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Correlation of Kidney Volume on CT-Scan with Kidney Function Tests in Patients with Normal Kidneys at Haji Adam Malik Hospital Medan in 2020-2021 Harry, M. Randy; Daulay, Elvita Rahmi; Tarigan, Radar Radius
Journal of Society Medicine Vol. 2 No. 4 (2023): April
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i4.46

Abstract

Introduction: Kidneys have filtration and excretion functions; the glomerular filtration rate (GFR) is considered the best indicator of kidney function and may indicate abnormalities. Kidney volume can be an early indicator of kidney disorders before there is a decrease in kidney function. Changes in kidney volume may indicate structural and functional changes that indicate a disorder or disease progression. Radiological examination such as a CT-Scan has an important role in measuring the size and kidney volume and assessing kidney morphological changes for the diagnosis and staging of kidney disease as well as planning therapy. Objective: This study aims to find a correlation between the estimated kidney volume with the ellipsoid method through CT scanning and estimated kidney function by glomerular filtration rate in patients with normal kidneys. Method: An analytical study used a case-series design; all subjects were patients who had normal CT-Scan results and normal kidney function at the Haji Adam Malik Hospital in Medan in 2020–2021. Used the consecutive sampling technique and had 90 total samples. Results: There is a moderately positive correlation (r = 0,410-0,499) between volume and kidney function. A moderately negative correlation (r = -0,196 to -0,282) between kidney volume and age. A moderately positive correlation (r = 0,456-0,548) between kidney volume and body weight. There is a moderately negative correlation (r = -0.495) between renal function and age. A moderately positive correlation (r = 0,567) between renal function and body weight. Conclusion: there is a correlation between kidney volume and kidney function, the correlation between kidney volume and body weight, the correlation between kidney function and body weight.
Hypertension on Dialysis Patients: Influence Factor and Management Swastika, Karina Dwi; Tarigan, Radar Radius
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 4 No. 4 (2022): 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.v4i4.14734

Abstract

Background: Hypertension remains prevalent and challenging to manage in patients with chronic kidney disease, even with renal replacement therapy. This phenomenon arises from a variety of components that contribute to and create an intricate process of interaction, which can impact the regulation of blood pressure in patients undergoing dialysis. The main goal of this overview is to find the influence factor of blood pressure in dialysis patients and investigate ways to better control their blood pressure by incorporating these factors.Methods: The literature searches using online databases such as PubMed and Google Scholar. Results: After doing an online search, we found 32 articles were relevant to this review topic. Discussion: There are additional elements that contribute to hypertension in dialysis patients, including excessive volume, heightened arterial rigidity, stimulation of the renin-angiotensin-aldosterone system, sleep apnea, activation of the sympathetic nervous system, and the administration of recombinant erythropoietin.Conclusion: Enhanced comprehension of the numerous variables at issue can effectively enhance blood pressure regulation in this group of individuals.