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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN BALI MEDICAL JOURNAL (BMJ) Medicina Jurnal Studi Jender SRIKANDI Buletin Udayana Mengabdi INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES E-Jurnal Medika Udayana Jurnal Farmasi Klinik Indonesia E-Journal Obstetric & Gynecology Udayana Indonesian Journal of Cancer Syntax Literate: Jurnal Ilmiah Indonesia Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) ISM (Intisari Sains Medis) : Jurnal Kedokteran Majalah Patologi Indonesia Neurologico Spinale Medico Chirurgico JURNAL USM LAW REVIEW Babali Nursing Research Indonesian Journal of Perinatology Indonesian Journal of Cancer Public Health and Preventive Medicine Archive INCOME: Indonesian Journal of Community Service and Engagement Journal of Global Pharma Technology Cermin Dunia Kedokteran
I Ketut Suwiyoga
Departemen Obstetri Dan Ginekologi, Fakultas Kedokteran, Universitas Udayana, RSUP Sanglah, Bali, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Karakteristik Pasien Kanker Serviks yang Menjalani Radikal Histerektomi dan Limfadenektomi Pelvik Bilateral di RSUP Sanglah Tahun 2018-2019 Kirana, Ni Wayan Prabasiwi; Mahendra, I Nyoman Bayu; Suwardewa, Tjokorda Gde Agung; Winata, I Gde Sastra
E-Jurnal Medika Udayana Vol 12 No 1 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i01.P16

Abstract

Cervical cancer is an over or uncontrolled cell growth in the cervix, mainly caused by infection with HPV types 16 and 18. Some prognostic and predictive factors already established to determine the future therapeutic outcomes. Common treatments for early stage cervical cancer are radical hysterectomy and pelvic lymphadenectomy. This study aims to know the characteristic description of cervical cancer patients who had undergone radical hysterectomy and bilateral pelvic lymphadenectomy in Sanglah Hospital from 2018-2019. Samples were chosen from a list of inclusion and exclusion criteria. Data analysis was conducted using the software SPSS ver. 26 to obtain the characteristics of the cervical cancer case that had radical hysterectomy and bilateral pelvic lymphadenectomy based on age, parity, tumor size, clinical stage, histopathological profile which includes histopathological type, degree of differentiation, LVSI, incision margin, parametrial invasion, and pelvic lymph node metastasis. Result shows that cervical cancer patients that had radical hysterectomy and bilateral pelvic lymphadenectomy in Sanglah Hospital, Denpasar, Bali from 2018-2019 are 50.9% from the age group 46-55 years old, 69.8% with multiparity (2-4 children), 69.8% were found with tumor <4cm, and 35.8% were found with stage IIB cancer. The most common histopathological type was squamous cell carcinoma (47.2%). Vaginal incision margins and parametrial invasion were generally negative, 73.6% and 86.8%. Pelvic lymph node metastases were also mostly negative (77.4%). Most of the data on the degree of differentiation and LVSI were not listed (92.6% and 50.9%). There was no significant relationship between age, parity, tumor size, clinical stage, histopathological type, and pelvic lymph node metastases.
Various birth techniques: home birth, water birth, lotus birth, hypno birth, and birth position Winata, I Gde Sastra; Harrista, Daniel Victor; Setiawan, William Alexander
Indonesian Journal of Perinatology Vol. 5 No. 1 (2024): Available online: 1 June 2024
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/inajperinatol.v5i1.52

