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Correlation between ESR and hs-CRP Levels with HbA1c in diabetes mellitus patients Farah Adelia Qotrunnada; Anik Handayati; Museyaroh; Lully Hanni Endarini
JHeS (Journal of Health Studies) Vol. 8 No. 2 (2024): September
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhes.3747

Abstract

Subclinical inflammation and almost every indication of systemic inflammation, which is defined by elevated levels of inflammatory markers in the blood, are seen in patients with diabetes mellitus (DM). Understanding the relationship between inflammatory markers and glycemic control is essential for creating comprehensive management strategies to avoid diabetes-related complications. The aims of this study were to determine the correlation between erythrocyte sedimentation rate (ESR) and high-sensitivity C-reactive protein (hs-CRP) and glycated hemoglobin (HbA1c) in DM patients. This was an analytical observational study with a cross-sectional design that was conducted on 35 DM patients from the DM prolanis group at the Bangkalan Regency First-Level Health Facility. HbA1c and hs-CRP levels were measured using the fluorescence immunoassay (FIA) method, while ESR was assessed using the Westergren method. Statistical analysis was performed using the Spearman correlation test. Regarding the biomarkers, all respondents (100%) had HbA1c levels >8.0%, 43% had elevated hs-CRP levels associated with cardiovascular risk, and 80% had abnormal ESR values. A significant relationship was found between ESR and HbA1c (p = 0.019; r = 0.394), but no significant relationship was observed between hs-CRP and HbA1c (p = 0.351; r = 0.163). The relationship between inflammation and glycemic control in DM can be understood through the correlation of ESR, hs-CRP, and HbA1c. These findings offer practical value, particularly in monitoring disease progression and managing diabetes-related complications. Future research should investigate the effects of interventions aimed at reducing inflammation, e.g lifestyle modifications or anti-inflammatory medications, on ESR, hs-CRP, and HbA1c levels.
Variance Index Score (Vis) Evaluation Of Homemade And Commercial Control Sera On Ast And Alt Assays Rahmania, Adelia Prisma; Handayati, Anik; Museyaroh, Museyaroh; Haryanto, Edy
Jurnal Riset Kesehatan Vol 13, No 2 (2024): NOVEMBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v13i2.11778

Abstract

Control materials are used as indicators of monitoring the performance of laboratory examinations so that the results issued are valid. Method of assessing the implementation of External Quality Assurance (EQAS) used Variance Index Score (VIS). This study aims to determine difference between pooled sera, homemade and commercial lyophilizates on AST and ALT parameters based on VIS. This research used comparative descriptive with quantitative approach in December 2023-May 2024. Homemade lyophilizates performed at UBAYA technobiology laboratory, determination of true value performed at 2 reference laboratories and clinical chemistry laboratory Poltekkes Surabaya, and determination of VIS performed at 10 primary level clinical laboratories in Surabaya Raya which determined by purposive sampling. The statistical analysis results showed no difference between homemade and commercial control materials based on VIS to the true value and all participating laboratories, so it was concluded that homemade control materials could be used as a substitute in implementing EQAS.
Kolesterol dan Tekanan Darah Lansia di Posyandu Abiyoso Polkesbaya Christyaningsih, Juliana; Rusyadi, Luthfi; Minarti, Minarti; Mamik, Mamik; Pestariati, Pestariati; Mutiarawati, Diah Titik; Suliati, Suliati; Sasongkowati, Retno; Woelansari, Evy Diah; Suhariyadi, Suhariyadi; Istanto, Wisnu; Endarini, Lully Hanni; Museyaroh, Museyaroh
JURNAL RAKAT SEHAT (JRS) : Pengabdian Kepada Masyarakat Vol 2 No 2 (2023): Jurnal Rakat Sehat: Pengabdian Kepada Masyarakat
Publisher : UPPM Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jrs.v2i2.35

