Journal of Agromedicine and Medical Sciences
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The Larvacidal Activity of Ethanol Extracts of Phyllanthus acidus Leaves on The Culex quinquefasciatus Instar III/IV Larvae
Culex quinquefasciatus was one of a vector of filariasis disease caused by filarial worm infection. Mode of transmission was through mosquito bites that contain filaria worm. To overcome the problem in terms of eradicating the mosquito larvae was by searching for safe biological materials for humans and the environment, one of them was Phyllanthus acidus leaves. The purposes of this research were to know whether the ethanol extract of Phyllanthus acidus leaves have larvicidal activity on Culex quinquefasciatus instar III / IV larvae and to know the lethal concentration 50 (LC50) ethanol extract of Phyllanthus acidus leaves on Culex quinquefasciatus instar III / IV larvae within 24 hours. This study used true experimental method with post test only controlled group design with 1 positive control group (Temephos), 1 negative control group (Aquades and DMSO), and 5 treatment groups (0.0625%; 0.125%; 0.25%, 0.5% and 1% extract) respectively 20 Culex quinquefasciatus instar III/IV larvae. The result of regression test of inverse to know the effect of leaf extract of ceremai to the death of Culex quinquefasciatus larvae obtained R2=0909 which was mean the effect of ethanol extract of Phyllanthus acidus leaves to the number of the death of Culex quinquefasciatus larvae equal to 90.9%. The result of probit test obtained LC50 result of 0.189% with 95% confidence interval (0.142% -0.233%)
The Difference of Potassium Level in Stage 5 Kidney Chronic Disease Patients Whose Using New and Re-use Hemodialyzer in RSD dr. Soebandi Jember
Stage 5 chronic kidney disease (CKD) is a condition where the renal function decrease, marked by the GFR value < 15/ml/minute/1,73 m2 with or without kidney damage history for 3 months or more that needs kidney replacement therapy, including hemodialysis. In Indonesia, hemodialysis was chosen for 82% from all the cases that needs kidney replacement therapy. However, the cost for hemodialysis therapy is considered as too expensive and burdens The National Health Insurance, Badan Penyelenggara Jaminan Sosial (BPJS), allowing the reuse of hemodialyzer as an alternative for cost-effectiveness. Re-use hemodialyzer is a term for using the same hemodialyzer for the same patient but on different therapy session. The main purpose of this research is to investigate the difference of Potassium level in stage 5 chronic kidney disease patients whose using new and re-use hemodialyzer in RSD dr. Soebandi Jember. This research used quasi experimental design by using blood sample that will be measured for the potassium level after using new hemodialyzer and re-use hemodialyzer for the 4th time in Hemodialysis Installation of RSD dr. Soebandi Jember on December 2018. Total sample of 19 patients chosen using inclusion and exclusion criteria. Collected data were analyzed using paired t-test. The result of statistical test shows that there is no significance potassium level difference in stage 5 chronic kidney disease whose using new and re-use hemodialyzer for the 4th time (p=0,094). The effectivity of hemodialyzer that still has a good condition and hemodialysis therapy that has been done in accordance with the procedure until the 4th reuse is the main factor of this result.