Abstract

Background: The birth process varies greatly; health workers should be able to provide education about each technique and help patients plan their labor process. Each delivery technique is assessed from the mother's side and the baby's side, not only for patient satisfaction but also for patient safety. This article will provide a review of various birth technique known which are home birth, water birth, lotus birth, hypno birth, and including various birth position. Methods: This article is a systematic review of qualitative and quantitative studies from studies published in PubMed, Cochrane, the British Medical Journal, BioMed Central, and Elsevier, published in 2015 to 2023. The study sample included healthy maternal nulliparous or multiparous women with a low risk of complications. The focus of the research is on childbirth using home birth techniques, water birth, lotus birth, hypno birth, and birth positions. This article includes research conducted in hospitals, maternity homes, and patients' homes. Results: There are 6 studies included in this review. Each of which provide the perspectives and experiences of patients and healthworkers regarding various birth technique used. Conclusions: Each birthing technique has its own advantages and disadvantages. Each birthing technique also has its own recommendation criteria so that a birthing technique cannot be used for every birthing patient. The birthing technique and birthing position must be adjusted to the patient's condition and the medical facilities available at that time.
Prognostic significance of tumor angiogenesis markers in advanced cervical cancer undergoing chemotherapy Mahendra, I Nyoman Bayu; Winata, I Gde Sastra; Setiawan, William Alexander; Putra, Ida Bagus Agung Widnyana; Darmayasa, Putu Bagus
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 15, No 2 (2024): December 2024
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/sainsmed.v15i2.28943

Abstract

Cervical cancer is the second leading cause of cancer-related deaths among women worldwide. Despite advancements in screening programs and vaccination efforts, a significant proportion of patients present with advanced-stage disease, characterized by severe manifestations and a poor prognosis. Clinical evidence highlights substantial variability in the sensitivity of chemotherapy regimens among cervical cancer patients, often resulting in suboptimal therapeutic outcomes and increased risk of complications. This underscores the need for reliable molecular markers to predict prognosis and optimize therapy. Angiogenesis plays a pivotal role in the development and progression of solid tumors, including cervical cancer. Key tumor angiogenesis markers, such as vascular endothelial growth factor (VEGF) and its receptor (VEGFR), are critical in driving tumor progression in advanced cervical cancer. Studies have demonstrated significant correlations between VEGF levels and important prognostic parameters, including tumor size, metastasis, and chemotherapy response. Consequently, tumor angiogenesis markers like VEGF and VEGFR hold potential as valuable predictive tools to guide the management of advanced cervical cancer, particularly in patients undergoing chemotherapy.
Diagnosis and Management of Antepartum Bleeding in Primary Health Care Winata, I Gde Sastra; Mahendrata, Prayascita; Intizam, Marwa Humaira; Astawa, I Made Mulya
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.768

Abstract

Objective: Antepartum bleeding, occurring in the second or third trimester of pregnancy, is a critical obstetric concern. This literature review explores diagnostic and management strategies for antepartum bleeding within primary health care settings. Method: This study employs a literature review methodology. Data were gathered from articles published between 2010 and 2024, accessed through PubMed and ScienceDirect.Result: Early identification and timely management of antepartum bleeding are essential in minimizing maternal and fetal morbidity and mortality. This review examines diagnostic approaches, including clinical assessments, ultrasonography, and laboratory investigations, with a focus on their accessibility within primary care environments. Management strategies, ranging from expectant care to emergency interventions, are discussed, alongside the critical role of primary care providers in stabilizing patients, ensuring prompt referrals, and providing continuous care.Conclusion: The review concludes by advocating for standardized protocols and enhanced training for primary care practitioners to improve the management of antepartum bleeding.Diagnosis dan Penatalaksanaan Perdarahan Antepartum di Layanan Kesehatan PrimerAbstrakTujuan: Perdarahan antepartum, yang terjadi pada trimester kedua atau ketiga kehamilan, merupakan perhatian serius dalam perawatan obstetri. Tinjauan literatur ini mengeksplorasi strategi diagnosis dan penatalaksanaan perdarahan antepartum di layanan kesehatan primer. Metode : Penelitian ini merupakan literatur review. Data penelitian diperoleh dari publikasi artikel di tahun 2010 – 2024 yang diakses melalui PubMed and ScienceDirect. Hasil: Identifikasi dini dan penatalaksanaan tepat waktu sangat penting untuk meminimalkan morbiditas dan mortalitas ibu serta janin. Pendekatan diagnostik, termasuk penilaian klinis, ultrasonografi, dan pemeriksaan laboratorium, ditinjau dengan penekanan pada aksesibilitasnya di lingkungan pelayanan primer. Selain itu, protokol manajemen, mulai dari penanganan ekspektatif, hingga intervensi darurat juga diulas. Peran penyedia layanan kesehatan primer dalam menstabilkan pasien, memastikan rujukan tepat waktu, dan memberikan perawatan lanjutan sangat ditekankan. Kesimpulan: Tinjauan ini menyimpulkan dengan menganjurkan adanya protokol standar dan peningkatan pelatihan bagi praktisi layanan kesehatan primer untuk lebih baik menangani perdarahan antepartum.Kata kunci : Antepartum, gawat darurat, kehamilan, perdarahan
Control of Non-Communicable Diseases in the Indonesian Regulations of Health Rastiti, Ni Putu; Dharmawan, Ni Ketut Supasti; Astuti, Ika Widi; Winata, I Gde Sastra
Babali Nursing Research Vol. 6 No. 2 (2025): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.62451

