Hasil Pencarian

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Hasil Pencarian

Ditemukan 11 dokumen yang sesuai dengan query
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Indah Fauziah
"Selama ini kasus karsinoma ovarium yang datang ke RSCM ditangani oleh Subbagian Ginekologi Onkologi, dan telah membuat panduan tatalaksana karsinoma ovarium. Karsinoma ovarium stadium lanjut sejak tahun 1994. dilakukan pemberian neoadjuvant kemoterapi yang dilanjutkan dengan pembedahan sitoreduksi. Kurangnya data awal maupun kajian dalam bentuk penelitian mengenai perubahan metode pemberian kemoterapi, dari metode konvensional yaitu pembedahan sitoreduksi (tanpa neoadjuvant kemoterapi) yang kemudian dilanjutkan dengan pemberian adjuvant kemoterapi, menjadi pemberian neoadjuvant kemoterapi tcrlcbih dahulu kemudian dilanjutkan pembedahan sitoreduksi menimbulkan pertanyaan, bagaimana efek pemberian neoadjin.ant kemoterapi pada karsinoma stadium lanjut di RS Cipto Mangunkusumo Jakarta.
Pada pasien karsinoma ovanium stadium lanjut yang dilakukan pengobatan kemoterapi selama kurun waktu tertentu di Subbagian Ginekologi Dnkologi, Bagian Obstetri dan Ginekologi RS Cipto Mangunkusumo Jakarta.
1. Bagaimanakah praktek pemberian neoadjuvant kemoterapi pada karsinoma ovarium stadium lanjut?
2. Bagaimanakah efek pemberian neoadjuvant kemoterapi terhadap pencapaian sitoreduksi optimal?
3. Bagaimanakah efek pemberian neoadjuvant kemoterapi terhadap morbiditas pembedahan?
4. Bagaimanakah efek pemberian neoadjuvant kemoterapi terhadap kualitas hidup?"
Lengkap +
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2006
T18163
UI - Tesis Membership  Universitas Indonesia Library
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Dewi Fransiska
"ABSTRAK
Latar Belakang: NAC neoadjuvant chemotherapy secara umum telah digunakan di LABC locally advanced breast cancer untuk mengurangi ukuran tumor dan membuat tumor tersebut bisa untuk dioperasi. Meskipun ukuran tumor telah berkurang, masih diperdebatkan batas pembedahan pasca NAC untuk LABC dengan karsinoma mastitis, ulkus payudara, dan fitur agresif lainnya bebas dari tumor karena kemoterapi tidak bisa membunuh 100 dari sel-sel tumor.Metode: Desain penelitian adalah studi potong lintang. Sampel diambil dari semua pasien dengan LABC yang datang ke klinik onkologi rawat jalan dari RS Cipto Mangunkusumo dan ditato untuk batas pembedahan berdasarkan ukuran tumor sebelum NAC. Penelitian ini dilakukan untuk menentukan batas pembedahan yang benar di LABC setelah NAC.Hasil: Dari total 85 pasien, 42 pasien termasuk dalam studi dan 30 pasien masih menjalani pemberian NAC. Umur pasien berkisar antara 27-70 tahun dengan frekuensi tertinggi adalah 40-50 tahun 47,6 . Frekuensi kasus tersering adalah pasien dengan stadium IIIB 92,9 , grade 2 66,7 , histopalogi karsinoma duktal invasif 92,8 hasil IHK imunohistokimia over-ekspresi HER2 42,8 , volume tumor sebelum NAC > 100cc 85,8 dan volume tumor setelah NAC 50-100cc 57,2 . Regimen kemoterapi yang banyak digunakan CAF 76,1 dengan respon parsial 95,2 .Kesimpulan: Batas sayatan kulit berdasarkan ukuran tumor pasca NAC dapat menjadi acuan untuk operasi, namun pada dasar sayatan operasi masih perlu dilakukan frozen section untuk memastikan bebas tumor atau tidak. Seorang ahli bedah juga harus lebih berhati-hati dalam menentukan batas sayatan operasi pada kasus mastitis karsinomatosis, ulkus payudara yang besar dan tumor yang terletak di medial payudara dimana pada kondisi ini batas sayatan operasi dapat beresiko tidak bebas tumor.

