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Journal : BALI MEDICAL JOURNAL (BMJ)

XANTHINE OXYDASE INHIBITION OF KOMBUCHA TEA IN HYPERURICEMIA INDUCED WISTAR RAT: decrease of uric acid, malondialdehyde, and 8-hydroxy-2'-deoxyguanosine Sukrama, I Dewa Made
BALI MEDICAL JOURNAL Vol 4 No 1 (2015)
Publisher : BALI MEDICAL JOURNAL

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Background: Hyperuricemia is a condition of high level of uric acid in the body due to distortion of purine nucleoside metabolism through hipoxanthin, xanthin, and guanin of basic purine. Objective: to find a cure of hyperuricemia base on the utilization of kombucha tea. Methods: This is a true experimental study by applying posttest only control group design to determine whether kombucha tea inhibit xanthine oxidase in hyperuricemic induced rat reveales by decrease of uric acid, malondialdehyde (MDA), and 8-hydroxy-2’-deoxyguanosine (8-OHdG). In this study, hyperuricemia rat was achieved by intake of high purine diet. Rats were fed with a mixture of 4 g/kg BW of Gnetum gnemon with 50 mL/kg BW of chicken liver ad libitum for 9 days. Treatments in this research are combination of fermentation time of Kombucha tea and volume of this tea, i.e fermentation time 4, 8, and 12 days and the volume are 1 mL and 4 mL. Therefore, there would be seven groups of treatment including control group. ANOVA was then applied to determine the treatment effect with p < 0.05 was concidered significant. Results: This study indicates that kombucha tea has an ability to inhibit xanthine oxidase in hyperuricemic induced rat and decrease uric acid, MDA, and 8-OHdG. This ability was achieved with combination treatment of 12 days fermentation and 4 mL of kombucha intake. Xanthine oxidase, uric acid, MDA, and 8-OHdG levels by this treatment were obtained significantly lower compare to control group. Conclusion: This study proved that kombucha tea was potent to cure hyperuricemia of wistar rat via inhibition of xanthine oxidase produced.
Betel Leaf Extract (Piper betle L.) Antihyperuricemia Effect Decreases Oxidative Stress by Reducing the Level of MDA and Increase Blood SOD Levels of Hyperuricemia Wistar Rats (Rattus norvegicus) Sumarya, I M.; Adiputra, N.; Sukrama, I D. M.; Manuaba, Ida Bagus Putra
BALI MEDICAL JOURNAL Vol 5 No 2 (2016)
Publisher : BALI MEDICAL JOURNAL

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Abstract

Background: Betel leaf extracts (Piper betle L.) antioxidant activity and enzyme inhibitors of XO. Hyperuricemia cause oxidative stress by increasing the formation of reactive oxygen species (ROS) cause lipid peroxidation and oxygenation of low-density lipoprotein cholesterol (LDLc). Objective: The aim of this research was to determine the betel leaf extract as an anti hyperuricemia that can lower the blood uric acid levels and oxidative stress by lowering the levels of MDA and increase the SOD of hyperuricemia of the rat’s blood. Method: Experimental research was conducted with the design of The Randomized Post Test Only Control Group Design, on normal Wistar rats (Rattus norvegicus), administered with oxonic potassium (hyperuricemia) and the hyperuricemia rats either given betel leaf extract and allopurinol. After the experiment of uric acid levels, MDA and SOD in rat blood determined. Results: The results showed that the betel leaf extract significantly (p <0.05) lower uric acid levels, MDA and increase levels of SOD in rat blood. There is a positive correlation between the levels of uric acid with MDA levels and a negative correlation, although not significantly with SOD (p >0.05). Conclusion: It can be concluded that the betel leaf extract as an anti-hyperuricemia can lower the uric acid levels and decreases oxidative stress by lowering the levels of MDA and increasing the SOD.
REGIONAL ANESTHESIA CONTINUOUS BRACHIAL PLEXUS BLOCK WITH ULTRASONOGRAPHY GUIDANCE A., Senapathi T. G.; M., Wiryana; P., Astawa; M., Astawa N.; S., Maliawan; M., Bakta; T., Suryadi N.; M., Sukrama D.; D., Satoto; B., Mahadewa T. G.; Ekaputra, Ekaputra; A., W.
BALI MEDICAL JOURNAL Vol 4 No 1 (2015)
Publisher : BALI MEDICAL JOURNAL

