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INDONESIA
Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML)
Published by Perhimpunan Dokter Spesialis Patologi Klinik Indonesia
ISSN : 08544263     EISSN : 24774685     DOI : https://dx.doi.org/10.24293
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience
Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) is a journal published by “Association of Clinical Pathologist” professional association. This journal displays articles in the Clinical Pathology and Medical Laboratory scope. Clinical Pathology has a couple of subdivisions, namely: Clinical Chemistry, Hematology, Immunology and Serology, Microbiology and Infectious Disease, Hepatology, Cardiovascular, Endocrinology, Blood Transfusion, Nephrology, and Molecular Biology. Scientific articles of these topics, mainly emphasize on the laboratory examinations, pathophysiology, and pathogenesis in a disease.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 1,328 Documents
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METODE BROMCRESOL GREEN (BCG) DAN BROMCRESOL PURPLE (BCP) PADA SIROSIS HATI YANG MENDAPAT INFUS ALBUMIN Miftahul Ilmiah; Leonita Anniwati; Soehartini Soehartini
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 20, No 2 (2014)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v20i2.1070

Abstract

Albumin infusion is one of the therapeutic options in hypoalbuminemia patients. Serum albumin can be used to determine the albumininfusion therapy, prognosis and monitoring of liver cirrhosis. The time difference in measurement of serum albumin by bromcresol green(BCG) and bromcresol purple (BCP) methods can give different results. Serum albumin examination was done in 20 sera taken fromcirrhosis patients. Serum albumin was then evaluated before treatment, one (1) hour and 24 hours after the patient received an infusionof albumin and examined by bromcresol green (BCG) and bromcresol purple (BCP) methods. The serum albumin level by BCG methodincreased with a coefficient of 0.12 (p-value=0.022) with BCG method before (1.94±0.32 mg/dL) and after one (1) hour (2.06±0.32mg/dL) receiving intravenous albumin. The coefficient of albumin levels before and after 24 hours (2.12±0.38 mg/dL) was 0.18 (pvalue=0.07), whereas the increased levels of serum albumin after one (1) hour and after 24 hours of intravenous albumin, were notsignificant (p-value=0.467). The BCP method showed that serum albumin before, after one (1) hour and after 24 hours receivingintravenous albumin were 1.68±0.36 mg/dL, 1.87±0.36 mg/dL and 2.12±0.63 mg/dL respectively. The albumin levels showed asignificant increase before and after one (1) hour infusion of albumin (p-value=0.00), both levels shown before and after 24 hours(p-value=0.001), as well as one (1) hour and 24 hours after receiving intravenous albumin (p-value=0.04). The results of this studyshowed that increased serum albumin by BCG method could be detected after 1 (one) hour, whereas by BCP method could only be detectedafter 24 hours receiving intravenous albumin.
ANALYSIS OF MEAN PLATELET VOLUME AS A MARKER FOR MYOCARDIAL INFARCTION AND NON-MYOCARDIAL INFARCTION IN ACUTE CORONARY SYNDROME Wandani Syahrir; Liong Boy Kurniawan; Darmawaty Rauf
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 24, No 1 (2017)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v24i1.1160

