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HUBUNGAN EKSPRESI HER2 DENGAN UKURAN TUMOR DAN INVASI KAPSULAR PAPILLARY THYROID CARCINOMA (PTC) Pinahayu, Griesinta Trianty Andria; Retnani, Diah Prabawati; Anita, Kenty Wantri; Rasyid, Harun Al; Susilo, Hery
Majalah Kesehatan FKUB Vol 8, No 1 (2021): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.majalahkesehatan.2021.008.01.3

Abstract

Papillary thyroid carcinoma (PTC) merupakan karsinoma tersering pada tiroid yang secara klinis dapat menyerupai lesi jinak. PTC subtipe ocult tidak jarang ditemukan bermetastase pada kelenjar getah bening  (KGB) atau organ lain. Faktor prognosis pada pasien PTC ditentukan oleh subtipe histologi, ukuran tumor, usia, jenis kelamin, metastase dan invasi kapsular, dengan angka kekambuhan cukup tinggi, yaitu 20%.  Human Epidermal Growth Factor Receptor 2 (HER2) adalah anggota Epithelial Growth Factor Receptor (EGFR), yang menunjukkan ekspresi kuat pada keganasan sel epitel manusia. Penelitian ini bertujuan untuk melihat hubungan ekspresi HER2 dengan ukuran tumor dan invasi kapsular PTC. Pemeriksaan histopatologi dan imunohistokimia HER2 dilakukan pada 54 sampel, 27 dengan invasi kapsular dan 27 tanpa invasi kapsular, kemudian diukur besar tumor, interpretasi ekspresi HER2, lalu ditabulasi dan dianalisis hubungan ekspresi HER2 dengan ukuran tumor dan invasi kapsular PTC. Ekspresi HER2 pada penelitian ini didapatkan pada 10 sampel HER2 skor 3+,  22 sampel skor 2+, 14 sampel skor 1+, dan  8 sampel skor 0. Hubungan antara ekspresi HER2 dengan invasi kapsular PTC, dianalisis dengan Mann Whitney test, didapatkan hasil bermakna (p = 0,002). Dengan uji korelasi Spearman, didapatkan korelasi lemah terbalik (koefisien korelasi -.299) tapi bermakna (p = 0,028) antara ekspresi HER2 dengan ukuran tumor PTC. Terdapat hubungan ekspresi HER2 dengan invasi kapsular, dan hubungan lemah berbanding terbalik antara ekspresi HER2 dengan ukuran tumor yaitu semakin besar ukuran tumor semakin rendah skor HER2 dan sebaliknya. 
Differences in the Expression of miRNA-126 and Interleukin (IL)-13 in Fully Controlled and Not Fully Controlled Asthma Patients Yulia Kartina; Susanthy Djajalaksana; Iin Noor Chozin; Harun Al Rasyid
Jurnal Respirologi Indonesia Vol 40, No 1 (2020)
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.v40i2.99

Abstract

Backgrounds: Important finding in the last decades in the field of biology and medicine are micro-RNA (miRNA), including miRNA-126 that are involved in the regulation of interleukin-13 (IL-13) and the T helper 2 cell (Th2) response, the key components of the asthmatic response. The aim of this study is to find the difference in the expression of miRNA-126 and IL-13 serum in fully controlled and not fully controlled groups of stable asthma patients and analyze the relationship between them. Methods: Case-control studies was conducted in 36 stable asthma patients who visited pulmonary outpatient clinic Saiful Anwar Hospital from September 2018 to March 2019. Subjects were divided into 2 groups, each group consisted of 18 fully controlled asthma and 18 not fully controlled asthma patients. The expression of miRNA-126 was measured by the quantitative polymerase chain reaction (q-PCR) and IL-13 using the enzyme-linked immunosorbent assay (ELISA) method. Results: The expression of miRNA-126 was higher in the control group (3.499±2.99) than case group (2.719±2.73), but the difference was not significant (P=0.273). The IL-13 levels were higher in the case group (17.285±9.37) than control group (11.681±5.22), and the difference was significant (P=0.009). However, there was no relationship between the expression of miRNA-126 and IL-13 levels in both groups. Conclusions: There were differences in IL-13 levels, but there were no differences in the expression of miRNA-126 in the two groups. There was no relationship between miRNA-126 expression and IL-13 levels in both groups. (J Respir Indo. 2020; 40(1): 24-32)
The Effect of Pulmonary Rehabilitation on The Duration of Antibiotic Switches, IL-10 Levels and PEFR Values in Hospitalized Community Pneumonia Patients Mariyatul Khiptiyah; Iin Noor Chozin; Suryanti Dwi Pratiwi; Rahmad Rahmad; Harun Al Rasyid
Jurnal Respirologi Indonesia Vol 40, No 4 (2020)
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.v40i4.129

