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Analisis Total Fenol Dan Flavonoid Ekstrak Etanol Kulit Batang Sungkai (Peronema canescens Jack)
Pub Date : 2022-07-31 DOI: 10.30595/pharmacy.v19i1.12554
Nurfijrin Ramadhani, A. Samudra, Reza Pertiwi, Cyntia Dwi Utami, Annisa Muslimah, Wafa Syahidah, Petri Siti Khodijah
Daun sungkai (Peronema canescens Jack) memiliki aktivitas dan kandungan antioksidan yang kuat yang terkait dengan kadar fenol dan flavonoid, namun pada kulit batang penelitian masih terbatas. Kandungan fenol dan flavonoid di dalam kulit batang sungkai diharapkan dapat menjadi sumber alam pengembangan obat sintesis dan suplemen.  Penelitian ini bertujuan untuk menganalisis kandungan metabolit sekunder kulit batang sungkai dan menetapkan kadar fenol dan flavonoid kulit batang sungkai. Metode penelitian ini dengan mengekstrak kulit batang sungkai yang telah dirajang dengan metode maserasi menggunakan etanol etanol 70%. Selanjutnya hasil ekstraksi diuapkan dengan rotary evaporator. Ekstrak kulit batang sungkai diskrining fitokimia dengan pereaksi warna serta diuji kandungan fenol total dan flavonoid total dengan metode kolorimetri. Pereaksi Folin–Ciocalteu digunakan sebagai pengompleks senyawa fenolik dan menggunakan baku pembanding asam galat. Penentuan kadar total flavonoid menggunakan metode alumunium klorida dan standar kuersetin sebagai baku pembanding. Hasil penelitian ini menunjukkan ekstrak kulit batang sungkai positif fenol, flavonoid, alkaloid, dan saponin. Pada penelitian ini diperoleh total fenol ekstrak kulit batang 14.97±1.28 mg ekuivalen asam galat/ g ekstrak sedangkan total flavonoid sebesar 29.41±0.64 mg ekuivalen kuersetin/ g ekstrak.
触角叶(Peronema canescens Jack)的活性和抗氧化剂含量与苯酚和类黄酮水平相关,但研究对象的皮肤仍然有限。松茎皮肤中的苯酚和类黄酮的含量预计将成为合成药物和补充的天然来源。本研究旨在分析松管皮肤的次级代谢率,并确定苯酚和松管皮肤的水平。这种研究方法是用用乙醇70%的乙醇来提取用maserasi标本。接下来的提取结果是用扶轮蒸发器进行的。真皮提取物与颜色解析和全苯酚含量检测和全振幅法测定法。Folin——Ciocalteu编辑法是一种酚复合物,使用了标准的酸错位法。用氯化钾和低碳测定法确定类黄酮的总水平。研究结果显示,正甲醇、类黄酮、生物碱和黄玉等果皮提取物。在这项研究获得完全不是茎皮提取物14 . 97±1 . 28毫克当量酸- g而总大小的类黄酮提取物29错误。41±0。64毫克当量kuersetin / g提取物。
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引用次数: 0
Effectiveness of lotion preparations as emollients from pure palm oil and crude palm oil 纯棕榈油和粗棕榈油作为润肤剂的洗剂制剂的有效性
Pub Date : 2022-07-31 DOI: 10.30595/pharmacy.v19i1.6574
Uce Lestari, S. Syamsurizal, Fadhilah Yahya, A. Fudholi
Palm oil is naturally red due to the high content of beta carotene. Most of the fatty acids in crude palm oil (CPO) are saturated fatty acids, namely palmitic acid (32-59%), while that in pure palm oil (PPO) is linoleic acid (5-11%). Fatty acids function as a moisturizer for the skin. This study aimed to compare the effectiveness of lotion preparations as emollients from pure palm oil and crude palm oil. The concentration of CPO and PPO in the lotions was 5 and 15% using the oil in water (O/W) base. The effectiveness of lotion preparations as emollients was based on descriptive data from 10 panelists whose skin moisture was tested using a skin analyzer. The result showed that lotions prepared with CPO and PPO at concentrations of 5 and 15% exerted a moisture content of more than 50% in the moist skin category.
