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Evaluasi Penerapan Booklet dan Edukasi Apoteker pada Pasien Diabetes Melitus Tipe 2 di Rumah Sakit Mayapada Tangerang Sagala, Radoti Merlin; Arozal, Wawaimuli; Sauriasari, Rani; Keban, Sesilia
Pharmaceutical Sciences and Research Vol. 4, No. 2
Publisher : UI Scholars Hub

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Abstract

Type 2 diabetes mellitus is a degenerative disease with long-term treatment that requires knowledge and self-management to control blood sugar level. The purpose of this study was to evaluate the provision of booklet and pharmacist education in improving knowledge and behavior of self-management of type 2 diabetes mellitus patient at Mayapada Hospital Tangerang. This study respondents were 90 people who were divided into 3 groups. Group 1 got booklet and education, group 2 got booklet only and control group did not get any treatment. Fasting Blood Glucose (FBG) levels before the intervention were in poorly controlled category and after intervention there was no significant change. There was an increase in the level of knowledge and self-management in group 1 and group 2. There was no significant change in FBG. Provision of booklet with education by pharmacist showed a higher increase in knowledge (p=0.02) and self management behavior (p<0.001) than provision of booklet only. There was no relationship between knowledge and self-management behavior with blood sugar levels. It could be concluded that booklet and education by pharmacist could improve knowledge and behavior of self-management of DM type 2 patients in each intervention group. However, there was no relationship between knowledge and self-management behavior with FBG.
Potential Deleterious Effects of L-Citrulline Supplementation in Isoproterenol-Induced Myocardial Infarction: Focus on Nitrosative Stress Gregorius Bhaskara Wikanendra; Wawaimuli Arozal; Kusmardi Kusmardi; Vetnizah Juniantito; Andrea Laurentius
Indonesian Journal of Pharmacy Vol 30 No 4, 2019
Publisher : Faculty of Pharmacy Universitas Gadjah Mada, Yogyakarta, Skip Utara, 55281, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14499/indonesianjpharm30iss4pp269

Abstract

L-Citrulline shows potential activity as a supplement to prevent myocardial infarction through vasodilative and possible antioxidative effects but may be deleterious by causing nitrosative stress. This study determined the potentially deleterious effects of L-citrulline supplementation in isoproterenol-induced myocardial infarction with a focus on nitrosative stress. L-Citrulline supplementation was given orally at dosages of 300 or 600mg/kg body weight daily for 6 days. Myocardial infarction was induced in Wistar rats via subcutaneous injection of isoproterenol (85 mg/kg body weight (BW)) on day 4 and 5. Blood pressure was measured at the end of the study (day 6) and rats were sacrificed to collect heart tissue samples for a histopathological evaluation. The histopathological evaluation was done using hematoxylin and eosin staining for the myocardial damage evaluation and immunohistochemical (IHC) staining of arginase-2, inducible nitric oxide synthase (iNOS), and 3-nitrotyrosine to evaluate nitrosative stress. L-Citrulline supplementation failed to show a significant protective effect on blood pressure and exacerbated the decrease of diastolic blood pressure. Both low and high dose L-citrulline supplementation had a significant protective effect on myocardial damage compared to the isoproterenol group (p<0.01). L-Citrulline also caused increased nitrosative stress as shown by increased expression of arginase-2 and 3-nitrotyrosine on IHC staining but tended to show an ameliorative effect on iNOS expression. A significant increase in arginase-2 expression was detected between the high dose group and the other groups (p<0.01 vs. normal and isoproterenol groups; p<0.05 vs. low dose group). L-Citrulline supplementation increased 3-nitrotyrosine expression in a dose-dependent manner, which was significantly different compared to the normal group (low dose: p<0.013; high dose: p<0.003). L-Citrulline increased the production of nitrosative stress but resulted in less myocardial damage through its other effects.
Efek Andrographolide Oral Terhadap Biomarker Jantung pada Tikus yang Diinduksi Doxorubicin Silmi Hanifah; Wawaimuli Arozal; Vetnizah Juniantito
Journal of Medicine and Health Vol 5 No 2 (2023)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v5i2.5026

