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Pengaruh Pemberian Mesenchymal Stem Cells Wharton’s Jelly terhadap Ekspresi Gen PPAR-γ pada Tikus Alzheimer Nabila Priscilla Putri; Hirowati Ali; Tofrizal Tofrizal; Eryati Darwin; Restu Susanti; Hasmiwati Hasmiwati
Jurnal Kesehatan Andalas Vol 12, No 2 (2023): Online July 2023
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v12i2.2142

Abstract

The increased production of beta-amyloid marks Alzheimer's disease. PPAR-γ shows involvement in Alzheimer's disease. PPAR-γ Gene is suspected to reduce beta-amyloid plaques and reduce inflammation and oxidative stress in Alzheimer's disease. Mesenchymal Stem Cells Wharton's Jelly (MSC-WJ) is expected to increase the PPAR-γ Gene expression. Objective:  To observed the PPAR-γ Gene expression in Alzheimer's Mice. Methods: The mice are induced using AlCl3 and were given MSC-WJ. This study was an experimental study with a post-test-only control group design on 18 samples of RNA from Alzheimer's mice that were divided into 3 groups. Negative control group (K-), positive control group (K+), and experimented group (P). The mean of PPAR-γ gene expression was obtained by comparing the PPAR-γ gene with the GAPDH gene. This study used semiquantitative methods using ImageJ. Data analysis was used with the Kruskal-Wallis test. It is significant if the value is <0,05. Results: The mean ratio of PPAR-γ gene expression that was obtained in K-, K+, and P were 0.12, 0.06, and 0.08, respectively. There were significant differences between each group, with a p-value of 0,023 (p<0,05). Conclusion: Giving MSC-WJ could increase the PPAR-γ gene expression. Further study using real-time PCR is highly needed to increase the MSC-WJ treatment in patients with Alzheimer's disease.Keywords:  Alzheimer disease, MSC-WJ, PPAR- γ
Indoxyl Sulfate Levels and Its Relation with Executive Function in Routine Hemodialysis Patients Syafrita, Yuliarni; Susanti, Restu; Indra, Syarif; Harun, Harnavi
Global Medical & Health Communication (GMHC) Vol 11, No 2 (2023)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v11i2.10964

Abstract

Executive function is a crucial cognitive domain that can be adversely affected by various toxic substances, including the uremic toxin indoxyl sulfate. Although it's known that indoxyl sulfate has harmful effects on intra or extra-kidney organs, its impact on executive function remains unclear. This study aimed to evaluate indoxyl sulfate levels in patients with chronic kidney disease (CKD) undergoing hemodialysis and to understand its correlation with executive function impairments. This observational cross-sectional study was conducted at the Dr. M. Djamil General Hospital Padang Hemodialysis Unit from March to July 2022; 60 patients undergoing hemodialysis and 20 healthy controls participated. Executive function was assessed using the Trail Making Test B (TMT-B). Indoxyl sulfate levels were quantified using an ELISA assay with the Assay Genie kit. The Mann-Whitney test set statistical significance at a p<0.05. The average age of the subjects was 51.4±11.4 years, with 53% being male. The mean indoxyl sulfate levels were considerably higher in the CKD group (118.79 ng/ml, range: 11–1,709 ng/ml) compared to the control group (6.028±1.829 ng/ml), with a significant difference (p<0.001). Impaired executive function was observed in 75% of the CKD patients. The average indoxyl sulfate level was 165.12 ng/ml (range: 29–1,709 ng/mL) in the impaired executive function group and 71.22 ng/ml (range: 11–333 ng/mL) in the group with normal executive function, indicating a significant difference (p=0.013). Patients with CKD undergoing hemodialysis exhibit elevated serum indoxyl sulfate levels compared to healthy individuals. Moreover, CKD patients with impaired executive function have notably higher indoxyl sulfate levels than those with normal executive function. Further research is needed to elucidate the mechanistic links between indoxyl sulfate and cognitive impairments.
FAKTOR YANG BERHUBUNGAN DENGAN KELUHAN INSOMNIA PADA MAHASISWA PROGRAM STUDI PENDIDIKAN DOKTER Wijaya, Claudia Novi; Susanti, Restu; Usman, Elly
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 1 No. 4 (2024): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Desember 2024
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/nf07b868