ABSTRACT
Introduction There is limited evidence regarding the effectivness of neoadjuvant chemotherapy NAC to improve surgical margins for locally advanced breast cancer LABC patients. In this study, NAC was used to reduce tumor size to improve operability and reduce surgical margins, with confirmation of tumor free areas provided by post operative histopathology. The reduction of surgical margins has the potential to reduce the need for extensive surgery and the risk of complications in LABC patients.Method The study participants were patients diagnosed with LABC in Ciptomangunkusumo Hospital Jakarta and Awal Bros Bekasi Hospital Bekasi between 2014 and 2015. Patients underwent NAC, and those with partial or complete response were sent for surgery. Tumor excision was done according to the pre NAC surgical margin, which was marked by tattoo. Histopathology then checked for tumor cells in the surgical margins based on breast tumor size of pre and post NAC. Data was analyzed with SPSS version 20 with numerous statistical tests. Cross tabulation analyses were done to examine the characteristics of the study participants. McNemar test was used to determine and compare the pre and post NAC surgical margins.Results Out of 42 patients, 38 were observed to have tumor free surgical margins in both pre and post NAC. Of the remaining four patients, three patients had tumor cells in both surgical margins, and one patient had a tumor free pre NAC but positive tumor cells post NAC. McNemar analysis suggests no significant difference p 1,000 in the two surgical margins evaluated. Based on Wilson score analysis, agreement of negative result of surgical margin in pre NAC compare to post NAC is 97.3 CI 86,18 99.52 . Mean while, agreement of positive tumor cell in pre NAC to post NAC surgical margin is 100 CI 90.36 100 .Conclusion Surgical margins in the skin based on the post NAC tumor size can be used as a guide for surgery, but not in the tumor base. If the surgical margin of tumor base is ambiguos, frozen section can be performed to confirm tumor free in the tumor base. This will reduce the risk of residual tumor cells in surgical margins. "
Lengkap +
2016
T55580
UI - Tesis Membership  Universitas Indonesia Library
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Sri Utami B. Roeslan
"RINGKASAN EKSEKUTIF
Ruang Lingkup dan Cara Penelitian: Pengobatan kanker payudara sudah
banyak diupayakan, melalui tindakan bedah, radioterapi, kemoterapi
dan terapi hormonal, namun hasilnya kurang memuaskan. Yang sangat
didambakan dan ideal ialah cara pencegahan timbulnya kanker atau
setidaknya upaya menekan perkembangan kanker. Beberapa jenis
bahan makanan telah dilap orkan mempuny ai kh asiat mencegah
timbulnya keganasan . Vitamin A alami maupun sintetik dilaporkan
dapat mempengaruhi pertumbuhan sel, sehingga \litamin A dosis tinggi
diperkirakan dapat mencegah atau menghambat pertumbunan tumor.
Dilakukan penelitian eksperimental untuk menilai daya hambat retinil
asetat terhadap pertumbuhan tumor transplantabel kele njar susu
mencit. Tiga kelompok mencit ja tan strain GR, umur ± 2 bulan dan
berat badan 18 - 23 g, masing-masing 12 ekor, diinokulasi secara subkutan
dengan 0,2 ml suspensi tumor kelenjar susu yang diperoleh dari
mencit GR donor. Tiga jam kemudian kelompok perlakuan RA dicekok
dengan sonde lambung 0,2 ml larutan retinil asetat 1500 IU, dan
dila njutkan se tiap li ari selama 14 h a ri. Kelompok kontro l KP
mempero leh 0,2 ml akuades sebagai ganti retinil asetat, sedangkan
kelompok K tidak dibeliikan apa-apa. Daerah inokulasi diraba setiap
hari untuk mengetahui pertumbuhan tumor. Volume tumor dan berat
badan mencit diukur setiap 3 haui, dan pada hari ke-15 semua mencit
dimatikan dengan cara dislokasi servikal. Tumor diangkat dan diukur
volumenya, lalu dibuat sediaan mikroskopik dengan pewarnaan HE.
Hasil dan Kesimpulan: Volume tumor pada mencit kelomQok RA ternyata
Jebih kecil daripada elompok KP dan K (p < 0,01). Tumor pada
kedua kelompok kontrol maupun perlakuan RA menunjukkan gambaran
adenokarsinoma, namun indeks mitosis pada kelompok RA lebih kecil
daripada kedua kelompok kontrol. Dengan demikian dapat disimpulkan
bahwa pemberian retinil asetat 1500 IU setiap hari selama 14 hari
dengan dicekokkan dapat menghambat pertumbuhan tumor transplantabel
kelenjar susu mencit GR.
