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Journal : SRIWIJAYA JOURNAL OF MEDICINE

Case Report: Unilateral Secondary Spontaneous Pneumothorax caused by Pulmonary Tuberculosis in a Heavy Smoker Syazili Mustofa; Antoni Antoni
Sriwijaya Journal of Medicine Vol. 6 No. 3 (2023): Vol 6, No. 3, 2023
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v6i3.199

Abstract

Pneumothorax is an accumulation of air between the lungs and the chest wall that can occur either spontaneously or in conjunction with an underlying lung disease (primary spontaneous pneumothorax; secondary spontaneous pneumothorax, respectively). The primary manifestations of this ailment are chest discomfort and dyspnea. Secondary spontaneous pneumothorax is a common and potentially life-threatening consequence of pulmonary tuberculosis (TB) that frequently occurs in clinical settings and requires prompt and effective treatment. This case report seeks to comprehend the underlying mechanisms of spontaneous pneumothorax resulting from tuberculosis and effectively diagnose and treat this condition. A 37-year-old male presented to the emergency department at Abdoel Moeloek Regional General Hospital in Lampung Province with worsening dyspnea, followed by coughing and right-sided chest pain. By doing a thorough analysis of the patient's medical history, performing a physical examination, and conducting other tests, it was determined that the patient is suffering from a right secondary spontaneous pneumothorax, which is a result of pulmonary tuberculosis. The patient had WSD installation management and thereafter received hospitalization for symptomatic therapy and antibiotic treatment.
Risk Factors Associated with Colorectal Cancer at Abdoel Moeloek Regional General Hospital, Lampung Province Syazili Mustofa; Andika Ridwan Nugraha Harahap
Sriwijaya Journal of Medicine Vol. 5 No. 2 (2022): Vol 5, No. 2, 2022
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v5i2.200

Abstract

Colorectal cancer is a malignant neoplasm originating or growing in the colon and rectum, which become one of the malignant diseases with the highest prevalence in Indonesia. This research aimed to determine the association between risk factors and the incidence of colorectal cancer in RSUD Dr. H. Abdul Moeloek Bandar Lampung. This research was conducted from May to July 2018 at RSUD Dr. H. Abdul Moeloek Bandar Lampung, using the observational analytic method and a case-control design. The sample of this research consisted of 92 respondents, which was determined using the consecutive sampling technique—a measurement method used in the form of interviews and medical records. Data was processed using a statistical test with a 0.05 confidence level. The result of the Chi-square test showed that there was an association between age (p = 0.01), physical activity (p = 0.001), smoking history (p = 0.001), alcohol consumption history (p = 0.021), and diabetes Mellitus history (p = 0.012) with the incidence of colorectal cancer. There was an association between age, physical activity, smoking history, alcohol consumption history, and diabetes Mellitus history with the incidence of colorectal cancer in RSUD Dr. H. Abdul Moeloek Bandar Lampung.
Oral Administration of Moringa Leaf Ethanol Extract (Moringa Oleifera) for 14 Days Protects The Liver of Male White Rats (Rattus Norvegicus) from Acute Damage Caused by High Doses of Paracetamol Syazili Mustofa; Gusti Agung Putu Yogy Veda Ananta
Sriwijaya Journal of Medicine Vol. 5 No. 3 (2022): Vol 5, No. 3, 2022
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v5i3.201