Abstract

Mahasiswa rentan menderita insomnia akibat perubahan pola tidur saat memasuki perguruan tinggi dan meningkatnya stres akibat perubahan tuntutan sosial dan akademik. Oleh karena itu, perlu diketahui faktor-faktor yang berhubungan dengan insomnia untuk mengetahui faktor-faktor yang dapat dimodifikasi dalam pengendalian keluhan insomnia pada mahasiswa. Penelitian ini menggunakan desain penelitian analitik dengan pendekatan cross-sectional dan teknik pengambilan sampel proportional stratified simple random sampling. Penelitian ini dilaksanakan selama bulan Oktober 2021 sampai dengan Juni 2022 di Pendidikan Dokter Fakultas Kedokteran Universitas Andalas dengan jumlah sampel sebanyak 71 orang. Mahasiswa Pendidikan Dokter sebagian besar (63,4% atau 45 orang) mempunyai keluhan insomnia. Hasil uji statistik menunjukkan tidak ada hubungan jenis kelamin (p=1,00), kebiasaan merokok (p=0,398), konsumsi kopi (p=0,127), lama penggunaan gadget (p=0,617), dan sleep hygiene (p=0,183) dengan keluhan insomnia. Masih tingginya frekuensi keluhan insomnia pada mahasiswa Pendidikan Kedokteran. Oleh karena itu, perlu dilakukan penelitian lebih lanjut untuk mengkaji faktor risiko lain yang berhubungan dengan keluhan insomnia
Karakteristik Klinis dan Tatalaksana Pasien Karsinoma Nasofaring di RSUP Dr. M. Djamil Padang Yolanda, Meuthia; Rahman, Sukri; Susanti, Restu
Jurnal Otorinolaringologi Kepala dan Leher Indonesia Vol. 3 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jokli.v3i1.47

Abstract

Karsinoma nasofaring merupakan salah satu kanker kepala leher yang paling sering ditemukan di Indonesia. Karsinoma nasofaring sering terlambat terdiagnosis karena gejala klinis yang tidak khas. Penelitian ini bertujuan untuk mengetahui karakteristik klinis dan tatalaksana pasien karsinoma nasofaring di RSUP Dr. M. Djamil Padang tahun 2018 – 2022. Penelitian ini merupakan penelitian observasional deskriptif dengan pendekatan retrospektif menggunakan data sekunder rekam medis pasien karsinoma nasofaring tahun 2018 – 2022 dengan teknik pengambilan sampel pengambilan sampel total . Pada periode ini tercatat 285 pasien yang pertama kali terdiagnosis karsinoma nasofaring yang belum mendapatkan tatalaksana dan terdapat 250 data pasien karsinoma nasofaring yang memenuhi kriteria inklusi yang kemudian diolah dan ditampilkan dalam bentuk tabel distribusi frekuensi. Pada penelitian ini diperoleh bahwa kejadian karsinoma nasofaring paling banyak ditemukan pada rentang usia 36 – 45 tahun dan 46 – 55 tahun, dengan kejadian lebih sering ditemukan pada laki – laki (66,4%). Keluhan utama yang paling sering dikeluhkan pasien adalah benjolan di leher (58,4%). Gejala klinis yang paling banyak dikeluhkan pasien diantaranya benjolan di leher (76,4%), sumbatan hidung (60%), dan telinga terasa penuh (53,6%). Kebanyakan pasien baru terdiagnosis pada stadium IVA (70,4%) dengan gambaran histopatologi terbanyak adalah karsinoma tidak berdiferensiasi (76,8%). Pada sebagian besar pasien ditemukan metastasis regional dengan lokasi terbanyak pada KGB leher level II (58%), sedangkan metastasis jauh hanya ditemukan pada 1,6% pasien yaitu metastasis tulang. Tatalaksana yang paling banyak diterima pasien adalah kemoterapi neoadjuvan dan dilanjutkan dengan radioterapi.
GAMBARAN HISTOPATOLOGI SEL SARAF TIKUS WISTAR (RATTUS NORVEGICUS) LIKE MODEL ALZHEIMER PADA DAERAH KORTEKS SEREBRI AKIBAT INDUKSI ALUMINIUM KLORIDA Abdillah, Tegar; Afriani, Nita; Susanti, Restu
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 2 No. 1 (2025): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Maret 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v2i1.975

