Persebaran Penyakit di Kawasan Laut Jawa Abad XIX - XX

This article discussed about the process of diseases spreading along the Java Sea area during the 19th and the early 20th century. This study utilized historical method with an aim to reconstruct past events, especially on the outbreaks happened in the Java Sea area and how the colonial governmnet dealt with the occurrence. The article applied Braudel’s structural theory (1988) to analyze the existence of structures, which were taking a role in the process of diseases spreading. This analysis was supported by the concept of ‘silent barter’, developed by Knapen (1995) as a benchmark to determine factors that caused the spread. The results allowed us to discover that the dynamics of shipping and trading in the Java Sea at that time were part of the whole pandemic situation. There were at least two diseases discussed as the main focus of this article, smallpox and cholera, as these two severely affected the trading and shipping activity. These diseases were carried by the crews of ships escaping the quarantine doctors who carried out medical examination at various ports. Several ports in Java, such as Batavia, Semarang, Cirebon, and Surabaya, had become the epicenters of the outbreak. The government applied a regulation to attached a yellow flag to the ship contaminated by the plague before they entered the port area. The yellow flag functioned as an identifying marker. The regulation was supposed to limit the spread of diseases from the coastal area of Java to the mainland, as well as to gain more attention from other ships and doctors resided near the ports. The yellow flag system made it easier for the government and doctors to handle smallpox and cholera outbreaks, even though there had been some aberrations in economic activities in this area.

A Dual Role for Abscisic Acid Integrating the Cold Stress Response at the Whole-Plant Level in Iris pseudacorus L. Growing in a Natural Wetland

Leaf senescence, the last stage of the developmental program of leaves, can be induced by both internal and external signals. Cold stress-induced leaf senescence is an efficient strategy to overcome winter temperatures. In this work, we studied leaf senescence in yellow flag (Iris pseudacorus L.) individuals growing in a natural wetland, not only considering its relationship with external and internal cues, but also the plant developmental program, and the biological significance of rhizomes, storage organs that remain viable through winter. Total chlorophyll contents and the maximum efficiency of PSII (Fv/Fm ratio) decreased in senescing leaves, which was associated with a sharp increase in abscisic acid (ABA) contents. Furthermore, total cytokinin and 2-isopentenyladenine contents decreased in December compared to November, as plants became more stressed due to a decline in air temperatures. ABA increases in senescing leaves increased in parallel to reductions in violaxanthin. Rhizomes also accumulated large amounts of ABA during winter, while roots did not, and neither roots nor rhizomes accumulated 9-cis-epoxycarotenoids, thus suggesting ABA, which might play a role in conferring cold tolerance to this subterranean organ, may result from phloem transport from senescing leaves. It is concluded that (i) leaf senescence is a highly regulated physiological process in yellow flag playing a key role in the modulation of the entire plant developmental program, and (ii) ABA plays a major role not only in the regulation of leaf senescence but also in the establishment of cold tolerance in rhizomes, two processes that appear to be intimately interconnected.

Simulated trampling by cattle negatively impacts invasive Yellow-Flag Iris (Iris pseudacorus) when submerged

Yellow-Flag Iris (Iris pseudacorus L.) is a non-native, invasive wetland plant that disrupts riparian ecosystem processes and is widely distributed across the US and Canada. Due to its physiological and morphological characteristics, I. pseudacorus has the capacity to exclude native vegetation and form extensive monocultures in both lotic and lentic wetland systems. Methods commonly used to manage I. pseudacorus include manual (e.g., hand-pulling, digging) and mechanical (e.g., mowing) treatments for small populations and herbicide applications for larger populations; however, herbicide applications near water may be prohibited due to label restrictions. The objective of this research was to evaluate cattle trampling as a non-chemical method to reduce I. pseudacorus in riparian habitats. A greenhouse study was conducted to investigate the effects of inundation and two different timings of simulated trampling on I. pseudacorus density, height, and soluble sugar concentrations in the rhizomes. A complementary field demonstration was established on a ranch in northwestern Nebraska to evaluate cattle trampling effects on I. pseudacorus density and height after two consecutive years. Simulated cattle trampling in the greenhouse had no effect on I. pseudacorus density or height of non-inundated samples. However, combining trampling with inundation reduced I. pseudacorus density from a median of 10 iris per pot to 0 iris per pot and median height from 0.35 m to 0 m by the conclusion of the study. Additionally, the field demonstration resulted in reductions of both density and height of I. pseudacorus after two consecutive years (72% and 67% reduction, respectively). Soluble sugar concentrations were not impacted by any treatment.

