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Imran Imran

Jurusan Teknologi Hasil Perikanan Fakultas Pertanian Universitas Sriwijaya, Indralaya, Ogan Ilir 30662 Sumatera Selatan Telp./Fax. (0711) 580934

Author-ID : 286288

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Role of forkhead box protein 2 (FOXP2) in oral-motor abilities of preterm infants: A brief literature review Mauliza , Mauliza; Dimiati, Herlina; Akmal, Muslim; Imran, Imran
Narra J Vol. 3 No. 2 (2023): August 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i2.237

Preterm infants, born before the 37-week gestation period, have limited storage for nutrients at birth and are vulnerable to poor feeding, severe nutritional deficits and growth retardation. The immature gastrointestinal system leads preterm infants to experience a delay in initiating enteral nutrition. Inappropriate feeding can cause acute and long-term morbidity, prolonged hospitalization and increased treatment cost. Generally, preterm infants that are born after 32 weeks of gestation without severe comorbidities do not have dysphagia and should start oral feeding soon after birth. Preterm infants should have well-developed sucking-swallowing-breathing coordination by 32–34 weeks of gestational age. However, some infants take days or weeks to master the skill. The oral feeding development involves forkhead box protein 2 (FOXP2)-expressing neurons that are found in the deep layers of the cortex, basal ganglia, parts of the thalamus and Purkinje cells of the cerebellum. In mammals, these areas belong to the brain network circuits working for motor coordination in learning and acquiring sensorimotor skills. This review aimed to describe the role of FOXP2 in oral-motor skills in preterm infants, including oral feeding, sucking-swallowing-breathing coordination and language development. The oral-motor skills development could be an early predictor for language delay in premature infants, representing a vulnerable group susceptible to such delays.

Does FOXP2 gene polymorphism affect the duration of orogastric tube use in moderate to late preterm neonates? A cross-sectional study in Indonesia Mauliza, Mauliza; Dimiati, Herlina; Akmal, Muslim; Imran, Imran
Narra J Vol. 4 No. 3 (2024): December 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i3.933

Premature and low birth weight neonates often struggle with oral intake due to immaturity or respiratory distress. Forkhead box protein 2 gene (FOXP2) is predicted to influence oral feeding ability in newborns, but studies assessing the role of this gene in influencing oral feeding ability are limited. The aim of this study was to investigate the role of FOXP2 gene polymorphism, particularly single nucleotide polymorphism (SNP) rs17137124, on the duration of orogastric tube (OGT) use in moderate to late preterm neonates. A multi-center cross-sectional study was conducted in Lhokseumawe, Aceh, Indonesia, from September 2021 to August 2023, involving neonates with 32–36 weeks gestational age. The DNA samples were isolated from the saliva, amplified using polymerase chain reaction (PCR), and the FOXP2 gene was sequenced. The associations between FOXP2 gene polymorphisms and other plausible factors on the duration of OGT use were determined using Chi-squared test, Fisher’s exact test or Pearson correlation as appropriate. Preterm neonates with the CC genotype had the longest OGT use, averaging 3 days (39.1%). TT genotype preterm neonates required OGT use for 4, 5, and 6 days (each 33.3%), while CT genotype neonates predominantly required it for 4 days (41.7%). No significant association was found between FOXP2 genotypes and OGT use duration (p=0.233). Similarly, neonates with C allele required OGT use for 3 and 4 days, while those with T allele mostly required between 4 and 6 days, with no significant association (p=0.110). Analysis using dominant (p=0.109) and recessive models (p=0.481) also showed no significant associations with OGT use duration. However, the study found significant associations between delivery mode (p=0.002) and gestational age (p=0.001) with duration of OGT use in preterm neonates. This study highlights that FOXP2 polymorphisms have limited association with the duration of OGT use among preterm neonates.

