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GAMBARAN ASUPAN GIZI PADA PENDERITA SINDROM METABOLIK DI RW 04 KELURAHAN SIDOMULYO BARAT KECAMATAN TAMPAN KOTA PEKANBARU Utami, Yurika Utami1 Marthalia; Rosdiana, Dani; Ernalia, Yanti
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Diet in major cities was changed from a traditional diet to a Western diet. This was caused by imbalanced food intake and this was a risk factor of many health problems such as obesity, hypertension, dyslipidemia and insulin resistace were known as metabolic syndrome. This study was a descriptive cross-sectional study to determine energy and nutrient intake in patients with metabolic syndrome in RW 04 Kelurahan Sidomulyo Barat Kecamatan Tampan Kota Pekanbaru with 33 peoples as samples and used FFQ (Food Frequency Questionnaire) for data retrieval. The result showed that most of respondents were women (93,94%) and most of them were housewifes (87,88%) and were low education (51,52%). Range the age of them was 32-72 years old and most of them in 40-49 years old (48,49%) and most of them were Minang (51,52%). Most of respondents were high in energy intake ( 97% of total respondents with average intake: 2867 kcal), carbohydrate ( 78,79% of total respondents ), total fat ( 81% of total respondents) and SFA(Saturated Fatty Acid) ( 97% of total respondents ). Most of them were sufficient in consumed MUFA (Monounsaturated Fatty Acid) ( 69,70 % of total respondents ) and in cholesterol intake were sufficient too ( 64 % of total respondents), but the average value of cholesterol intake in respondents was high ( 315 mg ). All respondents consumed sufficient amounts of PUFA (Polyunsaturated Fatty Acid). Most of respondents ( 94 % of total respondents ) were less consumed fiber.Keywords: Metabolic syndrome, energy intake, nutrient intake
HUBUNGAN INDEKS MASSA TUBUH DENGAN KADAR GULA DARAH PUASA PADA PEGAWAI SEKRETARIAT DAERAH PROVINSI RIAU Arif, Muhammad; Ernalia, Yanti; Rosdiana, Dani
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

The Incidence of type 2 Diabetes Mellitus in Indonesia tends to increase inlast 10 years. This has become a more serious problem especially since diabetesis often undiagnosed due to severe complications occur on long period enough(undiagnosed DM). Because of that screening for blood glucose levels isnecessary to detect diabetes mellitus. On the other hand several studies foundthat Body Mass Index (BMI) also has correlation too with blood glucose levels.Civil servants is a group of people at high risk of developing obesity, whereobesity itself is one of risk factor for increased level of blood glucose. Themeasurements of fasting blood glucose with enzymatic method and body massindex in 43 civil servans of Sekretariat Daerah Provinsi Riau which whom neverdiagnosed as diabetes mellitus has been tested. And the correlation between theBMI and fasting blood glucose has been computed. Spearman test result the Pscores is 0.276 (P>0.05) and therefore concludes that there is no correlationbetween Body Mass Index and Fasting Blood Glucose in this researchKeywords : Diabetes Mellitus, Body Mass Index, Fasting Blood Glucose, Civilservants
PERILAKU PROFESIONAL TENAGA KESEHATAN DAERAH PESISIR PADA PELAYANAN KESEHATAN PRIMER PUSKESMAS BATU PANJANG KABUPATEN BENGKALIS TAHUN 2014 Fakhreza, Indra; Afandi, Dedi; Rosdiana, Dani
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Puskesmas as primary health care and development agent needs to be improved, especially in coastal settlement. This improvement depends on professional behavior of its health care workers. The aim of this research is to discover the professional behavior of health-care workers of Selat Baru community health care (Puskesmas), Bengkalis Regency, that was reflected by the six elements of professionalism. The design of this research uses exploration method with qualitative approaches on seven health-care workers of Puskesmas Batu Panjang, Bengkalis Regency, who were selected by using snowball sampling method. Data collection was done by interview and recorded with an audio recorder. The result of this research showed that all the informants possess altruism, accountability, excellence, duty, honor and integrity, and respect for other. In general, all of the Batu Panjang community health center (puskesmas) health-care workers possess the elements of professional behavior in carrying their duty, especially in providing service for the patients.Key word : professional behavior, health-care workers
GAMBARAN ASUPAN GIZI PADA PENDERITA SINDROM METABOLIK DI RW 04 KELURAHAN SIDOMULYO BARAT KECAMATAN TAMPAN KOTA PEKANBARU utami, yurika marthalia; rosdiana, Dani; Ernalia, Yanti
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Terjadinya pergeseran pola makan di kota-kota besar dari pola makan tradisional ke pola makan Western menimbulkan ketidakseimbangan asupan gizi dan merupakan faktor risiko terhadap munculnya berbagai masalah kesehatan seperti obesitas, hipertensi, dislipidemia dan resistensi insulin yang dikenal dengan sindrom metabolik. Penelitian ini merupakan penelitian deskriptif cross sectional untuk mengetahui asupan energi dan zat gizi pada penderita sindrom metabolik di RW 04 Kelurahan Sidomulyo Barat Kecamatan Tampan Kota Pekanbaru dengan sampel sebanyak 33 orang dan menggunakan FFQ dalam pengambilan data. Hasil penelitian ini menunjukkan bahwa responden terbanyak adalah perempuan (93,94%) dengan pekerjaan terbanyak adalah ibu rumah tangga (87,88%) dengan tingkat pendidikan terbanyak adalah rendah (51,52%). Rentang umur responden adalah 32-72 tahun dengan umur terbanyak adalah 40-49 tahun (48,49%) dan suku terbanyak adalah minang (51,52%). Asupan energi responden terbanyak adalah tinggi (97% dari total responden) dengan asupan rata-rata 2867 kkal. Asupan zat gizi yang tinggi pada kebanyakan responden adalah karbohidrat (78,79% dari total responden), lemak total (81% dari total responden) dan SFA (97% dari total responden). Asupan zat gizi yang berjum lah cukup pada kebanyakan responden adalah MUFA (69,70% dari total responden) dan kolesterol (64% dari total responden), tetapi nilai rata-rata asupan kolesterol semua responden adalah tinggi (315 mg). Semua responden mengonsumsi PUFA dalam jumlah cukup. Sebagian besar responden mengonsumsi serat dalam jumlah kurang (94% dari total responden).Kata kunci: sindrom metabolik, asupan energi, asupan gizi
GAMBARAN HASIL PEMERIKSAAN MONOFILAMEN PADA PASIEN DIABETES MELITUS (DM) YANG BERKUNJUNG KE POLIKLINIK PENYAKIT DALAM RSUD ARIFIN ACHMAD PROVINSI RIAU Safitri, Viona Ayu; Rosdiana, Dani; Astari, Riezky Valentina
Jurnal Ilmu Kedokteran Vol 11, No 2 (2017): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (95.251 KB) | DOI: 10.26891/JIK.v11i2.2017.34-39

