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All Journal Majalah Kedokteran Nusantara The Journal Of Medical School Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation
Alwi Thamrin Nasution
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Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Hubungan antara kombinasi hemodialisis (hd)/ hemoperfusi (hp) dengan status nutrisi (7 point subjective global assessment (sga) dan Albumin serum) pasien hemodialisis regular Dwi Bayu Wikarta; Alwi Thamrin Nasution; Abdurrahim Rasyid Lubis
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 2 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Background : Malnutrition in hemodialysis patients is common and it’s a regular independent factors affecting morbidity and mortality. This relates to the level of uremic toxins clearance during the process of hemodialysis is less than optimal. Clinical Application of hemoperfusion combination with hemodialysis (HD/HP) demonstrated the optimal clearance in molecular uremic toxins clearance. Kidney Disease Outcomes Quality Initiative (KDOQI) recommends assessment nutritional status of regular hemodialysis patients with a combination of valid assessment tools. such as 7-point SGA (Subjective Global Assessment) and albumin. This aim of the study to determine correlation between the combination of HD/HP with the nutritional status of regular hemodialysis patients.Method : This prospective cohort study from December 2013 to March 2014 on 20 regular hemodialysis patient and do history. measurements of height. weight. body mass index. nutritional status assessment by 7-point SGA and examination of serum albumin.Results : At the end of observation. 20 subjects were observed one subject out of the study. There is a significant difference between the mean of 7-point SGA score before and after combination hemodialysis/hemoperfusion (p<0.05). There is a significant difference between the mean albumin before and after first combination Albumin HD/HP (p<0.05). There is a strong relationship between the 7-point SGA with BMI after combination (r=0.636.p<0.01).Conclusion : The combination of HD / HP is good clinical application for the treatment of malnutrition in regular hemodialysis patients. Regular assessment of nutritional status of regular hemodialysis patients is necessary. with a combination of a valid assessment tool (7-point SGA. albumin) is expected to help decrease morbidity and mortality.Key word : Hemodialysis; haemoperfusion; 7-point SGA; albumin
Fibroblast Growth Factor-23 (FGF-23) in Patients with Regular Hemodialysis: A Risk Factor for Restless Legs Syndrome Harahap, Rasyidah Hasan; Riri Andri Muzasti; Alwi Thamrin Nasution
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 2 No. 3 (2020): Journal of Endocrinology, Tropical Medicine, and Infectiouse Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (781.417 KB) | DOI: 10.32734/jetromi.v2i3.4293

Abstract

Background: Restless Legs Syndrome (RLS) is one of the most common sleep disturbance problems in dialysis patients. In this study, we would like to explore some of bone and mineral marker disorder especially fibroblast growth factor-23 (FGF-23)and its correlation with RLS in regular hemodialysis patients. Methods: This is a cross sectional study design involving 71 respondents with chronic kidney disease that already had regular hemodialysis at Haji Adam Malik Hospital Medan. Status of RLS in this patients were being evaluated according to the International Restless Leg Syndrome Study Group (IRLSG) by interviewing and laboratory examination of FGF-23, hemoglobin (Hb), serum iron (SI), total iron binding capacity (TIBC), transferrin saturation (TSAT), serum ferritin, calcium (Ca) and phosphate (P) level. Results: Of all study subjects, 26 respondents (34.6%) diagnosed with RLS. Bivariate analysis result showed that there is a relationship between FGF-23, hemoglobin, phosphate, and transferrin saturation level with RLS. Logistic regression analysis used to see the most dominant factor of all. Conclusion This study conclude that increase in FGF-23 levels can increase the risk of RLS. However, FGF-23 is not the most dominant risk factor for RLS in regular hemodialysis patients.
SONOGRAPHIC EVALUATION OF ADULT RENAL VOLUME AND ITS CORRELATION WITH BODY SURFACE AREA Hafizhalaila Ammar; Evo Elidar Harahap; Alwi Thamrin Nasution; Henny Maisara Sipahutar; Elvita Rahmi Daulay; Netty Delvrita Lubis; Putri Chairani Eyanoer
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 2 (2025): June
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i2.198

Abstract

Background: Renal size and volume play important roles in the diagnosis, treatment, and evaluation of renal pathology, and are excellent predictors of renal function. Renal size is associated with somatic growth parameters such as height, weight, and age, which are related to body mass index and body surface area. Objective: The aim of this study is to determine renal volume in the adult population using ultrasound and to analyze factors affecting the renal volume in patients. Methods: This was a case-series study of 35 renal in adult patients aged from >19 to 59 years without renal pathology. Renal length, width, depth, mean volume, and cortical thickness were sonographically measured. Patient age, gender, weight, height, and body surface area were recorded. Results: The mean body weight, body height, and body surface area were 69.8 ± 18.6 kg, 159.7 ± 8.1 cm, and 1.7 ± 0.2 m2, respectively. There was a significant difference in mean renal volume between the right and left renal, with measurements of 107 ± 30,9 cm3 and 125,5 ± 27,8 cm3, respectively. The mean renal volume in male was 118,4 ± 37,2 cm3 and 137,2 ± 32,6 cm3 for the right and left sides, respectively, and was found to be larger than in females. Both renals had a mean cortical thickness of 1.3 ± 0.1 cm. There was a positive and significant correlation between renal volume and body surface area (r=0.805 for the right renal, and r=0.604 for the left renal) with p<0.001. Conclusions: Renal volume is positively and significantly correlated with body surface area. Body index, age, gender, and side should also be taken into consideration when reporting renal volume.
Co-Authors Abdurrahim Rasyid Lubis Dwi Bayu Wikarta Elvita Rahmi Daulay Evo Elidar Harahap Hafizhalaila Ammar Harahap, Rasyidah Hasan Henny Maisara Sipahutar Netty Delvrita Lubis Putri Chairani Eyanoer, Putri Chairani Riri Andri Muzasti