Cerebral artery stenosis and neurological outcomes after anticoagulant and antiplatelet therapy in acute ischemic stroke: A digital subtraction angiography-based study in Indonesia Musadir, Nasrul; Syahrul, Syahrul; Imran, Imran; Fiqri, Aidil; Danial, Dini R.
Narra J Vol. 5 No. 3 (2025): December 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i3.2919

Acute ischemic stroke (AIS) is a leading cause of morbidity and mortality, with cerebral artery stenosis serving as an important prognostic factor. While revascularization therapies benefit selected patients, most rely on pharmacological strategies. However, evidence regarding the effect of sequential anticoagulant–antiplatelet therapy on vascular stenosis and neurological outcomes remains limited. The aim of this study was to evaluate changes in cerebral artery stenosis, assessed using digital subtraction angiography (DSA), and neurological deficits, assessed by the National Institutes of Health Stroke Scale (NIHSS), in patients with first-onset AIS treated with anticoagulant and antiplatelet therapy. A prospective cohort study was conducted involving 35 patients who received low-molecular-weight heparin or warfarin for seven days, followed by 90 days of oral antiplatelet therapy (aspirin or clopidogrel). Sixteen patients consented to repeat DSA at 90 days. Among these, the median stenosis decreased from 44.5% (30–90%) to 44.0% (20–90%) (p=0.003). In the full cohort (n=35), the median NIHSS improved from 10 (5–17) at baseline to 9 (2–14) at 90 days (p<0.001). Correlation analysis demonstrated a positive but non-significant association between stenosis reduction and NIHSS improvement (r=0.474, p=0.064). These findings suggest that sequential anticoagulant–antiplatelet therapy in first-onset AIS was associated with a modest but statistically significant reduction in arterial stenosis and meaningful improvement in neurological function. Although vascular and clinical outcomes were not significantly correlated, the observed trend highlights the importance of structured pharmacological therapy and the potential role of serial vascular imaging in follow-up care.

Neutrophil-to-lymphocyte ratio and stenosis severity in ischemic stroke: Digital subtraction angiography evaluation and implications for inflammation-based risk stratification in the Indonesian population Fiqri, Aidil; Musadir, Nasrul; Imran, Imran; Desiana, Desiana; Hastuti, Sri
Narra J Vol. 5 No. 3 (2025): December 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i3.2959

Neutrophil-to-lymphocyte ratio (NLR), an accessible biomarker derived from routine blood counts, has been associated with stroke severity and outcomes. However, its association with angiographically confirmed stenosis has not been fully established. The aim of this study was to investigate the correlation and association between the NLR and the severity of intracranial arterial stenosis assessed by digital subtraction angiography (DSA). An observational analytic study with a cross-sectional design was conducted. Patients with acute ischemic stroke who underwent DSA were included using a total sampling method. Eligible patients were aged >18 years, had ischemic stroke onset <14 days, and had no prior thrombolysis, endovascular treatment, or surgery for cerebral stenosis. Those with infection, hematological disorders, malignancy, or immunosuppression were excluded. NLR was calculated from complete blood count results at admission, while stenosis severity was quantified using the Warfarin–Aspirin Symptomatic Intracranial Disease (WASID) method. A total of 44 ischemic stroke patients who underwent DSA were included. Pearson correlation test revealed a strong positive correlation between NLR and the severity of intracranial arterial stenosis (r=0.671; p<0.001). In subgroup analysis, NLR showed a strong positive correlation with stenosis severity in the cerebral arteries (r=0.707; p<0.001), but not in the carotid arteries (r=0.434; p=0.182). One-way ANOVA revealed significant differences in NLR across stenosis severity groups (p<0.0001), with higher NLR in moderate and severe stenosis compared with mild stenosis (p=0.017 and p=0.0003, respectively). These findings suggest that NLR reflects the inflammatory burden contributing to vascular narrowing and may serve as a simple and widely available biomarker for identifying ischemic stroke patients with a higher burden of intracranial arterial stenosis, particularly in settings where access to advanced imaging is limited.

Predicting early in-hospital mortality in acute hemorrhagic stroke: Implications for improving stroke care and health outcomes in low-income settings Harnold, Shefina P.; Syahrul, Syahrul; Imran, Imran; Musadir, Nasrul; Yani, Muhammad
Narra J Vol. 6 No. 1 (2026): January 2026
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v6i1.2977

