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INDONESIA
Jurnal Kesehatan Andalas
Published by Universitas Andalas
ISSN : 23017406     EISSN : 26151138     DOI : -
Core Subject : Health,
Health Professions
Jurnal Kesehatan Andalas merupakan Jurnal yang diterbitkan oleh Fakultas Kedokteran Universitas Andalas.
Arjuna Subject : -
Articles 6 Documents
 1 
Search results for , issue "Vol. 14 No. 3 (2025): November 2025" : 6 Documents clear
Hubungan Kadar Gula Darah dengan Nilai Ankle Brachial Index Pasien Diabetes Melitus di Out Patient Departement Siloam Hospital Denpasar Susiyanti, Erna; Laksmi, Ida Ayu Agung; Dewi, Putu Adi Cahya; Wijaya, I Putu Artha
Jurnal Kesehatan Andalas Vol. 14 No. 3 (2025): November 2025
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v14i3.2629

Abstract

Uncontrolled blood sugar levels in patients with diabetes mellitus will result in peripheral neuropathy in the lower extremities, so that the sensitivity of the feet will decrease. Ankle Brachial Index (ABI) assessment is necessary for Type 2 Diabetes Mellitus (T2DM) patients to detect peripheral neuropathy early, particularly on the soles of the feet. Low ABI values that cause vascular disorders are influenced by increasing age, duration of DM and obesity. Objective: To determine the relationship between blood sugar levels and the ankle brachial index value of patients with diabetes mellitus in the Out-Patient Department (OPD) Siloam Hospital, Denpasar. Methods: This study employed a correlational research design with a cross-sectional approach, using simple random sampling to involve 227 respondents. The research instruments used were a Sphygmomanometer to measure the ABI value and a Glucometer (Glukotest) to measure the blood sugar levels of respondents. Data analysis was carried out using Spearman's rank correlation. Results:  Based on the value of blood sugar levels, it shows that the majority of respondents have a high category, namely 205 respondents (90.3%) and based on the value of the ankle brachial index (ABI), the majority of respondents' right foot ABI values are in the mild obstruction category, namely 128 respondents (56.4%) and the majority of the left foot has mild obstruction, namely 133 respondents (59.5%). The analysis yielded a p-value of 0.001, indicating a significant relationship between blood sugar levels and ankle brachial index (ABI) values. Conclusion: There is a significant relationship between blood sugar levels and ABI index on T2DM. Keywords: ankle brachial index, blood sugar level, T2DM
Hubungan Karakteristik Pasien Diabetes Melitus Tipe 2 dengan Gangguan Fungsi Kognitif di Puskesmas Andalas Khairy, Faldi Arkan; Firdawati, Firdawati; Liza, Rini Gusya; Rasyid, Rosfita; Julizar, Julizar
Jurnal Kesehatan Andalas Vol. 14 No. 3 (2025): November 2025
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v14i3.2644

Abstract

Type 2 Diabetes Mellitus (T2DM) is a metabolic disease that can cause various complications, one of which is cognitive dysfunction. Specific characteristics in T2DM patients can be risk factors for cognitive dysfunction, such as sex, age, employment status, education level, duration of diagnosis, comorbidity status, and degree of treatment adherence. Objective: To determine the association between the characteristics of Type 2 DM patients and cognitive dysfunction. Methods: This study used an observational analytical method with a cross-sectional study design conducted on 104 Type 2 DM patients at the Andalas Community Health Center, Padang, who met the inclusion and exclusion criteria. This study utilized the Montreal Cognitive Assessment-Indonesia (MoCA-Indonesia) questionnaire to evaluate the cognitive level of patients. This study was conducted from January to October 2024. Results: The Chi-square test showed a significant association between employment status (p = 0.038) and education level (p = 0.046) and cognitive dysfunction. Meanwhile, there is no significant association between sex (p = 1.000), age (p = 0.456), duration of diagnosis (p = 1.000), comorbidity status (p = 1.000), and degree of treatment adherence (p = 0.188) with cognitive dysfunction. Conclusion: Employment status and education level are significantly associated with cognitive impairment. Keywords: cognitive dysfunction, T2DM, patient characteristics
Vaginoplasty and Fimbrioplasty on Vaginal Agenesis with Hematocolpos, Hematometra, and Hematosalpinx Reswari, Arnova; Putri, Delima Istio Prawiradhani; Sasotya, RM Sonny
Jurnal Kesehatan Andalas Vol. 14 No. 3 (2025): November 2025
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v14i3.2645