Abstract

Diabetes mellitus in increasing at an alarming rate and has become a global challenge. Diabetes mellitus type 2 is agroup of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin actionor both. One of the most complications of diabetes is diabetic neuropathy. Diabetic neuropathy refers to damage ofmotor nerves, sensory, and autonomic system. The aim of this study is to identify patients at risk for diabetic neuropathywith monofilament examination in internist polyclinic Arifin Achmad General Hospital from May to July 2017.Monofilament is an inexpensive, practical tool in everyday use and can be used in early detection of sensation loss inthe foot to prevent diabetic ulcer. This study is descriptive research with direct examination of patient diabetes type 2.There were 73 samples that fulfilled the inclusion criteria. Profile patients with diabetes in the polyclinic are female morethan male is 60,3%. The age group 56-65 years is the most age group of DM patients in the polyclinic is 52.1%.Duration of diabetes is 5-10 years (52.1%). The results of monofilament examination in patients with type 2 DM arescore 0-3 as many as 19 people (26%), score of 3.5-5 as many as 27 people (37%), and score> 5,5 as many as 27 people(37%).
COTRIMOXASOLE-RESISTANT STENOTROPOMONAS MALTOPHILIA INFECTION : CASE REPORT Rosdiana, Dani; Anggraini, Dewi
Jurnal Ilmu Kedokteran Vol 12, No 1 (2018): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (53.709 KB) | DOI: 10.26891/JIK.v12i1.2018.57-61

Abstract

Stenotrophomonas maltophilia is an important multidrug-resistant nosocomial pathogen associated with high mortality.This infection did not elucide clearly in Riau. We reported two Cotrimoxaxole Resistant Stenotrophomonas maltophiliain patient of Arifin Achmad Hospital which refered from peripheral hospital in another region. They had similar clinicalappereance such as long stay hospitalization, bad clinical appearance and had a history of meropenem exposurebefore. We performed urin culture to make appropriate diagnostic and treatment also. Stenotrophomonas maltophiliabacteria was found in urine isolate. The sensitivity test showed that this bacteria had Cotrimoxasole resistant thatstandard antibiotic of this bacteria. The management of these cases become complicated due to decrease of renalfunction in one patient. We had to make dose adjustment of parenteral levofloxacin, giving good nutrition, countedfluid balance and repaired others clinical conditions.Beside of its high mortality and morbidity, the outcomes of boththese patients were good.
PENINGKATAN RASIONALITAS PENGGUNAAN ANTIBIOTIK PASCA IMPLEMENTASI KEBIJAKAN PENGGUNAAN ANTIMIKROBA DI RSUD ARIFIN ACHMAD PEKANBARU Rosdiana, Dani; Anggraini, Dewi; Balmas, Mukhyarjon; Effendi, Dasril; Bet, Anwar
Jurnal Kedokteran Brawijaya Vol 30, No. 1 (2018)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2018.030.01.7

