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"The focus of this study is the distribution and frequency of ameloblastoma according to histopathologic features and age in oral surgery clinic in Cipto Mangunkusumo Hospital period January 2002 - July 2008. This research is a quantitative and retrospective research with descriptive design. The results prove that ameloblastoma are most frequently found in third and fourth decade of life; while the most frequent histopatologic features are plexiform and folicullar pattern."

"Pendahuluan: Endometriosis berkaitan dengan adanya inflamasi  kronik,  gangguan  maturasi  oosit,  peningkatan stress  oksidatif  radikal,  dan  apoptosis  yang  kemudian  mendasari  terjadinya  infertilitas pada wanita usia subur.  Fertilisasi In Vitro (FIV)  merupakan  salah  satu  teknik  yang dapat menangani  infertilitas  dengan  tingkat  keberhasilannya  bergantung  dengan  kualitas  oosit  yang diambil  untuk  menjadi  embrio.  Kualitas oosit dipengaruhi  oleh  nutrisi. Profil  mikronutrien  seperti  vitamin  D  dan  zink  dianggap mempengaruhi  fungsi  reproduksi  melalui aktivitas  anti-inflamasi,  anti-apoptosis dan  anti-oksidan  yang dimiliki. Sayangnya, urgensi untuk menjaga adekuasi nutrisi  ini  sering diabaikan. Selain itu juga hingga saat ini  belum  ada  acuan  untuk  memprediksi  kadar  profil  vitamin  D  dan  zink  dalam serum  dan  cairan  folikular  yang  berhubungan  pada  pasien  endometriosis  itu  sendiri.Tujuan: Penelitian ini membandingkan kadar vitamin D dan zink di serum dan cairan folikular pada pasien endometriosis dan non-endometriosis.Metode: Studi ini merupakan studi potong lintang yang dilaksanakan pada pasien Fertilisasi In Vitro (FIV) di Klinik Yasmin, RSCM Kencana selama Juli –  Desember 2020. Data klinis diperoleh melalui rekam medis dan wawancara pasien. Data laboratorium diperoleh melalui sampel darah dan cairan folikuler yang diperoleh bersamaan dengan prosedur Ovum Pick Up (OPU). Sampel kemudian dikelompokkan menjadi kelompok endometriosis dan non-endometriosis. Setelah itu data disajikan dalam tabel dan dianalisis dengan uji parametrik, yaitu uji-t berpasangan bila sebaran data normal atau uji non parametrik, yaitu uji Mann-Whitney bila sebaran data tidak normal. Data dianalisis dengan SPSS 24.Hasil: Dari jumlah sampel 26 pasien pada studi ini, didapatkan tidak adanya perbedaan bermakna dari vitamin D serum pada pasien endometriosis (22,83 (5,00 – 40,00)) dan non endometriosis (30,11 (10,40-76,10)), namun secara rerata kadar vitamin D serum pada pasien endometriosis lebih rendah. Kadar vitamin D cairan folikular pada pasien endometriosis (15,33 (4,50-36,32)) dan non-endometriosis (23,64 (4,98-60,22)) tidak berbeda bermakna (P>0,05). Kadar zink serum pada pasien endometriosis (75,23 ± 11,58) dan non-endometriosis (79,46 ± 12,09) tidak berbeda bermakna (P>0,05). Konsentrasi zink paada cairan folikular tidak menunjukkan perbedaan bermakna antara pasien endometriosis (39,00 (22,00 – 49,00)) dan tanpa endometriosis (51,00 (19,00-95,00)) (P>0,05). Kesimpulan: Tidak ditemukan perbedaan bermakna antara kadar vitamin D serta zink serum dan cairan folikular pada pasien endometriosis dan non-endometriosis. 

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Background: Endometriosis associates with chronic inflammation, dysfunction of oocyte maturation, increase of oxidative stress, and apoptosis which underlie infertility problem in reproductive female. In-Vitro Fertilization (IVF) is a technique used to treat infertility with the success rate depending on the quality of the oocytes extracted to become embryos. Oocyte quality is influenced by nutrition. Micronutrient profiles such as vitamin D and zink are thought to influence reproductive function through their anti-inflammatory, anti-apoptotic and anti-oxidant activities. However, the urgency of maintaining nutritional adequacy is often overlooked. In addition, until now there is no reference for predicting levels of vitamin D and zink in serum and follicular fluid associated with endometriosis.

