Nur Atik
Department Of Biomedical Sciences, Faculty Of Medicine, Universitas Padjadjaran, Bandung, Indonesia

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Diastolic Blood Pressure as a Predictor of Mortality in Intracerebral Hemorrhage Stroke Patients with Hypertension Cep Juli; Uni Gamayani; Nur Atik
Althea Medical Journal Vol 8, No 1 (2021)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v8n1.2099

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Background: Intracerebral hemorrhage (ICH) stroke contributes to a considerable number of deaths, ranging between 30% and 40% of the overall stroke mortality. The incidence of stroke increases with higher blood pressure. High blood pressure at the onset of ICH stroke is a strong predictor for mortality and morbidity. This study aimed to explore the role of diastolic blood pressure as a predictor of death in ICH stroke patients.Methods: Data on 113 ICH stroke patients with chronic hypertension were collected from the medical records of patients treated in the Neurology ward of Dr. Hasan Sadikin General Hospital Bandung, Indonesia, in 2019. Data collected were patient characteristics, hypertension status, systolic and diastolic blood pressures, and patient outcome. Analysis was then performed using the Mann-Whitney test.Results: This study revealed a positive correlation (p=0.031) between diastolic blood pressure and death in ICH stroke patients with chronic hypertension.Conclusion: High diastolic blood pressure is associated with mortality in ICH stroke patients with chronic hypertension.
Demographic and Risk Factors of Intracerebral Hemorrhage Stroke Patients in Dr. Hasan Sadikin General Hospital Bandung in 2007–2016 Sabrina Putri Lofissa; Paulus Anam Ong; Nur Atik
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (588.092 KB) | DOI: 10.15850/amj.v5n1.1333

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Background: Intracerebral hemorrhage stroke is a type of stroke which is considered to have a higher mortality risk than ischemic stroke. Preventive programs are needed to minimize stroke cases by reducing the risk factors. This study aimed to identify the demographic and risk factors of intracerebral hemorrhage stroke patients in Dr. Hasan Sadikin General Hospital Bandung in 2007–2016. Methods: This was a descriptive cross sectional study. Data were obtained from Dr. Hasan Sadikin General Hospital medical resume January 2007- December 2016 by total sampling.  Subjects of this study were intracerebral hemorrhage stroke patients hospitalized in Dr. Hasan Sadikin General Hospital. The period of study was from August 2016 until May 2017. Variables included in this study were gender, occupation, education level, age; risk factors such as hypertension, dyslipidemia, diabetes mellitus, hyperuricemia, and kidney disease. The collected data were presented in percentage.Results: The highest demographic prevalence in 10 years was in female, non-occupational person, elementary school graduate, and frequently found in the 50-59 age group. The highest risk factor was hypertension, but it slightly decreased from 78.8% in 2007-2008 to 55.3% in 2015-2016, followed by dyslipidemia, diabetes mellitus, hyperuricemia which increased in 2007-2008 and 2015-2016. (Dyslipidemia: from 8.1% to 23.8%; Hyperuricemia: from 2.5% to11.2%; Diabetes Mellitus: from 6.6% to 8.9%).Conclusions: The demographic of intracerebral hemorrhage stroke shows a high prevalence found in females, older age, non-occupational persons, and elementary school graduates. Among the risk factors, hypertension is most likely to happen in ten years. 
Effect of Guava Extract Administration on Megakaryocytes Amount in Mice Femur Nur Atik; Maqrizi D. S. Munawir; Susan Tarawifa; Hartati P. Darmadji
Indonesian Journal of Clinical Pharmacy Vol 6, No 2 (2017)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3052.478 KB) | DOI: 10.15416/ijcp.2017.6.2.116

