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BALI MEDICAL JOURNAL (BMJ)
Published by Universitas Udayana
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Medicine & Pharmacology
Bali Medical Journal (BMJ), P-ISSN 2089-1180, E-ISSN 2302-2914 is an international and peer-reviewed journal published quarterly in print and online by Sanglah General Hospital in collaboration to Indonesian Physician Forum and Indonesian College of Surgeon, Bali-Indonesia which was founded in 2011. The Journal aims to bridge and integrate the intellectual, methodological, and substantive diversity of medical scholarship, and to encourage a vigorous dialogue between medical scholars and practitioners. The Journal welcomes contributions which promote the exchange of ideas and rational discourse between practicing educators and medical researchers all over the world.
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Articles 10 Documents
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Search results for , issue "Vol 4 No 3 (2015)" : 10 Documents clear
MAXIMIZATION OF DNA DAMAGE TO MGMT(+) EGFR(+) GBM CELLS USING OPTIMAL COMBINATION OF TEMOZOLOMIDE-ANTI EGFR MONOCLONAL ANTIBODY NIMOTUZUMAB Inggas, Made Agus Mahendra; Wahjoepramono, Eka J.; Maliawan, Sri; Islam, Andi Asadul
BALI MEDICAL JOURNAL Vol 4 No 3 (2015)
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Abstract

Background: Glioblastoma multiforme (GBM) is the most aggressive primary brain tumor in adultswith dismal prognosis due to the unavailability of an effective therapy. Up to now, there had been no definitive studies published on EGFR inhibition therapy as a chemosensitizer for GBM therapy using Temozolomide (TMZ). This study aims to reveal the most effective method and timing to administer TMZ anti EGFR targeted therapy which causes maximal DNA damage on GBM cells. Methods: Various regimens of anti EGFR monoclonal antibody Nimotuzumab (NMZ) was administered in different combinations with TMZ, performed on U87MG MGMT(+) EGFR(+) cells. The effectiveness of the combinations were evaluated by measuring yH2AX levels which reflects the degree of DNA damage. One-way Anova and LSD tests were performed to determine the effects of each treatment with p
High Serum Prostate Specific Antigen as A Risk Factor for Moderate-Severe Prostate Inflammation in Patient with Benign Prostatic Hyperplasia Duarsa, Gede Wirya K.; Lesmana, Rika; Mahadewa, Tjokorda G. B.
BALI MEDICAL JOURNAL Vol 4 No 3 (2015)
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Abstract

Background: Benign Prostatic Hyperplasia (BPH) is one of the most common degenerative disease found in men. Theories have been delivered to elucidate etiology, one of them is the theory of inflammation, and PSA is considered as one of risk factor for prostate inflammation. Undetected chronic inflammation could be a problem in BPH due to the obstructive and irritative symptoms it causes. Assessing risk factor could provide a better treatment outcome. Methods: A retrospective case control study in Sanglah Hospital, Indonesia. 70 men with BPH who underwent TURP in 2014, prostate inflammation is evaluated histologically from prostate specimens by one pathologist to avoid subjectivity. Those without inflammations and with mild inflammations are categorized as control group (n=35), and those with moderate and severe inflammations are categorized as case group (n=35). Preoperative total serum PSA retrieved from medical record Results: Median PSA is higher in case group, 2,83 compared to 14,12, with odd ratio 1,18 (p
REVIEW OF NASA FIBROMYXOMA: Aggressive Behaviour? (Case Report) Indharty, Rr. Suzy
BALI MEDICAL JOURNAL Vol 4 No 3 (2015)
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Abstract

Background: Myxomas are rare benign tumors arising from mesenchymal tissues throughout the body. These tumors are usually seen in the atrium of the heart and the jawbone. Involvement of the skull base with intracranial extension is extremely rare, and only a few cases of primary intracranial myxomas have been described in the literature. This article presents a rare case of primary myxoma of the nasal bone. Methods: The patient underwent a skull base surgery with a pre-diagnosis of possible fibromyxomas. The tumor pathology revealed a diagnosis of myxoma with bone and meningeal involvement. Despite the debulking surgery, the tumor showed a local recurrence in five month. A second debulking surgery in piece meal was required. In the article, the etiology, histological and radiological findings as well as treatment options of this rare entity were briefly discussed under the highlights of the relevant literature. Such a localization and intracranial extension of myxomas is extremely unusual in clinical practice; the diagnosis therefore requires a high degree of suspicion and detailed histopathological examination. The differential diagnosis frequently includes chondrosarcomas, chordoma, metastatic tumors of the skull, hemangiopericytoma, meningioma and other neoplasms of the dura and skull base in this location.
Lactose-Astaxanthin Increases Green Jungle Fowl’s Sperm Motility and Reduces Sperm DNA Fragmentation During 5o Celsius Storage Bebas, Wayan; Pemayun, Tjok Gede Oka; Damriyasa, I Made; Astawa, I Nyoman Mantik
BALI MEDICAL JOURNAL Vol 4 No 3 (2015)
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Abstract

