Medical Journal Center Online

Kamis, 29 Desember 2011

What’s Viruse that cause many kind of diseases???

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Viruses are strict intracellular parasites of other living cells, not only of mammalian and
plant cells, but also of simple unicellular organisms, including bacteria (the bacteriophages). Viruses are simple forms of replicating, biologically active particles that carry genetic information in either DNA or RNA molecules, but never both. Most mature viruses have a protein coat over their nucleic acid and sometimes a lipid surface membrane derived from the cell they infect. Because viruses lack the protein-synthesizing enzymes and structural apparatus necessary for their own replication, they bear essentially no resemblance to a true eukaryotic or prokaryotic cell. Viruses replicate by using their own  genes to direct the metabolic activities of the cell they infect to bring about the synthesis and reassembly of their component parts. A cell infected with a single viral particle may thus yield many thousands of viral particles, which can be assembled almost simultaneously under the direction of the viral nucleic acid. With many viruses, cell death and infection of other cells by the newly formed viruses result. Sometimes, viral reproduction and cell reproduction proceed.

Selasa, 27 Desember 2011

WHAT’S MICROBIOLOGY IN MEDICAL SCIENCE ????


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Microbiology is a science defined by smallness. Its creation was made possible by the invention of the microscope (Gr. micro, small _ skop, to look, see), which  allowed visualization
of structures too small to see with the naked eye. This definition of microbiology as the study of microscopic living forms still holds if one can accept that some organisms can live only in other cells (eg, all viruses, some bacteria) and others have macroscopic forms (eg, fungal molds, parasitic worms). Microorganisms are responsible for much of the breakdown and natural recycling of organic material in the environment. Some synthesize nitrogen-containing compounds that contribute to the nutrition of living things that lack this ability; others (oceanic algae) contribute to the atmosphere by producing oxygen through photosynthesis. Because
microorganisms have an astounding range of metabolic and energy-yielding abilities,some can exist under conditions that are lethal to other life forms. For example, some bacteria can oxidize inorganic compounds such as sulfur and ammonium ions to generate energy, and some can survive and multiply in hot springs at temperatures above 75°C. Some microbial species have adapted to a symbiotic relationship with higher forms of life. For example, bacteria that can fix atmospheric nitrogen colonize root systems oflegumes and of a few trees such as alders and provide the plants with their nitrogenrequirements. When these plants die or are plowed under, the fertility of the soil is enhanced by nitrogenous compounds originally derived from the metabolism of the bacteria.
Ruminants can use grasses as their prime source of nutrition, because the abundant flora of anaerobic bacteria in the rumen break down cellulose and other plant compounds to usablecarbohydrates and amino acids and synthesize essential nutrients including some amino acids and vitamins. These few examples illustrate the protean nature of microbial life and their essential place in our ecosystem. The major classes of microorganisms in terms of ascending size and complexity are viruses, bacteria, fungi, and parasites. Parasites exist as single or multicellular structures with the same eukaryotic cell plan of our own cells. Fungi are also eukaryotic but have a rigid external wall that makes them seem more like plants than animals. Bacteria also have a cell wall, but their cell plan is prokaryotic and lacks the organelles of eukaryotic cells. Viruses have a genome and some structural elements but must take over the machinery of another living cell (eukaryotic or prokaryotic) in order to replicate.

Selasa, 06 Desember 2011


the top 10 serious diseases causes of death in the world



World Deaths in millions % of deaths
Ischaemic heart disease 7.25 12.8%
Stroke and other cerebrovascular disease 6.15 10.8%
Lower respiratory infections 3.46 6.1%
Chronic obstructive pulmonary disease 3.28 5.8%
Diarrhoeal diseases 2.46 4.3%
HIV/AIDS 1.78 3.1%
Trachea, bronchus, lung cancers 1.39 2.4%
Tuberculosis 1.34 2.4%
Diabetes mellitus 1.26 2.2%
Road traffic accidents 1.21 2.1%

