Journal of Agromedicine and Medical Sciences
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Correlation Analysis of Food Consumption Pattern that Induced Hypertension on Farmer in Rural Areas of Jember Regency
Get PDFFood consumption pattern has been suspected as a factor that cause hypertension, whereas other than that it may also induced by another life style. Farmers’ hypertension prevalence is growing up in rural areas. This fact shows that the activity of farm as heavy as how farmers facing their problem in daily live. The aim of the study is explaining how the food consumption pattern of farmers induced hypertension meanwhile they are living in the rural areas, as the firsthand customer of the fresh product from farming and agroindustry. An observational analytic study by using asymmetry association of lambda was conducted to prove the correlation between hypertensive pattern consumption and prevalence hypertension of farmers. One hundred respondents (from Mayang and Ledokombo districts) were given food frequency questionnaire. The results showed the food pattern with high level of cholesterol, dairy milk and the product of it and using high mono sodium glutamate,were having a significant level of p value (< 0,05). It means there are strong correlation between them to hypertension prevalence.
Keywords: farmer, consumption pattern, hypertensio
The Effect of Hyaluronic Acid on MMP-9 Expression in Trabecular Meshwork Cell Culture of Patient with Primary Open Angle Glaucoma
Get PDFIn primary open angle glaucoma, decrease of hyaluronic acid level is related to extracellular matrix deposition of trabecular meshwork. Extracellular matrix deposition will increase humor aqueous outflow resistance which in turn increase the intraocular pressure. MMP-9 as one of matrix metalloproteinase (MMP) family, has a high potency to degrade the extracellular matrix. The expression of MMP-9 can be activated by hyaluronic acid through its binding with CD44 as hyaluronic main receptor. The aim of this research is to determine the effect of hyaluronic acid on MMP-9 expression in trabecular meshwork cell culture of patient with primary open angle glaucoma by immunocytochemical method. Trabecular meshwork cell culture were exposed to hyaluronic acid at four different concentration (0mg/ml, 1 mg/mL, 3 mg/mL, 6 mg/mL). After 24 hours incubated, we find a significant difference of MMP-9 expression between control group and group with hyaluronic acid. There was significant correlation between hyaluronic acid and MMP-9 expression. Hyaluronic acid exposure will increase MMP-9 expression in trabecular meshwork cell culture. This finding suggest that hyaluronic acid can influence the resistance of humor aqueous outflow in trabecular meshwork by up-regulating MMP-9 expression, and therefore will increase extracellular matrix degradation.Key words : hyaluronic acid, primary open angle glaucoma, MMP-
Antihiperlipidemi and Atheroprotective activity of Kepuh (Sterculia foetida) Leaves Ethanolic Extract on High-Fat-Diet Rat Models
Get PDFCardiovascular disease causes the highest mortality rate in the world. Atherosclerotic plaque is the most common etiology of cardiovascular disease. High levels of cholesterol in circulation is the pathophysiology of atherosclerosis formation. Atherosclerosis risk can be lowered to 20-40% with statins. Statins are effective in lowering total and LDL cholesterol, but these drugs have been reported to cause side effects. Therefore, it needed an alternative medicine to prevent the process of atherosclerosis using kepuh leaves (Sterculia foetida). Flavonoids contained in Kepuh leaves improve lipid profiles. The aims of this study is to prove the effectiveness of Sterculia foetida in lowering cholesterol, triglyceride and reduce the amount of foam cells on high-fat-diet induced rats. The research design is quasi-experimental with post test only design. Animals are grouped into normal group, negative control group and three treatment groups that were given kepuh leaves extract at the dose of 200 mg/kgBB, 400 mg/kgBB, and 800 mg/ kgBB. Rats were given high-fat diet of initial intravenous adrenaline injection 0.006 mg/200 gBB and duck egg yolks 5 g/kgBB for 21 days. Cholesterol and triglycerides were measured by enzymatic methods and aortic tissue stained with HE. ESf reduce cholesterol significantly and reduce the amount of foam cells on aorta.Keywords: cholesterol, triglyceride, kepuh leaves, foam cell, high-fat-die
Slow Release Metformin Effect in Weight Loss and Total Calorie Intake in Obese Volunteers