Abstract

Introduction: Non-communicable diseases are chronic diseases that are the most common causes of death worldwide, including in Indonesia. The increase in the prevalence of NCDs occurs year after year and becomes a problem for national health and budget. This challenge is why the enactment of Law Number 17 of 2023 on Health was subsequently followed by the implementation of Government Regulation Number 28 of 2024 on the Implementation Regulations of Law Number 17 of 2023 on Health. This research aims to understand the prevention of non-communicable diseases outlined in this regulation. Method: The research design used a descriptive-analytical approach with a normative-juridical approach. Searching for constitutional norms was used to gather legal resources. Since the analysis was about a legal event or state, a descriptive technique was employed to present it. The case method for the research problem was used. Results: Health promotion, early detection, limiting sugar, salt, and fat intake, controlling tobacco products, physical activity, immunization, and health services are all part of the NCD control strategy, according to Article 192 of Government Regulation Number 28 of 2024 concerning the Implementation Regulation of Law No. 17 of 2023 concerning Health. Conclusion: The prevention of NCDs requires holistic and comprehensive actions,, starting with the formation of government regulations. The government is the policy executor authorized by law to implement public policies to achieve the health administration goals in Indonesia.
Antioxidant administration on the incidence of preterm premature rupture of membranes: a literature review Winata, I Gde Sastra; Mahendrata, Prayascita; Wiraputri, Anak Agung Ratih Kusumadewi; Anwar, Meirisa Afifah Nurmalia; Jessica Nathalia
Indonesian Journal of Perinatology Vol. 6 No. 1 (2025): (Available online: 1 June 2025)
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/inajperinatol.v6i1.75

Abstract

One of the obstetric issues that can lead to consequences for both the mother and the unborn child is premature rupture of membranes (PROM).  In Indonesia, 35% of pregnancies ended in preterm rupture of the membranes in 2013.  The incidence of preterm pregnancy is 2% of all pregnancies, while the incidence of term pregnancy ranges from 6 to 19%.  At 37 weeks gestation, the phrase "premature rupture of membranes" is used.  Preterm premature rupture of membranes (PPROM) is the term used to describe when the membranes burst before birth in women whose gestational age is less than 37 weeks.  It is believed that the pathophysiology of premature membrane rupture involves reactive oxygen species (ROS).  The result of premature membrane rupture is anticipated to be impacted by antioxidant supplementation.
Comparison Between WHO Partograph and Friedman Curve in Diagnosing Labor Dystocia Winata, I Gde Sastra; Mahendrata, Prayascita; Putri, Desak Agung Istri Padma; Kusuma, I Komang Wira Ananta; Budiman, Ardelia Clara; Deviyanti, Gery Puspa; Nathalia, Jessica
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 2 July 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i2.824

