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PEMBERIAN N-ASETYLSISTEIN TERHADAP KADAR IFN-GAMMA PADA PENDERITA HIV/AIDS YANG MENJALANI PENGOBATAN ANTIRETROVIRAL Sri Sulpha Siregar; Eddy Mart Salim; Zen Hafy; Nova Kurniati; Harun Hudari; Erial Bahar; Agustian Dwi Putra; Afriyana Siregar
JURNAL KEDOKTERAN DAN KESEHATAN Vol 8, No 2 (2021)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/V8I2.13269

Abstract

HIV merupakan penyakit infeksi yang masih menjadi masalah besar kesehatan di Indonesia maupun dunia. Berbagai macam bentuk infeksi yang disebabkan oleh HIV, salah satunya ditandai dengan turunnya jumlah sel limfosit T CD4+ dan juga penurunan kadar IFN-GAMMA yang dapat menyebabkan percepatan replikasi virus hingga terjadi kegagalan sistem imun. NAC yang merupakan antioksidan diharapkan dapat memperbaiki kondisi tersebut. Penelitian ini bertujuan untuk mengetahui efek pemberian NAC terhadap perubahan kadar IFN-GAMMA  pada penderita HIV/AIDS di RSUP dr. Mohammad Hoesin Palembang. Penelitian ini merupakan uji klinik acak tersamar ganda. Sampel yang digunakan dalam penelitian ini sebanyak 32 pasien HIV/AIDS yang menjalani pengobatan ARV di RSUP dr. Mohammad Hoesin Palembang dibagi secara acak ke dalam 2 kelompok, yaitu kelompok Plasebo dan NAC. Pada kelompok Plasebo, pasien diberi kapsul yang berisi laktosa dengan dosis 3x1 kapsul/hari, sedangkan kelompok NAC, diberi NAC dengan dosis 3x 200 mg/hari. Setiap kelompok diberi perlakuan sama selama 12 minggu. Darah pasien diambil sebelum dan setelah perlakuan untuk diperiksa kadar IFN-GAMMA . Hasil penelitian menunjukkan bahwa kelompok uji yang diberikan NAC maupun placebo tidak menunjukkan perubahan kadar IFN-GAMMA yang bermakna setelah 12 minggu perlakuan. Kesimpulan penelitian, pemberian NAC tidak mempengaruhi kadar IFN-GAMMA pada penderita HIV/AIDS yang menjalani pengobatan ARV.HIV is an infectious disease that becomes a major health problem in Indonesia and the world. There are various forms of infection caused by HIV, one of which is marked by a decrease in the number of CD4 + T lymphocytes and a decrease in IFN-GAMMA level which can accelerate viral replication to the point of immune system failure. NAC, an antioxidant, is expected to improve this condition. This research aimed to determine the effect of NAC on IFN-GAMMA levels in HIV / AIDS patients in Dr. Mohammad HoesinCentral Hospital, Palembang. This research was a randomized double blind clinical trial. The samples were 32 HIV / AIDS patients who were undergoing ARV treatment at Dr. Mohammad Hoesin Central Hospital, Palembang, which were randomly divided into 2 groups; the placebo and the NAC groups. In the placebo group, patients were given capsules containing lactose at a dose of 3x1 capsules / day, while patients in the NAC group were given NAC at a dose of 3 x 200 mg / day. Each group was given the same treatment for 12 weeks. The patients’ blood were taken before and after treatment to check their IFN-GAMMA levels. The results showed that both groups did not show any significant changes in IFN-GAMMA levels after 12 weeks of treatment. The conclusion of this researchis that NAC administration did not affect IFN-GAMMA levels in HIV / AIDS patients who were undergoing ARV treatment. 
Perbedaan kadar TNF-α saliva pada ibu hamil preeklamsia dan ibu hamil tidak preeklamsiaDifferences of the salivary TNF-α level in pregnant women with and without preeclampsia Trisnawaty Trisnawaty; Eddy Mart Salim; Kemas Yakub
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 29, No 3 (2017): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (279.75 KB) | DOI: 10.24198/jkg.v29i3.15959

