Humble Adorations Behind Kakawin Banawa Sekar Tanakung: a Critical Discourse Analysis

This research which deals with critical discourse analysis aims (1) to find out meanings of terms and vocabularies in Kakawin Banawa Sekar Tanakung, (2) to analyze meanings of Kakawin Banawa Sekar Tanakung in religious context, and (3) to reveal ideology behind the Kakawin Banawa Sekar Tanakung. The subject of this study was Kakawin Banawa Sekar Tanakung in ancient Javanese language, while the techniques of data collections were documentation. The data was then analyzed descriptively based on theory of Critical Discourse Analysis, theory of Natural Semantic Metalanguage and theory of meaning. The results of data analysis show that (1) most meanings of terms and vocabularies in the Kakawin Banawa Sekar Tanakung were reduced and broadened due to the influence of local culture and historical events. Some words are still common in today\u27s society, especially the Balinese in which ancient Javanese literatures are kept preserved today. (2) Kakawin Banawa Sekar Tanakung has a religious and ethical meaning, that people\u27s life in the ancient Java was religiously patterned. Besides, the kakawin showed that people of the ancient Java maintained their respects and submissiveness to the royal authorities. (3) The ideology of Kakawin Banawa Sekar Tanakung is submissive adoration, seen from the way the poet selected words and presented the kakawin through humble language choices. Considering that kakawins have valuable religious, moral, and educational values, further research on ancient Javanese literature are needed. Critical analysis according to the context of the kakawin should be conducted for the raise of Indonesian research on local assets. 2 PUJIAN DENGAN KERENDAHAN HATI DALAM KAKAWIN BANAWA SEKAR TANAKUNG: SEBUAH ANALISIS WACANA KRITIS oleh Ida Bagus Arya Lawa Manuaba NIM. 1029011062 Jurusan Pendidikan Bahasa Program Pascasarjana Universitas Pendidikan Ganesha Juli 201

Avascular Necrosis of the Right Femoral Head in a Systemic Lupus Erythematosus Patient

According to the 1993 Association Research Circulation Osseous, idiopathic avascular necrosis of the femoral head is defined as the presence of disease or other causes that result in ischemic osteonecrosis of the femoral head without the presence of trauma or sepsis. Based on the above defi nition, idiopathic avascular necrosis(AVN) includes those that are the result of steroid administration, systemic lupus erythematosus, alcoholic consumption, etc. The pathogenesis of AVN is still obscure; however, it is basically caused by vascular circulation disorder, cell death and decreased capability of bone repair.1,2 Systemic lupus erythematosus (SLE) is characterized by the presence of systemic immune dysregulation, autoantibody formation, immune complex in the circulation, and activation of the systemic complement. The pathology during recurrence of SLE, among others, is the presenceof vascular lesion in the form of infl ammation, thrombosis, endothelial injury in which the three of them are predispositions for atherosclerosis. The vascular lesion will cause microcirculation damage which is a risk factor for the occurrence of AVN in activation of SLE. Besides being caused by vascular lesion during activation of SLE, AVN is also triggered by fat deposition in SLE patients as a result of long term steroid therapy that causes abnormal blood fat level.1,2 Patients with SLE who have undergone pharmacologic treatment with systemic steroid either in oral or injection form will have 10 to 40 times the risk of having idiopathic AVN. High dose of systemic steroid treatment of more than 4000 mg of prednisone administered for more than three months or low dose of oral steroid administered for seven days can become a risk factor for AVN. The mechanism of AVN caused by steroid treatmentis associated with hypercoagulation, fi brinolysis disorder, and thrombosis of the bone vein.1,2,3 We report a case of AVN of the right femoral head in an SLE patient

Correlation of Matrix Metalloproteinase-9 Level, Erythrocyte Sedimentation Rate, Rheumatoid Factor, and the Duration of Illness with Radiological Findings in Rheumatoid Arthritis Patients

Background: Rheumatoid arthritis (RA) is a common autoimmune disease of the joint indicated by chronic inflammation of synovium, cartilage destruction, and osteopenia. The end results of RA are joint deformity and disability that will decrease the quality of life ofthe patients. Until now there is not a specifi c marker to assess the process of joint and bone damage in RA. Available markers such as C-reactive protein and erythrocyte sedimentation rate (ESR) indicate more about the infl ammatory status of the patient. Thediscovery of matrix metalloproteinases (MMPs) enzyme overexpression in RA has brought a new hope for the discovery of more specifi c markers of joint damage.Objective: To study the correlation of MMP-9 level, ESR, rheumatoid factor (RF), and the duration of illness with joint damage in RA patients.Methods: A cross-sectional study was conducted on RA outpatients in rheumatology clinic at Cipto Mangunkusumo General Hospital, Jakarta from January to October 2009. From the patients who fulfilled the inclusion criteria and did not fulfi ll the exclusion criteria, blood sample was collected for MMP-9 level, RF, and ESR examinations; hand radiography (posterior-anterior view) was also taken. Results: From the study of 46 patients, we found a significant correlation between MMP-9 level and radiographic feature of bone erosion (r = 0.3, p = 0.02) and between the duration of illness and Sharp score (r = 0.36, p = 0.014). There was no correlation between ESR and radiological fi ndings nor between RF and radiological fi ndings. Linear regression analysis showed the duration of illness as the most infl uencing factor toradiological fi ndings in RA patients.Conclusion: We found a signifi cant correlation between MMP-9 level and radiographic feature of bone erosion, and between the duration of illness and radiological fi ndings in RA patients

