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All Journal Indonesia Medicus Veterinus Majalah Kedokteran Bandung Althea Medical Journal Jurnal Farmasi Klinik Indonesia Global Medical and Health Communication The Indonesian Biomedical Journal Universa Medicina Journal Of Vocational Health Studies Indonesian Journal of Rheumatology ISM (Intisari Sains Medis) : Jurnal Kedokteran The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy

Nur Atik

Department Of Anatomy, Physiology, And Biology Cell, Faculty Of Medicine, Universitas Padjadjaran, Bandung

Author-ID : 236424

Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Effect of Guava Extract Administration on Megakaryocytes Amount in Mice Femur Nur Atik; Maqrizi D. S. Munawir; Susan Tarawifa; Hartati P. Darmadji
Indonesian Journal of Clinical Pharmacy Vol 6, No 2 (2017)
Publisher : Universitas Padjadjaran

Dengue fever is a disease spread by mosquito’s bite. Dengue fever is marked by the presence of thrombocytopenia. Traditional crops such as guava are commonly used to treat dengue fever. This research aims to know the effect of guava extract administration towards megakaryocytes amount in mice femur. The study was conducted at the Laboratory of Pharmacology and Therapy, Histology Laboratory of Faculty of Medicine at Universitas Padjadjaran, Eijkman, Bandung from September until November 2016 using laboratory experimental study design. 20 Swiss webster mice strains were divided randomly into 4 groups. Group I and II were administered quinine 2.8 mg/20 grBW/day for 14 days to decrease amount of trombocytes. Group II and III were administered guava extract 0.785 mg/20 grBW/day for 5 days. Group IV was administered aquadest for 19 days. In the 27th day, the mice left femurs were collected and made into paraffin section preparations with hematoxylin-eosin staining and then observed under microscope. Group IV had the most megakaryocytes followed by Group II, III, and I. Based on Kruskal-Wallis test, a significant difference was shown (p<0.05). Mann-Whitney test showed that there were significant differences between Group I and Group II, III, and IV. Meanwhile there was no significant difference between normal mice and extract-given mice. Guava extract is proven statistically significant to increase the megakaryocytes amount in thrombocytopenic mice without increasing number of megakaryocytes in normal mice.Keywords: Dengue fever, guava extract, megakaryocyte, quinine Efek Pemberian Ekstrak Jambu Biji terhadap Jumlah Megakariosit pada Femur MencitAbstrakDemam berdarah merupakan penyakit yang dapat disebarkan melalui gigitan nyamuk. Demam berdarah ini ditandai dengan adanya trombositopenia. Tanaman tradisional berupa jambu biji banyak digunakan untuk mengobati demam berdarah. Penelitian ini bertujuan untuk mengetahui efek pemberian ekstrak jambu biji terhadap jumlah megakariosit pada femur mencit. Penelitian ini dilakukan di Laboratorium Farmakologi dan Terapi, Laboratorium Histologi Universitas Padjadjaran, Eijkman, Bandung dari bulan September hingga November 2016. Sebanyak 20 ekor mencit galur Swiss webster dibagi menjadi 4 kelompok. Kelompok I dan II diberikan quinine 2,8 mg/20 grBB/hari per oral selama 14 hari agar mencit trombositopenia. Kelompok II dan III diberikan ekstrak jambu biji 0,785 mg/20 grBB/hari per oral selama 5 hari. Kelompok IV diberikan aquades selama 19 hari. Hari ke 27, femur mencit kiri diambil dan dijadikan sediaan parafin dengan pewarnaan hematoxylin-eosin, kemudian diamati di bawah mikroskop. Jumlah megakariosit terbanyak adalah pada Kelompok IV diikuti dengan II, III dan I. Berdasarkan uji Kruskal-Wallis, terdapat perbedaan bermakna (p<0,05) dilanjutkan uji Mann-Whitney yaitu terdapat perbedaan bermakna antara Kelompok I dengan II, III, dan IV, sedangkan perbandingan pada kelompok mencit normal dengan kelompok yang diberi ekstrak tidak terdapat perbedaan yang bermakna. Ekstrak jambu biji dapat meningkatkan jumlah megakariosit pada mencit yang mengalami trombositopenia dan tidak menyebabkan peningkatan jumlah megakariosit secara bermakna pada mencit normal.Kata kunci: Demam berdarah, ekstrak jambu biji, megakariosit, quinine