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Dengue fever is a disease spread by mosquito’s bite. Dengue fever is marked by the presence of thrombocytopenia. Traditional crops such as guava are commonly used to treat dengue fever. This research aims to know the effect of guava extract administration towards megakaryocytes amount in mice femur. The study was conducted at the Laboratory of Pharmacology and Therapy, Histology Laboratory of Faculty of Medicine at Universitas Padjadjaran, Eijkman, Bandung from September until November 2016 using laboratory experimental study design. 20 Swiss webster mice strains were divided randomly into 4 groups. Group I and II were administered quinine 2.8 mg/20 grBW/day for 14 days to decrease amount of trombocytes. Group II and III were administered guava extract 0.785 mg/20 grBW/day for 5 days. Group IV was administered aquadest for 19 days. In the 27th day, the mice left femurs were collected and made into paraffin section preparations with hematoxylin-eosin staining and then observed under microscope. Group IV had the most megakaryocytes followed by Group II, III, and I. Based on Kruskal-Wallis test, a significant difference was shown (p<0.05). Mann-Whitney test showed that there were significant differences between Group I and Group II, III, and IV. Meanwhile there was no significant difference between normal mice and extract-given mice. Guava extract is proven statistically significant to increase the megakaryocytes amount in thrombocytopenic mice without increasing number of megakaryocytes in normal mice.Keywords: Dengue fever, guava extract, megakaryocyte, quinine Efek Pemberian Ekstrak Jambu Biji terhadap Jumlah Megakariosit pada Femur MencitAbstrakDemam berdarah merupakan penyakit yang dapat disebarkan melalui gigitan nyamuk. Demam berdarah ini ditandai dengan adanya trombositopenia. Tanaman tradisional berupa jambu biji banyak digunakan untuk mengobati demam berdarah. Penelitian ini bertujuan untuk mengetahui efek pemberian ekstrak jambu biji terhadap jumlah megakariosit pada femur mencit. Penelitian ini dilakukan di Laboratorium Farmakologi dan Terapi, Laboratorium Histologi Universitas Padjadjaran, Eijkman, Bandung dari bulan September hingga November 2016. Sebanyak 20 ekor mencit galur Swiss webster dibagi menjadi 4 kelompok. Kelompok I dan II diberikan quinine 2,8 mg/20 grBB/hari per oral selama 14 hari agar mencit trombositopenia. Kelompok II dan III diberikan ekstrak jambu biji 0,785 mg/20 grBB/hari per oral selama 5 hari. Kelompok IV diberikan aquades selama 19 hari. Hari ke 27, femur mencit kiri diambil dan dijadikan sediaan parafin dengan pewarnaan hematoxylin-eosin, kemudian diamati di bawah mikroskop. Jumlah megakariosit terbanyak adalah pada Kelompok IV diikuti dengan II, III dan I. Berdasarkan uji Kruskal-Wallis, terdapat perbedaan bermakna (p<0,05) dilanjutkan uji Mann-Whitney yaitu terdapat perbedaan bermakna antara Kelompok I dengan II, III, dan IV, sedangkan perbandingan pada kelompok mencit normal dengan kelompok yang diberi ekstrak tidak terdapat perbedaan yang bermakna. Ekstrak jambu biji dapat meningkatkan jumlah megakariosit pada mencit yang mengalami trombositopenia dan tidak menyebabkan peningkatan jumlah megakariosit secara bermakna pada mencit normal.Kata kunci: Demam berdarah, ekstrak jambu biji, megakariosit, quinine
The Development of Germicidal Air Purifier by Employing Ultraviolet System in Controlling Airborne Bacteria Nur Atik; Siska Widya Dewi Kusumah; Fitria Mahrunnisa; Winni Maharani; Windi Nurdiawan; Putu Indra Cyntia Dewi; Erda Avriyanti; Dede Suhendi
Global Medical & Health Communication (GMHC) Vol 8, No 3 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (331.59 KB) | DOI: 10.29313/gmhc.v8i3.6580

