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Yudhanto, Hendy Setyo
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PERBEDAAN ANTARA EKSPRESI CD3, CD20, CD43 LIMFOMA NON-HODGKIN SEL B DAN LESI LIMFOPROLIFERATIF REAKTIF Fadli, Muhammad Luqman; Norahmawati, Eviana; Yudhanto, Hendy Setyo; Al Rasyid, Harun
Majalah Kesehatan FKUB Vol 6, No 4 (2019): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1187.202 KB) | DOI: 10.21776/ub.majalahkesehatan.2019.006.04.3

Abstract

Lesi limfoproliferatif sering menimbulkan masalah dalam penegakan diagnosis karena kemiripan morfologi dan pola pertumbuhan sel-sel limfoid yang menyusun lesi limfoproliferatif reaktif dan limfoma non-Hodgkin Sel B. Diagnosis sulit ditegakkan hanya dengan pulasan rutin Hematoksilin-Eosin, oleh karena itu diperlukan pemeriksaan imunohistokimia menggunakan panel antibodi yang tepat. Penelitian ini bertujuan untuk mengetahui perbedaan ekspresi CD3, CD20, CD43 sebagai panel antibodi dasar dalam menentukan karakter jinak atau ganas dari lesi limfoproliferatif. Karakter jinak diwakili oleh lesi limfoproliferatif reaktif, sedangkan karakter ganas diwakili oleh limfoma non-Hodgkin sel B. Total 50 sampel dibagi menjadi 2  kelompok, yakni kelompok A terdiri dari 25 sampel limfoma non-Hodgkin sel B dan kelompok B terdiri dari 25 sampel lesi limfoproliferatif reaktif. Keseluruhan sampel dipulas antibodi CD3, CD20, CD43. Hasil penelitian menunjukkan persentase imunopositif CD3 dan CD20 pada kelompok A dan B berbeda signifikan dengan nilai p < 0,001. Hal ini menunjukkan bahwa CD3 dan CD20 mampu membedakan karakter klonalitas jinak dan ganas dari sel penyusun lesi limfoproliferatif. Persentase imunopositif CD43 antara kelompok A dan B tidak berbeda signifikan dengan nilai p = 0,791. Hasil yang tidak berbeda signifikan mengindikasikan bahwa CD43 diekspresikan oleh dua jenis populasi sel yang berbeda. Pada kelompok A, CD43 diekspresikan oleh limfosit B neoplastik (ganas), sedangkan pada kelompok B diekspresikan oleh limfosit T. Berdasarkan hasil penelitian, panel antibodi CD3, CD20, CD43 dapat membedakan lesi limfoproliferatif jinak dan ganas, namun diperlukan korelasi morfologi dan kesesuaian pola ekspresi imunopositif dari sel-sel limfoid penyusunnya.   
PROFIL KLINIKOPATOLOGI KARSINOMA NASOFARING DI RUMAH SAKIT UMUM DAERAH (RSUD) DR.SAIFUL ANWAR MALANG TAHUN 2018-2020 Kusuma, Ihda Dian; Retnani, Diah Prabawati; Yudhanto, Hendy Setyo
Majalah Kesehatan FKUB Vol 8, No 3 (2021): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.majalahkesehatan.2021.008.03.5