Background: Good quality of semen is required for artificial insemination technology in ex-situ conservation efforts of green jungle fowl. This study was aimed to investigate semen quality of green jungle fowl during storage at 5oC for 48 hours with the addition of combination lactose astaxanthin in egg yolk phosphate dilution. Method: The semen used in the study was collected from eight healthy male green jungle fowls by using massage techniques. The semen quality was analyzed with macroscopic and microscopic examinations. The semen was diluted with egg yolk phosphate with the addition of 0.6% lactose, 0,004% astaxanthin and combination 0.6% Laktose-0,004% astaxanthin, and was stored at 5oC for 48 hours. Following 48-hour treatment, the semen quality was evaluated based on its progressive motility, and DNA fragmentation. Data were firstly analyzed by using analysis of variance (ANOVA), and were then proceeded by using Duncan Multiple Range test. Results: The results showed that the progressive motilities of semen diluted in 0.6% lactose combined with astaxanthin 0.004% %, (79,66 + 1.50%) was significantly higher than those diluted in 0.6% lactose (66,77 + 2.16%,) and in astaxanthin 0.004% (68,11 + 3.01 %). The DNA fragmentation of semen diluted inn 0.6% lactose combined with astaxanthin 0.004% %, (7,55 + 1,66%) was significantly lower than those diluted in 0.6% lactose (12,33 + 1,93%) and in astaxanthin 0.004% (13,55 + 1,81%). Conclusions: In conclusion, the combination of l 0.6% lactose -astaxanthin 0.004% showed the best results for progressive motility, and DNA fragmentation.
LAMINOPLASTY FUSION FOR CERVICAL SPINAL CORD INJURY WITH OSSIFICATION OF POSTERIOR LONGITUDINAL LIGAMENT: Combination technique for better result (Case Series) Mahadewa, T. G. B.
BALI MEDICAL JOURNAL Vol 4 No 3 (2015)
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Abstract

Background: This was a retrospective study of 10 cervical spinal cord injury (CSCI), concomitant with ossification of posterior longitudinal ligament (OPLL), that were treated by the author at Sanglah General Hospital-Bali during 2013-2014. The purpose of this study was to evaluate the efficacy of combination technique of laminoplasty with lateral mass screw fusion for canal compression due to OPLL in CSCI. There were 9 male patients of 10, average age was 58,3 years old. American Spinal Cord Injury Association (ASIA) scale preoperative was average in C scale and ASIA scale postoperative was in D. Mean JOA score preoperative was 9,5 and mean Japan orthopedic association (JOA) score postoperative was 13,3. Improvement after surgery using improvement formula of JOA was achieved by mean of 19,16%. All patients survived and improved neurologically, there was no surgical complication and implant failure in this series. No kyphotic deformity was observed in follow up cervical spine x-ray after 6 months. The author present a combination technique of 10 consecutive patients who underwent laminoplasty fusion for OPLL in CSCI with better result.
Giant ovarian cyst Santos, Vitorino M.; Santos, Lister A. M.; Modesto, Fabiana R. D.
BALI MEDICAL JOURNAL Vol 4 No 3 (2015)
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Abstract

