HUBUNGAN VARIABILITAS IKLIM DENGAN KEJADIAN DEMAM BERDARAH DENGUE (DBD) DI KABUPATEN MINAHASA UTARA TAHUN 2017-2019

Demam Berdarah Dengue adalah salah satu masalah utama kesehatan masyarakat di seluruh wilayah tropis dan subtropis. Dalam 50 tahun terakhir telah terlihat peningkatan kejadian DBD yang belum pernah terjadi sebelumnya dengan frekuensi wabah yang meningkat. Angka kejadian Demam Berdarah Dengue di provinsi Sulawesi Utara sejak tahun 2014 hingga tahun 2016 mengalami peningkatan. Kabupaten Minahasa Utara merupakan salah satu kabupaten/kota dengan jumlah penderita DBD terbanyak di Sulawesi Utara. Perubahan iklim dapat menyebabkan peralihan curah hujan, peralihan suhu, kelembaban dan arah angin, sehingga dapat berdampak pada ekosistem daratan dan lautan juga dapat berdampak terhadap kesehatan. Perubahan iklim tersebut juga dapat berdampak pada pertumbuhan vektor-vektor penyakit, seperti nyamuk Aedes, malaria dan lainnya. Penelitian ini dilakukan dengan tujuan untuk mengetahui hubungan antara variabilitas iklim (Suhu, Curah Hujan, Kelembaban) dengan Kejadian DBD yang ada di Kabupaten Minahasa Utara, dalam rentang 3 tahun (2017-2019). Metode yang digunakan yakni penelitian kuantitatif, menggunakan model studi ekologi. Analisis dilakukan dengan dua cara yakni univariat dan bivariat. Analisis univariat dilakukan untuk melihat nilai Mean, Median, Min, Max dan Standar Deviasi, sedangkan analisis bivariat digunakan untuk melihat hubungan antar-variabel dengan menggunakan uji korelasi. Hasil analisis bivariat menunjukan hasil variabilitas iklim terhadap Kejadian DBD yakni Curah Hujan (p=0,139, r=0,25), Suhu (p=0,000, r=-0,55), Kelembaban (p=0,112, r=0,27). Kesimpulanya ialah terdapat hubungan bermakna antara suhu dengan kejadian DBD dengan derajat hubungan kuat kearah negatif, tidak ada hubungan yang bermakna antara curah hujan dan kelembaban dengan kejadian DBD. Kata Kunci : DBD, Iklim, Curah Hujan, Suhu, Kelembaban ABSTRACTDengue Hemorrhagic Fever is one of the major public health problems throughout the tropics and subtropics area. The past 50 years have seen an unprecedented increase in the incidence of dengue with an increasing frequency of outbreaks. The incidence of dengue hemorrhagic fever in North Sulawesi province from 2014 to 2016 has increased. And North Minahasa Regency is one of the regencies / cities with the highest number of DHF sufferers in North Sulawesi. Climate change can cause shifts in rainfall, shifts in temperature, humidity and wind direction, so that it can have an impact on land and ocean ecosystems as well as have an impact on health. Climate change can also have an impact on the growth of disease vectors, such as the Aedes mosquito, malaria and others. This research was conducted with the aim of knowing the relationship between climate variability (temperature, rainfall, humidity) and the incidence of dengue fever in North Minahasa Regency, in the span of 3 years (2017-2019). The method used is quantitative research, using an ecological study model. The analysis was carried out in two ways, namely univariate and bivariate. Univariate analysis was performed to see the mean, median, min, max and standard deviation values, while bivariate analysis was used to see the relationship between variables using the correlation test. The results of the bivariate analysis showed that the results of climate variability on the incidence of dengue fever were rainfall (p = 0.139, r = 0.25), temperature (p = 0.000, r = -0.55), humidity (p = 0.112, r = 0.27). ). The conclusion is that there is a significant relationship between temperature and the incidence of DHF with the degree of a strong negative relationship, there is no significant relationship between rainfall and humidity with the incidence of DHF. Keywords: Dengue, Climate, Rainfall, Temperature, Humidit