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Background: Regional anesthesia has an anti-inflammatory effect that blockade the C-fiber hence reduced cytokine production and blocked the activity of the sympathetic nerve fibers. Postoperative pain caused primarily by tissue inflammation and activity of the C-fibers in the manner of reduced the production of cytokines, regional anesthesia may limit the inflammatory response after surgery and severity of postoperative pain. Methods: This study is a clinical experimental study with randomized pre and post test control group design. A total of 24 samples were recruited in this study divided into two groups each consisting of 12 samples. The first group was given regional anesthesia method of continuous brachial plexus block with ultrasound guidance and the second group with general anesthesia method. T-test or Mann Whitney continued multivariate linear regression analysis was performed to analyze the differences in treatment and not because of differences in the initial values with significance level of p
Inhibition of Bifidobacterium Cell Wall 51.74 kDa Adhesin Isolated from Infants Feces Towards Adhesion of Enteric Phatogen E. Coli on Enterocyte Balb/C Mice Sukrama, I D. M.
BALI MEDICAL JOURNAL Volume 1, Number 1, January-April 2012
Publisher : BALI MEDICAL JOURNAL

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Objectives: To determine 51.74 kDa adhesin of Bifidobacterium sp cell wall isolated from infants feces as an anti adhesion of E. coli on enterocyte mice. Methods: Randomized Posttest-Only Control Group Design was employed to investigate adherence ability of this adhesin towards E.coli adhesion on mice entherocyte. Results: In this research, it was obtained, that the 51.74 kDa adhesin cell wall of Bifidobacterium sp has an ability to inhibit adhesion of E. coli on mice enterocyte. The ability was increased as an increase of adhsein concentration. Conclusions: that can be drawn from this research is the finding of 51.74 kDa adhesin cell wall of Bifidobacterium sp isolated from infants feces that can inhibit adhseion of E. coli on mice enterocyte. Future work that can be carried out are further researches concerning whether these protein can be applied to inhibit adherence of other pathogen bacteria.
Application Anti Microbial Activity Test and Direct Inoculation of Urinary Specimen Test to Increase the Quality of Results and Decrease the Production Cost in Clinical Microbiology Laboratory, Sanglah General Hospital Hospital, Bali-Indonesia Sri-Budayanti, N.; Sukrama, I. D. M.; Aditarini, M.; Sukardika, I. K.; Suata, I.K.
BALI MEDICAL JOURNAL Volume 1, Number 2, May-August 2012
Publisher : BALI MEDICAL JOURNAL

