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All Journal Ina Kidney Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) The Journal of Society Medicine (JSOCMED) Jurnal Penyakit Dalam Indonesia
Nasution, Bayu Rusfandi
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Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Severe Clinical Impact of Multiple Wasp Stings: A Case Report of Acute Kidney Injury Fauziyah, Hana; Nasution, Bayu Rusfandi; Nasution, Alwi Thamrin
Indonesian Journal of Kidney and Hypertension Vol 1 No 2 (2024): Volume 1 No. 2, August 2024
Publisher : PERNEFRI (PERHIMPUNAN NEFROLOGI INDONESIA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32867/inakidney.v1i2.137

Abstract

Wasp stings are prevalent in Indonesia and have occasionally resulted in fatalities. Wasp stings can potentially induce a small localized allergic response, systemic reactions, or even life-threatening illnesses. Receiving several stings from wasps can cause systemic inflammation, resulting in acute kidney injury. We present a case of a 51-year-old female who experienced severe renal impairment as a result of repeated wasp stings. Following the stings, the patient promptly obtained medical attention. However, on the second day after the incident, the patient's renal function declined and experienced anuria. The ultrasonography indicates the presence of nephritis. The patient presented with 103 sting wounds, which resulted in local reactions and were accompanied by systemic symptoms. The patient was administered high-dose steroids and underwent five intermittent hemodialysis sessions, which effectively restored their kidney function. Evidence of enhanced renal function was demonstrated through the restoration of normal urine production, elevated glomerular filtration rate, and significant clinical improvements in the patient. This case illustrates the severe impact on the kidney of a generalized wasp sting and the effect of promptly receiving medical treatment following an enormous wasp sting on the patient's prognosis. Initiating dialysis promptly is crucial for rapidly eliminating toxins and thus preserving renal function.
Relationship between Stage of Chronic Kidney Disease with Cardiomegaly Imaging in Posteroanterior Chest X-Ray at Haji Adam Malik Hospital Medan Retno, Adi; Harahap, Evo Elidar; Nasution, Bayu Rusfandi
Journal of Society Medicine Vol. 2 No. 8 (2023): August
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i8.77

Abstract

Introduction: Chronic kidney disease (CKD) is one of the most serious health problems still faced globally. Cardiovascular complications are a major cause of morbidity and mortality in patients with chronic kidney disease. In general, cardiomegaly is found in patients with uremia which causes dysregulation of calcium and phosphate levels and increases the development of cardiovascular disease in hemodialysis patients. The aim of this study was to analyze the relationship between stages of chronic kidney disease with cardiomegaly imaging in posteroanterior  chest x-ray at H. Adam Malik Hospital Medan. Method: This study was an observational analytic study with a cross-sectional design on 78 CKD patients who underwent posteroanterior chest x-ray at H. Adam Malik Medan General Hospital from January to December 2022. Results: Of the 78 patients studied, the subjects were female (56.4%) with a mean age of 50.94 ± 12.80 years. The mean weight and BMI of the subjects were 70.49 ± 9.01 and 24.80 ± 2.82kg/m2, respectively. The mean creatinine and GFR were 7.91 ± 4.22 mg/dl and 16.08 ± 15.22 mL/min/1.73m2, respectively. The majority of subjects had creatinine >2.5 mg/dl in as many as 72 subjects (92.3%) and GFR <60 ml/min/1.73m2 as many as 62 subjects (79.4%). Most of the subjects were in CKD stage 5, as many as 59 people (75.6%). There was a positive and significant correlation between the stages of chronic kidney disease and cardiomegaly imaging in posteroanterior chest x ray with p-value <0.001. Subjects with GFR < 60 mL/min/1.73m2 and overweight BMI status (25.0 - 29.9 kg/m2) had a greater risk factor for cardiomegaly. Conclusion: There is a positive and significant correlation between the stages of chronic kidney disease with cardiomegaly imaging in posteroanterior chest x-ray at H.Adam Malik General Hospital Medan with p value <0.001.
Relationship between Personal Protective Equipment (PPE) Use Behavior and Working Period with Allergic Contact Dermatitis (ACD) Symptoms in Workers at Mabar Shrimp Factory Dinda Sani Pratiwi; Rina Amelia; Lubis, Syamsidah; Nasution, Bayu Rusfandi
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 6 No. 2 (2024): 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.v6i2.14956

