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The Effect of Simvastatin and Virgin Coconut Oil (VCO) Combination Therapy as Triglyceride Plasma Lowering Agent in White Dyslipidemic Male Rat (Rattus norvegicus) 辛伐他汀与初榨椰子油(VCO)联合治疗白色褐家鼠血脂异常雄性大鼠甘油三酯降血脂作用的研究
Pub Date : 2021-10-30 DOI: 10.20473/bhsj.v4i2.29762
Jefferson Caesario, S. Adi, E. Qurnianingsih
Introduction: Dyslipidemia is a major health problem in Indonesia which leads to other diseases. Triglycerides (TG) is one of the increased lipid fractions which is related to dyslipidemia. Simvastatin is the main therapy in Indonesia to lower TG levels. The use of virgin coconut oil (VCO) becomes popular as a blood cholesterol-lowering agent even though the effects on TG level remains elusive. Since there is no empirical evidence VCO as a complementary therapy of simvastatin on TG levels, this experimental trial is conducted to determine the effect of simvastatin and VCO combination therapy on blood TG levels in dyslipidemic male white rats.Methods: 42 white rats (Rattus norvegicus) divided into 5 treatment groups and preliminary test of dyslipidemia. The blood was collected intracardially and TG level was measured by using spectrophotometric methods. Independent variables are simvastatin and VCO and combination therapy while the dependent variable is TG levels of white rats. The data was afterwards analyzed using Mann-Whitney U test.Results: The control group’s triglyceride plasma level, receiving standard diet, is 59±13,4 mg/dl. The VCO-only group shows 72±35,4 mg/dl while simvastatin-only group shows 61,9±22,6 mg/dl triglyceride level. Combination therapy of simvastatin and VCO shows 62,3±31,3 mg/dl (p>0,05).Conclusion: There were no significant differences between groups with control. However,the use of VCO with particular dose and duration of therapy, will significantly decrease triglyceride level in the blood as effective as simvastatin. VCO has no efficacy while used as combination therapy of simvastatin.
简介:血脂异常是印度尼西亚的一个主要健康问题,它会导致其他疾病。甘油三酯(TG)是与血脂异常有关的一种增加的脂质组分。辛伐他汀是印尼降低TG水平的主要疗法。初榨椰子油(VCO)作为一种降低血液胆固醇的药物越来越受欢迎,尽管它对TG水平的影响仍然难以捉摸。由于没有经验证据表明VCO作为辛伐他汀对TG水平的补充治疗,本实验旨在确定辛伐他汀与VCO联合治疗对血脂异常雄性白大鼠血TG水平的影响。方法:42只褐家鼠(Rattus norvegicus)分为5个治疗组,进行血脂异常初步试验。取心内血,用分光光度法测定TG水平。自变量为辛伐他汀和VCO及联合治疗,因变量为大鼠TG水平。随后使用Mann-Whitney U检验对数据进行分析。结果:对照组在标准饮食条件下血浆甘油三酯水平为59±13.4 mg/dl。vco组甘油三酯为72±35,4 mg/dl,辛伐他汀组甘油三酯为61,9±22,6 mg/dl。辛伐他汀与VCO联合治疗为62,3±31,3 mg/dl (p> 0.05)。结论:对照组与对照组之间无显著差异。然而,使用特定剂量和治疗时间的VCO,将显著降低血液中的甘油三酯水平,其效果与辛伐他汀相同。VCO与辛伐他汀联用无疗效。
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引用次数: 1
Prenatal Risk Factors on Children’s Cerebral Palsy Case at RSIA Bunda Jakarta 雅加达班达RSIA儿童脑瘫病例的产前危险因素分析
Pub Date : 2021-10-30 DOI: 10.20473/bhsj.v4i2.27449
B. Lariza, K. D. Artanti, Taufiq Hidayat
Introduction: Cerebral Palsy is a disease that is less recognized by the public due to the lack of information related to CP in Indonesia. Aims to analyze prenatal risk factors that influence the evidence of CP RSIA Bunda Jakarta.Methods: This study was conducted in April 2021 at RSIA Bunda Jakarta, an analytical study with a case control design. The sample in this study were 124 respondents from mothers of children who underwent outpatient treatment at the RSIA Bunda Jakartaas cases and controls. each taken by simple random sampling technique. Data were analyzed using the test chi-square to analyze the relationship between variables.Results: The results of statistical analysis showed that the risk factors associated with the incidence of CP were maternal age (p= 0.00; OR= 13.25; 95% CI= 2.93-59.93), preeclampsia (p= 0.00; OR= 2,06; 95% CI= 1,71-2,48), TORCH (p= 0.00; OR= 2.40; 95% CI= 1.92-3.01), and antenatal care (p= 0.00; OR= 41.2; 95% CI= 5.45-317.0). Conclusion: Risk factors affecting the occurrence of CP in children include age <20 or ≥35 years, preeclampsia, TORCH infection and antenatal care visits <4 times. It is necessary to increase intervention programs at various levels of health services to diagnose and prevent the occurrence of cerebral palsy in children so that optimal maternal and child health is achieved. and further research is needed to determine other risk factors that can cause CP in children such as perinatal and postnatal risk factors.
