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Profil Ekspresi p16ink4a dan Tipe Human papillomavirus (HPV) pada Pasien Kondilomata Akuminata Wanita Afria Arista; Dwi Murtiastutik; Trisniartami Setyaningrum; Gondo Mastutik
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 30 No. 2 (2018): AGUSTUS
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (471.09 KB) | DOI: 10.20473/bikk.V30.2.2018.138-144

Abstract

Latar Belakang: Kondilomata akuminata (KA) merupakan penyakit infeksi menular seksual yang disebabkan oleh Human papillomavirus (HPV) dengan gejala berupa pertumbuhan tunggal atau multipel pada daerah anogenital. HPV risiko tinggi mempunyai kemampuan untuk berkembang menjadi keganasan, sedangkan HPV risiko rendah sangat jarang menimbulkan keganasan. Pemeriksaan p16ink4a digunakan untuk mendeteksi HPV yang berpotensi kearah keganasan. Deteksi genotipe HPV dengan menggunakan PCR memiliki sensitivitas yang sangat tinggi. Tujuan: Mengevaluasi profil ekspresi p16INK4a  pada lesi KA pada wanita dengan infeksi HPV tipe risiko rendah, risiko tinggi, dan infeksi multipel HPV. Metode: Penelitian deskriptif, observasional, cross sectional dengan melakukan pemeriksaan p16INK4a  dan genotyping HPV dengan teknik PCR lesi KA pada wanita. Hasil: Satu pasien dengan HPV risiko rendah (HPV 6 dan 11) memiliki gambaran p16ink4a negatif,  4 pasien memiliki gambaran p16ink4a sporadis, dan 2 pasien memiliki gambaran p16ink4a fokal, 1 pasien dengan HPV 18 memiliki gambaran p16ink4a difus, 1 pasien dengan infeksi multipel HPV 6,81,82,89 memiliki gambaran p16ink4a fokal, 4 pasien dengan infeksi multipel HPV memiliki gambaran p16ink4a difus. Simpulan: Terdapat 5  pasien dengan gambaran  p16INK4a  yang difus.  p16ink4a yang difus menunjukkan bahwa pada pasien tersebut memiliki kemampuan untuk berkembang menjadi keganasan.
PREVALENCE OF HUMAN PAPILLOMAVIRUS GENOTYPES IN LOW AND HIGH GRADE SQUAMOUS INTRAEPITHELIAL LESIONS AT CERVICAL TISSUE Rizki Eko Prasetyo; Gondo Mastutik; Sjahjenny Mustokoweni
Folia Medica Indonesiana Vol. 53 No. 4 (2017): December 2017
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (60.166 KB) | DOI: 10.20473/fmi.v53i4.7157

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HPV infection is known to cause cervical cancer. This study aimed to identify the variant of HPV genotypes of cervical precancerous lesions from low grade squamous intraepithelial lesion  (LSIL) and high grade squamous intraepithelial lesion (HSIL). This was an explorative study using formalin fix paraffin embedded (FFPE) from cervical precancerous lesions at Dr. Soetomo Hospital, Surabaya. DNA was extracted from FFPE and hybridized for HPV genotyping using Ampliquality HPV Type Express kit (AB ANALITICA) by reverse line blot techniques. The results showed that there were variants of HPV genotype in LSIL. The variants were HPV16 (8/15), HPV18 (3/15), HPV52 (1/15), HPV6+31 (1/15), HPV6+18 (1/15), and HPV72+68 (1/15), and in HSIL which were HPV16 (4/10), HPV18 (2/10), HPV59 (1/10), HPV6+45 (1/10), HPV61+26 (1/10), and HPV16+31 (1/10). The characteristics of infection in LSIL were single infection of high-risk (hr) HPV and multiple infection of  low-risk (lr)+hr HPV, and in HSIL were single infection of HPVhr, multiple infection of HPVhr+hr and HPVlr+hr. In conclusion, HPV prevalence in cervical precancerous lesions is single infection by HPV16 (48%), HPV18 (20%), HPV52 (4%), HPV59 (4%), and multiple infection by HPV6+31, HPV6+18, HPV6+45, HPV16+31, HPV61+26, HPV72+68 is 4%.
Dhikr (Recitation) and Relaxation Improve Stress Perception and Reduce Blood Cortisol Level in Type 2 Diabetes Mellitus Patients with OAD Faisal Amir; Gondo Mastutik; M Hasinuddin; Suhartono Taat Putra
Folia Medica Indonesiana Vol. 54 No. 4 (2018): December
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (322.024 KB) | DOI: 10.20473/fmi.v54i4.10707

