Articles
Non-psychogenic polydipsia in 45-year-old man with primary hyperparathyroidism and recurrent bilateral nephrolithiasis
Cahyanur, Rahmat;
Sarwono, Johannes;
Armelia, Linda;
Marbun, Maruhum B.H.;
Soewondo, Pradana
Medical Journal of Indonesia Vol 21, No 4 (2012): November
Publisher : Faculty of Medicine Universitas Indonesia
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DOI: 10.13181/mji.v21i4.506
Non-psychogenic polydipsia with hyponatremia is a rare clinical presentation. Primary hyperparathyroidism is a disorder of calcium, phosphate, and bone metabolism caused by increased level of parathyroid hormone (PTH). It is estimated the incidence of primary hyperparathyroidism are 21.6 per 100,000 person a year. This case report describe a 45-year-old man presented with non-psychogenic polydipsia. This patient drank a lot of water out of the fear of recurrent kidney stones. He had history of recurrent nephrolithiasis with hypercalcemia. We investigate further the cause of hypercalcemia and we diagnosed primary hyperparathryoidism as the cause. (Med J Indones. 2012;21:230-4)Keywords: Hyponatremia, non-psychogenic polydipsia, primary hyperparathyroidism
Efektifitas pemakaian ulang ginjal buatan
Armelia, Linda
Jurnal Kedokteran YARSI Vol 16, No 2 (2008): MEI - AGUSTUS 2008
Publisher : Lembaga Penelitian Universitas YARSI
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DOI: 10.33476/jky.v16i2.238
Hemodialysis is a therapy for patient with end state renal diseases, but it is very expensive specially dialyzer. Now we could use a reuse of dialyzer to reduce the cost. The aim of this study was to examine the effectiveness of dialyzer reuse and its frequent possible reuse. A prospective study with the comparative experimental approach was carried out. The population was all patient with end state renal diseases underwent twice hemodialysis in a week at fifth hours in each period at least within three months using acetate dialysate and reuse dialyzer in the Dialysis Unit. Sample size was 20 subjects determined based on time continuum It was concluded that the reuse dialyzer could be used 6,06+2,01 times without negative influence on dialysis adecuacy.
Gambaran Rerata Kadar Kalsium Dan Fosfor Pada Pasien Yang Menjalani Hemodialisis Di Rumah Sakit Anna Medika Bekasi
Annisya, Nur;
Armelia, Linda
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 12, No 1 (2018): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT
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DOI: 10.33533/jpm.v12i1.276
Background: Chronic Kidney Disease (CKD) is a pathophysiological process with a diverse etiology, resulting in slow progressive kidney function. Hemodialysis is used as a therapy to replace deteriorating renal function. PGK has high mortality and morbidity, because it can cause various complications, one of the complications of PGK is the regulation of mineral settings, especially calcium and phosphate. Methods: The type of research in this study is descriptive quantitative with cross sectional study design. The population in this study were PGK patients undergoing hemodialysis at Anna Medika Bekasi Hospital. Sample selection using simple random sampling technique with condition to fulfill inclusion criteria. Secondary data retrieval (medical record). Results: From 55 samples were 32 patients (58.2%) with hypocalcemia category, 14 patients (25.4%) with normal calcium level, 9 patients (16.4%) with hypercalcemia category, 10 patients (18.2%) with hypophosphatemia category, 4 patients (7.3% ) with normal phosphorus levels and 41 patients (74.5%) by category. Of 32 patients (58.2%) hypocalcemia and 41 (74.5%) hyperphosphatemia which decreased calcium along with a rise in phosphorus by 22 patients (40%). Conclusion: In this study it was found that patients were more likely to have hypocalcemia and hyperphosphatemia. Less than half the patients had decreased levels of calcium along with elevated levels of phosphorus.