Get PDFObesity can cause serious problems that will lead to poor quality of life, increased morbidity and mortality rate. Slow-release metformin will work longer in the body with a single dose everyday be an alternative drug for weight loss. The purpose of this study was to compare the effectiveness of slow-release metformin compared to metformin regular to body weight and calorie intake in volunteers with obesity. The study was conducted on 16 volunteers who were divided into two groups in pairs. Volunteers will be measured weight and calorie intake with a 24-hour food recall method, data was taken at the time before the intervention, the end of week 1st, 2nd, 3rd, and 4th. The result obtained weight loss better in the group receiving slow-release metformin by 5.08% compared to the group receiving regular metformin by 2,60%, but there was no significant difference between the groups in terms of calorie intake during the study. The conclusion of this study is a slow-release metformin is greater in weight loss than regular metformin, but does not affect the amount of calorie intake.Keywords: Metformin, slow-release, weight loss, calorie intake, obesit
Effectiveness Test of Basil Leaf (Ocimum basilicum) Extract As Bioinsecticide In Mosquito Coil to Mosquito Aedes aegypti Death
Get PDFAedes aegypti is the vector of Dengue Haemorhagic fever. One of the method to prevent the spread of dengue fever is vector control. Principal activity to control this vector might decrease their population as transmitter of disease. One way of controlling mosquitoes vectors is using a bioinsecticide from basil leaf. Basil leaf extract has bioinsecticide effect to Aedes aegypti because basil leaf has some active compounds, such as Flavonoid, Saponin, Tannin and essential oils. These compound are toxic to mosquitoes. The purpose of this study was to determine the effectiveness of basil leaf (Ocimum basilicum L.) extract as mosquito coil against Aedes aegypti. The design of this study is xperimental study with 450 subjects of Aedes aegypti. Subjects were divided into six groups. They were 0% (negative control), 25%, 50%. 70%, 90% extract and Transfluthrin 0,03% (positive control). Each group contained 25 mosquitoes. Observation were carried out for 60 minutes with 10 minutes intervals and three times of repetition. The Data were analyzed by probit to calculate the value of Lethal consentration. The result of Probit Analyze showed that LC50 was at a concentration of 41,81% and LC90 was at concentration of 101.66%. The results showed that the extract of basil leaf (Ocimum basilicum L.) effective as Aedes aegypti bioinsecticide in mosquito coil
Effects of Herbal Forte Rice as Replacement of Carbohydrate to Insulin Resistance in Patients with Type 2 Diabetes in Sumbersari Health Center Jember
Get PDFThe population of type 2 diabetes mellitus sufferer continuously increases due to the increase of insulin resistance characterised by the rise of the secretion insulin. Insulin resistance is affected by several factors such as the lack of physical activity, obesity, and unhealthy diet. One of the characteristics of the unhealthy diet is the high consumption of carbohydrates.Whereas Indonesian prefers to have carbohydrate sources from food which has high glycemic index such as rice so thatit makes the glucose in the blood increased rapidly. This condition causes more and faster insulin secretion and can affect insulin resistance. The purpose of this study is to know the effectiveness of herbal forte rice as a substitute of the main carbohydrate in the state of hyperinsulinemia suffered by 15 patients of type 2 diabetes mellitus in Puskesmas (community health center) Sumbersari Jember. This study is a clinical trial with a quasi experimental method and crossover design. In this study, the sample is interviewed by characteristics (age, gender) and the early consumption patterns using 24-hour food recall three times at different times. Samples acted as a control group once the experimental group. The control group did not receive any treatment, while the experimental group received the herbal forte rice as much as 100 grams for 7 consecutive days in the morning (at 06.30 am). After washing out period for 9 days, experimental group switched into control group. At the end of the period (7 days), data of fasting blood glucose and fasting insulin were collected then counted by HOMA-IR formula. The result of the study based on the paired t test p=0.001 in comparison to the state of the control and experimental group. The conclusion of this study is there is a changing state of insulin resistance with the replacement of food based on glycemic index
Effect of Leg Length Discrepancy to the Hip Function on Post Hemiarthroplasty Patients in Jember
