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FACTORS ASSOCIATED WITH CHRONIC KIDNEY DISEASE AMONG PATIENTS UNDERGOING HEMODIALYSIS Tjang, Yanto Sandy; Pandelaki, Paulus Anung Anindita
Majalah Kedokteran Indonesia Vol 68 No 4 (2018): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

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Introduction: The development of chronic kidney disease (CKD) and later proportion of decline in renal function are diverse among individuals. This reflects the multifactorial biological mechanisms that are involved in the underlying disease process. The risk factors and resources for care of CKD also vary from place to place. Identifying the risk factors of CKD is crucial and develop prevention strategies, including screening, might be beneficial to reduce burden cost, morbidity and mortality of CKD. We aim at identifying the factors associated with CKD in individuals who have undergone hemodialysis. Material and Methods: All adult patients (age >18 years) admitted to the department of internal medicine either as in- or out-patient for undergoing hemodialysis at the Mardi Rahayu Hospital in Kudus, Middle Java, Indonesia from January to August 2016 were included in the study. Results: Eighty-two patients were evaluated during the study period. Most of the patients were in older age (> 50 years old). Sixty (73%) were male and 22 (27%) were female patients. Fifty (61%) patients had mild anemia, 23 (28%) patients had moderate anemia and 8 (10%) patients had severe anemia. Among 82 patients, 77 (94%) of the patients were hypertensive, 19 (23%) of the patients had DM, 23 (28%) of the patients had renal stone, 8 (10%) of the patients had renal cysts, and 7 (9%) of the patients suffered from glomerulonephritis. Conclusion: Older age, male gender, anemia, and hypertension were factors that associated with CKD among patients undergoing hemodialysis. Keywords: chronic kidney disease, risk factors, hemodialysis, anemia, hypertension
Telogen effluvium incidence in women wearing hijab compared to non-hijab: A cross-sectional study Sirait, Sondang Pandjaitan; Widaty, Sandra; Legiawati, Lili; Surachmiati Suseno, Lis; Krisanti, Roro Inge Ade; Budianti, Windy Keumala; Miranda, Eliza; Rihatmadja, Rahadi; Oktarina, Caroline; Pandelaki, Paulus Anung Anindita; Situmeang, Irhen
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 8, No. 2
Publisher : UI Scholars Hub

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Background: Hair loss is a normal experience, but if the amount of hair loss exceeds what is considered normal, it will usually cause anxiety for the patient. In Indonesia, almost every Muslim woman wears a hijab. The hijab is one of many factors believed to cause hair loss. Telogen effluvium (TE) itself is a hair cycle disorder in which the anagen phase terminates prematurely, resulting in diffuse club hair loss without scarring, and TE itself has many risk factors. The purpose of this study was to determine the relationship between the incidence of TE in women who wear hijabs and those who do not. Methods: This cross-sectional study was conducted from August 2019 to April 2021 involving 188 healthy women aged 18 years and over who had not yet reached menopause. In the hijab group, it was determined that they should wear a minimum of 8 hours a day for at least 5 years. The test was carried out on hair that had not been washed using a trichogram, to look for hair characteristics in each group (hijab-wearing and non-hijab-wearing). Analysis of the data obtained was carried out using the Chi-square test and odds ratio. Results: Telogen effluvium was higher in subjects wearing hijab (26.8%) than in subjects who did not wear hijab (18.1%), (p-value 0.040, OR 2.036). Conclusion: There was a significant relationship between TE in women who wear hijab compared to those who do not. Further studies should be conducted in other populations with a larger sample size to confirm these results.