Method: This study is a cross-sectional study conducted on In Vitro Fertilization (FIV) patients at the Yasmin Clinic, RSCM Kencana during July – December 2020. Clinical data were obtained through medical records and patient interviews. Laboratory data were obtained through blood and follicular fluid samples obtained in conjunction with the Ovum Pick Up (OPU) procedure. The samples were then grouped into endometriosis and non-endometriosis groups. After that the data are presented in tables and analyzed by parametric test, namely paired t-test if the data distribution is normal or non-parametric test, namely the Mann-Whitney test if the data distribution is not normal. Data were analyzed by SPSS 24.

Result: From a total sample of 26 patients in this study, there was no significant difference in serum vitamin D in patients with endometriosis (22.83 (5.00 – 40.00)) and non-endometriosis (30.11 (10.40-76.10). )), but the mean serum vitamin D level in endometriosis patients was lower. Follicular fluid vitamin D levels in patients with endometriosis (15.33 (4.50-36.32)) and non-endometriosis (23.64 (4.98-60.22)) were not significantly different (P>0.05) . Serum zink levels in patients with endometriosis (75.23 ± 11.58) and non-endometriosis (79.46 ± 12.09) were not significantly different (P>0.05). Zink concentration in follicular fluid did not show a significant difference between endometriosis patients (39.00 (22.00 – 49.00)) and without endometriosis (51.00 (19.00-95.00)) (P>0.05) .

Conclusion: There was no significant difference between the levels of vitamin D and serum zink and follicular fluid in patients with endometriosis and non-endometriosis."

"Kanker kolorektal menempati urutan ketiga dari seluruh jenis kanker di dunia. Salah satu penanganan  untuk memperbaiki kualitas hidup pasien dengan kanker kolorektal adalah stoma. Efektifitas stoma masih belum banyak dipahami oleh pasien, karena kekhawatiran akan dampak yang ditimbulkan. Tujuan penelitian ini adalah untuk mendeskripsikan dan menginterpretasikan secara mendalam, pengalaman pasien kanker kolorektal dalam pengambilan keputusan persetujuan tindakan pembuatan stoma. Penelitian menggunakan metode kualitatif dengan pendekatan fenomenologi yang melibatkan 11 partisipan pada Komunitas Ostomate Indonesia, dengan teknik purposive sampling. Tiga tema besar pada penelitian ini yaitu proses yang sulit untuk menyetujui tindakan pembuatan stoma, pengetahuan yang tidak adekuat mengenai stoma, dan stoma sebagai pilihan terakhir. Keputusan untuk menyetujui pembuatan stoma adalah keputusan yang sulit bagi pasien dan keluarga. Persiapan pasien yang baik melalui edukasi, advokasi dan konseling mengenai fungsi, efektifitas, komplikasi yang mungkin terjadi, dan adaptasi dengan stoma, adalah peran penting perawat dalam proses ini.

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Colorectal cancer is the third most common in all types of cancer in the world. One treatment to improve the quality of life of patients with colorectal cancer is stoma. The effectiveness of the stoma is still not widely understood by patients, because of concerns about the impact. The purpose of this study was to describe and interpret in depth, the experience of coloprectal cancer patients in making decisions regarding the approval of stoma-making actions. The study used a qualitative method with a phenomenological approach involving 11 participants at the Komunitas Ostomate Indonesia, with a snow ball sampling technique. Three major themes in this study are the difficult process to approve the stoma-making action, inadequate knowledge about the stoma, and in the end the patient resigns to the stoma-making procedure. Agreeing with stoma making is a difficult decision for patients and families. Preparation of good patients by providing education, advocacy and counseling regarding function, effectiveness, possible complications, and adaptation to stoma, is important for nurses to do in this process."

