Hensen -
Unknown Affiliation

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

HUBUNGAN KONSUMSI PURIN DENGAN HIPERURISEMIA PADA SUKU BALI DI DAERAH PARIW ISATA PEDESAAN -, Hensen; Raka Putra, Tjokorda
journal of internal medicine Vol. 8, No. 1 Januari 2007
Publisher : journal of internal medicine

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (186.529 KB)

Abstract

Hyperuricemia is a condition of high consentration of uric acid in the blood. In most epidemiology study hyperuricemiais defined as level uric acid more than 7.0 mg/dl in men and more than 6.0 mg/dl in women. Hyperuricemia can be caused byseveral factors. Regarding the etiology hyperuricemia can be classified as primary, secondary and idiopathic hyperuricemia.Primary hyperuricemia related to genetic factor while secondary hyperuricemia caused by condition or other factors besidesgenetic factor such as high purin consumption, chronic kidney disease, certain drugs, alcohol and hypertension. To know theassociation between high purine diet and hyperuricemia, a cross sectional analytic study was conducted on Balinese in Ubudregion between Desember 2006 and January 2007. Sample study was Balinese age of 13 year old or above, agree to participateby informed consent. Descriptive statistic analysis on numeric data presented as mean mean ± SD, nominal and ordinal data inproportion. Inferential statistic analysis with bivariate simple logistic regression was performed and multiple logistic regressionwas used to know the independency of its association. Of 301 eligible samples, mean age was 40.85 ± 14.30 y.o, and 161 orang(53.5%) men and 139 (46.3%) women. Youngest age was 13 y.o and oldest was 85 y.o. Mean of purine consumption was 153.37± 77.83 mg/day and mean uric acid consentration was 5.14 ± 1.44 mg/dl with mean body mass index 22.57 ± 3.17 kg/m2.Prevalence of hyperuricemia on this study was 12%. High purine consumption was significantly associated with hyperuricemiaby analysis of prevalent ratio 22,82; CI 95% : 9.19 ? 56.66; p<0.001. On multivariate analysis with multiple logistic regressionhigh purin consumption also has independent association with hyperuricemia with prevalent ratio (PR) 57.30; IK 95% : 16.56 ?198.24; p < 0,001. Other factors that independently associated with hyperuricemia was obesity (PR : 7.21; IK 95% : 2.30 ? 22.60;p = 0.001), and chronic kidney disease stage 4 (PR : 74.73; IK 95% : 8.19 ? 681.60; p < 0.001). Age, alcohol consumption andchronic kidney disease stage 1 ? 3, hypertension not significantly associated with hyperuricemia in this population. Conclusion:high purine consumption was associated to hyperuricemia.
PENATALAKSANAAN PASIEN DIABETES MELITUS DI POLIKLINIK RUMAH SAKIT SANGLAH DENPASAR Adnyana, Losen; -, Hensen; Gde Budhiarta, Anak Agung
journal of internal medicine Vol. 7, No. 3 September 2006
Publisher : journal of internal medicine

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (122.598 KB)

Abstract

A cross-sectional study was conducted from March until May 2003 among 100 diabetic patients, registered inDiabetic Clinic, Department of Internal Medicine Sanglah Hospital for management of diabetes for more than 12months. Primary objective was to evaluate diabetes control, diabetes management and late complications status in thediabetic population managed by Diabetic Clinic as urban health care clinics. The subjects were 65% men and 35%women with mean of age 59.4 years and known having diabetes since 1-5 years (mean 2.1 years). Samples consist of4% type-1 diabetes; 95% type-2 diabetes and 1% gestational diabetes. Antidiabetic medication were sulfonylurea67%; metformin 55%; insulin 26% and others (glucosidase inhibitors, thiazolidenedione and others) were 0%.According to the level of AIC, lipid profile and blood pressure, 40% (AIC < 6.5%); 50% (HDL-chol >-45 mg/dl);27.0% (LDL-cho! < 100 mg/dl); 67.6% (triglyceride < 150 mg/dl) and 23% (blood pressure < 130/80 mmHg) werecategorized as good diabetic controls. Large proportion of poor diabetic controls partly may be due to low proportionof education days received on diabetes in the past year (57% have only I education day and 32% with zero educationday). This condition also impact on lifestyle modification where 63% not regularly and 14% never follow the diet and50% never . exercise. Also 12% still smoker and 4% sti 11 consume alcohol on a regu lar basis. Micral test to detectmicroalbuminuria as an early I phase of diabetic nephropathy were not commonly used (7%), and dipstick to detectmakroalbuminuria (99%). Blood test for serum creatinin showed 89% with serum creatinin <2 mg/dl and 11% withserum creatinin >2 mg/dl. Another chronic complication were neuropathy (10.1%); cataract (10.4%); backgroundretinopathy (8.6%), healed ulcer (3%), stroke (2%), leg amputation (1%), absence of foot pulse (1%), acuteulcer/gangrene (1%), myocard infard/CABG/angioplasty (1%).