@article {2204, title = {Effects of Cerebrospinal Fluid Drainage on Pro-Inflammatory and Anti-Inflammatory Cytokines Expression in the Subventricular Zone of Kaolin-Induced Hydrocephalic Rats}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {February 2024}, pages = {20-27}, type = {Original Article}, chapter = {20}, abstract = {

Background: To determine the neuroprotective effect of CSF drainage by analyzing its impact on the expression and the ratio of pro- and anti-inflammatory cytokines in the subventricular zone in kaolininduced hydrocephalic rats. Method: Sprague-Dawley rats of 23 weeks of age (n=36) were used in this study. The rats were randomly divided into normal control, hydrocephalus, and CSF drainage-treated groups. Hydrocephalus was obtained by injecting 0,05 cc of 20\% kaolin suspension into the cisterna magna. The CSF drainage-treated group had ventricular tapping seven days after kaolin induction. The rats were sacrificed 7, 14, or 21 days after kaolin induction. The brain was removed and prepared for immunohistochemistry analysis to detect IL-1β, IL-6, TNF-α, and IL-10 cytokines expression. Results: Immunohistochemistry analysis revealed that the expression of pro-inflammatory cytokines was significantly increased in hydrocephalus groups than in the control group. In contrast, the expression of anti-inflammatory cytokine was significantly decreased. CSF drainage had a neuroprotective effect by reducing pro-inflammatory cytokine expression and increasing anti-inflammatory cytokine expression. In the hydrocephalus group, the ratios of IL-1β/IL-10, IL-6/IL-10, and TNF-α/IL-10 increased toward a pro-inflammatory status. After CSF drainage, the ratios of IL-1β/IL-10, IL-6/IL-10, and TNF-α/IL-10 shifted toward an anti-inflammatory status. Conclusion: CSF drainage protects the brain from excessive neuroinflammatory processes in kaolin-induced hydrocephalic rats. Additional investigation is warranted to ascertain the use of inflammatory cytokines expression as a valuable biomarker for hydrocephalus. Furthermore, research on anti-inflammatory drug administration in clinical settings is required.

}, keywords = {cerebrospinal fluid drainage, Cytokines, Kaolin-induced hydrocephalus, Neuroinflammation, Neuroprotective, subventricular zone}, doi = {10.5530/pj.2024.16.3}, author = {Muhammad Arifin Parenrengi and Ahmad Data Dariansyah and Wihasto Suryaningtyas and Dyah Fauziah and I Ketut Sudiana and Budi Utomo and Prastiya Indra Gunawan} } @article {2056, title = {Correlation of Apo E Gene Polymorphism with Recurrent Acute Coronary Syndrome}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {June 2023}, pages = {450-453}, type = {Research Article}, chapter = {450}, abstract = {

Background: Recurrent cardiovascular disease (CVD) incidence puts patients at higher risk for mortality and morbidity. One of the CVD symptoms is acute coronary syndrome (ACS). Many genetic polymorphisms are CVD risk factors. This study{\textquoteright}s purpose was to investigate the correlation between recurrent ACS incidence and apolipoprotein E (ApoE) gene polymorphism. Method: Case-control design was used in this study. About 90 patients who visited the cardiology and internal medicine clinics at UNAIR Hospital in Surabaya, Indonesia, served as the study{\textquoteright}s subjects. There were 30 patients with recurrent ACS, 30 patients with a single ACS, and 30 patients with no history of cardiovascular disease. Afterward, using the polymerase chain reaction-restriction fragment length method, the ApoE gene polymorphism examination was carried out. The Tropical Disease Center UNAIR Laboratory conducted all laboratory testing. Results: In the recurrent ACS group, ApoE polymorphism genotype patterns were 5 subjects for ε2ε2 (16.67\%), 23 subjects for ε3ε3 (76.66\%), and 2 subjects for ε4ε4 (6.67\%). Meanwhile, in the single ACS group, ApoE polymorphism genotype patterns were 6 subjects for ε2ε2 (20\%), 22 subjects for ε3ε3 (73.4\%), 1 subject for ε4ε4 (3.33\%), and 1 subject for ε2ε3 (3.33\%). And, in the non- ACS group, ApoE polymorphism genotype patterns were4 subjects for ε2ε2 (13.34\%), 25 subjects for ε3ε3 (83.33\%), and1 subject for ε4ε4 (3.33\%). There was no correlation of ApoE gene polymorphism with recurrent ACS incidence by Chi-square analysis (p \> 0.05). Conclusion: ApoE gene polymorphism cannot significantly affect recurrent ACS incidence.

