Stroke is the first cause of death in women and the second leading cause of death in men in industrialized countries. In Asia, every year an estimated 500 thousand people experience a stroke. Therefore recognizing stroke risk factors and managing them appropriately is key to designing primary prevention strategies in non-stroke populations and secondary prevention to avoid recurrent strokes. This research was cross sectional study to describe profile stroke patients in Arifin Achmad hospital Riau Province. Research data was taken through questionnaire and patient medical records. In this study, stroke patients in Arifin Achmad Hospital were mostly <60 years old, 65.80% and male sex 64.50%. The proportion of hypertension is 90.80%. Diabetes mellitus 7.90%, dyslipidemia 63.20%, smoking 21.10%, obesity 32.90%, and sedentary life 73.70%.
Management in patients with type 2 diabetes mellitus (DM) is aimed diabetic control required antidiabetic drugs(OAD). The aim of this study was to know data about the profile of diabetics control in patients with type 2 diabetesmellitus followed in department of endocrinology Arifin Achmad General Hospital Pekanbaru. The type of researchwas descriptive. The samples are 96 people included all patients with type 2 DM according to inclusion criteria. Theidentity patients and patients knowledge were determined using questionnaire, used of antidiabetics drugs and diabeticcontrol were detemined using medical record. The characteristics of patients with type 2 DM were most at group ofage 50-59 years (45,8%), female sex (58,3%), duration of DM 1-5 years (52,1%), complication of diabetic neuropathy(25%) and frequency of the Doctor once a month (64,6%). The used OAD predominant oral antidiabetic drugs (83%)combinations sulfonylureas and biguanid (73,7%), combinations oral antidiabetic drugs with insulin (14%) arecombinations biguanid with long acting insulin (69,2%) and intensive insulin (3%) are long acting insulin with rapidacting insulin (66,6%). Diabetic control of patients with type 2 DM are fasting blood glucose, post prandial 2 hoursblood glucose, total cholesterol, LDL and HDL was bad (68%, 74%, 46,9%, 61,5% and 70,8%). This researchshowed that used of antidiabetic drugs was not satisfactory of diabetic control.
Erupsi obat alergi merupakan bentuk reaksi simpang obat tipe B yang terjadi di kulit yang disebabkan oleh penggunaan obat. Tujuan dari penelitian ini adalah untuk mengetahui gambaran pasien erupsi obat alergi di Poliklinik Kulit dan Kelamin RSUD Arifin Achmad Provinsi Riau pada periode 1 Januari 2011-31 Desember 2015. Penelitian ini merupakan penelitian deskriptif retrospektif dengan menggunakan data sekunder berupa rekam medis. Sampel yang digunakan sebanyak 351 sampel yang telah sesuai dengan kriteria inklusi dan eksklusi. Pasien erupsi obat alergi paling banyak ditemukan pada perempuan (58,97%) dibandingkan dengan laki-laki. Kelompok usia 41-60 tahun (30,20%) merupakan kelompok usia pasien erupsi obat alergi terbanyak. Penyakit endokrin (10,54%) merupakan penyakit penyerta yang paling banyak ditemukan pada penelitian ini dan riwayat alergi makanan ditemukan pada 4 kasus (1,14%). Bentuk erupsi yang paling sering ditemukan adalah eritroderma (23,93%). Obat penyebab erupsi obat alergi yang paling banyak ditemukan adalah antibiotik (21,65%).
Abstrak. Stroke adalah penyakit akibat gangguan peredaran darah otak yang dipengaruhi oleh banyak faktor risiko. Stroke merupakan penyebab utama disabilitas. Stroke secara umum diklasifikasikan menjadi stroke iskemik atau stroke non hemoragik dan stroke hemoragik. Salah satu faktor risiko terjadinya stroke adalah obesitas. Tujuan penelitian ini adalah untuk mengetahui gambaran obesitas pada pasien stroke akut di RSUD Arifin Achmad Provinsi Riau Periode Januari–Desember 2019. Desain penelitian yang digunakan adalah penelitian deskriptif dengan rancangan cross sectional menggunakan data sekunder rekam medis pasien stroke akut di RSUD Arifin Achmad Provinsi Riau Periode Januari-Desember 2019 dengan jumlah sampel sebanyak 115 kasus. Hasil penelitian menunjukkan stroke banyak terjadi pada usia terbanyak terjadi pada rentang usia 51-65 sebanyak 60 kasus (52,2%). Jenis kelamin terbanyak yaitu laki-laki sebanyak 67 kasus (58,3%). Jenis stroke terbanyak adalah stroke hemoragik yaitu 62 kasus (53,9%). Terdapat 65 kasus (56,5%) pasien obesitas, sebanyak 34 kasus (52,3%) adalah stroke hemoragik. Kesimpulan dari penelitian ini adalah obesitas lebih banyak terjadi pada stroke hemoragik dibanding stroke iskemik.Kata kunci: obesitas, strokeAbstract. Stroke is a disease caused by the interrupted of blood supply to the brain which can be influenced by several risk factors. Stroke is a major cause of disability. Stroke is generally classified as ischemic or non-hemorrhagic and hemorrhagic stroke. One of those risk factors of stroke is obesity. The aim of this study was to describe obesity in acute stroke patients at Arifin Achmad Regional Hospital of Riau Province in January- December 2019. This was a descriptive study design with cross sectional study method while using medical records of the acute stroke patient’s at Arifin Achmad Regional Hospital of Riau Province in January to December 2019. There were 115 cases fulfilled the criteria. The results show that the majority happened within 51-65 years age group with 60 cases (52,2%) and frequently in male as much as 67 cases (58,3%). Most patients had hemorrhagic stroke with 62 cases (53,9%). In 65 cases (56,5%) of obese patients cases, 34 cases (52,3%) were hemorrhagic strokes. The conclusion of this study is that obesity more commonly occurs in hemorrhagic stroke types compared to the ischemic.Keywords: acute stroke, obesity
