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All Journal Journal of Tropical Life Science : International Journal of Theoretical, Experimental, and Applied Life Sciences Jurnal Kedokteran Brawijaya MNJ (Malang Neurology Journal) Majalah Kesehatan FKUB
Masdar Muid
Bagian Ilmu Kesehatan Anak, Divisi Neurologi Fakultas Kedokteran Unibraw/ RSU Dr. Saiful Anwar Malang
Agriculture, Biological Sciences & Forestry Environmental Science Medicine & Pharmacology Neuroscience Public Health

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LEVELS’ INFLUENCE OF IFN-γ AND IL-10 IN CHILDREN WITH EPILEPTICUS STATUS Salim, Irfan Agus; Muid, Masdar; Sujuti, Hidayat
Malang Neurology Journal Vol 4, No 1 (2018): January
Publisher : Malang Neurology Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (458.49 KB) | DOI: 10.21776/ub.mnj.2018.004.01.4

Abstract

Background. Seizures are a common clinical manifestation in the emergency room. Nearly 5% of children aged under 16 years. Seizures are important as a sign of neurological disorders. Members of interferon are widely studied with seizures and epileptogenesis is interferon-γ. In a study by Choi in 2011, a study of seizures in humans showed that the condition of status epilepticus increased levels of interferon-γ which is quite high compared to patients not status epilepticus seizures. In response to the aftermath of the seizure, Interferon-γ system induces the formation of IL-10 acts as an anti-inflammatory agent that aims to put an end to the action of Interferon-γ. Objective. To know role of Interferon-γ and IL-10 in children with status epilepticus.Methods. This research using cross sectional design with recruiting 30 study sample consisted of 15 children in the seizure group SE and 15 children in the group without SE seizures. Measured levels of IFN-γ and interleukin-10 by ELISA. Results were analyzed with the Mann-Whitney and corelation Spearman to see the relationship levels of IFN-γ and IL-10 in children with status epilepticus with SPSS-23.Results. The results showed significant differences between groups SE and convulsive seizures non SE ;IL10 (p = 0.000) and IFN-γ (p= 000).Conclusion. There are significant correlation between the levels of IFN-γ and IL-10 with status epilepticus. 
THE ROLE OF TNF-α AND IL-6 CYTOKINE IN CHILDREN WITH STATUS EPILEPTICUS Wibowo, Agung Prasetyo; Sujuti, Hidayat; Rahayu, Masruroh; Muid, Masdar; Kawuryan, Siti Lintang
Malang Neurology Journal Vol 4, No 2 (2018): July
Publisher : Malang Neurology Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (682.222 KB) | DOI: 10.21776/ub.mnj.2018.004.02.2

Abstract

Background. One of pediatric emergencies that has high mortality is status epilepticus (SE). Correlation between tumor necrosis factor (TNF)-α, interleukin (IL)-6, and SE had been reported but human study of it is limited. Objective. To compare TNF-α and IL-6 level in children with SE to those of children without SE and to find correlation between both cytokines.Methods. Cross-sectional study was conducted in dr.Saiful Anwar Hospital Malang with 48 children were enrolled in this study. All subjects were divided into three groups, including children who had SE; children who had seizure but not SE; and children who have no seizure. The levels of TNF-α and IL-6 serum were measured by ELISA.Results. TNF-α and IL-6 serum level were not significantly different between groups (p=0.920, p=0.829). We found interesting fact that the level of IL-6 in children with SE who have no disability was significantly higher than that of children who died or had disability (p=0.015). There was strong correlation between TNF-α and IL-6 in SE group (R 2 = 0.841 and p = 0.0001).Conclusion. IL-6 serum level was higher in SE children who have no disability and correlate with TNF-α serum level.
Hubungan antara Kadar Tumor Necrosis Factor-Alpha (TNF-α) Plasma dengan Kejang Demam Sederhana pada Anak Nurindah, Dewi; Muid, Masdar; Retoprawiro, Sumarno
Jurnal Kedokteran Brawijaya Vol 28, No 2 (2014)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (533.06 KB) | DOI: 10.21776/ub.jkb.2014.028.02.10

