Biological Identification of Skulls in Indonesian and Thai Populations: Ancestry Estimation, Sex Determination, Stature Estimation, and Age Estimation / Identificación Biológica de Cráneos en Poblaciones de Indonesia y Tailandia: Estimación de Ascendencia, Determinación del Sexo, Estimación de Estatura y Estimación de Edad

SUMMARY: This review article will present an overview of biological profiles in forensic utilities. The biological profile of the skull in the existing literature can help to identify humans, especially if the condition of the victim found is a result of mutilation or a bomb explosion. When it comes to the precision of identifying skeletal remains, the human skull is frequently cited as being first in the estimation of age and ancestry and second in terms of sex and stature. It can be an alternative to assessing the following biological parameters: sex, age, stature, and ancestry. The implementation of biological profiles in the identification process is very important considering that some cases require the assistance of forensic anthropology. This review article shows the importance of the value of skulls. The method that can be applied is craniometry which can be used to determine sex, age, stature, and estimated ancestry. Different results will occur depending on the completeness of the skull. Therefore, estimation formulas have different accurate results. Discriminant function analysis has been performed on various measurement sets and its discriminant power has been validated by many researchers. Geometric morphometric analysis has become the main tool for shape analysis and many attempts have been made to use it in analyzing skulls. Several methods supported by technology have also been developed. It is hoped that the review article will show significant differences in results between studies in Thailand and Indonesia, even though they are in the same racial group.

Este artículo presenta una descripción general de los perfiles biológicos en las utilidades forenses. El perfil biológico del cráneo en la literatura existente puede ayudar a identificar a los humanos, especialmente si la condición en la que se encuentra la víctima es el resultado de una mutilación o la explosión de una bomba. Cuando se trata de la precisión en la identificación de restos óseos, el cráneo humano se cita con frecuencia como el primero en la estimación de edad y ascendencia y el segundo en términos de sexo y estatura. Puede ser una alternativa para evaluar los siguientes parámetros biológicos: sexo, edad, estatura y ascendencia. La implementación de perfiles biológicos en el proceso de identificación es importante considerando que algunos casos requieren la asistencia de la antropología forense. Este artículo de revisión muestra la importancia del valor de las cnezas óseas. El método que se puede aplicar es la craneometría para determinar el sexo, la edad, la estatura y la ascendencia estimada. Se pueden obtener diferentes resultados dependiendo de la integridad del cráneo. Por lo tanto, las fórmulas de estimación tienen resultados precisos diferentes. Se ha realizado un análisis de función discriminante en varios conjuntos de medidas y muchos investigadores han validado su poder discriminante. El análisis a través de la morfometría geométrica se ha convertido en la principal herramienta para el análisis de formas y se ha utilizado frecuentemente en el análisis de cráneos. También se han desarrollado varios métodos apoyados en la tecnología. Se espera que este trabajo muestre diferencias significativas en los resultados entre los estudios realizados en Tailandia e Indonesia, aunque pertenezcan al mismo grupo racial.

Clinicodemographic profile and outcomes of type 2 diabetes mellitus in the Indonesian cohort of DISCOVER: A 3-year prospective cohort study / Journal of the ASEAN Federation of Endocrine Societies

Background@#Indonesia is amongst the top 10 countries with the highest prevalence of Type 2 Diabetes Mellitus (T2DM) at 10.8%. However, the distinguishable features of T2DM in Indonesia remain obscure. Therefore, the DISCOVER study aimed to describe the characteristics of T2DM patients, associated vascular complications and treatment in Indonesia.@*Methodology@#DISCOVER study is a multi-country, multicenter, prospective, cohort study over 3 years. In the present study, the data were collected from 13 sites from clinical practice, hospitals and public health facilities in Indonesia.@*Results@#A total of 221 subjects were recruited with a mean age of 55.6 ± 9.8 years and body mass index (BMI) of 26.4 ± 4.4 kg/m2. Over 40% of patients had hypertension and/or hyperlipidemia. The mean duration of T2DM was 58.3 ± 62.0 months while the mean HbA1c levels was 9.2 ± 2%. In total, 82.4% completed the study within a 36-month follow-up period. BMI remained elevated i.e., >25 kg/m2. A significant reduction was observed in HbA1c levels as compared to baseline (9.2 ± 2% to 8.1 ± 1.8%). T2DM-associated microvascular complications such as peripheral neuropathy, albuminuria and chronic kidney disease were observed in 17.2%. Macrovascular complications including coronary artery disease and heart failure were seen in 26.2% of patients. We also found that more than 70% of patients were on metformin and/or sulfonylurea.@*Conclusion@#The features of patients with T2DM in Indonesia were high BMI, with hypertension and hyperlipidemia as co-morbidities. Metformin and sulfonylureas were the most common treatment. HbA1c reduction during follow-up did not reach recommended target. Thus, early detection and intervention using available glucose-lowering medications and aggressive management of risk factors and complications are essential to improve outcomes of diabetes management in Indonesia.