Stroke is a leading cause of death and disability worldwide, and mortality in acute intracerebral hemorrhagic (ICH) stroke is influenced by many factors, and early identification of high-risk patients is crucial for guiding clinical management. This study aimed to evaluate the role of blood pressure, blood glucose level, and Glasgow coma scale (GCS) on admission as predictors of 10-day in-hospital mortality and to develop a predictive scoring system in patients with acute ICH stroke. A cross-sectional study was conducted at Dr. Zainoel Abidin Hospital, a provincial referral hospital in Banda Aceh, Indonesia, in 2025. Patients with acute ICH were consecutively recruited. Clinical parameters on admission, including systolic and diastolic blood pressure, random blood glucose level, and GCS, were recorded. Associations with 10-day mortality were assessed with a Chi-squared test, and a predictive scoring system was developed based on independent predictors. A total of 62 patients were included in this study. Higher systolic blood pressure (≥140 mmHg), diastolic blood pressure (≥90 mmHg) and GCS <9 on admission were significantly associated with 10-day mortality (p=0.031, p=0.023 and p<0.001, respectively). Multivariate analysis identified that GCS <9 was the only independent predictor. A predictive scoring system assigned 8 points for GCS <9, 5 points for systolic ≥140 mmHg, 4 points for diastolic ≥90 mmHg, and 1 point for random blood glucose ≥200 mg/dL, estimating patient-specific mortality risk, highest when all risk factors were present. This study indicates that GCS <9 and elevated blood pressure on hospital admission are key predictors of 10-day mortality in acute ICH. The developed scoring system may assist in early risk stratification and management, and further exploration of predictive models is warranted to optimize clinical outcomes.