在印度尼西亚,由于缺乏与脑瘫相关的信息,脑瘫是一种不被公众认识的疾病。目的分析影响雅加达班达新生儿RSIA证据的产前危险因素。方法:本研究于2021年4月在雅加达班达RSIA进行,采用病例对照设计的分析性研究。本研究的样本为124名在雅加达班达RSIA接受门诊治疗的儿童母亲,包括病例和对照组。每一个都采用简单的随机抽样技术。数据分析采用检验卡方分析变量之间的关系。结果:统计分析结果显示,与CP发生相关的危险因素为:产妇年龄(p= 0.00;或= 13.25;95% CI= 2.93-59.93),先兆子痫(p= 0.00;或= 2,06;95% CI= 1,71-2,48), TORCH (p= 0.00;或= 2.40;95% CI= 1.92-3.01),产前保健(p= 0.00;或= 41.2;95% ci = 5.45-317.0)。结论:影响儿童CP发生的危险因素包括年龄<20岁或≥35岁、先兆子痫、TORCH感染和产前保健次数<4次。有必要在各级卫生服务中增加干预方案,以诊断和预防儿童脑瘫的发生,从而实现最佳的母婴健康。需要进一步的研究来确定其他可能导致儿童CP的风险因素,如围产期和产后风险因素。
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引用次数: 0
Caregiver Burden And Psychosocial Factors In Mothers With Autism Spectrum Disorder Children 孤独症谱系障碍母亲的照顾者负担与心理社会因素
Pub Date : 2021-10-30 DOI: 10.20473/bhsj.v4i2.28875
Izzatul Fithriyah, Magdeline Elizabeth Carrasco
Introduction: Burden experienced by mother can delayed the success of therapy to ASD children. This study aims to determine the correlation of psychosocial factors and caregiver burden in mothers with ASD children.Methods: This study was a cross-sectional analytic study on mothers with ASD children at the Children's Daycare Dr.Soetomo General Hospital. The research instrument used sociodemographic questionnaire and a Caregiver Burden Assessment (CBA). Results: This study was followed by 26 mothers with ASD children. Results: The results showed that 50% of mothers experienced moderate burdens and 34% experienced severe burdens. The results of the correlation analysis showed a significant relationship between caregiver burden and maternal age (p<0.05, r=0.316) and child age (p<0.05, r=0.274). Support and assistance from others in caring for GSA children also correlated with the mother's caregiver burden (p<0.05, r=0.118). Maternal caregiver burden is not correlated with marital status, education level, occupation, and economic status. Conclusion: Mothers with ASD children experience a psychological burden while caring for ASD children. Psychosocial support and assistance from the environment are urgently needed to reduce the caregiver burden on mothers so that they can improve the outcomes of interventions and therapy for children with ASD.