Get PDFHip fractures in elderly patient are often treated with hemiarthroplasty. Hemiarthroplasty can cause various complications, one of which is leg legth descrepancy (LLD). The function of the hip joint is reduced due to these complications. Previous studies have shown contradictive results regarding the relationship of LLD to the function of the hip joint in post-arthroplasty patient's. This type of research is observational with retrospective study. The population in this study came from 2 hospitals in Jember was 53 patients and the sample was 30 people. LLD is measured by true leg length and apparent leg length, whereas hip joint function is measured by Oxford Hip Score (OHS). The data were tested by using Spearman correlation test. In conclusion, there was a moderate relationship between LLD true leg length to the function of the hip joint. This study does not support the implications of the LLD to the hip function because of weak relationship between LLD true leg to the hip function and moderate relasionship between LLD apparent leg length to the hip function
Risk Factor Analysis of Dengue Shock Syndrome Occuring to Children in RSD dr. Soebandi Jember Regency
Get PDFDengue Shock Syndrome is a medical emergency situation caused by shocking DHF. Some factors that can influence the DSS. The purpose of this research know some risk factors that might cause DSS. Those are age, nutritional status, gender, and amount of platelet and hematocrit. This research was retrospective case control doing in dr. Soebandi Hospital Jember. The sample were divided into 2 groups. Those were DSS (case group) and non-DSS group (control group). Data analysis was done by Chi-Square test using SPSS 21 version. These were 136 patients which were divided into 94 patients of control group and 42 patients of case group. In this research, there were p-value for ages, nutritional status, gender, amount of platelet and hematocrit on each 0,450; 0,490; 0,198; 0,001; 0,007 respectively. In this search, it could be concluded that age, nutritional status, and gender were not significantly related to DSS case although amount of platelet and hematocrit were significantly related to DSS case.Keywords:dengue shock syndrome, age, nutritional status, gender, hematocrit, platelet
The effect of Kefir on The Immune Response of Healthy Volunteers In Vitro
Get PDFKefir is a functional foodstuff of probiotics, made from fermented milk with kefir grains containing various types of beneficial bacteria and yeast. There have been many studies on the effects of oral kefir on the immune system, but few studies have shown the effect of bioactive components from kefir (peptides and exopolysaccharides/ kefiran), on immune responses. The purpose of this study was to prove the effect of kefir supernatant from milk goat on healthy immune volunteer response in vitro. The study was conducted on 15 healthy volunteers, then isolated PBMC from whole blood, then divided into 5 groups (K-, P1, P2, P3 and P4) before culture was done for 4 days. The harvested cells from culture were examined for the percentage of CD4+ T cells, CD8+ T cells, IFN-γ, IL-4 using flowsitometry and IL-2 levels, IL-10 using the ELISA method. The results obtained that kefir do not affect the percentage of CD4+ T cells and CD8+ T cells. The higher the concentration of kefir given, the higher levels of secreted IFN- γ and IL-4, but a decrease in IL-2 levels. Significant enhancement occurred at levels of IL-10 culture PBMC given kefir with various concentrations (p <0.01), especially at concentrations of 1%. These results also show the important effects of kefir bioactive components on immune responses. The conclusion of this study is that kefir can improve the immune response, through stimulation of IL-10 secretion in vitro
The Effect of Purple Sweet Potato Extract on The Circulating Endothelial Cell (CEC) levels in Rat Model of Diabetes
Get PDFDiabetes mellitus is a metabolic disease with impaired metabolism of carbohydrates, fats and proteins are characterized by hiperglycemia caused by insufficiency of insulin secretion and insulin resistance. Diabetes mellitus is the leading cause of death in Indonesia, especially in developing countries. Most (90%) classified as type 2 diabetes mellitus and 10% of type 1 diabetes mellitus. In DM, increased oxidative stres. DM oxidative stres due to the increase of free radicals in the body. Oxidative stres can lead to irreversible endothelial injury that would lead to the loss of endothelial cells characterized by the expression of CD 146. Ipomoea batatas L. anthocyanin-containing compound is an antioxidant that can reduce free radicals and reduce oxidative cell damage caused by free radicals. From the analysis of the data obtained Ipomoea batatas L. mempuyai influence on the content of the CEC of 42.5%