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All Journal Majalah Kedokteran Bandung
Rossanti, Rini
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Medicine & Pharmacology

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Skinfold Thickness and Mid-upper Arm Circumference in Pediatric Patients with Chronic Kidney Disease Suriadiredja, Siti Saqinah; Widiasta, Ahmdez; Rossanti, Rini
Majalah Kedokteran Bandung Vol 57, No 3 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.4046

Abstract

Chronic kidney disease (CKD) can impair the kidneys' capacity to manage nutrition, and any nutritional imbalances in CKD may affect the disease's progression. This study evaluated triceps skinfold (TSF) thickness and mid-upper arm circumference (MUAC) as indicators of nutritional status in children with early- and late-stage CKD at Dr. Hasan Sadikin General Hospital, Bandung, Indonesia. A descriptive cross-sectional design was used with secondary data from the nephrology division registry collected between August 2021 and August 2022. Data analysis was conducted with Microsoft Excel. The study involved 65 participants, with 32 in the early stage and 33 in the late stage. For early-stage patients, the average TSF was 13.75 mm and the MUAC was 12 cm, while, the average TSF an MUAC in the late stage were  11.39 mm and 11.70 cm, respectively. Based on TSF percentiles, most patients fell within the normal range, whereas MUAC measurements indicated that the majority were below normal. In terms of %TSF, most early-stage patients had above-average values, whereas late-stage patients were below average. All MUAC measurements indicated below-average values for both stages. Overall, TSF percentiles suggested that most patients had adequate nutritional status; however, %TSF revealed excess adiposity in early-stage patients and deficits in late-stage patients. MUAC consistently indicated deficits across both groups.
Left Ventricular Function in Steroid-Resistant Nephrotic Syndrome At Dr. Hasan Sadikin Hospital Kusumaputri, Aghnia Ghassani; Rahayuningsih, Sri Endah; Rossanti, Rini; Apandi, Putria Rayani; Widiasta, Ahmedz
Majalah Kedokteran Bandung Vol 57, No 4 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.4406

Abstract

Steroid-resistant nephrotic syndrome (SRNS) is a nephrotic syndrome (NS) which does not respond to high-dose corticosteroid therapy after 4 to 8 weeks. SRNS occurs in approximately 10–20% of childhood idiopathic nephrotic syndrome. SRNS patients are at risk of developing cardiovascular complications due to the long duration of the disease. This retrospective descriptive study investigated left ventricular function in pediatric patients with steroid-resistant nephrotic syndrome (SRNS) at Dr. Hasan Sadikin General Hospital, Bandung, Indonesia, from 2018 to 2022. A total of 42 patients aged 1 month to 18 years who underwent transthoracic echocardiography (TTE) were included. Left ventricular function was assessed using ejection fraction (EF) and fractional shortening (FS). Most patients (61.9%) had normal EF and FS values, while 38.1% showed decreased systolic function. The mean EF and FS were 55.8% and 30.2%, respectively, with median values of 59.3% and 31.2%. An important finding in this study is that some children with SRNS exhibited decreased EF and FS values despite having no other identifiable risk factors for ventricular dysfunction, such as congenital heart disease (CHD), rheumatic heart disease (RHD), chronic kidney disease (CKD), or hypertension. This finding sugest that ventricular dysfunction may still occur independently in some cases of SRNS.
Co-Authors Ahmedz Widiasta Kusumaputri, Aghnia Ghassani Putria Rayani Apandi, Putria Rayani Sri Endah Rahayuningsih Suriadiredja, Siti Saqinah Widiasta, Ahmdez