Introduction:People worldwide drink Zamzam water either medicinally or religiously. However, the effect of zamzam water extract of CZ in breast cancer cells remains unclear. Objective: To evaluate the zamzam water extract of CZ effect on cell apoptosis, p53 and Bcl2 protein expression in T47 D cells line culture. Methods: In the control group design, 16 Wells which was filled with T47 D cell line culture in the density of 5 x 10 4 /100 µl, were assigned into 4 groups. Control group (C-G), were only filled with T47D cell line culture; Zamzam 50 (ZZ-50); Zamzam 100 (ZZ-100), and Zamzam 500 (ZZ-500) groups, were filled with T47D cell line cultures and 50, 100, and 500 µg/ml zamzam water extract of CZ respectively, and then incubated for 48 hours. The number of apoptotic cell was counted by flow cytometry, while p53 and Bcl2 measured by immunohistochemistry staining method. Results: Mann Whitney analysis indicated that the percentage of apoptotic cell and p53 protein expression in ZZ-100 was significant higher compared to that of C-G (p < 0.05). In contrary the percentage number of Bcl2 protein expression in ZZ100-G was significantly lower when compared to that of C-G (p < 0.05). Conclusion: Treatment of zamzam water extract of CZ on T47D cell line cultured was capable of increasing the number of apoptotic cells, p53 protein expression, but decreased Bcl2 protein expression in T47D cell line culture. However the numbers of apoptotic cells were less than 10%.

Acute respiratory infection (ARI) ranks first of 10 major diseases in Primary Health Care Bangetayu with the highest percentage in Penggaron Lor Subdistrict. Skill to learn distribution and frequency of diseases as well as determinant factors that affect human health is needed in determine the most effective intervention to increase public health level. This study aimed to determine dominant factors related to ARI incidence in location of practice for community of medical students of Islam Sultan Agung University, Semarang. This study used cross-sectional design with 100 respondents and the samples were collected by stratified random sampling. Ten variables examined were environmental sanitation risk factors, while six related to behavior and health care. Data analysis used a chi-square test (bivariate) and multiple regression logistic (multivariate). Environmental sanitation factors were significantly related to ARI including the presence of ventilation, smoke hole kitchen, bedroom, residential density and the most dominant factor was the habit of smoker family members in Penggaron Lor Subdistrict. This location can be used as a practice area for the community of medical students who take Public Health Studies due to complex health problems.Keywords: Acute respiratory infection, behavior, environmental sanitation, health care Abstrak Infeki saluran pernapasan akut (ISPA) menempati urutan pertama dari 10 besar penyakit di Puskesmas Bangetayu dengan persentase terbanyak di Kelurahan Penggaron Lor. Keterampilan untuk mempelajari distribusi dan frekuensi penyakit serta faktor determinan yang memengaruhi manusia sangat diperlukan untuk menetapkan intervensi yang paling efektif untuk meningkatkan derajat kesehatan masyarakat. Perlu dilakukan penelitian untuk mengetahui faktor risiko yang paling dominan berhubungan dengan kejadian ISPA di lokasi praktik komunitas mahasiswa Fakultas Kedokteran Universitas Islam Sultan Agung Semarang. Penelitian ini menggunakan desain potong lintang dengan jumlah responden 100 orang dan sampel dikumpulkan dengan menggunakan stratified random sampling. Sepuluh variabel yang diteliti adalah faktor risiko sanitasi lingkungan, sedangkan enam faktor risiko terkait dengan perilaku dan pelayanan kesehatan. Data dianalisis secara bivariat dengan uji kai kuadrat dan multivariat dengan regresi logistik ganda. Faktor yang berhubungan dengan kejadian ISPA adalah ventilasi, lubang asap dapur, ruang tidur, dan kepadatan hunian. Faktor yang paling dominan adalah kebiasaan anggota keluarga yang merokok di Kelurahan Penggaron Lor. Lokasi ini dapat digunakan sebagai lahan praktik komunitas bagi mahasiswa kedokteran yang sedang kepaniteraan di program studi Ilmu Kesehatan Masyarakat karena memiliki permasalahan kesehatan yang kompleks.Kata kunci: Infeksi saluran pernapasan akut, perilaku, sanitasi lingkungan, pelayanan kesehatan