}, keywords = {Acute Coronary Syndrome, ApoE gene, PCR RFLP, Polymorphism, Public Health}, doi = {10.5530/pj.2023.15.100}, author = {Muhamad Robiul Fuadi and Jusak Nugraha and I Gde Rurus Suryawan and Hartono Kahar and Aryati and Gwenny Ichsan Prabowo and Budi Utomo and Reny I{\textquoteright}tishom} } @article {2136, title = {Hydrocephalus Mice Model: Choroid Plexus Aquaporin-1 Dynamics Following Cerebrospinal Fluid Drainage}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {October 2023}, pages = {891-896}, type = {Research Article}, chapter = {891}, abstract = {

Background: Aquaporins (AQPs) are a family of membrane proteins that act as channels for water, facilitating its movement across the plasma membrane of cells. Aquaporin1 (AQP1), located in the choroid plexus, is thought to be involved in the process of cerebrospinal fluid (CSF) production. Objective: The objective of this study is to examine the impact of hydrocephalus and cerebrospinal fluid (CSF) drainage on the expression of AQP1 in a mice model of hydrocephalus. Material and Methods: Laboratory experimental study with six groups. Five test groups, one control group, and a rat model of hydrocephalus caused by kaolin were used in the experiment. Results: Hydrocephalus in mice model induced by kaolin, and CSF drainage was performed on the 7th and 14th days group. Immunohistochemical analysis was conducted to examine the presence of AQP1 in the choroid plexus using microscopes. The findings revealed a noticeable decrease in AQP1 expression levels in the choroid plexus, which exhibited a semi-quantitative decline in correlation with the duration of hydrocephalus (p = 0.01). This decrease was observed when comparing the normal group with the hydrocephalus groups on the 7th, 14th, and 21st days following induction. However, after cerebrospinal fluid (CSF) drainage, there was a significant increase in AQP1 expression (p \< 0.05). Conclusions: This study shows the significant role of AQP1 in CSF production by comparing of AQP1 expression in the choroid plexus of hydrocephalus mice model, with and without CSF drainage. AQP1 expression experiences downregulation in hydrocephalus mice model and upregulation after CSF drainage.

}, keywords = {AQP1, Aquaporin 1, Choroid plexus, Hydrocephalus.}, doi = {10.5530/pj.2023.15.169}, author = {Yusuf Baktir and Muhammad Arifin Parenrengi and Wihasto Suryaningtyas and Dyah Fauziah and I Ketut Sudiana and Budi Utomo} } @article {2199, title = {The Impact of Kaempferia galanga L. Extract on Nerve Growth Factor Expression in A Rat Model of Traumatic Brain Injury}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {December 2023}, pages = {1236-1243}, type = {Research Article}, chapter = {1236}, abstract = {

Introduction: Head injuries contribute significantly to morbidity and mortality globally, and there is need of effective treatment. This study focuses on evaluating NGF (Nerve Growth Factor) expression in a rat model of traumatic brain injury, exploring the potential therapeutic effects of Kaempferia galanga L. extract. Methods: Male Wistar rats were used in the experiment, and traumatic brain injury was induced using Marmarou{\textquoteright}s weight drop model. Four groups of rats were studied: a negative control group, a group with traumatic brain injury without Kaempferia galanga L. extract, and two groups with traumatic brain injury treated with different doses of Kaempferia galanga L. extract. Rats were divided further based on the time of decapitation, either 24 or 48 hours post-injury. NGF expression was assessed using immunohistochemistry. Results: The study confirmed NGF expression variations among groups, with stronger expression observed 48 hours post-injury in rats receiving 1200 mg/kgbb of Kaempferia galanga L. extract. This suggests a potential impact of the extract on NGF expression, likely attributed to its anti-inflammatory and antioxidant properties. Discussion: Kaempferia galanga L. extract has known anti-inflammatory and antioxidant effects, which may contribute to increased NGF expression observed in this study. Conclusion: This study sheds light on the potential benefits of Kaempferia galanga L. extract in promoting NGF expression and improving outcomes in traumatic brain injury, emphasizing the need for further investigation to translate these findings into clinical practice.