The Development of Germicidal Air Purifier by Employing Ultraviolet System in Controlling Airborne Bacteria Nur Atik; Siska Widya Dewi Kusumah; Fitria Mahrunnisa; Winni Maharani; Windi Nurdiawan; Putu Indra Cyntia Dewi; Erda Avriyanti; Dede Suhendi
Global Medical & Health Communication (GMHC) Vol 8, No 3 (2020)
Publisher : Universitas Islam Bandung

The nosocomial infection could be acquired through airborne disease in the hospital. However, only a particular health center in Indonesia carried out a complete, cautious prevention procedure by utilizing air purifiers due to cost problems. Thus, to minimize the number of nosocomial infections related to bacterial air pollutants, excellent tools with low cost are required to address this problem. We developed an ultraviolet light system within the air purifier at a low cost and the best way to eradicate pathogenic microorganisms in the healthcare center. The study was conducted at the Faculty of Medicine, Universitas Padjadjaran, Bandung in 2009–2010. The room prototype was built from a transparent glass material with two holes at the upper corner as an inlet and outlet pipeline canal. In the middle of the pipeline circulation, a vacuum pump, ultraviolet system, and a cooler were installed so the air will initially flow through those devices before being re-circulated into the room through the pipeline's inlet hole. A fan was set on the room floor, and several ten-centimeter apart, Petri dishes containing microbial growth medium were placed. The microbial colonies from the room with and without the installed ultraviolet system in the air purifier were then compared for analysis. The result showed that an air purifier equipped with an ultraviolet system killed microorganisms 73% more effective than the air purifier without an ultraviolet system (p<0.05). In conclusion, employing an ultraviolet system within the air purifier might be effectively killed microorganisms and ultimately reduce nosocomial infection. PENGEMBANGAN AIR PURIFIER RUANGAN DENGAN PEMANFAATAN SINAR ULTRAVIOLET UNTUK MEMBUNUH MIKROB BAWAAN UDARAInfeksi nosokomial dapat ditularkan melalui penyakit yang ditularkan melalui udara di rumah sakit. Namun, hanya rumah sakit atau pelayanan kesehatan tertentu di Indonesia yang melakukan prosedur pencegahan infeksi nosokomial secara optimal dengan memanfaatkan air purifier karena kendala biaya. Oleh sebab itu, untuk meminimalkan jumlah infeksi nosokomial yang terkait dengan bakteri pencemar udara diperlukan pengembangan air purifier yang baik dengan biaya yang murah. Kami telah mengembangkan sistem pembersih udara yang terintegrasi sinar ultraviolet dengan biaya rendah untuk mengurangi mikroorganisme patogen di ruang pelayanan kesehatan. Penelitian dilaksanakan di Fakultas Kedokteran, Universitas Padjadjaran, Bandung pada tahun 2009–2010. Prototipe ruangan dibuat dari bahan kaca transparan dengan dua lubang di sudut atas sebagai ruang instalasi pipa saluran masuk dan keluar. Pada bagian tengah sirkulasi pipa dipasang pompa vakum, sistem ultraviolet, dan pendingin sehingga udara akan mengalir melewati alat-alat tersebut sebelum disirkulasikan kembali ke dalam ruangan melalui lubang masuk pipa. Sebuah kipas dipasang pada prototipe ruangan dan setiap jarak sepuluh sentimeter ditempatkan cawan Petri yang berisi media pertumbuhan mikrob. Koloni mikrob dari ruangan model dengan dan tanpa sistem ultraviolet yang terpasang di air purifier, kemudian dibandingkan untuk dianalisis. Hasil penelitian menunjukkan bahwa air purifier yang dilengkapi sistem ultraviolet membunuh mikroorganisme 73% lebih efektif daripada air purifier tanpa sistem ultraviolet (p<0,05). Simpulan, penggunaan sistem ultraviolet dalam air purifier efektif membunuh mikroorganisme dan pada akhirnya dapat mengurangi infeksi nosokomial.