Abstract

Sindrom Koroner Akut (SKA) merupakan manifestasi akut dari plak aterosklerosis pembuluh darah koroner yang koyak atau pecah.Platelet berperan penting pada patogenesis aterosklerosis dan SKA. Nilai MPV yang tinggi mencerminkan ukuran platelet yang lebih besardan lebih reaktif. Penelitian ini merupakan penelitian retrospektif potong lintang di Rumah Sakit Dr. Wahidin Sudirohusodo Makassardengan mengambil data pasien dengan diagnosa SKA (STEMI, NSTEMI dan UAP). Sampel SKA kemudian dibagi menjadi kelompokInfark Miokard (STEMI dan NSTEMI) dan non-Infark Miokard (UAP). Nilai platelet dan MPV diambil dari hasil pemeriksaan darah rutinpertama sejak pasien masuk Instalasi Gawat Darurat RSUP Dr. Wahidin Sudirohusodo. Nilai platelet dan MPV dibandingkan berdasarkankelompok SKA. Sebanyak 251 data pasien SKA Infark Miokard dan non-Infark Miokard diperoleh masing-masing 191 data pasien InfarkMiokard dan 60 data pasien non-Infark Miokard. Hasil uji statistik Mann-Whitney tidak didapatkan perbedaan bermakna nilai plateletantara pasien SKA Infark Miokard dan non-Infark Miokard (263,4 ± 93,2 vs 285,2 ± 98,7; p=0,215). Namun didapatkan perbedaanbermakna nilai MPV antara pasien SKA Infark Miokard dan non-Infark Miokard (8,3 ± 1,13 vs 7,9 ± 1,2; p=0,013). Hasil penelitiandidapatkan nilai MPV di SKA Infark Miokard lebih tinggi daripada SKA non-Infark Miokard. Peneliti menyarankan penggunaan MPVsebagai tolok ukur yang berkemampuan dalam membantu penegakan diagnosa infark miokard.
PNEUMOCYSTIS PNEUMONIA (PCP) DI PENDERITA HIV DAN AIDS DENGAN KELAINAN PARU R. Heru Prasetyo
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 20, No 1 (2013)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v20i1.446

Abstract

PCP is one of the most common opportunistic infection in HIV and AIDS patients. A definitive diagnosis of PCP in HIV and AIDS patients in Dr. Soetomo General Hospital Surabaya has not been previously done. A definitive diagnosis have the role in the therapy and to prevent the illness as well. PCP is diagnosed by using a microscope to indentify Pneumocystis jerovecii in the lung fluid or tisuue. The objective of this study was to know how to detect Pneumocystis jerovecii in the sputum samples and to know the determination of the prevalence of PCP in HIV and AIDS patients suffered with pulmonary symptom who were hospitalized in Dr. Soetomo General Hospital Surabaya. This research was carried out by a cross sectional study utilizing waste sputum samples from HIV and AIDS patients. The detection of Pneumocystis jerovecii used Giemsa stain. Six sputum samples among 18 sputum samples (33.33%) HIV and AIDS patients were Pneumocystis jerovecii positive. Based on this findings HIV and AIDS patients with pulmonary symptoms should be suspect having the possibility of PCP as opportunity infection in HIV and AIDS existed, and there for the detection of the Pneumocystis jerovecii in sputum sample must becoming routinelycarried out in the laboratory examination for HIV and AIDS patients which also suffering pulmonary symptom.
LDL TEROKSIDASI DAN KEPADATAN MINERAL TULANG (Oxidized LDL Cholesterol and Bone Mineral Density) Sheila Febriana; Yurdiansyah Yurdiansyah; Siti Rafiah; Ruland DN Pakasi; Uleng Bahrun
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 22, No 1 (2015)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v22i1.1224

