50 !
DAFTAR PUSTAKA
1.
Thygesen K, Alpert JS, Jaffe AS, Simoons ML, Chaitman BR, White HD. Third universal definition of myocardial infarction. Circulation [Internet]. 2012 [cited 2014 Feb 17]; 126:2012-35. Available from: http://circ.ahajournals.org/content/126/16/2020.full.pdf+html
2.
Mendis S, Thygesen K, Kuulasmaa K, Giampaoli S, Mahonen M, Blackett KN, et al. World Health Organization definition of myocardial infarction: 2008-09 revision. International Journal of Epidemiology [Internet]. 2011 [cited 2014 Feb 17]; 40:139-46. Available from: http://ije.oxfordjournals.org/content/40/1/139.full.pdf+html
3.
Global status report on noncommunicable diseases 2010. Geneva (Switzerland): World Health Organization; 2011 [cited 2014 Feb 17]. Available from: http://www.who.int/nmh/publications/ncd_report_full_en.pdf
4.
Rosamod WD, Chambless LE, Folsom AR, Cooper LS, Conwill DE, Clegg L, et al. Trends in the incidence of myocardial infarction and in mortality due to coronary heart disease, 1987 to 1994. N Engl J Med [Internet]. 1998 [cited 2014 Feb 17]; 339:861-7. Available from: http://www.nejm.org/doi/full/10.1056/NEJM199809243391301
5.
Fox CS, Evans JC, Larson MG, Kannel WB, Levy D. Temporal trends in coronary heart disease mortality and sudden cardiac death from 1950 to 1999: the Framingham Heart Study. Circulation [Internet]. 2004 [cited 2013 Feb 17]; 110:522-7. Available from: http://circ.ahajournals.org/content/110/5/522.full
6.
Rosamond W, Flegal K, Friday G, Furie K, Go A, Greenlund K, et al. Heart disease and stroke statistics–2007 update: a report from the American Heart Association Statistics Commitee and Stroke Statistics Subcommitee. Circulation [Internet]. 2007 [cited 2014 Feb 17]; 115:e69-171. Available from: http://circ.ahajournals.org/content/115/5/e69.full
7.
Weir RA, McMurray JJ, Velazquez EJ. Epidemiology of heart failure and left ventricular systolic dysfunction after acute myocardial infarction: prevalence,
!
51 !
clinical characteristics, and prognostic importance. Am J Cardiol [Internet]. 2006 [cited 2014 Feb 17]; 97:13F-25F. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16698331 8.
Hellerman JP, Jacobsen SJ, Redfield MM, Reeder GS, Weston SA, Roger VL. Heart failure after myocardial infarction: clinical presentation and survival. The European Journal of Heart Failure [Internet]. 2005 [cited 2014 Feb 17]; 7:119-25. Available from: http://eurjhf.oxfordjournals.org/content/7/1/119.full.pdf+html
9.
Cohn JN, Ferrari R, Sharpe N. Cardiac remodeling–Concepts and clinical implications: a consensus paper from an international forum on cardiac remodeling. J Am Coll Cardiol [Internet]. 2000 [cited 2014 Feb 17]; 35(3):56982.
10. Sutton MGSJ, Sharpe N. Left ventricular remodeling after myocardial infarction: pathophysiology and therapy. Circulation [Internet]. 2000 [cited 2014 Feb 17]; 101:2981-8. Available from: https://circ.ahajournals.org/content/101/25/2981.full 11. Rame JE, Dries DL. Heart failure and cardiac hypertrophy. Current Treament Options in Cardiovascular Medicine [Internet]. 2007 [cited 2014 Feb 18]; 9(4):289-301. Available from: http://link.springer.com/article/10.1007%2Fs11936-007-0024-3 12. Ishii H, Amano T, Matsubara T, Murohara T. Pharmacological intervention for prevention of left ventricular remodeling and improving prognosis in myocardial infarction. Circulation [Internet]. 2008 [cited 2014 Feb 22]; 118:2710-18. Available from: https://circ.ahajournals.org/content/118/25/2710.full.pdf+html 13. Velagaleti RS, Pencina MJ, Murabito JM, Wang TJ, Parikh NI, D'Agostino RB, et al. Long-term trends in the incidence of heart failure after myocardial infarction. Circulation [Internet]. 2008 [cited 2014 Feb 22]; 118(20):2057-62. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18955667 14. Cicero AFG, Tartagni E, Ertek S. Metformin and its clinical use: new insights for an old drug in clinical practice. Arch Med Sci [Internet]. 2012 [cited 2014 Feb 18]; 8(5):907-17. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23185203
51 !
!
52 !
