Search

Objectives: Monitoring iron supplementation effectiveness in the affected populations is important in assuring its success. The research objective of this study is to evaluate the effectiveness of iron supplementation and its related factors in increasing the hemoglobin levels of women with anemia that reside in the area of Teluk Bintuni Regency in West Papua Province, Indonesia. Materials and Methods: A quasi-experimental study was performed to determine the changes in hemoglobin levels and the adherence between two supplementation groups (before and after supplementation). From the initial screening of hemoglobin levels of 875 reproductive-age women, 110 women with moderate and severe anemia were enrolled for a month-long iron supplementation therapy. This study was conducted from September 2018 until November 2019 at Teluk Bintuni Regency, West Papua, Indonesia. The changes in hemoglobin levels were measured after 30 days of iron supplementation. The associated factors, including participants’ characteristics, chronic energy deficiency (CED) levels, adherence to supplementation programs, and knowledge of anemia, were also assessed. The adherence level to the supplementation was measured using the Medication Adherence Rating Scale (MARS) questionnaires and the pill counting method. Results: The mean hemoglobin level significantly increased from 9.12±1.70 before supplementation to 10.15±1.65 after 30 days (P

Background: Low birth weight (LBW) is a risk factor associated with endometriosis. Our study aimed to analyze the risk of endometriosis in women with a LBW history and the relationships of progesterone receptor B (PR-B) gene promoter methylation, DNA methyltransferase-1 (DNMT1) expression, PR-B expression, and vascular endothelial growth factors (VEGF) with endometriosis. Methods: This study was conducted in two stages, a retrospective case-control design and a cross-sectional design, with 52 cases of endometriosis and 30 controls, which were further subdivided into LBW and non-LBW groups, at Hasan Sadikin General Hospital and its hospital networks from October 2017 to August 2021. Menstrual blood was taken from subjects and analyzed using pyrosequencing techniques to assess DNA methylation, while q-RT PCR was used to assess gene expression. Results: There were significant differences in PR-B methylation, DNMT1 expression, PR-B expression, and VEGF expression (p < 0.001) between the case and control groups. There was a significant negative correlation between PR-B methylation and PR-B expression (r = −0.558; p = 0.047). Based on a multiple logistic analysis, the most dominant factor affecting endometriosis incidence is PR-B (OR 10.40, 95% CI 3.24–33.4, R2 = 45.8). We found that patients with a low birth weight history had a 1.41-times-higher risk of developing endometriosis (95% CI 0.57–3.49, p = 0.113), although the relationship was not statistically significant. Conclusion: Endometriosis is associated with PR-B gene promoter hypermethylation, decreased PR-B expression, and increased DNMT1 and VEGF expression. The methylation of PR-B is the most dominant factor affecting endometriosis incidence.

The high incidence of breast cancer cases in the world requires the use of applicative methods. The 7,12-dimethylbenz(a)anthracene (DMBA) induced breast cancer animal model is a widely used chemical-induced animal models for research on breast cancer. However, the molecular mechanism related to DMBA induction remains unclear. Good understanding on DMBA-induced animal models is crucial for studies related to future breast cancer treatments as animal models will provide a deeper understanding of anticancer medication, specifically those aimed for treating breast cancer. The aim of this study was to develop an DMBA-induced animal model for breast cancer. This study used female Wistar rats injected subcutaneously with DMBA as a carcinogen-induced agent (20 mg/kg) to induce tumor. Rat tumors were then evaluated and breast appearance was observed weekly, starting from day 28th after DMBA injection. Breast cancer tissue was then sampled and stored at -80°C until it was used for western blot and histological study. This study indicated that DMBA induced cancer in female Wistar rat’s breasts, and cytoplastic cells and lung metastatic was identified macroscopically and histopathologically. The metabolic sign was observed in the lung and breast sections. Interestingly, the DMBA induction in this study does not only induce organ cancers but also induces estrogen receptors and stimulates signaling of estrogen receptors α (ERα), ERβ, and Akt.