Abstract

Kanker nasofaring adalah tumor ganas dari sel-sel epitel yang melapisi nasofaring. Pada tahun 2020, kanker nasofaring menempati urutan ke-5 di dunia. Tujuan penelitian ini adalah untuk mengetahui profil klinikopatologi kasus karsinoma nasofaring di RSUD Dr. Saiful Anwar dari tahun 2018 hingga 2020.  Penelitian ini adalah penelitian deskriptif analitik dengan pendekatan cross sectional untuk mengetahui jumlah kasus karsinoma nasofaring di RSUD Dr. Saiful Anwar dari tahun 2018 hingga 2020. Data yang dikumpulkan berupa spesimen biopsi kanker nasofaring dari laboratorium patologi anatomi meliputi jenis kelamin, umur, dan tipe histopatologi. Terdapat 557 kasus dari biopsi organ nasofaring yang terdiri dari 282 kasus ganas, 21 kasus suspek ganas, dan 216 kasus non-ganas. Kasus keganasan nasofaring pada laki-laki sebesar 69,86%. Jumlah kasus tertinggi terdapat pada rentang usia lebih dari 50 tahun. Tipe histopatologi yang paling banyak adalah karsinoma tidak berdiferensiasi (undifferentiated carcinoma) sebanyak 244 kasus.  Dapat disimpulkan bahwa kasus karsinoma nasofaring masih cukup tinggi di RSUD Dr. Saiful Anwar Malang dengan profil klinikopatologi yaitu mayoritas pasiennya adalah laki-laki, usia tua, dengan tipe histopatologi karsinoma tidak berdiferensiasi. 
Negative Effect of Cigarette Smoke: Black Garlic Opportunities for Prevention of Ovulation Disorders Asih, Sari Wulan; Nurseta, Tatit; Handono, Kusworini; Yudhanto, Hendy Setyo
Medical Laboratory Technology Journal Vol. 10 No. 1 (2024): June
Publisher : Poltekkes Kemenkes Banjarmasin Jurusan Analis Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/mltj.v10i1.585

Abstract

Women's issues are primarily related to infertility. This study aimed to demonstrate that ovarian healing in wistar rats exposed to cigarette smoke was impacted by the administration of extracted black garlic. This research uses True Experimental methods in vivo in the laboratory to identify the cause and effect of the variables being tested. This method involves replication, randomization, and control. The design chosen was a post-test-only control group design, where the experimental group received treatment and the control group did not, without random selection. The results of the study showed that there was no effect due to exposure to cigarette smoke with an increase in cortisol and a decrease in the number of secondary follicles in the ovaries of female wistar rats as well as the administration of Black Garlic (Allium sativum) extract. Black garlic extract unaffected cortisol levels and the number of secondary follicles or repair of the ovaries due to exposure to cigarette smoke. Further research is needed in dosing black garlic extract or combining it with other ingredients to provide effective results.
Catamenial Pneumothorax due to Suspected Thoracic Endometriosis Syndrome in a Woman with Adenomyosis and Cystoma Ovarii Antariksa, Genta; Dwikarlina, Intan; Sutrisno, Sutrisno; Yudhanto, Hendy Setyo
Jurnal Kedokteran Brawijaya Vol. 33 No. 3 (2025)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2025.033.03.10

Abstract

Catamenial pneumothorax (CP) is a recurrent spontaneous pneumothorax during the menstruation period and is often associated with thoracic-pelvic endometriosis. This case study reported a 39-year-old woman who presented with recurrent shortness of breath, particularly during menstruation. The patient also experienced severe dysmenorrhea and difficulty getting pregnant. Despite a negative sputum test, a history of chest tube insertion and tuberculosis treatment were identified. Elevated levels of the CA-125 marker were observed in a previous examination. Physical examination revealed decreased fremitus sounds on the mediobasal side, chest expansion, and right lung breath sounds. The plain radiograph displayed a visceral pleural line, air-fluid level appearance, and the collapse of the right hemithorax accompanied by fibrosis. The patient underwent inpatient treatment and had a chest tube inserted. A decortication thoracotomy procedure was performed, and anatomical pathology microscopic examination of the right lung tissue revealed a non-specific chronic inflammatory process accompanied by fibrosis.
Hydrocarbon Pneumonitis After Repeated Exposure and Gasoline Aspiration with Differential Diagnosis Lung Tuberculosis Setiadi, Satya; Rakhma, Sastia; Chozin, Iin Noor; Astuti, Tri Wahyu; Sugiri, Yani Jane R.; Yudhanto, Hendy Setyo; Erawati, Dini Rachma
Malang Respiratory Journal Vol. 7 No. 1 (2025): March 2025 Edition
Publisher : Universitaas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mrj.2025.007.01.05

