Effect of analog rice’s fiber on skeletal muscles GLUT4 expression in diabetic rats Background: Disruption of glucose transportation in skeletal muscle through GLUT4 becomes a problem in diabetes. Analog rice that had been modified by adding dietary fiber could improve the expression of GLUT4.Objective: This study aims to know the effect of dietary fiber toward GLUT4 expression and to know the dietary fiber percentage in analog rice.Method: The research type is true experimental with post-test only group design. The samples consist of 24 male Wistar rats that are group into 4 groups (n=6 each group). Three groups were induced by giving a high-fat diet for 40 days and streptozotocin (STZ) 35 mg/kg BW was given at 33th day and one group was not induced. After the blood glucose level exceeded 135 mg/dl, the treatment was given. After 3 weeks, the rats were terminated and quadriceps femoris muscle tissue was taken for immunohistochemistry examination using rat GLUT4 polyclonal antibody. GLUT4 expression was quantified using an immunoreactive score (IRS-GLUT4). The data were analyzed using the Kruskal-Wallis test and Spearman test.Results: Statistical analyses showed that there were significant differences between groups with a moderate positive correlation (correlation coefficient=0,651; p=0,003).Conclusion: Dietary fiber in analog rice could improve skeletal muscle GLUT4 expression in Wistar rat diabetic model.

Hepar mempunyai peranan yang penting dalam mempertahankan homeostasis metabolisme tubuh. Stres oksidatif akibat aktifitas fisik berat dapat meningkatkan produksi Reactive Oxygen Species (ROS) yang kemudian menyebabkan kondisi patologis pada sel hepatosit, ditandai dengan perubahan struktur dan fungsinya. Penelitian ini bertujuan untuk mengetahui dampak stres oksidatif akibat aktifitas fisik berat terhadap kerusakan sel hepatosit. Penelitian ini menggunakan 16 ekor tikus putih Wistar jantan yang berumur 3 bulan, dengan berat badan antara 150 s.d. 200 gram yang dibagi ke dalam kelompok kontrol dan perlakuan. Aktifitas fisik berat yang berupa renang dengan beban dan intensitas maksimal diberikan pada kelompok kontrol, dilakukan setiap pagi selama 30 hari. Penilaian stres oksidatif ditentukan melalui pengukuran kadar MDA serum menggunakan teknik Thiobarbituric Acid Reactive Substance (TBARS). Perubahan histopatologi sel hepatosit berupa degenerasi sel dinilai berdasarkan klasifikasi sistem skoring NAFLD dari the Pathology Committee of the NASH Clinical Research Network. Rerata kadar MDA pada kelompok kontrol sebesar 42,38 nmol/ml, sedangkan pada kelompok perlakuan sebesar 89,63 nmol/ml. Pada pengamatan histopatologi hepar menunjukkan adanya proses degenerasi sel. Dapat disimpulkan bahwa aktifitas fisik berat dapat menyebabkan degenerasi sel hepatosit melalui mekanisme stres oksidatif.Kata Kunci: Aktifitas fisik berat, degenerasi, sel hepatosit, stres oksidatif.

RSD Kalisat is one of the hospital that is very concern with the quality of health services. The reliability of service quality is often perceived as the most important dimension for the customer. Quality of service is very influential on patient satisfaction. If the health care provided is good, then the patient will be satisfied and the possibility to reuse services in health care-related agencies will increase. The purpose of this study was to determine the correlation between patient satisfaction index in the reliability of service quality with utility at RSD Kalisat. This study used cross sectional design with total sample of 84 respondents. The instrument used was RSD Kalisat profile and questionnaire to determine patient satisfaction index in the reliability of service quality and statement for utility. The results of statistical test by Spearman's Rho showed a significance value (p=0.021) and the correlation coefficient (r =0.252). Thus, it can be concluded that there was a significant correlation between patient satisfaction index in the reliability of service quality with utility at RSD Kalisat Jember with a weak correlation.   Keywords: index satisfaction, reliability, service quality, utility

Coronary heart disease (CHD) is the cause of 7,3 million death globally in 2008. The main pathophysiology process that leads to CHD is atherosclerosis which is caused by high LDL cholesterol level. The aim of this study was to explore bay leaf and celery leaf infusion effect on reducing LDL cholesterol level in dyslipidemic rat model. The type of this study was true experimental research using wistar rat (Rattus novergicus) as the sample. The rats were induced by high fat diet and PTU for two weeks then each of the group were given either bay leaf infusion, celery leaf infusion, simvastatin (positive control), or aquadest (negative control) for a week. The measurement of LDL level used Friedewald formulation. Data was analyzed using paired sample t test and one way ANOVA. As the result there was a significance reduction on LDL level after treatment with bay leaf (p=0,013) and celery leaf infusion (p=0,035) but there was no significance difference between groups (p=0,293). It was concluded that bay leaf and celery leaf infusion could reduce the LDL level in dyslipidemic wistar rat but there was no difference on the capability of the two different leafs on reducing LDL level. Keywords: dyslipidemia, LDL, bay leaf, celery leaf, wistar rats

High-level neutrophil activity and oxidative stress were reported in Acute Coronary Syndrome (ACS). Aims: This study aimed to analyze serum level neutrophil collagenase (Matrix Metalloproteinase 8, MMP-8) and oxidative enzyme NADPH Oxidase-1 (NOX-1) in ACS. Settings and Design: This study an observational cross-sectional study. Methods and Material: A total of 84 subjects were studied, consisted of 52 ACS patients (including 21 unstable angina and 15 Non-ST-Segment Elevation Myocardial Infarction [NSTEMI] and 16 ST-Segment Elevation Myocardial Infarction [STEMI]), 16 subjects with stable angina pectoris and 16 healthy control. The level of serum MMP-8 and NOX-1 were analyzed by enzyme-linked immunosorbent assay (Elisa). Statistical analysis used: Data were analyzed using Anova and LSD. Results:Level serum MMP-8 and NOX-1 were significantly (p < 0.05) higher in ACS, the highest level of both markers were found in STEMI patients. Neutrophil leukocytosis was frequently found in STEMI patients as well. Conclusions: ACS patients demonstrated sign of inflammation and oxidative stress indicated by elevated serum neutrophil collagenase and NOX-1. These evidences might provide as markers for predicting as well as a guide for preventing and developing therapy for ACS.