Yasinta Rakanita,1,2 Mas Rizky AA Syamsunarno,3 Rano K Sinuraya,1,4 Eka W Suradji,5,6 Rizky Abdulah,1,4 Auliya A Suwantika1,4,7 1Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, Indonesia; 2College of Pharmaceutical Sciences Pelita Mas, Palu, Indonesia; 3Department of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia; 4Center of Excellence in Higher Education for Pharmaceutical Care Innovation, Universitas Padjadjaran, Bandung, Indonesia; 5Department of Public Health, Faculty of Medicine, Krida Wacana University, Jakarta, Indonesia; 6UKRIDA Hospital, Jakarta, Indonesia; 7Center for Health Technology Assessment, Universitas Padjadjaran, Bandung, IndonesiaCorrespondence: Auliya A SuwantikaDepartment of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, IndonesiaEmail auliya@unpad.ac.idBackground: Up to now, the combinations of ferrous fumarate–folic acid (FF-FA) and ferrous gluconate–multivitamins (FG-MV) have been implemented by the local government in the province of Papua. Nevertheless, there is no a specific economic evaluation that has been applied to investigate the cost-effectiveness of FF-FA and FG-MV.Objective: This study aimed to investigate the cost-effectiveness of FF-FA and FG-MV to be implemented in Teluk Bintuni, as one of the districts with the highest prevalence of iron deficiency anemia in Papua by taking the healthcare perspective into account.Methods: A prospective observational study was applied by considering two groups of women (15– 49 years old) with iron deficiency anemia who received FF-FA and FG-MV from September to November 2018. Applying a purposive sampling method, respondents were selected from 875 targeted women in six sub-districts, who met inclusion criteria. To estimate the total cost, we applied a healthcare perspective that considered direct medical cost only (eg, the procurement cost of iron tablets, cost of Hb test, and cost of healthcare visit). To estimate the effectiveness of intervention, we applied two major parameters, such as Hb level and utility score in quality-adjusted life year (QALY). The cost-effectiveness values were evaluated by using the criteria on the cost-effectiveness of healthcare intervention according to the threshold of gross domestic product (GDP) per capita (cost per QALY gained).Results: From 875 targeted women in six sub-districts who met inclusion criteria, we found approximately 222 women with moderate–severe iron deficiency anemia and 110 women with complete data in the group of FF-FA (n=69) and FG-MV (n-41). The results showed that there were significant differences (p-value < 0.05) on the number of respondents, age, oral iron cost, total healthcare cost and utility score in both intervention groups. Comparing the use of FG-MV with FF-FA, we estimated the incremental cost-effectiveness ratios (ICERs) would be $255.77 per controlled patient, $142.09 per patient with Hb increment > 2.00 g/dL, $79.93 per patient with Hb increment > 1.00 g/dL, and $11.59 per QALY gained.Conclusion: The ICER was estimated to be $11.59 per QALY gained, which was highly cost-effective, according to GDP-based cost-effectiveness threshold. In addition, the utility score of women with iron deficiency anemia was considered to be the most influential factor impacting the cost-effectiveness value.Keywords: ICER, cost per controlled patient, cost per patient with Hb increment > 2.00 g/dL, cost per patient with Hb increment > 1.00 g/dL, cost per QALY gained

In this study, we reported the construction of Gold Nanospike (AuNS) structures on the surface of screen-printed carbon electrode (SPCE) used for non-enzymatic electrochemical detection. This modification was prepared with a one-step electrodeposition method by controlling the electrodeposition parameters, such as applied potential and deposition time, via Constant Potential Amperometry (CPA). Those parameters and precursor solution concentration were varied to investigate the optimum electrodeposition configuration. The results confirmed that AuNS were homogenously deposited and well-dispersed on the working electrode surface of SPCE. The AuNS-modified SPCE was implemented as a non-enzymatic sensor toward dopamine and could enhance the electrocatalytic ability compared with the bare SPCE. Further examination shows that the sensing performance of the AuNS-modified SPCE produced an increase in electrochemical surface area (ECSA) at 17.25 times higher than the bare electrode, a sensitivity of 0.056 µA mM−1 cm−2 with a wide linear range of 0.2–50 µM and a detection limit of 0.33 µM. In addition, AuNS-modified SPCE can selectively detect dopamine among other interfering analytes such as ascorbic acid, urea, and uric acid, which commonly coexist in the body fluid. This work demonstrated that AuNS-modified SPCE is a prospective sensing platform for non-enzymatic dopamine detection.

We present a low-cost and simple method to fabricate microfluidic modules directly on a submillimeter scale utilizing an economic stereolithography (SLA) three-dimensional (3D) printer, which only costs less than 400 USD for the investment. The proposed study is promising for a high throughput fabrication module, typically limited by conventional microfluidic fabrications, such as photolithography and polymer casting methods. We demonstrate the two lock-and-key modular fluidic platforms for connector modules and chamber modules with optimized parameters, such as exposure condition and printing orientation. In addition, optimization of post-processing was performed to investigate the reliability of the fabricated hollow structures, which are fundamental to creating a fluidic channel or chamber. We found out that by using an inexpensive 3D printer, the fabricated resolution can be pushed down to 850 µm and 550 µm size for squared- and circled-shaped, respectively; by the gradual hollow structure, applying vertical printing orientation. These strategies opened up the possibility of developing straightforward microfluidic platforms that could replace conventional microfluidics mold fabrication methods, such as photolithography and milling, which are costly and time-consuming. Considerably cheap commercial resin and its tiny volume employed for a single printing procedure extremely cut down the estimated fabrication cost to less than 50 cents USD/module. The simulation study unravels the prominent properties of the fabricated devices for biological fluid mixers such as plasma blood. This study is eminently prospective toward microfluidics application in clinical biosensing, where disposable, low-cost, high-throughput, and reproducible chips are highly required.

