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All Journal International Journal of Electrical and Computer Engineering Buletin Penelitian Kesehatan Journal of the Medical Sciences (Berkala Ilmu Kedokteran) MANDALA of Health Global Medical and Health Communication INDONESIAN JOURNAL OF PHARMACY Molekul: Jurnal Ilmiah Kimia

Wahyu Siswandari

Jenderal Soedirman University

Author-ID : 2372743

Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Electrical & Electronics Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Articles

PENGARUH PEMBERIAN SIMETIDIN TERHADAP KADAR SGOT DAN SGPT TIKUS PUTIH (Rattus norvegicus) YANG DIBERI ANTI TUBERKULOSIS RIFAMPISIN DAN ISONIAZID Siswandari, Wahyu; Pribadi, Fajar Wahyu; Perdini, Eska
MANDALA of Health Vol 4, No 2 (2010): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

Show Abstract | Download Original | Original Source | Check in Google Scholar

Tuberkulosis (TB) has long been known as an infection diseases, and has been reported to increased.The INH dan Rifampisin are two different drugs that are known tobe the most active drugs, therefore bothdrugs are being used as never ending drugs in curing the TB. Utilization of both INH and rifampisin in acombination to cure the TB patients, however could increase the possibility of hepar lession risk. Thisresearch was aimed to firstly, knowing whether cimetidine could prevent increase of SGOT and SGPT levelsof rats (Rattus norvegicus) given by both drugs INH and rifampisin, and secondly what was the minimumdose of cimetidine that able to prevent the increase of SGOT and SGPT levels. A Completely Random Design(CRD) was applied in this research, 24 male rats (Rattus norvegicus) of the wistar variety were divided into4 different groups. The first group, was only given the INH and rifampisin orally at the doses of 50 mg/Kgbody weight/day, the next groups groups II, III, and IV were also given those two drugs at the same dose, butthe cimetidine was also given at 112,5 , 225, and 450 mg/Kg body weight/day for the 28 days. Consequentlythe SGOT and SGPT levels were measured twice pre and post treatments. The data obtained were analysiedby the paired t test, a one way ANOVA, Post Hoc Tukeyâs HSD, Kruskal-Wallis and Mann-Whitney test. Thisresearch result showed that the cimetidine that given following the INH and rifampisin could prevent theincrease of SGOT and SGPT levels. The highest dose of 450 mg/Kg body weight/day that given orally showedhighly significant different from other (p<0,00) in preventing the SGOT and SGPT of treated animals

Computer Aided Diagnosis for Screening the Shape and Size of Leukocyte Cell Nucleus based on Morphological Image Retno Supriyanti; Alfin Chrisanty; Yogi Ramadhani; Wahyu Siswandari
International Journal of Electrical and Computer Engineering (IJECE) Vol 8, No 1: February 2018
Publisher : Institute of Advanced Engineering and Science

Hematology tests are examinations that aim to know the state of blood and its components, one of which is leukocytes. Hematologic examinations such as the number and morphology of blood generally still done manually, especially by a specialist pathologist. Despite the fact that today there is equipment that can identify morphological automatically, but for developing countries like Indonesia, it can only be done in the capital city. Low accuracy due to the differences identified either by doctors or laboratory staff, makes a great reason to use computer assistance, especially with the rapid technological developments at this time. In this paper, we will emphasize our experiment to screen leucocyte cell nucleus by identifying the contours of the cell nucleus, diameter, circumference and area of these cells based on digital image processing techniques, especially using the morphological image. The results obtained are promising for further development in the development of computer-aided diagnosis for identification of leukocytes based on a simple and inexpensive equipment.

