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. Sugiarto
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Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology

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Perbedaan Ankle Brachial Index (ABI) pada Pasien Diabetes Melitus Tipe 2 Obese dan Normal Weight di RSUD Dr. Moewardi Miranti, Biltinova Arum; Sugiarto, .; Widardo, .
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Peripheral Arterial Disease (PAD) is one of the complications of type 2 diabetes mellitus. Obesity is a risk factor of PAD and it is estimated 80 - 90% of patients with type 2 diabetes mellitus are overweight or obese. ABI is a simple method for diagnosing PAD and the ABI value of < 0.9 means that the patient suffers PAD. The aims of this study are to know the difference of ABI between obese and normal weight patients with type 2 diabetes mellitus in Dr. Moewardi Hospital and the correlation between ABI and the Body Mass Index (BMI). Methods: This study is an analytical observation by means of cross sectional approach. The subjects were patients of Dr. Moewardi Hospital registered from April to July 2013, suffering type 2 diabetes mellitus. Subjects were selected through purposive sampling. The data were obtained by measuring the patients’ BMI, examining the patients’ ABI and checking the patients’ medical record. The data were analyzed by the unpaired t test, significant if p value < 0.05, and by Spearman correlation test through SPSS 20.0 Statistic program for Windows. Results: Data were taken from 33 subjects consisting of 11 obese patients and 22 normal weight patients suffering type 2 diabetes mellitus. The result obtained shows that 9 patients were included in the borderline category of ABI values, 6 (66.7%) patients were obese and 3 (33.3%) patients had normal weight. The unpaired t test shows that the mean of ABI of obese vs normal weight patients with type 2 diabetes mellitus is 0.98 ± 0.06 vs 1.01 ± 0.06, p = 0.221. The Spearman correlation test between ABI and BMI shows p = 0.028 and r = -0.384. Conclusions: The study suggested that there is no significant difference mean of ABI between obese and normal weight patients with type 2 diabetes mellitus in Dr. Moewardi Hospital. However, based on the interpretation of ABI values ​​obtained, the percentage of subjects with lower ABI values ​​was found greater in obese patients with type 2 diabetes mellitus (66.7%). There is correlation between ABI and BMI. Keywords: ABI, obese type 2 diabetes mellitus, normal weight type 2 diabetes mellitus  
Perbedaan Disfungsi Ereksi pada Pasien Diabetes Melitus Tipe 2 dengan Hipertensi dan Nonhipertensi di RSUD Dr. Moewardi Rusjaya, I Kadek; Sugiarto, .; Iryawan, Andri
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Abstract

Background: Type 2 Diabetes Mellitus is a global and Indonesian health problem which is estimated to increase in the future. One of the long-term complications of diabetes mellitus is the presence of neuropathy which will cause erectile dysfunction. Hypertension often accompanies the presence of diabetes mellitus. Untreated hypertension in diabetes mellitus will worsen the incidence of erectile dysfunction. This happened because in hypertension occurs a vascular endothelial damage and decreased production of NO which is a major mediator of erection. Methods: This study was an observational analytic study with cross sectional approach held in August – September 2014 in the Polyclinic of Internal Medicine RSUD Dr. Moewardi. Sampling was done by Purposive Random Sampling technique, selection was done by checking the inclusion and exclusion criteria of the study sample. The number of samples in this study were 30 patients. Hereafter, the data obtained were statistically analyzed by Chi-Square test (X2). Results: The results of the Chi-Square test’s analysis of the incidence of erectile dysfunction was obtained a significant differences between patients with type 2 diabetes mellitus with hypertension and non-hypertension (p<0,05). Hypertension in diabetes mellitus increases the risk of erectile dysfunction by 9 times compared to non-hypertension (OR=9,750,p=0,008). Conclusions: There was a statistically significant difference of erectile dysfunction between patients with type 2 diabetes mellitus with hypertension and non-hypertension. Hypertension in diabetes mellitus increases the risk of erectile dysfunction by 9,7 times compared to non-hypertension. Keywords: Diabetes Mellitus, Erectile Dysfunction, Hypertension  
Perbedaan Ankle Brachial Index (ABI) pada Pasien Diabetes Melitus Tipe 2 Obese dan Normal Weight di RSUD Dr. Moewardi Miranti, Biltinova Arum; Sugiarto, .; Widardo, .
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Abstract

