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All Journal MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation
Evo Elidar Harahap
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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THE RELATIONSHIP BETWEEN DIABETES MELLITUS AND THE SEVERITY OF KNEE OSTEOARTHRITIS BASED ON X-RAY IMAGING AT HAJI ADAM MALIK GENERAL HOSPITAL MEDAN Muhammad Akbar Batubara; Evo Elidar Harahap; Muhammad Aron Pase
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 5 No. 2 (2024): June
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v5i2.115

Abstract

Background: Osteoarthritis (OA) is a degenerative joint disease resulting from the destruction of joint cartilage to the formation of subchondral bone and osteophytes that cause pain in the joints. According to WHO, the prevalence of OA in Southeast Asia in 2004 reached 27.4 million people. One of the metabolic disorders that is thought to be a risk factor for OA progressivity is Diabetes Mellitus (DM). Indonesia has the fourth largest number of DM patients with a prevalence of 8.6% of the total population. Current evaluation of OA is based on clinical and radiographic examinations such as X-ray, MRI, CT etc. The Kellgren-Lawrence (KL) system is a validated method to classify the severity of OA into 5 levels. Objective: To determine the relationship between DM and the severity of genu OA based on X-ray photographs at Haji Adam Malik Hospital Medan. Methods: This study used a cross sectional design. The data obtained will then be processed and analyzed with the Chi-Square test, Fisher Exact test, or Kruskal-Wallis test using a data processing program. Results: It was found that DM patients with right genu OA location amounted to 29 people (39.7%), left amounted to 13 people (17.8%), and both amounted to 31 people (42.5%). DM patients with grade 1 severity amounted to 6 people (8.2%), grade 2 amounted to 18 people (24.7%), grade 3 amounted to 25 people (34.2%), and grade 4 amounted to 24 people (32.9%). The results of the Chi-Square test found that there was a significant relationship between DM and the severity of genu OA (p<0.001). Based on Kruskal-Wallis test, there was no significant relationship between DM comorbidity and genu OA severity (p=0.636) and there was no significant relationship between OA severity and HbA1c (p=0.408). Conclusion: There is a significant relationship between DM and the severity of genu OA based on X-ray photos at Haji Adam Malik Hospital Medan.
CORRELATION OF BODY MASS INDEX, AGE AND GENDER WITH THE DEGREE OF SPONDYLOLISTHESIS ON LUMBOSACRAL XRAY PHOTOS AT HAJI ADAM MALIK HOSPITAL MEDAN Dina Utami Lubis; Evo Elidar Harahap; Kiki Mohammad Iqbal
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 5 No. 3 (2024): September
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v5i3.124

Abstract

Introduction :Spondylolisthesis is a displacement of one vertebra relative to the vertebra below it with an estimated prevalence of spondylolisthesis of 6 to 7% at age 19 years, and up to 18% of adult patients undergoing MRI of the lumbar spine. Grade I spondylolisthesis accounts for 75% of all cases. Various factors can influence the occurrence of spondylolisthesis such as BMI, age and gender. Objective. This study aims to determine the characteristics and analysis of the relationship between spondylolisthesis patients and lumbosacral x-rays based on body mass index, age and gender as well as the local anatomical distribution and frequency of spondylolisthesis degrees. Results :A total of 120 patients were predominantly aged>60 years old, female and obese. Based on the location of spondylolisthesis, most of them are at L4-5. There are almost the same numbers of scoliosis patients and those without scoliosis. The majority of spondylolisthesis patients are dominated by spondylosis on lumbosacral xray examination. There was a relationship between spondylolisthesis and age, BMI and gender (p<0.05). Spondylolisthesis patients with female risk factors are at risk of experiencing spondylolisthesis (OR=6.490) and obese patients are at risk of experiencing spondylolisthesis (OR=4.024). Discussion:The prevalence of spondylolisthesis and patient gender may be related to the influence of the female sex hormone estrogen on tissues associated with the human musculoskeletal system. An increase in body mass index (BMI), an axial load on the intervertebral discs and facet joints, causes an increase in compressive forces on the spine. Age has the potential to be a determining factor in degenerative conditions with the occurrence of disc narrowing, osteoarthritis (OA) of facet joints, and degenerative spondylolisthesis showing a significant linear trend. Conclusion :There is a significant relationship between spondylolisthesis and BMI, age and gender in spondylolisthesis patients who underwent lumbosacral xray examination at H Adam Malik Hospital Meda. The variables gender and BMI are the most significant risk factors. Spondylolisthesis patients with female risk factors are at risk of experiencing spondylolisthesis 6.5 times greater and patients who have an obese BMI are at risk of experiencing spondylolisthesis 4 times greater than patients without this condition at RSUP H 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

Abstract

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 GCS AS A PREDICTOR OF MIDLINE SHIFT ON NCCT SCAN IN PATIENTS WITH ACUTE TRAUMATIC SUBDURAL HEMATOMA Budiman; Evo Elidar Harahap; Abdurrahman Mousa Arsyad
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.v6i2.212

Abstract

The Glasgow Coma Scale (GCS) is commonly used to assess the severity of head trauma; however, it is not sufficiently accurate for predicting midline shift (MLS) without imaging support. This study aims to analyze the sensitivity and specificity of GCS in predicting MLS in patients with acute SDH. Subjects were patients diagnosed with acute traumatic SDH who underwent non-contrast head CT scans. Data were collected to assess the correlation between GCS scores and MLS values and to determine the GCS cut-off point for predicting MLS. Among 34 patients, the majority were male (76.5%) and aged between 18–34 years (35.3%). Most patients had a GCS score of 9–13 (38.2%) and showed subarachnoid hemorrhage on CT scan (44.1%). A strong correlation was found between lower GCS scores and increased MLS. The mean MLS increased significantly with decreasing levels of consciousness. The GCS cut-off score to differentiate significant MLS was 13, with a sensitivity of 100%, specificity of 79.3%, positive predictive value of 87%, and negative predictive value of 85%. GCS has a strong correlation with MLS and can be used as a reliable clinical indicator to predict MLS in patients with acute traumatic SDH.
Co-Authors Abdurrahman Mousa Arsyad Alwi Thamrin Nasution Budiman Dina Utami Lubis Elvita Rahmi Daulay Hafizhalaila Ammar Henny Maisara Sipahutar Iqbal, Kiki Mohammad Muhammad Akbar Batubara Muhammad Aron Pase Netty Delvrita Lubis Putri Chairani Eyanoer, Putri Chairani