Preliminary process in blast cell morphology identification based on image segmentation methods Retno Supriyanti; Pangestu F. Wibowo; Fibra R. Firmanda; Yogi Ramadhani; Wahyu Siswandari
International Journal of Electrical and Computer Engineering (IJECE) Vol 10, No 6: December 2020
Publisher : Institute of Advanced Engineering and Science

The diagnosis of blood disorders in developing countries usually uses the diagnostic procedure Complete Blood Count (CBC). This is due to the limitations of existing health facilities so that examinations use standard microscopes as required in CBC examinations. However, the CBC process still poses a problem, namely that the procedure for manually counting blood cells with a microscope requires a lot of energy and time, and is expensive. This paper will discuss alternative uses of image processing technology in blast cell identification by using microscope images. In this paper, we will discuss in detail the morphological measurements which include the diameter, circumference and area of blast cell cells based on watershed segmentation methods and active contour. As a basis for further development, we compare the performance between the uses of both methods. The results show that the active contour method has an error percentage of 5.15% while the watershed method has an error percentage of 8.25%.

Profile of Biofilm-Producing Staphylococcus epidermidis from Intravenous Catheter Colonisation at Prof. Dr. Margono Soekarjo Hospital Purwokerto Dwi Utami Anjarwati; Wahyu Siswandari; IDSAP Peramiarti
Indonesian Journal of Pharmacy Vol 30 No 1, 2019
Publisher : Faculty of Pharmacy Universitas Gadjah Mada, Yogyakarta, Skip Utara, 55281, Indonesia

Biofilm- producing Staphylococcus epidermidis has evolved to be a significant human pathogen, particularly in the use of medical devices such as an intravenous catheter. Furthermore, biofilm-producing bacteria 10-1000 fold less susceptible to several antimicrobial agents than free-bacteria. This simple survey aimed to describe the profile of biofilm-producing S. epidermidis from intravenous catheter colonization of some patients in surgical and internal medicine wards at the hospital Margono Soekarjo, Purwokerto, and the antibiotics resistance pattern. A vitek® 2 compact (Enseval Medika Prima) was performed to identify the bacterial species and to examine the 73 antibiotics for understanding the resistance pattern automatically. Microtiter plate biofilm assay with crystal violet staining was performed to measure biofilm optical density (OD) for analyzing the biofilm production capabilities. A scanning electron microscopy (SEM) was done to compare the thickness of ultrastructure of biofilm-producing S. epidermidis visually. The present study found that 2 of 8 Gram-positive bacteria (25%) were biofilm-producing S. epidermidis. One of S. epidermidis was moderate whereas the other was high biofilm-producing bacteria. Images of SEM showed that a high biofilm-producing S. epidermidis has a thicker ultrastructure of biofilm than the moderate biofilm-producing, whereas a control, the weak biofilm-producing S. epidermidis ATCC 12228 has the least biofilm. Both of S. epidermidis strains were sensitive to Gentamicin, Moxifloxacin, Quinupristin/Dalfopristin, Linezolid, Vancomycin, Doxycycline, Minocycline, Tetracycline, Tigecycline, and Nitrofurantoin. Furthermore, both S. epidermidis strains were resistant to the other (63) antibiotics. In conclusion, two strains of S. epidermidis in this study have different capabilities to form the biofilm which were showed that high biofilm-producing strain was thicker than moderate biofilm-producing strain by scanning electron microscopy. However, both of them were resistant to the same number of antibiotics.

Korelasi Genotip-Fenotip Pasien Talasemia Beta Di Kota Samarinda Kalimantan Timur Tahun 2019 Zaenal Adi Susanto; Wahyu Siswandari; Lantip Rujito
Buletin Penelitian Kesehatan Vol 48 No 2 (2020)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/bpk.v48i2.2362