}, keywords = {kaempferia galanga, Nerve Growth Factor, Traumatic Brain Injury}, doi = {10.5530/pj.2023.15.224}, author = {Muhammad Fauzan Jauhari and Lucia Yovita Hendrati and Agus Turchan and Asra Al Fauzi and Budi Utomo and Eko Agus Subagio} } @article {1948, title = {Aquaporine 4 Expression on End Feet Astrocyte Before and After Cerebrospinal Fluid Drainage of Hydrocephalus Mice Model}, journal = {Pharmacognosy Journal}, volume = {14}, year = {2022}, month = {January 2023}, pages = {1054-1060}, type = {Research Article }, chapter = {1054}, abstract = {

Background: Aquaporin (AQP) is a family of integral membrane proteins that function as water channels. AQP facilitates the transport of water across the plasma cell membrane. AQP lining the periventricular wall in the presence of edema may impair the function of the AQP to prevent or facilitate proper movement of water. Result: We analyze the effect of hydrocephalus and CSF drainage on the expression levels of aquaporin 4 (AQP4) end feet astrocytes in a hydrocephalus mice model. The test was carried out using a mice model of hydrocephalus induced with kaolin, then CSF drainage was performed on the 7th and 14th day, and compared the levels of AQP4 expression in each group. Data showed an increase in AQP4 excretion levels in astrocyte end feet along with the duration of hydrocephalus (p = 0.001) in comparison between hydrocephalus mice on the 7th, 14th, and 21st days. AQP4 before and after CSF drainage, comparison of the hydrocephalus group on day 21 with the group of mice undergoing CSF drainage (p\<0.05). The results showed that the CSF drainage treatment was proven to reduce the level of AQP4. Conclusion: This is the first study to describe immunohistochemical distribution of AQP4 after drainage hydrocephalus model in mice end feet astrocyte. The AQP4 expression and distribution in after drainage hydrocephalus model was comparable 14th and 21st day of hydrocephalus but 7 days after drainage. Larger studies are needed to substantiate the influence of breed and ageing on AQP4 expression after drainage of hydrocephalus model.

}, keywords = {AQP4., Aquaporin 4, CSF, Drainage, Hydrocephalus}, doi = {10.5530/pj.2022.14.209}, author = {Mustaqim Apriyansa Rahmadhan and Muhammad Arifin Parenrengi and Wihasto Suryaningtyas and Dyah Fauziah and I Ketut Sudiana and Budi Utomo} } @article {1927, title = {Effect of Pomegranate Extract On N-Terminal Pro Brain Natriuretic Peptide and Asymmetric Dimetylarginine Levels in Children with Pulmonary Artery Hypertension in Acyanotic Congenital Heart Disease}, journal = {Pharmacognosy Journal}, volume = {14}, year = {2022}, month = {January 2023}, pages = {898-904}, type = {Original Article }, chapter = {898}, abstract = {