Cogon grass (Imperata cylindrica L) is known as a medicinal plant that is scattered almost worldwide. Despite its role that inhibits another plant’s growth, cogon grass possesses several benefits in health. This research has to identify the effect of short-term gavage ethanolic extract of cogon grass roots (CGG) to in-vivo mice preimplantation embryo development. A total of 60 female mice were divided into control and treatment groups, dosages at 90 and 115 mg/kg of body weight of CGG, orally gavage for 20 days. The superovulation of mice was done at the end of the CGG treatment by injecting 5 IU Pregnant Mare Serum Gonadotropin (PMSG) and after 48 hours, followed by 5 IU Human Chorionic Gonadotropin (hCG) injection and directly the mice were mated. The mating rate was checked by the appearance of the vaginal plug 12 hours after hCG injection. Mice were sacrificed, the oviducts and cornua of uteri were isolated to collect the oocytes and embryonic cells by flushing the oviducts and cornua uteri with Phosphate-buffered saline (PBS). The effects of CGG as an antifertility were evaluated by measuring the number of oocytes, fertilization, and in-vitro embryo development rates. The results showed significantly reduced about half of the mating rate in the 115 mg/kg BW group (p0.05). In all treatment groups, only half oocytes fertilized. The cleavage and blastocyst rate in 115 mg/kg BW group were significantly lower compared to the control group (p

Background and Aim: Brown adipose tissue's (BAT) ability to increase energy expenditure has become a new focus in obesity research. The amount and activity of BAT are inversely correlated with body-mass index and body fat percentage. Bone morphogenetic protein 7 (BMP7) plays a role in the differentiation and development of BAT, which can be increased by bioactive compounds from several medicinal plants. Moringa oleifera (MO) leaves are rich with vitamin, minerals, and bioactive compounds and have been used for treating obesity-related diseases in the past. The aim of this study was to explore the potency of MO leaf extract (MOLE) to modulate BAT differentiation in mice fed a high-fat diet (HFD). Materials and Methods: Twenty-four, 5-week-old male Deutsche Denken Yoken mice (Mus musculus) were randomly divided into four groups: The normal chow diet group was fed a normal diet, the HFD group was fed a HFD, the HFD+MOLE1, and the HFD+MOLE2 groups were fed HFD and MOLE in a dose of 280 and 560 mg/kg body weight (BW)/day, respectively. The experiment was performed for 7 weeks. At the end of the experiment, histological analysis was performed on the interscapular BAT, and blood was drawn for BMP7 protein levels. Results: After 7 weeks, BAT weight in the HFD group was nearly twice in the weight of the HFD+MOLE1 group (125±13.78 mg vs. 75±13.78 mg; p

Background: Under normal conditions, the heart obtains ATP through the oxidation of fatty acids, glucose, and ketones. While fatty acids are the main source of energy in the heart, under certain conditions, the main source of energy shifts to glucose where pyruvate converts into lactate, to meet the energy demand. The Warburg effect is the energy shift from oxidative phosphorylation to glycolysis in the presence of oxygen. This effect is observed in tumors as well as in diseases, including cardiovascular diseases. If glycolysis is more dominant than glucose oxidation, the two pathways uncouple, contributing to the severity of the heart condition. Recently, several studies have documented changes in metabolism in several cardiovascular diseases; however, the specific mechanisms remain unclear. Methods: This literature review was conducted by an electronic database of Pub Med, Google Scholar, and Scopus published until 2020. Relevant papers are selected based on inclusion and exclusion criteria. Results: A total of 162 potentially relevant articles after the title and abstract screening were screened for full-text. Finally, 135 papers were included for the review article. Discussion: This review discusses the effects of alterations in glucose metabolism, particularly the Warburg effect, on cardiovascular diseases, including heart failure, atrial fibrillation, and cardiac hypertrophy. Conclusion: Reversing the Warburg effect could become a potential treatment option for cardiovascular diseases.

Normal weight obesity (NWO) is a new emerging phenotype of obesity, defined as a normal body mass index with a high body fat percentage. While several studies have described the impact of NWO on cardiometabolic risk factors, the association between them remains uncertain. This meta-analysis systematically evaluated cardiometabolic risk factors in adults with NWO compared to adults with normal weight lean (NWL). A systematic literature search was performed from the inception until September 21, 2021 in order to comprehensively search for all observational studies that had three important variables, including adults (age ≥18 years old), NWO and cardiometabolic risk factors including metabolic syndrome, hypertension, diabetes mellitus, dyslipidaemia or all laboratory findings related to cardiometabolic risk factors. Twenty-four cross-sectional studies with a total of 75 201 subjects are included in the qualitative and quantitative analysis. Overall, older age and female sex are more likely in NWO population. Compared to NWL, NWO is significantly associated with cardiometabolic risk factors, including metabolic syndrome (OR = 2.24 [1.74, 2.89]; p .001; I

Indonesia sebagai negara maritim berperan penting dalam sektor akuakultur. Kelimpahan hasil sektor ini menjadi daya tarik dunia. Melihat potensinya agar stabil diperlukan pengelolaan protokol kesehatan produk yang terjaga termasuk perikanan air tawar. Ikan menjadi rentan saat hadirnya penyakit. Patogen penyakit seperti akibat kontak dengan parasit, bakteri, virus, dan jamur harus ditangani dengan tepat. Kita ketahui medikasi yang diberikan memanfaatkan bahan kimia sintetis sebagai pengobatan. Selain bahan sintesis, tanaman obat berkhasiat (herbal) Indonesia dapat menjadi alternatif untuk pengobatan. Secara empiris khasiat yang dihasilkan pun sangat kompetitif dan aman dibandingkan kimia sintesis. Seperti pencegah infeksi, penghilang stres, peningkat kekebalan tubuh spesifik maupun nonspesifik, bahkan mengoptimalkan pertumbuhan fisik. Khasiat ini sejalan/linear dengan kandungan fitokimia utama bahan alam ini bermanfaat sebagai penentu dalam mengatasi penyakit. Informasi pemanfaatan herbal-herbal untuk ikan masih sangat jarang dilaporkan. Berdasarkan hal tersebut,pemanfaatan herbal terkini dapat dikaji menuju percepatan suplementasi terstandar sebagai metode penanggulangan penyakit pada ikan.

