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All Journal MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation
Elvita Rahmi Daulay
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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RELATIONSHIP OF HYPERTENSION WITH AORTIC CALCIFICATION IN CHEST X-RAY IMAGES OF PATIENTS AT RSUP KEYWORDS HAJI ADAM MALIK MEDAN Hafiz Nurdiansyah; Elvita Rahmi Daulay; Radar Radius Tarigan
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 4 No. 4 (2023): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v4i4.85

Abstract

Hypertension serves as an independent risk factor for atherosclerosis development and is linked to factors that predispose to aortic calcification. Furthermore, hypertension has the potential to cause the acute rupture of existing plaques by elevating mechanical pressure on them. Chest X-ray imaging is a commonly employed method for identifying aortic calcification during routine examinations. Medial arterial calcification is visualized as radiopaque findings resembling tram-tracks, while calcification within the intima is observed as radiopaque spots.A cross-sectional study involving 92 hypertensive individuals who underwent chest X-ray imaging at RSUP Haji Adam Malik Medan aimed to assess the distribution of study subjects in terms of age, gender, hypertension severity, and aortic calcification degree. Hypertension history was extracted from patients' medical records, and aortic calcification measurements were conducted in the aortic arch by both the researcher and a radiologist. The majority of hypertensive patients were aged over 65, accounting for 40.2% of the sample, with a predominant female population of 57.6%. Stage 1 hypertension was the most prevalent, affecting 52.2% of the subjects, and grade one aortic calcification was the most common, observed in 63% of cases.A weak yet statistically significant positive correlation between hypertension and aortic calcification was identified (p < 0.05; r = 0.196) in the patient population at RSUP Haji Adam Malik Medan.
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

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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.
ANALYSIS OF ULTRASOUND EXAMINATION WITH HISTOPATHOLOGICAL READINGS IN BREAST CANCER PATIENTS AT PROF. DR. CHAIRUDDIN P. LUBIS HOSPITAL USU MEDAN Hafiz Nurdiansyah; Liandra Khairunnisa; Elvita Rahmi Daulay; Endi Taris Pasaribu
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.v6i2.201

Abstract

Breast cancer is the type of cancer with the highest prevalence in women and is the leading cause of cancer death globally. Early detection is very important to determine the right management, one of which is through ultrasound examination (ultrasound) as a non-invasive imaging method. However, the validity of ultrasound results still needs to be studied through comparison with histopathological results as the gold standard of diagnosis. This study aims to analyze the suitability between the results of ultrasound examination and the results of histopathological readings in breast cancer patients at Prof. Dr. Chairuddin P. Lubis Hospital USU Medan. The study used a cross-sectional design of 48 patients who underwent ultrasound and histopathological examinations throughout 2023. The results showed that 29 patients were classified as having malignant tumors based on ultrasound, but only 26 were confirmed malignant through histopathology. The compatibility rate between the two methods was only 37.5%, and the Fisher Exact test showed no statistically significant compatibility (p < 0.01). These findings suggest that ultrasound examination has limitations in distinguishing benign and malignant lesions. Therefore, ultrasound results need to be confirmed by histopathological examination to avoid misdiagnosis and therapy. This study confirms the importance of a multimodal approach in breast cancer diagnosis.
Co-Authors Alwi Thamrin Nasution Endi Taris Pasaribu Evo Elidar Harahap Hafiz Nurdiansyah Hafizhalaila Ammar Henny Maisara Sipahutar Liandra Khairunnisa Netty Delvrita Lubis Putri Chairani Eyanoer, Putri Chairani Radar Radius Tarigan