Claim Missing Document
Check
Articles

Found 38 Documents
Search

PENGARUH PEMBERIAN 1,25 DIHYDROXYVITAMIN D (CALCITRIOL) TERHADAP KADAR FIBROBLAST GROWTH FACTOR-23 DAN ALBUMINURIA PADA PASIEN PENYAKIT GINJAL KRONIK STADIUM V YANG MENJALANI HEMODIALISIS Intan Herlina; Bambang Purwanto; Sugiarto Sugiarto
Biomedika Vol 9, No 1 (2017): Biomedika Februari 2017
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v9i1.4344

Abstract

Penyebab utama morbiditas dan mortalitas pada pasien Penyakit Ginjal Kronik adalah insiden kardiovaskuler yang didasari oleh proses aterosklerosis yang menyebabkan meningkatnya morbiditas dan mortalitas. Ginjal merupakan tempat utama sintesa 1,25 Dihydroxyvitamin D (Calcitriol), sehingga dengan adanya kerusakan ginjal menyebabkan defisiensi 1,25 Dihydroxyvitamin D (Calcitriol). Pada pasien Penyakit Ginjal Kronik terjadi peningkatan Fibroblast Growth Factor-23 dan Albuminuria akibat dari aktifitas Renin Angiotensin Aldosteron Sistem. Aktifitas RAAS mempengaruhi 1,25 Dihydroxy vitamin D (Calcitriol), Fibroblast Growth Factor-23 melalui Angiotensin 2 dengan cara menghambat reseptor Angiotensin I (AT1) melalui Nicotinmide Adenine Dinucleotide Phosphate Oxidase (NADPH Oksidase) dan Stress Oxidativ. Beberapa penelitian menyimpulkan pemberian 1,25 Dihydroxyvitamin D (Calcitriol) mempunyai efek renoprotektif, anti inflamasi dan antiproteinuric dengan cara menghambat reseptor Angoitensin I (AT1) sehingga mengakibatkan menurunnya albuminuria. Tujuan Penelitian ini adalah untuk membuktikan pemberian 1,25 Dihydroxyvitamin D (Calcitriol) dapat menurunkan kadar Fibroblas Growth Factor-23 dan albuminuria pada pasien Penyakit Ginjal Kronik stadium V yang menjalani hemodialisis. Penelitian ini merupakan penelitian eksperimen dengan randomisasi, subyek penelitian 30 orang, dibagi dalam dua kelompok sampel, kelompok plasebo 15 orang dan kelompok perlakuan 15 orang. Dalam perjalanan, kelompok placebo drop out 4 pasien karena keluarga pasien tidak menyetujui untuk melanjutkan penelitian dan satu lagi mengalami perburukan, sehingga jumlah sampel menjadi 26 orang, terbagi menjadi kelompok placebo sebanyak 11 orang yang diberi placebo dan kelompok perlakuan 15 orang diberi calcitriol 1x0,5 μg peroral selama 4 minggu. Karakteristik penelitian yang berupa variabel kualitatif, uji homogenitas dilakukan menggunakan uji Chi Square. Uji beda dua Rerata menggunakan uji t pada p0.005. Pada kelompok plasebo (n=11) ; Kadar Fibroblast Growth Factor-23 sebelum dan sesudah perlakuan (876,24±795,93 RU/mL vs 1235,69±791,71 RU/mL; p=0,059) dan Albuminuria (72,30±195,06 μg/ mg vs 320,14±208,90 μg/mg; p=0,001). Pada kelompok perlakuan (n=15); Kadar Fibroblast Growth Factor-23 sebelum dan sesudah perlakuan (1210,96±845,97 RU/mL vs 612,33±487,32 RU/mL; p=0,002) dan Albuminuria (206,63±327,25 μg/mg vs 192,89±316,00 μg/mg; p=0,001). Terdapat perbedaan yang bermakna pada selisih ratarata kadar Fibroblast Growth Factor-23 (Delta-FGF-23) sebelum dan sesudah perlakuan pada kelompok placebo vs kelompok perlakuan (-359,45±560,23 RU/mL vs 598,63±608,27 RU/mL; p=0,001) dan selisih rata-rata Albuminuria (Delta-albuminuria) sebelum dan sesudah perlakuan pada kelompok placebo vs kelompok perlakuan (-247,84±189,48 μg/mg vs 13,73±23,15μg/mg;p=0,001. Pemberian suplementasi 1,25 Dihydroxyvitamin D (calcitriol) menurunkan kadar FGF-23 albuminuria secara bermakna pada pasien penyakit ginjal kronik stadium V yang menjalani hemodialisisKata Kunci: Penyakit Ginjal Kronis Stadium V, 1,25 Dihydroxyvitamin D (Calcitriol), Fibroblast Growth Factor-23, Albuminuria
SHOE INSOLE FOR ECCENTRIC ACTIVITIES ON DAILY APPLICATION PREVENTS MUSCULAR DAMAGE AND IMPROVES FASTING BLOOD GLUCOSE Ahmad Abdullah; Herdianty Kusuma; Elyana Asnar; Bambang Purwanto
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 (55.385 KB) | DOI: 10.20473/fmi.v53i4.7151