Abstract

Objective: This study aims to determine the importance of appropriate device selection and training in optimizing delivery outcomes and reducing the incidence of cesarean delivery.Methods: The method used in this research is a literature review using three databases: PubMed, NCBI, and Google Scholar, covering publications from 2014 to 2024. A total of 19 articles were included after screening.Results: Labor dystocia is characterized by slow progress of labor. It is the leading cause of unplanned cesarean delivery. The WHO Partograph, recognized for its flexibility and real-time monitoring capabilities, enables early detection of complications and helps reduce unnecessary interventions. Conversely, the Friedman Curve provides a more rigid temporal framework, which may lead to overdiagnosis and higher cesarean delivery rates. Conclusion: While both tools are beneficial, the WHO Partograph demonstrates greater adaptability and effectiveness in managing labor dystocia, particularly in varied clinical environments.Perbandingan Antara Partograf WHO dan Kurva Friedman dalam Diagnosis Labor DystociaAbstrakTujuan: Penelitian ini bertujuan untuk mengetahui pentingnya pemilihan alat yang tepat dan pelatihan untuk mengoptimalkan hasil persalinan dan mengurangi kejadian persalinan sesar.Metode: Metode yang digunakan dalam penelitian ini yaitu tinjauan literatur dengan menggunakan tiga database yaitu PubMed, NCBI, dan Google Scholar. Dengan rentang waktu pencarian selama 10 tahun terakhir yaitu tahun 2014 hingga tahun 2024. Setelah dilakukan skrining, terdapat 19 artikel yang digunakan dalam penelitian iniHasil: Persalinan macet (Labor dystocia) ditandai dengan kemajuan persalinan yang lambat. Hal ini merupakan penyebab utama persalinan sesar yang tidak direncanakan. Partograf WHO, yang dikenal dengan fleksibilitas dan pemantauan waktu yang nyata, memungkinkan deteksi dini komplikasi dan mengurangi intervensi yang tidak perlu. Sebaliknya, Kurva Friedman memberikan kerangka kerja temporal yang lebih kaku, yang dapat menyebabkan overdiagnosis dan peningkatan angka persalinan sesar. Kesimpulan: Meskipun kedua alat tersebut berharga, Partograf WHO menunjukkan kemampuan beradaptasi dan efektivitas yang lebih besar dalam mengelola distosia persalinan,
Peningkatan Peran OSIS Dalam Pencegahan Kanker Serviks Dan Vaksinasi HPV Pada Siswi SMP di Bali Lestari, Desak Putu Oki; Analysa, Analysa; Kerans, Fransiscus Anthony; Winata, I Gde Sastra; Riasa, I Nyoman Putu
INCOME: Indonesian Journal of Community Service and Engagement Vol 4 No 3 (2025)
Publisher : EDUPEDIA Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56855/income.v4i3.1496

Abstract

Kanker serviks merupakan jenis kanker tertinggi ke-2 di Bali dan Indonesia, dengan infeksi virus HPV high risk sebagai faktor risiko utama. Meskipun vaksinasi HPV efektif menurunkan insiden kanker serviks, implementasinya di Indonesia, khususnya Bali masih baru dimulai dan tingkat pengetahuan remaja tentang kanker serviks masih rendah. Kegiatan pengabdian kepada masyarakat (PKM) ini bertujuan untuk meningkatkan pengetahuan, sikap, dan perilaku siswi SMP, khususnya pengurus OSIS terkait pencegahan kanker serviks dan vaksinasi HPV, serta mendorong peran aktif OSIS sebagai agen edukasi di lingkungan sekolah. Program dilakukan melalui penyuluhan aktif, pelatihan, dan pendampingan kepada pengurus OSIS di tiga SMP di Bali. Evaluasi dilakukan menggunakan pre-test dan post-test untuk mengukur perubahan pengetahuan, sikap, dan perilaku, serta pemantauan capaian vaksinasi HPV. Terdapat peningkatan signifikan pada nilai pengetahuan (dari rata-rata 3,47 menjadi 8,74), sikap (4,12 menjadi 9,32), dan perilaku (3,54 menjadi 9,01) setelah intervensi (p < 0,05). Cakupan vaksinasi HPV mencapai lebih dari 95%. Sebanyak 75% siswa mampu melakukan edukasi di kelompok kecil, dan 25% mampu melakukan penyuluhan di kelas besar. Intervensi berbasis OSIS efektif meningkatkan pengetahuan, sikap, perilaku, dan cakupan vaksinasi HPV pada siswa SMP. Peran OSIS sebagai duta kesehatan perlu terus didukung untuk memperluas dampak edukasi pencegahan kanker serviks di lingkungan sekolah.
Pemanfaatan Sisa Embrio Beku Program Bayi Tabung Sebagai Terapi Transplantasi Sel Punca di Indonesia Sari, Jayanti Purnama; Santosa, Anak Agung Gede Duwira Hadi; Winata, I Gde Sastra
JURNAL USM LAW REVIEW Vol. 7 No. 1 (2024): APRIL
Publisher : Universitas Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26623/julr.v7i1.8286

