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Identification of Potential COVID-19 Targets and Pathways Derivate from Various Phenolic Compounds from Chives (Allium schoenoprasum) by Using Network Pharmacology Approach 用网络药理学方法鉴定韭菜中多种酚类化合物衍生的潜在COVID-19靶点和途径
Pub Date : 2022-12-29 DOI: 10.24123/mpi.v4i2.5272
Iksen, B. Buana
With the uncertainty of COVID-19 disease around the world, the discovery and development of novel treatments for COVID-19 becoming an emerging trend. Network pharmacology has been used for determining the potential targets from several diseases. This research mainly focused on the potential of Allium schoenoprasum against COVID-19 based on a network pharmacology approach. The methods consist of target identification of the compounds, target identification related to COVID-19 disease, compound-target interaction network, protein-protein interaction network and gene ontology and pathway enrichment analysis. Fifthy three main targets obtained from the compound-COVID-19 were identified as main targets from the compounds with MMP9, MPO, TLR4, MMP2, CCNB1, AURKB, PLK1, TOP2A, ALOX5, and CD38 becoming the top 10 core targets. Phenolic compounds in Allium schoenoprasum may act as anti-COVID-19 through several inflammatory and immune response pathways. Based on these results, it seems that phenolic compounds in Allium schoenoprasum might act as anti-COVID-19 via network pharmacology approaches.
随着COVID-19在全球范围内的不确定性,发现和开发新的治疗方法成为一种新兴趋势。网络药理学已被用于确定几种疾病的潜在靶点。本研究主要基于网络药理学方法研究了小葱抗新冠病毒的潜力。方法包括化合物的靶点鉴定、与COVID-19疾病相关的靶点鉴定、化合物-靶点相互作用网络、蛋白质-蛋白质相互作用网络以及基因本体和途径富集分析。从化合物- covid -19中鉴定出3个主要靶点,其中MMP9、MPO、TLR4、MMP2、CCNB1、AURKB、PLK1、TOP2A、ALOX5和CD38成为前10个核心靶点。小葱中的酚类化合物可能通过多种炎症和免疫反应途径发挥抗covid -19的作用。综上所述,从网络药理学的角度来看,小葱酚类化合物可能具有抗新冠病毒的作用。
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引用次数: 2
Secondary Metabolites of Various Indonesian Medicinal Plants as SARS-CoV-2 Inhibitors: In Silico Study 多种印尼药用植物作为SARS-CoV-2抑制剂的次生代谢物:硅研究
Pub Date : 2022-12-29 DOI: 10.24123/mpi.v4i2.5255
Emilia Tungary, M. Wahjudi, Tjie Kok
Corona virus disease 2019 caused by SARS-CoV-2 infection emerged in late 2019 and still become a worldwide pandemic up to this point with the drug remain unavailable. Meanwhile, Indonesia has an abundance variety of medicinal plants that are potential to be developed as inhibitors. By using the key role proteins as drug targets, namely spike glycoprotein and RNA-dependent RNA polymerase (RdRp) of delta variant of SARS-CoV-2 (which is known as strongly transmitted and highly virulent), we can develop inhibitors for the target proteins from potential Indonesian medicinal plants to prevent the protein interactions for viral entry and proliferation that leading to organ disfunction and death. This study aimed to identify the secondary metabolites of various Indonesian medicinal plants as SARS-CoV-2 inhibitors. The 184 ligands from nine plants were collected from IJAH webserver and their SMILES notation were collected from PubChem. Meanwhile 3D structures of spike glycoprotein (PDB ID: 6VXX) and RdRp (PDB ID: 6M71) were obtained from protein data bank (PDB). Molecular docking was conducted between ligands and the two SARS-CoV-2 proteins using Autodock Vina in PyRx with hesperidin and remdesivir as control compounds. Several potential compounds were selected for drug-likeness analysis and toxicity analysis. Results showed that lantanolic acid has the same amino acid interaction with RdRp as the control compound. It formed a hydrogen bond with Ser784 and hydrophobic bonds with Tyr32 and Ser7709. It had lower binding affinity than the control compounds, eligible as oral drug, and had LD50 of 2589 mg/kg.
