Food-borne zoonotic cestode infections by Diphyllobothrium spp. and Spirometra spp. are relatively uncommon in Indonesia. So far, only one case of diphyllobothriasis was confirmed in 2004 in Jakarta, whereas there were 4 sparganosis cases in Indonesia. Morphology of eggs and gravid proglottids revealed the first case to be caused by Diphyllobothrium species. However, molecular identification of the species was not successful. Sparganosis may not be particularly rare in Indonesia, since Spirometra species have often been found in cats and other animals. These topics in Indonesia are briefly overviewed with reference to historical records and socio-cultural background information.

Delayed cerebral ischemia (DCI) remains a devastating complication in subarachnoid hemorrhage (SAH), however, there were no present reports that is associated with a ruptured spinal arteriovenous fistula (sAVF). We would like to present a rare case of DCI following embolization of a ruptured perimedullary sAVF. Initially, the patient clinical symptoms mimic a SAH caused by a ruptured intracranial aneurysm. Further evaluation revealed that the SAH was caused by a ruptured perimedullary sAVF and the patient’s condition improved following the embolization procedure. Three days later, the patient developed an acute left-sided facial and motor weakness, which persisted until the patient was discharged on the day-15 onset. A magnetic resonance imaging and angiography is performed 1.5 years after discharge and revealed no signs of cerebral infarction and hemorrhage. In this paper, we reported DCI after embolization in a ruptured sAVF with SAH, supported by evidence from the current literature. We would like to also stress the importance of complete spinal and cerebral vessel imaging to reveal the underlying abnormalities and determine the most appropriate intervention.

Insufficient knowledge about the decomposition of microplastics from plastic waste in landfills hinders community involvement in waste management and sorting, posing a new threat to the environment and public health. The present study identifies, characterizes, and quantifies the microplastics in landfills soil sample to determine the latest threats posed by microplastics in the environment, particularly in landfills that are close to residential areas. This research is a descriptive study, with soil samples taken from six points in landfill site in Depok City. The abundance and shape of microplastics were characterized using a microscope, while the microplastic types were identified using Fourier Transform Infrared Spectroscopy (FTIR). The results showed that the abundance of microplastics in the Depok City landfill soil was 60,111.67 particles/kg, with the largest percentage being fragments at 63 %. FTIR functional group characterization showed the presence of plastic types, such as Polyethylene (PE), Polyvinyl Chloride (PVC), Polystyrene (PS), Polypropylene (PP), Polyethylene Terephthalate (PET), and Polyamide. The differences in waste types entering the Depok Landfill caused variations in the number, shape, and type of microplastic samples, and this study provides a foundation for mitigating and biodegrading microplastics in the landfill to minimize environmental impact and protect public health.

Insufficient knowledge about the decomposition of microplastics from plastic waste in landfills hinders community involvement in waste management and sorting, posing a new threat to the environment and public health. The present study identifies, characterizes, and quantifies the microplastics in landfills soil sample to determine the latest threats posed by microplastics in the environment, particularly in landfills that are close to residential areas. This research is a descriptive study, with soil samples taken from six points in landfill site in Depok City. The abundance and shape of microplastics were characterized using a microscope, while the microplastic types were identified using Fourier Transform Infrared Spectroscopy (FTIR). The results showed that the abundance of microplastics in the Depok City landfill soil was 60,111.67 particles/kg, with the largest percentage being fragments at 63 %. FTIR functional group characterization showed the presence of plastic types, such as Polyethylene (PE), Polyvinyl Chloride (PVC), Polystyrene (PS), Polypropylene (PP), Polyethylene Terephthalate (PET), and Polyamide. The differences in waste types entering the Depok Landfill caused variations in the number, shape, and type of microplastic samples, and this study provides a foundation for mitigating and biodegrading microplastics in the landfill to minimize environmental impact and protect public health.

Insufficient knowledge about the decomposition of microplastics from plastic waste in landfills hinders community involvement in waste management and sorting, posing a new threat to the environment and public health. The present study identifies, characterizes, and quantifies the microplastics in landfills soil sample to determine the latest threats posed by microplastics in the environment, particularly in landfills that are close to residential areas. This research is a descriptive study, with soil samples taken from six points in landfill site in Depok City. The abundance and shape of microplastics were characterized using a microscope, while the microplastic types were identified using Fourier Transform Infrared Spectroscopy (FTIR). The results showed that the abundance of microplastics in the Depok City landfill soil was 60,111.67 particles/kg, with the largest percentage being fragments at 63 %. FTIR functional group characterization showed the presence of plastic types, such as Polyethylene (PE), Polyvinyl Chloride (PVC), Polystyrene (PS), Polypropylene (PP), Polyethylene Terephthalate (PET), and Polyamide. The differences in waste types entering the Depok Landfill caused variations in the number, shape, and type of microplastic samples, and this study provides a foundation for mitigating and biodegrading microplastics in the landfill to minimize environmental impact and protect public health.