Background: Pulmonary arterial hypertension (PAH) is one of the complications due to acyanotic congenital heart disease. New treatment approach using natural ingredients from plants has been demonstrated in vitro to prevent and improve vascular remodeling in PAH. Objective: This study aimed to analyze the effect of pomegranate extract on N-terminal pro brain natriuretic peptide (NT pro BNP) and asymmetric dimethylarginine (ADMA) levels in children with PAH in acyanotic CHD. Method: This study is a double-blind, quasi-experimental text with pre-test, post-test, and control group approach to children aged one month to 10 years old in Outpatient Department of Pediatric Cardiology Department/Pediatrics Department RSUD Dr. Soetomo in the period of February-October 2022, alongside met the inclusion criteria. Data were analyzed using Wilcoxon and Mann-Whitney test with 95\% CI. Result: The study cohort included 15 subjects in the placebo group and 15 subjects in pomegranate extract group. The study was predominantly female (53,3\%) with a mean age of each group, i.e., placebo group was 49 months, and pomegranate extract group was 58 months. The mean level of NT pro-BNP in the pomegranate extract group was 29.31 {\textpm} 33.55 ng/L (p= 0.008) and its mean ADMA level was 5619 {\textpm} 6166 ng/L (p= 0.173). As for the difference of NT pro-BNP and ADMA level changes after the intervention did not show a significant difference (p-0,330; p=0,885, respectively). Conclusion: No significant effect towards NT pro- BNP and ADMA levels found with giving pomegranate extract to children with PAH due to acyanotic CHD.

}, keywords = {Asymmetric dimetylarginine, Congenital heart disease, Pulmonary artery hypertension, Punica Granatum., Terminal pro brain natriuretic peptide}, doi = {10.5530/pj.2022.14.186}, author = {Sari Yunita Sukmawati Noer and Mahrus A Rahman and Budi Utomo} } @article {1834, title = {Effects of Golden Sea Cucumber Extract (Stichopus hermanni) on Hyphae, Neutrophils and TNF-α in BALB/c Mice Inoculated with C. albicans Intravaginally}, journal = {Pharmacognosy Journal}, volume = {14}, year = {2022}, month = {August 2022}, pages = {278-285}, type = {Original Article }, chapter = {278}, abstract = {

Introduction: Candidal vaginitis is an inflammatory disease that caused mainly by Candida albicans. Yeast transitions to filamentous hyphae considered the most important virulence factor. Neutrophils are the first line of defense of the immune system, but in patients with Candidal vaginitis the recruitment of neutrophils into the vaginal lumen is positively correlated with symptoms of the disease. This is supported by the release of proinflammatory cytokines such as TNF-α. Standard treatment is considered less effective in relieving symptoms, so other alternative/adjunctive treatments are needed. Golden sea cucumber (Stichopus hermanni) extract has been widely studied, especially for anti-fungal and anti-inflammatory. This study aims to analyze the mechanism of decreasing number of hyphae and neutrophils, and proinflammatory cytokine TNF-α in BALB/c mice inoculated intravaginally with C. albicans after administration of golden sea cucumber extract (S. hermanni). Methods: Experimental research uses a post-test only control group design. The experimental unit consisted of 36 BALB/c mice that were inoculated intravaginally with C. albicans and divided into 4 groups, group that did not receive treatment (K-), group that received standard treatment fluconazole (K+), group that received treatment with golden sea cucumber extract (S. hermanni) (P1) and group that received standard treatment with fluconazole plus extract of golden sea cucumber (S. hermanni) (P2). The hyphae and neutrophils number were seen microscopically on vaginal mucosal tissue. Cytokine levels of TNF-α were seen from the ELISA blood samples. Results: Results showed from the vaginal mucosal tissue of mice, there was significant difference in the number of hyphae (p = 0.001) between groups and no significant difference in the number of neutrophils (p = 0.070) between groups. From the blood serum of mice, there were significant differences in TNF-α levels (p=0.001) between groups. From the path analysis obtained a significant relationship from the number of hyphae to the number of neutrophils (p = 0.034) and the number of neutrophils to TNF-α levels (p = 0.021). The strength of the pathway from number of hyphae to number of neutrophils (β= 0.354) and number of neutrophils to TNF-α levels (β= 0.382) with positive interactions all. Conclusion: In summary, the administration of S. hermanni extract was able to reduce the number of hyphae, neutrophils and TNF-α levels through the hyphae, neutrophil and TNF-α pathway.