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The nosocomial infection could be acquired through airborne disease in the hospital. However, only a particular health center in Indonesia carried out a complete, cautious prevention procedure by utilizing air purifiers due to cost problems. Thus, to minimize the number of nosocomial infections related to bacterial air pollutants, excellent tools with low cost are required to address this problem. We developed an ultraviolet light system within the air purifier at a low cost and the best way to eradicate pathogenic microorganisms in the healthcare center. The study was conducted at the Faculty of Medicine, Universitas Padjadjaran, Bandung in 2009–2010. The room prototype was built from a transparent glass material with two holes at the upper corner as an inlet and outlet pipeline canal. In the middle of the pipeline circulation, a vacuum pump, ultraviolet system, and a cooler were installed so the air will initially flow through those devices before being re-circulated into the room through the pipeline's inlet hole. A fan was set on the room floor, and several ten-centimeter apart, Petri dishes containing microbial growth medium were placed. The microbial colonies from the room with and without the installed ultraviolet system in the air purifier were then compared for analysis. The result showed that an air purifier equipped with an ultraviolet system killed microorganisms 73% more effective than the air purifier without an ultraviolet system (p<0.05). In conclusion, employing an ultraviolet system within the air purifier might be effectively killed microorganisms and ultimately reduce nosocomial infection. PENGEMBANGAN AIR PURIFIER RUANGAN DENGAN PEMANFAATAN SINAR ULTRAVIOLET UNTUK MEMBUNUH MIKROB BAWAAN UDARAInfeksi nosokomial dapat ditularkan melalui penyakit yang ditularkan melalui udara di rumah sakit. Namun, hanya rumah sakit atau pelayanan kesehatan tertentu di Indonesia yang melakukan prosedur pencegahan infeksi nosokomial secara optimal dengan memanfaatkan air purifier karena kendala biaya. Oleh sebab itu, untuk meminimalkan jumlah infeksi nosokomial yang terkait dengan bakteri pencemar udara diperlukan pengembangan air purifier yang baik dengan biaya yang murah. Kami telah mengembangkan sistem pembersih udara yang terintegrasi sinar ultraviolet dengan biaya rendah untuk mengurangi mikroorganisme patogen di ruang pelayanan kesehatan. Penelitian dilaksanakan di Fakultas Kedokteran, Universitas Padjadjaran, Bandung pada tahun 2009–2010. Prototipe ruangan dibuat dari bahan kaca transparan dengan dua lubang di sudut atas sebagai ruang instalasi pipa saluran masuk dan keluar. Pada bagian tengah sirkulasi pipa dipasang pompa vakum, sistem ultraviolet, dan pendingin sehingga udara akan mengalir melewati alat-alat tersebut sebelum disirkulasikan kembali ke dalam ruangan melalui lubang masuk pipa. Sebuah kipas dipasang pada prototipe ruangan dan setiap jarak sepuluh sentimeter ditempatkan cawan Petri yang berisi media pertumbuhan mikrob. Koloni mikrob dari ruangan model dengan dan tanpa sistem ultraviolet yang terpasang di air purifier, kemudian dibandingkan untuk dianalisis. Hasil penelitian menunjukkan bahwa air purifier yang dilengkapi sistem ultraviolet membunuh mikroorganisme 73% lebih efektif daripada air purifier tanpa sistem ultraviolet (p<0,05). Simpulan, penggunaan sistem ultraviolet dalam air purifier efektif membunuh mikroorganisme dan pada akhirnya dapat mengurangi infeksi nosokomial.
Memory Performance in Patient with Systemic Lupus Erythematosus Using MoCA-Ina in Hasan Sadikin Genneral Hospital Bandung Safira Anjalia; Paulus Anam Ong; Nur Atik; Laniyati Hamijoyo
Indonesian Journal of Rheumatology Vol. 9 No. 1 (2017): Indonesian Journal of Rheumatology
Publisher : Indonesian Rheumatology Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (307.946 KB) | DOI: 10.37275/ijr.v9i1.67