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Objective: To determine the histopathological features of the nerve cells of Wistar rats (Rattus norvegicus) like the Alzheimer's model in the cerebral cortex due to aluminum chloride induction. Method: This study uses a quantitative descriptive method. This research was conducted at the Laboratory of Anatomical Pathology, Faculty of Medicine, Andalas University. The study was conducted from January to December 2022. The sample consisted of 14 preparations with 7 preparations in each group. Calculation of nerve cells with the Image J application and calculated the percentage of damaged nerve cells. Results: Nerve cells underwent apoptosis and necrosis in rats given aluminum chloride. The mean percentage of nerve cell damage in the control group and the aluminum chloride group was 4.82% and 15.88%. Conclusion: The histopathological picture of the brain neurons of wistar rats in the cerebral cortex induced by aluminum chloride shows the appearance of neurons undergoing apoptosis and necrosis. The percentage of nerve cell damage was higher in aluminum chloride-induced mice than in mice that were not aluminum chloride-induced..
PROFIL PASIEN COVID-19 DI RUMAH SAKIT UNIVERSITAS ANDALAS Putri, Azhara Dhiya Yosse; Lestari, Yuniar; Susanti, Restu; Afriant, Rudy; Putra, Syandrea Prima; Yusri, Elfira
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 2 No. 1 (2025): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Maret 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v2i1.986

Abstract

   Background: Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by SARS- CoV-2 virus. The outcomes of COVID-19 patients were found to be influenced by the presence of comorbidities of the patient. Furthermore, this will affect the healing process in the patient itself. The most common comorbidity in COVID-19 patients is hypertension followed by diabetes mellitus. Hypertension is mentioned as the predominant factor of COVID-19 infection. Objective: This study aims to determine the profile of COVID-19 patients with hypertension. Methods: The type of this research is observational descriptive which was conducted in October 2021 – November 2022 at the Medical Record Installation of Rumah Sakit Universitas Andalas. This study was conducted using a total sampling technique with a total sample of 161 patient. Results: The results showed that the frequency of female was more than male (60.9:39.1). The frequency of >50 years old is almost the same as 50 years old (50.9:49.1). There are more patients without comorbid hypertension than patients with comorbid hypertension (64.6:35.4). Conclusions: There are more COVID-19 patients treated at Andalas University Hospital aged 50 years with female sex and more patients without hypertension comorbid.  
HUBUNGAN STATUS MEROKOK TERHADAP KUALITAS TIDUR PADA REMAJA TINGKAT SLTA DI KECAMATAN BONJOL DAN LUBUK SIKAPING Abdi, Tri Jaya; Anggrainy, Fenty; Susanti, Restu
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 2 No. 1 (2025): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Maret 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v2i1.990

Abstract

Background: Smoking is the biggest health problem faced. This activity has at least had a negative impact  such as a decrease in sleep quality due the release of cathecholamines resulting in tachycardia and increase in blood preasure which increases alertness.Objective: This study aims to determine the characteristic, smoking status, and the relationship of smoking with the sleep quality of adolescent at the senior high school level. Methods: This type of research is a descriptive analytic study with a cross-sectional study design with convenience sampling technique. The population of this study was school-age students at the high school level in the districts of Bonjol and Lubuk Sikaping with a total sample of 96 people. Data obtained in the form of primary data from Pittsburgh Sleep Quality Index (PSQI) questionnaire Results: The highest group of school-aged adolescents were boys aged 17 and 18 years, with the most categories being smokers and poor sleep quality. Regarding the relationship between smoking status, there was a statistically significant relationship with sleep quality. This study also found that adolescents with smoking status were 5,402 times more likely than smokers (ex-smokers and non-smokers) to decrease sleep quality (p=0.001;OR=5.402) Conclusion: There is a significant relationship between smoking status and sleep quality.
ANALISIS KADAR AMILOID BETA PLASMA DENGAN GANGGUAN KOGNITIF PADA DIABETES MELITUS TIPE 2 Syafrita, Yuliarni; Amir, Darwin; Decroli, Eva; Susanti, Restu
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 35 No 1 (2018)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v35i1.38