Co-Authors A.A. Ketut Agung Cahyawan W AA Sudharmawan, AA Abadi, Selvy Abd. Hamid Abda Abda Abduh H. Harun Aceng Haetami, Aceng Achmad, Dirga Adhikari, Basanta Prasad Adi Purnawarman, Adi Adiansyah Adiansyah, Adiansyah Aditya, Mega Cantik Putri Adnan Adnan Agnes Arum Budiana, Agnes Arum Ahmad Yani T Ahmad, Srifatmawati Ainal Mardhiah Akrim, Akrim Al Hidayah, Riama Al-Hasni, Fariz Alhambasy C, Faren Alhidayah, Riama Ali Djamhuri Almasdi, Almasdi Alwahab Alwahab Amal Akbar Amanda, Dea Tria Ambariyah, Miftahul Amilda, Yenni Aminuddin Kasim Amir, Yusnaweti Amrazi Zakso Andiyani, Dini Andriani, Diana Gelorita Anggriani, Gina Dwi Anjani, Hayaullah Anul, Fenilia Anzar Anzar, Anzar Apio, Yulia Apriani, Katarina Aprilia, Eva Aras Mulyadi Arbain Tata Ardiani, Yeni Ardiansyah, Mukhlis Novi Arfanita, Arfanita Arifin, Zainal Syam Arma Mariangke Ashari Ashari Asmawati Asmawati Asmin Asmin, Asmin Asri, Yesi Astiakurnia Putri, Ratih Astute, Henny Yuli Asvitaria, Asvitaria Aswindi, Aswindi Aulia Rahmasari, Ajeng Aulia, Ivan Ayuni, Nina Azhar Azhar Azhari, M. Ari Bambang Budi Utomo Bastari, Saptia Bismark, Bismark Bistari Buchari Buchari Budiman Budiman Budjang A, Gusti Chalid, Idham Cholik, Muhammad Dadang Redantan, Dadang Dahlia Dahlia Dai, Dedi Rahmat Damayanti, Afriya Damhuri Damhuri Danial, Dini R. Daniel Daniel Dari, Dina Wulan Daud, Muslem Desiana Desiana, Desiana Devi, Friska Dewantara, Jagad Aditya Dewi, Anjar Kusuma Diah Trismi Harjanti Dian Lestari, Nova dianawati, dianawati Dicky Sofjan Dina, Afra Ayu Dorkas Tambalo Dwi Septiwiharti Edwin Mirzachaerulsyah Efriyeldi, Efriyeldi Emita, Emita Esterina, Esterina Eveline Rumoroy Bonifasius Saneba Charles Kapile Fachreza, Muhammad Teddy Fadhilah, Muhammad Arif Fadly Fadly Fajriani Ananda Fajrul, Rahmad Farida Farida Farih, Muhamad Fathnur, Fathnur Fatwa, T. Reza faujan, muhammad Fauzatul Hasanah Febriyani, Norin Febriyanti, Uray Rosa Fikri, Muharam Mul Fiqri, Aidil Firawati Firawati Fitri Fitri Fitri, Rafika Fitriani, Muh Iwan Fuadi, Indra Ga'ga, Mansur Gafur, Abdul Gafur Gaus, Abdul Gazali Gazali Gilang, Gilang Gita Susanti, Gita Gusti Budjang Gustiani, Gustiani H. Masruri, H. Hadi Wiyono Hadi, Ardyan Wanto Hajira Hajira, Hajira Halim, Damianus Handar Subhandi Bakhtiar Handayani, Masitah Handris, Handris Hanisah, Hanisah Haq, Andi Rafli Hardi Hardi, Hardi Harfini Harfini Haris Firmansyah Harnold, Shefina P. Harwan, Harwan Hary Suswanto Haryanto Haryanto Hasanuddin Hasanuddin Hasdin Hasdin Hastuti , Sri Hendra Taufik Henny Sanulita Herlina Dimiati, Herlina Hery Widijanto Hijriani, Hijriani Husni Syahrudin Hutomo, Ragil Tribhakti I Wayan Ardianta Idharulhaq, Idharulhaq Idroes, Ghifari Maulana Ika Rahmatika Chalimi Ikbal Ikbal Ilyas Ilyas Imara, Inang Sri Imron, Fais Inda, Reliana Indalestari, Wa Ode Dien Indrayani, Siska Inka Nusamuda Pratama Insarullah, Insarullah Irawati, Intan Iriany, Rosary Irmawati Hasaema, Irmawati Irnawaty Irnawaty, Irnawaty Irwan Kurniawan Isdin Ismael Saleh Ismail Ismail Ismiyani, Nining Israwati Israwati, Israwati Iwan Ramadhan Izhar Salim Jaelan, Salsabila Jamaluddi Jamaluddi Jamaludin . Japri, Japri Jennah, Muh. Ali Jeriyah, Ainul Judi Judi Juliantara, Juliantara Junaidi, Eko Wahyu Kadir, La Ode Abd Kadir, Laode A. Kalagison, Miryam Diana Kalsum Kalsum Kasim, Nurdin Kelin, Fransiska Yolanda Kemaladina, Intan Khalik, Suhartini Khan, Md Rizwan Khoyyir Ridho Kiki Novita Kinanti, Easy Ilmi Kurniati, Paskaria Erni Kusnadi L. Lisnawati La Baco S La Ode Santiaji Bande Laily Nurliana Lajaria, Ridha Lamau, Irjana Sulaeman Laode Sabaruddin Lee, Seung Hun Lusiana, Lulu Luthfiyah Luthfiyah M Samunawardin M. Natsir Madiah, Nagri Mahendra, Ryan Mahluddin Mahluddin Makhroji Makhroji Manan, La Ode Abdul Mangoda, Novia Zulfasti Manja, Nur Sri Mardiyani, Ridha Maria Ulfa Maria Ulfah Mariani Mariani Marinu Waruwu Marji Marji Marlia, Ika Marty Mawarpury Marzuki Maulidiyah Maulidiyah Mauliza , Mauliza