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All Journal INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES E-Jurnal Medika Udayana Jurnal e-Biomedik JURNAL BIOMEDIK Prosiding Seminar Nasional MIPA Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya WMJ (Warmadewa Medical Journal) Molecular and Cellular Biomedical Sciences (MCBS) Berkala Ilmiah Kedokteran Duta Wacana ISM (Intisari Sains Medis) : Jurnal Kedokteran Majalah Kesehatan Pharmamedika Jurnal Kedokteran: Media Informasi Ilmu Kedokteran dan Kesehatan Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Neurologico Spinale Medico Chirurgico Indonesian Journal of Global Health research IJAAM (Indonesian Journal of Anti-Aging Medicine) IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN) Indonesian Archives of Biomedical Research (InABR) Cermin Dunia Kedokteran Eduvest - Journal of Universal Studies Asian Journal of Social and Humanities Cermin Dunia Kedokteran

Wimpie I Pangkahila

Department Of Andrologi And Sexology, Faculty Of Medicine, Udayana University

Author-ID : 3606750

Aerospace Engineering Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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The Correlation between TNF-α Serum Level and Andropause with Quality of Life on Elderly Trisna Yuliharti Tersinanda; RA Tuty Kuswardhani; Wimpie I Pangkahila
Indonesian Journal of Global Health Research Vol 2 No 3 (2020): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

As the population of elderly increases, the number of andropause also increases. Andropause is characterized by the decrease of testosteron level which is accompanied by hypogonadism symptoms. Many studies mentioned that decreased testosterone level will contribute to inflammation state, one of the cytokine is TNF-α, which then lead to many chronic inflammation disorders and influence the quality of life. Understanding the significant correlation between androgen and inflammation allows accurate consideration making in using androgen replacement therapy, therefore the quality of life will be improved significantly.This research was an analytical cross-sectional study. Subjects were recruited through random sampling at Denpasar in 2019. TNF-α serum level was measured by human immunoassay method. Andropause was measured by ADAM questionnaire and confirmed by total decreased testosterone serum level. Quality of life was measured by WHOQOL-BREF questionnaire which was then continued by bivariate and multivariate analysis to control the confounding variables. It was considered statistically significant if P value is more than 0.05. There were 60 elderly involved as research subjects consisting of 43 andropause cases and 17 non andropause cases. There was significant correlation between TNF-α serum and quality of life. This study also found that there was significant difference in quality of life between andropause and non andropause group. This study shows that there was significant correlation between TNF-α serum level and andropause with quality of life in elderly.

Gel of sandfish (Holothuria scabra) extract prevented melanin elevation in UVB-exposed guinea pig (Cavia porcellus) skin Dwindi Saptania; Wimpie Pangkahila; Anak Agung Gde Putra Wiraguna
IJAAM (Indonesian Journal of Anti-Aging Medicine) Vol 4 No 2 (2020): Indonesian Journal of Anti-Aging Medicine
Publisher : Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36675/ijaam.v4i2.95

Introduction: Hyperpigmentation is a condition of increasing melanin production in the skin due to UV light exposure. Sandfish (Holothuria scabra) contains phenol, quercetin, saponins, tannins, flavonoids and antioxidants such as vitamin C and others that have the potential anti-melanogenesis effects. The purpose of this study was to prove that topical administration of 40% sandfish (Holothuria scabra) extract gel prevented melanin elevation in UVB-exposed guinea pig (Cavia porcellus) skin. Methods: This study used a randomized post-test only group design by using of 36 guinea pigs. Guinea pigs were then divided into two groups. The control group were 18 guinea pigs exposed to UVB rays and treated with placebo gel base (P0). The treatment group were 18 guinea pigs exposed to UVB rays and treated with 40% sandfish extract gel. The back skin exposed to UVB rays, was cleaned from fur and swabbed with 70% alcohol. After that a punch-biopsy was carried out in the area and histopathological preparations were made. The amount of melanin was examined using Masson-Fontana staining. Results: The results showed that the average amount of melanin in the control group was 18.11± 1.11%, while the average amount of melanin in the treatment group was 1.82 ± 0.72%. Comparative analysis using independent T- test showed that the value of p was <0.001 means that there were significant differences between the control group and the treatment group. Conclusion: The administration of 40% sandfish (Holothuria scabra) extract gel prevented melanin elevation in UVB-exposed guinea pig (Cavia porcellus) skin.

