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Journal : Jurnal EduHealth

Comparison Of Severity Of Non-Hemorrhagic Stroke With Diabetes Mellitus (DM) Type 2 And Without Diabetes Mellitus (DM) Type 2 Based On NIHSS Nurul Ariva Sulistiani. M; Fitriah Handayani; Muh. Nur Ikhsan Liwang; Mohammad Salman
Jurnal EduHealth Vol. 13 No. 02 (2022): Jurnal eduHealth, December, 2022
Publisher : Sean Institute

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Abstract

A stroke is a disease or functional problem of the brain that manifests as nerve paralysis due to a blockage in the blood supply to the brain. Acute stroke is a brain disorder caused by the interruption of blood flow to the brain due to a blockage (ischemic stroke) or hemorrhage (hemorrhagic stroke). Individuals with diabetes mellitus with ischemic stroke exhibit a distinct clinical pattern and a more favorable neurovascular outcome than patients without diabetes. Objective: to compare the severity of non-hemorrhagic stroke between individuals with Diabetes Mellitus (DM) Type 2 and those without Diabetes Mellitus (DM) Type 2 using The National Institutes of Health Stroke Scale (NIHSS). Methods: Analytical observational research design with a retrospective methodology. 30 responders were divided into 15 stroke patients with Diabetes Mellitus (DM) Type 2 and 15 stroke patients without Diabetes Mellitus (DM) Type 2. The average value or mean rank for the Stroke group with Diabetes Mellitus (DM) Type 2 was 18.77, while it was 12.23 for the Stroke group without Diabetes Mellitus (DM) Type 2. The P-Value for the test is 0.076. Results The P value is greater than 0.05, indicating that there is no significant difference between stroke with Diabetes Mellitus (DM) Type 2 and stroke without Diabetes Mellitus (DM) Type 2 with regard to severity. As stated previously, the outcomes can be affected by the risk factor of Diabetes Mellitus (DM) Type 2, which comprises of multiple risk factors that can have an effect.
Comparison of Chest X-Ray of Pulmonary TB Patients with DM and Non DM at Anutapura Palu Hospital in 2020 Nur Afni Fadillah; Ria Sulistiana; Fitriah Handayani
Jurnal EduHealth Vol. 14 No. 01 (2023): Jurnal eduHealth, Periode Januari-Maret, 2023
Publisher : Sean Institute

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Abstract

The incidence of Diabetes Mellitus (DM) in the world is rising particularly in developing countries where Pulmonary Tuberculosis (TB) is the most common. Diabetes Mellitus will increase the risk of Pulmonary Tuberculosis 1.5-7.8 times. The relationship between DM and TB has been proven that DM is a risk factor for TB. It affects the presence of Pulmonary Tuberculosis itself and the response to the treatment of Pulmonary Tuberculosis. Pulmonary Tuberculosis can cause glucose intolerance and worsen glycemic control in Diabetes Mellitus patients. Although Pulmonary Tuberculosis is more closely related to another immune-deficiency disease such as HIV, the number of people with diabetes is much greater. Therefore, DM is a more significant risk factor for the incidence of TB. Research Objective to find out the comparison of the characteristics of chest x- rays on Pulmonary Tuberculosis patients with Diabetes Mellitus and Non-Diabetes Mellitus at Anutapura Hospital in 2020. Research Method in this research applied an analytic observational study towards a cross sectional design. Sampling was selected through total sampling technique using inclusion and exclusion criteria. The research instrument was the patient's medical record. The results show that the most chest X-ray images on TB patients with DM are cavity images (53%) and TB patients with non-DM, the most features are fibrosis (35%). The result of the extensive description of the lesion indicatse that the extensive lesions is (15%) on TB patients with DM and (85%) on TB patients with non-DM and it is obtained that the minimal lesion is (1%) in both TB patients with DM and Non-DM. Research conclusion: There is no difference between chest X-Rays on Pulmonary Tuberculosis patients with Diabetes Mellitus and Non-Diabetes Mellitus.