Abstract

The eccentric contraction has been proven to improve Glut-1 expression in muscle and fasting glucose levels in mice. The same eccentric contraction occurs in human being when walking or running while wearing high heels. Innovation on the eccentric contraction with high heels can be done by using a specific shoe insole. The design of the rear insole is made thicker than the front. The purpose of this study was to determine the effects of insole use specified for eccentric activities on daily work shoes on the skeletal muscle damage after wearing the specified insole. Skeletal muscle damage was measured based on sTnI level. This was experimental study with pretest-posttest design. The subjects involved were non-diabetic woman workers in Faculty of Medicine of Universitas Airlangga, and were divided into two groups. Each group represented group members who wore 5-degree and 10-degree insoles respectively. The angle used for the shoe insoles were 5° and 10° respectively. These insoles were worn on weekdays for one week. Blood was taken one day after the subjects stop wearing the insoles. Data results showed that the levels of fasting blood glucose (FBG) of subjects who wore the 10-degree insole had a value of p<0.05. The use of insole lead to decreased levels of fasting blood glucose (FBG). This study found that the sTnI levels in the 5-degree and 10-degree insole groups had no significant effect on troponin I skeletal muscle levels before and after treatment.
The Effect of Eccentric Activity on Glucose Transporter Type 4 in Gastrocnemius Muscle of Streptozotocin-induced Diabetes Mellitus Mice Adelia Handoko; Bambang Purwanto; Arifa Mustika
Journal of Agromedicine and Medical Sciences Vol 3 No 3 (2017)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v3i3.6144

Abstract

Diabetes mellitus (DM) is a metabolic disorder with increasing mortality rate. Decrease in GLUT-4 levels was found in diabetics resulting in an increase in postprandial blood glucose levels. Various innovative treatment have been developed, one of them is exercise. Exercise is growing fast today, especially eccentric contraction based exercise that potentially increase GLUT-4 muscle’s level. The aim of the present study was to investigate the effect of eccentric activity on glucose transporter type 4 in gastrocnemius muscle of streptozotocin-induced diabetes mellitus mice. Diabetic mice were grouped randomly into 2 groups. One group was given single bout of eccentric excercise by downhill running on 10o degree decline treadmill and the other group was given eccentric activity by downhill running on 0o degree. The GLUT-4 muscle’s level were measured after treadmill. Data obtained from each group were then analyzed using independent t-test, significant results were found (p<0.05). The conclusion of this study is single bout eccentric downhill running activity with 10o angel increases the levels of GLUT-4 muscles. Key words: Glucose Transporter Type 4, eccentric, Diabetes Mellitus, Muscle
Pengaruh Faktor-Faktor Motivasi Terhadap Produktivitas Kerja Karyawan Pada Rumah Sakit Pertamina Bintang Amin Bandar Lampung Sri Murtini; Agus Sutardjo; Bambang Purwanto
Jurnal Riset Akuntansi dan Manajemen Malahayati Vol 2, No 1 (2013): Volume 2 Nomor 1
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (83.464 KB) | DOI: 10.33024/.v2i1.523

