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All Journal Indonesian Journal of Obstetrics & Gynecology Science Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Ilyas, Kamal Kharrazi
Unknown Affiliation
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Cardiometabolic Profile Screening as an Early Detection of Cardiometabolic Risk Sarastri, Yuke; Raynaldo, Abdul Halim; Ilyas, Kamal Kharrazi; lubis, Dian Anindita
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 4 No. 2 (2022): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v4i2.9156

Abstract

Background: Cardiometabolic risk profile is a set of interconnected risk factors, namely abdominal obesity, hypertension, dyslipidemia, hyperglycemia, and hyperinsulinemia, and causes global death. This study was conducted to obtain data on cardiometabolic profiles of people who participated in the Commemoration of World Hypertension Day 2021 at RSUP H Adam Malik Medan Method: This research is a descriptive study with a cross-sectional research design peoples namely by looking at the description of the cardiometabolic profile. The sample is an affordable population that meets the inclusion criteria, people with age >18 years old. Variables of blood pressure, waist circumference, blood sugar levels, and total cholesterol levels are numerical variables. Blood pressure examination is measured using a sphygmomanometer and expressed in mmHg units. The measurement of the abdominal circumference is carried out by examining the size of the abdominal circumference obtained using a tape measure in cm. Blood sugar levels are obtained from the results of measuring blood sugar levels during laboratory examination of blood in mg/dl units. Cholesterol levels are obtained from the results of measuring total cholesterol levels from blood laboratory examinations in mg/dl.  Results: All subjects in this study (n= 100) are 42 men and 58 women with normal waist circumference, and education level strata -1, only 9% of the subjects had high blood sugar levels, and 41% of subjects were classified as central obesity 9% of subjects. Most patients (91%) with normal postprandial glucose and high total cholesterol 66%. Conclusion: In this study, most of the cardiometabolic risks of patients are overweight/obesity and dyslipidemia
Inflammatory Mediators as Predictors of Improved Functional Capacity after Phase 2 Cardiac Rehabilitation in Coronary Artery Bypass Surgery Patients Raynaldo, Abdul Halim; Sarastri, Yuke; Ilyas, Kamal Kharrazi; Tarigan, Stefanie
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 5 No. 1 (2023): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v5i1.12145

Abstract

Background: Inflammatory parameters correlate with the atherosclerotic acute coronary syndrome (ACS) process and can predict future cardiovascular events in healthy populations. Coronary heart disease (CHD) subjects who had undergone coronary artery bypass grafting (CABG) procedures and underwent cardiac rehabilitation must be prevented from increased cardiovascular events. The study aims to evaluate the effect of cardiac rehabilitation programs on marker inflammation of cardiovascular risk factors. Method: This study was conducted at Departement Cardiology and Vascular Diseases Integrated Heart Center H. Adam Malik Hospital Medan who had undergone CABG procedures and underwent phase I and II cardiac rehabilitation. All subjects were carried out to collect basic patient data based on anamnesis, physical examination, results of laboratory tests, and functional capacity of the heart. Result: The subjects of this study were male 26 (89.7%) subjects and female 3 (10.2%) subjects. The average BMI in this study was 26.4207±0.675 kg/m2, the most common CHD risk factor was smoking in 21 (72.4%) subjects, dyslipidemia in 20 (69%) subjects, hypertension in 18  (62.1%) subjects, obesity 14 (48.3%) subjects and T2DM 13 (44.8%) subjects. Based on echocardiography results, the average ejection fraction was 47.931±2.17 %, and 18 (62.1%) subjects had cardiomegaly. After undergoing phase I and II cardiac rehabilitation,  there was improved significantly of the 6-minute walk test to hsCRP, IL-6, neutrophil-lymphocyte ratio (NLR), and functional capacity (all, p <0.001). IL-6 value is correlated significantly with functional capacity improvement (p<0.05) in both phase I and II cardiac rehabilitation. Conclusion: Cardiac rehabilitation (CR) should be considered as a preventive plan in the treatment of CHD patients. Physical exercise is noteworthy and they reduce morbidity and mortality due to reduced inflammation.
Prevalence of Valvular Heart Disease and Pulmonary Hypertension in Children in Rantau-Prapat City, North Sumatra, Indonesia Haykal, Teuku Bob; Sitepu, Andika; Ilyas, Kamal Kharrazi
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 5 No. 4 (2023): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v5i4.14333

