Efendi Lukas
Departemen Obstetri Dan Ginekologi, Fakultas Kedokteran Universitas Hasanuddin, Indonesia

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The Association of Creactive Protein Levels in Second Trimester of Pregnancy with Preeclampsia Zulfaekasari Nasruddin; Efendi Lukas; Umar Malinta; Maisuri T Chalid
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 1. January 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (111.101 KB) | DOI: 10.32771/inajog.v6i1.752

Abstract

Objective: To determine C-reactive protein in second trimesterof pregnancy women who preeclamptic and non-preeclampticwomen, and to determine the relationship between the level ofC-Reactive protein of trimester two pregnancy and preeclampsiaoccurrence.Methods: This was a prospective study conducted at the policlinicsof network of academic hospitals of the Department of Obstetricsand Gynecology of Faculty of Medicine, Universitas Hasanuddin andpoliclinic of child and mother, and some Public Health Centers inMakassar city from September 2015 - April 2016. The C-reactiveprotein 115 level of pregnant women in pregnancy age of 24-28weeks was checked, whether the subjects underwent preeclampsiauntil the childbirth process. Statistics analysis used Fisher’s exacttest and Mann Whitney test.Results: The result indicate that 9 subjects (7.8%) developedpreeclampsia and 106 subjects did not become preeclampsia. Thelevel of C-Reactive protein increased in preeclampsia group comparedto non preeclampsia group i.e 5.05  1.153 : 3.36  0.265,but statistically the result is not significant (value p>0.05).Conclusion: The average score of C-Reactive protein of preeclampsiagroup is 33.5% higher than non-preeclampsia group,even though these results cannot be used as the score to predictthe preeclampsia occurrence.Keywords: C-reactive protein, preeclampsia, second trimesterpregnancy
Hypertriglyceridemia is associated with the incidence of preeclampsia: Hubungan Profil Lipid Serum pada Kehamilan Trimester Kedua dengan Kejadian Preeklamsia Intje S Dahlan; Mardiah Tahir; Efendi Lukas; St. Maisuri T Chalid
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (89.004 KB) | DOI: 10.32771/inajog.v6i4.844

Abstract

Abstract Objective: to find out the correlation between lipid profille at trimester II of pregnancy and the incidence.of preeclampsia Method : The research was conducted in the Polyclinic of Hasanuddin University Teaching Hospital, Department of Obstetrics and Gynecology of the Faculty of Medicine, and it network in Makassar city from March, 2015 through March, 2016. The research used was the prospective cohort design. Results : The examination of the lipid levels of 115 pregnant mothers, aged 24-28 weeks. The mothers were then observed whether they experienced preeclampsia up to the time they gave birth or not. In the end, 8 subjects (6.9%) experienced preeclampsia and 107 subjects (93.1%) have no preeclampsia. The statistical analyses used Fisher’s Exact test and Mann Whitney test. The research results indicated that the mean value of the total cholesterol and Low Density Lipoprotein (LDL) was higher in the preeclampsia group compared to the non-preeclampsia group: 267.37 ± 64.12 : 238 ± 37.98; 177.38 ± 55.38 : 157.24 ± 35.08 (p>0.05). The mean value of High Density Lipoprotein (HDL) was lower in the preeclampsia group compared to the non-preeclampsia group: 64.75 ± 14.64 : 67.86 ± 16.72 (p>0,05). The mean value of trigliserida in preeclampsia group was significantly higher (19,5%) compared thanin the non-preeclampsia group: 260.12 ± 58.86 vs 209.14 ± 65.10 (p=0,027). Conclusion : The hypertrigliseridemia was correlated with the preeclampsia incidence. Keywords:preeclampsia, lipid profile, trimester II of pregnancy Abstrak Tujuan: mengetahui hubungan antara profil lipid kehamilan trimester II dengan kejadian preeklamsia. Metode : Penelitian dilaksanakan di Poliklinik RS jejaring pendidikan Departemen Obstetri dan Ginekologi Fakulltas Kedokteran Universitas Hasanuddin dan Poliklinik Kesehatan Ibu dan Anak di beberapa Puskesmas Kota Makassar selama Maret 2015 sampai dengan Maret 2016. Rancangan penelitian yang digunakan adalah prospektif kohort. Hasil: dari 115 ibu hamil dilakukan pemeriksaan kadar lipid, 115 ibu hamil pada usia kehamilan 24 – 28 minggu, kemudian diamati apakah subyek mengalami preeklamsia hingga proses persalinan. Terdapat delapan subyek (6,9%) berkembang menjadi preeklampsia dan 107 subyek tidak preeklamsia. Data dianalisis secara statistik dengan menggunakan uji Fisher’s Exact dan uji Mann Whitney. Hasil penelitian menunjukkan bahwa nilai mean kolesterol total dan Low Density Lipoprotein (LDL) lebih tinggi pada kelompok preeklampsia dibandingkan kelompok tidak preeklamsia, yaitu 267,37 ± 64,12 : 238,01 ± 37,98; 177,38 ± 55,38 : 157,24 ± 35,08 (p>0,05). Nilai mean High Density Lipoprotein (HDL) lebih rendah pada kelompok preeklamsia dibandingkan tidak preeklamsia yaitu 64,75 ± 14,64 : 67,86 ± 16,72 (p>0,05). Nilai mean trigli seri daripada kelompok preeklamsia secara signifikan lebih tinggi 19,5 % dibandingkan kelompok tidak preeklamsia, yaitu 260,12 ± 58,86 : 209,14 ± 65,10 (p=0,027). Kesimpulan : Hiper trigli seridemia berhubungan dengan kejadian preeklamsia. Kata kunci : preeklamsia, profil lipid, kehamilan trimester II
Effect of Pyridoxine on Prostaglandin Plasma Level for Primary Dysmenorrheal Treatment: Pengaruh Pemberian Piridoksin terhadap Kadar Prostaglandin Plasma sebagai Terapi Dismenore Primer Ervan J Randabunga; Efendi Lukas; Josephine L Tumedia; St. Maisuri T. Chalid
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.561 KB) | DOI: 10.32771/inajog.v6i4.848