The relationship between the levels of adiponectin HMW and the metabolic syndrome component in menopausal women Melanie Maria Magdalena Ratulangi; Anak Agung Gede Budhiarta; Wimpie Pangkahila
IJAAM (Indonesian Journal of Anti-Aging Medicine) Vol 2 No 1 (2018): Indonesian Journal of Anti-Aging Medicine
Publisher : Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (219.068 KB)

Introduction: In menopausal women, there increasing evidence of adipocyte dysfunction which result in a decrease in adiponectin HMW. The decrease in adiponectin HMW causes various pathological conditions related to aging such as metabolic syndrome. Simple adiponectin HMW measurements can evaluate early insulin resistance, metabolic disorders, or vascular health. The purpose of this study was to prove the relationship between adiponectin HMW levels and metabolic syndrome components in menopausal women. Methods: In this study, 45 postmenopausal women were used who declared physically healthy, met the criteria of metabolic syndrome based on IDF (International Diabetes Federation), willing to participate in the study and willing to fill out research forms as research subjects. This research was conducted at Panti Werdha Theodora in Makassar while the examination of HMW Adiponectin, fasting blood glucose, triglycerides, and High Density Lipoprotein was carried out in Prodia Laboratory. Result: The results showed a strong correlation between adiponectin HMW and metabolic syndrome components which included waist circumference, HDL levels, triglyceride levels, systolic blood pressure, diastolic and fasting blood glucose (p <0.05). Conclusion: It can be concluded that there was a relationship between adiponectin HMW levels and the metabolic syndrome component in menopausal women. HDL and waist circumference were the most significant factors compared to other metabolic factors associated with Adiponectin HMW.

Cream jengkol seed extract 8% (Archidendron pauciflorum) inhibited the increase melanin amount in the skin of guinea pigs (Cavia porcellus) exposed to ultraviolet-B rays Rafiah Sirikit Saenong; Wimpie Pangkahila; AAGP Wiraguna
IJAAM (Indonesian Journal of Anti-Aging Medicine) Vol 5 No 2 (2021): Indonesian Journal of Anti-Aging Medicine
Publisher : Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36675/ijaam.v5i2.85

Introduction: The exposure to UV rays on the skin causes hyperpigmentation and premature aging. Hyperpigmentation is caused by an increase of melanin count in the epidermal skin layer. The abundant natural resources that come from Indonesia and have the potential to be good antioxidants are jengkol seeds. The aim of this research was to prove that 8% jengkol seeds (Archidendron pauciflorum) extract cream could inhibit the increase of melanin count in the skin of guinea pig (Cavia porcellus) exposed to ultraviolet B rays. Method: This design of this research is an experimental research with the post-test only control group design. This research used 36 male guinea pigs (Cavia porcellus), local strains, aged 3 months with a body weight of 300-350mg, divided into 2 groups, each of which was 18. The research was conducted for 2 weeks, then a tissue biopsy was carried out as a histological preparation and then the Masson-Fontana staining was carried out. Results: The results showed that the mean value of melanin count for the base cream group was 20.851 ± 1.777%, whereas in the treatment group which applied with 8% jengkol seeds extract cream showed the mean value of 1.289 ± 0.391% (p <0,001). This indicated that the base cream group has a bigger melanin count than the jengkol seeds extract group. Conclusion: The 8% jengkol seeds (Archidendron pauciflorum) extract cream inhibited the increase of melanin

Administration of metformin cream prevented the increase of melanin amount in ultraviolet B exposed guinea pigs (Cavia porcellus) skin Vitia Tandy; Wimpie Pangkahila; A.A.G.P. Wiraguna
IJAAM (Indonesian Journal of Anti-Aging Medicine) Vol 5 No 1 (2021): Indonesian Journal of Anti-Aging Medicine
Publisher : Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36675/ijaam.v5i1.71

Introduction: Ultraviolet exposure has been known to be the most significant factor influencing skin pigmentation, includes in increasing melanin amount. It is caused by the effect of ultraviolet B radiation in increasing melanin synthesis. Topical administration of metformin can inhibit the melanogenesis process by decreasing the level of cAMP and inhibiting PKC-β activation. This research aimed to prove that administration of 0.5% metformin cream prevented the increase of melanin amount in ultraviolet B exposed guinea pigs (Cavia porcellus) skin. Methods: This study was a true experimental research using posttest only control group design. Thirty six male guinea pigs were divided into control and treatment group. Base cream was administered to the control group and 0.5% metformin cream was administered to the treatment group once daily. All of the guinea pigs were exposed to ultraviolet B radiation at 390 mJ/cm2 three times a week. Punch biopsy was conducted two weeks after treatment to obtain skin samples for histologic preparations. Thereafter, those samples were stained with Masson-Fontana to examine the melanin amount. Finally, the average melanin amount in both groups was compared. Results: All samples in both groups successfully made to the end of the research without drop out. This research found that the average amount of melanin in treatment group, which was 2.04 ± 0.62%, was significantly lower than control group, which was 18.57 ± 1.68% (p < 0.001). Conclusion: Administration of 0.5% metformin cream prevented the increase of melanin amount in ultraviolet B exposed guinea pigs (Cavia porcellus) skin.

