Pub Date : 2022-07-01DOI: 10.21776/ub.mnj.2022.008.02.13
Orlando Pikatan, Ellen Ferlita Tirtana, Kezia Seraphine, W. Diarsvitri
Malaria remains a public health concern and remain the deadliest in infectious disease in the world. Cerebral malaria is a particularly severe complication of this disease and associated with high mortality. This literature review is made up from 19 literatures consisting of journals, and book. The literature review used data base www.pubmed.com, and www.scholar.google.com using “cerebral malaria and biomarker, predictor of cerebral malaria and treatment of severe malaria”. The languages for this journal are English and Indonesian. From the collection of literatures in this literature review, severe consists of cerebral malaria, blackwater fever, acute kidney injury, pulmonary edema, electrolyte disturbance, hematology disturbance, and obstetrics emergency resulting from malaria which is postpartum hemorrhage. Cerebral malaria increases the mortality of the patient, so they have to be diagnosed early and treated precisely. Patients with infection of plasmodium falciparum and GCS<11 must be suspected as cerebral malaria. Biomarker examination such as Soluble ICAM-1, Specific muscle’s protein, Angiopoetin-1 and 2, and Plasma microparticles is the most precise way to detect malarial emergency earlier Coma Acidosis Malaria score is also found to be useful in predicting the prognosis in cerebral malaria. Early diagnosis should be made as early as possible to reduce mortality from malaria and its emergencies.
{"title":"BIOMARKERS AND PROGNOSTIC SCORING IN CEREBRAL MALARIA","authors":"Orlando Pikatan, Ellen Ferlita Tirtana, Kezia Seraphine, W. Diarsvitri","doi":"10.21776/ub.mnj.2022.008.02.13","DOIUrl":"https://doi.org/10.21776/ub.mnj.2022.008.02.13","url":null,"abstract":"Malaria remains a public health concern and remain the deadliest in infectious disease in the world. Cerebral malaria is a particularly severe complication of this disease and associated with high mortality. This literature review is made up from 19 literatures consisting of journals, and book. The literature review used data base www.pubmed.com, and www.scholar.google.com using “cerebral malaria and biomarker, predictor of cerebral malaria and treatment of severe malaria”. The languages for this journal are English and Indonesian. From the collection of literatures in this literature review, severe consists of cerebral malaria, blackwater fever, acute kidney injury, pulmonary edema, electrolyte disturbance, hematology disturbance, and obstetrics emergency resulting from malaria which is postpartum hemorrhage. Cerebral malaria increases the mortality of the patient, so they have to be diagnosed early and treated precisely. Patients with infection of plasmodium falciparum and GCS<11 must be suspected as cerebral malaria. Biomarker examination such as Soluble ICAM-1, Specific muscle’s protein, Angiopoetin-1 and 2, and Plasma microparticles is the most precise way to detect malarial emergency earlier Coma Acidosis Malaria score is also found to be useful in predicting the prognosis in cerebral malaria. Early diagnosis should be made as early as possible to reduce mortality from malaria and its emergencies.","PeriodicalId":247353,"journal":{"name":"MNJ (Malang Neurology Journal)","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126817663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.21776/ub.mnj.2022.008.02.1
Ciro Blujus Dos Santos Rohde, Márcio Fernando Da Silva, H. Tavares
in various communities. Primary healthcare workers (PHCW), are at the frontline of COVID-19 crisis, having to deal with infected patients and their families. Objective: To evaluate the efficacy of Affective Behavioral Therapy (ABT) for the treatment and prevention of mental health disorders for PHCW. Methods: PHCW from a primary care unit (PCU) were invited to participate in an ABT group. They answered the Patient Health Questionnaire-4 (PHQ-4) about how they felt before the sessions and after them. Results: 10 sessions were offered between April and June 2020 and 30 PHCW participated, 22 women and 08 men mean age was 36.8 (SD=9.7) years old. The average number of participants per session was 4.4 (SD=2.2). Pre- and post-intervention PHQ-4 scores showed significant improvement in total score (p < 0.001). Conclusion: PHCWs mental health is strategic for the management of the community during crises related to natural crises. The ABT was effective in supporting the mental health of PHCW during the COVID-19 epidemic. Future controlled studies must be conducted in order to further test its efficacy. Keywords: COVID-19, mental health, primary care, therapeutic listening, occupational therapy, affective behavioral therapy
