at H.Adam Malik Hospital in Medan from February to March 2024. Patients were interviewed for medical history, and then blood samples were taken for troponin I examination and serum electrolyte (sodium and potassium) examination. Data were analyzed using the Spearman correlation test. Results: 40 study subjects, most of the study subjects over 55 years, mostly male (72.5%), with a smoking history of 67.5%, and a family history of hypertension of 52.5%. The median troponin I level was 6.09 ng/ml (range 0.12-15), the median sodium level was 143.5 mmol/L (range 130-155), and the mean potassium level was 4.19 mmol/L (SD= 0.52). There was a weak and non-significant positive correla­tion between troponin I and sodium (r= 0.129, p= 0.429), as well as a weak and non-significant positive correlation between troponin I and potassium (r= 0.059, p= 0.717). Conclusion: There was no correlation between troponin I and sodium, as well as troponin I and potassium.
Correlation between HbA1c Levels and Red Distribution Cell Width in Type 2 Diabetes Mellitus Patients Rahma, Hadiyatur; Siregar, Jelita; Syafril, Santi; Ganie, Ratna Akbari; Siregar, Dewi Indah Sari; Ginting, Almaycano
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.2024.9.1.684

Abstract

Background: HbA1c is used as a parameter for diagnosis and monitoring of diabetes mellitus (DM). Apart from that, HbA1c, red blood cells also experience changes which result in changes in erythrocyte structure and hemodynamic characteristics. The parameter that changes in this case is red cell distribution width (RDW). This study aimed to analyze correlation between HbA1c levels and RDW in type 2 DM patients. Subjects and Method: This a cross sectional study conducted at H. Adam Malik General Central Hospital, Medan, North Sumatera, Indonesia, from December 2022-April 2023. Total sample of 75 type 2 DM patients was selected consecutively. The dependent variable was RDW. The independent variable was HbA1c. Data of RDW and HbA1c were collected from complete blood count test. Data were analyzed using the Spearman correlation. Results: HbA1c was negatively associated with RDW, but it was statistically non-significant (r= -0.08; p= 0.508). Conclusion: HbA1c is negatively associated with RDW, but it is statistically non-significant.   Keywords: diabetes melitus, HbA1c, red cell distribution width
HUBUNGAN TINGKAT PENGETAHUAN DAN TINDAKAN IBU DALAM PEMBERIAN ASI EKSKLUSIF PADA BAYI DI POSYANDU KELURAHAN WEK 1 KOTA PADANG SIDEMPUAN: RELATIONSHIP BETWEEN MATERNAL KNOWLEDGE AND PRACTICES OF EXCLUSIVE BREASTFEEDING FOR INFANTS AT WEK I POSYANDU, PADANG SIDEMPUAN CITY Lestari, Sri Dila; Lestari, Ira Cinta; Rahma, Hadiyatur; Astria, Aspri
Jurnal Kedokteran Ibnu Nafis Vol. 14 No. 2 (2025): Desember 2025
Publisher : Fakultas Kedokteran Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/jkin.v14i2.996

Abstract

Air Susu Ibu (ASI) eksklusif merupakan sumber gizi terbaik bagi bayi selama enam bulan pertama kehidupan. Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat pengetahuan ibu dengan praktik pemberian ASI eksklusif di Posyandu Kelurahan Wek I, Kota Padang Sidempuan. Penelitian ini menggunakan desain deskriptif analitik dengan pendekatan cross-sectional pada 38 ibu yang memiliki bayi berusia 0–24 bulan. Data dikumpulkan menggunakan kuesioner dan dianalisis dengan uji Somer’s d. Hasil menunjukkan bahwa sebagian besar ibu memiliki pengetahuan baik (47,4%) dan cukup (47,4%), namun praktik pemberian ASI eksklusif masih rendah (39,5%). Terdapat hubungan yang signifikan dengan kekuatan sedang antara tingkat pengetahuan ibu dan praktik pemberian ASI eksklusif (p = 0,003; r = 0,414). Temuan ini menunjukkan bahwa pengetahuan yang baik belum tentu diikuti oleh praktik yang optimal; faktor dukungan keluarga, budaya, dan pekerjaan juga berperan penting dalam keberhasilan pemberian ASI eksklusif.