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Yuktiana Kharisma
Department Of Anatomical Pathology, Faculty Of Medicine Universitas Islam Bandung
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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Labu Kuning (Cucurbita moschata Durch.) untuk Penurunan Kadar Glukosa Darah Puasa pada Tikus Model Diabetik Fathonah, Rahmi; Indriyanti, Anita; Kharisma, Yuktiana
Global Medical & Health Communication (GMHC) Vol 2, No 1 (2014)
Publisher : Fakultas Kedokteran Universitas Islam Bandung

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Abstract

Abstrak   Diabetes melitus didefinisikan sebagai penyakit metabolik yang ditandai dengan hiperglikemia akibat defisiensi insulin atau penurunan efektivitas insulin dan dapat menimbulkan berbagai komplikasi akut maupun kronik. Salah satu obat tradisional yang mempunyai efek anti diabetik adalah labu kuning (Cucurbita moschata Durch.) yang mengandung flavonoid, beta-karoten, vitamin C, dan vitamin E. Tujuan penelitian ini adalah untuk mengetahui efek dan rentang dosis efektif ekstrak air labu kuning terhadap penurunan kadar glukosa darah puasa pada tikus model diabetik. Penelitian ini bersifat eksperimental laboratorik dengan menggunakan disain rancangan acak lengkap terhadap 28 ekor tikus putih jantan galur Wistar yang terbagi dalam empat kelompok yaitu kelompok I (diet biasa, induksi aloksan), kelompok II (diet biasa, induksi aloksan, ekstrak air labu kuning dosis 56 mg/200grBB/hari per oral), kelompok III (diet biasa, induksi aloksan, ekstrak air labu kuning dosis 112 mg/200grBB/hari per oral), dan kelompok IV (diet biasa, induksi aloksan, ekstrak air labu kuning dosis 224 mg/200grBB/hari per oral). Pengukuran kadar glukosa darah puasa dilakukan setelah masa adaptasi, setelah diinduksi aloksan, hari ke-7 dan hari ke-14 perlakuan. Data dianalisis dengan menggunakan uji repeated analysis of varians (ANOVA) lalu dilanjutkan dengan uji post-hoc Tamhane’s T2. Hasil penelitian menunjukan bahwa pemberian ekstrak air labu kuning dengan rentang dosis 56 mg/200grBB/ hari per oral sampai 112 mg/200grBB/hari per oral selama 14 hari dapat menurunkan kadar glukosa darah puasa dengan bermakna. Penurunan kadar glukosa darah puasa diduga karena labu kuning mengandung flavonoid, beta-karoten, vitamin C dan vitamin E.  Kata kunci : Diabetes melitus,ekstrak air labu kuning, glukosa darah puasa Pumpkin (Curcubita moschata Durch) to Decline of Blood Glucose Fasting Levels in Diabetic Mice   Abstract   Diabetes mellitus defined as syndrome of metabolic diseases characterized by hyperglycemia due to insulin deficiency or decreased effectiveness of insulin that cause various acute and chronic complications. One of the traditional medicines which have anti-diabetic effect is pumpkin (Cucurbita moschata Durch) which contains flavonoids, beta-carotene, vitamin C, and vitamin E. The purpose of this study is to determine the effects and the effective dose range of pumpkin water extracts to the decline of blood glucose fasting levels in diabetic mice. This study was an  experimental research with complete randomized design using 28 white male wistar mice divided into four groups i.e. group I (normal diet, alloxan induce), group II (normal diet, alloxan induce, water extract of pumpkin at the dose 56 mg/200grBW/day orally), group III (normal diet, alloxan induce,  pumpkin water extract with the dose of 112 mg/200grBW/day orally), and group IV (normal diet, alloxan induce, pumpkin water extract orally with the dose of 224 mg/200grBW/day). Measurement of blood glucose fasting levels done after the adaptation period, after alloxan induced, on day 7th and day 14th of treatment. Data was analyzed using repeated ANOVA test followed by post-hoc test. The results showed that administration of pumpkin water extract with dose ranges of 56 mg/200grBB/day orally to 112 mg/200grBB/day orally for 14 days can lower blood glucose fasting levels. The decrease in blood glucose fasting levels presumably was because pumpkin contains flavonoid, beta-carotene, vitamin C and vitamin E which known to have those effects.   Key words : Blood glucose fasting level, diabetes mellitus,pumpkin water extract 
Bekatul (Oryza sativa L) untuk Menghambat Peningkatan Kadar Kolesterol Darah Kania, Astri; Kharisma, Yuktiana; Dewi, Miranti Kania
Global Medical & Health Communication (GMHC) Vol 2, No 1 (2014)
Publisher : Fakultas Kedokteran Universitas Islam Bandung