{"title":"AFFECTIVE BEHAVIORAL THERAPY (ABT): FUNDAMENTAL PRACTICE IN THERAPEUTIC LISTENING AND OCCUPATIONAL THERAPY FOR PRIMARY CARE WORKERS DURING THE COVID-19 PANDEMIC","authors":"Ciro Blujus Dos Santos Rohde, Márcio Fernando Da Silva, H. Tavares","doi":"10.21776/ub.mnj.2022.008.02.1","DOIUrl":"https://doi.org/10.21776/ub.mnj.2022.008.02.1","url":null,"abstract":"in various communities. Primary healthcare workers (PHCW), are at the frontline of COVID-19 crisis, having to deal with infected patients and their families. Objective: To evaluate the efficacy of Affective Behavioral Therapy (ABT) for the treatment and prevention of mental health disorders for PHCW. Methods: PHCW from a primary care unit (PCU) were invited to participate in an ABT group. They answered the Patient Health Questionnaire-4 (PHQ-4) about how they felt before the sessions and after them. Results: 10 sessions were offered between April and June 2020 and 30 PHCW participated, 22 women and 08 men mean age was 36.8 (SD=9.7) years old. The average number of participants per session was 4.4 (SD=2.2). Pre- and post-intervention PHQ-4 scores showed significant improvement in total score (p < 0.001). Conclusion: PHCWs mental health is strategic for the management of the community during crises related to natural crises. The ABT was effective in supporting the mental health of PHCW during the COVID-19 epidemic. Future controlled studies must be conducted in order to further test its efficacy. Keywords: COVID-19, mental health, primary care, therapeutic listening, occupational therapy, affective behavioral therapy","PeriodicalId":247353,"journal":{"name":"MNJ (Malang Neurology Journal)","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131184572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.21776/ub.mnj.2022.008.02.12
Sanaullah Mudassir, Ashok Kumar V, Neetu Sinha, A. Ranjan
Paraneoplastic cerebellar degeneration (PCD) is a rare immune mediated disorder characterized by progressive cerebellar ataxia in presence of onconeural antibodies which occurs due to an indirect effect of underlying malignancy i.e. small cell lung cancer (SCLC), breast and gynecologic cancer, and Hodgkin lymphoma. In about 50% of patients neurological manifestation of Paraneoplastic cerebellar degeneration occurs prior to detection of carcinoma. Anti-Yo Antibody is the commonest antibody present in patients with Paraneoplastic cerebellar degeneration which is associated with breast carcinoma. We describe 3 female patients with anti YO antibody mediated PCD with breast cancer. One patient had a previous diagnosis of breast cancer with post mastectomy status one year back. Two of them presented with ataxia and on further examination, breast lump was found. All three patients had symmetrical ataxia with one patient had severely debilitating ataxia and was not able to walk unassisted. Magnetic resonance imaging brain showed cerebellar atrophy in two patients while one patient had normal MRI. Anti- YO antibody was strongly positive in all the three patients. All patients were given immunotherapy (corticosteroids in 2, Intravenous immunoglobulin in 1) with 1 patient showed modest improvement These case highlights the need to consider for workup for paraneoplastic cerebellar degeneration in female patients presenting with subacute to chronic progressive ataxia, so that the tumors can be detected and treated in early stage with a good outcome.
{"title":"BREAST CANCER ASSOCIATED ANTI YO-ANTIBODY MEDIATED PARANEOPLASTIC CEREBELLAR DEGENERATION: CASE SERIES AND REVIEW OF LITERATURE","authors":"Sanaullah Mudassir, Ashok Kumar V, Neetu Sinha, A. Ranjan","doi":"10.21776/ub.mnj.2022.008.02.12","DOIUrl":"https://doi.org/10.21776/ub.mnj.2022.008.02.12","url":null,"abstract":"Paraneoplastic cerebellar degeneration (PCD) is a rare immune mediated disorder characterized by progressive cerebellar ataxia in presence of onconeural antibodies which occurs due to an indirect effect of underlying malignancy i.e. small cell lung cancer (SCLC), breast and gynecologic cancer, and Hodgkin lymphoma. In about 50% of patients neurological manifestation of Paraneoplastic cerebellar degeneration occurs prior to detection of carcinoma. Anti-Yo Antibody is the commonest antibody present in patients with Paraneoplastic cerebellar degeneration which is associated with breast carcinoma. We describe 3 female patients with anti YO antibody mediated PCD with breast cancer. One patient had a previous diagnosis of breast cancer with post mastectomy status one year back. Two of them presented with ataxia and on further examination, breast lump was found. All three patients had symmetrical ataxia with one patient had severely debilitating ataxia and was not able to walk unassisted. Magnetic resonance imaging brain showed cerebellar atrophy in two patients while one patient had normal MRI. Anti- YO antibody was strongly positive in all the three patients. All patients were given immunotherapy (corticosteroids in 2, Intravenous immunoglobulin in 1) with 1 patient showed modest improvement These case highlights the need to consider for workup for paraneoplastic cerebellar degeneration in female patients presenting with subacute to chronic progressive ataxia, so that the tumors can be detected and treated in early stage with a good outcome.","PeriodicalId":247353,"journal":{"name":"MNJ (Malang Neurology Journal)","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114313754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.21776/ub.mnj.2022.008.02.16
Masruroh Rahayu, Shahdevi Nandar Kurniawan, N. Raisa, Farida Widyastuti