由于-胡萝卜素含量高,棕榈油是天然红色的。粗棕榈油(CPO)中的脂肪酸大部分是饱和脂肪酸,即棕榈酸(32-59%),而纯棕榈油(PPO)中的脂肪酸主要是亚油酸(5-11%)。脂肪酸是皮肤的保湿剂。本研究旨在比较纯棕榈油和粗棕榈油作为润肤剂的洗剂制剂的效果。在油水(O/W)的基础上,洗液中CPO和PPO的浓度分别为5%和15%。乳液制剂作为润肤剂的有效性是基于10名小组成员的描述性数据,他们的皮肤水分是用皮肤分析仪测试的。结果表明,用浓度为5%和15%的CPO和PPO配制的乳液在湿润皮肤类别中具有50%以上的水分含量。
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引用次数: 1
Efektivitas Dan Keamanan Terapi dengan Rejimen Bedaquiline dalam Terapi Multidrug-Resistant Tuberculosis (TB-MDR): Kajian Sistematis 多抗药性结核病治疗的良性和安全性:系统性研究
Pub Date : 2022-06-01 DOI: 10.21776/ub.pji.2022.007.02.8
I. G. A. Ari Kusuma Yana, Fauna Herawati
MDR-TB is a tuberculosis disease caused by Mycobacterium tuberculosis which is resistant to isoniazid and rifampin with or without resistance to other first-line drugs. The development of drug-resistant tuberculosis is causing worldwide concern. Globally in 2019, almost half a million TB sufferers of which 78% had MDR-TB. In recent years, MDR-TB patients increased by 10% from 186,883 patients in 2018 to 206,030 in 2019. Bedaquiline has been recommended by WHO guidelines. Studies related to the effectiveness and safety of Bedaquiline are still few so that there is a need for qualified information to prepare a country, especially Indonesia, for the use of Bedaquiline therapy, especially since Indonesia is ranked second out of two-thirds of the total global TB. Objective: to describe the effectiveness and safety of Bedaquiline in combination therapy for the treatment of MDR-TB. Methods: The literature search was carried out independently by researchers using the online databases of Science Direct, Pubmed, and Cochrane without restrictions on the type of research and year of publication. The keywords used in this study were combined with Boolean operators, namely “bedaquiline” AND “tuberculosis” AND “multi-drug resistant”. Results: Seven studies met the inclusion criteria, the intervention of giving Bedaquiline for 24 weeks can reduce the average time of culture conversion by about 60-85 days. The percentage of culture conversion rate was higher with Bedaquiline (range 70-85%) than placebo (58%). The most common side effects are nausea and hyperuricemia. The majority of studies report a prolongation of the QT interval in patients treated with Bedaquiline. Conclusion: This systematic review showed that Bedaquiline is effective and safe to use in the treatment of MDR-TB. However, serious side effects of QT prolongation occurred in some respondents treated with Bedaquiline. Further studies need to be conducted to monitor the side effects of QT prolongation associated with the administration of Bedaquiline in the treatment of MDR-TB.
耐多药结核病是由结核分枝杆菌引起的结核病,结核分枝杆菌对异烟肼和利福平具有耐药性,对其他一线药物有或无耐药性。耐药结核病的发展引起了全世界的关注。2019年,全球有近50万结核病患者,其中78%患有耐多药结核病。近年来,耐多药结核病患者从2018年的186883例增加到2019年的206030例,增加了10%。世卫组织指南建议使用贝达喹啉。与贝达喹啉的有效性和安全性有关的研究仍然很少,因此需要获得合格的信息,使一个国家,特别是印度尼西亚,为使用贝达喹啉治疗做好准备,特别是因为印度尼西亚在全球结核病总数的三分之二中排名第二。目的:评价贝达喹啉联合治疗耐多药结核病的有效性和安全性。方法:文献检索由研究者独立完成,检索数据库为Science Direct、Pubmed和Cochrane,不受研究类型和发表年份的限制。本研究使用的关键词采用布尔运算符组合,即“bedaquiline”与“tuberculosis”和“multi-drug resistant”。结果:7项研究符合纳入标准,给予贝达喹啉干预24周可使平均培养转化时间缩短约60-85天。贝达喹啉的培养转化率百分比(70-85%)高于安慰剂(58%)。最常见的副作用是恶心和高尿酸血症。大多数研究报告贝达喹啉治疗的患者QT间期延长。结论:本系统评价显示贝达喹啉治疗耐多药结核病有效、安全。然而,一些接受贝达喹啉治疗的患者出现了QT间期延长的严重副作用。需要进行进一步的研究,以监测与贝达喹啉治疗耐多药结核病相关的QT间期延长的副作用。
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引用次数: 0
Evaluasi Parameter Mutu Ekstrak Air Daun Tahongai (Kleinhovia hospita Linn)
Pub Date : 2022-06-01 DOI: 10.21776/ub.pji.2022.007.02.6
Hadi Kuncoro, Mutia Nur Sopiati, Hifdzur Rashif Rijai, Risna Agustina
Tahongai (Kleinhovia hospita Linn) is a medicinal plant that has various properties. This study aims to determine standardization parameters the tahongai aqueous extract. The research method was carried out by macroscopic and microscopic observations on Tahongai powder, then extracted by infusion method. The aqueous extract was then subjected to organoleptic determination, identification of secondary metabolites, determination of water soluble content and determination of water content, heavy metal contamination determination, and microbial contamination test. The result for determination of standardization parameter were: yield of the infusion was 10.38961%. Organoleptic test showed solid form, medium characteristic odor, black color and bitter taste. Identification of secondary metabolites showed a group of secondary metabolites of saponins and triterpenoids. Determination of the water soluble extract content 11.648% and the water content 10.328%. Heavy metal contamination Hg, Cd, Cr, Ni, Pb and As respectively were <0.0001; <0.0001; 0.9167; 49.2815; <0.0001 and 44.1774 mg/Kg. Then on microbial contamination, the result was 8.8 x 103 colonies/g. Based on PERKABPOM No. 12 of 2014, the water extract of tahongai meets the minimum quality requirements for heavy metal content and microbial contamination.
