Yulia Sofiatin
Department Of Epidemiology And Biostatistics, Faculty Of Medicine Universitas Padjadjaran

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Qualitative Analysis of Establishing Diagnosis and Management of Hypertension from Patient’s Perspective in Jatinangor Yulia Sofiatin; Nazmun Lailah; Trully Deti Rose Sitorus; Rully M. A. Roesli
Althea Medical Journal Vol 5, No 4 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.095 KB) | DOI: 10.15850/amj.v5n4.1631

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Background: Blood pressure control is necessary to prevent complications in patients with hypertension. A previous study in Jatinangor showed the failure of controlling blood pressure even with pharmacological treatment. Proper diagnosis and effective management are considered to influence the condition. This study was performed to describe the process of establishing diagnosis and management for hypertension from the patient’s perspective in Jatinangor.Methods: A phenomenological approach was used. Data were collected through semi-structured questions in focus group discussions (FGDs) led by a moderator. Participants of FGDs were patients with hypertension who had undergone antihypertensive drugs therapy based on a previous study, and were invited by the local health cadres.  The study was held in two villages in Jatinangor, namely Hegarmanah and Cilayung in the period of July to August 2015. Data were presented as narration and figures.Results: There were five and eight hypertensive participants for Hegarmanah and Cilayung villages FGD, respectively. Diagnosis of hypertension in FGD participants was not only confirmed by doctors but also other health professionals, due to various accessibilities to health care facilities. Diagnosis establishment and management of hypertension were not following the protocol. Education on pharmacological and non-pharmacological management was provided by health professionals, however still lacked details and was not reviewed on every visit, resulting in a lack of compliance. Conclusions: Process of establishing diagnosis and management of hypertension from the patient’s perspective in Jatinangor is unfortunately not following the protocol, thus may influence the blood pressure control outcome. 
Correlation between Body Mass Index and Age at Menarche Atika Primandina Putri; Yulia Sofiatin; R. M. Ryadi Fadil; Hadyana Sukandar; Nugroho Harry Susanto; Anggraini Widjadjakusuma; Lulu Eva Rakhmilla; Lola Ilona
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: The decline of age at menarche has been reported in several countries, it occurred because of genetic, ethnic, and socioeconomic improvement in nutritional status and environment. The improvementof nutritional status has occurred globally all over the world including in Indonesia. One of the measuring tools in nutritional status is body mass index (BMI). The objective of the study was to assess the correlationbetween BMI and age at menarche.Methods: A cross-sectional study was carried out among girls aged 9–15 years old in Jatinangor, from May–November 2013. The sample of this study was chosen with cluster random sampling. Age at menarche information was collected through a questionnaire. Body mass index was calculated from measurement of body weight and height. Data was analyzed using Spearman correlation test.Results: Out of three hundred and sixty nine subjects participating in this study, sixty seven were included in the inclusive criteria. According to the classification of BMI of underweight, normal, overweight, andobese, there were 1, 55, 8, and 3 persons, respectively. Mean of BMI was 19.04 and mean age at menarche was 12.72 years, which showed a non significant result (r=-0.013; p= 0.458).Conclusions: Age at menarche was not correlated with BMI. [AMJ.2015;2(4):521–4] DOI: 10.15850/amj.v2n4.656
Familial Analysis of Patients with Hypertension in Jatinangor, West Java, Indonesia Keumala Hayati; Yulia Sofiatin; Sri Endah Rahayuningsih; Rully M.A. Roesli
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Hypertension is a disease that is influenced by genetic factors, although the single gene affecting the occurrence of the disease has not been yet discovered. Genetic analysis and familial analysis on hypertension are needed to be done but genetic analysis needs substantial fund, and familial analysis on hypertension has been never done in community. Besides sharing the genetic factors, family also shares similar environment and life style. Latest study showed that the association between genetic and environmental factors can affect the phenotype of chronic disease suchas hypertension. The study was aimed to explore the family history contribution of patients with hypertension in Jatinangor.Methods: This was a descriptive-quantitave study. The subjects were 283 hypertensive patients in Jatinangor with complete data of family history. The data was retrospectively obtained from secondary data of a previous study conducted in Community Health and Well-ness Study Center, Faculty of Medicine, Universitas Padjadjaran titled Epidemiology of Hypertension and Albuminuria in Jatinangor 2014. Familial analysis conducted in this study was modified trios analysis.Results: In this modified trios analysis, there was only 20% of total patients with hypertension who have history of hypertension in two generations of their family. The proportion of patients with hypertension who have history of hypertension in one generation of their family was greater. More than 45% from the total 283 patients with hypertension analyzed in this study have family history of hypertension.Conclusions: Familial analysis using modified trios analysis showed similar results with the study conducted using other genetical analysis.
