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Siregar, Nuryati Chairani
"ABSTRAK
Ruang Lingkup dan Cara Penelitian: Hubungan antara jenis kelainan histopatologik tertentu pada radang berulang tonsil dengan kelainan imunopatologik yang terjadi belum banyak diselidiki. Penelitian ini ditujukan untuk melihat hubungan antara kelainan histopatologik tertentu dengan kelainan imunopatologik yang timbul dengan jalan menghitung jumlah dan penyebaran set pengandung imunoglobulin (SPIg) pada tonsil serta mengukur kadar imunoglobulin serum pada penderita radang berulang tonsil. Diperiksa 125 pasang tonsil dan serum yang berasal dari 125 anak usia 4-14 tahun yang menjalani tonsilektomi. Dengan pewarnaan HE dilakukan penggolongan jenis kelainan histopatologik. Dengan cara imunoperoksidase (PAP) diperiksa jumLah SPIg (keLas G,M,A,E dan D) pada daerah sentrum germinativum (SG), kelim limfosit (KL), interfolikuler (IF) dan epitel retikuler kripta (ER). Dengan cara imunodifusi radial diperiksa kadar imunoglobulin (kelas G,M dan A) dalam serum penderita. Sebagai perbandingan diperiksa kadar Ig serum yang berasal dari 33 anak sehat dengan tonsil yang tidak menunjukkan tanda radang.
HasiL dan Kesimpulan: Secara histopatologik ditemukan jenis kelainan yaitu: hiperplasia tonsil (HT), 60,5 %; tonsilitis kronik .(TK), 23,2% dan tonsilitis kronik eksaserbasi akut (IKEA), 16,0%. Jumlah SPIg di daerah KL pada kelompok TK Lebih banyak dan berbeda bermakna dibandingkan dengan kelompok TKEA dan HT. Di daerah ER, jumlah SPIg pada kelompok TK Lebih sedikit dan berbeda bermakna dibandingkan keLompok TKEA. Ditemukan peningkatan bermakna kadar Ig G dalam serum pada kelompok TK dan HT dibandingkan dengan keLompok kelola, dan peningkatan bermakna kadar Ig A dalam serum penderita TK dibandingkan dengan kelompok kelola. Perbedaan jumlah dan penyebaran SPIg pada tonsil yang mengatami radang berulang sesuai dengan jenis kelainan histopatoLogik, yang diikuti dengan peningkatan kadar Ig G dan Ig A dalam serum.