Abstract

Human resources is still very important and be the center of attention in an organization orcompany to survive in the era of globalization coupled with increasing competition levels.Productivity is closely linked to the progress and success of a company. The company will not besuccessful if not supported by the productivity of its employees. Employee productivity increaseswhen employees are motivated to work. Motivation can be defined as an individual's personalcircumstances that encourage the desire of individuals to perform certain activities in order to achievea goal. In this research the Influence Factors of Motivation Of Employee Productivity At Rumah SakitPertamina Bintang Amin were discussed.Data collection methods used in this research was by usingquestionnaires or questionnaire with a sample of all employees remains at Rumah Sakit PertaminaBintang Amin totaling 47 respondents comprising of the employees at the Medical Inpatient,Outpatient and Midwives whereas analytical models used was a multiple linear regression wereprocessed using SPSS 16 software. The results of this study stated that motivational factors with RSquare of 0.473 or 47.3% and the remaining 52.7% (100% -47.3%) affected by other factors. F testresults stating that the motivating factors simultaneously influence the productivity of employees withF observed (7.350) > F table (2.44) and the probability value (0.000) < alpha (0.05). T test results states thatphysiological needs t observed (2.667) > t table (2.01410)and the probability of 0.011 < alpha (0.05) so thatthe partial effect on employee productivity..Keywords: Motivation Factors and Employee Productivity
Pengaruh Pengumuman Stpck Split Terhadap Abnormal Return Dan Abnormal Trading Volume Activity (Pada Perusahaan-Perusahaan Yang Terdaftar Di BEI Periode 2010-2014) Irena May Rani; Erna Listyaningsih; Bambang Purwanto
Jurnal Riset Akuntansi dan Manajemen Malahayati Vol 6, No 1 (2017): Volume 6 Nomor 1
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (94.746 KB) | DOI: 10.33024/jeram.v6i1.2131

Abstract

Tujuan penelitian ini adalah untuk mengetahui terdapat perbedaan pada abnormalreturn dan abnormal trading volume activity sebelum dan sesudah dilakukannya stock splitpada perusahaan-perusahaan yang terdaftar di BEI yang melakukan stock split periode 2010-2014. Penelitian ini menggunakan sampel 35 perusahaan yang diambil dengan menggunakanmetode purposive sampling. Periode jendela (event windows) yang digunakan dalampenelitian ini adalah 7 hari yang terdiri dari 3 sebelum, 1 hari saat, dan 3 hari sesudah stocksplit.Alat analisis data menggunakan uji normalitas dan paired sample t-test. Hasil penelitianmenunjukkan bahwa tidak terdapat perbedaan yang signifikan pada abnormal return danabnormal trading volume activity sebelum dan sesudah stock split pada periode 2010-2014 diBEI. Hal ini mengindikasikan bahwa pasar modal di Indonesia selama periode penelitiantermasuk dalam pasar efisien bentuk setengah kuat. Dalam hal ini investor tidak bisamemperoleh abnormal return sehubungan dengan adanya stock split.
Pengaruh Likuiditas Dan Profitabilitas Terhadap Kinerja Keuangan Pt Aneka Gas Industri Natar Lampung Selatan Lusi Mirnawati; Lestari Wuryanti; Bambang Purwanto
Jurnal Riset Akuntansi dan Manajemen Malahayati Vol 4, No 2 (2015): Volume 4 Nomor 2
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (84.653 KB) | DOI: 10.33024/.v4i2.1199

Abstract

Abstract. This research aims to analyze and determine the effect of the liquidity and profitability ofthe finacial performance of Varios Industrial Gases Natar PT Southern Lampung. Population in thestudy of financial statements the sample that is used as a 6 period financial statements. Analysis modelused in completing this study is to test the classical assumption of date normality test, autocorrelationtest, multicollineariry test and heteroscedasticity tast. Regarding there is influence between liquidityand profitability on thefinancial perfomance of Various Industrial Gases Natar PT Southem Lampungtext partially or simulteancously.
Pengaruh Struktur Keuangan Terhadap Profitabilitas Perusahaan Pada PT Darma Henwa Tbk Refli Sudrajat; Nurmala Nurmala; Bambang Purwanto
Jurnal Riset Akuntansi dan Manajemen Malahayati Vol 2, No 1 (2013): Volume 2 Nomor 1
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (89.799 KB) | DOI: 10.33024/.v2i1.526