Abstract

As people age, the physical state of the human body will gradually deteriorate due to a decrease in the quantity of cells present, leading to a gradual reduction in functionality referred to as the aging process. In elderly humans (aged more than 60 years) excessive cholesterol levels and high blood pressure are one of the causes of diseases such as heart disease which has been recognized by WHO as the number one cause of death in the world. The buildup of fatty deposits on the linings of blood vessels has the potential to lead to obstructions within the blood vessels. The objective of this initiative is to enhance understanding regarding the hazards associated with cholesterol. This outreach effort took place in July 2023, conducted at Posyandu Abiyoso, Surabaya Health Polytechnic. The activity consists of several processes 1). conducting a survey of the location of the Abiyoso posyandu of the Surabaya Health Polytechnic, 2). Opening registration and taking participants' personal data, 3) conducting participant health interviews, 4). Checking cholesterol levels and blood pressure of participants. From the community service activities carried out, it was found that 42 of the 65 (64.6%) participants who took part in the examination at the integrated service post had high cholesterol levels, and 60 of the 65 (92.3%) participants had high blood pressure or hypertension. By conducting health checks on cholesterol levels and blood pressure, there is an expectation that the society will come to realize and comprehend. the dangers of hypertension and hypercholesterolemia so that the community can prevent the occurrence of sustainable diseases.
Analysis of the Leukocyte Profile for Peripheral Blood Smear Stained with Diff-Count Based on Fixation Time Variation Museyaroh, Museyaroh; Nabilah, Musholli Himmatun; Endarini, Lully Hanni
Health Dynamics Vol 2, No 2 (2025): February 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20202

Abstract

Background: Peripheral blood smear examination (HDT) is a test to observe the morphology of blood cells microscopically. A peripheral blood smear is a simple method, and its examination is widely available in laboratories. The advantage of peripheral blood smear examination is its ability to assess various components of peripheral blood cells, such as cell morphology (erythrocytes, leukocytes, and platelets). One of the commonly used methods for peripheral blood smear examination is Giemsa staining. The process of Giemsa staining fixation aims to preserve the cell structure and its components before the staining is performed. The precise fixation time is key to obtaining optimal staining results, which allows for accurate observation of cell morphology. The aim of this study is to analyze the morphology of leukocyte profiles in peripheral blood smears stained with Giemsa based on variations in fixation time to determine the optimal time. Methods: This research was conducted in August-September 2024. The sample in this study was whole blood taken from the academic community of the Department of Medical Laboratory Technology and examined with a peripheral blood smear using Giemsa staining, and analyzed using descriptive statistical tests with the SPSS for Windows 22 software. Results: The research results showed that at a fixation time of 3 minutes, 60% were good and 40% were less good; at 5 minutes, 100% were good; at 10 minutes, 100% were good; at 15 minutes, 40% were good and 60% were less good; and at 20 minutes, 20% were good and 80% were less good. Conclusion: The best time variation in Giemsa staining using phosphate buffer is fixation for 5 minutes and 10 minutes, where all preparations (5 preparations) are 100% in the good category.
Blood Glucose Testing on Blood Donors and Geriatrics in the Area of Mosque Al-Akbar Surabaya museyaroh, museyaroh; Juliana Christyaningsih; Retno Sasongkowati; Suliati; Anita Dwi Anggraini; Deddy Adam; Toni Watoyani; Makruf, Anang; Safrudin, Samsul; Isnaini, Dian; M. Zakarahman; Sugihani; Kristiningsih, Elly; Puspitasari, Erlita; Ersanto, Novi; Novita, Devy; Kuswanto, Muhammad; Trisnania, Iid Dani; Rusmania, Liya; Haqqi, Faishol; Saktiyani, Fisari; Briansky, Sabira Alvayogi
Frontiers in Community Service and Empowerment Vol. 4 No. 2 (2025): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v4i2.98