Abstract

Paracetamol is a widely utilized medication globally and is the primary cause of poisoning incidents in high-income countries. Paracetamol induces hepatotoxicity that is depending on the dosage when taken in excessive amounts. The Moringa oleifera (MO), belonging to the Moringaceae family, is one of the medicinal plants investigated for its potential in treating hepatotoxicity. The MO tree extracts have been documented to possess inhibitory effects, primarily against hepatitis drug-induced hepatotoxicity, owing to their bioactive components. An experimental laboratory enrolled using 36 samples of male white rats (Rattus norvegicus), which were divided into six groups: standard control group (K), positive control group (K1) given paracetamol 3000mg/kg BW on 15th days; antioxidant control group (K2) given vitamin c 500mg/kg BW for 14 days; treatment group 1 (P1), treatment group 2 (P2) and treatment group 3 (P3) each given moringa oleifera leaves extract 200mg/kg BW, 400mg/kg BW and 800mg/kg BW for 14 days. Each group, except the standard control group, was given paracetamol 3000mg/Kg BW on the 15th day. On the 16th day, the mice were euthanized, and then their livers were made into histological preparations and examined using a microscope at 40 times magnification. The level of liver cellular damage was categorized into scoring based on the level of damage. Score 1 if no damage, score 2 if parenchymatous degeneration was found, score 3 if hydropic degeneration was found, and score 4 if necrosis was found. The average scoring per group was calculated as K: 1.1; K1: 3.17; K2: 1.57; P1: 1.5; P2: 1.73; P3: 1.9. K1 appeared necrotic. Inflammation and hydropic degeneration were found in K2, P1, P2, and P3. Data were analyzed using the Kruskal-Wallis Test, obtained p = 0.000 (p < 0.05). Moringa leaf ethanol extract affected hepatic induction by paracetamol because significant differences were found between groups P1, P2, and P3 with K1 (p < 0.05). There were no significant differences between groups K2 and P1 (p > 0.05), showing that the effect of giving 500mg/kg BW vitamin C was equivalent to providing 200mg/kg BW Moringa leaves. It was concluded that giving ethanol extract of Moringa oleifera leaves protected the acute histopathological damage of the liver of male white rats of the Sprague Dawley strain induced by paracetamol.
Rhizophora apiculata Bark Ethanolic Extracts Prevent Kidney Damage Caused by Cigarette Smoke in Male Rats Syazili Mustofa; Sarasmita Nirmala Dewi
Sriwijaya Journal of Medicine Vol. 6 No. 1 (2023): Vol 6, No. 1, 2023
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v6i1.204

Abstract

Rhizophora apiculata mangrove bark contains high levels of antioxidants, including triterpenoids, steroids, saponins, and tannins. The high antioxidant content can prevent oxidative stress, one of which is caused by free radicals from cigarette smoke. This research aimed to determine the potential of Rhizophora apiculata mangrove bark to protect against damage to the kidney organs of male white rats (Rattus novergicus) of the Sprague-Dawley strain exposed to cigarette smoke. This study used 25 mice divided into 5 groups for 30 days, namely group K(-), which was not given exposure to cigarette smoke and mangrove bark extract; group K(+), which was only given exposure to cigarette smoke; group P1, which was given the extract mangrove bark with a dose of 26.27 mg/kg BW and given exposure to cigarette smoke 24 cigarettes per day, group P2 which was given mangrove bark extract with a dose of 56.55 mg/kg BW and given exposure to cigarette smoke 24 cigarettes per day, and group P3 which was given mangrove oil bark extract at a dose of 113.1 mg/kg BW and given exposure to cigarette smoke 24 cigarettes per day. On day 31, the rats were euthanized, and their kidneys were prepared for histology. Kidney histology was observed, and kidney damage was assessed from the histology of glomerular and renal tubular damage. The kidney damage score is 0 if there was no damage, 1 if inflammatory cell infiltration was found, 2 if Bowman space edema or swelling of tubular epithelial cells was found, 3 if necrosis was found. Then, take the average of each renal tubular and glomerular damage score and add them together for a total damage score, namely 0-6. The median kidney damage score in the K (-) group was 0.4, the K (+) group was 3.6, the P1 group was 2.4, the P2 group was 2.4, and the P3 group was 2.2. The results of the Kruskal-Wallis test obtained a p-value of 0.001, meaning there were significant differences in at least the two treatment groups. This research showed that administering Rhizophora apiculata mangrove bark extract could prevent histological damage to the kidneys of male white rats of the Sprague-Dawley strain caused by cigarette smoke.
A Subacute Toxicity Test of Rhizophora apiculata Stem Bark Ethanol Extract on the Number, Motility, and Morphology of Male Rattus Norvegicus Spermatozoa Syazili Mustofa; Rheza Paleva
Sriwijaya Journal of Medicine Vol. 6 No. 2 (2023): Vol 6, No. 2, 2023
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v6i2.207

