Molecular Patho-mechanisms of cervical cancer (MMP1).

Cervical cancer mostly caused by Human Papilloma Virus. Staging and therapy have been extensively studied, and highly correlated with the cellular development of oncogenesis. Mutation was caused by E6 and E7 oncoprotein, also inactivation of 2 tumor suppressor factors (pRB and p53). P53 also regulated MMP1, which dysregulation of MMP transcription would promote tumor metastasis, because of its role in extracellular matrix degradation in tumor invasion. Clinical staging of Cervical Cancer was based on Federation International of Gynaecology and Obstetrics (FIGO) classification from 2018. Management was divided into Surgery, Radiotherapy, and Chemotherapy.

Effectiveness of turmeric (Curcuma Longa Linn) Gel Extract (GE) on wound healing: Pre-clinical test.

OBJECTIVE: This research was basic research to identify the effect of turmeric extract tested by the in vivo method. The purpose of this study was to identify differences in the length of the wound at each concentration of gel preparations on days 3, 7, and 14, as well as differences in wound healing time at each concentration of gel preparations and, identify the most effective gel preparations for wound healing. METHOD: This study is an experimental laboratory study with experimental animals using post-test only with control groups, the type of research used is a pre-clinical test (pre-clinical trial) on female rabbits. The sample size in this study was 12 rabbits grouped randomly. The length of each group's wounds was measured and observed on days 3, 7, and 14. Gel application was carried out twice a day in the morning and evening for 14 days. In this study, the experimental data were tested using Kruskal Wallis. RESULTS: There were differences in wound length in each group treated with turmeric extract gel and base gel. Based on the mean wound length of each group, they experienced a reduction in wound length on days 3, 7, and 14. There were also differences in wound healing time in each group. In each group, wherein this case, the treatment group that was given 5% turmeric extract gel experienced a faster healing time <14 days than the other groups. CONCLUSION: In general, turmeric extract gel at each concentration is effective against wound healing. Turmeric extract gel concentration is the most effective gel with a concentration of 5%, then followed by concentrations of 10% and 15%.

Biscuits containing Moringa oleifera leaves flour improve conditions of anemia in pregnant women.

OBJECTIVE: This study analyzes whether anemia in pregnant women improves with indicators of increased hemoglobin, intake of iron and zinc when intervened with biscuits contain Moringa oleifera leaf flour. METHOD: It was Quasy experiment carried out at Antang, Mamajang and Batua Public Health Center in Makassar, South Sulawesi, Indonesia. The subject were the pregnant women of Trimester I and III trimesters which are divided into 2 groups with the intervention Group (n=35) obtained M. oleifera leaf flour biscuits with combination iron tablet and the control group (n=35) only accept FE tablets. Intervention group was given biscuits containing 40% moringa leaf flour (2.8g per biscuits) with a dose of 2 pieces a day containing Moringa leaf flour and a combination of iron tablets with a dose of 2 times 250mg, while the control group only consumed iron tablets at a dose of 2 times 250mg. After 60 days, a posttest was carried out to examine hemoglobin, iron and zinc. RESULT: The results showed that there was a significance increasing of hemoglobin after intervention (1.04g/dl, p=0.001), increasing of iron intake significantly (2.51mg, p=0.001) and zinc intake (0.14mg, p=0.144) also increas but not statistically significant. The increase in these three indicators was higher than the control group. CONCLUSION: Biscuits containing M. oleifera leaf flour are able to provide improvement in the condition of pregnant mothers who have anemia, especially in hemoglobin levels, iron and zinc intake.

Moringa oleifera leaf flour biscuits increase the index of erythrocytes in pregnant women with anemia.

