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"Hubungan antara peningkatan kadar interleukin-6 dan protein C reaktif dengan kebocoran plasma pada penderita infeksi dengue dewasa masih belum jelas. Penelitian ini dilakukan untuk mengetahui perbedaan kadar IL-6 dan protein C reaktif antara kelompok infeksi dengue dengan dan tanpa kebocoran plasma. Penelitian dilakukan secara potong lintang terhadap data sekunder dari penderita infeksi dengue dewasa yang dirawat di RSCM dan RSUP Persahabatan antara 1 Maret 2014 - 1 April 2015. Jumlah total sampel adalah 44 orang, terdiri dari 24 orang dengan kebocoran plasma dan 20 orang tanpa kebocoran plasma. Kadar IL-6 pada kelompok dengan dan tanpa kebocoran plasma masing-masing pada hari ke-3 dan ke-5 demam adalah 8,56 vs 3,80 (p = 0,069) pg/mL dan 4,30 vs 2,76 pg/mL (p = 0,025), sedangkan untuk protein C reaktif adalah 10,1 vs 6,8 mg/L (p = 0,014) dan 5,0 vs 2,9 mg/L (p = 0,048). Kadar IL-6 hari ke-3 dan ke-5 demam pada kelompok dengan kebocoran plasma adalah 8,56 vs 4,30 pg/mL (p = 0,037) dan pada kelompok tanpa kebocoran plasma adalah 3,80 vs 2,76 pg/mL (p = 0,005). Kadar protein C reaktif hari ke-3 dan ke-5 demam pada kelompok dengan kebocoran plasma adalah 10,1 vs 5,0 mg/L (p = 0,0001) dan pada kelompok tanpa kebocoran plasma adalah 6,8 vs 2,9 mg/L (p = 0,0001). Tidak ada perbedaan kadar IL-6 pada hari ke-3 demam di antara kedua kelom-pok, sedangkan pada hari ke-5 demam kadarnya lebih tinggi pada kelompok dengan kebocoran plasma. Kadar protein C reaktif hari ke-3 dan ke-5 demam lebih tinggi pada kelompok dengan kebocoran plasma. Kadar IL-6 dan protein C reaktif hari ke-3 lebih tinggi dibandingkan hari ke-5 demam pada kedua kelompok.

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There is stiil unclear association between the elevation of interleukin-6 and C-reactive protein levels with plasma leakage in adult dengue infection patients. The study aims to determine differences in the levels of interleukin-6 and C-reactive protein among groups of dengue infection with and without plasma leakage. This is a cross-sectional study of secondary data from adult patients with dengue infection were treated at Cipto Mangunkusumo and Persahabatan Hospital between March 1, 2014 until April 1, 2015. The total number of samples were 44 people, consisting of 24 people with plasma leakage and 20 people without plasma leakage. Median levels of interleukin-6 for groups with and without plasma leakage each for the 3rd and the 5th day of fever were 8.56 vs 3.80 pg/mL(p = 0.069) and 4.30 vs 2.76 pg/mL (p = 0.025), whereas for C-reactive protein were 10.1 vs 6.8 mg/L ( p = 0.014) and 5.0 vs 2.9 mg/L (p = 0.048).

Median levels of interleukin-6 on the 3rd and the 5th day of fever in the group with plasma leakage were 8.56 vs 4.30 pg/mL (p = 0.037) and in the group without plasma leakage were 3.80 vs 2.76 pg/mL (p = 0.005). Median level of C-reactive protein on the 3rd and 5th day of fever in the group with plasma leakage were 10.1 vs 5.0 mg/L (p = 0.0001) and in the group without plasma leakage were 6.8 vs 2.9 mg/L (p = 0.0001). There was no differences in levels of interleukin-6 on the 3rd day of fever between the two groups, while on the 5th day of fever interleukin-6 levels was higher in the group with plasma leakage. The levels of C-reactive protein on the 3rd and the 5th day of fever were higher in the group with plasma leakage. The level of Interleukin-6 and C-reactive protein on the 3rd day of fever were higher than the 5th day of fever in both groups."

