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THE READING STRATEGIES AND READING COMPREHENSION OF THE HEALTH ANALYST DEPARTMENT STUDENTS Wisnu Istanto
Magister Scientiae No. 39 (2016)
Publisher : Widya Mandala Surabaya Catholic University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/mgs.v0i39.1364

This research focused on the issue of the reading strategies and reading comprehension of the Health Analyst Department students. The Health Analyst Department students need reading strategies to acquire knowledge according to their specific needs. They need to be able to comprehend their target texts. This research aimed to identify the Health Analyst Department students’ reading strategies and reading comprehension achievement as well as to correlate their reading strategies to reading comprehension. This research employed qualitative method. The research utilized Mokhtari and Sheorey’ (2002) survey of reading strategies (SORS) and reading comprehension test (RCT) as research instruments. All research data of reading strategies (global, problem solving and support reading strategies) and reading comprehension were analyzed by using descriptive statistics, linear regression and Pearson’s Product Moment correlation test. The students frequently utilized the problem solving reading strategies in comprehending their target texts. The correlation coefficient of support reading strategies is greater than the two others. Those results give indications that the students’ choices of reading strategies do not always give better reading comprehension. The students’ reading strategies have significant positive correlation to their reading comprehension with regard to their comprehending the target texts.

HUBUNGAN KADAR TROPONIN I DENGAN NILAI MEAN PLATELET VOLUME (MPV) DAN NILAI PLATELET LARGE CELL RATIO (P-LCR) PADA PASIEN SINDROM KORONER AKUT Kanaya Aulia Masardi; Evy Diah Woelansari; Wisnu Istanto; Suliati Suliati
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 3 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i3.13590

ABSTRACT Acute coronary syndrome (ACS) is a cardiovascular emergency caused by a sudden reduction in myocardial blood flow due to coronary artery obstruction, resulting in myocardial injury. Cardiac Troponin I is a specific biomarker of myocardial damage, whereas Mean Platelet Volume (MPV) and Platelet Large Cell Ratio (P-LCR) are indicators of platelet activity associated with atherothrombotic processes. This study aimed to analyze the relationship between Troponin I levels and MPV and P-LCR values in patients with ACS at Haji Regional General Hospital, East Java Province. An analytical observational study with a cross-sectional design was conducted from January to February 2026. A total of 30 patients diagnosed with ACS were selected using purposive sampling. Troponin I levels were measured using the Fluorescence Immunoassay method, while MPV and P-LCR were assessed using fluorescence flow cytometry. Data were analyzed using Spearman correlation analysis. The results showed that the mean Troponin I level was 2.49 ng/mL, the mean MPV was 10.29 fL, and the mean P-LCR was 26.63%. Spearman analysis demonstrated a significant positive correlation between Troponin I and MPV (p=0.047; r=0.365) as well as between Troponin I and P-LCR (p=0.039; r=0.380). It can be concluded that increased Troponin I levels are associated with elevated platelet activity parameters, indicating that MPV and P-LCR may serve as supportive hematological markers in the evaluation of patients with acute coronary syndrome. ABSTRAK Sindrom koroner akut (SKA) merupakan kegawatdaruratan kardiovaskular yang disebabkan oleh penurunan aliran darah ke miokard akibat penyumbatan arteri koroner dan berpotensi menimbulkan kerusakan jaringan jantung. Troponin I dikenal sebagai biomarker spesifik cedera miokard, sedangkan Mean Platelet Volume (MPV) dan Platelet Large Cell Ratio (P-LCR) merupakan indikator aktivitas trombosit yang berperan dalam proses aterotrombosis. Penelitian ini bertujuan menganalisis hubungan kadar Troponin I dengan nilai MPV dan P-LCR pada pasien SKA di RSUD Haji Provinsi Jawa Timur. Penelitian menggunakan desain observasional analitik dengan pendekatan cross-sectional yang dilaksanakan pada Januari–Februari 2026. Sebanyak 30 pasien SKA dipilih menggunakan teknik purposive sampling. Pemeriksaan Troponin I dilakukan dengan metode Fluorescence Immunoassay, sedangkan MPV dan P-LCR diperiksa menggunakan metode fluorescence flow cytometry. Analisis hubungan antarvariabel dilakukan menggunakan uji korelasi Spearman. Hasil penelitian menunjukkan rata-rata kadar Troponin I sebesar 2,49 ng/mL, MPV sebesar 10,29 fL, dan P-LCR sebesar 26,63%. Uji Spearman menunjukkan terdapat hubungan positif yang bermakna antara kadar Troponin I dengan MPV (p=0,047; r=0,365) serta antara kadar Troponin I dengan P-LCR (p=0,039; r=0,380). Disimpulkan bahwa peningkatan kadar Troponin I berkaitan dengan peningkatan parameter aktivitas trombosit, sehingga MPV dan P-LCR berpotensi menjadi parameter hematologi pendukung dalam evaluasi kondisi pasien sindrom koroner akut.

