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Perbedaan Tekanan Darah Sistolik dan Diastolik Pada Kelompok Lanjut Usia Dengan Insomnia Djung Lilya Wati; Meilani Kumala; Zita Atzmardina; Fernando Nathaniel; Dean Ascha Wijaya
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 1 No. 3 (2023): Juli : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Politeknik Pratama Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v1i3.2060

Abstract

Insomnia is the most common sleep disorder experienced by the elderly, which has a significant negative effect on morbidity and mortality in the elderly group. A study from the Penn State Adult Cohort found that people who are sleep deprived with objectively short sleep duration have a higher risk of developing hypertension. This cross-sectional study aims to determine differences in systolic and diastolic blood pressure in the elderly group (³60 years) with insomnia which were selected consecutively at the Tarumanagara University COVID-19 Vaccine Center for the period March – April 2021. The Insomnia Severity Index (ISI) questionnaire was used to evaluate the severity of insomnia. Blood pressure is measured with a digital tensimeter according to standard procedures. Statistical analysis using the Mann Whitney test. Of the 119 respondents, the average age was 69.84 years and 58% of the respondents were women. The mean systolic blood pressure was 150.18 and the average diastolic blood pressure was 83.23. From all respondents, it was found that 17.6% of respondents experienced insomnia. The results of the Mann Whitney statistical test explained that there was no difference in the mean systolic and diastolic blood pressure in the group with insomnia and without insomnia (p-value > 0.05). Further clinical studies revealed that the group of elderly who had insomnia tended to have higher blood pressure than the group of elderly who did not experience insomnia (SBP: 160 vs 151; DBP: 85 vs 84). Dealing with insomnia can be an effort to lower blood pressure.
Potensi Keuntungan Mindfulness-Based Stress Reduction terhadap Kecemasan saat Pandemi Covid-19 pada Orang Dewasa Dean Ascha Wijaya; Ernawati Ernawati; Yohanes Firmansyah; Fernando Nathaniel; Refael Alfa Budiman
Malahayati Nursing Journal Vol 5, No 8 (2023): Volume 5 Nomor 8 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i8.10957