BACKGROUND: Moringa Oleifera leaves contain nutrients such as proteins, iron, and vitamin C that potentially prevent anemia more common in pregnant women. In the manufacture of cookies that are substituted Moringa Oleifera leaf flour substitution, 40% obtained Fe levels 22.68ppm so that it can be developed to prevent anemia. The purpose of this research is to know the effect of giving biscuits (cookies) Moringa Oleifera leaf flour to index erythrocytes (MCH, MCHC, MCV) of pregnant women with anemia. METHOD: It was a quasi-experiment research with design nonequivalent Control Group design. The research was conducted at Antang, Mamajang, and Batua Public Health Center in Makassar, examination of hematology analyzer in the Clinic Pathology Laboratory of Universitas Hasanuddin Hospital. Sampling techniques using purposive sampling. Samples were pregnant women with trimester I and III anemia amounted to 25 samples on the biscuit moringa group and 25 samples in the control group. Data were analyzed using test Paired T-Test, T-Test Independent, Wilcoxon, and Mann - U Withney. RESULT: Characteristics of age, gestational age, income, physical activity, education, and parity of both groups has been comparable before the treatment with the value p>0.05, with most of the samples aged 20-35 years having a pregnancy age of 4-8 weeks, income IDR 1 million - IDR. 2 million, activity score Baecke 6.00-7.25, Senior High School education, parity >1. A significant average increase in the value of MCH from 27.55 to 28.00 and MCV from 78.57 to 78.93 in the group provided biscuits (cookies) of Moringa Oleifera leaf flour with p-value <0.05, in the control group, occurred an average but insignificant increase with p-value >0.05. The MCHC Group control and biscuit moringa group had an average increase, but both were not statistically significant, p>0.05. There is a significant difference in increased MCH and MCV erythrocyte indices between the biscuit moringa and control groups with a p-value <0.05. As for the MCHC value, the two groups do not differ meaningfully with p-value=0.611, p>0.005. CONCLUSION: There is the effect of giving biscuits (cookies) Moringa Oleifera leaf Flour Against the index of erythrocytes MCH and MCV in pregnant women with anemia. However, it has no effect on the MCHC value of pregnant women with anemia. It is recommended for pregnant women to utilize local plants, the Moringa Oleifera leaves to fulfill the intake of nutrients that can help pregnant women from anemia.

Mean arterial pressure and the endothelin-1 levels in preeclampsia.

OBJECTIVE: This study aims to determine the correlation between Endothelin-1 levels and mean arterial pressure (MAP) with preeclampsia so that their combination can be used as the predictor of PE in early pregnancy. METHOD: This study used a cross-sectional study with a case-control design carried out in February to June 2020 in several hospitals and health centers in Makassar city, namely Dr. Wahidin Soedirohusodo General Hospital, Hasanuddin University State University Hospital, health center Bara Baraya, health center Mamajang, and health center Antang. Respondents in this study were divided into 37 pregnant women with preeclampsia and 53 pregnant women with normotension. This study's criteria for respondents were 20-35 years old, single pregnancy with > 20 weeks gestational. Data collected included education, body mass index (BMI), parity, the interval of pregnancy, and gestational age. ET-1 levels were determined using th ET-1 Elisa Kit with the ELISA method, and MAP was collected by measuring blood pressure when pregnant women came to health facilities. RESULTS: The mean serum ET-1 levels in the preeclampsia were highest than normotensive with a significant p-value of 0.001 (p<0.05). The MAP in the preeclampsia was highest than normotensive too, with a significant value of p-value 0.001 (p<0.05), and there is a positive correlation between ET-1 and MAP with r=0.34 and p-value 0.001 (p<0.05). CONCLUSION: The combination of ET-1 and MAP can be considered as a prognostic factor to detect PE in early pregnancy.

Comparison of nitric oxide levels, roll over test value, and body mass index in preeclampsia and normotension.

OBJECTIVE: The study aims to compare levels NO, the ROT, and BMI values in preeclampsia and normotension. METHOD: This study was an observational analytical study that combined the draft case-control study and a cross-sectional study (hybrid method) conducted in February-June 2020. This study was conducted in the Hospital Dr. Wahidin Sudirohusodo Makasar, Antang Health Center, Barabaraya Health Center, and Mamajang Health Center. Respondents in this study were pregnant women divided into two groups, 108 mothers with normal pregnancies and 42 mothers with preeclampsia. The criteria of the study respondents were single pregnancies, pregnancy of more than 20 weeks, and the gestational age of 20-35 years old. Data collected includes age, parity, gestational age, pregnancy interval, body mass index (BMI), and education. In addition, Nitric oxide levels are determined using Elisa Kit, and roll over test is collected by performing blood pressure measurements at two different positions. RESULTS: The mean serum NO levels in the preeclampsia 176.43±50.8 and 152.75±51.3 in normotension, and there is a meaningful relationship p=0.012. Mean value of ROT in preeclampsia 23.21±8.54 and 19.63±8.85 in normotension p=0.026. There is a meaningful difference in IMT with preeclampsia p=0.003. CONCLUSION: NO, ROT and BMI are significantly higher in pregnant mothers with preeclampsia than in normal pregnancies.

The relation of estradiol conditions and usage length to sexual dysfunction in progesterone acetate medroxepo acceptories at Bara-Baraya public health center of Makassar.

