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Age and Diabetes Mellitus Associated with Hematological Disorders and Peripheral Neuropathy in MDR-TB Patients Treated with the BPaL/M Regimen Tako, Frida Welhelmina; Sinaga, Bintang Yinke Magdalena; Harahap, Juliandi; Daulay, Rini Savitri; Siregar, Jelita; Samodra, Yoseph Leonardo
Jurnal Respirasi Vol. 11 No. 3 (2025): September 2025
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v11-I.3.2025.241-249

Abstract

Introduction: Tuberculosis (TB) is a disease with a significant treatment burden. Current multidrug-resistant (MDR)-TB therapy uses the bedaquiline, pretomanid, linezolid, and moxifloxacin (BPaL/M) combination. This combination is effective with a short treatment duration. Linezolid is one of the components of the BPaL/M regimen. However, despite its effectiveness, it has side effects that impact treatment management and success. This study aimed to find the association between characteristics and comorbidities with the incidence of linezolid side effects in patients with MDR-TB treated with the BPaL/M regimen. Methods: This was a retrospective analytic study of MDR-TB patients receiving BPaL/M combination. Data were collected from medical records and analyzed using Fisher's exact test to analyze the association between patient characteristics and comorbidities with the incidence of linezolid side effects, namely hematological disorders, peripheral neuropathy, and visual disturbances. Results: There was no significant association between overall patient characteristics and the incidence of linezolid adverse events. However, the results of bivariate analysis showed a significant association in age >50 years old with the incidence of hematological disorders, as well as in patients who have diabetes mellitus (DM) with the incidence of peripheral neuropathy as a side effect of linezolid. Conclusion: Monitoring of MDR-TB patients aged >50 years old and those with DM to minimize the incidence of side effects during treatment is essential. This effort is expected to support the success of the national TB control and treatment program.
Effectiveness of red palm oil supplementation on motor impairment in a Paraquat-induced Parkinsons disease rat mode Siregar, Ari Ramadhan; Ichwan, M; Siregar, Jelita; Anggraini, Dwi; Hasibuan, Hasrul
The International Journal of Tropical Veterinary and Biomedical Research Vol 9, No 1 (2024): Vol. 9 (1) May 2024
Publisher : The Faculty of Veterinary Medicine of Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21157/ijtvbr.v9i1.36536

Abstract

Parkinson's is a neurological disease that is rapidly increasing to surpass Alzheimer's disease. Parkinson's disease causes a decrease in the number of dopaminergic neurons, which can lead to disturbances in attention, memory, and motivation. Damage to dopaminergic nerve cells is caused by increased free radicals (ROS) levels in tissues and cells, thus inducing cell death signals. This study aims to determine whether red palm oil affects the acute level of Parkinson's syndrome in rats induced with paraquat. This study uses the BEAM and Cylinder tests to measure the effect of red palm oil because one of the alternative therapies for neurodegenerative illnesses like Parkinson's is red palm oil. The treatment was administered to paraquat-induced rats with injections given weekly for four weeks. Carotenoids are present in red palm oil at concentrations of 600 to 1000 ppm and are thought to have neuroprotective properties. As many as 30 rats were divided into three groups: K (control), PQT (paraquat 7 mg/kg body weight), and PQT+MSM (paraquat 7 mg/kg body weight + 2 ml of red palm oil). The data were then checked using the normality test Shapiro-Wilk and analyzed statistically using One-way ANOVA. The Cylinder and Beam tests were significant, with a P value of 0.00. Parkinsonian rats receiving red palm oil at a dose of 2 ml/kg body weight per week for four weeks showed improved motor function compared to those receiving only paraquat. The group with red palm oil had a lower beam test value. This indicates motor improvement in Parkinson's model rats. Similarly, the cylinder test showed higher performance in the group treated with red palm oil. Based on this, it can be concluded that red palm oil influences the motor movements of Parkinson's rats. The beam test and cylinder test methods prove this. Red palm oil could decrease the acute level of motor impairments in rats with Parkinson's induced by paraquat.
RASIO MONOSIT LIMFOSIT SEBAGAI PREDIKTOR KEPARAHAN NEFROPATI DIABETIK PADA PASIEN DIABETES MELITUS TIPE 2 Bernando, Andri; Siregar, Jelita; Syafril, Santi
Jurnal Keperawatan Priority Vol. 6 No. 2 (2023)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v6i2.4073

