Iskandar Japardi
Master of Clinical Medicine, Surgical Nerve Specialist, Medical Faculty North Sumatra University.

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Analisis Kadar Glial Fibrillary Acidic Protein dengan Tingkat Keparahan Cedera Kepala di Rumah Sakit Umum Pusat (RSUP) Haji Adam Malik Sinulingga, R. Disfahan Yonanda; Japardi, Iskandar; Sastrodiningrat, Abdul Gofar
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 50, No 3 (2017): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Introduction This study was to determine the relationship of serum Glial Fibrillary Acidic Protein (GFAP) levels with severity of head injury patients.Methods This study was an analytical study using cross-sectional design. The study lasted from June 2013 until March 2014 at Adam Malik General Hospital. Severe head injury patients were included in the study if the onset is less than 48 hours. Selected patients were evaluated based on the findings of the Computed Tomography (CT) scan of the head. Consecutive sampling was done to select the subjects, then blood samples were taken for examination and imeasurement of cumulative GFAP serum level.Results The results showed that GFAP levels were associated significantly with GCS after resuscitation (r = -0.631, p = 0.0001). The correlation was a negative correlation (r = -0.631, p = 0.0001). If the higher Glasgow Coma Scale (GCS) after resuscitation, serum GFAP levels would be even lower.Conclusion Levels of GFAP severe head injury patients (11.9 ± 10.52) was significantly higher compared to patients with moderate head injury (1.82 ± 1.60, p = 0.0001). There is a significant correlation between serum GFAP levels with initial GCS after resuscitation (r = -0.631, p = 0.0001).Keywords : GFAP, head injury, biomarker
Analysis of Glial Fibrillary Acidic Protein (GFAP) Serum Levels on Spontaneous Intracerebral Hemorrhage Non-Lesion Patients Indharty, Suzy; Japardi, Iskandar; Fadhli, Muhammad
BALI MEDICAL JOURNAL Vol 5 No 1 (2016)
Publisher : BALI MEDICAL JOURNAL

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Background: Stroke is one of the root causes of brain disorders at the height of the productive age and ranks second cause of death after heart disease in most countries in the world. Fairly large-scale study conducted by ASNA (ASEAN Neurological Association) in 28 Hospitals in Indonesia. This study was conducted in patients with acute stroke who were treated in hospital (hospital-based study) and conducted a survey of factors - risk factors, treatment duration and mortality and morbidity. Method: This is a cross sectional study, with intracerebral hemorrhage Head CT scan examination then examined serum levels of plasma GFAP her at the time of patient entry from RSUP. H. Adam Malik Medan from March 2014 -May 2014. Results: In this research, we found the frequency of male patients as many (62.5%), while as many women (37.5%). Predominant age range in patients encountered in this study were 46-51 years old and are the dominant ethnic Batak tribe (43.8%). Conclusion: There were no significant differences between groups in serum GFAP levels with bleeding volume ? 30 cc compared to those with bleeding volume
PENGARUH PEMBERIAN JUS BUAH PEPAYA (Carica Papaya L) TERHADAP GAMBARAN HISTOPATOLOGIK FATTY STREAK PADA DINDING AORTA ABDOMINALIS TIKUS WISTAR JANTAN HIPERKOLESTEROLEMIK Sutysna, Hendra; Japardi, Iskandar; ., Soekimin
Jurnal Biomedik : JBM Vol 6, No 3 (2014): JURNAL BIOMEDIK : JBM
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.6.3.2014.6324