Abstract

Osteoporosis is defined by low bone density and micro architectural deterioration of bone tissue with a consequent increase in bonefragility and risk of fracture. Bone Mineral Density (BMD) is a gold standard for the diagnosis of osteoporosis, which need special device,and expensive fee. So it is not routinely done, therefore another type of examination methods is needed. Oxidized LDL (oxLDL) cholesterolis the parameter correlated with diminished bone mineral density by affecting osteoblast and osteoclast. The aim of this study was toknow the role of oxLDL in diminished bone mineral density by analyzing it. Cross sectional study was held on 78 subjects during theperiod of October 2011 until June 2013 using the primary data from 30−60 years women population in Makassar, whose FPG, ALT,AST, urea and creatinine are within normal limit. Using oxLDL 6.8mU/L value as cut off, had found odds ratio increase 2.2 times with68.8% probability to suffer diminished BMD. Receiver Operating Characteristic (ROC) analysis show area under curve is 60.8%, using8.05mU/L as a cut off point resulting 68.8% sensitivity, 59.2% specifity, 76.1% positive predictive value, 50% negative predictive value,1.71 positive likelihood ratio, 0.53 negative likelihood ratio and 65.4% accuracy. Concluded that oxLDL ≥6.8mU/L increases risk tosuffer diminished BMD 2.2 times. As a diagnostic marker, oxLDL has a weak diagnostic strength and accuracy (68.8% sensitivity and59.2% specifity). The researchers have the opinion to perform a further study with larger and various population, concern on oxLDLbio availability and use it with another parameter as a panel test.
ANALISIS BAHAN BAKU AIR MINUM DAN PRODUK OLAHANNYA SERTA ELIMINASI TERHADAP PENCEMARAN HORMON STEROID DAN LOGAM BERAT L. Mahaputra; SI Zadjuli; M. Ansori; Prihatin .; Sugianto .; Ismudiono .; H Callo
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 16, No 3 (2010)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v16i3.1033

Abstract

Steroid hormone and alloy could contaminate the drinking water which danger to human, because make bad side effect on the health. Steroid hormon may cause diseases ie. malignancy particularly of gen mutation and and heavy alloy may cause discrepancies oforgan among others: lever, kidneys, brain and the others. The objective of this research was to identify quantitatively either steroid sexhormones or heavy metal contaminants in drinking water. The water examination of PDAM, household and mineral water was doneby ELISA method to steroid hormones in Laboratory of veterinary obstetric and endocrine UNAIR .The alloy were analyzed by Atomicabsorption method in Dept. Of Chemistry in ITS laboratory. The data were analyzed by descriptive statistic show that all kinds of drinkingwater samples were not contaminated neither heavy metal such as Cd and Pb nor male sex hormone. But unfortunately contaminationof heavy metal mainly cuprum (Cu) spread it out for all kind of drinking water and its product so then the highest contamination foundin dig-land-water was 87%. The other hand more frequent female sex hormone contaminated drinking water there was estrogen and secondly followed with progesterone hormone. Examination of contaminant steroid hormone in drinking water, water supply of PDAM, Vendors water and mineral water didn’t contaminate with alloy (Cd and Pb) ,also they didn’t contaminate with testoteron hormonehowever almost water reservoir and more over dig-land-water of Mamuju Regency contaminated with Cu more than 0.02 ppm
THE MORPHOLOGICAL FEATURES OF ERYTHROCYTES IN STORED PACKED RED CELLs Dewi Sri Kartini; Rachmawati Muhiddin; Mansyur Arif
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 23, No 2 (2017)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v23i2.1128

Abstract

Morfologi eritrosit Packed Red Cells (PRC) akan mengalami perubahan selama penyimpanan di suhu 2°–8°C. Eritrosit dalammempertahankan viabilitasnya membutuhkan adenosine triphosphate (ATP). Apabila kadar ATP intraseluler menurun, terjadi kerusakanlipid membran, penumpukan Natrium dan Kalsium intraseluler, penurunan kadar Kalium dan air intraseluler, dehidrasi sel, membranmenjadi kaku dan bentuknya berubah dari cakram menjadi sel krenasi, sferosit dan bite cell. Penelitian ini bertujuan untuk melihatpersentasi bentuk eritrosit crenated cell, sferosit dan bite cell PRC simpan pada hari ke-3 yang digunakan sebagai pembanding, hari ke-7,ke-14 dan ke-21 dari tanggal aktaf kantong darah. Penelitian observasional dengan pendekatan kajian kohort dilakukan pada bulanAgustus 2015 di BDRS RSUP Dr. Wahidin Sudirohusodo Makassar. Sampel sebanyak 30 selang kantong darah menjadi 120 hapusandarah slide. Dari 30 sampel kantong darah dengan golongan darah A 26,6%, B 13,3%, AB 16,6% dan O 43,3%, didapatkan peningkatanpersentase jumlah crenated cell, sferosit dan bite cell setelah penyimpanan hari ke-3, ke-7, ke-14 dan ke-21. Penyimpanan hari ke-3dijadikan pembanding. Data diolah dengan menggunakan uji Fiedman dan Wilcoxon dengan nilai kemaknaan p<0,001. Terdapatpeningkatan persentase perubahan morfologi eritrosit (crenated cell, sferosit dan bite cell) seiring dengan lamanya penyimpanan darahPRC. Pemakaian darah PRC dianjurkan tidak boleh melebihi 21 hari penyimpanan.
THE DIAGNOSTIC VALUE OF HEART-TYPE FATTY ACID BINDING PROTEIN (h-FABP) RAPID TEST RELATED TO CARDIAC TROPONIN I IN NON ST ELEVATION MYOCARDIAL INFARCTION (NSTEMI) F.R. Marpaung; Sidarti Soehita SFHS; Yogiarto Yogiarto; Yusri Yusri
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 17, No 2 (2011)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v17i2.1017