Down-regulation of complement genes in lipopolysaccharide-challenged zebrafish (Danio rerio) larvae exposed to Indonesian propolis / Regulação negativa dos genes do complemento em larvas de peixe-zebra (Danio rerio) desafiadas com lipopolissacarídeo expostas à própolis indonésia

Abstract Although propolis has been reported for having anti-inflammatory activities, its effects on complement system has not been much studied. This research was conducted to find out the effects of Indonesian propolis on the expression levels of C3, C1r/s, Bf, MBL, and C6 in zebrafish larvae which were induced by lipopolysaccharide (LPS). Counting of macrophages migrating to yolk sac and liver histology were carried out. Larvae were divided into four groups: CON (cultured in E3 medium only), LPS (cultured in a medium containing 0.5 μg/L LPS), LPSIBU (cultured in a medium containing LPS, and then treated with 100 μg/L ibuprofen for 24 hours), and LPSPRO (cultured in a medium containing LPS, and then immersed in 14,000 μg/L propolis for 24 hours) groups. The results showed that complement gene expression in larvae from the LPSIBU and LPSPRO groups were generally lower than in larvae from the LPS group. The number of macrophage migrations to the yolk in the LPSPRO group was also lower than in the LPS group. Histological structure of liver in all groups were considered normal. This study shows that Indonesian propolis has the potential to be used as an alternative to the substitution of NSAIDs.

Resumo Embora a própolis tenha sido relatada por ter atividade anti-inflamatória, seus efeitos no sistema complemento, uma parte do sistema imunológico inato, não foram muito estudados. Esta pesquisa foi conduzida para descobrir os efeitos da própolis da Indonésia nos níveis de expressão de C3, C1r/s, Bf, MBL e C6 em larvas de peixe-zebra induzidas por lipopolissacarídeo (LPS). Foram realizadas contagens de macrófagos que migram para o saco vitelino e histologia do fígado. As larvas foram divididas em quatro grupos: CON (cultivadas apenas em meio E3), LPS (cultivadas em meio contendo 0,5 μg/L de LPS), LPSIBU (cultivadas em meio contendo LPS e, em seguida, tratadas com 100 μg/L de ibuprofeno por 24 horas) e LPSPRO (cultivado em meio contendo LPS, e então imerso em própolis 14,000 μg/L por 24 horas). Os resultados mostraram que a expressão do gene do complemento em larvas dos grupos LPSIBU e LPSPRO foi geralmente menor que em larvas do grupo LPS. O número de migrações de macrófagos para a gema no grupo LPSPRO também foi menor que no grupo LPS. A estrutura histológica do fígado em todos os grupos foi considerada normal. Este estudo mostra que a própolis indonésia tem potencial para ser utilizada como alternativa na substituição dos AINEs (anti-inflamatórios não esteroides).

Effect of Quality of Dental Health Services to Patient Satisfaction in Indonesia 2019: Importance-Performance Analysis

ABSTRACT Objective: To determine the effect of the quality of dental health services based on dimensions of empathy and responsiveness to patient satisfaction in urban and rural areas in Bone District, Indonesia. Material and Methods: This survey used an analytical observational method with a pilot pathfinder survey design. The total of participants included in this survey was 442, with 223 in the urban area and 219 in the rural area. This survey was held on 25 February - 1 March 2019. The Mann-Whitney test was applied, adopting a significance level of 5%. Results: Empathy and responsive dimensions in urban (3.58 ± 0.94 and 3.50 ± 0.94) and rural (3.43 ± 0.99 and 3.63 ± 0.86) areas were in the moderate category. The administration staff was able to complete administrative procedures, and the Dental assistant responded promptly to the patient's request and needs. Conclusion: The quality of empathy and responsiveness dimensions in dental treatment fall in the moderate category for urban and rural areas; this means that empathy and responsiveness dimensions in dental service in hospital/public health need to be improved.

Factors that Influence the Use of Teledentistry in Indonesia During the COVID-19 Pandemic

ABSTRACT Objective: Evaluate the factors that influence the use of teledentistry during the COVID-19 pandemic in Indonesia. Material and Methods: An analytical observational study with a cross-sectional design with 163 respondents was conducted. The factors of using teledentistry studied in this study were knowledge, attitudes, beliefs, technology, benefits, and needs. The original questionnaire was constructed in English, later translated into Bahasa Indonesia, and modified to conform with Indonesian. Data analysis used univariate and bivariate (Chi-square test). Results: Respondents who have used teledentistry were 23.3%, while respondents who have never used teledentistry were 76.7%. There is no relationship between knowledge about teledentistry and the use of teledentistry (p>0.05). There is no relationship between the use of teledentistry and knowledge (p>0.05), attitudes (p>0.05), and beliefs (p>0.05). Conclusion: There were no factors associated with the use of teledentistry. The most influencing factor is the benefit of using teledentistry, which can affect the increase in the use of teledentistry during the COVID-19 pandemic.