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   ANALYSIS OF PLASMA LEVELS OF BETA AMYLOID WITH COGNITIVE IMPAIRMENT IN TYPE 2 DIABETES MELLITUSABSTRACTIntroduction: Type 2 diabetes mellitus (T2DM) and Alzheimer’s disease are two kind of neurodegenerative disease that related with age. Patients with DM show a tendency to develop Alzheimer’s disease, but there is no single marker for predicting a DM case will develop into Alzheimer’s disease. Amyloid cascade beta disturbance is one factor involved in the pathogenesis of DM disease as well as in Alzheimer’s disease, and still believed to be the main factor causing Alzheimer’s dementia.Aims: This research was aimed to determine the correlation between beta amyloid plasm level and demographic factors with the occurrence of cognitive dysfunction in type 2 diabetes mellitus patients.Methods: This was a cross-sectional design study on patients with DM in special DM clinic at M Djamil and Ibnu Sina hospital, Padang, between August—October 2016. Cognitive function was examined using the Montreal Cognitive Assessment Indonesian version (MoCA-Ina). Beta amyloid level was measured by enzyme-linked immunosorbent assay (ELISA) technique. Beta amyloid diagnostic ability was analyzed by using receiver operating characteristics (ROC). The correlation between the variables were analyze by using Chi-square, and p value p<0.05 was considered to be significant. To determine the strongest variables which correlated to cognitive dysfunction, logistic regression analysis were performed.Result: 65 subjects included in this study, where cognititve dysfuntion were present in 35 patients (58.3%). There were significant correlation between disease duration and low levels of 42 beta amyloid in plasma (Aβ42) with the occur- rence of cognitive dysfunction. The multivariate analysis showed that the disease duration, followed by low levels of Aβ42 and education level were the variables correlated with cognitive dysfunction.Discussion: There were a correlation between low levels of 42 beta amyloid in plasma with the occurrence of cog- nitive dysfunction in type 2 diabetes mellitus patients.Keywords: Beta amyloid, cognitive impairment, demographic factors, type 2 DMABSTRAKPendahuluan: Penyakit diabetes melitus tipe 2 (DM) dan penyakit Alzheimer adalah dua penyakit neurodegeneratif yang sering berhubungan dengan usia. Pasien dengan DM menunjukkan kecenderungan untuk menderita penyakit Alzheimer, namun belum ada satupun penanda untuk memprediksi kasus DM yang akan berkembang menjadi penyakit Alzheimer. Gangguan kaskade amiloid beta merupakan faktor yang terlibat pada patogenesis penyakit DM maupun pada penyakit Alzheimer, dan sampai sekarang masih dipercaya sebagai faktor utama yang menyebabkan demensia Alzheimer.Tujuan: Mengetahui hubungan kadar amiloid beta plasma dan faktor demografi dengan gangguan fungsi kognitif pada penderita DM.Metode: Penelitian dengan desain potong lintang ini, terhadap pasien DM yang berobat di Poliklinik khusus diabetes RSUP Dr. M Djamil dan RS Islam Ibnu Sina, Padang, pada periode Agustus–Oktober 2016. Penilaian gangguan kognitif menggunakan Montreal Cognitive Assesment versi Indonesia (MoCA-Ina), dinyatakan terganggu jika nilai <26.Kadar amiloid beta diperiksa dengan metode enzyme-linked immunosorbent assay (ELISA) dan kemampuan diagnostik amiloid beta dianalisis dengan receiver operating characteristics (ROC). Hubungan antar variabel diuji dengan Chi- square, dikatakan bermakna bila nilai p≤0,05. Dilakukan analisis regresi logistik untuk menentukan variabel yang paling kuat hubungannya dengan gangguan fungsi kognitif.Hasil: Didapatkan 65 subjek dengan rerata usia 61,62+7,6 tahun dan sebanyak 53,8% mengalami gangguan fungsi kognitif. Didapatkan hubungan yang bermakna antara lama sakit dan rendahnya kadar Aβ42 plasma dengan terjadinya gangguan kognitif. Pada analisis multivariat diketahui bahwa urutan kekuatan variabel yang berhubungan dengan terjadinya gangguan fungsi kognitif adalah lama sakit, rendahnya kadar Aβ42 plasma, dan tingkat pendidikan.Diskusi: Terdapat hubungan antara lama sakit dan rendahnya kadar Aβ42 plasma dengan terjadinya gangguan kognitif pada penderita DM.Kata kunci: Amiloid beta, DM tipe 2, faktor demografi, gangguan kognitif
Serum Nerve Growth Factor as a Biomarker for Chemotherapy-Induced Peripheral Neuropathy: A Cross-Sectional Study Rifki Irsyad; Restu Susanti; Fanny Adhy Putri; Yuliarni Syafrita; Syarif Indra; Reno Bestari
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 6 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i6.1292

Abstract

Background: Chemotherapy-induced peripheral neuropathy (CIPN) is a common and debilitating side effect of cancer treatment. Nerve growth factor (NGF) plays a crucial role in neuronal health and has been implicated in CIPN development. This study investigated the relationship between serum NGF levels and CIPN in cancer patients undergoing chemotherapy. Methods: A cross-sectional study was conducted on 60 cancer patients receiving chemotherapy at Dr. M. Djamil General Hospital Padang, Indonesia, from June to October 2024. Serum NGF levels were measured, and CIPN was assessed using the Toronto Clinical Scoring System (TCSS). The relationship between NGF and CIPN was analyzed using the Mann-Whitney test. Results: The median serum NGF level was significantly lower in patients with CIPN (n=43) compared to those without CIPN (n=17) (103.26 pg/ml vs. 148.91 pg/ml, p=0.029). No significant association was found between chemotherapy regimens and CIPN or NGF levels. Conclusion: Lower serum NGF levels are associated with CIPN in cancer patients undergoing chemotherapy. NGF may serve as a potential biomarker for CIPN, aiding in early detection and management. Further research is needed to explore the clinical utility of NGF as a predictive and monitoring tool for CIPN.
Pengaruh Pemberian Mesenchymal Stem Cells Wharton’s Jelly terhadap Ekspresi Gen PPAR-γ pada Tikus Alzheimer Putri, Nabila Priscilla; Ali, Hirowati; Tofrizal, Tofrizal; Darwin, Eryati; Susanti, Restu; Hasmiwati, Hasmiwati
Jurnal Kesehatan Andalas Vol. 12 No. 2 (2023): Online July 2023
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v12i2.2142