Determining the Composition of the Vacuum-Liquid Interface in Ionic-Liquid Mixtures

The vacuum-liquid interfaces of a number of ionic-liquid mixtures have been investigated using a combination of reactive-atom scattering with laser-induced fluorescence detection (RAS-LIF), selected surface tension measurements, and molecular dynamics (MD) simulations. The mixtures are based on the widespread 1-alkyl-3-methylimidazolium ([Cnmim]+) cation, including mixed cations which differ in chain length or chemical functionality with a common anion; and different anions for a common cation. RAS-LIF results imply that the surface compositions exhibit a general form of non-stoichiometric behaviour that mimics the well-known Henry’s and Raoult’s laws at low and high mole fraction, respectively. The Extended Langmuir model provides a moderately good single-parameter fit, but higher-order terms are required for an accurate description. The quantitative relationship between RAS-LIF and surface tension, which probes the surface composition only indirectly, is explored for mixtures of [C2mim]+ and [C12mim]+ with a common bis(trifluoromethylsulfonyl)imide ([NTf2]-) anion. Extended Langmuir model fits to surface tension data are broadly consistent with those to RAS-LIF; however, several other common approaches to extracting surface compositions from measured surface tensions result in much larger discrepancies. MD simulations suggest that RAS-LIF faithfully reports on the alkyl-chain exposure at the surface, which is only subtly modified by composition-dependent structural reorganisation

Reactive-Atom Scattering from Liquid Crystals at the Liquid-Vacuum Interface : [C12mim][BF4] and 4-Cyano-4′-Octylbiphenyl (8CB)

Two complementary approaches were used to study the liquid-vacuum interface of the liquid-crystalline ionic liquid 1-dodecyl-3-methylimidazolium tetrafluoroborate ([C12mim][BF4]) in the smectic A (SmA) and isotropic phases. O atoms with two distinct incident translational energies were scattered from the surface of [C12mim][BF4]. Angle-dependent time-of-flight distributions and OH yields, respectively, were recorded from high- and low-energy O atoms. There were no significant changes in the measurements using either approach, nor the properties derived from them, accompanying the transition from the SmA to the isotropic phase. This indicates that the surface structure of [C12mim][BF4] remains essentially unchanged across the phase boundary, implying that the bulk order and surface structure are not strongly correlated for this material. This effect is ascribed to the strong propensity for the outer surfaces of ionic liquids to be dominated by alkyl chains, over an underlying layer rich in anions and cation head groups, whether or not the bulk material is a liquid crystal. In a comparative study, the OH yield from the surface of the liquid crystal, 8CB, was found to be affected by the bulk order, showing a surprising step increase at the SmA-nematic transition temperature, whose origin is the subject of speculation

PIK3CA mutations, phosphatase and tensin homolog, human epidermal growth factor receptor 2, and insulin-like growth factor 1 receptor and adjuvant tamoxifen resistance in postmenopausal breast cancer patients

