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WMJ (Warmadewa Medical Journal)
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Published by Universitas Warmadewa
ISSN : 25274627     EISSN : 25799010     DOI : doi.org/10.22225/wmj
Core Subject : Health,
Health Professions Medicine & Pharmacology
WMJ (Warmadewa Medical Journal) is the Journal of Medicine & Health, contains scientific articles (Original/ Research Articles, Review Articles, Case Reports) by academic community of the Faculty of Medicine and Health Sciences Warmadewa University, other Faculties of Medicine and Health Sciences and other related Institutions. It is the medium for hardskill and softskills development as an integral part of the Tri Dharma Perguruan Tinggi (Education, Research, Public Service) and health services in the forms of media of communication, information, scientific education, as a subsystem of Medicine and Health holistic and comprehensive services.
Arjuna Subject : -
Articles 104 Documents
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Case Report Diagnosis and Management of Essential Trombositosis in RSUD Sanjiwani Gianyar and RSUP Sanglah Ni Wayan Sri Wardani; I Ketut Ery Purnama Warsana Putra; Ni Made Renny A Rena
WMJ (Warmadewa Medical Journal) Vol 3 No 1 (2018): May 2018
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.3.1.644.15-20

Abstract

Abstract. Essential thrombocythemia (ET) is a very rare disorder with 1- /100,000 population in the world. The incidence of this abnormality is still obscure in Indonesia. We report a case of ET, women of age 74 years old that came to Sanjiwani Hospital with gum bleeding. This case is confirmed based on WHO criteria of ET which are the increasing of thrombocyte of a number of increase >450 /µL3, proliferation of megakaryocyte cell on bone marrow biopsy, also not meeting any other WHO criteria for also not meeting any other WHO criteria for BCR-ABL1+CML, Polycythemia Vera, Chronic Myeloid Leukemia, Myelodysplastic Syndrome, or other myeloid neoplasm diseases. Management of this case is based on risk adapted treatment algorithm considering three major risk factors for thrombosis (history of thrombosis, JAK2/MPL mutations, and advanced age). This case is categorized as high risk patient for thrombosis, so that treated with antiplatelet aggregation (aspilets) and anagrelide after hydroxyurea clinically unresponsive.
Penerapan Mind Map pada Mahasiswa Blok Special Topic (Pirene) di Fakultas Kedokteran dan Ilmu Kesehatan (FKIK) Universitas Warmadewa Putu Nita Cahyawati; Putu Alit Sudarsana Sudarsana
WMJ (Warmadewa Medical Journal) Vol 2 No 1 (2017): Mei 2017
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.2.1.81.19-25

Abstract

Mind map merupakan metode penyusunan catatan demi mengoptimalkan seluruh potensi otak. Metode ini memungkinkan daftar informasi yang panjang dialihkan menjadi diagram yang dikombinasikan dengan berbagai warna, simbol, dan gambar, sehingga memudahkan otak dalam menyerap. Penerapan metode ini dalam pembelajaran diharapkan dapat membantu mahasiswa mencapai tujuan belajar. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh penerapan metode pembelajaran mind map terhadap motivasi dan kelulusan mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan (FKIK) Universitas Warmadewa pada Blok Special Topic (Pirene). Selama Blok berlangsung setiap mahasiswa membuat mind map sesuai dengan kasus (pemicu) dalam Modul Blok. Motivasi mahasiswa terhadap penerapan mind map dievaluasi menggunakan kuesioner dan evaluasi kelulusan mahasiswa ditentukan menggunakan nilai ujian akhir menggunakan multiple choice question (MCQ). Rerata peningkatan motivasi belajar mahasiswa melalui penerapan mind map sebesar 82,2%. Kelulusan first taker mahasiswa mencapai 84,48% dengan nilai A sebesar 53,45% dan nilai B sebesar 31,03%. Mahasiswa dengan nilai mind map assessment rubric (MMAR) >1000  ternyata 100% lulus ujian akhir, walaupun masih belum jelas adanya korelasi langsung antara nilai MMAR dengan kelulusan mahasiswa  tersebut. Penerapan metode pembelajaran mind map pada Blok Special Topic (Pirene) berdampak baik terhadap peningkatan motivasi belajar mahasiswa dan kelulusan first taker mahasiswa.Kata Kunci: mind map, Blok Special Topic (Pirene), motivasi belajar, kelulusan [The Application of Mind Map on College Student Block Special Topic (Pirene) in Faculty of Medicine and Health Science, Warmadewa University]Mind map is a note-taking strategy to optimize the brain potential. This method allows a long list of information, transferred into a diagram combined with a variety of colors, symbols, and images, making it easier for the brain to absorb information. Application of this method as a learning strategy is expected to help students achieve the learning objectives. The aim of this study was to determine the effect of the application mind map as learning methods toward motivation and graduation in medical faculty students on Block Special Topic (Pirene). During the Block takes place, each student create a mind map accordance with the case (triggers) in Block Module. Motivation of students to the application of the mind map was evaluated using questionnaires and evaluation of student graduation is determined using the value of the summative MCQ exam. The mean of student motivation to learn through the implementation of a mind map was 82.2%. First taker graduation of students reaching 84.48% with a value of A was 53.45% and the value of B was 31.03%. Students with grades MMAR> 1000 was 100% pass the exam summative, although it is still not clear the direct correlation between the value of the MMAR with students graduation. The application of mind map on the Block Special Topic (Pirene) works to increase the student motivation to learn and graduation of first taker students.Keywords: mind map, Block Special Topic (Pirene), motivation to learn, graduation
Rangsangan Titik Akupunktur Nomer 16 Meningkatkan Kadar Hormon Testosteron Mencit Jantan Usia Sembilan Bulan Tanjung Subrata
WMJ (Warmadewa Medical Journal) Vol 1 No 1 (2016): Mei 2016
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.1.1.7.24-29

