Claim Missing Document
Check
Articles

The Effect of Multilevel Doses of Caffeine on Tissue Macrophage and Blood Lymphocyte Count in Autologous Full Thickness Skin Graft Healing in Sprague Dawley Rats Wahyu Haris Prabowo; Awal Prasetyo; Neni Susilaningsih
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 5 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i5.498

Abstract

Backgrounds. A skin graft is one of the routine surgical procedures performed. This procedure gives excellent results when done as early as possible after the trauma. Caffeine has a mechanism as an adenosine-receptor A2 antagonist which can induce wound healing through increased angiogenesis. This study aimed to determine the efficacy of coffee caffeine in the initiation of full thickness skin graft autologous wound healing by assessing the number of macrophages and lymphocytes in Sprague-Dawley rats. Methods. The research design is an experimental study with a post-test-only approach with a control group design. Twenty male Sprague Dawley rats aged 15 weeks (140 – 150 grams) were randomly divided into four groups. One group became the control group (decaffeinated) while the other group received various doses of caffeine (3 mg/kgBW, 6 mg/kgBW, and 9 mg/kgBW). Autologous skin grafts were performed in all groups. HE examination was performed to confirm the number of macrophage cells in the tissue. Data analysis was carried out with the help of SPSS 25 software. Results. There were significant differences in the number of tissue macrophages in the four groups. The group that received 9 mg/kgBW of caffeine showed the highest number of macrophages compared to the other groups. Based on the number of lymphocytes in the peripheral blood, the group that received a dose of 6 mg/kg BW showed the highest number of lymphocytes compared to other groups. Conclusion. Caffeine showed the ability to initiate full thickness skin graft autologous wound healing by increasing the number of macrophages and lymphocytes in Sprague Dawley rats.
Profile of p53 Protein Expression in Basal Cell Carcinoma Low-Risk and High-Risk Subtype Alendra Chakramurty; Meira Dewi Kusuma Astuti; Hermawan Istiadi; Awal Prasetyo; Dik Puspasari
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 6 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i6.538

Abstract

Background: Basal cell carcinoma is one of the most common cancers in the world, and its incidence is increasing over time. It is estimated that it accounts for three-quarters of all non-melanoma skin cancers, and the incidence increases exponentially in predominantly white areas. The p53 gene is the gene that most undergoes mutations due to sun exposure and is the cause of skin cancer, especially basal cell carcinoma. This finding explains that p53 expression can be used as marker analysis in cases of basal cell carcinoma. Methods: Observational analytic design was carried out with a cross-sectional. The population and samples were paraffin blocks which histopathologically diagnosed Basal Cell Carcinoma in the anatomical pathology laboratory, Dr. Kariadi General Hospital Semarang. Samples were processed by the p53 immunohistochemical staining method. The p53 expression was given a quantitative score to be 0 = negative, 1-2 = low, 3-4 = high. The expression of p53 was considered positive when it was colored in the cell nucleus. The correlation between variables was analyzed by Spearman and Mann Whitney correlation test. Results: There is no correlation between p53 expression and the age of p53 patients with p = 0.390 (p > 0.05). There is no correlation between p53 expression and lesion location with p = 0.817 (p > 0.05) There is no difference significant, between p53 expression and gender with p = 0.576 (p > 0.05). Conclusion: There is no correlation between high and low-risk Basal Cell Carcinoma subtype associated with age, gender, and lesion location.
THE COMBINE CREAM MIXTURE OF NIGELLA SATIVA AND OLEA EUROPAEA FASTEN THE BURN HEALING PROCESS WITH MINIMAL SCAR Sony Noegroho; Taufiq R Nasihun; Wiratno Wiratno; Awal Prasetyo
Media Medika Muda Vol 2, No 3 (2017)
Publisher : Faculty of Medicine Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: The healing process of burns is influenced by epithelial faster grown, VEGF expression (vascular endothelial growth factor) and the amount of collagen. Nigella sativa oil could cure the second grade burn wound as effective as silver sulfadiazine cream. Olea europaea accelerates the formation of collagen, reepitelisation and enhances VEGF expression. The combination of both proved its potential in producing faster wound healing with minimal scarring. Method: This is a true experimental study using “posttest only control group design”, including 40 males Wistar rats as subject, body weight ± 200 grams, and maintained at room temperature 280-320C, standard feed and ad libitum drink, adapted and acclimatized a week in Individual cages before treatment. All rats were induced burns in the back area with previous local anesthesia given. All rats are administered cream therapy immediately after burning induction, and repeated daily once for 5 days, and divided into 4 group with the treatment as follows; Group 1 were applied with Sulfadene® (silver sulfadiazine 1%), group 2 by Nigella sativa cream, Group 3 has given olive oil 5% and group 4 has given combination cream of Nigella sativa and olive oil 5%. On the 5th day of the study, each group was randomly assigned 5 rats to terminate the VEGF expression and counting the amount of fibroblast. The 21st day of the study, all groups were terminated and histopathologic examination of scar formation in scar burn areas measured in thickness with Optilab Pro® software.Result: The highest number of fibroblast cells was consecutive group 1 (27.4), group 3 (26.7), group 2 (26.4), and the least group 4 (18.3). VEGF expression did not differ in all groups (Kruskal Wallis, P = 0.074.Conclusion: The combination of Nigella sativa and Olea europea cream mixes speeds the healing of burns with scarring. Keywords: Nigella sativa, Olea europe, fibroblast, VEGF, burns, scar thickness
EFFECT OF MINDFULNESS INTERVENTION ON THE INTENSITY OF PAIN IN NASOPHARYNGEAL CANCER PATIENTS UNDERGOING RADIATION TREATMENT Anna Jumatul Laely; Awal Prasetyo; Chandra Bagus Ropyanto
Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (221.065 KB) | DOI: 10.33546/bnj.128