Introduction: Inhibitors of the phosphatidylinositol-3-kinase/protein kinase B/mammalian target of rapamycin (PI3K/AKT/mTOR) pathway can overcome endocrine resistance in estrogen receptor (ER) α-positive breast cancer, but companion diagnostics indicating PI3K/AKT/mTOR activation and consequently endocrine resistance are lacking. PIK3CA mutations frequently occur in ERα-positive breast cancer and result in PI3K/AKT/mTOR activation in vitro. Nevertheless, the prognostic and treatment-predictive value of these mutations in ERα-positive breast cancer is contradictive. We tested the clinical validity of PIK3CA mutations and other canonic pathway drivers to predict intrinsic resistance to adjuvant tamoxifen. In addition, we tested the association between these drivers and downstream activated proteins.Methods: Primary tumors from 563 ERα-positive postmenopausal patients, randomized between adjuvant tamoxifen (1 to 3 years) versus observation were recollected. PIK3CA hotspot mutations in exon 9 and exon 20 were assessed with Sequenom Mass Spectometry. Immunohistochemistry was performed for human epidermal growth factor receptor 2 (HER2), phosphatase and tensin homolog (PTEN), and insulin-like growth factor 1 receptor (IGF-1R). We tested the association between these molecular alterations and downstream activated proteins (like phospho-protein kinase B (p-AKT), phospho-mammalian target of rapamycin (p-mTOR), p-ERK1/2, and p-p70S6K). Recurrence-free interval improvement with tamoxifen versus control was assessed according to the presence or absence of canonic pathway drivers, by using Cox proportional hazard models, including a test for interaction.Results: PIK3CA mutations (both exon 9 and exon 20) were associated with low tumor grade. An enrichment of PIK3CA exon 20 mutations was observed in progesterone receptor- positive tumors. PIK3CA exon 20 mutations were not associated with downstream-activated proteins. No significant interaction between PIK3CA mutations or any of the other canonic pathway drivers and tamoxifen-treatment benefit was found.Conclusion: PIK3CA mutations do not have clinical validity to predict intrinsic resistance to adjuvant tamoxifen and may therefore be unsuitable as companion diagnostic for PI3K/AKT/mTOR inhibitors in ERα- positive, postmenopausal, early breast cancer patients

Determining the Composition of the Vacuum-Liquid Interface in Ionic-Liquid Mixtures

The vacuum-liquid interfaces of a number of ionic-liquid mixtures have been investigated using a combination of reactive-atom scattering with laser-induced fluorescence detection (RAS-LIF), selected surface tension measurements, and molecular dynamics (MD) simulations. The mixtures are based on the widespread 1-alkyl-3-methylimidazolium ([Cnmim]+) cation, including mixed cations which differ in chain length or chemical functionality with a common anion; and different anions for a common cation. RAS-LIF results imply that the surface compositions exhibit a general form of non-stoichiometric behaviour that mimics the well-known Henry’s and Raoult’s laws at low and high mole fraction, respectively. The Extended Langmuir model provides a moderately good single-parameter fit, but higher-order terms are required for an accurate description. The quantitative relationship between RAS-LIF and surface tension, which probes the surface composition only indirectly, is explored for mixtures of [C2mim]+ and [C12mim]+ with a common bis(trifluoromethylsulfonyl)imide ([NTf2]-) anion. Extended Langmuir model fits to surface tension data are broadly consistent with those to RAS-LIF; however, several other common approaches to extracting surface compositions from measured surface tensions result in much larger discrepancies. MD simulations suggest that RAS-LIF faithfully reports on the alkyl-chain exposure at the surface, which is only subtly modified by composition-dependent structural reorganisation

Nano-Segregation and Structuring in the Bulk and at the Surface of Ionic-Liquid Mixtures

Ionic-liquid (IL) mixtures hold great promise, as they allow liquids with a wide range of properties to be formed by mixing two common components, rather than by synthesizing a large array of pure ILs with different chemical structures. In addition, these mixtures can exhibit a range of properties and structural organization that depend on their composition, which opens up new possibilities for the composition-dependent control of IL properties for particular applications. However, the fundamental properties, structure and dynamics of IL mixtures are currently poorly understood, which limits their more widespread application. This paper presents the first comprehensive investigation into the bulk and surface properties of IL mixtures formed from two commonly encountered ILs: 1-ethyl-3-methylimidazolium and 1-dodecyl-3-methylimidazolium bis(trifluoromethylsulfonyl)imide ([C2mim][Tf2N] and [C12mim][Tf2N]). Physical property measurements (viscosity, conductivity and density) find that these IL mixtures are not well described by simple mixing laws, suggesting that their structure and dynamics are strongly composition-dependent. Small-angle X-ray and neutron scattering (SAXS and SANS) measurements, alongside molecular dynamics (MD) simulations, show that at low mole fractions of [C12mim][Tf2N], the bulk of the IL is composed of small aggregates of [C12mim]+ ions in a [C2mim][Tf2N] matrix, which is driven by nano-segregation of the long alkyl chains and the polar parts of the IL. As the proportion of [C12mim][Tf2N] in the mixtures increases, the size and number of aggregates increases until the C12 alkyl chains percolate through the system and a bicontinuous network of polar and non-polar domains is formed. Reactive atom scattering-laser-induced fluorescence (RAS-LIF) experiments, also supported by MD simulations, have been used to probe the surface structure of these mixtures. It is found that the vacuum-IL interface is enriched significantly in C12 alkyl chains, even in mixtures low in the long-chain component. These data show, contrary to previous suggestions, that the [C12mim]+ ion is surface active in this binary IL mixture. However, the surface does not become saturated in C12 chains as its proportion in the mixtures increases and remains unsaturated in pure [C12mim][Tf2N]

