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POTENSI MONTELUKAST SEBAGAI TERAPI TERAPEUTIK PADA PASIEN COVID-19 DENGAN PROGNOSIS BURUK AKIBAT KOMORBIDITAS PENYAKIT OBESITAS Irsyadina Hasana Bharata
Essence of Scientific Medical Journal Vol 20 No 2 (2022): Volume 20 No. 2 (Juli - Desember 2022) Essential: Essence of Scientific Medical
Publisher : Kelompok Ilmiah Hippocrates Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/essential.v20i2.92267

Abstract

ABSTRAK Pendahuluan: Beberapa penelitian telah menunjukkan bahwa pasien yang mengalami obesitas lebih rentan terinfeksi dan mengalami komplikasi karena jaringan adiposa yang berlebih pada pasien tersebut dapat menjadi reservoir patogen. Komplikasi akibat inflamasi yang terjadi pada pasien COVID-19 dengan komorbiditas penyakit obesitas terjadi akibat peningkatan tingkat sirkulasi dari banyak sitokin dan protein yang dilepaskan oleh adiposit. Pembahasan: Sebuah obat reseptor antagonis terhadap sisteinil leukotrien, montelukast, telah dikenal sebagai obat yang berfungsi untuk mengobati penyakit asma dan alergi rhinitis. Berbagai macam sitokin yang dilepaskan oleh jaringan adiposit atau akibat respon infeksi virus, seperti IL-1? dan IL8 terbukti dapat dikurangi peningkatannya ketika diberikan terapi penggunaan montelukast dibandingkan dengan plasebo. Dengan kemampuan montelukast, terapi pemberian obat ini kepada pasien COVID-19 yang mengalami obesitas berpotensi dapat memberikan efek terapeutik. Simpulan: Sebagai bentuk respon cepat terhadap risiko peningkatan jumlah penderita obesitas di masa pandemi COVID-19, diperlukan suatu terapi yang dapat memberikan efek terapeutik pada pasien COVID-19 dengan komorbiditas penyakit obesitas. Montelukast, reseptor antagonis sisteinil leukotrien berpotensi untuk digunakan sebagai terapi terapeutik terhadap pasien COVID-19 dengan komorbiditas penyakit obesitas karena efek dan sifat yang dapat dimilikinya. Kata kunci: Montelukast 1, Obesitas 2, COVID-19 3, Prognosis 4 ABSTRACT Introduction: Several studies have shown that obese patients are more susceptible to infection and complications because excess adipose tissue in these patients can be a reservoir of pathogens. Inflammatory complications that occur in COVID-19 patients with comorbid obesity occur due to increased circulating levels of many cytokines and proteins released by adipocytes Discussion: A receptor antagonist drug against cysteine ????leukotriene, montelukast, has been known as a drug that works to treat asthma and allergic rhinitis. Various cytokines released by adipocytes or in response to viral infection, such as IL-1? and IL8 have been shown to be reduced when treated with montelukast compared to placebo. With the ability of montelukast, this drug therapy for COVID-19 patients who are obese has the potential to have a therapeutic effect. Conclusion: As a form of rapid response to the risk of increasing the number of obese people during the COVID-19 pandemic, a therapy that can provide a therapeutic effect on COVID-19 patients with comorbid obesity is needed. Montelukast, a cysteine ??leukotriene receptor antagonist, has the potential to be used as a therapeutic therapy for COVID-19 patients with comorbid obesity because of its effects and properties. Keywords: Montelukast 1, Obesity 2, COVID-19 3, Prognosis 4
Article Review Potensi Senyawa Ginkgolide dan Bilobalide dalam Ekstrak Daun Ginkgo Biloba sebagai Terapi Penyakit Parkinson Karima, Khaula; Gina Syafinatunnajah; Haditya Novan Kasprata; Irsyadina Hasana Bharata; Jihan Alifa Rahma; Herpan Syafii Harahap
Lombok Medical Journal Vol. 2 No. 3 (2023): Lombok Medical Journal Volume 2 Nomor 3
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v2i2.3172