Dynamic Self-Determination of Self-Care and Positive Deviance Model for Stunting Prevention in Indonesia

ABSTRACT Objective: To describe the dynamic self-determination of self-care (DSDoSC) and positive deviance (PD) models in changing stunting prevention behavior. Material and Methods: This research is a quasi-experimental study with a sample of 90 mothers taken by purposive sampling. Thirty mothers were given the DSDoSC intervention, 30 were given the PD intervention, and another 30 were in the control group. This research was conducted in July - October 2019. The variables studied were feeding behavior, nurturing behavior, personal hygiene behavior, environmental cleanliness and air sanitation, and behavior seeking health services. To analyze the difference in mother behaviour before and after test, we used Paired t-test. Analysis of Variance (MANOVA) was used to analyze the difference of mother behaviour among groups. The level of significance was p<0.05. Results: The PWD group showed that eating behavior, parenting behavior, personal hygiene behavior, environmental hygiene and water sanitation, and behavior seeking health services had significant numbers. In the DSDoSC group, eating behavior, parenting behavior, environmental hygiene, water sanitation and health service-seeking behavior were significantly (p<0.05). The results of the Manova test showed that there was an effect of PD and DSDoSC on stunting prevention behavior. Conclusion: Self-dynamic for self-care model and the positive deviance model both can change a mother's behavior for the better in feeding, parenting, environmental hygiene, and water sanitation, seeking health services, but not changing behavior about personal hygiene behavior.

Toothache experiences: findings from 21 years longitudinal survey

Aim: To describe the pattern of toothache experience in a cohort of children aged 2-5 over 21 years and to find the relationship between previous toothache experience and later reports of toothache to get finding on the most critical period of toothache as a problem in life. Methods: This is a secondary data analysis from Indonesia Family Life Survey (IFLS). A total of 1,927 children from IFLS-1 with complete data were included as baseline participants. They were followed up four times within 21 years (age 6-9y, age 9-12y, age 16-19y, age 23- 26y). Toothache was based on the question of self-reported toothache experience during the last four weeks. After 21 years, a total of 1,098 individuals could be traced and completed every cohort of the survey. Toothache experiences were reported for frequencies in every cohort and accumulative experiences over 21 years. Logistic regression tests were performed to analyze the association of previous toothache experience and later toothache experience. Results: Almost 40% of the respondents reported toothache at least once in their life. The age of 6-9 years is the period when a high percentage of children had teeth-related pain. The experience of toothache at this period was significantly related to every period of age in life. Conclusions: The period of early mixed dentition is important. Oral health status in this period is associated with future oral health. A comprehensive dental health prevention program targeting this population is essential to increase the quality of life

Seagrass density correlates with burrow abundance and size in the Zebra Mantis Shrimp (Stomatopoda: Lysiosquillidae) / La densidad de los pastos marinos se correlaciona con la abundancia y el tamaño de las madrigueras de los camarones mantis cebra (Stomatopoda: Lysiosquillidae)

Introduction: Mantis shrimps are ecologically and economically important organisms in marine ecosystems. However, there is still a lack of information about their habitat, in particular, their burrows. Objective: To analyze how dense and sparse mantis shrimp burrows differ in abundance, size, sediment grain size, and water quality. Methods: We counted burrows in 10 x 10 m2 random plots in sparse and dense seagrass (ten plots per density), around Barrang Lompo Island, South Sulawesi, Indonesia. Sampling took place at spring low tide from August to September 2017. Results: Two mantis shrimp species were observed: Lysiosquillina maculate and L. sulcata. Dense and sparse seagrass burrows did not differ in wall grain size or water parameters, both inside and outside of the burrows (P > 0.05). Similarly, there was no correlation between burrow depth and diameter in either dense (P > 0.05; r= 0.27) or sparse (P > 0.05; r= 0.33) seagrass. However, larger burrows tend to occur in denser beds, but there were more burrows in denser seagrass (t-test, P < 0.05). Conclusions: There seems to be a preference for dense seagrass beds, especially by larger mantis shrimps. The correlation between shrimp burrow abundance and seagrass density highlights the importance of conserving the quality as well as the extent of seagrass habitat.