Abstract

Introduction: Chemical pneumonitis is an uncommon condition. Hydrocarbon pneumonitis is a kind of chemical pneumonitis. The features of this disease are atypical and may manifest either abruptly or persistently. Lung tuberculosis is an endemic illness in Indonesia, with an estimated 969,000 patients exhibiting diverse characteristics that may resemble chemical pneumonitis. Case Report: A 29-year-old gas station attendant with a history of recurrent exposure to gasoline vapours and episodes of asphyxiation while syphoning gasoline. A thoracic CT scan with contrast reveals several bilateral nodules with a tree-in-bud pattern, suggestive of pulmonary tuberculosis, with chemical pneumonitis as a differential diagnosis. Utilising clinical data, including occupational history, body plethysmography and spirometry results (moderate restrictive), laboratory findings, CT scan pictures, and Volatile Organic Compound analysis (elevated hydrocarbon levels), the patient is diagnosed with hydrocarbon pneumonitis. Discussion: The differential diagnosis was excluded through the analysis of sputum using molecular rapid test, IGRA test, LJ culture, and AFB of bronchial washing fluid. The administration of inhaled corticosteroids is a viable therapeutic option for this situation. Following six months of medication and exposure avoidance, the patient's condition has been improving. The patient was initially diagnosed with suspected lung tuberculosis based on a thoracic CT scan with contrast revealing bilateral multiple nodules exhibiting a tree-in-bud pattern. However, considering the patient's occupational history involving exposure to gasoline vapour and a history of choking on gasoline, the radiological findings ultimately confirmed a diagnosis of hydrocarbon pneumonitis. Case management may be determined by the severity level; however, due to its rarity, no primary treatment option exists. Conclusion: Hydrocarbon pneumonitis is infrequently encountered in comparison to pulmonary tuberculosis. Inhaled corticosteroids are a treatment alternative that yields clinical improvement. This example illustrates those rare diseases, such as hydrocarbon pneumonitis, can mimic pulmonary tuberculosis.
Path Analysis in PLS for Assessing the Impact of Metabolic Syndrome on Pulmonary Fibrosis in a Rat Model Yaman, Muli; Djajalaksana, Susanthy; Putra, Ngakan Putu Parsama; Yudhanto, Hendy Setyo
Jurnal Respirologi Indonesia Vol 45 No 3 (2025)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v45i3.889

Abstract

Background: Metabolic syndrome (MetS) is characterized by obesity, dyslipidemia, hyperglycemia, and insulin resistance, which are associated with increased risk for pulmonary fibrosis. This study investigates the impact of MetS on pulmonary fibrosis in a rat model using Partial Least Squares (PLS) path analysis. Methods: Sprague Dawley rats were fed a high-fat, high-fructose diet for 37 weeks to induce MetS. Key metabolic parameters, including body weight, lipid profiles, fasting blood glucose, fibrosis markers and Aschroft scores, were assessed. PLS path analysis was conducted to explore the relationships between these variables and their influence on pulmonary fibrosis. Results: PLS path analysis identified a strong correlation between increased body weight and MetS development (path coefficient=0.977). Dyslipidemia, characterized by elevated triglycerides and reduced HDL cholesterol, was also associated with MetS. A novel association was found between glucose dysregulation and pulmonary fibrosis (R2=0.908; path coefficient=0.947), suggesting that hyperglycemia contributes to lung fibrosis. Reduced PPARγ expression was associated with insulin resistance and inflammation, implicating it in fibrotic processes. Conclusion: This study highlights the role of metabolic disturbances in promoting pulmonary fibrosis in MetS. PLS path analysis effectively identified key metabolic pathways, suggesting potential targets for therapeutic intervention to mitigate MetS effects and prevent fibrosis. Further research is warranted to explore these pathways and develop targeted therapies.
The Effects of Black Garlic on Ovarian Malondialdehyde, Oviduct Muscle, and Endometrial Arterioles in Smoke-Exposed Rats Anandasari, Noni Fidya Ayu; Kridayanti, Novalia; Kaspirayanthi, Ni Ketut Devy; Nurseta, Tatit; Raras, Tri Yudani Mardining; Khotimah, Husnul; Reksohusodo, Subandi; Anita, Kenty Wantri; Yudhanto, Hendy Setyo
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1533