Abstract

The increased production of beta-amyloid marks Alzheimer's disease. PPAR-γ shows involvement in Alzheimer's disease. PPAR-γ Gene is suspected to reduce beta-amyloid plaques and reduce inflammation and oxidative stress in Alzheimer's disease. Mesenchymal Stem Cells Wharton's Jelly (MSC-WJ) is expected to increase the PPAR-γ Gene expression. Objective:  To observed the PPAR-γ Gene expression in Alzheimer's Mice. Methods: The mice are induced using AlCl3 and were given MSC-WJ. This study was an experimental study with a post-test-only control group design on 18 samples of RNA from Alzheimer's mice that were divided into 3 groups. Negative control group (K-), positive control group (K+), and experimented group (P). The mean of PPAR-γ gene expression was obtained by comparing the PPAR-γ gene with the GAPDH gene. This study used semiquantitative methods using ImageJ. Data analysis was used with the Kruskal-Wallis test. It is significant if the value is <0,05. Results: The mean ratio of PPAR-γ gene expression that was obtained in K-, K+, and P were 0.12, 0.06, and 0.08, respectively. There were significant differences between each group, with a p-value of 0,023 (p<0,05). Conclusion: Giving MSC-WJ could increase the PPAR-γ gene expression. Further study using real-time PCR is highly needed to increase the MSC-WJ treatment in patients with Alzheimer's disease.Keywords:  Alzheimer disease, MSC-WJ, PPAR- γ
Co-Authors Abdi, Tri Jaya Abdillah, Tegar Afriani, Nita Afriwardi Afriwardi Afriyeni Sri Rahmi Akmal Irsyadi Iswan Almurdi Almurdi Anggrainy, Fenty Arina Widya Murni ATTIYA ISTARINI Aulia Noza Bestari, Reno Darwin Amir, Darwin Dea Rika Putri Purba Dedi Sutia Dedi Sutia Dhani Arief Prandana Dian Pertiwi Alty Dinata, Gunawan Septa Eldi Sauma Eryati Darwin Eva Decroli Fanny Adhy Putri Gusti Revilla Hanny Vidya Sari Harun Harnavi Hasmiwati Hendra Permana Hendra Permana Hirowati Ali Hirowati Ali, Hirowati Husna Yetti Husni Minanda Fikri Ida Rahmah Burhan Ilahi, Fitratul Indra, Syarif Isnindiah Koerniati Isnu Lucky Riandini Isnu Lucky Riandini, Isnu Lucky Istiqomah Jabbar, Ridho Ahmad Kurniawan, Yoga Setia Lenny Arinda Lestari, Novia Riza Lydia Susanti Lydia Susanti, Lydia Marliana, Lesti Melda Yelmaiza Musrizal Adli Nabila Priscilla Putri Nada Utami Prahastiwi Nailatul Fadhilah Nita Afriani Nur Indrawaty Lipoeto Priyanka Prima Putri Putra, Syandrea Prima Putri, Azhara Dhiya Yosse Putri, Fanny Adhy Putri, Nabila Priscilla Rachmat Saleh Eka Putra Reno Bestari Rifki Irsyad Rika Susanti Rizki Muhammad Rananda Rudy Afriant Salsabilah Firdausiah Saptino Miro Selfi Renita Rusjdi Sukri Rahman Sutia, Dedi Syamel Muhammad Syarif Indra Syarif Indra Syarif Indra Tiara Mardalifa Tofrizal Tofrizal Tofrizal Ulya Uti Fasrini Umul Khair Wijaya, Claudia Novi Yoga Setia Kurniawan Yolanda, Meuthia Yulia Trisna Yuliarni Syafrita Yuliarni Syafrita Yulistini, Yulistini Yuniar Lestari Yusri, Elfira Zakiya Ifana Putri