Abstract

Indonesia has the largest mangrove ecosystem in the world. Rhizophora apiculata is a mangrove often used as traditional medicine by Indonesians. It has previously been researched that the ethanol extract of Rhizophora apiculata stem bark has benefits as a source of natural antioxidants. However, there has yet to be much research on the toxicity of this extract. Therefore, researchers want to know the subacute toxic dose of Rhizophora apiculata bark extract on fertility parameters. The type of research is experimental research with a completely randomized research design. The sample consisted of 30 male rats, which were divided into 5 groups, namely the control group, which received no treatment, and the P1-P4 treatment group, which was given Rhizophora apiculata bark extract every day with 4 dose levels starting from 114 mg/kg BW to a dose of 912 mg/kg BW for 28 days. On day 30, the rats were euthanized, and the fertility parameters of the rat spermatozoa were examined using a microscope. Kruskal-Wallis analysis and One-Way ANOVA showed p<0.05 for the spermatozoa's number, motility, and morphology. The toxic dose that can reduce the number of spermatozoa is found at 912 mg/kg BW; the toxic dose that reduces spermatozoa motility is 228 mg/kg BW; and the toxic dose that affects spermatozoa morphology is 456 mg/kg BW. This research concludes that the subacute toxic dose of the ethanol extract of Rhizophora apiculata stem bark against the spermatozoa of the male Rattus norvegicus Sprague Dawley strain in the subchronic toxicity test was 228 mg/kg BW.
Co-Authors A.P, Gadila Achmad Gozali Ade Yonata Adityo Wibowo, Adityo Adli, Farhan Kamali Afriyana, Regi Agung Kurnia, Ahmad Fadila Agus Dwi Susanto Agus Wantoro Agustia Pratiwi Agustyas Tjiptaningrum agustyas tjiptaningrum Ahmad A Anindito Aisyah A Putri Aisyah Ramadhani Amanda Febby Amanda Febby Febrina Amani Raya, Latansa Amertavia, Sindika Ananta, Yoga andestya nanda pratama Andika Ridwan Nugraha Harahap Anggi Adelia Anggraeni Janar Wulan Anggraeni Janar Wulan, Anggraeni Janar Anggraeni, Liza Annisa Adietya Pratama Antoni Antoni Apga Repindo Asep Sukohar Asyifa, Takhfa Nur Aviv Fitria Yulia Ayu Tiara FItri Ayu, Putu Ristyaning Benny Syahputra Gumay Betta Kurniawan Betta Kurniawan, Betta Budhi Antariksa Caesaria Sinta Zuya Caesarridha, Dhaifany Karissa Chicy WIdya Morfi Christi Natalia Sirait Dansen Frans Louise Draven Rudyanto David Tongon Silaen Dewi Nur Fiana Dewi, Meidiana Kartika Dheti Efrilia Dheti Efrilia - Dimas Trend PB Dorisman, Hari Dwi Indria Anggraini Dwi Sarwindah Dyah Wulan Sumekar Rengganis Wardani Ekawati, Diyan Eksa, Dwi Robbiardy Elman Dani Firdaus Endah Setyaningrum Endah Setyaningrum, Endah Ersa, Rakhmigasti Citra Erumbia, Ilham Akbar Ety Apriliana Evi Kurniawaty Evy Kurniawaty Faisal Rohmadhiyaul Haq Faisal Yunus Faisol Rohmadhiyaul Haq Fauziah Hanif Fayza Syachrani Febrianti, Arlin Febrihartati, Isura Feby Aulia Hasanah Femmy Andrifianie Fikri Muhammad Rifai Patongai Firantika Dias Puteri Fitri, Ayu Tiara Fitria Saftarina Fitriyah . Fitriyah Fitriyah Fitriyah Fitriyah Fransisca Sinaga Fredison, Fredison Gerliandi, Egi Oktarian Gigih Setiawan Gilang Kukuh Megantoro Ginting, Bisart Giska Tri Putri Gusti Agung Putu Yogy Veda Ananta Gusti Wahyu, Pratiwi Hakim Alhaady Juhana Hakim Alhaady Juhana, Hakim