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Journal of the Medical Sciences (Berkala Ilmu Kedokteran)
Published by Universitas Gadjah Mada
ISSN : 01261312     EISSN : 23563931     DOI : http://dx.doi.org/10.19106/JMedSci005303202101
Core Subject : Science,
Immunology & microbiology Neuroscience
Journal of the Medical Sciences (JMedSci) or Berkala Ilmu Kedokteran (BIK) is an international, open-access, and double-blind peer-reviewed journal, published by Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada Yogyakarta Indonesia. JMedSci aiming to communicate high-quality articles in the areas of biomedical science from basic to clinical sciences.The journal welcomes papers from original articles, case reports, reviews, and book reviews. All papers published in JMedSci are freely available as downloadable pdf files. The journal began its publication on March 1973 and published quarterly (January, April, July, and October). JMedSci is abstracted and indexed in DOAJ, Crossref, Google Scholar, Sinta, Indonesia One Search. JMedSci is accredited by Directorate of General Higher Education, the Ministry of Research, Technology, and Higher Education, Indonesia
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 12 Documents
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Search results for , issue "Vol 46, No 01 (2014)" : 12 Documents clear
Relationship between perimenopause symptoms and bone mineral density . Aida; Djaswadi Dasuki; Siswishanto Rukmono
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 46, No 01 (2014)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (334.833 KB) | DOI: 10.19106/JMedScie004601201404

Abstract

The menopausal transition or perimenopause is associated with numerous symptoms. Womenentering perimonopause normally have menstrual irregular periods due to an imbalance of serumestradiol. Since the status of estrogen is known as an important determinant of bone massdensity, menopausal symptoms can be an effective indicator of bone status in women. Thisstudy aimed to evaluate the relationship between perimenopause symptoms and bone mineraldensity (BMD). This was an observational study using cross-sectional design conducted duringthree months periode from June to August 2010 in Kalangan Village, Banguntapan, BantulDistrict. Subjects were women between the aged 46-55 years who fulfilled the inclusion andexclusion criteria. After underwent history taking, subjects underwent physical examinationaccording to International Physical Activity Questionnaires (IPAQ). The BMD of subjects wasthan measured using dual-energy X-ray absorptiometry (DEXA). The relationship betweenperimenopause symptoms and BMD was then evaluated using multivariate analysis. The resultsshowed that perimenopause symptoms increase abnormal BMD of subjects 1.38 times higherthan those without perimenopause symptoms (RR=1.38; 95%CI 1.39-13.78; p=0.01). Inconclusion, the perimenopause symptoms is associated with the high proportion of abnormalBMD in women.
Relationship of Geriatric Nutritional Risk Index (GNRI) with length of hospitalization and mortality rate in elderly patients Retno Ambarukminingsih; I Dewa Putu Pramantara; Neneng Ratnasari
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 46, No 01 (2014)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (483.624 KB) | DOI: 10.19106/JMedScie004601201405

Abstract

The proportion of elderly population is growing faster than any other age group. Malnutrition isa widespread problem in elderly and has been recognized as the most common cause of mortalityand morbidity. Mini Nutritional Assessment (MNA) is recommended to detect malnutrition riskamong geriatrics. However, it is just appropriate for geriatric who stay at home. For hospitalizationpatients, Nutritional Risk Index (NRI) that using albumin and weight is recommended. However,the weight data is often not possible obtained in geriatrics. Therefore, Geriatric Nutritional RiskIndex (GNRI) using ideal body weight is recommended. The aim of this study was to evaluaterelationship of GNRI with length of hospitalization and mortality rate in geriatric patients. Thiswas an observational study with a prospective cohort design conducted in Dr. Sardjito GeneralHospital, Yogyakarta from January to February 2012. Patients who met the inclusion and exclusioncriteria were recruited. Laboratoty and clinical examinations as well as GNRI scoring were thenperformed. Patients were grouped into two groups i.e. patients with GNRI score < 82 and e”82. The patients were then monitored during hospitalization until they were discharged due todie or recovered. The length of stay and patients died were then recorded. The results showedthat the length of stay of patients with GNRI score < 82 (14.32 ± 8.20 days) was significantlylonger than those with GNRI score 82 (9.31 ± 6.15 days) (p = 0.006). Moreover, the mortalityrate of patients with GNRI score < 82 (42.1%) was significantly higher than those with GNRIscore 82 (2.8%) (p = 0.000). Kaplan-Meier survival analysis showed survival rate of patientswith GNRI score <82 rapidly decreased when compared with those with GNRI score 82. Inconclusion, there is negative correlation between GNRI with length of hospitalization and mortalityrate in elderly.

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