Abstract

Abstract: Papaya (Carica papaya L) is rich of antioxidants, such as betacarotene, which is a powerful antidote to reactive oxygen compound (ROS) and stimulates the body to convert toxic substances into harmless compounds. In atherosclerotic lesions, antioxidants inhibit the oxidation of LDL cholesterol and prevent the oxidative stress, therefore, reducing the vascular endothelial dysfunction. This study aimed to obtain the effect of papaya given orally on histopathological changes which was determined by numbers of foam cells and abdominal aortic wall thickness of male hypercholesterolemic wistar rats. This was an experimental study. Samples were 24 adult male wistar rats divided into five groups. The negative control group K1 was fed on standard diet for 2 weeks and the positive control group K2, each was fed on diet of egg yolks 5 mg/day for 2 weeks. There were three treatment groups: P1, each was fed on papaya juice 2,6 g/day for 2 weeks; P2, each was fed on papaya juice 2,6 g/day for 4 weeks; and P3, each was fed on papaya juice 2,6 g/day for 6 weeks by using nasogastric tube. After the treatment period of each sample group, the wistar rats were decapitated, and then the levels of total cholesterol and LDL of blood serum were examined as well as the histopathological changes were identified. Data were analyzed by using Oneway-Anova test, followed by Post-Hoc test. The results showed that among P1, P2, and P3 groups there were reductions in the numbers of foam cells in the walls of the abdominal aorta and in the thickness of abdominal aortic wall compared to the K2. Conclusion: Papaya juice which was given orally for 2-4 weeks could reduce the histopathological changes of abdominal aortic walls of male hypercholesteremic wistar rats.Keywords: papaya, antioxidant, hypercholesterolemic, histopathological changes, fatty streakAbstrak: Pepaya (Carica papaya L) kaya akan antioksidan beta-karoten yang merupakan penawar kuat untuk senyawa oksigen reaktif (ROS) dan berkemampuan menstimulasi tubuh untuk mengubah substansi toksik menjadi senyawa yang tidak berbahaya. Pada lesi aterosklerotik, antioksidan dapat menghambat oksidasi kolesterol LDL dan stres oksidatif sehingga mengurangi terjadinya disfungsi endotel pembuluh darah. Penelitian ini bertujuan untuk mengetahui efek pemberian jus buah pepaya secara oral terhadap gambaran histopatologik yaitu jumlah sel busa dan ketebalan dinding pembuluh darah dari aorta abdo-minalis tikus wistar jantan yang hiperkolesterolemik. Penelitian ini bersifat eksperimental dengan rancangan Randomized Post-test Only Control Group Design. Sampel 24 ekor tikus wistar jantan dewasa dibagi dalam 5 kelompok. Kelompok kontrol negatif K1 diberi diet pakan standar selama 2 minggu dan kelompok kontrol positif K2 diberi diet kuning telur 5 mg/ekor/hari selama 2 minggu. Terdapat tiga kelompok perlakuan: P1 diberi jus pepaya 2,6 g/ekor/hari selama 2 minggu; P2 diberi jus pepaya 2,6 g/ekor/hari selama 4 minggu; dan P3 yang diberi jus pepaya 2,6 g/ekor/hari selama 6 minggu melalui sonde hidung. Setelah masa perlakuan masing-masing kelompok, sampel didekapitasi, kemudian diukur kadar kolesterol total dan LDL serum darah, serta diidentifikasi gambaran histopatologik yaitu jumlah sel busa dan ketebalan dinding aorta abdominalis. Data dianalisis dengan uji Oneway- Anova dan dilanjutkan dengan uji Post-Hoc. Hasil penelitian menunjukkan bahwa pemberian jus buah pepaya 2,6 gram/ekor pada kelompok perlakuan P1, P2, dan P3 dapat menurunkan jumlah sel busa pada dinding aorta abdominalis dan ketebalan dinding aorta abdominalis tikus wistar jantan yang hiperkolesterolemik dibandingkan dengan kelompok kontrol positif K2. Simpulan: Pemberian jus pepaya per oral selama 2-4 minggu dapat menurunkan perubahan histopatologik dinding aorta abdominalis tikus wistar jantan yang hiperkolesterolemik.Kata kunci: pepaya, antioksidan, hiperkolesterolemik, histopatologik, fatty streak.
Secretome from hypoxic mesenchymal stem cells as a potential therapy for ischemic stroke: Investigations on VEGF and GFAP expression Silvana, Sisca; Japardi, Iskandar; Rusda, Muhammad; Daulay, Rini S.; Putra, Agung; Mangunatmadja, Irawan; Darlan, Dewi M.; Sofyani, Sri; Andreas, Yana
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.v4i3.1181

Abstract

Ischemic stroke is a sudden onset of neurological deficit resulting from a blockage in cerebral blood vessels, which can lead to brain tissue damage, chronic disability, and increased risk of mortality. Secretome from hypoxic mesenchymal stem cells (SH-MSC) is a potential therapy to improve neurological deficit by increasing the expression of vascular endothelial growth factor (VEGF) and reducing glial fibrillary acidic protein (GFAP). These effects can reduce the infarction area of ischemic stroke. Therefore, the aim of this study was to analyze the effect of 150 μL and 300 μL SH-MSC injection on VEGF and GFAP expression as well as the improvement of infarction area in ischemic stroke animal model. A post-test-only experimental design with consecutive sampling was used, with Rattus norvegicus as subjects. Stromal mesenchymal stem cells (S-MSCs) were isolated from the umbilical cords of rats at 21 days of gestation. Secretome production by the S-MSCs was induced under a hypoxic condition, and subsequently isolated. The resultant secretome was administered to rats subjected to middle cerebral artery occlusion (MCAO) at doses of 150 μL (P1 group) and 300 μL (P2 group). The results showed that the infarction area was reduced in P1 (p<0.001) and P2 groups (p<0.001). SH-MSC at a dose of 300 μL increased the expression of VEGF (p=0.028) and reduced the expression of GFAP (p=0.001). In conclusion, secretome from hypoxic S-MSC could potentially improve ischemic stroke by upregulating VEGF expression and downregulating GFAP expression.