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Abstract

Abstrak Penyakit kardiovaskuler merupakan penyebab utama kematian dan kecacatan di seluruh dunia, termasuk Indonesia. Penyakit kardiovaskuler disebabkan oleh pembentukan aterosklerosis pada pembuluh darah. Konsumsi larutan tepung bekatul (Oryza sativa L) dapat digunakan sebagai salah satu upaya untuk mencegah terjadinya aterosklerosis dengan cara menghambat peningkatan kadar kolesterol darah. Penelitian ini untuk menilai efek larutan tepung bejatul terhadap penghambatan peningkatan kadar kolesterol darah. Penelitian eksperimental laboratorik dengan rancangan acak lengkap telah dilakukan pada 20 ekor tikus putih jantan galur Wistar yang dibagi menjadi lima kelompok. Kelompok I adalah kontrol negatif yang diberikan diet tinggi lemak dan propiltiurasil (PTU) 0,01%, kelompok II merupakan kontrol positif yang hanya diberi pelet. Kelompok III, IV, dan V adalah kelompok perlakuan yang diberikan sediaan uji 0,27 gram/200 gram BB, 0,54 gram/200 gram BB, dan 1,08 gram/200 gram BB, DTL dan PTU 0,01% secara bersamaan. Pengukuran kadar kolesterol darah dilakukan sebelum diberikan perlakuan (hari ke-7) dan setelah diberikan perlakuan (hari ke-21) dengan menggunakan metode kolorimetrik enzimatik. Hasil penelitian ini menunjukkan bahwa larutan tepung bekatul memiliki efek penghambatan terhadap peningkatan kadar kolesterol darah dengan dosis 0,54 gram/200 gram BB. Efek penghambatan tersebut diakibatkan oleh mekanisme interaksi  dari orizanol, fitosterol, dan omega-3 yang terdapat dalam larutan tepung bekatul.  Kata kunci : Bekatul, efek penghambatan, kolesterol darah Rice Bran (Oryza sativa L.) Inhibit the Increase of Blood Cholesterol Level Abstract Cardiovascular disease is the major cause of mortality and morbidity in the world, including Indonesia. This disease caused by atherosclerosis formation in blood vessel. Consumption of rice bran is one alternative to prevent atherosclerosis by inhibiting the increase of blood cholesterol level. The Aim of study was to analyze rice bran in inhibiting the increase of blood choelsterol level. The laboratory experimental study with complete randomized design has been conducted to 20 male mice Wistar strain divided into five groups. Group I is the negative control group with high-fat diet and 0,01 % propylthiouracil (PTU), group II is the positive control group with standard diet, and group III, IV and V are the treatment group which were given 0,27 gram/200 gram of BW, 0,54 gram/200 gram of BW, and 1,08 gram/200 gram of BW, DTL, and  0,01 % PTU.  The measurement of the blood cholesterol rate conducted before treatment (7th days) and after treatment (21st days)  using enzymatic colorimetric method. The result showed that the dose of rice bran solution inhibit the increased of blood cholesterol level at 0,54 gram/200 gram of BW. Inhibitory effect was caused by the interaction mechanism betweem oryzanol, phytosterol, and omega-3 that are in the rice bran solution. Key words : Blood cholesterol, cardiovascular, inhibition effect,  rice bran 
Efek Ekstrak Air Buah Pepaya (Carica papaya L.) Muda terhadap Gambaran Histologi Kelenjar Mamma Mencit Laktasi Kharisma, Yuktiana; Ariyoga, Armaya; Sastramihardja, Herri S.
Majalah Kedokteran Bandung Vol 43, No 4
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Air susu ibu (ASI) merupakan makanan terbaik bagi bayi. Menurut Survei Kesehatan Rumah Tangga tahun 2005,ASI eksklusif di perkotaan 4−12% dan pedesaan 4–5%. Penelitian ini bertujuan untuk mengetahui efek ekstrak air buah pepaya muda (Carica papaya L.) terhadap gambaran histologi kelenjar mamma laktasi. Penelitian dilakukan di laboratorium Farmakologi Klinik Unpad dan laboratorium Unit Penelitian Kesehatan RS Dr. Hasan Sadikin pada bulan Juli−September 2009. Penelitian merupakan penelitian eksperimental laboratorium terhadap 21 ekor induk mencit laktasi galur Swiss Webster, diacak menjadi 3 kelompok (n=7) dengan jumlah anak 10 ekor/induk. Kelompok I merupakan kontrol negatif. Kelompok II diberikan luteotropin 6 mg/30 g BB/hari per oral (p.o.) dan kelompok III diberikan sediaan uji 20 mg/30 g BB/hari (p.o.). Peningkatan produksi air susu diketahui melalui peningkatan jumlah dan diameter rata-rata alveoli kelenjar mamma laktasi. Perlakuan diberikan pada hari ke-4 hingga ke-16 masa menyusui. Hasil dianalisis dengan uji analysis of variance (ANOVA), dilanjutkan dengan uji Tukey. Hasil penelitian terhadap jumlah alveoli kelompok I: 310,57±30,16; kelompok II: 464,42±25,83 dan kelompok III: 465,14±72,41. Diameter alveoli kelenjar mamma laktasi kelompok I, II, dan III berturut-turut sebesar 296,50±21,27 μ; 394,57±53,97 μ; dan 384,29±40,40 μ. Simpulan bahwa ekstrak air buah pepaya muda memberikan efek lebih baik dibandingkan dengan kontrol negatif dan sebanding dengan luteotropin dalam meningkatkan jumlah dan diameter alveoli rata-rata kelenjar mamma laktasi. [MKB.2011;43(4):160–5].Kata kunci: Carica papaya L., histologi kelenjar mamma, produksi air susuEffect of Unripe Papaya (Carica papaya L.) Aqueous Extract on Histological Feature of Mice Lactating Mammary GlandsBreast milk is the best food for infants. Household Health Survey in 2005 showed exclusive breastfeeding were 4–12% in urban and 4–5% in rural areas. Objective of the study was to examine the effect of unripe papaya aqueous extract (Carica papaya L.) on lactating mammary glands histological appearance. The experiment was held on July–September 2009 at Padjadjaran University Clinical Pharmacology Laboratory and Health Research Unit of Dr. Hasan Sadikin Hospital in July–September 2009. A laboratorium experimental study conducted to 21 lactating Swiss Webster mice with 10 babies each. They were divided randomly into 3 groups (n=7). Group I was negative control. Group II: luteotropin 6 mg/30 g BW/day (per oral) and group III: unripe papaya aqueous extract 20 mg/30 g BW/day (per oral). Increased milk production was measured by average lactating mammary glands alveolar amounts and diameter count. Experiment started at 4th–16th lactation day. The result was analyzed using analysis of variance (ANOVA) followed by Tukey test. The average of alveolar amounts of group I, II and III, were 310.57±30.16, 464.42±25.83, and 465.14±72.41, respectively. The average lactating mamary glands alveolar diameter of group I: 296.50±21.27 μ, group II: 394.57±53.97 μ and group III: 384.29±40.40 μ. Research showed that unripe papaya aqueous extract has better than negative control and equivalent effect with luteotropin on lactating mammary glands histological appearance. [MKB. 2011;43(4):160–5].Key words: Carica papaya L., histological mammary glands, milk production DOI: http://dx.doi.org/10.15395/mkb.v43n4.63
INFILTRATING UROTHELIAL CARCINOMA ALONG THE URINARY TRACT OF A YOUNG ADULT Suryanti, Sri; Kharisma, Yuktiana; Tigor, Aaron
Indonesian Journal of Urology Vol 28 No 2 (2021)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v28i2.707