Abstract

Financial structure is a combination of all sources of financing that the company obtainedshort-term debt , long-term debt and common stock and preferred stock ( equity ) , the use of sourcesof financing can be used as a measure of the increase in profits in a company , so the effect of debt andcapital can serve as a main point company to finance company in terms of maximizing the value of thecompany . This research was conducted at PT Darma Henwa Tbk period 2007-2010 by using multiplelinear regression analysis .Based on the results obtained by multiple linear regression analysis equationY = -7.998 - 0.025 0.242 X1 + X2 . Test simultaneously obtained significant F value = 0.001 < α 0.05,which means that the financial structure is represented by the variable Debt to Equity Ratio ( DER )and Debt to Assets Ratio ( DAR ) simultaneously significant effect on the profitability of the companyat PT Darma Henwa Tbk , as well as the variable DAR , which became the most dominant variablesknown to affect the profitability of seeing the value that is equal to 1.606 Standardized Coefficients .The influence of financial structure is represented by the variable DER and Debt to Assets Ratio tocompany profitability is equal to 59.5 %.Keywords: DER, DAR
Pengaruh Rasio Margin Laba, Rasio Lancar, Rasio Cepat,Rasio Utang Jangka Panjang, Rasio Hasil Pengembalian Investasi, Rasio Utang, Rasio Perputaran Piutang, Rasio Hasil Pengembalian Ekuitas Dan Rasio Perputaran Aktiva Tetap Terhadap Pertumbuhan Laba Sebelum Dan Sesudah Pemisahan Air Traffic Control, Studi Kasus Pada PTAngkasa Pura II Persero) Periode 2011 2014 Umi Khanifah; Erna Listyaningsih; Bambang Purwanto
Jurnal Riset Akuntansi dan Manajemen Malahayati Vol 5, No 2 (2016): Volumr 5 Nomor 2
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (833.537 KB) | DOI: 10.33024/.v5i2.1274

Abstract

The objective of this research are found regression from net profit margin, current ratio,quick ratio, long term dept to equity ratio, return on inverstment, dept to equity ratio, turn over ratio,return on equity and fixed asset turn over ratio toward growing profit (before and after separation AirTraffic Control, case study in PT Angkasa Pura II Persero) with partial altough simultaneous. Andalso for found the different of financial performance in PT Angkasa Pura II (before and afterseparation Air Traffic Control, case study in PT Angkasa Pura II Persero) with used Paired Sample ttest.The research used approachment quantitative. Data used in this research is secondary data likeas financial quartely report PT Angkasa Pura II (Persero) period 2011 2014. Population from thisresearch is financial report PT Angkasa Pura II (Persero) from years 1984 2014. Taken sampletechnique that used Sistematic Sampling, with period from years 2011 2014. Method for analysisdata is regression linear analysis method and different test Paired Sample t-test that processed usedSPSS 20.0 program for windows. The result have indicate with partial test, only net profit margin thathave significat regression toward growing profit while current ratio, quick ratio, long term dept toequity ratio, return on inverstment, dept to equity ratio, turn over ratio, return on equity and fixedegression toward growing profit in PT Angkasa Pura II(Persero). The result from Simultaneous test have indicate if net profit margin that have significantregression toward growing profit while current ratio, quick ratio, long term dept to equity ratio,return on inverstment, dept to equity ratio, turn over ratio, return on equity and fixed asset turn overPT Angkasa Pura II (Persero). And forresult from different test Paired sample t-test have indicate if perfomance financial before and afterseparation Air Traffic Control is different. Performance Financial before separation Air TrafficControl more better than after separation Air Traffic Control
POTENCY OF VINEGAR THERAPY IN OTOMYCOSIS PATIENTS Eman Sulaiman; Bambang Purwanto; Lina Lasminingrum; Yussy Afriani Dewi; Sally Mahdiani
Journal of Medicine and Health Vol. 1 No. 2 (2015)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.351 KB) | DOI: 10.28932/jmh.v1i2.509

Abstract

Otomycosis is an outer ear canal infection caused by fungi. Clinicians are trying to find out the most effective antifungal drug for treating otomycosis. Traditionally Apple cider vinegar has been used for the treatment of various diseases, including antifungal.The high cost in otomycosis treatment effort, long duration of treatment, high recurrence rate, and the difficulty in the application of drugs in the otomycosis treatment have encouraged the researcher to do this study. Having evaluated  the improvement of clinical symptoms, otoscopy view and examination of KOH 10% in patients receiving apple cider vinegar therap, this study uses descriptive study design of four otomycosis patients in the ORL HNS outpatient clinic of Hasan Sadikin Hospital Bandung from July to August 2014. Having evaluated a clinical symptoms improvement, it is found out that there is an increase of otoscopy view and examination of KOH 10% in patients receiving apple cider vinegar. In other words, there is an Improvement of clinical symptoms, otoscopy view, and examination of KOH 10% in patients receiving apple cider vinegar therapy. Topical apple cider vinegar therapy gives a good result in the improvement of clinical symptom,otoscopy view, and examination of KOH 10% in otomycosis  patients. Keywords: otomikosis, sign and symptoms improvement, apple cider vinegar.
Pengaruh tonsilektomi terhadap ukuran dan ekspresi IL-6 tonsil lingualis pada pasien OSA Sally Mahdiani; Teti Madiadipoera; Iwin Sumarman; Bambang Purwanto
Oto Rhino Laryngologica Indonesiana Vol 42, No 2 (2012): Volume 42, No. 2 July - December 2012
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (390.247 KB) | DOI: 10.32637/orli.v42i2.29

