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Increase in Neutrophil Lymphocyte Ratio in COVID-19 Patients Based on Symptom Severity Prasetya, Hieronymus Rayi; Muhajir, Nurlaili Farida; Wati, Mey Rena; Murtiningrum, Sri
Jurnal Ilmiah Biologi Eksperimen dan Keanekaragaman Hayati (J-BEKH) Vol. 11 No. 2 (2024)
Publisher : Department of Biology Faculty of Mathematics and Natural Sciences Universitas Lampung in collaboration with The Indonesian Association of Biology (PBI) Lampung Branch.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jbekh.v11i2.374

Abstract

The neutrophil lymphocyte ratio (NLR) is an indicator of the presence of a systemic inflammatory response. The neutrophil lymphocyte ratio parameter was calculated by comparing the number of neutrophils and the number of lymphocytes. Patients with severe COVID-19 who did not survive were found to have a higher neutrophil lymphocyte ratio compared to patients with a mild prognosis. Thisstudy uses a descriptive method, which aims to describe the value of the neutrophil lymphocyte ratio in COVID-19 patients based on the severity of symptoms. The average value of high neutrophil lymphocyte ratio (NLR) in COVID-19 patients occurred in the severe (6.12%) and critical (10.78%) categories. The average value of high neutrophils (Neutrophilia) in COVID-19 patients occurred in the severe (76%) and critical (82%) categories. The average value of low lymphocytes (lymphocytopenia) in COVID-19 patients occurred in the severe 17% and critical 12% category. The NLR value in patients with the severe category had an increase in the NLR value twice thenormal value, while in the critical category had an increase in the NLR value three times the normal value. 
Penyuluhan dan Pemeriksaan Kesehatan Dalam Upaya Deteksi Dini Anemia Pada Anak-Anak Di Panti Asuhan Al-Hikmah Cangkringan, Sleman Prasetya, Hieronymus Rayi
Jurnal Abdimas Jatibara Vol 3, No 2 (2025): Jatibara Vol.3 No.2 Februari 2025
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jaj.v3i2.2116

Abstract

Anemia is a condition in which the hemoglobin, a component in red blood cells, functions to bind oxygen and deliver it to all cells in the body so that they can carry out their functions properly. When you are anemic, your body feels weak and lethargic and gets tired easily, also known as 5L (Lethergic, Tired, Weak, Tired, Sluggish). Dizziness, cloudy eyes, and easy sleepiness accompany this. This community service aims to provide education and health checks to detect anemia early in children at the Al-Hikmah Cangkringan Orphanage, Sleman. The Methods of the study is four methods are used to implement community service activities: Target and Problem Surveys, Counseling on anemia, Health Checks (blood pressure, hemoglobin, and blood type checks), and Evaluation. The results of the study showed that examination of Hb levels in the children of Al-Hikmah Cangkringan Orphanage resulted in the category less than normal as much as 1 person (5%), normal as many as 17 people (90%) and the category above normal values as much as 1% (5%). Based on research results, most of the children at Al-Hikmah Orphanage are in the normal category and only 2 people need more supervision by the orphanage administrators.
Perbedaan Waktu Penambahan Reagen AHG Berpengaruh Terhadap Hasil Pemeriksaan Uji Silang Serasi Metode Tabung Rassajati, Syaqina; Mentari, Diani; Pebrina, Relita; Prasetya, Hieronymus Rayi
Jurnal Analis Medika Biosains (JAMBS) Vol 9, No 1 (2022): JURNAL ANALIS MEDIKA BIOSAINS (JAMBS)
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jambs.v9i1.267

Abstract

Transfusi darah adalah proses pemberian darah dari seseorang (donor) kepada orang lain (resipien) yang bertujuan untuk mengganti darah hilang akibat perdarahan, mengatasi shock, memelihara serta mempertahankan kesehatan resipien. Analisis pretransfusi khususnya pada uji serologi sangat diperlukan untuk menjamin darah yang ditransfusikan aman dan tidak menyebabkan reaksi transfusi. Proses pencocokan darah donor dan dengan darah pasien/resipien dilakukan melalui uji. uji silang serasi (crossmatch). Uji silang serasi dapat dilakukan melalui 2 metode yaitu yaitu menggunakan tabung dan gel card. Uji silang serasi metode tabung terdiri dari 3 fase yaitu fase 1, fase 2 dan fase 3. Pada Fase 3 merupakan tahapan yang paling berpengaruh, karena ada penambahan Anti Human Globulin (AHG). Reagen AHG berisi immunoglobulin yang berfungsi sebagai penghubung antibodi inkomplit (antibodi IgG yang menyelubungi eritrosit), sehingga akan terdeteksi melalui terbentuknya aglutinasi (gumpalan). Namun perlu diketahui bahwa ikatan antar antibodi tidak dapat bertahan lama. Ikatan antar antibodi (AHG dan antibodi inkomplit) dapat terlepas kembali (disosiasi), sehingga hasil pemeriksaan dapat menjadi false negatif. Tujuan penelitian ini adalah untuk mengetahui apakah waktu penambahan AHG mempengaruhi derajad aglutinasi pada saat uji silang serasi. Penelitian ini menggunakan metode uji silang serasi metode tabung dengan menggunakan golongan darah O rhesus positif sebagai sampel. Analisis data dilakukan melalui pengamatan derajat aglutinasi pada tiap fase uji silang serasi. Pada penelitian ini, adanya perbedaan waktu penambahan AHG mempengaruhi hasil pemeriksaan uji silang serasi. Kesimpulan dalam penelitian ini adalah efektifitas penambahan AHG pada uji silang serasi metode tabung yaitu pada menit ke 2-10 menit.