简介:母亲所经历的负担可能会延迟自闭症儿童治疗的成功。本研究旨在确定ASD患儿母亲的心理社会因素与照顾者负担的相关性。方法:本研究是一项横断面分析研究,在儿童日托soetomo博士综合医院ASD儿童的母亲。研究工具采用社会人口调查问卷和照顾者负担评估(CBA)。结果:本研究随访了26名ASD儿童的母亲。结果:50%的母亲有中度负担,34%的母亲有重度负担。相关分析结果显示,照顾者负担与母亲年龄(p<0.05, r=0.316)和儿童年龄(p<0.05, r=0.274)存在显著相关。照顾GSA儿童时他人的支持和帮助也与母亲的照顾者负担相关(p<0.05, r=0.118)。母亲照顾者负担与婚姻状况、受教育程度、职业、经济状况无关。结论:ASD患儿母亲在照顾ASD患儿过程中存在心理负担。迫切需要来自环境的社会心理支持和帮助,以减轻母亲的照顾负担,从而改善对自闭症儿童的干预和治疗结果。
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引用次数: 2
The Pathophysiology and Outcomes of Diabetic Patients with Coronavirus Disease 2019 (COVID-19) 糖尿病合并冠状病毒病2019 (COVID-19)的病理生理及转归
Pub Date : 2021-10-30 DOI: 10.20473/bhsj.v4i2.30030
V. Kusuma, Deasy Ardiany
Introduction: Coronavirus Disease 2019 (COVID-19) is a respiratory tract infection caused by the SARS-CoV-2 virus, which was announced a pandemic by the World Health Organization (WHO) on March 11, 2020. On March 2, 2020, two confirmed cases of COVID-19 were initially reported in Indonesia. COVID-19 has been reported in 96.2 million people around the world. COVID-19 has already stolen the lives of almost 2 million individuals. Diabetes mellitus patients face an additional challenge with this disease (DM). Several studies have found a link between diabetes mellitus and COVID-19, as well as a bad prognosis for persons with DM and COVID-19. Aim of this study was to learn more about the link between diabetes and COVID-19, as well as the pathophysiology of diabetes.Methods: We searched for articles in PubMed and Google Scholar databases till February 2021, with the following keywords: “SARS-CoV-2”, “COVID-19”, “infection”, “pathogenesis”, “diabetes”Results: Diabetes Mellitus increased the severity and mortality of COVID-19 patients due to mechanisms involving inflammation and immune system activation, increased coagulation activity, oxidative stress, glucotoxicity, endoplasmic reticulum stress, renin-angiotensin-aldosterone system disorders, apoptotic mechanisms, mitochondrial dysfunction, and damage to pancreatic beta cells. COVID-19 infection can also lead to hyperglycemia and new-onset diabetes.Conlusion: Diabetes Mellitus is one of the comorbidities linked to a worse COVID-19 prognosis, according to the findings of this literature study. Furthermore, current research suggests that COVID-19 might cause hyperglycemia or new-onset diabetes, which has a poorer prognosis than COVID-19 patients with pre-existing diabetes.
2019冠状病毒病(COVID-19)是由世界卫生组织(WHO)于2020年3月11日宣布为大流行的SARS-CoV-2病毒引起的呼吸道感染。2020年3月2日,印度尼西亚首次报告了两例新冠肺炎确诊病例。据报道,全球已有9620万人感染COVID-19。COVID-19已经夺走了近200万人的生命。糖尿病患者在这种疾病(DM)中面临着额外的挑战。几项研究发现糖尿病与COVID-19之间存在联系,以及糖尿病和COVID-19患者预后不良。这项研究的目的是了解更多关于糖尿病和COVID-19之间的联系,以及糖尿病的病理生理学。方法:检索PubMed和谷歌Scholar数据库中截止到2021年2月的相关文章,关键词为SARS-CoV-2、COVID-19、感染、发病机制、糖尿病。结果:糖尿病增加了COVID-19患者的严重程度和死亡率,其机制涉及炎症和免疫系统激活、凝血活性升高、氧化应激、糖毒性、内质网应激、肾素-血管紧张素-醛固酮系统紊乱、凋亡机制、线粒体功能障碍和胰腺β细胞损伤。COVID-19感染还可导致高血糖和新发糖尿病。结论:根据本文献研究的发现,糖尿病是与COVID-19预后较差相关的合并症之一。此外,目前的研究表明,COVID-19可能导致高血糖或新发糖尿病,这比已存在糖尿病的COVID-19患者预后更差。
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引用次数: 5
Risk Factor Characteristics Of Patients With Uterine Prolapse In Gynecology Outpatient Clinic In Dr. Soetomo Hospital, Surabaya 泗水Soetomo医生医院妇科门诊子宫脱垂患者的危险因素特征
Pub Date : 2021-10-30 DOI: 10.20473/bhsj.v4i2.30789
Vemaniarti Lian Pravitasari, E. Kurniawati, Pirlina Umiastuti
Introduction: Uterine prolapse can occurs due to the failure of the ligamentous and fascial supports of the uterus. It causes inconvenience to the patients because of genital tract dysfunction and decrease quality of life. The risk factor are multifactorial. Advancing age, increasing parity, vaginal delivery, and menopause is associated with the uterine risk factors. The aim of this study is to describe the stage, treatment, age, parity, vaginal delivery, and menopause status of women with uterine prolapse in Dr. Soetomo General Academic Hospital, Surabaya. Methods: This research is a descriptive study. The sample is included all women with complaints of uterine prolapse diagnosed and treated at Dr. Soetomo General Academic Hospital, Surabaya from January – December 2017. Statistical was analysed descriptively.Results: From total 82 patients of uterine prolapse in Gynecology Outpatient Clinic Dr. Soetomo General Academic Hospital, Surabaya in 2017, most of the uterine prolapse patients were older than 65 years old (45.1%) and multiparous (62.2%). More than half of the patients (61%) have had more than three vaginal deliveries and have gone through menopause (91.5%). Stage IV prolapse, 33 cases (40.2%) has the highest percentage. Mostly, 47 cases (57.3%) received conservative treatment. Conclusion: Uterine prolapse is most likely to be found in women with older age, came from those in the age group of >65 years old. The incidence of uterine prolapse might increase in multiparous women, have more than three vaginal deliveries, and have gone through menopause. Most of them is on stage IV and received conservative treatment. It is important for women to be educated about uterine prolapse risk factor as an uterine prolapse prevention.
