E-Journal Faculty of Medicine Universitas Padjadjaran / E-Jurnal Fakultas Kedokteran Universitas Padjadjaran
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Correlation between TSH, Prolactin, LH, FSH, Estrogen, and Progesterone in Women with Infertility
Full text linkBackground: Hormonal imbalances play a pivotal role in female infertility, affecting various endocrine pathways that warrant comprehensive evaluation.Objective: To analyze correlations between thyroid-stimulating hormone (TSH), prolactin, luteinizing hormone (LH), follicle-stimulating hormone (FSH), estrogen, and progesterone in women with infertility.Methods: This retrospective observational study was conducted at the Department of Obstetrics and Gynecology of Prakash institute of Medical Sciences, India, between January 2024 and December 2024. Medical records of 140 women (90 with primary infertility and 50 with secondary infertility) aged 19–45 years were analyzed over a one-year period. Hormonal profiles including TSH, prolactin, LH, FSH, estrogen, and progesterone were analyzed. Statistical analyses were performed using the SPSS 23.0 software and a p-value of less than 0.05 was considered statistically significant.Results: Women with primary infertility were younger and had a shorter duration since marriage compared to those with secondary infertility (p0.05).Conclusion: TSH levels significantly correlate with prolactin, LH, and FSH levels in women with infertility. These findings underscore the importance of comprehensive endocrine evaluation of women with infertility to optimize diagnosis and management strategies
Role of Osteopontin in Hypothyroid Anemic Woman and Their Association with Oxidative Stress
Full text linkBackground: Hypothyroidism is frequently associated with anemia and oxidative stress, necessitating exploration of biomarkers like Osteopontin to better understand disease mechanisms.Objective: To explore the association between Osteopontin, oxidative stress, and antioxidant capacity in hypothyroid woman with or without anemia.Methods: The study was conducted at the Santosh Medical College Department of Biochemistry in Ghaziabad, India, from September 2019 to October 2021. This study was cross-sectional and recruited 360 female subjects, divided into three groups: hypothyroidism with anemia, hypothyroidism without anemia, and normal healthy controls. Osteopontin, thyroid profile, malondialdehyde (MDA) and total antioxidant capacity were measured.Results: Osteopontin, T3, T4, and total antioxidant capacity levels were significantly lower (p<0.001), and the TSH and MDA levels significantly increased (p<0.001) in female subjects experiencing hypothyroidism, with or without anemia, as compared to normal healthy female control groups. Osteopontin demonstrated significant negative relationship with TSH and MDA, while showing a significant positive relationship with T3, T4, and total antioxidant status in both studied groups.Conclusion: Osteopontin and oxidative stress/antioxidant status significantly correlate in female subjects experiencing hypothyroidism, with or without anemia. In these patients, Osteopontin might be a useful biomarker for evaluating antioxidant levels and oxidative stress
Assessment of Alpha-Tocopheryl Acetate and Metformin Hydrochloride as Independent Agents on Human Dermal Fibroblast Viability: Findings from MTT Assay
No full textBackground: Alpha-tocopheryl acetate (Vitamin E) and metformin hydrochloride have been tested as anti-aging compounds at various concentrations. This study aimed to identify the most effective concentrations of alpha-tocopheryl acetate and metformin hydrochloride in promoting the viability of human dermal fibroblasts (HDFs), a primary cell type in skin aging research.Methods: HDFs were isolated using a mechanical isolation method and cultured under standard conditions. Cells were treated with varying concentrations of alpha-tocopheryl acetate and metformin hydrochloride as independents agents. After 48 hours of incubation, cell viability was measured using the MTT assay.Results: Alpha-tocopheryl acetate had the highest HDF cell viability (107%) at a concentration of 50 μM. Metformin hydrochloride had the maximum HDF cell viability (158%) at 5 μM. However, the viability response varied across different concentrations for both agents, indicating that optimal dosing was essential for maximizing their effectiveness.Conclusions: Alpha-tocopheryl acetate at 50 μM and metformin hydrochloride at 50 μM yield the highest viability of HDFs in vitro. These findings suggest potential roles for both agents in anti-aging skin therapies. Further research is recommended to explore their mechanisms of action and to optimize dosing strategies for clinical applications
Impact of Chronic Smoking on Choroidal Thickness: A Comparative Analysis Using Optical Coherence Tomography
