Buku Pelantikan Spesialis

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Medan, 15 Desember 2016

Departemen Patologi Klinik FK USU, Medan 15Desember 2016

KATA PENGANTAR

Segala puji bagi Allah SWT yang telah memberikan kesehatan dan
kesempatan kepada kita semua sehingga dapat menyelenggarakan acara
Pelantikan Dokter Spesialis Patologi Klinik dan Perkenalan Pserta PPDS
Departemen Patologi Klinik yang baru.

Pada kesempatan ini panitia telah mengumpulkan profil masing – masing


spesialis, dimana terdapat 8 orang Dokter Spesialis Patologi Klinik dengan
Curiculum Vitae berikut abstrak dari penelitiannya, serta 7 orang PPDS baru
dengan Curiculum Vitae pada Departemen Patologi Klinik.

Acara ini bertujuan untuk lebih meningkatkan hubungan silaturahmi dan


rasa kebersamaan diantara keluarga besar Patologi Klinik Fakultas Kedokteran
Universitas Sumatera Utara.

Terima kasih kami ucapkan kepada seluruh undangan, Sp.PK dan PPDS
yang telah hadir, serta seluruh pihak dan mitra kerja yang telah berpartisipasi
dalam acara ini, serta teman – teman di kepanitiaan yang telah memberikan
waktu, tenaga serta pikiran demi suksesnya acara pelantikan dan perkenalan,
juga peluncuran buku ini.

d. t. o

Panitia Pelaksana
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

DEPARTEMEN PATOLOGI KLINIK


FAKULTAS KEDOKTERAN
UNIVERSITAS SUMATERA UTARA

SYUKURAN SELESAI PENDIDIKAN


DOKTER SPESIALIS PATOLOGI KLINIK &
PERKENALAN PESERTA PPDS ILMU PATOLOGI KLINIK BARU

Medan, 15Desember 2016

TERTIB ACARA

1. Pembukaan Oleh Protokol


2. Pembacaan Doa
3. Laporan Ketua Program Studi dan Pembacaan Curiculum Vitae sekaligus
meresmikan gelar Spesialis Patologi Klinik.
4. Kata sambutan :
I. Ketua Departemen Patologi Klinik FK USU & Perkenalan Peserta
PPDS baru
II. Ketua PDS Patklin Cabang Sumut
III. Kepala Dinas Kesehatan Provinsi Sumatera Utara
IV. Direktur Utama RSUP H. Adam Malik Medan
V. Dekan Fakultas Kedokteran Universitas Sumatera Utara
5. Sepatah dua patah kata perwakilan Dokter Spesialis Patologi Klinik yang
baru
6. Pemberian Cenderamata dari Dokter Spesialis patologi Klinik yang baru
kepada Departemen Patologi Klinik FK-USU
7. Foto bersama
8. Ucapan selamat
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

DAFTAR BIODATA DOKTER

SPESIALIS PATOLOGI KLINIK


Departemen Patologi Klinik FK USU, Medan 15Desember 2016

CURICULUM VITAE

Alumni Patologi Klinik Ke - 157

DATA PRIBADI

IDENTITAS

Nama : dr. Desy Arisanti

Tempat/Tgl Lahir : Sei Rotan, 08 Desember 1982

Agama : Islam

Alamat : Jl. Medan Batang Kuis Km


12.5. Dusun 1 Sei Rotan no
125
Status : Menikah

Mulai Pendidikan : 1
Juli 2012

KELUARGA

Nama Suami :Elang Sudewa SE

NamaAnak :

1. Mhd Fajar Takbir

2. Raihan Satria Manggala

3. Wastuadjie Shamita Sudewa

Nama Ayah : Almarhum H. Sugito

Nama Ibu : Hj. Sri Hartini

RIWAYAT PENDIDIKAN:

1. SDN104607: Tahun 1989 s/d 1995


2. MTS Al-Washliah, Tembung: Tahun 1995 s/d 1998
3. SMA Plus Muhammadiyah, Medan: Tahun 1998 s/d 2001
4. Fak. Kedokteran Universitas Islam Sumatera Utara : Tahun 2001 s/d 2008
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

5. Mengikuti Pendidikan Dokter Spesialis Patologi Klinik Fakultas Kedokteran


Universitas Sumatera Utara / RSUP. H. Adam Malik Medan, mulai : 01 Juli
2012 s/d 20 oktober 2016Mengikuti Pendidikan Dokter Spesialis Patologi
Klinik Fakultas Kedokteran Universitas Sumatera Utara / RSUP. H. Adam
Malik Medan, mulai Januari 2013

RIWAYAT PEKERJAAN

1. CPNS di RSUD Panyabungan, Kab Mandailing Natal , sejak 1 April 2009


2. PNS di RSUD Panyabungan, Kab Mandailing Natal, sejak 01 Juni 2010
3. Penanggungjawab Instalasi Laboratorium RSUD Panyabungan, 22 Feb 2010
s/d 31 maret 2012
4. Penanggungjawab Instalasi UTDRS RSUD Panyabungan, 6 Maret 2010 s/d
31 maret 2012
5. PPDS Patologi Klinik Fakultas Kedokteran Universitas Sumatera Utara /
RSUP. H. Adam Malik Medan, mulai : 1 Juli 2012 s/d 20 oktober 2016

RIWAYAT ORGANISASI

1. IDI (Ikatan Dokter Indonesia) Medan


2. Kota Panyabungan, Kabupaten Mandailing Natal.(Ikatan Dokter
Indonesia)
3. PDS PATKLIN (Perkumpulan Dokter Spesialis Patologi Klinik) Medan

