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Hubungan modifikasi kadar natrium dialisat dengan phase angle pada pasien hemodialisis reguler Nurfatimah Itoni Ritonga; Syafrizal Nasution; Abdurrahim Rasyid Lubis
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 50, No 2 (2017): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Introductions : Uncontrolled blood pressure and persistant overload extracelluler fluid caused by the positif balance of sodium and water, is the contributor of left venticular hipertrophy in hemodialytic patients and will influeate to cell integrity. Sodium dialysate level modification is one of the method to solve this matter. Phase angle is the method to examine the cell integrity in hemodialysis patients. The aim of this study was to determinethe correlation betweenmodifications of sodiumdialysatewith phase angle in regularhemodialysispatientsMethods : An experimental studydesignfromMay untilDecember 2014in28regularhemodialysis patients. By comparing phase angle at pre hemodialysis before and after sodium dialysate modificationResults : Of the 28 subjects, we found 16 male patients (57.1%) and female 12 patients (42.9%) with mean phase angle after sodium dialysate modification higher compare than before modification (5.83 vs 5.80). But there is no significant difference in statistic (p=0.145)Conclusion : There is no significant difference in phase angle between before and after sodium dialysate modification. Keywords : Hemodialysis, modificationof sodiumdialysate, phase angle.
Korelasi antara interleukin-6 dengan responawal terapi eritropoietin pada pasien hemodialisis reguler Vally Ramayanda; Dairion Gatot; Savita Handayani; Syafrizal Nasution
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 50, No 2 (2017): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Introuction:In hemodialysis patients conditionsinflammation can play a main role in causing hiporesponsif erythropoietin therapy. Interleukin - 6 (IL-6) was a predictor of mortality that is more powerful than other inflammatory markers.To determine correlation between Interleukin-6 with respon Erythropoirtin Stimulating Agent (ESA) which assessed based on changes of hemoglobin level before and after ESA treatment to regular hemodialysis patients.Methods: The cohort study of experimental methods of measurement data pre and post test from December 2014 to Mei 2016with 50 hemodialysis patients do a complete blood count, interleukin - 6 and iron profiles before and 1 month after the intervention. Patients were given injections of Recombinant Human Erythropoietin(rHuEPO) for 1 month subcutaneously at a dose of 2,000-4,000 each time the hemodialysis procedure. Kolmogorov-Smirnov test was used to determine the distribution of the data. Spearman assess the association between interleukin - 6 with an increase hemoglobin before and after be given erythropoietin therapy.Results : The mean levels of IL - 6 was 20.24 pg/mL and the mean increase in hemoglobin after erythropoietin administration of 0.56 mg/dL. Found a significant negative correlation (r = -0.287 ; p = 0.043) between IL - 6 and increased hemoglobin level, the higher the levels of IL-6, then the increase of hemoglobin level after erythropoietin administration will be lower than expected. Conclusion : In our trial, we found a negative correlation between Interleukin-6 with hiporesponsifity erythropoietin in reguler hemodialysis patientsKeywords : erythropoietin, inflammation, IL-6, hemodialysis, hemoglobin
Akseptabilitas Poligami di Kalangan Para Janda di Desa Pangarungan Kecamatan Torgamba Kabupaten Labuhanbatu Selatan Provinsi Sumatera Utara Indonesia Syafrizal Nasution; Irwan
Reslaj: Religion Education Social Laa Roiba Journal Vol. 6 No. 4 (2024): Reslaj: Religion Education Social Laa Roiba Journal
Publisher : Intitut Agama Islam Nasional Laa Roiba Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47467/reslaj.v6i4.1944

Abstract

This research aims to reveal the acceptance of polygamy among widows in Pangurungan Village, North Sumatra. This research problem can be formulated as follows: What is the acceptability of polygamy among widows in Pangarungan village, and what factors influence the readiness for polygamy for widows in Pangarungan village. The research method used is a qualitative research method with a phenomenological approach. The research subjects were a sample of 10 widows who had income from a total population of 63 widows. Data was obtained through interviews, observation and document study. The results of the research show that 50% of widows in the Pengarungan Village community, North Sumatra have a tendency to agree with the practice and implementation of polygamy. Apart from conceptually, they agree and some are even ready to undergo polygamy. Meanwhile, the other 50% do not agree with the concept of polygamy and are not willing to be polygamous.