Insufficient knowledge about the decomposition of microplastics from plastic waste in landfills hinders community involvement in waste management and sorting, posing a new threat to the environment and public health. The present study identifies, characterizes, and quantifies the microplastics in landfills soil sample to determine the latest threats posed by microplastics in the environment, particularly in landfills that are close to residential areas. This research is a descriptive study, with soil samples taken from six points in landfill site in Depok City. The abundance and shape of microplastics were characterized using a microscope, while the microplastic types were identified using Fourier Transform Infrared Spectroscopy (FTIR). The results showed that the abundance of microplastics in the Depok City landfill soil was 60,111.67 particles/kg, with the largest percentage being fragments at 63 %. FTIR functional group characterization showed the presence of plastic types, such as Polyethylene (PE), Polyvinyl Chloride (PVC), Polystyrene (PS), Polypropylene (PP), Polyethylene Terephthalate (PET), and Polyamide. The differences in waste types entering the Depok Landfill caused variations in the number, shape, and type of microplastic samples, and this study provides a foundation for mitigating and biodegrading microplastics in the landfill to minimize environmental impact and protect public health.

Purpose: Coil embolization of paraclinoid aneurysms should be simple, safe, and effective considering the benign nature of the aneurysm. Here, we present a microcatheter stabilization technique using a partially inflated balloon for the treatment of paraclinoid aneurysms. Materials and Methods: This retrospective study included 58 patients who underwent balloon-assisted coiling (BAC) for unruptured paraclinoid aneurysms at a tertiary neuro-intervention center between January 2019 and March 2020. We applied a technique to stabilize the microcatheter’s position using the modified BAC technique in paraclinoid aneurysms showing various projections around the ophthalmic curve of the internal carotid artery. The basic concept of the technique is to place a partially inflated balloon just distal to the aneurysm neck and support the distal curve of the microcatheter using the proximal bottom of the balloon. Immediate radiological outcomes were analyzed, and clinical outcomes were evaluated with modified Rankin Scale (mRS) scores. Results: The BAC was successfully performed in 51 of 58 patients (88%). We treated the remaining seven patients by switching to stent-assisted coiling. We obtained a 37% mean packing density resulting in favorable occlusion in all 58 aneurysms (complete occlusion in 35 and residual neck in 23). There were no intraprocedural thromboembolic or hemorrhagic events except one that revealed an asymptomatic infarction after the procedure (1.7%). Magnetic resonance angiography follow-up was performed in 37 patients at an average of 11.8 months, in which 11 minor recurrences (29.7%) were found. There was no major recurrence nor retreatment. The mRS score was 0 in all patients during a mean follow-up of 17.7 months (range, 12–25 months). Conclusion The modified balloon-assisted coiling technique using a partially inflated balloon was safe and effective and could serve as an option for treating paraclinoid aneurysms.

Purpose: Coil embolization of paraclinoid aneurysms should be simple, safe, and effective considering the benign nature of the aneurysm. Here, we present a microcatheter stabilization technique using a partially inflated balloon for the treatment of paraclinoid aneurysms. Materials and Methods: This retrospective study included 58 patients who underwent balloon-assisted coiling (BAC) for unruptured paraclinoid aneurysms at a tertiary neuro-intervention center between January 2019 and March 2020. We applied a technique to stabilize the microcatheter’s position using the modified BAC technique in paraclinoid aneurysms showing various projections around the ophthalmic curve of the internal carotid artery. The basic concept of the technique is to place a partially inflated balloon just distal to the aneurysm neck and support the distal curve of the microcatheter using the proximal bottom of the balloon. Immediate radiological outcomes were analyzed, and clinical outcomes were evaluated with modified Rankin Scale (mRS) scores. Results: The BAC was successfully performed in 51 of 58 patients (88%). We treated the remaining seven patients by switching to stent-assisted coiling. We obtained a 37% mean packing density resulting in favorable occlusion in all 58 aneurysms (complete occlusion in 35 and residual neck in 23). There were no intraprocedural thromboembolic or hemorrhagic events except one that revealed an asymptomatic infarction after the procedure (1.7%). Magnetic resonance angiography follow-up was performed in 37 patients at an average of 11.8 months, in which 11 minor recurrences (29.7%) were found. There was no major recurrence nor retreatment. The mRS score was 0 in all patients during a mean follow-up of 17.7 months (range, 12–25 months). Conclusion The modified balloon-assisted coiling technique using a partially inflated balloon was safe and effective and could serve as an option for treating paraclinoid aneurysms.