Abstract Thalassemia is a genetic blood disorder that is autosomal recessive and is quite common throughout the world. This study aims to determine the relationship of Hemoglobin beta (HBB) gene mutations types with clinical levels and hematological in the subjects of 31 thalassemia-beta patients in Samarinda City. Blood samples were taken from patients to obtain their DNA then amplified them with the Polymerase Chain Reaction and direct sequencing techniques to analyze the hemoglobin-beta gene mutation. Javanese ethnics is the most dominant in this study (64.5%) and the most common clinical levels is the moderate category (77.4%). The mean MCV and MCH values were 72±5,5 fL and 24±3,3 pg. DNA analysis found 8 types of mutant alleles including 48.4% of Cd26 / HbE (GAG>AAG), 14.5% of IVS-1-5 (G>C) 12.9% of IVS-1-2 (T>C, ,8.1% of Cd35 (-C) , 6.5% of IVS-1-1 (G>T) 3.2% of Cd30 (AGG>ACG) , Cd60 (GTG>GAG) and Cd2 (CAT>CAC ) are 1.6% each. This study found mutations that had not been previously reported in Indonesia, namely Cd60 (GTG>GAG) and Cd2 (CAT>CAC). Spearman rank statistical tests show there is no significant relationship between the two studied variables. Keyword: Beta-thalassemia mutation, Clinical levels, Hematological Abstrak Talasemia merupakan salah satu kelainan darah genetik yang bersifat autosomal resesif dan cukup banyak ditemui di seluruh dunia. Diperkirakan 3-10 persen masyarakat Indonesia adalah pembawa sifat talasemia dengan berbagai macam latar belakang etnik. Studi ini bertujuan untuk mengetahui hubungan jenis mutasi gen hemoglobin beta (HBB) dengan derajat klinis dan pemeriksaan darah pada 31 pasien talasemia-beta di Kota Samarinda Provinsi Kalimantan Timur pada bulan Mei tahun 2019. Sampel darah pasien diambil untuk memperoleh DNA kemudian dilakukan amplifikasi dengan Polymerase Chain Reaction dan dilakukan teknik direct sekuensing untuk menganalisis mutasi gen hemoglobin-beta. Etnik Jawa merupakan yang dominan dalam penelitian ini (64,5%) dan derajat klinis paling umum adalah kategori sedang (77,4%). Rerata nilai MCV dan MCH masing-masing adalah 72±5,5 fL dan 24±3,3 pg. Analisa DNA didapatkan 8 jenis alel mutan yaitu Cd26/HbE (GAG>AAG) 48,4% selanjutnya IVS-1-5 (G>C) 14,5%, IVS-1-2 (T>C) 12,9%, Cd35 (-C) 8,1%, IVS-1-1 (G>T) 6,5%, Cd30 (AGG>ACG) 3,2%, Cd60 (GTG>GAG) dan Cd2 (CAT>CAC) masing-masing 1,6%. Studi ini menemukan mutasi yang belum dilaporkan pada penelitian sebelumnya di Indonesia yaitu Cd60 (GTG>GAG) dan Cd2 (CAT>CAC). Uji statistik spearman rank menunjukkan tidak terdapat hubungan bermakna antara ke dua variabel yang diteliti. Kata kunci: Mutasi talasemia beta, Derajat klinis, Hematologis

Hepatoprotective Effect of Sun Chlorella as an Antioxidant in Rattus norvegicus Induced Carbon Tetrachloride Wahyu Siswandari; Fitranto Arjadi; Hernayanti Hernayanti; Vitasari Indriani
Global Medical & Health Communication (GMHC) Vol 9, No 1 (2021)
Publisher : Universitas Islam Bandung