Abstract

The Indonesian Red Cross (IRC) is a humanitarian organization that plays an important role in providing assistance to the community, particularly in the fields of health, disaster response, and blood donation services. The volunteer team from Health Polytechnic, Ministry of Health, Surabaya, in collaboration with members of the Indonesian Association of Medical Laboratory Technologists Surabaya city and IRC Surabaya city, conducted free blood glucose level tests for prospective donors and the elderly (geriatric) in Al-Akbar Mosque Surabaya. This examination aims to detect potential health issues early, especially diabetes, which often poses challenges for blood donors and the elderly. Blood donors tend to neglect their health conditions due to the donation routine, so this examination ensures that they remain in optimal condition. Meanwhile, the elderly have a high risk of diabetes, which can affect their quality of life. The strategic location at Al-Akbar Mosque Surabaya facilitates access for the community who are far from the IRC Surabaya city office. The success of this activity is supported by various factors, including the involvement of professional health organizations such as the branch Surabaya City of Indonesian Association of Medical Laboratory Technologists, the support of health infrastructure from IRC Surabaya city, and the active participation of the community and volunteers. The respondents of the community service activity numbered 88 people, conducted on March 15 and 17, 2025, consisting of 59% men and 41% women, with an age range of 20-80 years and the majority of respondents aged 41-60 years (56.8%). From the examination results, it was found that 21% of male respondents and 13.9% of female respondents suffer from diabetes mellitus (DM), thus requiring medical follow-up and lifestyle changes. This activity is expected to raise public awareness about the importance of early diabetes detection and encourage a sustainable healthy lifestyle to prevent serious complications in the future
Korelasi Kadar Troponin I dengan Serum Glutamic Oxaloacetic Transaminase (SGOT) dan Low Density Lipoprotein (LDL) Pada Penderita Penyakit Jantung Koroner Di RSUD Haji Provinsi Jawa Timur Amania, Salsabila; Handayati, Anik; Museyaroh
Journal of Indonesian Medical Laboratory and Science Vol 6 No 2: Oktober 2025
Publisher : Asosiasi Institusi Pendidikan Tinggi Teknologi Laboratorium Medik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53699/joimedlabs.v6i2.279

Abstract

Background: Coronary Heart Disease (CHD) is a condition caused by atherosclerosis, which leads to reduced blood supply to the heart muscle. This condition occurs due to the buildup of plaques resulting form elevated levels of LDL.  Atherosclerosis can trigger myocardial infarction, leading to heart muscle damage and the release of biomarkers such as Troponin I and Serum Glutamic Oxaloacetic Transaminase (SGOT). Objectives: This Study aims to determine the correlation between Troponin I levels and SGOT as well as LDL levels in patients with CHD at Haji General Hospital in East Java Province. Materials and Methods: This study used an analytical observational study with a cross-sectional and purposive sampling. Results: The study results show that the majority of participants were aged 46–65 years (57%) and male (57%). Most patients had high Troponin I levels (70%), normal SGOT levels (63%), and high LDL levels (100%). The correlation analysis using the Spearman test showed a statistically significant correlation between Troponin I and SGOT levels with p value 0.046 and correlation coefficient r= 0.367, but the correlation between Troponin I and LDL levels was not statistically significant with p value 0.330 and correlation coefficient = 0.184. Conclusions:  The study found a correlation between Troponin I and SGOT in patients with CHD and no correlation between Troponin I and LDL in patients with CHD.
Evaluation of the Quality of Commercial Control Materials and Homemade Lyophilized on Clinical Chemistry Parameters with the Sigma Metric Method Maulida Azmi Wimasni Inah; Masdiva Putri Hidayah; Anik Handayati; Museyaroh; Lully Hanni Endarini; Edy Haryanto
Jurnal Teknokes Vol. 18 No. 3 (2025): September
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Control materials are used to maintain the accuracy of testing procedures and the quality of laboratory results. However, commercial control materials are often considered less economical, so an alternative is needed, namely lyophilized human serum. Sigma metric helps improve laboratory operational costs efficiency through control settings and Westgard rule recommendations involving the Total Error Allowable (TEa) value, bias value (d%), and coefficient of variation (CV%). This study aims to determine the quality of commercial control materials and homemade lyophilized materials for blood glucose, uric acid, total cholesterol, and triglyceride parameters based on sigma values. This study used a comparative cross-sectional design. The samples included commercial control materials from one of the primary-level laboratories in Bangkalan District and homemade lyophilized samples from human serum collections. Data Analysis was conducted by statistically comparing the bias value and descriptively comparing the sigma value of commercial control material and homemade lyophilized. The results showed no significant difference in bias value between commercial control material and homemade lyophilized material for all parameters (significance value > α 0,05). The sigma values of commercial control material for blood glucose, uric acid, total cholesterol, and triglyceride parameters were 2.81 (poor), 2.41 (poor), 3.10 (marginal), and 2.14 (poor). The sigma values of the homemade lyophilized were 2.12 (poor), 1.76 (unacceptable), 3.36 (marginal), and 2.08 (poor). Based on the sigma values, the homemade lyophilized material was better for total cholesterol parameters, while the commercial control material was better for blood glucose, uric acid, and triglyceride parameters. It can be concluded that homemade lyophilized can be used as an alternative to commercial control materials, especially for total cholesterol parameters. These findings support the cost efficiency of laboratory operations through the development of more economical homemade lyophilized products that are suitable for use in laboratories.
PEMBERDAYAAN WALI MURID TK DALAM EDUKASI PMT MELALUI MEDIA EDUKASI DI DESA DUKUHTENGAH KECAMATAN KRIAN SIDOARJO Suliati, Suliati; Museyaroh, Museyaroh; Yunita, Era Fitria; Istanto, Wisnu
COMMUNITY : Jurnal Pengabdian Kepada Masyarakat Vol. 5 No. 2 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/community.v5i2.7321