Scope and Method of Study: Breast cancer has been treated by various
means of surgery, radiotherapy, chemotherapy and hormonal therapy,
however, the outcome are still unsatisfactory. The ideal approach
should be through prevention, or at least the development and progress
of cancer inhibited. Different kinds of foodstuffs have been reported
to be useful in the protection against malignancy. Vitamin A, either
natural or synthetic, has been reported to affect cell growth, and a
high dose was considered to be protective and inhibit tumor growth.
An experiment was carried out on male GR mice, approximately 2
months old and weighing 18 - 23 g, to evaluate the inhibitory action
of retinyl acetate on the growth of transplantable mammary tumor.
Thirty six mice were divided into 3 groups of 12. They were all inoculated
subcutaneously with a porridge of tumor cells (0.2 ml) prepared
from a donor mouse. Three hours following inoculation, each of the
treatment group (RA) was given through a gastric tube 1500 IU of
retinyl acetate in 0.2 ml of distilled water, and the treatment continued
daily for 14 days. The control group KP received daily 0.2 ml of distilled
water, and group K was without any treatment. The mice were
observed daily for tumor growth, and tumor volume and body weight
were measured every three days starting from day 3. At the end of the
experiment (day 15), the mice were sacrificed by cervical dislocation.
The tumor was excised from each mouse and the volume measured,
and further processed for microscopic examination by HE stain.
Findings and Conclusions: The volume of the tumor of the mice receiving
retinyl acetate was significantly smaller than those of the control
groups K and KP (p < 0.01). Tumors from the treatment group as well
as both control groups showed the characteristics of adenocarcinoma,
but the mitotic index was significantly smaller in the treatment group.
It is concluded that treatment with retinyl acetate, 1500 IU daily for
14 days, could inhibit the growth of transplantable mammary tumor in
GR mice.
"
Lengkap +
1994
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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"[Penyebab disentri yang umum pada anak salah satunya adalah Shigella sp. Madu
tualang memiliki sifat antibakteri pada beberapa penyakit. Masih belum diketahui
aktivitas antibakteri madu Tualang terhadap Shigella. Penelitian ini dimaksudkan
untuk mengetahui efek pemberian madu Tualang sebagai terapi adjuvan terhadap
perubahan jumlah bakteri pada feses, berat badan, dan perilaku hewan coba yang
diinduksi Shigella sp. Design penelitian yang dilakukan adalah penelitian
eksperimental. Data penelitian diperoleh dari penimbangan berat badan,
pengamatan perubahan perilaku, dan penghitungan jumlah bakteri pada hari
pertama dan ketiga setelah mendapatkan perlakuan. Penghitungan jumlah bakteri
menggunakan metode Total Plate Count. Penelitian dilakukan pada bulan
Desember 2013-September 2015 di Departemen Farmakologi dan Terapeutik
Fakultas Kedokteran Indonesia, Kandang Hewan Laboratorium Farmakologi,
Laboratorium Mikorbiologi Klinik Fakultas Kedokteran Indonesia. Data yang
didapat diuji secara statistik dengan menggunakan program SPSS 20.0. Uji
hipotesis yang dipakai adalah uji Kruskall-Wallis pada pengolahan data jumlah
bakteri, dan One-Way Anova pada data berat badan. Hasil pengamatan
menunjukan jumlah bakteri pada feses tikus antar kelompok tidak berbeda
bermakna. Demikian pula dengan berat badan dan perilaku tikus. Kesimpulan
hasil yang didapat, madu Tualang tidak efektif sebagai antibakteri pada terapi
disentri akibat Shigella., Shigella sp. is one of the most common disentry causal agents. Tualang Honey is
believed to be an effective antibacterial agent againts several diseases. However,
the use of antibacterial in Tualang honey against Shigella has not been well
studied. This research aims to discover the implication of Tualang honey as an
adjuvant therapy on changes of bacterial count in faeces, body weight, and
behaviour of the animal inducted by Shigella sp. Experimental design was used in
this research. Data was collected by observation of body weight, behavioural
changes, and bacterial count in faeces on day one and three post-experiment.
Bacterial count was executed with Total Plate Count method. Research was
conducted from December 2013 to September 2015. The data obtained was
statistically analyzed with SPSS 20.0. Hypothesis test used was Kruskall Wallis
for bacterial count and One Way Anova for body weight. The result of the study
revealed that the difference of bacterial count in faeces betweem groups was not
significant. This finding was in line with body weight and behaviour of the rats. It
can be concluded that the usage of Tualang honey is ineffective to treat disentry
caused by Shigella sp.]"