子宫脱垂是由于子宫的韧带和筋膜支撑失效而发生的。由于生殖道功能障碍,给患者带来不便,降低了患者的生活质量。风险因素是多因素的。高龄、胎次增加、阴道分娩和更年期与子宫危险因素有关。本研究的目的是描述泗水Soetomo博士综合学术医院子宫脱垂妇女的阶段、治疗、年龄、胎次、阴道分娩和更年期状况。方法:本研究为描述性研究。样本包括2017年1月至12月在泗水Soetomo综合学术医院诊断和治疗的所有子宫脱垂患者。统计学进行描述性分析。结果:2017年泗水Soetomo综合学术医院妇科门诊82例子宫脱垂患者中,年龄≥65岁者占45.1%,多产者占62.2%。超过一半的患者(61%)阴道分娩超过三次,并经历了更年期(91.5%)。IV期脱垂33例(40.2%),比例最高。其中保守治疗47例,占57.3%。结论:子宫脱垂多见于年龄较大的妇女,主要发生在>65岁年龄组。子宫脱垂的发生率可能增加多胎妇女,阴道分娩超过三次,并已经过更年期。大多数患者处于第四期,接受了保守治疗。对妇女进行子宫脱垂危险因素的教育是预防子宫脱垂的重要手段。
{"title":"Risk Factor Characteristics Of Patients With Uterine Prolapse In Gynecology Outpatient Clinic In Dr. Soetomo Hospital, Surabaya","authors":"Vemaniarti Lian Pravitasari, E. Kurniawati, Pirlina Umiastuti","doi":"10.20473/bhsj.v4i2.30789","DOIUrl":"https://doi.org/10.20473/bhsj.v4i2.30789","url":null,"abstract":"Introduction: Uterine prolapse can occurs due to the failure of the ligamentous and fascial supports of the uterus. It causes inconvenience to the patients because of genital tract dysfunction and decrease quality of life. The risk factor are multifactorial. Advancing age, increasing parity, vaginal delivery, and menopause is associated with the uterine risk factors. The aim of this study is to describe the stage, treatment, age, parity, vaginal delivery, and menopause status of women with uterine prolapse in Dr. Soetomo General Academic Hospital, Surabaya. Methods: This research is a descriptive study. The sample is included all women with complaints of uterine prolapse diagnosed and treated at Dr. Soetomo General Academic Hospital, Surabaya from January – December 2017. Statistical was analysed descriptively.Results: From total 82 patients of uterine prolapse in Gynecology Outpatient Clinic Dr. Soetomo General Academic Hospital, Surabaya in 2017, most of the uterine prolapse patients were older than 65 years old (45.1%) and multiparous (62.2%). More than half of the patients (61%) have had more than three vaginal deliveries and have gone through menopause (91.5%). Stage IV prolapse, 33 cases (40.2%) has the highest percentage. Mostly, 47 cases (57.3%) received conservative treatment. Conclusion: Uterine prolapse is most likely to be found in women with older age, came from those in the age group of >65 years old. The incidence of uterine prolapse might increase in multiparous women, have more than three vaginal deliveries, and have gone through menopause. Most of them is on stage IV and received conservative treatment. It is important for women to be educated about uterine prolapse risk factor as an uterine prolapse prevention.","PeriodicalId":9324,"journal":{"name":"Biomolecular and Health Science Journal","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79240744","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}
引用次数: 0
Analgesic Effect Study of Young Coconut Water (Cocos nucifera L.) on Mice (Mus musculus) Induced with Pain using Acetic Acid 幼椰子水对醋酸致痛小鼠镇痛作用的研究
Pub Date : 2021-10-30 DOI: 10.20473/bhsj.v4i2.30176
Dini Indah Berlianti, D. Indiastuti, Gondo Mastutik, Shaohong Lai
Introduction: Pain signals tissue damage that is capable of reducing thequality of life. Non-Steroidal Anti-inflammatory Drugs (NSAIDs) are known as effective analgesic drugs which have various side effects, therefore natural minerals are used as an alternative medicine for pain and inflammation, one of which is known to be coconut water. Hence this research was conducted to find out the differences of the analgesic effect between young coconut water (Cocos nucifera L.) with non-selective and COX-2 selective NSAID on mice induced with pain from acetic acid 0.6% 1 ml/100gBW of mice.Methods: True experimental, conducted at the Pharmacology Laboratory in Faculty of Medicine of Airlangga University involving