OBJECTIVE: This study aims to determine the relationship between estradiol hormone levels and duration of the usage on sexual dysfunction in Depo Medroxy Progesterone Acetate acceptors. METHOD: Family Planning (KB/Keluarga Berencana) Depo Medroxy Progesterone Acetate as many as 43 respondents who meet the sample criteria. The sampling technique used was accidental sampling. Data analysis was performed by using chi square. RESULTS: The results showed that there was a significant relation between levels of the hormone estradiol and the incidence of sexual dysfunction (p=0.000), as well as the length of time using Depo Medroxy Progesterone Acetate on sexual dysfunction (p=0.000). CONCLUSION: The result of data analysis is that the duration of Depo Medroxy Progesterone Acetate injection usage significantly reduces the level of the hormone estradiol which can cause sexual dysfunction in Depo Medroxy Progesterone Acetate acceptors.

Biscuits containing Moringa oleifera leaves flour improve conditions of anemia in pregnant women

Objective: This study analyzes whether anemia in pregnant women improves with indicators of increased hemoglobin, intake of iron and zinc when intervened with biscuits contain Moringa oleifera leaf flour. Method: It was Quasy experiment carried out at Antang, Mamajang and Batua Public Health Center in Makassar, South Sulawesi, Indonesia. The subject were the pregnant women of Trimester I and III trimesters which are divided into 2 groups with the intervention Group (n = 35) obtained M. oleifera leaf flour biscuits with combination iron tablet and the control group (n = 35) only accept FE tablets. Intervention group was given biscuits containing 40% moringa leaf flour (2.8 g per biscuits) with a dose of 2 pieces a day containing Moringa leaf flour and a combination of iron tablets with a dose of 2 times 250 mg, while the control group only consumed iron tablets at a dose of 2 times 250 mg. After 60 days, a posttest was carried out to examine hemoglobin, iron and zinc. Result: The results showed that there was a significance increasing of hemoglobin after intervention (1.04 g/dl, p = 0.001), increasing of iron intake significantly (2.51 mg, p = 0.001) and zinc intake (0.14 mg, p = 0.144) also increas but not statistically significant. The increase in these three indicators was higher than the control group. Conclusion: Biscuits containing M. oleifera leaf flour are able to provide improvement in the condition of pregnant mothers who have anemia, especially in hemoglobin levels, iron and zinc intake. (AU)

Effectiveness of turmeric (Curcuma Longa Linn) Gel Extract (GE) on wound healing: Pre-clinical test

Objective: This research was basic research to identify the effect of turmeric extract tested by the in vivo method. The purpose of this study was to identify differences in the length of the wound at each concentration of gel preparations on days 3, 7, and 14, as well as differences in wound healing time at each concentration of gel preparations and, identify the most effective gel preparations for wound healing. Method: This study is an experimental laboratory study with experimental animals using post-test only with control groups, the type of research used is a pre-clinical test (pre-clinical trial) on female rabbits. The sample size in this study was 12 rabbits grouped randomly. The length of each group's wounds was measured and observed on days 3, 7, and 14. Gel application was carried out twice a day in the morning and evening for 14 days. In this study, the experimental data were tested using Kruskal Wallis. Results: There were differences in wound length in each group treated with turmeric extract gel and base gel. Based on the mean wound length of each group, they experienced a reduction in wound length on days 3, 7, and 14. There were also differences in wound healing time in each group. In each group, wherein this case, the treatment group that was given 5% turmeric extract gel experienced a faster healing time <14 days than the other groups. Conclusion: In general, turmeric extract gel at each concentration is effective against wound healing. Turmeric extract gel concentration is the most effective gel with a concentration of 5%, then followed by concentrations of 10% and 15%. (AU)

Moringa oleifera leaf flour biscuits increase the index of erythrocytes in pregnant women with anemia

Background: Moringa Oleifera leaves contain nutrients such as proteins, iron, and vitamin C that potentially prevent anemia more common in pregnant women. In the manufacture of cookies that are substituted Moringa Oleifera leaf flour substitution, 40% obtained Fe levels 22.68 ppm so that it can be developed to prevent anemia. The purpose of this research is to know the effect of giving biscuits (cookies) Moringa Oleifera leaf flour to index erythrocytes (MCH, MCHC, MCV) of pregnant women with anemia. Method: It was a quasi-experiment research with design nonequivalent Control Group design. The research was conducted at Antang, Mamajang, and Batua Public Health Center in Makassar, examination of hematology analyzer in the Clinic Pathology Laboratory of Universitas Hasanuddin Hospital. Sampling techniques using purposive sampling. Samples were pregnant women with trimester I and III anemia amounted to 25 samples on the biscuit moringa group and 25 samples in the control group. Data were analyzed using test Paired T-Test, T-Test Independent, Wilcoxon, and Mann – U Withney. Result: Characteristics of age, gestational age, income, physical activity, education, and parity of both groups has been comparable before the treatment with the value p > 0.05, with most of the samples aged 20–35 years having a pregnancy age of 4–8 weeks, income IDR 1 million – IDR. 2 million, activity score Baecke 6.00–7.25, Senior High School education, parity >1. A significant average increase in the value of MCH from 27.55 to 28.00 and MCV from 78.57 to 78.93 in the group provided biscuits (cookies) of Moringa Oleifera leaf flour with p-value <0.05, in the control group, occurred an average but insignificant increase with p-value >0.05. The MCHC Group control and biscuit moringa group had an average increase, but both were not statistically significant, p > 0.05. (AU)

