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Tahono .
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience

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PENETAPAN TARIF PEMERIKSAAN LABORATORIUM PATOLOGI KLINIK BERDASARKAN METODA JAROS ML Maria I; Diah P; Tahono .
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 16, No 1 (2009)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v16i1.1030

Abstract

A hospital as an institution of public health assistance expected to extend comprehensive service and complex appropriate around public demand, capable of sophisticated laboratory examination with achievable cost. To be successful in the financial management of thelaboratory, we must be able to identify and categorize costs, understand the relationship between revenue and reimbursement, becomefamiliar with the budget process and use financial ratios and information to make sound decisions. Cost per test laboratory examinationsare needed to determine the real costs, cost information, and to appraise examination efficiency and budget. Laboratory costing per testbased on Jaros ML method demonstrates various ways to determine the cost of a test and how to establish its charge. The greater thedemand laboratory tests per month, the lower the cost per reportable result (CPRR) and the greater the efficiency of laboratory test.
GAMMA-GLUTAMYLTRANSFERASE DAN APOLIPOPROTEIN B DENGAN SINDROMA METABOLIK Tahono .; M.I. Diah Pramudianti
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 17, No 3 (2011)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v17i3.1056

Abstract

The number of Metabolic Syndrome (MS) patient has been rapidly increased. Diabetes Mellitus (DM) is a risk factor of coronaryheart disease that increased four fold in the general population. Gamma-glutamyltransferase (GGT) is located on the external surfaceof most cells and mediates the uptake of glutathione, which is an important component of intracellular antioxidants defenses. The aimsof this study was to analyze the correlation between GGT, Apolipoprotein B and metabolic syndrome parameters, a high sensitivityC-Reactive Protein (hs-CRP) as a marker of inflammation, and glutathione peroxidase (GPx) as an antioxidant marker in type 2 DMpatients. This study used a cross sectional design. The subject of this study was type 2 DM patients who came to the EndocrinologySubdivision of Internal Medicine Department and Laboratory of Clinical Pathology at Dr. Moewardi Hospital Surakarta. To analyze thisresult, the researchers used Spearman (r) correlation test with significance degree p < 0.05 and confidence interval 95%.The gammaglutamyltransferase serum showed a weak positive correlation with waist circumference (r = 0.18; p = 0.045) and Apo B with fastingblood glucose (r = 0.32; p = 0.001); a mild positive correlation between Apo B and triglyceride (r = 0.45; p = 0.001); a weak negativecorrelation between HDL cholesterol and GGT (r = –0.22; p = 0.020) and Apo B (r = –0.20; p = 0.027); a weak positive correlationbetween hs-CRP and GGT (r = 0.38; p = 0.001), and Apo B (r = 0.18; p = 0.042); and a weak negative correlation between Apo Band GPx (r = –0.22; p = 0.019). Gamma-glutamyltransferase examination is superior to notice any inflammatory process than apoB(r = 0.38 vs. R = 0.18), whereas apoB is superior as a predictor of inflammation than GGT (r = –0.51 vs. R = –0,20). Gammaglutamyltransferase serum as an early marker of oxidative stress and Apo B was related to inflammation at the metabolic syndromeand diabetes. Measurement of GGT serum is reliable, easy, and not expensive, it might have important implications both clinically andepidemiologically
Co-Authors Diah P M.I. Diah Pramudianti Maria I