Abstract

Kejang demam adalah penyebab kejang paling umum pada anak dan sering menjadi penyebab rawat inap di rumah sakit secara darurat. Studi pendahuluan pada anak menunjukkan bahwa jaringan sitokin diaktifkan dan mungkin berperan dalam patogenesis kejang demam namun, signifikansi klinis yang tepat masih belum jelas. Penelitian ini bertujuan untuk membuktikan hubungan antara kadar TNF-α plasma dengan kejang demam sederhana. Penelitian cross sectional dilakukan pada Maret-April 2014 di Departemen Ilmu Kesehatan Anak Rumah Sakit Umum dr. Saiful Anwar Malang. Terdapat 38 subjek yang memenuhi kriteria inklusi, 19 pasien kejang demam sederhana dan 19 pasien demam tanpa kejang (usia 6 bulan-5 tahun). Kadar TNF-α plasma diperiksa dengan ELISA. Analisis Independent t test menunjukkan tidak terdapat perbedaan bermakna karakteristik subjek, suhu rektal dan kadar lekosit. Analisis Mann-Whitney menunjukkan tidak terdapat perbedaan bermakna karakteristik subjek  jenis kelamin dan kadar CRP. Kejang demam lebih banyak ditemukan pada usia yang lebih muda dibandingkan demam tanpa kejang. Hasil Independent t test juga menunjukkan terdapat perbedaan bermakna antara kadar TNF-α plasma kelompok kejang demam sederhana dan kelompok demam tanpa kejang (p=0,002). Hasil uji Spearman menunjukkan terdapat korelasi negatif sedang yang bermakna antara kadar TNF-α plasma kelompok kejang demam sederhana dan kelompok demam tanpa kejang (r=-0,533; p=0,001). Dapat disimpulkan bahwa terdapat hubungan antara kadar TNF-α plasma dengan terjadinya kejang demam sederhana.Kata Kunci: Anak, kejang demam sederhana, TNF-α plasma
GAMBARAN KLINIS DAN LABORATORIUM SINDROM SYOK DENGUE RAWAT PICU RSU DR. SAIFUL ANWAR MALANG Budhy, Setya; YS, Mardhani; Muid, Masdar
Jurnal Kedokteran Brawijaya Vol 20, No 2 (2004)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (124.301 KB) | DOI: 10.21776/ub.jkb.2004.020.02.3

Abstract

ABSTRACT Dengue shock syndrome (DSS) is a clinical emergency case with still high mortality rate. During five years period (1January 1997?31 December 2001) total case of SSD triaded in PICU room Medical Faculty Brawijaya University/ Saiful Anwar Hospital Malang were thirty two patients. They were referred from Malang regency 9 patients (28%), Malang city 23 patients (72%). The most group age 6 ? 10 years 14 patients (44%), < 5 years 13 patients (41%), 11 ? 14 years 5 patients (15%). SSD is devided in DBD grade III 14 patients (44%), DBD grade IV 18 patients (56%). Laboratory finding total leucocyt count < 4000/mm3 8 patients (25%),  4000 ? 10000/mm3 24 patients (75%). Total thrombocyt < 50000 / mm3 22 patients (69%), 50000 ? 100000/ mm3 10 patients (31%). Hematocrit > 42% all patients (100%). Clinical sign found in SSD patients quickly and fine pulse 14 patients (44%), cold extremities 32 patients (100%), pulse not palpable 18 patients (56%). Blood tension : unmeasured 18 patients (56%), hypotension 18 patients (56%). Death patients 13 (41%) recovery patients 19 (59%). All SSD patients  (100%)  were death by complication of occult bleeding, pulmonary edema, respiratory failure.
HUBUNGAN ANTARA DERAJAT OBSTRUKSI SERANGAN AKUT ASMA DENGAN KADAR IgE, IFN- DAN IL-4 TOTAL SERUM Kusuma, HMS. Chandra; Kalim, Kusworini Handono; Riawan, Wibi; Muid, Masdar
Jurnal Kedokteran Brawijaya Vol 20, No 2 (2004)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (119.883 KB) | DOI: 10.21776/ub.jkb.2004.020.02.4