Abstract

Ancaman global permasalahan resistensi antibiotik membutuhkan strategi pencegahan yang mencakup penggunaan antibiotik secara bijak melalui pengawasan penggunaan antimikroba. Penggunaan antibiotik harus memenuhi beberapa kriteria seperti indikasi, dosis, lama pemakaian, jarak pemberian yang tepat, serta aman dan terjangkau bagi masyarakat, dan juga memenuhi pola mikroba dan kultur. Pada penelitian ini dilakukan analisis rasionalitas penggunaan antibiotik di Bangsal Kenanga RSUD Arifin Achmad Pekanbaru setelah implementasi kebijakan penggunaan antimikroba pada periode Maret hingga Agustus 2016. Terdapat 252 penggunaan antibiotik yang terbagi menjadi dua kelompok, yaitu pre-implementasi sebanyak 92 dan pasca-implementasi sebanyak 160 penggunaan antibiotik. Rasionalitas penggunaan antibiotik dinilai dengan metode Gyssens yang dilakukan oleh tim pengkaji. Penggunaan antibiotik rasional meningkat sebanyak 15,1%, penggunaan antibiotik tanpa indikasi menurun sebanyak 10,9% dan terdapat peningkatan pemeriksaan kultur sebanyak 57,7%. Berdasarkan uji statistik, terdapat peningkatan bermakna rasionalitas penggunaan antibiotik setelah implementasi pedoman penggunaan antibiotik (33,7% vs 48,8%, p=0,020), dan penurunan penggunaan antibiotik tanpa indikasi (27,2% vs 16,3%, p=0,038). Penerapan kebijakan penggunaan antimikroba efektif meningkatkan rasionalitas penggunaan antibiotik. Program ini dapat diperluas di bangsal lain sehingga rasionalitas penggunaan antibiotik merata di seluruh rumah sakit.
ANGKA KEJADIAN OBESITAS SENTRAL PADA MASYARAKAT KOTA PEKANBARU Sundari, Elsa; Masdar, Huriatul; Rosdiana, Dani
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Obesity has become a big problem in the world mostly known asglobesity. Central obesity can cause degenerative diseases such ascardiovascular diseases, diabetes mellitus and cancer. This research informed theincidence of central obesity in Pekanbaru community. Descriptive cross sectionalstudy method was used in this research and two hundred sixty people were involved.Determination of central obesity in this research used waist circumferencemethode. In which waist circumference ≥ 90 cm in men and ≥ 80 in woman werecategorized as central obesity . The result shows 165 people with central obesity(63,4%). The insidence of central obesity in Pekanbaru community was higher inwoman (55%), age > 60 years old (79,1%), high education (65,9%) and housewife(77,3%).Key word : Obesity, Central obesity, Pekanbaru city.
Angka Kejadian Diabetes Melitus Tidak Terdiagnosis pada Masyarakat Kota Pekanbaru Artanti, Puji; Masdar, Huriatul; Rosdiana, Dani
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

ABSTRACTDiabetes mellitus is a chronic disease and the number is rising in theworldwide. One of risk factors of diabetes mellitus is obesity which can causeinsulin resistance. The purpose of this research was to inform the prevalence ofundiagnosed diabetes mellitus (UDDM) in Pekanbaru community. A crossectionalstudy design was performed November 2013-Desember 2014. Two hundred andthirty six subjects were involved in this research. Based on this research, 100subjects with central obesity detected as undiagnosed diabetes mellitus.Keywords: central obesity, undiagnosed diabetes melitus, Pekanbaru
GAMBARAN STATUS GIZI PASIEN DIABETES MELITUS TIPE 2 DI BANGSAL PENYAKIT DALAM RSUD ARIFIN ACHMAD PROVINSI RIAU ", Suryani; Rosdiana, Dani; Christianto, Erwin
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 3, No 1 (2016): Wisuda Februari 2016
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

ABSTRACTType 2 diabetes mellitus is caused by many factors which is characterized by chronic hyperglicemic resulting from defects in insulin secretion, insulin action, or both. The prevalence of diabetes mellitus in Indonesia was increase from previous years. It was caused by demographic factor and westernized lifestyle. The aim of this study is to find the description of nutritional status of type 2 diabetes mellitus patients in internal medicine ward in RSUD Arifin Achmad Provinsi Riau. This is a descriptive study with cross sectional approach with 30 respondents. Nutritional status was assessed by measurement of body mass index, mid-upper arm circumference, and waist circumference. This study showed that 90% of respondents were 40-65 years old with 36,7% male and 63,3% female. Nutritional status based on body mass index, many respondents were obesity grade I (33,3 %), 30 % of respondents were normal, 20% were overweight, 13,3% were underweight and 13,3% were obesity grade II. Based on mid-upper arm circumference, 40% of respondents were CED and 60% without CED. Based on waist circumference, 63,3% of respondents were central obesity and 36,7% were normal.Key words : Type 2 diabetes mellitus, nutritional status, body mass index, mid-upper arm circumference, waist circumference