Abstract

Doxorubicin remains the most prescribed anticancer agent despite its unintended side effects on non-target organs. A limiting-dose strategy is used to lower incidence of cardiotoxicity. Andrographolide has therapeutic effects including antioxidant and anti-inflammatory. This study aimed to assess cardioprotective effects of andrographolide oral on lactate dehydrogenase (LDH), creatine kinase-myocardial band (CK-MB), and relative cardiac weight in doxorubicin-induced rats. Sixteen male rats Sprague Dawley randomized into four groups: receives saline i.p and vehicle orally (Normal), doxorubicin 16 mg/kgBW i.p and vehicle orally (Dox), doxorubicin 16 mg/kgBW i.p+andrographolide 30 mg/kgBW orally (Dox+And30), doxorubicin 16 mg/kgBW i.p+andrographolide 60 mg/kgBW orally (Dox+And60). Blood was collected via cardiac puncture and cardiac organs were weighed after four-weeks administration. Total LDH and CK-MB measured spectrophotometrically. LDH and CK-MB levels significantly elevated, and signs of acute toxicity in Dox group compared with Normal group. Co-treatment with andrographolide at 30 mg/kgBW and 60 mg/kgBW reduced signs of toxicity and significantly attenuated LDH and CK-MB levels compared with Dox group (P<0.05 and P<0.01). However, body weight and relative cardiac weight were not significantly different in all groups after co-treatment with andrographolide. In conclusion, andrographolide lowered LDH and CK-MB levels, therefore has a protective potency in alleviating toxic effects of doxorubicin.
Metabolite Biomarker Discovery for Lung Cancer Using Machine Learning Fajarido, Ariski; Erlina, Linda; Tedjo, Aryo; Fadilah, Fadilah; Arozal, Wawaimuli
Indonesian Journal of Medical Chemistry and Bioinformatics Vol. 3, No. 1
Publisher : UI Scholars Hub

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Abstract

Lung cancer is the leading cause of cancer death worldwide. About 2.1 million lung cancer patients were diagnosed in 2018, accounting for about 11.6% of all newly diagnosed cancer cases. For lung cancer, blood is the first choice as a source of screening biomarker candidates. Blood biomarkers provide a snapshot of the patient's entire body, including the primary tumor, metastatic disease, immune response, and peritumoral stroma. However, sputum sampling, bronchial lavage or aspiration, exhaled breath (EB), and airway epithelial sampling represent unique samples for lung cancer and other airway cancers as potential sources for alternative biomarkers. Metabolites are products of cell metabolism that are unique biomarkers in a disease. In this article, we aim to find metabolite biomarkers using machine learning. Metabolite data were obtained from Metabolomic workbench, while detection and identification were performed in silico. From 82 samples, controls and cancers, we found 158 metabolites and analyzed them. From the analysis, we found 3 metabolites that play an important role in lung cancer and found 1 metabolite that is the most influential. From there we found that glutamic acid is one of the best biomarker candidates we provide for detecting lung cancer. However, this simulation still needs to be improved in order to find other biomarkers that can provide a better detection of lung cancer
Potensi Moringa Oleifera sebagai Agen Neuroprotektif pada Kondisi Penuaan di Otak Safutra, Muhamad Sadam; Barinda, Agian Jeffilano; Arozal, Wawaimuli
Muhammadiyah Journal of Geriatric Vol. 4 No. 2 (2023): Muhammadiyah Journal of Geriatric
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mujg.4.2.138-151

