4) Respon terhadap stres mencakup aktivasi sistem saraf simpatis dan pelepasan hormon pertumbuhan (tyroid), katekolamin epinefrin dan norepinefrin dari kelenjar adrenal yang selanjutnya akan merangsang peningkatan pemecahan simpanan glukosa di hepar dan otot rangka. Pertama, hipoglikemia dalam diabetic adalah lebih umum ketimbang ketoasidosis, meskipun sebagian besar penyebaran terdapat pada kelompok ketergantungan insulin.Kedua awitan dari hipoglikemia adalah lebih cepat dan manifestasinya adalah lebih bervariasi, sering terjadi dengan cara yang tidak jelas sehingga dapat mengelakan perhatian seseorang sampai orang tersebut tidak menyadari apa yang.
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Diabetes mellitus is a chronic metabolic disorder due to relative or absolute deficiency of insulin. The disease may be characterized by acute symptoms and signs of insulin deficiency, which are called acute complications in this paper. Diabetes is also associated with chronic complications such as atherosclerosis, neuropathy, nephropathy, retinopathy, and' cataract.The paper presented a brief review of the role of hyperglycemia in the development of complic ations in the diabetic patient. There is little controversy as to the necessity of insulin for therapy and for prevention of diabetic complications.Key Words: diabetes mellitus - insulin deficiency - hyperglycemia - metabolic disorder - lipoprotein.
.Suryadi Tjekyan2008-06-01Full Text Available Severity of Chronic Idiopathic Urticaria In RSUP Dr. Hoesin Palembang. There were differences in clinical finding among authors about autologous serum skin test/ASST result in chronic idiopathic urtikaria/CIU. Tanus et al (1996 reported there was no significant differences in clinical features of CIU, whereas Sabroe et al (1999 found significant differences in duration and itch of CIU patients. The prevalence of urticaria in General Hospital Dr.
Hoesin Palembang showed increased tendency but there was no data about CIU and the severity of clinical features. The objectives of this study were to find out the significant correlation between ASST and severity of clinical features of CIU, and compared the difference of clinical features of CIU with and without positive ASST. This study was an observational analytic study, with cross sectional design. Fifty four subjects included in this study after following selection. Ethical approval was obtained from Bioethics and Humanities Unit, Faculty of Medicine Sriwijaya University and Dr. Hoesin Hospital Palembang. The clinical feature of 54 patients with CIU were evaluated.
The data of physical examination and the anamnesis about clinical scores collected and analyzed using SPSS software and Spierman correlation was used to analyze the correlation between clinical severity of CIU and ASST result. Student’s t-test was used to analyze the differences in clinical severity of CIU with and without positive ASST. There was significant correlation between the severity clinical feature of CIU and ASST result (p=0,00; R=0,598. Patients with positif ASST results (46,3% had more duration of illness (0,00, higher pruritus score (0,00, and angiodema score (0,024. The CIU patients with severity clinical score of 27 (cut-off point, 11 times more likely to develop autoimmune urticaria than the patients with cut-off below 27 (p=0,00.Nurul Qiyaam2016-03-01Full Text Available The storage management of drugs in hospitals must be good and true that the availability of pharmaceuticals is guaranteed in accordance with the needs of the hospital. This study aims to determine whether the drug storage in warehouses medicine is good and right and knowing how storage management of drugs in pharmaceutical warehouse Pharmacy Installation District General Hospital dr. Soedjono Selong.
This is description research. Data collection using observational methods tailored to the interview with the standard parameter storage management medicine is good and right.
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