}, keywords = {Candida vaginitis, Hyphae, Neutrophils, Stichopus hermanni extract, TNF-α}, doi = {10.5530/pj.2022.14.97}, author = {Varidianto Yudo and Widjiati and Harianto Notopuro and Yulianto Listiawan and Budi Utomo and Purwo Sri Rejeki and Prawesty Diah Utami and Aryati} } @article {1798, title = {Effects of High Intensity Swimming on Heat Shock Protein 70, Superoxide Dismutase and Malondialdehyde of Rattus norvegicus Male Rats}, journal = {Pharmacognosy Journal}, volume = {14}, year = {2022}, month = {June 2022}, pages = {524-530}, type = {Original Article}, chapter = {524}, abstract = {

Introduction: This study aims to analyze relationship between physical activity with high intensity swimming by proving the difference in the mean levels of HSP-70, SOD levels and MDA levels in male white rats (Rattus norvegicus) who perform vigorous-intensity physical activity compared to male white rat (Rattus norvegicus) who do not engage in strenuous physical activity. Method: This research is a laboratory experimental research. This research is a True Experimental Research type that uses a Post Test Only Control Group Design research design. The experimental unit consisted of 28 white rats (Rattus norvegicus). The study was started by dividing the rats into 2 groups. Group 0 who did not receive heavy physical activity treatment and group 1 who received heavy intensity physical activity treatment 3 times a week for 4 weeks. Results: The results of the Shapiro-Wilk test showed that the HSP-70 data were normally distributed (p\<0.05). SOD and MDA data for all groups were normally distributed (p\>0.05). The results of the Kruskal Wallis test showed that there was a significant difference in HSP-70 between groups (p \> 0.05), the results of the Mann Whitney test showed that the HSP-70 of the K0 group was significantly different from the K1 group. The results of the analysis of variance with Brown-Forsythe showed that there was a significant difference in SOD between groups (p \< 0.05). The results of the Games Howell test showed that the SOD of group K0 was significantly different from that of group K1. The results of the analysis of variance showed that there was a significant difference in MDA between groups (p \< 0.05). The results of the LSD test showed that the MDA of the K0 group was significantly different from the K1 group. Conclusion: There is a difference in the mean levels of HSP-70 in white male rat (Rattus norvegicus) whoperform strenuous physical activity, lower than male white rat (Rattus norvegicus) who do not engage in strenuous physical activity. There is a difference in the mean SOD levels in male white rat (Rattus norvegicus) which perform strenuous physical activity, lower than male white rat (Rattus norvegicus) who do not do strenuous physical activity. There is a difference in the mean MDA levels in male white rat (Rattus norvegicus) after doing strenuous physical activity, higher than male white rat (Rattus norvegicus) who do not engage in strenuous physical activity.

}, keywords = {HSP-70, MDA., SOD, Strenuous physical activity}, doi = {10.5530/pj.2022.14.66}, author = {Dody Taruna and Bambang Purwanto and Harianto Notopuro and Widjiati and Budi Utomo and Lilik Herawati and Reny I{\textquoteright}tishom and Aryati} } @article {1949, title = {Effects of Pomegranate Extract Supplementation (Punica granatum L.) on Clinical Manifestations of Pulmonary Arterial Hypertension in Children with Acyanotic Congenital Heart Disease}, journal = {Pharmacognosy Journal}, volume = {14}, year = {2022}, month = {January 2023}, pages = {1061-1066}, type = {Research Article }, chapter = {1061}, abstract = {

Background: Pulmonary arterial hypertension (PAH) in congenital heart disease (CHD) mechanism includes vasoconstriction and vascular remodeling. In Indonesia, sildenafil as a vasodilator is the only standard treatment for PAH. Research on pomegranate extract showed its potential as an anti-inflammatory and anti-proliferative agent that could work synergically with sildenafil in reducing pulmonary arterial pressure (PAP) Objective: To investigate the effect of pomegranate supplementation in the clinical manifestation of PAH in children with acyanotic CHD. Methods: This study was a randomized controlled clinical trial that compared the clinical manifestation of PAH in children with acyanotic CHD who received standard therapy for PAH and pomegranate extract supplementation with the placebo group. Observations were carried out over three months, and pre-and post-test evaluations were conducted to assess changes in PAP, functional classification of PAH, body weight, systolic blood pressure, heart rate, respiratory rate, and oxygen saturation in both groups. Statistical analysis was undertaken using the Wilcoxon, Mann-Whitney, and Spearman correlation tests. Results: There was no significant difference in PAP reduction between the pomegranate and placebo groups (p = .44) and no significant difference in the functional classification of PAH in the placebo and pomegranate groups (p = .55). There was a considerable reduction in the respiratory rate in the pomegranate group (p = .017). Respiratory rate was positively correlated with the functional classification of PAH (p = .011). Conclusion: There was a significant reduction in the respiratory rate in the pomegranate group that correlated with the functional classification of PAH.

