Abstrak Diagnosis Myelodysplastic syndrome (MDS) ditegakkan berdasarkan pemeriksaan hematologi, morfologi sel darah tepi, sumsum tulang, pemeriksaan lanjutan sitogenetika dan imunofenotiping, namun dua pemeriksaan terakhir ini tidak tersedia di semua rumah sakit di Indonesia sehingga diagnosis MDS terbatas pada pemeriksaan morfologi sel darah tepi dan sumsum tulang. Tujuan: Mengetahui gambaran hematologi pasien MDS di RSUP Dr. M. Djamil Padang. Ini merupakan penelitian deskriptif di laboratorium sentral RSUP Dr. M. Djamil Padang dari bulan November 2016 sampai dengan Oktober 2017. Populasi adalah semua pasien yang melakukan pemeriksaan sumsum tulang. Sampel penelitian adalah semua pasien yang telah didiagnosis MDS berdasarkan hasil pemeriksaan hematologi, sediaan hapus darah tepi dan sumsum tulang. Hasil: Didapatkan 19 penderita MDS. Pemeriksaan: anemia 68,4%, anemia+organomegali 31,6%. Pemeriksaan hematologi: anemia+leukopenia+trombositopenia 57,8%, anemia+leukopenia 21,1%, anemia+trombositopenia 21,1%. Pemeriksaan sediaan hapus darah tepi: gambaran eritosit, ukuran: anisopoikilositosis 73,6%, normositik 26,4%; warna: polikrom 57,8%, normokrom 42,2%, ditemukan blast pada 42,1% penderita. Pemeriksaan sediaan hapus sumsum tulang, selularitas: hiposelular 73,6%, hiperselular 21,1%, normoselular 5,3%. Displasia seri eritropoietik+granulopoietik+trombopoietik 47,4%; seri eritropoietik+ granulopoietik 31,5%; seri eritropoietik+trombopoietik 15,8%; seri eritropoietik saja 5,3%. Simpulan: Gambaran hematologi pasien MDS terbanyak pada penelitian ini adalah anemia, anisopoikilositosis, polikrom, selularitas hiposelular, dan ditemukannya displasia seri eritropoietik, granulopoietik dan trombopoietik. Kata kunci: Myelodysplastic syndrome Abstract The diagnosis of Myelodysplastic syndrome (MDS) based on hematological examination, peripheral blood cell morphology, bone marrow, advanced cytogenetic and immunophenotyping, but the last two are not available in all hospital in Indonesia, so the MDS diagnosis is limited to morphology of peripheral and bone marrow blood cells. Objectives: To investigated the hematological features of MDS patients in Dr. M. Djamil Hospital Padang, Methods: this was a descriptive study in the central laboratory of Dr. M. Djamil Hospital Padang from November 2016 to October 2017. The population was all patients with bone marrow examination.The subject was all patient who had been diagnosed with MDS from the results of a hematological examination, peripheral blood smear, and bone marrow examination. Nineteen MDS patients in this study. Results: Physical examination results: anemia 68.4%, anemia+organomegaly 31.6%. Hematological examination: anemia+leukopenia+thrombocytopenia 57.8%, anemia+ leukopenia 21.1%, anemia+thrombocytopenia 21.1%. Examination of peripheral blood smears: for erythocyte, size: anisopoikilosytosis 73.6%, normocytic 26.4%; color: polychrome 57.8%, normochrome 42.2%, blast found in 42.1% of patients. Examination of bone marrow smears, cellularity: hypocellular 73.6%, hypersellular 21...

Malaria masih merupakan masalah kesehatan di daerah tropis dan sub tropis terutama Asia dan Afrika dengan angka kesakitan dankematian yang tinggi. Parasit masuk ke dalam darah selain menimbulkan gejala klinis berupa demam, juga diduga memicu terjadinyaperubahan hematologi antara lain monositosis dan trombositopenia. Penelitian ini bertujuan mengetahui uji diagnostik tolok ukurhematologi di pasien terduga malaria. Penelitian uji diagnostik potong lintang ini dilakukan terhadap 60 orang pasien terduga malariayang memenuhi patokan kesertan dan nonkesertaan masa waktu Juli 2015 sampai Maret 2016 di Instalasi Laboratorium Sentral RSUP.Dr. M. Djamil Padang, Rumah Sakit Tingkat III Reksodiwiryo Padang, Puskesmas Barung Belantai Kabupaten Pesisir Selatan, RumahSakit Hanafie Kabupaten Bungo, Rumah Sakit Sultan Thaha Saifuddin dan Puskesmas Rimbo Bujang Kabupaten Tebo. Tolok ukur yangdiperiksa selain mikroskopis malaria adalah hitung monosit dan trombosit. Analisis statistik menggunakan piranti lunak dan Tabel2×2. Kepekaan dan kekhasan demam, bertempat tinggal atau ditemukan riwayat perjalanan di daerah endemis malaria serta hitungmonosit >8% dan hitung trombosit <150.000/mm3 dibandingkan pemeriksaan mikroskopis pada penelitian ini berturut-turut adalah81,6% dan 81,8%. Nilai duga positif, nilai duga negatif, rasio kemungkinan positif dan rasio kemungkinan negatif pada penelitian iniberturut-turut adalah 88,6%, 72%, 4,5 dan 0,2. Penelitian ini mendapatkan kepekaan dan kekhasan demam, bertempat tinggal atauditemukan riwayat perjalanan di daerah endemis malaria serta hitung monosit >8% dan hitung trombosit <150.000/mm3 yang tinggidibandingkan pemeriksaan mikroskopis di pasien malaria.

