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All Journal MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation
Henny Maisara Sipahutar
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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ACCURACY OF POSTERIORANTERIOR THORACIC PHOTOGRAPHY IN DETERMINING CARDIOMEGALY AND CHAMBER ENLARGEMENT COMPARED TO ECHOCARDIOGRAPHY AT THE HAJI ADAM MALIK CENTRAL GENERAL HOSPITAL MEDAN YEAR 2023 Tri Widi Wibowo; Henny Maisara Sipahutar; Hilfan Ade Putra Lubis
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 5 No. 4 (2024): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v5i4.150

Abstract

Background: The main modality for identifying cardiac chamber enlargement is echocardiography examination, but due to its limitations, posteroanterior (PA) chest X-ray is often used as an alternative method. Methods: This study is an observational study with a cross-sectional design conducted at Radiology Installation and Polyclinic of Integrated Heart Center of The Haji Adam Malik Central General Hospital in patients who came to cardiac polyclinic or emergency room of Integrated Heart Center of The Haji Adam Malik Central General Hospital and underwent posteroanterior chest X-ray and echocardiography who met the inclusion and exclusion criteria. Data were analyzed descriptively to determine the frequency distribution of each demographic variable and risk factor. In addition, the level of sensitivity, specificity, positive predictive value, negative predictive value, of PA chest X-ray to echocardiography in patients with heart problems was calculated. Results: The sensitivity of PA chest X-ray for LVH examination was 91.8% with a specificity of 84.6% and accuracy of 89%; for RVH examination was 90.9% with a specificity of 68.2% and accuracy of 85%; for LAH examination was 89.2% with a specificity of 74.3% and accuracy of 84%; and for RAH examination was 70.4% with a specificity of 86.3% and accuracy of 82%. Conclusion: PA chest X-ray examination showed good accuracy for identifying cardiomegaly and cardiac chamber enlargement, therefore can be used as an alternative method besides echocardiography examination.
RELATIONSHIP BETWEEN RISK FACTORS AND MODIC CHANGES TYPE ON MAGNETIC RESONANCE IMAGING OF LUMBAR VERTEBRAE IN LOW BACK PAIN PATIENTS AT H. ADAM MALIK HOSPITAL MEDAN Muhammad Rizky Ananda Hasibuan; Henny Maisara Sipahutar; Khairul Putra Surbakti
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 5 No. 4 (2024): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v5i4.151

Abstract

Objective: AnalyzeThe relationship between risk factors and modic change type on MRI of the lumbar vertebrae in low back pain patients at the H. Adam Malik General Hospital, Medan. Method: Cross sectional research that connectsmodic change type with risk factors and patient characteristics based on lumbar MRI examination in 120 patients diagnosed withLow back pain in 2023 that meet the inclusion and exclusion criteria. Modic Change Type is assessed based on the changes in Magnetic Resonance Imaging signals proposed by modic et al. Results: Of the 120 patients, there were more female subjects (64.2%) than male subjects (35.8%) with an average age of 58.96 years (the youngest was 40 years old and the oldest was 82 years old). Most subjects showed modic change (93.3%) with the most common type being type II (81.3%) and the most common location being L5 and L4. Most subjects also had disc herniation (72.5%) and disc degeneration (84.2%). This study did not find any relationship between modic change and gender (p=0.455), age (p=0.663), work history (p=0.671), disc herniation (p=0.213) and disc degeneration (p=1.000) in low back pain patients. From this study, there was no relationship between modic change type and gender (p=0.868), age (p=0.285), work history (p=0.130), disc herniation (p=0.510) and disc degeneration (p=0.435) in low back pain patients. From this study, there was no relationship between modic change location (L1, L2, L3, L4, L5, S1) and modic change type in low back pain patients with p>0.05. Conclusion: There is no significant relationshipbetween Risk Factors for Modic Changes Type in Magnetic Resonance Imaging of the Lumbar Vertebra in Low Back Pain Patients at H. Adam Malik General Hospital, 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.
CORRELATION BETWEEN BODY MASS INDEX (BMI) AND FEMOROTIBIAL JOINT SPACE WIDTH ON LYON-SCHUSS KNEE RADIOGRAPHS IN PATIENTS WITH KNEE OSTEOARTHRITIS AT H. ADAM MALIK GENERAL HOSPITAL, MEDAN, IN 2025 Asrini Rizky Nasution; Henny Maisara Sipahutar; Husnul Fuad Albar
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.v6i2.214

Abstract

Background: Knee osteoarthritis (OA) is the most common form of osteoarthritis and a frequent cause of chronic health problems. The femorotibial joint space is one of the most predictive factors associated with clinical symptoms and outcomes in patients with knee OA. Obesity is a major risk factor for the development of knee OA. Measurement of the knee joint space is most accurately performed using the Lyon-Schuss position. Methods: This study is an analytic study with a cross-sectional design. Radiological examinations were performed in the Lyon-Schuss position, and the narrowest femorotibial joint space was measured. Bivariate analysis using the chi-square test The Mann-Whitney U and Kruskal-Wallis test. Correlation analysis was then performed to determine the strength of the relationship between BMI and femorotibial joint space width. Results: Bivariate analysis showed a relationship between BMI and OA grade (p = 0.093), as well as between femorotibial joint space width and both BMI (p = 0.000) and OA grade (p = 0.000). A negative correlation was found between BMI and femorotibial joint space width, with the regression equation: y = 8.577 - 0.255x, where y represents femorotibial joint space width (mm) and x represents BMI (p = 0.000; R² = 0.306). Conclusion: There is a negative correlation between body mass index and femorotibial joint space width in patients with knee osteoarthritis.
A RARE CASE OF CLITORAL NEUROFIBROMA Hafiz Nurdiansyah; Henny Maisara Sipahutar
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 4 No. 3 (2023): September
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v4i3.83

Abstract

Cltoral neurofibromas are benign tumors originating from peripheral nerves of the clitoris. While neurofibromas can occur in various anatomical locations, their occurrence in the clitoral region is extremely uncommon. Few cases of clitoral neurofibromas have been reported in the literature, and even fewer have focused on the radiologic imaging findings. Therefore, there is a limited understanding of the specific radiologic characteristics of clitoral neurofibromas. We present a 38-year-old woman with painless clitoral mass for the previous 2 years. The patient noted the mass to be enlarged in the past 5 months. Physical examination revealed a palpable and well-circumscribed mass arising from the clitoral shaft. Cytological examination was performed with the impression of fibroma. Contrast enhanced CT scan revealed an ovoid, well-circumscribed enhancing mass on clitoris shaft suggestive of a benign lesion, consistent with description provided. Surgical excision biopsy was performed followed with histopathological examination with the impression of neurofibroma.This case report considered highly specific examination for the clitoral neurofibroma.
Co-Authors Alwi Thamrin Nasution Asrini Rizky Nasution Elvita Rahmi Daulay Evo Elidar Harahap Hafiz Nurdiansyah Hafizhalaila Ammar Hilfan Ade Putra Lubis Husnul Fuad Albar Khairul Putra Surbakti Muhammad Rizky Ananda Hasibuan Netty Delvrita Lubis Putri Chairani Eyanoer, Putri Chairani Tri Widi Wibowo