Abstract

Background: Pneumonia is an acute inflammation of the lung parenchyma and ranked third of 30 causes of death in the world. WHO estimates the death caused by pneumonia is 1.6 million per year. Long duration of antibiotic switches is associated with increased morbidity, nosocomial infections and costs of healthcare. This study aims to assess the effect of pulmonary rehabilitation with the duration of antibiotic switches and interleukin-10 (IL-10) levels of pneumonia patients in non-intensive care thus pulmonary rehabilitation can be routinely use as adjuvant therapy. Methods: The study was conducted in May-November 2019 at Saiful Anwar Hospital Malang, with 40 pneumonia patients in the non-intensive care and divided in two groups which contains of 20 patients. This study uses consecutive simple random sampling. In treatment group, pulmonary rehabilitation consists of breathing exercise, effective cough techniques, clapping, postural drainage and breathing muscle exercises with spirometry incentive tools. The pulmonary rehabilitation treatment was done by Medical Rehabilitation Department of Saiful Anwar Malang Hospital. IL-10 levels and PEFR values on the zero and fifth days of treatment were measured. Results: The duration of antibiotic switches received pulmonary rehabilitation was shorter 5.05 days (P
The Effect of Ophiocephalus Striatus Extract on suPAR, Neutrophil Levels and Lung Diffusion Capacity (DLCO) in Stable Chronic Obstructive Pulmonary Disease (COPD) Patients with Muscle Wasting Sasongko Adhi Nugroho; Teguh Rahayu Sartono; Susanthy Djajalaksana; Harun Al Rasyid
Jurnal Respirologi Indonesia Vol 39, No 2 (2019)
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.v39i2.56

Abstract

Background: Muscle wasting is one of the extrapulmonary manifestation which influence quality of life in Chronic Obstructive Pulmonary Disease (COPD) patients. It caused by imbalance of protein metabolism in skeletal muscle. This study aimed to evaluate the effect of Ophiocephalus striatus extract on neutrophil count, soluble urokinase-type plasminogen activator (suPAR) level, diffusion capacity of lung for carbon monoxide (DLCO) and quality of life in stable COPD patients with muscle wasting. Methods: Clinical pre and post quasi experimental study was conducted to 32 stable muscle-wasted COPD patients from Pulmonary Outpatient Clinic Saiful Anwar Hospital Malang, determined by The Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2016, Bioelectrical impedance analysis (BIA) dengan fat-free mass (FFM)
Impact of Pulmonary Rehabilitation on Hospitalization Duration, IL-6 Levels, and Respiratory Muscle Power in Hospitalized Community-Acquired Pneumonia Patients Santony Santony; Iin Noor Chozin; Teguh Rahayu Sartono; Rahmad Rahmad; Harun Al Rasyid
Jurnal Respirologi Indonesia Vol 42, No 1 (2022)
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.v42i1.276