Abstract

ABSTRACT The COVID-19 pandemic has had extensive and severe impacts on the mental welfare of individuals worldwide. Anxiety is a primary issue faced by adults during this crisis. Hence, it is crucial to discover effective strategies for alleviating this anxiety. One promising approach is Mindfulness-Based Stress Reduction (MBSR), which combines mindfulness practices with an understanding of stress and its management. This literature review aims to identify and assess the potential advantages of MBSR in reducing anxiety among adults during the COVID-19 pandemic. Through an extensive analysis of relevant empirical studies, we have found that MBSR holds significant potential for decreasing anxiety levels in adults amidst the COVID-19 pandemic. MBSR interventions enable individuals to cultivate awareness of their present thoughts, emotions, and bodily sensations. By honing this skill, adults can consciously recognize and respond to anxiety symptoms. Several studies have also indicated that MBSR can enhance mental resilience and adaptive coping mechanisms, thereby contributing to anxiety reduction. Furthermore, MBSR has been associated with additional benefits, including improved sleep, enhanced concentration, and increased overall happiness. These aspects are especially valuable during a pandemic, as excessive anxiety can disrupt sleep patterns, hinder concentration, and impact emotional well-being. Consequently, MBSR represents a highly advantageous approach for reducing anxiety among adults during the COVID-19 pandemic. Such programs provide individuals with valuable tools to manage stress and enhance their mental well-being. Keywords: Adult, Anxiety, Covid-19,  Mindfullness-Based Stress Reduction  ABSTRAK Pandemi COVID-19 telah menimbulkan konsekuensi yang luas dan serius terhadap kesejahteraan mental masyarakat di seluruh dunia. Kecemasan merupakan salah satu masalah utama yang dihadapi oleh orang dewasa selama masa pandemi ini. Oleh karena itu, penting untuk mencari strategi yang efektif dalam mengatasi kecemasan tersebut. Salah satu pendekatan yang menjanjikan adalah Mindfulness-Based Stress Reduction (MBSR), yang menggabungkan latihan meditasi mindfulness dengan pemahaman tentang stres dan cara mengelolanya. Tujuan dari kajian ini adalah untuk mengidentifikasi dan mengevaluasi potensi keuntungan MBSR dalam mengurangi kecemasan pada orang dewasa selama pandemi COVID-19. Melalui tinjauan literatur yang komprehensif, kami menganalisis studi empiris yang relevan dengan topik ini. Hasil kajian menunjukkan bahwa MBSR memiliki potensi yang signifikan dalam mengurangi tingkat kecemasan pada orang dewasa selama pandemi COVID-19. Intervensi MBSR memungkinkan individu untuk mengembangkan kesadaran terhadap pikiran, perasaan, dan sensasi tubuh mereka saat ini. Dengan melatih kemampuan ini, orang dewasa dapat mengenali dan merespons dengan sadar terhadap gejala kecemasan yang timbul. Beberapa penelitian juga menunjukkan bahwa MBSR dapat meningkatkan ketahanan mental dan koping adaptif, yang berkontribusi pada pengurangan kecemasan. Selain itu, MBSR juga dikaitkan dengan manfaat tambahan, termasuk peningkatan kualitas tidur, peningkatan konsentrasi, dan peningkatan kebahagiaan secara keseluruhan. Hal ini sangat penting dalam konteks pandemi, dimana kecemasan yang berlebihan dapat mengganggu tidur dan konsentrasi, serta mempengaruhi kesejahteraan emosional. MBSR memiliki potensi besar dalam mengurangi kecemasan pada orang dewasa selama pandemi COVID-19. Program ini dapat memberikan alat yang berharga bagi individu untuk mengatasi stres dan meningkatkan kesejahteraan mental mereka. Kata Kunci: Cemas, Covid-19, Dewasa, Mindfullness-Based Stress Reduction
Profil Neuropati Perifer dan Korelasinya dengan Kadar Gula Darah Sewaktu di Panti Lansia Santa Anna Alfred Sutrisno Sim; Dean Ascha Wijaya; Fernando Nathaniel; Giovanno Sebastian Yogie; Yohanes Firmansyah; Hans Sugiarto; Stephanie Amadea; Alexander Halim Santoso
Malahayati Nursing Journal Vol 5, No 9 (2023): Volume 5 Nomor 9 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i9.11121