PERBANDINGAN NILAI LED MENGGUNAKAN ANTIKOAGULAN EDTA DENGAN NATRIUM SITRAT 3,8% PADA PASIEN DIABETES MELITUS TIPE 2 Nurul Aini Maghfiroh; Edy Haryanto; Wisnu Istanto; Gesang Jukadiarko
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 3 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i3.13514

ABSTRACT Erythrocyte sedimentation rate (ESR) is a hematological parameter widely used to assess inflammatory processes, including chronic inflammation in patients with type 2 diabetes mellitus. Although 3.8% sodium citrate is recommended as the standard anticoagulant for the Westergren ESR method, EDTA is more commonly used in clinical laboratories because of its practicality, which may influence ESR measurements. Therefore, this study aimed to compare ESR values obtained using EDTA and 3.8% sodium citrate anticoagulants in patients with type 2 diabetes mellitus. This comparative observational study with a cross-sectional design involved 34 patients with type 2 diabetes mellitus selected through purposive sampling. ESR measurements were performed using the Westergren method on paired blood samples collected in EDTA and 3.8% sodium citrate anticoagulants. The results showed that the mean ESR value was 34.32 ± 20.85 mm/hour (median: 32 mm/hour) for EDTA samples and 32.59 ± 21.57 mm/hour (median: 31 mm/hour) for 3.8% sodium citrate samples. Statistical analysis using the paired sample t-test revealed a significant difference between the two anticoagulants (p = 0.016). These findings indicate that the type of anticoagulant significantly affects ESR measurements in patients with type 2 diabetes mellitus. Therefore, 3.8% sodium citrate remains the preferred anticoagulant for the Westergren ESR method because it better preserves the physiological characteristics of blood samples and supports more accurate clinical interpretation of ESR results. ABSTRAK Pemeriksaan laju endap darah (LED) merupakan salah satu parameter hematologi yang sering digunakan untuk menilai proses inflamasi, termasuk pada pasien diabetes melitus tipe 2 yang umumnya mengalami inflamasi kronis. Meskipun natrium sitrat 3,8% direkomendasikan sebagai antikoagulan standar pada pemeriksaan LED metode Westergren, penggunaan EDTA masih banyak dijumpai di laboratorium karena lebih praktis sehingga berpotensi menghasilkan perbedaan nilai pemeriksaan. Penelitian ini bertujuan untuk menganalisis perbedaan hasil pemeriksaan LED menggunakan antikoagulan EDTA dan natrium sitrat 3,8% pada pasien diabetes melitus tipe 2. Penelitian menggunakan desain observasional komparatif dengan rancangan cross-sectional yang melibatkan 34 pasien diabetes melitus tipe 2 yang dipilih secara purposive. Pemeriksaan LED dilakukan menggunakan metode Westergren pada sampel darah yang mengandung antikoagulan EDTA dan natrium sitrat 3,8%. Hasil penelitian menunjukkan rerata nilai LED sebesar 34,32 mm/jam dengan median 32 mm/jam pada sampel EDTA, sedangkan pada natrium sitrat 3,8% diperoleh rerata sebesar 32,59 mm/jam dengan median 31 mm/jam. Hasil uji Paired Sample t-Test menunjukkan nilai signifikansi sebesar 0,016 (p < 0,05), yang menandakan adanya perbedaan signifikan antara hasil pemeriksaan LED menggunakan kedua antikoagulan. Temuan ini menunjukkan bahwa jenis antikoagulan memengaruhi hasil pemeriksaan LED, sehingga natrium sitrat 3,8% tetap lebih direkomendasikan untuk pemeriksaan LED metode Westergren karena mampu mempertahankan kondisi sampel yang lebih mendekati keadaan fisiologis dan mendukung ketepatan interpretasi hasil laboratorium pada pasien diabetes melitus tipe 2.

