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EFFECT OF INTRAMUSCULAR SECRETOME ON TREATMENT RESPONSE IN TYPE 2 DIABETES MELLITUS PATIENTS DIGAMBIRO, REZA ADITYA; AMARENDRA, GERIE; HASTUTY, DEWI; ILONA, FLORINDA; CHENDRASARI, JULIAN
Al-Iqra Medical Journal : Jurnal Berkala Ilmiah Kedokteran Vol. 9 No. 1 (2026): Al-Iqra Medical Journal: Jurnal Berkala Ilmiah Kedokteran
Publisher : Journal Medical Universitas muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26618/fgmtjc48

Abstract

Introduction: This study meant to evaluate the efficacy of intramuscular mesenchymal stem cell derived secretome therapy to improve the glycemic control among diabetic patients with Type 2 Diabetes Mellitus (T2DM) on stable insulin or oral hypoglycemic agents (OHO). n=30 per group (Insulin + Secretome; OHO + Secretome). Methods: Pre–post controlled design; biweekly 2 mL intramuscular secretome for 12 weeks; primary outcomes HbA1c, FBG, 2hPP; standard tests per normality. Participants were divided into two groups: Insulin + Secretome and OHO + Secretome. All subjects received intramuscular injections of mesenchymal stem cell (MSC)-derived secretome (2 mL) every two weeks over a 12-week period (six injections total). Primary outcomes included changes in HbA1c, fasting blood glucose (FBG), and two-hour postprandial glucose (2hPPBG). Statistical analyses used paired t-tests or Wilcoxon tests for within-group comparisons and independent t-tests or Mann-Whitney U tests for between-group comparisons. Results: At baseline, both groups had comparable HbA1c and glucose profiles. After 12 weeks, significant reductions were observed in both treatment arms. HbA1c decreased by -1.10 ± 0.45 (Insulin) and -1.33 ± 0.36 (OHO); between-group ΔHbA1c (p < 0.05). Both groups also showed clinically relevant reductions in FBG and 2hPPBG levels. No major adverse effects were reported. Conclusion: Intramuscular MSC-secretome improved glycemic control across background therapies; the benefit was modestly greater with OHO. No majoradverse events were observed
Tingkat Pengetahuan Kecacingan Di Desa Sukasari Pandeglang David Tjahyadi; Edy Parwanto; Haryo Ganeca Widyatama; Sisca Sisca; Reza Aditya Digambiro; Alfred Pakpahan
AMMA : Jurnal Pengabdian Masyarakat Vol. 3 No. 6 : Juli (2024): AMMA : Jurnal Pengabdian Masyarakat
Publisher : CV. Multi Kreasi Media

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Abstract

Worm disease still a serious problem and is second health problem in Indonesia come after malnutrition. Cumulative worms in human body can cause loss of substances that are useful for growth. The Filariasis and Worm Worms Sub-Directorate of P2PL stated that the prevalence of worm diseases in Pandeglang Regency was 58.3%. Various worm larvae were found when examining soil samples taken at the homes of residents of Sukasari, Pulosari, Pandeglang villages. The aim of this community service (PKM) is to increase knowledge about worm diseases. This Community Service Method (PKM) uses the counseling or lecture method by the presenter. Before and after counseling, residents were given a questionnaire to measure their level of knowledge about worm diseases. Residents' knowledge increased after being given counseling and it is hoped that this can help the community to prevent the emergence of worm diseases in the future.
Hubungan Antara Derajat Histopatologi Karsinoma Penis dengan Tampilan Imunohistokimia HER-2 Reza Aditya Digambiro; Ibnu Alferally; Delyuzar Delyuzar
Majalah Patologi Indonesia Vol. 25 No. 2, Mei 2016
Publisher : Perhimpunan Dokter Spesialis Patologi Anatomik Indonesia (PDSPA)