Abstract

ABSTRACT Diabetes, as a global disease, continues to increase worldwide without being limited by location. The burden of diabetes in the elderly population is a significant health issue. Peripheral neuropathy caused by diabetes is strongly associated with physical limitations in older individuals. This cross-sectional study aims to determine the characteristics of peripheral neuropathy in participants who meet the criteria, using a total sampling at Santa Anna on July 15, 2023, and explore its correlation with blood sugar levels. Evaluation of sensory and motor clinical symptoms using Neuropathy Symptom Score (NSS) questionnaire. Abnormal reflexes and sensory function were assessed using Neuropathy Deficit Score (NDS) questionnaire. Blood sugar levels were measured using POCT method following standard procedures. Statistical analysis using the Kruskall Wallis test. Out of the 68 participants, the average age was 74.06 years, with 67.6% of the participants being female. The overall average blood sugar level was found to be 115.82 mg/dL. Based on the NSS and NDS classifications, 8.8% and 23.5% of the total participants were categorized as having severe symptoms, respectively. The statistical analysis revealed a significant difference in mean blood sugar levels between the NSS groups (p-value: 0.003). However, no significant difference was observed in mean blood glucose levels between the NDS groups (p-value: 0.264). Clinically, the severe symptom group had a higher median blood glucose level compared to the normal group. It is noteworthy that elevated transient blood sugar levels tend to impact the subjective symptoms (NSS) of peripheral neuropathy earlier than the objective symptoms (NDS). Keywords: Blood Glucose, Clinical Symptom, Peripheral Neuropathy  ABSTRAK Sebagai penyakit yang tersebar di seluruh dunia, diabetes terus berkembang tanpa memandang tempat dengan jumlah pasien yang semakin meningkat. Beban diabetes pada populasi lanjut usia merupakan masalah kesehatan yang krusial. Neuropati perifer yang diakibatkan oleh diabetes dikaitkan dengan disabilitas fisik yang signifikan pada populasi lanjut usia. Penelitian potong lintang ini bertujuan untuk mengetahui profil neuropati perifer pada responden yang memenuhi kriteria dengan menggunakan total sampling di Panti Santa Anna pada 15 Juli 2023 serta korelasinya dengan kadar gula darah sewaktu. Evaluasi gejala klinis sensorik dan motorik menggunakan kuesioner Neuropathy Symptom Score (NSS). Refleks tidak normal dan penilaian sensorik dieevaluasi menggunakan kuesioner Neuropathy Deficit Score (NDS). Gula darah sewaktu diukur menggunakan POCT sesuai prosedur standar. Analisis statistik menggunakan uji Kruskall Wallis. Dari 68 responden, rata-rata usia adalah 74,06 tahun dengan 67,6% responden adalah perempuan. Dari seluruh responden, didapatkan rata-rata gula darah sewaktu sebesar 115,82 mg/dL. Berdasarkan NSS dan NDS, persentase responden yang termasuk dalam klasifikasi berat adalah sebesar 8,8% dan 23,5% dari keseluruhan responden. Hasil uji statistik Kruskall Wallis menyatakan adanya perbedaan rerata kadar gula darah sewaktu antar kelompok NSS (p-value : 0,003). Namun, didapatkan tidak adanya perbedaan rerata kadar gula darah sewaktu antar kelompok NDS (p-value : 0,264). Secara klinis, kelompok dalam kategori berat memiliki nilai median kadar gula darah sewaktu lebih tinggi dibanding kelompok normal. Kadar gula darah sewaktu yang tinggi cenderung mempengaruhi gejala subjektif (NSS) dari neuropati perifer terlebih dahulu dibandingkan dengan gejala objektif (NDS) dari neuropati perifer. Kata Kunci: Gejala Klinis, Gula Darah, Neuropati Perifer
Sinusitis-Induced Orbital Apex Syndrome with Unusual Presentation of Facial Nerve Palsy In HIV-Positive Patient Fernando Nathaniel; Irawaty Hawari; Yohanes Firmansyah; Dean Ascha Wijaya
Malahayati Nursing Journal Vol 5, No 8 (2023): Volume 5 Nomor 8 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i8.10962

Abstract

ABSTRACT Orbital Apex Syndrome (OAS) is a rare ophthalmological disorder characterized by complex symptoms originating from lesions at the orbital apex. Herein, we report a 60-year-old man with a history of diabetes mellitus and hypertension presented with a swollen left eye and sudden visual loss. He also had nasal symptoms before his admission. Treatment includes broad-spectrum antibiotics and antifungals with additional diabetes management and HIV evaluation. OAS, a severe and uncommon complication of a sinusitis infection, can present with diverse symptoms and cause nerve damage in the orbital apical area. The disease can be easily missed or overlooked when it exhibits atypical symptoms in its initial stages. It is crucial to be vigilant and consider the possibility of complications related to the orbital apex for early detection and appropriate treatment. Keywords: Facial Nerve Palsy, HIV, Orbital Apex Syndrome, Sinusitis
Karakteristik Tekanan Darah dan Antropometri dari Responden dengan Hasil Elektrokardiogram Normal dan Suspect Coronary Artery Disease – Penelitian Survei Masyarakat (Single Center) David Dwi Ariwibowo; William Gilbert Satyanagara; Dean Ascha Wijaya; Hendsun Hendsun; Nadela Nadela
JURNAL FISIOTERAPI DAN ILMU KESEHATAN SISTHANA Vol. 5 No. 2 (2023): Juli : Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jufdikes.v5i2.398