the sample of 48 mice (6 groups). The recorded data was tested using the oneway ANOVA methodology before then continued with the posthoc test of LSD.Results: The addition of young coconut water (Cocos nucifera L.) with the dosage of 3 ml/100gBW, 4 ml/100gBW, and 4.5 ml/100gBW of mice doesn't give any significant analgesic effect even though the analgesic protection percentage increases accordingly to its dosage (12.32%, 18.72%, 26.88%), but non-selective and COX-2 selective NSAID give significant analgesic effect (p<0.05) on mice induced with pain from acetic acid 0.6% 1 ml/100gBW of mice.Conclusion: There are differences in the analgesic effect of young coconut water (C. nucifera L.) with non-selective and COX-2 selective NSAID on mice induced with pain from acetic acid 0.6% 1 ml/100gBW of mice.
疼痛是组织损伤的信号,可能会降低生活质量。非甾体抗炎药(NSAIDs)被认为是有效的止痛药物,但有各种副作用,因此天然矿物质被用作治疗疼痛和炎症的替代药物,其中一种已知的药物是椰子水。因此,本研究旨在研究非选择性和COX-2选择性非甾体抗炎药幼椰子水(Cocos nucifera L.)对醋酸0.6% 1 ml/100gBW小鼠致痛小鼠镇痛效果的差异。方法:在艾尔朗加大学医学院药理学实验室进行真实实验,共6组48只小鼠。记录的数据使用单因素方差分析方法进行检验,然后继续进行LSD的事后检验。结果:添加3 ml/100gBW、4 ml/100gBW、4.5 ml/100gBW的幼龄椰子水(Cocos nucifera L.)对小鼠的镇痛保护率随剂量的增加而增加(分别为12.32%、18.72%、26.88%),但均无明显镇痛作用,而非选择性和COX-2选择性非甾体抗炎药(NSAID)对小鼠0.6% 1 ml/100gBW醋酸致痛小鼠有显著的镇痛作用(p<0.05)。结论:幼椰子水与非选择性和COX-2选择性非甾体抗炎药(NSAID)对小鼠醋酸0.6% 1 ml/100gBW致痛小鼠的镇痛作用存在差异。
{"title":"Analgesic Effect Study of Young Coconut Water (Cocos nucifera L.) on Mice (Mus musculus) Induced with Pain using Acetic Acid","authors":"Dini Indah Berlianti, D. Indiastuti, Gondo Mastutik, Shaohong Lai","doi":"10.20473/bhsj.v4i2.30176","DOIUrl":"https://doi.org/10.20473/bhsj.v4i2.30176","url":null,"abstract":"Introduction: Pain signals tissue damage that is capable of reducing thequality of life. Non-Steroidal Anti-inflammatory Drugs (NSAIDs) are known as effective analgesic drugs which have various side effects, therefore natural minerals are used as an alternative medicine for pain and inflammation, one of which is known to be coconut water. Hence this research was conducted to find out the differences of the analgesic effect between young coconut water (Cocos nucifera L.) with non-selective and COX-2 selective NSAID on mice induced with pain from acetic acid 0.6% 1 ml/100gBW of mice.Methods: True experimental, conducted at the Pharmacology Laboratory in Faculty of Medicine of Airlangga University involving the sample of 48 mice (6 groups). The recorded data was tested using the oneway ANOVA methodology before then continued with the posthoc test of LSD.Results: The addition of young coconut water (Cocos nucifera L.) with the dosage of 3 ml/100gBW, 4 ml/100gBW, and 4.5 ml/100gBW of mice doesn't give any significant analgesic effect even though the analgesic protection percentage increases accordingly to its dosage (12.32%, 18.72%, 26.88%), but non-selective and COX-2 selective NSAID give significant analgesic effect (p<0.05) on mice induced with pain from acetic acid 0.6% 1 ml/100gBW of mice.Conclusion: There are differences in the analgesic effect of young coconut water (C. nucifera L.) with non-selective and COX-2 selective NSAID on mice induced with pain from acetic acid 0.6% 1 ml/100gBW of mice.","PeriodicalId":9324,"journal":{"name":"Biomolecular and Health Science Journal","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88717633","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}
引用次数: 0
Factors Associated with Acid Fast Bacilli and Sputum Culture Conversion in Patients with Multidrug-Resistant Tuberculosis in Surabaya 泗水耐多药结核病患者抗酸杆菌和痰培养转化相关因素
Pub Date : 2021-10-30 DOI: 10.20473/bhsj.v4i2.29763
Naomi Rahmasena, I. A. Marhana, Muhammad Yamin Sunaryo Suwandi, T. Kusmiati, Tuksin Jearanaiwitayakul