IPK :

dr. Desy Arisanti sejak saat ini berhak menyandang gelar Magister Kedokteran
Klinik (Patologi Klinik) Spesialis Patologi Klinik ( Sp.PK ) dibelakang namanya.
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

THE COMPARISON OF GLYCATED HAEMOGLOBIN (HbA1c) AND


GLYCATED ALBUMIN (GA) IN DIABETES MELLITUS PATIENTS WITH
REGULER HEMODIALISIS

Desy Arisanti*, Zulfikar Lubis*, Syafrizal Nasution**

Departement of Clinical Pathology*, Departement Internal Medicine, Division


Nefrology**, Medical Faculty of USU/RSUP.H.Adam MalikRSUP Haji Adam Malik

Abstract

Background: Diabetes Mellitus (DM) diagnosis is based on symptoms and blood


glucose test. There have been many reports about the weakness of HbA1c in
monitoring blood glucose in DM patients with regular hemodialysis (HD) lately.
Usually DM with regular HD have lower than normal HbA1c levels because of the
decrease of erythrocyte age in ESRD patients. As an alternative blood glucose
monitoring in DM patients undergoing regular HD is Glycated albumin (GA).

Aim of the study: To compare blood glucose, HbA1c and GA in DM patient with
regular HD and non HD patients.

Methods: This is cross sectional study, observational analytic method in RSUP


H. Adam Malik Medan, January 2016 to February 2016. Study subjects are DM
patients with regular HD and controls are ESRD DM patients without HD.
Analysis using SPSS with Pearson’s correlation test with significant p< 0.05.

Result: There were 27 patients with regular HD and 25 ESRD DM patients


without HD. There were significant differences of HbA1c levels in regular HD
patients and control (6.01±1.06 vs 9.01±2.79; P(0.001), the GA levels
(17.80±5.97 vs 24.85±14.01; P (0.022), and the ureum levels ( 173.49±69.22 vs
133.97±48.05; P(0.022).

Conclusion: A relative low HbA1c (controlled DM) in fact doesn’t show


controlled glucose. The evidence was GA is relatively high (uncontrolled).

Key words: HD regular DM patients, Glycated Haemoglobin, Glycated Albumin.

CURICULUM VITAE
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

Alumni Patologi Klinik Ke –158

DATA PRIBADI

IDENTITAS

Nama : dr. Novindy Fahlawani Lubis

Tempat/Tgl lahir : Medan / 10 November 1983

Agama : Islam
Alamat : Jln.Sisingamangaraja, gang
Suka Murni No. 6 Medan
Status : Menikah

Mulai Pendidikan: Januari 2010

KELUARGA

Nama Suami : Muhammad Nino Maulana Sungkono, ST. MM

Nama Anak : Muahammad Arqula Ali Sungkono

Nama Ayah : H. Ir. Untal Fuady Lubis

Nama Ibu : Hj. Duma Lumongga Bulan Nasution

RIWAYAT PENDIDIKAN

1. SD Negeri No: 27 Medan


2. SMP Negeri 1 Medan
3. SMA Negeri 1 Perbaungan
4. Fakultas Kedokteran Universitas Sumatera Utara Tahun 2001 – 2007
5. Mengikuti Pendidikan Dokter Spesialis Patologi Klinik Fakultas Kedokteran
Universitas Sumatera Utara / RSUP. H. Adam malik Medan 2010 - 2016

RIWAYAT PEKERJAAN/JABATAN

1. Polimas Kompleks Taman Setia Budi Medan, Tahun 2007-2009


Departemen Patologi Klinik FK USU, Medan 15Desember 2016

2. Klinik Akupuntur dr. Suhanna, Tahun 2009 – 2011


3. Magister Patologi Klinik, September 2009 – Oktober 2016
4. PPDS Patologi Klinik Fakultas Kedokteran Universitas Sumatera Utara /
RSUP. H . Adam Malik Medan, 04 Januari 2010 – sekarang

ORGANISASI

1. Anggota IDI (Ikatan Dokter Indonesia) Medan, Sumatera Utara


2. Anggota PDS PATKLIN (Perkumpulan Dokter Spesialis Patologi Klinik)
cabang Medan

IPK :

dr. Novindy FahlawaniLubis sejak saat ini berhak menyandang gelar Magister
Kedokteran Klinik (Patologi Klinik) Spesialis Patologi Klinik ( Sp.PK ) dibelakang
namanya.

HDL/LDL CHOLESTEROL RATIO IN TYPE 2 DIABETES MELLITUS PATIENTS


WHO ARE CONSUMING LIPID LOWERING AGENT
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

Novindy Fahlawani Lubis1, Tapisari Tambunan1, Dharma Lindarto2,


1
Department of Clinical Pathology, Faculty of Medicine University of
Sumatera Utara/ H. Adam Malik Central Hospital Medan
2
Department of Endocrinology, Faculty of Medicine University of Sumatera
Utara/ H. Adam Malik Central Hospital Medan

ABSTRACT

Background : Dislipidemic often following DM illness, noted that DM and


dislipidemic seen may cause a heavy serious combination to death, patient with
DM 2-4 is more risks to cardiovascular disease. It is indeed too important to know
the risks on one with DM, mainly to cardiovascular complication, one of them is to
assess the risk in HDL/LDL ratio. In knowing the risk of HDL/LDL ratio, then as
expected hold a clinical guidance to administer the therapy of dislipidemic on
patient with DM.

Methods : This study is an observational analytical research with cross-


sectional approach. It was done on Department of Clinical Pathology RSUP H.
Adam Malik Medan, involved 50 samples patient-men as diagnosed DM type-2
for 4 years or more, had already consumed Lipid lowering agent medicine for 1
year or more, not consumed any medicines increasing KGD up or blood lipid
level. It has been conducted a check HbA1C to classify the group of patients into
DM type-2 control (HbA1C ≤ 7%) and DM type-2 non-control (HbA1c > 7%) and
also check HDL, LDL rate and ratio assessment HDL/LDL.

