Diabetes mellitus patient tends to be at greater risk of suffering depression. Depression on diabetes patient results in poor glycemic and metabolic control, thus affecting the patient’s HbA1c level. This literature review study was made to know the correlation between depression and HbA1c level of type 2 diabetes mellitus patient. The literature search was conducted on Pubmed-MEDLINE and Google Scholar database. Furthermore, the articles used were acquired from several researches from other institutes in Indonesia. The articles used were written in either English or Indonesian, published between 2008-2020. The result of this literature review study showed that type 2 diabetes mellitus significantly caused depression to the sufferer. The result of this literature review study also found out that the depression in type 2 diabetes mellitus patient affects the HbA1c level. Keywords: depression, HbA1c, type 2 diabetes mellitus Abstrak: Pasien diabetes melitus cenderung lebih beresiko mengalami depresi. Depresi pada pasien diabetes berakibat pada kontrol glikemik dan metabolik yang buruk, sehingga berimbas pada kadar HbA1c pasien. Literature review ini ditulis untuk mengetahui hubungan depresi dengan kadar HbA1c pada pasien diabetes melitus tipe 2. Penelusuran literatur dilakukan pada database Pubmed-MEDLINE dan Google Schoolar. Selain itu, artikel-artikel yang digunakan juga diperoleh dari beberapa penelitian pada institut lain dari Indonesia. Adapun artikel yang digunakan adalah artikel yang ditulis dalam bahasa Inggris dan Indonesia yang diterbitkan antara tahun 2008-2020. Hasil literature review, diabetes melitus tipe 2 secara signifikan menimbulkan depresi pada penderita. Pada hasil literature review juga, depresi pada pasien diabetes melitus tipe 2 dapat mempengaruhi kadar HbA1c. Kata-kata kunci: depresi, HbA1c, diabetes melitus tipe 2
Mini Nutritional Assessment (MNA) is an instrument for assessing and screening specific nutritional in the elderly. Elderly are vulnerable to malnutrition because of physiological and functional changes that contribute to increase length of stay. The purpose of this study was to determine the correlation between Mini Nutritional Assessment value with length of stay of elderly patients at RSUD Ulin Banjarmasin. This research is analytic observational with cross-sectional method. A sample of 32 elderly patients was analysis used Spearman correlation test. The median MNA value was 20.00 points and the median length of stay was 8.00 days. The results of the correlation test showed that the value of p = 0.002 and value of r = -0.532 which means there is a significant correlation and a strong correlation with a negative direction. It can be concluded that there is a correlation between the Mini Nutritional Assessment (MNA) value with length of stay of elderly patients in internal medicine ward at RSUD Ulin Banjarmasin.
Coronavirus Disease 2019 (COVID-19) is a disease caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and it is highly contagious. This study aims to determine the hematological profile which includes erythrocytes (RBC), RDW, Hb, hematocrit, MCV, MCH, MCHC, leukocytes (leukocyte differential Count: basophils, eosinophils, neutrophils, lymphocytes, monocytes), platelets, and NLR in newborns from mothers with suspected COVID-19 at the Idaman Hospital Banjarbaru 2020-2021. This research method is descriptive retrospective with data collection through patient medical records. The sampling technique is purposive sampling. In this study, a total sample of 83 neonates from pregnant women with suspected COVID-19 was obtained. However, from the 83 sample, the sample that has hematological profile data and meets the criteria is 69 sample. The results showed that 42 neonates (62,69%) with reactive IgM tests, and 51 neonates (76,12%) with nonreactive IgG tests. In the distribution of the hematological profile of newborns from mothers with suspected COVID-19, found an increase NLR in 33 neonates (47,83%), an increase hemoglobin in 8 neonates (11,59%), an increase hematocrit in 10 neonates (14,49%), an increase MCV in 8 neonates (11,59%), and decrease MCHC in 8 neonates (11,59%). Keywords: hematology profile, newborns, suspected COVID-19 Abstrak: Coronavirus Disease 2019 (COVID-19) adalah penyakit yang disebabkan oleh virus Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) dan sangat menular. Penelitian ini bertujuan untuk mengetahui profil hematologi yang meliputi eritrosit (RBC), RDW, Hb, hematokrit, MCV, MCH, MCHC, leukosit (hitung jenis : basofil, eosinofil, neutrofil, limfosit, monosit), trombosit, dan NLR pada bayi baru lahir dari ibu suspek COVID-19 di RSD Idaman Banjarbaru Tahun 2020-2021. Metode penelitian ini adalah deskriptif retrospektif dengan pengambilan data melalui rekam medis pasien. Teknik pengambilan sampel adalah purposive sampling. Dalam penelitian ini didapatkan total sampel 83 neonatus dari ibu hamil dengan suspek COVID-19. Namun, dari 83 sampel tersebut, sampel yang memiliki data profil hematologi dan memenuhi kriteria berjumlah 69 sampel. Hasil penelitian menunjukkan pada pemeriksaan rapid test IgM neonatus ditemukan hasil reaktif sebanyak 42 neonatus (62,69%) dan rapid test IgG ditemukan hasil non reaktif sebanyak 51 neonatus (76,12%). Distribusi profil hematologi bayi baru lahir dari ibu suspek COVID-19 ditemukan peningkatan NLR sebanyak 33 neonatus (47,83%), peningkatan hemoglobin sebanyak 8 neonatus (11,59%), peningkatan hematokrit sebanyak 10 neonatus (14,49%), peningkatan MCV sebanyak 8 neonatus (11,59%), dan penurunan MCHC sebanyak 8 neonatus (11,59%). Kata-kata kunci: profil hematologi, bayi baru lahir, suspek COVID-19