Abstract

Objective: To present a rare case of infiltrating urothelial carcinoma along the urinary tract on a young adult. Case(s) Presentation: A 39 year old Asian male patient with > 20 pack-year smoking history, came to the hospital with a chief complaint of hematuria and flank pain since two weeks ago. Physical examination revealed Eastern Cooperative Oncology Group (ECOG) Performance Status 1, the right kidney was palpated, no tenderness on fist percussion. Abdominal ultrasound (USG) revealed 1.5 cm and 0.5 cm masses located in the urinary bladder. The CT scan show mass in the bladder was exophytic, > 3 cm in size, and occupying lesion was located on the right posteroinferior and left lateral bladder wall accompanied with dilatation of pelvic calyces and right ureter. Histopathology of the specimen revealed low-grade infiltrating urothelial carcinoma of bladder and right ureter. The pathological stage was pT2NxMx, The patient refused neoadjuvant chemotherapy and surgery. Four months after TURBT, he came with weakness and right flank pain. The patient consent to surgery and underwent the right nephroureterectomy. Histopathology of the specimen showed infiltrating urothelial carcinoma of right kidney, ureter, Gerota fascia with lymphovascular invasion (pT3NxMx). Discussion: Urothelial carcinoma (UC) is commonly arising in the urinary bladder, but it can develop along the urinary tract. Cigarette smoke contains a lot of carcinogenic agents and stimulates DNA damage. Conclusion: Upper tract urothelial carcinoma (UTUCs) is subset of UC with a poor prognosis. Cigarette smoking is the main risk factor that induces DNA damage.
Maternal Characteristics and Histopathological Features of Placenta Accreta Spectrum in Dr. Hasan Sadikin General Hospital Bandung, Period 2015–2020 Yuktiana Kharisma; Hasrayati Agustina; Sri Suryanti; Birgitta Maria Dewayani; Bethy Suryawati Hernowo
Althea Medical Journal Vol 9, No 1 (2022)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v9n1.2631

