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Universa Medicina
Published by Universitas Trisakti
ISSN : 19073062     EISSN : 24072230     DOI : -
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
Universa Medicina (univ.med) is a four-monthly medical journal that publishes new research findings on a wide variety of topics of importance to biomedical science and clinical practice. Universa Medicina Online contains both the current issue and an online archive that can be accessed through browsing, advanced searching, or collections by disease or topic
Arjuna Subject : -
Articles 589 Documents
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Annona muricata leaves have strongest cytotoxic activity against breast cancer cells Susi Endrini; Suherman Suherman; Wahyu Widowati
Universa Medicina Vol. 33 No. 3 (2014)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2014.v33.179-184

Abstract

BACKGROUND Plant-derived herbal compounds have a long history of clinical use, better patient tolerance and acceptance. They are freely available natural compounds that can be safely used to prevent various ailments. Plants have been the basis of traditional medicine throughout the world for thousands of years and are providing mankind with new remedies. The objective of this study was to determine the cytotoxicity of soursop (Anona muricata Linn) leaves and pearl grass (Hedyotis corymbosa (L.) Lam.) on the hormone-dependent human breast carcinoma Michigan Cancer Foundation-7 (MCF-7) cell line. METHODS This study used two types of solvents (water and ethanol) in the extraction process and two incubation times (24 hours and 48 hours) in the MTT assays to analyze the cytotoxic effects of both plants. RESULTS Preliminary results showed that the ethanolic extract of soursop leaves (SE) displayed cytotoxic effects against MCF-7 on 24- and 48-hour incubation times with IC50 values of 88.788 μg/ml and 14.678 μg/ml, respectively. Ethanolic pearl grass extract (PE) showed similar results, with IC50 values of 65.011 μg/ ml on 24-hour incubation time and 52.329 μg/ml on 48-hour incubation time against MCF-7 cell line. However, the water extract of both plants displayed lower cytotoxic effect against MCF-7 cell line. CONCLUSION The ethanolic extract of both plants displayed cytotoxic effect against MCF-7. Soursop (Anona muricata Linn) leaves have the strongest cytotoxic activity against MCF-7 breast cancer cell line.
Combination of aerobic exercise and Hibiscus sabdariffa Linn. increased nitric oxide in rats Adriani, Donna; Siagian, Minarma; Irawati, Dewi
Universa Medicina Vol 36, No 2 (2017)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2017.v36.80-87

Abstract

Background Hypertension and myocardial infarction account for the high rate of mortality globally. Hibiscus sabdariffa (HS) Linn. is rich in antioxidants and previous studies have demonstrated its anti-hypertensive effects. Several studies show that regular physical activity is an important component to reduce cardiovascular mortality. The objective of this study was to evaluate the effects of a combination of aerobic exercise and HS extract on nitric oxide (NO) and endothelin-1 (ET-1) in rats. MethodsAn experimental study was conducted on 36 male Wistar rats, aged 4 weeks and 60-70 g in weight. The interventions were aerobic exercises and HS at 400 mg/kg BW/day administered for 4, 8 and 12 weeks. The rats were randomized into 12 groups: 3 control groups (C4, C8, C12), 3 aerobic exercise groups (A4, A8, A12), 3 HS groups (H4, H8, H12), and 3 combination groups [aerobic exercise and HS] (HA4, HA8, HA12). After 4, 8, and 12 weeks, the rats were sacrificed and their abdominal aorta was collected for determination of nitric oxide and ET-1 concentrations. One way ANOVA was used to analyze the data. ResultsThere was a significant difference in NO levels between all groups, with the 4-week aerobic exercise group (A4) showing the highest NO levels compared to the other eleven groups (p<0.05). In contrast, the ET-1 levels were not significantly different between all groups. Conclusions This study demonstrated that the combination of HS supplementation and aerobic exercise increases NO in rats, and provided further evidence to the traditional use of the plant as an antioxidants agent.
Clinical manifestations of upper respiratory tract infection in children at Kalideres Community Health Center, West Jakarta Widagdo, Widagdo; Mawardi, Harmon; Gandaputra, Ellen P; Fairuza, Firda; Pou, Rudy; Bukitwetan, Paul
Universa Medicina Vol 26, No 4 (2007)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2007.v26.168-178

