Chronic kidney disease is a condition in which there is destruction of the kidneys along with structural or functional abnormalities, with or without decreased glomerular filtration rate for more than 3 months. The common treatment for this condition is hemodialysis, however, it may cause complications, specifically cardiovascular and non-cardiovascular system dysfunctions that can be observed through thorax imaging. This study aims to observe pathologic thorax imaging findings on chronic kidney disease patients undergoing hemodialysis at RSUP Dr. Mohammad Hoesin Palembang. This study is a descriptive study using a cross-sectional design. The data is gathered from medical records from the Medical Records & Radiology Department of RSUP Dr. Mohammad Hoesin Palembang that have passed the inclusion and exclusion criteria. The data is processed using the SPSS application version 25. The results of this study indicate that, based on risk factors, patients are generally in the 55-64 age range (41%), female (60%), and with a normal BMI/normal weight (52%). Based on the patients’ comorbid diseases, patients mostly have hypertension (59%), followed by diabetes mellitus (46%). Analysis of the chest radiographs indicate that (70%) of patients have cardiomegaly; (22%) of patients have grade 1, (15%) have grade 2, (7%) have grade 3 aortic arch calcification; (49%) have pulmonary edema; (31%) have unilateral pleural effusion, and (14%) have bilateral pleural effusion. The majority of chronic kidney disease patients undergoing hemodialysis at RSUP Dr. Mohammad Hoesin Palembang are in the 55-64 age range, female, and with normal BMI. The most common comorbid conditions are hypertension and diabetes mellitus. Analysis of the chest radiographs indicate that the majority of patients have cardiomegaly; grade 1, 2, and 3 aortic arch calcification; pulmonary edema; unilateral and bilateral pleural effusion.
Depression is a feeling of loss of interest or pleasure, sadness, feelings of guilt or inferiority, disturbances in sleep or appetite, feelings of tiredness, and poor concentration and the desire to end life. In Indonesia, according to the Indonesian Ministry of Health in 2018, the prevalence of depressive disorders in Indonesia is 6.1%. Based on the 2013 Riskesdas report, the prevalence of suicide in Indonesia is mostly carried out by women, which is around 0.8% compared to men, which has a prevalence of 0.6%. Until now, the first line of depression therapy is the Serotonin Re-Uptake Inhibitor (SSRI) group. Although this drug is effective in improving symptoms of depression, this drug can cause several side effects such as insomnia or drowsiness, weight gain, and sexual dysfunction. Therefore, we need an alternative medicine that can replace conventional medicine which has less side effects. Cinnamon is one of the many plants found in Indonesia which is believed to have the potential to overcome various diseases. Based on previous research, there are many active components contained in cinnamon that have anti-depressant effects. Active components such as Phenol, Cinnamaldehyde, Turmerone, Proanthocyanidin and Linalool as well as Eugenol can provide anti-depressant effects through anti-inflammatory prevention.
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