}, keywords = {Heart disease, Pomegranate, Pulmonary hypertension, Sildenafil.}, doi = {10.5530/pj.2022.14.210}, author = {Audylia Hartono and Mahrus A. Rahman and Budi Utomo} } @article {1926, title = {Kaempferia galanga L. Extract Administration Attenuate Aquaporin-4 Expression in Traumatic Brain Injury: An Experimental Study in Rats}, journal = {Pharmacognosy Journal}, volume = {14}, year = {2022}, month = {January 2023}, pages = {893-897}, type = {Original Article }, chapter = {893}, abstract = {

Introduction: Traumatic brain injury (TBI) is still a major health problem in the world. It might cause long-term disability that affect socio-economic life and become nation health burden. Post-traumatic cerebral edema might develop and commit to an unfavorable prognosis. Aquaporin 4 (AQP4) is water channel protein and a key regulator of water metabolism in the brain. Although the mechanism of AQP4 in the regulation of post-traumatic brain edema remains controversial, AQP4-lacking mice show better survival and decreased brain edema. Thus, novel strategies that suppress AQP4 become a potential field. We hypothesized that Kaempferia galanga L. may suppress brain expression of AQP4 following TBI and possibly limit the development of cerebral edema due to its neuroinflammation properties. Method: We conducted TBI to experimental rats, then given Kaempferia galanga L. extract at a dose of 600 mg/kg BW and 1200 mg/kg BW. Evaluation intensity of AQP4 expression by immunohistochemistry was performed 24 and 48 hours later to see its therapeutic effect. Results: Administration of Kaempferia galanga L. extract at a dose of 1200 mg/kg BW showed weak expression of AQP4 in all samples, both 24 and 48 hours following traumatic brain injury treatment. Conclusions: Intensity of AQP4 expression in rats{\textquoteright} brain was lower at 24 and 48 hours after TBI in rats receiving Kaempferia galanga L. extract with dose 1200 mg/ kg BW compared to the other groups. Our result indicates that Kaempferia galanga L. might affect the expression of brain AQP4 in a dose-dependent manner.

}, keywords = {Ayuverdic medicine, Neuroinflammation, Neurotrauma, Post-traumatic cerebral edema}, doi = {10.5530/pj.2022.14.185}, author = {Fajar Herbowo Niantiarno and Agus Turchan and Myrna Adianti and Budi Utomo and Muhammad Arifin Parenrengi and Abdul Hafid Bajamal} } @article {1932, title = {Relationship Histopathology Grading of Meningioma with the Use of Medroxyprogesterone Acetate (MPA) as A Hormonal Contraceptive}, journal = {Pharmacognosy Journal}, volume = {14}, year = {2022}, month = {January 2023}, pages = {938-941}, type = {Original Article }, chapter = {938}, abstract = {