1091 Assessment of Cauda Equina Syndrome Referrals to The Tertiary Spinal Service for Compliance with National Standards

Introduction Urgent assessment/investigation and appropriate referral of Cauda Equina Syndrome (CES) is important in preventing morbidity and avoiding litigation. A recent GIRFT review outlined a series of guidelines on the management of patients with suspected CES. This audit aimed to assess whether CES referrals to a tertiary spinal service are compliant with GIRFT recommendations and SBNS/BASS guidelines. Method Retrospective review of an electronic referral system at a tertiary spinal centre over 4 months, examining CES referrals from surrounding peripheral hospitals. General Practice referrals were excluded. Data collected included patient demographics, symptoms/examination findings, timing of MRI and outcomes of the referral. Results A total of 48 referrals were included for analysis, mean age was 46.7 and 64% were female. 27% had no ‘red' or ‘yellow' flag signs/symptoms and were inappropriately referred. Majority did not perform pre/post void bladder scans prior to referring. 58% of all referrals were made without an MRI. 22% of those referred within ‘working hours’ were referred without MRI scan. There were significant variations in time taken to perform MRI at the referring hospital; median delay 11.1 hours (3-21hrs). Conclusions SBNS/BASS standards are currently not being met, which may adversely impact patient outcomes. Cost implications of patients being transferred to tertiary spinal centres who are found to have no abnormality, must be balanced against the cost of missed CES. This audit highlights the need for improvement in the quality of referrals through education and training at the referring centres.

“The Hoist of the Yellow Flag”: Vulnerable Port Cities and Public Health

Port cities have long played a key role in the development, discovery, and fight against diseases. They have been laboratories for policies to address public health issues. Diseases reached port cities through maritime exchanges, and the bubonic plague is a key example. Port city residents’ close contact with water further increased the chance for diseases such as cholera. Analyzing three European port cities, this article first explores the relevance of water quality for public health through the lens of the Dutch city of Rotterdam. It then examines plans and projects for London that were shaped by social Darwinism and stressed the moral failings of slum dwellers as a major cause for their misery. It finally explores the case of Hamburg as the perfect example of a city that cultivated ideals of purity and cleanliness by addressing all issues at stake in public health. This article on urban hygiene in three port cities shows how remarkably rich this field of study is; it also demonstrates that the multifaceted aspects of public health in port cities require further attention.

Too Much of a Good Thing – Using Water to Control the Aquatic Invasive Yellow Flag Iris (Iris Pseudacorus L.)

Invasions of Iris pseudacorus L. (yellow flag iris) into wetland environments can result in changes to the functioning of the ecosystem. Field-based and greenhouse studies were initiated to study the effect of water depth on regrowth rates of cut stems of yellow flag iris. The field-based experiment occurred at 41 independent populations around the perimeter of a single wetland. The greenhouse experiment was conducted to further study the effect of water depth and duration of submersion on rhizome mortality. In both studies, treatments were compared against controls. In the field-study, yellow flag iris regrowth was significantly affected by water, though there was no relationship between water depth and percent regrowth. In the greenhouse study, there was a significant positive relationship between duration of submersion and percent mortality of rhizomes. And, there was no relationship between water depth and percent mortality; indicating that as little as 5 cm of water is sufficient to kill yellow flag iris rhizomes, if the stems are cut to the base of the plant. Our results indicate a simple technique can control yellow flag iris within aquatic ecosystems without the need for chemicals or laborious hand removal.Nomenclature: yellow flag iris, Iris pseudacorus (L.) IRPS