Introducción: Los camarones mantis son organismos ecológica y económicamente importantes en los ecosistemas marinos. Sin embargo, aún falta información sobre su hábitat, en particular sobre sus madrigueras. Objetivo: Analizar cómo difieren las madrigueras de los camarones mantis en su abundancia, tamaño, tamaño de grano de los sedimentos y calidad del agua. Métodos: Contamos las madrigueras en parcelas de 10 x 10 m2 al azar (diez parcelas por densidad) en pastos marinos densos y poco densos, alrededor de la isla de Barrang Lompo, Sulawesi del Sur, Indonesia. Resultados: Se observaron dos especies de camarones mantis: Lysiosquillina maculata y L. sulcata. El tamaño de grano de las paredes de las madrigueras y los parámetros de agua, tanto dentro y fuera de la madriguera no variaron (P > 0.05). Tampoco hubo correlación entre la profundidad y el diámetro de las madrigueras, tanto en praderas densas (P > 0.05; r= 0.27), como no densas (P > 0.05; r= 0.33). Sin embargo, las madrigueras más grandes tienden a aparecer en las praderas densas, además había más madrigueras en pastos densos (t-test, P < 0.05). Conclusiones: Parece haber una preferencia por las praderas marinas densas, especialmente en los camarones mantis de mayor tamaño. La correlación entre la abundancia de madrigueras de camarones y la densidad de pastos marinos pone de manifiesto la importancia de conservar la calidad del hábitat de los pastos, así como su extensión.

Emotional intelligence stimulates nurses´ decent caring behavior in nursing practice in Bukittinggi City, Indonesia

INTRODUCTION: Qualified nursing services can be manifested through the provision of nursing care based on nurses' caring behavior. Therefore, a nurse's caring behavior can affect patient satisfaction which can contribute to a nurse's attitudes, and the specific baseline is emotional intelligence. As one of the clinical indicators for nursing care quality, it is associated directly with patient's satisfaction towards nurses´ caring behavior, because it is conceptualized and measurable. OBJECTIVE: To identify the association of nurses' emotional intelligence and their caring behavior throughout nursing practice hospitalization in Ambun Suri ward Dr. Achmad Mochtar Hospital, Bukittinggi, Indonesia. METHODS: This is descriptive-analytic research with a cross-sectional approach involving 69 nurses. The instruments for this study were self-report questionnaires of professional caring behavior items. Data were categorized to specific criteria and measured with descriptive statistics. RESULTS: The statistical analysis revealed 44.9% of nurses had a deficient caring attitude while high emotional intelligence reached out of 53.7% during nurses' caring behavior. A significant emotional intelligence association with caring behavior was found (p=0.001). CONCLUSION: The study findings may be recommended to the hospital ward headship throughout the functions of direction and supervision strive for nurses´ emotional intelligence development, including of nurses' touching and listening abilities, explaining and talking intonation, technical and expression amongst therapeutic processes, environmental management, and family involvement. Those should be improved from various nurses' emotional intelligence educational workshops and training for decent caring behavior enhancement.

INTRODUÇÃO: Serviços de enfermagem qualificados podem se manifestar por meio da prestação de cuidados de enfermagem com base no comportamento de cuidar do enfermeiro. Portanto, o comportamento de cuidado do enfermeiro pode afetar a satisfação do paciente, o que pode contribuir para as atitudes do enfermeiro, e a linha de base específica é a inteligência emocional. Como um dos indicadores clínicos de qualidade da assistência de enfermagem, está diretamente associado à satisfação do paciente com o comportamento de cuidar do enfermeiro, pois é conceituado e mensurável. OBJETIVO: Identificar a associação da inteligência emocional dos enfermeiros e seu comportamento de cuidar durante a internação de enfermagem na enfermaria do Hospital Dr. Achmad Mochtar de Ambun Suri, Bukittinggi, Indonésia. MÉTODOS: Pesquisa descritivo-analítica de corte transversal envolvendo 69 enfermeiros. Os instrumentos para este estudo foram questionários de itens de comportamento de cuidado profissional e autorrelato. RESULTADOS: A análise estatística revelou que 44,9% dos enfermeiros tinham uma atitude de cuidado deficiente, ao passo que foi afirmada uma inteligência emocional elevada alcançada em 53,7% durante o comportamento de cuidado dos enfermeiros. Ele teve uma associação significativa da inteligência emocional com o comportamento de cuidado com uma probabilidade significativa de 0,001. CONCLUSÃO: Os achados do estudo podem ser recomendados à chefia de enfermaria em todas as funções de direção e supervisão que buscam o desenvolvimento da inteligência emocional do enfermeiro, incluindo habilidades de toque e escuta do enfermeiro, explicação e entonação da fala, técnica e expressão entre processos terapêuticos, gestão ambiental e envolvimento da família.