由SARS-CoV-2感染引起的2019年冠状病毒病于2019年底出现,到目前为止仍成为全球大流行,药物仍然无法获得。同时,印尼拥有丰富的药用植物品种,具有开发抑制剂的潜力。通过利用SARS-CoV-2 δ型变异(强传播和高毒力)的刺突糖蛋白和RNA依赖RNA聚合酶(RdRp)等关键作用蛋白作为药物靶点,我们可以从潜在的印度尼西亚药用植物中开发靶蛋白抑制剂,以防止病毒进入和增殖导致器官功能障碍和死亡的蛋白质相互作用。本研究旨在鉴定印度尼西亚多种药用植物的次生代谢物作为SARS-CoV-2抑制剂。来自9种植物的184个配体来自IJAH网站,它们的SMILES标记来自PubChem。同时从蛋白数据库(PDB)中获得了刺突糖蛋白(PDB ID: 6VXX)和RdRp (PDB ID: 6M71)的三维结构。采用Autodock Vina in PyRx,以橙皮苷和瑞德西韦为对照化合物,进行配体与两种SARS-CoV-2蛋白的分子对接。筛选出几个潜在化合物进行药物相似性分析和毒性分析。结果表明,lanantolic酸与RdRp的氨基酸相互作用与对照化合物相同。它与Ser784形成氢键,与Tyr32和Ser7709形成疏水键。其结合亲和力低于对照化合物,可作为口服药物,LD50为2589 mg/kg。
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引用次数: 1
Characterization of Water Kefir from Broccoli Stem Extract with Addition of Palm Sugar 添加棕榈糖的花椰菜茎提取物水开菲尔的表征
Pub Date : 2022-12-29 DOI: 10.24123/mpi.v4i2.5259
Arhadianto Adi Nugroho, F. Christina, G. Buschle-Diller, M. Purwanto, Christina Mumpuni Erawati, Ardhia Deasy Rosita Dewi, Y. P. Mukti, J. Sukweenadhi
Water kefir is a fermented carbonated beverage and functional food with probiotic properties. Broccoli is an edible green plant which a rich source of vitamins A, B1, B2, B3, and C; it also contains isothiocyanate compounds that have anti-cancer and fiber for digestive system. Palm sugar is a sweetener obtained from concentrated coconut sap and is known to have a low glycaemic index. The purpose of this study was to investigate the effect of broccoli stem extract and palm sugar concentration on its biochemical and microbiological characteristics. Subsequently, the acceptance of the product by the panelists were evaluated through organoleptic tests. Water kefir with sugar content of 15% had the highest lactic acid, antioxidant activity, lactic acid bacteria, yeast, ethanol content, and water kefir with a concentration of 1:5 and sugar content of 15% found the highest acceptance by the panelists. Water kefir obtained in this study did not have contaminant bacteria. This product also met the codex standard.
水开菲尔是一种具有益生菌特性的发酵碳酸饮料和功能性食品。西兰花是一种可食用的绿色植物,富含维生素a、B1、B2、B3和C;它还含有异硫氰酸酯化合物,具有抗癌和消化系统纤维。棕榈糖是一种从浓缩椰子汁液中提取的甜味剂,已知具有低血糖指数。本研究旨在探讨椰菜茎提取物和棕榈糖浓度对其生化和微生物特性的影响。随后,通过感官测试评估小组成员对产品的接受程度。含糖量为15%的水开菲尔具有最高的乳酸、抗氧化活性、乳酸菌、酵母菌、乙醇含量,而含糖量为15%、浓度为1:5的水开菲尔获得了小组成员的最高接受度。本研究获得的水开菲尔没有污染细菌。该产品也符合食品法典标准。
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引用次数: 0
Validasi Metode Analisis Kurkuminoid dan Xantorizol pada Rimpang Temulawak (Curcuma xanthorrhiza) dengan KLT- Densitometri 将Kurkuminoid和Xantorizol与KLT- den细胞学分析方法进行验证
Pub Date : 2022-12-29 DOI: 10.24123/mpi.v4i2.5297
Febrina Amelia Saputri, Abdul Mun’im, Chinthia Rahadi Putri, Dewi Aryani
Rimpang temulawak (Curcuma xanthorrhiza) merupakan bagian tanaman yang banyak dimanfaatkan untuk pengobatan tradisional. Metabolit sekunder yang memberikan aktivitas farmakologisnya adalah senyawa kurkuminoid dan xantorizol. Penelitian ini bertujuan untuk memperoleh metode analisis kurkuminoid dan xantorizol yang tervalidasi, cepat, dan sederhana. Analisis dilakukan dengan menggunakan fase diam berupa lempeng KLT silika gel 60 GF254 dan fase gerak diklorometana-kloroform (4:6). Pemindaian (scanning) densitometrik dilakukan pada 224 nm untuk xantorizol dan 425 nm untuk kurkuminoid. Metode menunjukan linieritas, akurasi, dan presisi yang baik, dengan batas deteksi kurkuminoid dan xantorizol yaitu 7,88 bpj dan 28,23 bpj dan batas kuantitasi kurkuminoid dan xantorizol yaitu 23,89 bpj dan 85,55 bpj. Kadar kurkuminoid dan xantorizol pada ekstrak rimpang temulawak adalah 4,95 ± 0,01 dan 31,30 ± 0,09 mg/g serbuk simplisia.   The rhizome of temulawak (Curcuma xanthorrhiza) is a part of the plant that is widely used for traditional medicine. Secondary metabolites that provide pharmacological activity are curcuminoids and xanthorrhizol. This study aims to obtain a validated, fast, and simple analytical method for curcuminoids and xanthorrhizol. The analysis was carried out with the stationary phase TLC plates silica gel 60 GF254. The mobile phase used was dichloromethane-chloroform (4:6), with densitometric scanning at 224 nm for xanthorrhizol and 425 nm for curcuminoids. The method showed good linearity, accuracy, and precision, with curcuminoids and xanthorrhizol detection limits of 7.88 ppm and 28.23 ppm, curcuminoids and xanthorrhizol quantitation limits of 23.89 ppm and 85.55 ppm, respectively. The content of curcuminoids and xanthorrhizol in temulawak rhizome extract were 4.95 ± 0.01 and 31.30 ± 0.09 mg/g Simplicia powder, respectively.