Memory Performance in Patient with Systemic Lupus Erythematosus Using MoCA-Ina in Hasan Sadikin Genneral Hospital Bandung Safira Anjalia; Paulus Anam Ong; Nur Atik; Laniyati Hamijoyo
Indonesian Journal of Rheumatology Vol. 9 No. 1 (2017): Indonesian Journal of Rheumatology
Publisher : Indonesian Rheumatology Association

Background: The involvement of neuropsychiatry is reported in 6% to 91% of Systemic Lupus Erythematosus (SLE) patients. It can cause fatal morbidity and mortality. Memory impairment is one of the most common symptoms of neuropsychiatry involvement. This study aims to find out the performance of memory test in SLE patients using Indonesian version of Montreal Cognitive Assessment (MoCA-Ina).Method: This cross sectional study recruited 30 SLE patients. Cognitive abilities and patientâ€™s memory were examined using Indonesian version of Montreal Cognitive Assessment (MoCA-Ina). Cognitive impairment was determined when total MoCA-Ina score was below 26. For memory evaluation, immediate recall or delayed recall impairment was determined when the patient failed in each memory subtests.Results: The mean of total MoCA-Ina score was 24.97 (SDÂ±3.14). Fifty percent of the SLE patients had cognitive impairment, with the domain involved being delayed recall (86.67%), attention (60%), language (56.67%), abstraction (53.33%), and visuo-spatial/ executive function (36.67%). Most patients (86.67%) could completely repeat immediate recall. Whileonly 4 (13.33%) subjects could repeat delayed recall completely without any clue. Of the 26 SLE patients who failed to recall completely, 24 (92.3%) of them succeeded to recall completely after getting clue(s).Conclusion: Memory impairment is the most frequent cognitive impairment in SLE patients, especially in delayed recall. By using the memory subtests of MoCAIna, more than four fifth of patients with SLE was detected having delayed recall memory impairment and almost all of them could recalled completely after getting clue(s). This findings indicated that the finalstep of memory process retrieval in SLE was interrupted while being encoded, but retention pathway were stillintact.Keywords: Systemic Lupus Erythematous, Memory, MoCA-Ina

The Pattern of Joints Involvement in Patients with Rheumatoid Arthritis in Rheumatology Clinic Dr. Hasan Sadikin General Hospital Bandung Muhammad Kevin Pratama; Nur Atik; Laniyati Hamijoyo
Indonesian Journal of Rheumatology Vol. 9 No. 2 (2017): Indonesian Journal of Rheumatology
Publisher : Indonesian Rheumatology Association

Background: Rheumatoid arthritis (RA) is a chronic inflammatory disease with primary manifestation in the joints. Early management of RA will prevent further joint damage. The joint damages, result of uncontrolled disease activity, will decrease patientâ€™s quality of life.RA should be diagnosed earlier and followed by early treatment initiation, in order to prevent further damages. This study aimed to determine the pattern of joint involvement in RA in order to made earlier diagnosis and treatment initiation.Method: This research was conducted using descriptive study design. Data were obtained using interview of RA patients who coming to Rheumatology Clinic of Dr. Hasan Sadikin General Hospital from August 2016 to October 2016. Collected data included number of joints involvement, duration of therapy, and duration of illness after diagnosed according to the criteria of ACR / EULAR 2010.Result: Ninety-seven RA patients were involved in this study. Subjects were dominantly women (87%), the highest age group was 45-49 years old (17.53%), duration of the disease <5 years (90.72%), and duration of therapy > 3 months (86%). Joint that frequently involved at the time when the diagnosis made was first proximal interphalangeal (49.50%), overall findings during the course of RA was the wrist joint (90.72%).There were different tendency of joint involvement between the gender, knee joints occured in 53,84% male subjects, while PIP joints were accounted for 52,38% infemale subjects.Conclusion: The first PIP was the most common joint involved in RA patients when the diagnosis made. The wrist joint involvement was dominantly found in overall course of RA. Knee joint involvement was majorly found in male RA patients, whereas female RA patients would suffer mostly from PIP joint involvement.Keywords: involvement pattern, joints, rheumatoid arthritis

Mechanism of action of metformin as an anti-aging agent: a literature review Aceng Hamudin; Nur Atik
Intisari Sains Medis Vol. 12 No. 2 (2021): (Available Online: 1 August 2021)
Publisher : DiscoverSys Inc.