Background: Carpal tunnel syndrome is symptomatic compression neuropathy of median nerve in carpal tunnel on wrist causes functional decreased in that area. CTS is diagnosed from clinical, physical examination, also from ENMG and USG wrist. This research aims to know about CTS characteristics and the relationship between clinical findings of CTS with ENMG and USG wrist results. Objective: This study aims to determine whether there is a relationship between the clinical findings of patients diagnosed with CTS and the results of ENMG and wrist ultrasound at the Neurology Polyclinic of Saiful Anwar Hospital, Malang. Methods: This research was descriptive observational. Data were collected from anamnesis and physical examination at Neurology Polyclinic Saiful Anwar Malang Hospital (RSSA) from April to December 2017, then examined by ENMG and USG wrist at RSSA. There are 27 patients suspected of CTS who meet inclusion and exclusion criteria. Results: From 9 months (April-December 2017) found 27 patients suspected CTS, about 19 patients (70,37%) were female and 7 patients (19,63%) were male. The majority of the age group is 25-65 years old (66,67%). Most of the occupations were housewives (48,15%). Patients most came with chief complaint of tingling (88,89%) with positive tinnel sign (77,78%), and most concomitant diseases were hypertension (48,15%). The ENMG results confirmed CTS about 92,59%, compared to the USG that confirmed CTS about 85,19%. Statistical analysis with Pearson Chi-Square test showed no relationship between clinical findings of CTS (Tinnel, Phalen, Counter Phalen, Flick test) with ENMG and USG wrist results. Conclusion: This research concluded no relationship between clinical findings of CTS with ENMG and USG wrist results.
{"title":"RELATIONSHIP BETWEEN CLINICAL FINDINGS OF CARPAL TUNNEL SYNDROME WITH ENMG AND USG WRIST RESULT","authors":"Masruroh Rahayu, Shahdevi Nandar Kurniawan, N. Raisa, Farida Widyastuti","doi":"10.21776/ub.mnj.2022.008.02.16","DOIUrl":"https://doi.org/10.21776/ub.mnj.2022.008.02.16","url":null,"abstract":"Background: Carpal tunnel syndrome is symptomatic compression neuropathy of median nerve in carpal tunnel on wrist causes functional decreased in that area. CTS is diagnosed from clinical, physical examination, also from ENMG and USG wrist. This research aims to know about CTS characteristics and the relationship between clinical findings of CTS with ENMG and USG wrist results. Objective: This study aims to determine whether there is a relationship between the clinical findings of patients diagnosed with CTS and the results of ENMG and wrist ultrasound at the Neurology Polyclinic of Saiful Anwar Hospital, Malang. Methods: This research was descriptive observational. Data were collected from anamnesis and physical examination at Neurology Polyclinic Saiful Anwar Malang Hospital (RSSA) from April to December 2017, then examined by ENMG and USG wrist at RSSA. There are 27 patients suspected of CTS who meet inclusion and exclusion criteria. Results: From 9 months (April-December 2017) found 27 patients suspected CTS, about 19 patients (70,37%) were female and 7 patients (19,63%) were male. The majority of the age group is 25-65 years old (66,67%). Most of the occupations were housewives (48,15%). Patients most came with chief complaint of tingling (88,89%) with positive tinnel sign (77,78%), and most concomitant diseases were hypertension (48,15%). The ENMG results confirmed CTS about 92,59%, compared to the USG that confirmed CTS about 85,19%. Statistical analysis with Pearson Chi-Square test showed no relationship between clinical findings of CTS (Tinnel, Phalen, Counter Phalen, Flick test) with ENMG and USG wrist results. Conclusion: This research concluded no relationship between clinical findings of CTS with ENMG and USG wrist results.","PeriodicalId":247353,"journal":{"name":"MNJ (Malang Neurology Journal)","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129144229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.21776/ub.mnj.2022.008.02.8
Aris Widayati, Dewi Mustika, Yhusi Karina Riskawati, A. Iskandar, Nia Kurnianingsih
Home / Archives / Vol. 8 No. 2 (2022): July / Research Article THE COMBINATION OF HIGH FAT DIET AND MONOSODIUM GLUTAMATE ALTERING ADIPOGENESIS, BRAIN RESISTIN AND SERUM CORTISOL LEVEL IN FEMALE RAT Authors Aris Widayati Department of Physiology, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia Dewi Mustika Department of Physiology, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia Yhusi Karina Riskawati Department of Physiology, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia Agustin Iskandar Department of Parasitology, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia Nia Kurnianingsih Department of Physiology, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia DOI: https://doi.org/10.21776/ub.mnj.2022.008.02.8 Keywords: glutamate, fat diet, inflammation, behavior, BDNF Abstract Background: The prevalence of obesity is increasing tremendously worldwide. Obesity is correlated with the consumption of a high-fat diet (HFD) and monosodium glutamate (MSG). Although the effect of MSG or HFD on inflammation has been established, lack of information about the effects of both combination on simultaneous systemic and brain inflammation that can be evaluated from cortisol serum and brain resistin level respectively. Objectives: This study aimed to investigate the effects of combining HFD and MSG on brain resistin, serum cortisol, lipid profiles, visceral weight, and body weight gain. Methods: Sixteen adult female rats were randomized into 4 groups consist of standard diet; HFD+MSG 0.05 mg/gBW, HFD+MSG 0.2 mg/gBW and HFD+MSG 0.35 mg/gBW. Lipid profiles were measured using automatic biochemical analyzer. Brain resistin and serum cortisol level were determined using enzyme-linked immunoassay. Results: The groups of HFD+MSG significantly have higher level of brain resistin (p<0.003), serum cortisol (p<0.01), total cholesterol (p<0.003) and visceral fat weight (p<0.05) than control group. Conclusion: The combination of HFD, and MSG generates obesity that led to systemic-brain alteration on inflammation. Further study is necessary to evaluate further the functional impact of both combinations on behavioral profiles.