Abstract

Penurunan kadar testosteron pada laki-laki mulai usia pertengahan antara 45-59 tahun dan menyebabkan terjadinya ganguan seperti menurunnya kekuatan otot, meningkatnya lemak visceral, gangguan fungsi seksual seperti libido menurun dan/atau disfungsi ereksi. Akupunktur dengan konsep pengobatan hantaran rangsang dapat digunakan untuk meningkatkan fungsi seksual laki-laki. Pada penelitian ini diteliti pengaruh perangsangan pada titik akupunktur no.16 dan 49 terhadap kadar hormon testosteron pada mencit (Mus musculus) yang telah mengalami proses penuaan.  Sebanyak 28 ekor mencit jantan usia 9 bulan dijadikan binatang coba. Binatang coba dibagi menjadi empat kelompok eksperimen secara random. Kelompok 1 diberikan rangsangan pada titik akupunktur no.16, kelompok 2 diberikan rangsangan pada titik akupunktur no.49 dan kelompok 3 diberi rangsangan pada titik akupunktur no.16 dan 49, dan kelompok 4 sebagai kontrol. Perlakuan diberikan selama 10 menit, diulang sebanyak tiga kali per minggu, dan diberikan selama empat minggu. Kadar hormon testosteron diukur dari sampel darah mencit setelah perlakuan selesai. Perbedaan rerata kadar hormon testosterone antar kelompok eksperimen diuji dengan uji Kruskal-Wallis dan Man-Whitney pada tingkat kemaknaan a=0,05. Hasil penelitian menunjukan rerata (±sd) kadar hormon testosteron pada kelompok 1, 2, 3, dan 4 adalah 815,0 (±568,8) ng/dl,  229,5 (±337,4) ng/dl, 538,2 (±715,0) ng/dl, dan 50,8 (±32,2) ng/dl secara berurutan. Analisis Mann-Whitney menunjukan bahwa  kadar testosteron kelompok eksperimen 1 berbeda dengan kelompok lain dan control (P<0,05). Sehingga dapat disimpulkan bahwa pemberian rangsangan pada titik akupunktur no.16 meningkatkan kadar hormon testosteron mencit secara signifikan.Kata Kunci: akupunktur, hormon testosteron, mencit tua. [Stimulation on Acupuncture Point Number 16 Increases Testosterone Hormone Level in Nine-Month-old Male Mice].Decreasing level of testosterone in man starts at the age between 45-59 years which causes disorders such as decreased muscle strength, increased visceral fat, sexual dysfunction such as decreased libido and / or erectile dysfunction. Acupuncture with excitatory conduction treatment concept can be used to enhance male sexual function. In this study we examined the effect of stimulation of acupuncture points no.16 and 49 on testosterone levels in mice (Mus musculus) who are aging. A total of 28 male mice aged 9 months were used as experimental animals. The experiment animals were divided into four groups randomly. Group 1 was given stimulation of acupuncture pointno.16, group 2 was given stimulation of acupuncture point 49 and group 3 was given stimulation of acupuncture points no.16 and 49, and group 4 as the control group. Treatment was given for 10 minutes, repeated three times per week, for four weeks. Testosterone levels were measured from blood samples of mice after treatment was completed. The mean differences of testosterone levels between experimental groups were tested by Kruskal-Wallis and Man-Whitney at significance level a =0.05. The results showed  the mean (± sd)  of testosterone levels in group 1, 2, 3, and 4  were 815.0 (±568.8) ng / dl, 229.5 (±337.4) ng / dl, 538, 2 (±715.0) ng / dl, and 50.8 (± 32.2) ng / dl, respectively. Mann-Whitney analysis showed that testosterone level of group 1 was different from those of the other groups and the control (P<0.05). It is concluded that stimulation of acupuncture pointno.16 increases testosterone levels in mice significantly. Keywords: acupuncture, testosterone hormone, aging mice.
The Effect of Relaxation Guided Imagery and Foot Massage Techniques on Anxiety Level in Stroke Patients Riena Edelweis
WMJ (Warmadewa Medical Journal) Vol 4 No 2 (2019): November 2019
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.4.2.803.44-46