Abstract

Coronary artery disease (CAD) is a significant cardiovascular disease that affects the human population worldwide. There are several risk factors that contribute to the development of this cardiovascular disease, including lifestyle, environmental factors, and genetic factors. This survey study aims to examine the characteristics of age, gender, blood pressure, body mass index, hip circumference, waist circumference, and arm circumference in the normal EKG group, EKG suspect coronary artery disease group, and the total research sample at SMA Kalam Kudus II Jakarta, selected based on total sampling criteria during the period of May - June 2023. The variables used in this study are age, gender, blood pressure, body mass index, hip circumference, waist circumference, arm circumference, and electrocardiogram (ECG) examination. All examinations were conducted according to standard procedures and protocols. Among the 52 respondents, the characteristics of the respondents in terms of gender, age, blood pressure, body mass index, hip circumference, waist circumference, and arm circumference were not significantly different among the normal EKG group, EKG suspect CAD group, and the total sample.
Korelasi Kadar Gula Darah Sewaktu dengan Nilai International Consultant Incontinence Questionnaire – Urine Incontinence Short Form (ICIQ-UISF) pada Kelompok Lanjut Usia Nicholas Albert Tambunan; Yohanes Firmansyah; Fernando Nathaniel; Dean Ascha Wijaya; Giovanno Sebastian Yogie
MAHESA : Malahayati Health Student Journal Vol 3, No 11 (2023): Volume 3 Nomor 11 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i11.11411

Abstract

ABSTRACT Urinary incontinence (UI) is one of health problems that occur in elderly population. This cross-sectional study aims to determine correlation between blood sugar levels and International Consultation Incontinence Questionnaire - Urine Incontinence Short Form (ICIQ-UISF) scores in elderly group selected through total sampling criteria at Santa Anna Elderly Care Center in July 2023. ICIQ-UISF questionnaire was used to evaluate UI. Blood sugar level was measured using POCT according to standard procedures. Statistical analysis using Spearman correlation test. Out of 60 respondents, average age was 76.30 years, with 66.7% of respondents being female. Mean blood sugar level was 118.12 mg/dL and 11.7% of respondents showed high blood sugar levels. Average ICIQ-UISF score was 4.58 with 21.7% of respondents experiencing UI onset before reaching toilet, 20% during sleep, and the rest never experienced it. Spearman correlation test indicated a significant correlation between blood sugar levels and ICIQ-UISF scores (p-value: 0.028) with a correlation strength value of 0.264 (r-correlation: 0.283), which falls into weak category. The results show there is a significant correlation between blood sugar levels and ICIQ-UISF questionnaire scores. Blood sugar levels influence 8.0% of ICIQ-UISF scores, while the remaining 92% is attributed to other variables not examined in this study. Keywords: Blood Glucose, Elderly, Urine Incontinence  ABSTRAK Inkontinensia urin merupakan salah satu masalah kesehatan yang terjadi pada kalangan lanjut usia. Penelitian potong lintang ini bertujuan untuk mengetahui korelasi kadar gula darah sewaktu (GDS) dengan nilai kuesioner International Consultant Incontinence Questionnaire – Urine Incontinence Short Form (ICIQ-UISF) pada kelompok lanjut usia yang dipilih sesuai kriteria secara total sampling di Panti Lansia Santa Anna pada Juli 2023. Kuesioner ICIQ-UISF digunakan untuk mengevaluasi inkontinensia urin. GDS diukur menggunakan POCT sesuai prosedur standar. Analisis statistik menggunakan uji korelasi Spearman. Dari 60 responden, rata-rata usia adalah 76,30 tahun dengan 66,7% responden adalah perempuan. Didapatkan rata-rata GDS sebesar 118,12 mg/dL dan 11,7% responden menunjukkan kadar GDS yang tinggi. Rata-rata nilai ICIQ-UISF sebesar 4,58 dengan 21,7% responden mengalami onset inkontinensia urin sebelum sampai toilet, 20% saat tidur dan sisanya tidak pernah. Uji korelasi Spearman menyatakan adanya korelasi bermakna antara kadar GDS dengan nilai ICIQ-UISF (p-value : 0,028) dengan nilai kekuatan korelasi sebesar 0,264 (r-correlation : 0,283) atau masuk dalam kategori lemah. Hasil penelitian menyatakan bahwa terdapat korelasi yang bermakna antara kadar GDS dengan nilai kuesioner ICIQ-UISF. Kadar GDS memengaruhi 8% nilai ICIQ-UISF sedangkan 92% lainnya disebabkan oleh variabel lain yang tidak diteliti pada penelitian ini. Kata Kunci: Gula Darah, Inkontinensia Urin, Lanjut Usia
Profil Kadar HbA1c pada Pasien Dengan dan Tanpa Komplikasi Diabetes Mellitus Tipe 2 di Instalasi Rawat Jalan Rumah Sakit Hermina Kemayoran Samuel Halim; Dean Ascha Wijaya; Joshua Kurniawan; Anggit Hernani; Henni Kusrini; Muslichah Muslichah; Yohanes Firmansyah
MAHESA : Malahayati Health Student Journal Vol 3, No 10 (2023): Volume 3 Nomor 10 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i10.11115

