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All Journal Biomedical Journal of Indonesia Universa Medicina The Indonesian Journal of Infectious Diseases Hearty : Jurnal Kesehatan Masyarakat Jurnal Respirologi Indonesia Majalah Patologi Indonesia Sumatera Medical Journal Medika Alkhairaat : Jurnal Penelitian Kedokteran dan Kesehatan UMI Medical Journal Dinasti International Journal of Education Management and Social Science Al-Iqra Medical Journal : Jurnal Berkala Ilmiah Kedokteran The Avicenna Medical Journal Hang Tuah Medical Journal Jurnal Pengabdian Masyarakat Bangsa AMMA : Jurnal Pengabdian Masyarakat GEMBIRA (Pengabdian Kepada Masyarakat) Jurnal Kedokteran Meditek Jurnal Pengabdian Masyarakat Mandira Cendikia (JPKM-MC) Cermin Dunia Kedokteran
Reza Aditya Digambiro
Universitas Trisakti Jakarta, Indonesia
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Energy Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Analysis of D-Dimer Levels Based on Histopathological Grading of Breast Cancer Devita, Yessi; Digambiro, Reza Aditya; Hastuty, Dewi
Jurnal Kedokteran Meditek Vol 31 No 6 (2025): November
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v31i6.3974

Abstract

Background: Breast cancer is the most common malignancy among women worldwide. Systemic activation of coagulation, reflected by elevated D-dimer levels, has been associated with advanced stage, metastasis, and poor prognosis in breast cancer. However, it remains unclear whether D-dimer also correlates with histopathological grade as an indicator of intrinsic tumor aggressiveness, particularly among patients with invasive breast cancer in Indonesia. Objective: To evaluate the association between plasma D-dimer levels and histopathological grading of invasive breast cancer. Methods: This cross-sectional study included 180 untreated female patients with primary invasive breast cancer, comprising 60 cases each of Grade I, Grade II, and Grade III tumors. Plasma D-dimer levels were measured using a latex-enhanced immunoturbidimetric assay, and histological grading was determined according to the Nottingham system. Data were analyzed using the Kruskal–Wallis test, ANOVA on log-transformed values, post-hoc tests, and ANCOVA with adjustment for age, body mass index (BMI), clinical stage, C-reactive protein (CRP), lymphovascular invasion, and molecular subtype. Receiver operating characteristic (ROC) analysis was performed to distinguish Grade III from lower grades. Results: Median D-dimer levels increased progressively from Grade I (501.7 ng/mL) to Grade II (831.0 ng/mL) and Grade III (1312.9 ng/mL), with a statistically significant overall difference (p < 0.001). ROC analysis for identifying Grade III yielded an AUC of 0.960 with an optimal cut-off of 965.5 ng/mL FEU (sensitivity 91.7%, specificity 90.0%). Conclusion: Plasma D-dimer levels are significantly associated with histopathological grade in invasive breast cancer, independent of potential confounders. These findings suggest that D-dimer testing may help identify patients with high-grade tumors at an early stage, thereby refining risk stratification, informing more intensive treatment planning, and raising vigilance for thromboembolic complications, particularly in resource-limited settings.. ctice.
Early Medical Technology in Reducing The Mortality Rate in Toll Road Accidents Reza Aditya Digambiro; Rully Indrawan; Siti Maemunah; Tjuk Sukardimand
Dinasti International Journal of Education Management And Social Science Vol. 5 No. 4 (2024): Dinasti International Journal of Education Management and Social Science (April
Publisher : Dinasti Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/dijemss.v5i4.2632

Abstract

Purpose: The research aims to know whether the technological system is effective in bringing improvement to early medical response toward traffic accidents on toll roads in Indonesia, particularly in an attempt to bring down the mortality rate caused by traffic accidents on toll roads.  Methods: The current study holds a research design of a mixed-methods approach that mainly adopts the use of qualitative and quantitative measures of structural equation modeling (SEM. Data collected involved survey, interviews, and field observations that focused on perception of accident risk on toll roads and the effect of technology on early medical handling.  Result: The findings have therefore confirmed that the traffic accident risk perception on the toll roads is generally perceived low, with a mean perception score averaging at 2.65. On the other side, a positive picture is painted regarding the role of technology in improving timeliness and effectiveness of medical responses: its contribution to early medical handling (3.06) and the impact it can have on the reduction in rates of deaths (2.96). Conclusion: The findings highlight the urgent need for increased public awareness and the development of technology-based emergency strategies. Targeted technological interventions, particularly those enhancing early medical response, could significantly reduce toll road accident fatalities.
Co-Authors Alfred Pakpahan, Alfred Chendrasari, Julian David Tjahjadi, David David Tjahyadi Delyuzar, Delyuzar Devita, Yessi Dewi Hastuty Dewi, Intan Keumala Ditriana, Ditriana Dyah Ayu Woro Edy Parwanto Fadillah, Ibnu Haris Fiji, Wijaya Taufik Florinda Ilona Gabrielle, Laurentia Ganeca Widyatama, Haryo Hastuty , Dewi Ibnu Alferally Ilona, Florinda Indrawan, Rully Jaya Edy, Hosea Lestari, Indah Widya Marsiati, Himmi Oladimeji, Ashaolu Victoria Pangisti Dwi Ananingsih, Pangisti Dwi Parwanto, Edy Restu Syamsul Hadi RR. Ella Evrita Hestiandari Rully Indrawan Sembiring, Rinawati Setianingrum, Dyah Ayu Woro Setyaningrum, Dyah Ayu Woro Sisca Sisca, Sisca Siti Maemunah Sukardimand, Tjuk Tjahyadi, Joey Joshua Vidova Tjuk Sukardimand Xavierees, Endrico