Minggu, 04 Desember 2011

Sabtu, 03 Desember 2011

Jumat, 02 Desember 2011

KANKER SERVIKS

      Kanker serviks merupakan pertumbuhan dari suatu kelompok sel yang tidak normal pada serviks (leher rahim) yang bersifat ganas dan invasif.Faktor etiologik paling penting pada timbulnya kanker serviks ialah infeksi Human Papillomavirus (HPV). HPV adalah virus DNA yang menimbulkan proliferasi pada permukaan epidermal dan mukosa, yang mengarahkan ke keadaan Cervical Intraepithelial Neoplasia (CIN) kemudian berlanjut menjadi kanker. HPV ditemukan pada 85-90 % lesi prakanker dan neoplasma invasif, dan secara lebih spesifik terdapat beberapa tipe HPV yang berisiko tinggi yaitu tipe 16, 18, 31, 33, 35, 39, 45, 52, 56, 58, dan 59. Selain infeksi HPV, ada faktor – faktor lain yang berpengaruh terhadap proses pembentukan kanker serviks. Faktor lain yang mempengaruhi kanker serviks seperti merokok, sistem imunitas yang menurun, infeksi chlamydia, pil kontrasepsi, usia pada saat kehamilan pertama, faktor ekonomi (kemiskinan), dan riwayat keluarga yang menderita kanker serviks.
       Patogenesis kanker serviks diawali dengan adanya infeksi oleh HPV melalui skin-to-skin contact ketika berhubungan seksual. Infeksi HPV terbatas pada basal sel dari sel epitel pipih berlapis yang merupakan jaringan khusus tempat HPV dapat bereplikasi. Virus HPV tidak dapat menempel pada jaringan hidup tetapi dapat menyerang jaringan epitel melalui mikro abrasi atau trauma epitelial lain yang mampu memaparkan membran dasarnya. Proses infeksi memakan waktu 12-24 jam untuk inisiasi transkripsi. Infeksi dan replikasi dari human papilloma virus (HPV) terdapat di sel epitel serviks. Serviks normal memiliki zona transformasi yang ditandai dengan perubahan dari epitel kolumnar menjadi epitel skuamousa. HPV kemungkinan menginfeksi bagian ini dan  mengekspresikan viral genes E1, E2, E4, E5, E6, dan E7 pada lapisan basal akibat proses penggadaan diri secara episomal.
    Basal sel yang terinfeksi akan menunjukkan tanda disrupsi sel sebagai hasil dari infeksi virus dan melanjutkan proliferasi dan bermigrasi ke permukaan sel epitel, dimana sel skuamous yang sekarang mengekspresikan gen HPV  L1 dan L2. Partikel virus infektif akan terbentuk dan tertanam ke lumen vagina.  Infeksi HPV bisa berubah menjadi HPV-induced mild dysplasia, Stadium akhir Cervical Intraepithelial neoplasia (CIN3) dan dapat menjadi kanker serviks yang bersifat invasif, saat membran dasar pecah dan sel kanker bermetastasis.Pada sel epitel yang bertransformasi, gen HPV diintegrasi ke kromosom host dengan mengekspresikan protein onkogenik E6 dan E7. Protein E6  akan menempel dan menginaktivasi protein supresor p53, sedangkan protein HPV E7 mampu berikatan dengan pRb menghasilkan terbebasnya host transcriptional factor E2F dari kompleks pRb/E2F. E2F menghasilkan banyak gen yang penting untuk mitosis, akan memulai siklus sel, dan menyebabkan hiperproliferasi. Kombinasi antara protein HPV E6 dan E7 yang berisiko tinggi tersebut mampu menyebabkan instabilitas genetik dan perkembangan lesi kanker ke tingkat yang lebih mematikan.
     Selanjutya, karsinoma invasif serviks terbentuk di zona transformasi dan berkisar dari fokus mikroskopik invasi stroma. Kemudian, kanker serviks menyebar secara luas masuk ke dalam jaringan paraservikal. Pertumbuhan yang berlangsung mengakibatkan lesi yang dapat dilihat dan terlibat lebih progresif pada jaringan jaringan servikal. Pada tahap lebih lanjut, karsinoma servikal invasif dapat menginvasi dan meluas ke dinding vagina, ligamentum kardinale, dan rongga endometrium, kelenjar getah bening dan pembuluh darah.  Hal ini mengakibatkan metastasis ke bagian tubuh yang lebih jauh, dan sebagian besar penyebab kematian pada penderita.