15. Abbasi F, Chu JW, McLaughlin T, Lamendola C, Leary ET, Reaven GM. Effect of metformin treatment on multiple cardiovascular disease risk factors in patients with type 2 diabetes mellitus. Metabolism [Internet]. 2004 [cited 2014 Feb 18]; 53(2):159-64. Available from: http://www.ncbi.nlm.nih.gov/pubmed/14767866 16. UK Prospective Diabetes Study (UKPDS) Group. Effect of intensive bloodglucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34). Lancet [Internet]. 1998 [cited 2014 Feb 18]; 352(9139):1558. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9742977 17. Holman RR, Paul SK, Bethel MA, Mattews DR, Neil HA. Ten year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med [Internet]. 2008 [cited 2014 Feb 14]; 359(15): 1577-89. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18784090 18. Chan AM, Soltys CM, Young ME, Proud CG, Dyck JR. Activation of AMPactivated protein kinase inhibits protein synthesis associated with hypertrophy in the cardiac myocyte. J Biol Chem [Internet]. 2004 [cited 2014 Feb 18]; 279(31):32771-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15159410 19. Fu YN, Xiao H, Ma XW, Jiang SY, Xu M, Zhang YY. Metformin attenuates pressure overload-induced cardiac hypertrophy via AMPK activation. Acta Pharmacol Sin [Internet]. 2011 [cited 2014 Feb 18]; 32(7):879-87. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21552292 20. Cha HN, Choi JH, Kim YW, Kim JY, Ahn MW, Park SY. Metformin inhibits isoproterenol-induced cardiac hypertrophy in mice. Korean J Physiol Pharmacol [Internet]. 2010 [cited 2014 Feb 18]; 14(6):377-84. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3034117 21. Wong AK, Howie J, Petrie JR, Lang CC. AMP-activated protein kinase pathway: a potential therapeutic target in cardiometabolic disease. Clin Sci (Lond) [Internet]. 2009 [cited 2014 Feb 23]; 116(8):607-20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19275766 22. Beauloye C, Bertrand L, Horman S, Hue L. AMPK activation, a preventive therapeutic target in the transition from cardiac injury to heart failure. Cardiovasc
52 !
!
53 !
Res [Internet]. 2011 [cited 2014 Feb 23]; 90(2):224-33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21285292 23. Yin M, van der Horst IC, van Melle JP, Qian C, van Gilst WH, Sillje HH, de Boer RA. Metformin improves cardiac function in a nondiabetic rat model of post-MI heart failure. Am J Physiol Heart Circ Physiol [Internet]. 2011 [cited 2014 Feb 18]; 301(2):H459-68. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21572014 24. Gundewar S, Calvert JW, Jha S, Toedt-Pingel I, Ji SY, Nunez D, et al. Activation of AMP-activated protein kinase by metformin improves left ventricular function and survival in heart failure. Circ Res [Internet]. 2009 [cited 2014 Feb 18]; 104(3):403-11. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19096023 25. Benes J, Kazdova L, Drahota Z, Houstek J, Medrikova D, Kopecky J, et al. Effect of metformin therapy on cardiac function and survival in a volume-overload model of heart failure in rats. Clin Sci (Lond) [Internet]. 2011 [cited 2014 Feb 21]; 121(1):29-41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21275906 26. Naik H, Sabatine MS, Lilly LS. Ischemic heart disease. In: Lilly LS, editor. Pathophysiology of heart disease : a collaborative project of medical students and faculty. 4th ed. Baltimore/Philadelphia: Lippincott Williams & Wilkins; 2007. p. 141-69. 27. Gao E, Koch WJ. A novel and efficient model of coronary artery ligation in mouse. Methods Mol Biol [Internet]. 2013[cited 2014 Feb 21]; 1037:299-311. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24029943 28. Gao E, Lei YH, Shang X, Huang ZM, Zuo L, Buocher M, et al. A novel and efficient model of coronary artery ligation and myocardial infarction in the mouse. Circ Res [Internet]. 2010 [cited 2014 Feb 21]. 107(12):1445-53. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20966393 29. Patten RD, Hall-Porter MR. Small animal models of heart failure–Developmet of novel therapies, past, and present. Circ Heart Fail [Internet]. 2009 [cited 2014 Mar 17]; 2:138-44. Available from: http://circheartfailure.ahajournals.org/content/2/2/138.full
53 !
!
54 !
30. Gaspard GJ, Pasumarthi KB. Quantification of cardiac fibrosis by coloursubtractive computer-assisted image analysis. Clin Exp Pharmacol Physiol [Internet]. 2008 [cited 2014 Feb 21]. 35:679-86. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18387083 31. Zhang GX, Ohmori K, Nagai Y, Fujisawa Y, Nishiyama A, Abe Y, Kimura S. Role of AT1 receptor in isoproterenol-induced cardiac hypertrophy and oxidative stress in mice. J Mol Cell Cardiol [Internet]. 2007 [cited 2014 Feb 21]. 42(4):80411. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17350036 32. Engle SK, Jordan WH, Pritt ML, Chiang AY, Davis MA, Zimmermann JL, et al. Qualification of cardiac troponin I concentration in mouse serum using isoproterenol and implementation in pharmacology studies to accelerate drug development. Toxicol Pathol [Internet]. 2009 [cited 2014 May 21]; 37:617-28. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19549929 33. De S, Adhikari S, Devasagayam TPA. Cardioprotective effects of an aminothiazole compound on isoproterenol-induced myocardial injury in mice. Cell Biochem Biophys [Internet]. 2013 [cited 2014 May 21]; 67(2):287-95. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21948074 34. Rona G. Cathecolamine cardiotoxicity. J Mol Cell Cardiol [Internet]. 1985 [cited 2014 Feb 21]; 17(4):291-306. Available from: http://www.ncbi.nlm.nih.gov/pubmed/3894676 35. Upaganlawar A, Gandhi H, Balaraman R. Isoproterenol induced myocardial infarction: protective role of natural products. J Pharmacol Toxicol [Internet]. 2011 [cited 2014 Feb 21]. 6:1-17. Available from: http://scialert.net/abstract/?doi=jpt.2011.1.17 36. Soraya H, Khorrami A, Garjani A, Malek-Dizaji N, Garjani A. Acute treatment with metformin improves cardiac function following isoproterenol-induced myocardial infarction in rats. Pharmacol Rep [Internet]. 2012 [cited 2014 Feb 21]; 64(6):1476-84. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23406758 37. Brooks WW, Conrad CH. Isoproterenol-induced myocardial injury and diastolic dysfunction in mice: structural and functional correlates. Comp Med [Internet].