Abstract

Stroke causes paralysis of one side of the body (hemiplegia). Powerlessness reduces the enthusiasm of life, causing emotional changes in the form of anxiety. Various interventions can be done to overcome this condition, including both pharmacological and non-pharmacological. Examples of the non-pharmacological interventions are the relaxation guided imagery and foot massage. This research design used an experimental study with non-equivalent control group design. The sample size of 60 respondents consisted of 3 groups and 1 control group with each group consisting of 15 respondents. This study used univariate data analysis with frequency distribution tables, bivariate analysis with paired t-test for paired groups and unpaired groups used independent t-test with significance level ≤ 0.05. The results showed that relaxation guided imagery or foot massage and the combination of both affected anxiety with p-value 0.01; there is a difference in the group before doing the treatment value ρ-value 0.812 Conclusion: stroke patients who are given an intervention for 30 minutes for 2 weeks along with standard treatment can reduce anxiety on a mild scale.
ASSOCIATION BETWEEN OSTEOPOROSIS AND AGE, PHYSICAL ACTIVITY, AND OBESITY IN ELDERLY OF TULIKUP VILLAGE, GIANYAR Ratna Juwita
WMJ (Warmadewa Medical Journal) Vol 3 No 2 (2018): November 2018
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.3.2.684.33-42

Abstract

The proportion of elderly population in Tulikup Village, Gianyar Regency is 0.72%. One of the potential disease affecting this aging population is osteoporosis. Morbidity of osteoporosis could impose future burden to community and government in term of medical, social and financial implications. The present study determined prevalence and risk factors of osteoporosis to provide solid basis for the development of screening model. Cross sectional study was conducted and 221 of 649 people aged ≥45 were randomly sampled by multi-stage random sampling method. Examined variables were osteoporosis treated as dependent variable and several independent variables: age groups, gender, personal history of fracture, dietary calcium intake, physical activity, alcohol & phosphorus intake, body mass index (BMI), parental history of fracture, diabetes mellitus, and smoking habit. Data was analyzed statistically by univariate, bivariate (chi square), and multivariate (logistic regression) analysis. The prevalence of osteoporosis in eldery was 28.1% (26.0% in women and 30.6% in men) and the rest was osteopenia (54.3%). Multivariate analysis showed that prevalence ratio (PR) of osteoporosis in relation to obesity, elderly group, post elderly group, and vigorous physical activity were 0.3 (CI 95%: 0.1-0.9), 4.5 (CI 95%: 1.4-1.9), 6.2 (CI 95%: 1.8-20.9), and 0.5 (CI 95%: 0.2-0.9), respectively. In general, obesity and vigorous physical activity significantly decreased the risk of osteoporosis. Obesity decreased the risk of having osteoporosis by 70% and vigorous physical activity deceased the risk of osteoporosis by 50% . Being elderly and post elderly increased the risk of having osteoporosis significantly. Elderly group was 4.5 times more likely to have osteoporosis, furthermore post elderly group increased the risk of by 6.2 times.
Pemberdayaan Kader dan Dasawisma Dalam Pencegahan Kasus Demam Berdarah Dengue di Banjar Menak, Kabupaten Gianyar, Provinsi Bali Ratna Juwita
WMJ (Warmadewa Medical Journal) Vol 2 No 2 (2017): November 2017
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.2.2.398.60-70