Abstract

Penyakit neurodegeneratif merupakan penyakit yang banyak menimbulkan kejadian morbiditas dan mortalitas pada lansia. Selama proses penuaan, secara progresif kemampuan fungsional otak akan menurun. Penuaan otak dapat dimanifestasikan sebagai penurunan memori dan kognitif, yang biasanya terjadi oleh karena perubahan plastisitas struktural dendritik yang dapat berkembang menjadi penyakit neurodegeneratif. Sampai saat ini, belum ada pengobatan yang efektif untuk penyakit neurodegeneratif. Beberapa obat digunakan untuk menghilangkan gejala meskipun biasanya menimbulkan banyak efek samping. Oleh karena itu penelitian dan pengembangan obat dari berbagai tumbuhan yang memiliki efek neuroprotektif sebagai suplemen untuk memperbaiki fungsi otak banyak dilakukan. Kelor (Moringa oleifera (MO)) diketahui mempunyai aktivitas anti inflamasi, antiapoptosis, disamping juga memiliki nilai gizi yang baik. Komponen bioaktif yang terdapat dalam ekstrak MO diantaranya polifenol, saponin, tannin, isothiocyanate dan flavonoid diduga berperan sebagai neuroprotektif. Mekanisme molekuler yang terlibat pada MO sebagai neuroprotektif adalah jalur Nuclear factor kappa-beta (NF‐kB) dan Nuclear erythroid 2-related factor 2 (Nrf2), glukosinolat yang terdapat dalam MO akan terhidrolisis menjadi isothiocyanate yang akan  secara langsung berinteraksi dengan Kelch-like ECH-associated protein 1 (Keap1) di sitoplasma dan menyebabkan translokasi Nrf2 ke nukleus, selanjutnya Nrf2 akan berikatan dengan Antioxidant response element (ARE) yang akan menghasilkan enzim-enzim detoksifikasi. Selain itu Nrf2 juga menghambat translokasi NFkB ke nukleus sehingga menekan ekspresi sitokin Interleukin (IL) dan Tumor nuclear factor-α (TNF-α) yang berperan dalam inflamasi. Mekanisme lain yang mungkin adalah jalur pensinyalan Tropomyosin receptor kinase B (TrkB). Dengan demikian MO berpotensi kuat sebagai agen neuroprotektif pada penuaan otak.
Moringa oleifera as the potential herb medicine for neurodegenerative diseases: a narrative review Dewi, Yulia Ratna; Barinda, Agian Jeffilano; Arozal, Wawaimuli
Muhammadiyah Journal of Geriatric Vol. 5 No. 1 (2024): Muhammadiyah Journal of Geriatric
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mujg.5.1.1-13

Abstract

Neurodegenerative diseases, such as Alzheimer's and Parkinson's, significantly burden the global older adult population. These diseases are characterized by the degeneration of nerve cells and subsequent damage, leading to the gradual loss of neurological function and subsequently affecting the quality of life of older adult people. This study explores the potential role of Moringa oleifera (MO) on neurological diseases. MO, a plant rich in bioactive compounds such as flavonoids, polyphenols, saponins, and tannins, has been proven to possess potent antioxidant effects. Oxidative stress is a primary contributor to the pathogenesis of neurodegenerative diseases, and MO can protect nerve cell damage by enhancing antioxidant activity. In the context of Parkinson's disease, MO has demonstrated the ability to reduce cataleptic symptoms and protect dopaminergic neurons, which are crucial in preventing a decline in dopamine production in the brain. In Alzheimer's disease, MO can improve memory function, reduce oxidative stress, and inhibit the activity of Acetylcholinesterase (AChE) enzymes involved in neurotransmitter dysfunction. While further research is needed to gain a deeper understanding of MO's mechanisms and more specific therapeutic potential, the existing evidence suggests that its constituents and effects hold significant promise as a natural solution for combating the effects of neurodegenerative diseases. As the number of individuals affected by these diseases continues to rise worldwide, further investigation into MO as a neuroprotective agent could pave the way for developing more effective therapies for these conditions.
c COMPARISON ANALYSIS OF THE EFFECTIVENESS OF GRANISETRON AND PALONOSETRON PREMEDICATION ON PONV EVENTS IN LAPARASCOPY PATIENT Kuncoro, Daviet Dwi; Sumarny, Ros; Arozal, Wawaimuli; Kapuangan, Christopher
Farmasains : Jurnal Ilmiah Ilmu Kefarmasian Vol. 10 No. 2 (2023)
Publisher : Universitas Muhammadiyah Prof. DR. HAMKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/farmasains.v10i2.12579