{"title":"THE COMBINATION OF HIGH FAT DIET AND MONOSODIUM GLUTAMATE ALTERING ADIPOGENESIS, BRAIN RESISTIN AND SERUM CORTISOL LEVEL IN FEMALE RAT","authors":"Aris Widayati, Dewi Mustika, Yhusi Karina Riskawati, A. Iskandar, Nia Kurnianingsih","doi":"10.21776/ub.mnj.2022.008.02.8","DOIUrl":"https://doi.org/10.21776/ub.mnj.2022.008.02.8","url":null,"abstract":"Home / Archives / Vol. 8 No. 2 (2022): July / Research Article THE COMBINATION OF HIGH FAT DIET AND MONOSODIUM GLUTAMATE ALTERING ADIPOGENESIS, BRAIN RESISTIN AND SERUM CORTISOL LEVEL IN FEMALE RAT Authors Aris Widayati Department of Physiology, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia Dewi Mustika Department of Physiology, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia Yhusi Karina Riskawati Department of Physiology, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia Agustin Iskandar Department of Parasitology, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia Nia Kurnianingsih Department of Physiology, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia DOI: https://doi.org/10.21776/ub.mnj.2022.008.02.8 Keywords: glutamate, fat diet, inflammation, behavior, BDNF Abstract Background: The prevalence of obesity is increasing tremendously worldwide. Obesity is correlated with the consumption of a high-fat diet (HFD) and monosodium glutamate (MSG). Although the effect of MSG or HFD on inflammation has been established, lack of information about the effects of both combination on simultaneous systemic and brain inflammation that can be evaluated from cortisol serum and brain resistin level respectively. Objectives: This study aimed to investigate the effects of combining HFD and MSG on brain resistin, serum cortisol, lipid profiles, visceral weight, and body weight gain. Methods: Sixteen adult female rats were randomized into 4 groups consist of standard diet; HFD+MSG 0.05 mg/gBW, HFD+MSG 0.2 mg/gBW and HFD+MSG 0.35 mg/gBW. Lipid profiles were measured using automatic biochemical analyzer. Brain resistin and serum cortisol level were determined using enzyme-linked immunoassay. Results: The groups of HFD+MSG significantly have higher level of brain resistin (p<0.003), serum cortisol (p<0.01), total cholesterol (p<0.003) and visceral fat weight (p<0.05) than control group. Conclusion: The combination of HFD, and MSG generates obesity that led to systemic-brain alteration on inflammation. Further study is necessary to evaluate further the functional impact of both combinations on behavioral profiles.","PeriodicalId":247353,"journal":{"name":"MNJ (Malang Neurology Journal)","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132954247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.21776/ub.mnj.2022.008.02.10
U. Kalsum, H. Khotimah, Theakirana Firdaus, E. Fukata, Nurfaizah Titisari Sulihah, Fitrah Aulia Lisabilla, Happy Kurnia Permatasari, S. Andarini
Background: Brain is an organ that is prone to oxidative stress and subsequent apoptosis due to high aerobic metabolism and relatively low antioxidants, especially under hyperglycemic condition. Cinnamomum burmanii (CB) is a species that is abundant in Indonesia, therefore it is of special concern for researchers to identify the anti-apoptotic effect of CB. Objective: This study was initiated to determine the effect of CB extract on the inhibition of brain apoptosis in zebrafish embryos exposed to high glucose and to investigate its anti-apoptosis mechanism by molecular docking approach. Methods: Molecular docking was conducted to determine the interaction between several CB extracts main constituents with target protein procaspase-9, compared to control ligand Saxagliptin. Zebrafish embryos were used to assess the effect of 4% glucose exposure and three doses of CB extract treatment (1.25, 5, and 10 µg/ml) on apoptosis in brain region. High-glucose condition in zebrafish embryo was confirmed with overexpression of Phosphoenolpyruvate carboxykinase (PEPCK). Apoptosis was evaluated by performing acridine orange (AO) staining and quantified by ImageJ software. Results: Molecular docking study indicated that main CB compounds, namely epicatechin, displayed stronger molecular interactions with procaspase-9 compared to control ligand Saxagliptin. There were increased numbers of apoptotic cells seen around brain region in glucose-treated group. Meanwhile, supplementation of CB extract at dose of 10 µg/ml resulted in decreased amount of apoptotic cells in brain region. Conclusion: The results suggest that CB extract protects from hyperglycemic-induced apoptosis in zebrafish embryos brain by modulating procaspase-9.