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Abstract

Latar belakang Insidensi karsinoma penis di seluruh dunia sekitar 1/100.000 populasi. Sebanyak 95% dari kanker penis adalah karsinoma sel skuamosa, sisanya adalah melanoma, leiomiosarkoma atau tipe lainnya. Pada umumnya penyakit ini lebih banyak dijumpai pada usia tua, insidensi semakin meningkat pada usia 80 tahun keatas. Phimosis, peradangan menahun, radiasi ultraviolet, adanya riwayat menderita papiloma warts (infeksi Human Papilloma Virus/HPV), atau kondiloma serta tidak disirkumsisi merupakan beberapa faktor risiko terjadinya karsinoma penis. Pada riset yang dilakukan oleh Silva dan rekan-rekan (2012), dijumpai pewarnaan HER-2 yang positif kuat pada 28 kasus karsinoma penis (14,9%). Fakta ini bertentangan dengan penelitian sebelumnya yang dilakukan oleh Stankiewicz dan kawan-kawan (2011), yang menyatakan bahwa HER-2 tidak memiliki hubungan dengan karsinogenesis pada penis. Pada penelitian ini kami menganalisis adakah hubungan antara derajat histopatologi karsinoma penis dengan tampilan imunohistokimia HER-2 pada karsinoma penis dengan melakukan pemeriksaan imunohistokimia HER-2 pada sampel sediaan blok parafin dari jaringan penis. Tujuan penelitian ini untuk mengetahui adanya hubungan antara derajat histopatologi karsinoma penis dengan tampilan imunohistokimia HER-2 pada kasus karsinoma penis di Instalasi Patologi Anatomik Rumah Sakit Haji Adam Malik Medan 2008-2012. Metode Rancangan penelitian ini menggunakan rancangan deskriptif analitik dengan pendekatan cross sectional. Pada penelitian ini tidak memberikan perlakuan terhadap variabel tetapi hanya melihat ekspresi imunohistokimia HER-2. Pengukuran pada variabel hanya dilakukan satu kali dan pada satu saat. Hasil Pada uji korelasi Spearman ternyata secara statistik tidak terdapat hubungan yang signifikan antara derajat histopatologi karsinoma penis dengan tampilan imunohistokimia HER-2 pada karsinoma penis (p>0,05). Kesimpulan Setelah dilakukan uji korelasi Spearman tidak didapati hubungan yang bermakna antara grading histopatologi karsinoma penis terhadap tampilan hasil pulasan imunohistokimia HER-2 pada karsinoma penis. Hubungan Antara HER-2 dengan pewarnaan sitoplasma yang berkaitan dengan keratin mungkin diakibatkan oleh reaksi silang antibodi dengan keratin atau antigen retrieval. Kata kunci : derajat histopatologi, HER-2, karsinoma, penis.
Colonic Leiomyoma Presenting as Sigmoid Volvulus in a Young Male Reza Aditya Digambiro; Gerie Amarendra; Florinda Ilona; Julian Chendrasari; Samuel Abiodun Kehinde
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 27, No 1 (2026): VOLUME 27, NUMBER 1, April, 2026
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/271202695-100

Abstract

Colonic leiomyomas are rare tumors that originate from the smooth muscle layer of the colon and are infrequently observed in young individuals. This case report represents a 21-year-old male who presented with a 2-month history of progressive abdominal distension, persistent vomiting, early satiety, and bloating. Computed tomography (CT) of the abdomen suggested sigmoid volvulus with associated bowel obstruction. However, exploratory laparotomy revealed a well-defined, firm intramural mass in the sigmoid colon, leading to segmental resection and primary anastomosis. Histopathological analysis showed intersecting fascicles of bland spindle cells with eosinophilic cytoplasm and cigar-shaped nuclei without atypia or mitotic activity. Immunohistochemistry confirmed positivity for smooth muscle actin (SMA) and negativity for CD117, supporting a diagnosis of colonic leiomyoma and excluding gastrointestinal stromal tumor (GIST). The patient’s postoperative course was uneventful, with complete resolution of obstructive symptoms and restoration of normal bowel function. This case highlights the diagnostic challenge of differentiating colonic leiomyoma from other causes of bowel obstruction, particularly when presenting with features mimicking sigmoid volvulus. It also emphasizes the critical role of histopathology and immunohistochemistry in establishing a definitive diagnosis. Clinicians should consider rare benign tumors in the differential diagnosis of young patients with signs of bowel obstruction.
Hubungan antara Tingkat Pengetahuan tentang Kanker Serviks dan Hasil Pap Smear pada Wanita Dewasa DIGAMBIRO, REZA ADITYA; ILONA, FLORINDA; CHENDRASARI, JULIAN; SETYANINGRUM, DYAH AYU WORO; LESTARI, INDAH WIDYA
Hang Tuah Medical Journal Vol 23 No 1 (2025): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v23i1.809

Abstract

Cervical cancer can arise from a persistent infection with Human Papillomavirus (HPV), which can be avoided through early detection by pap smear screening. Having adequate knowledge about cervical cancer is crucial for encouraging participation in pap smear tests, which can detect non-cancerous or precancerous changes before they progress. This cross-sectional descriptive-analytic study aimed to assess knowledge levels about cervical cancer and their correlation with pap smear results among women of reproductive age in Jakarta, Bogor, and Bekasi (23–50 years). A total of 133 participants underwent a structured questionnaire for assessing knowledge and a pap smear test for evaluating cervical health. The pap smear results showed that 80% were normal, 6% had atypical cells without malignancy, and 14% showed inflammatory lesions. A Chi-square test revealed a significant association between knowledge levels and pap smear outcomes. These findings provide valuable insights for healthcare stakeholders to develop effective health promotion strategies that increase pap smear coverage and encourage early detection of cervical cancer.