Abstract

The effect of cigarette smoke exposure on reproductive health has been widely studied, showing various physiological disorders induced by free radicals and oxidative stress. This study aimed to assess the protective effect of ethanol extract of black garlic (Allium sativum) on some reproductive parameters of female rats Rattus norvegicus exposed to subacute cigarette smoke. A proper experimental method with a post-test-only control group design was used, involving 25 rats divided into five groups with three different doses of the extract. The rats were exposed to cigarette smoke and then treated for 28 days. Results showed a significant decrease in ovarian Malondialdehyde levels and increased fallopian tube smooth muscle thickness in the extract-treated group. In addition, black garlic extract successfully increased the number of endometrial arterioles in the group exposed to cigarette smoke and extract, in contrast to the group exposed to cigarette smoke only. This study concludes that black garlic extract has the potential to be a protective agent against oxidative damage in the reproductive system of rats exposed to cigarette smoke, with effectiveness that depends on the dose of extract given. Further studies should investigate the long-term effects and optimal dosing of black garlic extract in humans. Additionally, exploring the molecular mechanisms behind its protective properties could enhance its application in reproductive health management.                 
Analysis of the Effect of Black Garlic (Allium sativum) Extract on Ovarian Follicular Atresia, Endometrial VEGF Expression, and Fallopian Tube Epithelial Cell Count in Rats (Rattus norvegicus) Exposed to Cigarette Smoke Kridayanti, Novalia; Anandasari , Noni Fidya Ayu; Kaspirayanthi, Ni Ketut Devy; Nurseta, Tatit; Raras, Tri Yudani Mardining; Khotimah, Husnul; Reksohusodo, Subandi; Angelica, Aina; Anita, Kenty Wantri; Yudhanto, Hendy Setyo
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1535

Abstract

Cigarette smoke exposure significantly impairs reproductive function in Rattus norvegicus. This study evaluated the protective effects of black garlic extract against such damage. Using a post-test-only control group design, 25 female Wistar rats were divided into five groups and exposed to cigarette smoke with or without varying doses of black garlic extract. After four weeks, results indicated that black garlic extract significantly increased Vascular Endothelial Growth Factor expression, enhanced fallopian tube secretory epithelial cell counts, and reduced ovarian follicular atresia in rats exposed to cigarette smoke. The group receiving 50 mg/kgBW of black garlic extract showed the most significant improvements. Statistical analysis, including One-way ANOVA, revealed significant differences between groups. Normality was assessed using the Shapiro-Wilk test, and homogeneity was confirmed with the Levene test. Significant decreases in ovarian follicular atresia (p < 0.05) and increases in Vascular Endothelial Growth Factor expression (p < 0.05) and secretory epithelial cell counts (p < 0.05) were observed in the 50 mg/kgBW treatment group compared to controls. In conclusion, black garlic extract offers dose-dependent protection against cigarette smoke-induced reproductive damage, with 50 mg/kgBW being the optimal dose. Further research should explore molecular mechanisms, long-term toxicity, and clinical applications in humans.              
Black Garlic Antioxidant Activity Test (Allium Sativum) Compound Types with DPPH Method (1,1-Difenil-2-Pikrilhidrazil) Asih, Sari Wulan; Nurseta, Tatit; Kusworini, Kusworini; Yudhanto, Hendy Setyo
JURNAL INFO KESEHATAN Vol 22 No 3 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss3.1552