Lengkap +
[, Fakultas Kedokteran Universitas Indonesia], 2015
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UI - Skripsi Membership  Universitas Indonesia Library
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"[Diare merupakan penyebab ke-13 mortalitas di dunia. Salah satu jenis diare yang merupakan sebuah kegawatdaruratan adalah disentri dengan manifestasi klinis diare yang disertai mukus dan darah. Pengobatan menggunakan siprofloksasin diperkirakan masih memiliki keterbatasan dalam kecepatan penyembuhan pasien dan tatalaksana dari komplikasi disentri. Madu manuka dan madu tualang memiliki efek antiinflamasi secara in vitro sehingga ingin diketahui apakah madu manuka dan madu tualang memiliki efek antiinflamasi pada vili usus akibat Shigelosis. Penelitian eksperimental pararel ini dilakukan pemberian madu sebagai terapi adjuvan berupa madu tualang dan madu manuka secara in vivo pada tikus Sprague Dawley. Jumlah bakteri pada feses (CFU/g) tikus Shigella dysenteriae dihitung dengan menggunakan metode total plate count pada hari ke 1,3, dan 7. Analisis data dilakukan dengan uji Kruskal-Wallis dan Spearman melalui program SPSS 20.0 for Windows. Hasil penelitian menunjukkan tidak ada perbedaan bermakna secara statistik antara pemeberian madu tualang, madu manuka, serta kontrol positif pada penyembuhan penyakit disentri pada tikus, Diarrhea is the 13th most common cause of mortality in the world. One form of diarrhea which posed as a medical emergency is dysentery presenting with clinical manifestations of diarrhea accompanied by mucus and blood. Treatment using ciprofloxacin is limited in the rate of patient's recovery and management of dysentery's complication. Manuka honey and Tualang honey are known to have anti-inflammatory effect in vitro, however, their anti-inflammatory effect to intestinal villi in Shigellosis have yet to be proven. In this pararel experimental research, both types of honey are administered as the adjuvant therapy in vivo in Sprague Dawley rat. Bacteria count in feces (CFU/g) of mice infected with Shigella dysenteriae was calculated using total plate count method on day 1, 3, and 7. Data analysis was performed with Kruskal-Wallis and Spearman test using SPSS 20.0 for Windows. The result showed no significant statistical difference between the groups administered with manuka honey, tualang honey, and positive control in rat suffering from dysentery.]"
Lengkap +
[, Fakultas Kedokteran Universitas Indonesia], 2015
S-Pdf
UI - Skripsi Membership  Universitas Indonesia Library
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Rizka Mutia
"Latar Belakang: Salah satu perawatan yang dilakukan untuk penanganan pasien periodontitis kronis adalah scaling dan root planing. Setelah dilakukannya perawatan, maka tingkat perdarahan gingiva akan mengalami perubahan. Penelitian yang mengaitkan pengaruh scaling dan root planing terhadap tingkat perdarahan gingiva pada pasien periodontitis kronis di RSKGM FKG UI belum pernah dilakukan. Tujuan penelitian: Penelitian ini bertujuan untuk mengetahui apakah terdapat pengaruh scaling dan root planing terhadap tingkat perdarahan gingiva pasien periodontitis kronis. Metode: Penelitian dengan pendekatan analitik ini dilakukan dengan menggunakan data sebanyak 213 rekam medik yang di dapat dari data sekunder rekam medik periodonsia Klinik Integrasi RSKGM FKG UI tahun kunjungan 2014-2018. Data dianalisis dengan menggunakan uji Wilcoxon. Hasil: terdapat perbedaan bermakna (p<0,05) nilai OHIS dan PBI dari subjek sebelum dan sesudah dilakukan perawatan scaling dan root planing.
Kesimpulan: Berdasarkan hasil penelitian, perawatan scaling dan root planing berpengaruh terhadap tingkat kebersihan mulut dan perdarahan gingiva. Nilai OHIS dan PBI akan lebih rendah setelah dilakukan perawatan scaling dan root planing daripada sebelumnya.