Abstract

Acute coronary syndrome (ACS) is caused by atherosclerotic plaque rupture and microembolization which lead to decreased oxygensupply into the myocardium. Generally, ACS includes an unstable angina (UA), non ST elevation myocardial infarction (NSTEMI) andST elevation myocardial infarction. ACS may lead to ST elevation Myocardial Infarction (STEMI) and finally a sudden death. Cardiactroponin is used routinely for diagnosing acute coronary syndrome (ACS); however, troponin is not elevated in the initial hours ofACS—precluding their usefulness in the early diagnosis. The aim of this study is to determine the diagnostic value of h-FABP Rapid testin relation to Cardiac Troponin I in NSTEMI. Seventy five patients with ACS were enrolled in this study. All patients presented symptomswithin six hours of the onset and suffered typical chest pain. Blood samples were obtained for rapid test h-FABP (cardiodetect) andTroponin I (tropospot). The h-FABP showed a 93.5% sensitivity, 95% CI: 81.1–98.3 and 82.8% specificity, 95% CI: 63.5–93.5, PositivePredictive Value 89.6%, 95% CI: 76.6–96.1, Negative Predictive Value 88.9%, 95% CI: 69.7–97.1, respectively in the first six hours.Troponin I had a 60.9% sensitivity, 95% CI: 45.4–74.5 and 96.6% specificity, 95% CI: 80.4–99.8, Positive Predictive Value 96.6%,95% CI: 80.4–99.8, Negative Predictive Value 60.9%, 95% CI: 45.4–74.5, respectively in the first six hours. Based on this study resulton patients with Non ST Elevation Myocardial Infarction (NSTEMI), it is suggested to determine the h-FABP as well. For this purpose,point-of-care h-FABP test can be utilized, as it has the advantage of highly sensitivity and specificity, beside it can carry on a bedsidetesting and show a rapid test results as well.
THE CORRELATION BETWEEN THE MEAN PLATELET VOLUME VALUES WITH THROMBOCYTE AGGREGATION IN NEPHROPATHY DIABETIC PATIENTS Agus Sunardi; Nadjwa Zamalek Dalimoenthe; Coriejati Rita; Adhi Kristianto Sugianli
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 25, No 1 (2018)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v25i1.1510