54 !
!
55 !
2009 [cited 2014 Feb 21]; 59(4):339-43. Available: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2779208/ 38. Wang Y, Wisloff U, Kemi OJ. Animals models in the study of exercise-induced cardiac hypertrophy. Physiol Res [Internet]. 2010 [cited 2014 Feb 8]; 59(5):63344. Available from: http://www.biomed.cas.cz/physiolres/pdf/prepress/931928.pdf 39. Labuzek K, Liber S, Gabryel B, Okopien B. Metformin has adenosinemonophosphate activated protein kinase (AMPK)-independent effects on LPSstimulated rat primary microglial cultures. Pharmacol Rep [Internet]. 2010 [cited 2014 Feb 23]; 62(5):827-48. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21098866 40. Viollet B, Guigas B, Sanz Garcia N, Leclerc J, Foretz M, Andreelli F. Cellular and molecular mechanisms of metformin: an overview. Clin Sci (Lond) [Internet]. 2012 [cited 2014 Feb 23]; 122(6):253-70. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22117616 41. Hardie DG. AMP-activated/SNF1 protein kinases: conserved guardians of cellular energy. Nat Rev Mol Cell Biol [Internet]. 2007 [cited 2014 Feb 23]; 8(10):774-85. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17712357 42. Hardie DG. AMP-activated protein kinase as a drug target. Annu Rev Pharmacol Toxicol [Internet]. 2007 [cited 2014 Feb 23]; 47:185-210. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16879084 43. Marsin AS, Bertrand L, Rider MH, Deprez J, Beauloye C, Vincent MF, et al. Phosphorylation and activation of heart PFK-2 by AMPK has a role in the stimulation of glycolysis during ischemia. Curr Biol [Internet]. 2000 [cited 2014 Feb 23]; 10(20):1247-55. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11069105 44. Hue L, Rider MH. The AMP-activated protein kinase: more than an energy sensor. Essays Biochem [Internet]. 2007 [cited 2014 Feb 23]; 43:121-137. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17705797 45. Hou X, Song J, Li XN, Zhang L, Wang X, Chen L, et al. Metformin reduces intracellular reactive oxygen species levels by upregulating expression of the antioxidant thioredoxin via the AMPK-FOXO3 pathway. Biochem Biophys Res
55 !
!
56 !
Commun [Internet]. 2010 [cited 2014 Feb 23]; 396:199-205. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20398632 46. Bertrand L, Horman S, Beauloye C, Vanocershelde JL. Insulin signalling in the heart. Cardiovasc Res [Internet]. 2008 [cited 2014 Feb 23]; 79:238-48. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18390897 47. Proud CG. Signalling to translation: how signal transduction pathways control the protein synthetic machinery. Biochem J [Internet]. 2007 [cited 2014 Feb 23]; 403:217-34. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17376031 48. Horman S, Browne G, Krause U, Patel J, Vertommen D, Bertrand L, et al. Activation of AMP-activated protein kinase leads to the phosphorylation of elongation factor 2 and an inhibition of protein synthesis. Curr Biol [Internet]. 2002 [cited 2014 Feb 23]; 12:1419-23. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12194824 49. Lee HH, Yeh CH, Chen YT, Chi TC, Cheng JT, Lo SH. Effects of metformin on rosiglitazone-induced cardiac hypertrophy in mice. Biol Pharm Bull [Internet]. 2010 [cited 2014 Feb 23]; 33(9):1506-10. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20823565 50. Charan J, Kantharia ND. How to calculate sample size in animal studies? J Pharmacol Pharmacother [Internet]. 2013 [cited 2014 Feb 7]; 4(4):303-6. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3826013/#!po=43.7500 51. National Research Council of the National Academies. Guide for the care and use of laboratory animals. 8th ed [Internet]. Washington, D.C.: The National Academies Press; 2011 [cited 2014 Feb 7]. Available from: http://grants.nih.gov/grants/olaw/Guide-for-the-care-and-use-of-laboratoryanimals.pdf 52. McConnell EL, Basit AW, Murdan S. Measurements of rat and mouse gastrointestinal pH, fluid and lymphoid tissue, and implications for in-vivo experiments. J Pharm Pharmacol [Internet]. 2008 [cited 2014 Mar 17]; 60(1):6370. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18088506
56 !