Background: One of the treatments that performed for the patients with chronic periodontitis is scaling and root planing. After treatment, the level of gingival bleeding will change. Research that links the effect of scaling and root planing on the level of gingival bleeding in patients with chronic periodontitis in RSKGM FKG UI has never been done. Objective: This study aims to determine an effect of scaling and root planing on the level of gingival bleeding in patients with chronic periodontitis. Method: Analytic approach study was conducted using 213 medical records sourced from the secondary medical records of Periodontal Integration Clinic RSKGM FKG UI from 2014 to 2018 year of visit. Data were analyzed using Wilcoxon test. Result: There were significant differences (p <0.05) between OHIS and PBI values of the subjects before and after scaling and root planing treatment. Conclusion: Based on the results of the study, scaling and root planing treatment affect the level of oral hygiene and gingival bleeding. OHIS and PBI values will be lower after scaling and root planing treatments than before.
"
Lengkap +
Depok: Fakultas Kedokteran Gigi Universitas Indonesia, 2019
S-pdf
UI - Skripsi Membership  Universitas Indonesia Library
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Laila Rose Foresta
"Penelitian ini bertujuan mencari penanda respons tumor yang lebih dini untuk kemoterapi neoajuvan pada kasus kanker payudara stadium lanjut, yaitu dengan mengkorelasikan derajat kemiringan washout fase delay kurva kinetik pada pemeriksaan DCE-MRI dengan perubahan ukuran tumor kanker payudara. Perubahan neovaskularisasi sudah dapat dinilai sejak 24 jam pertama setelah pemberian kemoterapi siklus pertama, sedangkan pengukuran tumor umumnya paling baik dinilai setelah kemoterapi neoajuvan siklus ketiga.
Penelitian ini merupakan studi deskriptif analitik dari data sekunder MRI payudara mulai Agustus 2011 hingga April 2013. Analisa korelasi perubahan derajat kemiringan washout fase delay kurva kinetik DCE-MRI dengan perubahan ukuran tumor sebelum dan sesudah pemberian kemoterapi neoajuvan awal, dilakukan dengan uji korelasi Pearson.
Hasil analisa menunjukkan tidak ada korelasi yang bermakna (r=0,151, p=0,622) antara perubahan sudut kemiringan washout fase delay kurva kinetik dengan perubahan ukuran tumor sebelum dan setelah pemberian kemoterapi neoajuvan, sehingga dapat disimpulkan bahwa parameter perubahan sudut kemiringan washout secara tunggal tidak dapat berfungsi sebagai penanda respons tumor kemoterapi neoajuvan. Hal ini dikarenakan respons tumor merupakan proses yang mutifaktorial sehingga perubahan sudut gradien washout saja secara langsung tidak dapat menunjukkan respons yang terjadi pasca kemoterapi neoajuvan.

This study assessed the possibility of a faster tumor response marker for neoadjuvant chemotherapy (NAC) by correlating the changes in kinetic curve washout gradient degree on the delayed phase of DCE-MRI after the first cycle, with changes in tumor size after the third cycle, as well as their roles in assessing tumor response for NAC. Studies show that changes in tumor size after the third NAC can be used to detect tumor response, whereas neovascularization changes with DCE-MRI can be detected as fast as 24 hours after the first cycle of chemotherapy.
This is an analytic study using breast MR data obtained between August 2011 until April 2013. Analysis of the correlation between changes in kinetic curve washout gradient with changes in tumor size before and after NAC was performed using the Pearson correlation test.
Based on the correlation analysis results, there is no significant correlation (r=0,151, p=0.622) btween the change in the angle of the washout kinetic curve gradient with the changes in tumor size before and after NAC. This concludes that changes in the degree of the washout angle alone cannot serve as a marker of tumor response to NAC, due of the multifactorial variables that take part in the process, and the kinetic curve alone is not sufficient to directly evaluate response.
"
Lengkap +
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
T58662
UI - Tesis Membership  Universitas Indonesia Library
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Safarudin
"[ABSTRAK
Beberapa bukti menunjukkan perubahan metabolik pada pasien kanker payudara dengan indeks massa tubuh (IMT) tinggi berhubungan resistensi insulin dan khususnya perubahan terkait produksi sitokin oleh jaringan adiposa yang merupakan kontributor utama terhadap sifat agresif dari kanker payudara yang berkembang melalui pengaruhnya terhadap angiogenesis dan stimulasi kemampuan invasif dari sel kanker. Studi kohort retrospektif yang dilakukan di Rumah Sakit Kanker Dharmais ini bertujuan untuk mengetahui pengaruh IMT terhadap disease-free survival (DFS) lima tahun pasien kanker payudara. Penelitian ini dilakukan dari bulan Agustus sampai November 2014. Sampel yang digunakan pada studi ini diambil secara konsekutif sebanyak 127 pasien. Dari studi ini, diketahui bahwa DFS lima tahun pasien kanker payudara adalah 70,0%. Berdasarkan kategori IMT, pasien kanker payudara dengan IMT tinggi (>22,9 kg/m2) memiliki DFS lima tahun yang paling besar, yaitu 75,5% , diikuti pasien dengan IMT rendah (<18,5 kg/m2) sebesar 68,6%, dan 60,4% untuk pasien dengan IMT normal (18,5?22,9 kg/m2). Hasil analisis multivariat menunjukkan bahwa IMT tidak memiliki asosiasi dengan kejadian kekambuhan atau metastase (HR=1,052, 95% CI 0,413-2,678) setelah dikontrol oleh variabel pendidikan, sosioekonomi, stadium, keterlibatan kelenjar getah bening, histopatologi, pekerjaan, dan subtipe biologis.