Abstract

Background: Obstructive sleep apnea (OSA) is a sleep breathing disorder caused by upper airway  obstruction. It occurs on 51% adult and could cause systemic side effects. Hypertrophy of the palatine  and lingual tonsils cause upper airway obstruction and increasing cytokine IL-6 production. Obstruction and inflammation products have an important role in causing OSA. Inflammation of the palatine tonsil causes lingual tonsil to be inflamed. Purpose: To find out the impact of tonsillectomy on size and IL-6 expression of lingual tonsil. Method:The quasiexperimental open label pre and post test design was done on August 2010 – October 2011. There were 20 adult subjects with snoring, palatine and lingual tonsil hypertrophy. All subjects filled the Epworth Sleepiness Scale (ESS) questionnaire, underwent ENT examination and biopsy using fiber optic rhinolaryngoscope. Immunohistochemistry examination for IL-6  were performed on all biopsy specimens. Results: There is highly significant improvement on lingual  tonsil size score from 3 to 1 after tonsillectomy. IL-6 expression was significantly decreased from 12 to 2 after tonsillectomy. ESS score was also significantly decreased from 16 to 5. The reducing size of lingual tonsil correlates with decreasing of IL-6 expressions. Conclusion:Tonsillectomy on OSA patients reduced the IL-6 expression of the lingual tonsil and that cause the reducing of its size. Decreasing of obstruction and inflammation could lead to the decrease of the ESS score. Keywords: OSA, tonsillectomy, Epworth Sleepiness Scale, lingual tonsil size, IL-6 expression    Abstrak :  Latar belakang: Henti napas obstruktif saat tidur (OSA) merupakan gangguan napas saat tidur yang terjadi karena obstruksi saluran napas atas. Keluhan ini terjadi pada 51% orang dewasa dan menimbulkan efek samping sistemik berat. Pembesaran ukuran tonsil palatina dan tonsil lingualis akan menyebabkan obstruksi saluran napas atas dan mengakibatkan peningkatan produksi IL-6, sehingga akan menyebabkan OSA. Inflamasi yang terjadi pada tonsil palatina membuat tonsil lingualis mengalami inflamasi. Tujuan: Untuk melihat pengaruh tonsilektomi terhadap ukuran dan ekspresi IL-6 tonsil lingulis. Metode: Penelitian quasiexperimental open label pre and post test design di Poliklinik IK. THT-KL RSHS Bandung sejak Agustus 2010 – Oktober 2011. Subjek 20 orang dewasa dengan keluhan mendengkur, pembesaran tonsil palatina dan tonsil lingualis. Seluruh subjek mengisi kuesioner skala kekantukan Epworth (Epworth Sleepiness Scale/ESS), biopsi tonsil lingualis dengan rinolaringoskopi serat optik lentur dan imunohistokimia IL-6 jaringan biopsi. Hasil: Didapatkan perbaikan yang sangat bermakna skor ukuran tonsil lingualis sebelum tonsilektomi (3) dibandingkan setelah tonsilektomi (1). Nilai ekspresi IL-6 menurun sangat bermakna dari 12 menjadi 2. Skor ESS menurun secara bermakna dari 16 menjadi 5. Pengecilan ukuran tonsil lingualis berhubungan dengan penurunan ekspresi IL-6. Kesimpulan: Tonsilektomi pada pasien OSA dapat menurunkan ekspresi IL-6 pada tonsil lingualis, sehingga ukuran tonsil lingualis mengecil. Hilangnya obstruksi dan inflamasi mengakibatkan skor ESS menurun. Kata kunci: henti napas obstruktif saat tidur, tonsilektomi, Epworth Sleepiness Scale, ukuran tonsil lingualis, ekspresi IL-6