Abstract

Postoperative nausea and vomiting (PONV) adalah efek samping yang paling umum ditemukan setelah tindakan pembedahan dengan anestesi umum. Pada operasi laparoskopi, insiden PONV dialami oleh 50%-70% pasien. Skor Apfel dapat digunakan untuk memprediksi tingkat risiko PONV pada pasien. Granisetron dan palonosetron digunakan untuk premedikasi antiemetik pada kejadian PONV. Penelitian ini bertujuan untuk menganalisis perbedaan efektivitas antara granisetron dengan palonosetron terhadap kejadian mual dan muntah yang terjadi pada fase awal (0-2 jam pascaoperasi) di ruang pemulihan dan fase terlambat (2-24 jam pascaoperasi) di ruang perawatan pada pasien pascaoperasi laparoskopi yang berisiko tinggi mengalami PONV. Penelitian ini merupakan penelitian kohort prospektif mengikutsertakan 62 pasien mendapat granisetron injeksi 3 mg dan 62 pasien mendapat palonosetron injeksi 0,25 mg kategori risiko tinggi skor Apfel. Signifikansi perbedaan efektivitas diuji statistik menggunakan metode Chi-square (tingkat kepercayaan 95%). Variabel bebas adalah antiemetik granisetron dan palonosetron dan variabel tergantung adalah kejadian PONV. Hasil analisis menunjukkan palonosetron lebih efektif secara bermakna dari granisetron dalam mencegah mual muntah fase awal setelah operasi laparoskopi (p=0,012) dan fase terlambat (p=0,017).
Andrographis paniculata Ethanolic Extract Improved Doxorubicin-induced Cardiac Inflammation, Alterations in Liver Function Parameters and Anemia Eziefule, Oluebube Magnificient; Arozal, Wawaimuli; Wanandi, Septelia Inawati; Louisa, Melva; Wuyung, Puspita Eka; Dewi, Syarifah; Nafrialdi, Nafrialdi; Dewi, Yulia Ratna; Nabillah, Deya Adiby
Molecular and Cellular Biomedical Sciences Vol 8, No 2 (2024)
Publisher : Cell and BioPharmaceutical Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21705/mcbs.v8i2.444

Abstract

Background: Doxorubicin (DOX), an efficacious chemotherapy drug is compromised by cardiotoxicity, myelosuppression, and hepatotoxicity. Due to the limited success of current treatments for DOX toxicity, there is a pressing need to explore alternative medical interventions, particularly from plant sources. This study was conducted to investigate the potential protective effect of ethanolic extract of Andrographis paniculata leaves (EEAP) against DOX-induced cardiac inflammation, liver toxicity, and anemia.Materials and methods: Sprague-Dawley rats were intraperitoneally injected with DOX at a total dose of 16 mg/kgBW. EEAP was administered orally for 4 weeks at doses of 125, 250, and 500 mg/kgBW/day according to the assigned treatment groups. The mRNA expression levels of interleukin-1β (IL-1β) and nucleotide-binding domain, leucine-rich-containing family, pyrin domain-containing-3 (NLRP3) in the heart tissue, along with the concentrations of nuclear factor kappa-light-chain-enhancer of activated B cells (NFκB) and calcium level were examined. Additionally, the hematological parameters (including hematocrit, hemoglobin and red blood cells (RBCs)), aspartate aminotransferase (AST), alanine transaminase (ALT), alkaline phosphatase (ALP), and malondialdehyde (MDA) levels in blood were also analyzed.Results: EEAP dose-dependently decreased the mRNA expressions of IL-1β (p<0.05), tended to decrease mRNA expression of NLRP3 and the concentrations of NFκB and calcium in heart tissue compared with the DOX-only group. Additionally, EEAP dose-dependently decreased ALP values (p<0.0001) and tended to improve hematological parameters, as well as AST and MDA levels in serum.Conclusion: This extract may prevent DOX-induced cardiac inflammation, anemia, and hepatotoxicity. However, further studies are needed to confirm these findings, including the efficacy profile of the extract in cancer rats treated with DOX.Keywords: doxorubicin, Andrographis paniculata, inflammation, anemia, hepatotoxicity, herbal medicine
Kartika Handayani et.al ANALISIS TINGKAT KEPATUHAN DAN KEBERHASILAN TERAPI ANTIRETROVIRAL PADA PASIEN HIV/AIDS DI PUSKESMAS KOTA BANDAR LAMPUNG TAHUN 2022 Kartika, Kartika Handayani; Arozal, Wawaimuli; Sumiati, Yati
JFL : Jurnal Farmasi Lampung Vol. 12 No. 2 (2023): JFL : Jurnal Farmasi Lampung
Publisher : Program Studi Farmasi-Fakultas Matematika dan Ilmu Pengetahuan Alam-Universitas Tulang Bawang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37090/jfl.v12i2.1246