ABSTRACT
Scope and Method of Study: The relationship between histo pathological and immunopathological changes caused by recurrent inflammation of the tonsil has not been studied extensively. The aim of this study was to see the relationship between particular histopathological changes by counting the immunoglobulin containing cells (Ig CC) and its distribution in tonsil and to measure immunoglobulin (Ig) Level in serum of patients with recurrent inflammation of the tonsil. One hundred and twenty five pairs of tonsils and 125 sera from children aged 4-14 years, who underwent tonsillectomy were examined. Histopathological diagnosis was based on routine H and E staining. Immunoperoxidase (PAP) staining was performed to count the amount and distribution of Ig CC (G,M,A,E and D classes) in germinal center (GC), Lymphocyte cuff (LC), interfoLlicular (IF) and reticular part of epithelium (RE) areas. Ig (G,M and A) serum Levels were measured by radial immunodiffusion technique. As a comparison, Ig serum levels of 33 healthy children without signs of inflammation of the tonsil was examined.
Findings and Conclusions: Three histopathological changes were found: hyper plastic tonsil (HT), 60.8%; chronic tonsillitis (CT), 23.2% and chronic tonsillitis with acute exacerbation (CTAE), 16.0%. Significantly higher proportion of Ig CC in LC area was found in CT group compared to CTAE and HT groups. In contrast, in RE area the proportion of Ig CC in CT group was significantly Lower than in CTAE group. There were significant elevations of Ig G serum level in CT and HT groups compared to the control group. Ig A serum Level in CT group was significantly higher than the control group. This study revealed that Ig G CC have different distribution in inflamed tonsil according to its histopathological changes, and those changes were accompanied by the increase of Ig G and Ig A serum Levels.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 1985
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Fakultas Psikologi Universitas Indonesia, 2002
S3161
UI - Skripsi Membership  Universitas Indonesia Library
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Dyah Adinda Janatry
"[ Keong tutut (Bellamya javanica) telah lama dikenal oleh masyarakat tradisional di
Indonesia sebagai alternatif untuk mengobati penyakit kuning yang merupakan
gejala penyakit hati, terutama karena kandungan asam amino yang diduga terdapat
dalam keong tutut, khususnya asam amino glutamat, glisin, dan sistein. Tujuan
penelitian ini adalah untuk melihat pengaruh pemberian daging keong tutut sebagai
hepatoprotektor melalui pengamatan histopatologi hati dan pengukuran aktivitas
alkali fosfatase (ALP) dalam serum menggunakan spektrofotometer UV-Vis.
Sejumlah 36 ekor tikus putih jantan Sprague-Dawley dibagi menjadi 6 kelompok
perlakuan, yaitu kontrol normal, kontrol negatif, kontrol positif, dosis 1, dosis 2,
dan dosis 3. Kelompok kontrol normal dan kontrol negatif diberikan CMC 0,5%,
kontrol positif diberikan silymarin dosis 9,45 mg/200 g bb tikus sedangkan untuk
kelompok dosis diberikan serbuk daging keong tutut dengan dosis berturut-turut 56
mg/200 g bb tikus, 112 mg/200 g bb tikus, dan 224 mg/200 g bb tikus selama 14
hari. Pada hari ke-15, semua kelompok kecuali kelompok kontrol normal diinduksi
hepatotoksik dengan CCl4 untuk mendapatkan kondisi kerusakan hati kemudian
semua tikus dipuasakan makan dengan tetap diberikan minum. Setelah 24 jam
induksi CCl4, dilakukan pengukuran aktivitas ALP serum dan pembedahan untuk
mengambil organ hati. Hasil yang didapatkan menunjukkan bahwa pemberian
daging keong tutut dosis 112 mg/200 g bb tikus dan 224 mg/200 g bb tikus
mempunyai efek hepatoprotektor dalam mencegah kerusakan hati dibandingkan
dengan kontrol negatif. Selain itu, terdapat perbedaan efek pada pemberian tiga
varian dosis serbuk daging keong tutut. Dosis yang memiliki efek potensial sebagai
hepatoprotektor adalah dosis 224 mg/200 g bb tikus (p < 0.05)., Fresh water snail (Bellamya javanica) has been known by traditional communities
in Indonesia as an alternative to treat jaundice which is a liver disease symptoms,
especially because its amino acid compounds, in particular, glutamic acid, glysine,
and cysteine that can be found in tutut snail. This study aimed to observe the effect
of fresh water snail flesh as hepatoprotector through liver histopathology and
alkaline phosphatase (ALP) activities measurements in serum using UV-Vis
spectrophotometer. A total of 36 white male rats of Sprague-Dawley were divided
into 6 groups: normal control, negative control, positive control, dose 1, dose 2, and
dose 3. Normal and negative control groups were received CMC 0,5%, positive
control group were received silymarin dose 9,45 mg/200g bw rats and for dose
groups were received fresh water snail flesh powder, consecutively, dose 56
mg/200g bw rats, dose 112 mg/200 g bw rats, and dose 224 mg/200 g bw rats for
14 days. On day-15, all groups, except normal control group, are hepatotoxicity
induced by CCl4 to obtain liver damage in rats and were not allowed to eat for 24
hours. After 24 hours of CCl4 induced, ALP activities in serum was measured and
the rats were being dissected to take the liver. The results showed that fresh water
snail flesh powder at a dose of 112 mg/200 g bw and 224 mg/200 g bw give a
hepatoprotective effect when being compared to negative control. In addition, there
are variance effect in 3 doses and the potential effect as a hepatoprotector is given
by dose 224 mg/200 g bw (p < 0.05).]"
Fakultas Farmasi Universitas Indonesia, 2015
S59220
UI - Skripsi Membership  Universitas Indonesia Library
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Ketut Tirka Nandaka
"Penelitian ini bertujuan mengetahui secara deskriptif prevalensi psikopatologi dan secara khusus mengetahui prevalensi psikopatologi terhadap anggota prajurit marinir TNI-AL saat menjelang purna tugas. Penelitian ini merupakan studi cross sectional terhadap 96 sampel anggota marinir TNI-AL saat menjelang purna tugas di wilayah DKI Jakarta periode Agustus 2003 sampai Oktober 2003, dengan menggunakan instrumen SCL-90.
Hasil penelitian menunjukkan bahwa prevalensi psikopatologi anggota marinir TNI-AL menjelang pensiun 1 - 3 tahun ke depan sebesar 42.7%. Proporsi kejadian psikopatologi saat 1 tahun menjelang pensiun sebesar 91,3%, 2 tahun menjelang pensiun sebesar 61,3% dan 3 tahun menjelang pensiun sebesar 2,4%. Secara umum dimensi psikopatologi yang timbul pada penelitian ini adalah somatisasi 51,0%, psikotikisme 38,%, fobia 38,5%, ide paranoid 37,5%, ansietas 37,5%, depresi 33,3%, item tambahan 33,3%, obsesi kompulsif 32,3%, hostile 27,1% dan sensitivitas interpersonal 25,0%. Analisis statistik dengan uji Chi square antara lama masa (1 tahun, 2 tahun, 3 tahun) menjelang puma tugas dengan kejadian psikopatologi menunjukkan hasil yang bermakna dengan p = 0,00000. Begitu pula terdapat hubungan yang bermakna antara lama masa (1 tahun, 2 tahun, 3 tahun) menjelang puma tugas dengan kejadian tiap-tiap skala psikopatologi di mana seiuruh skala menunjukkan p <0,05. Lebih dari 60% anggota marinir TNI-AL terdapat psikopatologi secara bermakna yang telah timbui mulai 2 tahun menjelang pensiun.