Abstract

Background: The placenta accreta spectrum (PAS) incidence has inclined today. The PAS is divided into three histopathological classifications, including accreta, increta, and percreta, associated with maternal, fetal morbidity, and mortality. This study aimed to explore the maternal characteristics and histopathological features in PAS at Dr. Hasan Sadikin General Hospital Bandung.Methods: This descriptive observational study involved 135 cases from January 2015–December 2020 at Dr. Hasan Sadikin General Hospital that met the inclusion criteria. The PAS histopathological classification was evaluated based on maternal characteristics such as age, parity, cesarean section (CS), and miscarriage. Results: The incidence of placenta accreta from 2015 to 2020 was 37.0%, whereas increta was 43.4%, followed by percreta at 19.3%. The maternal age of placenta accreta and increta mainly occurred at the age of 30–34 years with the prevalence of 40% and 46%, respectively, whereas percreta was aged 35–39 yo (27%). Most parities in placenta accreta, increta, percreta were three. Interestingly, 93% of cases had a CS history. Furthermore, the miscarriage history for accreta was 18%, increta 29% and percreta 38%. Conclusion: The highest incidence of PAS in Dr. Hasan Sadikin General Hospital is placenta increta, which mainly occurs at the age of 30–34 years. Almost all PAS patients have a history of CS; however, most of the patients do not have a miscarriage history.
Bekatul (Oryza sativa L.) Menghambat Peningkatan Kadar Kolesterol Darah Astri Kania; Yuktiana Kharisma; Miranti Kania Dewi
Global Medical & Health Communication (GMHC) Vol 2, No 1 (2014)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3684.359 KB) | DOI: 10.29313/gmhc.v2i1.1528

Abstract

Penyakit kardiovaskuler merupakan penyebab utama kematian dan kecacatan di seluruh dunia, termasuk Indonesia. Penyakit kardiovaskuler disebabkan oleh pembentukan aterosklerosis pada pembuluh darah. Konsumsi larutan tepung bekatul (Oryza sativa L.) dapat digunakan sebagai salah satu upaya untuk mencegah terjadinya aterosklerosis dengan cara menghambat peningkatan kadar kolesterol darah. Penelitian ini untuk menilai efek larutan tepung bejatul terhadap penghambatan peningkatan kadar kolesterol darah. Penelitian eksperimental laboratorik dengan rancangan acak lengkap telah dilakukan pada 20 ekor tikus putih jantan galur Wistar yang dibagi menjadi lima kelompok. Kelompok I adalah kontrol negatif yang diberikan diet tinggi lemak dan propiltiurasil (PTU) 0,01%, kelompok II merupakan kontrol positif yang hanya diberi pelet. Kelompok III, IV, dan V adalah kelompok perlakuan yang diberikan sediaan uji 0,27 gram/200 gram BB, 0,54 gram/200 gram BB, dan 1,08 gram/200 gram BB, DTL dan PTU 0,01% secara bersamaan. Pengukuran kadar kolesterol darah dilakukan sebelum diberikan perlakuan (hari ke-7) dan setelah diberikan perlakuan (hari ke-21) dengan menggunakan metode kolorimetrik enzimatik. Hasil penelitian ini menunjukkan bahwa larutan tepung bekatul memiliki efek penghambatan terhadap peningkatan kadar kolesterol darah dengan dosis 0,54 gram/200 gram BB. Efek penghambatan tersebut diakibatkan oleh mekanisme interaksi dari orizanol, fitosterol, dan omega-3 yang terdapat dalam larutan tepung bekatul. RICE BRAN (ORYZA SATIVA L.) INHIBIT THE INCREASE OF BLOOD CHOLESTEROL LEVELCardiovascular disease is the major cause of mortality and morbidity in the world, including Indonesia. This disease caused by atherosclerosis formation in blood vessel. Consumption of rice bran is one alternative to prevent atherosclerosis by inhibiting the increase of blood cholesterol level. The aim of study was to analyze rice bran in inhibiting the increase of blood choelsterol level. The laboratory experimental study with complete randomized design has been conducted to 20 male mice Wistar strain divided into five groups. Group I is the negative control group with high-fat diet and 0,01 % propylthiouracil (PTU), group II is the positive control group with standard diet, and group III, IV and V are the treatment group which were given 0,27 grams/200 grams of BW, 0,54 grams/200 grams of BW, and 1,08 grams/200 grams of BW, DTL, and 0,01 % PTU. The measurement of the blood cholesterol rate conducted before treatment (7th days) and after treatment (21st days) using enzymatic colorimetric method. The result showed that the dose of rice bran solution inhibit the increased of blood cholesterol level at 0,54 grams/200 grams of BW. Inhibitory effect was caused by the interaction mechanism betweem oryzanol, phytosterol, and omega-3 that are in the rice bran solution.
Combination of Gabapentin and Vitamin B12 Compared with Gabapentin Monotherapy on Pain Improvement of Diabetic Neuropathy Patients Mochamad Firdaus Bhuanaputra; Alya Tursina; Yuktiana Kharisma
Global Medical & Health Communication (GMHC) Vol 8, No 1 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (49.741 KB) | DOI: 10.29313/gmhc.v8i1.3676

