Abstrak: Diabetes Mellitus (DM) adalah penyakit degeneratif yang terus meningkat prevalensinya di seluruh dunia dan sebagian besar tergolong DM tipe 2. Peningkatan kasus DM tersebut sebagai akibat perubahan gaya hidup dan pola makan masyarakat. Pada penelitian ini diteliti hubungan antara obesitas berdasarkan lingkar pinggang, obesitas berdasarkan IMT, hipertensi, tidak melakukan aktivitas fisik, merokok dan umur ≥50 tahun dengan kejadian DM tipe 2. Penelitian ini adalah kasus-kontrol berpasangan berdasarkan jenis kelamin dan riwayat keluarga dengan DM dimana kasus adalah pasien DM tipe 2 dan kontrol adalah pasien bukan DM. Kasus dan kontrol dipilih dari pasien rawat jalan di Puskesmas Kecamatan Denpasar Selatan secara consecutive sebanyak 136 orang dengan perbandingan 1:1. Data dikumpulkan dengan wawancara, pemeriksaan fisik dan pemeriksaan laboratorium. Analisis data menggunakan uji McNemar dan regresi logistik. Dari analisis didapatkan OR dari obesitas berdasarkan linggar pinggang sebesar 5,2 [95%CI 2,31–11,68] dengan p=0,001 dan OR dari umur ≥50 tahun sebesar 4 [95%CI 1,74–9,21] dengan p=0,001. Berdasarkan penelitian ini dapat disimpulkan bahwa pasien dengan obesitas berdasarkan lingkar pinggang dan umur ≥50 tahun dapat meningkatkan risiko DM Tipe 2. Oleh karena itu kejadian obesitas di masyarakat perlu diturunkan dengan memperbaiki gaya hidup dan pola makan masyarakat.
Background: Stroke is a disease that affects straightly to the brain. Stroke occured due to obstruction of blood vessel that contain bloodtransporting nutrients to the brain, which lead to impairment in brain function, as well as cognitive function. Because of unavailibility of data in Sanglah General Hospital, this research must be done. This study aims to determine the cognitive function profile of post ischemic stroke patient in Sanglah General Hospital based on 5 cognitive domains. Methods: This study is an observational study, collecting data by cross sectional. Data sources were obtained from primary data in the form of interview and MoCA-Ina Test with data retrieval methods using totally sampling technique. The accessible population was patients post ichemic stroke in Sanglah General Hospital that is in a good awareness and fit for MoCA-Ina test. Results: From 26 patients that are accessible, 21 patients were diagnosed with cognitive impairment, which the majority in 41-50 range of age with 9 patients, male with 14 patients, last education of Junior High School with 7 patients, and memory being a domain which is most impaired with mean of 55,38% score. Conclusion: The most affected domain is after an ischemic stroke is memory and visuospacial function
Background: Parkinson's Disease (PD) is the second most common neurodegenerative disorder. The Global Burden Disease (GBD) report published in 2018 estimated there were 6.1 million individuals suffering from PD globally and causing 3.2 million Disability-Adjusted Life Years (DALY) and 211,296 deaths in 2016. Disability mainly caused by motor symptoms. This study aims to determine the clinical characteristics and motor severity in PD patients in Sanglah and Wangaya General Hospital Denpasar. Method: Descriptive observational study with cross-sectional design. Samples taken consecutively from all patients diagnosed with PD at Neurology Polyclinic in Sanglah and Wangaya General Hospital from December 2018 - February 2019. Result: From 47 subjects with PD, 72.3% were male, 83% had onset within 1-5 years, and the mean age was 63.87 ± 8.67 years. As many as 44.7% subjects had Hoehn-Yahr 2 stadium, with an average MDS-UPDRS III score of 35.11 ± 21.39, and 48.9% subjects had mild severity. As many as 59.6% subjects had the status of ON. Motor severity showed a trend that increases with increasing staging, but was not seen when compared to the onset. This result might be affected by the ON/OFF status during examination. Conclusion: Parkinson's disease in Sanglah and Wangaya General Hospital is more common in men and over the age of 50 years, and most are found in moderate severity. There is a trend of worsening motor severity with the increasing Hoehn-Yahr stadium. Examination using UPDRS-III is recommended to be done both on ON and OFF state to get more sensitive results