根茎temulawak (curonly xanthorrhiza)是一种被广泛用于传统医学的植物的一部分。次级代谢物质提供药理活动的是kurkuminoid和xantorizol化合物。本研究旨在获得库库米尼和黄原的分析方法,这是验证、快速和简单的。分析是使用KLT硅凝胶60 GF254和氯仿同步运动的无声阶段进行的(4:6)。对黄铁矿进行扫描,对黄铁醇进行224 nm扫描,对kurkuminoid进行425 nm扫描。方法指示线程、准确度和精确度良好,可检测的kurkuminoid和xantorizol为7.88 bpj和2823 bpj, kurkuminoid和xantorizol的数量限制为3.89 bpj和85.55 bpj。kurkuminoid和xantorizol水平temulawak根茎提取物是95±0,01和31.30±0.09 mg / g simplisia粉。temulawak rhizome (curonly xanthorrhiza)是传统医学中经常使用的植物的一部分。二代谢代谢的药物活动是curcuminoids和xanthorrhizol。这项研究允许对curcuminoids和xanthorrhizol进行有效、快速、简单的分析方法。分析结果显示硅胶胶质质场60 GF254。上部的移动相位是二甲甲烷氯仿(4:6),黄道根醇224 nm扫描,黄铁矿目前方向425 nm。方法显示良好的线性,准确和精确,与curcuminoids和xanthorrhizol测量量为7.88 ppm和28.23 ppm, curcuminoids和xanthorrhizol数量限制为23.89 ppm和85.55 ppm,尊重。内容curcuminoids xanthorrhizol著作百科全书》》temulawak rhizome extract是4 . 95±0。01和31 30±0。09 mg / g Simplicia粉,respectively。
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引用次数: 0
Aktivitas Sitotoksik Ekstrak Biji Alpukat (Persea americana Mill.) pada Sel Kanker Payudara dan Serviks Secara In Silico dan In Vitro 在二氧化硅和体外受精的乳腺癌和宫颈癌中提取的细胞毒性活性
Pub Date : 2022-12-29 DOI: 10.24123/mpi.v4i2.5296
Aguslina Kirtishanti, Dini Kesuma, Fadita Trisa C, Maria Claudia Dwiyanti Tuga
Kanker payudara dan servik merupakan kanker dengan jumlah terbanyak di Indonesia. Kemoterapi sebagai terapi kanker memiliki banyak efek samping, oleh karena itu diperlukan pengembangan obat antikanker terutama dari bahan alam yang efektif dan memiliki efek samping minimal. Salah satu bahan alam yang diprediksi mempunyai aktivitas antikanker adalah biji alpukat (Persea americana Mill.). Penelitian ini bertujuan untuk menentukan aktivitas sitotoksik ekstrak etanol biji alpukat pada sel kanker payudara dan serviks secara in silico dan in vitro. Senyawa aktif dalam biji alpukat di docking dengan reseptor estrogen (PDB code: 3ERT) and reseptor SIRT1 (PDB code: 4I5I) menggunakan program Molegro Virtual Docker 5.5 (MVD). Aktivitas sitotoksik secara in vitro dilakukan menggunakan metode Microculture Tetrazolium Technique (MTT) pada sel kanker payudara (MCF7), sel kanker serviks (HeLa) dan sel normal (Vero). Biji alpukat berisi 10 senyawa aktif yang diprediksi mempunyai aktivitas sitotoksik. Hasil uji in silico menunjukkan bahwa epicatechin gallate mempunyai nilai rerank score paling rendah yaitu -118,397 kkal/mol pada reseptor estrogen dan -133,694 kkal/mol pada reseptor SIRT1. Aktivitas sitotoksik secara in vitro ditunjukkan dengan nilai IC50 sebesar 537,37 μg/mL (MCF7), 383,21 μg/mL (HeLa) dan 541,67 μg/mL (Vero). Dari hasil uji in vitro menyatakan bahwa ekstrak etanol biji alpukat tidak memiliki aktivitas sitotoksik pada sel kanker MCF7 dan memiliki aktivitas sitotoksik lemah pada sel HeLa.   Breast and cervical cancer are cancers with the highest number in Indonesia. Chemotherapy, as one of the mainstay treatments of cancer, can cause harmful side effects; and, therefore, it is necessary to develop anticancer drug from natural ingredients with good efficacy and minimal side effects. One of the natural ingredients that is predicted to have anticancer activity is avocado seed (Persea americana Mill.). This study aimed to evaluate the in-vitro and in-silico cytotoxic activity of avocado seed extract on breast and cervical cancer cells. The active compounds in avocado seeds were docked with estrogen receptors (PDB code: 3ERT) and SIRT1 receptors (PDB code: 4I5I) using the MVD program. Cytotoxic activity in vitro was carried out using the MTT method on breast cancer cells (MCF7), cervical cancer cells (HeLa) and normal cells (Vero). Avocado seed contains 10 active compounds which are predicted to have cytotoxic activity. The findings from in-silico test showed that the “epicatechin gallate” had the lowest rerank score, i.e. -118.397 kcal/mol for the estrogen receptor and -133.694 kcal/ mol for the SIRT1 receptor. Cytotoxic activity in vitro was shown by IC50 values of 537.37 μg/mL (MCF7), 383.21 μg/mL (HeLa) and 541.67 μg/mL (Vero), respectively. The findings from in-vitro test showed that the avocado seed extract did not have cytotoxic activity on MCF7 cells and had weak cytotoxic activity on HeLa cells.