The Results : On a pairing t-test there is no found a significant different


HDL/LDL ratio to both groups (p = 0.235). On a correlation test is found a
significant correlations between the length of suffer from DM with HDL/LDL ration
on group DM type-2 non-control (p = 0.0001), however, it is no found any
significant correlation on group DM type-2 controlled ( p = 0.753).

Conclusion : There is no a significant different of HLD/LDL ratio group DM type-


2 suffer from DM for 4 years or more either on control or non-control which by on
both groups has already applied a lipid lowering agent medicines 1 year or more
length.

Keywords : HDL/LDL ratio, DM type 2, dislipidemic, lipid lowering agent

CURICULUM VITAE
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

Alumni Patologi Klinik Ke – 159

DATA PRIBADI

IDENTITAS
Nama : dr. Hilda Sungkar
Tempat/Tgl Lahir : Cirebon, 20 April 1978
Agama : Islam
Alamat :Jl. Setia Budi Dalam no. 8
Helvetia
Status : Menikah
Mulai Pendidikan : 2 Juli 2012

KELUARGA

Nama Suami : dr. Juang Usman Rangkuti, M.Ked(PD)


Nama Anak : 1. Syauqie Alfathir Husni Rangkuti
2. Aqsha Husni Rangkuti
NamaAyah : H. Salman Sungkar
Nama Ibu : Hj.Sukimah

PENDIDIKAN
1. SDN II Karangampel Indramayu : Tahun 1990
2. MTSN Wotbogor Indramayu : Tahun 1994
3. SMU Muhammadiyah Indramayu : Tahun 1997
4. Sarjana kultas Kedokteran Universitas Islam Sumatera Utara : Tahun
2004
5. Mengikuti Pendidikan Dokter Spesialis Patologi Klinik Fakultas
Kedokteran Universitas SFaumatera Utara / RSUP.H.Adam Malik
Medan Mulai : 2 Juli 2012 s/d 20 Oktober 2016

RIWAYAT PEKERJAAN

PNS DINKES Kab. Mandailing Natal mulai tahun 2006 s/d Sekarang.

ORGANISASI
1. Anggota IDI cabang Medan
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

2. Anggota PDS PATKLIN (Perkumpulan Dokter Spesialis Patologi Klinik)


Cabang Medan

IPK :

dr. Hilda Sungkarsejak saat ini berhak menyandang gelar Magister Kedokteran
Klinik (Patologi Klinik) Spesialis Patologi Klinik ( Sp.PK ) dibelakang namanya.
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

COMPARISON OF NEUTROPHIL TO LYMPHOCYTE COUNT RATIO AND C-


REACTIVE PROTEIN IN SYSTEMIC INFLAMMATORY RESPONSE
SYNDROME PATIENT WITH POSITIVE AND NEGATIVE BLOOD CULTURE
Hilda Sungkar, Muzahar, Ricke Loesnihari

Department of Pathology Clinical, Medicine Faculty of USU/RSUP.H.Adam Malik


Medan

ABSTRACT

Introduction:Systemic Inflammatory Response Syndrome (SIRS) is a


nonspecific reaction that could be caused by infection, inflammation, or a
combination of both factors. Bacteremia detection in SIRS patients is a challenge
for clinicians. Neutrophil-lymphocyte count ratio (NLCR) and C-reactive protein
(CRP) could rapidly predict bacteremia.

Method:This is a cross sectional study that was conducted in RSUP.H.Adam


Malik Medan Emergency Room from January 2016 to March 2016. Patients that
met SIRS criteria had their NLCR, CRP and blood culture tested.

Result:Of 48 samples, 21 (43.75%) were male and 27 (56.25%) were female. In


this study, there was significant difference of NLCR from both groups, where
NLCR in SIRS with positive blood culture was higher that SIRS with negative
blood culture (38.16 ± 34.97 vs 9.68 ± 5.26, P = 0.001). And there was significant
difference between CRP in both groups. CRP in SIRS with positive blood culture
was higher than SIRS with negative blood culture. (5.89 ± 3.09 vs 3.15 ± 1.89, P
= 0.001).

Discussion:NLCR is a simple biomarker that can be used to detect the presence


of systemic infections in critically ill patients, in this study there was a significant
difference between NLCR and CRP in SIRS patients with positive and negative
blood culture.

Conclusions and Suggesstion:There is significant difference of NLCR and


CRP in SIRS patients with positive and negative blood culture. RNL and CRP
could be used as a marker for detecting bacteremia in SIRS patients.

Keywords:Neutrophil to Lymphocyte Count Ratio, C-Reactive Protein, Systemic


Inflammatory Response Syndrome.

CURICULUM VITAE
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

Alumni Patologi Klinik Ke - 160

DATA PRIBADI

IDENTITAS

Nama : dr. Emi Memory Pakpahan


Tempat/Tgl. Lahir : Medan, 25 Januari 1978
Agama : Islam
Alamat : Jalan KL. Yos Sudarso Lk.
14 Glugur Kota Medan
Status : Menikah
Mulai Pendidikan : Januari 2013

KELUARGA

Nama Suami : Wan Azmi, AP., M.AP

Nama Anak : Wan Almira Syakira

Nama Ayah : DR. Drs. H. M. Effendy Pakpahan, MM.