Combination treatment of metformin and red fruit (Pandanus conoideus l.) extract increased pancreatic β cell density but had no effect toward fasting blood glucose and glycated albumin levels in diabetic male wistar rats (Rattus norvegicus) Ingrid Rotinsulu; Wimpie I. Pangkahila; A.A. Gede Budhiarta
IJAAM (Indonesian Journal of Anti-Aging Medicine) Vol 3 No 2 (2019): Indonesian Journal of Anti-Aging Medicine
Publisher : Fakultas Kedokteran Universitas Udayana

Background: Diabetes mellitus (DM) is a degenerative disease associated with premature aging characterized by hyperglycemia. Hyperglycemia in people with DM causes oxidative stress and increases Glycated Albumin level, which is the initial precursor to the formation of AGEs. In turn, AGEs will lead to pancreatic β cell damage and apoptosis. Red fruit (Pandanus conoideus L) contains phytochemicals with antioxidant that has the potential to reduce diabetic complications. Therefore, this study aimed to evaluate the effect of metformin and red fruit extract combination toward blood glucose, glycated albumin and pancreatic β cells density in diabetic rats (Rattus norvegicus). Methods: A post-test only control group study was conducted using 36 male Wistar rats as subject. All subjects were induced for type-2 DM with Streptozotocin and Nicotinamide. The diabetic rats were then divided into 2 groups: the positive control group treated with metformin + placebo and the treatment group treated with metformin + red fruit extract. Pancreatic β cell, fasting blood glucose and glycated albumin assessments were performed after 21 days of treatment. Results: The results showed the mean number of pancreatic β cells in the treatment group was higher than the control group (116.11±33.14 vs 83.20±23.94 cells/visual field; p=0.002). But the mean fasting blood glucose in the treatment group was not significantly different compared to the control group (107.67±14.93 vs. 113.67±11.19 mg/dl; p=0.181). The same result also found in the gycated albumin level (Treatment vs control: 6.97±3.63 vs 6.42±4.01 ng/ml; p=0.666). Conclusion: It can be concluded that the administration of red fruit extract increased the density of pancreatic β cell but did not reduce fasting blood glucose and glycated albumin levels in diabetic Wistar rats.

Administration of oral tranexamic acid is equally effective with intradermal injections in reducing the amount of melanin in female marmots (Cavia porcellus) exposed to ultraviolet-b Ni Luh Putri Astini; Wimpie Pangkahila; AAGP Wiraguna
IJAAM (Indonesian Journal of Anti-Aging Medicine) Vol 2 No 2 (2018): Indonesian Journal of Anti-Aging Medicine
Publisher : Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (282.839 KB)

Introduction: Oral studies of tranexamic acid significantly reduce the MASI (Melasma Area and Severity Index) value but have not evaluated a decrease in the amount of melanin. The purpose of this study is to prove that oral tranexamic acid can reduce the amount of melanin and have the same effectiveness as intradermal injections in female guinea pigs exposed to ultraviolet B. Method: A posttest only control group design study was conducted using 32 female mice, aged 6-8 weeks, weight 250-280 grams, which were randomly divided into 2 groups. Group 1 was given an intradermal injection of tranexamic acid 5 mg/ml, 0.5 ml/cm and exposure to UVB. Group 2 was given oral treatment of tranexamic acid 250 mg twice a day and exposure to UVB. The treatment was given for 4 weeks. Total UVB exposure was 390mj/sec. The study was conducted in the animal laboratory of the Udayana medical faculty. Results: The statistic result showed that the data were normally distributed and homogenous. The comparative test with the independent sample t-test indicated that there was no significant difference between intradermal injections with oral tranexamic acid administration in reducing the amount of melanin in female guinea pigs exposed to UVB with p> 0.05. Conclusion: oral tranexamic acid significantly reduced the amount of melanin and had the same effectiveness as intradermal injections in reducing the amount of melanin in female guinea pigs exposed to UVB.