Objective: In general this study is to know the description of psychopathology and particularly to know the prevalence of psychopathology of TNI-AL marine's corps before entering the retirement.
Method: This is a cross sectional study using 96 samples which taken from DKI Jakarta area in the period August 2003 - October 2003. This study uses SCL-90, for establishing the psychopathology.
Results: The results of this study show that the psychopathology prevalence in TN!-AL marine's corps I - 3 years before entering the retirement is 42.7%. Even the proportion of psychopathology 1 year before the retirement is 91.3%. Psychopathology dimension in general are somatisation 51.0%, psychotism 38.5%, phobia 38.5%, paranoid idea 37.5%, anxiety 37.5%, depression 33.3%, additional item 33.3%, obsessive compulsive 32.3%, hostile 27.1% and interpersonal sensitivity 25.0%. There is a significant relationship in Chi square between 1 year, 2 years and 3 years with the frequency of psychopathology (p = 0.00000). There is a significant relationship in Chi square too between 7 year, 2 years and 3 years with the frequency of each psychopathology dimension (p <0.05 for each dimension).
Remarks: More than 60% TN/ AL marine's corps has the significant psychopathology which develops within two years before entering the retirement. Therefore it is important to anticipate with the concrete steps before entering the retirement to prevent the psychopathology become worse."
Jakarta: Universitas Indonesia, 2004
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Nunung Ainur Rahmah
"Tujuan: AmpIifikasi dan over-ekspresi c-erbB2 and MRP1 ditemukan pada beberapa tumor dan merupakan hal yang panting daiam menentukan perilaku karsinoma. Tujuan penelitian ini untuk mengevaluasi hubungan antara ekspresi protein c-erbB-2 dan MRPI dengan derajat keganasan karsinoma payudara duktal invasif dan respon kemoterapi neoajuvan CAF.
Cara kerja: Ekspresi protein c-erB2 and MRP1 dianalisa secara imunohistokimia pada 27 blok paraffin dari pasien yang telah didiagnosa sebagai karsinoma payudara duktal. Hasilnya dihubungkan dengan derajat keganasan dan respon kemoterapi. Hubungan antara beberapa variabel dianalisa dengan uji analisa statistik non-parametrik Kendall,
Hasil: Ekspresi protein C-erbB-2 positif pada 33,3 % tumor. Ekspresi protein MRP1 negatif pads 25,9 %, positif lemah pada 11,1 %, positif sedang pads 37,1 % dan positif kuat pada 25,9 %. Terdapat hubungan yang bermakna antara ekspresi protein C-erbB-2 dengan MRP1 (p=0,020, r=0,370). Tetapi, tidak ada hubungan yang bermakna antara ekspresi protein C-erbB-2 dengan derajat keganasan (p= 0,210) dan respon kemoterapi
neoajuvan CAF (p=0,168). Tidak ada hubungan yang bermakna antara ekspresi protein
MRPI dengan derajat keganasan (p= 0,144) dan respon kemoterapi neoajuvan CAF (p=0,056). )_ Tidak ada hubungan yang bermakna antara ekspresi protein MRP1 dengan derajat keganasan dengan respon kemoterapi neoajuvan CAF (p-,I30).
Kesimpulan: Terdapat hubungan yang bermakna antara ekspresi protein c-erbB-2 dengan MRP1. Tidak ada hubungan yang bermakna antara ekspresi protein c-erbB2 dan MRPI dengan derajat keganasan dan respon kemoterapi. Tetapi, ada kecenderungan bahwa ekspresi protein MRP berhubungan searah dengan derajat keganasan dan respon kemoterapi. Tidak ada hubungan yang bermakna antara derajat keganasan dengan respon kemoterapi.