Differences in Early Childhood Caries Status on Parental Stress Levels and Socioeconomic Status in Makassar City, Indonesia, During the COVID-19 Pandemic

Abstract Objective: To analyze the differences in early childhood caries status on parental stress levels and socioeconomic status in Makassar City, Indonesia, during the COVID-19 pandemic. Material and Methods: This type of analytical observational study with a cross-sectional design was conducted in North Rantepao, Toraja City, South Sulawesi Province, Indonesia. The research subjects of this study were parents who met the criteria, were willing to participate in the study, and had children aged 6-17 years. The questionnaire instrument with the criteria for assessing children's dental and oral health was assessed based on parents' perceptions. Each item is rated on a scale from 1 (never) to 5 (always). Then the total score was divided into three categories, namely low (score 3-6), moderate (score 7-10), and high (score 11-15). Comparative test analysis using Chi-Square test. Results: Parents with high-stress levels had more children with poor oral health. There is a significant difference according to the level of stress and socioeconomic status of the parents. Conclusion: There is a significant difference between caries status in early childhood based on socioeconomic status and parental stress level (AU).

Venom composition of Trimeresurus albolabris, T. insularis, T. puniceus and T. purpureomaculatus from Indonesia

Background: Several studies have been published on the characterization of Trimeresurus venoms. However, there is still limited information concerning the venom composition of Trimeresurus species distributed throughout Indonesia, which contributes to significant snakebite envenomation cases. The present study describes a comparative on the composition of T. albolabris, T. insularis, T. puniceus, and T. purpureomaculatus venoms originated from Indonesia. Methods: Protein content in the venom of four Trimeresurus species was determined using Bradford assay, and the venom proteome was elucidated using one-dimension SDS PAGE nano-ESI- LCMS/MS shotgun proteomics. Results: The venom of T. albolabris contained the highest protein content of 11.1 mg/mL, followed by T. puniceus, T. insularis and T. purpureomaculatus venom with 10.7 mg/mL, 8.9 mg/mL and 5.54 mg/mL protein, respectively. In total, our venomic analysis identified 65 proteins belonging to 16 protein families in T. purpureomaculatus; 64 proteins belonging to 18 protein families in T. albolabris; 58 different proteins belonging to 14 protein families in T. puniceus; and 48 different proteins belonging to 14 protein familiesin T. insularis. Four major proteins identified in all venoms belonged to snake venom metalloproteinase, C-type lectin, snake venom serine protease, and phospholipase A2. There were 11 common proteins in all venoms, and T. puniceus venom has the highest number of unique proteins compared to the other three venoms. Cluster analysis of the proteins and venoms showed that T. puniceus venom has the most distinct venom composition. Conclusions: Overall, the results highlighted venom compositional variation of four Trimeresurus spp. from Indonesia. The venoms appear to be highly similar, comprising at least four protein families that correlate with venom's toxin properties and function. This study adds more information on venom variability among Trimeresurus species within the close geographic origin and may contribute to the development of optimum heterologous antivenom.(AU)

Lernaea cyprinacea Linnaeus, 1758 (Copepoda: Lernaeidae) infection on Betta rubra Perugia, 1893 (Anabantiformes: Osphronemidae) from Aceh Province, Indonesia / Infecção por Lernaea cyprinacea Linnaeus, 1758 (Copepoda: Lernaeidae) em Betta rubra Perugia, 1893 (Anabantiformes: Osphronemidae) provenientes da província de Aceh, Indonésia

Abstract Betta rubra is an ornamental freshwater fish endemic to northern Sumatra, Indonesia. The B. rubra population has decreased in recent decades, and is classified as an endangered species in the IUCN Red List. This study aims to report for the first time infection by L. cyprinacea in B. rubra harvested from the Aceh Besar region of Indonesia. The fish samples were obtained from the Cot Bira tributaries, Aceh Besar District, Indonesia from January to December 2020. The results showed that the parasite infected 6 out of 499 samples in August and September, with a prevalence and intensity rate of 1% and 2 parasites/fish, respectively. The eyes and pectoral fins were the common infection sites. Despite B. rubra is not an optimal host (small size) for the parasite, this parasite might serve as additional threatening factors for the endangered B. rubra fish population.

Resumo Betta rubra é um peixe de água doce ornamental endemico da região norte Sumatra, Indonesia. A população de Betta rubra diminuiu ao longo dos anos, sendo classificada como espécie em extinção na Lista Vermelha da IUCN. Este estudo tem como objetivo relatar pela primeira vez infecção por L. cyprinacea em B. rubra coletados na região de Aceh Besar na Indonésia. As amostras de peixes foram obtidas nos afluentes Cot Bira, distrito de Aceh Besar, Indonésia de janeiro a dezembro de 2020. Os resultados mostraram que o parasito infectou 6 das 499 amostras em agosto e setembro, com uma prevalência e taxa de intensidade de 1% e 2 parasitas/peixes, respectivamente. Os olhos e as nadadeiras peitorais foram os sítios de infecção mais comuns. Apesar de B. rubra não ser um hospedeiro ideal (pequeno tamanho) para o parasita, este parasita pode servir como fator de ameaça adicional para a população de peixes B. rubra, ameaçada de extinção.

