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All Journal Meditory : The Journal of Medical Laboratory Jurnal Skala Kesehatan JURNAL KESEHATAN PERINTIS Anakes: Jurnal Ilmiah Analis Kesehatan Jurnal Laboratorium Khatulistiwa
Anhar, Citra Amaniah
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Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health

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Analisis Kadar IgE Atopy Tungau Debu Rumah Pada Pasien Dermatitis Atopik Inderiati, Dewi; Anhar, Citra Amaniah; Puspitasari, Lita
JURNAL KESEHATAN PERINTIS Vol 11 No 1 (2024): Jurnal Kesehatan Perintis
Publisher : LPPM UNIVERSITAS PERINTIS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33653/jkp.v11i1.1083

Abstract

Antibodi Immunoglobulin E (IgE) dibuat oleh sel B dan sel plasma sebagai respon terhadap stimulasi antigenik dan berfungsi dalam mekanisme reaksi alergi. Pemeriksaan Atopy IgE Panel Indonesia merupakan tes semi kuantitatif untuk mendeteksi antibodi manusia terhadap alergen dalam darah. Tungau debu rumah (TDR) berperan sebagai sumber alergen dermatitis atopik (DA). Tujuan dari penelitian ini adalah untuk menentukan gambaran kadar IgE Atopy TDR pada pasien DA yang melakukan pemeriksaan di Laboratorium LiderLab, Kota Bekasi, Jawa Barat. Penelitian deskriptif ini menggunakan metode potong lintang. Dalam penelitian yang dilakukan pada 48 pasien dengan diagnosis DA yang melakukan pemeriksaan IgE Atopy berdasarkan resume dokter, ditemukan bahwa jenis kelamin perempuan sebanyak 52,08% dan laki-laki sebanyak 47.92%, kelompok usia terbesar adalah 6-11 tahun sebanyak 18,75%, memiliki riwayat atopik genetik sebanyak 58,33% dan rentang rerata kadar IgEnya 38,47–42,99 KU/l dari 3 spesies tungau yaitu D. pteronyssinus, D.farinae, dan D.microceras. Simpulan dalam penelitian ini adalah kadar IgE tertinggi berasal spesies D.pteronyssinus yang masuk klasifikasi IgE Klas 5 dengan kadar 50 – 100 KU/L. Pada pasien DA disarankan membersihan lingkungan rumah secara rutin dengan menggunakan alat penyedot debu.
Penerapan Model Lean Six Sigma Dalam Menurunkan Waktu Tunggu Layanan Pra-Analitik Di Laboratorium Rumah Sakit Fatmawati Jakarta Inderiati, Dewi; Hidayat, Danni; Utamai, Lidya; Anhar, Citra Amaniah
Anakes : Jurnal Ilmiah Analis Kesehatan Vol. 11 No. 1 (2025): ANAKES: Jurnal Ilmiah Analis Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/anakes.v11i1.2619

Abstract

Pre-analytical errors represent a major source of inaccuracy in laboratory testing, contributing to approximately 70% of total diagnostic errors. At Fatmawati Hospital, prolonged patient waiting times within the laboratory workflow have emerged as a critical issue, adversely affecting both service quality and patient satisfaction. Lean Six Sigma (LSS) provides a structured methodology to systematically identify, analyze, and eliminate process inefficiencies and errors. This study aimed to apply the LSS framework to enhance the operational efficiency of pre-analytical laboratory services. An action research design was employed, utilizing the DMAIC (Define, Measure, Analyze, Improve, Control) model. Data collection methods included direct observation, structured interviews, and process audits, with subsequent analysis conducted using descriptive and inferential statistics. Implementation of LSS led to a statistically significant reduction in patient waiting times, decreasing from a mean of 129.13 minutes to 83.04 minutes — an improvement of 46.09 minutes or approximately 35.7%. This outcome was achieved through the elimination of non-value-added activities and the optimization of service pathways. In summary, the findings demonstrate that Lean Six Sigma is an effective approach for improving efficiency and service quality within pre-analytical laboratory operations. The results underscore the potential of LSS to serve as a transformative tool in laboratory process management.  Keywords: Lean Six Sigma, Waiting Time, Pre-analytical Process, Laboratory Services  
Pengaruh Cakupan Layanan Kesehatan dan Kelas BPJS terhadap Taksiran Berat Janin pada Ibu Hamil hutagaol, rutmauli; Fauziah, Erna; Sesaria, Tiffany Gita; Anhar, Citra Amaniah; Ardiansyah, Fakrul
Jurnal Skala Kesehatan Vol 16 No 2 (2025): Jurnal Skala Kesehatan Edisi Juli 2025
Publisher : Politeknik Kementerian Kesehatan Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jsk.v16i2.469