We read the exceedingly rare case study recently described by Hota et al. about giant ovarian cyst in term pregnancy1. The patient was a 25-year-old woman undergoing therapy for hypothyroidism, with history of three previous deliveries (P1L1A1). USG of abdomen and pelvis was normal with respect to gestational age in the second trimester, and ovarian cyst was not seen. However, the USG of control done on the third trimester revealed a left ovarian cyst (21x18 cm), with normal obstetric features. The weight of removed cyst of 29x20 cm was 4.9 kg, and the histopathology diagnosis was ovarian mucinous cystadenoma1. The authors emphasized the rarity of concomitat pregnancy and ovarian cyst, and 15% of these mucinous cysts are malignant1. Huge ovarian cysts are more often benign, and less frequently they are diagnosed in association with normal pregnancies1. Major concerns in this setting should be the early diagnosis, close follow-up of the cyst growing, and appropriate intervention1. Interestingly, in the case herein commented the ovarian cyst was not detected by USG in the first two trimesters of pregnancy.
ANTI-PLASMODIUM FALCIPARUM IN VITRO ACTIVITY OF CALOPHYLLUM BICOLOR EXTRACT: Morphology and Ultra Structure Kaseke, Martha Marie; Hadju, Veny; Karim, Syafruddin; Nurdin, Armyn
BALI MEDICAL JOURNAL Vol 4 No 3 (2015)
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Abstract

Background: Anti-malarial resistance of Plasmodium, such as chloroquine becoming a health problem worldwide. This research aims to evaluate the in vitro anti-plasmodium activity of hexane fraction extract of Calophyllum bicolor (C. bicolor) against culture of Plasmodium falciparum (P. falciparum) 3D7 and determine its inhibitor concentration of 50% (IC50); to observe the microscopic changes of P. falciparum after exposed to the hexane fraction of C. bicolor extract and to observe the ultra structure changes of P. falciparum 3D7 after being exposed to hexane fraction of C. bicolor extract. Method: This research applied quasi experimental with post-test only control group design. Anti malarial activity test of hexane fraction of C. bicolor extract towards Plasmodium falciparum 3D7 2% was undertaken over 48 hours with in vitro incubation technique. The level of parasitemia was observed using binocular optical microscope with 1000x magnification by counting the infected erythrocytes with Giemsa color technique. Then it was analyzed to determine the level of inhibitor concentration of 50% (IC50) of the C. bicolor extract. The next step is to observe the changes of parasite’s morphologic and ultra structure after the 24 and 48 hours incubation of the parasite P. falciparum 3D7 with hexane fraction of C. bicolor, IC50. Then, the morphologic change of P. falciparum 3D7 was observed with optical binocular microscopy and the ultra structure changes with Transmission Electron Microscopy (TEM). The changes of morphologic and ultra structure were analyzed qualitatively. Results: The research revealed that hexane fraction of the C. bicolor extract inhibited the growth of the parasite P. falciparum 3D7 with the value of -49.00±2.54, 12.53±3.13, 23.01±1.10, 27.68±4.23, 48.65±18.71, 70.82±4.67, 80.52±6.17% with the hexane extract concentration of 0, 0.001, 0.01, 0.1, 1, 10, 100, and 1000 µg/mL. This research also found that the inhibitor concentration of 50% (IC50) of hexane fraction of C. bicolor extract was 3.94 µg/mL in 10-7 which could change the morphologic and ultra structure of P. falciparum 3D7. There were several changes in morphology of the parasite over 24 hour incubation compared with the control group, i.e. the nucleus of young tropozoid became thicker, darker, and smaller; the skizon were condensate, thicker, darker, karyorrhexis and demolition of membrane. Hexane fraction of C. bicolor extract also changes the ultra structure over 24 hour incubation, i.e. vacuole membrane boundary and hemozoin were unclear. Over 48 hours of incubation the nucleus and cytoplasm bigger than those in the control group. Conclusion: Hexane fraction of the C. bicolor extract showed a strong anti plasmodium activity towards the in vitro culture of P. falciparum 3D7 at the level of (IC50) 3.94 µg/mL. The Hexane fraction of C. bicolor extract could change the morphology and ultra structure of P. falciparum 3D7 in vitro.
LAPAROSCOPIC MANAGEMENT OF A LARGE HYDATID CYST OF LIVER (CASE REPORT) Padhy, Biren Prasad; Hota, P. K.
BALI MEDICAL JOURNAL Vol 4 No 3 (2015)
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Abstract

Background: Hydatid disease in humans is endemic in sheep rearing regions. However, a worldwide distribution is encountered. This is a parasitic disease caused by Echinococcus granulossus, which is a cestode. Liver is the most affected organ. Surgery is the mainstay of treatment in hydatid cyst of liver. Since the popularization of laparoscopic surgery, hydatid cyst of liver is being treated laparoscopically in few of the centers. Spillage and anaphylactic reactions are the main pitfalls of laparoscopic management of the hydatid cyst of the liver. We present a case of hydatid cyst of liver, which was managed laparoscopically using Palanivelu Hydatid System (PHS) without any spillage or anaphylactic reaction.
IMMUNOMODULATOR, GROWTH PERFORMANCE AND HEMATOLOGICAL PROFILES OF VIUSID VET SUPPLEMENTATION ON PIGLETS Ardana, Ida Bagus Komang; Soma, I Gede; Subawa, Anak Agung Ngurah; Putra, Dewa Ketut Harya
BALI MEDICAL JOURNAL Vol 4 No 3 (2015)
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Abstract