Abstract

HIV/AIDS is one of the hazardous infectious diseases that can cause death. To this day, combination antiretroviral treatment (ARV) is the best therapy for patients infected with Human Immunodeficiency Virus (HIV). To determine the success of antiretroviral treatment, monitoring of therapy can be done by doing viral load test. The study purposes were to determine the relationship between the level of compliance and the success of antiretroviral therapy in HIV/AIDS patients at the Bandar Lampung City Health Center in 2022. The method used in this study was a quantitative method using a non-experimental design with a cross-sectional method. The results of the study showed that compliance to taking medication based on the MMAS scale with 37 complied patients (56,1%), 29 patients (43,9%) did not comply, patients with good knowledge were 36 (54,5%), and patients who had less knowledge were 30 (45,5%). HIV/AIDS patients who received support from their families were 34 (51,5%), and quite a lot of patients who did not receive family support, they were 32 patients (48,5%). HIV/AIDS patients who had no side effects from the drugs they were taking were 9 patients (13,6%), and patients who had side effects from the drugs they were taking were 57 patients (86,4%). Patients with undetectable viral load were 18 patients (27.3%), patients with <40 copies/ml were 34 (51,5%), and patients with >40 copies/ml (21,2%) were 14. In addition, there is a relationship between knowledge related to disease, family support, and drug side effects with medication compliance in HIV AIDS patients at the Bandar Lampung Health Center in 2022. There is a relationship between knowledge about the disease, family support, drug side effects, and compliance. Then, there is a relationship between patients’ compliance and the success of ARV drug therapy in HIV/AIDS patients. Keywords: medication complication, ARV, HIV/AIDS, viral load
Hypertrophy Determination of H9c2 Cardiomyoblast Cell Line Using Wright-Giemsa Staining: An Experience in Developing an Acceptable and Easy-to-handle In-vitro Protocol Fadhillah, Muhamad Rizqy; Arozal, Wawaimuli; Wibowo, Heri; Bustami, Arleni; Sukmawati, Dewi; Kusmardi, Kusmardi; Triana, Novi; Khatimah, Nurul Gusti
Majalah Patologi Indonesia Vol. 33 No. 2, Mei 2024
Publisher : Perhimpunan Dokter Spesialis Patologi Anatomik Indonesia (PDSPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55816/mpi.v33i2.682