Abstract

Estimated Fetal Weight is one of the important indicators in monitoring fetal growth during pregnancy. In addition to biological factors, the health services received by pregnant women and BPJS membership classes are suspected to have influenced TBJ. This study aimed to analyze the effect of health service coverage and BPJS classes on TBJ in pregnant women. This study uses a cross-sectional design with a retrospective approach. Data was taken from the medical records of 152 pregnant women participating in BPJS who were treated at two regional hospitals in South Kalimantan during 2024. The variables analyzed included the mother's age, education, gestational age, BPJS class, and the number of service types received. Data analysis was conducted using the chi-square test and logistic regression. The results of the analysis showed that gestational age, parity, and BPJS class had a meaningful relationship with TBJ. From the logistic regression analysis, the level of education (p = 0.034; OR = 0.580) and gestational age (p = 0.020; OR = 0.577) had a significant effect on TBJ. Although not statistically significant, the type of service showed the highest odds ratio value (OR = 2.108), indicating that the more types of services received, the greater the chances of TBJ being in the normal category. TBJ is influenced by educational factors, gestational age, and BPJS classes attended by pregnant women. Improving the quality and equitable distribution of health services, especially for low-class BPJS participants, is very important to support optimal fetal growth.
Penerapan Model Lean Six Sigma Dalam Menurunkan Waktu Tunggu Layanan Pra-Analitik Di Laboratorium Rumah Sakit Fatmawati Jakarta Inderiati, Dewi; Hidayat, Danni; Utamai, Lidya; Anhar, Citra Amaniah
Anakes : Jurnal Ilmiah Analis Kesehatan Vol. 11 No. 1 (2025): ANAKES: Jurnal Ilmiah Analis Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/anakes.v11i1.2619

Abstract

Pre-analytical errors represent a major source of inaccuracy in laboratory testing, contributing to approximately 70% of total diagnostic errors. At Fatmawati Hospital, prolonged patient waiting times within the laboratory workflow have emerged as a critical issue, adversely affecting both service quality and patient satisfaction. Lean Six Sigma (LSS) provides a structured methodology to systematically identify, analyze, and eliminate process inefficiencies and errors. This study aimed to apply the LSS framework to enhance the operational efficiency of pre-analytical laboratory services. An action research design was employed, utilizing the DMAIC (Define, Measure, Analyze, Improve, Control) model. Data collection methods included direct observation, structured interviews, and process audits, with subsequent analysis conducted using descriptive and inferential statistics. Implementation of LSS led to a statistically significant reduction in patient waiting times, decreasing from a mean of 129.13 minutes to 83.04 minutes — an improvement of 46.09 minutes or approximately 35.7%. This outcome was achieved through the elimination of non-value-added activities and the optimization of service pathways. In summary, the findings demonstrate that Lean Six Sigma is an effective approach for improving efficiency and service quality within pre-analytical laboratory operations. The results underscore the potential of LSS to serve as a transformative tool in laboratory process management.  Keywords: Lean Six Sigma, Waiting Time, Pre-analytical Process, Laboratory Services  
Analisis Kadar IgE Atopy Tungau Debu Rumah Pada Pasien Dermatitis Atopik Inderiati, Dewi; Anhar, Citra Amaniah; Puspitasari, Lita
JURNAL KESEHATAN PERINTIS Vol. 11 No. 1 (2024): Jurnal Kesehatan Perintis
Publisher : LPPM UNIVERSITAS PERINTIS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33653/jkp.v11i1.1083