"Unsur transisi merupakan unsur yang terdapat pada golongan 3-12. Unsur transisi ini memiliki bilangan oksidasi yang bervariasi. Dengan adanya hal tersebut menyebabkan unsur transisi memiliki kemampuan sebagai katalis yang baik dan memiliki kemampuan penyerapan zat pada permukaan yang baik. Selain unsur transisi juga terdapat Logam Tanah Jarang LTJ . Unsur LTJ terdapat pada deret lanthanida dan juga Yttrium Y dan Scandium Sc .Terak timah merupakan limbah slag dari proses peleburan timah. Terak timah yang digunakan yaitu terak timah I. Terak timah dapat dimanfaatkan untuk mendapatkan mineral berharga seperti Tantalum Pentaoksida Ta2O5 dan Niobium Pentaoksida Nb2O5 dan LTJ. Proses diawali dengan pemanggangan, pencelupan pada larutan NaOH 0.5M. Kadar Ta2O5 dan Nb2O5 mengalami penurunan setelah proses pemanggangan. Setelah itu dilakukann proses pelindian menggunakan larutan pelindi HCl dengan konsentrasi 4M, 6M dan 8M. Kadar dari mineral pengikut mengalami penurunan tetapi kadar dari Ta2O5, Nb2O5, Ce2O3 serta La2O3 juga mengalami penurunan.

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Transition elements or transition metal is an element contained in group 3 to 12 on the table periodic. The transition elements have two or more oxidation numbers. Given this causes the transition elements have the ability as a good catalyst, and has the ability absorption on the surface of the well. On the otherhand there is also a Rare Earth Elements REE . Rare Earth Elements are in series lanthanida and Yttrium Y and Scandium Sc . Tin slag is a waste from the lead smelting process. Tin slag has a valuable mineral that can be used as Tantalum Pentoxide Ta2O5 , Niobium Pentoxide Nb2O5 and Rare Earth Element REE . In this research, leaching is a process used to increase grade of Ta2O, Nb2O5 and REE Cerium Ce and Lanthanum La in tin slag. This research to found effect of roasting on 900 C, effect of using sodium hydroxide NaOH as a quenching agent and effect of variation chloride acid HCl concentration as leaching agent. The roasting result was obtained highest mass distribution on 100 and use to leaching process. But grade of Ta2O5, Nb2O5 and REE after roasting process was decreased. The result of leaching in variation concentration 4M, 6M, and 8M grade of gangue minerals was decreased but Ta2O5, Nb2O5 and REE also decreased."

"Perubahan iklim telah merubah konten atmosfir. Salah satu bentuk perubahan iklim adalah meningkatnya gas rumah kaca, karbon dioksida. Peningkatan karbon dioksida bisa memberikan perubahan metabolic kepada sel-sel organisme. Sel imun, PBMC, bisa terpengaruh melalui perubahan ekspresi gen. MnSOD, sebuah antioksidan, komponen penting saat stres oksidatif, akan diteliti guna mengetahui adaptasi sel. Untuk melihat perubahan PBMC pada hiperkapnia, kami membuat model dimana pertama, PBMC diinkubasi pada konsentrasi CO2 di 5% dan 15%, selama 24 dan 48 jam. Kemudian, RNA diisolasi dengan TriPure Isolation Reagent dan ekspresi gen diukur secara kuantitatif dengan RT-qPCR untuk melihat ekspresi MnSOD. Hasil penelitian menunjukan penurunan ekspresi yang signifikan saat 15% CO2 dibandingkan dengan 5% CO2 selama 24 jam. Selama 48 jam, terdapat penurunan yang tidak signifikan. Hasil pada 24 jam bisa karena beberapa faktor, seperti menambahnya aktivitas diikuti dengan ekspresi gen yang rendah karena cukupnya protein untuk mendorong balik stress oksidatif, atau mungkin karena kerusakan DNA karena stres oksidatif, dan juga pengaruh factor transkripsi NF-kB. Sementara, pada 48 jam, terdapat penambahan tidak signifikan dari 24 jam dikarenakan oleh panjangnya waktu. Untuk rekomendasi, kami sarankan membuat riset dimana kadar protein diukur.