Hypertension is the second largest of the 10 diseases on an outpatient at a hospital in Indonesia. The poor compliance to therapy of hypertension is a major cause of uncontrolled blood pressure. The aim of this study is to determine compliance antihypertension on patient at DR. Sardjito hospital Yogyakarta. This study was designed with a retrospective cohort study design using a database of participants claimed prescribing health insurance (ASKES) in the DR. Sardjito hospital using antihypertensive drugs. Compliance measured with medication possession ratio (MPR). Data was analysed by chi-square and logistic regression statistic. From 8.011 patients, compliance of antihypertensive drugs during the first year is 7,6%. Analysis for compliance showed that the type of antihypertensive diuretics are more compliance compare with angiotensin II receptor blockers, ACE inhibitors, calcium channel blockers and beta blockers. Combination therapy (20,7%) is more compliance than monotherapy ( 4,1%), as well as drugs administration 1 time a day (8,2%) is more compliance than drug administration 2 times (2,5%) and 3 times a day (3%). The proportion of compliance in antihypertensive users at DR. Sardjito hospital classified as less good. Compliance pattern indicates that therapy is not continuous, the longer the use of antihypertensive therapy, the higher the discontinuous therapy.
Nanas Bongsai (Ananas comosus var. microstachys L.) is an amazing herb which is used in traditional medicine by local people of Muara Lembu district as a potion to reduce pain while menstruation period for a women. The present work was designed to investigate its probable side effects on the histopathologic changes in limph and uterus tissues after treated with A. comosus var. microstachys L extract in female white rats. This is an experimental research consisted of five treatments and three repetitions. Treatment composed of two controls (P 0 and P + ) and given Nanas Bongsai extract with three different dosages. Histology result of lymph show that all treatments given with Nanas Bongsai with three different dosages have different diameter average of white pulp and there is no significant changes with normal control. While observation towards histology structure of endometrium thickness with dosage P 1 , dosage P 2 , dosage P 3 is 206. 333±33.486; 215.667±33.486; 197.667±60.871 respectively. The most thin endometrium layer found in treatment with dosage P 3 compared to control P 0 . From this study showed that there is no toxic effect on uterus and lymph function of of Nanas Bonsai (A. comosus var. microstachys L.) at different doses, so the plant is secure for consumption by the community.
Pendahuluan. Hipertensi adalah penyakit kronis yang menyebabkan 1 dari setiap 7 kematian. Tekanan darah yang terkontrol akan mengurangi komplikasi hipertensi. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang memengaruhi tekanan darah terkendali.Metode. Penelitian ini dilakukan dengan menggunakan metode observasional dengan desain studi potong lintang untuk menganalisis faktor tekanan darah yang terkendali. Populasi dalam penelitian ini adalah seluruh pasien hipertensi di poliklinik penyakit dalam RSUD Arifin Achmad Provinsi Riau. Teknik pengambilan sampel menggunakan metode accidental sampling. Faktor tingkat kepatuhan pasien diukur menggunakan kuesioner Morisky medication adherence scale-8 (MMAS-8). Faktor tingkat stres diukur dengan menggunakan kuesioner DASS-42. Faktor dukungan keluarga dinilai menggunakan kuesioner dukungan keluarga yang mengacu pada Friedman dan House, sedangkan data tingkat pengetahuan tentang hipertensi dikumpulkan dengan menggunakan kuesioner adopsi Guttman. Analisis data dilakukan dengan uji chi-square dan regresi logistik.Hasil. Hasil penelitian menunjukkan hanya 16,7% dari 96 responden yang mengontrol tekanan darah. Pada pasien dengan tekanan darah terkendali, faktor golongan antihipertensi yang paling banyak digunakan adalah calcium channel blocker
Common cold is still a disease with the most number of cases in Indonesia and the province of Riau in out patients who visited the primary health center (Puskesmas). However, in primary health care, like Puskesmas and private practice physicians are expected pharmacotherapy common cold is not rational. Medication errors is a common problem. The purpose of this study was to determine how the use of pharmacotherapy in patients with the common cold in Puskesmas Pekanbaru. This study was an observational descriptive , with a total sample 4602 people who meet the specified criteria .The results showed that the percentage patients common cold using symptomatic analgesic-antipyretic drugs 70.2%.However, the percentage of patients that using antibiotics in common cold is still quite a lot (36%), also the use corticosteroid (17,9%) that showed medication error. The patterns pharmacotherapy of common cold in Puskesmas Pekanbaru was relatively good, but need improvement .
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