Introduction: Indonesia is a high incidence country of multidrug-resistant tuberculosis. There are approximately 11,000 MDR TB cases, 2.8% of them are new cases and 16% of them are relapse cases. Although guidelines for MDR-TB are frequently designed, medication freely provided, and centers for treatment duly expanded, studies on time to sputum culture conversion have been very limited in Indonesia. Therefore the aim of the study is to identify risk factors that effect on sputum and culture conversion.Methods: Data on short-term regimen for MDR TB in Dr. Soetomo General Hospital from January 1st – December 31st, 2018 were collected with a total sampling approach, and fulfill the inclusion and exclusion. Data were analyzed by computer software IBM SPSS Statistic 24 for windows. Results: Male is more likely to have delayed sputum conversion and culture conversion but no statistical difference is observed (p>0.05). Smoking history is more likely to have delayed sputum and culture conversion but only in sputum smear test shows a significant difference (p≤ 0.05). Alcohol consumption has delay effect on sputum and culture conversion but there is statistically difference in only culture conversion (p<0.05). The high baseline smear test also affects delay the sputum and culture conversion but only in sputum smear reveals a significant effect (p<0.05).Conclusion: In this present study, we identified sex, smoking history, high bacillary loads as significant factors on sputum conversion. In addition, we revealed that alcohol-consumption history is a significant factor affecting on culture conversion.
印度尼西亚是耐多药结核病的高发国家。大约有1.1万例耐多药结核病病例,其中2.8%为新发病例,16%为复发病例。虽然经常设计耐多药结核病指南,免费提供药物,适当扩大治疗中心,但在印度尼西亚,关于痰培养转化时间的研究非常有限。因此,本研究的目的是确定影响痰液和培养转化的危险因素。方法:采用全抽样方法收集2018年1月1日- 12月31日Dr. Soetomo总医院耐多药结核病短期治疗方案数据,并进行纳入和排除。采用IBM SPSS Statistic 24 for windows软件对数据进行分析。结果:男性患者痰转化和培养转化延迟发生率较高,但差异无统计学意义(p>0.05)。有吸烟史者更有可能出现痰液和培养转化延迟,但仅在痰涂片检查中有显著差异(p≤0.05)。饮酒对痰液和培养物转化均有延迟作用,但仅培养物转化有统计学差异(p<0.05)。高基线涂片检查也影响延迟痰液和培养转化,但仅在痰涂片中显示显著影响(p<0.05)。结论:在本研究中,我们发现性别、吸烟史、高细菌载量是痰转化的重要因素。此外,我们发现饮酒历史是影响文化转换的重要因素。
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引用次数: 0
A Systematical Review of The Effect of Ketogenic Diet on Bcl-2 (B-cell lymphoma-2) Expression as An Apoptosis Marker in Cancer Treatment 生酮饮食对肿瘤治疗中凋亡标志物Bcl-2 (b细胞淋巴瘤-2)表达影响的系统综述
Pub Date : 2021-10-30 DOI: 10.20473/bhsj.v4i2.30173
V. Kusuma, R. I’tishom, E. Qurnianingsih, P. S. Rejeki
Introduction: Ketogenic diet seems to be in a great demand nowadays as a lot of people are interested in adopting it into their lifestyle. It is also found that the ketogenic diet shows several beneficial effects including cancer prevention. However, the detail mechanism still remains unknown. Therefore, this review was aimed to find out the effect of ketogenic diet on Bcl-2 (B-cell lymphoma-2) expression in cancer.Methods: We searched published literatures in PubMed through 2011-2020 using specific keywords. The literatures were filtered according to inclusion and exclusion criteria. Animal model, total sample size, underlying condition/inflammatory process occurs, details of the intervention/diet including diet contents in control group and high-fat group, and the duration of the intervention, Bcl-2 results, and p-value were extracted.Results: 7 studies were included in this review. Bcl-2 expression found decrease in 5 out of 6 studies. Similar result also obtained in Bcl-2 protein level, which measured by western blot. Bcl-2 protein level shows a decrease in 2 out of 3 studies.Conclusion: This review shows that high-fat diet that contained in ketogenic diet most likely lead to decrease in Bcl-2 expression. Therefore, indicating the ability of ketogenic diet to affect cancer progression by inducing apoptosis process.