Background: Peripheral Arterial Disease (PAD) is one of the complications of type 2 diabetes mellitus. Obesity is a risk factor of PAD and it is estimated 80 - 90% of patients with type 2 diabetes mellitus are overweight or obese. ABI is a simple method for diagnosing PAD and the ABI value of < 0.9 means that the patient suffers PAD. The aims of this study are to know the difference of ABI between obese and normal weight patients with type 2 diabetes mellitus in Dr. Moewardi Hospital and the correlation between ABI and the Body Mass Index (BMI). Methods: This study is an analytical observation by means of cross sectional approach. The subjects were patients of Dr. Moewardi Hospital registered from April to July 2013, suffering type 2 diabetes mellitus. Subjects were selected through purposive sampling. The data were obtained by measuring the patients’ BMI, examining the patients’ ABI and checking the patients’ medical record. The data were analyzed by the unpaired t test, significant if p value < 0.05, and by Spearman correlation test through SPSS 20.0 Statistic program for Windows. Results: Data were taken from 33 subjects consisting of 11 obese patients and 22 normal weight patients suffering type 2 diabetes mellitus. The result obtained shows that 9 patients were included in the borderline category of ABI values, 6 (66.7%) patients were obese and 3 (33.3%) patients had normal weight. The unpaired t test shows that the mean of ABI of obese vs normal weight patients with type 2 diabetes mellitus is 0.98 ± 0.06 vs 1.01 ± 0.06, p = 0.221. The Spearman correlation test between ABI and BMI shows p = 0.028 and r = -0.384. Conclusions: The study suggested that there is no significant difference mean of ABI between obese and normal weight patients with type 2 diabetes mellitus in Dr. Moewardi Hospital. However, based on the interpretation of ABI values ​​obtained, the percentage of subjects with lower ABI values ​​was found greater in obese patients with type 2 diabetes mellitus (66.7%). There is correlation between ABI and BMI. Keywords: ABI, obese type 2 diabetes mellitus, normal weight type 2 diabetes mellitus  
EQ-4 Potential Vector in Equistrian Diseases Free Zone, Jakarta International Equistrian Park Pulomas Indonesia Upik Kesumawati Hadi; Susi Soviana; . Sugiarto; Isna Lailatur Rohmah; Fahmi Khairi
Hemera Zoa Proceedings of the 20th FAVA & the 15th KIVNAS PDHI 2018
Publisher : Hemera Zoa

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Abstract

In preparation of the equestrian competitions of the 18th Asian Games Jakarta, Indonesia has to set up an Equine Disease Free Zone (EDFZ) with a core zone at the Jakarta International Equistrian Park Pulomas (JIEPP) venue and a surrounding surveillance zone covering the area of DKI Jakarta and a protection zone covering Greater Jakarta (DGLAHS 2018). EDFZ is a horse disease free zone defined by OIE to hold horse racing competitions at the Asian Games and is only valid temporarily. Vector surveillance is one of the biosecurity requirement in the monitoring of progress of EDFZ in control and eradication for various diseases, such as mosquito borne diseases. There are several mosquito-borne viral diseases that cause varying levels of morbidity and mortality in humans and animals that can have substantial welfare and economic ramifications (Durand et al. 2013). Periodic collection of local mosquito species is essential to inform vector control strategies and track their impact on mosquito borne diseases (Chapman et al. 2016). The study was done to describe the potential vector species in core zone, the habitats, the fluctuation dynamics and the potential disease spread. The result of this study will benefit in contributing the develompment of strategies to monitor and manage the risk.
Perbedaan Disfungsi Ereksi pada Pasien Diabetes Melitus Tipe 2 dengan Hipertensi dan Nonhipertensi di RSUD Dr. Moewardi I Kadek Rusjaya; . Sugiarto; Andri Iryawan
Nexus Kedokteran Klinik Vol 3, No 3 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Abstract

Background: Type 2 Diabetes Mellitus is a global and Indonesian health problem which is estimated to increase in the future. One of the long-term complications of diabetes mellitus is the presence of neuropathy which will cause erectile dysfunction. Hypertension often accompanies the presence of diabetes mellitus. Untreated hypertension in diabetes mellitus will worsen the incidence of erectile dysfunction. This happened because in hypertension occurs a vascular endothelial damage and decreased production of NO which is a major mediator of erection. Methods: This study was an observational analytic study with cross sectional approach held in August September 2014 in the Polyclinic of Internal Medicine RSUD Dr. Moewardi. Sampling was done by Purposive Random Sampling technique, selection was done by checking the inclusion and exclusion criteria of the study sample. The number of samples in this study were 30 patients. Hereafter, the data obtained were statistically analyzed by Chi-Square test (X2). Results: The results of the Chi-Square tests analysis of the incidence of erectile dysfunction was obtained a significant differences between patients with type 2 diabetes mellitus with hypertension and non-hypertension (p<0,05). Hypertension in diabetes mellitus increases the risk of erectile dysfunction by 9 times compared to non-hypertension (OR=9,750,p=0,008). Conclusions: There was a statistically significant difference of erectile dysfunction between patients with type 2 diabetes mellitus with hypertension and non-hypertension. Hypertension in diabetes mellitus increases the risk of erectile dysfunction by 9,7 times compared to non-hypertension. Keywords: Diabetes Mellitus, Erectile Dysfunction, Hypertension
Co-Authors . Widardo Andri Iryawan Biltinova Arum Miranti Fahmi Khairi I Kadek Rusjaya Isna Lailatur Rohmah Susi Soviana Upik Kesumawati Hadi