Abstract

Diabetic nephropathy is a complication that often occurs in diabetics. In this disease, there is damage to the kidney filter, known as the glomerulus. Due to glomerular damage, diabetic nephropathy is closely related to the mechanism of inflammation. The Monocyte-Lymphocyte Ratio is a relatively new marker of inflammation. This study aims to explore the significance of the prediction of the Monocyte-Lymphocyte Ratio as a predictor of the severity of diabetic nephropathy in Type 2 Diabetes Mellitus (DMT2) patients at H. Adam Malik Hospital, Medan. The research was conducted using the cross-section method. This study took blood samples from 44 patients with type 2 diabetes mellitus with diabetic nephropathy, 22 patients with macroalbuminuria, and 22 patients with microalbuminuria. Then blood was drawn from the vein, and the Monocyte-Lymphocyte Ratio was assessed in all patients. In this study, the average MLR for all patients was 0.41±0.037. There was a significant difference between MLR values ​​in diabetic nephropathy patients with macroalbuminuria compared to diabetic nephropathy patients with microalbuminuria (p<0.001). The optimal cut-off value of MLR in predicting diabetic nephropathy with macroalbuminuria and microalbuminuria was 0.37 with a specificity of 81.8% and a sensitivity of 81.8%. The MLR value in type 2 diabetic patients with diabetic nephropathy can be used as a prognostic factor for the incidence of microalbuminuria and macroalbuminuria.
Pengembangan Media Virtual Laboratorium Kromatografi Gas Berbasis Proyek Dalam Membangun Keterampilan HOTS Untuk Meningkatkan Hasil Belajar Siregar, Jelita; Situmorang, Manihar
Reflection Journal Vol. 5 No. 2 (2025): Desember
Publisher : Lembaga Penelitian dan Pemberdayaan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/rj.v5i2.3595

Abstract

Penelitian ini bertujuan untuk mengembangkan media virtual laboratorium berbasis proyek dalam pembelajaran kromatografi gas yang dapat membangun keterampilan berpikir tingkat tinggi dan meningkatkan hasil belajar mahasiswa. Jenis penelitian yang digunakan adalah penelitian dan pengembangan melalui model ADDIE (Analysis, Design, Development, Implementation, dan Evaluation) melalui analisis kebutuhan pembelajaran, desain dan pengembangan virtual laboratorium, standarisasi, penerapan pada pengajaran di dalam kelas, dan evaluasi. Penelitian dilakukan dengan melibatkan 68 mahasiswa Jurusan Kimia Universitas Negeri Medan. Data penelitian disajikan sebagai penilaian keterampilan berpikir tingkat tinggi dengan menggunakan lembar penilaian laporan proyek, dan peningkatan hasil belajar mahasiswa melalui tes evaluasi. Hasil penelitian menunjukkan bahwa media virtual laboratorium berbasis proyek telah dikembangkan untuk topik kromatografi gas, dimana kelayakannya media berdasarkan BSNP dikategorikan sangat baik (M= 3.595 ± 1,25). Implementasi virtual laboratorium yang dikembangkan dalam proses belajar mengajar terbukti mampu membangun keterampilan HOTS mahasiswa pada kategori sangat baik (M= 87,55 ± 0,121), dimana rerata peningkatan hasil belajar yang diperoleh adalah 77,47% pada kategori tinggi. Respon positif diberikan oleh mahasiswa terhadap penggunaan virtual laboratorium yang dikembangkan adalah 80,61% pada kategori sangat baik. Terdapat korelasi antara keterampilan berpikir tingkat tinggi dengan peningkatan hasil belajar mahasiswa kelas eksperimen dengan rhitung = 0.551 pada kategori korelasi cukup tinggi.