Abstract

Background: Physical responses that occur in patients with nasopharyngeal cancer are the emergence of pain due to the effects of treatment. The problem of pain in these patients at the stage of treatment remains critical to solve because it can cause comorbidity, psychological trauma and mortality. Mindfulness intervention is considered useful in transforming consciousness into the stage of acceptance. Objective: This study aims to determine the effect of mindfulness intervention on the intensity of pain in nasopharyngeal cancer patients undergoing radiation treatment. Methods: This was a quasi-experimental study with pretest posttest control group design. Thirty patients were selected using consecutive sampling, which divided into experiment and control group. Visual Analogue Scale (VAS) was used to measure pain. Each respondent received mindfulness intervention for six sessions, divided into three meetings. Paired t-test was used for data analysis. Results: The results showed a significant reduction of pain from 4.12 (moderate pain) to 3.06 (mild pain) in the experiment group. There was a significant difference in pain level before and after mindfulness intervention (p= 0.001). Conclusion: Mindfulness is effective in reducing pain intensity level in nasopharyngeal cancer patients undergoing radiation therapy.
The Effect of Combination of Green Tea and Roselle Extract on Morphology and Motility of Spermatozoa in Rats Induced by Monosodium Glutamate Nurjaya Adinugroho; Awal Prasetyo; Eriawan Agung Nugroho
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 9 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i9.576

Abstract

Background: Infertility is a reproductive system problem and has been increasing recently. One of the reasons is the poor quality of spermatozoa, which can be assessed through its morphology and motility. Excessive consumption of MSG can affect the quality of spermatozoa. The provision of a combination of green tea and roselle extract, which is an antioxidant and is expected to be able to counteract the effects of MSG’s free radicals on spermatozoa. The objective of the study is to determine the morphology and motility of Wistar Rats’ spermatozoa in the control group given MSG and in the experimental group given MSG and a combination of green tea and roselle extract at a dose of 200 mg/kg/day and 400 mg/kg/day for 14 days. Methods: Fifteen Wistar rats were randomly divided into three groups, a control group with MSG, group 1 with MSG and a combination of green tea and roselle extract at a dose of 200 mg/kg BW/day (P1), and group 2 with MSG and combination green tea and roselle extract at a dose of 400 mg/kg BW/day (P2). After 14 days of treatment, the morphology and motility of the spermatozoa of each mouse were studied and assessed microscopically. Results: In the morphological study, the control group had the lowest normal value and the highest abnormal value among all groups. Meanwhile, the P1 group had the highest normal and lowest abnormal values compared to the other two groups. Conclusion: The administration of a combination of green tea and roselle extract improved the morphology and motility of Wistar rats’ spermatozoa. However, an increased dose of a combination of green tea and roselle extract was not proven to affect the morphology and motility of Wistar rats' spermatozoa.
Efek Kafein Dosis Bertingkat terhadap Epitelisasi dan Densitas Mikrovaskuler pada Penyembuhan Luka Full Thickness Skin Graft AutologusTikus Sprague Dawley Aditya Purnama; Neni Susilaningsih; Awal Prasetyo
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 19, No 2 (2020): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.19.2.121-126