KORELASI HASIL UJI WIDAL DENGAN RAPID TEST IgG DAN IgM PADA PASIEN SUSPEK DEMAM TIFOID Fazira Azmi Haq; Evy Diah Woelansari; Christ Kartika Rahayuningsih; Wisnu Istanto
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 4 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i4.14121

Typhoid fever is a systemic infectious disease caused by Salmonella enterica serovar Typhi and requires laboratory examinations to support diagnosis. The Widal test and IgG/IgM rapid test are serological examinations that are still widely used in healthcare facilities, but they have different test characteristics. This study aimed to analyze the correlation between Widal test results and IgG and IgM rapid test results in patients with suspected typhoid fever at Dr. H. Moh. Anwar Regional General Hospital, Sumenep. This study employed an analytical observational design with a cross-sectional approach and purposive sampling technique. The study was conducted from February 2 to 28, 2026, involving 35 patients with suspected typhoid fever. The examinations included the slide agglutination Widal test and immunochromatographic IgG/IgM rapid test. Data were analyzed using Spearman's correlation test with a significance level of p < 0.05. The results showed a significant correlation between the Widal test and the IgG rapid test, with a correlation coefficient of r = 0.667 and p < 0.001, indicating a strong positive correlation. A significant correlation was also found between the Widal test and the IgM rapid test, with r = 0.861 and p < 0.001, indicating a very strong positive correlation. In conclusion, there was a significant correlation between Widal test results and both IgG and IgM rapid test results in patients with suspected typhoid fever. These findings indicate an association between the results of the two serological examinations; however, their interpretation should consider the patient's clinical condition and the stage of disease progression. ABSTRAK Demam tifoid merupakan penyakit infeksi sistemik yang disebabkan oleh Salmonella enterica serovar Typhi dan memerlukan pemeriksaan penunjang untuk membantu diagnosis. Uji Widal dan rapid test IgG/IgM merupakan pemeriksaan serologis yang masih digunakan di fasilitas pelayanan kesehatan, tetapi memiliki karakteristik pemeriksaan yang berbeda. Penelitian ini bertujuan menganalisis korelasi hasil uji Widal dengan rapid test IgG dan IgM pada pasien suspek demam tifoid di RSUD Dr. H. Moh. Anwar Sumenep. Penelitian menggunakan desain observasional analitik dengan pendekatan cross-sectional dan teknik purposive sampling. Penelitian dilaksanakan pada 2–28 Februari 2026 dengan jumlah sampel sebanyak 35 pasien suspek demam tifoid. Pemeriksaan dilakukan menggunakan uji Widal metode slide aglutinasi dan rapid test IgG/IgM metode imunokromatografi. Data dianalisis menggunakan uji korelasi Spearman dengan tingkat kemaknaan p < 0,05. Hasil penelitian menunjukkan terdapat korelasi signifikan antara hasil uji Widal dengan rapid test IgG dengan koefisien korelasi r = 0,667 dan p < 0,001 yang menunjukkan hubungan kuat. Korelasi antara hasil uji Widal dengan rapid test IgM juga signifikan dengan r = 0,861 dan p < 0,001 yang menunjukkan hubungan sangat kuat. Dengan demikian, terdapat korelasi signifikan antara hasil uji Widal dengan rapid test IgG dan IgM pada pasien suspek demam tifoid. Hasil tersebut menunjukkan adanya keterkaitan antara hasil kedua pemeriksaan serologis, tetapi interpretasinya tetap perlu mempertimbangkan kondisi klinis dan fase perjalanan penyakit.

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