BACKGROUND: Iron-overload cardiomyopathy (IOC) is a major comorbidity in patients with chronic repetitive blood transfusion due to myocardial iron uptake that facilitated by calcium channels. As cardiac compensatory mechanism to IOC, we hypothesized the cardiac calcium channels expression would be increased and involved in cardiomyopathy progressivity. This study was aimed to investigate the gene expression of calcium channels in the heart of the iron overload mice model. METHODS: Mice were divided into three groups according to iron administration doses 0, 0.1, and 0.3 mg/day. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP) were measured for the representation of cardiovascular outcomes. The heart tissues were harvested. Further mRNA levels of L-type calcium channels (LTCCs) and T-type calcium channels (TTCCs) were examined using semi-quantitative PCR. The expressions of cardiac calcium channels and blood pressure among the three groups were compared. RESULTS: The expressions of TTCCs in the two iron-injected groups were higher than the control group ( p =0.018). The expressions of LTCCs were not different ( p =0.413) among groups. SBP, DBP, and MAP of the iron-injected group were lower than the control group ( p =0.025, p =0.011, and p =0.008, respectively). CONCLUSION: Iron administration affects the expression of TTCCs but not the LTCCs, accompanied by decreasing of systolic and diastolic blood pressure. KEYWORDS: cardiomyopathy, iron overload, L-type calcium channel, T-type calcium channel.

Objective: Flare in Systemic Lupus Erythematosus (SLE) is an exacerbation of SLE clinical features that were earlier quiescent. The disease activity changes from inactive to active with an increase of several immunological profiles; the rise of immune activity induces a metabolic shift in SLE patients. The previous study aimed to investigate the long and very long fatty acid fractions (LCFA and VLCFA) in the active and inactive statuses of SLE patients and showed there were dynamic changes in fatty acid fractions in SLE patients, compared to healthy subjects. The aim of this preliminary study is to investigate LCFA and VLCFA in the active and inactive condition of SLE patients. Methods: Four serum samples of active and inactive statuses from the same SLE patients were used in this study. Serum LCFA and VLCFA fractions were analyzed by a 7890 Gas Chromatography (GC) System 5977 Mass Selective Detector (MSD). Results: All of the LCFA and VLCFA fractions were increased in the active condition, compared to SLE patients in inactive, although they were statistically not different (p>0.05). The total fatty acid fraction was 38% higher in active condition compare to inactive. The prominent increase of fatty acid fractions was alpha-linolenic acid (inactive vs. active: 23.25±17.97 vs 48.25±38.58 μmol/l), oleic acid (1300±190.4 vs 1774±866.3 μmol/l) and myristic acid (31.25±12.76 vs 59.25±40.4 μmol/l). Conclusion: The serum of LCFA and VLCFA fractions in SLE patients tend to increase in active conditions.

Objective: To assess the effect of short-term gavage of ethanolic extract of Imperata cylindrica L root on the ovarian activity and estrus behavior of female mice. Methods: Eighteen virgin female ddY mice, 8 to 10 weeks of age, weighing 22–25 g with regular estrus cycle, were divided into three groups. Group 1 received 0.5% carboxymethylcellulose, whereas Groups 2 and 3 received the ethanolic extract of Imperata cylindrica L root at 90 and 115 mg/kg body weight (b.w.) per day by gavage for 20 days, respectively. All of the groups were checked before 9 a.m. daily for vaginal cytology to determine the estrus phase. On day 21, the mice were sacrificed to collect serum samples to quantify the concentrations of reproductive hormones using enzyme-linked immunosorbent assay and to determine changes in the reproductive organs based on their reproductive organ weight, histomorphology, and histomorphometry of ovarium and uterus. Results: The reproductive organ weight in the treatment groups was similar compared with that in the control group. The 90 mg/kg b.w. treatment group showed an increase in corpus luteum number when compared with the control group, with few degenerated follicles and diminished oocytes. Moreover, the 115 mg/kg b.w. treatment group showed fewer primordial and primary follicles and an increase in corpus luteum number and a prolonged diestrus phase compared to the control and 90 mg/kg b.w. treatment groups. The histomorphology examination of the uterus showed that the thickness of myometrium and epithelium in the treated animals was similar to the control group. In addition, there was a significant decrease in follicle-stimulating hormone level in the 115 mg/kg b.w. treatment group (P

Poor sensitivity of sputum conversion for monitoring tuberculosis (TB) treatment that makes identification of a non-sputum-based biomarker is urgently needed. Monitoring biomarkers in TB treatment is used to decide whether critical thresholds have been reached and helps clinicians to conclude the therapeutic success. In this mini review, we highlight recent studies on omics-related contributes to identifying of a novel biomarker as surrogate markers for the cure and predicting future reactivation risk following TB treatment. We catalogue the studies published to seek the progress made in transcriptomics, proteomics, and metabolomics in pulmonary TB. We also discuss how integrative multi-omics data will provide further understanding and effective TB treatment, such as revealing the interrelationships at multiple molecular levels, facilitating the identification of biologically interconnected processes, and accelerating precision medicine in TB treatment. However, proper validation in prospective longitudinal studies with long-term follow-up and outcome assessment must be conducted before the biomarkers are utilized in clinical practice.