Mean arterial pressure and the endothelin-1 levels in preeclampsia

Objective: This study aims to determine the correlation between Endothelin-1 levels and mean arterial pressure (MAP) with preeclampsia so that their combination can be used as the predictor of PE in early pregnancy. Method: This study used a cross-sectional study with a case-control design carried out in February to June 2020 in several hospitals and health centers in Makassar city, namely Dr. Wahidin Soedirohusodo General Hospital, Hasanuddin University State University Hospital, health center Bara Baraya, health center Mamajang, and health center Antang. Respondents in this study were divided into 37 pregnant women with preeclampsia and 53 pregnant women with normotension. This study's criteria for respondents were 20–35 years old, single pregnancy with > 20 weeks gestational. Data collected included education, body mass index (BMI), parity, the interval of pregnancy, and gestational age. ET-1 levels were determined using th ET-1 Elisa Kit with the ELISA method, and MAP was collected by measuring blood pressure when pregnant women came to health facilities. Results: The mean serum ET-1 levels in the preeclampsia were highest than normotensive with a significant p-value of 0.001 (p < 0.05). The MAP in the preeclampsia was highest than normotensive too, with a significant value of p-value 0.001 (p < 0.05), and there is a positive correlation between ET-1 and MAP with r = 0.34 and p-value 0.001 (p < 0.05). Conclusion: The combination of ET-1 and MAP can be considered as a prognostic factor to detect PE in early pregnancy. (AU)

Comparison of nitric oxide levels, roll over test value, and body mass index in preeclampsia and normotension

Objective: The study aims to compare levels NO, the ROT, and BMI values in preeclampsia and normotension. Method: This study was an observational analytical study that combined the draft case–control study and a cross-sectional study (hybrid method) conducted in February–June 2020. This study was conducted in the Hospital Dr. Wahidin Sudirohusodo Makasar, Antang Health Center, Barabaraya Health Center, and Mamajang Health Center. Respondents in this study were pregnant women divided into two groups, 108 mothers with normal pregnancies and 42 mothers with preeclampsia. The criteria of the study respondents were single pregnancies, pregnancy of more than 20 weeks, and the gestational age of 20–35 years old. Data collected includes age, parity, gestational age, pregnancy interval, body mass index (BMI), and education. In addition, Nitric oxide levels are determined using Elisa Kit, and roll over test is collected by performing blood pressure measurements at two different positions. Results: The mean serum NO levels in the preeclampsia 176.43 ± 50.8 and 152.75 ± 51.3 in normotension, and there is a meaningful relationship p = 0.012. Mean value of ROT in preeclampsia 23.21 ± 8.54 and 19.63 ± 8.85 in normotension p = 0.026. There is a meaningful difference in IMT with preeclampsia p = 0.003. Conclusion: NO, ROT and BMI are significantly higher in pregnant mothers with preeclampsia than in normal pregnancies. (AU)

The relation of estradiol conditions and usage length to sexual dysfunction in progesterone acetate medroxepo acceptories at Bara-Baraya public health center of Makassar

Objective: This study aims to determine the relationship between estradiol hormone levels and duration of the usage on sexual dysfunction in Depo Medroxy Progesterone Acetate acceptors. Method: Family Planning (KB/Keluarga Berencana) Depo Medroxy Progesterone Acetate as many as 43 respondents who meet the sample criteria. The sampling technique used was accidental sampling. Data analysis was performed by using chi square. Results: The results showed that there was a significant relation between levels of the hormone estradiol and the incidence of sexual dysfunction (p = 0.000), as well as the length of time using Depo Medroxy Progesterone Acetate on sexual dysfunction (p = 0.000). Conclusion: The result of data analysis is that the duration of Depo Medroxy Progesterone Acetate injection usage significantly reduces the level of the hormone estradiol which can cause sexual dysfunction in Depo Medroxy Progesterone Acetate acceptors. (AU)