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Analysis of Serum Creatinine Levels, Blood Pressure and Grade of Hypertension of Chronic Disease Management Program Participants Tanjung, Asbar; Nurhidayah, Ika; Maulidayanti, Sharfina; Br Situmorang, Ing Mayfa
Medical Laboratory Technology Journal Vol. 10 No. 2 (2024): December
Publisher : Poltekkes Kemenkes Banjarmasin Jurusan Analis Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/mltj.v10i2.619

Abstract

Indonesia is one of the countries with the highest number of cases of hypertension in the world; the predominant patient is the elderly. In some patients with hypertension, increased blood pressure causes impaired salt and creatinine excretion, resulting in poor kidney function. A chronic disease management program is a health care system with a proactive-integrative approach to prevent further complications. The research objective is to analyze serum creatinine levels, blood pressure, and hypertension grade and determine the relationship between serum creatinine and blood pressure in chronic disease management program participants. The study subjects, 73 participants with hypertension, were obtained by purposive sampling. Patient data and hypertension grade were obtained from medical records; an auto chemistry analyzer analyzed serum creatinine. Data were analyzed using the Pearson correlation test using SPSS. Participants with hypertension fall into the elderly age (60-69 years), totalling 31 (42%); pre-elderly age (45–59 years) includes 28 (38%); and high-risk elderly age (>70 years) includes 14 (19%). Most of the participants (40 participants) fell into hypertension stage II, followed by hypertension stage I (25 participants), and only 8 participants fell into the elevated category. The mean serum creatinine of participants with Elevated blood pressure criteria was 0.89±0.178, Hypertension grade I 0.91±0.322, and hypertension grade II 0.99±0.269, illustrating a trend of increasing serum creatinine levels due to higher blood pressure criteria. Pearson correlation test shows a significant correlation between both systolic blood pressure with serum creatinine levels (p<0.05, r=0.2) and diastolic blood pressure with serum creatinine levels (p=0.007, r=0.342). There was a trend of increasing serum creatinine levels corresponding to the hypertension grade in participants. Blood pressure was significantly correlated with serum creatinine, clearly confirming that an increase in blood pressure may followed by an increase in serum creatinine.
Evaluation of mangosteen peel extract in the kato-katz technique for enhanced visualization of helminth eggs Tanjung, Asbar; Maulidayanti, Sharfina; Br Situmorang, Ing Mayfa
Journal of Indonesian Medical Laboratory and Science Vol 6 No 2: Oktober 2025
Publisher : Asosiasi Institusi Pendidikan Tinggi Teknologi Laboratorium Medik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53699/joimedlabs.v6i2.299

Abstract

Background: Mangosteen rind (Garcinia mangostana) contains anthocyanins, which have potential as natural dyes. One promising application is as a substitute for malachite green in the Kato-Katz technique, a fecal examination method used to detect helminth eggs such as Ascaris lumbricoides. Objectives: To evaluate the effectiveness of mangosteen peel extract at various concentrations (25%, 50%, 75%, and 100%) as an alternative staining agent in the Kato-Katz method. Materials and Methods: This laboratory-based experimental study utilized fecal samples positive for A. lumbricoides, which were examined using the Kato-Katz method with selophane tape soaked in mangosteen rind extract. Observed parameters included egg count per gram of feces (epg), clarity of egg morphology, and background contrast under the microscope. Results: The 75% concentration yielded the best performance, with optimal background staining, clear egg morphology, and the highest average egg count (853 eggs per gram). Concentrations of 25%, 50%, and 100% showed lower effectiveness. Conclusions: A 75% concentration of mangosteen rind extract is effective as a natural dye substitute for malachite green in the Kato-Katz method, providing good visual contrast and supporting accurate identification of helminth eggs