Abstract

Latar belakang : Skin graft saat ini menjadi salah satu terapi pilihan pada proses penyembuhan luka yang selalu berkembang. Proses epitelisasi dan pembentukan pembuluh darah baru memiliki peran penting dalam penyembuhan luka skin graft. Kandungan kafein (1,3,7 trimethylxanthine) sebagai antioksidan memiliki peran yang penting dalam penyembuhan luka. Tujuan dari penelitian ini adalah membuktikan efek kafein dalam berbagai dosis dalam meningkatkan densitas mikrovaskuler dan epitelisasi pada luka skin graft.Metode : Penelitan ini adalah studi eksperimental dengan “Blinded randomized post test only controlled group design” terhadap 24 ekor tikus Sprague Dawley dilakukan skin graft autologous pada waktu yang bersamaan. Sampel dibagi secara acak menjadi 4 grup (K = tanpa pemberian kafein), (P1= Kafein 3 mg), (P2 = Kafein 6 mg), (P3 = Kafein 9 mg).Penilaian prosentase epitelisasi dan jumlah densitas mikrovaskuler jaringan dilakukan dengan pengecatan hematoxylin & eosin setelah hari ke 7 pasca skin graft.Hasil : Analisis statistik perbandingan prosentase epitelisasi jaringan didapatkan didapatkan perbedaan yang bermakna antara kelompok kelompok K vs PI ( p = 0,003 ), K vs P2 (p = 0,001), K vsP3 (p = 0,001), P1 vs P2 (p = 0,001), P1 vs P3 (p = 0,001). Perbedaan yang tidak bermakna didapatkan antara kelompok P2 vs P3 (p = 0,669) dan pada jumlah densitas mikrovaskuler, didapatkan perbedaan yang bermakna antara kelompok K vs P2 (p = 0,010), K vs P3 (p = 0,008), P1 vs P2 (p = 0,009), P1 vs P3 (p = 0,007), P2 vs P3 (p = 0,008). Perbedaan yang tidak bermakna didapatkan antara kelompok K vs P1 (p = 0,343).Kesimpulan :Kafeindapat meningkatkanprosentase epitelisasi dan jumlah densitas mikrovaskuler jaringan pada proses penyembuhan luka skin graft autologus tikus Sprague Dawley.Kata Kunci : Kafein, skin graft autologus, epitelisasi, densitas mikrovaskuler ABSTRACTTitle: Effects of Increased Dose Caffeine on Epithelialization and Microvascular Density in the Healing of Full Thickness Skin Graft Autologous Sprague Dawley Mouse Background: Skin graft is currently one of the therapies of choice in the healing process of wounds that always develops. The process of epithelialization and formation of new blood vessels has an important role in healing skin graft wounds. Caffeine content (1,3,7 trimethylxanthine) as an antioxidant has an important role in wound healing. The aim of this study is to prove the effects of caffeine in various doses in increasing microvascular density and epithelialization in skin graft injuries.Method: This research is an experimental study with a "Blinded randomized post test only controlled group design" of 24 Sprague Dawley rats by autologous skin graft at the same time. Samples were randomly divided into 4 groups (K = no caffeine), (P1 = Caffeine 3 mg), (P2 = Caffeine 6 mg), (P3 = Caffeine 9 mg). The assessment of the percentage of epithelialization and the amount of tissue microvascular density was done by painting hematoxylin & eosin after 7 days after skin graft.Results: Statistical analysis of the comparison of tissue epithelialization percentage found significant differences between groups K vs PI (p = 0.003), K vs P2 (p = 0.001), K vsP3 (p = 0.001), P1 vs P2 (p = 0.001) , P1 vs P3 (p = 0.001). No significant difference was found between the P2 vs P3 group (p = 0.669) and in the total microvascular density, a significant difference was found between the K vs P2 group (p = 0.010), K vs P3 (p = 0.008), P1 vs P2 (p = 0.009), P1 vs P3 (p = 0.007), P2 vs P3 (p = 0.008). No significant difference was found between the K vs P1 groups (p = 0.343).Conclusion: Caffeine can increase the percentage of epithelialization and the amount of tissue microvascular density in the healing process of autologous skin grafts of Sprague Dawley rats.Keywords: Caffeine, autologous skin graft, epithelialization, microvascular density
Peningkatan Ekspresi PD-L1 pada Squamous Cell Carcinoma Nasofaring Tipe Undifferentiated Non Keratinizing Yusuf, Franky; Prasetyo, Awal; Karlowee, Vega; Astuti, Meira Dewi Kusuma; Nur, Rizki Widya
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 2 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (500.974 KB) | DOI: 10.36408/mhjcm.v8i2.579