Abstract

Recitation and relaxation are translated as stimuli that can turn disstraints into uneven conditions (balanced conditions). The purpose of this study was to explain the effect of remembrance and relaxation on improving stress perception and decreasing blood cortisol levels in patients with type 2 diabetes mellitus with Anti Diabetes Medication (OAD). This type of research is quasi-experimental with the non randomized control group pretest posttest design. The population in this study were all type 2 diabetes mellitus patients at the Internal Poly department of Syarifah Ambami Hospital Rato Ebu Bangkalan. The study sample was divided into 2 groups, namely control and intervention, each of which was 14 respondents. First, respondents were asked to fill out an informed consent form, identity, fill in the Depression Anciety Stress Scale 42 questionnaire (DASS 42) and examine cortisol levels as pre-treatment data. Then for 6 weeks the intervention group was given remembrance and relaxation treatment, while the control group was only given health education. After 6 weeks the second group respondents were asked to fill in DASS 42 and examined cortisol levels as data after treatment. Difference data before and after the treatment was tested for normality using Shapiro-Wilk and obtained normal data distribution so that the different tests used independent T test with a = 0.05. Recitation and relaxation can significantly improve stress perception with p value (0.001) <0.05 and reduce cortisol levels with p value (0.024) <0.05. Recitation and relaxation improve stress perception so that the hypothalamic pituitary adrenal (HPA) axis produces a balanced level of the hormone cortisol. Cortisol in a balanced level will improve various metabolic processes.
Increased Activity Of Mature Osteoblast from Rat Bone Marrow-Mesenchymal Stem Cells tn Osteogenic Medium Exposed to Melatonin Yugi Hari Chandra Purnama; Gondo Mastutik; Suhartono Taat Putra
Folia Medica Indonesiana Vol. 54 No. 4 (2018): December
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (370.119 KB) | DOI: 10.20473/fmi.v54i4.10714

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Exposure to melatonin in the cultures of Bone Marrow Mesenchymal Stem Cells (BM-MSCs) in osteogenic medium is able to induce mesenchymal stem cells and preosteoblasts into active osteoblasts via several transduction signals such as ERK 1/2. Previous studies used a single dose of 50 nM and a physiological dose of 20-200 pg/ml. The objective of the study was to obtain an optimal dose of melatonin that enhances osteoblast activity by increasing the expression of ERK1/2 and ALP levels in the culture of Rat Bone Marrow Mesenchymal Stem Cells (BM-MSCs) in osteogenic medium. This study was an in vitro experimental laboratory study using BM-MSCs from rat femoral bone grown on osteogenic medium without or with exposure to melatonin in doses of 0, 50, 100, 150 nM for 21 days. BM-MSCs were characterized by immunocytochemical techniques (CD45- and CD 105+) and ERK 1/2 expression was checked 24 hours after exposure to melatonin, while ALP levels were examined on day 21 using ELISA technique. ERK 1/2 expression on BM-MScs exposed to melatonin in doses 0, 50, 100, and 150 nM were respectively 0.087, 0.095, 0.081, and 0.079. Mean ERK 1/2 expression in various groups showed a decrease along with increasing doses of melatonin. Among the four treatment groups, the administration of melatonin in a dose of 50 nM resulted in highest mean ERK 1/2 expression. ALP levels in BM-MSCs exposed to melatonin doses of 0, 50, 100, and 150 nM were 0.128; 0.130; 0.117, and 0.111 ng/ml respectively. Data showed that decreasing mean ALP levels occurred along with the addition of melatonin dose. In conclusion, the administration of melatonin 50 nM is the optimal dose to increase the differentiation of cultured rat BM-MSCs into active osteoblasts.
Distribution of Human Papilloma Virus (HPV) in Cervical Adenocarcinoma and Adenosquamous Carcinoma Gondo Mastutik; Alphania Rahniayu; Nila Kurniasari; Anny Setijo Rahaju; Budi Harjanto
Folia Medica Indonesiana Vol. 57 No. 2 (2021): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (162.667 KB) | DOI: 10.20473/fmi.v57i2.26473