Selection of potential lactic acid bacteria from fish intestine of mackerel (Rastrelliger kanagurta) from Lembata Regency, East Nusa Tenggara, Indonesia

Aims@#The aim of this study was to screen lactic acid bacteria (LAB) isolates with probiotic properties for tilapia (Oreochromis niloticus) from the intestines of mackerel and to analyze its ability to produce hydrolase enzymes (amylase, protease, cellulase and lipase).@*Methodology and results@#Ten samples of mackerel were collected from the Fish Auction Place, Lewoleba, Nubatukan District, Lembata Regency, East Nusa Tenggara Province, Indonesia. The process for screening were antimicrobial activity, pH tolerance test of 1, 3 and 5, bile salt concentrations of 2.5%, 5% and 7.5%, and water salinity (0.5%, 3.5% and 6.5%). The autoaggregation and semi-qualitative test of hydrolase enzymes were also carried out. In total, 21 LAB isolates were derived from mackerel intestines. Isolates that have the stronger ability to inhibit the pathogen Aeromonas hydrophila ATCC 7966 are KBP 3.3, KBP 3.3.1 and KBP 6.3, while KBP 1.3, KBP 1.1.1 and KBP 3.3.1 were able to inhibit Streptococcus agalactiae ATCC 13813. The LAB isolates that survived at the tested pH were KBP 3.3.1, KBP 3.3, KBP 1.1.1 and KBP 1.3. Results also suggest that the four isolates were tolerant to bile salt concentrations and water salinity with good survival rates (>94.7%) and had proteolytic, lipolytic and cellulolytic activities. The isolates KBP 3.3, KBP 3.3.1 and KBP 1.1.1 were identified as Weissella confusa 6250, while the isolate KBP 1.3 was identified as W. confusa C5-7.@*Conclusion, significance and impact of study@#The characteristics of four selected isolates indicate their potential as a probiotic. These potential probiotic isolates can be applied directly to fish by utilizing microencapsulation technology or adding to the feed.

Características de lesões em paratletas da Indonésia antes das Olimpíadas de Tóquio em 2020: um estudo transversal / Injury characteristics of Indonesian paraathletes prior to Tokyo Olympics 2020: a crosssectional study

OBJETIVOS: Esta pesquisa tem como objetivo elucidar as características das lesões em atletas da seleção da Indonésia. MÉTODOS: Os sujeitos deste estudo foram nove atletas (masculino = 5, feminino = 4) com homens em torno da idade de 28 ± 9,13 e mulheres 28 ± 5,66 anos. A abordagem do método é descritiva com uma técnica de estudo transversal usando um questionário sobre histórico de lesões, tipos de lesões, fatores de lesões e gerenciamento de lesões para atletas indonésios que competiram nos Jogos Olímpicos de Tóquio em 2020. A análise de dados é representada em números e porcentagens e o teste exato de Fisher é usado para determinar a relação entre as variáveis. RESULTADOS: Os resultados do estudo relataram que os atletas indonésios sofreram lesões nos membros inferiores (70%), a parte do corpo que frequentemente sofre lesões foi a coxa (28%) e o tipo de lesão que frequentemente sofreu foi entorse / torção. CONCLUSÃO: As características da lesão na categoria sprint (pista) formam um padrão de lesões na coxa, tendão de Aquiles, tornozelo e joelho. Parece não haver correlação entre gênero, frequência de treinamento, proporção de lesões, número de partidas e tipo de aquecimento. A implicação é que o gerenciamento de lesões é necessário antes e durante a competição, considerando a biomecânica, a fisiopatologia e os problemas psicossociais. As estratégias de prevenção de lesões por treinadores e equipes médicas devem levar a uma redução mais significativa de lesões e otimizar a saúde, segurança e bem-estar dos atletas.