Background Preeclampsia is a complication during pregnancy characterised by new-onset hypertension and proteinuria that develops after 20 weeks of gestation. Dyslipidemia in pregnancy is correlated with an increased risk of preeclampsia. However, the dynamic changes in lipid metabolic product, particularly fatty acid fraction, in preeclampsia maternal circulation, are not well understood. This study aimed to investigate fatty acid fraction in preeclampsia maternal blood compared with normotensive normal pregnancy. Methods A total of 34 women who developed preeclampsia and 32 women with normotensive normal pregnancy were included in our case-control study. Maternal blood samples were collected for serum fatty acid fractions analysis and other biochemical parameters. Serum fatty acid fractions included long-chain polyunsaturated fatty acid (LCPUFA), monounsaturated fatty acid (MUFA), saturated fatty acid, and total fatty acid, measured with gas chromatography-mass spectrometry (GC-MS). The mean difference of fatty acid level was analysed using parametric and non-parametric bivariate analysis based on normality distributed data, while the risk of preeclampsia based on fatty acid fraction was analysed using a logistic regression model. Results Women with preeclampsia have lower high-density lipoprotein (53.97 ± 12.82 mg/dL vs. 63.71 ± 15.20 mg/dL, p = 0.006), higher triglyceride (284.91 ± 97.68 mg/dL vs. 232.84 ± 73.69 mg/dL, p = 0.018) than that in the normotensive group. Higher palmitoleic acid was found in women with preeclampsia compared to normotensive normal pregnancy (422.94 ± 195.99 vs. 325.71 ± 111.03 μmol/L, p = 0.037). The binary logistic regression model showed that pregnant women who had total omega-3 levels within the reference values had a higher risk of suffering preeclampsia than those with the higher reference value (odds ratio OR (95% CI): 8,5 (1.51–48.07), p = 0.015). Pregnant women who have saturated fatty acid within reference values had a lower risk for suffering preeclampsia than those in upper reference value (OR (95% CI): 0.21 (0.52–0.88), p = 0.032). Conclusion Overall, palmitoleic acid was higher in women with preeclampsia. Further analysis indicated that reference omega-3 in and high saturated fatty acid serum levels are characteristics of women with preeclampsia.

Objective: In this study, the embryonic rat cardiomyocyte cell line H9C2 was used to investigate the cardiotoxicity effect of sappan wood ethanol extract (SWEE). Methods: Sappan wood was extracted in 96% ethanol and divided into dose concentrations of 2.5, 5, 10, 50, 100, and 150 μg/ml, with deferiprone used as a control. Cell viability was assessed using the PrestoBlue Cell Viability Reagent, according to manufacturer protocols. Results: Microscopic examination showed that the cell viability of H9C2 was preserved by SWEE treatments at a dose of 10 μg/ml and suggested dose concentrations of 50 μg/ml of SWEE. The percentage of viable cells was greater than 95% with a dose concentration of 10 μg/ml of SWEE, but it was significantly reduced with a dose concentration of 50 μg/ml of SWEE (p

Characteristics of obesity as dysfunction of adipose tissue and chronic low-grade inflammation can have impacts to haematological parameters. The Moringa oleifera leaves have been used empirically to treat metabolic and blood-related diseases. However, it is still unknown whether Moringa oleifera leaves can influence haematological parameters in high fat diet. The study aimed to investigate the hematological parameter of high-fat diet mice in parallel with Moringa oleifera leaves ethanol extract (MOLE). Forty male DDY mice in 5 weeks of age were randomly divided into five groups as follows: The SD group was fed with a standard diet, the HFD group was fed with high fat diet, the HFD+S group was fed with high-fat diet and simvastatin (0,8 mg/20gBW/day). The HFD+MOLE1 and the HFD+MOLE2 groups were fed with high-fat diet and MOLE in a dose of 5,6 mg/20gBW/day and 11,2 mg/20gBW/day, respectively. The experiment was performed for 7 weeks. At the end of the experiment, blood was drawn for haematology analysis of blood parameters. We found that sub-chronic high fat diet might alter the haematological parameters. Two different doses of MOLE might have potencies to prevent the worsening caused by those alterations, by increased of haemoglobin [12,9(10,4-15,3) vs 13,9(12,9-18,2) and 14(10,2-14,8), p>0,05)], slight decreased of WBC [(3,59±1,974) vs (3,433±1,747) and (3,42±1,014), p>0,05]. Additionally, the MOLE might have an effect to decreasing the granulocyte percentage [18,5(9,2-43,6) vs 11,5(7,6-18,2) and 8,05(3,2-25,1), p>0,05], and slight decreased of MPV [4,2(2,6-6,7) vs 3,6(3,2-4,1) and 3,55(2,6-6,8), p>0,05]. In summary, the study showed that MOLE might have potencies to prevent the worsening of hematological parameters in the sub-chronic high fat diet.