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Approximately 20-30% of all cervical cancer cases are adenocarcinoma and adenosquamous carcinoma. Around 70% of all of these types of cancer are related to infection of Human Papillomavirus (HPV). This study evaluated the distribution of HPV genotype in cervical adenocarcinoma and adenosquamous carcinoma. A cross-sectional study was conducted at the Department of Anatomic Pathology, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from January to December 2015. The sample were 22 formalin-fixed paraffin-embedded (FFPE) of cervical adenocarcinoma tissues and adenosquamous carcinoma tissues. FFPE was used for DNA extraction and followed with HPV genotyping to detect 40 genotypes of HPV, including low risk (LR) and high risk (HR) HPV. The histopathological types of adenocarcinomas were adenocarcinoma NOS and mucinous adenocarcinoma, while the adenosquamous carcinoma types were adenosquamous carcinoma and adenosquamous carcinoma glassy. All of the specimens were infected by HPV. In cervical adenocarcinoma, the infection was by HPV 6, 11, 16, 18, 31, 45, 68B, and 72, and in adenosquamous carcinoma by HPV 6, 16, 18, 45, and 59. HPV 18 was predominant, which was found in 13/22 (59.1%) in adenocarcinoma and 19/22 (86.4%) in adenosquamous carcinoma. Single infection and multiple infections in adenocarcinoma were 13/22 (59.1%) and 9/22 (40.9%), while in adenosquamous carcinoma were 21/22 (95.5%) and 1/22 (4.5%) respectively. The most common HR HPVs found in this study were HPV 18, HPV 45, HPV 16 and LR HPV are HPV 11, HPV 6.
Distribution Genotype High Risk (HR) And Low Risk (LR) Human Papillomavirus (HPV) at Condyloma Acuminata Gondo Mastutik; Alphania Rahniayu; Dwi Murtiastutik; Afria Arista; Trisniartami Setyaningrum; Nabiha Missaoui; Suhartono Taat Putra
Biomolecular and Health Science Journal Vol. 4 No. 1 (2021): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bhsj.v4i1.26250

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Introduction: Condyloma acuminata that is also known as genital warts are one of the most common sexually transmitted that caused by infection of Human papillomavirus (HPV). Persistent infection of Low Risk (LR) or High risk (HR) HPV is a risk factor for progress into benign or malignant cancer. The objective is to analyze distribution of genotype LR-HPV and HR-HPV at condyloma acuminata in anogenital region. Methods: A cross sectional study using were 36 lesions from men and women of condyloma acuminata patients. All subject signed the informed consent and ethic obtained from our institution, number 382/Panke.KKE/V/2016. The specimen was used to histopathological examination and to identified 40 genotypes of HPV using a reverse line blot assay.Results: The All patients were diagnosed as condyloma acuminata, some with focus dysplasia and koilocytosis. All patients were positive for HPV, including LR-HPV were HPV 6, 11, 42, 54, 61, 81,87,89 and HR-HPV were HPV 18, 26, 45, 51, 52, 66, 67, 68B, 69, 82. The single infection of LR-HPV was 44.4%, multiple infection LR/LR-HPV was 13,9% and the multiple infection of LR/HR-HPV was 41.7%. The LR-HPV infected 70,6% and HR-HPV infected 29,4%.  Conclusion: LR-HPV is the major infection of condyloma acuminata, in single infection or multiple infection with HR-HPV. The most common infections were HPV 11, followed by HPV 6, HPV 18, HPV 51, and HPV 82. The determination of genotype of HPV can be used to predict the malignant transformation.
Analgesic Effect Study of Young Coconut Water (Cocos nucifera L.) on Mice (Mus musculus) Induced with Pain using Acetic Acid Dini Indah Berlianti; Danti Nur Indiastuti; Gondo Mastutik; Shaohong Lai
Biomolecular and Health Science Journal Vol. 4 No. 2 (2021): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bhsj.v4i2.30176