!
57 !
53. Higgins JW, Bedwell DW, Zamek-Gliszczynski MJ. Ablation of both organic cation transporter (OCT)1 and OCT2 alters metformin pharmacokinetics but has no effect on tissue drug exposure and pharmacodynamics. Drug Metab Dispos [Internet]. 2012 [cited 2014 Mar 17]; 40(6):1170-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22407892 54. Graham GG, Punt J, Arora M, Day RO, Doogue MP, Furlong TJ, et al. Clinical pharmacokinetics of metformin. Clin Pharmacokinet [Internet]. 2011 [cited 2014 Mar 17]; 50(2):81-98. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21241070 55. Khatua TN, Padiya R, Karnewar S, Kuncha M, Agawane SB, Kotamraju, et al. Garlic provides protection to mice heart against isoproterenol-induced oxidative damage: role of nitric oxide. Nitric Oxide [Internet]. 2012 [cited 2014 Feb 5]; 27(1):9-17. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22484451 56. Gupta P, Kanwal A, Putcha UK, Bulani Y, Sojitra B, Khatua TN, et al. Cardioprotective effect of ritonavir, an antiviral drug, in isoproterenol induced myocardial necrosis: a new therapeutic implication. Jornal of Translational Medicine [Internet]. 2013 [cited 2014 Feb 8]; 11:80. Available from: http://www.translational-medicine.com/content/pdf/1479-5876-11-80.pdf 57. Murugesan M, Revathi R, Manju V. Cardioprotective effect of fenugreek on isoproterenol-induced myocardial infarction in rats. Indian J Pharmacol [Internet]. 2011 [cited 2014 Feb 8]; 43:516-9. Available from: http://www.ijponline.com/article.asp?issn=02537613;year=2011;volume=43;issue=5;spage=516;epage=519;aulast=Murugesan 58. AVMA Guidelines for the euthanasia of an animals: 2013 edition [Internet]. Schaumburg: American Veterinary Medical Association; 2013 [cited 2014 Feb 7]. Available from: https://www.avma.org/kb/policies/documents/euthanasia.pdf 59. Heart dissection [Internet]. Oxford (UK): European Mouse Phenotyping Resource of Standardised Screens (EMPReSS); 2004 [cited 2014 Feb 8]. Available from: http://www.mousebook.org/sops/020_001_heart_dissection_080407.pdf
57 !
!
58 !
60. Mouse Morphometry [Internet]. Animal Models of Diabetic Complications Consortium (AMDCC); 2004 [cited 2014 Feb 8]. Available from: https://www.diacomp.org/shared/showFile.aspx?doctypeid=3&docid=47 61. Collagen–Masson’s Trichrome stain (TRI) [Internet]. Georgia (USA): The Internet Pathology Laboratory for Medical Education; date unknown [cited 2014 Feb 8]. Available from: http://library.med.utah.edu/WebPath/HISTHTML/MANUALS/MASSONS.PDF 62. Helms SA, Azhar G, Zuo C, Theus SA, Bartke A, Wei JY. Smaller cardiac cell size and reduced extra-cellular collagen might be beneficial for hearts of Ames dwarf mice. Int J Biol Sci [Internet]. 2010 [cited 2014 Feb 8]; 6(5):475-90. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2935670/?report=classic 63. Teori sederhana prosedur pemilihan uji hipotesis. In: Dahlan MS. Statistik untuk kedokteran dan kesehatan. Jakarta (Indonesia): Salemba Medika; 2011. p. 1-29. 64. Statistik deskriptif. In: Dahlan MS. Statistik untuk kedokteran dan kesehatan. Jakarta (Indonesia): Salemba Medika; 2011. p. 31-60. 65. Uji hipotesis komparatif variabel numerik lebih dari dua kelompok. In: Dahlan MS. Statistik untuk kedokteran dan kesehatan. Jakarta (Indonesia): Salemba Medika; 2011. p. 87-128. 66. Analisis kesintasan (Survival analysis). In: Sastroasmoro S, Ismael S. Dasar-dasar metodologi penelitian klinis. Jakarta (Indonesia): Sagung Seto; 2011. p.245-63. 67. Hoggatt A, Hoggatt J, Honerlaw M, Pelus LM. A spoonful of sugar helps the medicine go down: a novel technique to improve oral gavage in mice. J Am Assoc Lab Anim Sci [Internet]. 2010 [cited 2014 Jul 14]; 49(3):329-34Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2877306/?report=classic 68. Wu JC, Nasseri BA, Bloch KD, Picard MH, Scherrer-Crosbie M. Influence of sex on ventricular remodeling after myocardial infarction in mice. J Am Soc Echocardiogr [Internet]. 2003 [cited 2014 Jul 14]; 16(11):1158-62. Available from: http://www.ncbi.nlm.nih.gov/pubmed/14608287 69. Van Loo PLP, Van Zutphen LFM, Baumans V. Male management: coping with aggression problems in male laboratory mice. Lab Anim [Internet]. 2003 [cited
58 !