Abstract

Banjar Menak terletak di Kabupaten Gianyar dengan permasalahan kesehatan berupa peningkatan kasus Demam Berdarah Dengue (DBD) yang merupakan no.1 dari 10 besar penyakit pasien rawat inap di RS dengan angka insiden tahun 2015 adalah sebesar 442,3 per 100.000 penduduk. Selama ini pemberdayaan masyarakat untuk melakukan surveilans jentik dan PSN mandiri belum pernah digalakkan, karena itu kami melakukan pemberdayaan kepada kader dan dasawisma untuk melaksanakan program tersebut. Metode yang digunakan adalah metode pelatihan dan pendampingan untuk meningkatkan pengetahuan dan keterampilan mitra tentang DBD, surveilans jentik, dan PSN. Kegiatan dilakukan oleh 3 orang kader dan 3 orang dasawisma. Hasil pretest tingkat pengetahuan mitra sebesar 71,7% dan post-test 88%. Hasil analisis FGD didapatkan gambaran bahwa mitra belum memiliki pemahaman yang benar tentang DBD, surveilans jentik dan PSN. Dari hasil observasi dan penilaian mingguan didapatkan penurunan nilai trend Container Indeks (CI) pada keenam mitra dengan hasil: mitra 1 dari 9,1 minggu I menjadi 1,8 pada minggu IV; mitra 2 dari 10,9 menjadi 1,8; mitra 3 dari 14,6 menjadi 0; mitra 4 dari 10,9 menjadi 3,6; mitra 5 dari 49,1 menjadi 3,6; mitra 6 dari 20,2 menjadi 1,8. Secara umum, nilai CI dan Density Figure (DF) semua KK binaan mitra sudah mengalami penurunan. Kegiatan PkM ini dinilai sudah berhasil sesuai luaran indikator. Hal ini mengindikasikan sudah berjalan baiknya KIE PSN yang. Saran yang dapat disampaikan adalah agar kedua kelompok mitra dapat menjadi ujung tombak penanggulangan kasus DBD di Banjar Menak pada khususnya dengan memberdayakan masyarakat untuk melakukan surveilans jentik mandiri dan PSN yang benar. Kata Kunci: Demam Berdarah Dengue, surveilans, Container Indeks, Density Figure Located in Gianyar Regency, Banjar Menak was experiencing in dengue cases. Dengue Haemorrhagic Fever (DHF) is one of the top ten most frequent inpatient disease in Gianyar, with incidence of 442,3 in 100.000 people (2015). The mosquito larva surveillance and mosquito nest eradication had not been wellimplemented in the area, there for, we conducted a comunity involvement program with the aim to increase the knowledge and the skill of the resident on dengue and its eradication measures. The method of the program was cadre trainning on knowledge of dengue, mosquito larvae surveillance, and mosquito net eradication program. (known as PSN). This trainning was participated by three cadre and three dasawisma of Banjar Menak. The pre-test on the knowledge of the participantis was 71,7% while the post-test was 88%. The participants were not well euiped with understanding on dengue, larvae surveillance, and PSN as it shown on FGD analysis. The weekly post program observation showed a decreasing trend on Container Index (CI) for all the participants’s surveillance area. The CI of week 1 and 4 for each participantss were 9,1 to 1,8; 10,9 to 1,8; 14,6 to 0; 10,9 to 3,6; 49,1 to 3,6; and 20,2 to 1,8. In general, the CI and Density Figure (DF) in Banjar Menak has decreased.The program has achieved its external indicator and deemed as success. The trained cadre and dasawisma is expecting to be the front runner for the community involvement in dengue eradication program in Banjar Menak. Key words: Dengue Haemorrhagic Fever, surveillance, Container Index, Density Figure
Efek Pemberian Virgin Coconut Oil (Cocos nucifera) terhadap Dislipidemia pada Tikus Putih (Rattus norvegicus) Jantan Galur Wistar yang Diberi Diet Tinggi Kolesterol Augus Venty; I Gusti Made Aman; Wimpie Pangkahila
WMJ (Warmadewa Medical Journal) Vol 1 No 2 (2016): November 2016
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.1.2.28.58-65