Nama Ibu : Hj. Rasmi Br. Pohan

PENDIDIKAN

1. SDN 112143 Rantau Prapat, selesai tahun1990


2. MTs Swasta PAI Rantau Prapat, selesai tahun1993
3. SMA Negeri 1 Rantau Prapat, selesai tahun1996
4. S1 Sarjana Kedokteran (S.Ked), Fakultas Kedokteran Universitas Islam
Sumatera Utara, selesai tahun 2001
5. Pendidikan Profesi Dokter, Fakultas Kedokteran Universitas Islam
Sumatera Utara, selesai tahun 2004
6. Mengikuti Pendidikan Magister Kedokteran Patologi Klinik Fakultas
Kedokteran Universitas Sumatera Utara/RSUP.H.Adam Malik Medan,
selesai tahun 2016
7. Mengikuti Pendidikan Dokter Spesialis Patologi Klinik Fakultas
Kedokteran Universitas Sumatera Utara/RSUP.H.Adam Malik Medan,
selesai tahun 2016
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

RIWAYAT PEKERJAAN

1. Dokter PTT Puskesmas Sei Duren, Kab. Muaro Jambi, Thn. 2005 - 2007
2. Dokter PNS Puskesmas Sei Duren, Kab. Muaro Jambi, Thn. 2007 - 2009
3. Dokter PNS Dinkes Kota Medan, (Puskesmas Pulo Brayan Kota)Thn. 2009
- Sekarang

ORGANISASI

1. Anggota IDI cabang Medan


2. Anggota PDS PATKLIN (Perkumpulan Dokter Spesialis Patologi Klinik)
Cabang Medan

IPK :

dr. Emi Memory Pakpahan sejak saat ini berhak menyandang gelar Magister
Kedokteran Klinik (Patologi Klinik) Spesialis Patologi Klinik ( Sp.PK ) dibelakang
namanya

CORRELATION OF INTERLEUKIN-8 AND PROCALCITONIN LEVELS IN


SEVERE SEPSIS PATIENTS IN H. ADAM MALIK CENTRAL HOSPITAL
MEDAN

Emi Memory P*, Adi Koesoema Aman*, Achsanudin Hanafie**

*Departemen Clinical Pathology Faculty of Medicine University of North


Sumatera/ H. Adam Malik Central Hospital Medan
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

**Department of Anaesthesiology and Intensive Therapy Faculty of Medicine,


University of North Sumatera/ H. Adam Malik Central Hospital Medan

ABSTRACT

Introduction

Interleukin-8 is a proinflammatory cytokine that is produced by monocytes,


macrophages, and endothelial cells. IL-8 regulates the migration and activation of
leukocytes, and its level increase promptly within 1–3 hours after infection. The
dominance of proinflammatory cytokines influence will cause the emergence of
severe sepsis and septic shock clinical manifestations. Since the early 1990s,
procalcitonin was first described as a specific sign of bacterial infection, serum
procalcitonin concentrations increased in systemic inflammation, particularly
bacterial infections. Procalcitonin increase as sepsis and has been known as a
marker of infection in severe disease.

Method

This was a cross sectional study with observational analytic method, subject of
study was patients with severe sepsis who were treated at the H.Adam Malik
general Hospital Medan.

Interleukin-8 is checked using ChemWell 9210 series. The procalcitonin


examination used the mini VIDAS BRAHMS. Analysis using SPSS. The
correlation test is Spearman rank test used. With a significant value of p <0.05.

Results

Number of subjects was 39 patients, 20 ( 51.3 % ), are males and 19 ( 48.7 % )


are females. With a mean age of 54.1 ± 17.6 years , the youngest is 19 and the
oldest is 87 years old. The average Interleukin-8 in patients was 1647.76 ±
1660.62 pg / mL, while the average levels of procalcitonin patients was 102.67 ±
80.77 ng / mL. There was no significant correlation between interleukin-8 and
procalcitonin levels with a value of r -0.195 (p=0.234 ).

Conclusion

There is no significant correlation between Interleukin-8 and procalcitonin levels


in severe sepsis pateints. Uniformity in the time of sampling is required for further
research .

Keywords

Severe Sepsis, Interleukin-8, Procalcitonin.

CURICULUM VITAE

Alumni Patologi Klinik Ke - 161

DATA PRIBADI
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

IDENTITAS

Nama : dr. Efilona Setri

Tempat/Tgl Lahir : Lubuk Alai, 20 April 1984

Agama : Islam

Alamat : Perumahan Bukit Surya Indah


(BSI) Residence blok BVD no
2. Batam centre. batam
Status :
Menikah

Mulai Pendidikan : Januari 2013

KELUARGA

Nama Suami :Herwanto Saragih, B.Eng, MSc

NamaAnak :

1. Faruq Abdurrahman

2. Jilan Rumaisha

Nama Ayah : Khaidir (Alm)

Nama Ibu : Tarini

RIWAYAT PENDIDIKAN:

1. SD Negeri 09Kota Payakumbuh, Tahun 1990-1996


2. SMP Negeri 1Kota Payakumbuh, Tahun 1996-1999
3. SMU Negeri 1Kota Payakumbuh, Tahun 1999-2002
4. Fakultas Kedokteran Universitas Sumatera Utara, Tahun 2002-2008
5. Pendidikan Magister Kedokteran Patologi Klinik, Fakultas Kedokteran
Universitas Sumatera Utara, selesai tahun 2016
6. Mengikuti Pendidikan Dokter Spesialis Patologi Klinik Fakultas Kedokteran
Universitas Sumatera Utara / RSUP. H. Adam Malik Medan, mulai Januari
2013

RIWAYAT PEKERJAAN

1. Dokter Mer-C Puskesmas Panga, Aceh 2008


Departemen Patologi Klinik FK USU, Medan 15Desember 2016

2. Staf Pengajar FK Universitas Batam 2009-2012

RIWAYAT ORGANISASI

4. IDI (Ikatan Dokter Indonesia) Medan


5. PDS PATKLIN (Perkumpulan Dokter Spesialis Patologi Klinik) Medan

IPK :

dr. Efilona Setri sejak saat ini berhak menyandang gelar Magister Kedokteran
Klinik (Patologi Klinik) Spesialis Patologi Klinik ( Sp.PK ) dibelakang namanya.