Prevalence and Characteristics of Low Back Pain among Productive Age Population in Jatinangor Dini Diwayani Novitasari; Henny Anggraini Sadeli; Arifin Soenggono; Yulia Sofiatin; Hadyana Sukandar; Rully M. A. Roesli
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Low back pain is one of the global health issues which prevalence is high among productive ages. It oftentimes corresponds with one’s physical activity during work . The purpose of this study was to determine theprevalence and characteristics of low back pain among productive age population in Jatinangor, West Java, Indonesia.Methods: This study was a cross-sectional descriptive study conducted during the period of August to October 2014 in the three villages in Jatinangor, West Java, Indonesia. In order to determine the demographic data and history of low back pain in the last three months, about 1075 productive age populations were selected through validated questionnaire as the secondary data. These data consisting of 310 subjects were then described according to the pain characteristics and physical activity during work.Results: During three months of examination, s the prevalence of low back pain was 38.4%, with the average age 50–59 years old. Furthermore, about 22.3% subjects were indicated chronic low back pain. The most prevalent qseverity of the pain was dull pain (29.4%), followed with pins and needles pain (23.1%), As the intensity of the pain increased, there was a tendency of increasing interference in daily activities. Static posture was also the most frequent physical activity during work (53.2%).Conclusions: The prevalence of low back pain is more than one third (38.4%) among productive age populations in Jatinangor, West Java, Indonesia.[AMJ.2016;3(3):468–75]DOI: 10.15850/amj.v3n3.863
Penyuluhan Penyakit Tidak Menular (PTM) untuk Menumbuhkan Kesadaran Pencegahan pada Masyarakat di Desa Cipacing, Jawa Barat Erna Herawati; Yulia Sofiatin
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 5, No 4 (2021): November
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/aks.v5i4.4692

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ABSTRAKTingginya angka prevalensi penyakit tidak menular (PTM) di Indonesia, termasuk di Desa Cipacing, Kecamatan Jatinangor, Kabupaten Sumedang, Provinsi Jawa Barat, belum diikuti oleh kesadaran masyarakat untuk melakukan upaya pencegahan; meski mereka mengetahui bahwa penyakit ini berdampak serius pada fisik dan sosial-ekonomi. Kegiatan sosialisasi mengenai pencegahan PTM ini bertujuan membangun kesadaran masyarakat pada pentingnya upaya pencegahan. Kegiatan ini dilakukan melalui penyuluhan dan pemeriksaan tekanan darah, gula darah, asam urat, dan kolesterol bagi warga masyarakat sebagai upaya deteksi dini pada risiko PTM. Hasil deteksi dini menunjukkan bahwa sebagian besar warga di Desa Cipacing memiliki risiko tinggi pada PTM terutama penyakit tekanan darah tinggi. Kombinasi penyuluhan dan pemeriksaan deteksi dini berdampak positif dalam membangun kesadaran para warga untuk melakukan pencegahan. Kegiatan ini telah mendorong masyarakat untuk melanjutkan kegiatan pencegahan PTM melalui Pos Pembinaan Terpadu (Posbindu) PTM yang ada di tingkat RW.Kata Kunci: Sosialisasi, Pencegahan, Penyakit Tidak MenularCounseling on Non-Communicable Diseases (NCDs) to Raise Awareness of Prevention in the Community in Cipacing Village, West Java          ABSTRACTThe prevalence of non communibacle diseases (NCDs) in Indonesia is considerably high, including those in Cipacing village,  Jatinangor sub-district, Sumedang District in the West Java Province. Despite this fact, there is low awareness of prevention among the villagers, eventhough they aware of the serious impact of the diseases towards their health  and social-economic status. This activity aims at build awareness among villagers towards non-communicable diseases prevention. In this activity, combination of information dissemination and NCD scrining has effectively endorsed the villagers to build their awareness of the disease and has inspired them to initiate action for prevention. The scrining result showed that most of the villagers are at high risk of NCDs, in particular hypertension. This data has successfully endorsed the villagers to establish NCD scrining and mangement in their own neighborhood through Pos Pembinaan Terpadu (Posbindu) PTM, a community-based activity of NCD prevention and management. Keywords: Information dissemination, Prevention, Non-communicable Diseases