Mauliza, Mauliza Mayong Maman Miranti Miranti Mohamad Safrin Morisca, Gabriella Mufti Amir Sultan, Mufti Amir Muh. Risnain Muhammad Agus Hardiansyah Muhammad Aqil Muhammad Arif Sanjaya MUHAMMAD MASKUR, MUHAMMAD Muhammad Nur Muhammad Nur imanulyaqin Muhammad Nurdin Muhammad Ridwan Muhammad Taufiq Yuda Saputra Muhammad Yani, Muhammad Muhammad Yunus Muhdar, Andi Mulyani Mulyani Munandar Munandar Munir, Abd. Muslim Akmal Muslimin, M Iksan Musta, Rustam Musyadik Musyadik, Musyadik Mutia, Ratna Muzakkar, Muhammad Zakir Nadhira, Nadhira Naharuddin Naharuddin Naim , Ifin Naim, Ifin Nandasari, Wika Naraswari, Audia Nasaruddin Nasaruddin Nasran, Nasran Nasriadi, Nasriadi Nasrul Musadir Nayla Faradilla Niken, Maria Oktavia Nirmawati, Nirmawati Nizamuddin Nizamuddin Nohong Nohong, Nohong Nonce, Nurmi Novita, Serly nunung nunung Nur Aisyah Nur Illiyin Akib, Nur Illiyin Nur Illiyyin Akib Nur Ramadhan, La Ode Ahmad Nur Wahyunianti Dahri Nur, Andi Muhammad Nurafni, Melia Nuraini Asriati Nurcahaya Ranggong Nurcholis Nurcholis Nurdianti Nurdianti Nurhafizha, Nurhafizha Nurhayadi Nurlah, Rara Barbara Nursin, Nursin Nurvita Nurvita Okianna Okianna Partiwi, Sri Uji Patrisia Rahayu Utami Patulak, Lucia Evianti Pradiyanti, Yuyun Pramesti, Sally Tilana Pranata, Joni Prancisca, Stella Prasetyaningrum, Uniek Prathama, Iqbal Pratiwi, Riska Amanda Prawartiningrum, Ajeng Purnama, Shilmy Purnamasari, Desti Putra, Abang Andika Putra, Andika Aliansya Putra, Dede Yas R, Halimatussaddiyah Rabiah Rabiah Rahimah, Mauliza Rahmania, Siti Rahmatang, Rahmatang Rahmatul Hidayat, Rahmatul Rahmawati, Rahmawati Rahmayanti, Echa Rajuddin, Wa Ode Nursaadha Ramadaniarsih, Devi Sari Ramadhan, Rury Ratna Ratna Rauf, Ichsan Rauf, Iksan Reinaldi Teguh Setyawan Remigius, Remigius Riama Al Hidayah Ridha Taurisma Lajaria Rinaldi Idroes RINI RINI Rino Rino Risna Risna, Risna Rivalina, Anastasia Rizal Rizal Rizki, Nadia Rochmawati, Rochmawati Rokiaske, Rokiaske Romy, Akhmad Roslina Alam Rosna Rosna Roy Kulyawan Rumpa, Arham Rusdi Rusdi Ruslan Ruslan Rusman Latif Rustam, Astin Rustiyarso, Rustiyarso Ruziana, Ruziana Sabirin Sabirin, Sabirin Sabti, Agus Safitri, Nur Sagita, Labora Nora Sahyunu, Sahyunu Samosir, Lydia Sana, Sana Sanita, Sanita Santi, Asih Putri Sari, Ifa Meilyana Sari, Lika Yunita Sariakin Sariakin Sartika, Mutia Saruran, Dina Ati Sawitri, Oktovie Ekgea Sembiring, Rinawati Shandy, Sary Shofia Nurun Alanur S Sikwan, Agus Sinta, Sinta Siswoyo Siswoyo Siti Syamsiyatun Sitti Nurhaliza Sitti Syabariyah Solidah, Sindi Nur Solly Aryza Sri Hastuti Sri Wahyuni Suadi, Amran Suci Ramadhani, Suci Suciati Suciati Sugireng, Sugireng Sukmawati Sukmawati Sulastri Sulastri Sulistyarini, Sulistyarini Sultan Sultan Sumarni Sumarni Sumarni, Ririn Sunardi Sunardi Suntiana, Suntiana Supriadi Supriadi Suriadi Jais Suriyanisa, Suriyanisa Suryana, Elvi Susanti, Elsa Sutoyo Budiharto Suyadi Suyadi Syahrul Syahrul Syaifuddin Zuhri Harahap, Syaifuddin Zuhri Syaiful Anwar Syakir Mahid Syamsiar, Syamsiar Syamsuri Syamsuri Syamsuri Syavardie, Yimmi Tamrin Tamrin Tandipuang, Paduartama Tasnim Tasnim Taufik Fuadi Abidin Tenriana, Nuzul Teuku Rizky Noviandy THAMRIN AZIS Thomy Sastra Atmaja Tiara Todi, Petrus Tri Utami Tri Utami Tri Wijaya Tribuana, Syahbani Nur Ulani, Desti Utami, Fadhira Vaderofa Putri, Marbela Vebritasari, Vebritasari Wahab Wahab Wahid Wahid, Wahid Wahidah, Rohmatul Wahyu Adi Nugroho Wahyuni, Fauziah Sri Wakila, Muhammad Hardin Wani, Nur Aisyah Wardani, Andita Wulan Wedy Nasrul Wisely, Vincent Obedly Wiwik Handayani WTP, James Y. Touvan Juni Samodra Yasma, Anggun Yetti Elfina Yohanes Bahari Yulia Anugrahwati, Yulia Yuliana, Eva Yuliani Labinta Yulihasri Yusawinur Barella Yusni Ikhwan Siregar Yusuf Sabilu, Yusuf Z, Muslimin Zaenal Arifin Zainap Napsi Lajuna, Zainap Napsi Zainuddin, H.M. Zabir Zainuddin, Muhammad Zabir Zakiah Zakiah Zulkarnain Zulkarnain Zuri Astari

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