Metabolic acidosis is prevalent among critically ill patients and the common cause of metabolic acidosis in ICU is lactic acidosis. However, not all ICUs can provide lactate measurement. The traditional method that uses Henderson-Hasselbach equation (completed with BE and AG) and alternative method consisting of Stewart and its modification (BDEgap and SIG), are acid-base balance parameters commonly used by clinicians to determine metabolic acidosis in critically ill patients. The objective of this study was to discover the association between acid-base parameters (BE, AGobserved, AGcalculated, SIG, BDEgap) with lactate level in critically ill patients with metabolic acidosis. This was an analytical study with a cross-sectional design. Eighty-four critically ill patients hospitalized in the ICU department Dr. M. Djamil Padang Hospital were recruited in this study from January to September 2016. Blood gas analysis and lactate measurement were performed by potentiometric and amperometric method while electrolytes and albumin measurement were done by ISE and colorimetric method (BCG). Linear regression analysis was used to evaluate the association between acid-base parameters with lactate level based on p-value less than 0.05. Fourty five (54%) were females and thirty-nine (46%) were males with participant’s ages ranged from 18 to 81 years old. Postoperative was the most reason for ICU admission (88%). Linear regression analysis showed that p-value for BE, AGobserved, AGcalculated, SIG and BDEgap were 119; 0.967; 0.001; 0.001; 0.689, respectively. Acid-base balance parameters which were mostly associated with lactate level in critically ill patients with metabolic acidosis were AGcalculated and SIG.

Sepsis is a systemic inflammatory response with the presence of suspected or proven infection. The inflammation will increase the production of proinflammatory cytokines that will activate coagulation and suppress fibrinolytic system. An imbalance of hemostasis mechanism and inflammation in sepsis can progress into Disseminated Intravascular Coagulation (DIC). The objective of this study was to determine the coagulation activity (platelet count, Prothrombin Time (PT), activated Partial Thromboplastin Time (aPTT)), and D-dimer in sepsis patients. A descriptive study was conducted at the Dr. M. Djamil Hospital on December 2012-July 2013. Subjects were adult patients with two or more of four criteria for Systemic Inflammatory Response Syndrome (SIRS) and presence of suspected or proven infection admitted to the Department of Internal Medicine. Laboratory examination was conducted in the Clinical Pathology Laboratory Dr. M. Djamil Hospital including the coagulation activity and D-dimer level. Data were processed manually and presented in distribution tables, and diagrams. Subjects of this study were 54 sepsis patients, consisting of 57% males and 43% females with a median age of 53.5 year-old, platelet count 188.5 x 103/µL, PT 13.7 seconds, aPTT 39.3 seconds, and D-dimer level 1.15 μg/mL. Based on this research it can be concluded that coagulation activity in sepsis patients showed that platelets count were still in the normal range while PT and aPTT were prolonged and D-dimer levels were increased.

Dyslipidemia is one of the common disorders in the diabetes mellitus (DM) patients causes cardiovascular disorders. Interleukin-12 (IL-12) is an important inflammation cytokine and elevated in type 2 DM (T2DM) which may contribute to inflammation of atherosclerotic plaque formation. Hyperglycemia, hyperlipidemia, hyperinsulinemia and oxidative stress that lead to endothelial dysfunction of atherosclerotic. The aim of this study to determine the correlation of lipid profile with IL-12 in T2DM. This study was an analytical study with cross-sectional design in 30 patients T2DM meet the inclusion and exclusion criteria and conduct blood tests at the Central Laboratory Installation of Dr. M. Djamil Hospital Padang in September 2016-August 2017. Level of lipid profile performed by the enzymatic colorimetric method. Sandwich ELISA used to measure the level of IL-12 in Biomedical Laboratory Medical Faculty of Andalas University. Spearman correlation was used, significant if p<0,05. The mean levels of total cholesterol, high-density lipoprotein, (HDL), triglycerides and low-density lipoprotein (LDL) in T2DM were  204.2 ± 42.8 mg/dL; 46.8 ± 9.3 mg/dL; 57 ± 53.4 mg/dL; 132.97 ± 41.0 mg/dL. The mean level of IL-12 in T2DM is 160.15 ± 99.05 pg/mL. Spearman correlation test of total cholesterol, (HDL), triglycerides and (LDL) with IL-12 are r= 0.228 (p=0.225); r= -0.234 (p=0.212); r= 0.415 (p=0.031); r= 0,215 (p=0.291) and analysis linear regression showed a moderate correlation between the levels triglycerides and Il-12 with r=0,512 and p<0,05. There is a moderate positive correlation between triglycerides, weak between total cholesterol and LDL with IL-12 and negative correlation between HDL with IL-12 in T2DM.