乳腺癌和宫颈癌是印尼癌症数量最多的国家之一。化疗作为癌症治疗有很多副作用,所以它需要开发抗癌症药物,尤其是有效的天然成分,并产生最小的副作用。预测的天然抗癌活性之一是鳄梨籽。这项研究的目的是确定乳腺癌和二氧化硅子宫颈的卵巢癌乙醇乙醇的活性。在鳄梨种子中与雌激素感受器(gdp code: 3ERT)和SIRT1受体(gdp code: 4I5I)的活性化合物使用了虚拟文档5.5 (MVD)程序。细胞毒性在体外活动是使用乳腺癌(MCF7)、宫颈癌(HeLa)和正常细胞(Vero)的微文化四氯化技术(MTT)进行的。鳄梨籽含有10种可预测的活性化合物,其毒性很强。硅二醇的测试结果显示,epicatechin gallate的平均得分为-118,397 kkal/mol在雌激素受体和-133,694 kkal/mol在SIRT1受体。sitotoksik活动表现出体外地价值大小的螺旋藻537.37μg / mL (MCF7), 383.21μg / mL (HeLa)和541.67μg / mL(维罗)。根据体外试验的结果,鳄梨籽乙醇的提取物在MCF7癌细胞中没有细胞毒性,在HeLa细胞中有较弱的细胞毒性。欧洲乳腺和欧洲巨蟹座是印尼最顶尖的癌症患者。化疗,作为巨蟹座的主要治疗之一,可以造成伤害的一面影响;因此,必须有效地开发抗癌症药物,使其具有良好的效率和最低的副作用。一种天然的活性成分是鳄梨籽。这项研究允许评估内部vitro和二氧化硅硅藻土行为。在鳄梨种子中活跃的化合物使用MVD程序与雌激素检索器(gdp代码:3ERT)和SIRT1 receptors (gdp规范:4I5I)结合在一起。体外受精现象被考虑使用欧洲乳腺癌(MCF7)、欧洲癌症和正常病例的MTT方法。鳄梨种子接触10种活性化合物,这是预定的细胞毒性活动。来自西利科测试的最终结果显示,“epicatechin gallate”的“epicatechin gallate”的重复分数较低,i - 118,397 kcal/mol for estrogen receptor和- 133,694 kcal/mol for SIRT1 receptor。体外Cytotoxic活动是展示:螺旋藻的价值观。37μg / mL (MCF7 537), 383。21μg / mL (HeLa)和第541。67μg / mL(型号),respectively。最后的体外试验表明,鳄梨籽extract在MCF7细胞中没有细胞毒性反应,肝脏也没有发育不良。
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引用次数: 0
Penetapan Kadar Fenolik Total dan Uji Aktivitas Antioksidan Fraksi dari Ekstrak Etanol Daun Cempedak (Artocarpus integer) dengan Metode DPPH 用DPPH方法分离苯酚总酚含量和抗氧活性成分测试
Pub Date : 2022-12-29 DOI: 10.24123/mpi.v4i2.4937
M. Rizki, Anna Khumaira Sari, Dewi Kartika, Amalia Khairunnisa, Normaidah
Daun cempedak (Artocarpus integer) dimanfaatkan secara tradisional oleh masyarakat Kalimantan Selatan dalam pengobatan. Golongan fenolik terkandung dalam ekstrak daun cempedak dan memiliki kemampuan sebagai antioksidan. Fraksi dari ekstrak daun cempedak belum pernah ditetapkan kadar fenolik total dan akivitas antioksidannya. Penelitian ini bertujuan untuk mengetahui fraksi dari ekstrak daun cempedak yang mengandung kadar fenolik dan aktivitas antioksidan tertinggi. Penelitian dimulai dengan pengeringan daun segar menggunakan lemari pengering, pembuatan serbuk simplisia, proses ekstraksi secara maserasi, pengeringan ekstrak dengan lemari pengering, dan proses fraksinasi dengan pelarut n-heksan, etil asetat dan aquadest. Penetapan kadar fenolik total dapat dilakukan dengan reagen Folin-Ciocalteu dan menggunakan baku pembanding asam galat. Aktivitas antioksidan dilakukan menggunakan metode DPPH berdasarkan nilai IC50 dan dengan pembanding kuersetin. Kadar fenolik total pada fraksi n-heksan 9,352 ± 0,113% b/b, fraksi etil asetat 12,595 ± 0,415% b/b, dan fraksi aquadest 9,992 ± 0,485% b/b ekivalen asam galat. Fraksi n-heksan, etil asetat, dan aquadest masing-masing memiliki nilai IC50 sebesar 89,192 ± 2,91 bpj (kuat), 64,754 ± 2,803 bpj (kuat), dan 82,247 ± 23,034 bpj (kuat). Kesimpulan dari penelitian ini bahwa fraksi etil asetat memiliki kadar fenolik total tertinggi dan aktivitas antioksidan paling kuat dibandingkan fraksi n-heksan dan fraksi aquadest dari ekstrak daun cempedak.   Cempedak (Artocarpus integer) leaves are traditionally used by people in South Kalimantan as medicine. The phenolic group contained in cempedak leaf extract has known as an antioxidant. The fraction of cempedak leaf extract has never been determined for total phenolic content and antioxidant activity. This study aimed to determine the fraction of cempedak leaf extract that contains the highest levels of phenolic and antioxidant activity. The study started with drying of fresh leaves using a drying cabinet, simplicia powder preparation, maceration extraction, extract drying, and fractionation with n-hexane, ethyl acetate and aquadest as solvents. Determination of total phenolic content was obtained with Folin-Ciocalteu reagent and gallic acid as a standard for comparison. Antioxidant activity was measured using the DPPH method based on