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Background: The involvement of neuropsychiatry is reported in 6% to 91% of Systemic Lupus Erythematosus (SLE) patients. It can cause fatal morbidity and mortality. Memory impairment is one of the most common symptoms of neuropsychiatry involvement. This study aims to find out the performance of memory test in SLE patients using Indonesian version of Montreal Cognitive Assessment (MoCA-Ina).Method: This cross sectional study recruited 30 SLE patients. Cognitive abilities and patient’s memory were examined using Indonesian version of Montreal Cognitive Assessment (MoCA-Ina). Cognitive impairment was determined when total MoCA-Ina score was below 26. For memory evaluation, immediate recall or delayed recall impairment was determined when the patient failed in each memory subtests.Results: The mean of total MoCA-Ina score was 24.97 (SD±3.14). Fifty percent of the SLE patients had cognitive impairment, with the domain involved being delayed recall (86.67%), attention (60%), language (56.67%), abstraction (53.33%), and visuo-spatial/ executive function (36.67%). Most patients (86.67%) could completely repeat immediate recall. Whileonly 4 (13.33%) subjects could repeat delayed recall completely without any clue. Of the 26 SLE patients who failed to recall completely, 24 (92.3%) of them succeeded to recall completely after getting clue(s).Conclusion: Memory impairment is the most frequent cognitive impairment in SLE patients, especially in delayed recall. By using the memory subtests of MoCAIna, more than four fifth of patients with SLE was detected having delayed recall memory impairment and almost all of them could recalled completely after getting clue(s). This findings indicated that the finalstep of memory process retrieval in SLE was interrupted while being encoded, but retention pathway were stillintact.Keywords: Systemic Lupus Erythematous, Memory, MoCA-Ina
Mechanism of action of metformin as an anti-aging agent: a literature review Aceng Hamudin; Nur Atik
Intisari Sains Medis Vol. 12 No. 2 (2021): (Available Online: 1 August 2021)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (370.409 KB) | DOI: 10.15562/ism.v12i2.1058

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Aging is a complex process consisting of various mechanisms that can cause damage and decrease the body's extrinsic and intrinsic functions. Metformin has been indicated for the treatment of degenerative diseases. It also has been reported to be used as an anti-aging agent. Various studies reported different mechanisms of action, but human studies are limited. This literature aims to review the multiple mechanisms of action of metformin as an anti-aging agent. Metformin has been reported to exert anti-aging effects by prolonging life in humans and animals. The effectiveness of metformin as an anti-aging agent is influenced by the dosage and age of the subjects studied. Various mechanisms of action of metformin concerning anti-aging have been reported, including autophagy pathways with AMPK activation and inhibition of mTOR, increased antioxidants, inhibition of ROS, inhibition or enhancement of mitochondrial function and inhibition of inflammation. It was found that there were biomarkers in the form of GPx7, Nrf2, PPAR and SREBP, SOD2, TrxR1, NQO1, NQO2, pNF-kB, FOXO, mTOR, AMPK, which could be used as predictors to explain the anti-aging effect of metformin. 
Antiviral Treatment and One-Year Follow-Up of Chronic Hepatitis B Patients in Bandung: An Observational Study Eka Surya Nugraha; Stefanie Hadi Supriami; Nur Atik; Nenny Agustanti; Yudi Wahyudi; Dolvy Girawan; M Begawan Bestari; Siti Aminah Abdurachman
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 23, No 2 (2022): VOLUME 23, NUMBER 2, August 2022
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (433.148 KB) | DOI: 10.24871/2322022217-222

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Background: Hepatitis B Virus (HBV) is a health problem that has chronically infected 257 million globally. Appropriate therapy is immensely needed to prevent disease progression to cirrhosis and hepatocellular carcinoma (HCC). Moreover, routine monitoring is required to assess the efficacy of the given treatment. This study aims to describe the treatment and its follow-up outcomes among chronic HBV patients after one year of therapy in Bandung.Method: This was a cross-sectional descriptive study with a data sampling method obtained from assessing the medical records of treated chronic HBV outpatients at the Gastrohepatoenterology Clinic of Hasan Sadikin Hospital Bandung from 2018 to 2020. Laboratory findings before and after one year of therapy were further assessed.Results: Out of 107 patients treated, the proportion of tenofovir was 72.90%, telbivudine 16.80%, lamivudine 8.40%, and interferon group 1.90%. There were 52.30% of patients who did follow-up visits after one year of therapy. The therapeutic outcome rate was evaluated among total patients with the criteria of decreasing AST (91.18%) and ALT levels (93.10%) levels, reduction of HBV-DNA values (100%), and HBeAg seroconversion (14.29%).Conclusion: The most given therapy among chronic HBV outpatients was tenofovir. The follow-up rate of patients after one year of treatment was 52.30%. Overall, antiviral therapies produced decreases in liver laboratory parameters, HBV-DNA, and HBeAg.