Keywords: CKD, potassium, re-use hemodialyze
The Effectiveness of Edamame Seed (Glycine max L. Merril) Ethanolic Extract to Fibroblast Count on Second Degree Burn Wound Healing
Burn wound healing process consists of three phases of inflammation, proliferation and remodelling. The number of fibroblasts has increased during the proliferation phase. Oxidative stress in burn may disrupt proliferation through TGF-β inhibition, result in decreased number of fibroblasts and poor burn wound healing. Genistein in edamame seeds has anti-inflammatory, antibacterial and antioxidant properties. Edamame contains vitamins A, C, and E which is also have antioxidant properties. Edamame has been suggested to protect burn wound healing from oxidative stress. This study aimed to understand the effectiveness of edamame seed (Glycine max L. Merril) ethanolic extract (ED) to fibroblast count in second degree burn wound healing. This is true experimental research with post test only control group design. The study was conducted at University of Jember during November until December 2017. The sample of this research was 24 rat models of second degree burn which was made by attaching hot metal (60 ° C) for 5 seconds on the shaved back of the rats. The sample was divided into 6 groups with topical treatment, among others: positive control group (silver sulfadiazine), negative control group (Na CMC 0.5%), group with ED 20%, ED 40%, ED 60%, and ED 80%. Treatment was given for 15 days and skin sample was taken on the 16th day. Observation of the number of fibroblasts was done by taking pictures of histhologic preparations in Hematoxylin and Eosin staining under 400x magnification of light microscope. The number of fibroblast of each picture was processed using Image-J software. In one way ANOVA test, significance value of 0.011 (p≤0,05) indicated that there was at least a significant difference between 2 groups. LSD’s post hoc analysis showed that there was a significant difference in the group ED 20, 40, and 60% compared with negative control.
Keyword: burn wound healing, vegetable soybean, genistein, fibroblast count, silver sulfadiazin
Diazinon Toxicity to Kidney and Liver of Wistar Male Rats in terms of Biochemical and Histopathological Parameters
Diazinon is an organophosphate type pesticide that is still often used by farmers in Indonesia, with the effect of inhibiting the acetylcholinesterase enzyme, giving rise to the accumulation of acetylcholine in the synapse gap which will lead to incoordination, convulsions and death in insect pests. Apart from having the neurotoxic effects of diazinone it can also damage cells through the mechanism of oxidative stress. Diazinone poisoning has a high potential to cause damage to the kidney organs, because the diazinone excretion pathway and its active metabolites are through the urinary system. The purpose of this study was to determine the effect of diazinone on the liver and renal wistar male kidney. Diazinone dosage of 40 mg / kgBW, given to mice twice a day for 5 days, with each given as much as 5 ml using the gastric sonde. The research sample was in the form of rat blood taken intracardiac to examine BUN levels, serum creatinine, SGOT, SGPT, and GSH, then kidney and liver rats were taken to make histopathological preparations and MDA examinations. Analysis of this research data using the T-test for all variables. There were significant differences between groups of rats given diazinone and groups of rats not given diazinone based on levels of BUN, creatinine, SGOT, SGPT, GSH and MDA. In the group of mice not given diazinone, kidney histopathology was better than those given diazinon.
Keywords: diazinon, pesticides, organophosphate
Acute Toxicity Tests of Basil Leaves (Ocimumsanctum) Ethanolic Extract Determined By LD50 and Renal Histopathology
Basil leaves are widely used as herbal remedies and have proven many benefits because the content of phytonutrients includes antioxidants, but at certain doses a compound retains a probability of causing toxicity in the body. This study aims to determine the acute toxicity of ethanolic extract of basil leaves seen from the value of LD50 range and renal histopathology which is the vital organ of the target of toxicity in the body. The method of acute oral toxicity test was OECD 420 fix dose procedure method with a group of 5 Balb/c female mice given a multilevel dosage. The initial dose is 2000 mg/Kg.b.w selected on a sighting study as a dose that may cause mild toxicity symptoms but does not cause death. There are 2 groups consist of treatment with dose at LD50 value and control. The result of this research showed that LD50 value of ethanol extract of Ocimum sanctum > 2000 mg/Kg.b.w. The mean renal histopathologyc scores between the control and the treatment were significantly different by The Mann-Whitney test with significance value of p=0.018. Ocimum sanctum ethanolic extract is classified as non-toxic compounds but there was a change in renal histopathology of mice in the form of focal lesions after acute exposure at highest dose of OECD 420 method.