Abstract

Background: Pneumonia is acute inflammation of the lung parenchyma. The long duration of hospitalization is associated with increased morbidity, nosocomial infections and treatment costs. Methods: The study was conducted from May to November 2019 at Saiful Anwar Hospital, Malang, with 40 pneumonia patients in the non-intensive community inpatient room divided into 2 groups. The treatment group performed pulmonary rehabilitation measures consisting of breathing exercise, effective coughing techniques, clapping, postural drainage and respiratory muscle training using spirometry incentives. Results: The duration of hospitalization for the treatment group was 2.25 days shorter (p<0.001). The average IL-6 level in the 5th day of the treatment group was lower than without treatment, that was 54.43 pg/ml (p=0.221). The mean of pressure threshold loading in the group without treatment was 31.5 cmH2O on first day and 36.35 cmH2O on the 5th day (p <0.001) and on first day treatment group was 32.9 cmH2O and 39.35 cmH2O on the 5th day (p=0.001), and the mean value of the 5th day of the treatment group was higher than without treatment (P=0.015). the mean of the 5th day of the treatment group was higher than without treatment (p=0.06).Conclusion: Pulmonary rehabilitation as adjunctive therapy shortens the duration of hospitalization. In both groups there was a decrease in IL-6 levels on the 5th day compared to zero and the lower IL-6 levels were not significant in the treatment group. There was a significant increase in the value of pressure threshold loading inspiration and expiration day fivecompared to day zero in the two groups and there was a significant increase in the Pressure Threshold Loading Inspiration mean treatment group compared to no treatment on the 5th day, but the Pressure Threshold Loading Expiration rate showed no significant increase.
Differences in Levels of Human 1,3β-D-Glucan from Bronchoalveolar Lavage (BAL) Fluid in The Immunocompromised and Immunocompetent Groups Patients with Suspected Lung Cancer Asih Trimurtini; Ngakan Putu Parsama Putra; Teguh Rahayu Sartono; Harun Al Rasyid
Jurnal Respirologi Indonesia Vol 42, No 2 (2022)
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.v42i2.298

Abstract

Background: Invasive candidiasis occurs in immunocompromised individuals as an opportunistic infection in patients with lung cancer. Although culture and histopathology remain the standard diagnosis of fungal infections, other tests are still needed to provide faster results. Human 1,3-β-D-Glucan (BDG) uses ELISA to detect candidiasis. β D-Glucan level from BAL fluid is positive when the cut-off is p 130 pg / mL. This study aims to determine differences in the levels of Human 1,3β-D-Glucan from Bronchoalveolar Lavage (BAL) fluid between the immunocompromised and immunocompetent groups in patients with suspected lung cancer at RSU Dr. Saiful Anwar Malang.Method: A cross-sectional study was conducted on 33 lung cancer patients who had risk factors for invasive candidiasis in Dr. Saiful Anwar Hospital Malang.Result: 33 study patients had significant differences in BAL levels of Human 1,3β-D-Glucan in the immunocompromised and immunocompetent groups (p = 0.009). In the different tests, there was a slight difference in the levels of BAL Human 1,3β-D-Glucan but it was not statistically significant based on age and sex in the immunocompromised and immunocompetent groups (p = 0.632, p = 0.338, p = 0.472, p = 0.667).Conclusion: Patients suspected of lung cancer have risk factors for invasive candidiasis with higher BDG levels due to immunoparalysis. There were significant differences in the BAL Human levels of 1,3β-D-Glucan in the immunocompromised and immunocompetent groups.
Pengalaman ibu menyusui di RSIA X kota Malang Fiella Rachmatika; Harun Al Rasyid; Lilik Zuhriyah
Berita Kedokteran Masyarakat (BKM) Vol 35, No 8 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (115.676 KB) | DOI: 10.22146/bkm.48018

Abstract

The experience of breastfeeding mothers in RSIA X MalangPurpose: Several factors cause a low level of exclusive breastfeeding in Indonesia. One of them is breastfeeding, which is not immediately resolved by health workers in the hospital. Mothers who have just given birth in an MCH hospital expect help and assistance from health professionals to not have difficulty breastfeeding. This study is to uncover the experience of nursing mothers in an MCH hospital. Method: This phenomenology research took place in a hospital in Malang in April-May 2019 with five informants by purposive sampling. Data were from in-depth interviews and analyzed using an interpretive phenomenology analysis. Results: There were seven themes: satisfied and comfortable giving birth, health workers in hospitals did not deliver breastfeeding information and assistance, more comfortable breastfeeding because it was practical and economical, grateful to have struggled to provide breastfeeding so that children were healthy, disappointed and worried about breastfeeding, pain, and tiredness of breastfeeding, the desire to obtain breastfeeding support and information from the hospital. The mother expects to obtain breastfeeding support in the form of information and assisting breastfeeding so that the mother understands how to breastfeed and does not experience breastfeeding problems when returning home. Conclusion: Our study hospital did not consistently serve as a friendly environment for breastfeeding mothers.
Association of Interleukin-2 (IL-2) Levels With Acid-Fast Bacillus (AFB) Sputum Conversion In Drug-Resistant Pulmonary Tuberculosis Patient Gede Sasmika Suwandi; Yani Jane Sugiri; Tri Wahju Astuti; Harun Al Rasyid
Respiratory Science Vol. 3 No. 1 (2022): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v3i1.52