Abstract

Increased Expression of PD-L1 in Undifferentiated Non Keratinizing Squamous Cell Carcinoma Nasopharynx ABSTRACT BACKGROUND: PD-L1 expressed by tumor cells in nasopharyngeal carcinoma (NPC) can be used by tumor cells to avoid the patient's immune system. This can affect prognosis such as age, gender, histopathological type, tumor stage and quality of life through immunosuppressive activity. PD-L1 expression is expected to be a biomarker for prognostic factor assessment and immunotherapy. OBJECTIVE: To determine whether there is a relationship between the level of PD-L1 expression and prognostic factors in NPC. METHODS: This is analytic observational study with a cross-sectional design. PD-L1 expression was examined immunohistochemically using 61 samples of paraffin block, which had been diagnosed as NPC in the Laboratory of Anatomical Pathology, Dr. Kariadi from January 2017 to June 2020. Patient clinical data were used as prognostic factors, namely age, gender, histopathological type, tumor stage and quality of life. Analysis was performed with the Chi-Square test to determine the relationship between the level of PD-L1 expression and prognostic factors. RESULTS: There was a significant correlation between PD-L1expression in tumor cells and histopathological type (p=0.001). No significant correlation between PD-L1 expression and age (p=0.405), gender (p=0.241), tumor stage (p=0.928) and quality of life (p=0.103). CONCLUSION: PD-L1 expression in this study cannot be used as a prognostic factor in NPC patients, although the histopathological type shows a significant relationship, so further research is needed with a larger sample and a longer period. Keywords: Nasopharyngeal carcinoma; PD-L1; prognostic factor
Correlation Between Testosterone Level With HBA1C Level As Glycemic Control Marker Among Type 2 Diabetes Mellitus Patient Halim, Fenny; Listiana, Devia Eka; Karlowee, Vega; Istiadi, Hermawan; Prasetyo, Awal; Astuti, Meira Dewi Kusuma
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 3 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i3.959

Abstract

BACKGROUND: Helicobacter pylori is classified as a grade 1 carcinogen by the International Agency for Research on Cancer. Identification of Helicobacter pylori infection is crucial for the prevention of malignancy. Immunohistochemistry is more specific and sensitive than modified Giemsa because it based on the antigen- antibody binding so it can exclude other organisms. However, it can be expressed in all species of Helicobacter genus. OBJECTIVE: To compare the identification methods of Helicobacter spp in stomach biopsy between modified Giemsa and immunohistochemistry. METHOD: This research was a cross-sectional study. There were 64 biopsies taken by simple random sampling. They consisted of 32 positive and 32 negative Helicobacter spp based on the interpretation of modified Giemsa. Statistical analysis using x2 test. RESULT: The number of atypical Helicobacter spp was 42.%. The number of samples that received Proton Pump Inhibitor (PPI) therapy was 93.75%. Helicobacter spp was positive in 31 samples and negative in 33 samples based on the interpretation of immunohistochemistry staining. There was no significant difference (p=0.617) between the identification results of Helicobacter spp using immunohistochemistry compared to the Modified Giemsa at both 400x and 1000x magnification. CONCLUSION: Modified Giemsa is still reliable for identifying Helicobacter spp, especially in classical form, compared to immunohistochemistry. Due to the administration of PPI, there are a lot of cases with atypical form of Helicobacter spp which can be differentiated into coccoid form and intraepithelial located. Immunohistochemistry staining is useful in identify these cases.
Extranodal NK/T-cell Lymphoma, Nasal Type (Angiocentric T-cell Lymphoma): Laporan Kasus dan Kajian Diagnosis Histopatologik Prasetyo, Awal; Istiadi, Hermawan; Puspasari, Dik
Majalah Patologi Indonesia Vol. 32 No. 1, Januari 2023
Publisher : Perhimpunan Dokter Spesialis Patologi Anatomik Indonesia (PDSPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55816/mpi.v32i1.566

