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Diagnostic Value of Osteopontin, Lymphocyte-to-Monocyte Ratio, and CA-125 in Ovarian Carcinoma Suspect Surohadi, Natra D.; Triwardhani, Ria; Kustarini, Indranila; Hendrianingtyas, Meita; Rachmawati, Banundari
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol. 31 No. 1 (2024)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v31i1.2238

Abstract

Osteopontin (OPN) is an important protein in cancer development and progressivity. Lymphocyte-to-Monocyte Ratio (LMR) as a systemic immunity and inflammatory indicator could be an ideal predictor biomarker because of its method’s simplicity and availability. Elevated CA-125 and OPN as well as decreased LMR were reported as signs of ovarian malignancy. Limited studies about OPN and LMR as diagnostic biomarkers, as well as various specificity and sensitivity of CA-125 intrigued the researcher to prove OPN, LMR, and CA-125 as diagnostic biomarkers for ovarian carcinoma. This study aimed to measure the diagnostic value of OPN, LMR, and CA-125 levels against histopathology results for ovarian carcinoma diagnosis. Eighty patients involved with suspected ovarian carcinoma who were referred to Dr. Kariadi Hospital, Semarang. Osteopontin and CA-125 levels were measured using ELISA, and LMR was calculated from absolute lymphocyte and monocyte counts using an automated hematology analyzer. The receiver operating characteristics curve was used to determine the cut-off and 2x2 table. The cut-off values for OPN, LMR, and CA-125 were 124 ng/mL, 3.7 and 45.4 U/mL, respectively. The sensitivity for OPN, LMR, and CA-125 was 67.24%, 62.07% and 60.34%. Specificity for OPN, LMR, and CA-125 were 68.18%, 54.55% and 59.09%. Osteopontin is the best parameter for determining the diagnosis of ovarian carcinoma but it is still not sufficient because OPN cut-off was still within the normal reference value.
Proportion of Bacillary and Morphological Indices of Untreated and Treated Suspected Leprosy Slit Skin Smear Indriani Silvia; Parwati, Ida; Andriyoko, Basti; Rachmawati, Banundari; Sukartini, Ninik
Indonesian Journal of Applied Research (IJAR) Vol. 6 No. 1 (2025): Indonesian Journal of Applied Research (IJAR)
Publisher : Universitas Djuanda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30997/ijar.v6i1.599

Abstract

Indonesia is the third highest number of leprosy in the world with pockets of high endemicity spread across the archipelago. Leprosy diagnosis in control program include finding of acid fast bacilli (AFB) from slit skin smear (SSS) that assessed for the bacillary index (BI). The solid AFB form assessed for morphological index (MI). This study aimed to analyze the proportion of BI and MI of untreated and treated suspected leprosy SSS. This was a retrospective observational study on BI and MI from 117 suspected leprosy SSS secondary data. Of this, being males was the most prevalent in the age group 19-40 years with 91 untreated (84.6% acid fast bacilli, AFB) and 26 treated (80.8% AFB). Treated 2+ BI still high 23.8% from untreated BI 2+ 23.4%. Untreated MI >50 was found in 25.4% and treated MI >50 is still found in 19.1%. Bacillary index and MI support the diagnosis and detect the transmission of leprosy infection.
A Systematic Review of High-Intensity Interval Training Protocols and Their Effects in BMI And Metabolic Biomarkers in Obese Adolescents: A Focus on Randomized Controlled Trials Ajoekesoema, Tanti; Crisdayani, Carissa Putri; Syaravina, Elita; Rachmawati, Banundari; Susanto, Hardhono; Tulaar, Angela B. M.
Diponegoro International Medical Journal Vol 6, No 1 (2025): July 2025
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v6i1.26720