Angka Kejadian Depresi Pada Pasien Hemodialisis Menggunakan Metode Pengukuran Back Depression Inventory
Musthafa, Sarah;
Armelia, Linda
Majalah Kesehatan Pharmamedika Vol 11, No 2 (2019): DESEMBER 2019
Publisher : Lembaga Penelitian Universitas YARSI
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DOI: 10.33476/mkp.v11i2.1325
Latar Belakang: Depresi adalah masalah kejiwaan yang umum terjadi pada pasien penyakit ginjal kronis terutama yang sudah menjalani hemodialysis maupun belum. Tujuan: Penelitian ini bertujuan untuk mengetahui angka kejadian depresi pada pasien penyakit ginjal kronis yang menjalani hemodialisis mengunakan metode pengukuran Beck Depression Inventory di RS Anna Medika, Bekasi. Metode: Penelitian ini dilakukan secara deskripsi cross sectional. Penelitian dilakukan pada pasien penyakit ginjal kronik yang sedang menjalani hemodialisis di RS Anna Medika Bekasi. Hasil: Dari 156 pasien yang ikut penelitian didapatkan 82 (52,6%) depresi minimal, 37 (23,7%) depresi sedang, 24 (15,4%) depresi berat dan 13 (8,3%) depresi sangat berat. Simpulan: Penelitian ini menunjukan bahwa depresi yang paling banyak dialami adalah tipe depresi minimal, walaupun tidak mengabaikan depresi sangat berat yang juga dialami. Saran: Bagi para tenaga kesehatan diharapkan dapat membantu pasien terutama dalam menangani masalah psikologis khususnya depresi. Selain itu, keluarga pasien dianjurkan agar dapat memberikan perhatian lebih dan menjadi life support system untuk kemajuan dan kelangsungan hidup pasien.
Hubungan Lama Hemodialisis dengan Fungsi Kognitif yang Diukur Menggunakan Metode Trail Making Test A dan B
Rafika, Naziratur;
Armelia, Linda
Majalah Kesehatan Pharmamedika Vol 12, No 2 (2020): DESEMBER 2020
Publisher : Lembaga Penelitian Universitas YARSI
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DOI: 10.33476/mkp.v12i2.1750
Latar Belakang: Penyakit ginjal kronik (PGK) telah menjadi masalah kesehatan masyarakat global di seluruh dunia, sehingga perlu dilakukan hemodialisis (HD) yang merupakan terapi paling banyak dilakukan. Angka kejadian yang tinggi dari gangguan kognitif dan demensia telah banyak dilaporkan pada berbagai penelitian. Prevalensi terjadinya penurunan fungsi kognitif meningkat yaitu sebesar 30% sampai 70% pada pasien PGK yang menjalani hemodialisis. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan lamanya hemodialisis dengan fungsi kognitif yang diukur menggunakan metode Trail Making Test A and B di RS. Anna Medika Bekasi.  Metode: Merupakan penelitian cross sectional, dengan sampel penelitian adalah 156 penderita PGK yang sedang menjalani HD di Rumah Sakit Anna Medika Bekasi, namun hanya 73 subjek yang memenuhi kriteria inklusi. Subjek diwawancarai dan mengisi kuisioner Trail Making Test A and B. Data dianalisis menggunakan uji chi square. Hasil: Dari tes Trail Making Test A (TMT-A) diperoleh hasil yang mengalami penurunan fungsi kognitif sebanyak 40 orang (54.8%) dan sebanyak 33 orang (45.2%) normal. Sedangkan pada TMT-B, hanya 9 orang (12.3%) yang mengalami penurunan dan 64 orang (87.7%) normal. Hasil uji statistik menunjukkan tidak terdapat hubungan yang signifikan antara lama hemodialisis dengan fungsi kognitif pada pasien yang menjalani hemodialisis, dengan nilai p 0,297 pada TMT-A dan nilai p sebesar 0,220 pada TMT-B. Simpulan: Tidak terdapat hubungan  yang signifikan antara lama hemodialisis dengan fungsi kognitif pada pasien yang menjalani hemodialisis menggunakan metode Trail Making Test A and B.