{"title":"Cinnamomum burmannii EXTRACT AMELIORATES HIGH GLUCOSE-INDUCED BRAIN APOPTOSIS IN ZEBRAFISH EMBRYOS THROUGH INHIBITION OF PROCASPASE-9 : IN SILICO AND IN VIVO STUDY","authors":"U. Kalsum, H. Khotimah, Theakirana Firdaus, E. Fukata, Nurfaizah Titisari Sulihah, Fitrah Aulia Lisabilla, Happy Kurnia Permatasari, S. Andarini","doi":"10.21776/ub.mnj.2022.008.02.10","DOIUrl":"https://doi.org/10.21776/ub.mnj.2022.008.02.10","url":null,"abstract":"Background: Brain is an organ that is prone to oxidative stress and subsequent apoptosis due to high aerobic metabolism and relatively low antioxidants, especially under hyperglycemic condition. Cinnamomum burmanii (CB) is a species that is abundant in Indonesia, therefore it is of special concern for researchers to identify the anti-apoptotic effect of CB. Objective: This study was initiated to determine the effect of CB extract on the inhibition of brain apoptosis in zebrafish embryos exposed to high glucose and to investigate its anti-apoptosis mechanism by molecular docking approach. Methods: Molecular docking was conducted to determine the interaction between several CB extracts main constituents with target protein procaspase-9, compared to control ligand Saxagliptin. Zebrafish embryos were used to assess the effect of 4% glucose exposure and three doses of CB extract treatment (1.25, 5, and 10 µg/ml) on apoptosis in brain region. High-glucose condition in zebrafish embryo was confirmed with overexpression of Phosphoenolpyruvate carboxykinase (PEPCK). Apoptosis was evaluated by performing acridine orange (AO) staining and quantified by ImageJ software. Results: Molecular docking study indicated that main CB compounds, namely epicatechin, displayed stronger molecular interactions with procaspase-9 compared to control ligand Saxagliptin. There were increased numbers of apoptotic cells seen around brain region in glucose-treated group. Meanwhile, supplementation of CB extract at dose of 10 µg/ml resulted in decreased amount of apoptotic cells in brain region. Conclusion: The results suggest that CB extract protects from hyperglycemic-induced apoptosis in zebrafish embryos brain by modulating procaspase-9.","PeriodicalId":247353,"journal":{"name":"MNJ (Malang Neurology Journal)","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127153307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.21776/ub.mnj.2022.008.02.7
Aisyah Rizki Ramadhani, Mohammad Saiful Ardhi, S. Prajitno
Background: Stroke is the second leading cause of death and the third leading cause of morbidity. Therefore, it is important to know which risk factor that most patients have. Stroke can be divided according to its severity using NIHSS, NIHSS itself has strong ability to predict outcomes after stroke Objective: This study’s aim to learn about profile of characteristic, risk factor, and stroke severity on infarction stroke patients in ward Seruni A RSUD Dr. Soetomo from July 2018 – June 2019. Methods: This descriptive observational study’s samples are patients with infarction stroke in ward Seruni A RSUD Dr. Soetomo from July 2018 – June 2019. The observed profile include age, sex, ethnic, family history of vascular disease, history of hypertension, diabetes, heart disease, dyslipidemia, obesity, smoking, alcohol consumption, physical inactivity, and stroke severity. Results: From 200 patiens, 55% (110) are 56-70 years old. 61% (122) patients are male. 81 out of 96 are Javanese. 25 out of 135 have family history of vascular disease, 140 out of 194 have hypertension, 69 out of 190 have diabetes, 27 out of 183 have heart disease, 101 out of 174 have dyslipidemia, 62 out of 162 have obesity, 33 out of 82 smoke, 4 out of 63 consume alcohol, and 50 out of 55 are inactive physically. On admission, out of 60 patients, 27 have moderate stroke, 25 minor, and 8 moderate to severe. On discharge, out of 49 patients, 23 have moderate stroke, 20 minor, 3 moderate to severe, and 3 severe. Conclusion: Infarction stroke patients were mostly male and the peak incidence occur between 56-70 years old. Most patients have histories of hypertension, dyslipidemia, and diabetes. On admission and discharge, most patients have moderate stroke, followed by mild stroke.