An increase in the incidence of diabetes mellitus type 2 (DM-2) has been observed from 1.1% in 2007 to 1.5% in 2018 with incidents occur in both urban areas and rural areas of Indonesia. Garut as one of the rural areas in Indonesia is the fourth district with the highest DM-2 incidence in West Java Province, Idnonesia. Physical activity is considered to affect the glycemic control and weight loss in DM-2 patients. Therefore, the purpose of this study was to determine the relation between the physical activity level and blood glucose level in DM-2 patients in Garut, Indonesia. This was a cross-sectional observational analytic study on 46 DM-2 patients who were the members of the Garut Branch of the Indonesian Diabetes Association (PERSADIA), in May 2018. The physical activity level was measured using the International Physical Activity Questionnaire (IPAQ) while the blood glucose level was measured using fasting blood glucose level test. Data were then analyzed using analysis of variance test. Results showed that most participants had a low level of physical activity (52.2%) while the lowest fasting blood glucose was obtained from patients with high physical activity (98.63±11.6), compared to those with moderate and low physical activity levels (123.43±20.16 and 164.21±19.04 mg/dL, respectively) with p=0.000 (p

Platelet-rich fibrin (PRF) was developed as a barrier membrane in periodontal regenerative therapy. It is known that PRF has a sustained released of growth factor and expected to facilitate the tissue regeneration. Since the PRF membranes have a rapid degradability (1-2 weeks), the regenerative therapy using a PRF membrane should be increased to reduce the degradability using a crosslinking agent which could provide resistance against enzymatic degradation. The aim of this study is to analyze the effect of 0.1% genipin as a crosslinking agent to degradability of PRF. PRF membranes were prepared from 20cc blood of healthy donors and immersed in 0.1% genipin solution as a test group and Phosphate Buffer Saline (PBS) solution as a control group for 2 hours and 72 hours. In order to evaluate degradability, the sample was subjected to 0.01% trypsin. Samples were weighed and the trypsin solution was refreshed every 24 hours. The difference weight represents enzymatic degradation. Degradation degree of sample PRF-crosslinked genipin 0.1% significantly decreased when it compared to the control group. Genipin reacts with primary amines in fibrin, performed a covalent coupling that improves the degradability resistance. This crosslink had to be effective to improve biomechanical properties of PRF as a membrane. This study demonstrated that 0.1% genipin as a crosslinking agent could reduce the degradation-degree of PRF.

The Goldblatt method is one of several methods that can be used in making mouse model of hypertension. The principle of the Goldblatt method itself aims to cause renovascular hypertension by constricting renal blood vessels that results in hypoxic injury and consequently affects the RAAS (Renin-Angiotensin-Aldosterone System). This study aims to determine whether a modification to the Goldblatt method and an additional high salt consumption could be a more effective method in developing a mouse model of hypertension. This study was done on DDY strain mice with 4 weeks of age and 25-30 grams of weight. A simple ligation to constrict renal blood vessel was used as modification from the original Goldblatt 2K1C (two-kidney, one-clip) method. A total of 32 mice were randomized to receive either a modified Goldblatt, modified Goldblatt with salt diet, sham surgery only, or sham with salt diet. Blood pressure was measured at baseline, first week after intervention, and second week after intervention. The data was then analysed by repeated ANOVA method. Hematoxylin and eosin staining was used to analyse histology appearance. This study showed that using a high salt diet only-method generated a hypertensive state faster compared to the modified Goldblatt method, while the modified Goldblatt method produced a steadier increase of blood pressure. Statistically, there was a significant difference of blood pressure between the sham and salt diet group compared to the other three groups at the first week after intervention (p

Thalassemia is a genetic disease caused by disruption of globin chain synthesis leading to severe anemia and thus regular blood transfusion is necessary. However, there have been known transfusions-related consequences, including iron overload and multi-organ damage. The aims of this study were to evaluate liver and cardiac function in youth and adult transfusion-dependent Indonesian thalassemic patients and to assess its correlation with serum ferritin levels, as well as T2 ∗ magnetic resonance imaging (MRI). Transfusion-dependent thalassemic (TDT) outpatients (n = 66; mean age, 21.5 ± 7.2 years) were carried out for the complete assessment consisting of blood test including liver enzyme and serum ferritin, followed by electrocardiography (ECG) and echocardiography. Subjects were also divided by serum ferritin levels into three groups: < 2500 ng/mL, 2500–5000 ng/mL, and >5000 ng/mL. Additionally, subgroup analysis in patients with T2∗ MRI assessment was conducted. In terms of age of first blood transfusion, subjects with ferritin >5000 ng/mL were the youngest among others. The alanine aminotransferase (ALT) levels in group with serum ferritin >5000 ng/mL were significantly higher than those of the group with serum ferritin 5000 ng/mL had significantly lower tricuspid annular plane systolic excursion (TAPSE) when compared with those who had serum ferritin

