Penelitian ini bertujuan untuk mengetahui efek ekstrak air daun sirsak terhadap bobot badan dan kadar kolesterol darah. Penelitian ini menggunakanrancangan acak lengkap dengan 5 kelompok perlakuan masing-masing sebanyak 3 ulangan. Hewan coba berupa tikus galur Wistar sebanyak 15 ekor dibagi menjadi 5 kelompok perlakuan, yaitu kelompok yang diberikan ekstrak air daun sirsak dengan dosis 200 mg/kgBB, 400mg/kgBB, kontrol positif, kontrol negatif, dan kontrol normal. Rerata bobot badan dan kadar kolesterol kemudian dianalisis menggunakan Sapphiro Wilk test, ANOVA dan Kruskall Wallis. Hasil penelitian menunjukkan bahwa semua kelompok yang diberikan ekstrak daun sirsak memiliki efek menghambat peningkatan bobot badan jika dibandingkan dengan kontrol normal, sedangkan untuk kadar kolesterol darah didapatkan bahwa seluruh kelompok perlakuan menunjukkan kadar kolesterol darah yang sama dengan kelompok yang diberikan simvastatin. Kesimpulan penelitian ini adalah bahwa ekstrak air daun sirsak memiliki efek mengendalikan bobot badan dan kolesterol darah. Efek terhadap kolesterol darah serupa dengan simvastatin, karena ekstrak air daun sirsak mengandung fl avonoid yang mempunyai efek menghambat enzim HMG CoA reduktase, serupa dengan mekanisme kerja simvastatin dalam menurunkan kadar kolesterol darah.
Deficiency of vitamin D in the world is high. Vitamin D deficiency has numerous negative effects. The purpose of this study was to determine the proportion of vitamin D deficiency in male adolescents in Yogyakarta Indonesia. This research is a cross-sectional study. The height, weight, physical activity, lipid profile laboratory data and vitamin D levels of subjects were recorded in the study. Body mass index (BMI) is calculated as body weight divided by height. Moderate exercise in physical is determined as enough activity for 150 minutes in week for moderate exercise and 75 minutes in week for strenuous exercise. Dyslipidaemia is diagnosed as an abnormal lipid level of three criteria: Low-Density Lipoprotein (LDL) ≥140 mg/dl, High-Density Lipoprotein (HDL) <40 mg/dl, and triglyceride ≥150 mg/dl.Vitamin deficiency was determined using the enzymes linked immunoassay method by measuring the activity of 25hydroxy vitamin D using serum samples of subjects. A total of 60 male adolescents aged 19-25 years participated in the study. A total of 30 subjects (50%) had obesity with an average BMI of 29.65 kg/m2. A total of 38 subjects had increased dyslipidaemia, with the highest proportion having low HDL (15%). A total of 39 subjects (65%) had had sufficient physical activity. The proportion of vitamin D deficiency was experienced by 26 subjects (43.3%) while the proportion of vitamin D insufficiency was experienced by 31 subjects (51.7%). Statistical analysis showed there was no correlation between the occurrence of vitamin D deficiency and obesity, dyslipidaemia and physical activity (Χ 2 = 0.778, p = 0.6779; Χ 2 = 1.8, p = 0.4065; Χ 2 = 0.087, p = 0.575). Proportion of vitamin D deficiency and insufficiency was quite high among male adolescents but not related to physical activity. Interventions are needed to treat conditions of vitamin D deficiency and insufficiency.
Masalah dalam perilaku profesional dokter semakin disorot oleh masyarakat ditandai dengan peningkatan pengaduan masyarakat ke MKDKI mengenai perilaku dokter yang dinilai kurang sesuai diantaranya mengenai komunikasi antara pasien dengan dokter. Tujuan penelitian ini untuk mengetahui persepsi dokter pendidik klinis terhadap perilaku profesional dokter muda di rumah sakit pendidikan FK Unisba. Penelitian ini menggunakan metode deskriptif dengan pendekatan cross-sectional. Pengambilan data menggunakan kuesioner kepada dokter pendidik klinis di RSUD Al-Ihsan dan RS Al-Islam Bandung. Dokter pendidik klinis menilai lima aspek perilaku profesional dokter muda, yaitu kompetensi dan keterampilan klinik sebagai dokter, kemahiran dalam berkomunikasi, sikap terhadap pasien, inisiatif dan komitmen terhadap tugas dan pekerjaan, dan sikap terhadap kolega, pembimbing klinis maupun tenaga kesehatan lainnya. Waktu pengambilan data dilakukan pada bulan Juni-Juli 2018 didapatkan 50 responden yang memenuhi kriteria inklusi yaitu dokter pendidik klinis dari departemen yang sudah dimasuki oleh rotasi dokter muda dan dokter pendidik klinis dari departemen yang melakukan pemeriksaan langsung kepada pasien. Pengolahan data menggunakan Microsoft Excel dan disajikan dalam bentuk tabel distribusi dan frekuensi. Hasil penelitian ini menunjukkan perilaku profesional dokter muda dalam aspek kemahiran dalam berkomunikasi, penerapan perilaku profesional terhadap pasien, perilaku dokter muda terhadap kolega, dokter pembimbing klinis maupun tenaga kesehatan lainnya termasuk dalam kategori baik, sedangkan pada aspek kompetensi keterampilan klinik sebagai dokter masih dalam kategori cukup, dan mengenai aspek inisiatif dan komitmen terhadap tugas dan pekerjaan memberikan hasil baik dan cukup. Hal ini dapat disebabkan kurangnya mahasiswa dalam menerapkan pembelajaran pada saat menjalankan kegiatan tutorial ataupun skill lab.