Abstract

ABSTRACT Acute bronchial asthma is a common medical emergency the world over. There now exists compelling evidence of a role for Th2-Th1 paradigm in the pathogenesis of asthma in children. We hypothesized that childhood asthma is associated with the activation of  Th2-Th1 lymphocytes whose products regulate at least in part, the expression of IgE, IFN-γ and IL-4 and thereby disease severity. Our aims, therefore were to compare the level of total IgE, total IL-4 and total IFN-γ in serum from asthmatic and non asthmatic control children matched for age and sex, and to attempt to correlate the IgE, IL-4, and IFN-γ total level of serum in the asthmatics children with disease severity. Fifty one children with acute asthma exacerbation were compare with thirty one no asthmatics normal children matched for age and sex. The level of IgE, IL-4, and IFN-γ were measured using Elisa. Asthma severity was assessed by a symptom score and spirometri. The level of IgE and Il-4 in the serum of the asthma were elevated as compared to the non asthmatic normal controls, whereas the IFN-γ was decreased. There was a significant correlation between elevated levels of IgE and IL-4 with the acute asthma exacerbation severity, whereas the decreased level of IFN-γ was not. Conclusions. The increased levels of IgE , IL-4 and the ratio of  IL-4/IFN-γ play a crucial role in the acute asthma exacerbation severity.
MANIFESTASI KLINIS DAN LABORATORIS PENDERITA SINDROMA GUILLAIN BARRE DI RUANG PERAWATAN ANAK RSU DR. SAIFUL ANWAR MALANG Muid, Masdar
Jurnal Kedokteran Brawijaya Vol 21, No 2 (2005)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.715 KB) | DOI: 10.21776/ub.jkb.2005.021.02.6

Abstract

ABSTRACT Guillain Barre Syndrome is one of the leading diseases from Acute Flaccid Paralysis after the decrease in poliomyelitis. InGuillain Barre Syndrome, the motoric muscles becomes weak and it could also attack the respiratory muscle which is lifethreatening to patients. The objective of this study is to report Guillain Barre Syndrome cases from June 1999 until June2005 based on the clinical manifestation and laboratory in children care unit of dr. Saiful Anwar hospital. In this researchthere were 38 Guillain Barre Syndrome cases which were diagnosed using the Gilroy and Meyer criteria. 22 patients(57,9%)  were  male,  16  patients  (42,1%)  were  female.  18  patients  (43,36%)  were  below  5  years  of  age,  13  patients(34,21%) were between 5 to 10 years of age and 7 patients (18,42%) were between the age of 10 to15 years. The mostcommon infection that precedes was upper respiratory infenction which amounts to 32 cases (84,21%). The latent phasebetween 8 to 14 days were 11 patients (28,94%) and 15 to 21 days were 22 patients (57,89%). The progresive phase 1 to7 days occured in 17 patients (44,73%), 8 to 14 days also in 17 patients (44,73%).The clinical features were paresthesiasfollowed by weakness to 23 patients (60,52%) and weakness only in 15 patients (39,47%). The pattern of weakness bytetraparese  in  5  patients  (13,15%)  and  paraparese  in  33  patients  (86,84%).  The  distribution  of  weakness  was  more
HUBUNGAN ANTARA DERAJAT OBSTRUKSI SALURAN NAFAS SERANGAN AKUT ASMA DENGAN JUMLAH SEL-SEL INFLAMASI DARAH TEPI Kusuma, HMS. Chandra; Kalim, Kusworini Handono; Muid, Masdar
Jurnal Kedokteran Brawijaya Vol 20, No 3 (2004)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (449.483 KB) | DOI: 10.21776/ub.jkb.2004.020.03.5

Abstract

There now exists compelling evidence of a role for  cell-mediated immunity in the pathogenesis of asthma, but little information is available as to what extent this process participates in the disease severity. The hypothesized of this reseach that the severity of acute asthma exacerbation in children is associatedwith the activation of T-lymphocytes whose products regulate, at least in part, the mobilization and recruitment of eosinophyls and thereby disease severity. The aims of this research, therefore, were to compare the peripheral blood T-lymphocytes from acute asthmaticand no asthmatic normal control children matched for age and sex, and to attempt to correlate the percentages of T-lymphocytes in the asthmatic with the numbers of peripheral  blood eosinophyls and with disease severity. Fifty one children with acute asthma exacerbation were compared with thirty one no asthmatic, normal children matched for age and sex. Peripheral blood CD4+ and  CD8+ T-lymphocytes was measured using immuno histochemical staining. Peripheral blood eosinophils were measured using anautomated laser cytometer. Asthma exacerbation severity was assessed by a symptom score and spirometri. The absolute numbers  of eosinophils and CD4+ T-lymphocytes of the asthmatic were elevated as compared to the non-asthmatic normal control, whereas the numbers of CD8+ T-lymphocyte decreased significantly.
HUBUNGAN KADAR IL-8 DAN IL-4 PADA ANAK DENGAN STATUS EPILEPTIKUS Affandi, Haykal; Sujuti, Hidayat; Permatasari, Happy Kurnia; Muid, Masdar
Majalah Kesehatan FKUB Vol 5, No 4 (2018): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (220.696 KB) | DOI: 10.21776/ub.majalahkesehatan.005.04.2