背景:中风是第二大死亡原因和第三大发病原因。因此，了解大多数患者有哪些风险因素是很重要的。NIHSS可以根据脑卒中的严重程度对其进行划分，NIHSS本身具有较强的脑卒中预后预测能力目的:本研究旨在了解2018年7月- 2019年6月Seruni A RSUD Dr. Soetomo病房梗死性脑卒中患者的特征、危险因素及脑卒中严重程度概况。方法:本描述性观察性研究的样本是2018年7月至2019年6月在Seruni A RSUD Dr. Soetomo病房的梗死性脑卒中患者。观察到的概况包括年龄、性别、种族、血管疾病家族史、高血压、糖尿病、心脏病、血脂异常、肥胖、吸烟、饮酒、缺乏运动和中风严重程度。结果:200例患者中，55%(110例)年龄在56 ~ 70岁之间。61%(122)患者为男性。96人中有81人是爪哇人，135人中有25人有血管疾病家族史，194人中有140人患有高血压，190人中有69人患有糖尿病，183人中有27人患有心脏病，174人中有101人患有血脂异常，162人中有62人患有肥胖症，82人中有33人吸烟，63人中有4人饮酒，55人中有50人不爱运动。入院时，60例患者中，27例为中度卒中，25例为轻度卒中，8例为中重度卒中。出院时，49例患者中，中度卒中23例，轻度卒中20例，中重度卒中3例，重度卒中3例。结论:梗死性脑卒中患者以男性居多，56 ~ 70岁为发病高峰。大多数患者有高血压、血脂异常和糖尿病病史。入院和出院时，大多数患者有中度中风，其次是轻度中风。
{"title":"PROFILE OF CHARACTERISTIC, RISK FACTOR, AND STROKE SEVERITY ON INFARCTION STROKE PATIENTS","authors":"Aisyah Rizki Ramadhani, Mohammad Saiful Ardhi, S. Prajitno","doi":"10.21776/ub.mnj.2022.008.02.7","DOIUrl":"https://doi.org/10.21776/ub.mnj.2022.008.02.7","url":null,"abstract":"Background: Stroke is the second leading cause of death and the third leading cause of morbidity. Therefore, it is important to know which risk factor that most patients have. Stroke can be divided according to its severity using NIHSS, NIHSS itself has strong ability to predict outcomes after stroke Objective: This study’s aim to learn about profile of characteristic, risk factor, and stroke severity on infarction stroke patients in ward Seruni A RSUD Dr. Soetomo from July 2018 – June 2019. Methods: This descriptive observational study’s samples are patients with infarction stroke in ward Seruni A RSUD Dr. Soetomo from July 2018 – June 2019. The observed profile include age, sex, ethnic, family history of vascular disease, history of hypertension, diabetes, heart disease, dyslipidemia, obesity, smoking, alcohol consumption, physical inactivity, and stroke severity. Results: From 200 patiens, 55% (110) are 56-70 years old. 61% (122) patients are male. 81 out of 96 are Javanese. 25 out of 135 have family history of vascular disease, 140 out of 194 have hypertension, 69 out of 190 have diabetes, 27 out of 183 have heart disease, 101 out of 174 have dyslipidemia, 62 out of 162 have obesity, 33 out of 82 smoke, 4 out of 63 consume alcohol, and 50 out of 55 are inactive physically. On admission, out of 60 patients, 27 have moderate stroke, 25 minor, and 8 moderate to severe. On discharge, out of 49 patients, 23 have moderate stroke, 20 minor, 3 moderate to severe, and 3 severe. Conclusion: Infarction stroke patients were mostly male and the peak incidence occur between 56-70 years old. Most patients have histories of hypertension, dyslipidemia, and diabetes. On admission and discharge, most patients have moderate stroke, followed by mild stroke.","PeriodicalId":247353,"journal":{"name":"MNJ (Malang Neurology Journal)","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125653512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.21776/ub.mnj.2022.008.02.15
Halil Ural Aksoy, Senem Ayça, Celil Yılmaz, M. Polat
Dyke-Davidoff-Masson Syndrome (DDMS) is a rare syndrome characterized with specific clinical and radiological findings due to involvement of the developing brain with cerebral hemiatrophy of one hemisphere. The syndrome was first described from Dyke, Davidoff and Masson in 1933 in a series of nine patients. Syndrome has two forms, congenital and acquired forms and etiological factors vary due to involvement of the brain. Most common clinical symptom are focal or secondary generalized seizures. Hemiparesis, facial asymmetry, intellectual disability, mental retardation, and hemihypertrophy also seen in clinical process. In magnetic resonance imaging (MRI) DDMS has unique radiological findings. Seizures are commonly refractory to treatment and aim of the treatment is to control seizures and improve mental and intellectual capabilities. Prognosis is good when clinical findings occur after two years old.