导读:生酮饮食似乎是一个很大的需求,现在很多人都有兴趣采用它到他们的生活方式。研究还发现,生酮饮食有多种有益效果,包括预防癌症。然而,其具体机制仍不清楚。因此,本文旨在探讨生酮饮食对肿瘤中Bcl-2 (b细胞淋巴瘤-2)表达的影响。方法:使用特定关键词检索PubMed 2011-2020年的已发表文献。根据纳入标准和排除标准对文献进行筛选。提取动物模型、总样本量、基础条件/炎症过程、干预/饮食细节(包括对照组和高脂组饮食含量)、干预持续时间、Bcl-2结果和p值。结果:本综述纳入了7项研究。6项研究中有5项发现Bcl-2表达下降。western blot检测Bcl-2蛋白水平也有类似的结果。3项研究中有2项显示Bcl-2蛋白水平下降。结论:生酮饮食中含有的高脂肪饮食最有可能导致Bcl-2表达降低。因此,表明生酮饮食通过诱导细胞凋亡过程影响癌症进展的能力。
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引用次数: 0
Association between Smoking Habit and Pulmonary Tuberculosis at Dr. Soetomo General Academic Hospita Soetomo博士综合学术医院吸烟习惯与肺结核的关系
Pub Date : 2021-10-30 DOI: 10.20473/bhsj.v4i2.30641
Balivia Andi Permata Hapsari, Prastuti Asta Wulaningrum, Rimbun Rimbun
Introduction: Smoking has been reported as one of tuberculosis (TB) risk factor. The association between smoking and TB has been proven in multiple studies, but little known about the association between smoking degree and sputum smear positive. Methods: An analytic observational study using cross-sectional design. Data of patients with pulmonary TB conducted at DOTS (Directly Observed Treatment Short course)/MDR (Multi Drug Resistance) outpatient and inpatient ward in Dr Soetomo General Hospital Surabaya from January to October 2018. The degree of smoking was measured using Brinkman Index (BI). The odds ratio (OR) and 95% confidence intervals (CI) were also estimated.Results: There were 94 patients with pulmonary TB, 56 non-smoker and 38 smoker. Light smoking (P = 0,120, OR = 0.200, 95% CI: 0.022-1.823), moderate smoking (P=0.377, OR = 1.667, 95% CI: 0.533-5.209), heavy smoking (P=0.076, OR= 0.333, 95% CI: 0.96-1.160). Moderate smoking compared to heavy smoking as a control (P=0.33, OR = 5.000, 95% CI=1.096-22.820). Conclusion: There’s no significant correlation between smoking habits and sputum smear positive, but the present study evidenced the patients with smoking habits had greater chance to get sputum smear positive than non-smokers. Patient with moderate smoking compared to heavy smoking had greater chance to get sputum smear positive.