Abstract

ABSTRACT Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by elevated blood glucose levels resulting from insulin deficiency or insulin resistance. It is a global health problem with an increasing prevalence worldwide. Uncontrolled diabetes can lead to various complications affecting multiple organ systems, resulting in significant morbidity and mortality. This cross-sectional study aims to examine the HbA1c profile in patients with and without complications of type 2 diabetes mellitus who came for regular check-ups at the internal medicine clinic of Hermina Kemayoran Hospital. The participants were selected based on predetermined criteria using total sampling, and data were collected from medical records from January to December 2022. The variables used in this study were HbA1c levels and complications of type 2 diabetes mellitus. The data were presented descriptively. Among the 116 respondents, 53.4% were female. 76.7% of the respondents had HbA1c levels of ≥7%, and 43 respondents were receiving insulin treatment. 65,1% of the respondents with HbA1c levels of ≥7% had complications of type 2 diabetes mellitus. Keywords : Complication, HbA1c, Type 2 Diabetes Mellitus  ABSTRAK Diabetes Mellitus (DM) merupakan suatu gangguan metabolik kronis yang ditandai dengan peningkatan kadar glukosa darah akibat defisiensi insulin atau resistensi insulin. Diabetes termasuk salah satu masalah kesehatan global dengan prevalensi yang semakin meningkat di seluruh dunia. Diabetes yang tidak terkontrol dapat menyebabkan berbagai komplikasi yang mempengaruhi berbagai sistem organ, menyebabkan morbiditas dan mortalitas yang signifikan. Penelitian potong lintang ini bertujuan untuk melihat profil kadar HbA1c pada pasien dengan dan tanpa komplikasi diabetes mellitus tipe 2 yang datang kontrol ke poli penyakit dalam Rumah Sakit Hermina Kemayoran yang dipilih sesuai kriteria secara total sampling menggunakan data rekam medis pada periode waktu Januari sampai Desember 2022. Variabel yang digunakan dalam penelitian ini yaitu HbA1c dan komplikasi diabetes mellitus tipe II. Data disajikan dalam bentuk deskriptif. Dari 116 responden, 53,4% responden adalah perempuan. 76,7% responden memiliki kadar HbA1c sebesar ≥7% dan 43 responden mendapatkan pengobatan insulin. 65,1% responden dengan kadar HbA1c sebesar ≥ 7% memiliki komplikasi diabetes mellitus tipe 2. Kata Kunci: Diabetes Mellitus Tipe 2, HbA1c, Komplikasi
Profil Kelainan Radiologi pada Remaja dengan Skoliosis Inge Friska Widjaya; Yohanes Firmansyah; Fernando Nathaniel; Dean Ascha Wijaya
MAHESA : Malahayati Health Student Journal Vol 3, No 10 (2023): Volume 3 Nomor 10 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i10.11178