the IC50 value and comparison with quercetin. The total phenolic content of the n-hexane, ethyl acetate and aquadest fraction were 9.352 ± 0.113% w/w, ethyl acetate fraction 12.595 ± 0.415% w/w, and aquadest fraction 9.992 ± 0.485% w/w equivalent gallic acid, respectively. The n-hexane, ethyl acetate, and aquadest fractions showed IC50 values of 89.192 ± 2.91 ppm (strong), 64.754 ± 2.803 ppm (strong), and 82.247 ± 23.034 ppm (strong), respectively. The conclusion of this study was that the ethyl acetate fraction had highest total phenolic content and strongest antioxidant activity compared to n-hexane
红叶(阿托卡普integer)传统上被加里曼丹南部的人民用于治疗。酚类植物存在于淀粉提取物中,具有抗氧化剂的能力。无淀粉提取物的微量成分从未确定其总表现性和抗氧化酶酶。本研究旨在确定淀粉提取物中含有最高的酚含量和抗氧化剂活性的成分。研究开始于使用干燥柜、简单的花粉生成、成熟的提取过程、干燥柜的提取物干燥、盐乙醇和aquadest溶剂的点化和炼金术。总表型测定可与活体试剂folincioteu一起执行,并使用错误酸对照组。抗氧化剂活性使用基于IC50值和kuersetin的DPPH方法进行。总酚含量的派别n-heksan 9,352±0,113% b - b,醋酸纤维素乙醇成分12,595±0,415% b / b,派别aquadest 9,992±0,485% b / b错误ekivalen酸。n-heksan、醋酸纤维素乙醇成分和螺旋藻aquadest每个人都有自己的价值高达89.192±2,91草根阶层(强大),64.754±2,803草根阶层(强大),82.247±23,034草根阶层(强大)。这项研究得出的结论是,醋酸乙醇的总ph值和抗氧化物活性比蛋白酶提取物中的n-heksan和aquadest的提取物浓度最高。Cempedak (Artocarpus integer)的传统用法是由加里曼丹南部的人们共同使用的。被关在cempedak leaf extract的phenc group被称为反氧剂。cempedak leaf extract的股份从未确定为总油性和抗氧化剂行为。这项研究可以确定淀粉的成分暴露在酚和抗氧化剂行为的最上层。研究始于通过一个干树叶的柜子、simplicia火药的准备、大规模撤离、extract排水和与n-hexane、ethyl acetate和美国solvents的蒸馏。总phenolic的决定被死胎和gallic acid合并为标准的综合。反氧化剂活动是采用基于IC50值的DPPH方法并与quercetin进行比较的。n-hexane总酚内容》,乙基醋酸和aquadest fraction是9352±醋酸0.113% w / w,乙基fraction 12595±0.415% w / w,和aquadest fraction 9992±0.485% w / w,高卢哪里酸,respectively。《n-hexane、乙基醋酸和aquadest fractions那里螺旋藻的价值观89192±2 . 91 mtc(合编),64754±2.803 mtc(合编),和82247±23034 mtc(合编),respectively)。这项研究的结论是,ethyl acection的强度和抗氧化性行为与cempedak leaf extract的抗氧化性和抗氧化性行为的强度最高。
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引用次数: 0
Profil Tipe dan Ketepatan Rekomendasi Apoteker pada Kasus Vignette Dispesia di Salah Satu Kabupaten di Jawa Timur Indonesia 印度尼西亚东爪哇省维勒耐特·迪佩斯西亚病例的药剂师类型和推荐的准确性
Pub Date : 2022-12-29 DOI: 10.24123/mpi.v4i2.5331
Brevmana Anugrah Primulyanto, Yosi Irawati Wibowo, E. Setiawan, Cecilia Brata
Dispepsia merupakan salah satu gejala yang umum dijumpai di apotek, dan oleh karena itu apoteker perlu untuk mampu memberikan rekomendasi yang tepat pada pasien dengan gejala dispepsia. Penelitian ini bertujuan untuk mendeskripsikan tipe dan ketepatan rekomendasi pada dua kasus vignette dispepsia. Penelitian ini menggunakan desain potong lintang dan 42 apoteker berpartisipasi dalam penelitian ini. Instrumen penelitian menggunakan kuesioner yang berisi: (1) karakteristik apoteker dan apotek serta (2) dua kasus vignette: kasus dispepsia tanpa alarm symptoms dan kasus dispepsia karena Na diklofenak. Pengambilan data dilakukan dengan wawancara terstruktur. Analisis data dilakukan dengan inductive content analysis. Ketepatan rekomendasi dinilai berdasarkan literatur dan opini expert panel. Tipe rekomendasi yang paling sering diberikan oleh apoteker pada dua kasus di atas adalah memberikan produk untuk gejala dispepsia. Ketepatan rekomendasi pada kasus dispepsia tanpa alarm symptom dan pada kasus dispepsia karena Na diklofenak secara berturut-turut adalah 83% dan 21% dari 42 apoteker yang berpartisipasi. Dapat disimpulkan bahwa ketepatan rekomendasi bervariasi tergantung kasus. Perlu adanya peningkatan kemampuan apoteker dalam memberikan rekomendasi yang tepat, terutama pada kasus swamedikasi dispepsia yang membutuhkan rujukan ke dokter.   