ABSTRACT
There are some evidences that the metabolic changes in breast cancer patients with high body mass index (BMI) associated with insulin resistance and, in particular, the related alteration in cytokine production by adipose tissue which are major contributors to the aggressive behavior of breast cancer that develop through their effects in angiogenesis and stimulation of invasive capasity of cancer cells. Retrospective cohort study conducted at the Dharmais National Cancer Hospital aims to determine the effect of BMI on five-year disease-free survival (DFS) breast cancer patients. This study was conducted from August to November 2014. The samples in this study were collected consecutively as many as 127 patients. From this study, it is known that the five-year DFS of breast cancer patients was 70.0%. Based on the category of BMI, breast cancer patients with high BMI (>22.9 kg/m2) had the biggest DFS, followed by low BMI (<18,5 kg/m2) and normal BMI (18,5 ? 22,9 kg/m2) that the precentages successively were 75.5%, 68.6%, and 60.4%. Multivariate analysis showed that BMI was not associated with the events of recurrence or metastases (HR 1.055; 95% CI 0.413-2.678) after being controlled by other variables, such as education, sosioeconomic, staging, lymph node involvement, histopathology, occupation, and biological subtypes.;There are some evidences that the metabolic changes in breast cancer patients with high body mass index (BMI) associated with insulin resistance and, in particular, the related alteration in cytokine production by adipose tissue which are major contributors to the aggressive behavior of breast cancer that develop through their effects in angiogenesis and stimulation of invasive capasity of cancer cells. Retrospective cohort study conducted at the Dharmais National Cancer Hospital aims to determine the effect of BMI on five-year disease-free survival (DFS) breast cancer patients. This study was conducted from August to November 2014. The samples in this study were collected consecutively as many as 127 patients. From this study, it is known that the five-year DFS of breast cancer patients was 70.0%. Based on the category of BMI, breast cancer patients with high BMI (>22.9 kg/m2) had the biggest DFS, followed by low BMI (<18,5 kg/m2) and normal BMI (18,5 ? 22,9 kg/m2) that the precentages successively were 75.5%, 68.6%, and 60.4%. Multivariate analysis showed that BMI was not associated with the events of recurrence or metastases (HR 1.055; 95% CI 0.413-2.678) after being controlled by other variables, such as education, sosioeconomic, staging, lymph node involvement, histopathology, occupation, and biological subtypes., There are some evidences that the metabolic changes in breast cancer patients with high body mass index (BMI) associated with insulin resistance and, in particular, the related alteration in cytokine production by adipose tissue which are major contributors to the aggressive behavior of breast cancer that develop through their effects in angiogenesis and stimulation of invasive capasity of cancer cells. Retrospective cohort study conducted at the Dharmais National Cancer Hospital aims to determine the effect of BMI on five-year disease-free survival (DFS) breast cancer patients. This study was conducted from August to November 2014. The samples in this study were collected consecutively as many as 127 patients. From this study, it is known that the five-year DFS of breast cancer patients was 70.0%. Based on the category of BMI, breast cancer patients with high BMI (>22.9 kg/m2) had the biggest DFS, followed by low BMI (<18,5 kg/m2) and normal BMI (18,5 – 22,9 kg/m2) that the precentages successively were 75.5%, 68.6%, and 60.4%. Multivariate analysis showed that BMI was not associated with the events of recurrence or metastases (HR 1.055; 95% CI 0.413-2.678) after being controlled by other variables, such as education, sosioeconomic, staging, lymph node involvement, histopathology, occupation, and biological subtypes.]"