Topical administration of broccoli flower (brassica oleraceae l. Var italica plenck) extract cream 10% prevented increased of melanin in UVB exposed guinea pig (cavia porcellus) Tambor Tiur Marlina; Wimpie Pangkahila; AAGP Wiraguna
IJAAM (Indonesian Journal of Anti-Aging Medicine) Vol 4 No 1 (2020): Indonesian Journal of Anti-Aging Medicine
Publisher : Fakultas Kedokteran Universitas Udayana

Introduction: Skin aging is primarily caused by increased free radicals and decreased cellular anti-oxidant system in keratinocyte. Broccoli flower contains several important antioxidant molecules that can inhibit aging process of the skin. Therefore, the aim of this research is to prove the effectivity of administration broccoli flower extract cream on inhibiting the elevation of melanin level on guinea pig (Cavia porcellus) exposed with UV-B. Methods: An animal experiment with post-test only controls group design was conducted using 36 guinea pigs which were divided into 2 groups. The control group was treated with placebo cream while treatment group was treated with 10% broccoli flower extract cream. All groups were exposed with UV-B with dose at 390 mJ/cm2 for 2 weeks and biopsy was taken to examine the level of melanin. Results: The results showed that the average amount of melanin expression in the control group (P0) was 21.48 ± 1.48% while it was 1.32 ± 0.85% in treatment group (P1). Independent T-test analysis showed that the difference was statistically significant (t = 33.95; p = 0.001). Conclusion: It can be concluded that the topical administration of broccoli flower extract cream prevented increase in skin melanin in UV-B exposed guinea pig.

Excessive physical activity increased leucocyte and decreased Endorphin levels in male wistar rats (Rattus norvegicus) Periskila Abigail; Wimpie Pangkahila; Alex Pangkahila
IJAAM (Indonesian Journal of Anti-Aging Medicine) Vol 5 No 1 (2021): Indonesian Journal of Anti-Aging Medicine
Publisher : Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36675/ijaam.v5i1.61

Background: Excessive physical activity triggers hormonal imbalances, one of which is beta endorphin and lead to increasing leukocytes as a response to the inflammation. The purpose of this study was to prove that excessive physical activity increased leucocyte and decreased endorphin levels in male Wistar rats (Rattus norvegicus). Methods: This study was an experimental study with randomized pretest-posttest group design. The research subjects were male rats (Rattus norvegicus), Wistar strain, aged 8-10 weeks with a body weight of 150-200 grams and healthy. A total of 14 rats were randomly divided into two groups. The first group was treated with balanced physical activity (P1), the second group was treated with excessive physical activity (P2). On day 8 and day 28, leukocytes were examined using whole blood method and beta endorphin were examined using ELISA. Results: The results showed that in the group P1, both leukocyte levels (from 14.0±2.73x103/µL to 17.1±5.07x103/µL, p= 0.170) and beta endorphin levels (from 176±30.2 to 161±11.1 ng/mL, p= 0.110) remained stable. Whereas, the P2 group experienced leukocyte reduction (from 12.3±2.19x103/µL to 23.7±2.92x103/µL, p <0.001) and decreased beta endorphin levels (from 212±46.0 ng/mL to 55.3±8.05 ng/mL, p <0.001). Conclusion: This study suggesting that excessive physical activity increased leucocyte and decreased endorphin levels in male Wistar rats (Rattus norvegicus).

Oral Ashitaba Aeaves (Angelica keiskei) Extract Prevented The Increase of Tyrosinase Levels and Total Melanin in The Ultraviolet BExposed Guinea Pig (Cavia porcellus) Skin Meiny Linda Setiawan; Wimpie Pangkahila; Anak Agung Gede Putra Wiraguna
IJAAM (Indonesian Journal of Anti-Aging Medicine) Vol 4 No 2 (2020): Indonesian Journal of Anti-Aging Medicine
Publisher : Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36675/ijaam.v4i2.100

Introduction: UVB rays stimulate the tyrosinase which activates the biosynthesis of melanin and cause skin aging characterized by hyperpigmentation. Ashitaba is a plant rich of chalcone, a flavonoid compound with tyrosinase inhibitor activity. This study aimed to prove that oral Ashitaba (Angelica keiskei) extract prevented the elevation of tyrosinase levels and total melanin in the UVB-exposed guinea pig (Cavia porcellus) skin. Methods: This study used randomized posttest only control group design. The subjects were guinea pigs (Cavia porcellus), male, healthy, local strains, aged 3-4 months, weighing 300-350 grams, one hybrid, which were divided into 2 groups (n = 18). The first group was the control group (treatment with exposure to ultraviolet B and placebo), the second group was the treatment group (treatment with exposure to ultraviolet B and oral Ashitaba leaves extract of 25 mg/kgBB). After 2 weeks of treatment, tyrosinase level was examined by the ELISA method, while the amount of melanin was examined for MassonFontana staining. Results: The mean tyrosinase level in the control group after 2 weeks of treatment was higer (30.64 ± 4.19ng/ml) than on the treatment group (11.47 ± 0.62ng/ml) with (p<0.05). In addition, the average number of melanin in the control group was also higer (19.05 ± 2.53%) than the treatment group (1.85 ± 0.84%) (p <0.05). Conclusion: Based on the results of this study, it can be concluded that oral Ashitaba (Angelica keiskei) extract prevented the increase of tyrosinase levels and total melanin in the UVB-exposed guinea pig (Cavia porcellus) skin.