Abstract

Dislipidemia adalah kelainan metabolisme lipid yang ditandai peningkatan kolesterol total, kolesterol LDL, trigliserida diatas nilai normal serta penurunan kolesterol HDL di dalam darah. Virgin coconut oil (VCO) mengandung 92% lemak jenuh sehingga dikaitkan dengan peningkatan resiko penyakit kardiovaskular. Tidak semua asam lemak jenuh buruk bagi kesehatan. VCO terdiri dari medium chain triglycerides (MCT) dan komponen polifenol bekerja secara sinergis dalam mencegah dislipidemia. Penelitian ini bertujuan untuk mengetahui kegunaan VCO sebagai alternatif untuk mencegah dislipidemia pada tikus putih jantan galur wistar yang diberi diet tinggi kolesterol. Penelitian ini adalah penelitian eksperimental murni dengan randomized post-test only control group design menggunakan 36 ekor tikus putih jantan. Semua sampel diberikan diet tinggi kolesterol, lalu dibagi menjadi 2 kelompok secara random yaitu kelompok kontrol yang diberikan plasebo berupa akuades sebanyak 0,8 ml/ hari dan kelompok perlakuan yang diberikan VCO sebanyak 0,8 ml/ 200 gram berat badan/ hari selama 28 hari. Hasil penelitian ini menunjukkan bahwa rerata kolesterol total kelompok perlakuan lebih rendah dari kelompok kontrol (113,49±4,31 mg/dl vs 222,61±6,41 mg/dl) (p<0,05). Rerata trigliserida kelompok perlakuan lebih rendah dari kelompok kontrol (91,46±5,56 mg/dl vs 153,51±5,40 mg/dl) (p<0,05). Rerata kolesterol LDL kelompok perlakuan lebih rendah dari kelompok kontrol (37,94±3,32 mg/dl vs 71,25±2,76  mg/dl) (p<0,05). Rerata kolesterol HDL kolesterol total kelompok perlakuan lebih tinggi dari kelompok kontrol (41,62±1,58 mg/dl vs 25,02±2,59 mg/dl) (p<0,05). Penelitian ini menyimpulkan bahwa virgin coconut oil mencegah dislipidemia pada tikus jantan galur wistar yang diberi diet tinggi kolesterol.Kata Kunci: virgin coconut oil, profil lipid, dislipidemia. [The Effect of Virgin Coconut Oil (Cocos nucifera) to Dyslipidemia in Male Wistar Rats (Rattus norvegicus) Fed with High Cholesterol Diet].Dyslipidemia is a lipid metabolism disorder followed by high total cholesterol level, high LDL cholesterol level, high tryglyceride level and low HDL cholesterol level. Virgin coconut oil (VCO) contains 92% saturated fat that is associated with an increased risk of cardiovascular disease. Not all saturated fatty acids are bad for health. VCO consist of medium chain triglycerides (MCTs) and polyphenol components that work synergistically in preventing dyslipidemia. This research was aimed to determine the usefulness of VCO as an alternative to prevent dyslipidemia in male wistar rats fed with high cholesterol diet. This study was a true experimental research with randomized post-test only control group design using 36 male rats. All samples were given a high cholesterol diet and were divided into 2 groups randomly: a control group were given a placebo (distilled water) 0,8 ml/ day and a treatment group were given VCO 0,8 ml/ 200gram weight/ day for 28 days. The results showed that the treatment group had a significantly lower total cholesterol levels compared to the control group (113,49±4,31 mg/dl vs 222,61±6,41 mg/dl) (p<0,05). The treatment group had a significantly lower triglycerides levels compared to the control group (91,46±5,56 mg/dl vs 153,51±5,40 mg/dl) (p<0,05). The treatment group had a significantly lower LDL cholesterol levels compared to the control group (37,94±3,32 mg/dl vs 71,25±2,76  mg/dl) (p<0,05). The treatment group had a significantly higher HDL cholesterol levels compared to the control group (41,62±1,58 mg/dl vs 25,02±2,59 mg/dl) (p<0,05). This research concluded that virgin coconut oil was proved in preventing dyslipidemia in male wistar rats fed with high cholesterol diet.Keywords: virgin coconut oil, lipid profile, dyslipidemia.
Functional Gait Assessment to Predict the Risk of Falls in Elderly Saktivi Harkitasari; Cokorda Agung Wahyu Purnamasidhi; RA Tuty Kuswardhani
WMJ (Warmadewa Medical Journal) Vol 3 No 1 (2018): May 2018
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.3.1.369.6-14

