Ta Larasati
Bagian Ilmu Kedokteran Komunitas, Fakultas Kedokteran, Universitas Lampung

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Penatalaksanaan Holistik Ibu Hamil Usia Remaja dengan Anemia Melalui Pendekatan Dokter Keluarga Ramadirga Thio Saba; TA Larasati
MAJORITY Vol 9 No 2 (2020): MAJORITY
Publisher : Majority

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Adolescent pregnancy is a global problem that occurs throughout the world. Pregnancy in adolescents poses a high risk to the health of both mother and baby. One of the risks of adolescent pregnancy is anemia. The state of anemia in adolescent pregnancy requires holistic management including patient's physical and psychological condition.This study is a case report. Primary data is obtained through anamnesis, physical examination, and home visits. Secondary data is obtained from the patient's medical records. Assessment based on holistic diagnosis from the beginning, process, and end of the study in a quality and quantitative way. Female patients in their teens conceived the first child at 27 weeks pregnant with body complaints felt limp, nausea, lack of appetite and dizziness felt early in pregnancy. Food intake during pregnancy is reduced due to frequent nausea and vomiting and can only eat with small portions and a rare frequency. Weight loss is ideal based on the calculation of the patient's BMI and the nutritional status of the patient based on LILA including normal. In patients there is an anemis conjunctiva. The patient's hemoglobin (Hb) levels are 9 g/dL which is relatively low for the II trimester. Enforcement of diagnosis and management in these patients has been done holistically, patient centered, family approach and in accordance with national guidelines and based on evidence based medicine. Changes in patient and family knowledge and behavior occur after patient centre and family approach interventions.
PENGARUH PEMBERIAN EKSTRAK BIJI KOPI ROBUSTA (Coffea canephora) LAMPUNG TERHADAP JUMLAH SEL PURKINJE CEREBELLUM TIKUS PUTIH (Rattus norvegicus) JANTAN GALUR Sprague dawley YANG DIINDUKSI MONOSODIUM GLUTAMAT Ilham Nugroho; Anggraeni Janar Wulan; TA Larasati; Khairun Nisa Berawi
MAJORITY Vol 11 No 2 (2023): MAJORITY
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Abstract

Excessive consumption of monosodium glutamate has a neurotoxic effect on the brain, one of which is the cerebellum. The caffeine and chlorogenic acid compounds contained in coffee beans have potential as an anti-inflammatory and neuroprotective agent thus protecting rats from neurotoxicity by glutamate involved with the death of cerebellar purkinje cells. This research is an experimental study with Completely Randomized Design (CRD) with a Posttest Only Control Group Design approach. The research subjects were 25 rats which were divided into 5 groups which are K- (aquadest 3,5 ml/day), K+ (MSG 4 g/kgBW/day), P1, P2, P3 (MSG 4 g/kgBW/day and robusta coffee extract lampung 1,5 ml/200gBW/day with a concentration of 0,03 g/ml; 0,06 g/ml; 0,12 g/ml respectively) with each group consisting of 5 rats. The number of purkinje cells is calculated by manual counting assisted by Image J software in 3 sections with 5 visual fields each in 400x magnification. The average number of cerebellar purkinje cells in K-, K+, P1, P2, and P3 were 22,72; 11,88; 22,44; 25,28; 27,12 respectively. One Way ANOVA test obtained p value=0,000 (p<0,05). Post Hoc LSD test on the number of purkinje cells showed a significant differences (p<0,05) between K- and K+ (p=0,000), K- and P3 (p=0,006), K+ and P1 (p=0,000), K+ and P2 (p=0,000), K+ and P3 (p=0,000), and P1 and P3 (p=0,004). There is an effect of robusta coffee extract (Coffea canephora) lampung againsts to the number of cerebellar purkinje cells in male rats strain (Rattus norvegicus) Sprague dawley induced by monosodium glutamate.