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All Journal Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) The Journal of Society Medicine (JSOCMED) JUKEJ: Jurnal Kesehatan Jompa
Tarigan, Radar Radius
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Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Correlation of Kidney Volume on CT-Scan with Kidney Function Tests in Patients with Normal Kidneys at Haji Adam Malik Hospital Medan in 2020-2021 Harry, M. Randy; Daulay, Elvita Rahmi; Tarigan, Radar Radius
Journal of Society Medicine Vol. 2 No. 4 (2023): April
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i4.46

Abstract

Introduction: Kidneys have filtration and excretion functions; the glomerular filtration rate (GFR) is considered the best indicator of kidney function and may indicate abnormalities. Kidney volume can be an early indicator of kidney disorders before there is a decrease in kidney function. Changes in kidney volume may indicate structural and functional changes that indicate a disorder or disease progression. Radiological examination such as a CT-Scan has an important role in measuring the size and kidney volume and assessing kidney morphological changes for the diagnosis and staging of kidney disease as well as planning therapy. Objective: This study aims to find a correlation between the estimated kidney volume with the ellipsoid method through CT scanning and estimated kidney function by glomerular filtration rate in patients with normal kidneys. Method: An analytical study used a case-series design; all subjects were patients who had normal CT-Scan results and normal kidney function at the Haji Adam Malik Hospital in Medan in 2020–2021. Used the consecutive sampling technique and had 90 total samples. Results: There is a moderately positive correlation (r = 0,410-0,499) between volume and kidney function. A moderately negative correlation (r = -0,196 to -0,282) between kidney volume and age. A moderately positive correlation (r = 0,456-0,548) between kidney volume and body weight. There is a moderately negative correlation (r = -0.495) between renal function and age. A moderately positive correlation (r = 0,567) between renal function and body weight. Conclusion: there is a correlation between kidney volume and kidney function, the correlation between kidney volume and body weight, the correlation between kidney function and body weight.
Hypertension on Dialysis Patients: Influence Factor and Management Swastika, Karina Dwi; Tarigan, Radar Radius
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 4 No. 4 (2022): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v4i4.14734

Abstract

Background: Hypertension remains prevalent and challenging to manage in patients with chronic kidney disease, even with renal replacement therapy. This phenomenon arises from a variety of components that contribute to and create an intricate process of interaction, which can impact the regulation of blood pressure in patients undergoing dialysis. The main goal of this overview is to find the influence factor of blood pressure in dialysis patients and investigate ways to better control their blood pressure by incorporating these factors.Methods: The literature searches using online databases such as PubMed and Google Scholar. Results: After doing an online search, we found 32 articles were relevant to this review topic. Discussion: There are additional elements that contribute to hypertension in dialysis patients, including excessive volume, heightened arterial rigidity, stimulation of the renin-angiotensin-aldosterone system, sleep apnea, activation of the sympathetic nervous system, and the administration of recombinant erythropoietin.Conclusion: Enhanced comprehension of the numerous variables at issue can effectively enhance blood pressure regulation in this group of individuals.
Hubungan Red Cell Distribution Width Terhadap Kadar Feritin dan Total Iron Binding Capacity Pada Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis Purnamasari, Yeni; Adhayanti, Ida; Tarigan, Radar Radius; Lubis, Mohammad Riza; Arto, Nindia Sugih; Youvella, Sylvia
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 3 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss3.1995

Abstract

Tujuan penelitian untuk mengetahui hubungan RDW terhadap hasil TIBC dan kadar feritin pada pasien penyakit ginjal kronik yang menjalani hemodialisis di RS Adam Malik. Metode penelitian merupakan studi retrospektif, yang melibatkan 114 pasien PGK yang menjalani hemodialisis di RS Adam Malik pada tahun 2023. Pasien yang terlibat pada studi ini yakni pasien berusia ≥ 18 tahun, menjalani hemodialisis rawat jalan, dan memiliki data rekam medis yang lengkap. Data yang telah terkumpul selanjutnya dianalisis menggunakan uji korelasi Spearman. Hasil penelitian menunjukan mayoritas pasien berjenis kelamin laki-laki (62,3%), berusia 46–60 tahun (43,0%), lama hemodialisis < 5 tahun (70,2%), dan menderita diabetes (56,1%). Sebagian besar memiliki RDW normal (60,5%), feritin tinggi (78,1%), dan TIBC rendah (69,3%), menunjukkan adanya inflamasi kronik dan kelebihan besi. Tidak terdapat hubungan signifikan antara RDW dengan TIBC maupun feritin, sehingga RDW tidak mencerminkan status besi atau inflamasi pada pasien hemodialisis. Kesimpulannya tidak ada hubungan antara RDW terhadap TIBC dan feritin.
Association of Neutrophil-to-Lymphocyte Ratio with One-Year Mortality in Maintenance Hemodialysis Patients Amini, Sri Rahmania; Nasution, Alwi Thamrin; Tarigan, Radar Radius
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 7 No. 4 (2025): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v7i4.22478

Abstract

Chronic kidney disease (CKD) carries a high morbidity and mortality rate, particularly among patients undergoing maintenance hemodialysis (MHD). Inflammation is a key mechanism affecting prognosis, and the neutrophil-to-lymphocyte ratio (NLR) is a simple, accessible marker of systemic inflammation. This retrospective cohort study aimed to evaluate the association between NLR and one-year mortality in MHD patients. A total of 65 adult CKD patients at Adam Malik General Hospital, Medan, from January to December 2024 were included. Demographic, clinical, and laboratory data were obtained from medical records, and NLR was calculated as the neutrophil count divided by the lymphocyte count, categorized as <3.5 and ≥3.5. Associations were analyzed using Chi-square or Fisher’s exact test, with odds ratios (OR) and 95% confidence intervals (CI). The mean age was 48.35 ± 13.43 years, and 66.2% were male. The median NLR was 2.93 (IQR 2.25), with 46.2% ≥3.5. One-year mortality was 30.8%. Elevated NLR (≥3.5) was significantly associated with higher mortality (46.7% vs. 17.1%; p=0.01) and a 4.229-fold higher risk of death (95% CI: 1.36–13.15). High NLR is significantly associated with increased one-year mortality in MHD patients. Routine NLR monitoring may help identify high-risk patients for earlier intervention.
Co-Authors Adhayanti, Ida Amini, Sri Rahmania Daulay, Elvita Rahmi Harry, M. Randy Lubis, Mohammad Riza Nasution, Alwi Thamrin Nindia Sugih Arto, Nindia Sugih Swastika, Karina Dwi Yeni Purnamasari, Yeni Youvella, Sylvia