Abstract

Congenital vaginal agenesis is a rare abnormality of the female genital tract caused by abnormal embryological development of the Müllerian ducts. Clinical manifestations vary depending on the extent of the anomaly, severity, and the patient's age at presentation. It has been reported that a 16-year-old presented to the Urogynecology Clinic at Dr. Hasan Sadikin General Hospital, Bandung, with a chief complaint of cyclic abdominal pain that had been intermittent for the past 2 years and no history of menstruation. The patient was referred from several private hospitals with a history of previous exploratory laparotomies. The girl had normal secondary sexual development. No vaginal sac was found on pelvic examination. A hematocolpos measuring 10.08 x 6.80 x 6.02 cm and a hematometra measuring 14.41 x 12.92 x 10.62 cm were found on ultrasound. An exploratory laparotomy revealed bilateral hematosalpinx with a normal uterus. Vaginoplasty, bilateral partial salpingectomy, and bilateral fimbrioplasty were performed. In this case report, the authors successfully performed vaginoplasty and fimbrioplasty to evacuate the hematocolpos, hematometra, and hematosalpinx. Vaginal molding was then inserted into the neovaginal to prevent spontaneous vaginal collapse and maintained in situ for 2 weeks after surgery. Keywords:  hematocolpos, hematometra, hematosalpinx, vaginal agenesis
Hubungan Pola EKG Infark dan Iskemik dengan Derajat Stenosis Berdasarkan Gensini Score Rohman, Fatuh; Abduh, Saugi; Sumarawati, Titiek
Jurnal Kesehatan Andalas Vol. 14 No. 3 (2025): November 2025
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v14i3.2646

Abstract

Myocardial infarction and ischemia are progressive manifestations of coronary heart disease due to coronary artery stenosis. ECG examination can be an initial tool for detecting infarction and ischemia. However, it has relatively low sensitivity and specificity in detecting arterial stenosis. Objective: To determine the relationship between infarction and ischemic ECG patterns with the degree of stenosis based on the Gensini score and risk factors that influence the degree of stenosis. Methods: This observational analytical study employed a cross-sectional design, utilizing secondary data from medical records at RSI Sultan Agung Semarang from January 2018 to December 2023. The degree of stenosis was calculated using the Gensini score method. Results: A total of 500 patient data were analyzed using a Chi-square test to examine ischemic and infarction ECG patterns in relation to the degree of stenosis, yielding a p-value of 0.001 and a contingency coefficient of 0.15. Conclusion: A significant relationship was found between infarction and ischemic ECG patterns, as well as the degree of stenosis, based on the Gensini score, with a very weak correlation strength. Keywords: degree of stenosis, Gensini score, infarction, ischemic
Korelasi Skor SOFA dengan Kadar Kortisol Darah pada Pasien Sepsis di RSUP Dr. M. Djamil Padang Fahmi, Rahmadina Zesfira; Fadrian, Fadrian; Rikarni, Rikarni; Husni, Husni; Bilmahdi, Rohayat; Irramah, Miftah
Jurnal Kesehatan Andalas Vol. 14 No. 3 (2025): November 2025
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v14i3.2671

Abstract

Sepsis is a life-threatening organ dysfunction due to dysregulation of the body's immune response to infection. The Sequential Organ Failure Assessment score (SOFA score) is a diagnostic tool used to quantitatively and objectively assess the level of organ dysfunction. Sepsis as a stressor of systemic inflammation, causes an increase in cortisol secretion by the adrenals to target tissues, which suppresses inflammation. Objective: To determine the correlation between SOFA score and blood cortisol levels in sepsis patients at RSUP Dr. M. Djamil Padang. Method: Observational analytic study with a cross-sectional method. The sample consisted of 55 patients who had been diagnosed with sepsis. The data used was secondary data from medical records. The data were tested using the Spearman correlation test. Result: A correlation was found between the SOFA score and blood cortisol levels, yielding a correlation coefficient of r = 0.338 and a p-value of 0.012. Conclusion: There is a significant moderate correlation between SOFA scores and blood cortisol levels. Keywords:  blood cortisol, sepsis, SOFA score
Amiodarone as an Antiarrhythmia Therapy can Induce Acute Renal Failure in Patiens with SupraventricularTachycardia (SVT): A Rare Case Report Nurjanah, Melany; Haryadi, Haryadi
Jurnal Kesehatan Andalas Vol. 14 No. 3 (2025): November 2025
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v14i3.2674

Abstract

Amiodarone is classified as a class III antiarrhythmic agent that primarily inhibits adrenergic stimulation by blocking alpha and beta-adrenergic receptors. This drug also affects sodium, potassium, and calcium channels and prolongs the action potential and refractory period in myocardial tissue. Amiodarone, a drug well known for its wide range of side effects, can also affect the kidneys. The incidence of amiodarone-induced acute kidney failure is rare. There are limited studies regarding kidney injury caused by amiodarone. It has been reported a 45-year-old woman was admitted with leiomyoma and was scheduled for surgery. During hospitalization, the patient complained of palpitations that had been continuously present for one day. Electrocardiographic examination showed supraventricular tachycardia. The patient received intravenous amiodarone therapy followed by oral amiodarone. Renal function test results showed a decline after the patient received amiodarone therapy for 24 hours. The supraventricular tachycardia converted to normal sinus rhythm. After amiodarone was discontinued for several days, renal function returned to normal significantly. Keywords: acute kidney injury, amiodarone, renal toxicity  

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