BACKGROUND: Sports for people with disabilities and injuries have been the subject of discourse in the professional literature in the fields of traumatology and sports medicine. OBJECTIVE: This research aims to elucidate the injury characteristics of athletes in the Indonesian national team. The subject of this study were nine athletes (male=5, female=4) with males around the age of 28±9.13 and females 28±5.66 years. METHOD: The method approach is descriptive with a crosssectional study technique using a questionnaire about injury history, types of injury, injury factors, and injury management for Indonesian Para Athletics Athletes who have competed in the 2020 Tokyo Olympics. Data analysis is depicted in numbers and percentages and Fisher's exact test is used to determine the relationship between variables. RESULTS: The study results reported that Indonesian athletes suffered injuries of the lower limbs (70%), part of the body that is frequently injured was the thigh (28%) and the type of injury that was often experienced sprain/twist. CONCLUSION: The injury characteristics in the sprint (track) category form a pattern of injuries to the thigh, Achilles tendon, ankle, and knee. There appears to be no correlation between gender, training frequency, injury share, match number, and warm-up type. The implication is that injury management is necessary before and during competition by considering biomechanics, pathophysiology, and psychosocial problems. Injury prevention strategies by coaches and medical teams should lead to more significant injury r

Irritable bowel syndrome in Indonesian adolescents

Abstract Objective: Irritable bowel syndrome is a frequent functional gastrointestinal disorder. The aims of this study were to investigate its epidemiology, focusing on the role of intestinal mucosal integrity and to evaluate the impact on the quality of life. Methods: A community-based survey applying a comparative cross sectional approach was conducted in six high schools in Palembang. Subjects were recruited using multistage random sampling divided in two groups. Rome III criteria were used to establish a diagnosis of IBS in combination with a questionnaire to determine risk factors. Determination of fecal alpha-1-antitrypsin and calprotectin levels was performed to determine impaired intestinal mucosal integrity. A questionnaire was used to evaluate how quality of life was affected by irritable bowel syndrome. Results: The survey was performed in 454 14−18 years old adolescents, of whom 30.2% fulfilled the Rome III criteria for IBS, with the following subtypes: 36.5% diarrhea, 18.9% constipation, 21.9% mixed, and 22.6% unclassified. Major risk factors were female gender, bullying, age 14-16 years, history of constipation and diarrhea, eating nuts, and drinking coffee, tea, and soft drinks. There was a significant association with intestinal inflammation (p = 0.013). A significantly impaired quality of life was found (p = 0.001). Conclusions: The prevalence of irritable bowel syndrome in adolescents was high, with bullying, female gender, age 14-16 years, constipation and diarrhea, and dietary consumption of soft drinks, coffee, and tea as risk factors. A significant association with intestinal inflammation was found.

Association of a Polymorphism in the Gene Encoding Methylenetetrahydrofolate Dehydrogenase 1 (MTHFD1) 1958G> A with Orofacial Cleft

ABSTRACT Objective: To evaluate the possible association of a polymorphism in the gene encoding methylenetetrahydrofolate dehydrogenase 1 (MTHFD1), 1958G>A, with the susceptibility to orofacial cleft in an Indonesian population. Material and Methods: A total of 200 stored secondary biological samples from 30 cases of orofacial cleft and 170 unaffected controls were analyzed to determine the polymorphism status at base 1958. The analysis was conducted using the PCR-restriction fragment length polymorphism technique after digestion with the Msp1 restriction enzyme. The samples were then subjected to agarose gel electrophoresis to investigate the presence or absence of the following fragments: genotype GG, 196, 86 and 40 base pairs (bp); genotype AA, 282 and 28 bp and genotype AG, 282, 196, 86, 40 and 28 bp. The test groups were compared using the Chi-square test. Results: The wild-type allele containing 1958G, as well as the genotype GG, were significantly more common in the control group than in the orofacial cleft group. Conclusion: The MTHFD1 1958G>A polymorphism was significantly associated with orofacial cleft susceptibility in the tested Indonesian population.

Gonial Angle Characteristics of Class III Malocclusion in Javanese Ethnic

ABSTRACT Objective: To describe the gonial angle characteristics in class III skeletal malocclusion in Javanese ethnic. Material and Methods: Pretreatment lateral cephalometric radiographs of 43 Javanese ethnic patients were measured: upper (Go1) and lower gonial angle (Go2), anterior (AFH) and posterior face height ratio (PFH), maxilla-mandibular length difference, mandibular plane angle (FMA), Y axis, ramus position, ANB angle, posterior cranial base/ramus height and mandibular body length/anterior cranial base. The relation between Go1, Go2 and other variables were analysed using correlation and regression analysis. Results: The total gonial angle is within normal range, but Go1 is below normal and Go2 is above normal. There is no difference between male and female gonial angle measurements (p=0.939 and p=0.861, respectively). Ramus position is positively correlated to Go1 (p=0.003), while AFH (p=0.000), maxilla-mandibular length difference (p=0.000), FMA (p=0.000), Y axis (p=0.000), and posterior cranial base/ramus height (p=0.018) are positively correlated to Go2. PFH is negatively correlated to Go2 (p=0.018). Conclusion: The upper gonial angle is influenced by the position of mandibular ramus, while the lower gonial angle is affected by the posterior and anterior lower facial height and mandibular size and rotation. Javanese with class III malocclusion tends to have hypodivergent facial type, with more posteriorly located mandibular ramus and excess mandibular length.