Aging is a complex process consisting of various mechanisms that can cause damage and decrease the body's extrinsic and intrinsic functions. Metformin has been indicated for the treatment of degenerative diseases. It also has been reported to be used as an anti-aging agent. Various studies reported different mechanisms of action, but human studies are limited. This literature aims to review the multiple mechanisms of action of metformin as an anti-aging agent. Metformin has been reported to exert anti-aging effects by prolonging life in humans and animals. The effectiveness of metformin as an anti-aging agent is influenced by the dosage and age of the subjects studied. Various mechanisms of action of metformin concerning anti-aging have been reported, including autophagy pathways with AMPK activation and inhibition of mTOR, increased antioxidants, inhibition of ROS, inhibition or enhancement of mitochondrial function and inhibition of inflammation. It was found that there were biomarkers in the form of GPx7, Nrf2, PPAR and SREBP, SOD2, TrxR1, NQO1, NQO2, pNF-kB, FOXO, mTOR, AMPK, which could be used as predictors to explain the anti-aging effect of metformin.

Antiviral Treatment and One-Year Follow-Up of Chronic Hepatitis B Patients in Bandung: An Observational Study Eka Surya Nugraha; Stefanie Hadi Supriami; Nur Atik; Nenny Agustanti; Yudi Wahyudi; Dolvy Girawan; M Begawan Bestari; Siti Aminah Abdurachman
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 23, No 2 (2022): VOLUME 23, NUMBER 2, August 2022
Publisher : The Indonesian Society for Digestive Endoscopy

Background: Hepatitis B Virus (HBV) is a health problem that has chronically infected 257 million globally. Appropriate therapy is immensely needed to prevent disease progression to cirrhosis and hepatocellular carcinoma (HCC). Moreover, routine monitoring is required to assess the efficacy of the given treatment. This study aims to describe the treatment and its follow-up outcomes among chronic HBV patients after one year of therapy in Bandung.Method: This was a cross-sectional descriptive study with a data sampling method obtained from assessing the medical records of treated chronic HBV outpatients at the Gastrohepatoenterology Clinic of Hasan Sadikin Hospital Bandung from 2018 to 2020. Laboratory findings before and after one year of therapy were further assessed.Results: Out of 107 patients treated, the proportion of tenofovir was 72.90%, telbivudine 16.80%, lamivudine 8.40%, and interferon group 1.90%. There were 52.30% of patients who did follow-up visits after one year of therapy. The therapeutic outcome rate was evaluated among total patients with the criteria of decreasing AST (91.18%) and ALT levels (93.10%) levels, reduction of HBV-DNA values (100%), and HBeAg seroconversion (14.29%).Conclusion: The most given therapy among chronic HBV outpatients was tenofovir. The follow-up rate of patients after one year of treatment was 52.30%. Overall, antiviral therapies produced decreases in liver laboratory parameters, HBV-DNA, and HBeAg.

Purple Sweet Potato Yogurt Affects Lipid Metabolism and Reduces Systemic Inflammation and Oxidative Stress in High Fat Diet Mice Astrid Feinisa Khairani; Nur Atik; Putri Halleyana Adrikni Rahman; Enny Rohmawaty; Cynthia Noviyanti; Resti Santika; Jose Arimathea; Widad Aghnia Shalannandia
The Indonesian Biomedical Journal Vol 14, No 3 (2022)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v14i3.1921