Abstract

Diabetic neuropathy is the most common microvascular complication of diabetes mellitus (DM) occurring in 60–70% of the world's DM population, 40% of the DM population in Asia, and 41% of the DM population in Indonesia. The primary treatment of diabetic neuropathy pain in Indonesia is gabapentin and vitamin B12. The study aimed to compare pain improvements in diabetic neuropathy patients. The drug used was a combination of gabapentin and vitamin B12 and gabapentin monotherapy. For the pain degree measurement, we used the visual analogue scale (VAS). This experimental study was a pretest-posttest randomized control trial using a single-blind method at Dr. M. Salamun Air Force Hospital Bandung from March to May 2017. Samples were 44, type two diabetic neuropathy patients. The Mann-Whitney test to compare pain improvement between 2 groups applied. The results indicated there were differences in pain improvement between diabetic neuropathy patients with gabapentin and vitamin B12 combination compare to gabapentin monotherapy (p=0.002). This result showed a synergistic effect of gabapentin as an inhibitor of neurotransmitter and vitamin B12 expenditure as an improvement in peripheral nerve cells. This study concluded that gabapentin and vitamin B12 combination is better in improving pain in diabetic neuropathy patients compared to gabapentin monotherapy. KOMBINASI GABAPENTIN DAN VITAMIN B12 DIBANDING DENGAN MONOTERAPI GABAPENTIN TERHADAP PERBAIKAN NYERI PASIEN NEUROPATI DIABETIKNeuropati diabetik merupakan komplikasi mikrovaskular terbanyak diabetes melitus (DM) yang terjadi pada 60–70% populasi DM di dunia, 40% populasi DM di Asia, dan 41% populasi DM di Indonesia. Pengobatan utama nyeri neuropati diabetik di Indonesia adalah gabapentin dan vitamin B12. Tujuan penelitian ini membandingkan perbaikan rasa nyeri pada pasien neuropati diabetik. Obat yang diberikan adalah kombinasi gabapentin dan vitamin B12 serta monoterapi gabapentin. Pengukuran tingkat nyeri menggunakan visual analogue scale (VAS). Penelitian eksperimental ini adalah pretest-posttest randomized control trial dengan menggunakan metode single-blind yang dilakukan di RSAU Dr. M. Salamun Bandung dari bulan Maret hingga Mei 2017. Sampel berjumlah 44 jenis, dua pasien neuropati diabetik. Sampel berjumlah 44, pasien neuropati diabetik tipe dua. Uji Mann-Whitney dilakukan untuk membandingkan perbaikan nyeri antara 2 kelompok perlakuan. Hasil penelitian menunjukkan terdapat perbedaan perbaikan rasa nyeri pasien neuropati diabetik yang diberi pengobatan kombinasi gabapentin dan vitamin B12 dibanding dengan monoterapi gabapentin (p=0,002). Hasil ini menunjukkan efek sinergis gabapentin sebagai inhibitor neurotransmiter dan vitamin B12 yang berfungsi memperbaiki sel saraf tepi. Simpulan penelitian ini adalah pengobatan kombinasi gabapentin dan vitamin B12 lebih baik dalam memperbaiki rasa nyeri pada pasien neuropati diabetik dibanding dengan gabapentin saja.
Acute Toxicity Test of Unripe Papaya (Carica papaya L.) Aqueous Extract (UPAE) on The Blood Urea and Creatinine Concentration Yuktiana Kharisma; Yuke Andriane; Titik Respati
Global Medical & Health Communication (GMHC) Vol 6, No 2 (2018)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (58.232 KB) | DOI: 10.29313/gmhc.v6i2.3794