Abstract

The aim of this study is to provide an overview of the latest phenomenon in the development of sources of embryonic stem cells in the world, as a criticism of the Health Act that closed Indonesia's opportunity to undertake health transformation. Now many countries have begun to legalize embryonic stem cells by exploiting the remains of the in vitro fertilization embryos left just by their owners. It responds to earlier debates about the method of embryonic stem cells that originate in a fetus or embryos taken from a mother's womb. Some research sources say that embryonic stem cells have more potential than non-embryonic. On that basis, it is interesting to study how the Indonesian Health Act responds to these developments and the commitment to transform in terms of health. The innovation in this research focuses on responding to existing research that more categorizes embryonic stem cells as violating the ethics of living beings and strictly prohibits the use of embryonal stem cell. This research method is normative, using statutory and comparative approaches. The results of this research are, first, that embryonic stem cells have greater potential than the adult stem cells currently used and countries around the world are starting to legalize the use of embryonic stem cells by utilizing leftover embryos from in vitro fertilization. Second, Indonesia is still unable to carry out health transformation by utilizing legal instruments, such as the preamble to the Health Law and Development Legal Theory.Tujuan penelitian ini ialah memberikan gambaran fenomena terbaru perihal perkembangan sumber dari sel punca embrionik di dunia, sebagai kritik terhadap Undang-Undang Kesehatan yang menutup rapat kesempatan Indonesia untuk melakukan transformasi kesehatan. Saat ini banyak negara-negara mulai melegalkan sel punca embrionik dengan memanfaatkan sisa embrio in vitro fertilazation yang ditinggalkan begitu saja oleh pemiliknya. Hal ini menjawab perdebatan dahulu terkait metode sel punca embrionik yang bersumber pada janin atau embrio yang diambil dari rahim seorang ibu. Beberapa sumber penelitian mengatakan bahwa sel punca embrionik lebih memiliki potensi besar dibanding sel punca non embrionik. Atas dasar itu, menarik untuk dikaji bagaimana Undang-Undang Kesehatan Indonesia menanggapi perkembangan ini dan komitment untuk bertransformasi dalam hal kesehatan. Pembaharuan dalam  penelitian ini berfokus pada menjawab penelitian yang sudah ada yang lebih mengkategorikan sel punca embrionik sebagai hal yang melanggar etika makhluk hidup dan melarang keras penggunaan sel punca embrionik. Metode penelitian ini adalah normatif dengan menggunakan pendekatan perundang- undangan dan komparatif. Adapun hasil dari penelitian ini ialah pertama, sel punca embrionik lebih memiliki potensi besar ketimbang sel punca dewasa yang saat ini digunakan dan Negara-negara di dunia mulai melegalisasi penggunaan sel punca embrionik dengan memanfaatkan sisa embrio in vitro fertilazation. Kedua, Indonesia masih belum mampu melakukan transformasi kesehatan dengan dengan memanfaatkan instrumen hukum, sebagaimana konsideran Undang-Undang Kesehatan dan Teori Hukum Pembangunan.
The Role of Microvascular Density (MVD) in Cervical Cancer: A Article Review Winata, I Gde Sastra; Aryana, Made Bagus Dwi; Marta, Kadek Fajar; Christyani, Fenyta
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 3 November 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i3.720