Background: Enterocolitis and gastroenteritis remain major health problems, particularly in children living in developing countries. Intestinal protozoa, such as Entamoeba histolytica, Blastocystis, and Cyclospora, are frequently associated with these conditions. Amebic colitis can cause serious complications, including fulminant necrotizing colitis, toxic megacolon, extraintestinal amebiasis, and stunting in children. The diagnosis of amoebiasis is challenging, relying on microscopic examination, which cannot distinguish E. histolytica from the nonpathogenic E. dispar and E. moshkovskii. Therefore, this study aimed to identify intestinal parasites, particularly Entamoeba, their prevalence, and the clinical characteristics of patients admitted for enterocolitis and gastroenteritis at a tertiary-referral hospital.Material and Methods: A cross-sectional, retrospective study was conducted at a national, tertiary-referral government hospital, in Jakarta. Of the 111 retrieved medical records from hospitalized patients with enterocolitis and gastroenteritis, for which parasitology feces were examined, 54 fecal samples (48.6%) were still available in the parasitology laboratory storage. All fecal samples underwent the following tests: 1) direct stool examination, after staining with 1% Lugol’s solution, and using the water–ether concentration method; 2) modified acid-fast staining for coccidian parasites; 3) Jones’ culture medium to detect Blastocystis; 4) copro-antigen assay to detect Cryptosporidium and Giardia; and 5) a polymerase chain reaction (PCR) assay to identify Entamoeba. Clinical and demographic data were obtained from the medical records. Results: Largely, patients (44.1%) were from the cohort of young children ≤5 years old, followed by adults aged 19–60 years old (24.3%). Both cohorts exhibited polyparasitism. Intestinal parasites were detected in 17 out of the 54 samples (31.4%). These included 6 (11.1%), 2 (3.7%),5 (9.2%), 3 (5.5%), 2 (3.7%), and 1 (1.8%) samples that were positive for Blastocystis, E dispar, E. histolytica, E. moshkovskii, Cryptosporidium, and Dientamoeba fragilis, respectively. PCR analysis revealed that 10 samples were positive for Entamoeba infection, eight of which originated from pediatric patients. Conclusion At a national tertiary-referral hospital in Indonesia, Entamoeba infection was the most prevalent parasite among pediatric patients with enterocolitis. E. histolytica and E. moshkovskii were the two main species identified by PCR. Therefore, PCR assays and fecal occult–blood tests are recommended in cases of enterocolitis and gastroenteritis.

Purpose: The objective of this study was to determine the minimum number of teeth in the anterior dental arch that would yield accurate results for individual identification in forensic contexts. Materials and Methods: The study involved the analysis of 28 sets of 3-dimensional (3D) point cloud data, focused on the labial surface of the anterior teeth. These datasets were superimposed within each group in both genuine and imposter pairs. Group A incorporated data from the right to the left central incisor, group B from the right to the left lateral incisor, and group C from the right to the left canine. A comprehensive analysis was conducted, including the evaluation of root mean square error (RMSE) values and the distances resulting from the superimposition of dental arch segments. All analyses were conducted using CloudCompare version 2.12.4 (Telecom ParisTech and R&D, Kyiv, Ukraine). Results: The distances between genuine pairs in groups A, B, and C displayed an average range of 0.153 to 0.184 mm. In contrast, distances for imposter pairs ranged from 0.338 to 0.522 mm. RMSE values for genuine pairs showed an average range of 0.166 to 0.177, whereas those for imposter pairs ranged from 0.424 to 0.638. A statistically significant difference was observed between the distances of genuine and imposter pairs (P<0.05). Conclusion The exceptional performance observed for the labial surfaces of anterior teeth underscores their potential as a dependable criterion for accurate 3D dental identification. This was achieved by assessing a minimum of 4 teeth.