Abstract

Stunting is still a big problem in Indonesia because it affects how kids grow and develop over time, especially if it isn't stopped early on. One reason for this is that parents, especially mothers, don't fully understand how to provide balanced nutritional supplementary feeding (PMT). This community service project is all about giving the guardians of Dharma Wanita Persatuan Kindergarten in Dukuhtengah the tools and information they need to do their jobs better. It will do this by making and using interactive educational media in Dukuhtengah Village, Buduran District, Sidoarjo Regency. The implementation method has many steps: working with the school, finding out what parents need to know, making educational materials like booklets and posters, giving advice and showing how to prepare PMT, and testing the students before and after. In total, 36 parents took part in this activity. The analysis results show that the participants' understanding has improved a lot. They scored an average of 54.86 on the pre-test and 86.39 on the post-test, which is an increase of 31.53 points. The paired t-test produced p<0.001, signifying a significant difference, and Cohen's d effect size of 3.79 indicates a substantial effect. This finding shows that the educational media that was created works to teach parents more about PMT and how to stop stunting. In conclusion, interactive educational empowerment activities that use media have been shown to help parents improve their ability to provide their children with the right extra food to meet their nutritional needs. The future goal is to repeat the activities at the Posyandu level and combine them with family-based public health programs to make stunting prevention more effective in the community. ABSTRAKStunting masih menjadi permasalahan serius di Indonesia karena berdampak pada tumbuh kembang anak jangka panjang, terutama bila tidak dicegah sejak dini. Salah satu faktor penyebabnya adalah kurang optimalnya pemahaman orang tua, khususnya ibu, mengenai pemberian makanan tambahan (PMT) bergizi seimbang. Kegiatan pengabdian kepada masyarakat ini berfokus pada pemberdayaan dan edukasi wali murid TK Dharma Wanita Persatuan Dukuhtengah melalui pembuatan dan penggunaan media edukasi interaktif di Desa Dukuhtengah, Kecamatan Buduran, Kabupaten Sidoarjo. Metode pelaksanaan mencakup beberapa tahapan, yaitu koordinasi dengan pihak sekolah, identifikasi kebutuhan pengetahuan wali murid, penyusunan media edukasi berupa booklet dan poster, penyuluhan serta demonstrasi penyajian PMT, serta evaluasi dengan pre-test dan post-test. Sebanyak 36 wali murid berpartisipasi aktif dalam kegiatan ini. Hasil analisis menunjukkan adanya peningkatan signifikan pada pemahaman peserta, dengan rata-rata skor pre-test sebesar 54,86 dan post-test sebesar 86,39, sehingga terjadi peningkatan sebesar 31,53 poin. Uji t berpasangan menghasilkan p<0,001 yang menandakan perbedaan signifikan, sementara nilai effect size Cohen’s d sebesar 3,79 menunjukkan efek yang sangat besar. Temuan ini mengindikasikan bahwa media edukasi yang dikembangkan efektif dalam meningkatkan pengetahuan wali murid mengenai PMT dan pencegahan stunting. Kesimpulannya, kegiatan pemberdayaan berbasis media edukasi interaktif terbukti mampu meningkatkan kapasitas orang tua dalam memberikan PMT yang sesuai kebutuhan gizi anak. Prospek ke depan adalah replikasi kegiatan pada jenjang Posyandu, serta integrasi dengan program kesehatan masyarakat berbasis keluarga untuk memperluas dampak pencegahan stunting di tingkat komunitas..
Variance Index Score (Vis) Evaluation Of Homemade And Commercial Control Sera On Ast And Alt Assays Rahmania, Adelia Prisma; Handayati, Anik; Museyaroh, Museyaroh; Haryanto, Edy
Jurnal Riset Kesehatan Vol 13 No 2 (2024): NOVEMBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v13i2.11778