!
59 !
2014 Jul 14]; 37:300-13. Available from: http://www.ncbi.nlm.nih.gov/pubmed/14599305 70. Kaliste-Korhonen E, Eskola S. Fighting in NIH/S male mice: consequence for behaviour in resident-intruder tests and physiological parameters. Lab Anim [Internet]. 2000 [cited 2014 Jul 14]; 34:189-98. Available from: http://lan.sagepub.com/content/34/2/189.full.pdf
59 !
!
60 !
LAMPIRAN
Lampiran 1. Ethical Clearance
!
61 !
Lampiran 2. Izin Penelitian
!
62 !
Lampiran 3. Sertifikat Hewan Coba
!
63 !
Lampiran 4. Dokumentasi Penelitian
hewan coba
penyondean
pembedahan
!
tempat pemeliharaan
pemberian makan dan minum ad libitum
pengukuran panjang tibia
64 !
Lampiran 5. Luaran Analisis Program Statistik
N ISO 9 MET+ISO 11 MET 11 K 11 Total 42
Mean 236.18764 166.65958 156.25721 141.87973 172.34384
Descriptives Luas Penampang Kardiomiosit 95% Confidence Interval for Mean Std. Deviation Std. Error Lower Bound Upper Bound 63.449817 21.149939 187.41479 284.95849 39.299550 11.849260 140.25778 193.06137 44.672729 13.469335 126.24566 186.26876 23.092445 6.962634 126.36601 157.39344 54.779943 8.452729 155.27321 189.41448
Minimum 115.925 99.949 103.179 105.358 99.949
Tests of Normality Kolmogorov-Smirnova Shapiro-Wilk Group Statistic df Sig. Statistic df Sig. * Luas Penampang ISO .199 9 .200 .966 9 .859 * Kardiomiosit MET+ISO .145 11 .200 .981 11 .971 MET .197 11 .200* .915 11 .279 * K .171 11 .200 .957 11 .735 *. This is a lower bound of the true significance. a. Lilliefors Significance Correction
!
Maximum 330.790 234.393 233.819 183.130 330.790
65 !
Test of Homogeneity of Variances Luas Penampang Kardiomiosit Levene Statistic 2.026
df1 3
df2 38
Sig. .127
ANOVA Luas Penampang Kardiomiosit Sum of Squares Between Groups 50093.808 Within Groups 72940.719 Total 123034.526
N ISO 11 MET+ISO 11 MET 11 K 11 Total 44
Mean 27.18 27.91 28.82 27.36 27.82
Std. Deviation 1.537 2.982 2.359 1.859 2.265
df
Mean Square 3 16697.936 38 1919.493 41
F 8.699
BERAT BADAN HARI KE-1 Descriptives Berat Badan (pre) 95% Confidence Interval for Mean Std. Error Lower Bound Upper Bound Minimum Maximum .464 26.15 28.21 25 30 .899 25.91 29.91 23 32 .711 27.23 30.40 25 34 .560 26.11 28.61 25 31 .341 27.13 28.51 23 34
65 !
Sig. .000
!
66 !
Tests of Normality Kolmogorov-Smirnova Group ISO
Berat Badan (pre)
Statistic
df
.234
Shapiro-Wilk
Sig.
11
MET+ISO .123 11 MET .197 11 K .184 11 *. This is a lower bound of the true significance. a. Lilliefors Significance Correction
Statistic
df
.096
.924 11
.351
*
.953 11 .947 11 .900 11
.679 .602 .187
.200 .200* .200*
Test of Homogeneity of Variances Berat Badan (pre) Levene Statistic
df1
df2
Sig.
1.861
3
40
.152
ANOVA Berat Badan (pre) Between Groups Within Groups Total
Sum of Squares 17.818 202.727 220.545
df
Mean Square F 3 5.939 1.172 40 5.068 43
66 !
!
Sig.
Sig. .332
67 !
Multiple Comparisons Dependent Variable: Luas Penampang Kardiomiosit LSD 95% Confidence Interval Mean (I) Group (J) Group Difference (I-J) Std. Error Sig. Lower Bound Upper Bound * ISO MET+ISO 69.527065 19.692036 .001 29.66262 109.39151 * MET 79.929429 19.692036 .000 40.06499 119.79387 * K 94.306914 19.692036 .000 54.44247 134.17136 * MET+ISO ISO -69.527065 19.692036 .001 -109.39151 -29.66262 MET 10.402363 18.681506 .581 -27.41637 48.22109 K 24.779848 18.681506 .193 -13.03888 62.59858 * MET ISO -79.929429 19.692036 .000 -119.79387 -40.06499 MET+ISO -10.402363 18.681506 .581 -48.22109 27.41637 K 14.377485 18.681506 .446 -23.44125 52.19622 * K ISO -94.306914 19.692036 .000 -134.17136 -54.44247 MET+ISO -24.779848 18.681506 .193 -62.59858 13.03888 MET -14.377485 18.681506 .446 -52.19622 23.44125 *. The mean difference is significant at the 0.05 level.