"ABSTRAKThe aims of the current study were to characterize the pattern of ovarian follicular wave and to evaluate the relationships among length of interovulatory interval (IOI), number of follicular wave, duration of follicular growth phase, and lifespan of corpus luteum (CL) in White Lamphun cows. The dominate follicle (DF) and CL of ovulated White Lamphun cows (n=16) were scanned with an ultrasound machine and blood samples were collected from first ovulation until second ovulation. Cows with 2 follicular waves (2-wave cows) tended to have a shorter (P=0.063) length of IOI than cows with 3 follicular waves (3-wave cows). Prolonged duration of DF growth phase in first follicular wave (Wave 1) was observed more often in 2- wave cows than in 3-wave cows (P<0.05). At the end of DF growth phase in Wave 1, the concentration of progesterone was greater in 2-wave cows than in 3 wave cows (P<0.05). The 2-wave cows had a shorter length of luteal phase than 3-wave cows (P<0.05). The length of IOI was positively correlated with number of follicular wave (P<0.05) and length of luteal phase (P<0.01) but was negatively related with duration of DF growth phase in Wave 1 (P<0.05). These results demonstrate that short length of IOI in 2-wave cows is due to extended duration of DF growth phase in Wave 1 and short lifespan of CL. These data emphasized that length of IOI increased linearly with high number of follicular wave and extended lifespan of CL but decreased linearly with prolonged duration of DF growth phase in Wave 1."

"Telah dilakukan penelitian untuk mengidentifikasi efek krioprotektif madu lengkeng (Dimocarpus longan) terhadap integritas struktur folikel preantral dan profil ekspresi protein apoptosis jalur intrinsik. Sebanyak 24 ekor tikus (Rattus norvegicus L) dikelompokkan menjadi 8 kelompok, terdiri atas KKN, KKV (NaCl 0,9%), KKP1 (EG 7,5%), KKP2 (EG 15%), KP1 (EG 7,5% + ML 7,5%), KP2 (EG 7,5% + ML 15%), KP3 (EG 15% + ML 7,5%), dan KP4 (EG 15% + ML 15%). Pengamatan terhadap densitas,struktur folikel serta ekspresi protein Bax,Bcl2 dan Caspase3 dilakukan terhadap sayatan ovarium yang dibuat dengan metode parafin dengan pewarnaan Hematoksilin-Eosin (HE) dan imunohistokimia. Antibodi primer yang digunakan adalah antibodi poliklonal Rabbit Anti-Bax (A00183 Boster, USA), Rabbit Anti-Bcl-2 (A00040-2 Boster, USA) dan Active Caspase-3 Rabbit Polyclonal Antibody (ab4051 Abcam, UK) dan One Step Neopoly Detection System Kit (BGNK-0025 Biogear, USA). Identifikasi terhadap tiap tipe folikel preantral menggunakan mikroskop cahaya yang terhubung dengan perangkat lunak Image Raster dan IHC profiler. Hasil penelitian menunjukkan, efek krioprotektif madu lengkeng dapat meningkatkan densitas folikel, indeks folikel intak G2 dan G3, menurunkan indeks folikel G1, menekan ekspresi protein Bax dan caspase 3 serta meningkatkan ekspresi protein Bcl2. Dengan demikian, madu lengkeng memiliki potensi untuk dikembangkan sebagai krioprotektan ekstraselular alami dalam aplikasi vitrifikasi ovarium.

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A study was conducted to identify the cryoprotective effect of longan honey (Dimocarpus longan) on the structural integrity of the preantral follicle and the expression profile of the intrinsic pathway of apoptosis protein. A total of 24 rats (Rattus norvegicus L) were grouped into 8 groups, consisting of KKN, KKV (NaCl 0.9%), KKP1 (EG 7.5%), KKP2 (EG 15%), KP1 (EG 7.5% + LH 7.5%), KP2 (EG 7.5% + LH 15%), KP3 (EG 15% + LH 7.5%), and KP4 (EG 15% + LH 15%). Observations on the density, follicular structure and protein expression of Bax, Bcl2 and Caspase3 were carried out on ovarian sections made by paraffin method with Hematoxylin-Eosin (HE) staining and immunohistochemistry. The primary antibodies used were Rabbit Anti-Bax polyclonal antibody (A00183 Boster, USA), Rabbit Anti-Bcl-2 (A00040-2 Boster, USA) and Active Caspase-3 Rabbit Polyclonal Antibody (ab4051 Abcam, UK) and One Step Neopoly Detection System Kit (BGNK-0025 Biogear, USA). Identification of each type of preantral follicle using a light microscope connected to Image Raster software and an IHC profiler. The results showed that the cryoprotective effect of longan honey could increase follicle density, G2 and G3 intact follicle index, decrease G1 follicle index, suppress Bax protein expression and caspase 3 and increase Bcl2 protein expression. Thus, longan honey has the potential to be developed as a natural extracellular cryoprotectant in ovarian vitrification applications."