Introduction: Meningioma is a common brain tumor with an incidence of more than 30\% of all primary brain tumors in adults. The incidence of meningiomas increases with increasing age, women suffer more from meningiomas with a ratio of 3:1. Meningiomas are known to have steroid receptors in the form of progesterone (88\%), estrogen (40\%), and androgen (40\%). Therefore, the use of hormonal therapy is suspected to affect the incidence and histopathological degree of meningioma. One of the widely used hormonal therapy is medroxyprogesterone acetate (MPA). However, there is not enough literature to explain the relationship between MPA and the incidence of meningioma. Objective: To identify the relationship between the duration of the use of Medroxyprogesterone acetate (MPA) hormonal contraceptives and the histopathological degree of meningioma. Methods: This study is an analytic observational with a retrospective design of meningiomas patients based on the duration of use of MPAtype hormonal contraception who performed surgery at Dr. Soetomo General Academic Hospital during the period January 2015 to December 2019. We determined the inclusion criteria for meningioma patients: a history of using MPA hormonal contraceptives or 3-month injectable contraceptives; and the control group: meningioma patients without a history of hormonal contraception. Results: There were 452 cases of meningioma and 101 patients met the inclusion criteria. Based on the results of statistical analysis, it was found that there was no difference relationship between the grade of meningioma and meningioma patients either using MPA or without using MPA. There was no difference in duration of use between the group using MPA \<10 years or more than 10 years with the non-hormonal control group on meningioma grading (p = 0.772). There was also no difference relationship between the group that did not use hormonal contraception and the MPA group on the age of the patient (p = 0.217), both using contraception for \<10 years and more than 10 years. Conclusion: There was no relationship found between histopathological degree of meningioma with the patients who use MPA contraceptives, both duration of use \<10 years and >=10 years compared with meningioma patients who do not use MPA contraception.

}, keywords = {Contraception, Grading, Hormonal contraceptive, Medroxyprogesterone acetate, Meningioma, MPA, Neoplasm., Progesterone}, doi = {10.5530/pj.2022.14.193}, author = {Shafhan Dustur and Joni Wahyuhadi and Budi Utomo and Muhammad Arifin Parenrengi and Abdul Hafid Bajamal and Sri Ratna Dwiningsih} } @article {1906, title = {Risk Factors of Acute and Chronic Erythema Nodosum Leprosum in Dr. Soetomo General Academic Hospital Surabaya}, journal = {Pharmacognosy Journal}, volume = {14}, year = {2022}, month = {December 2022}, pages = {766-770}, type = {Original Article}, chapter = {766}, abstract = {

Background: Leprosy is a chronic granulomatous infection and is one of the neglected diseases caused by Mycobacterium leprae. ENL is a complex syndrome, that caused inflammation of the skin, nerves, and other organs due to an inflammatory immune response to Mycobacterium leprae antigens. Acute ENL was defined as the first episode of ENL with a duration of less than 24 weeks. Chronic ENL was defined as ENL that persisted for more than 24 weeks. These types of ENL can have different risk factors and require different therapeutic interventions. Purpose: The onset of ENL is acute, but may progress to a chronic or recurrent phase and require long-term therapy. Early detection of leprosy is very important, because the infection is curable and prompt treatment can reduce nerve damage and associated stigma. Chronic ENL patients require prolonged high doses of corticosteroids to control inflammation in ENL and cause severe complications and side effects associated with morbidity and mortality. Methods: This retrospective study was conducted using a non-probability sampling technique consecutively using a casecontrol formula in leprosy patients with ENL in the Leprosy Division of the Outpatient Dermatology and Venereology Unit RSUD Dr. Soetomo Surabaya for the period 2015 {\textendash} 2020, using secondary data in the form of medical record data. Result: The results of this study obtained leprosy patients with ENL as many as 234 patients, 56 patients with acute ENL and 89 patients with chronic ENL. 45 patients with acute ENL and 45 patients with chronic ENL were obtained from the case-control minimal sample size formula. Conclusion: The results of the bivariate analysis test showed that there was a relationship between risk factors for coinfection and steroid therapy with the type of ENL. The presence of coinfection and steroid therapy showed that patients tend to be chronic ENL, conversely, in the absence of coinfection and without steroid therapy, patients tend to be acute ENL. The multivariate logistic regression analysis test showed a significant association between risk factors for ENL onset before MDT and the presence of coinfection with chronic ENL, whereas ENL onset after MDT and absence of coinfection were associated with acute ENL.

}, keywords = {Acute ENL, Chronic ENL, ENL, Leprosy, Neglected disease., Risk factors}, doi = {10.5530/pj.2022.14.165}, author = {Ditya Indrawati and Linda Astari and Afif Nurul Hidayati and Sawitri, Damayanti and Budi Utomo and Bagus Haryo Kusumaputra and Medhi Denisa Alinda and Cita Rosita Sigit Prakoeswa and M. Yulianto Listiawan} }