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Perbedaan Tekanan Darah Sebelum dan Sesudah Paparan Heat Stress pada Pekerja Perusahaan Industri Alumunium Yogyakarta

JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 3, No 8, (2011)
Publisher : Faculty of Medicine

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Abstract

One source of danger in workplace is heat stress. Heat stress can cause changes in the cardiovascular system. The workload of heart will increase to regulate body temperature when body temperature rises due to exposure to heatstress. The objectives of this study were to find out the differences of blood pressure before and after exposure to heat stress on workers of Industrial Company Aluminium Yogyakarta. This study uses observational analytic methodwith cross sectional approach. The sample in this study that meets inclusion criteria is 25 people from two Industrial company Aluminium Yogyakarta (TS and ED). Data is collected by interview using a questionnaire to determine thecharacteristics of the respondents and measurements of heat stress, blood pressure in supine and standing position and axillary temperature. The statistical test performed using Wilcoxon match pair test with computer program. The average of heat stress in production section of Industrial Company TS Aluminium is 31.7 °C and ED Alumunium 32.6 °C. The average body temperature increased by 0.8 °C after exposure to heat stress (P <0,001). Systolic and diastolic blood pressure in supine and standing position decreased significantly after exposure to heat stress. Heat stress decreased systolic in supine (P<0,001) and standing (P<0.001) likewise diastolic in supine (P<0,001) and standing (P<0,001). Difference in systolic and diastolic blood pressure when changing body position prior heat stress compared to after heat stress no significant changes. Difference in systolic (P = 0.093) and difference in diastolic (P = 0.379). Based on this research, it can be concluded that there is significant differences in blood pressure before and after exposure to heat stress on workers of Industrial Company Aluminium Yogyakarta.

IPTEK BAGI MASYARAKAT (IbM) DESA TERONG DAN JATIMULYO DALAM PENGELOLAAN HIPERTENSI DAN DIABETES MELITUS

Asian Journal of Innovation and Entrepreneurship Volume 03, Issue 02, May 2018
Publisher : UII

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Abstract

IbM aims to improve the management of hypertension and Diabetes mellitus (DM) through optimizing the Posbindu (Integrated Development Position) Position of Terong and Jatimulyo Villages. The target is the establishment of posbindu with adequate facilities and trained posbindu cadres. Other targets are the formation of IEC media on hypertension and DM and obtaining baseline clinical parameters data and after management for 3 months. Devotion is implemented within 8 months in fiscal year 2017 in cooperation with the government of Terong Village and Jatimulyo and coordinate with local health center that is Dlingo II Public Health Center. The first stage is cadre training and posbindu formation. The training was conducted by using the method of "Learning Active Cadre" (CBKA), cooperative learning, case-based learning with material on Posbindu implementation, risk factor measurement, early detection, hypertension and DM management, herbal treatment, and basic counseling techniques to play motivator healthy lifestyle. After that done early detection (baseline data) and management of hypertension and DM disease for 3 months in order to know the level of improvement of disease management and as a picture of program sustainability. To improve the knowledge of the community also provided IEC media about Posbindu and hypertension and DM. Until the end of October 2017, the Dedication team has completed several programs such as training candidate cadres posbindu, procurement of medical equipment, and the establishment of posbindu in the Village Terong and Jatimulyo. Based on clinical examination data at the opening of posbindu, monitoring and final measurement can be concluded that the implementation of Posbindu has been able to detect, monitor and improve the management of DM patients and hypertension in both villages in order to achieve controlled clinical condition.

Perbedaan Kadar Resistin Pada Obes Dengan Resistensi Insulin Dan Obes Tanpa Resistensi Insulin

JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol1, No 1, (2009)
Publisher : Faculty of Medicine

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Abstract

Resistin is an adipocytokine that secreted from adipose tissue, resistin level serum increased in obese patients. Resistin has important biological activity on glucose and lipid metabolism, and can affect insulin resistance. Previous study suggested that high level resistin can induce insulin resistance and has contribution to impaired insulin sensitivity. The Objective of this study is to know differences of resistin level in obese with insulin resistance and obese without insulin resistance. This is a cross sectional study  with obesity patients recruited from General Check Up  and Endorinology  outpatients clinic Sardjito General Hospital Yogyakarta. Obese patients are subjects with body mass index (BMI) ≥ 25 kg/m2. Insulin resistance was assessed using HOMA-IR (homeostasis model assessment insulin resistance), formula calculated from fasting insulin and glucose levels.  Resistin  was measured with ELISA technique. Differences of obese with insulin resistance and obese without insulin resistance analyze using  Mann Whitney U test.   There was 48 subjects  analyzed in this study, 24 obese patients with insulin resistance and 24 obese patients without insulin resistance. Mean of resistin level was higher in obese subject with insulin resistance than without insulin resistance, but there was no significant (27,65±14,44 ng/ml vs 23,99±12,45 ng/ml, p= 0,37). From this research, it can be concluded that Resistin level in obese with insulin resistance higher than obese without insulin resistance, but no significant.Keywords: Resistin-Insulin Resistance-obese

Death in Patients with Regular Hemodialysis Due to CKD in RSUD Dr. Soedono Madiun Not Correlated to Various Risk Factors

Sains Medika Vol 8, No 1 (2017): January - June 2017
Publisher : Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA)

