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Antidiabetic potential of andaliman: Histopathological and glycemic improvements in diabetic rats Simbolon, Boyke Marthin; Lina, Juliana; Saragih, Ayu Theresia; Bangun, Chrismas Gideon; Nasution, Muhammad Fauzi; Rosari, Anita; Dewani, Yunita; Syahputra, Imam; Silalahi, Todung Donald Aposan
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 1 (2026): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i1.7891

Abstract

Background: Diabetes mellitus (DM) is a metabolic disorder characterized by chronic hyperglycemia and pancreatic dysfunction, particularly involving the Islets of Langerhans. Andaliman (Zanthoxylum acanthopodium) is a plant rich in flavonoids and antioxidants, which are believed to have antidiabetic effects. This study aimed to evaluate the effectiveness of the ethanol extract of Andaliman fruit on pancreatic histopathology in alloxan-induced diabetic rats. Methods: This study employed a true experimental design with a pre-test and post-test control group structure. Twenty-four male Wistar rats were randomly assigned to six groups: a normal control, a positive control (metformin 9 mg/kg), a diabetic control (alloxan 90 mg/kg), and three treatment groups induced with alloxan followed by administration of Andaliman extract at doses of 150, 250, and 350 mg/kg body weight, respectively. Treatments were administered for 14 days, after which blood glucose analysis (pre- and post-treatment) and pancreatic histopathological assessments were performed. Results: Statistical analysis revealed a significant reduction in blood glucose levels following treatment (p = 0.001). Histopathological examination showed that Andaliman extract ameliorated alloxan-induced damage to the Islets of Langerhans. The 350 mg/kg body weight dose resulted in the most pronounced tissue regeneration compared to the other treatment groups. Conclusion: The ethanol extract of Andaliman fruit effectively improves pancreatic histopathology and lowers blood glucose levels in diabetic rats.
Association Between Eccentricity Index and Stroke Volume Variation in Septic Patients: A Cross-Sectional Observational Study Julita, lda; Lubis, Bastian; Bangun, Chrismas Gideon
Jurnal Anestesi Perioperatif Vol 14, No 1 (2026)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v14n1.4625

Abstract

Introduction: Fluid overload (FO) is common in septic ICU patients and increases morbidity and mortality. Assessing fluid status remains challenging. Stroke Volume Variation (SVV) is a dynamic parameter of fluid responsiveness, while the Eccentricity Index (EI) reflects right ventricular geometric changes due to volume overload. This study evaluated the relationship between EI and SVV in patients with sepsis.Methods: This cross-sectional study included 29 newly diagnosed septic patients admitted to the ICU of Adam Malik Hospital. Fluid status was assessed within 24 hours after initial resuscitation (30 mL/kg crystalloids) based on the Surviving Sepsis Campaign. SVV was measured using an Ultrasonic Cardiac Output Monitor (USCOM), and EI was assessed by transthoracic echocardiography at end-systole using the Ryan protocol. FO was defined as SVV <10%.Results: Participants were 55.2% male, with a mean age of 47.17±12.25 years. Respiratory tract infection was the main source of sepsis (65.5%). A strong negative correlation was found between EI and SVV (r=–0.802; p<0.05). Significant differences in EI and SVV were observed between patients with and without FO (p<0.05).Discussion: Higher EI values were associated with lower SVV, indicating that septal deformation corresponds with fluid overload. EI may complement SVV in evaluating fluid status.Conclusion: EI shows a strong negative correlation with SVV in septic ICU patients and may serve as an adjunct parameter for fluid assessment. Further studies are required to confirm the diagnostic value.