Dyspepsia is a symptom commonly seen in community pharmacies, and therefore pharmacists need to be able to provide appropriate recommendations for patients with dyspepsia. This study aims to describe the types and the appropriateness of the recommendation provided by pharmacists when responding to two vignette cases of dyspepsia. This study was a cross sectional study, and 42 community pharmacists participated in the study. A questionnaire consisting of (1) pharmacists and pharmacy characteristics, and (2) two vignette cases of dyspepsia without alarm symptoms and dyspepsia due to Na diclofenac was developed. A structured interview was used for data collection, and an inductive content analysis was used to analyse the cases. The appropriateness of the recommendation was assessed based on the literature and expert panel opinion. The most common type of recommendation provided in the 2 vignette cases was recommending product for dyspepsia. Appropriate recommendation was provided by 83% and 21% of the 42 participating pharmacists in the case of dyspepsia without alarm symptoms and in the case of dyspepia due to Na diclofenac respectively. The appropriateness of the recommendation varied depending on the case. There is a need to improve the capability of pharmacists in providing appropriate recommendation, particularly for a dyspepsia case that needs medical referral.
Dispepsia是药房常见的症状之一,因此药剂师需要能够为患有这种病的患者提供适当的推荐。本研究旨在描述两种维奈特·德斯佩斯西亚病例的类型和推荐书的准确性。该研究使用切割设计和42名药剂师参与该研究。仪器使用问卷调查的研究包含:(1)和药店的药剂师的特点以及(2)两个vignette:案子没有警报symptoms消化不良和消化不良是因为Na diklofenak案。数据检索是通过结构性采访进行的。数据分析是通过宽容分析进行的。精度评价小组根据文献和专家的意见建议。在这两种情况下,药剂师最常提出的建议类型是为出现缺位症状提供产品。在没有症状警报的病例上,以及在没有症状警报的情况下,这两种药物的推荐准确程度为42名参与药剂师的83%和21%。可以得出结论,推荐的准确性取决于情况的不同。需要药剂师增加提供适当推荐的能力,特别是在需要转介医生的病例上。Dyspepsia是社区制药公司常见的症状,这就是为什么药师需要提供相应的对Dyspepsia患者的推荐。当涉及到两种疾病的vignette cases时,这种研究可以描述疾病和疾病的副作用。这项研究是一次跨部门的研究,42名社区药剂师参加了这项研究。一个关于(1)药理学和药理学特点的问题,(2)两种无警报交响交响响的饮食失调和发育不良的品种正在发展。一个重要的采访是用来收集数据的,一种倾向分析是用来分析风险分析的。推荐人的认可基于文学和意见小组的意见。在vignette cases中,最常见的推荐类型正在重新开发为dyspepsia。适当推荐的结果是由83%和21%的42个参加无警报症状症状症状的制药家提供的。各种变体的批准。有一种方法需要扩大提供必要的药物推荐人的能力,特别是对需要医疗推荐人的病例的需求。
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引用次数: 0
Effectiveness of Voriconazole in Treating Fungal Keratitis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials 伏立康唑治疗真菌性角膜炎的有效性:随机对照试验的系统评价和荟萃分析
Pub Date : 2022-12-29 DOI: 10.24123/mpi.v4i2.5284
Yulia Aryati, Elfa Ali Idrus
Antifungal intervention fails in approximately half of fungal keratitis patients, demonstrating its limitations. Voriconazole use for fungal keratitis has raised new interest because of its broad spectrum and good ocular penetration. However, its effectiveness has not been systematically evaluated. Here we try to clarify the benefits of voriconazole in fungal keratitis cases. Randomized controlled trials (RCTs) comparing vorico­nazole to placebo or other antifungal medications for fungal keratitis were searched in several databases, in­cluding PubMed, Scopus, Cochrane Library, ClinicalTrials, and WHO-ICTRP. The primary outcome that analyzed was best spectacle-corrected vision acuity (BSCVA). The secondary outcomes were treatment success, corneal perforation or need for therapeutic penetrating keratoplasty (TPK). From 621 records, nine studies were se­lected for analysis. The results were as follows: As an initial therapy, topical natamycin outperformed vori­conazole in BSCVA (mean difference = 0.14; 95% CI 0.02 to 0.26; P =.03). Voriconazole also has a greater risk of corneal perforation or TPK than natamycin (RR=1.69; 95% CI 1.11 to 2.58; P=.02). As an adjuvant, there is no significant difference found in BSCVA, treatment success, event of corneal perforation, or need for TPK between voriconazole and the other antifungal agents (itraconazole, ketoconazole, amphotericin B, natamy­cin, and placebo). This study shows that voriconazole is less superior than natamycin in treating early infec­tions of fungal keratitis. More RCTs with larger samples are needed to evaluate voriconazole's adjuvant efficacy.