Abstract

Unripe papaya aqueous extract (UPAE) widely used as lactation stimulator, antidiabetes, antibacterial, and anti-inflammatory. The utilization of papaya is not known for its safety yet, so it is necessary to research its toxicity. The purpose of this study was to investigate the acute toxicity of UPAE on renal function through measurement of blood urea and creatinine levels. This study was conducted in July 2017 in Laboratory of Medical Biology, Faculty of Medicine, Universitas Islam Bandung. This study used pure in vivo experimental design on 11 Swiss Webster mice using the dose of acute toxicity determination based on new recommended methods of 0; 50; 200; 400; 800; 1,000; 1,500; 2,000; 3,000; 4,000; and 5,000 mg/kgBW. After 24 hours, 1 mL blood drawn through the tail examined for blood urea and creatinine levels. The measurement of urea content using kinetic method point and creatinine level using modified Jaffe method. Provision of UPAE at doses of 0, 50, 200, 400, 800, and 1,000 mg/kgBW resulted on blood urea equal to 39, 35, 48, 49, 48, and 32 mg/dL respectively. Blood urea level 23, 22, 28, 34, and 35 mg/dL was obtained at 1,500 UPAE doses; 2,000; 3,000; 4,000; and 5,000 mg/kgBW dosages respectively. After 24 hours of UPAE administration, the creatinine level in various doses using new recommended method of (0–5,000 mg/kgBW) were 0.75, 0.54, 0.53, 0.50, 0.60, 0.54, 0.52, 0.55, 0.42, 0.51, and 0.40 mg/dL. In conclusion, UPAE do not cause acute toxicity on renal function through measurement of blood urea and creatinine levels. TOKSISITAS AKUT EKSTRAK AIR BUAH PEPAYA (CARICA PAPAYA L.) TERHADAP KADAR UREUM DAN KREATININ DARAHEkstrak air buah pepaya muda (EABPM) digunakan secara empiris sebagai laktagogum, antidiabetes, antibakteri, dan antiinflamasi. Tingkat keamanannya belum banyak diketahui sehingga perlu dilakukan penelitian uji toksisitas akut. Tujuan penelitian ini adalah mengetahui toksisitas akut EABPM terhadap fungsi ginjal melalui pengukuran kadar ureum dan kreatinin plasma. Penelitian ini dilaksanakan pada bulan Juli 2018 di Laboratorium Biologi Medis, Fakultas Kedokteran, Universitas Islam Bandung. Penelitian ini menggunakan desain eksperimental murni in vivo terhadap 11 ekor mencit betina galur Swiss Webster dengan penentuan dosis sesuai dengan new recommended method: 0, 50, 200, 400, 800, 1.000, 1.500, 2.000, 3.000, 4.000, dan 5.000 mg/kgBB. Setelah 24 jam, diambil darah melalui ekor mencit sebanyak 1 mL untuk diperiksa kadar ureum dan kreatinin plasma. Pengukuran kadar ureum menggunakan point kinetic method dan kadar kreatinin menggunakan metode Jaffe yang dimodifikasi. Pemberian EABPM pada dosis 0, 50, 200, 400, 800, dan 1.000 mg/kgBB didapatkan kadar ureum plasma 39, 35, 48, 49, 48, dan 32 mg/dL secara berurutan. Kadar ureum plasma 23, 22, 28, 34, dan 35 mg/dL didapatkan pada pemberian dosis EABPM sebanyak 1.500, 2.000, 3.000, 4.000, dan 5.000 mg/kgBB. Kadar kreatinin plasma dalam berbagai dosis (0–5.000 mg/kgBB) adalah 0,75; 0,54; 0,53; 0,50; 0,60; 0,54; 0,52; 0,55; 0,42; 0,51; dan 0,40 mg/dL. Simpulan, EABPM tidak menimbulkan tanda toksisitas akut pada fungsi ginjal melalui pengukuran kadar ureum dan kreatinin plasma.
Halal Critical Point Analysis of Bajakah Wood (Spatholobus littoralis Hassk.) Nano Particle as Anticancer Agent Lelly Yuniarti; Yuktiana Kharisma; Titik Respati; Maya Tejasari
Global Medical & Health Communication (GMHC) Vol 9, No 2 (2021)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (119.771 KB) | DOI: 10.29313/gmhc.v9i2.6997