Pola Pelayanan Penderita Hipertensi Peserta JKN di FKRTL Provinsi Jawa Barat Tahun 2015-2016 Wulan Fitrian; Yulia Sofiatin; Irvan Afriandi
Jurnal Kebijakan Kesehatan Indonesia Vol 10, No 3 (2021)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.64161

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Tekanan darah tinggi merupakan faktor risiko independen penyakit kardiovaskular. Hipertensi di Jawa Barat masih menjadi masalah dengan angka kejadian yang terus meningkat. Beberapa kasus hipertensi harus dirujuk ke Fasilitas Kesehatan Rujukan Tingkat Lanjut (FKRTL) untuk mendapatkan pelayanan spesialis/sub spesialis. Penelitian ini bertujuan untuk mengetahui Pola Pelayanan Penderita Hipertensi Peserta Jaminan Kesehatan Nasional (JKN) di Fasilitas Kesehatan Rujukan Tingkat Lanjut (FKRTL) Provinsi Jawa Barat Tahun 2015-2016. Penelitian  menggunakan desain deskriptif kuantitatif. Data yang digunakan merupakan data tersier yaitu data sampel BPJS Kesehatan tahun 2015-2016. Subyek penelitian ini merupakan penderita hipertensi yang menerima pelayanan di Fasilitas Kesehatan Rujukan Tingkat Lanjut (FKRTL) Provinsi Jawa barat tahun 2015-2016. Seluruh data yang memenuhi syarat dan sebagian besar variabelnya terisi lengkap diikutsertakan dalam analisis dengan menggunakan pembobotan yang disediakan dalam data sampel. Proporsi penderita hipertensi yang dilayani di FKRTL sebanyak 6,3%. Kelompok yang paling banyak ditangani di FKRTL adalah kasus hipertensi primer (53,8%), usia >64 tahun (31,2%), perempuan (63,9%), dan orang yang sudah menikah (72,3%). Hipertensi yang dikelola di FKRTL lebih banyak diberikan kepada kelas premi I (43,8%) dan segmen pekerja bukan penerima upah (33,6%). Jenis fasilitas kesehatan rujukan tingkat lanjut yang dikunjungi paling banyak adalah rumah sakit (99,9%), fasilitas kesehatan asal rujukan paling banyak adalah puskesmas (51,8%), dan klinik yang melayani pasien hipertensi terbanyak adalah klinik penyakit dalam (44,4%). Jenis pelayanan yang diberikan kepada penderita hipertensi terbanyak adalah rawat jalan (81,3%) dan status pulang terbanyak pada penderita hipertensi dengan rawat inap adalah sehat (93%). Sebagian besar pasien hipertensi adalah hipertensi primer, berusia >64 tahun, berjenis kelamin perempuan, status sudah menikah, segmen PBPU, dan kelas premi I. Hipertensi paling banyak terdiagnosis di rumah sakit, dilayani pada klinik penyakit dalam, dan dirujuk dari puskesmas. Jenis pelayanan yang diberikan kepada penderita hipertensi terbanyak adalah rawat jalan dan sebagian besar penderita hipertensi dengan rawat inap pulang dalam keadaan sehat. High blood pressure is an independent risk factor for cardiovascular disease. Hypertension in West Java is still a problem with increasing incidence. Some cases of hypertension must be referred to Advanced Level Health Facilities (FKRTL) for specialist/sub-specialist services. This study aims to describe the pattern of services for hypertension patients who participate in the National Health Insurance (JKN) at the Advanced Level Health Facility (FKRTL), West Java Province in 2015-2016. This research used  quantitative descriptive design. The data used is tertiary data, BPJS Health sample data 2015-2016. The subjects of this study were hypertensive patients who received services at the Advanced Level Health Facility (FKRTL) in West Java Province in 2015-2016. Data that meet the requirements and most of the variables filled in completely are included in the analysis using weights provided in the