Abstract

Control materials are used as indicators of monitoring the performance of laboratory examinations so that the results issued are valid. Method of assessing the implementation of External Quality Assurance (EQAS) used Variance Index Score (VIS). This study aims to determine difference between pooled sera, homemade and commercial lyophilizates on AST and ALT parameters based on VIS. This research used comparative descriptive with quantitative approach in December 2023-May 2024. Homemade lyophilizates performed at UBAYA technobiology laboratory, determination of true value performed at 2 reference laboratories and clinical chemistry laboratory Poltekkes Surabaya, and determination of VIS performed at 10 primary level clinical laboratories in Surabaya Raya which determined by purposive sampling. The statistical analysis results showed no difference between homemade and commercial control materials based on VIS to the true value and all participating laboratories, so it was concluded that homemade control materials could be used as a substitute in implementing EQAS.
Co-Authors ., Pestariati Alizah, Nur Amalia Putri Khurota Ayyun Amania, Salsabila Anita Dwi Anggraini Aryati Aryati Aryati Aryati Briansky, Sabira Alvayogi Deddy Adam Diah Titik Mutiarawati Diah Titik Mutiarawati Dwi Kriharyani Edy Haryanto Edy Haryanto Endarini, Lully Hanni Era Fitria Yunita Ersanto, Novi Evi Yunita Nugrahini Evy Diah Woelansari Evy Dyah Woelansari Farah Adelia Qotrunnada Ginarsih, Yuni Handayati, Anik Haqqi, Faishol Hermiyanti, Pratiwi Hindaryani, Nurul Ida Ariyanti, Ida Ilma Ainun Nisa Ira Puspita Sari Ira Rahayu Tiyar Isnaini, Dian Istanto, Wisnu Juliana Christyaningsih Kasiati Kiaonarn Ongko Waluyo Kiaonarni O.W Kristiningsih, Elly Kuswanto, Muhammad Laili Rahmawati, Laili Lembunai Tat Alberta Liliek Soetjiatie Lully Hani Endarini Lully Hani Endarini Luthfi Rusyadi M. Zakarahman Makruf, Anang Mamik Mamik Mamik Mamik Masdiva Putri Hidayah Maulida Azmi Wimasni Inah Minarti Minarti Minarti Minarti Mujayanto Musholli Himmatun Nabilah Mutiarawati, Diah Titik Nabilah, Musholli Himmatun Novikasari, Caturizkyana Novita, Devy Nuning Marina Pengge Nur Hatijah Nur Kholifah, Siti Nurul Hindaryani Nurwening TW P, Teresia Retna Puspa Wardani Puspa Wardhani Puspitasari, Erlita Rahayu Sumaningsih Rahmania, Adelia Prisma Retno Puspitadewi, Teresia Retno Sasongkowati Retno Sasongkowati Retno Werdiningsih Rusmania, Liya Safrudin, Samsul Saktiyani, Fisari Sasongkowati, Retno Sri Sulami Endah Astuti Sri Utami Sugihani Suhariyadi Suhariyadi Suhariyadi Suhariyadi Suliati Suliati Suliati Suliati Suliati Sumasto, Hery Suyanto, Beny Teta Puji Rahayu Toni Watoyani Trisnania, Iid Dani Wisnu Istanto Yohanes Kambaru W