Kematian akibat infeksi Shigella, terutama Shigella dysenteriae dapat mencapai lebih dari 10% terutama pada anak dan lanjut usia pada kondisi tanpa pemberian terapi yang efektif. Siprofloksasin merupakan lini pertama untuk pengobatan infeksi Shigella, akan tetapi obat ini memiliki beberapa kekurangan di antaranya harga yang mahal dan resistensi. Daun mengkudu merupakan tanaman tradisional yang diduga memiliki efek antimikro dan diharapkan dapat menjadi alternatif terapi antibiotik bagi Shigella dysenteriae yang saat ini sudah banyak mengalami resistensi. Tujuan penelitian ini adalah mengetahui efek antimikro ekstrak air daun mengkudu (Morinda citrifolia L.) terhadap bakteri Shigella dysenteriae. Penelitian ini bersifat eksperimental laboratorium murni. Zona hambat ditentukan melalui metode difusi cakram. Objek penelitian yang digunakan adalah Shigella dysenteriae ATCC nomor 13313. Sampel uji berupa ekstrak air daun mengkudu konsentrasi 100%, kontrol positif (siprofloksasin) dan kontrol negatif (aquadest) dengan 9 kali pengulangan. Hasil uji antimikro dengan metode difusi cakram menunjukkan tidak terbentuk zona hambat pada ekstrak air daun mengkudu konsentrasi 100%. Hal tersebut menunjukkan ekstrak air daun mengkudu konsentrasi 100% tidak memiliki efek antimikro terhadap bakteri Shigella dysenteriae. Kadar flavonoid, tanin, dan alkaloid yang terdapat dalam ekstrak air daun mengkudu konsentrasi 100% pada penelitian ini kemungkinan belum cukup untuk menghasilkan efek yang diharapkan. Antimicrobial Effect of Water Extract of Noni (Morinda citrifolia L.) Leaves against Shigella dysenteriae In VitroDeath due to infection with Shigella, especially Shigella dysenteriae, can reach more than 10%, especially in children and the elderly in conditions without effective therapy. Ciprofloxacin is the first line for the treatment of Shigella infection, however this drug has several disadvantages including high price and resistance. Noni leaf is a traditional plant that is thought to have antimicrobial effects and is expected to be an alternative antibiotic therapy for Shigella dysenteriae which is currently experiencing a lot of resistance. The purpose of this study was to determine the antimicrobial effect of the water extract of noni leaves (Morinda citrifolia L.) on Shigella dysenteriae bacteria. This research is a pure laboratory experimental study. The zone of inhibition is determined by the disc diffusion method. The research object used was Shigella dysenteriae ATCC number 13313. The test sample was a water extract of noni leaves with a concentration of 100%, positive control (ciprofloxacin) and negative control (aquadest) with 9 repetitions. The results of the antimicrobial test using the disc diffusion method showed no inhibition zone was formed in the water extract of noni leaves with a concentration of 100%. This shows that a water extract of noni leaves with a concentration of 100% did not have an antimicrobial effect against the Shigella dysenteriae bacteria. The levels of flavonoids, tannins, and alkaloids contained in the water extract of noni leaves with a concentration of 100% in this study may not be sufficient to produce the expected effect.
The study aim was analyzed the potential of semi polar compounds from lemon-local on old mice lipid profile with high fat dietary. Experimental study using DDY mice, males, 50−55 weeks. Five of 30 mice were sacrificed before treatment (group 6), group 1 (negative control), groups 2, 3, 4 and 5 were fed high fat dietary, group 3, 4 and 5 were treated doses 1, 2 and 3, respectively, orally. Parameters measured were body weight, HDL, TAG, total cholesterol. The results showed body weight of mice were above normal and dose 2 treatment cause weight loss (p=0.658). The highest cholesterol level was in positive control and the lowest was in the group given doses 2 (p=0.042). The highest triglycerides level was in the pretreatment group and the lowest was in the group given doses 2 (p=0.148). The highest HDL was in the positive group and the lowest was in the group given doses 2 (p=0.278). Semi polar compound from lemon-local at dose 2 could be regulated profile lipid on old mice with high fat dietary. This research needs to be improved, especially biomechanism of active substances.
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