Angka Kejadian Depresi pada Pasien yang Menjalani Hemodialisis Menggunakan Metode Pengukuran Geriatric Depression Scale
Octafiani, Monica;
Armelia, Linda
Majalah Kesehatan Pharmamedika Vol 12, No 1 (2020): JUNI 2020
Publisher : Lembaga Penelitian Universitas YARSI
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DOI: 10.33476/mkp.v12i1.1602
Latar Belakang: Penyakit ginjal kronik mengakibatkan penurunan fungsi ginjal progresif dan irreversible sehingga memerlukan terapi pengganti ginjal berupa dialisis atau transplantasi ginjal. Hemodialisis merupakan terapi pengganti ginjal bertujuan membuang limbah metabolik dan kelebihan cairan tubuh melalui darah. Keadaan ini dapat mengganggu psikis pasien berupa depresi. Tujuan: Penelitian ini bertujuan untuk mengetahui angka kejadian depresi pada pasien geriatric yang menjalani hemodialisis dengan menggunakan metode pengukuran geriatric depression scale. Metode: Penelitian ini dilakukan secara deskriptif. Populasi dalam penelitian ini adalah pasien penyakit ginjal kronik yang sedang menjalani hemodialisis di RS Anna Medika Bekasi dari tanggal 20-29 Agustus 2018. Analisis menggunakan Chi-Square. Hasil: Ada 51 pasien yang memenuhi kriteria inklusi dengan 33 (64,7%) laki-laki dan sisanya perempuan. Pengukuran tingkat depresi sebagai berikut 25 (49%) tidak depresi; 20 (39.2%) depresi ringan; 5 (9.8%) depresi sedang dan 1 (2%) depresi berat. Kejadian depresi pada periode HD 12 bulan sebanyaj 24 (47%): 11 (45.7%) normal; 10 (41.7%) depresi ringan; 2 (8.4%) depresi sedang dan 1 (4.2%) depresi berat. Pada HD 12-24 bulan sebanyaj 15 (29.4%): 7 (46.6%) normal; 6 (40%) depresi ringan; 2 (13.4%) depresi sedang dan tidak ada depresi berat. Pada HD 25-36 bulan sebanyak 5 (25.5%): 4(80%) normal dan 1 (20%) depresi ringan. Sementara pada HD 36 bulan sebanyak 7 (35.7%): 3 (42.8%) normal; 3 (42.8%) depresi ringan dan 1 (14.2%) depresi sedangâ€. Tidak adanya hubungan antara ketaatan agama dengan angka kejadian depresi pada pasien PGK yang menjalani HD (p0,05). Simpulan: Angka kejadian depresi terbanyak terjadi ketika pasien yang menjalani hemodialisis kurang dari 12 bulan dan untuk pasien yang sudah menjalani hemodialisis lebih dari 12 bulan sudah dapat beradaptasi dan bergantung pada dukungan keluarga. Saran: Diperlukan perhatian dan dukungan keluarga pada pasien penyakit ginjal kronik sebagai dukungan moral yang sangat penting dalam mencegah depresi pada pasien disamping kekuatan amal ibadah pasien juga.
Hubungan Lama Hemodialisis dengan Fungsi Kognitif pada Pasien yang Menjalani Hemodialisis Menggunakan Metode Mini Mental State Examination Ditinjau dari Kedokteran dan Islam
Suci Purnama;
Linda Armelia
Majalah Sainstekes Vol 8, No 1 (2021): Juni 2021
Publisher : Lembaga Penelitian Universitas YARSI
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DOI: 10.33476/ms.v8i1.1606
Hemodialisis merupakan terapi pengganti ginjal pada penyakit ginjal kronik. Terdapat data statistik yang berbeda untuk prevalensi gangguan kognitif di Indonesia pada pasien yang menjalani hemodialisis mulai dari 20% - 47%. Penelitian ini menggunakan analitik korelatif dengan desain cross sectional yang dilakukan pada bulan Agustus 2018 di RS Anna Medika Bekasi dengan jumlah sampel sebanyak 102 responden yang diambil dengan cara consecutive sampling. Peneliti melakukan wawancara dengan menggunakan kuisioner Mini Mental State Examination (MMSE). Analisis data dengan menggunakan uji spearman. Fungsi kognitif pasien hemodialisis berdasarkan MMSE didapatkan penurunan fungsi kognitif ringan sebanyak 56 (54,9%), penurunan fungsi kognitif sedang sebanyak 13 (12,7%) dan tidak mengalami penurunan fungsi kognitif sebanyak 33 (32,4%). Hubungan antara lama hemodialisis dengan fungsi kognitif didapatkan p value 0,002. Terdapat hubungan signifikan antara lama hemodialisis dengan fungsi kognitif pada pasien hemodialisis di RS Anna Medika
Overview of the Average Amount of Fluid Expelled by Patients Undergoing Continuous Ambulatory Peritoneal Dialysis Therapy for The Last 3 Month and Its Review According to the Islamic View
Auliannisa Ramadhani;
Linda Armelia;
Muhammad Arsyad
Junior Medical Journal Vol 1, No 2 (2022)
Publisher : Junior Medical Journal
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DOI: 10.33476/jmj.v1i2.2875
Chronic kidney disease (CKD) is a clinical condition characterized by a slowly progressive and permanent decline in kidney function. One of the renal failure therapy facilities that can be chosen is Continuous Ambulatory Peritoneal Dialysis (CAPD). Patients with CAPD can perform dialysis independently, but there are several factors that affect the ability in CAPD so that the balance of the amount of dialysate fluid expenditure is disturbed. Therefore, a study was conducted to determine the effectiveness of CAPD therapy based on a review of the average amount of fluid released during therapy during the last 3 months This retrospective study was a descriptive cross-sectional study using a consecutive sampling technique, where the researcher reviewed primary data based on respondents' answers to the questionnaire and secondary data from the CAPD therapy patient diary. The results showed Based on demographic analysis we can conclude that 27 respondents (60%) are male, 43 respondents (95.56%) were in the age range 20-60 years, 42 respondents (93.33%) were Muslim, 30 respondents (66.6%) are Javanese, 21 respondents (46.7%) have a high school education, 23 respondents (51.11%) are workers with 24 respondents (53.3%) not willing to answer the income earned for a month. The average weight and height of the respondents respectively was 66.67 kg (SD 12.8) and 163.69 cm (SD 7.39). Analysis of the characteristics of respondents' CAPD therapy found 22 respondents (48.89%) had undergone therapy for 1-3 years, 39 respondents (86.67%) used combination fluids with 23 respondents excreting an average of 800-1000 fluids per day. 29 respondents (64%) admitted had experienced the amount of fluid that came out less with the most felt symptom was edema (31%). On the other hand, 38 respondents (84.4%) claimed to have experienced more fluid discharge with no symptoms (79%).