Background<br />Mesenchymal stem cells (MSCs) are multipotent stromal cells that express CD73, CD90, and CD105 surface markers, but not CD14, CD45, CD34, CD11b, and HLA-DR. MSCs under hypoxic conditions have the essential role of maintaining the stemness capacity by releasing several growth factors into their medium, known as hypoxia conditioned medium (HCM). This study was performed to compare the effect of percentage of HCM to normoxic medium (NM) in increasing MSC proliferation marked by proliferation rate and surface marker expression.<br /><br />Methods<br />This study was of post-test only control group design using human umbilical cord-MSCs (hUC-MSCs) as subjects. The HCM treatment group was obtained by culturing MSCs under 5% O2, whereas the NM control group was grown under 20% O2. The hUC-MSCs were divided into 4 groups with different dose ratios of HCM to NM (25%:75%; 50%:50%; 75%:25% for P1, P2 and P3, respectively and 100% of NM for the controls). All of these groups were maintained at 37oC and the data was collected after 72 hours incubation. MSC marker expression of CD73, CD90 and CD105 was analyzed using flow cytometry and MSC proliferation by trypan blue assay. <br /><br />Result<br />There were significant differences in MSC marker expression of CD73, CD90 and CD105 and proliferation at all dose ratios of HCM to NM (p&lt;0.05).<br /><br />Conclusion<br />Low oxygen concentration promotes MSC proliferation and stemness thus it might be beneficial for maintaining the MSC physiologic niche in-vitro.

Gangguan ginjal akut (GnGA) merupakan suatu keadaan dimana proses laju filtrasi glomerulus ginjal menurun secara cepat yang menyebabkan retensi nitrogen terutama kreatinin dan blood urea nitrogen (BUN). Kondisi ini dapat dinetralkan dengan mengkonsumsi antioksidan dari luar tubuh seperti Propolis (metode CMCE). Untuk mengetahui pengaruh ekstrak propolis (metode CMCE) terhadap kadar MDA dan degenerasi tubulus renalis. Penelitian ekperimental dengan pendekatan post test only control group design. Subyek penelitian berjumlah 25 ekor tikus jantan galur wistar yang dibagi secara acak menjadi 5 kelompok. Kelompok K1 tanpa diinduksi gentamisin. Kelompok K2 diinduksi gentamisin dan tanpa diberi ekstrak propolis metode CMCE. Kelompok P1, P2 dan P3 diinduksi gentamisin dan ekstrak propolis metode CMCE masing-masing dengan dosis 200, 400, 800 mg/k, BB per hari per oral selama 7 hari. pemeriksaan kadar Malondialdehid (MDA) di IBL FK UNISSULA dan pemeriksaan degenerasi tubulus renalis di RSI Sultan Agung Semarang pada Maret - Juli 2020. Uji One Way Anova menunjukkan perbedaan bermakna pada kadar MDA dan degenerasi tubulus renalis  menunjukkan perbedaan bermakna (p<0,05). Pemberian ekstrak propolis metode CMCE menunjukan berpengaruh secara signifikan terhadap kadar MDA dan skor total degenerasi tubulus renalis yang diinduksi gentamisin.

Introduction: Curcuma zedoaria is one of the herbal plants potentially protects and cures many diseases, particularly as anti-cancer and anti-tumor. Anti-cancer active compounds of it are flavonoid, phenolic, and saponin. Objectives: This study aimed to explore the cytotoxicity of Curcuma zedoria extract (CZE). Methods: Experimental Quasi with post test non equivalent control group design on T47D cell line at Biology laboratory, Faculty of Medicine, Sultan Agung Islamic University, Semarang. The research was consisted of 2 groups, namely: intervention group with CZE zam-zam solvent and intervention group with CZE ethanol solvent given 10 different dosages each for 1.000 μg/mL; 500 μg/mL; 250 μg/mL; 125 μg/mL; 62.5 μg/mL; 31.25 μg/mL; 15.62 μg/mL; 7.81 μg/mL; 3.90 μg/mL; 1.95 μg/mL. Cytotoxicity test of IC50 using direct counting method and analyzed by probit analysis. Results: IC50 value of CZE in zam-zam and ethanol solvent were 28.24 μg/ml and 13.71 µg/ml respectively at the same 24 hours incubation period. Chi-square test revealed p value was 0.000 (α = 0.05), meaning that there was significant relationship. Conclusion: CZE activity using ethanol is highly active while CZE using zam-zam water is moderate and both of them have the toxicity on breast cancer cell. As the result, apoptosis process may occur.