Abstract

     Diabetic nephropathy is the most important cause of end-stage renal failure. Chronic hyperglycemia will cause glomerular endothelial damage, and this damage will stimulate hemostasis activation including platelets so that platelet aggregation will increase. The increase of platelet aggregation will increase platelet consumption, which further stimulates thrombopoiesis which will lead to immature platelets of large size to be released into the circulation. This research aimed to determine the positive correlation between MPV with platelet aggregation in patients with diabetic nephropathy. This study was an analytic observational study with a cross-sectional study design. The research was conducted in the Dr. Hasan Sadikin Hospital Bandung from July 2016 to October 2017. A total of 52 subjects who met the inclusion criteria were included in the study. Mean platelet volume and platelet aggregation were performed with venous examination with EDTA and sodium citrate 3.2% anticoagulants. The result of platelet aggregation examination showing platelet hyper-aggregation was found in 44.2% of subjects, 50% normal-aggregation, 5.8% hypo-aggregation. While the median value of MPV in this study was 9.2 fL with the range of 8.00 – 11.80 fL. A positive correlation was found  between MPV value with platelet aggregation with r= 0.067, p= 0.634. The conclusion was that there was no correlation between MPV values with platelet aggregation in diabetic nephropathy patients. This small and insignificant r-value might be due to several factors that also affect platelet aggregation in diabetic nephropathy patients, requiring further investigation.
KANKER OVARIUM DISGERMINOMA Hegaria Rahmawati; Darmawaty ER; Ruland DN Pakasi
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 19, No 1 (2012)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v19i1.390

Abstract

Ovarian cancer is a female reproductive organ malignancy and the second most common gynaecological type cancers. World Health Organisation classifies ovarian cancer based on their origin: superficial stroma-epithelium tumour, cord-stroma sex tumour, and germ cell tumour originated from germinal cells (yolk sac). Epithelium type of ovarian cancer is common, while the germinal type is rare and can be found in teenagers and young women aged 16-20 years old. A case of suspected dysgerminomas ovarian cancer grade IIIA was reported in a 12 years old girl. The diagnosis was established by tumour markers, USG/CT Scan of abdomen, surgery, and frozen section evaluations. The reviewer expected better survival prognosis after surgery and three cycles of chemotherapy combinations were executed. The evaluations of when serial tumour markers CA-125 were suggested during chemotherapy to detect any recurrences factors possibility of the related cancer.
INTERFERON GAMMA AND INTERLEUKIN-10 LEVELS IN PBMC OF ACTIVE AND LATENT TUBERCULOSIS PATIENTS AS WELL AS HEALTHY INDIVIDUALS Tedja, I G.A. Wiradari; Nugraha, Jusak; Tambunan, Betty Agustina; Oetami, Fransisca Sri
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 24, No 2 (2018)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v24i2.1309

Abstract

Tuberculosis (TB), an infectious disease caused by a Mycobacterium tuberculosis, is still a health problem in Indonesia, and the world. One of the failures to control the TB epidemic is due to the lack of effective vaccines available today. Protective immune responses to M.tuberculosis are dominated by cellular immunity and less by humoral immunity. IFN-γ, and IL-10 play a role in the protection of against M.tuberculosis, and the pathogenesis of TB. Fusion antigen ESAT-6-CFP-10 has a strong antigenicity to T cells and stimulates specific cellular immune responses, thereby providing benefit in immune responses that are protective against M.tuberculosis infection. The aimed of this study was to know the difference betwen IFN-γ, and IL-10 levels on PBMC culture of active TB, latent TB, and healthy people after ESAT-6-CFP-10 fusion antigen stimulation. This study used an in vitro of quasi experimental design in PBMC cultures of active TB, latent TB, and healthy people groups stimulated by ESAT-6-CFP-10 antigen fusion Mycobacterium tuberculosis. IFN-γ, and IL-10 levels were measured by ELISA method. The results were analyzed by one-way ANOVA. The mean levels of IFN-γ post-stimulation of ESAT-6-CFP-10 fusion antigens did not differ (p=0.359) in the active pulmonary TB group (0.07 - 2114), latent TB (6.84 - 1381) and healthy people 1.88 - 1807.70), as well as the mean levels of IL-10 (p=0.712) in the active pulmonary TB (16.70 - 328.80), latent TB (29.70 - 323.60 ) and healthy people (31.30 - 958). There were no significant differences in levels of IFN-γ and IL-10 in active TB, latent TB, and healthy people after stimulation by fusion antigen ESAT-6-CFP-10. 

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