Full text linkBackground: Chronic smoking has systemic vascular effects, including alterations in ocular blood flow and choroidal thickness, impacting visual health.Objective: To compare choroidal thickness (CT) in chronic smokers and nonsmokers using optical coherence tomography and to evaluate the effect of smoking duration on CT based on pack-year quartiles (PYQ).Methods: This was a case-control study conducted at the Regional Institute of Ophthalmology, Medical College, Kolkata, India between January 2023 and June 2024. Choroidal thickness was assessed in 120 cases (60 smokers and 60 nonsmokers) over a period of 18 months. Choroidal thickness was measured using Enhanced Depth Imaging Spectral-Domain Optical Coherence Tomography (EDI SD-OCT) at the sub foveal region and 1.5 mm away in the superior, inferior, nasal, and temporal directions. CT between smokers and nonsmokers was compared. Statistical analysis was performed using the SPSS 23.0 software and a p-value of less than 0.05 was taken as statistically significant.Results: The study analyzed age distribution, ocular parameters, and choroidal thickness in 60 smokers and 60 nonsmokers. The mean age in smokers and nonsmokers was found to be 43.1 ± 7.2 and 40.8 ± 11.4 years respectively. Smokers were found to have a significantly lower sub foveal CT compared to nonsmokers (272.42 ± 13.57 µm vs. 284.94 ± 14.15 µm, p0.05).Conclusion: There significant choroidal thinning in chronic smokers as compared to nonsmokers with a dose-dependent effect linked to higher smoking exposure. These findings suggest a smoking-induced vascular compromise in the choroid
Consumption of Sugar-Sweetened Beverages Is Related to Fasting Blood Glucose and the Nutritional Status among Young Adults in Indonesia
Full text linkBackground: Habitual consumption of sugar-sweetened beverages (SSBs) is linked to elevated blood glucose and increased body weight. Medical students often experience high stress, which may increase SSBs consumption. This study aimed to examine the associations between SSB consumption, fasting blood glucose, body mass index (BMI), and waist circumference among medical students.Methods: A cross-sectional study was conducted in October 2022 using a total sampling method involving 184 first-year students at the Faculty of Medicine Universitas Sriwijaya, Palembang, Indonesia. SSBs consumption was assessed using a semi-quantitative food frequency questionnaire (SQ-FFQ). Fasting blood glucose was measured by glucometer after an overnight fast. Body height, weight, and waist circumference were measured using a stadiometer, digital scale, and tape measure, respectively. Physical activity was assessed with the International Physical Activity Questionnaire–Short Form (IPAQ-SF). Associations were tested using Kruskall Wallis, independent t-test, and chi square as appropriate.Results: Most students consumed SSBs 3–4 times per week and in amount >495 mL. The volume of SSBs consumption was associated with BMI (p=0.02), fasting blood glucose (p<0.001), and waist circumference (p<0.01). Similarly, the frequency of SSBs consumption was associated with fasting blood glucose (p=0.04) and waist circumference (p<0.01), but not with BMI (p=0.16). Conclusion: Consumption of SSBs among students is high. Frequent and high-volume consumption of SSBs is associated with elevated fasting blood glucose levels and the nutritional status, whereas higher volume is associated with increased BMI. Reducing SSB intake and promoting healthier beverage choices may support a sustainable healthy lifestyle in young adults.
Hemodynamic Effects of Phenylephrine 100 µg versus Ephedrine 5 mg During Propofol-Induced General Anesthesia: A Randomized Study
No full textBackground: Propofol is widely used for induction of general anesthesia; however, it frequently associated hypotension due to vasodilation and myocardial depression. Vasopressors such as phenylephrine and ephedrine are commonly administered to counteract this effect, but evidence comparing their hemodynamic efficacy during induction remains limited.Methods: This randomized double-blind clinical trial included 80 patients undergoing elective surgery under general anesthesia. Patients were randomly allocated into two groups to receive either phenylephrine 100 µg or ephedrine 5 mg at the time of propofol induction. Demographic characteristics (sex, age, body mass index, and ASA physical status) were recorded. Hemodynamic parameters, including systolic blood pressure, diastolic blood pressure, mean arterial pressure, and heart rate, were measured after premedication and 30 seconds following propofol administration.Results: Baseline characteristics were comparable between the two groups. At 30 seconds after induction, there were no statistically significant differences in systolic blood pressure, diastolic blood pressure, mean arterial pressure, or heart rate between the phenylephrine and ephedrine groups. Both vasopressors effectively maintained hemodynamic stability during propofol induction.Discussion: The findings suggest that phenylephrine and ephedrine have similar hemodynamic profiles when administered during propofol induction. Despite their differing pharmacological mechanisms, both agents were equally effective in preventing early hypotension without significant differences in heart rate or blood pressure responses.Conclusion: Phenylephrine 100 µg and ephedrine 5 mg demonstrated comparable efficacy in maintaining hemodynamic stability during propofol-induced general anesthesia, with no significant difference in their ability to prevent hypotension
A Case Study of Psoriasis Vulgaris After COVID-19 Vaccination in Saudi Arabia
Full text linkSince the COVID-19 vaccines have been approved, worldwide reports of adverse events have been reported. Although a few cases of Psoriasis vulgaris have been reported after COVID-10 vaccination, there is currently limited evidence to establish a direct relationship between the vaccine and this condition. A 27-year-old Saudi woman, previously healthy and had no medical issues, reported skin lesions on her lower legs, which she noticed ten (10) days after receiving the first dose of the Pfizer COVID-19 vaccine. The patient had no prior history of such lesions or any family history of psoriasis. Joint pain was not observed. A diagnosis of psoriasis vulgaris was made, and the patient was treated with Daivobet® cream, urea cream 10%, and full-body NB-UVB light therapy three times a week for up to two months. The patient's condition improved partially. This report presents the first known case of psoriasis vulgaris after the COVID-19 vaccine in the Middle East. Further research is needed to fully understand this connection. The study emphasizes the significance of a thorough medical history and evaluation for precise diagnosis and treatment