Abstract

ABSTRACT Scoliosis is a type of spinal abnormality characterized by a lateral deviation of more than 10 degrees to the right or left. It affects 1-3% of children in the at-risk population, particularly those aged between 10 to 16 years. The main purpose of this research is to examine the radiological characteristics of scoliosis in teenagers using imaging (Spinal X-ray) at Royal Taruma Hospital. The sample for this study was selected using total sampling criteria from medical records gathered during the period from January to June 2023. The variables analyzed include age, gender, and the radiological features of scoliosis. The data was presented descriptively. Out of the 25 respondents, the average age was 15 years, with females comprising 88% of the participants. Most respondents (80%) exhibited a combination of dextroscoliosis and levoscoliosis. The median Cobb angle measurement for dextroscoliosis was 24 degrees, while for levoscoliosis, it was 26.5 degrees, both indicating moderate scoliosis. The curvature lesions for dextroscoliosis generally started at T5, and for levoscoliosis, they began at T12, with both types of scoliosis commonly ending at the level of L4. Keywords : Scoliosis, Spinal X-ray, Teenager  ABSTRAK Skoliosis merupakah salah satu bentuk kelainan tulang belakang dengan deviasi lateral lebih dari 10 derajat ke kanan atau ke kiri. Skoliosis mempengaruhi 1-3% anak-anak dalam populasi berisiko yaitu mereka yang berusia 10-16 tahun. Penelitian ini bertujuan untuk mengetahui profil kelainan radiologi pada remaja dengan skoliosis berdasarkan pemeriksaan radiologi (X-Ray Spine) di RS Royal Taruma yang dipilih sesuai kriteria secara total sampling menggunakan data rekam medis pada periode waktu Januari – Juni 2023. Variabel yang digunakan dalam penelitian ini yaitu usia, jenis kelamin, dan gambaran radiologi skoliosis. Data disajikan dalam bentuk deskriptif. Dari 25 responden, rerata usia adalah 15 tahun, didominasi oleh perempuan pada 88% responden, dan didapatkan kombinasi dextroskoliosis dan levoskoliosis pada 80% responden. Nilai median Cobb angel pada kelainan dextroskoliosis sebesar 24 derajat dan pada levoskoliosis sebesar 26,5 derajat dimana keduanya masuk dalam kategori moderate skoliosis. Letak lesi lengkungan pada dextroskoliosis dimulai dari T5 dan kelainan levoskoliosis dimulai dari T12, dan umumnya berakhir setinggi L4 baik pada dextroskoliosis maupun levoskoliosis. Kata Kunci: Remaja, Rontgen Tulang Belakang, Skoliosis
Korelasi Indeks Massa Tubuh dengan Kadar Air dan Sebum Kulit di Rukun Warga (RW) 008 Kelurahan Cipondoh Gina Triana Sutedja; Sukmawati Tansil Tan; Giovanno Sebastian Yogie; Yohanes Firmansyah; Dean Ascha Wijaya; William Gilbert Satyanegara; Fernando Nathaniel; Joshua Kurniawan; Catharina Sagita Moniaga; Alexander Halim Santoso; Fladys Jashinta Mashadi
MAHESA : Malahayati Health Student Journal Vol 3, No 11 (2023): Volume 3 Nomor 11 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i11.11612

Abstract

ABSTRACT Skin is the largest organ in the human body and plays various important roles. Skin characteristics, including pigmentation, hydration, texture, and various other parameters, differ for each individual. Skin properties are influenced by various parameters, one of which is the body mass index (BMI). This cross-sectional study aimed to determine the description of skin hydration status and its correlation with BMI, among subjects in RW 08 Cipondoh. Skin hydration status was measured using the over the counter (OTC) skin analyzer. Body mass index was calculated and measured based on standard procedures. Out of 101 respondents, the average age was 51.38 years with 75.2% of respondents being female. The mean BMI was 26.12 kg/m², predominantly falling into obesity level 1 (41.6%). The mean oil and water hydration were 22.99% and 42.96%, respectively. The Spearman statistical test results showed a negative correlation between body mass index and water hydration, with a correlation coefficient power of 0.498 significantly, and oil hydration, with 0.107 insignificantly. This study concludes that the higher the BMI, the worse is the individual's skin hydration status. Keywords: Body Mass Index, Hydration Status  ABSTRAK Kulit merupakan organ terbesar dalam tubuh manusia dan memiliki berbagai peranan penting. Karakteristik kulit mencakup pigmen, hidrasi, tekstur, dan berbagai parameter lainnya berbeda-beda pada setiap individu. Sifat kulit tergantung pada berbagai parameter, salah satunya adalah indeks massa tubuh (IMT). Penelitian potong lintang ini bertujuan untuk mengetahui gambaran status hidrasi kulit dan korelasinya dengan IMT di RW 08 Cipondoh. Pengukuran status hidrasi kulit dilakukan dengan menggunakan alat over the counter (OTC) skin analyzer. Indeks masa tubuh dihitung dan diukur berdasar prosedur standar. Dari 101 responden, rata-rata usia adalah 51,38 tahun dengan 75,2% responden adalah perempuan. Rerata IMT didapatkan sebesar 26,12 kg/m2, didominasi oleh obesitas tingkat 1 (41,6%). Rerata hidrasi sebum dan air, masing-masing sebesar  22,99% dan 42,96%. Hasil uji statistik Spearman menunjukan hasil korelasi negatif antara indeks masa tubuh dengan hidrasi air dengan kekuatan korelasi 0,498 secara signifikan dan hidrasi sebum sebesar 0,107 secara tidak signifikan. Penelitian ini menyatakan bahwa semakin tinggi nilai IMT, maka semakin menurun status hidrasi kulit seseorang. Kata Kunci: Kadar Hidrasi, Indeks Masa Tubuh
Analisa Penyakit Kandung dan Saluran Empedu serta Kaitannya dengan Usia dan Status Infeksi di Rumah Sakit Mitra Keluarga Kalideres Periode 2018 - 2023 Yonathan Adi Purnomo; Fernando Nathaniel; Dean Ascha Wijaya; William Gilbert Satyanegara; Yohanes Firmansyah
MAHESA : Malahayati Health Student Journal Vol 3, No 10 (2023): Volume 3 Nomor 10 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i10.11321