Carbon tetrachloride (CCL 4 ) is widely used in industry, toxic to the environment and humans, and most often used as a model of acute liver damage and liver fibrosis in experimental animals. Liver damage can deteriorate the hematological profile. The roots of cogongrass ( Imperata cylindrica L.) have been used as traditional medicine due to its antioxidant activity. This study was conducted at the Faculty of Medicine, Universitas Padjadjaran, from January to March 2019. The study aimed to investigate whether the cogongrass roots ethanol extract (CGRE) can ameliorate the disturbance in the hematological profile in acute CCl 4 -injected mice. CGRE in dose 150 and 200 mg/kgBW was given orally to mice for four weeks before intraperitoneal injection of CCl 4 1 mL/kgBW in olive oil (1:1 v/v). After 48 hours, mice were sacrificed, and the whole blood was drawn for hematological analysis. As a result, mean corpuscular volume (MCV) was reduced in CCl 4 -induction mice treated with CGRE in dose 150 mg/kgBW (49.25±3.06 vs 43.38±2.13 fl, p

Sepsis causes damage for cells, behavioral phenotype regression, and will end in most patients' death. The ethanol extract of cogongrass ( Imperata cylindrica L.) acts as an antioxidant. This study aimed to observe the effect of giving ECGR to body weight (BW) and the sepsis score of the sepsis mice model by lipopolysaccharide (LPS) induction. This study was an in vivo study with a randomized post-test controlled group design at the animal laboratory of Universitas Padjadjaran, 2018. We used 4 (four) groups of male mice ( Mus musculus ) DDY strains. Group 1 as a control, group 2: LPS 10 μL/kgBW, group 3, and 4: LPS+ECGR (90 mg/kgBW, and a dose of 115 mg/kgBW, respectively). This treatment was performed for two weeks. Every three days, we measured their body weight. After two weeks, group 2, group 3, and 4 were injected with LPS for 8 hours to induce sepsis. Next, we measured body weight and sepsis score using murine sepsis score (MSS). Then statistical analysis was performed using ANOVA and the Kruskal-Wallis test. The results showed no differences in body weight were found in the treatment groups (3 and 4) compared with control, suggesting no effect of ECGR in decreasing mice body weight. The sepsis score was more than 21 in groups treated with LPS (2, 3, and 4), suggesting LPS can induce sepsis. There was a slight decrease in scores in-group 3 and 4 compared with group 2. This study concludes that the treatment of ECGR caused no harm to body weight and slightly decreased sepsis score in the sepsis mice model. EKSTRAK ETANOL ALANG-ALANG ( IMPERATA CYLINDRICA L.) TERHADAP BERAT BADAN DAN SKOR SEPSIS MENCIT MODEL SEPSIS Sepsis menyebabkan kerusakan sel, regresi fenotipe perilaku, dan akan berakhir kematian pada sebagian besar pasien. Ekstrak etanol akar alang-alang ( Imperata cylindrica L .) (ECGR) berperan sebagai antioksidan. Penelitian ini bertujuan mengetahui pengaruh pemberian ECGR terhadap berat badan (BB) dan skor sepsis pada mencit model sepsis yang diinduksi lipopolisakarida (LPS). Penelitian ini adalah penelitian in vivo dengan desain randomized post-test controlled group di laboratoium hewan Universitas Padjadjaran tahun 2018. Kami menggunakan 4 (empat) kelompok mencit jantan ( Mus musculus ) strain DDY. Kelompok 1 sebagai kontrol, kelompok 2 diinduksi LPS 10 μL/kgBB, kelompok 3 dan 4 diinduksi LPS + ECGR (dosis 90 mg/kgBB dan 115 mg/kgBB masing-masing). Perlakuan ini dilakukan selama 2 minggu. Setiap tiga hari dilakukan pengukuran berat badan mencit. Setelah dua minggu, kelompok 2, kelompok 3, dan kelompok 4 diinjeksi LPS selama 8 jam untuk menginduksi sepsis. Selanjutnya, diukur berat badan dan skor sepsis menggunakan murine sepsi s score (MSS). Analisis statistik menggunakan ANOVA dan Uji Kruskal-Wallis. Hasil penelitian menunjukkan tidak terdapat perbedaan berat badan pada kelompok perlakuan (3 dan 4) dibanding dengan kelompok kontrol yang menunjukkan ECGR tidak berpengaruh dalam menurunkan berat badan mencit. Skor sepsis lebih dari 21 pada kelompok yang diinduksi LPS (2, 3, dan 4) menunjukkan LPS dapat menyebabkan sepsis. Terdapat sedikit penurunan skor pada kelompok 3 dan 4 dibanding dengan kelompok 2. Simpulan penelitian ini, pengobatan ECGR tidak membahayakan berat badan dan mengakibatkan sedikit penurunan skor sepsis pada mencit model sepsis.