Carbon tetrachloride (CCl₄) is a chemical that can cause damage to liver cells. One of the natural ingredients developed to reduce liver damage due to chemicals and infections is Chlorella sp. The research aimed to explore the hepatoprotective effect of the antioxidant superoxide dismutase (SOD) by administering Sun Chlorella in Rattus norvegicus CCl₄ induced rats. The study design used a post-test with a control group design with a completely randomized design trial on 30 male rats of Wistar strains, aged 2–3 months, 200–250 grams in weight. The research was conducted in November 2016–January 2017 in Purwokerto. Rats were divided into five groups and treated for four weeks as follows: K1 group was given aquades; K2 was given CCl₄; K3, K4, K5 were given CCl₄ and Sun Chlorella 3.6 mg/200 gBW, 7.2 mg/200 gBW, and 14.4 mg/200 gBW respectively, by the gastric probe. Statistical analysis with correlation test and one way ANOVA multivariate test showed that Sun Chlorella 7.2 and 14.4 mg/200 gBW significantly increased SOD levels in rats induced CCl₄ (p=0.004, p=0.009). SOD rates were significantly strong associated with aspartate aminotransferase/AST (r=−0.685, p=0.000) and alanine aminotransferase/ALT (r=−0.659, p=0.000). The conclusion is Sun Chlorella increases SOD levels in CCl₄-induced rats. Increased SOD levels may decrease AST and ALT levels. EFEK HEPATOPROTEKTIF SUN CHLORELLA SEBAGAI ANTIOKSIDAN PADA RATTUS NORVEGICUS YANG DIINDUKSI KARBON TETRAKLORIDAKarbon tetraklorida (CCl₄) merupakan bahan kimia yang dapat menyebabkan kerusakan sel hati. Berbagai bahan alami telah dikembangkan untuk mengurangi kerusakan hati baik akibat bahan kimia maupun infeksi, salah satunya adalah Chlorella sp. Penelitian ini bertujuan melihat efek hepatoprotektif dengan pemberian Sun Chlorella pada tikus Rattus norvegicus yang diinduksi CCl₄. Desain penelitian menggunakan post-test with a control group dengan rancangan percobaan rancangan acak lengkap pada 30 tikus jantan galur Wistar, usia 2–3 bulan, dan berat 200–250 gram. Penelitian ini dilakukan di Purwokerto pada periode November 2016–Januari 2017. Tikus dibagi menjadi lima kelompok dan mendapatkan perlakuan per oral dengan sonde lambung selama 4 minggu sebagai berikut: kelompok K1 sebagi kontrol negatif diberikan aquades; kelompok control positif K2 diberikan CCl₄; kelompok perlakuan K3, K4, dan K5 diberikan CCl4 dan Sun Chlorella 3,6 mg/200 gBB; 7,2 mg/200 gBB; 14,4 mg/200 gBB tikus berurutan. Uji statistik dengan menggunakan uji korelasi dan ANOVA satu arah menunjukkan bahwa pemberian Sun Chlorella 7,2 mg dan 14,4 mg meningkatkan kadar SOD pada tikus yang diinduksi CCl₄ secara bermakna (p=0,004; p=0,009). Kadar SOD berhubungan kuat dengan kadar aspartat aminotransferase/AST (r=−0,685; p=0,000) dan alanin aminotransferase/ALT (r=−0,659; p=0,000). Kesimpulan penelitian ini adalah pemberian Sun Chlorella meningkatkan kadar SOD pada tikus yang diinduksi CCl₄. Peningkatan kadar SOD menyebabkan penurunan kadar AST dan ALT.

No Acute Toxicity Tests of Purwoceng (Pimpinella pruatjan Molk.) Ethanolic Extract on Male Albino Rat by Determined Hepatorenal Function Test and Histopathology Fitranto Arjadi; Dhadhang Wahyu Kurniawan; Yudhi Wibowo; Wahyu Siswandari; Lantip Rujito
Molekul Vol 14, No 2 (2019)
Publisher : Universitas Jenderal Soedirman

