AbstrakDiabetes Mellitus merupakan penyakit yang merupakan epidemi global dan menyumbang angka kematian tertinggi di dunia. Salah satu komplikasi diabetes adalah penyakit arteri perifer (PAP), suatu kondisi yang ditandai oleh penyumbatan dalam arteri ekstremitas inferior. Tingkat keparahan PAP dapat diperiksa dengan modalitas pemeriksaan non-invasif seperti pemeriksaan ABI (ante brachial index). Derajat keparahan kaki diabetes dapat di kategorikan berdasarkan klasifikasi Wagner. Penelitian ini bertujuan untuk mengetahui korelasi antara nilai ABI dengan derajat keparahan kaki diabetik klasifikasi Wagner pasien di RS M Djamil Padang. Dengan metode survei analitik desain cross sectional, pada pasien dengan kaki diabetik dilakukan pemeriksaan ABI dan pemeriksaan derajat kaki diabetik klasifikasi Wagner. Data kemudian dianalisis dengan menggunakan uji nonparametrik dengan tingkat kepercayaan 95%. Signifikansi dari hasil tes ditentukan oleh nilai p <0,05. Dari total 48 sampel diperoleh bahwa nilai ABI adalah obstruksi ringan pada 23 orang (47,92%), dan sebagian besar pasien kaki diabetes klasifikasi Wagner adalah derajat 1 sebanyak 17 (35,42%). Uji statistik menemukan hubungan yang signifikan antara nilai ABI dengan derajat kaki diabetik klasifikasi Wagner (p = 0,000). Dapat disimpulkan, terdapat hubungan yang signifikan antara nilai ABI dengan derajat kaki diabetik klasifikasi Wagner di RSUP Dr M. Djamil Padang. Kata Kunci: kaki diabetes, klasifikasi Wagner, ante brachial indeks ABSTRACT Diabetes Mellitus is a global epidemic disease and accounts for the highest mortality rate in the world. One of its complications is Peripheral Arterial Disease (PAP) which characterized by blockages in the arteries of inferior extremity. The severity of PAP can be detected and determined by a non-invasive method namely ABI (ante brachial index). The degree of severity of diabetic foot can be classified into several categories based on Wagner classifications. This study aimed to determine the correlation between the values of ABI with the degree of Wagner classification-diabetic foot of patients in M Djamil
AbstrakDiabetes Mellitus merupakan penyakit yang merupakan epidemi global dan menyumbang angka kematian tertinggi di dunia. Salah satu komplikasi diabetes adalah penyakit arteri perifer (PAP), suatu kondisi yang ditandai oleh penyumbatan dalam arteri ekstremitas inferior. Tingkat keparahan PAP dapat diperiksa dengan modalitas pemeriksaan non-invasif seperti pemeriksaan ABI (ante brachial index). Derajat keparahan kaki diabetes dapat di kategorikan berdasarkan klasifikasi Wagner. Penelitian ini bertujuan untuk mengetahui korelasi antara nilai ABI dengan derajat keparahan kaki diabetik klasifikasi Wagner pasien di RS M Djamil Padang. Dengan metode survei analitik desain cross sectional, pada pasien dengan kaki diabetik dilakukan pemeriksaan ABI dan pemeriksaan derajat kaki diabetik klasifikasi Wagner. Data kemudian dianalisis dengan menggunakan uji nonparametrik dengan tingkat kepercayaan 95%. Signifikansi dari hasil tes ditentukan oleh nilai p <0,05. Dari total 48 sampel diperoleh bahwa nilai ABI adalah obstruksi ringan pada 23 orang (47,92%), dan sebagian besar pasien kaki diabetes klasifikasi Wagner adalah derajat 1 sebanyak 17 (35,42%). Uji statistik menemukan hubungan yang signifikan antara nilai ABI dengan derajat kaki diabetik klasifikasi Wagner (p = 0,000). Dapat disimpulkan, terdapat hubungan yang signifikan antara nilai ABI dengan derajat kaki diabetik klasifikasi Wagner di RSUP Dr M. Djamil Padang. Kata Kunci: kaki diabetes, klasifikasi Wagner, ante brachial indeks ABSTRACT Diabetes Mellitus is a global epidemic disease and accounts for the highest mortality rate in the world. One of its complications is Peripheral Arterial Disease (PAP) which characterized by blockages in the arteries of inferior extremity. The severity of PAP can be detected and determined by a non-invasive method namely ABI (ante brachial index). The degree of severity of diabetic foot can be classified into several categories based on Wagner classifications. This study aimed to determine the correlation between the values of ABI with the degree of Wagner classification-diabetic foot of patients in M Djamil
Papaya is a familiar fruit in Indonesia. During this time, papaya fruit is consumed by direct eating and sold at low prices. Young papaya can be processed into a form of creative food products such as abon. The manufacturing process includes preparation of material tools, stripping, steaming for 40 minutes, thin slicing, addition of complementary spices, drying, frying, and serving. The implementation of PKM activities included the dissemination of material and the practice of making abon papaya. Based on the results of the activity, it was obtained information that the participants in the activity didn’t know much about the nutrients contained in papaya fruit, even the participants had never known that papaya fruit could be processed into shredded fruit. The community service activities on the topic of making shredded papaya fruit can increase awareness, knowledge, skills, and also the motivation of the business of Pamagersari Hamlet Community in Tanjungsari Village, Sumedang.
In today's modern era, child delinquency tends to increase in the process of development because the curiosity of children is not limited to positive things or negative things, such as the many cases of criminal acts committed by children, one of which is narcotics abuse. Narcotics abusers are people who use narcotics without rights and against the law. Based on the SPPA Law, even though a child commits a crime, the child must receive legal protection. Based on a case that occurred at the Koto Baru District Court regarding narcotics abuse committed by a 16 (sixteen) year old child in Jorong Lubuk Pulai Nagari Sirukam, Payung Sekaki District, Solok Regency. Children as perpetrators of crime, need to get legal protection, including against children as perpetrators of narcotics abuse. The form of legal protection given to narcotics abusers is given during the trial process and in the judge's decision which decides the defendant to be returned to his parents and gets a rehabilitation program, both medical rehabilitation and social rehabilitation.
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