Quality of Life Chronic Kidney Disease Patients Undergoing Continuous Ambulatory Peritoneal Dialysis at Hermina Hospital Bekasi Reviews from Medical Science and Islam
Tasya Anita Salam;
Linda Armelia;
Muhammad Arsyad
Junior Medical Journal Vol 1, No 2 (2022)
Publisher : Junior Medical Journal
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DOI: 10.33476/jmj.v1i2.2876
According to Risdeskes (2018), the percentage of chronic diseases (CKD) has increased after previously being 2% to 3.8% of the total population of Indonesia. Abnormalities of kidney structure and function can be measured by a glomerular filtration rate (GFR) of less than 60 ml/minute/1.73 m² for a period of three months or more. Renal replacement therapy (TPG) in the form of peritoneal dialysis is an alternative way to maintain kidney function in CKD conditions. Treatment of patients undergoing peritoneal dialysis does not only focus on technical aspects but also psychosocial factors, namely the quality of life that will affect the patient's health. Therefore, it is important to know the quality of life of CKD patients undergoing continuous ambulatory peritoneal dialysis (CAPD) in terms of medical science and Islamic views. The type of research used is descriptive observational through a cross sectional approach using the SF-36 questionnaire which has been validated in uniting health. The population in this study were patients who underwent CAPD therapy at Hermina Hospital Bekasi. The results showed that of 45 respondents, most of whom were male with a history of hypertension and had undergone CAPD therapy for 1-3 years, the average score of quality of life score of respondents was 52, which was categorized as not good(60). It is influenced by physical function, physical limitations, vitality, mental limitations, and mental health. ). In the Islamic view, CAPD therapy is allowed to be carried out because this therapy is a form of endeavor that aims to maintain life for CKD patients.
The Association between Elevated Levels of Erythropoietin andEndothelial Progenitor Cell with Improvement of EndothelialFunction in Renal Failure Patients 3 Months after KidneyTransplantation
Armelia, Linda;
Susalit, Endang;
HM, Maruhum Bonar;
Shatri, Hamzah
Jurnal Penyakit Dalam Indonesia Vol. 4, No. 2
Publisher : UI Scholars Hub
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Introduction. Endothelial progenitor cell (EPC) is considered possible to reduce asymmetric dimethylarginine (ADMA) levels, which is a marker of improved endothelial function. However, clinically, there is still a debate about the role of EPC. This study was conducted to determine the correlation of elevated levels of erythropoietin (Epo) and the number of EPC CD34 + and CD133 + with improvement of endothelial function in renal failure patients 3 months after kidney transplantation. Methods. A cross-sectional study was conducted in prior and 3 months after kidney transplantation of renal failure patients who underwent a kidney transplant in Cipto Mangunkusumo hospital. The study included 21 subjects who enrolled from July 2013 to February 2014. Blood samples prior and 3 months after kidney transplantation were collected to evaluate the level of Epo, numbers of EPC CD34+ and CD133+ and level of assymetric dimethylarginine (ADMA). Statistical analysis was performed using Pearson or Spearman correlation test. Results. Results of this study showed that prior to kidney transplantation, level of Epo was increased but not statistically significant (p>0.05). The EPC numbers of CD34+ and CD133+ were significantly increased (p0.05). There was no association between the elevated level of Epo and the numbers of EPC CD34+ and CD133+ with the improvement of endothelial function three months after kidney transplantation. Conclusions. In three months after kidney transplantation, there is an elevated level of Epo, the numbers of EPC CD34+ and CD133+ and decrease level of ADMA. However, there was no association between the elevated level of Epo and the numbers of EPC CD34+ and CD133+ with the improvement of endothelial function in patients 3 months after kidney transplantation.