Abstract

Aging process represents the natural process which is inevitable. It is caused by a biological factor that goes naturally resulting in the anatomical, biochemical and physiological changes. The natural changes contribute to falling in elderly. The objective of this study was to assess the falling prediction in elderly by using Functional Gait Assessment. This study used a cross-sectional research design with falling prediction as the variable. Forty-three elderly in Panti Werdha Wana Seraya (aged 60-103 years, - mean of 77.48 ± 1.61), selected according to the inclusion criteria, were included in the study. The data were collected using Functional Gait Assessment and analyzed both descriptively and statistically. The results showed that the elderly had a high risk of falls. Functional Gait Assessment showed that 41 of 43 subjects scored
KarakteristikPasien Preeklampsiadan Eklampsia di Rsud dr. T.C. Hillers Maumere Periode Januari – Juni 2016 I Nyoman Rake Genatra Sardeva
WMJ (Warmadewa Medical Journal) Vol 2 No 1 (2017): Mei 2017
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.2.1.72.26-32

Abstract

Preeklampsia dan eklampsia merupakan penyebab terbanyak kedua kematian ibu setelah perdarahan dimana preeklampsia berat dan eklampsia. Di provinsi Nusa Tenggara Timur khususnya di kabupaten Sikka, belum ada data ataupun laporan mengenai kejadian preeklampsia dan eklampsia. Penelitian ini bertujuan untuk mengetahui gambaran karakteristik pasien yang dirawat dengan preeklampsia dan eklampsia di RSUD dr. TC HILLERS Maumere periode Januari sampai dengan Juni 2016. Rancangan penelitian menggunakan survei deskriptif. Sampel pada penelitian ini diambil dari data sekunder. Setelah data dikumpulkan, kemudian dilakukan analisis data dengan teknik statistik deskriptif. Selama Januari 2016 sampai Juni 2016 didapatkan 112 kasus preklampsia dan eklampsia. Didapatkan kelompok umur ibu 20-35 tahun sebanyak 76 kasus (67,86%), primigravida sebanyak 54 kasus (48,22%), pendidikan SD sebanyak 51 kasus (45,54%), kelompok tidak bekerja sebanyak 95 kasus (84,82%), dan tidak ada riwayat hipertensi pada kehamilan sebelumnya 37 kasus (63,79%).Disimpulkan bahwa kasus preeklampsia dan eklampsia selama pada Januari sampai Juni 2016 adalah 112 kasus (9,54%), dari kasus tersebut sebanyak 67% terjadi pada umur 20-35 tahun, 48% pada primigravida, 45,54% dengan pendidikan SD, 84,82% tidak bekerja, dan 63% tidak memiliki riwayat hipertensi pada kehamilan sebelumnya.Kata Kunci: preeklampsia, eklampsia, karakteristik Preeclampsia and eclampsia is the most common cause of maternal death after bleeding. In Indonesia, severe preeclampsia and eclampsia is the leading cause of maternal death ranges from 1.5% - 25%, while the infant mortality between 45 percent to 50 percent. The magnitude of this problem not only because of preeclampsia affects the mother during pregnancy and childbirth, but also cause in postpartum. In East Nusa Tenggara province, especially in Sikka district, there is no data or reports on the prevalence or general description about incidence of preeclampsia and eclampsia. This research aimed to describe characteristics of patient with preeclampsia and eclampsia in Dr. T.C. Hillers Hospital Maumere between January to june 2016. This research was a descriptive survey. The sample in this study is taken from secondary data. After data is collected, then analyzed the data using statistical descriptive technique. During Januari – June 2016 there were 112 case of preeclampsia and eclampsia. The highest frequency in maternal age group 20-35 years old 76 case (67.86%), primigravida 54 case (48.22%), primary school  51 case (45.54%),  unemployed 95 case (84.82%), and did not have history of hypertension in a previous pregnancy 37 case (63.79%) Concluded thatcases of preeclampsia and eclampsia from January until June 2016 were112 cases, with maternal age of 20–30 years old 67.86%, primigravida parity 48.22%, level of education is primary school 45.54%, unemployed 84.82%, and without history of hypertension in a previous pregnancy (63,79%).Keywords: preeclampsia, eclampsia, characteristics
Respon Otonomik Jantung yang Buruk pada Pasien Diabetes Melitus Paska Infark Miokard Akut Gede Bagus Gita Pranata; Ketut Badjra Nadha; Ida Sri Iswari
WMJ (Warmadewa Medical Journal) Vol 1 No 1 (2016): Mei 2016
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.1.1.8.30-41