EXAMINATION OF SERUM PROCALCITONIN TO ASSIST EARLY


DIAGNOSIS OF URINARY TRACT INFECTION IN PATIENTS WITH ACUTE
STROKE
Efilona Setri1, Ricke Loesnihari1, Yuneldi Anwar2
1
Department of Clinical Pathology, School of Medicine,
University of Sumatera Utara/ H. Adam Malik Central Hospital Medan
2
Department of Neurology, School of Medicine,
University of Sumatera Utara/ H. Adam Malik Central Hospital Medan
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

Abstract

Introduction
Patients with acute stroke are at increased risk for infection which cause death
and worse outcome. The most common infection in stroke is urinary tract
infection (UTI). Current guidelines do not recommend antibiotic prophylaxis in
stroke patients. However, the gold standard for the diagnosis of urinary tract
infection is urine culture, but it takes more than 48 hours for the result. Hence,
UTI diagnostic methods that can provide quick results are needed. Urynalisis is
often used because it is simple and inexpensive. However, false positive results
are common. Procalcitonin is widely recognized as a marker for bacterial
infections and has been reported as a sensitive marker for detection of UTI.

Method
This study is a diagnostic test, carried out in Haji Adam Malik Central Hospital in
23 patients with acute stroke. Measurement of procalcitonin is done by using a
mini VIDAS BRAHMS PCT with the sandwich principle using Enzyme-Linked
Fluorescent Assay methods. The results were compared with urine culture

Result and Discussion


Levels of procalcitonin as a diagnostic test of urinary tract infections is very good
at the cut-off of 0.05 ng/ml with a sensitivity of 100%, specificity 80%, positive
predictive value 94.7% and negative predictive value of 100%.

Conclusion
Procalcitonin has high sensitivity and specificity to aid in the diagnosis of urinary
tract infections in patients with acute stroke.Procalcitonin can be used as a
marker to assist the diagnosis of UTI in patients with acute stroke.

Keywords
stroke, urinary tract infection, procalcitonin.

CURICULUM VITAE

Alumni Patologi Klinik Ke – 162

DATA PRIBADI

IDENTITAS
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

Nama : dr. Endang Listianingsih Tarigan

Tempat/Tgl. Lahir :Langkat,07 Agustus 1982

Agama : Islam

Alamat : Komplek TNI AL Barakuda blok


AL NO 3 Tanjung Mulia Medan
Status : Menikah

Mulai Pendidikan : Januari 2013

KELUARGA

Nama suami : dr. Wirandi Dalimunthe M.Ked (PD) Sp.PD

Nama Anak :

1. Nadhira Andien Dalimunthe

2. Naziha Andien Dalimunthe

Nama Ayah : Drs. Zainal A Tarigan, M.Si, Ak

Nama Ibu : Rusmiati Perangin-angin

PENDIDIKAN

1. SD Negeri 060922 Jl.Kemununing Medan, tahun 1987


2. SMP Negeri 1 Medan, tahun 1993-1996
3. SMA Negeri 1 Medan, tahun 1996-1999
4. Fakultas Kedokteran Universitas Sumatera Utara Medan, tahun 1999-2005
5. MengikutiPendidikan Magister
KedokteranPatologiKlinikFakultasKedokteranUniversitasSumatera
Utara/RSUP.H.AdamMalik Medan, Selesai tahun 2016
6. MengikutiPendidikanDokterSpesialisPatologiKlinikFakultasKedokteranUniv
ersitasSumatera Utara / RSUP.H.AdamMalik Medan, selesai tahun2016

RIWAYAT PEKERJAAN

1. PERWIRA KESEHATAN di RS TNI AL, LANTAMAL IV Tanjung Pinang,


Propinsi Kepulauan Riau, tahun 2006-2007
2. PERWIRA KESEHATAN di RS TNI AL, LANTAMAL I Belawan, Propinsi
Sumatera Utara, tahun 2007-2013
3. PERWIRA KESEHATAN di DINAS KESEHATAN LANTAMAL I Belawan,
Propinsi Sumatera Utara, tahun 2013 s/d sekarang
4. PPDS Patologi Klinik Fakultas Kedokteran Universitas Sumatera Utara /
RSUP. H. Adam Malik Medan, mulai : 2013 s/d Sekarang
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

ORGANISASI

1. Anggota IDI (Ikatan Dokter Indonesia) cabang Medan


2. Anggota PDS PATKLIN (Perkumpulan Dokter Spesialis Patologi Klinik)
Cabang Medan

IPK :

dr. Endang Listianingsih sejak saat ini berhak menyandang gelar Magister
Kedokteran Klinik (Patologi Klinik) Spesialis Patologi Klinik ( Sp.PK ) dibelakang
namanya.

OVERVIEW OF HEMOSTATIC AND PLATELET AGGREGATION IN PATIENTS


WITH NASOPHARYNGEAL CARCINOMA IN HAJ ADAM MALIK HOSPITAL
MEDAN

Endang L. Tarigan 1, Abdurrahman Saragih 2, Herman Hariman 1


1
Division of Hematology, Department of Clinical Pathology, School of
Medicine, University of North Sumatera/Haj Adam Malik Hospital Medan,
Indonesia
2
Department of Ear Nose and Throat Head and Neck, School of Medicine,
University of North Sumatera/Haj Adam Malik Hospital Medan, Indonesia

ABSTRACT
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

Introduction
There was evidence to suggest that patients with cancers and other malignancies
may have higher tendency of hypercoagulability and thrombosis. Despite this
fact, information about this tendency in nasopharyngeal carcinoma (NPC) is still
scarce.