Abstract

Background: Adolescent obesity is a growing public health concern, associated with chronic diseases such as cardiovascular disease, type 2 diabetes, and non-alcoholic fatty liver disease. High-Intensity Interval Training (HIIT) has been identified as a potential intervention to improve weight management and metabolic health in this population.Objective: To evaluate the impact of HIIT, alone or in combination with dietary advice, on weight management and metabolic health indicators, including Body Mass Index (BMI), fasting serum glucose levels, and metabolic biomarkers in adolescents with overweight or obesity.Methods: This systematic review included randomized controlled trials (RCTs) focusing on adolescents aged 16 to 19 with a BMI of 23 kg/m² or above. Studies were selected based on predefined criteria, excluding cross-over trials and quasi-randomized studies. Primary outcomes were changes in BMI, fasting serum glucose, and metabolic biomarkers. Secondary outcomes included measures of insulin resistance. The GRADE methodology was used to appraise the certainty of evidence.Results: Five RCTs were included, demonstrating that HIIT, especially when combined with dietary advice, significantly improves insulin sensitivity, reduces waist circumference, and enhances cardiometabolic health. The interventions varied in duration and intensity but consistently showed positive outcomes in physical fitness, metabolic biomarkers, and body composition.Conclusion: HIIT, particularly when integrated with dietary advice, offers a promising strategy for managing obesity and improving metabolic health among adolescents. This review supports the adoption of multidisciplinary approaches in clinical practice, aiming to enhance the overall health outcomes of adolescents with overweight or obesity.
Co-Authors Agung Aji Prasetyo, Agung Aji Ahmad Reza Ajoekesoema, Tanti Andreas Arie Setiawan Andrew Johan Aryu Candra Asri Ragil Kemuning Asti, Herniah Basti Andriyoko Budi Mulyono Corrie Abednego Crisdayani, Carissa Putri Cynthia Citra Darmono SS Devi Ermawati Dian Widyaningrum Dian Widyaningrum Djuara P Lubis Driyah, Srilaning Dwi Retnoningrum Dwi Retnoningrum Edi Dharmana Edward Kurnia Setiawan Limijadi Edward Kurnia Setiawan Limijadi Edward Kurnia Setiawan Limijadi, Edward Kurnia Setiawan Edwin Basyar Elida Soviana Febe Christianto Fifin Luthfia Rahmi Hardhono Susanto Herniah Asti Wulanjani Hertanto Wahyu Subagio Ida Parwati Ignatius Riwanto, Ignatius Indranila Kustarini Samsuria Indriani Silvia Innawati Jusup Kartika, Nadini Kurniawati, Dewi M Lestari, Sarah Syifa Lisyani Budipardigdo Suromo Luciana Sutanto Lusiana Batubara Mabruratussania Maherdika Mahmudah Hidayati Meita Hendrianingtyas Meita Hendrianingtyas Melkior Krisna Arondaya MI Diah P Mila Niqi Itami Muchlis Ahsan Udji Sofro Muh Agus Barliyan Muji Rahayu Nadini Kartika Niken Puruhita Novita Indayanie Novitasari, Sherly Nyoman Suci Widyastiti Permatasari, Narulita Dyah Prihartiwi Purnamasari Probosuseno Probosuseno, Probosuseno Purnama, Yugi Hari Chandra Purwanto AP Putri Theresia LA Bancin Resty Ryadinency Retnaningsih - Ria Triwardhani Riansari, Anugrah Riwanto Samsuria, Indranila K Sanjaya Santoso Santoso Jaeri Santoso Jaeri Setiawan L, Edward Kurnia Soeharyo Hadisaputro Sofyan Harahap Subandhini Arika Pradati Suhartono, Suhartono Suharyo Hadisaputro Sukartini, Ninik Sulistiana Jhon Desel Surohadi, Natra D. Syaravina, Elita Theresia Ilyan Tjokorda Gde Dalem Pemayun Tri Indah Winarni Tri N. Kristina, Tri N. Triwardhani, Ria Tulaar, Angela B. M. Wardhani, Avriana Pety Wibisono, Agoes Wicaksono, Maulana Akbar Wicaksono, Muhammad Agung Wibowo Yenny Yulianti Yoanita Pratiwi Budiwiyono Yuswo Supatmo