Abstract

Introduction Cell-size area (CSA) becomes the standard parameter routinely tested in vitro for cardiac hypertrophy studies. Thus, staining is an essential tool for this purpose. As reported in a previous study, immunofluorescence staining is an established method for CSA. However, because it is expensive and requires a specialized microscope, e.g., immunofluorescence or confocal microscope, it is not applicable in a laboratory with limited equipment. Wright-Giemsa staining is a standard procedure in hematology laboratories and is inexpensive and convenient. Here, we shared our experience developing a CSA determination protocol using Wright-Giemsa in H9c2 cardiomyoblast. Methods The viability tests were performed on H9c2 to determine the effective dosage of angiotensin II and Irbesartan (standard drug). The H9c2 were divided into three groups: the control group (without either angiotensin II or irbesartan), the negative control (with angiotensin II), and the positive control (with angiotensin II and Irbesartan), triplicate for each group. The cells then are acclimatized overnight, serum-starved for one day, and incubated with angiotensin and irbesartan for 48 hours. Lastly, Wright-Giemsa was observed using a light microscope in three fields. The CSA was determined by three independent observers blindly, statistically different if the p<0.05 using ANOVA ways or Kruskal-Wallis. Results After the H9c2 induced by angiotensin-II 1 μM and Irbesartan 1μM, we found the CSA significantly differed among each group (p<0,0001). The negative control has a higher median and interquartile range (IQR) CSA (10.78 (6.79) um2) compared to the control group (median (IQR) 7.27 (4.91) um2) and positive control (median (IQR) 7.849(5.31) um2). Conclusion It can be concluded that the Wright-Giemsa might help determine the CSA for in-vitro hypertrophic studies.
Co-Authors Agatha Grace Agian Jeffilano Barinda Andrea Laurentius Arleni Bustami Aryo Tedjo Barinda, Again Jeffilano Bernie Endyarni Medise Cong, Tzeto Han Deni Rahmat Dewi Sukmawati Dewi, Yulia Ratna Djumhana Atmakusuma Djumhana Atmakusuma, Djumhana Dwita, Nounik Cheri Edhiatmi, Marsetyo Erlina, Linda Erni H Purwaningsih Erni H Purwaningsih, Erni H Erni Hernawati Purwaningsih, Erni Hernawati Ernie Purwaningsih Eviarini, Prawitasari Eziefule, Oluebube Magnificient Fadhillah, Muhamad Rizqy Fadilah Fadilah Fadilah, Fadilah Fajarido, Ariski Fatriansyah, Jaka Fajar Femmi Dwinda Agustini Franciscus D. Suyatna Gregorius Bhaskara Wikanendra Gusti Khatimah, Nurul Hanifah Oswari Hedi R. Dewoto Heri Wibowo Hesty Utami Husna, Fauzul Indah D Dewijanti Indah D Dewijanti, Indah D Irawan Mangunatmadja Jusman, Sri Widia Azraki Kapuangan, Christopher Kartika, Kartika Handayani Kenichi Watanabe Khatimah, Nurul Gusti Kuncoro, Daviet Dwi Kurniasari Kurniasari Kusmardi Kusmardi Kusmardi Kusmardi Laurentius, Andrea Lee, Hee Jae Marliana Sri Rejeki Marliana Sri Rejeki Marliana Sri Rejeki Marselina Marselina Marsetyo Edhiatmi Meilei Ma Melva Louisa Monayo, Edwina Rugayah Muhamad Sadam Safutra Musridharta, Eka Nabillah, Deya Adiby Nafrialdi Nafrialdi Nastiti Kaswandani Ni Made Dwi Sandhiutami Novi Silvia Hardiany Nur Azizah Nurwulan Adi Ismaya Pebriani, Mala Pradana, Agrin Febrian Primadhani, Suci Widya Punniyakoti T. Veeraveedu Puspita Eka Wuyung Puspita Eka Wuyung Putri, Rizky Clarinta Radiana Dhewayani Antarianto Radoti Merlin Rani Hendiyani Rani Sauriasari Rani Sauriasari, Rani Rejeki, Marliana Sri Ria Anggraeni Rianto Setiabudy Rianto Setiabudy Riski Amanda, Clara Roro Rukmi Windi Perdani, Roro Rukmi ROS SUMARNY Ros Sumarny Safutra, Muhamad Sadam Safutra, Sadam Sagala, Radoti Merlin SEPTELIA INAWATI WANANDI Sesilia Keban Sesilia Keban, Sesilia Setyo Handryastuti Shimizu, Ippei Silmi Hanifah Soni Siswanto Sumiati, Yati Supraja Dwiyono Suyatna, Franciscus D Syarifah Dewi Thandavarayan, Rajarajan Amirthalingam Tri Yuliani Tri Yuliani, Tri Triana, Novi Tzeto Han Cong Ulfa T Wahyuni Ulya, Nurul Vetnizah Juniantito Vivian Soetikno Vivian Soetikno Wardani, Amanda Saphira Wikanendra, Gregorius Bhaskara Yati Sumiyati