Keywords: acute toxicity test, renal histopathology, basil leave
The Relationship between Exposure Tobacco Smoke in Pregnant Women with Perinatal Death in Jember Regency
Perinatal death is an indicator of the success implementing a country's health services. Perinatal death rate in Indonesia in 2012 was 26/1000 live births. In 2017 there were 225 cases of infant mortality from 34,669 births in Jember Regency. Perinatal death is influenced by maternal, infant, health services and the living environment. The environmental conditions of the residence can be affected by cigarette smoke. The aim of this study was to determine the relationship of exposure tobacco smoke in pregnant women with perinatal death in Jember Regency and to find out the main source of exposure tobacco smoke in pregnant women in Jember Regency. Type of research is analytic observation with case control study design. The sampling technique is consecutive sampling. The study sample was mothers who had a dead baby in the perinatal period (perinatal death) who resided in the Jember regency on the birth of January-December 2017. The sample size was 30 for each group. Collected data was carried out by univariate analysis and bivariate analysis using the chi-square test and fisher exact test if the chi-square test requirements were not met. Results of univariate analysis in this study showed that 89.47% of the main sources of exposure tobacco smoke originated from home and 73.68% from husbands. Results of the chi-square test between exposure tobacco smoke with perinatal death p value 0.579 (p> 0.05). Confounding variables that had no significant difference between the case and control groups were parity (p = 0.116, p> 0.05), education (p = 0.083, p> 0.05), birth distance (p = 0.26, p> 0.05), and birth attendants (p = 0.492, p> 0.05). Based on the results of these studies it can be concluded that exposure tobacco smoke in pregnant women is not associated with perinatal death and the main source of exposure tobacco smoke in pregnant women comes from home and at most from husbands.
Keywords: exposure tobacco smoke, pregnant women, perinatal death
 
Tempe Flour Increase The Amount of Erythrocytes of White Male Rat (Rattus norvegicus) Wistar Strain Induced by Cigarette Smoke
Cigarette smoke was one of the free radical sources for the body. Free radical contain in cigarette smoke were hydroxide radicals (•OH). Hydroxide radicals would cause erythrocytes damage. Antioxidants were substances that can prevent free radicals. Now, natural antioxidants source has developed, one of that is tempe because it contains antioxidants substances such as carotene, Vitamin E, isoflavone, and factor II antioxidants. The aim of this study is knowing the influence of giving tempe flour toward the amount of erythrocytes of white male rat (Rattus norvegicus) Wistar strain induced by cigarette smoke. The experiment used a post-test only-control group design method. The samples were white male rats Wistar strain aged of 3 to 4 months as much 30 rats with weight around 180-220 gram. The samples divided into three groups, that were control group (K1), treatment group 1 (K2), and treatment group 2 (K3), each group consists of 10 rats. Control group was not given any treatment, it only got a standard feed, treatment group 1 got treatment and it was induced by cigarette smoke. Furthermore, treatment group 2 got standard feed, it was induced by cigarette smoke and was given tempe. Analysis of data used one-way anova showed the significance p-value = 0,036 that was <α (0,05). The result showed giving tempe flour increase the amounts of erythrocytes of white male rat (Rattus norvegicus) Wistar strain which was induced by cigarette smoke.