{"title":"DYKE-DAVIDOFF-MASSON SYNDROME: MYOCLONIC SEIZURES AND HEMIHYPERTROPHY IN LATE CHILDHOOD: A CASE REPORT","authors":"Halil Ural Aksoy, Senem Ayça, Celil Yılmaz, M. Polat","doi":"10.21776/ub.mnj.2022.008.02.15","DOIUrl":"https://doi.org/10.21776/ub.mnj.2022.008.02.15","url":null,"abstract":"Dyke-Davidoff-Masson Syndrome (DDMS) is a rare syndrome characterized with specific clinical and radiological findings due to involvement of the developing brain with cerebral hemiatrophy of one hemisphere. The syndrome was first described from Dyke, Davidoff and Masson in 1933 in a series of nine patients. Syndrome has two forms, congenital and acquired forms and etiological factors vary due to involvement of the brain. Most common clinical symptom are focal or secondary generalized seizures. Hemiparesis, facial asymmetry, intellectual disability, mental retardation, and hemihypertrophy also seen in clinical process. In magnetic resonance imaging (MRI) DDMS has unique radiological findings. Seizures are commonly refractory to treatment and aim of the treatment is to control seizures and improve mental and intellectual capabilities. Prognosis is good when clinical findings occur after two years old.","PeriodicalId":247353,"journal":{"name":"MNJ (Malang Neurology Journal)","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123256659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.21776/ub.mnj.2022.008.02.2
Ulaş Serkan Topaloğlu, Ali Saz, Onur Tatar, Mustafa Oner Kucuk, Esma Eryilmaz-Eren
Background: Homeopathy is applied as a supportive in the treatment of viral infections and in relieving their symptoms. Objective: To create an awareness that effective remedial results can be obtained by homeopathy in patients with loss of smell and taste in Coronavirus Disease 2019. Methods: A prospective, cohort and randomized study was conducted. The main inclusion criterion was the loss of smell and taste for at least one week. Homeopathic remedies were also applied as supportive therapy. Visual Analog Scale (VAS) was used to evaluate the loss of smell and taste perception before and after treatment. Results: A total of 30 patients, 32.17±10.25 years, were included in the study. The mean pre-treatment VAS-smell perception of the patients was 0.67±1.24, while the mean VAS-taste perception was 2.57±3.01. After the treatment, the mean of VAS-smell perception was 8.67±1.92, while the mean of VAS-taste increased to 9.43±1.22. There was a strong positive correlation between ΔVAS-smell perception and ΔVAS-taste perception (r: 0.563, p: 0.001). There was also a strong negative correlation between ΔVAS-taste perception and the level of ferritin (r: -0.552, p: 0.002). Conclusion: The present study on the effective improvement via homeopathy treatment in patients with loss of smell and taste in COVID-19 that “has spoiled the taste of life and living” should be supported by further studies.