Background: Immunity system plays important roles in maintaining health status in human as well as in animals.This work aims to study the effect of supplementation of food supplement Viusid vet 90 on growth performance, morbidity and mortality rates, hematological profile, and on antibody titer which may indicate its possible role as an immunomodulator. Methods: Sixty (60) piglets were used as the experimental animals divided into 2 groups, namely group without Viusid supplementation as the control group and that with Viusid supplementation starting from 3 days of age until 13 days of age (10 days of treatment). The dose of supplementation in the feed was 5 cc of Viusid given twice a day. At day 7 of age, the piglets were vaccinated intramuscularly with Hog cholera vaccine and it repeated at day 14 of age. The animals were weighed at the beginning of the experiment and again at Day 15 and then at the end the experiment at Day 30. At 20 days of age all animals were bled using vacuum tube containing anticoagulant EDTA. Subsequently the bloods were examined for hematological profiles using Manual ABC VET Automated blood counter. Finally, at 30 days of age they were all bled again for the assessment of their antibody titer against Hog cholera following ELISA method. Results: supplementation of Viusid vet 90 to piglets improves performance by reducing morbidity and mortality rates. As hematological profile and differential leucocyt count did not showed any abnormality then it may concluded that supplementation of Viusid is effective and safe for piglets. Moreover, the percentage Plate Count (PC) value for Hog cholera was seropositive (54.69%) and significantly higher than control (41.32%) and this could indicate that Viusid vet 90 act as a strong immunmodulator.
LOW MOLECULAR MASS POLYPEPTIDE AND TRANSPORTER ANTIGEN PEPTIDE GENES POLYMORPHISM AS THE RISK FACTORS OF CERVICAL CANCER WHICH CAUSED BY HUMAN PAPILLOMAVIRUS TYPE-16 INFECTION IN BALI Mahendra, I Nyoman Bayu
BALI MEDICAL JOURNAL Vol 4 No 3 (2015)
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Abstract

Background: Until recently, cervical cancer is one of the major problem in women’s health issue related to its high incidence and mortality rate. The etiology of cervical cancer is the high risk oncogenic group of Human Papillomavirus (HPV), especially HPV-16 and 18 and its phylogenies. Meanwhile in Bali, more than 50% of infection are caused by HPV-16 infection. The main objective of this study was to investigate the role of LMP-2, LMP-7, TAP-1 and TAP-2 gene polymorphism as the risk factor in the cervical cancer carcinogenesis that is caused by HPV-16 infection. Method: A nested non-paired case-control study was conducted at Obstetric and Gynecologic Department Sanglah General Hospital, Bali Indonesia from March 1 until August 31, 2013. Laboratory testing was carried out at Laboratory of Histopathology Leiden University Medical Centre, Netherlands,. Results: A total of 40 samples were collected, consist of 20epithelial cervical cancer patients with positive HPV-16 infection as the case group and 20 non-cervical cancer patients with positive HPV-16 infection as the control group. Women infected by HPV-16 with LMP-7 gene polymorphism had a higher risk (OR=7.36, CI 95%=1.38-40.55, p=0.013) to be diagnosed with cervical cancer. Balinese women who were infected by HPV-16 with TAP-2 gene polymorphism had a higher risk (OR= 9.33, CI 95%=2.18-39.96, p=0.001) to be diagnosed with cervical cancer. Meanwhile, Balinese women who were infected by HPV-16 with LMP-7 and TAP-2 genes polymorphism had a higher risk (OR=12.67, CI 95%=1.40-114.42, p=0.020) to be diagnosed with cervical cancer. As the result, it was shown that both of this gene polymorphism was working synergistically. Conclusion: TAP-2 and LMP-7 genes polymorphism play a role in the carcinogenesis mechanism of cervical cancer that is caused by HPV-16 infection in Bali. Meanwhile, LMP-2 and TAP-1 genes polymorphism were not found to play a role in the immunology pathway of cervical cancer that is caused by HPV-16 infection.

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