Abstract

Pendahuluan: Beberapa teori menyebutkan penyakit periodontal dapat meningkatkan faktor resiko preeklamsia. Gingivitis dapat menyebabkan peningkatan kadar TNF-α saliva dan dapat mengakibatkan inflamasi sistemik yang memicu terjadinya preeklamsia. Tujuan penelitian ini adalah untuk mengetahui perbedaan kadar TNF-α saliva dan derajat kesehatan gingiva pada ibu hamil preeklamsia dan ibu hamil tidak preeklamsia. Metode: Penelitian ini merupakan penelitian analitik korelatif. Populasi penelitian adalah ibu hamil yang datang ke Poli IGD dan Instalasi Rawat Inap Poli kebidanan RSMH Palembang. Teknik pengambilan sampel Consecutive Sampling dengan minimal sampel berjumlah 30 pasien. Sampel yang diperoleh 38 pasien yang terdiri dari 19 pasien ibu hamil preeklamsia dan 19 pasien ibu hamil tidak preeklamsia. Masing-masing disebut sebagai kelompok kasus dan kontrol. Sampel diambil berdasarkan kriteria eksklusi dan inklusi pada ibu hamil dengan skor indeks gingiva 3, kemudian dilakukan uji ELISA. Analisis statistik dengan uji parametrik Independent T-test. Hasil: Nilai kadar TNF-α saliva kelompok kasus 143,27±87,20 pg/ml dan kelompok kontrol 142,46±44,76 pg/ml, p=0.972. Simpulan: Tidak terdapat perbedaan bermakna antara nilai kadar TNF-α saliva ibu hamil preeklamsia dan ibu hamil tidak preeklamsia.Kata kunci: Preeklamsia, indeks gingiva, kadar TNF-α saliva. ABSTRACTIntroduction: Some theories suggest that periodontal disease can increase the risk factors for preeclampsia. Gingivitis can cause an increase in salivary TNF-α levels and can result in systemic inflammation that triggers preeclampsia. The purpose of this study was to determine differences of the salivary TNF-α level and the gingival health degree in pregnant women with and without preeclampsia. Methods: This study was correlative analytic. The study population was pregnant women who came to the emergency room unit and the obstetric inpatient clinic of Dr Mohammad Hoesin Hospital Palembang. The sampling technique was consecutive sampling with a minimum sample of 30 patients. The sample obtained was as much as 38 patients consisted of 19 pregnant women with preeclampsia and 19 pregnant women without preeclampsia. Each group was referred to as a case and control group. Samples were taken based on the exclusion and inclusion criteria in pregnant women with the gingival index score of 3; then an ELISA test was performed. Statistical analysis with independent t-test parametric test was performed to analyse all data obtained. Result: The value of salivary TNF-α in the case group was 143.27 ± 87.20 pg/ml, and the control group was 142.46 ± 44.76 pg/ml; p = 0.972. Conclusion: There was no significant difference between the values of salivary TNF-α level in pregnant women with and without preeclampsia.Keywords: Preeclampsia, gingival index, salivary TNF- α level.
STUDI LITERATR REVIEW: ASOSIASI POLIMORFISME GEN INTERFERON GAMMA +874 A/T TERHADAP PASIEN SKIZOFRENIA Agnes Felicia Lubis; Eddy Mart Salim; Abdullah Sahab; Zen Hafy
Oceana Biomedicina Journal Vol 5 No 2 (2022): Oceana Biomedicina Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/obj.v5i2.86

Abstract

Schizophrenia is an acute and chronic psychiatrist with many environmental and genetic determinants. Some reports suggest that it plays an important role in the regulation of the immune system in the cause of schizophrenia. The evidence collected shows a link between schizophrenia and psychopathology and decreased cytokine production. Interferon gamma +874 A/T gene polymorphism located at base tide to +874. Purpose: This literature review aims to identify polymorphism of the Interferon Gamma +874 A/T gene in Schizophrenia patients. Method: Design research is literature review. Literature searches are conducted by conducting international and national journal searches. The search results of the articles on the database were found as many as 32 articles. The number of articles that fit the inclusion criteria is as many as 28 articles. The results of the literature review obtained 5 journals that discuss polymorphism gene Interferon Gamma +874 A/T in pasein schizophrenia. The 5 journals are case study research. Result: From the articles that have been discussed, it can be concluded that the first 874+ polymorphisms of the interferon gamma gene are associated with the production of this compound. The presence of the AA genotype is associated with a decrease in cytokine production, and the AT genotype is associated with moderate cellulose production and high TT as well as cell production.