Abstract

Status epileptikus merupakan suatu kegawatan di bidang neurologi yang memerlukan diagnosis dan terapi yang sesuai. Ketidakseimbangan sitokin proinflamasi dan antiinflamasi bisa menyebabkan kejang yang berlangsung lama. Sitokin proinflamasi dapat mengaktivasi kaskade signaling dan merusak sawar darah-otak yang mengawali mekanisme terjadinya kejang. Penelitian ini ingin mengetahui perbedaan kadar IL-8 dan IL-4 pada anak status epileptikus, kejang tanpa status epileptikus, dan demam tanpa kejang sehingga bisa dijadikan prediktor kejadian status epileptikus. Desain penelitian adalah cross sectional dengan 30 sampel yang terdiri dari 10 anak status epileptikus, 10 anak kejang tanpa status epileptikus, dan 10 anak demam tanpa kejang. Pengukuran IL-8 dan IL-4 menggunakan metode ELISA. Analisis data menggunakan uji one way ANOVA dan korelasi Spearman dengan menggunakan SPSS-23. Didapatkan kadar IL-8 (p = 0,000) berbeda signifikan dan kadar IL-4 tidak berbeda signifikan (p = 0,818) pada status epileptikus, kejang tanpa status epileptikus dan demam tanpa kejang. Namun, rasio IL-4/1L-8 menunjukkan perbedaan yang signifikan (p = 0,000) di antara kelompok. Dapat disimpulkan ada hubungan antara kadar  IL-8, rasio IL-4/IL-8 dengan status epileptikus, namun tidak ada hubungan yang signifikan pada kadar IL-4. 
Differences in the Levels of Interleukin-1β (IL-1β) and Interleukin-1 Receptor Antagonist (IL-1ra) in Children with Status Epilepticus and Febrile Seizure Shofiyah, Fita; Muid, Masdar; Sujuti, Hidayat
Journal of Tropical Life Science Vol 7, No 3 (2017)
Publisher : Journal of Tropical Life Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.07.03.05

Abstract

Proinflammatory cytokines are elevated in status epilepticus and febrile seizure and associated with tissue damage. This study aimed to investigate the differences in interleukin 1 beta (IL-1β) and interleukin 1 receptor agonist (IL-1ra) levels in status epilepticus as compared with febrile seizure and febrile. This cross-sectional study was designed to include 45 subjects divided equally into three groups (status epilepticus, febrile seizure, and febrile). Both IL-1β and IL-1ra were measured by using an ELISA method. Results showed that IL-1β levels were significantly higher in the status epilepticus group as compared with the febrile seizure and febrile groups (p < 0.05). IL-1ra levels in the status epilepticus group were significantly lower compared with the febrile seizure group (p = 0.04). Consistently, the IL-1β/IL-1ra ratio in the status epilepticus group was significantly higher as compared with the febrile seizure group (p = 0.01). We concluded that IL-1β and the IL-1β/IL-1ra ratio were significantly higher in status epilepticus. IL-1ra levels were significantly higher in the febrile seizure group.
Co-Authors Affandi, Haykal Agung Prasetyo Wibowo Dewi Nurindah Happy Kurnia Permatasari Hidayat Sujuti HMS. Chandra Kusuma Kusworini Handono Kalim Mardhani YS Masruroh Rahayu, Masruroh Salim, Irfan Agus Setya Budhy Shofiyah, Fita Siti Lintang Kawuryan Sumarno Retoprawiro Wibi Riawan