BACKGROUND: Purple sweet potato yogurt (PSPY) is a funtional food which is rich in anthocyanin and probiotics. However, the currently available data on its potentially protective effect on anthropometry, lipid metabolism, oxidative stress, and pro-inflammatory markers is very minimal, especially in mice. This study was performed to investigate those effects on balb/c mice models (Mus musculus) given a high-fat diet (HFD).METHOD: Balb/c mice were treated with or without standard diet, HFD, ethanol extract, yogurt, and PSPY according to the group. The changes of anthropometry were analyzed using Lee Index. After three months, the interscapular brown adipose tissue (iBAT) was morphologically observed with hematoxylin and eosin (H&E) staining. The blood serum was used for evaluation using cholesterol oxidase-peroxidase aminoantypirin (CHOD-PAP) for lipid profile, enzyme-linked immunoassay (ELISA) for tumor necrosis factor (TNF)-α and interleukin (IL)-6, and thiobarbituric acid reactive substance (TBARS) procedure for malondialdehyde (MDA).RESULT: Lee Index revealed a decrease in time (p<0.0001). The PSPY group showed a decrease in iBAT weight (p<0.05), lipid profiles including LDL (p<0.05) and total cholesterol (p>0.05), TNF-α and IL-6 (p>0.05), and MDA (p>0.05). Adipocytes’ density showed a significant increase (p=0.001). CONCLUSION: This research finding indicates that PSPY affects lipid metabolism and has a potential protective effect of reducing systemic inflammation and oxidative stress.KEYWORDS: anthocyanin, high-fat diet, lee index, lipid metabolism, oxidative stress, purple sweet potato yogurt, systemic inflammation

Primary Hippocampal Cell Culture and Its Application in Medical Researches Atik, Nur; Nandika, Alfya; Avriyanti, Erda; Bhatara, Tryando; Kartiwa, Raden Angga
Global Medical & Health Communication (GMHC) Vol 7, No 1 (2019)
Publisher : Universitas Islam Bandung

Studies in neuroscience can be performed in vitro and in vivo. In vivo studies will show significant results, but it is difficult to do and time-consuming. Primary hippocampal cell culture widely has used in neurobiological studies such as identifying the cellular mechanism of proteins, neuronal activity, and characteristics. The results of studies conducted on this cell culture will be very useful in discovering pathogenesis of a disease, the effect of a substance on the neuron, and neural basis of memory and learning. However, currently in Indonesia, primary hippocampal cell culture is still rare and difficult to do. The purpose of this study was to demonstrate that primary hippocampal cell culture can be done and developed in Indonesia and to review the application of it in medical researches. The study was an experimental study by obtaining neurons from animal’s hippocampus was conducted in 2015–2018 at Department of Cell Biology, Graduate School of Medicine Osaka University and Faculty of Medicine Universitas Padjadjaran. The experimental animal was mice embryo gathered 17.5-days postcoitus. Enzymatic and mechanical methods collected primary hippocampal cells. The cells counted and cultured, which later were observed to see neuron differentiation. The average number of culture cells from 3 embryonic’s hippocampus were 2.39×106. Neuron differentiation observed on the first day and more visible and numerous on the third day after plating. In conclusion, primary hippocampal cell culture using hippocampus from one hemisphere of embryonic mice brain showed a sufficient number of cells to carry out research and showed neuron differentiation. KULTUR SEL PRIMER HIPOKAMPUS DAN PENGGUNAANNYA DALAM RISET KEDOKTERANPenelitian dalam neurobiologi dapat dilakukan secara in vitro dan in vivo. Penelitian secara in vivo sangat berdampak hasilnya, namun sulit dan memakan waktu yang lama. Kultur sel primer hipokampus banyak digunakan dalam penelitian neurobiologi seperti melihat mekanisme protein seluler, serta aktivitas dan karakteristik neuron. Hasil penelitian yang dilakukan pada kultur sel ini akan sangat bermanfaat dalam menemukan proses suatu penyakit, efek suatu zat terhadap sel saraf, dan kemampuan belajar serta memori. Akan tetapi, saat ini di Indonesia kultur sel primer hipokampus masih jarang dan sulit dilakukan. Tujuan penelitian ini adalah menunjukkan bahwa kultur sel hipokampus primer dapat dilakukan dan dikembangkan di Indonesia, serta meninjau penerapannya dalam riset kedokteran. Penelitian ini merupakan studi eksperimental dengan mengoleksi neuron dari hipokampus hewan coba yang dilakukan pada tahun 2015–2018 di Department of Cell Biology, Graduate School of Medicine Osaka University dan Fakultas Kedokteran Universitas Padjadjaran. Hewan coba berupa embrio mencit hari ke-17,5 pascakoitus. Sel primer hipokampus dikoleksi untuk dihitung dan dikultur menggunakan metode enzimatik dan mekanik. Observasi neuron pada kultur dilanjutkan dengan mengamati diferensiasi neuron. Rerata jumlah sel kultur dari 3 hipokampus adalah 2,39×106. Diferensiasi neuron sudah tampak pada hari pertama dan makin jelas serta tampak pada hari ketiga pascapenanaman. Simpulan, kultur sel primer hipokampus menggunakan hipokampus dari salah satu sisi hemisfer otak menunjukkan jumlah sel yang cukup untuk melakukan suatu penelitian dan menunjukkan diferensiasi dari neuron.