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Abstract

Background: Chronic Kidney Disease (CKD) indicated by the inability of the kidneys in maintaining homeostasis of the body.1 This causes the patient to undergo renal replacement therapy for life. Patients undergoing regular hemodialysis have a higher risk of death in the last 2 decades. The survival of hemodialysis patients is different because it is influenced by several factors, including age, sex, duration of hemodialysis, duration of hemodialysis and accompanying comorbid patients. Objective: To identify risk factors that affect mortality in patients with CKD undergoing regular hemodialysis.Method: This research is an observational research with case-control design. Research done in dr.Soedono Madiun Hospital in December 2016 with a sample size of 41 cases and 41 control. Data retrieved through the medical records of patients with CKD who undergo regular HD from January to November 2016. Data analysis was performed including analysis of univariate,  bivariate analysis using chi-square test with 95% CI, 5% significance level (α = 0.05) and analysis multivariste using logistic regression.Results: There was no significant relationship between age (p = 0.23; OR = 1.78; 95% CI 0.68 to 4.64), gender (p = 0.623; OR = 1.24; 95% CI 0, 49 to 3.18), long live HD (p = 0.12; OR = 0.50; 95% CI 0.20 to 1.20), duration of HD (p = 0.81, OR = 0.89; 95% CI 0.34 to 2.28), hypertension (p = 0.21; OR = 0.44; 95% CI 0.12 to 1.61), diabetes mellitus (p = 0.17; OR = 1 , 83, 95% CI 0.75 to 4.47), hemoglobin level (p = 0.26; OR = 1.66; 95% CI 0.68 to 4.05) and intradialitik complications (p = 0.81 , OR = 1.11; 95% CI 0.44 to 2.80) with mortality in patients with CKD. Conclusion: There is no significant relationship between age, gender, length undergoing hemodialysis, duration of HD, hypertension, diabetes, hemoglobin, and complications intradialitik in CKD patients undergoing hemodialysis in dr.Soedono Madiun Hospitals.  

Hubungan Kadar Glukosa Darah dengan Kulitas Hidup pada Pasien Diabetes Melitus Tipe II di RSUD Sleman Yogyakarta

JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 2, No 6, (2010)
Publisher : Faculty of Medicine

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Abstract

Diabetes mellitus is a chronic disease with blood glucose levels higher than normal. Prevalence of diabetes mellitus is increasing, especially diabetes mellitus type 2 caused by various factors like lifestyle changed that affect the quality of health care. The quality of health-related quality of life. The aim this study to investigated the relationship between blood glucose level with the quality of life in patients with diabetes mellitus type 2 in Sleman district hospital. The study is descriptive quantitative research with cross sectional analytic. Data taken from questionnaires of quality of life and the medical records patients with diabetes mellitus type 2 in Sleman district hospital, Yogyakarta. Analityc methods to shown association between blood glucose level with the quality of life in patients with diabetes mellitus type 2 used Chi-Square Test. The sample in this study were 64 cases of diabetes mellitus type 2 with inclusion criteria. Diabetes mellitus type 2 with high blood glucose level and lower quality of life as much as 41 cases. For patients diabetes mellitus type 2 with high blood glucose levels and high quality of life for as much as 4 cases. While people with diabetes mellitus type 2 with low blood glucose levels and lower quality of life as much as 5 cases. Patients of diabetes mellitus type 2 with blood glucose levels low and high quality of life as much as 14 cases. There is a significant Association between blood glucose level with the quality of life in patients with diabetes mellitus type 2 (p=0,000). This study concluded that there was a a significant Association between blood glucose level with the quality of life in patients with diabetes mellitus type 2,

HUBUNGAN ANTARA KADAR ASAM URAT SERUM DENGAN TINGKAT KEPARAHAN PENYAKIT JANTUNG KORONER DI RSU PKU MUHAMMADIYAH YOGYAKARTA

JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 6, No 2, (2014)
Publisher : Faculty of Medicine

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Abstract

Latar Belakang Penyakit jantung koroner (PJK) dikenal sebagai penyebab utama kematian. Faktor risiko yang jarang disebutkan yaitu, tingginya kadar asam urat serum. Hubungan yang pasti antara keduanya sebenarnya masih kontroversial dan masih terus diteliti kebenarannya. Beberapa penelitian menyebutkan bahwa asam urat berkorelasi dengan perburukan PJK. Tujuan Tujuan penelitian ini adalah untuk mengetahui hubungan antara kadar asam urat serum dengan tingkat keparahan penyakit jantung koroner di RSU PKU Muhammadiyah Yogyakarta. Metode Desain penelitian adalah cross sectional. Data diambil dengan metode consecutive sampling dari catatan rekam medis pasien PJK periode 1 Januari 2010 - 31 Desember 2012. Subyek penelitian adalah (1) Pasien didiagnosis dokter menderita PJK dengan kriteria PERKI, (2) Kelengkapan rekam medis meliputi nama, umur, jenis kelamin, kadar asam urat, dan tingkat keparahan PJK (kejadian komplikasi). Kadar asam urat yang dipakai adalah kadar asam urat yang pertama kali diukur saat masuk rumah sakit. Tingkat keparahan PJK dibagi kedalam PJK fatal dan non-fatal berdasarkan ada tidaknya komplikasi dan ancaman kematian. Analisis data dilakukan dengan uji Chi Square. Hasil Berdasarkan hasil analisis data dengan menggunakan uji Chi Square dari total 68 sampel penelitian (n1=n2=34) diperoleh nilai p = 0,28 dengan Rasio Prevalence = 1,643 (95% CI = 1,033 - 2,613). Kesimpulan Terdapat hubungan antara kadar asam urat serum dengan tingkat keparahan penyakit jantung koroner di RSU PKU Muhammadiyah Yogyakarta. Kata Kunci: Asam urat, tingkat keparahan, penyakit jantung koroner