Method
12 NPC patients were allocated in this study. Blood samples was obtain from the
median vein, in which 15 ml of blood was added with sodium citrate 3,2 % for
the tests of PT, APTT, TT, D-DIMER and PLATELET AGGREGATION TEST, at
the time before the treatments were started, immediately after the 1st, 2nd and
3rd cycles of chemotherapy and after 1 st radiotherapy. Hypercoagulability is
defined as two or more evidence of PT (INR), ratios of APTT, and TT of < 1.0.
The treatment consists of radiotherapy which was performed in the cycle period
with the radiation dose 5000-7000 cGy, whilst the dose of chemotherapy was
Cisplatin 100mg/m2, 5 FU (Fluorouracil) 1000 mg/m2. Statistical analysis for the
TREND is carried out using the ANNOVA test.

Result and Discussion


PT, APTT, and TT were relatively unchanged during the course of the treatment
(p>0.05) however the PT, APTT and TT showed evidence of hypercoagulability
starting before therapy. D-DIMER is increased (p<0.05), and might explain the
thrombus formation is destroyed. There is hyperaggregation in platelet
aggregation test all the way during radiochemotherapy treatment. (p>0.05)

Conclusion and suggestion


In NPC there is evidence of hypercoagulability and this phenomenons is not
affected by the course of radio-chemotherapy. D-Dimer is increased and might
explain the thrombus formation is destroyed. This finding might explain the
scarcity of report of thrombotic evidence in NPC.
This study is continued until the end of the treatment cycle to find out how far
radiochemoteraphy effects towards hemostasis and platelet aggregation
disorders .

Keywords
NPC, Haemorrhagic screening test, platelet aggregation test

CURICULUM VITAE

Alumni Patologi Klinik Ke - 163

DATA PRIBADI

IDENTITAS

Nama : dr. Elliany Perangin-angin


Tempat/Tgl Lahir : Belawan, 15 Februari 1974
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

Agama : Islam
Alamat : Jl Asrama Komplek BUMI
ASRI blok E no 137 Medan
Helvetia, Medan.
Status : Menikah
Mulai Pendidikan : 4 Januari 2010

KELUARGA
Nama Suami : Jejen Kusmawan, ST
Nama Anak :
1. Rafi Husnul Kusmawan
2. Rafa Hiroshi Kusmawan

Nama Ayah :Mekat Perangin-angin (alm)


NamaIbu : Syarifah Ngantar br Tarigan

PENDIDIKAN
1. SD 060966 Belawan _Sumatera Utara
2. SMPN Labuhan Deli, Medan -Labuhan, Sumatera Utara
3. SMAN 3 Medan, Medan – Sumatera Utara
4. Fakultas Kedokteran Umum Universitas Islam Sumatera Utara
5. Pendidikan Magister Kedokteran Patologi Klinik, Fakultas Kedokteran
Universitas Sumatera Utara, selesai tahun 2016
6. Mengikuti Pendidikan Dokter Spesialis Patologi Klinik Fakultas
Kedokteran Universitas Sumatera Utara / RSUP. H. Adam Malik Medan,
mulai Januari 2010 s/d Desember 2016

RIWAYAT PEKERJAAN
1. Dokter umum PTT BSB RSUP H Adam Malik Medan, tahun 2003 - 2006
2. Dokter umum PNS IGD RSUP H. Adam Malik 2006 -2007
3. Dokter umum PNS RSUP H Adam Malik Medan, Bidang Pelayanan
Medis, 2007- sekarang

ORGANISASI
1. Anggota IDI cabang Kota Langsa
2. Anggota PDS PATKLIN (Perkumpulan Dokter Spesialis Patologi Klinik)
Cabang Medan
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

IPK :

dr. Elliany Perangin-angin sejak saat ini berhak menyandang gelar Magister
Kedokteran Klinik (Patologi Klinik) Spesialis Patologi Klinik ( Sp.PK ) dibelakang
namanya.

LDL CHOLESTEROL / HDL CHOLESTEROL RATIO AND RATE OF APO B


100 IN CORONARY HEART DISEASE (CAD)

Elliany Perangin-angin 1, Ozar Sanuddin 2, Zulfikri Mukhtar 3 .

1
Department of Clinical Pathology Medical Faculty of the University of
North Sumatera / RSUP. H Adam Malik Medan
2
Department Cardiology Medical Faculty of the University of
North Sumatera / RSUP. H Adam Malik Medan

ABSTRACT
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

BACKGROUND : The risk factor of CAD : Hypercholesterolemia, diabetes,


hypertension, smoking habit, age, sex and genetic. Knowing that risks in CAD
is to count the ratio LDL Cholesterol/ HDL Cholesterol > 5 have the risk 6
times . Aiming this ratio, maintaine the clinical guidnes in CAD therapy. Rate
of Apo B100 can also discribe the risk of CAD 6 times if Apo B 100 ≥ 120
mg/dl.

METHODS : This study is conducted by Crosscectional, and obsevational


analysis in Depatement of Clinical Patology and Cardiology Departement of
Medical School of North Sumatera University. The population are the patients
aidmit to Cardiology Departement with CAD who already had Angiography :
72 persons with stenosis < 70% and stenosis ≥ 70% ( inclution and
eksclution ) and had LDL Cholesterol and HDL Cholesterol and Apo B 100 .
LDL Cholesterol and HDL Cholesterol had been analysed with methode of
Colorimetric enzimatic, Apo B 100 is analysed with imunoturbidimetry.