Abstract

Objective : To determine the effect of vitamin B6 (pyridoxine) the levels of prostaglandins and intensity of pain in primary dysmenorrheal. Methods : The levels of prostaglandin (PGF2α) in plasma measured by ELISA and pain intensity by verbal rating scales conducted on 35 women with primary dysmenorrheal (n=35) supplemented with vitamin B6 100mg for 4 days and controls with placebo (n=35). Results : Prostaglandin levels decreased significantly after vitamin B6 supplementation (2212.9+1374.2 vs 1490.3+1119.0; p<0.05) followed by a significant reduction in pain intensity (4.29+0.7 vs 1.71+0.5; p<0.05) in the test group compared to control. Conclusion : Due to vitamin B6 effects on decreasing prostaglandin levels and pain of primary dysmenorrheal, so that B6 vitamin can become the treatment for the primary dysmenorrheal. Keywords : Primary dysmenorrheal, pyridoxine, prostaglandin Tujuan: Untuk mengetahui pengaruh pemberian vitamin B6 (piridoksin) terhadap kadar prostaglandin dan intensitas nyeri pada dismenore primer. Metode: Pemeriksaan kadar prostaglandin (PGF2α) dengan ELISA dan pengukuran intensitas nyeri dengan verbal rating scales dilakukan pada 35 orang (n=35) wanita dengan dismenore primer yang mendapatkan vitamin B6 100mg selama 4 hari dan kontrol yang mendapatkan plasebo (n=35). Hasil: Kadar prostaglandin menurun bermakna setelah pemberian vitamin B6 (2212,9+1374,2 vs 1490,3+1119,0; p<0,05) disertai dengan penurunan intensitas nyeri yang bermakna (4,29+0,7 vs 1,71+0,5; p<0,05) pada kelompok uji dibandingkan kontrol. Kesimpulan: Vitamin B6 menurunkan kadar prostaglandin dan nyeri sehingga vitamin B6 dapat dipertimbangkan menjadi salah satu pengobatan dismenore primer. Kata kunci : Dismenore primer, piridoksin, prostaglandin
Serum Leptin Concentration is Correlated to Insulin Resistance in Polycystic Ovary Syndrome (PCOS) Patients Arsyi Adliah Anwar; Nusratuddin Abdullah; Andi Nursanty Padjalangi; Firdaus Hamid; Nasrudin Andi Mappeware; Efendi Lukas
Molecular and Cellular Biomedical Sciences Vol 5, No 2 (2021)
Publisher : Cell and BioPharmaceutical Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21705/mcbs.v5i2.203

