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EFFECT OF VIRGIN COCONUT OIL SUPPLEMENTATION ON AFB SPUTUM CONVERSION RATE, SOD, AND BMI LEVELS IN PULMONARY TUBERCULOSIS PATIENTS Muhammad Ajib Nuzula; Mohamad Isa; Juhairina; Haryati; Isa Ansori; Erna Kusumawardhani
Majalah Biomorfologi Vol. 34 No. 2 (2024): MAJALAH BIOMORFOLOGI
Publisher : Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mbiom.v34i2.2024.102-113

Abstract

Highlights 1. VCO can accelerate AFB sputum conversion in tuberculosis infection. 2. VCO can decrease SOD levels as a marker of inflammation.   Abstract Background: Pulmonary tuberculosis has the potential to raise illness and death rates on a global scale significantly. A low sputum conversion rate for acid-fast bacilli (AFB) and malnutrition are indicators of failure in pulmonary TB treatment. Virgin coconut oil (VCO) contains lauric acid and has antibacterial, antioxidant, and anti-inflammatory effects. Objective: This study aimed to examine the effect of VCO supplementation on sputum AFB conversion rates, superoxide dismutase (SOD) levels, and body mass index (BMI) status of pulmonary TB patients. Material and Methods: This study was an analytic experimental study measuring BMI levels and SOD levels at the Pekauman Community Health Center, Sultan Suriansyah Hospital, and Ulin Hospital, Banjarmasin, Indonesia, between July and September 2023. This study, 40 samples were separated into two groups: the treatment group, which received first-line antithyroid drugs (ATD) with VCO, and the control group, which received first-line ATD and a placebo. Results: Based on the proportion, there was an improvement in the acceleration of BTA sputum conversion, and from the mean BMI and the median value of both groups, there was a decrease in SOD levels after VCO administration. No statistically significant association was found between VCO administration and accelerating the AFB sputum conversion and BMI at the end of the fourth and eighth weeks (p>0.05). Additionally, there was no relationship considered between VCO administration and reducing SOD levels before and after treatment (p>0.05). Conclusion: VCO administration had no relationship with the level of AFB sputum conversion, reduction in SOD levels, and BMI status in pulmonary TB patients.
Albumin Levels before Therapy and Clinicopathological Parameters of Lung Cancer Patients Erna Kusumawardhani; Nor Fiayanti Hadiani
Majalah Biomorfologi Vol. 35 No. 1 (2025): MAJALAH BIOMORFOLOGI
Publisher : Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mbiom.v35i1.2025.29-39

Abstract

Highlights A notable finding was the significant relationship between albumin levels and ECOG scores, emphasizing the potential of albumin as an indicator of functional status in lung cancer patients. The research provided a comprehensive analysis of the correlation between albumin levels and various clinicopathological conditions.   Background: Serum albumin levels provide an objective measure of malnutrition. Albumin plays crucial roles in maintaining intravascular oncotic pressure, facilitating substance transport, and acting as a free radical scavenger. The progression of tumors, including lung cancer, is closely associated with malnutrition and cancer-related inflammation, which suppress albumin synthesis. Therefore, albumin can serve as a biomarker for assessing lung cancer progression. Low albumin levels are linked to poor prognosis. Objective: The aim of this study was to examine the relationship between albumin levels and lung cancer. Material and Method: This study included 130 lung cancer patients who underwent albumin testing. A cross-sectional study was conducted using medical records of patients diagnosed with lung cancer from January 2023 to December 2023. Data were collected on various factors, including age, gender, smoking status, cancer history, clinical symptoms, histopathological type, cancer stage, EGFR mutation status, ECOG score, clinical pleural effusion, Visual Analog Scale (VAS), and Body Mass Index (BMI). Result: The study sample was predominantly male (71.5%), aged over 50 years (76.9%), and active smokers (34.6%). Common symptoms included cough (83.8%) and shortness of breath (72.3%), with pleural effusion present in 53.8%. The majority had a moderate VAS score (46.9%) and were classified as underweight based on BMI (54.6%). Most patients were at stage IVA (63.0%), had an ECOG score of 1 (43.8%), and were diagnosed with adenocarcinoma (73.8%). A significant relationship was found between ECOG scores and albumin levels, with 70.6% of hypoalbuminemic samples having an ECOG score of 3 (p < 0.005). Conclusion: A significant relationship was observed between albumin levels and ECOG scores in lung cancer patients.