Abstract

Background: Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis (Mtb) which can be found on multiple organs, but mostly infect the lung. AFB smear is used to diagnose and evaluate therapy response, to show bacterial burden and the patient’s infectious status. Combination of antituberculosis drugs for a long period of time could cause poor compliance and increased risk of resistance. Mtb infection induce immune response and release cytokines, one of which is interleukin-2 (IL-2) that regulate T lymphocyte cell. Higher IL-2 levels is found on patient with high bacterial burdern.  This study aims to see the assossciation between IL-2 levels before and 30 days after DR-TB treatment, to see pre and post-treatment IL-2 levels with conversion of AFB smear, and correlation between pre-treatment IL-2 levels and AFB smear. Method: This was a cohort prospective study at RSUD dr Saiful Anwar Malang. Thirty nine DR-TB patients underwent AFB smear before and 30 days after treatment, while IL-2 levels was also measured by Enzym-Linked Immunosorbent Assay (ELISA) technique. Results: The levels of IL-2 before treatment was significantly higher compared to 30 days after treatment (P<0.001). There was no significant IL-2 levels difference between conversion and non-conversion group (P=0.23), and a weak, not-significant correlation between IL-2 levels and AFB smear (r=0.28; P=0.06). Conclusion: The levels of IL-2 was significantly higher before than after treatment and it cannot be used to determine the positivity of acid-resistant bacilli smears in the sputum of patients with DR-TB. The limited timeframe and biomarker in this study raise the possibility to observe IL-2 as well as other biomarkers after intensive phase of TB treatment for future studies.
Analisis Kualitas Pelayanan dan Brand Image Terhadap Minat Kunjungan Ulang Pasien Klinik Bidan Marlina Rasyid, Harun Al; Indah K, Agus Tri
Perspektif : Jurnal Ekonomi dan Manajemen Akademi Bina Sarana Informatika Vol 17, No 1 (2019): MARET 2019
Publisher : www.bsi.ac.id

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (394.687 KB) | DOI: 10.31294/jp.v17i1.5218

Abstract

This study aimed to analyze the influence of service quality and brand image to re-visit interest. Samples were patients who were ambulatory and hospitalized at the Clinic Bidan Marlina Tangerang Selatan totaling 130 respondents. Regression analysis techniques were used to analyze the influence of service quality and brand image to re-visit interest is using SPSS (Statistical Package for the Social Sciences). Service quality and significant positive effect on the re-visit interest in Bidan Marlina Clinic Tangerang Selatan, every 1% increase in the variable quality of service will be followed by the increase in re-visit interest of 0.265 percent. While the brand image variable positive and significant effect on the interest re-visit the clinic Bidan Marlina Tangerang Selatan, every 1% increase in variable brand image will be followed by the increase in re-visit interest of 0.740 percent. Furthermore, the results also showed that there is a positive and significant influence on the independent variables of service quality and brand image together to re-visit interest. Service quality and brand image affects 65.7% of the interest to re-visit the clinic Bidan Marlina Tangerang Selatan.
PENGARUH INOVASI PRODUK DAN HARGA TERHADAP KEPUTUSAN PEMBELIAN SEPEDA MOTOR YAMAHA DI KOTA TANGERANG SELATAN Rasyid, Harun Al; Indah, Agus Tri
Perspektif : Jurnal Ekonomi dan Manajemen Akademi Bina Sarana Informatika Vol 16, No 1 (2018): Maret 2018
Publisher : www.bsi.ac.id

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (221.237 KB) | DOI: 10.31294/jp.v16i1.3031