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Introduction: Pain signals tissue damage that is capable of reducing thequality of life. Non-Steroidal Anti-inflammatory Drugs (NSAIDs) are known as effective analgesic drugs which have various side effects, therefore natural minerals are used as an alternative medicine for pain and inflammation, one of which is known to be coconut water. Hence this research was conducted to find out the differences of the analgesic effect between young coconut water (Cocos nucifera L.) with non-selective and COX-2 selective NSAID on mice induced with pain from acetic acid 0.6% 1 ml/100gBW of mice.Methods: True experimental, conducted at the Pharmacology Laboratory in Faculty of Medicine of Airlangga University involving the sample of 48 mice (6 groups). The recorded data was tested using the oneway ANOVA methodology before then continued with the posthoc test of LSD.Results: The addition of young coconut water (Cocos nucifera L.) with the dosage of 3 ml/100gBW, 4 ml/100gBW, and 4.5 ml/100gBW of mice doesn't give any significant analgesic effect even though the analgesic protection percentage increases accordingly to its dosage (12.32%, 18.72%, 26.88%), but non-selective and COX-2 selective NSAID give significant analgesic effect (p<0.05) on mice induced with pain from acetic acid 0.6% 1 ml/100gBW of mice.Conclusion: There are differences in the analgesic effect of young coconut water (C. nucifera L.) with non-selective and COX-2 selective NSAID on mice induced with pain from acetic acid 0.6% 1 ml/100gBW of mice.
EARLY DETECTION OF BREAST CANCER AT PUBLIC HEALTH CENTER IN REJOSO, NGANJUK Gondo Mastutik; Sjahjenny Mustokoweni
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 6 No. 1 (2022): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v6i1.2022.61-68

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The objective was to convey knowledge about procedures for early detection of breast cancer and screening of breast cancer as an effort to reduce the number of cases of advanced breast cancer. The activity was held at the Public Health Center in Rejoso, Nganjuk and was attended by 71 participants. The participants' understanding was measured by a questionnaire containing questions about breast cancer risk factors and knowledge about breast cancer. Questionnaires were given as pre-test and post-test. After attending the lecture presentation, there was an increase in understanding of 11%. Participants in this activity based on the risk factors of not having children and x-ray radiation, all of them do not have a risk of developing breast cancer. Furthermore, based on data on breastfeeding less than 6 months, aged more than 25 years, had a tumor in the breast, and had a family suffering from breast cancer, the participants in this activity had a risk of breast cancer that were 16.67%, 88.1%, 7.14%, and 14.29% respectively.This activity can increase public understanding of procedures for early detection of breast cancer so that people can carry out breast self-examinations at home every month. In this activity, participants can perform breast examinations by medical personnel so that they can help the community to carry out free breast examinations at community health centers.
RAGAMAN GENETIK GEN POLIMERASE VIRUS HEPATITIS B PADA PASIEN HEPATITIS B KRONIK DENGAN PENGOBATAN TELBIVUDIN Gondo Mastutik; Juniastuti Juniastuti; Ali Rohman; Mochamad Amin; Poernomo Boedi Setiawan
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 21, No 2 (2015)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v21i2.1097

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Infection caused by hepatitis B virus (HBV) is still a major global health problem and can cause liver cirrhosis and hepatocellularcarcinoma as well. Telbivudine is one among the drugs used to treat the disease routinely. However, using this drug in a long term therapymight cause mutations in HBV polymerase gene that decreases the effectiveness of the therapy. Here with the researchers report the geneticvariations of the gene isolated from telbivudine-which is used treated chronic hepatitis B patients in Surabaya, Indonesia. The blood serawere collected at Dr. Soetomo hospital from 10 telbivudine-treated and 10 untreated chronic hepatitis B patients. The DNA viral wasisolated and purified from each serum. Sequence polymerase gene at nucleotides 455 to 796 was amplified by PCR, and then analyzedbio informatically to determine their mutation profile. This study revealed a point mutation in HBV25 sample at nucleotide A1525G thatgives rise to I509V modification. Such mutation is also observed in a sequence that is available in Gen Bank with an accession numberAY641562. Additionally, the researchers found point mutations A1554G, T1593C, and C1629T in HBV25 sample and a point mutationA1554G in HBV20 sample. However, these mutations are silent. To conclude, the mutation in HBV polymerase gene among telbivudinetreatedchronic hepatitis B patients in Surabaya is known as A1525G.
Infection of Cytomegalovirus in Cholestasis Infant with Biliary Atresia Lasmauli Situmorang; Bagus Setyoboedi; Sjamsul Arief; Gondo Mastutik
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 26, No 2 (2020)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v26i2.1496