Aims: Amplification and over-expression of c-erbB2 and MRP1 gene has been demonstrated in several tumors and thought to be important determinant of behaviors of carcinoma. In this study, correlation between c-erbB-2 and MRPI protein expression with histological grade of invasive ductal carcinoma of the breast and CAF neoadjuvant chemotherapy response were evaluated.
Methods: Paraffin-embedded tissue section from 27 patients who diagnosed as invasive ductal carcinoma of the breast were analyzed immunohistochemically for the expression of c-erbB2 and MRPI. The result was compared with histological grade and CAF neoadjuvant chemotherapy response. The correlation between several variable were analyzed by non-parametric statistical analysis correlation of Kendall.
Result: C-erbB-2 protein expression were positive in 33.3 % of the tumours. MRP1 protein expression were negative in 25.9 %, weak positive in 11.1 %, moderate positive in 37.1 % and strong positive in 25.9 %. There was significant correlation between C-erbB-2 with MRPI protein expression (p(_020, r0.370). However, there was no significant correlation between C-erbB-2 protein expression with histological grade (p= 0.210) and chemotherapy response (p=0.168). There was no significant correlation between MRP I protein expression with histological grade (p= 0.144) and chemotherapy response (p-0.056). There was no significant correlation between histological grade with chemotherapy response (p.41130).
Conclusion C-erbB-2 and MRPI protein expression were weakly correlated with each other. There was no significant correlation among both of the c-erbB2 and MRP I protein with histological grade and CAF neoadjuvant chemotherapy response_ However, there was a tendency that the expression of MRPI protein was related to histological grade and CAF neoadjuvant chemotherapy response. There was no significant correlation between histological grade and CAF neoadjuvant chemotherapy response.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2006
T18170
UI - Tesis Membership  Universitas Indonesia Library
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Ninik Mudjihartini
"[ABSTRAK
Hipoksia berperan penting pada patofisiologi berbagai penyakit utama penyebab kematian seperti, penyakit jantung iskemia, strok, kanker, penyakit paru kronik, dan gagal jantung kongestif. Kedua protein golongan globin di otak, yaitu neuroglobin (Ngb) dan sitoglobin (Cygb) diduga berperan dalam suplai oksigen ke mitokondria dan melindungi jaringan otak dari kerusakan akibat hipoksia (neuroprotektan). Perubahan ekspresi protein merupakan salah satu bentuk adaptasi biokimia yang penting terhadap perubahan homeostasis. Oleh karena itu timbul pertanyaan bagaimana pola ekspresi Ngb dan Cygb serta peran neuroprotektan kedua protein tersebut di otak pada keadaan hipoksia sistemik kronik (HSK). Penelitian bertujuan manganalisis perbedaan pola ekspresi Ngb dan Cygb serta kaitannya dengan apoptosis pada HSK. Parameter yang diukur adalah Ngb, Cygb, sitokrom c, MDA, GSH dan HIF-lα. Rancangan penelitian yang digunakan adalah studi eksperimental in vivo model HSK pada tikus. Tikus sebagai hewan coba dibagi secara acak dalam 6 kelompok perlakuan, yaitu kelompok I adalah kelompok kontrol atau tanpa perlakuan hipoksia, sedangkan kelompok II, III, IV, V, dan VI mendapat perlakuan hipoksia dengan lama waktu hipoksia selama 1, 3, 5, 7, dan 14 hari. Parameter yang diperiksa meliputi ekspresi Ngb dan Cygb dengan teknik real time-RT PCR, ELISA dan imunofluoresen FITC, stres oksidatif, HIF-1α sebagai penanda hipoksia, dan sitokrom c sebagai penanda apoptosis. Hasil yang diperoleh HSK meningkatkan ekspresi mRNA Ngb pada hipoksia 3, 5, dan 7 hari, namun ekspresi proteinnya menurun pada hipoksia 1, 3, 5, 7, dan 14 hari dibanding dengan kontrol. Berbeda dengan ekspresi mRNA Cygb yang menurun selama hipoksia 1, 3, 5, 7, dan 14 hari, namun protein Cygb meningkat pada hipoksia 1, 3, 5, 7, dan 14 hari dibandingkan dengan kontrol. Korelasi Ngb dengan sitokrom c lemah tidak signifikan, sedangkan Cygb sangat lemah dan tidak signifikan. HSK menginduksi ekspresi HIF-lα yang meningkat tertinggi pada hipoksia 7 hari, dan menyebabkan stres oksidatif yang ditandai dengan meningkatnya MDA pada hipoksia 1, 3 dan 5 hari, serta menurunnya GSH pada hipoksia 1, 3, dan 5 hari. Penelitian ini membuktikan bahwa terdapat perbedaan pola ekspresi Ngb dan Cygb pada HSK. Ekspresi Ngb sebagai respons adaptasi terjadi lebih awal dan lebih dipengaruhi oleh lama waktu hipoksia dibandingkan dengan ekspresi Cygb. Meskipun lemah, Ngb cenderung mempunyai peran menghambat apoptosis dibandingkan dengan protein Cygb.;