RESULT : On pairing t-test there is found a significant different LDL/HDL ratio


and rate Apo B 100 to both groups ( p=0.0001). On a correlation test is found
a significant correlation between the stenosis in CAD ( stenosis< 70% and
stenosis ≥ 70% ) with LDL/HDL ratio and rate Apo B100 ( p=0,0001)

CONCLUSION : From this study we gain ratio LDL Cholestrol/HDL


cholesterol and Apo B 100 that can predict the severity of stenosis in CAD.

KEY WORDS : Ratio LDL Cholestrol / HDL Cholesterol, Apo B 100, CAD,
Stenosis

CURICULUM VITAE

Alumni Patologi Klinik Ke - 164

DATA PRIBADI

IDENTITAS

Nama : dr. Yuli Syafitri

Tempat/Tgl Lahir : Medan / 16 Juli 1984


Departemen Patologi Klinik FK USU, Medan 15Desember 2016

Agama : Islam
Alamat : Jl. Arief Rahman Hakim Gg.
Sehat no. 13 medan area
Status : Menikah

Mulai Pendidikan : Januari 2012

KELUARGA
Nama Suami : dr. Jamalatief
Nama Anak :
1. Izzah Qurrata’ain Latief
2. M. Hafidz Azzam Latief
Nama Ayah : Drs. H. Ali Syafril, SH, MH, MAP
Nama Ibu : Almh Hj. Suyati

PENDIDIKAN

1. SD Swasta Tunas PelitaBinjai 1990 – 1996


2. SLTP Swasta Ahmad Yani 1996 – 1999
3. SMU Negri 2 binjai 1999 – 2002
4. Fakultas Kedokteran Universitas Sumatera Utara 2002 – 2008
5. Pendidikan Magister Kedokteran Patologi Klinik, Fakultas Kedokteran
Universitas Sumatera Utara, selesai tahun 2016
6. Mengikuti Pendidikan Dokter Spesialis Patologi Klinik Fakultas
Kedokteran Universitas Sumatera Utara / RSUP. H. Adam Malik Medan,
mulai Januari 2010 s/d Desember 2016

RIWAYAT PEKERJAAN

1. Dosen tetap Universitas Muhammadiyah Sumatera Utara, April 2010 sd


Sekarang.

ORGANISASI

1. Anggota IDI Cabang Medan


2. Anggota PDS PATKLIN (Perkumpulan Dokter Spesialis Patologi Klinik)
Cabang Medan/
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

IPK :

dr. Yuli Syafitrisejak saat ini berhak menyandang gelar Magister Kedokteran
Klinik (Patologi Klinik) Spesialis Patologi Klinik ( Sp.PK ) dibelakang namanya.

CORRELATION BETWEEN BILIRUBIN TOTAL SERUM AND HBA1C IN


CONTROLLED AND UNCONTROLLED TYPE 2 DIABETES MELLITUS

Y Syafitri¹, BNasution², SSyafril³


¹DepartmentClinical Pathology, Medical School USU /RSUP.H.AdamMalik,
²DepartmentInternal medicine, Medical School USU /RSUP.H.AdamMalik

ABSTRACT
Background: HbA1clevelswerehigher in patientswith diabetesis associated
withincreased risk ofcardiovascular disease. Bilirubinis expected toact asan
endogenous antioxidantandanti-inflammatory. Increasedserumbilirubinwas
associatedwith a reducedrisk ofcoronary heart diseaseandstroke.
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

Objective: To determine correlation of total bilirubin serum and HbA1c in


controlled and uncontrollable type 2 diabetes mellitus.

Methods: This study is a cross-sectional observational analytic approach that


was performed in RSUP.H.Adam Malik in February – March 2015. A sum of 50
samples were divided into 2 groups: Samples withcontrolled DM (HbA1c<7) and
uncontrolled DM (HbA1c ≥7) amounted to 25 people each. All samples were
examined serum levels of total bilirubin.
We using statistical test unpaired student t test when distribution is normal, and if
the distribution is not normal, we use Mann Whitney test with a significance p
value <0.05

Results: In this study we obtained serum levels of total bilirubin in patients with
HbA1c < 7 and HbA1c ≥ 7 each 0.704 ± 0.299 and 0.560 ± 0.138. Although there
are differences, but we found no correlation between total serum bilirubin levels
and HbA1c in both groups (HbA1c <7, r = 0.119, p = 0.580 and HbA1c ≥ 7, r =
0.234, p = 0.261)

Conclusions: There was no correlation between bilirubin total serum and HbA1c
in both groups

Keywords: Serum total bilirubin, Type 2 Diabetes Mellitus, HbA1c

CURICULUM VITAE
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

DAFTAR BIODATA
PESERTA BARU PROGRAM MAGISTER DAN
DOKTER SPESIALIS ILMU PATOLOGI KLINIK

DATA PRIBADI
IDENTITAS

Nama :dr. Andi Mulya Suratman


Tempat/Tgl lahir :Tangerang, 28 juni 1984 Agama
: Islam
Alamat : Jl. Ringroad Komplek
Taman
Perkasa Indah Blok D
No.2
kec. Medan Selayang,
Kota
MedanNo 25 Medan
Status : Menikah
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

Nama Orang Tua


Ayah : H. Darna Sutisna (Alm)
Ibu : Hj. Tati Daryati

PENDIDIKAN
1. SDN I Cisoka Tangerang
2. SMPN III Lakbok banjarsari - Ciamis
3. SMAN I Cikupa Tangerang
4. Fakultas Kedokteran Umum Universitas Malahayati – Bandar Lampung
( S1 ), RSU Waled & Gunung Jati – Cirebon Jawa Barat (Profesi)
5. Mengikuti Pendidikan Dokter Spesialis Patologi Klinik/ Magister Kedokteran
Klinik Universitas Sumatera Utara Medan mulai pendidikan Januari 2017.