Abstract

Diabetes mellitus (DM) dengan penyakit kardiovaskular sangat erat kaitannya. Pada beberapa penelitian telah dihubungkan antara diabetes mellitus dengan respon otonomik denyut jantung yang buruk, sedangkan hubungan diabetes mellitus dengan respon otonomik denyut jantung yang buruk pada pasien paska IMA masih belum ada. Pemulihan denyut jantung (HRR) dan denyut jantung istirahat (resting HR) merupakan alat investigasi yang baik,  terpercaya, dan mudah diukur dalam mengevaluasi pengaturan otonomik jantung dan sebagai faktor prediktor kuat untuk  semua kasus  mortalitas pada orang dewasa yang sehat maupun pada seseorang dengan penyakit kardiovaskular. Penelitian ini bertujuan untuk mengetahui bahwa diabetes mellitus tipe 2 sebagai faktor yang memperburuk denyut jantung saat istirahat,  terhadap pemulihan denyut jantung setelah uji latih treadmill pada pasien pasca infark miokard,  serta merupakan variabel penting sebagai faktor prediktor kejadian morbiditas dan mortalitas pada pasien dengan  paska infark miokard akut. Pada analisis bivariat ditemukan pasien dengan diabetes mellitus tipe 2 dan tanpa diabetes mellitus tipe 2 berbeda secara bermakna dalam memperburuk respon otonomik denyut jantung (denyut jantung saat istirahat dan denyut jantung pemulihan) pada pasien paska IMA (p<0,01). Pada analisis multivariat tidak ditemukan adanya pengaruh faktor umur, jenis kelamin, riwayat keluarga, dislipidemia, hipertensi, merokok, aktifitas fisik, dan penyekat beta terhadap respon otonomik denyut jantung yang buruk pada pasien DM paska IMA (p>0,05).Kata kunci: Diabetes mellitus tipe 2, Infark miokard akut, denyut jantung saat istirahat, denyut jantung pemulihan, treadmill. [Relationship Between Type 2 Diabetes Mellitus and Poor Heart Rate Autonomic Response In Post IMI Patients]. Diabetes mellitus (DM) and cardiovascular disease are very closely related. Several studies have shown the link of diabetes with poor heart rate autonomic response, whereas data on the relationship of diabetes mellitus with poor heart rate autonomic response in post AMI patients are still not available. Heart rate recovery (HRR) and resting heart rate (resting HR) is an investigative tool that is both reliable and easy to measure in evaluating the cardiac autonomic regulation and as a strong predictor factor for allcauses of mortality in healthy adults as well as in ones with cardiovascular disease. This study aimed to determine that type 2 diabetes mellitus is a factor that worsens heart rate at rest worsens recovery heart rate after treadmill exercise test in patients with post myocardial infarction, and that it is an important variable factor as predictor for incidence of morbidity and mortality. The bivariate analysis showed that patients with type 2 diabetes mellitus and those without type 2 diabetes mellitus differed significantly in worsening the autonomic response of the heart rate (heart rate at rest and recovery heart rate) in post-AMI patients (p<0.01). Multivariate analysis didn’t find any relationship of the other variables i.e. age, gender, family history, dyslipidemia, hypertension, smoking, physical activity, and beta blockers with poor heart rate autonomic response in post-AMI diabetic patients (p>0.05).Keywords: Type 2 diabetes mellitus, acute myocardial infarction, heart rate at rest, heart rate recovery, treadmill.

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