ABSTRACT
Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein;Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein;Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein;Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein, Hypoxia has an important role in the pathophysiology of high mortality diseases, such as ischemic cardiovascular disease, stroke, cancer, chronic lung disease, and congestive heart failure. The proteins belonged to globin protein group, included neuroglobin (Ngb) and cytoglobin (Cygb), have been presumed to play a role in regulating the oxygen supply into the mitochondria and protecting the brain tissues from damage due to hypoxia (neuroprotectant). An alteration in protein expression due to a homeostatic shift is an important adaptation process in biochemistry. Therefore, the expression pattern of Ngb and Cygb as well as their protein roles in brain during a chronic systemic hypoxia condition (CSH) remain unclear. This study aim to analyse the differences of the Ngb and Cygb expression patterns, and correlation of both protein to apoptosis in chronic systemic hypoxic condition. Ngb, Cygb, Cytochrome c, MDA, GSH, and HIF-1 α. were examined. An in vivo experimental model of CSH was carried out using rat. The experimental rats were randomly divided into 6 treatment groups, i.e. group I was a control group or without hypoxic condition, groups II, III, IV, V, and VI were treated by hypoxic condition for 1, 3, 5, 7, and 14 days, respectively. The Ngb and Cygb expressions were analysed using real time-RTPCR, ELISA, immunofluorescence with FITC, and the measurement of stress oxidative biomarkers, included HIF-1α as a biomarker of hypoxic condition and cytochrome c as a biomarker of apoptosis. The CSH was increased the mRNA expression of Ngb at 3, 5, and 7 days hypoxic groups, while the protein expression was decreased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The mRNA expression of Cygb was decreased at 1, 3, 5, 7, and 14 days hypoxic groups, whereas the Cygb protein expression was increased at 1, 3, 5, 7, and 14 days hypoxic groups compared to control group. The correlation between Ngb with cytochrome c was weakly statistically insignificant, and Cygb with cytochrome c was statistically insignificant. The CSH induced the HIFlα, which was shown by a high increase at 7 days hypoxic group, as well as stress oxidative which was represented by MDA at 1, 3, and 5 days hypoxic groups, and decreased GSH at 1, 3, and 5 days hypoxic groups. There are differences in expression pattern of Ngb and Cygb in CSH. The expression of Ngb, as an adaptive response, occurs earlier and is more influenced by the duration of hypoxic condition compared to Cygb. Although the correlation is weak, the Ngb seems more likely to inhibit apoptosis compared to Cygb protein]"
2015
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UI - Disertasi Membership  Universitas Indonesia Library
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Kaka Renaldi
"ABSTRAK
Latar belakang: Sejak tahun 1980 Divisi Gastroenterologi Departemen Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Indonesia/Rumah Sakit Cipto Mangunkusumo (IPD FKUI/RSCM) membuat kriteria derajat gastritis kronik berdasarkan gambaran esofagogastroduodenoskopi (EGD) adanya hiperemis dan erosi. Kriteria derajat gastritis kronik ini banyak digunakan di seluruh Indonesia namun kriteria tersebut belum pernah dilakukan uji diagnostik.
Tujuan: Mendapatkan akurasi diagnostik derajat gastritis kronik berdasarkan pemeriksaan EGD dibandingkan dengan pemeriksaan histopatologi.
Metode: Penelitian ini merupakan uji diagnostik derajat gastritis kronik berdasarkan hasil pemeriksaan EGD pada pasien yang memiliki indikasi, dibandingkan dengan gambaran histopatologi sebagai pemeriksaan baku emas yang dilakukan di Pusat Endoskopi Saluran Cerna (PESC) Divisi Gastroenterologi Departemen IPD FKUI/RSCM dari Oktober 2014 hingga Februari 2015. Uji diagnostik yang dilakukan ada 2 yaitu uji diagnostik gastritis sedang - ringan dan berat - sedang. Masing-masing uji diagnostik di atas, ditampilkan parameter-parameter uji diagnostik berupa sensitivitas (Se), spesifisitas (Sp), nilai duga positif (NDP), nilai duga negatif (NDN), serta rasio kemungkinan (RK) positif dan negatif. Seluruh parameter di atas menyertakan interval kepercayaan 95% (IK 95%).
Hasil Penelitian: Dari 230 subjek didapatkan karateristik penelitian perempuan lebih banyak dari laki - laki dengan perbandingan 3:2, terdapat merata pada semua kelompok usia, DM 23%, hipertensi 36,5% dan infeksi H.pylori 2,6%. Hasil uji diagnostik gastritis ringan - sedang: Se 0.95 (IK 95% 0.87-0.98), Sp 0.96 (IK 95% 0.86-0.99), NDP 0.97 (IK 95% 0.89-0.99), NDN 0.94 (IK 95% 0.84-0.98), RK Positif 23.39 (IK 95% 6.09- 89.74) dan RK Negatif 0.05 (CI 95% 0.02-0.14). Hasil uji diagnostik gastritis sedang - berat: Sensitivitas 0.93 (IK 95% 0.82-0.98), Spesifisitas 0.94 (IK 95% 0.86-0.98), Nilai Duga Positif 0.91 (IK 95% 0.79-0.96), Nilai Duga Negatif 0.96 (IK 95% 0.88-0.99), Rasio Kemungkinan Positif 16.54 (IK 95% 6.32-43.28) dan Rasio Kemungkinan Negatif 0.05 (CI 95% 0.02-0.21).
Kesimpulan: Pemeriksaan EGD memiliki akurasi yang baik untuk menegakkan diagnosis derajat gastritis kronik.