Abstrack: Systemic inflammation can be characterized by an increased NLR. Systemic inflammation induce physiological changes, vulnerability, and even death. Elderly often experience various health complaints that cause prolonged hospitalization. Increased NLR is clinical marker that can be a preventive measure to predict length of stay. This study aims to analize correlation of NLR and length of stay of elderly. An analytical observasional with cross-sectional method using secondary data from medical records at RSUD Ulin Banjarmasin period July-November 2021. Total 44 samples using total sampling technique. Data analysis used non-parametric correlation Spearman. Median NLR 7.7 (1,3-73,3). Median length of stay 5.5 (1-16) days, average age of the elderly 66±4.65 years. There is a significant relationship between NLR and length of stay with a weak correlation and positive direction (r=0.392; p=0.008). The conclution is there is a relationship between NLR and length of stay of elderly in Internal Room at RSUD Ulin Banjarmasin. Keywords: elderly, neutrophil lymphocyte ratio, length of stay. Abstrak: Inflamasi sistemik dapat ditandai dengan peningkatan RNL Inflamasi sistemik mengakibatkan perubahan fisiologis tubuh, kerentanan, bahkan kematian. Lansia sering mengalami berbagai keluhan yang menyebabkan rawat inap memanjang. Peningkatan RNL merupakan penanda klinis yang dapat menjadi upaya preventif untuk memprediksi lama rawat. Penelitian ini bertujuan menganalisis korelasi RNL dengan lama rawat inap pasien lansia. Penelitian observasional analitik dengan metode cross-sectional menggunakan data sekunder rekam medik RSUD Ulin Banjarmasin periode Juli-November 2021. Sampel sejumlah 44 menggunakan teknik total sampling. Analisis data menggunakan uji korelasi non-parametrik Spearman. Median RNL 7,7 (1,3-73,3). Median lama rawat inap 5,5 (1-16) hari, rerata umur lansia 66±4,65 tahun. Terdapat hubungan bermakna antara RNL terhadap lama rawat inap berupa korelasi lemah serta arah hubungan positif (r=0,392; p=0.008). Kesimpulan terdapat hubungan antara RNL dengan lama rawat inap pasien lansia di Ruang Rawat Penyakit Dalam RSUD Ulin Banjarmasin. Kata-kata kunci: lansia, rasio neutrofil limfosit, lama rawat inap.
Preeclampsia is a serious complication of pregnancy and occurs in 3-8% of all pregnancies. Preeclampsia can affect newborn, causing hypoxia, Intra Uterine Growth Retardation, preterm labor and low birth weight babies (LBW). Pregnant women are easily infected by SARS-CoV-2. Fetal complications of mothers that infected with COVID-19 include miscarried, IUGR, and preterm birth. Preeclampsia can be exacerbated or exacerbate by COVID-19 which has an impact of the condition of the newborn. The purpose of this study was to determine difference of neonatal outcomes of preeclampsia mothers with COVID-19 and without COVID-19 at Ulin Hospital Banjarmasin for the period May 2020-April 2021. This study was an analytical observational study with a retrospective approach used the Chi-square test and Fisher's exact test as an alternative. The data used was from medical records. The sample used was neonates born to preeclampsia mothers with COVID-19 and without COVID-19 at Ulin Hospital Banjarmasin for the period May 2020-April 2021, selected by purposive sampling and met the inclusion and exclusion criteria. The results showed a significant difference of the outcome of the length of stay of neonates (p= 0.002) and no significant difference of the outcomes of neonates with low birth weight (p= 0.271), preterm (p= 0.126), the 1st minute (p= 0.731) and 5th minute (p= 0.993) of APGAR score, and mortality (p= 0.240). The conclusion of this study is there was only a difference in the length of stay while the other outcomes did not. Keywords: neonatal outcome, preeclampsia, COVID-19 Abstrak: Preeklamsia merupakan komplikasi kehamilan berat dan terjadi sekitar 3-8% dari keseluruhan kehamilan. Preeklampsia dapat berpengaruh terhadap bayi yang dilahirkan, menyebabkan hipoksia, pertumbuhan janin terhambat, persalinan prematur dan bayi berat lahir rendah (BBLR). Ibu hamil mudah terinfeksi oleh SARS-CoV-2. Komplikasi janin pada ibu yang terinfeksi COVID-19 berupa keguguran, IUGR, dan kelahiran prematur. Preeklampsia dapat diperburuk atau memperburuk kehamilan dengan COVID-19 yang berdampak pada kondisi bayi yang dilahirkan. Tujuan penelitian untuk mengetahui perbedaan luaran neonatal pada ibu preeklampsia dengan COVID-19 dan tanpa COVID-19 di RSUD Ulin Banjarmasin periode Mei 2020-April 2021. Penelitian berupa observasional analitik dengan pendekatan retrospektif menggunakan uji Chi-square dan Fisher’s exact test sebagai alternatif. Data yang digunakan dari rekam medik. Sampel penelitian berupa neonatus yang lahir dari ibu preeklampsia dengan COVID-19 dan tanpa COVID-19 di RSUD Ulin Banjarmasin periode Mei 2020-April 2021, dipilih secara purposive sampling dan memenuhi kriteria inklusi dan eksklusi. Hasil penelitian terdapat perbedaan bermakna (p= 0,002) pada luaran lama rawat inap neonatus dan tidak terdapat perbedaan bermakna pada luaran neonatus dengan BBLR (p= 0,271), prematur (p= 0,126), skor APGAR neonatus menit ke-1 (p= 0,731) dan ke-5 (p= 0,993), dan meninggal (p= 0,240). Kesimpulan penelitian hanya terdapat perbedaan pada luaran lama rawat inap sedangkan luaran lainnya tidak. Kata-kata kunci: luaran neonatal, preeklampsia, COVID-19
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