抗真菌干预在大约一半的真菌性角膜炎患者中失败,表明其局限性。伏立康唑用于真菌性角膜炎引起了新的兴趣,因为它的广谱和良好的眼部穿透性。然而,其有效性尚未得到系统评价。在这里,我们试图阐明伏立康唑在真菌性角膜炎病例中的益处。在PubMed、Scopus、Cochrane Library、ClinicalTrials和WHO-ICTRP等多个数据库中检索了比较vorigo - nazole与安慰剂或其他抗真菌药物治疗真菌性角膜炎的随机对照试验(rct)。分析的主要结果是最佳眼镜矫正视力(BSCVA)。次要结果是治疗成功,角膜穿孔或需要治疗性穿透性角膜移植术(TPK)。从621项记录中,选择了9项研究进行分析。结果如下:作为初始治疗,局部纳他霉素治疗BSCVA的效果优于vori-conazole(平均差异= 0.14;95% CI 0.02 ~ 0.26;P = 03)。伏立康唑发生角膜穿孔或TPK的风险也高于纳他霉素(RR=1.69;95% CI 1.11 ~ 2.58;P = .02点)。作为辅助治疗,伏立康唑与其他抗真菌药物(伊曲康唑、酮康唑、两性霉素B、那他霉素和安慰剂)在BSCVA、治疗成功率、角膜穿孔事件或TPK需求方面无显著差异。本研究表明伏立康唑在治疗真菌性角膜炎早期感染方面不如那他霉素优越。评估伏立康唑的辅助疗效需要更多的大样本随机对照试验。
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引用次数: 0
Implementasi Pelayanan Telefarmasi di Apotek Sesuai Standar Pelayanan Kefarmasian 药学服务的实施符合法医学服务的标准
Pub Date : 2022-12-29 DOI: 10.24123/mpi.v4i2.5278
Ivonn Elsa Aulia Puspita, Ika Mulyono Putri Wibowo, Franciscus Cahyo Kristianto
Penelitian ini ditujukan untuk menggambarkan implementasi pelayanan telefarmasi pada pelayanan farmasi klinis di apotek yang dipandang dari perspektif apoteker pemberi layanan. Penelitian ini merupakan penelitian deskriptif dengan metode survey menggunakan kuesioner. Kuesioner disusun berdasarkan standar pelayanan kefarmasian di apotek, dan pelayanan farmasi klinis yang terdiri dari 7 domain. Validasi kuesioner terlebih dahulu diuji validitas rupa (face validity). Sampel penelitian terdiri dari 40 apoteker yang berpraktik dan menyediakan pelayanan telefarmasi di apotek jaringan di Surabaya dan Sidoarjo. Sejumlah 34 apoteker yang memenuhi kriteria inklusi dan eksklusi terlibat dalam penelitian ini. Hasil penelitian menunjukkan bahwa pengkajian resep, dispensing dan KIE, pelayanan informasi obat, konseling, pemantauan terapi obat, home pharmacy care, dan monitoring efek samping obat selalu dan sering dilakukan oleh apoteker. Namun, dokumentasi konseling dan pemantauan terapi obat hanya dilakukan oleh 47,1% dan 55,9% responden. Berdasarkan hasil penelitian, dapat disimpulkan bahwa pelayanan telefarmasi pada pelayanan farmasi klinis sudah dilakukan dengan baik oleh apoteker.   Telepharmacy services have become part of pharmaceutical services in community pharmacy. Based on regulations, this service must be provided in accordance with pharmaceutical service standards in the community. This study aimed to describe the implementation of telepharmacy services in the community from the perspective of practicing pharmacists. This study is a descriptive research using survey method with a questionnaire. Questionnaires were prepared based on pharmaceutical service standards in pharmacies, and clinical pharmacy services consisting of 7 domains. The validity of the questionnaire was tested for face validity. The sample of this study was consisted of 40 pharmacists who practice and provide telepharmacy services at network pharmacies in Surabaya and Sidoarjo. A total of 34 pharmacists who met the inclusion and exclusion criteria were involved in this study. The results showed that the assessment of prescriptions, dispensing and communication-information-education, drug information services, counseling, monitoring of drug therapy, home pharmacy care, and monitoring of drug side effects were always and often carried out by pharmacists. However, documentation of counseling and monitoring of drug therapy was only carried out by 47.1% and 55.9% of respondents. Based on the results of this study, it can be concluded that telepharmacy in clinical pharmacy services have been carried out by pharmacist properly.
