Volume 3 No. 1 Januari - Juni 2018

Introduction : Postpartum contraception is defined as utilization of contraceptive within 42 days after a labor to prevent close interval of pregnancy. After a live birth, WHO recommended interval before attempting the next pregnancy is at least 24 months in order to reduce the risk of adverse maternal, perinatal, and infant outcomes. Several factors influence maternal in utilizing contraception after giving birth. Objective : To recognize factors influencing contraception utilization in postpartum period in Mother and Child Hospital Siti Fatimah Makassar. Study Method : The study was observational analytic study with cross sectional method. Seventy respondents were obtained with consecutive sampling technique. Chi square test was used to determine linkage value. Result : The result showed that factors affecting contraception utilization in postpartum period in Mother and Child Hospital Siti Fatimah Makassar were knowledge about contraception (p value 0.000, OR = 24.5 (2.995 – 200.437)), number of children (p value 0.004, OR = 4.182 (1.541 – 11.347)), education (p value 0.002, OR = 4.915 (1.770 – 13.646)), and husband encouragement (p value 0,000 ,OR=6,240 (2,211-17,608)). Resources variable was not related to this study. The most affecting variable was knowledge about contraception. Conclusion : Factors influecing contraception utilization in postpartum period were knowledge about contraception, number of children, education, and husband encouragement. The most affecting factor was knowledge about contraception. The most affecting factor is knowledge about contraception.

Introduction : Epicardial fat is visceral fat that plays a role in cardiovascular disease. Dyslipidemia non-diabetes mellitus can be found in both obese and non-obese patients. Measurement of waist circumference and BMI can assess central and peripheral obesity. The study aims to finding out the correlation between epicardial fat thickness based on MSCT scan Thorax with waist circumference and BMI on dyslipidemia non-diabetes mellitus subject. Method: There were 57 research samples of 28 to 70 years old who had dysfunction lipid profile. The most samples were found in the age group of 45-64 years with epicardial fat ranges from 2.80 to 10.80 mm and mean of 6.37 mm. Data were analysed by Mann-Whitney and Spearman correlation test. Result: There was a significant correlation between waist circumference and epicardial fat (r = 0.286, p = 0,031). There was no difference in mean of epicardial fat thickness by sex. There was no correlation between sex, and BMI with epicardial fat. Conclusion: There is a correlation between waist circumference and epicardial fat that may be affected by several factors in patients with dyslipidemia non-diabetes mellitus.

Background: Intrauterine growth restriction (IUGR) is still a major cause of perinatal morbidity and mortality. IUGR incidence ranged from 4.4 to 6.44% of pregnant women. Human Leukocyte Antigen - E and NK cells are thought to play an important role towards the process of IUGR.

Objective: To determine aetiopathogenesis HLA-E expression and NK Cell in IUGR.

Methods: An analytical observational study conducted through a cross-sectional approach. The research was conducted on March-October 2015 at the Obstetrics and Gynecology Department, Dr. Moewardi Hospital Surakarta and at of Laboratory of Pathology, Faculty of Medicine, Universitas Sebelas Maret Surakarta. Subjects who meet the inclusion and exclusion criteria consisted of 20 patients with IUGR and 20 normal pregnant patient. The researcher examined HLA-E Expression and NK cells in trophoblast using immunohistochemical method and statistical analysis using t test.

Results: The average HLA-E expression in the trophoblast in IUGR group 17.80 ± 5.55, compared with normal pregnancy 66.23 ± 19.83, p value = 0.0001 (p <0.05). The average expression of NK cells in trophoblast in IUGR group 137.71 ± 28.09 compared with normal pregnancy 31.75 ± 14.77, p value = 0.0001 (p <0.05).

Conclusion: HLA-E expression in normal pregnancy trophoblast is higher than pregnancies with IUGR. Expression of NK cells in pregnancy with IUGR is higher compared with normal pregnancy.

Strategies for schizophrenic treatment still have been developed in order to increase their effectively, based on latest findings in the etio-pathology. Coincidence of hyperbilirubinemia, especially related to Gilbert’s Syndrome (GS), and schizophrenia/other psychiatric disorders, was reported in several studies although the pattern of this alteration is still controversial.  Bilirubin could induce microglia to release pro-inflammatory cytokine that cause neuroinflammation, one of hypothetic etio-pathogenesis has been the most extensively studied recently. However, no data have been presented about this phenomenon in Indonesia. Therefore, this study aims to investigate plasma bilirubin concentration in psychotic spectrum.

This study is cross sectional design that we examined both the total bilirubin and direct bilirubin of every psychotic patient admitted for the first time to Rumah Sakit Khusus Daerah (RSKD) Provinsi Sulawesi Selatan over a period of July—December 2012, by using health people as control. Diagnostic determination was set based on International Classification of Diseases (ICD) 10. Patients suffering from any disease such as anemia (decreased hemoglobin), liver diseases (elevated liver enzymes), or substance abuse were excluded.

            From 73 samples, we found that plasma UCB level was significantly elevated, higher in psychotic patients, especially schizophrenic group, than in the control. Total bilirubin rate was slightly increased in schizophrenic group compare to the others and two samples in this group showed hyperbilirubinemia. Further investigations are needed to ensure that whether the elevated UCB was related to GS and whether this condition has inflammatory effect.

Introduction: Any human exercise will always involve physical conditions in it. there are 10 kinds of components of physical condition, that is strength, endurance, muscle power, speed, flexibility, agility, coordination, balance, accuracy, and reaction. Limb muscles play a leading role in many sports. To improve and develop the physical condition of an athlete, it takes an exercise, an exercise that someone has to do continuously in order to produce maximum movement. Freeletic exercise is one of the techniques used to increase leg muscle strength. This study aims to determine differences in leg muscle strength in freeletic members Makassar before and after the provision of freeletic exercise. Methods: This study is Pre Exsperimental and using one group pre-post test design. The sampling technique is purposive sampling with the number of samples is 20 people based on the inclusion and exclusion criteria for 6 weeks. Measuring tool used is Leg Dynamometer and Squat Test to know the value of muscle strength of limb before and after 18 practice. Results: The results showed there is an effect of freeletic sport to increase legs muscle strength after given 18 times freeletic sport practice with value of P<0,001.