Co-Authors ., Nuriyah ., Yulyani ., Zenitalia A. A. G. P. Wiraguna A.A. Gede Budhiarta A.A. Gede Budhiarta A.A. Gede Budhiarta A.A.G.P Wiraguna A.A.G.P. Wiraguna A.A.G.P. Wiraguna A.A.G.P. Wiraguna AAGP Wiraguna AAGP Wiraguna AAGP Wiraguna AAGP. Wiraguna Agung Wiwiek Indrayani Agus Eka Darwinata Akpriyanti, DG Ika Aman, I G M Anak Agung Ayu Ngurah Susraini Anak Agung Gde Budhiarta Anak Agung Gde Putra Wiraguna Anak Agung Gde Putra Wiraguna Anak Agung Gede Budhiarta Anak Agung Gede Budhiarta Anak Agung Gede Putra Wiraguna Andrew Lie Angelia Ongko Prabowo Anne Carolina Kencanawati Anshori, Ahmad M. Aprilany Stella peng Astried Haryanto Augus Venty Azizah, Norma Nur Azizah Bagus Komang Satriyasa Balqis Wasliati Balqis Wasliati Bissi Herliane Budhiarta, Anak A.G. Chandra, Aji B. Chynthia Friama Delly Dahlia Dessy Indriana Hatta Dewi, Dian Andriani Ratna Dian Andriani Dumaria, Corazon H. Dwindi Saptania Efrida Sumawati Erwin Sugito Eveline Margo Feily Sari Moelyono Fenni Liem Ferbian M. Siswanto, Ferbian M. Fiter, Joni Gde Ngurah Idraguna Pinatih Gina Septivani Hendrik Danico Heny Widiyowati S Hery Widijanto Huda, Siti M. N. I Gede Made Aman I Gede Widhiantara I Gusti Ayu Sri Mahendra Dewi I Gusti Made Aman I Ketut Suada I Ketut Tunas I Nyoman Adiputra I Nyoman Mangku Karmaya I NYOMAN MANTIK ASTAWA I Wayan Weta Ida Sri Iswari Indah Mira Tiaraputri Wijaya Ingrid Rotinsulu J. A. Pangkahila Junivan Lindra Kandy Rosa Ismalia Laura Indriana Liliana, Nize Lis Widodo Peni Liya Rosdiana Luh Putu Iin Indrayani Maker Made Ayu Mirah Wulandari Made Oka Negara MADE RATNA SARASWATI . Manus, Widya Christine Maulidha Suzi Annisa Maya Cesarya Simangunsong Meiny Linda Setiawan Meiyati Panambunan Melanie Maria Magdalena Ratulangi Mery Merysia Milhanah Milhanah Mochtar, Fransiska Muhammad Rahmatullah Ni Luh Putri Astini Ni Nyoman Ayu Dewi Ni Nyoman Ayu Dewi Ni Putu Sriwidyani Nina Marini Nining Triyana Darise Nurwiyanti, . Palumpun, Eva F. Periskila Abigail Phery Candres Putri Puspitasari R. A.T. Kuswardhani Rafiah Sirikit Saenong Riliani, Marisa Romy Kamaluddin Ronald Suryaprawira Rusmiatik, Rusmiatik Sabella Setia Wardani Siahaan, Eva R. Siahaan, Marintan S. Y. Sofiana, Rahmi Suarni . Sulaiman, Yogie Susianingsih Murni Hartati Syafii, Corry P. Tambor Tiur Marlina Tamon, Oktavian Tarnajaya, Karnia Thomas Eko Purwata Trisna Yuliharti Tersinanda Ursula Sulistiani Vany Novanty Vashti Saraswati Veny Larasati Vitia Tandy Widhayanthi, Trisna A. Wiraguna AAGP Wiraguna, A A G P Wiraguna, A AGP Wiraguna, AAG Wiraguna, Anak A.G.P. Yuziana Yuziana

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