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Correlation of Neutrophil-Lymphocyte Ratio, Alpha-Fetoprotein, and PIVKA-II with Staging of HCC Related HBV at Dr. Mohammad Hoesin Hospital, Palembang Rahmayani, Febry; Suyata, Suyata; ., Legiran
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 26, No 3 (2025): VOLUME 26, NUMBER 3, December, 2025
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/2632025219-227

Abstract

Background: The staging of Hepatocellular carcinoma (HCC) requires evaluating the tumor size and number, liver function, physical performance, tumor invasion, extrahepatic metastasis, and clinical symptoms. Biomarkers such as neutrophil-lymphocyte ratio (NLR), alpha-fetoprotein (AFP), and protein induced by the absence of vitamin K or antagonist-II (PIVKA-II) have been identified as valuable diagnostic and prognostic tools for HCC. This study aims to investigate the correlation between NLR, AFP, and PIVKA-II and HCC stages.Methods: This observational study was conducted at the Department of Internal Medicine, Dr. Mohammad Hoesin Hospital, Palembang, from April to July 2024. HCC stages were classified using the Barcelona Clinic Liver Cancer (BCLC) system. NLR, AFP, and PIVKA-II levels were measured usingĀ  ELISA method. Data were analyzed susing one-way ANOVA or the Kruskal-Wallis test.Results: A total of 38 patients with HCC who met the inclusion criteria were included in the study. There was a weak positive correlation between NLR and HCC stage (r = 0.334; p = 0.040), a moderate positive correlation between AFP and HCC stage (r = 0.499; p = 0.001), and a strong positive correlation between PIVKA-II and HCC stage (r = 0.797; p = 0.000). PIVKA-II and AFP were found to have a significant sequential effect on the BCLC stage.Conclusion: PIVKA-II and AFP are significant indicators for assessing BCLC stages, offering valuable support for the diagnosis and management of HCC.
Pemanfaatan Limbah Minyak Jelantah dalam Pembuatan Sabun Padat: Program Pengabdian Masyarakat di Desa Kebanggan Khoeriyyah, Fatimah Zahza; Muslihah, Niken istikhari; Lestari, Puji; Suyata, Suyata; Irmanto, Irmanto
J-Dinamika : Jurnal Pengabdian Masyarakat Vol 11 No 1 (2026): April
Publisher : Politeknik Negeri Jember

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Abstract

Waste is unused material that comes from various human activities. One type of waste that is widely produced from household activities is used cooking oil. Used cooking oil is cooking oil that has been used repeatedly and has deteriorated, making it hazardous to health and the environmental ecosystem. Processing used cooking oil into solid soap is a simple, economical, and environmentally friendly innovation that can be applied on a household scale based on the principle of zero waste industry. This community service activity was carried out in collaboration with the Aisyiyah Branch in Kebanggan Village, Sumbang District, Banyumas, where most of the members are housewives. The main objective of the program was to raise environmental awareness while empowering partners through training in making solid soap from used cooking oil. The methods used included socialization on the dangers of used cooking oil waste, the practice of making solid soap using the cold process method, and the application of the soap produced for washing kitchen utensils. Evaluation was carried out through pre-tests and post-tests to assess the increase in community knowledge and skills. The results of the activity showed a significant increase in the participants' understanding and skills in processing used cooking oil into useful products with quality that meets the 2021 Indonesian National Standard (SNI).