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Climate change has changed the atmospheric contents. One of the main features of climate change is the rise of greenhouse gas carbon dioxide. Carbon dioxide elevation give out metabolic changes occurring to organisms’ cells. Immune cells, PBMC, may be affected by it, through gene expression changes. MnSOD, an antioxidant, a crucial component in oxidative stress, is observed to know the cell’s adaptation. To observe PBMC changes in hypercapnia, we constructed a model where firstly, the PBMCs are incubated in 5% and 15% of CO2, for 24 and 48 hours, resulting in four treatments. Then, we isolated the RNA from PBMC with TriPure Isolation Reagent and measure the quantitative gene expression using RT-qPCR to observe MnSOD expression. The result of PCR will be compared between 15% and 5% using the Livak method. The result shows a significant decrease in gene expression at 15% CO2 compared with 5% CO2 at 24 hours, and at 48 hours, there was insignificant decrease. The result in 24 hours may be due to several factors, such as the increasing activity followed by low expression as the cells has obtained enough MnSOD proteins to tackle back oxidative stress, or perhaps because of DNA damage due to oxidative stress, and also NF-kB as transcription factor influence. Meanwhile there’s 48 hours, the insignificance increases from 24 hours level is due to timespan. In recommendation, we suggest doing a research where we observe the protein activity."

"Hipoalbuminemia pada pasien kanker menyebabkan survival rate pasien menurun sehingga perlu dikoreksi dengan terapi infus human albumin. Perbedaan penggunaan konsentrasi albumin di Formularium Nasional dan oleh dokter di rumah sakit menimbulkan peningkatan beban biaya rumah sakit. Tujuan penelitian adalah menganalisis perbedaan efektivitas produk human albumin 20% dan 25% terhadap peningkatan kadar albumin pada pasien kanker BPJS yang mengalami hipoalbuminemia di Rumah Sakit Kanker Dharmais tahun 2019. Penelitian dilakukan dengan metode kohort retrospektif terhadap data sekunder pasien yang dirawat pada periode Januari hingga Desember 2019 di Rumah Sakit Kanker Dharmais. Teknik pengambilan sampel adalah consecutive sampling. Data diperoleh sebanyak 139 sampel. Kadar albumin diamati sebelum dan sesudah pemberian terapi infus albumin. Hasil uji beda proporsi karakteristik subyek penelitian menunjukkan tidak terdapat perbedaan proporsi karakteristik pasien antar kelompok human albumin 20% (n=32) dan kelompok human albumin 25% (n=107) (p > 0,05). Hasil uji beda rata-rata menunjukkan terdapat perbedaan signifikan kadar albumin sebelum dan sesudah pemberian terapi infus albumin pada masing-masing kelompok (p < 0,05). Rata-rata peningkatan kadar albumin produk human albumin 20% adalah 0,3063 g/dL dan produk human albumin 25% adalah 0,5346 g/dL. Hasil uji beda rata-rata menunjukkan terdapat perbedaan rata-rata peningkatan kadar albumin yang signifikan antara kelompok penelitian (p < 0,05) di mana produk human albumin 25% menghasilkan rata-rata peningkatan kadar albumin lebih besar. Perbedaan harga human albumin 20% dan 25% besar, sehingga dapat dilakukan sosialisasi kepada dokter untuk menggunakan human albumin 20% untuk terapi hipoalbuminemia.

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Hypoalbuminemia on cancer patients causes patients’ survival rate to decrease, therefore needs to be corrected with human albumin infusion therapy. Differences in albumin concentration usage in National Formulary and by doctors in hospital raises the hospital cost burden. This study aimed to compare the effectiveness of human albumin 20% and 25% based on albumin level increase in BPJS cancer patients with hypoalbuminemia at Dharmais Cancer Hospital in 2019. This study used a retrospective cohort method towards secondary data of patients treated from January to December 2019 at Dharmais Cancer Hospital. Samples were collected using consecutive sampling technique. A total of 139 samples were collected. Albumin levels were observed before and after human albumin infusion therapy. Proportion difference test on subject characteristics showed no significant difference between human albumin 20% group (n=32) and human albumin 25% group (n=107) (p > 0,05). Mean difference test on albumin levels before and after human albumin infusion therapy showed significant difference between groups (p < 0,05). Average of albumin levels increase in human albumin 20% and 25% groups respectively are 0,3063 g/dL and 0,5346 g/dL. Mean differences test showed a significant difference on albumin levels increase between observed groups (p < 0,05), with human albumin 25% resulted in a greater average of albumin level increase. Human albumin 20% and 25% have a great difference in price, therefore doctors should be socialized in the usage of human albumin 20% for hypoalbuminemia therapy."