ABSTRACT
Background: Since 1980, Division of Gastroenterology Department of Internal Medicine FKUI/RSCM had made a criteria for chronic gastritis grading based on hyperemic and erosion that are found in gastric?s mucosa based on esophagogastroduodenoscopy (EGD) examination. This criteria is used nationwide all over Indonesia but until now there is no diagnostic study for chronic gastritis grading based on EGD examination compare to histopathology examination as the gold standard.
Purpose: To get diagnostic accuracy of chronic gastritis grading based on EGD compared to histopathology.
Methods: This research is a diagnostic study about chronic gastritis grading by EGD from patients that had indication for, compared to histophatology as a gold standard in gastrointestinal endoscopy room Division of Gastroenterology Department of Internal Medicine FKUI/RSCM from October 2014 to February 2015. There will be 2 diagnostic study, mild to moderate gastritis and severe to moderate gastritis diagnostic study. For every diagnostic study, the parameters that will be showed are Sensitivity (Se), Specificity (Sp), Possitive Predictive Value (PPV), Negative Predictive Value (NPV), Possitive Likelihood Ratio and Negative Likelihood Ratio (NLR). The 95% confidence interval will be included.
Results: Of 230 subjects, there were more women than men with ratio 3:2, age didn?t affect the grading of chronic gastritis, type 2 diabetes was found in 23% patients, hypertension was found in 36,5% patients and H.pylori infection in only 2.6% patients. The results for mild to moderate gastritis : Sensitivity 0.95 (CI 95% 0.87-0.98), Specificity 0.96 (CI 95% 0.86-0.99), Possitive Predictive Value 0.97 (CI 95% 0.89- 0.99), Negative Predictive Value 0.94 (CI 95% 0.84-0.98), Possitive Likelihood Ratio 23.39 (CI 95% 6.09-89.74), and Negative Likelihood Ratio 0.05 (CI 95% 0.02-0.14). The results for moderate to severe gastritis : Sensitivity 0.93 (CI 95% 0.82-0.98), Specificity 0.94 (CI 95% 0.86-0.98), Possitive Predictive Value 0.91 (CI 95% 0.79-0.96), Negative Predictive Value 0.96 (CI 95% 0.88-0.99), Possitive Likelihood Ratio 16.54 (CI 95% 6.32-43.28), and Negative Likelihood Ratio 0.05 (CI 95% 0.02-0.21).
Conclusion: Esophagogastroduodenoscopy feature has good accuracy to diagnose the grading of chronic gastritis.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2015
T58689
UI - Tesis Membership  Universitas Indonesia Library
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Widyastuti
"

Latar Belakang: Perdarahan masif merupakan komplikasi paling banyak pada kasus spektrum plasenta akreta. Penyebab perdarahan terutama tergantung dari derajat keparahan spektrum plasenta akreta yang dapat diprediksi dari USG dan secara klinis dibuktikan pada saat operasi. Meskipun banyak faktor yang memengaruhi jumlah perdarahan saat operasi, namun memprediksi jumlah perdarahan melalui jumlah aliran darah yang masuk ke uterus adalah suatu patut diperhatikan. Oleh karena itu, penelitian ini bertujuan untuk memahami hubungan volume flow arteri uterina dan iliaka interna terhadap perdarahan, temuan intraoperasi dan histopatologi pada kasus SPA.