INTRAVENOUS VITAMIN C (IVC) TREATMENT OUTCOME OF COVID 19 PATIENTS ADMITTED IN HOSPITAL: A SYSTEMATIC REVIEW Pratiwi, Auria Ekanti; Suwarsa, Oki; Achadiyani; Atik, Nur
Journal of Vocational Health Studies Vol. 7 No. 1 (2023): July 2023 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V7.I1.2023.68-76

Background: Coronavirus disease 2019 (COVID-19) is still becoming a problem in several countries with the emergence of new variants with the latest variant named Omicron. Studies show that patients with COVID-19 tend to have Acute Respiratory Distress Syndrome (ARDS) because of high pro-inflammatory cytokines and chemokines levels. Since its role as an antiviral agent, anti-cytokine, immunomodulator, antioxidant and has potential effect in maintaining body functions, vitamin C can be used as one of therapy. There is still arguable about giving treatment of COVID-19 patients with Intravenous Vitamin C (IVC). Previous research has not been discussed related to accelerating recovery and decreasing mortality. Purpose: To identify the impact of IVC intervention given to COVID-19 patients admitted in hospital by reviewing clinical outcomes particularly on complexity or mortality. Review: Literature information was sourced from PubMed, ScienceDirect, and Google Scholar databases through keywords to retrieve inclusion criteria published during 2019-2021. Result: We found that IVC influenced inflammatory biomarkers such as CRP, d-dimer, ferritin, and several inflammatory cytokines, mortality, length of stay, oxygenation, organ and immune system function but showed no significant difference between the control group. Conclusion: IVC treatment might be an essential adjuvant therapy in the aggravation of mild, severe, and critical COVID-19 patients, but did not understate complexity or mortality. Hence, further research and evaluation in clinical trials are needed.

Co-Authors Aceng Hamudin Achadiyani Amrullah, Al Hadi Andri Reza Rahmadi Anjalia, Safira Astrid Feinisa Khairani Bhatara, Tryando Cep Juli Cynthia Noviyanti Darmadji, Hartati P. Dede Suhendi Dolvy Girawan Eka Surya Nugraha Enny Rohmawaty Erda Avriyanti Erda Avriyanti Fitria Mahrunnisa Hartati P. Darmadji Iwan A. Rahman, Januarsih Januarsih Iwan Jose Arimathea Kartiwa, Raden Angga Laniyati Hamijoyo Laniyati Hamijoyo, Laniyati Lofissa, Sabrina Putri M Begawan Bestari Maqrizi D. S. Munawir Muhammad Kevin Pratama Munawir, Maqrizi D. S. Nandika, Alfya Nenny Agustanti Oki Suwarsa Ong, Paulus Anam Ong, Paulus Anam Paulus Anam Ong Paulus Anam Ong Praditha, Arvia Nisrina Pratama, Muhammad Kevin Pratiwi, Auria Ekanti Putri Halleyana Adrikni Rahman Putu Indra Cyntia Dewi Resti Santika Sabrina Putri Lofissa Safira Anjalia Siska Widya Dewi Kusumah Siti Aminah Abdurachman Stefanie Hadi Supriami Tarawifa, Susan Tyagita Hartady Uni Gamayani Widad Aghnia Shalannandia Windi Nurdiawan Winni Maharani Yudi Wahyudi

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