Abstract

Extranodal NK/T-cell lymphoma, nasal type (ENKL) is a lymphoid neoplasm, which in the past has been grouped as a type of granulomatous diseases, is an aggressive non-Hodgkin’s lymphoma. The aggressiveness of ENKL is characterized clinically by nonrelenting destruction of the midline structures of the palate and nasal fossa. The histopathological diagnosis of this disease is difficult to enforced despite the malignant clinical course recognizably because of extensive tissue necrosis and multiple biopsies are often required. ENKL has an ominous prognosis, as the average survival rate is between 6 and 25 months. This case report describes the difficulties in making histopathological diagnosis of a 52-year-old male patient who presented with nasal obstruction and foul smelling, destructive and ulseratif lesion over for 3 months duration, and failed to treat with antibiotics and anti-inflammatories drugs. The diiferential diagnosis of the multiple biopsies was nasal cavity granuloma, NK/T cell lymphoma and Wegener granulomatosis. After immunohistochemical panel analysis of Pansitokeratin (AE1/3), LCA, CD3 and CD56, the patient be confirmed had an ENKL, nasal type which in the past also known as angiocentric T-cell lymphoma.
The Association of Demographic Characteristics and Top Management Team Heterogeneity on Hospital Performance Prasetyo, Awal; Isa, Muzakar; Sutrisna, EM
Jurnal Ikatan Sarjana Ekonomi Indonesia Vol 12 No 3 (2023): December
Publisher : Jurnal Ekonomi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52813/jei.v12i3.264

Abstract

This study aims to show how the demographic characteristics and heterogeneity of the top management team (TMT) associate with hospital’s performance as measured by the balanced scorecard (BSC). The study employs cross-sectional primary data from hospitals in Central Java Indonesia, collected from 242 hospitals. The result shows that the demographic characteristics including age, female, period of experience serving as TMT, level and specialization of education, were not associated with the hospital’s performance. Likewise, the short period of experience in the organization inside or outside of a hospital’s TMT members was not associated with the hospital’s performance. However, TMT’s heterogeneity showed a positive result towards the hospital’s performance. The academic and practical implications of the findings are discussed.
Co-Authors - Anggorowati Adhi Setradian Anto Maria Aditya Purnama Agus Subagio Ahmad Hamim Sadewa Albertus Ari Adrianto Alendra Chakramurty Alfin Ihza Trimahendra Amira Naufal Anna Jumatul Laely Anna Kartika Yuli Astuti Antari, Arlita Leniseptaria Anzhari, Della Hashfi Apriana, Ledisda Ariani, Resti Arthur Lelono Arum Kartikadewi Asri, Hairul Astika Widy Utomo Astuti, Meira Dewi Kusuma Bagus Ropyanto, Chandra Bambang Endro Putranto Bambang Hariwiyanto Cahyono Hadi Cahyono Hadi Chandra Bagus Ropyanto Dadi Hamdani Darryl Samuel Salim Destri Maya Rani Devia Eka Listiana, Devia Eka Dewi Kartikawati Paramita Dewi Kartikawati Paramita Diah Hastuti Dik Puspasari Dik Puspasari Dik Puspasari, Dik Djaswadi Dasuki Djaswadi Dasuki Em Sutrisna Eriawan Agung Nugroho Gufron, Ahmad Halim, Fenny Hendro Prabowo Hendro Prabowo Hermawan Istiadi Hermawan Istiadi Heru Suwardianto Hidayat Sulistyo Hidayat Sulistyo Ika Pawitra Miranti Ika Pawitra Miranti Indah Saraswati Indwiani Astuti Indwiani Astuti Jannati, Lu’luil Jeffrey Eka Wijaya Jessica Christanti Jumatul Laely, Anna K. Heri Nugroho HS, K. Heri Karlowee, Vega Kenty Wantri Anita, Kenty Wantri Khasan Rowi Kusmiyati Tjahjono Kusmiyati Tjahjono Lisyani Budipradigdo Meira Dewi Kusuma Astuti Mentari, Alfitra Akbar Bara Mentari Mochamad Ali Sobirin Mohammad Hakimi Muniroh, Muflihatul Mutia Syafira Muzakar Isa Nani Maharani Neni Susilaningsih Nur, Rizki Widya Nurhayadi, Tommy Nurjaya Adinugroho P Setyo, Hendro Puspita, Rina Putranto, Bambang Endro R Al-Ghifary, Arif Rahajeng, Herera Raharyani, Anisa Ell Redyaksa Drestanta Ariandoko Reni Sulung Utami Resti Ariani Rina Puspita Sarinti Sarinti Sarinti, Sarinti Sartini, D Nina Selvia David Richard Siahaan, Johanna Soenarto Sastrowijoto Sony Noegroho Sri Jumini Stefani Candra Firmanti Su, Hansen Maikel Suhartini Ismail, Suhartini Taufiq R Nasihun Taufiq, Heydar Ruffa Tjahjono Tjahjono Tjahjono Tri Nur Kristina Udadi Sadhana Udadi Sadhana, Udadi Vega Karlowee Veni, Rizka Wahyu Haris Prabowo Wahyu Prakosa Wahyuningsih, Indah S Wiratno Wiratno Yovhandra Ockta Yuriz Bakhtiar Yusuf, Franky