Abstract

Bajakah wood contains phenolic compounds, flavonoids, tannins, and saponins with anticancer activity. The discovery and development of new drugs require several stages. In the process, there are many possibilities of adding other substances to form new active substances or as solvents that allow drug preparations to be doubtful of halalness. Hence, it is necessary to analyze the critical point of halal ingredients. The purpose of this study was to determine the characteristics of the nanoparticles of bajakah wood (Spatholobus littoralis Hassk.) and to test the anticancer activity in several cancer cell cultures, as well as to analyze the critical point of halalness of the material. This research method is a composition test using chromatography and anticancer activity test using MTT. Analysis of the critical point of halal materials using hazard analysis critical control point (HACCP). The research was carried out at the Indonesian Engineering Nanotechnology Laboratory South Tangerang and the UGM Integrated Laboratory Sleman in July–December 2020. The results showed that bajakah wood nanoparticles contained pure water as a solvent, viscosity 0.08878 cP, scattering intensity 1.1059 cps, diameter 176.1+/−43.7 (nm). Cytotoxic test results showed IC50 against cell culture MCF7 1,063.28 (±114.98) g/mL, HepG2 53.34 (±0.35) g/mL, T47D 150.63 (±8.44) g/mL, WiDR 114.38 (±7.82) μg/mL, HTB 97.50 (±3.49) μg/mL, HeLa 182.95 (±36.22) μg/mL, and Vero 710.10 (±106.46) μg/mL. This study concludes that bajakah wood nanoparticles are not critical in terms of halal ingredients. At the same time, their anticancer activity is weak against breast cancer and uterine cervical cancer, medium categories against liver cancer and lung cancer, and is not toxic to normal cells. ANALISIS TITIK KRITIS KEHALALAN NANOPARTIKEL KAYU BAJAKAH (SPATHOLOBUS LITTORALIS HASSK.) SEBAGAI AGEN ANTIKANKERKayu bajakah mengandung senyawa fenolik, flavonoid, tanin, dan saponin yang memiliki aktivitas antikanker. Penemuan dan pengembangan obat baru memerlukan beberapa tahapan. Dalam prosesnya terdapat banyak kemungkinan penambahan zat lain untuk membentuk zat aktif baru atau sebagai pelarut yang memungkinkan sediaan obat diragukan kehalalannya. Oleh sebab itu, perlu dilakukan analisis titik kritis kehalalan bahan. Tujuan penelitian ini mengetahui karakteristik sediaan nanopartikel kayu bajakah (Spatholobus littoralis Hassk.) dan menguji aktivitas antikanker pada beberapa kultur sel kanker, serta menganalisis titik kritis kehalalan bahan. Metode penelitian ini adalah uji komposisi menggunakan kromatografi dan uji aktivitas antikanker menggunakan MTT. Analisis titik kritis kehalalan bahan menggunakan hazard analysis critical control point (HACCP). Penelitian dilakukan di Laboratorium Nanovasi Rekayasa Indonesia Tangerang Selatan dan Laboratorium Terpadu UGM Sleman pada Juli–Desember 2020. Hasil penelitian menunjukkan sediaan nanopartikel kayu bajakah mengandung pelarut air murni, viskositas 0,08878 cP, scattering intensity 1,1059 cps, berdiameter 176,1+/−43,7 (nm). Hasil uji sitotoksik menunjukkan IC50 terhadap kultur sel MCF7 1.063,28 (±114,98) μg/mL, HepG2 53,34 (±0,35) μg/mL, T47D 150,63 (±8,44) μg/mL, WiDR 114,38 (±7,82) μg/mL, HTB 97,50 (±3,49) μg/mL, HeLa 182,95 (±36,22) μg/mL, dan Vero 710,10 (±106,46) μg/mL. Kesimpulan penelitian ini bahwa nanopartikel kayu bajakah bersifat tidak kritis dalam kehalalan bahan. Selain itu, aktivitas antikankernya lemah terhadap kanker payudara dan kanker serviks uteri, sedang terhadap kanker hati dan kanker paru, serta tidak toksik pada sel normal.
Toksisitas Akut Ekstrak Air Buah Pepaya (Carica papaya L.) Muda terhadap Morfologi Eritrosit Yuktiana Kharisma; Eka Hendryanny; Astari P. Riani
Global Medical & Health Communication (GMHC) Vol 5, No 2 (2017)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (529.47 KB) | DOI: 10.29313/gmhc.v5i2.2280