{"title":"CAN HOMEOPATHY BE A \"REMEDY\" FOR LOSS OF SMELL AND TASTE IN PATIENTS WITH COVID-19?","authors":"Ulaş Serkan Topaloğlu, Ali Saz, Onur Tatar, Mustafa Oner Kucuk, Esma Eryilmaz-Eren","doi":"10.21776/ub.mnj.2022.008.02.2","DOIUrl":"https://doi.org/10.21776/ub.mnj.2022.008.02.2","url":null,"abstract":"Background: Homeopathy is applied as a supportive in the treatment of viral infections and in relieving their symptoms. Objective: To create an awareness that effective remedial results can be obtained by homeopathy in patients with loss of smell and taste in Coronavirus Disease 2019. Methods: A prospective, cohort and randomized study was conducted. The main inclusion criterion was the loss of smell and taste for at least one week. Homeopathic remedies were also applied as supportive therapy. Visual Analog Scale (VAS) was used to evaluate the loss of smell and taste perception before and after treatment. Results: A total of 30 patients, 32.17±10.25 years, were included in the study. The mean pre-treatment VAS-smell perception of the patients was 0.67±1.24, while the mean VAS-taste perception was 2.57±3.01. After the treatment, the mean of VAS-smell perception was 8.67±1.92, while the mean of VAS-taste increased to 9.43±1.22. There was a strong positive correlation between ΔVAS-smell perception and ΔVAS-taste perception (r: 0.563, p: 0.001). There was also a strong negative correlation between ΔVAS-taste perception and the level of ferritin (r: -0.552, p: 0.002). Conclusion: The present study on the effective improvement via homeopathy treatment in patients with loss of smell and taste in COVID-19 that “has spoiled the taste of life and living” should be supported by further studies.","PeriodicalId":247353,"journal":{"name":"MNJ (Malang Neurology Journal)","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121707764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.21776/ub.mnj.2022.008.02.3
D. Güven, D. Ardıçlı, D. Sarıcı
Background: Microcephaly is a condition that causes a reduction in brain volume as well as cognitive and motor impairments. It can be seen alone or in conjunction with a variety of genetic disorders and environmental factors. Microcephaly is still a poorly defined condition, identifying the etiological causes is critical for providing genetic counseling, and preventing potential consequences. Objective: The aim of this study was to assess the etiology, diagnosis, and management of the childhood microcephaly. Methods: We conducted a retrospective analysis on 50 children with microcephaly (25 males, 25 females) who presented to University of Health Sciences, Ankara Keçiören Training and Research Hospital between 2017-2021.The demographic features of the patients, neuroimaging, clinical and laboratory findings were examined. Results: The etiology of microcephaly was documented in 76% of all patients. Genetic causes were identified in 16 % of the patients; including Aicardi Goutieres Syndrome,Williams Syndrome , Wolfram Syndrome, Rett Syndrome and Asparagine Synthetase Deficiency. Syndactyly, scoliosis, Poland syndrome, dysmorphic face, alopecia, auricular ear deformities, hearing loss, strabismus, nystagmus, hydronephrosis, single umbilical artery, and cardiac septal defect were detected systemic malformations associated with microcephaly. In sixty percent of the patients, a neuroimaging was performed; results were abnormal in 24% of the patients. The mean follow-up period of the patients was 1.88± 0.6 years. Cognitive impairment was associated with microcephaly in 38% of the cases, and epilepsy in 20%. Of those 28% of the children required special education. One patient was operated by neurosurgeon due to craniosynostosis. Conclusion: Microcephaly is still a poorly defined condition, identifying the etiological causes is critical for providing genetic counseling, and preventing potential consequences.
{"title":"ETIOLOGY, DIAGNOSIS, AND MANAGEMENT OF CHILDHOOD MICROCEPHALY: A SINGLE-CENTER RETROSPECTIVE STUDY","authors":"D. Güven, D. Ardıçlı, D. Sarıcı","doi":"10.21776/ub.mnj.2022.008.02.3","DOIUrl":"https://doi.org/10.21776/ub.mnj.2022.008.02.3","url":null,"abstract":"Background: Microcephaly is a condition that causes a reduction in brain volume as well as cognitive and motor impairments. It can be seen alone or in conjunction with a variety of genetic disorders and environmental factors. Microcephaly is still a poorly defined condition, identifying the etiological causes is critical for providing genetic counseling, and preventing potential consequences. Objective: The aim of this study was to assess the etiology, diagnosis, and management of the childhood microcephaly. Methods: We conducted a retrospective analysis on 50 children with microcephaly (25 males, 25 females) who presented to University of Health Sciences, Ankara Keçiören Training and Research Hospital between 2017-2021.The demographic features of the patients, neuroimaging, clinical and laboratory findings were examined. Results: The etiology of microcephaly was documented in 76% of all patients. Genetic causes were identified in 16 % of the patients; including Aicardi Goutieres Syndrome,Williams Syndrome , Wolfram Syndrome, Rett Syndrome and Asparagine Synthetase Deficiency. Syndactyly, scoliosis, Poland syndrome, dysmorphic face, alopecia, auricular ear deformities, hearing loss, strabismus, nystagmus, hydronephrosis, single umbilical artery, and cardiac septal defect were detected systemic malformations associated with microcephaly. In sixty percent of the patients, a neuroimaging was performed; results were abnormal in 24% of the patients. The mean follow-up period of the patients was 1.88± 0.6 years. Cognitive impairment was associated with microcephaly in 38% of the cases, and epilepsy in 20%. Of those 28% of the children required special education. One patient was operated by neurosurgeon due to craniosynostosis. Conclusion: Microcephaly is still a poorly defined condition, identifying the etiological causes is critical for providing genetic counseling, and preventing potential consequences.","PeriodicalId":247353,"journal":{"name":"MNJ (Malang Neurology Journal)","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116063873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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