Abstract

Parkinson's disease is a neurological disorder that can be a major source of disability throughout the world. Changes in conditions in the body, such as α-Syn mutations can increase the risk of developing Parkinson's disease. α-Syn mutations will cause the loss of large and selective dopaminergic neurons in the substantia nigra pars compacta (SNpc) thereby triggering the early symptoms of Parkinson's disease. The high risk of side effects in the use of modern pharmacological therapy, indicates that a new breakthrough in the form of herbal-based ethnomedicine therapy for patients with Parkinson's disease is urgently needed. Ginkgo leaf, from the Ginkgo biloba plant, has long been known as a popular herbal supplement in Europe, Asia and America. The content of active compounds in ginkgo leaves was found to have the potential to provide therapeutic effects in patients with Parkinson's disease. This article will discuss the potency, mechanism of action, extraction process, and comparison of the potency of the two compounds with previous therapies. The development of the potential of ginkgo leaves is expected to reduce the increasing number of cases and provide a better quality of life in patients with Parkinson's disease.
Article Review Potensi Senyawa Ginkgolide dan Bilobalide dalam Ekstrak Daun Ginkgo Biloba sebagai Terapi Penyakit Parkinson Karima, Khaula; Gina Syafinatunnajah; Haditya Novan Kasprata; Irsyadina Hasana Bharata; Jihan Alifa Rahma; Herpan Syafii Harahap
Lombok Medical Journal Vol. 2 No. 3 (2023): Lombok Medical Journal Volume 2 Nomor 3
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v2i2.3172

Abstract

Parkinson's disease is a neurological disorder that can be a major source of disability throughout the world. Changes in conditions in the body, such as α-Syn mutations can increase the risk of developing Parkinson's disease. α-Syn mutations will cause the loss of large and selective dopaminergic neurons in the substantia nigra pars compacta (SNpc) thereby triggering the early symptoms of Parkinson's disease. The high risk of side effects in the use of modern pharmacological therapy, indicates that a new breakthrough in the form of herbal-based ethnomedicine therapy for patients with Parkinson's disease is urgently needed. Ginkgo leaf, from the Ginkgo biloba plant, has long been known as a popular herbal supplement in Europe, Asia and America. The content of active compounds in ginkgo leaves was found to have the potential to provide therapeutic effects in patients with Parkinson's disease. This article will discuss the potency, mechanism of action, extraction process, and comparison of the potency of the two compounds with previous therapies. The development of the potential of ginkgo leaves is expected to reduce the increasing number of cases and provide a better quality of life in patients with Parkinson's disease.
Trauma Vaskular: Patofisiologi, Manifestasi Klinis, Diagnosis dan Penatalaksanaan Palna, Zhayyin; I Gede Aditya Satrya Bhuwana Cakra; Irsyadina Hasana Bharata; Khaula Karima; Salsabila Chauna; Wina Arsylia Fakar; Maz Isa Anshori Arsatt
Lombok Medical Journal Vol. 3 No. 2 (2024): Lombok Medical Journal Volume 3 Nomor 2
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v3i2.3381

Abstract

Vascular trauma is an injury involving the circulatory system, particularly blood vessels, disrupting the body's balance and being a leading cause of morbidity and mortality. The extremities are the most common locations for vascular trauma, especially the femoral artery, popliteal artery, and brachial artery. Signs and symptoms of vascular trauma in body limbs are described as hard and soft signs. Hard signs found in patients indicate the need for surgical intervention, while patients with soft signs require further diagnostic imaging for confirmation. Management should consider the golden period (6 to 8 hours) by controlling bleeding with resuscitative endovascular balloon occlusions (REBOA), minimizing ischemic events in the distal part of the trauma, and preventing compartment syndrome. Surgical intervention is performed to achieve functional recovery and salvage the affected vascular area. Surgical procedures that can be performed in cases of vascular trauma include vascular grafting, vascular ligation, and temporary intravascular shunt (TIVS).