Profile and Lifestyle of Hypertensive Patients, Cardiovascular Comorbidity , and Complications in a Primary Health Center in Surabaya, Indonesia

BACKGROUND: Hypertension prevalence which increased in the last two decades in Indonesia depleted national expenditure. The government responded through many programs in educating the community and improving the primary health center (PHC). The engagement of patients and doctor’s role in PHC was very important in managing the disease. Patient’s lifestyles, comorbid, and the role of PHC, such as in early detection, examination, drug administration, and education, as well as screening for the complication, needs to be evaluated. AIMS: This study aimed to analyze the profile and lifestyle of hypertensive patients and health services in PHC as one of the catastrophic diseases in Indonesia. MATERIALS AND METHODS : This was a cross-sectional study design with total sampling. The study was held in one of the PHC in Surabaya from May 2018 until August 2018. The s ample size was 104. Data were collected using questionnaires, physical, and laboratory examinations as well as secondary data from the medical record. The statistical analysis was performed at a significance p < 0.005 using the Chi-square test. RESULTS: The majority were women with age >60 years and two-thirds of all hypertensive cases had uncontrolled blood pressure (69.2%). Laboratory results showed abnormalities: Dyslipidemia (50.5%), high fasting blood sugar (38.6%), and high uric acid (10.1%). Nearly one-third of patients (27.9%) already had abnormalities in the electrocardiography (ECG) since the procedure been done rarely. Contrarily, most of them committed to a healthy diet and taking the medication regularly in line with doctor’s education when they visit PHC. Regarding exercise, most of them stated not to do it regularly. CONCLUSION: The majority of the hypertensive patients had uncontrolled blood pressure and unhealthy lifestyle worsening the disease

Retrospective Study of the Association Between Platelet-to-Lymphocyte Ratio in Patients with Acute Coronary Syndrome on Admission to a Rural Referral Center in East Java, Indonesia, and the Incidence of New Symptomatic Heart Failure at 6 Months

BACKGROUND: This was a retrospective study conducted at a rural referral center in East Java, Indonesia, to evaluate the association between the platelet-to-lymphocyte ratio (PLR) on hospital admission and the incidence of new symptomatic heart failure (HF) within 6 months in patients with acute coronary syndrome (ACS). MATERIAL/METHODS: The study population consisted of all ACS patients who were hospitalized between 1 January and 31 December 2018 at a non-percutaneous coronary intervention-capable secondary referral hospital and came for a routine follow-up until 6 months afterwards. The diagnosis of new symptomatic HF was based on International Classification of Diseases 10(th) revision code I50.9. RESULTS: From 126 hospitalized patients, 92 patients were included in the analysis. The incidence rate of new symptomatic HF at 6 months was 70.65%. High PLR upon initial admission was significantly associated with new symptomatic HF incidence (odds ratio=1.70, P<0.001). PLR was also able to discriminate new symptomatic HF incidence at 6 months with area under the curve of 0.83 (P=0.001). Multivariate Cox regression analysis showed that PLR was an independent predictor for new symptomatic HF incidence (hazard ratio=4.5, P=0.001). CONCLUSIONS: In a rural center in Indonesia, the PLR was independently correlated with the onset of new symptomatic HF in patients with ACS 6 months after hospital admission. The PLR may be a supplementary biomarker for clinical outcomes in patients with ACS for use in resource-limited regions

Depression Level Difference Between Gifted and Non-gifted Medical Students

Introduction: Depression is a common mental health conditions in the world. Compare to general population, the prevalence of depression in medical students are higher. There are several risk factors that might contribute to the higher rate of depression in medical students, including being a gifted student. However, no study has been published regarding the depression of the gifted medical students until now. Aim: To find out the difference in the level of depression between gifted and non-gifted medical students. Methods: This study was a descriptive cross-sectional study, conducted from October to December 2016. Subjects were third year medical students from Faculty of Medicine Universitas Airlangga. There were 2 groups in this study. Samples from gifted students group was obtained using total sampling method, while number of samples from non-gifted students group was equated with gifted students group. Depression was measured using Beck Depression Inventory (BDI). Mann-Whitney U test was used for statistical analysis. Results: 34 students, 17 students in the gifted students group and 17 students in the non-gifted students group, were included in this study. Based on the BDI score results category, 2 students from the gifted students group and 1 student from non-gifted students group were in the mild category, and 1 student from the gifted students group was in the borderline category. The highest BDI score in gifted students group were 14, while in non- gifted students group were 17. There was no significant difference of the BDI score and BDI category between groups (p = 0.154; 0.951, respectively). Conclusion: There was no significant difference of depression level between gifted and non-gifted medical students

Profile and Lifestyle of Hypertensive Patients, Cardiovascular Comorbidity and Complications in a Primary Health Center in Surabaya, Indonesia.

Abstract BACKGROUND: Hypertension prevalence which increased in the last two decades in Indonesia depleted national expenditure. The government responded through many programs in educating the community and improving the primary health center (PHC). The engagement of patients and doctor’s role in PHC was very important in managing the disease. Patient’s lifestyles, comorbid, and the role of PHC, such as in early detection, examination, drug administration, and education, as well as screening for the complication, needs to be evaluated. AIMS: This study aimed to analyze the profile and lifestyle of hypertensive patients and health services in PHC as one of the catastrophic diseases in Indonesia. MATERIALS AND METHODS : This was a cross-sectional study design with total sampling. The study was held in one of the PHC in Surabaya from May 2018 until August 2018. The s ample size was 104. Data were collected using questionnaires, physical, and laboratory examinations as well as secondary data from the medical record. The statistical analysis was performed at a significance p < 0.005 using the Chi-square test. RESULTS: The majority were women with age >60 years and two-thirds of all hypertensive cases had uncontrolled blood pressure (69.2%). Laboratory results showed abnormalities: Dyslipidemia (50.5%), high fasting blood sugar (38.6%), and high uric acid (10.1%). Nearly one-third of patients (27.9%) already had abnormalities in the electrocardiography (ECG) since the procedure been done rarely. Contrarily, most of them committed to a healthy diet and taking the medication regularly in line with doctor’s education when they visit PHC. Regarding exercise, most of them stated not to do it regularly. CONCLUSION: The majority of the hypertensive patients had uncontrolled blood pressure and unhealthy lifestyle worsening the disease