Abstract

Introduction: The development, invasion and metastasis process of cervical cancer is closely related to the ability of cancer cells in the process of tumor oxygenation and the process of angiogenesis. Angiogenesis plays a very important role in the growth, metastasis and progression of tumor cells. Microvascular Density (MVD) is an examination that counts the number of microvasculature compared to the area of tissue analyzed by histology and immunohistochemistry. Method: This study reviewed literature by searching the Pubmed, ScienceDirect, and Cochran Library Database. The search query included “microvascular” and “cervical cancer”. The study was reviewed using the Preferred Reporting Item for Systemic Reviews and Meta-Analyses (PRISMA) standards. The scope of analysis was restricted to clinical trials conducted from 2011 to 2023Result: Currently, MVD examination is an examination that is often carried out to evaluate the process of intratumor angiogenesis in cancer. By knowing the MVD value in cancer sufferers, it is hoped that it can be considered in determining therapy and assessing the outcome of the course of cervical cancer which can be considered as a prognostic factor. Apart from that, it can complement the theory of other biomolecular prognostic factors that play a role in cervical cancer such as vascular endothelial growth factor (VEGF), Ki-67 protein, p53 tumor suppressor gene, oxygenation factors, especially hypoxia inducible factors-1α (HIF-1α), enzymes protease (matrix metalloproteinase), and cell adhesion molecules (E-Kadherin, catenin).Conclusion: The role of MVD in cervical cancer sufferers as an indicator of prognosis and success of therapy.Peranan Kepadatan Mikrovaskuler (MVD) pada Kanker Serviks: Sebuah Ulasan ArtikelAbstrakPendahuluan: Proses perkembangan, invasi dan metastasis kanker serviks erat kaitannya dengan kemampuan sel kanker dalam proses oksigenasi tumor dan proses angiogenesis. Angiogenesis memainkan peran yang sangat penting dalam pertumbuhan, metastasis, dan perkembangan sel tumor. Kepadatan Mikrovaskular (MVD) merupakan pemeriksaan yang menghitung jumlah mikrovaskular dibandingkan dengan luas jaringan yang dianalisis secara histologi dan imunohistokimia. Metode: Pencarian literatur dilakukan pada database PubMed dan ScienceDirect dan Cochrane Library. Pencarian dilakukan menggunakan istilah “mikrovaskular” dan “kanker serviks”. Penulisan sistematik review disesuaikan dengan pedoman Professed Reporting for Systematic Review and Meta-Analysis (PRISMA). Semua studi yang diinklusi merupakan uji klinis pada periode tahun 2011 – 2023.Hasil: Saat ini MVD merupakan pemeriksaan yang sering dilakukan untuk mengevaluasi proses angiogenesis intratumor pada kanker. Dengan mengetahui nilai MVD pada penderita kanker diharapkan dapat menjadi pertimbangan dalam menentukan terapi dan menilai luaran perjalanan penyakit kanker serviks yang dapat diperhitungkan sebagai faktor prognosis. Selain itu dapat melengkapi teori faktor prognostik biomolekuler lain yang berperan dalam kanker serviks seperti faktor pertumbuhan endotel vaskular (VEGF), protein Ki-67, gen penekan tumor p53, faktor oksigenasi, terutama faktor pemicu hipoksia-1 α (HIF-1 α), enzim protease (matrix metalloproteinase), dan molekul adhesi sel (E-Kadherin, catenin).Kesimpulan: MVD pada penderita kanker serviks berperan sebagai indikator prognosis dan keberhasilan terapiKata kunci: Kepadatan vaskular, kanker serviks, diagnosis
