Article Per Year (5 Year)
p-Index From 2021 - 2026
0.444
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This Author published in this journals
All Journal Eduvest - Journal of Universal Studies Journal of Asian-african Focus in Health
Rahmawati Rahmawati
Faculty of Medicine, Universitas Muslim Indonesia
Aerospace Engineering Computer Science & IT Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Analysis of Nutritional Status, Body Composition, and Creatinine Levels in Hemodialysis Patients at Ibnu Sina Yw-Umi Hospital Makassar Zulfitriani Murfat; Nurul Zachristi S.Y; Rahmawati Rahmawati; Aryanti R Bamahry; Abdul Mubdi Ardiansar Arifuddin Karim
Eduvest - Journal of Universal Studies Vol. 4 No. 10 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i10.43693

Abstract

Hemodialysis is an essential therapy for managing chronic kidney failure, helping to maintain homeostasis by removing excess fluids, solutes, and toxins from the body. The global increase in the prevalence of chronic kidney disease (CKD) has led to a rising demand for hemodialysis. This study aims to analyze the relationship between nutritional status, body composition, and creatinine levels in hemodialysis patients at Ibnu Sina YW-UMI Makassar Hospital. Using an observational cross-sectional design, the study involved 16 patients whose body mass index (BMI), muscle mass, fat mass, total body fluid, and visceral fat were measured before and after dialysis. The results revealed significant changes in nutritional status, body composition, and creatinine levels pre- and post-hemodialysis, analyzed through paired T-tests at a 0.05 confidence level. Most patients were male, aged over 45, with normal nutritional status but abnormal creatinine levels. Body composition analysis showed significant differences in muscle mass, fat mass, total body fluid, and visceral fat before and after hemodialysis, with patients with higher muscle mass tending to have elevated creatinine levels. This study emphasizes the importance of monitoring body composition and creatinine levels to support the health of hemodialysis patients and highlights the need for personalized nutritional and therapeutic interventions in CKD care. Further research is needed to explore the long-term impacts of hemodialysis on nutritional status and kidney function.
The Role of Conventional Chest X-Rays in Monitoring the Therapeutic Response in Patients with Congestive Heart Failure with Cardiomegaly and Pleural Effusion: A Literature Review Sitti Rafiqah Alwi; Rahmawati Rahmawati; Fadillah Maricar
Journal of Asian-african Focus in Health Vol. 4 No. 3 (2026): Journal of Asian-african Focus in Health
Publisher : ScieClouds Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71435/742295

Abstract

Congestive heart failure is a progressive clinical syndrome with a global prevalence of 64.3 million cases. Cardiomegaly and pleural effusion are the main radiological manifestations requiring close monitoring during hospitalization. Conventional chest X-ray is an accessible, low-cost modality that can be performed serially to assess therapy response. The objective of the research to systematically review scientific evidence regarding the role of conventional chest X-ray in monitoring therapy response in Congestive heart failure patients with cardiomegaly and pleural effusion through a literature review approach. This study used a systematic literature review design. Literature searches were conducted in PubMed, Google Scholar, Cochrane Library, and Science Direct databases using keywords: conventional chest X-ray, congestive heart failure, cardiomegaly, pleural effusion, and therapy monitoring. Inclusion criteria included articles published from 2018-2024 with RCT, cohort, cross-sectional, systematic review, and meta-analysis designs. Literature selection used the PRISMA protocol. A total of 30 articles meeting the criteria were analyzed narratively and synthetically. Results showed that literature review showed that the Cardiothoracic Ratio (CTR) and pleural effusion grading on conventional chest X-ray are valid and reliable radiological parameters for monitoring CHF therapy response. CTR change ≥0.02 significantly correlates with hemodynamic and clinical improvement. Serial chest X-rays had sensitivity of 78-85% and specificity of 80-88% in detecting changes in congestion status. Pleural effusion grading significantly correlated with echocardiographic findings (r=0.71). Conventional chest X-ray is proven to play an important role in monitoring therapy response in CHF patients with cardiomegaly and pleural effusion. Systematic use of serial chest X-rays is recommended as part of the standard monitoring protocol for hospitalized Congestive heart failure patients.
Co-Authors Abdul Mubdi Ardiansar Arifuddin Karim Aryanti R Bamahry Fadillah Maricar Nurul Zachristi S.Y Sitti Rafiqah Alwi Zulfitriani Murfat