Abstract

ntroduction The National Household Health Survey showed that the incidence of upper respiratory tract infection (URI) in Indonesia was high. The objectives of the study were to investigate the clinical manifestations of URI, its bacterial spectrum and sensitivity. MethodsA cross sectional study was carried out involving one hundred children with symptoms of URI i.e. fever, cough and or runny nose. The data of demography, physical sign, hematology, bacterial spectrum and sensitivity were collected. ResultsThe prevalence of URI was higher in male, younger age, smoker family, low educated, low income family, and polluted environment. The manifestations of URI were rhinopharyngitis (52%), pharyngitis (18%), rhinitis (12%), tonsilopharyngitis (10%), and tonsillitis (8%). The isolated bacteria were S. aureus, S. b hemolyticus, K. pneumoniae, C. diphtheriae, S. albus and S. anhemolyticus. S. aureus was higher in male than in female (p<0.01), while S. aureus, S. â hemolyticus, and C. bacterium diphtheriae were higher in preschool age children (p<0.01), and K. pneumoniae were higher in infants (p<0.01). S. aureus, and S. â hemolyticus were higher in children with under-nutrition, while in normal nutrition were of K. pneumonia and C diphtheriae (p<0.01). Most bacteria were intermediate and resistant to fourteen tested antibiotics.ConclusionThe manifestations of URI were rhinopharyngitis (52%), pharyngitis (18%), rhinitis (12%), tonsilopharyngitis (10%), and tonsillitis (8%), each of which could be associated with the complication and accompanying disease. The pathogenic bacterial spectrum of the throat consisted of S. aureus, S. â hemolyticus, K. pneumonia, and C. diphtheriae.
Type IV collagen as marker of fibrosis in nonalcoholic liver disease Alvina, Alvina
Universa Medicina Vol 29, No 2 (2010)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2010.v29.114-122

Abstract

Currently nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH) are medical problems associated with the increasing prevalence of diabetes mellitus, obesity, hypertension and hypertriglyceridemia, usually designated as the metabolic syndrome associated with insulin resistance. One study demonstrated an increase in NAFLD prevalence of around 17-33% and in NASH prevalence of 5.7-16.5%. NAFLD comprises a range of mild to severe conditions, from simple steatosis to steatohepatitis, hepatic fibrosis and cirrhosis. The diagnosis of hepatic fibrosis is important for prognosis, stratification for treatment, and monitoring of treatment efficacy. Ultrasonography (USG) is a simple method for detecting fatty infiltrates in the liver. USG has a sensitivity of 82-89% and a specificity of 93%, but cannot differentiate between hepatic steatosis and fibrosis. The gold standard for evaluation of hepatic fibrosis is liver biopsy, which however is a painful and invasive procedure. Currently determination of serum type IV collagen has been suggested as an alternative to liver biopsy among the non-invasive methods for evaluation of hepatic fibrosis, as its serum concentration is closely correlated with advanced hepatic fibrosis in NASH. Type IV collagen is one of the components of basement membrane and its serum concentration is indicative of degradation of the extracellular matrix.
Typhonium flagelliforme decreases tyrosine kinase and Ki67 expression in mice Chodidjah Chodidjah; Edi Dharmana; Hardhono Susanto; Sarjadi Sarjadi
Universa Medicina Vol. 32 No. 3 (2013)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2013.v32.146-154

Abstract

Background Worldwide, breast cancer is the most frequent cancer in women after lung cancer. Treatments include surgery, radiation, immunotherapy and chemotherapy, but are not effective. Tyrosine kinase and Ki67 protein are markers of proliferation. Typhonium flagelliforme ethanol extract (TFEE) has been shown to inhibit proliferation of Michigan Cancer Foundation-7 (MCF7) cells in culture. The aim of the present study was to examine the effect of administration of TFEE on tyrosine kinase and Ki67 expression in mice. Methods This experimental study using post test randomized design with control group was conducted in 24 tumor-bearing CH3 mice. They were randomly divided into 4 groups, consisting of one control and 3 treatment groups (TI, T2, T3) treated daily for 30 days with 0.2 ml TFEE at dosages of 200, 400, and 800 mg/kgBW, respectively. On day 31 the tumor tissues were collected and their tyrosine kinase and Ki67 expression were levels assessed using ELISA and immunohistochemical staining, respectively. Tyrosine kinase and Ki67 expression levels were analyzed, respectively using Kruskal Wallis test and one-way Anova followed by Bonferroni post hoc test. Results Mean tyrosine kinase level was highest in the control group, followed by T3, T2 and T1 (p=0.019). Mean level of Ki 67 expression was highest in the control group, followed by T2, T3 and T1 (p=0.000). Conclussions Oral administration of TFEE at a dose of 200 mg/kgBW decreases tyrosine kinase levels and Ki 67 expression.
Formula Jamu Antihipertensi and captopril are equally effective in patients with hypertension Hussaana, Atina; Sarosa, Hadi; Indrayani, Ulfah Dian; Chodidjah, Chodidjah; Widiyanto, Bagas; Pertiwi, Danis
Universa Medicina Vol 35, No 2 (2016)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2016.v35.81-88