Abstract

Abstract - This study aimed to analyze the impact of innovation and price on purchase decisions. The research was carried out at different places to get a full range of respondents. The sample was the owner of the vehicle Yamaha motorcycle in Tangerang Selatan totaling 150 respondents. Regression analysis techniques were used to analyze the impact of innovation and price of the purchasing decision is by using SPSS (Statistical Package for the Social Sciences). The analysis showed that the product innovation and significant positive effect on purchasing decisions, each increase of one unit in the variable product innovation will be followed by an increase of 0.401 unit purchasing decisions. The analysis also showed that prices positive and significant influence on purchasing decisions, any adjustment of the unit either affordability of the price, the suitability of the price of the product quality, price competitiveness, and suitability prices with benefits will influence the purchase decision of Yamaha motorcycles for 0538 unit. This shows that the innovation products made by Yamaha and Prices set affects 46.6% of the consumer decision in purchasing undergo a Yamaha motorcycle in Tangerang Selatan.Keywords : Innovation , Price, Purchase Decision, Motorcycles, Yamaha.
Co-Authors Achmad Chusairi Agus Tri Indah K agus tri indah, agus tri Amalia , Rizky Tri Anisa Ramadhani Kusumastiti Annisa Nurul Arofah Anungputri, Pramita Sari Aris Rosidah Armanu Thoyib Asih Trimurtini Asrul Asrul Azwa, Nor Azzahra, Azimah Badrul Munir, Badrul Baradatu, Karen Syafiyah Citra Cicilia Lihawa, Cicilia Dewangga Primananda Susanto Dewi Retno Sari Saputro, Dewi Retno DEWI SARTIKA Dewi, Rose Khasana Eky Indyanty Wuryaning Lestari Erdi Suroso Esa Ghanim Fadhallah Eviana Norahmawati Fiella Rachmatika Gede Sasmika Suwandi Hakim, Lukman Hani, Miftahul Khairunnisa Harahap, Nur Azizah Hardika, Arif Satria Herdiana, Novita Iin Noor Chozin Irwan Irwan Iskandar, Ferdi Ja'far, Ja'far Jamil, Ahmad Kenty Wantri Anita, Kenty Wantri Khaled, Naswan Abdo Kusumastiti, Anisa Ramadhani Lilik Zuhriyah Lukman Hakim Lukman Hakim lumban gaol, andy Luqiana, Jihan Nabila Machlusil Husna, Machlusil Marani, Ika Novitaria Mariyatul Khiptiyah Masruroh Rahayu, Masruroh Nadiya Elfira Bilqis, Nadiya Elfira Ngakan Putu Parsama Putra Ningsih, Agustin Setia Noermijati, Noermijati Nurul Fadhilah Otik Nawansih Panjaitan, Nurul Aisyah Salsabila Pinahayu, Griesinta Trianty Andria Prabowo, Edwin Damar Pratama, Arista Pratama, Erlan Anugrah Pratiwi, Suryanti Dwi Putra, Ngakan Putu Putri Dina Mardika Rahmad Rahmad Retnani, Diah Prabawati retnaningtyas, sri Rezkiah, Fahmy Riskawati, Yhusi Karina Rizky Rosita, Rizky Santony Santony Sasongko Adhi Nugroho Shahdevi Nandar Kurniawan, Shahdevi Nandar Siahaan, Sylvia Sagita Sidiq, Krisna Sri Budhi Rianawati, Sri Budhi Sriyanti, Rini Subeki Subeki Sugiri, Yani Jane Supiyan, Arif Dwi Suryanti Dwi Pratiwi Susanthy Djajalaksana Susanto, Dewangga Primananda Susilo, Hery Sutanto Sutanto Sutrasno Sutrasno Tae, Vidria Handayani Tanto Pratondo Utomo Teguh Rahayu Sartono Teguh Rahayu Sartono Tita Hariyanti Triwahju Astuti Umar Muhammad Noor Windasari, Eka Yani Jane Sugiri Yasep Setiakarnawijaya Yudha Rose Satiti, Yudha Rose Yulia Kartina Yuliandari, Puspita Zanemi, Fani