Abstract

Background. Allergic contact dermatitis (ACD) is one of the most common occupational skin diseases after irritant contact dermatitis (ICD). One of the factors causing ACD is not using personal protective equipment (PPE) and a long working period. This study aimed to analyze the relationship between PPE use behavior and working period with ACD symptoms in workers at the Mabar shrimp factory, Medan. Method. Cross-sectional research with a consecutive sampling method. Assessment of PPE use behavior and working period used a questionnaire and ACD symptoms by a doctor. The analysis used was univariate and bivariate analysis with chi-square. Results. The total number of samples that met the inclusion and exclusion criteria of the study was 100 people, 28 people had symptoms of ACD, enough knowledge, good attitudes, and unfavorable actions with a working period of >2 years. Statistical analysis showed a relationship between PPE use behavior and working period with ACD symptoms. Conclusion. All behavioral factors (knowledge, attitude, and action) and working period have a significant relationship with ACD symptoms
Characteristics of Chronic Kidney Disease Patient Undergoing Regular Hemodialysis with Tunneled Cuffed Catheter Dialysis Access Sihombing, Noel Matthew Imaniku; Nasution, Bayu Rusfandi
Indonesian Journal of Kidney and Hypertension Vol 2 No 1 (2025): Volume 2 No. 1, April 2025
Publisher : PERNEFRI (PERHIMPUNAN NEFROLOGI INDONESIA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32867/inakidney.v2i1.162

Abstract

Background: Chronic kidney disease (CKD) is one of the leading contributors to morbidity and mortality rates worldwide, where end-stage patients require dialysis. Dialysis requires access, and tunneled cuffed catheters (TCCs) are considered a viable option. Objective: This study aims to describe the characteristics of the CKD patients with TCCs dialysis access at Rasyida Kidney Hospital. Methods: This descriptive study with a cross-sectional design was conducted based on patients' medical records. Total sampling was used as the sampling technique. Results: A total of 96 patients with TCC dialysis access were identified at Rasyida Kidney Hospital from January 2021 to 2024. Most patients were aged 61-75 years (39.6%), female (63.7%), and had hypertension as a comorbidity (53.8%). Additionally, 67% had a history of non-tunneled cuffed catheter access, 70.3% had the right internal jugular vein as the insertion site, and 53.8% had the indication of failed AV fistula. The duration of TCC use was more than 12 months for 65.9% of patients, and catheter thrombosis occurred in 13.2% of cases. Conclusion: The characteristics of CKD patients with TCC dialysis access at Rasyida Kidney Hospital in Medan include individuals aged 61-75 years, female, with a history of hypertension and non-tunneled cuffed catheter access, an insertion site at the right internal jugular vein, failed AV fistula as the primary indication, catheter usage for more than 12 months, and the most occurred complication is catheter thrombosis.
Hubungan Aktivitas Fisik dengan Kualitas Hidup Pasien Hemodialisis Reguler Br Manurung, Shofi 'Ainun Azzahra; Nasution, Bayu Rusfandi; Rey, Imelda
Jurnal Penyakit Dalam Indonesia
Publisher : UI Scholars Hub

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Abstract

Introduction. Hemodialysis (HD) is one of the renal replacement therapies commonly used in patients with end-stage renal disease. Patients undergoing hemodialysis typically exhibit lower levels of physical activity compared to inactive yet healthy individuals. A decline in physical function and muscular strength may impair the ability to perform daily activities, ultimately affecting patients’ quality of life (QoL). This study aimed to examine the relationship between physical activity and quality of life among hemodialysis patients at Rumah Sakit Khusus Ginjal Rasyida Medan. Methods. This was an analytical observational study with a cross-sectional design involving 50 respondents undergoing hemodialysis therapy at Rumah Sakit Khusus Ginjal Rasyida Medan between July and November 2022. Participants were selected based on predetermined inclusion and exclusion criteria. The association between variables was analyzed using the Chi-square test. Results. Among the respondents, 72.0% were categorized as having a good quality of life, while 28.0% had a poor quality of life. Regarding physical activity levels, 48.0% of patients had moderate activity, 26.0% had high activity, and 26.0% had low activity. Bivariate analysis revealed significant associations between quality of life and physical activity (p = 0.007), as well as between quality of life and comorbidities (p = 0.024). Multivariate analysis indicated that physical activity was a significant predictor of quality of life, with a prevalence ratio (PR) of 4.429 (95% CI: 1.383–14.191). Conclusion. There is a significant association between physical activity and quality of life among hemodialysis patients at Rumah Sakit Khusus Ginjal Rasyida Medan.
Co-Authors Br Manurung, Shofi 'Ainun Azzahra Dinda Sani Pratiwi Fauziyah, Hana Harahap, Evo Elidar Imelda Rey Nasution, Alwi Thamrin Retno, Adi Rina Amelia Sihombing, Noel Matthew Imaniku Syamsidah Lubis, Syamsidah