Abstract

BACKGROUNDHypertension is the main cause of morbidity and mortality associated with cardiovascular diseases. Many herbs/spices appear to have significant effects in favorably modulating high blood pressure. A jamu formulation containing 6 plant extracts, Formula Jamu Antihipertensi (FJA), has been described previously. This research study aimed to evaluate the effect of FJA as antihypertensive agent in mild to moderate hypertensive patients. METHODSThis double-blind experimental study was conducted in 40 hypertensive patients, who were randomized into two groups. The first group was treated with oral administration of 2 g FJA and the second group 25 mg captopril daily for 4 weeks. Systolic and diastolic blood pressure as well as liver and kidney function were followed up every week. Independent- t test and two-way ANOVA were used to analyze the data with a level of significance of 0.05.RESULTSThe results showed that after the treatment, FJA and captopril were capable of significantly decreasing systolic and diastolic blood pressure (p <0.05). The decrease in systolic blood pressure between the two groups was identical (p>0.05), while the decrease in diastolic blood pressure was greater in the FJA group than in the captopril group (p <0.05). CONCLUSIONFrom this study it may be concluded that administration of FJA for 4 weeks is equally effective as captopril in reducing systolic and diastolic blood pressure in patients with mild and moderate hypertension. Thus, natural plants and herbs can be our source of drugs, with fewer side effects and better bioavailability for treatment of hypertension in the future.
The association between shift work and body mass index among female nurses Samara, Diana; Merijanti, Lie T; Tandean, Reza; Harrianto, Ridwan
Universa Medicina Vol 27, No 2 (2008)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2008.v27.72-77

Abstract

Possibly due to a disturbance of biological rhythms, shift work is associated with several health problems, particularly an increased risk of coronary heart disease (CHD). Obesity is a well known independent cardiovascular risk factor and has been shown to be more prevalent among shift workers. The objective of this study was to examine the association between shift work and body mass index in nurses working in one hospital in Central Jakarta. A cross-sectional study was conducted among 152 female nurses, ranging from 22 to 55 years of age, with determination of body mass index (BMI), and systolic and diastolic blood pressure (SBP and DBP). The results show a mean age of 30.9 ± 7.2 years and mean job experience of 8.9 ± 7.6 years. There was no significant difference in the prevalence of gastrointestinal disorders between shift and day workers. Mean BMI (23.1 ± 3.6) and mean job experience (6.9 ± 5.9 years) in shift nurses were significantly different from those in day workers (BMI = 24.8 ± 3.8; job experience 15.4 ± 8.4 years). In shift working nurses the BMI increased significantly in proportion to job experience (p=0.014). In conclusion, the present study has proven that job experience significantly increased BMI in shift working nurses.
Protective effects of Cyclea barbata Miers leaves against aspirin-induced gastric ulcer in mice Siregar, Iskandar Muda; Miladiyah, Isnatin
Universa Medicina Vol 30, No 2 (2011)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2011.v30.88-94