Abstract

Antioxidants are needed to neutralize Reactive Oxygen Species (ROS) in the body and prevent cardiovascular, cancer, and premature aging as degenerative diseases. Antioxidants will provide resistance to free radicals and prevent damage in normal cells, proteins, and fats, and are able to break chain reactions without disrupting their function. Black Garlic has higher antioxidant properties than regular garlic. S-allyl cysteine (SAC) is a compound from Black Garlic that functions as an antioxidant that can affect the cell cycle in apoptosis, which can provide cell protection from free radical damage. In a study, it was said that a single type of Black Garlic extract obtained IC50 52.055 ppm (µg/mL) which is included in the category of high antioxidant activity. While in the antioxidant activity test, this study used a compound type of black garlic on the grounds that the price is more affordable and easy to find in traditional markets. This study aims to evaluate the potential of compound-type black garlic extract against free radicals by testing antioxidant activity using the DPPH (1,1-diphenyl-2-picrylhydrazyl) method. The results of the compound type Black Garlic antioxidant test stated to have an IC50 value of 173 ppm (µg/mL) which is classified as moderate antioxidant activity. So researchers assume that the use of single type Black Garlic extract is more effective than compound type Black Garlic.              
Immunocytochemistry as a Diagnostic Procedure of Pleural Mesothelioma Trimurtini, Asih; Astuti, Triwahju; Yudhanto, Hendy Setyo; Erawati, Dini Rachma
Malang Respiratory Journal Vol. 2 No. 02 (2020)
Publisher : Universitaas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (795.153 KB) | DOI: 10.21776/ub.mrj.2020.002.02.2

Abstract

Background: Mesothelioma is a primary malignant tumor arising from the mesothelial surface of the pleura, peritoneal, tunica vaginalis, and pericardium. Most cases of mesothelioma originate from the pleura. Most patients have a history of asbestos exposure. A common diagnostic problem is distinguishing mesothelioma from adenocarcinoma since both tumors invade the pleura. Immunocytochemistry of calretinin and TTF-1 can be used to establish the diagnosis of mesothelioma.Case: Male, 56 years old presented with chest pain, shortness of breath, cough, and weight loss since 5 months before hospitalization. The patient had a history of occupational exposure to asbestos for 30 years. The movement and breath sounds were decreased as well as dull upon percussion at the right chest. A chest X-ray revealed a right lung tumor with pleural effusion. Thorax CT scan suggested pleural mass in right hemithorax, infiltration to intercostal muscles, and destruction of the 7th right rib, right perihilar lymphadenopathy, right pleural effusion, and liver nodules according to mesothelioma T4N1M1 Stage IV. Infiltrative stenting of the right and inferior lobe of the right lung, infiltrative and obstructive stenting of the medius lobe suggestive of a chronic malignancy and inflammation were found on FOB. Cytologic examination of pleural fluid, sputum, and Washing-and-brushing of FOB were a class II (no malignant cells). USG-guided transthoracic FNAB revealed adenocarcinoma with differential diagnosis of mesothelioma. Immunocytochemistry with calretinin showed positive results and TTF-1 showed a negative result. These confirmed the diagnosis of pleural mesothelioma T4N1M1 Stage IV. The patient showed a stable response from carboplatin/gemcitabine treatment.Keyword : Mesothelioma, Immunocytochemistry, TTF-1, Calrenitin
Co-Authors AA Sudharmawan, AA Anandasari , Noni Fidya Ayu Anandasari, Noni Fidya Ayu Angelica, Aina Antariksa, Genta Asih, Sari Wulan Astuti, Tri Wahyu Chozin, Iin Noor Chozin, Iin Nur Djajalaksana, Susanthy Dwikarlina, Intan Erawati, Dini Rachma Eviana Norahmawati Fadli, Muhammad Luqman Harun Al Rasyid Husnul Khotimah Ihda Dian Kusuma Imam Suseno Indah Puji Lestari Isharanto, Artono Kaspirayanthi, Ni Ketut Devy Kenty Wantri Anita, Kenty Wantri Kridayanti, Novalia Kusworini Handono Naftali, Yokanan Parsama Putra, Ngakan Putu Pratiwi, Suryanti Dwi Putra, Ngakan Putu Parsama Rakhma, Sastia Retnani, Diah Prabawati Rini, Ni Made Rumaratu, Simon Petrus Hardiyanto santony, Santony Santoso, Agus Andreas Sartono, Teguh Rahayu Sasiarini, Laksmi Setiadi, Satya Setiawan, Ungky Agus Setyawan, Ungky Agus Subandi Subandi Sugiri, Jani Jane Rosihaningsih Sugiri, Yani Jane R. Sutrisno, Sutrisno Tatit Nurseta Tri Yudani MR Trimurtini, Asih Triwahju Astuti Wardhana, Koernia Kusuma Yaman, Muli