Abstract

Biliary Atresia (BA) is extrahepatic cholestasis that results in death within the first two years if the diagnosis andintervention are delayed. The etiology and pathogenesis of BA are still undetermined. Viral infections, includingCytomegalovirus (CMV), are presumed to be one of the causes. Cytomegalovirus infection is more common in intrahepaticthan extrahepatic cholestasis such as BA. There are limited data about Cytomegalovirus infection in cholestatic infants withBA. This study compared the incidence of CMV infection in cholestatic infants with biliary atresia and non-biliary atresia.A cross-sectional study was performed in December 2017 - August 2018 in cholestatic infants aged 1-6 months. Liverbiopsy, histopathological examination followed by PCR CMV examination were performed on cholestatic infants. Theresults of the PCR examination were compared between BA and non-BA infants. Statistical analysis of Chi-Square, t-testindependent and Mann-Whitney U resulting in p<0.05 were stated as significant. Thirty-seven children were obtainedduring the study period, consisting of sixteen children with BA and twenty-one children with non-BA. Biliary atresia waspredominantly found in female than male children, despite no differences were found between the groups (p=0.163). Therewere differences in body weight (p=0.002) age (p=0.009), birth weight (p=0.02) and gestational age (p=0.03) betweenchildren with BA and non-BA. There was no significant difference in the incidence of CMV infection in cholestatic infants withBA and non-BA (p=0.338). Cytomegalovirus infection in cholestatic infants with BA was less than non-BA cholestatic infants.
Co-Authors Afria Arista Afria Arista Afria Arista, Afria Agung Dwi Suprayitno Agus Santosa Agus Santosa Ali Rohman Alphania Rahniayu Aniek Meidi, Aniek Anny Setijo Rahaju, Anny Setijo Ariani, Grace Arifa Mustika Aryati , Aryati Aryati Aryati Aryati Aryati Bagus Setyoboedi Benediktus Yohan Bilqis Inayatillah Budi Harjanto Cempaka Harsa Sekarputri Dewi Sartika A. W. Dini Indah Berlianti Dwi Murtiastutik DYAH FAUZIAH, DYAH Erni J. Nelwan, Erni J. Erni Juwita Nelwan, Erni Juwita Faisal Amir Faroek Hoesin Fira Soraya Heriyawati, Heriyawati Heru Fajar Trianto I'tishom, Reny Ilmiah, Khafidhotul Imam Susilo Indiastuti, Danti Nur Iqhrammullah, Muhammad Isnin Anang Marhana Jennifer Susanto Juniastuti Juniastuti Khafidhotul Ilmiah Khafidhotul Ilmiah Kuntaman Kuntaman Kusumastuti , Etty Hary Kusumastuti, Etty Hari KUSUMASTUTI, ETTY HARY Lasmauli Situmorang Leonita Agustin Hambalie Markus Kore Masyeni, Sri Mochamad Amin Mochamad Amin Muchlis AU Sofro Nabiha Missaoui Nila Kurniasari Nila Kurniasari Nurma Yuliyanasari, Nurma Poernomo Boedi Setiawan Purnomo, Windu Qonitatillah, Ana R. Tedjo Sasmono Rahmi Alia Rahmi Alia Rahmi Alia Rahmi Alia, Rahmi Renny I’tishom Ridholia Ridholia, Ridholia Rizki Eko Prasetyo S.Pd. M Kes I Ketut Sudiana . Sari, Aditya Sita Sasmono, R. Tedjo Shaohong Lai Sjahjenny Mustokoweni, Sjahjenny Sjamsul Arief Sofro, Muchlis AU Sofro, Muchlis AU. Sri Masyeni, Dewa Ayu Putri Suhartono Taat Putra Sunaryo Hardjowijoto Sutrisno Sutrisno Tamam Jauhar Trisniartami Setyaningrum Usman Hadi Willy Sandhika Windu Purnomo Wira Santoso Ongko Wiratama, Priangga Adi Yohan, Benediktus Yugi Hari Chandra Purnama