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Objective: Urinary tract infection (UTI) is the most common bacterial infection in general practice and in hospitals. Fast and accurate urine culture and sensitivity test are needed for adequate therapy. Anti Microbial Activity test (AMA test) that is used to detect the presence of antibiotics in urine specimens is not commonly used in clinical microbiology laboratories. Some laboratories are still using indirect inoculation technique using enriched media before inoculating onto the agar media. The aim of this research is to compare results of urinary examination of direct inoculation technique with AMA test with indirect inoculation technique without AMA test. Methods: A number of 210 urine specimens were collected in Clinical Microbiology Laboratory at Sanglah General Hospital within a time period between 16 June until 16 July 2009. Results: Antibiotics were detected in 40% of the urinary specimens; whereas 48.1% showed no evidence of UTI, that is negative AMA test and sterile urinary culture or colony growth < 105 CFU/ml. Only 11.9% of the specimens indicates urinary tract infections. The examination can be completed within 2-3 days which is shorter than indirect inoculation test which require 5-7 days. Direct inoculation technique can reduce the cost of production three-fold the costs require for an indirect inoculation test. Conclusions: Application of AMA test and direct inoculation technique can give results more rapidly, reliable and useful for clinicians. This also decrease the laboratory’s cost of production.
Co-Authors AA. Raka Karsana Adinda Putra Pradhana Adiputra, I Komang Hotra Amin, Yusuf Sidang Anak Agung Ngurah Jaya Kusuma Anggita Ratri Pusporini Astawa N. M., Astawa N. Astawa P., Astawa Bagus Komang Satriyasa Biantara, I Wayan Arya Cokorda Agung Wahyu Purnamasidhi Darren Junior Dennis Yulianto Desak Gde Diah Dharma Santhi Dewa Ayu Fony Prema Shanti Dewa Ayu Putu Rasmika Dewi Dewa Gede Agung Widyadnyana Dewa Ngurah Suprapta Dewa Ngurah Suprapta Dewa Putu Satria Juristiasa Dewi Anggraini Dik Megaputri Handayani Ekaputra Ekaputra, Ekaputra Ema Surya Pertiwi Gema Zakharian Hendrawan, Gresya Hervina Hervina I D.P. Kartika Pratiwi I Dewa Ayu Agung Warmadewanthi I Dewa Gde Mayun Permana I Gede Purna Weisnawa I Gusti Agung Ayu Anjani Kartika Dewi I Gusti Agung Dyah Ambarawati I Gusti Ayu Fienna Novianthi Sidiartha I Gusti Ayu Mas Putri Dharmayanti I Gusti Ngurah Kade Mahardika I Ketut Agus Somia I Ketut Suwiyoga I Komang Hotra Adiputra I M. Sumarya, I M. I Made Bakta I Made Gustama Heryawan I Made Jawi I Made Reza Pramudya I Made Sathya Vijayananda I Nengah Sujaya I NYOMAN MANTIK ASTAWA I Wayan Adi Pranata I Wayan Arya Biantara I Wayan Muda Suta Arta I Wayan Putu Sutirta Yasa I Wayan Suardana I Wayan Suranadi I. K. Sukardika I.D.A.A Warmadewanthi I.K. Suata Ichlazul Ma’ruf Ida Bagus Nyoman Putra Dwija Ida Bagus Putra Manuaba Ida Sri Iswari Jerry Jerry Junior, Darren K. Sukardika Kadek Diana Harmayani Kadek Tresna Yuwana Ketut Suryana Ketut Tuti Parwati Merati KOMANG AYU NOCIANITRI Komang Ayu Witarini Komang Januartha Putra Pinatih Luh Wayan Ayu Rahaswanti Made Agus Dwianthara Sueta Made Agus Hendrayana Mantik AN Mia Ayustina Prasetya N. Adiputra Ni Kadek Fiora Rena Pertiwi Ni Kadek Lyming Lestari Ni Luh Putu Harta Wedari Ni Made Adi Tarini Ni Made Ayu Aryati Dinarini Ni Made Susilawathi Ni Nengah Dwi Fatmawati Ni Nengah Dwi Fatmawati Ni Nyoman Puspawati Ni Nyoman Sri Budayanti Ni Wayan Arni Sardi NYOMAN SEMADI ANTARA Pramitasuri, Tjokorda Istri Putra, I Dw. Gd. Bayu Artha Pratama Putu Anda Tusta Adiputra Putu Aprilyana Eka Astuti Putu Bagus Redika Janasuta Putu Kintan Wulandari Putu Wiswananta Parama Raka-Sudewi A. A. Reny Rosalina Rian Ka Praja Rudi Wisaksana Saranova, Hilda Saraswati P. Yogita Satoto D., Satoto Shanti, Dewa Ayu Fony Prema Sherly Yunita Sieny Veronica Sonia Elvira Salim Sri Maliawan Steffano Aditya Handoko SUMARNO Suryadi N. T., Suryadi N. Susilawathi, Ni Made Tjokorda Gde Agung Senapathi Tjokorda Gde Bagus Mahadewa W. A., W. Wahyu Hidayati Wayan Redi Aryanta Weisnawa, I Gede Purna Wibisana, I Dewa Nyoman Adi Ningrat Winatha, I Gde Pangestu Putrama Wira Guna, I Gede Bhima Wiryana M., Wiryana Wulandari, Putu Kintan Yan Ramona