吸烟已被报道为结核病(TB)的危险因素之一。吸烟与结核病之间的关系已被多项研究证实,但对吸烟程度与痰涂片阳性之间的关系知之甚少。方法:采用横断面设计进行分析性观察研究。2018年1月至10月在泗水Soetomo综合医院DOTS(短期直接观察治疗)/MDR(耐多药)门诊和住院病房进行的肺结核患者数据。采用Brinkman指数(BI)测定吸烟程度。比值比(OR)和95%置信区间(CI)也进行了估计。结果:94例肺结核患者中,非吸烟者56例,吸烟者38例。轻度吸烟(P= 0,120, OR= 0.200, 95% CI: 0.022-1.823),中度吸烟(P=0.377, OR= 1.667, 95% CI: 0.533-5.209),重度吸烟(P=0.076, OR= 0.333, 95% CI: 0.96-1.160)。中度吸烟与重度吸烟作为对照(P=0.33, OR = 5.000, 95% CI=1.096-22.820)。结论:吸烟习惯与痰涂片阳性无显著相关性,但本研究证实吸烟习惯患者痰涂片阳性的机会大于不吸烟者。中度吸烟患者痰涂片阳性的机会高于重度吸烟患者。
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引用次数: 1
Gram Negative Bacteria (Escherichia coli) Win Against Gram Positive Bacteria (Staphylococcus aureus) in The Same Media 革兰氏阴性菌(大肠杆菌)在同一培养基中战胜革兰氏阳性菌(金黄色葡萄球菌)
Pub Date : 2021-10-30 DOI: 10.20473/bhsj.v4i2.30177
Neisya Intan Cahyaningtyas Agung Putri, R. Ramadhani, E. Wasito
Introduction: Biodiversity of the microorganism in Indonesia lead to the large amount of patient with infection. Human can get infected in two different place, with different kind of bacteria that cause the infection. This may lead to bacteremia without knowing which bacteria type whose causing it, either the Gram positive or Gram negative bacteria, whereas the treatment of this two types of bacteria are different. The aim of this study is to determine the doubling time of the Gram positive and Gram negative bacteria when they are grown in the same lesion and the kinds of bacteria that we need to eliminate first.Methods: Staphylococcus aureus and Escherichia coli bacteria were used as samples in this study. Bacterial culture in nutrient broth with 0.5 OD turbidity were mixed then incubated in incubator with 35˚C. Every one hour within 24 hour, 0.01 ml of bacterial culture was taken in serial dilutionover time, varying between 106 – 1012, . It was then planted in nutrient agar plate with droplets technique. After it had been incubated for 24 hours, we counted the Colony Forming Unit per ml (CFU/ml) to time, then the doubling time of the bacteria. The result were then compared between the Staphylococcus aureus and Escherichia coli group.Results: Two tailed t-test result of the doubling time between Staphylococcus aureus dan Escherichia coli was < 0,05 (p=0,000) wich means that there is significant difference of the doubling time between Staphylococcus aureus (24,35 ± 2,23 munites), and Escherichia coli (18,37 ± 0,50 minutes). When grown in the same media, Gram positive bacteria (Staphylococcus aureus) had slower doubling time than Gram negative bacteria (Escherichia coli) as much as 1.32 times.Conclusion: In bacteremia with two possible kinds of bacterial suspect, we need to eliminate the Gram negative bacteria first.
印度尼西亚微生物的多样性导致了大量的患者感染。人类可以在两个不同的地方感染,引起感染的细菌种类也不同。这可能导致菌血症,而不知道是哪种细菌引起的,是革兰氏阳性细菌还是革兰氏阴性细菌,而这两种细菌的治疗是不同的。本研究的目的是确定革兰氏阳性和革兰氏阴性细菌在同一病变中生长时的倍增时间,以及我们需要首先消除的细菌种类。方法:以金黄色葡萄球菌和大肠杆菌为研究对象。在浑浊度为0.5 OD的营养液中混合细菌培养,在35℃的培养箱中培养。在24小时内,每隔1小时取0.01 ml细菌培养物,随着时间的推移,在106 - 1012之间变化。然后用液滴技术将其种植在营养琼脂板上。孵育24小时后,计算每ml菌落形成单位(CFU/ml)的时间,然后计算细菌的倍增时间。然后比较金黄色葡萄球菌组和大肠杆菌组的结果。结果:金黄色葡萄球菌与大肠埃希菌倍增时间的双尾t检验结果< 0.05 (p= 0000),说明金黄色葡萄球菌(24,35±2,23分钟)与大肠埃希菌(18,37±0,50分钟)的倍增时间存在显著差异。在相同培养基中培养时,革兰氏阳性菌(金黄色葡萄球菌)比革兰氏阴性菌(大肠杆菌)倍增时间慢,为1.32倍。结论:在两种可能的可疑菌血症中,应首先清除革兰氏阴性菌。
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引用次数: 0
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Biomolecular and Health Science Journal
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