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The Relationship Between Blood Levels of Ubiquitin Carboxyterminal Hydrolase L1 (UCH-L1) Protein and the Severity of Traumatic Brain Injury Based on the Glasgow Coma Scale and Rotterdam CT Score

Mon, 01 Jan 2024 00:00:00 GMT

Title: The Relationship Between Blood Levels of Ubiquitin Carboxyterminal Hydrolase L1 (UCH-L1) Protein and the Severity of Traumatic Brain Injury Based on the Glasgow Coma Scale and Rotterdam CT Score Authors: Kristianto Manurung, Junjungan; Surya Airlangga, Prananda; Hamzah, Hamzah Abstract: Objective: Traumatic brain injury (TBI) is a leading cause of disability and death worldwide, with an estimated 64-74 million cases annually. The current gold standard for diagnosis is a computed tomography (CT) scan, which has limitations such as access, cost, and radiation risk. Therefore, a simple, accessible, and safe diagnostic modality is needed, one of which is biomarker examination. This study aims to establish the relationship between blood levels of the biomarker ubiquitin carboxy-terminal hydrolase-L1 (UCH-L1) and the severity of TBI based on the Glasgow Coma Scale (GCS) and Rotterdam CT score. Material and Methods: This observational analytic study with a cross-sectional design involved 41 samples aged 18-50 years who presented to the Emergency Department of Dr. Soetomo General Hospital, Surabaya, within 3-24 hours of the incident. UCH-L1 levels were measured from blood samples using the ELISA method, and the data on UCH-L1, GCS, and Rotterdam CT scores were analyzed with SPSS 29. Results: The mean UCH-L1 level was 0.522 ± 0.592, with a cutoff value of > 0.2057, indicating moderate to severe TBI if UCH-L1 levels exceeded 0.2057. Spearman's test and correlation coefficient analysis showed a strong relationship between UCH-L1 levels and Rotterdam CT score (p < 0.05), as well as between UCH-L1 levels and TBI severity based on GCS (p < 0.05). The cutoff value for Rotterdam CT score was > 2, indicating moderate to severe TBI if the score exceeded 2. Conclusion: Serum UCH-L1 levels are significantly associated with the severity of TBI based on GCS and Rotterdam CT score. Keywords: Traumatic brain injury, UCH-L1, Rotterdam CT score, Glasgow Coma Scale

Mechanism and Antifungal Activities Vulvovaginal Candidiasis Isolated from Patients Against Ethanol Extracts of Parameria laevigata (Juss.) Moldenke Stem Bark

Mon, 01 Jan 2024 00:00:00 GMT

Title: Mechanism and Antifungal Activities Vulvovaginal Candidiasis Isolated from Patients Against Ethanol Extracts of Parameria laevigata (Juss.) Moldenke Stem Bark Authors: Anggraini, Wirda; Agus Purwanto, Djoko; Kusumawati, Idha; Isnaeni, Isnaeni Abstract: Introduction: Fungal diseases are not an exception to the current antibiotic resistance situation. Antimicrobial stewardship programs and high drug screening are two of the measures that are being used. Today, fungal infections are severe health problems. Utilizing plant-based natural compounds that are effective against various human pathogenic fungi is one method for preventing the issues associated with fungal infection. In this research, extracts are used as an option to treat patients with Candida albicans infection. The research aimed to examine the antifungal properties of an ethanol extract from Parameria laevigata (Juss.) Moldenke stem bark against C. albicans isolated from patients. Methods: This research used a microdilution method. C. albicans from patients diagnosed with vulvovaginal candidiasis. The test sample is 70% and 96% ethanol extracted from P. laevigata stem bark. Data analysis used One-way ANOVA with a P value of 0.000. Results: The result showed that PLE-70 can inhibit the growth of C. albicans with the highest %inhibition for ATCC 14053, CP-1, CP-2, CP-3, and CP-4, respectively 36.39%; 37.51%; 38.66%; 45.78%; 84.87%. PLE-96 can inhibit the growth of C. albicans with the highest %inhibition for ATCC 14053, CP-1, CP-2, CP-3, and CP-4 respectively 17.49%; 17.77%; 29.27%; 34.12%; 38.42%. Conclusion: It was concluded that the ethanol extract from P. laevigata stem bark can inhibit C. albicans isolated from vulvovaginal candidiasis patients. Key words: Candida albicans, Compound, Medicine, Microdilution method, Ultrasound Assisted Extraction

A Case of Spondyloarthritis with Deep Vein Thrombosis

Mon, 01 Jan 2024 00:00:00 GMT

Title: A Case of Spondyloarthritis with Deep Vein Thrombosis Authors: Kamajaya, Mahresya; Diah Rahmawati, Lita Abstract: Spondyloarthritis (SpA) is an autoimmune disease that has several clinical manifestations with certain characteristics. In this report, we present the case of an immobilized 54-year-old female with SpA who complained of a painful swollen left leg. Laboratory workup and imaging study supported the diagnosis of SpA complicated with deep vein thrombosis (DVT). The patient was given glucocorticoid, an anticoagulant, and medical rehabilitation. Symptoms improved following treatment. SpA increases the inflammatory state, leading to the increased risk of DVT. Holistic and comprehensive treatment is required in SpA patients with DVT to prevent further exacerbation or poorer prognosis. Keywords: Spondyloarthritis; Deep vein thrombosis, Treatment, Complication

Apoptosis of The Lens Epithelial Cells After Ultraviolet-B Exposure as a Proposed Pathogenesis of Senile Cataract: Literature Review

Mon, 01 Jan 2024 00:00:00 GMT

Title: Apoptosis of The Lens Epithelial Cells After Ultraviolet-B Exposure as a Proposed Pathogenesis of Senile Cataract: Literature Review Authors: Putu Ayu Reza Dhiyantari, Ni; Hermawan, Dicky; Nurwasis, Nurwasis Abstract: Cataract shares a major burden causing half of the world's visual impairment and blindness. Ultraviolet light exposure has been associated with a higher incidence of cataracts. UV irradiation causes damage to the ocular tissue through protein crosslinking, enzyme dysfunction, ion pump inhibition, genetic mutation, and cell membrane disruption. Irreversible damage causes apoptosis to the lens epithelial cells, which is the main motor of lens homeostasis. Disturbance to the lens homeostasis will result in the loss of lens transparency and the development of cataracts. Understanding the pathophysiology of UV-induced cataract may bring to better approach to slower progression of the aging of the lens and formation of cataractous lenses