DATA PRIBADI
IDENTITAS

Nama : dr. Azmi Noer


Tempat/Tgl Lahir : Medan, 18 Pebruari 1988
Agama : Islam
Alamat: Jl. Gatot Subroto G.Bandung
No. 30 Medan
Status : Menikah

Nama Orang Tua


Ayah : Prof. DR. Nasruddin Noer,
M.Eng.Sc
Ibu : Dra.Juwairiah M.Si

PENDIDIKAN
1. SDN 060834 Medan
2. SMPN 7 Medan
3. SMAN 4 Medan
4. Fakultas Kedokteran Umum Universitas Islam Sumatera Utara
5. Mengikuti Pendidikan Dokter Spesialis Patologi Klinik/ Magister Kedokteran
Klinik Universitas Sumatera Utara Medan mulai pendidikan Januari 2017

DATA PRIBADI
IDENTITAS
Nama : dr.Enna Berkah Sari
Tempat/Tgl lahir : Medan, 3 juni 1979
Agama : Islam
Alamat : Jl. Alfaka 1 No. 80 Lk. III,
Kelurahan: Tanjung Mulia Hilir
Kecamatan : Medan Deli, Kota
Medan, Kode Pos : 20241
Status : Menikah
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

Nama Orang Tua


Ayah : Drs.H.Muhammad Djais R, MSi
Ibu : Hj. S

PENDIDIKAN
1. SD Adhyaksa II Medan
2. SMP Negeri 9 Medan
3. SMU Negeri 3 Medan
4. Fakultas Kedokteran Umum Universitas Islam Sumatera Utara – Medan
5. Mengikuti Pendidikan Dokter Spesialis Patologi Klinik/ Magister Kedokteran
Klinik Universitas Sumatera Utara Medan mulai pendidikan Januari 2017

DATA PRIBADI
IDENTITAS

Nama : dr. Yugi Tri Hutomo


Tempat/Tgllahir : Pangkalan Berandan,
3 April 1990
Agama : Islam
Alamat : Jl. Perwira No. 7 P.Berandan
Status : Belum Menikah

Nama Orang tua :


NamaAyah : Ir. Amin Sarjono
Nama Ibu : Hj. Suryani Sembiring

PENDIDIKAN
1. SDN 2 P. Berandan
2. SMPN 1 Babalan P. Berandan
3. SMAN 1 Babalan P. Berandan
4. Fakultas Kedokteran Universitas Islam Sumatera Utara
5. Fakultas Kedokteran Universitas Islam Sumatera Utara Mengikuti
Pendidikan Dokter Spesialis Patologi Klinik/ Magister Kedokteran Klinik
Universitas Sumatera Utara Medan mulai pendidikan Januari 2017
DATA PRIBADI
IDENTITAS

Nama : dr. Doddy Febryan


Tempat/Tgl Lahir : Sibolga / 04 Februari 1980
Agama : Islam
Alamat : Jl. Kapten Muslim No 271
Medan
Status : Menikah

Nama Orang Tua


Departemen Patologi Klinik FK USU, Medan 15Desember 2016

Ayah : dr. Marzuki Nainggolan


Ibu : Alm. Maria Siregar

PENDIDIKAN
1. SD Swasta Harapan 2 Medan
2. SMP Negeri 1 Medan
3. SMU Negeri 3 Medan
4. Fakultas Kedokteran Universitas Islam Sumatera Utara
5. Fakultas Kedokteran Universitas Islam Sumatera Utara Mengikuti
Pendidikan Dokter Spesialis Patologi Klinik/ Magister Kedokteran Klinik
Universitas Sumatera Utara Medan mulai pendidikan Januari 2017

DATA PRIBADI
IDENTITAS
Nama : dr. Eko Sudrajad
Tempat/Tgl Lahir : Padang Pariaman 1 Mai 1979
Agama : Islam
Alamat : Perumnas IV
indarung no 234
Padang, Sumbar.
Status : Menikah

Nama Orang tua


Nama Ayah : H. Yt. Suyanto
Nama Ibu : Hj. Marlis. M

PENDIDIKAN :
1. SDN 11 Indarung padang
2. SMPN 2 Padang
3. SMU Semen Padang
4. Fakultas Kedokteran Umum Universitas Baiturrahmah Padang
5. Fakultas Kedokteran Universitas Islam Sumatera Utara Mengikuti
Pendidikan Dokter Spesialis Patologi Klinik/ Magister Kedokteran Klinik
Universitas Sumatera Utara Medan mulai pendidikan Januari 2017.

DATA PRIBADI
IDENTITAS
Nama : dr. Saiful Hendra Romadon
Tempat/Tgllahir : Way Areng, 25 Juni 1982
Agama : Islam
Alamat : Simpang Kungkai RT: 12
Kec.
Bangko. Kab. Merangin,
Provinsi Jambi
Departemen Patologi Klinik FK USU, Medan 15Desember 2016

Status : Menikah

Nama Orang Tua


Ayah : H. Muchlis
Ibu : Hj. Zurni

PENDIDIKAN2
1. SDN Srimenanti Lampung Timur
2. SLTP Kartika II-2 Bandar Lampung
3. SMAN 3 Bandar Lampung
4. Fakultas Kedokteran Universitas Malahayati – Bandar Lampung, Lampung
5. Fakultas Kedokteran Universitas Islam Sumatera Utara Mengikuti
Pendidikan Dokter Spesialis Patologi Klinik/ Magister Kedokteran Klinik
Universitas Sumatera Utara Medan mulai pendidikan Januari 2017.

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