Lengkap +
2015
T43328
UI - Tesis Membership  Universitas Indonesia Library
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Kenneth
"Latar belakang. Neutrophil-lymphocyte ratio (NLR) dan platelet-lymphocyte ratio (PLR) merupakan pemeriksaan indikator inflamasi yang sederhana, yaitu hanya membutuhkan pemeriksaan darah perifer lengkap dengan menghitung jenis leukosit absolut. Beberapa studi telah menunjukkan bahwa peningkatan NLR dan PLR berasosiasi dengan keluaran yang lebih buruk pada subjek dengan kanker payudara. Sampai saat ini, studi yang meneliti peran NLR dan PLR sebagai penanda biologis keganasan dan indikator penilaian risiko terhadap kanker payudara masih sangat sedikit, sehingga bukti ilmiah yang ada belum konklusif. Tujuan dari penelitian ini adalah untuk menganalisis hubungan antara NLR dan PLR terhadap risiko kanker payudara di Rumah Sakit dr. Cipto Mangunkusumo.
Metode. Studi potong lintang dilakukan di RSCM dengan melibatkan perempuan dewasa dengan atau tanpa diagnosis kanker payudara yang belum pernah menerima kemoterapi, terapi radiasi, dan pembedahan. Usia, stadium kanker payudara, subtipe molekuler kanker payudara, indeks massa tubuh (IMT), komorbiditas, NLR, dan PLR merupakan variabel yang diteliti terhadap kejadian kanker payudara.
Hasil. Pada penelitian ini, didapatkan sebanyak 65 subjek dengan kanker payudara dan 70 subjek tanpa kanker payudara. Hasil menunjukkan bahwa terdapat hubungan bermakna antara NLR tinggi dengan risiko kejadian kanker payudara dengan OR(IK95%) = 5,47 (2,39-12,52) dan p <0,001. Selain itu, didapatkan hubungan bermakna antara PLR tinggi dengan peningkatan risiko kejadian kanker payudara dengan OR(IK95%) = 4,67 (2,18-10) dan p <0,001. Dari uji multivariat didapatkan NLR dan PLR merupakan faktor-faktor yang berhubungan bermakna secara statistik (p = 0,001) dengan terjadinya kanker payudara dibandingkan dengan faktor-faktor lain.
Kesimpulan. Terdapat asosiasi antara NLR dan PLR tinggi dengan peningkatan risiko kanker payudara.

Background. The neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) are simple inflammatory indicator tests, which only require a complete peripheral blood count by calculating the absolute leukocyte type. Several studies have shown that increased NLR and PLR are associated with poorer outcomes in subjects with breast cancer. To date, there have been very few studies examining the role of NLR and PLR as biological markers of malignancy and risk assessment indicators for breast cancer, so that the scientific evidence is not conclusive. The purpose of this study was to analyze the relationship between NLR and PLR on the risk of breast cancer at dr. Cipto Mangunkusumo.
Methods. A cross-sectional study was conducted at RSCM involving adult women with or without a diagnosis of breast cancer who had never received any chemotherapy, radiation therapy, and surgery. Age, stage of breast cancer, molecular subtype of breast cancer, body mass index (BMI), comorbidities, NLR, and PLR are the variables studied on the incidence of breast cancer.
Results. In this study, there were 65 subjects with breast cancer and 70 subjects without breast cancer. The results showed that there was a significant association between high NLR and the increased risk of breast cancer with OR(95% CI) = 5.47 (2.39-12.52) and p <0.001. In addition, a significant association was found between high PLR and an increased risk of breast cancer with OR (95% CI) = 4.67 (2.18-10) and p <0.001. From the multivariate test, it was found that only increased NLR and increased PLR were independent factors that were statistically significant (p = 0.001) related to the occurrence of breast cancer compared to other factors.