Abstrak Latar Belakang : Jumlah kasus Penyakit Parkinson di Indonesia cukup tinggi dengan prevalensi per penduduk dan insiden per penduduk. Gangguan tidur ddapatkan pada penderita Penyakit Parkinson. Data demografi dapat digunakan sebagai pertimbangan klinisi dalam mendiagnosis serta menentukan penanganan lanjutan yang optimal. Tujuan : Mengetahui karakteristik klinis pasien Penyakit Parkinson dengan gangguan tidur di Poliklinik Saraf Rumah Sakit Umum Pusat Sanglah (RSUP) Sanglah dan Rumah Sakit Umum Daerah (RSUD) Wangaya periode bulan 2018. Metode Penelitian : Penelitian deskriptif observasional menggunakan kuesioner pasien Penyakit Parkinson yang berobat di Poliklinik Saraf RSUP Sanglah dan RSUD Wangaya bulan hingga 2018. Hasil : Sebanyak pasien dari 47 pasien Penyakit Parkinson dengan rerata usia 61 – 70 tahun sebanyak dengan laki – laki sebanyak 34 orang (72,3%). Pasien dominan berobat ke RSUP Sanglah sebanyak 30 orang (63,8%) dengan pekerjaan terbanyak adalah petani/buruh sebanyak 13 orang (27,7%). Awitan penyakit rata – rata 1 – 5 tahun (39%). Penderita Penyakit Parkinson mengalami gangguan tidur sebanyak 24 orang (51,1%). Profil gangguan tidur dengan rerata kualitas tidur buruk 55,3%; mengalami latensi tidur 1x seminggu 40,4%. Simpulan : Penyakit Parkinson didominasi oleh pasien laki – laki dengan rerata usia 61 – 70 tahun dengan awitan peyakit rata – rata 1 – 5 tahun yang mengalami gangguan tidur. Gangguan tidur yang banyak diemukan berupa terjadinya latensi tidur sebanyak 1 kali seminggu. Kata kunci : Penyakit Parkinson, gangguan tidur, karakteristik Abstract Background: The number of cases of Parkinson's disease in Indonesia is quite high with prevalence per population and incidence per population. Sleep disorders can be found in people with Parkinson's Disease. Demographic data can be used as a clinician's consideration in diagnosing and determining optimal follow-up treatment. Objective: To determine the clinical characteristics of Parkinson's disease patients with sleep disorders in the Neurology Polyclinic at Sanglah Central Hospital (RSUP) and Sanglah Regional General Hospital (RSUD) Wangaya for the period of 2018. Research Methods: An observational descriptive study using a questionnaire for Parkinson's disease patients seeking treatment at the Neurology Polyclinic at Sanglah Hospital and Wangaya District Hospital until 2018. Results: A total of 47 patients from Parkinson's disease with a mean age of 61-70 years were 34 men (72.3%). Most of the patients went to Sanglah Hospital as many as 30 people (63.8%) with the most work being farmers as many as 13 people (27.7%). The average onset of disease is 1 - 5 years (39%). Patients with Parkinson's Disease experience sleep disorders as many as 24 people (51.1%). Profile of sleep disorders with an average of poor sleep quality 55.3%; sleep latency 1 time a week 40.4%. Conclusion: Parkinson's disease is dominated by male patients with an average age of 61 - 70 years with onset of disease on average 1-5 years who experience sleep disorders. Sleep disorders are often found in the form of sleep latency as much as 1 time a week. Keywords: Parkinson's disease, sleep disorders, characteristics
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