data sample. The proportion of hypertensive patients served at the FKRTL was 6.3%. The groups managed by FKRTL the most were primary hypertension (53.8%), age> 64 years (31.2%), women (63.9%), and married people (72.3%). Hypertension that is managed in FKRTL is mostly given to premium class I (43.8%) and non-wage worker (33.6%). Types of advanced level health facilities visited the most were hospitals (99.9%), health facilities from which the most referrals originated were puskesmas (51.8%), and clinics that served the most hypertensive patients were internal medicine clinics (44.4 %). Most of the services provided to hypertensive patients were outpatient (81.3%) and most patients with hypertension who hospitalized were healthy (93%). Most hypertensive patients are primary hypertension,> 64 years old, female, married, PBPU segment, and premium class I. Hypertension is most diagnosed in hospitals, served at internal medicine clinics, and referred from puskesmas. Most types of services provided to hypertensive patients are outpatient and most hypertensive patients with hospitalization go home in good health.
Analisis Pembiayaan JKN Pasien Hipertensi Di FKTP Jawa Barat Tahun 2015-2016 (Analysis of JKN Non Capitation Financing for Hypertension Patients at West Java FKTP 2015-2016) Eleonora Anindya Tiara Dewi; Yulia Sofiatin; Elsa Pudji Setiawati; Kurnia Wahyudi; Irvan Afriandi
Jurnal Kebijakan Kesehatan Indonesia Vol 10, No 2 (2021)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.64165

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Tahun 2015-2016, angka prevalensi hipertensi di Provinsi Jawa Barat melebihi angka prevalensi nasional. Hipertensi adalah salah satu penyakit yang pengobatannya ditanggung oleh Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan. Pelayanan kesehatan diberikan di Fasilitas Kesehatan Tingkat Pertama (FKTP) yang mendapat penggantian biaya dari BPJS Kesehatan berdasarkan sistem kapitasi dan non kapitasi. Penelitian ini bertujuan untuk melihat gambaran pembiayaan non kapitasi untuk kasus-kasus hipertensi yang dilayani di FKTP. Penelitian ini merupakan penelitian deskriptif dengan pendekatan retrospektif. Data tersier yang digunakan didapat dari data sampel BPJS Kesehatan tahun 2015-2016. Dalam analisis setelah pembobotan, terdapat 9056 peserta BPJS Kesehatan di Jawa Barat yang mendapat pelayanan untuk hipertensi yang dibayarkan secara non kapitasi. Pasien hipertensi pada data sampel ini didominasi peserta perempuan di kelompok usia 15-64 tahun dan terdaftar di segmen kepesertaan Peserta Bukan Penerima Upah (PBPU) pada kelas premi III. Dari segi pembiayaan, tiga jenis FKTP serta enam dari sembilan macam diagnosis mendapat penggantian dana lebih besar dari yang ditagihkan.In 2015-2016, the prevalence of hypertension in West Java Province exceeds the national rate. Hypertension is one of the diseases which treatment is covered by the Social Security Administrator for Health (Badan Penyelenggara Jaminan Sosial Kesehatan, BPJS Kesehatan). Health services are provided at the Primary Health Facility (Fasilitas Kesehatan Tingkat Pertama, FKTP) which are reimbursed by BPJS Kesehatan based on the capitation and non capitation systems. This study aims to look at the description of non capitation financing for hypertension cases served at FKTP. This study is a descriptive research with a retrospective approach. Tertiary data used were obtained from the 2015-2016 BPJS Kesehatan sample data. In the post-weighted analysis, there were 9056 BPJS Kesehatan participants in West Java who received services for hypertension paid on a non-capitation basis. Hypertension patients in this sample data are predominantly female participants in the 15-64 years age group and registered in the Special Participants of Non-Wage Receiver (Peserta Bukan Penerima Upah, PBPU)  membership segment in premium class III. In terms of financing, three types of FKTP and six of the nine types of diagnosis have been reimbursed greater than the expenditure.
