Dengue Hemorrhagic Fever (DHF) is a disease caused by the dengue virus. The West Sumatra Health Service reported that the city of Padang was the highest city in the incidence of dengue hemorrhagic fever in West Sumatra. It is known that platelet counts and hematocrit levels are important indicators in determining the occurrence of shock and the severity of the disease. This type of research is a descriptive study using a cross sectional design with a retrospective approach, this study was conducted at the Siti Rahmah Islamic Hospital in Padang. The population in this study were all medical record data of patients who had been diagnosed with dengue hemorrhagic fever by a specialist in internal medicine at the Siti Rahmah Islamic Hospital in Padang period 1 January-31 December 2017, as many as 162 people with 62 samples using Simple random sampling technique. Univariate analysis is presented in the form of a frequency distribution       table. Based on the results of the study, it was found that the highest age was early adulthood, which was 69.4% and the highest sex was women, 58.1%. The highest clinical degree is degree 1, which is 58.1%. Most of the patients had platelet counts <100,000 cells / mm3 is 64.5% with an average platelet count of 87,790 cells / mm3. Most of the normal hematocrit levels were 67.7% with an average hematocrit level of 40.45%. Based on degree 1 most with platelet counts <100,000 cells / mm3 which is 55.6%, at degree 2 mostly with platelet counts <100,000 cells / mm3 which is 76.9% and based on degree 1 most hematocrit levels are normal is 63.9 % and at degree 2 most of the normal hematocrit levels are 73.1%.

<p class="Default"><strong><em>Introduction</em></strong><em>: Cardiovascular disease (CVD) is a major cause of death and disability worldwide. The most stringent primary CVD screening guidelines in developed countries use absolute CVD risk scores or coronary heart disease, such as Framingham or SCORE (Systematic Coronary Risk Evaluation) there are two types of CVD risk factors namely modifiable risk factors and unmodified risk factors. <strong>The aim</strong> of the current study is to determine the profil of potentially modifiable and unmodified cardiovascular risk factors. <strong>Method</strong>: </em><em>This research consists of 41 elderly people which aged ≥ 60 years in Guguak, Kabupaten 50 Kota, West Sumatera, Indonesia. The data taken is modifiable risk factors consisting of diseases related risk factors </em><em>including blood pressure categories, lipid profile, central obesity, body mass index </em><em>and lifestyle related risk factors such as </em><em>smoking habit</em><em>. We also take data of unmodified risk factors such as age and gender</em><em>. <strong>The result</strong>: t</em><em>his study consists of 41 elderly people which aged ≥ 60 years in Guguak, Kabupaten 50 Kota, West Sumatera, Indonesia. The mean age of  elderly were 68</em><em>±</em><em>7.64861 years old that consisting of 29.3% men and 70.7% women, </em><em>34% of elderly with hypertension, the elderly with hypercholesterolemia 71%, hypertriglyceridemia 41%, and the elderly women with low HDL-C levels were 53%,  the elderly men with low HDL-C levels were 92%. <strong>Conclusion</strong><strong>: </strong>There are two types of risk factors CVD, modifiable risk factors and nonmodifiable risk factors. </em><em>The modifiable risk factors consisting of diseases related risk factors </em><em>including blood pressure categories, lipid profile, central obesity, body mass index </em><em>and lifestyle related risk factors such as </em><em>smoking habit.</em></p>

No abstract

Chronic Kidney Disease (CKD) is a very common clinical problem in elderly patients and is associated with increased morbidity and mortality. The proportion of the elderly is predicted to further rise to 20% by the year 2030 caused by the demographic change from a pattern of high birth rates and high mortality to low birth rates. Delayed mortality has contributed to the rise in the elderly population.  The aging process involves physiological and nutritional changes that will affect the nutritional status of the elderly, leading to malnutrition and overweight. Aging is associated with considerable changes in body composition, higher BMI is associated with improved survival in patients with CKD and very low BMI levels have been consistently associated with high all-cause mortality in the elderly. The changes in Body Fat Percentage (BFP) in the elderly will affect the estimated Glomerular Filtration Rate (eGFR) in the elderly. This study aimed to determine the correlation between anthropometric measurement and kidney function in the elderly population. this research is an analytic observational study with a cross-sectional design, which involved 42 elderly people with age > 60 years in Guguak District, West Sumatera, Indonesia. Anthropometric measurement using the Waist-to-Height-Ratio (WHtR) method, Waist-to-Hip Ratio (WHR), Waist Circumference (WC), and Body Mass Index (BMI) and eGFR were calculated using the Cockcroft and Gault formula. The results of this study showed that the mean age of the elderly was 68±7.58 years, which consisted of 29.3% male and 70.7% female. The Pearson correlation test between WHR and eGFR obtained p<0.05 with r= 0.439 and the Pearson’s correlation test between BMI and eGFR obtained p<0.05 with r= 0.425. There was a moderate correlation between WHR with eGFR and BMI with eGFR in the elderly population.

Hepatocellular carcinoma (HCC) is a malignant tumor derived from hepatocyte cells including primary malignant epithelial tumors. Hepatocellular carcinoma is the second most common cause of cancer-related deaths worldwide, and events are expected to increase in the future and the incidence of HCC will continue to increase until 2030. Early detection of HCC is very important to improve prognosis and long-term survival. late detection of HCC and lack of care. This study aims to determine serum AFP levels in HCC patients in DR. M. Djamil Hospital, Padang, West Sumatra, Indonesia. This research is a descriptive study, which consisted of 30 serum samples of HCC patients. The examination method is Enzyme Linked Fluorescent Assay (ELFA). In this study, the incidence of hepatocellular carcinoma in men was higher than in women. For both sexes, the incidence of HCC increases with ages between 26-60 years. The increased presence of AFP can alert doctors to the possibility of a diagnosis of HCC. Keywords: Alpha fetoprotein serum, Hepatocelular carcinoma, West Sumatera, Indonesia