Evaluation of Masticatory Performance and Patient Satisfaction Before and After Posterior Implant Restoration

ABSTRACT Objective: To evaluate the improvement in masticatory performances two weeks after posterior implant restoration. Material and Methods: Nine patients with missing first and second molars were included in the study. Masticatory performances were evaluated using subjective and objective methods utilizing color-changeable chewing gum and the visual analog scale (VAS) assessment. The subjects were asked to chew the color-changeable chewing gums before and two weeks after the posterior implant restoration. Their expectations regarding aesthetics and function were verified on the VAS before implant placement. Additionally, the VAS was used for the posttreatment completion rating two weeks after the implant restoration. Results: Significant differences in masticatory performance were noted at baseline (before implant posterior restoration) and two weeks after implant restoration (p<0.05). The posttreatment aesthetic and functional expectations ratings significantly exceeded the expectations (p<0.05). Conclusion: Masticatory performances were improved two weeks after implant restoration. In addition, the significant posttreatment ratings of the patients exceeded their initial expectations. In particular, patients with poor masticatory functions demonstrated significant improvements and satisfaction following implant restoration compared to those with good mastication. These findings indicate that a posterior implant restoration can increase the masticatory performance.

Comparison of Transforming Growth Factor 1 (TGF-β 1) Expression in Various Lysate Platelet-Rich Fibrin (L-PRF) Concentrations on Human Dental Pulp Stem Cell Differentiation

ABSTRACT Objective: To compare Transforming growth factor-β1 (TGF-β1) expression in various L-PRF concentrations on the hDPSC differentiation process. Material and Methods: hDPSC cell cultures were subjected to serum starvation by reducing FBS levels in the hDPSC culture media. Lysate PRF was obtained from the PRF gel, which was then incubated at 4°C for 24 h. The supernatant was dried, transferred to a 2-ml Eppendorf tube, and stored at −20°C. The evaluation of TGF-β1 expression in 1%, 5%, 10%, and 25% L-PRF samples and 10% FBS (control) during the process of hDPSC differentiation was quantified using an ELISA reader on day 7. The expression of TGF-β1 was subjected to a one-way ANOVA test, followed by Bonferroni's post hoc test with significant values (p<0.05). Results: Significant differences were noted in TGF-β1 expression between 1%, 5%, 10%, and 25% L-PRF and the control group (10% FBS). The highest TGF-β1 expression occurred with 25% L-PRF (0.645 ± 0.048), followed by 10% L-PRF (0.461 ± 0.035), 10% FBS (0.374 ± 0.013), 5% L-PRF (0.275 ± 0.045), and the lowest expression was with 1% L-PRF (0.160 ± 0.045). Conclusion: The best result of TGF-B1 expression in hDPSC differentiation was in the 25% L-PRF group.

Validation and psychometric properties of the Indonesian version of the Fear of Missing Out Scale in adolescents

Abstract Background: This study's main purpose was to examine the psychometric properties of FoMOs' adaptation among the Indonesian adolescents' population. The second aim was to investigate the concurrent validity of the Indonesian version to provide evidence for the validity. Also, FoMOs' difference level between demographic variance analyses was performed. Method: The study involved a cross-sectional online survey design with 638 Indonesian adolescents aged 16-24 (M = 19.08, SD = 14.70). FoMO was measured by a 16-item that has been modified from the original 10-item. Exploratory and confirmatory factor analyses were carried out to study its scores' evidence of structural validity. Besides, to study its scores' evidence of convergent, discriminant, and predictive validity concerning other variables such as stress, anxiety, and depression (Depression and Anxiety Stress Scale-21), and general health condition (General Health Questionnaire Scale-12), correlation analyses were conducted. To study the sensitivity, we assessed the effect of sociodemographic and social media use on the scale's ability to identify the population's risk to the FoMO by conducting analyses of variance. The Cronbach alpha values (α = .93) indicated that internal consistency of the scale was at an adequate level. Results: Exploratory factorial analyses revealed adequate adjustment for the new version of the scale showing the three factorial structures. Confirmatory factor analyses showed that the 12-item of Indonesian FoMO had a good fit (X2/df = 289.324/51; goodness-of-fit index (GFI) = 0.928; RMSEA = 0.086; comparative fit index (CFI) = 0.915; normed fit index (NFI) = 0.899; parsimony normed fit index (PNFI) = .695; Tucker-Lewis index (TLI) = 0.890). Conclusion: This study has shown that the modified 12-item Fear of Missing Out Scale is a valid and reliable instrument for Indonesian adolescents. It showed that the Indonesian version of Fear of Missing Out Scale has adequate psychometric properties to measure Indonesian adolescents' online behavior.