Keywords: cigarette smoke, free radicals, erythrocytes, antioxidants, temp
Aedes aegypti Mosquito Potential Larvacidal of Phyllantus niruri L. Leaves Ethanol Extracts
Dengue hemorrhagic fever (DHF) is a disease caused by dengue virus transmitted by Aedes aegyptifemale mosquitoes with four major clinical manifestations, such as high fever, hemorrhage,hepatomegaly, and signs of circulatory failure. Indonesia was reported as the 2nd country with thelargest dengue cases among 30 endemic countries. The larvicidal powder is used as one of thedengue virus vector controllers. This study aims to determine the effect of ethanol extract of smallgooseberry leaves (Phyllantus niruri L.) to the death of Aedes aegypti mosquitoes. This study usedquasi experimental method with post test only controlled group design with 1 positive control group(Temephos), 1 group of negative control (tap water), and 5 treatment groups (0.0625%, 0.125%,0.25% , 0.5% and 1% extract) used 20 larvaes of Aedes aegypti instar III each group. The results of thetreatment group extract with a concentration of 0.5% and 1% obtained 100% dead larvae. The resultof linear regression test showed the effect of meniran leaf extract on the death of larvae Ae. aegyptiwith R2 value of 65.2%. The larvacid activity of ethanol extract leaves meniran against larvae Ae.aegypti instar III was directly proportional to concentration with LC50 of 0.174% with 95% confidenceinterval (0.155-0.195)
Comparison Profile of Nutrition Status in Stage V Chronic Kidney Disease Patients Hemodialyzing Using New and Reuse Dialyzer: Experimental Study in Hemodialysis Installation of RSD dr. Soebandi Jember
Burn wound healing process consists of three phases of inflammation, proliferation and remodelling. The number of fibroblasts has increased during the proliferation phase. Oxidative stress in burn may disrupt proliferation through TGF-β inhibition, result in decreased number of fibroblasts and poor burn wound healing. Genistein in edamame seeds has anti-inflammatory, antibacterial and antioxidant properties. Edamame contains vitamins A, C, and E which is also have antioxidant properties. Edamame has been suggested to protect burn wound healing from oxidative stress. This study aimed to understand the effectiveness of edamame seed (Glycine max L. Merril) ethanolic extract (ED) to fibroblast count in second degree burn wound healing. This is true experimental research with post test only control group design. The sample of this research was 24 rat models of second degree burn which was made by attaching hot metal (60 ° C) for 5 seconds on the shaved back of the rats. The sample was divided into 6 groups with topical treatment, among others: positive control group (silver sulfadiazine), negative control group (Na CMC 0.5%), group with ED 20%, ED 40%, ED 60%, and ED 80%. Treatment was given for 15 days and skin sample was taken on the 16th day. Observation of the number of fibroblasts was done by taking pictures of histhologic preparations in Hematoxylin and Eosin staining under 400x magnification of light microscope. In one way ANOVA test, significance value of 0.011 (p≤0,05) indicated that there was at least a significant difference between 2 groups. LSD’s post hoc analysis showed that there was a significant difference in the group ED 20, 40, and 60% compared with negative control.
Keyword: burn wound healing, vegetable soybean, genistein, fibroblast count, silver sulfadiazin
The Effect of Belimbing Wuluh (Averrhoa Bilimbi L.) and Red Guava (Psidium Guajava L.) Extract on Fasting Blood Glucose Levels of Diabetic Wistar Rats Model
Diabetes mellitus is a metabolic disease with special characteristic which increased blood glucose level (hiperglicemic), its happens because of the abnormality of insulin secretion, insulin mechanisme or both of them. Belimbing wuluh and red guava extract can become alternative functional drink that contain rich of vitamin C to help controlling blood glucose level. The aimed of this study was to determined the effect of belimbing wuluh and red guava extract on blood glucose levels of Rattus novergicus strain Wistar diabetic model. This research was an true experimental study with a randomized post-test control group design. Twentyfour (24) male wistar strain rats weighing 200-250 grams, aged 2-3 months, were divided into 4 groups. The control group (K-) non-diabetic rats, the control group (K+) diabetic rats given standard diet, and the treatment group diabetic rats given standard diet and belimbing wuluh and red guava extract intervetion doses 10,7 ml/day (P1) and 21ml/day (P2). Measurement of pretest posttest fasting blood glucose levels was carried out using biolyzer. The data were analyzed by One Way Anova test. The results showed that there were significant differences in delta pretest and posttest fasting blood glucose levels between all groups. Blood glucose levels decreased at 55.6%. In conclusion, belimbing wuluh and red guava extract 21ml/day most effectively decreased fasting blood glucose levels in diabetic wistar rats moldel.
Keywords: belimbing wuluh, blood glucose level, diabetes mellitus, red guav