!
68 !
Case Processing Summary: Survival Group K ISO MET MET+ISO Overall
Total N 11 11 11 11 44
N of Events 0 2 0 0 2
Censored N Percent 11 100.0% 9 81.8% 11 100.0% 11 100.0% 42 95.5%
Overall Comparisons Chi-Square Log Rank (Mantel-Cox)
df
6.292 3 Breslow (Generalized Wilcoxon) 6.286 3 Tarone-Ware 6.289 3 Test of equality of survival distributions for the different levels of Group.
!
Sig. .098 .099 .098
69 !
BERAT BADAN HARI KE-28 Descriptives Group Berat Badan (post)
ISO
Statistic Mean 95% Confidence Interval for Mean
Lower Bound
24.79
Upper Bound
28.32
5% Trimmed Mean
26.51
Median
27.00
Variance
5.278
Std. Deviation
2.297
Minimum
23
Maximum
31
Range
3
Skewness
.386
.717
Kurtosis
1.172
1.400
28.27
.935
Mean 95% Confidence Interval for Mean
Lower Bound
26.19
Upper Bound
30.36
5% Trimmed Mean
28.03
Median
27.00
Variance
9.618
Std. Deviation
3.101
Minimum
25
Maximum
36
Range
11
Interquartile Range
MET
4
Skewness
1.729
.661
Kurtosis
3.375
1.279
26.18
1.016
Mean 95% Confidence Interval for Mean
Lower Bound
23.92
Upper Bound
28.45
5% Trimmed Mean
26.15
Median
26.00
Variance
11.364
Std. Deviation
3.371
Minimum
22
Maximum
31
Range
9
Interquartile Range
K
7
Skewness
-.096
.661
Kurtosis
-1.706
1.279
26.09
.780
Mean 95% Confidence Interval for Mean
Lower Bound
24.35
Upper Bound
27.83
5% Trimmed Mean
26.10
Median
26.00
Variance
6.691
Std. Deviation
2.587
Minimum
22
Maximum
30
Range Interquartile Range
!
.766
8
Interquartile Range
MET+ISO
Std. Error
26.56
8 5
Skewness
.387
.661
Kurtosis
-.646
1.279
70 !
Tests of Normality Kolmogorov-Smirnova Group Berat Badan (post) ISO MET+ISO MET K
Statistic .201 .262 .253 .241
df 9 11 11 11
Shapiro-Wilk
Sig. .200* .033 .048 .073
Statistic .940 .830 .869 .912
df 9 11 11 11
Sig. .581 .023 .076 .259
Tests of Normality Kolmogorov-Smirnova Group Transformasi data ISO BB (post) dengan MET+ISO fungsi LG10 MET
Statistic
.196 .245 .255 K .224 *. This is a lower bound of the true significance. a. Lilliefors Significance Correction
!
df
Shapiro-Wilk
Sig. 9 11 11 11
Statistic *
.200 .063 .045 .131
.946 .865 .864 .924
df
Sig. 9 11 11 11
.643 .067 .065 .349
71 !
Test of Homogeneity of Variances BB (post) yang ditransformasi Levene Statistic 1.394
df1 3
df2 38
Sig. .259
ANOVA BB (post) yang ditransformasi Sum of Squares Between Groups .009 Within Groups .081 Total .090
df
Mean Square 3 .003 38 .002 41
F 1.375
71 !
!
Sig. .265
72 !
N ISO 9 MET+ISO 11 MET 11 K 11 Total 42
Mean 136.67 129.09 118.18 130.00 128.10
Std. Deviation 20.616 23.856 18.878 24.495 22.332
Descriptives Berat Jantung (BJ) 95% Confidence Interval for Mean Std. Error Lower Bound Upper Bound Minimum Maximum 6.872 120.82 152.51 110 170 7.193 113.06 145.12 100 170 5.692 105.50 130.86 80 150 7.385 113.54 146.46 100 190 3.446 121.14 135.05 80 190
Tests of Normality Kolmogorov-Smirnova Group Statistic df Sig. Berat Jantung (BJ) ISO .186 9 .200* MET+ISO .212 11 .180 MET .189 11 .200* K .251 11 .052 *. This is a lower bound of the true significance. a. Lilliefors Significance Correction
!
Shapiro-Wilk Statistic Df .927 9 .894 11 .958 11 .858 11
Sig. .453 .155 .741 .054
73 !
Test of Homogeneity of Variances Berat Jantung (BJ) Levene Statistic
df1
df2
Sig.
.187
3
38
.905
ANOVA Berat Jantung (BJ) Sum of Squares df Mean Square Between Groups 1793.074 3 597.691 Within Groups 18654.545 38 490.909 Total 20447.619 41
N ISO 9 MET+ISO 11 MET 11 K 11 Total 42
Mean 6.3489 5.8136 5.2864 5.9555 5.8274
Std. Deviation 1.00026 1.08955 .73816 1.10354 1.02829
F 1.218
Descriptives BJ/PT 95% Confidence Interval for Mean Std. Error Lower Bound Upper Bound Minimum Maximum .33342 5.5800 7.1178 4.94 7.87 .32851 5.0817 6.5456 4.45 7.72 .22256 4.7905 5.7823 3.80 6.43 .33273 5.2141 6.6968 4.73 8.67 .15867 5.5069 6.1478 3.80 8.67
73 !