Abstract

Background: Valvular heart disease and pulmonary hypertension (PH) are two distinct but often interconnected cardiac conditions that can affect children and encompass abnormalities of the heart's valves such as the aortic, mitral, tricuspid, and pulmonary valves, and can present with symptoms such as chest pain, fatigue, and dyspnea. In contrast, PH refers to elevated blood pressure in the pulmonary arteries. Routine screening for these conditions is needed for prompt diagnosis and management. This study was conducted to obtain data on children with valvular heart disease or PH who participated in the Community Service Program of the Department of Cardiology and Vascular Disease, Universitas Sumatera Utara. Method: This study was a descriptive study conducted through a cross-sectional study design. Data was collected from interviews and on-the-spot examination with validated measurement tools. Data was analyzed using SPSS version 26. Categorical variables were presented using frequency (n) and percentage (%), and numerical variables with normally distributed data were presented with mean and standard deviation (SD). In non-normally distributed data, numerical variables were presented using the median and interquartile range. Results: There were 157 children included in this study. Most subjects were female (n=94, 59.9%) in the age range 12 to 16 years old. Most subjects (n=152, 96.8%) had normal mitral valves, three subjects had anterior mitral valve prolapse (1.9%), one subject (0.6%) had anterior mitral valve thickening and one subject (0.6%) had mild mitral regurgitation. 10 subjects (5.7%) had pulmonary regurgitation. Two subjects had tricuspid regurgitation (1.2%). No subjects had any aortic abnormalities. No subjects had a PH. Conclusion: In the children population in Rantau-Prapat City, most subjects with valve abnormalities had mitral and pulmonary valve abnormalities. No subjects had aortic valve abnormalities or PH.
Tingkat Kecemasan pada Wanita Infertil yang Sedang Menjalani Program Kehamilan Hasibuan, Afni Rukiyah; Lubis, Hilma Putri; Ilyas, Kamal Kharrazi; Fitri, Aida
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 1 Maret 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i1.630

Abstract

Pendahuluan: Infertilitas merupakan masalah kesehatan global yang memengaruhi jutaan orang usia subur di seluruh dunia. Diagnosis dengan infertilitas dapat menjadi suatu beban yang sangat luar biasa pada pasien.Wanita infertil akan mengalami kecemasan dan gangguan pada psikologis sehingga akan menghambat kehamilan.Tujuan: untuk mengetahui gambaran tingkat kecemasan pada wanita infertil yang sedang menjalani program kehamilan berdasarkan umur, IMT, durasi infertilitas, jenis inferilitas, dan penyebab infertilitasMetode: Penelitian ini merupakan jenis penelitian deskriptif dengan desain cross sectional menggunakan teknik consecutive sampling. Sampel merupakan wanita infertil di Klinik Halim Fertility Center Medan yang memenuhi kriteria inklusi dan eksklusi. Data dikumpulkan menggunakan kuisioner Hamilton Rating Scale Anxiety.Hasil: Dari 50 responden untuk kriteria kecemasan, mayoritas responden tidak mengalami kecemasan (34%). Berdasarkan karakteristik responden tingkat kecemasan berat sekali, paling banyak terjadi adalah pada kelompok umur 36 - 40 tahun (36,4%), IMT normoweight (15,4%), durasi infertilitas >8 tahun (28,6)%, infertilitas sekunder, gangguan ovulasi (23,5%) dan program kehamilan fertilisasi alami (28,6%).Kesimpulan: Sebagian besar wanita infertil yang sedang menjalani program kehamilan tidak mengalami kecemasan. Mayoritas responden dengan gangguan kecemasan paling berat adalah kelompok umur 36 - 40, IMT normoweight, durasi infertilitas >8 tahun, infertilitas sekunder, gangguan ovulasi, dan program kehamilan alami.The Level of Anxiety in Infertile Women Currently Undergoing Pregnancy ProgramAbstract Introduction: Infertility is a global health problem that affects millions of people of childbearing age worldwide. A diagnosis of infertility can be a tremendous burden on the patient. Infertile women will experience anxiety and psychological disorders which will hinder pregnancy.Objective: To determine the description of anxiety levels in infertile women who are undergoing a pregnancy program based on age, BMI, duration of infertility, type of infertility, and causes of infertilityMethod: This was a descriptive study with a cross sectional design used consecutive sampling technique. Samples were infertile women in Halim Fertility Center Clinic Medan with the inclusion and exclusion criteria. Data was collected used Hamilton Anxiety Rating Scale (HRSA).Results: The result showed out of the 50 respondents, Based on respondents characteristics, the most severe anxiety mostly happened in respondents with age 36 - 40 years (36,4%), BMI normoweight (15,4%), the duration >8 years of infertility (28,6%), secondary infertility (13,3%), ovulatory disorders (23,5%) and natural pregnancy (28,6%).Conclusion: Most infertile women who are undergoing a pregnancy program doesn’t have anxiety. Most severe anxiety mostly happened in Respondents with age 36 - 40 years, normoweight BMI, >8 years of infertility duration, secondary infertility, ovulatory disorders, and natural pregnancy program.Key words: infertile, anxiety, pregnancy program, women.
Co-Authors Fitri, Aida Hasibuan, Afni Rukiyah Haykal, Teuku Bob Lubis, Dian Anindita Lubis, Hilma Putri Raynaldo, Abdul Halim Sarastri, Yuke Sitepu, Andika Tarigan, Stefanie