Abstract

One side effect of non-steroidal anti-inflammatory drugs is gastric mucosal irritation, possibly causing gastric ulcers. The aim of this study was to evaluate the protective effect of cincau leaves (Cyclea barbata Miers) on aspirin-induced gastric ulcer in Balb/c mice. Twenty five Balb/c mice (20-30 g, 2-3 months old) were randomly divided into 5 groups. Group I-III were given cincau leave infusion at dosages of 2.5 mg/kg BW, 5 mg/kg BW, and 10 mg/kg BW, respectively, while group IV (positive control) received antacid at a dosage of 20 mg/kg BW, and group V (negative control) one milliliter of distilled water. All interventions were given by the oral route, once daily for seven days. On day 7, the mice were given aspirin (600 mg/kg BW) to induce gastric ulcer. After 30 minutes, all mice were sacrified, and their stomachs examined macroscopically for gastric ulcer, characterized by the presence of ulcer(s) and bleeding. Total ulcer scores were analyzed by one-way Anova to compare between-group protective effect of interventions against aspirin-induced gastric ulcer. Results showed that groups treated with cincau leaf infusion at all dosages experienced a gastric ulcer protective effect. There were significant differences (p=0.002) between treatments, compared to the negative control, but no significant differences (p>0.05) when compared to the positive control. Thus cincau leaves (Cyclea barbata Miers) at dosages of 2.5 mg/kg BW, 5 mg/kg BW, and 10 mg/kg BW, had a protective effect against aspirin-induced gastric ulcer in mice. Higher dosages of cincau leaf infusion have a correspondingly higher gastric ulcer protective power.
Family support is not a risk factor of negative self-esteem in HIV/AIDS women Jean Valeria; Surilena Surilena; Yanto Budiman; Samsuridjal Djauzi; Haridana Indah
Universa Medicina Vol. 34 No. 1 (2015)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2015.v34.61-67

Abstract

BACKGROUND Women with HIV/AIDS (WLWHA) have a complex psychosocial burden and a tendency to negative self-esteem, possibly resulting in mental and emotional problems. They need family support to deal with the HIV/AIDS infection and its psychosocial burden. The purpose of this study was to determine chacteristics of family support, self-esteem, and depression of WLWHA and the relationship between family support and self-esteem and depression. METHOD This was a cross-sectional study of 99 WLWHA infected through their husbands/partners, with no history of drug abuse. The data was taken by a consecutive sampling of two proportions test at Dharmais Cancer Hospital from November 2013 – January 2014. The instruments comprised a demographic questionnaire, the Rosenberg Self-Esteem questionnaire, the Hamilton Depression Rating Scale (HDRS), and a family support questionnaire. The data was analyzed by binary logistic regression. RESULTS There were 99 respondents with mean age of 36 years, of whom 44.4% were high school graduates, 54.5% unemployed, and 91.9% had HIV/ AIDS for more than a year. Binary logistic regression analysis showed no significant relationship between family support and self-esteem (p=0.700) and depression (p=0.396). Good family support has a protective effect of 1.3 times (OR=0.772; 95%CI: 0.138-3.770) towards increasing self-esteem, whereas poor family support increases the risk of depression 1.5 times (OR=1.477; 95%CI: 0.598-3.645) in WLWHA infected with HIV/AIDS from their husband/partner. CONCLUSIONS Good family support tend to have a protective effect towards increasing self-esteem, whereas poor family support increases the risk of depression in WLWHA infected with HIV/AIDS from their husband/partner.
Restless legs syndrome and impact on work performance Samara, Diana
Universa Medicina Vol 28, No 1 (2009)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2009.v28.42-48

Abstract

Restless legs syndrome (RLS) is a neurological sensorimotor disorder characterized by unpleasant sensations in the legs and an uncontrollable urge to move them for relief. The RSL prevalence in the general population is 0.1% - 11.5%, and increases with age, with the highest effect of producing a primary sleep disorder (70%-80%). Women appear to be at increased risk, as do individuals with certain chronic conditions, including renal failure and anemia. The pathophysiology of RLS is incompletely understood, but it probably results from derangements in dopamine and iron metabolism, and has a genetic component. RSL could be idiopathic or secondary (usually related with iron deficiency, terminal renal failure, pregnancy, and spinal cord lesions). RLS patients usually have sleep disorders, so the disease can cause difficulties and problems in occupational and social life. Subjects with RLS symptoms appear to experience significantly more daytime problems, including being late for work, making errors at work, or missing work because of sleepiness. The diagnosis of RLS is made by following the criteria of the International Restless Legs Syndrome Study Group (IRLSSG). Pharmacologic RLS therapy, in which dopaminergic drugs constitute the first line, is effective and may have a dramatic effect on symptoms and quality of life. Identifying and treating RLS may improve sleep quality, daytime function and work performance.

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