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SKRINING THALASSEMIA PADA SUKU ANAK DALAM DI PROVINSI JAMBI Sotianingsih, Sotianingsih; AS, Charles; M, Ita
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 6 No. 2 (2018): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (320.376 KB) | DOI: 10.22437/jmj.v6i2.5946

Abstract

Background: thalassemia mutations are very diverse and can be ethnic-specific. Prevention is done through screening of carrier traits, counseling and prenatal diagnosis; which will be optimal when accompanied by carrier frequency data and spectral data type of mutation Purpose of research: to determine the frequency of carrier of thalassemia character of suku anak dalam in Jambi Province Methods of research: descriptive, as many as 35 respondents of suku anak dalam in of Sei Ulak village. Performed the making of blood smear and venous blood sampling. Blood smear were given Wright-Giemsa staining. A complete blood examination was performed with a Sysmex Xs-800i hematology analyzer. Hb analysis using Capillary electrophoresis model Minicap Flex-piercing from Sebia. DNA analysis was performed by SEA, Fil and Thai Delight, Delete 3.7 and 4.2kb, and HbCS and Hb Adana point mutations Results: Haemoglobin <normal at age 5 - <12 years 2.86% mild and moderate 2.86%, age> 15 years, women 2.86% mild, age> 15 years, men 5.71% mild, peripheral blood 8.57% found microcytic hypochromic cells 5.71% of the mixed HbA averages 97.1, 97.0 (33.3%) while HbA1 2.8, 3.0 (33.3%). HbF is present in 1 sample. DNA analysis not found mutation Conclusions and suggestions: Conclusions: In Suku Anak Dalam we found mild anemia 11.42% and moderate anemia 2.86%. Smear of blood found 8.57% hypochrome microscopic cells and 5.71% mixture. HbA 97.0 (33.3%), HbA2 highest 3.0 (33.3%). HbF 1 (2.86%). There is 1 (2.86.7%) suspect carrier of thalassemia a and there is 1 (2.8%) suspect variant Hb. This result excludes the possibility of carrying thalassemia trait a mild 3 respondents (8.57%). Suggestion: Advanced molecular examination of DNA sequencing Keywords: Suku Anak Dalam, Haemoglobin, Hb Analysis, Thalassemia a, Thalassemia
Uji Beda Leukosit dan NLR (Neutrophil Lymphocyte-Ratio) terhadap Luaran Pasien Sepsis Rawat ICU (Intensive Care Unit) RSUD Raden Mattaher Jambi 2019 - Oktober 2022 Aidil Rahmat Ilham; Lipinwati, Lipinwati; Ahmad Syauqy; Samsirun Halim; Sotianingsih, Sotianingsih; Ekaputri, Tia Wida
Journal of Medical Studies Vol. 4 No. 1 (2024): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v4i1.31935

Abstract

ABSTRACT Background: Sepsis is a clinical syndrome caused by an overreaction of the body's immune response stimulated by microbes or bacteria inside and outside the body. There is visible organ dysfunction. Of an increase of 2 or more scoresSequential Organ Failure Assessment (SOFA). Early diagnosis and treatment by assessing inflammatory factors such as leukocytes and NLR (Neutrophil-to-lymphocyte ratio). This study aims to determine the difference between leukocyte levels and NLR values based on the outcome of septic patients. Method: This study used an analytic observational cohort method with a retrospective and prospective approach involving 54 research subjects, using consecutive sampling. Sampling was done by calculating leukocyte levels and NLR values at 0, 24, 72, and 144 hours in septic patients. Results: The patients who died for more than 24 hours were 36 patients. The highest average results were measured at 24 hours, with leukocytes 17.48 ± 8.49 and NLR 24.96 ± 22.17. The mean leukocyte and NLR levels were higher in the death group. The analysis found no significant difference between the leukocyte and NLR with the outcomes in septic patients (p >0.05). Conclusion: There was no significant difference between leukocytes and NLR with the outcome of septic patients. Keywords: Biomarkers, Leukocytes, Mortality, NLR, Sepsis   ABSTRAK Latar Belakang: Sepsis adalah suatu sindrom klinik oleh karena reaksi yang berlebihan dari respon imun tubuh yang distimulasi mikroba atau bakteri dari dalam dan luar tubuh. Terdapat disfungsi organ yang terlihat. dari peningkatan 2 atau lebih skor Sequential Organ Failure Assessment (SOFA). Diagnosis dan penanganan lebih awal dengan menilai faktor inflamasi seperti leukosit dan NLR (Neutrophil-to-lymphocyte rasio). Penelitian ini bertujuan untuk mengetahui perbedaan antara kadar leukosit dan nilai NLR berdasarkan luaran pasien sepsis. Metode: Penelitian ini menggunakan metode analitik observasional kohort, dengan pendekatan retrospektif dan prospektif yang melibatkan 54 subjek penelitian, menggunakan teknik consecutive sampling. Pengambilan sampel dilakukan dengan cara menghitung kadar leukosit dan nilai NLR pada jam ke-0, 24, 72, dan 144 pada pasien sepsis. Hasil: Dari 54 sampel, hasil luaran pasien meninggal lebih banyak pada jam 24 sebanyak 36 pasien. Rerata hasil tertinggi pada pada pengukuran jam 24 dengan Leukosit 17,48±8,49 dan NLR 24,96±22,17. Rerata kadar leukosit dan nilai NLR lebih tinggi pada kelompok luaran meninggal. Hasil analisis tidak terdapat perbedaan yang signifikan antara Leukosit dan NLR dengan luaran pasien sepsis (p >0,05). Kesimpulan: Tidak terdapat perbedaan yang signifikan antara Leukosit dan NLR terhadap luaran pasien sepsis. Kata Kunci: Biomarker, Leukosit, Mortalitas, NLR, Sepsis