Tujuan: Mengetahui hubungan volume flow dan diameter arteri uterina dan iliaka  interna dengan perdarahan dan temuan intraoperasi serta histopatologi pada pasien spektrum plasenta akreta.

Metode: Sebuah studi cross-sectional dilakukan pada 31 wanita, yang secara klinis didiagnosis dengan SPA. Pengukuran volume flow dan diameter arteri uterina dan iliaka interna dilakukan dengan USG Doppler sebelum operasi dilakukan. Temuan intraoperasi dan hasil histopatologi dikategorikan sesuai kriteria klinis dan histopatologi FIGO. Jumlah perdarahan intraoperasi diukur dan dicatat. Data kemudian dianalisis menggunakan Statistical Package for Social Sciences (SPSS) versi 25.

Hasil: Dari 31 subjek penelitian didapatkan jumlah perdarahan intraoperasi sebanyak 1500 (1000-3000) mL. Sebagian besar tindakan yang dilakukan bersifat elektif (n=18; 58,1%) dengan seksio sesarea diikuti oleh histerektomi sebanyak 19 kasus (61,3%). Temuan klinis intraoperasi yang paling sering ditemukan adalah kriteria klinis FIGO 1 sebanyak 15 kasus (48,4%). Hasil histopatologi terbanyak adalah kriteria histopatologi FIGO 2 sebanyak 19 kasus (61,3%).

Rerata volume flow Arteri Iliaka Interna (p=0,002) berkorelasi dengan jumlah perdarahan intraoperasi dengan koefisien korelasi sebesar 0,525, sedangkan rerata volume flow Arteri Uterina tidak berkorelasi dengan jumlah perdarahan intraoperasi. Rerata diameter arteri uterina (p=0,034) berkorelasi positif dengan jumlah perdarahan intraoperasi dengan koefisien korelasi sebesar 0,383. Hal ini menunjukkan semakin besar volume flow arteri Iliaka Interna, semakin besar jumlah perdarahan intraoperasi. Ditemukan bahwa rerata diameter arteri iliaka interna memiliki perbedaan secara statistik dengan temuan klinis intraoperatif (p=0,044). Tidak ditemukan hubungan antara rerata volume flow dan diameter arteri uterina dan arteri iliaka interna dengan hasil histopatologi.

Kesimpulan. Pengukuran volume flow arteri iliaka interna dan diameter arteri uterina dapat memberikan gambaran perkiraan jumlah perdarahan saat operasi kasus spektrum plasenta akreta.


Background: Massive bleeding is the most common complication in cases of the placenta accreta spectrum (PAS). The cause of bleeding largely depends on the severity of the PAS, which can be predicted through ultrasound (USG) and clinically confirmed during surgery. Although many factors influence the amount of bleeding during surgery, predicting the amount of bleeding through the measurement of blood flow into the uterus is noteworthy. Therefore, this study aims to understand the relationship between the volume flow of the uterine and internal iliac arteries and bleeding, intraoperative findings, and histopathology in PAS cases.

Objective: To determine the Relationship between Volume Flow and Diameter of Uterine and Internal Iliac Arteries with Intraoperative Bleeding and Findings, as well as Histopathology in Patients with Placenta Accreta Spectrum.

Methods: A cross-sectional study was conducted on 31 women clinically diagnosed with PAS. Measurement of volume flow and diameter of the uterine and internal iliac arteries was performed using Doppler ultrasound before surgery. Intraoperative findings and histopathological results were categorized according to clinical and FIGO histopathological criteria. The amount of intraoperative bleeding was measured and recorded. The data were then analyzed using Statistical Package for Social Sciences (SPSS) version 25.

Results: From 31 study subjects, the amount of intraoperative bleeding was found to be 1500 (1000-3000) mL. Most procedures were elective (n=18; 58.1%), with cesarean section followed by hysterectomy in 19 cases (61.3%). The most common intraoperative clinical finding was FIGO clinical criteria 1 in 15 cases (48.4%). The majority of histopathological results were FIGO histopathological criteria 2 in 19 cases (61.3%). The mean volume flow of the Internal Iliac Artery (p=0.002) correlated with the amount of intraoperative bleeding with a correlation coefficient of 0.525, while the mean volume flow of the Uterine Artery did not correlate with the amount of intraoperative bleeding. The mean diameter of the uterine artery (p=0.034) positively correlated with the amount of intraoperative bleeding with a correlation coefficient of 0.383. This indicates that the larger the volume flow of the Internal Iliac Artery, the greater the amount of intraoperative bleeding. It was found that the mean diameter of the internal iliac artery differed statistically with intraoperative clinical findings (p=0.044). No relationship was found between the mean volume flow and diameter of the uterine and internal iliac arteries with histopathological results.