"Diare merupakan masalah global karena menyebabkan tingginya angka kesakitan dan kematian pada bayi dan anak. Diare yang belangsung 7 - 13 hari disebut diare melanjut, dan akan meningkatkan risiko terjadinya diare persisten 6 kali lebih tinggi.Penelitian ini bertujuan untuk mengkaji faktor-faktor risiko terjadinya diare melanjut pada anak < 2 tahun, membuat dan menerapkan sistem skor untuk memprediksi kejadian diare melanjut, dan mengetahui apakah faktor etiologi diare persisten telah ditemukan pada diare melanjut.Suatu penelitian operasional dengan rancangan nested case control, pada anak < 2 tahun dengan diare akut yang dirawat di ruang rawat inap RSUP Fatmawati. Subjek direkrut dengan metode consecutive sampling pada September 2015 - Maret 2016. Subjek dieksklusi bila mendapat pengobatan imunosupresi, menderita HIV, penyakit metabolik, penyakit keganasan, mengalami disentri, mengalami diare saat dirawat di rumah sakit, ada penyakit penyerta, dan subjek pasca mengalami operasi pada organ saluran cerna. Evaluasi luaran penelitian dilakukan sejak subjek masuk perawatan di rumah sakit sampai subjek pulang rawat.Sebanyak 62 subjek untuk tiap kelompok kasus dan kontrol mengikuti penelitian. Seluruh faktor risiko dianalisis secara bivariat dan multivariat regresi logistik. Faktor risiko terjadinya diare melanjut yang didapatkan adalah riwayat penggunaan antibiotik, defisiensi seng, leukosit tinja, peningkatan kadar AAT tinja dan malnutrisi. Model skor prediksi diare melanjut terdiri dari 2 model. Model 2 lebih dapat diterapkan di fasilitas kesehatan primer. Sensitivitas, spesifisitas, nilai duga positif, nilai duga negatif, rasio kemungkinan positif, dan rasio kemungkinan negatif dari validasi skoring model 2 berturut-turut adalah 73, 95, 94, 76, 14,6, dan 0,28. Area di bawah kurva ROC pada validasi 0,898. Faktor etiologi diare persisten telah ditemukan pada diare melanjut intoleransi laktosa, malabsorpsi lemak, dan infeksi Clostridium difficile .Sebagai simpulan, faktor risiko terjadinya diare melanjut pada anak < 2 tahun dengan diare akut yang berperan paling bermakna adalah riwayat penggunaan antibiotik, defisiensi seng, leukosit tinja, peningkatan kadar AAT tinja dan malnutrisi. Selain itu, faktor etiologi diare persisten telah ditemukan pada diare melanjut, dan model skor yang dibuat dapat dipertimbangkan digunakan dalam praktek klinik sehari-hari.

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Diarrhea has been a global problem since it has high morbidity and mortality rate in infants and children. Diarrhea lasting for 7 ndash 13 days is called prolonged diarrhea, and the risk of progressing into persistent diarrhea will be 6 times higher. The aim of this study was to assess the risk factors for prolonged diarrhea in children below 2 years old, to establish and apply a scoring system to predict the occurence of prolonged diarrhea, and to determine whether the etiologic factor of persistent diarrhea have already been found in prolonged diarrhea. An operational study with a nested case control design, in children 2 years old with acute diarrhea hospitalized in the inpatient wards of Fatmawati Hospital. Subjects were recruited using the consecutive sampling method from September 2015 to March 2016. Subjects were excluded when they were receiving immunosupressive treatment, suffering from HIV, metabolic disease, malignancy, dysentery, just had diarrhea during hospitalization, comorbidities, and had underwent digestive surgery. Evaluation of the research outcome was started when the subject admitted to the hospital until the subject being discharged. The number of subjects included was 62 for each case and control group. All risk factors were analyzed using bivariate and multivariate logistic regression. We found that the risk factors for the occurrence of prolonged diarrhea are history of antibiotic use, zinc deficiency, fecal leukocytes, elevated level of stool AAT, and malnutrition. The prolonged diarrhea prediction score model had 2 models. Model 2 is more applicable in primary health care. The sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, and negative likelihood ratio of scoring model 2 validation were 73, 95, 94, 76, 14.6, and 0.28 respectively. The area under the ROC curve for validation is 0.898. The etiologic factor of persistent diarrhea have already been found in prolonged diarrhea lactose intolerance, fat malabsorption, Clostridium difficile infection. In conclusion, the most significant risk factors for prolonged diarrhea in children below 2 years old are the history of antibiotic use, zinc deficiency, fecal leukocytes, elevated levels of stool AAT, and malnutrition. In addition, etiologic factors of persistent diarrhea have already been found in prolonged diarrhea and scoring model can be considered be used in daily clinical practice. "