The purpose of this study was to explore the effects of cogongrass (Imperata cylindrica L) roots ethanolic extract (CGRE) in blood triglyceride. Mice were given CGRE intragastrically with dose 90 and 115 mg/kg body weight (BW) for two weeks. The non-treatment group was used as a control. Triglyceride absorption assay and triglyceride serum level were measured at the end of treatment day. Triglyceride absorption were reduced 60% in mice that were pre–treatment with 90 and 115 mg/kg BW CGRE compare to control (p

Rute pemberian oral menjadi rute pemberian yang paling popular dan paling sering digunakan dalam pengobatan pasien. Namun, salah satu masalah yang sering ditemui pada pasien dalam melakukan terapi dengan rute pemberian oral adalah adanya tidak kepatuhan dalam mengkonsumsi obat. Rasa yang tidak enak serta kemampuan beberapa pasien terutama lansia dan anak kecil yang tidak dapat menelan tablet menjadi alasannya. Effervescent menjadi salah satu alternatif yang dapat digunakan dalam mengatasi masalah tersebut. Review ini akan menggambarkan beberapa formulasi dan evaluasi sediaan effervescent serta penerapannya dalam beberapa sistem pemberian obat terbaru. Pencarian literatur dilakukan menggunakan bantuan situs pencarian jurnal online Pubmed, dan ditemukan 21 artikel dari 265 artikel yang sesuai dengan kriteria inklusi. Dari 21 artikel ini, 16 diantaranya adalah formulasi tablet effervescent. Metode granulasi basah diketahui merupakan metode terbaik dalam formulasi effervescent karena dapat meningkatkan daya alir serta indeks kompresibilitasnya. Asam sitrat dan natrium karbonat menjadi kombinasi agen effervescent yang paling sering digunakan.

Diabetes is an independent risk factor for the development of heart failure. Increased fatty acid (FA) uptake and deranged utilization leads to reduced cardiac efficiency and accumulation of cardiotoxic lipids, which is suggested to facilitate diabetic cardiomyopathy. We studied whether reduced FA uptake in the heart is protective against streptozotocin (STZ)-induced diabetic cardiomyopathy by using mice doubly deficient in fatty acid binding protein 4 (FABP4) and FABP5 (DKO mice). Cardiac contractile dysfunction was aggravated 8 weeks after STZ treatment in DKO mice. Although compensatory glucose uptake was not reduced in DKO-STZ hearts, total energy supply, estimated by the pool size in the TCA cycle, was significantly reduced. Tracer analysis with 13C6-glucose revealed that accelerated glycolysis in DKO hearts was strongly suppressed by STZ treatment. Levels of ceramides, cardiotoxic lipids, were similarly elevated by STZ treatment. These findings suggest that a reduction in total energy supply by reduced FA uptake and suppressed glycolysis could account for exacerbated contractile dysfunction in DKO-STZ hearts. Thus, enhanced FA uptake in diabetic hearts seems to be a compensatory response to reduced energy supply from glucose, and therefore, limited FA use could be detrimental to cardiac contractile dysfunction due to energy insufficiency.

Anemia causes losses of billions of dollars annually in terms of productivity among working women of the reproductive age; it affects both their cognitive and physical performance. In developing countries where many manual labor jobs exist, an iron supplementation program is the first choice for eradicating anemia. However, this program cannot sufficiently meet reduction targets, and this created a polemic among health experts. The purpose of this study was to explore how iron deficiency anemia may be eradicated in developing countries. The results showed that the main challenges for iron anemia deficiency eradication are as follows: low adherence, infection, hidden symptoms, comorbidities from other non-communicable diseases, micronutrient deficiencies, and lack of program monitoring. In terms of low adherence, the side effects of iron supplements become a major factor in taking medication. Conversely, parasites and worms cause most of the high infection cases. Poor access to facilities of healthcare centers are becoming the main factor for the absence of anemia eradication program evaluation in remote areas of developing countries. Therefore, breakthroughs are expected to be developed to reduce anemia significantly. These include increasing patient visits to a healthcare center, diagnosing anemia accurately and intensively, prioritizing infection control, fortifying food, and monitoring iron side effects.

Dipeptidyl peptidase-4 (DPP-4) inhibitors are widely used incretin-based therapy for the treatment of type 2 diabetes. We investigated the cardioprotective effect of a DPP-4 inhibitor, vildagliptin (vilda), on myocardial metabolism and cardiac performance under pressure overload. Mice were treated with either vehicle orvilda, followed by transverse aortic constriction (TAC). After 3 weeks of TAC, cardiac hypertrophy and impairment of systolic function were attenuated invilda-treated mice. Pressure–volume analysis showed thatvildatreatment significantly improved left-ventricular contractile efficiency in TAC heart. Myocardial energy substrate analysis showed thatvildatreatment significantly increased glucose uptake as well as fatty acid uptake. Fibroblast growth factor 21 (FGF21), a peptide involved in the regulation of energy metabolism, increased in TAC heart and was further increased byvildatreatment. FGF21 was strongly expressed in cardiac fibroblasts than in cardiomyocytes in mouse heart after TAC withvildatreatment.Vildatreatment markedly induced FGF21 expression in human cardiac fibroblasts through a sirtuin (Sirt) 1-mediated pathway, suggesting that fibroblast-mediated FGF21 expression may regulate energy metabolism and exertvilda-mediated beneficial effects in stressed heart.Vildainduced a metabolic regulator, FGF21 expression in cardiac fibroblasts via Sirt1, and increased contractile efficiency in murine pressure-overloaded heart.