Abstract

Background: Leptin resistance which leads to excessive circulating leptin levels is thought to affect ovarian function. This study aimed to study the correlation between serum leptin levels with insulin resistance in patients with polycystic ovary syndrome.Materials and Methods: This cross-sectional study was undertaken in several teaching hospitals in Makassar, Indonesia. We included patients diagnosed with polycystic ovary syndrome (PCOS) aged 18-40 years old. Serum leptin levels were examined in all eligible subjects using the enzyme-linked immunosorbent assay (ELISA) method. The results obtained were further analyzed statistically.Results: Approximately 53 PCOS subjects were included in this study, 25 subjects with insulin resistance and 28 subjects without insulin resistance. After examining serum leptin levels, we found that leptin is directly proportional to insulin resistance (p<0.001). We even found a strong positive correlation between serum leptin levels with homeostatic model assessment for insulin resistance (HOMA-IR) levels (r=0.659; p<0.001). Leptin was found to be independent of HOMA-IR, not influenced by confounding factors such as body mass index (BMI) (p=0.090).Conclusion: There was a significant correlation between serum leptin levels and HOMA-IR values in PCOS patients. This correlation was found to be significant regardless of patient's BMI, therefore is considered to have a direct effect on insulin resistance in PCOS.Keywords: polycystic ovary syndrome, leptin, insulin resistance, HOMA-IR
Perbandingan Kadar Reactive Oxygen Species (ROS) sebagai Penanda Stres Oksidatif pada Ibu Hamil Dengan dan Tanpa Vaginosis Bakterial Dwicky Limbersia Aries; Maisuri T. Chalid; Rina Previana Amiruddin; Rizalinda Sjahril; Efendi Lukas; Susiawaty Mustafa
Indonesian Journal of Obstetrics & Gynecology Science Volume 6 Nomor 2 Juli 2023
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v6.n2.529

Abstract

Tujuan: Menganalisis perbandingan antara kadar reactive oxygen species pada ibu hamil dengan dan tanpa vaginosis bakterial.Metode: Penelitian cross sectional dilakukan pada ibu hamil yang datang berobat ke Poliklinik RSUP Dr. Wahidin Sudirohusodo, Rumah Sakit jejaring serta Puskesmas di Makassar, Indonesia, pada Juli 2021 sampai Juli 2022. Pengambilan sampel dilakukan dengan consecutive sampling. Subjek penelitian dengan dan tanpa vaginosis bakterial dikelompokkan berdasarkan hasil dari kriteria Amsel kemudian  kadar reactive oxygen species diukur dengan ROS ELISA Kit. Data dianalisis dengan uji chi-square, uji Mann-Whitney dan uji Kruskal Wallis.Hasil: Diperoleh 85 subyek penelitian yang terdiri dari 41 ibu hamil dengan vaginosis bakterial positif dan 44 ibu hamil dengan vaginosis bakterial negatif. Ibu hamil dengan vaginosis bakterial positif mempunyai kadar reactive oxygen species lebih rendah dibandingkan ibu hamil dengan vaginosis bakterial negatif (p=0.001*). Faktor lain yang berhubungan signifikan dengan kadar reactive oxygen species adalah lama keputihan >1 bulan. Umur, paritas, status gizi, diet fast food dan usia kehamilan tidak berhubungan signifikan dengan kadar reactive oxygen species (p>0,05).Kesimpulan: Kadar reactive oxygen species pada ibu hamil dengan vaginosis bakterial lebih rendah dari pada ibu hamil tanpa vaginosis bakterial. Diperlukan studi lanjut dengan skala penelitian yang lebih besar dengan lebih mengendalikan faktor-faktor yang dapat memengaruhi bias penelitian serta penelitian lebih lanjut mengenai kadar ROS dengan pendekatan sampel cairan vaginaComparison of Reactive Oxygen Species (ROS) Levels as Marker Of Oxidative Stress in Pregnant Women With and Without Bacterial VaginosisAbstractObjective: To analyze the comparison between levels of reactive oxygen species in pregnant women with and without bacterial vaginosis. Method: This study used a cross-sectional method that was conducted on pregnant women who came for treatment at Dr. Wahidin Sudirohusodo Hospital Polyclinic, a network hospital and public health center in Makassar, Indonesia, in July 2021-July 2022. Sampling was carried out using consecutive sampling. Research subjects with and without bacterial vaginosis were grouped based on the results of Amsel criteria and then ROS levels were measured by ROS ELISA kit. Data were analyzed by chi-square test, Mann-Whitney test, and Kruskal Wallis test. Results: There were 85 research subjects consisting of 41 pregnant women with positive bacterial vaginosis and 44 pregnant women with negative bacterial vaginosis. Pregnant women with positive bacterial vaginosis had lower levels of reactive oxygen species than pregnant women with negative bacterial vaginosis (p=0.001*). Another factor significantly related to reactive oxygen species levels  is vaginal discharge for > 1 month. Age, parity, nutritional status, fast food diet, and gestational age were not significantly related to levels of reactive oxygen species (p>0.05).Conclusion: The level of reactive oxygen species in pregnant women with bacterial vaginosis is lower than in pregnant women without bacterial vaginosis. Further studies are needed with a larger research scale with better control over factors that can influence research bias and further research on ROS levels with a vaginal fluid sample approach.Key words: bacterial vaginosis, pregnant women, reactive oxygen species