Sig. .317
!
74 !
Tests of Normality Kolmogorov-Smirnova Group Statistic df Sig. BJ/PT ISO .171 9 .200* MET+ISO .200 11 .200* MET .119 11 .200* K .179 11 .200* *. This is a lower bound of the true significance. a. Lilliefors Significance Correction Test of Homogeneity of Variances BJ/PT Levene Statistic df1 df2 Sig. .453 3 38 .717
74 !
!
Shapiro-Wilk Statistic df .947 9 .895 11 .974 11 .870 11
Sig. .660 .160 .928 .078
75 !
Between Groups Within Groups Total
ANOVA BJ/PT Sum of Squares df Mean Square 5.850 3 1.950 37.502 38 .987 43.352 41
F 1.976
Sig. .134
Descriptives BJ/BB
ISO MET+ISO MET K Total
!
N
Mean
Std. Deviation
9 11 11 11 42
5.2000 4.5645 4.5518 5.0018 4.8119
.97848 .68238 .79004 .93065 .86091
95% Confidence Interval for Mean Std. Error
Lower Bound
Upper Bound
Minimum
Maximum
.32616 .20575 .23820 .28060 .13284
4.4479 4.1061 4.0211 4.3766 4.5436
5.9521 5.0230 5.0826 5.6270 5.0802
3.55 3.70 3.64 4.00 3.55
6.52 6.07 5.91 7.31 7.31
76 !
Tests of Normality Kolmogorov-Smirnova Group Statistic df Sig. BJ/BB ISO .197 9 .200* MET+ISO .178 11 .200* MET .204 11 .200* K .185 11 .200* *. This is a lower bound of the true significance. a. Lilliefors Significance Correction
Shapiro-Wilk Statistic df .939 9 .934 11 .896 11 .860 11
Test of Homogeneity of Variances BJ/BB Levene Statistic
df1
df2
Sig.
.348
3
38
.791
ANOVA BJ/BB Sum of Squares df Mean Square Between Groups 3.169 3 1.056 Within Groups 27.219 38 .716 Total 30.388 41
!
F 1.475
Sig. .237
Sig. .566 .448 .164 .058
77 !
Lampiran 6. Biodata Mahasiswa Identitas Nama
: Ihsan Fadilah
NIM
: 22010110120066
TTL
: Kotabumi, 18 Oktober 1992
Jenis Kelamin : Laki-laki Alamat
: Jalan Citra H30 Graha Estetika, Banyumanik, Semarang
Nomor Telp. : (024) 7463577 Nomor Ponsel : +6285279343000 E-mail
:
[email protected]
Riwayat Pendidikan Formal 1. TK
: TK Tunas Harapan, Lampung Utara
Lulus tahun : 1998
2. SD
: SDN 4 Tanjungaman, Lampung Utara
Lulus tahun : 2004
3. SMP
: SMPN 7 Kotabumi, Lampung Utara
Lulus tahun : 2007
4. SMA
: SMAN 2 Bandarlampung
Lulus tahun : 2010
5. FK Undip, masuk tahun : 2010 Keanggotaan Organisasi 1. Kelompok Studi Mahasiswa FK Undip
Tahun 2010 s.d 2014
2. Asisten Mahasiswa Bagian Anatomi FK Undip
Tahun 2012 s.d 2014
3. Pengabdian Masyarakat BEM FK Undip
Tahun 2011 s.d 2013
4. Asisten Mahasiswa Bagian Kimia FK Undip
Tahun 2011 s.d 2012
5. Rohis SMAN 2 Bandarlampung
Tahun 2007 s.d 2010
6. Karya Ilmiah Remaja SMAN 2 Bandarlampung
Tahun 2007 s.d 2009
7. Kesenian OSIS SMPN Kotabumi
Tahun 2005 s.d 2006
Pengalaman Penelitian 1. Yoghurt Kacang Tanah (Arachis hypogaea) sebagai Inovasi Pangan Sehat Anti-osteoporosis: Sebuah Studi Eksperimental pada Tikus Wistar Model Osteoporosis, 2014.
!
78 !