Abstract

ABSTRACT Biliary system diseases are relatively common digestive conditions. Gallstones affect approximately 10-15% of the world's population and vary based on sociodemographic factors. This cross-sectional study aims to determine proportions of gallbladder and bile duct diseases, with or without gallstones and infections at Mitra Keluarga Kalideres Hospital, selected based on specific criteria using medical record data from the period between 2018 and June 2023, considering the final diagnoses of respondents. Variables in this study include gender, age, biliary anatomical abnormalities (gallbladder, bile duct, or nonspecific), gallstone incidence, and incidence of infections in biliary anatomical region. Statistical analysis used Independent T-Test. Out of 3916 respondents, the average age was 51.73 years, and majority were females (67.6%). 470 patients experienced infections in gallbladder and/or bile duct. There was a significant association between age groups and infection status (p<0.001) and anatomical location (p<0.001). The <45 age group had a 1.975 times higher risk of biliary system infection, while the >45 age group had a 2.165 times higher risk of bile duct disease compared to the <45 age group. The results of the Independent T-Test indicated a significant difference in the average age between the groups with and without biliary system infections (p-value < 0.001). Keywords: Bile duct, Infection, Gall bladder, Gallstones  ABSTRAK Penyakit sistem bilier merupakan kondisi digestif yang cukup sering. Batu empedu menyerang kurang lebih 10-15% populasi di dunia dan bervariasi dari faktor sosiodemografi. Penelitian potong lintang ini bertujuan untuk mengetahui proporsi dari penyakit kandung empedu, saluran empedu, dengan atau tanpa batu empedu dan infeksi di Rumah Sakit Mitra Keluarga Kalideres yang dipilih sesuai kriteria menggunakan data rekam medis pada periode waktu 2018 hingga Juni 2023 dengan melihat diagnosa akhir responden. Variabel dalam penelitian ini yaitu jenis kelamin, usia, anatomi kelainan empedu (kandung empedu, saluran empedu, atau tidak spesifik), insidensi batu empedu, dan insidensi infeksi daerah anatomi empedu. Analisis statistik menggunakan uji Independent T-Test. Dari 3916 responden, rerata usia adalah 51,73 tahun dan didominasi oleh perempuan (67,6%). 470 pasien mengalami infeksi pada kandung empedu dan atau saluran empedu. Didapatkan hubungan yang bermakna antara kelompok usia terhadap status infeksi (p<0,001) dan lokasi anatomis (p<0,001). Kelompok usia <45 tahun berisiko 1,975 kali untuk mengalami infeksi pada sistem bilier namun kelompok usia >45 tahun berisiko 2,165 kali untuk mengalami sakit di saluran empedu dibandingkan kelompok usia <45 tahun. Hasil uji Independent T-Test didapatkan bahwa terdapat perbedaan rerata usia yang bermakna antara kelompok dengan infeksi dan tanpa infeksi pada sistem bilier (p-value < 0,001). Kata kunci: Batu Empedu, Infeksi, Kandung Empedu, Saluran Empedu