Ali Ghufron Mukti
Program Pasca Sarjana Fak. Kedokteran Univ. Gajah Mada.

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Soursop fruit (Annona muricata Linn.) consumption does not increase serum potassium levels and not significant in cardiovascular risk improvements of prehypertension subjects Alatas, Haidar; Sja'bani, Mochammad; Irijanto, Fredie; Mustofa, .; Mukti, Ali Ghufron; Bawazier, Lucky Aziza; Zulaela, Zulaela
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 4 (2018)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (448.714 KB) | DOI: 10.19106/JMedScie/005004201804

Abstract

Patients with chronic kidney disease (CKD) tend to have hyperkalemia. They worry about the consumption of fruit for fear of increased serum potassium levels and therefore require a restricted potassium diet. Soursop fruit (Annona muricata Linn.) is believed to be beneficial for CKD and cardiovascular risk. This study was conducted to investigate the effect of soursop fruit supplement consumption on serum potassium levels and cardiovascular risk in prehypertension subjects from Mlati, Sleman District, Yogyakarta Special Region, Indonesia. A total 143 samples that met to the inclusion and exclusion criteria were subsequently randomized into two groups. Group I was given 2 x 100 g/day of soursop and Group II was without soursop. A laboratory examination from both groups was conducted including potassium, total cholesterol, low density lipoprotein (LDL), high density lipoprotein(HDL), and triglyceride levels at weeks 0; 7; and 13. Regular soursop consumption was evaluated every 2 weeks for 3 months. Data analysis was performed using an independent t test, a nonparametric Mann–Whitney test, and a chi-square test. No significantly different in serum potassium levels between the soursop and non-soursop groups at week 7 and 13 (p=0.073 and p=0.108) was observed. Furthermore, no significantly different in total cholesterol (p=0.254 and p=0.932), LDL (p=0.221 and p=0.710), HDL (p=0.400 and p=0.960), triglycerides (p=0.423 and p=0.580) of both groups was also obsereved. However, in subjects with hypercholesterolemia and hypertriglyceridemia, the mean cholesterol and triglyceride levels decreased compared to no soursop consumption at week 7 and 13. In conclusion, consumption of a soursop fruit supplement of 2 x 100 g/day for 13 weeks does not affect the serum potassium levels of prehypertension subjects. Moreover, the consumption of a soursop fruit supplement is not significantly different compared to those without soursoup in improving cardiovascular risk.
Gambaran Pendistribusian Kartu Sehat pada Program JPSBK di Wilayah Propinsi Daerah Istimewa Yogyakarta Achmawati, Faridha; Mukti, Ali Ghufron; Prabandari, Yayi Suryo
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 1, No 2 (2001)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v1i2.1902

Abstract

The social and political crisis happening since July 1997 has affected the economic condition among Indonesians, as well as their health condition. In terms of health field, the government has held JPSBK or Health- Based Social Safety Net.The objective of this reseach is to learn the distribution of health cards provided for the community in Yogyakarta Special Province.This was an evaluative study using post-test only with secondary data from PIMU (Province Independent Monitoring Unit) survey in Yogyakarta in 2001. This study was conducted in 10 community health centers in Yogyakarta Province, and from those 10 community health centers, 220 re¬spondents were obtained.From the poverty criteria from BKKBN or National Family Planning Field Coordinator and village team, it was found that the criteria for family members of the poor that 99.1% of them could eat the basic food twice a day. All 95 % family members had different clothes to wear at home, in the office or school, and travelling. Fifty point nine percent family members joined family planning using health facility.Ninety-four point one percent of the family members went to health facil¬ity. Sixty one point four percent of the floor of the poor family ’s houses was not clay. Fifty two point three percent of the walls of their houses were made of cement and 98.2 %. of the ceilings were made of tiles. Forty fife percents of the respondents had cattles at home.This reseach showed that the distribution of health cards in Yogyakarta has not been appropriate, as there are many holders who do not full f ill the criteria as cardholders (BKKBN poverty criteria Village Team).Krisis politik dan krisis sosial yang terjadi sejak bulan Juli 1997 telah menimbulkan dampak yang besar sekali pada kondisi ekonomi masyarakat Indo¬nesia termasuk pada kondisi kesehatannya. Khusus untuk bidang kesehatan, pemerintah melaksanakan program Jaring Pengaman Sosial Bidang Kesehatan JPSBK) .Tujuan dari penelitian ini adalah untuk mengetahui bagaimana gambaran pendistribusian Kartu Sehat yang diberikan pada masyarakat di wilayah Propinsi Daerah Istimewa Yogyakarta.Penelitian ini merupakan penelitian jenis evaluatif dengan rancangan post test only yang menggunakan data sekunder dari hasil survey PIMU (Province inde¬pendent Monitoring Unit) Propinsi Daerah Istimewa Yogyakarta tahun 2001. Penelitian dilakukan pada 10 puskesmas di Propinsi Daerah istimewa Yogyakarta, dari 10 puskesmas tersebut didapatkan responden berjumlah 220.Kriteria miskin dari BKKBN dan tim desa didapatkan kriteria seluruh anggota keluarga bisa makan makanan pokok sehari 2 kali atau lebih berjumlah 99.1 %, seluruh anggota keluarga memiliki pakaian yang berbeda untuk digunakan ii rumah, bekerja/sekolah, dan berpergian berjumlah 95%, bila ada Pasangan Usia Subur yang ingin melaksanakan KB pergi ke sarana / petugas kesehatan berjumlah 50,9%, seluruh anggota keluarga bila sakit dibawa ke sarana / fasilitas kesehatan berjumlah 94,1 %, bagian terluas lantai bukan dari tanah berjumlah 61,4%, dinding terluas rumah dari tembok berjumlah 52,3%, atap rumah terluas dari genting berjumlah 98,2%, ditambah dengan kepemilikan ternak dari 220 responden yang menjawab memiliki ternak ada 45%.Dari hasil penelitian diketahui bahwa pendistribusian Kartu Sehat di wilayah Propinsi Daerah Istimewa Yogyakarta belum sesuai dengan yang diharapkan karena masih banyak penerima Kartu Sehat yang tidak memenuhi kriteria sebagai penerima Kartu Sehat (kriteria miskin dari BKKBN dan dari tim desa).