Conclusion. High NLR and PLR are associated with an increased risk of breast cancer
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Depok: Fakultas Kedokteran Universitas Indonesia, 2023
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UI - Tesis Membership  Universitas Indonesia Library
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Sugihen, Tribowo Tuahta Ginting
"Merokok merupakan masalah kronik di Indonesia yang menyebabkan kematian tertinggi dan meningkatkan beban kesehatan. Saat ini belum ada terapi farmakologis yang tersedia di Indonesia untuk penatalaksanaan adiksi merokok. N-asetilsistein (NAC) merupakan salah satu modalitas yang terbukti dapat menjadi terapi pengganti pada beberapa studi jangka pendek. Studi ini bertujuan untuk mengetahui efektivitas pemberian NAC sebagai terapi adjuvan pada MET (motivational enhancement therapy) dibandingkan dengan kombinasi MET dan plasebo. Penelitian ini adalah uji klinis terandomisasi tersamar ganda yang terdiri dari 2 tahap yaitu validasi kuesioner dan uji klinis. Subjek pada penelitian ini adalah perokok dewasa dengan konsumsi rokok tembakau setidaknya selama 6 bulan. Subjek adalah pasien adiksi merokok yang ingin berhenti merokok dalam tahap preparation atau action. NAC yang diberikan adalah 1800 mg, 2 kali sehari dalam 3 bulan, MET diberikan dalam terapi individu sebanyak 7 sesi dalam 3 bulan. Pemantauan dilakukan selama 3 bulan untuk menilai efektivitas klinis, laboratoris dan radiologis. Dengan metabolik pemeriksaan rasio n-asetilaspartat/kreatin dan rasio glutamat/kreatin pada Spektroskopi Resonansi Magnetik (MRS). Sebanyak 80 subjek diikutsertakan dalam penelitian ini. Studi ini menemukan bahwa tidak ada perbedaan kejadian abstinensia, gejala craving, gejala withdrawal, jumlah rokok yang dikonsumsi dan kadar nikotin, terdapat perbedaan yang bermakna pada penurunan kadar karbon monoksida di minggu ke-2 pada kelompok perlakuan dibandingkan dengan kelompok kontrol. Terdapat perbedaan bermakna pada rasio glutamat/kreatin kelompok perlakuan dibandingkan kelompok kontrol pada regio medial prefrontal korteks kiri dengan nilai p < 0,02 serta terdapat perbedaan bermakna pada rasio n-asetilaspartat/kreatin kelompok perlakuan dibandingkan kelompok kontrol pada regio serebelum bilateral dengan nilai p < 0,01. Sebanyak 63,7% subjek melaporkan efek samping dan efek samping terbanyak adalah diare. Penelitian ini memperhatikan adanya efektivitas NAC pada MET yang diperhatikan dengan adanya penurunan yang bermakna kadar CO minggu kedua, disertai dengan regulasi glutamat yang diperlihatkan dari rasio glutamat/kreatin yang bermakna di korteks prefontal medial kiri serta rasio n-asetilaspartat/kreatin yang meningkat di serebelum yang menunjukkan perbaikan sel di area kognitif dan reward.

Smoking as a chronic problem in Indonesia causes one of the highest mortality rate and is a great national health burden. Currently, there is no pharmacological therapy available in Indonesia for the management of smoking addiction. N-acetylcysteine (NAC) is a modality that has been shown to be a substitute therapy in several short- term studies. This study aims to determine the effectiveness of NAC administration as adjuvant therapy in MET (motivational enhancement therapy) compared to the combination of MET and placebo. This study is a double-blind randomized clinical trial consisting of 2 stages, consisting of questionnaire validation and clinical trials. Subjects in this study were adult smokers with tobacco cigarette consumption for at least 6 months. Subjects were smoking addiction patients who wanted to quit smoking in the preparation or action stage. The NAC given was 1800 mg, 2 times a day in 3 months, MET was given in individual therapy for 7 sessions in 3 months. Monitoring was conducted for 3 months to assess clinical, laboratorial and radiological effectiveness. Metabolic examination included N-acetylaspartate/ creatin ratio and glutamate/creatin ratio on Magnetic Resonance Spectroscopy. A total of 80 subjects were included in this study. The study found that there was no difference in the incidence of abstinence, craving symptoms, withdrawal symptoms, number of cigarettes consumed and nicotine levels, there was a significant difference in the reduction of carbon monoxide levels at week 2 in the treatment group compared to the control group. And there was a significant difference in the glutamate/creatine ratio of the treatment group compared to the control group in the left medial prefrontal cortex region with a p value < 0.02 and there was a significant difference in the N-acetylaspartate/creatine ratio of the treatment group compared to the control group in the bilateral cerebellar region with a p value < 0.01. A total of 63.7% of subjects reported side effects and the most common side effect was diarrhea. This study noticed the effectiveness of NAC in MET which was noticed by a significant decrease in CO levels in week two, accompanied by glutamate regulation as shown by a significant glutamate/creatine ratio in the medial prefrontal cortex sinistra and an increased N- acetylaspartate/creatine ratio in the cerebellum which showed cellular improvement in cognitive and reward areas."
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Jakarta: Fakultas Kedokteran Universitas Indonesia, 2024
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UI - Disertasi Membership  Universitas Indonesia Library
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