Conclusion: Measurement of the volume flow of the internal iliac artery and the diameter of the uterine artery can provide an estimate of the amount of bleeding during surgery in cases of the placenta accreta spectrum."

Jakarta: Fakultas Kedokteran Universitas Indonesia, 2024
T-pdf
UI - Tesis Membership  Universitas Indonesia Library
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Ika Megatia
"Latar belakang: Kanker payudara merupakan kanker terbanyak dengan insiden 40,3 per 100.000 perempuan dan angka mortalitas sebesar 16,6 per 100.000 perempuan di Indonesia. Pada stadium awal I-II, penentuan terapi operatif mastektomi seringkali membutuhkan pemeriksaan potong beku intraoperatif untuk menilai keganasan, namun sering tidak tersedia di banyak rumah sakit. Tripel diagnostik pemeriksaan fisik, ultrasonografi dan fine needle aspiration biopsy merupakan metode diagnostik preoperatif yang juga dinilai akurat dan mudah dilakukan. Studi ini menilai kesesuaian tripel diagnostik dengan histopatologis khususnya pada benjolan yang curiga ganas di RSCM dan RSUPP selama Februari 2016-Agustus 2017.
Metode: Subjek dengan benjolan payudara curiga ganas pada stadium awal yang memenuhi kriteria inklusi di RSCM dan RSUPP dilakukan tripel diagnostik preoperatif, kemudian dilakukan pemeriksaan potong beku intraoperatif dan histopatologi pasca operasi. Menggunakan desain studi diagnostik statistik, dilakukan analisis kesesuaian tripel diagnostik maupun potong beku dibandingkan dengan histopatologi yaitu sensitivitas, spesifisitas, nilai prediksi positif NPP, nilai prediksi negatif NPN dan akurasi.
Hasil Didapatkan 33 subjek kanker payudara stadium awal prevalensi 4,3 dengan rerata umur 49,6 tahun dengan kelompok umur terbanyak di atas 40 tahun 78,8. Sekitar 63,6 subjek memiliki ukuran tumor 2-5 cm dan jenis histopatologi terbanyak berupa karsinoma invasif 84,8. Dibandingkan hasil histopatologi: a Potong beku memiliki sensitivitas 96,8, spesifisitas 100, NPP 100, NPN 66,7, dan akurasi 97,0 ; dan b Tripel diagnostik mempunyai sensitivitas 77,4, spesifisitas 100, nilai prediksi positif tinggi 100, nilai prediksi negatif 22,2 dan akurasi 78,8 p = 0,016.
Kesimpulan: Tripel diagnostik merupakan metode diagnostik yang cukup akurat pada kanker payudara stadium awal sehingga dapat digunakan sebagai metode diagnostik alternatif di fasilitas pelayanan tipe C dan D di Indonesia di saat potong beku tidak tersedia.

Background: Breast cancer is the most common cancer with incidence rate 40.3 per 100.000 women and mortality rate 16.6 per 100.000 women in Indonesia. In early stage, decision for operative therapy mastectomy requires intraoperative frozen section to assess its malignancy, which is often unavailable in many hospitals. Triple diagnostic physical examination, breast ultrasonography and fine needle aspiration biopsy is an accurate and easily performed preoperative diagnostic method. This study assesses the suitability of triple diagnostic with histopathology results in suspicious malignant breast lumps at Ciptomangunkusumo and Persahabatan hospital during February 2016 August 2017.
Method: Subjects with supicious malignant breast lump that met the inclusion criteria underwent preoperative triple diagnostic, intraoperative frozen section and postoperative histopathology examination. With statistic diagnostic study design, the suitability of triple diagnostic and frozen section were assesed in comparation to histologic examination sensitivity, specificity, positive predictive value PPV, negative predictive value NPV and accuracy.
Result: 33 subjects with early stage breast cancer were obtained prevalence 4.3 with average mean of age of 49.6 years, were above 40 years 78.8. Around 63.6 had tumor size between 2 5 cm, and most histopathologic types were those with invasive carcinoma 84.8. When compared to histopathologic result a Frozen section has 96.8 sensitivity, 100 specificity, 100 PPV, 66.7 NPV and 97.0 accuracy and b Triple diagnostic has 77.4 sensitivity, 100 specificity, high PPV 100, 22.2 NPV and 78.8 accuracy. p 0.016.
Conclusion: Triple diagnostic is a relatively accurate diagnostic method in early stage breast cancer, hence, can be used as an alternative diagnostic method at type C and D heatlhcare facilities in Indonesia whenever frozen section is unavailable.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2018
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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