Abstract

Pepaya (Carica papaya L.) adalah salah satu obat tradisional yang digunakan untuk mengatasi masalah kesehatan. Pepaya mengandung beberapa substansi fitokimia seperti saponin, alkaloid, terpenoid, dan flavonoid. Saponin dan alkaloid diketahui mampu berinteraksi dengan membran eritrosit dan menyebabkan disintegrasi membran sehingga dapat menyebabkan kerusakan pada eritrosit. Penelitian ini bertujuan mengetahui toksisitas akut ekstrak air buah pepaya muda terhadap morfologi eritrosit melalui pengamatan sediaan apus darah tepi. Metode penelitian ini adalah eksperimental laboratorium dilakukan di Laboratorium Biomedis, Fakultas Kedokteran, Universitas Islam Bandung periode Januari–Februari 2016. Penentuan kelompok dosis berdasar atas proposed (new) recommended method menggunakan 11 ekor tikus yang diberi dosis oral ekstrak air buah pepaya muda 50, 200, 400, 800, 1.000, 1.500, 2.000, 3.000, 4.000, 5.000 mg/kgBB masing-masing dan satu tikus hanya diberikan air sebagai kelompok kontrol. Pengamatan dilakukan setelah 24 jam pemberian ekstrak. Hasil pengamatan sediaan apus darah tepi menunjukkan tidak terdapat perubahan morfologi eritrosit baik bentuk, ukuran, dan warnanya. Simpulan, ekstrak air buah pepaya muda tidak memiliki toksisitas akut terhadap morfologi eritrositACUTE TOXICITY OF UNRIPE PAPAYA FRUIT (CARICA PAPAYA L.) WATER EXTRACT TO MORPHOLOGY OF ERYTHROCYTEPapaya (Carica papaya L.) is one of traditional medicines which was used to overcome health things. It is contained of some phytochemicals substance such as saponin, alkaloid, terpenoid, and flavonoid. Both saponin and alkaloid were known having an ability to interract with eryhtrocyte membran and cause membrane disintegrity that can destruct the erythrocyte. This study was aimed to know the acute toxicity of the aqueous extract of unripe papaya fruit to the erythrocyte morphology by observe the peripheral blood smear. The method of this study was conducted experimental laboratory at Loboratory of Biomedical, Faculty of Medicine, Universitas Islam Bandung in January–February 2016. Determination of dose group is based on proposed (new) recommended method with 11 rats were administrated oral dose 50, 200, 400, 800, 1,000, 1,500, 2,000, 3,000, 4,000, 5,000 mg/kgBW of unripe papaya fruit aqueous extract, and one rat was only given water as control group. Observation had been done at 24 hours after extract administrating. It showed that there was not any abnormal morphology, size, and chromatic changes of erythrocyte in blood smear observations. In conclusion, the aqueous extract of unripe papaya fruit do not have the acute toxicity to erythrocyte morphology.
Co-Authors Aaron Tigor Abdul Hadi Hassan Abdul Hadi Hassan Aldri Frinaldi Andriane, Yuke Armaya Ariyoga Astari P. Riani Astri Kania Astri Kania, Astri Ayu Prasetia Azlia Salsabila Rahadian Putri Bethy Suryawati Hernowo Bethy Suryawati Hernowo Bethy Suryawati Hernowo Birgitta Maria Dewayani Birgitta Maria Dewayani Dewayani, Birgitta Maria Eka Hendryanny Eka Nurhayati Ermina Widiyastuti Fajar Awalia Yulianto Faridza, Muhammad Fasyah Rizki Putri Hasrayati Agustina Hasrayati Agustina Hasrayati Agustina Herri S. Sastramihardja Hikmatussalam, Gemila Ismet Muchtar Nur Laila Dinda Nadiyah Lelly Yuniarti Maya Tejasari Meike Rachmawati Meta Maulida Damayanti Miranti Kania Dewi Mochamad Firdaus Bhuanaputra Muhammad Alief Abdul ‘Aziiz Muhammad Ilham Halim Noormartany Putri Anggraini Aswad Raden Anita Indriyanti Rahmi Fathonah Rahmi Fathonah, Rahmi Raissa Khais Azmi Ratna Damailia Romadhona, Nurul Santoso, Shenny Dianathasari Santun Bhekti Rahimah Sri Suryanti Sri Suryanti Titik Respati Gilarsi Uci Ari Lantika Winni Maharani Yenolinsky, Yolanda Yuniarti Yuniarti Yuniarti Yuniarti