Co-Authors Anak A. A. W. P. Dewi Anak Agung Gede Duwira Hadi Santosa Anak Agung Ngurah Jaya Kusuma Analysa, Analysa and I G. Alit-Artha Anom Suardika Anwar, Meirisa Afifah Nurmalia Arthawan Arthawan Aryana, Made Bagus Dwi Astawa, I Made Mulya Budiana, Nyoman Budiman, Ardelia Clara Candijaya, Gita Sirini Christyani, Fenyta Danny Aguswahyudi Darmayasa, Putu Bagus Desak Putu Oki Lestari Deviyanti, Gery Puspa Dewi, Anak A. A. W. P. E. Joewarini Evert Solomon Pangkahila Feliciano Pinto, Feliciano Ferry Santoso Fido Anggli, Fido Fransiskus C Raharja Gde Ari Putra, Orion Reffa Gede Fajar Manuaba, Ida Bagus Hadisubroto, Yona S. Hanny Aditanzil Hanny Aditanzil Harrista, Daniel Victor Heni Sunyoto I Dewa Made Sukrama I Gde Adnyana Sudibya I Gde Raka Widiana I Gde Sastra Winata I Gede Adnyana Sudibya, I Gede Adnyana I Gede M Putra I Gede Mahendra Adiguna Dira I Gede Mega Putra I Gede Putu Surya I Gusti Ayu Putri Kartika, I Gusti Ayu I Gusti Ayu Sri Mahendra Dewi I Gusti Putu Mayun Mayura I Ketut Labir I Ketut Labir I Ketut Surya Negara I Ketut Tunas I Made Darmayasa I Nyoman Gede Budiana I Nyoman H Sanjaya I NYOMAN MANTIK ASTAWA I Putu Kusuma Yudasmara, I Putu Kusuma I Wayan Artana Putra I Wayan Megadhana I Wayan Putu Sutirta Yasa I Wayan Suranadi I. F. W. Putra I. Lesmana I.W. Weta Ida Bagus Gde Fajar Manuaba Ida Bagus Putra Adnyana Ika Widi Astuti, Ika Widi Ines Kurniaty Hartono Intan Puspa Intizam, Marwa Humaira IPG Wardhiana IPG Wardhiana, IPG Janet Sumampouw Jessica Nathalia JOHANA SENSY LENI MANNA K Tangking Widarsa KADE YUDI SASPRIYANA Kadek Fajar Marta Kerans, Fransiscus Anthony Ketut S. Negara Kirana, Ni Wayan Prabasiwi Kusuma, I Komang Wira Ananta L.S. Ani Leonardo ., Leonardo Leony Lim Lidia Widianti, Lidia Luh Putu Iin Indrayani Maker Luh Seri Ani Made Bagus Dwi Aryana Mahendrata, Prayascita MANNA, JOHANA SENSY LENI Mantik AN Manuaba, Ida Bagus Gede Fajar Marta, Kadek Fajar Moestikaningsih . Mona Mariana Mona Mariana Muhammad Freddy Candra Sitepu Muliawan, Erlin Purnama N.W.A. Utami Nathalia, Jessica Negara, Ketut S. Ngurah Harry Wijaya Surya, I Gede Ni Ketut Karneli Ni Ketut Karneli Ni Ketut Supasti Dharmawan Ni Made Suciani Nyoman Bayu Mahendra Pramana, Bagus Andika Pratama, I Gede Bayu Adi Puspa, Intan Putra, I Gede M Putra, Ida Bagus Agung Widnyana Putri, Desak Agung Istri Padma Putu Adi Sujana Putra Putu Ayu Indrayathi Putu Doster Mahayasa R. Niruri Raharja, Fransiskus C Rasmaya Niruri Rasmaya Niruri Rasmaya Niruri Rastiti, Ni Putu Riasa, I Nyoman Putu Rini Noviyani Riza Firman Satria Sanjaya, I Nyoman H Santoso, Ferry Sari, Jayanti Purnama Satriawan, Nyoman Gede Dikawijaya Setiawan, William Alexander Stella Kawilarang Stella Kawilarang, Stella Sugianto Sugianto Sumampouw, Janet Tjokorda Gde Agung Suwardewa Wenas, Yongki Widia, Made Yudha Ganesa Wikantyas William Alexander Setiawan Wiraputri, Anak Agung Ratih Kusumadewi Yona S. Hadisubroto Yongki Wenas Yosevangelika Hutabarat