Pola Pelayanan Kesehatan Penderita Hipertensi Peserta JKN di FKTP Jawa Barat 2015-2016 Shuffi Galuh Aditiyanti; Yulia Sofiatin; Irvan Afriandi; Nita Arisanti; Budi Sujatmiko
Jurnal Kebijakan Kesehatan Indonesia Vol 10, No 4 (2021)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.64168

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Angka kejadian hipertensi di Jawa Barat sejak tahun 2013 hingga 2017 terus meningkat. Hipetensi merupakan salah satu penyakit kronis yang pengobatannya ditanggung oleh Badan Penyelenggara Jaminan (BPJS) Kesehatan. Pelayanan tingkat pertama yang diberikan BPJS Kesehatan yaitu Fasilitas Kesehatan Tingkat Pertama (FKTP). Penelitian ini merupakan penelitian deskriptif kuantitatif dengan menggunakan data tersier. Hasil dari penelitian ini, terdapat 80.840 pasien dengan diagnosis hipertensi, mayoritas perempuan dengan kelompok usia 55-64 tahun, dan segmen Pekerja Penerima Upah (PPU). Semua subjek dari penetian ini menjalani rawat jalan dengan dirujuk ke rumah sakit, sehingga pasien hipertensi yang berobat pada FKTP Kapitasi Jawa Barat merupakan pasien rujuk balik. Hipertensive Heart Disease merupakan salah satu komplikasi dari hipertensi esensial yang paling banyak ditemui pada penelitian ini (44,3%). Pelayanan faskes primer dapat berperan dalam pencegahan sekunder hipertensi untuk mencegah komplikasi. Layanan penunjang sederhana dilakukan secara tepat, cepat dan meningkatkan kualitas pelayanan agar pasien hipertensi merasa nyaman dan mempercayai kompetensi dokter pada layanan primer. Terutama pada penderita hipertensi dengan jenis kelamin perempuan di usia 55-64 tahun dan dari segmen PPU, karena angka kejadiannya yang tinggi dan untuk mencegah terjadinya komplikasi lebih lanjut.
Cardiovascular-Related Death Risk Factors in Hypertensive Patients: Indonesia Family Life Survey 2000-2014 Rudi Supriyadi; David Paranoan; Yulia Sofiatin
International Journal of Integrated Health Sciences Vol 9, No 1 (2021)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/ijihs.v9n1.2185

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Objective: To determine the characteristics of the risk factors of cardiovascular death in hypertensive patients in Indonesia based on the Indonesian Family Life Survey (IFLS) longitudinal data.                                  Methods: This was a retrospective descriptive study on secondary data from the IFLS population starting from2000 and was followed up in 2007 and 2014. The inclusion criteria for participation were15 years old or older, had hypertension, had cardiovascular events as thecause of death, and had complete data in both IFLS 3 (2000) and IFLS 4 (2007).Results: The IFLS 5 (2014) reported 918 deaths among eligible subjects  with complete data, both in IFLS 3 (2000) and IFLS 4 (2007). Of those, a total of 608 subjects experienced hypertension started from 2000 and/or 2007. Of these deaths, 112 were due to cardiovascular events. Cardiovascular death was more common in males (58.9%), age of >65 years old  when died (47.3%), had poor socioeconomic status (24.1%), and with normal body mass index (54.9%).Conclusion: Male, late adulthood, low level of education, normal BMI, and poor socioeconomic status represented the greater risks of cardiovascular death among hypertensive patients in Indonesia. 