Home Environmental Hazard as Extrinsic Factors For Falls Among Community-Dwelling Elderly
Full text linkFalls among the elderly are a major concern in both clinical practice and public health. Studies have shown that falls occur more frequently at home than outside home.This study aimed to identify the areas and types of home environmental hazards present in the residences elderly individuals. A quantitative descriptive study was conducted from April to May 2024 accross six primary healthcare centers in Bandung, West Java, Indonesia, selected from having the highest number of elderly patients. A total of 100 elderly respondents were recruited using a multistage purposive convenience sampling method. Data collection was carried out using an instrument consisting of two parts: the first part focused on respondent characteristics and the second part on home environmental hazards.The study variables were respondent characteristics and environmental hazards in the terrace, living room, stairs, bedroom, bathroom, kitchen, and garage. Data were analyzed using Microsoft Excel software and presented in tabular form. Results showed that all areas of the home posed potential hazards, with the presence of scattered items on the floor as the commonly identified risk. In specific areas such as the kitchen, high shelves were found, and in the bathroom, there were slippery floors, squat toilets, absence of handrails, and inward-opening bathroom door. Home can be a source of environmental hazards that increase the fall risk among the elderly. It is essential to provide the elderly with adequate information on these risk to encourage preventive actions and, where necessary, home modifications that improve safety and reduce the risk of falls
Tummy Time and Development of 6- to 12-Month-Old Infants
Full text linkEarly childhood development, particularly within the first 1,000 days of life, is a critical period. Globally, 5–16% of children experience developmental delays. This figure is higher in Indonesia with approximately 13–18% of children under five are facing growth and developmental issues. Adequate stimulation, including activities like tummy time, plays a vital role in a child's growth and development. This study aimed to investigate the correlation between tummy time and the developmental outcomes of infants aged 6–12 months. An analytical descriptive design with a cross-sectional approach was employed in this study that was conducted at Public Health Centers in North Sulawesi Province, Indonesia. Data collection involved questionnaires assessing the onset, frequency, and duration of tummy time, alongside the use of the Child Development Pre-Screening Questionnaire. With a minimum sample size of 96 respondents, data were analyzed using Spearman’s correlation. Findings indicated that performing tummy time more than 1–2 times per week, with each session lasting 6–20 minutes, was significantly associated with better developmental outcomes. However, no significant relationship was observed between early initiation of tummy time or the number of daily sessions with infant development. The study concluded that engaging in tummy time more than 1-2 times per week for 6-20 minutes per session can promote optimal infant development
Protective Effect of Black Rice Extract Cream on Ultraviolet B-Induced Skin Hyperpigmentation in Mice
Full text linkBackground: Hyperpigmentation is a common sign of skin aging caused by prolonged ultraviolet B (UVB) exposure. Black rice (Oryza sativa L. var glutinosa), known for its high antioxidant content, has moisturizing and regenerative properties that may support skin health. This study aimed to evaluate the effect of black rice extract cream on transforming growth factor beta (TGF-β) and tumor necrosis factor alpha (TNF-α) expression in a UVB-induced hyperpigmentation mouse model.Method: An in vivo experimental study with post test only control group design was conducted in 2024 at the Stem Cell and Cancer Research Laboratory, Semarang, Indonesia. Twenty-eight male C57BL/6 mice were randomly divided into four groups: healthy control (K1), UVB-exposed negative control group (K2), UVB-exposed group treated with 7.5% (K3) and 15 % (K4) black rice extract cream for14 days. On day 15, TGF-β and TNF-α expression levels were analyzed using the RTq-PCR, normalized to GAPDH. Data were analyzed using One-way ANOVA followed by post-hoc testing.Results: TGF-β gene expression was the highest in K4 (1.87±0.23), followed by K3 (1.52±0.42l) which was statistically significant different between groups (p=000); whereas TNF-α gene expression was the lowest in K4 (1.92±1.02) compared with K3 (5.40±2.28), and the difference between groups was also statistically significant (p=000). Conclusion: Black rice extract cream increase TGF-β expression and reduces TNF-α expression in UVB-induced hyperpigmentation. These findings suggests its potential as a natural topical agent to mitigate UVB-induced skin damage and premature aging