本研究旨在描述电视药学服务对药学临床药学服务的实施,从服务药剂师的角度来看。本研究是一种使用问卷调查方法进行的描述性研究。问卷是根据药房的药物服务和7个域的临床制药服务标准编写的。预先测试了问卷验证。该研究样本由40名执业药剂师组成,他们在泗水和西多拉霍的网络药店提供电视药业服务。34名符合包容和排斥标准的药剂师参与了这项研究。研究结果表明,处方、分诊和KIE、药物信息服务、咨询、药物监督、家庭制药公司护理、药物监测、药物副作用一直和经常由药剂师进行。然而,只有47.1%和55.9%的受访者提供药物咨询和监测文献。根据这项研究,可以得出结论,药剂师在临床药物服务方面的电视服务做得很好。Telepharmacy服务已成为社区制药服务的一部分。基于监管,这一服务必须与社区中制药标准服务的标准相协调。这个研究可以描述社区中电话制药业的实际作用。这个研究是通过调查方法进行的,有问题。问题是基于制药行业的标准服务和临床制药行业的7个行业服务。问题的有效性在于问题的有效性。这些研究的样本被认为是在泗水和西多拉霍的电视网的40名实践和提供电信的制药人员的一部分。参加这项研究的34名药师共参加了这次研究。结果表明,评估、解除教育信息、毒品信息服务、咨询、药物治疗监督、家庭药物治疗监督和药物影响监测一直受到制药人士的困扰。毒品治疗的证词只列出了47.1%和55.9%的肇事者。根据这项研究的结果,可以确定的是,临床制药公司的电报公司已经考虑过了。
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引用次数: 0
Uji Flavonoid Total dan Antioksidan Kulit Batang Balik Angin (Alphitonia excelsa (Fenzl) Reis Ex. Endl)
Pub Date : 2022-12-29 DOI: 10.24123/mpi.v4i2.5208
Samsul Hadi, Ana Muliana, Amalia Khairunnisa
Alphitonia excelsa merupakan salah satu tanaman yang berpotensi sebagai antioksidan dan telah digunakan secara turun temurun di masyarakat sebagai terapi berbagai macam penyakit. Hal tersebut mendasari tujuan penelitian ini, yaitu menentukan aktivitas antioksidan dan total flavonoid kulit batang A. excelsa. Metode yang di gunakan dalam pengujian antioksidan adalah peredaman terhadap radikal 2,2-difenil-1-pikrilhidrazil (DPPH), sedangkan pengujian flavonoid total dengan AlCl3 dilakukan secara kolorimetri. Hasil yang didapatkan dari penelitian ini adalah nilai IC50 aktivitas antioksidan A. excelsa sebesar 37,00 ± 1,46 μg/ml (bpj) dan flavonoid total senilai 1,17% ± 0.04 QE (quercetin equivalent). Berdasarkan nilai tersebut dapat disimpulkan bahwa kulit batang A. excelsa memiliki kemampuan antioksidan yang sangat kuat.   Alphitonia excelsa is a plant that potential to be tested for its antioxidant ability and has been used as medicine. This underlies the purpose of this study, namely to determine the antioxidant activity and total flavonoids of the stem bark of A. excelsa. The method used in antioxidant evaluaion was 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging, while the total flavonoid assay with AlCl3 was carried out colorimetrically. The results obtained from this study were the IC50 value of the antioxidant activity and total flavonoids of A. excelsa, with the value of 37.00 ± 1.46 μg/ml and 1.17% ± 0.04 quercetin equivalent, respectively. Based on these values, it can be concluded that the stem bark of A. excelsa has a very strong antioxidant capacity.
Alphitonia excelsa是一种潜在的抗氧化剂植物,它被广泛用于各种疾病的治疗。这是这项研究的目标,即确定抗氧化物和全黄酮活性A. excelsa皮肤。抗氧化剂测试中使用的方法是缓解正基2,二苯-1- pikril液压(DPPH),而完全与AlCl3的flavonoid测试是共重度的。螺旋藻的这项研究的结果是价值大小的圆A。抗氧化能力37,00±1,46草根阶层μg / ml()和类黄酮总共价值1,17%±0。04 QE (quercetin哪里)。根据这些值,可以得出结论,茎A. excelsa具有很强的抗氧化剂能力。Alphitonia是一种可能测试其抗氧化性能力并作为药物使用的植物。这项研究的目的不足,需要确定抗氧化剂活性和总正确性的正确性。用于抗氧化剂评估的方法是2,2- 1-picrylhydrazyl (dpplhydrazyl, dpp3)的全黄酮结探(AlCl3)。The results螺旋藻价值》获得来自这个研究是antioxidant活动和援助总计flavonoids of A价值》圆里,用37点±1μg / ml和46。17%±0。04 quercetin哪里,respectively。基于这些价值,它可以得出结论,excelsa的干细胞具有很强的抗氧化剂电容器结构。
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MPI (Media Pharmaceutica Indonesiana)
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