ABSTRACT
Indonesia is a tropical area with high rainfall, the area on land is connected by around 472 large and small rivers that flow into the sea. The estuary area is the meeting area of ??rivers or fresh water streams with the ocean. Transportation of organic matter, minerals and sediments from upstream to the estuary and from the sea containing minerals, hence estuarine waters are more fertile than other areas. In addition, estuary areas are important habitats for several types of marine and freshwater organisms to fulfill their life cycles, which are used as spawning, foraging, and nursery grounds. This study aimed to determine the total organic contents, total Nitrogen, and Phosphorus in the estuary waters of Maros as a source of brackish water for fish pond aquaculture in Maros Regency. The research was conducted in the estuary waters of Maros for three months from September to November 2020. Sampling was conducted four times with an interval of once every 15 days. Sampling was carried out at five stations based on water movements to the estuary, station A was located at the seawater, station B was located in the pond wastewater locations, station C was water sources from residential waste, station D was located in the river, and station E was the estuarine water. The results showed that the dominant water quality parameters affecting estuarine water quality were salinity, total organic matter, nitrogen content, either in the form of ammonia, nitrate, or nitrite, and phosphorus content, especially phosphate. Water entering the estuary has an impact on high concentrations of total organic matter, increased concentrations of Total N, and phosphorus. The results of water quality analysis in estuaries showed that salinity, organic matter, ammonia, nitrite and nitrate, and phosphate exceed the standard threshold for water quality standards for fish pond aquaculture. Thus, the waters of the Maros estuary are not suitable for aquaculture, especially for the 5 observed stations (A, B, C, D and E).
ABSTRACT
Helicobacter pylori infects more than half the human population. However, the prevalence in Indonesia is low, as is the prevalence of gastric cancer. Hence, it could be instructive to compare these prevalence rates and their determining factors with those of countries that have high gastric cancer incidence. Ethnicity and genetic characteristics of H. pylori are important determinants of the H. pylori infection rate in Indonesia. The infection rate is higher in Bataknese, Papuans and Buginese than in Javanese, the predominant ethnic group. Ethnicity is also an important determinant of the genetic characteristics of H. pylori. Analysis of CagA in the EPIYA segment showed that the predominant genotypes in Papuans, Bataknese and Buginese are ABB-, ABDand ABC-type CagA, respectively. Meanwhile, in the countries with high gastric cancer incidence, almost all strains had East Asian type CagA. An antibiotic susceptibility evaluation showed that the standard triple therapy can still be used with caution in several cities. There is a very high rate of resistance to second-line regimens such as levofloxacin and metronidazole. Recent studies have shown that furazolidone, rifabutin and sitafloxacin are potential alternative treatments for antibiotic-resistant H. pylori infection in Indonesia. Rather than focusing on early detection and eradication as in countries with high gastric cancer prevalence, countries with low gastric cancer prevalence should focus on screening the several groups that have a high risk of gastric cancer.
ABSTRACT
Helicobacter pylori infects more than half the human population. However, the prevalence in Indonesia is low, as is the prevalence of gastric cancer. Hence, it could be instructive to compare these prevalence rates and their determining factors with those of countries that have high gastric cancer incidence. Ethnicity and genetic characteristics of H. pylori are important determinants of the H. pylori infection rate in Indonesia. The infection rate is higher in Bataknese, Papuans and Buginese than in Javanese, the predominant ethnic group. Ethnicity is also an important determinant of the genetic characteristics of H. pylori. Analysis of CagA in the EPIYA segment showed that the predominant genotypes in Papuans, Bataknese and Buginese are ABB-, ABDand ABC-type CagA, respectively. Meanwhile, in the countries with high gastric cancer incidence, almost all strains had East Asian type CagA. An antibiotic susceptibility evaluation showed that the standard triple therapy can still be used with caution in several cities. There is a very high rate of resistance to second-line regimens such as levofloxacin and metronidazole. Recent studies have shown that furazolidone, rifabutin and sitafloxacin are potential alternative treatments for antibiotic-resistant H. pylori infection in Indonesia. Rather than focusing on early detection and eradication as in countries with high gastric cancer prevalence, countries with low gastric cancer prevalence should focus on screening the several groups that have a high risk of gastric cancer.
ABSTRACT
Background and study aims: the single nucleotide polymorphism [SNP] of the vascular endothelial growth factor [VEGF] gene -634 G/C [rs2010963] influences the progression of hepatocellular carcinoma [HCC]. There have been no studies on the role of VEGF SNP -634 G/C in chronic liver disease [CLD]. The aim of the present study was to analyse the correlation between VEGF SNP -634 and the clinical severity of CLD and HCC
Patients and methods: a cross sectional study was conducted on 182 subjects [46 HCC, 39 liver cirrhotic/ LC, 38 chronic hepatitis/CH; and 57 healthy subjects]. The study was conducted from 2010 to 2014 at the Dr. Sardjito Hospital Yogyakarta, Indonesia. All subjects submitted blood serum for DNA sequencing examination using primer. The clinical data of CLD and HCC were assessed, and sVEGFR-2 was examined in 149 subjects. All data were analysed using STATA programme 11.0
Results: significant differences were observed in genotypic frequency [GG/GC/CC] between HCC, LC, CH and healthy subjects [p= 0.004], but though no significant differences were observed between the G>G and C>C genotypic frequencies [p = 0.337]. The frequency of genotype GG was significantly higher than genotype GC or CC in HCC and was associated with declining of clinical conditions [p < 0.05]. No significant difference in the distribution genotypes was observed with respect to the level of sVEGFR-2 in the serum. However, we observed a significant correlation between sVEGFR-2 and clinical characteristics in LC and CH [p < 0.05]
Conclusion: Genotype GG of the VEGF SNP -634 is the dominant genotype in severe CLD and HCC. sVEGFR-2 correlates with the disease severity but is not directly associated with the SNP -634 genotype