Strategi Mobilisasi Politik Tjokorda Gede Agung melalui Pura Dadia pada Pemilu 2019 di Desa Nyanglan

This research0aims to find out how the practice of mass political mobilization of Pura  Dadia conducted by political actor Tjokorda Gede Agung in legislative elections in 2019. Furthermore, the research was framed using0the0theory0of0Political0Mobilization by Stefano Bartolini. The research0method0used0is a descriptive0 qualitative0 method0 using0 primary0 data0 and secondary 0data, 0because0it0describes0and0describes0the0form0of relationships related to the practice of mass political mobilization of Pura Dadia. . The results of the study are: first, Tjokorda Gede Agung as a political actor formed and established relationships with figures from the Family Group Pura Dadia to be able to enter the scope of Pura Dadia to gain sympathy and support in the election. Second, political actors Tjokorda Gede Agung had previously had social capital to enter the family realm of Pura Dadia through the mother, Tjokorda Istri

Utilization of Rhizosphere Earthworm Extracts to Support the Immune System

Periodontitis is an inflammatory condition caused by periodontal bacteria that are recognized by Toll-like receptors on neutrophils, macrophages, and other immune cells. As a result of this interaction, immune cells produce inflammatory molecules like cytokines and chemokines. In addition to the pathogenic effects of periodontitis, dysregulation of neutrophil activity can occur. The neutrophil acts as a double-edged sword in periodontitis, mobilizing defence mediators and tissue repair mechanisms while also causing further tissue damage. The goal of this study was to determine how Lumbricus luberus worm extract (EEW) affected the number of neutrophil cells in rats with periodontitis. A post-test design was used. Five Wistar rats, each infected with P. gingivalis, were divided into groups: a control group (no earthworm extract), an oral EEW (200 mg/kg/body weight) group, and a topical EEW gel group (20%). The number of neutrophil cells was measured on days 3, 7, 14, and 21. The study was carried out at the Udayana University Analytical Laboratory and the Veterinary Medicine Laboratory. The differences between control, oral, and topical Lumbricus rubellus extract administration on days 3 and 7 were significant (p < 0.05). On days 14 and 21, there was a significant difference (p < 0.05) between the control vs. oral administration groups and between the control vs. earthworm extract gel groups. However, on days 14 and 21, there was no significant difference between the oral administration and L. rubellus gel extract groups (p > 0.05). The number of neutrophils was significantly lower following the oral administration of L. rubellus earthworm extracts. Keywords: Wistar periodontitis rats, Lumbricus rubellus earthworm extract, neutrophi

Correlation of Interleukin-17 with Disease Activity and Hand Joint Damage in Patients with Rheumatoid Arthritis

Background: Rheumatoid arthritis (RA) is a disease involving various types of cytokines. One of them is interleukin-17 (IL-17), which is known to have a pleiotropic effect on various of cells and is thought to be a cytokine effector contributing to the pathogeniccondition in RA.Methods: The study was conducted on 46 RA patients at rheumatology clinic at the Cipto Mangunkusumo General Hospital who were diagnosed based on the 1987 American College of Rheumatology criteria. Sample selection was done using consecutive sampling. Tests on patients were conducted to collect data needed to obtain the scores for 28-joint Disease Activity Score (DAS28), global health visual analogue scale, swollen joint count, tender joint count, sedimentation rate, Sharp score (radiograph of both hands), and the IL-17 level.The correlation between IL-17 level and DAS28 was calculated using the Pearson's correlation test while the correlation between IL-17 level and Sharp score was calculated using the Spearman's test.Results: The majority of patients (87%) were women. The largest percentage was in the 51- to 60-year-old group (39.1%). Most patients (43.1%) had moderate disease activity. There were 27 patients (58.69%) with positive rheumatoid factor. The mean IL-17 level was17.28 pg/mL with a standard deviation of 11.43 pg/mL. There was no correlation of IL-17 level with disease activity (p = 0.446, r = 0.021) and Sharp score (p = 0.304, r = 0.077) in subjects of this study.Conclusion: There was no signifi cant correlation of IL-17 with disease activity and joint damage