Ahmad Dahlan Journal of Clinical Medicine

The Relationship Between Diabetes Mellitus and Oxygen Saturation Levels by Pulse Oximetry in COVID-19 Inpatient at RS PKU Muhammadiyah Bantul in 2020 – 2022

2025-11-13T05:07:39+00:00

The number of Coronavirus Disease 2019 (COVID-19) patiens who have Diabetes Mellitus (DM) comorbidities in Yogyakarta Province is quite high (37.3%). Diabetes Mellitus comorbidities are thought to increase the severity of symptoms that appear in COVID-19 patients. Diabetes mellitus impairs the phagocytic ability of neutrophil white blood cells, chemotaxis, and the destruction of microorganisms within the cells. Therefore, COVID-19 patients with comorbid diabetes mellitus exhibit lower oxygen saturation levels. This study aims to the relationship between DM and oxygen saturation levels in COVID-19 inpatients at RS PKU Muhammadiyah Bantul. This research is a case control study with secondary data. The total number of respondents in this study was 144 samples consisting of COVID-19 patients with DM (n=72) and COVID-19 patients without DM (n=72). Univariate analysis with 72 case groups (DM groups) showed that the majority of the samples were male (51.4%). The age range of the case group (DM groups) was mainly in the age range of 50-59 years (51.45%) with the most frequent symptoms being fever, headache, and myalgia (45.8%). Desaturation occurred in most of the case groups (DM groups) (63.9%). Bivariate analysis using the chisquare test showed that there was a significant relationship between DM and oxygen saturation levels in COVID-19 inpatients. COVID-19 patients with DM are four times more at risk of desaturation than non-DM patients (p value = 0.000; OR = 4.021). More desaturation events at RS PKU Muhammadiyah Bantul were experienced by men, aged 50-59 years, and experiencing symptoms of fever.

Analysis of Patient Characteristics Towards Compliance With Pulmonary TB Treatment at PKU Muhammadiyah Bantul Hospital in 2023

2025-11-12T08:07:43+00:00

Tuberculosis (TB) is an infectious disease caused by the bacteria Mycobacterium tuberculosis. Several things that influence a person's compliance in undergoing pulmonary TB treatment are many factors. However, in Indonesia, the number of successful TB treatment cases has not yet reached the national target, especially in Yogyakarta city. This study aimed to determine the characteristics of patients that influence compliance with pulmonary TB treatment at PKU Muhammadiyah Bantul Hospital. This study is a qualitative study with a cross-sectional design. The sampling technique was carried out using a purposive sampling technique. The number of samples in the study was 41 respondents of pulmonary tuberculosis patients at PKU Muhammadiyah Bantul Hospital in 2023. Data analysis used the Kruskal Wallis analysis test. The results of the Kruskal Wallis test showed that there were 18 respondents (43.9%) with low levels of treatment compliance, 6 respondents (14.6%) had moderate levels of compliance, and 17 respondents (41.5%) had high levels of treatment compliance. The results of the bivariate test showed that there was a relationship between gender, employment status, family support, and education level on compliance with pulmonary TB treatment at PKU Muhammadiyah Bantul Hospital with a p-value <0.05. Age and distance from home didn’t have a significant relationship with compliance pulmonary TB treatment at PKU Muhammadiyah Bantul Hospital with a p value> 0.05. This study concluded that there was a relationship between gender, employment status, family support, and education level on compliance with pulmonary TB treatment at PKU Muhammadiyah Bantul Hospital.

A Bibliometric Analysis of Research on Diabetes and Diabetic Kidney Disease: Emphasizing Biomarkers, International Collaboration, and Thematic Structure

2025-11-13T05:09:24+00:00

This bibliometric study analyzes global research trends on diabetic kidney disease (DKD) and biomarkers using data retrieved from the Scopus database, comprising 1,174 publications based on the keywords "Diabetic kidney disease" AND "Biomarker." The study employs VOS viewer software for network visualization and cluster analysis to identify key authors, countries, and thematic research clusters. The results highlight three main clusters: epidemiological and clinical risk factors, biological monitoring of DKD patients, and diagnostic biomarker validation. China and the United States dominate the publication landscape, reflecting substantial investments in biomedical research. Key authors such as Nelson, R.G. and Bjornstad, P. play central roles in advancing this field. This study underscores the multidisciplinary approach required to improve DKD diagnosis and management through biomarker development, with implications for personalized medicine and global collaboration. Further research is needed to develop clinically useful biomarkers that enhance personalized management of diabetic kidney disease.

The Relationship Between Early Introduction of Complementary Feeding and Nutritional Status in Children Aged 6-24 Months in Banyuraden Village, Gamping, Sleman

2025-11-25T03:51:33+00:00

To ensure optimal growth and development in children, the provision of complementary feeding (MP-ASI) needs to consider several important factors such as nutritional content, appropriate timing, frequency, portion size, and method of delivery. This is crucial because the first two years of life are a period of rapid growth and development in children, requiring adequate nutritional intake. This study aim to examine the relationship between early introduction of MP-ASI and nutritional status among children aged 6-24 months in Banyuraden Subdistrict. This study using an observational analytical method with a CrossSectional approach. This study employed a purposive sampling technique to select participants, resulting in a sample of 125 children aged 6-24 months. The inclusion criteria were: (1) children whose mothers were willing to participate as respondents in the study, (2) children aged 6–24 months, (3) children who were given early complementary feeding (MP-ASI) and those who were not, and (4) children whose mothers were literate. The exclusion criteria included: (1) children with congenital Hirschsprung's disease, (2) children with congenital duodenal atresia, and (3) children with congenital achalasia. The research findings revealed that the majority of respondents (61.6%) did not introduce early complementary feeding (MP-ASI) to their children. Additionally, 60% of respondents demonstrated good nutritional status. Statistical analysis using SPSS 26 with chi-square testing indicated a significant relationship between early introduction of MP-ASI and nutritional status, with a p-value of 0.001 (p < 0.05). These results suggest that the timing of MP-ASI introduction is associated with the nutritional status of children.

The Relationship Between Hypertension and Incidence of Severe COVID-19 at PKU Muhammadiyah Yogyakarta Hospital in 2021

2025-11-12T08:04:24+00:00

Coronavirus Disease 2019 (COVID-19) is an infectious desease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-Cov-2). The severity of COVID-19 is influenced by the immune system, age, and various comorbidities, including diabetes mellitus and hypertension. Hypertension is the most common comorbidity observed in COVID-19 patients. The aim of this study is to determine the relationship between hypertension and the incidence of severe COVID-19 cases at PKU Muhammadiyah Yogyakarta Hospital in 2021. This study is a quantitative observational analytic research with a cross-sectional design and retrospective study. The data werw collected through the use of secondary sources derived from medical records at PKU Muhammadiyah Yogyakarta Hospital. The research activities took place from November to December 2022 at PKU Muhammadiyah Yogyakarta Hospital. The study included a total of 267 patients diagnosed with COVID-19 at PKU Muhammadiyah Yogyakarta Hospital. This study reports the analysis of the relationship between hypertension and the incidence of severe COVID-19 cases. From 267 COVID-19 patients, 196 (73,4%) were aged >=50 years with an average age of 58 years, 158 (59,2%) patients were male, and 135 (50,6%) had non-severe COVID-19. There was no association between hypertension and severe COVID-19 in patients at PKU Muhammadiyah Hospital Yogyakarta in 2021 with a p-value of 0,746. There is no relationship between hypertension and the severity of COVID-19 cases at PKU Muhammadiyah Yogyakarta Hospital in 2021.