2. Prevalensi Infeksi Cacing Cambuk (Trichuris trichiura) dan Cacing Tambang (Necator americanus dan Ancylostoma duodenale) pada Ibu Hamil di Kota Semarang, 2013-2014. 3. Analisis Genotype-Phenotype pada Penderita dan Karier Penderita Leber Hereditary Optic Neuropathy di Indonesia, 2012. 4. Efek Pemberian Yoghurt Kacang Tanah (Phaseolus vulgaris) terhadap Profil Lipid Serum dan Jumlah Coliform serta Lactobacilli Feses pada Tikus Dislipidemia, 2011. Pengalaman Presentasi dan Mengikuti Lomba Karya Ilmiah 1. Yoghurt Kacang Tanah (Arachis hypogaea) sebagai Inovasi Pangan Sehat Anti-osteoporosis: Sebuah Studi Eksperimental pada Tikus Wistar Model Osteoporosis. Direktorat Penelitian dan Pengabdian kepada Masyarakat Ditjen Pendidikan Tinggi Kementerian Pendidikan Nasional. [Penelitian Didanai] 2. Potensi Gen Antibodi PreS2 dalam Vektor Adenovirus melalui Microneedle Patch sebagai Vaccinotherapy Hepatitis B dan Karsinoma Hepatoseluler. FKK Universitas Muhammadiyah Jakarta. [Juara 1 Poster Ilmiah - Nasional] 3. Efek Pemberian Metformin terhadap Hipertrofi Miosit dan FIbrosis Interstisial Jantung pada Mencit Pasca-Infark Miokardium yang Diinduksi dengan Isoproterenol. Bidang Riset Himpunan Mahasiswa Kedokteran Umum Undip. [Juara 3 Proposal Penelitian - Program Studi] 4. Mycospray Berbasis Aspergillus niger Entomopatogenik: Sebuah Inovasi Pengontrolan Resistensi dan Populasi Aedes aegypti dalam Upaya Pengendalian Dengue. Departemen Riset BEM FK KM Undip. [Juara 1 Proposal Penelitian - Fakultas] 5. Yoghurt Kacang Tanah (Arachis hypogaea) sebagai Inovasi Pangan Sehat Anti-osteoporosis: Sebuah Studi Eksperimental pada Tikus Wistar Model Osteoporosis. Departemen Riset BEM FK KM Undip. [Juara 2 Proposal Penelitian - Fakultas]
78 !
!
79 !
6. Evidence-Based Medicine: Tribendimidine sebagai Obat Alternatif Terbaru untuk Terapi Ascariasis. Badan Analisis dan Pengembangan Ilmiah Nasional (BAPIN)-Ikatan Senat Mahasiswa Kedokteran Indonesia (ISMKI) beserta FK Universitas Padjajaran. [Finalis 6 Besar Gagasan Tertulis - Nasional] 7. Mycospray Berbasis Aspergillus niger Entomopatogenik: Sebuah Inovasi Pengontrolan Resistensi dan Populasi Aedes aegypti dalam Upaya Pengendalian Dengue. Himpunan Mahasiswa Kedokteran Umum Undip. [Juara 1 Gagasan Tertulis - Nasional] 8. Potensi Gen Antibodi PreS2 dalam Vektor Adenovirus melalui Microneedle Patch sebagai Vaccinotherapy Hepatitis B dan Karsinoma Hepatoseluler. Himpunan Mahasiswa Kedokteran Umum Undip. [Juara 3 Gagasan TertulisNasional] 9. Curcumin
in
Curcuma
longa
as
Inflammoregulator
to
Prevent
Carcinogenesis of Colitis-associated Colorectal Cancer Promoted by Commensal pks+ Escherichia coli. FK Universitas Indonesia. [Juara ke-5 Literature Review - Internasional] 10. Efek Pemberian Yoghurt Kacang Merah (Phaseolus vulgaris) terhadap Profil Lipid Serum dan Jumlah Coliform serta Lactobacilli Feses pada Tikus Dislipidemia. FK Udayana. [Juara 3 Penelitian - Nasional] 11. Potensi Antibodi PreS2 dalam Vektor Adenovirus melalui Microneedle Patch sebagai Vaccinotherapy Hepatitis B dan Karsinoma Hepatoseluler. FK Udayana. [Finalis 10 Besar Poster Ilmiah - Nasional] 12. Efek Pemberian Yoghurt Kacang Tanah (Arachis hypogaea) terhadap Kadar C-Telopeptida Serum, Kadar Alkali Fosfatase Serum dan Gambaran Histopatologi Tulang pada Tikus Ovariektomi Model Osteoporosis. Bidang Riset Himpunan Mahasiswa Kedokteran Umum Undip. [Juara 1 Proposal Penelitian - Program Studi] 13. Potensi Idebenone untuk Optimalisasi Fungsi Mitokondria pada Penderita Leber Hereditary Optic Neuropathy (LHON). FK Universitas Sriwijaya. [Finalis 10 Besar Gagasan Tertulis - Nasional]
79 !
!
80 !
14. Analisis Genotype-Phenotype pada Penderita dan Karier Leber Hereditary Optic Neuropathy di Indonesia. FK Undip. [Penelitian didanai] 15. Efek Pemberian Yoghurt Kacang Merah (Phaseolus vulgaris) terhadap Profil Lipid Serum dan Jumlah Coliform serta Lactobacilli Feses pada Tikus Dislipidemia. Direktorat Penelitian dan Pengabdian kepada Masyarakat Ditjen Pendidikan Tinggi Kementerian Pendidikan Nasional. [Penelitian Didanai] 16. Efek Pemberian Yoghurt Kacang Merah (Phaseolus vulgaris) terhadap Profil Lipid Serum dan Jumlah Coliform serta Lactobacilli Feses pada Tikus Dislipidemia. Fakultas Teknik Undip. [Juara 1 Proposal Penelitian Universitas]
80 !
!