Abstract

Antibodi Immunoglobulin E (IgE) dibuat oleh sel B dan sel plasma sebagai respon terhadap stimulasi antigenik dan berfungsi dalam mekanisme reaksi alergi. Pemeriksaan Atopy IgE Panel Indonesia merupakan tes semi kuantitatif untuk mendeteksi antibodi manusia terhadap alergen dalam darah. Tungau debu rumah (TDR) berperan sebagai sumber alergen dermatitis atopik (DA). Tujuan dari penelitian ini adalah untuk menentukan gambaran kadar IgE Atopy TDR pada pasien DA yang melakukan pemeriksaan di Laboratorium LiderLab, Kota Bekasi, Jawa Barat. Penelitian deskriptif ini menggunakan metode potong lintang. Dalam penelitian yang dilakukan pada 48 pasien dengan diagnosis DA yang melakukan pemeriksaan IgE Atopy berdasarkan resume dokter, ditemukan bahwa jenis kelamin perempuan sebanyak 52,08% dan laki-laki sebanyak 47.92%, kelompok usia terbesar adalah 6-11 tahun sebanyak 18,75%, memiliki riwayat atopik genetik sebanyak 58,33% dan rentang rerata kadar IgEnya 38,47–42,99 KU/l dari 3 spesies tungau yaitu D. pteronyssinus, D.farinae, dan D.microceras. Simpulan dalam penelitian ini adalah kadar IgE tertinggi berasal spesies D.pteronyssinus yang masuk klasifikasi IgE Klas 5 dengan kadar 50 – 100 KU/L. Pada pasien DA disarankan membersihan lingkungan rumah secara rutin dengan menggunakan alat penyedot debu.
Analisis Korelasi HbA1c dengan Mean Platelet Volume dan Platelet Distribution Width pada Pasien Diabetes Melitus Tipe 2 Azzahra, Andi Dinda; Anhar, Citra Amaniah; Hardianto, Nova
Jurnal Laboratorium Khatulistiwa Vol 9, No 1 (2025): November 2025
Publisher : poltekkes kemenkes pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30602/jlk.v9i1.2169

Abstract

Controlling blood glucose levels is the main key in treating and preventing diabetic vascular complications. However, routine monitoring of glycemic status using standard HbA1c markers is still hampered by limited costs and health facilities. The platelet index is considered to have potential as a predictor of vascular complications in DM patients. This study aims to examine the correlation of HbA1c with mean platelet volume (MPV) and platelet distribution width (PDW) in type 2 DM patients. This cross-sectional study used medical record data. The sample consisted of 60 patients with type 2 diabetes who received treatment at Pasar Rebo Regional General Hospital, Jakarta, in 2024. All patients had HbA1c levels above 6.5%. The proportion of patients with high MPV and PDW was 5% and 11.7%, respectively. Based on bivariate analysis with the Spearman test, there was a significant correlation between HbA1c levels and MPV values (p-value < 0.05; r = 0.561) and PDW values (p-value < 0.05; r = 0.433). A strong positive correlation was observed between HbA1c levels and MPV values and a moderate positive correlation between HbA1c levels and PDW values, indicating that an increase in HbA1c levels tends to be accompanied by an increase in MPV and PDW values.
DIAGNOSTIC VALIDITY ANALYSIS OF NS1-BASED RAPID TEST COMPARED WITH RT-PCR FOR DENGUE DETECTION IN BATAM Inderiati, Dewi; Yanti, Yuli; Sofia, Anita; Anhar, Citra Amaniah
Meditory : The Journal of Medical Laboratory Vol 13, No 2 (2025): Meditory, Volume 13 No. 2 Tahun 2025 (On Progress)
Publisher : Jurusan Teknologi Laboratorium Medis, Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/meditory.v13i2.4801

Abstract

Background: Dengue remains a significant health problem in Indonesia, including Batam. Because its symptoms resemble other infections, early laboratory testing is crucial. The non-structural protein one rapid diagnostic test (NS1 RDT) is widely used, but its accuracy depends on the day of illness, immune status, and viral serotype.Objective: To evaluate the diagnostic validity of NS1 RDT compared to RT-PCR, assessing the level of agreement between the two methods, and analysing the influence of clinical phase and serotype on the results of the examination.Methods: A retrospective analytic study used secondary data from 309 suspected dengue cases tested by NS1 RDT at primary care and confirmed by RT-PCR with serotyping at Batam Public Health Laboratory (2022–2024). Diagnostic performance was calculated from 2×2 tables; concordance was analysed with McNemar's test and Cohen's kappa.Results: The NS1 RDT showed 75.8% sensitivity, 81.2% specificity, 62.7% positive predictive value, 88.9% negative predictive value, and 79.6% overall accuracy, with moderate agreement with RT-PCR (κ = 0.54). NS1 positivity peaked on illness days 1–3 and varied by serotype, with the highest for DENV-3.Conclusions: The NS1 RDT showed good diagnostic validity with moderate agreement and sensitivity and high specificity in early dengue disease screening compared to RT-PCR, so the diagnostic performance of the NS1 RDT can be used in local epidemiological testing in Batam.
Co-Authors Ardiansyah, Fakrul Azzahra, Andi Dinda Dewi Inderiati Fauziah, Erna Hardianto, Nova Hidayat, Danni Puspitasari, Lita Rutmauli Hutagaol Sesaria, Tiffany Gita Sofia, Anita Utamai, Lidya Yuli Yanti