Effect of Dietary Sodium on α, β, and γ Epithelial Sodium Channel (ENaC) Gene Expression in Kidney Tubules of Wistar Rats Ronny Lesmana; Genta Syaifrin Laudza; Trianing Tyas Kusuma; Hanna Goenawan; Yulia Sofiatin; Yuni Susanti Pratiwi; Nova Sylviana; Setiawan Setiawan
Majalah Kedokteran Bandung Vol 51, No 4 (2019)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.233 KB) | DOI: 10.15395/mkb.v51n4.1764

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Hypertension is a condition of persistently high blood pressure. It is currently a big health issue as its prevalence is high in Indonesia and its complications are numerous and deadly. Salt intake is one of the modifiable factors of hypertension. According to a study by Indonesian Ministry of Health, salt consumption in Indonesia is almost two times greater than the recommended salt diet from WHO. Sodium reabsorption in kidney plays a role in regulating blood pressure. Epithelial sodium channel (ENaC) is one of the structures that function in sodium reabsorption in kidney tubules. This study was conducted at the Central Laboratory and Animal Laboratory of the Faculty of Medicine Universitas Padjadjaran from June to Desember 2018. The aim of this study was to analyze the effect of high sodium diet on the expression of ENaC gene in kidney tubules of rats. Twelve Rattus norvegicus wistar rats were divided into two groups of control and treatment. Treatment group was given daily 2 mL NaCl solution treatment using gavage for 8 weeks. The expression of ENaC α, β, and γ was obtained by running tissue samples from kidney cortex and medulla in polymerase chain reaction and electrophoresis. The result showed that there was an insignificant decrease in ENaC α, β, and γ gene expressions in both kidney cortex and medulla of the treatment group when compared to control groupThis study concludes that ENaC gene expression is not significantly affected by high sodium diet.Pengaruh Diet Tinggi Natrium terhadap Perubahan Ekspresi Gen Epithelial Sodium Channel (ENaC) pada Tubulus Ginjal TikusHipertensi merupakan kondisi tekanan darah tinggi dalam waktu lama. Prevalensi dan komplikasi hipertensi menyebabkan hipertensi menjadi isu kesehatan yang cukup besar. Jumlah asupan garam merupakan faktor hipertensi yang dapat dimodifikasi. Berdasar studi Kementrian Kesehatan Indonesia, konsumsi garam di Indonesia rerata dua kali lipat lebih banyak daripada rekomendasi WHO. Reabsorpsi natrium pada ginjal berperan penting pada regulasi tekanan darah. Fungsi ini diperankan oleh epithelial sodium channel (ENaC) yang berfungsi untuk reabsorpsi natrium. Penelitian ini dilakukan di Laboratorium Sentral dan Laboratorium Hewan Fakultas Kedokteran pada Juni–Desember 2018. Tujuan penelitian ini menganalisis efek diet tinggi natrium pada ekspresi gen dari ENaC di tubulus ginjal pada tikus. Duabelas ekor tikus Rattus norvegicus dibagi menjadi dua kelompok, yaitu kontrol dan perlakuan. Kelompok perlakuan diberikan 2 mL larutan NaCl setiap hari selama 8 minggu. Larutan diberikan melalui paksa (gavage). Ekspresi gen ENaC α, β, γ dari korteks dan medula ginjal diamplifikasi dengan PCR dan dideteksi dengan elektroforesis. Pita protein dari gel elektroforesis dinilai intensitasnya dengan software ImageJ. Hasil dari elektroforesis menunjukkan penurunan ekspresi gen ENaC α, β, γ di korteks dan medulla pada kelompok perlakuan dibanding dengan kontrol. Studi ini menyimpulkan ekspresi gen ENaC pada korteks dan medulla ginjal tidak signifikan dipengaruhi oleh diet tinggi natrium.