Alhaady Hanna Mutiara, Hanna Helmi Ismunandar Hendri Busman Hendri Busman Herdato, M. Junus Didiek I Made Afryan SL I Made Galih Fradiva Giantara Idzni Mardhiyah Ifan Aulia Candra Ilma Puteri Hutami Indri Windarti Infianto, Andreas Intan Kusumaningtyas Intanri Kurniati Isnamurti Ciptaningrum Isura Febrihartati Izzati, Marwah Aulia Jamsari Jamsari Jati, Pandu Kumaya Jhons Fatriyadi Suwandi Jordy Oktobiannobel Karima, Nisa Karina, Salwa Al Kevin Jeremia Purba Khairun Nisa Khairun Nisa Khoiri, Ratu Kirana Siva Kholis Abdurachim Audah Kurniawaty, Evi Kusumajati, Pusparini Linda Septiani Listiandoko, Raden Dicky Wirawan Lucky Togihon M. Rakha Gerizha M., Tria Mallarangeng, Andi Nafisah Tendri Adjeng Maulana, Rifadly Yusril Mayasari, Diana Meiwa Rizky Ardhi Blla Putri Mentariasih Maulida Mersiana, Putri Febi Mia Esta Poetri Afdal Faisal Mirza Purwitasari Mohamad Sadikin Morfi, Chicy Widya Muhammad Fitra Wardhana Sayoeti Muhammad Iqbal Muhammad Maulana Muhammad Ricky Ramadhian Muhartono Muhartono Muhartono NA, Ahmad Mufid Nadhifa, Farin Nadya Febriani Namdes, Fitri Cyntya Naufal Rivo Aditya Ni Sayu Putu Desya Laksmi Putri Nicholas Alfa Nickyta Yolandita Rosti Novita Carolia Novita Carolia Novita Carolia Nuriah Nuriah Nuriah, Nuriah Nursidiq, Iqbal Muhammad Rafi Oktadoni Saputra, Oktadoni Pinaka Baladika, Dimas Trend Poty, Pitha Maykania Pralia Winda Sari Pratama, Arianda Puan Raissa Lenka Puteri, Vadiyani Fricillya Putra, Andika Chandra Putranata, Naufal R. Putri Adilla Putri, Reny Arienta Rahmasari, Fania Asfi rahmawati, selvi Ramadhan, Muhammad Alif Ramadhana Komala Ramdini, Dwi Aulia Rani Himayani Rasmi Zakiah Oktarlina Ratna Dewi PS Ratna Dewi Puspita Sari Retno A S Soemarwoto Retno Ariza S Soemarwoto Retno Ariza S. Soemarwoto Retno Ariza Soeprihatini Soemarwoto Rheza Paleva Rika Lisiswanti Risal Wintoko Risti Graharti Rizki Putra Sanjaya Rizki Putra Sanjaya Rizki Putra Sanjaya Rizqun Nisa Afriyanti Rosari HS, Felicya Rr Astri Nur Azizah Utama Rusmini, Hetti S Rahmanisa Sani, Nanda Apri Saputra, Tetra Arya Saputra, Tito Tri Sarasmita Nirmala Dewi Sarmoko Sarmoko Septiani, Linda Setiorini, Anggi Shina Megaputri Shinta Nareswari, Shinta Sidik, Faizah Zahrah Silaen, David Silvia Andriani Sinaga, Fransisca T.Y. Sinaga, Fransisca TY Sirait, Felicya Rosari Hasianna Siti Hazrina Soemarwoto, Retno Ariza Soemarwoto, Retno Ariza S Soemarwoto, Retno Ariza Soeprihatini Soeprihatini Soemarwoto, Retno Ariza Soeprihatini, Retno Ariza Soraya Rahmanisa Soraya Rahmanisa Soraya Rahmanisa Sri Janahtul Hayati Sri Janahtul Hayati Sri Puji Hartini Suharyani Suharyani Suharyani Suharyani Sukarti Sukarti Suryadi Islami Suryani Agustina Daulay Susianti Susianti Susianti Susianti Susianti, Susianti Sutarto Sutarto Sutyarso Sutyarso Sutyarso Suwarno, Sukarti San Syahrani, Fitri Aulia Syaka, Muthiiah Khodista Syakir, Muhammad Addin Syiefa Renanda Surya Tarigan, Clara Yulianti Terza Aflika Happy Tito Tri Saputra Tito Tri Saputra Tito Tri Saputra Tiwuk Susantiningsih Tri Putri, Giska Tri Umiana Soleha Tri Umiana Soleha Triyandi, Ramadhan Veny Anisya Victoria Hawarima Virginia, Nur Ayu W Bahagia Wawan Abdullah Setiawan Wayan Ferly Aryana Winda Trijayanthi Utama, Winda Trijayanthi Wisnugroho, Cahyo Wulan, Anggraini Janar Yana Ayu, Dwi Yandri Yanwirasti Yuningrum, Hesti Zulia Yasminanindita Fahmi Zulkifli