Nanosegregation and Structuring in the Bulk and at the Surface of Ionic-Liquid Mixtures

Ionic-liquid (IL) mixtures hold great promise, as they allow liquids with a wide range of properties to be formed by mixing two common components, rather than by synthesizing a large array of pure ILs with different chemical structures. In addition, these mixtures can exhibit a range of properties and structural organization that depend on their composition, which opens up new possibilities for the composition-dependent control of IL properties for particular applications. However, the fundamental properties, structure and dynamics of IL mixtures are currently poorly understood, which limits their more widespread application. This paper presents the first comprehensive investigation into the bulk and surface properties of IL mixtures formed from two commonly encountered ILs: 1-ethyl-3-methylimidazolium and 1-dodecyl-3-methylimidazolium bis(trifluoromethylsulfonyl)imide ([C2mim][Tf2N] and [C12mim][Tf2N]). Physical property measurements (viscosity, conductivity and density) find that these IL mixtures are not well described by simple mixing laws, suggesting that their structure and dynamics are strongly composition-dependent. Small-angle X-ray and neutron scattering (SAXS and SANS) measurements, alongside molecular dynamics (MD) simulations, show that at low mole fractions of [C12mim][Tf2N], the bulk of the IL is composed of small aggregates of [C12mim]+ ions in a [C2mim][Tf2N] matrix, which is driven by nano-segregation of the long alkyl chains and the polar parts of the IL. As the proportion of [C12mim][Tf2N] in the mixtures increases, the size and number of aggregates increases until the C12 alkyl chains percolate through the system and a bicontinuous network of polar and non-polar domains is formed. Reactive atom scattering-laser-induced fluorescence (RAS-LIF) experiments, also supported by MD simulations, have been used to probe the surface structure of these mixtures. It is found that the vacuum-IL interface is enriched significantly in C12 alkyl chains, even in mixtures low in the long-chain component. These data show, contrary to previous suggestions, that the [C12mim]+ ion is surface active in this binary IL mixture. However, the surface does not become saturated in C12 chains as its proportion in the mixtures increases and remains unsaturated in pure [C12mim][Tf2N]

The circadian cryptochrome, CRY1, is a pro-tumorigenic factor that rhythmically modulates DNA repair.

Mechanisms regulating DNA repair processes remain incompletely defined. Here, the circadian factor CRY1, an evolutionally conserved transcriptional coregulator, is identified as a tumor specific regulator of DNA repair. Key findings demonstrate that CRY1 expression is androgen-responsive and associates with poor outcome in prostate cancer. Functional studies and first-in-field mapping of the CRY1 cistrome and transcriptome reveal that CRY1 regulates DNA repair and the G2/M transition. DNA damage stabilizes CRY1 in cancer (in vitro, in vivo, and human tumors ex vivo), which proves critical for efficient DNA repair. Further mechanistic investigation shows that stabilized CRY1 temporally regulates expression of genes required for homologous recombination. Collectively, these findings reveal that CRY1 is hormone-induced in tumors, is further stabilized by genomic insult, and promotes DNA repair and cell survival through temporal transcriptional regulation. These studies identify the circadian factor CRY1 as pro-tumorigenic and nominate CRY1 as a new therapeutic target