Pimpinella pruatjan Molkis a local indegineuos plant speciescommonly used aphrodisiac.This studywas performed to analyze the effect of acute administration of purwoceng (Pimpinella pruatjan Molk.) roots ethanol extract to liver and kidney histological damagein rats. The study used an experimental approachusing post test only with control group design. Rats were randomly divided into five groups; 3 rats in each group. Group A as a control group received aquadest, group B, C, D, and E were given purwoceng roots ethanol extract dose of 5 mg/kgBW, 50 mg/kgBW, 300 mg/kgBW, and 2000 mg/kgBW respectively.Liver histological damage was assessed by a modification of the Roenigk score, whereaskidney damage was by the semiquantitative scoring of proximal tubular necrosis. UV test was used to quantify the AST and ALT levels, the measurement of blood urea levels was using the Urease-GLDH method, and Jaffe methodwas used to access the creatinine levels.Kruskal-Wallis test showed that liver and kidney histologicalparameterswere not significantly affected, as well as theblood urea and creatinine levels (p>0.05).Meanwhile,ALT level wasonly parameters which showed the significant test (p <0.05)among groups. Study concluded that the liver and kidney histological appearance, AST, blood urea, and creatinine levels in the male albino rat were not significantly affected by acute administration of Purwoceng roots in various dosesbut the ALT level was significantly affected

Antibiotic resistance of biofilm-producing bacteria from sepsis patients in Prof. Dr. Margono Soekarjo Hospital, Purwokerto, Central Java Rani Afifah Nur Hestiyani; Wahyu Siswandari; Vitasari Indriani; I Dewa Sang Ayu Putu Peramiarti; Dwi Utami Anjarwati; Hermin Prihartini
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 54, No 2 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19106/JMedSci005402202207

Sepsis is a life-threatening organ dysfunction induced by the body's response to infection and is a significant cause of critical illness and death in hospitals. Bacteria are the most common pathogens that cause sepsis, and their ability to form biofilms increases their resistance to antibiotics. As a result of the failure of antibiotic administration therapy, the severity and pain of sepsis worsen. The study used a descriptive research design to determine the antibiotic resistance pattern of biofilm-producing bacteria from clinical isolates of sepsis patients. Using the BacT/Blood Culture System Alert, all patients suspected of sepsis in the intensive care unit of Prof. Dr. Margono Soekarjo General Hospital Purwokerto were examined for blood cultures between March and July 2018. These were then identified and tested for antibiotic resistance with the Vitek 2 Compact. Biofilm formation was detected utilizing the microtiter plate assay method, and the data were analyzed using a frequency distribution table. The results obtained 12 bacterial isolates, with Escherichia coli (41.67%), Staphylococcus haemolyticus (33.33%), Klebsiella pneumoniae ssp pneumoniae, Enterobacter cloacae complex, and Acinetobacter baumannii complex (8.33%) as the most common bacteria. All gram-negative bacteria (more than 80%) were resistant to ampicillin, cefoxitin, ceftazidime, ceftriaxone, aztreonam, and trimethoprim but were sensitive to meropenem (100%). Gram-positive bacteria were resistant to cefoxitin, benzylpenicillin, oxacillin, ciprofloxacin, erythromycin, and clindamycin (100% each). However, they were sensitive to tigecycline, nitrofuran, quinupristin, linezolid, vancomycin, and tetracycline (100% each). Gram-negative bacteria formed 50% biofilms, and 50% did not, whereas gram-positive bacteria produced 100% biofilms. In conclusion, bacteria clinical isolates of septic patients from Prof. Dr. Margono Soekarjo General Hospital Purwokerto are multiresistant to more than six types of antibiotics and produce weak to moderate biofilms, which can promote antibiotic resistance.

Co-Authors Alfin Chrisanty Dhadhang Wahyu Kurniawan Dwi Utami Anjarwati Dwi Utami Anjarwati Eska Perdini, Eska Fajar Wahyu Pribadi, Fajar Wahyu Fibra R. Firmanda Fitranto Arjadi Fitranto Arjadi Hermin Prihartini Hernayanti Hernayanti I Dewa Sang Ayu Putu Peramiarti IDSAP Peramiarti Indriani, Vitasari Lantip Rujito Lantip Rujito Nor Sri Inayati, Nor Sri Pangestu F. Wibowo Pugud Samudro Rani Afifah Nur Hestiyani Retno Supriyanti Vitasari Indriani Vitasari Indriani Yogi Ramadhani Yudhi Wibowo Zaenal Adi Susanto

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