大红花(Kleinhovia hospitala Linn)是一种具有多种特性的药用植物。本研究旨在确定塔红艾水提物的标准化参数。研究方法是通过对塔红艾散进行宏观和微观观察,然后采用浸渍法提取。对水提物进行感官测定、次生代谢物鉴定、水溶性含量测定、含水量测定、重金属污染测定、微生物污染试验。标准化参数的测定结果为:该注射剂得率为10.38961%。感官测试显示固体形态,中等特征气味,黑色和苦味。次生代谢产物鉴定为皂苷类和三萜类次生代谢产物。水溶性浸出物含量测定11.648%,水溶性浸出物含量测定10.328%。重金属污染Hg、Cd、Cr、Ni、Pb、As分别<0.0001;< 0.0001;0.9167;49.2815;<0.0001和44.1774 mg/Kg。微生物污染为8.8 × 103菌落/g。根据2014年PERKABPOM No. 12,塔红海水提物符合重金属含量和微生物污染的最低质量要求。
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引用次数: 0
Analisis Kinerja Instalasi Farmasi RSU Universitas Muhammadiyah Malang dengan Pendekatan Balanced Scorecard 马汉马蒂亚大学RSU制药系统的性能分析,以平衡记分卡的方法
Pub Date : 2022-06-01 DOI: 10.21776/ub.pji.2022.007.02.9
Ika Ratna Hidayati, Rizka Novia Atmadani, Desy Nurita, Fatbela Zulfa Mazida, Vita Maulidya Aristawaty
The Pharmacy Installation of the University of Muhammadiyah Malang Hospital has never conducted a performance measurement so it is not known how far the management has succeeded in achieving the organization's vision and goals. In addition, performance measurement is also needed to support the hospital accreditation process. This study was conducted to analyze the performance of the Pharmacy Installation of the University of Muhammadiyah Malang Hospital with a balanced scorecard approach from growth and learning perspective, internal business perspective and costumer perspective. This research was conducted in a non-experimental descriptive for growth and learning perspectives with research variables employee satisfaction, work spirit, and retention rate of IFRSU UMM employees. In the internal business perspective, the research was conducted observationally and analyzed descriptively with the research variables, dispensing time, level of drug availability, and drug information services. From the customer perspective was conducted in a non-experimental, quantitative analytical descriptive with research variables customer satisfaction and customer growth. The data was collected with retrospective and prospective methods. This research used both qualitative and quantitative data. Qualitative data was obtained by interview. Quantitative data was obtained by questionnaires and direct observation. The results of performance research on the growth and learning perspective of employee satisfaction indicators are satisfaction with a total value of 2,724, the indicator of work spirit is high with an average total score of 3.14 and the indicator of the retention rate of IFRSU UMM employees is at a normal value with an average turnover percentage of 7.88%. The results of the performance study on the internal business perspective showed that the dispensing time indicators for regular prescriptions is 22 minutes and 32 minutes for compound prescriptions. Percentage of drug availability is 100% and the results of the evaluation study of drug information services indicators have been implemented 100%, but there are information components that are not conveyed such as dosage, side effects, duration of use, and drug storage methods. The performance customer perspective of customer satisfaction indicators with the Servqual method obtained a negative gap value indicating customers are not satisfied. Analysis using the IPA method obtained the average percentage level of conformity showed was 93,00% where the results were in accordance with the Decree of the Minister of Health of the Republic of Indonesia Number 129 of 2008 concerning Hospital MSS. Analysis of customer growth indicators showed that the percentage results in 2019 were 101,39% and in 2020 it was 100,35%, exceeding the range of good criteria. It can be concluded the performance of the Pharmacy Installation of the University of Muhammadiyah Malang Hospital is quite good, but it is necessary to optimize an
Muhammadiyah Malang大学医院的药房装置从未进行过绩效衡量,因此不知道管理层在多大程度上成功地实现了该组织的愿景和目标。此外,还需要绩效衡量来支持医院认证过程。本研究采用平衡计分卡的方法,从成长与学习的角度、内部业务的角度和顾客的角度,对默罕默迪亚玛琅大学医院药房装置的绩效进行分析。本研究以IFRSU UMM员工满意度、工作精神和保留率为研究变量,采用非实验描述性的成长和学习视角进行研究。在内部业务视角下,以研究变量、调剂时间、药品可及性水平、药品信息服务等进行观察性分析和描述性分析。本文从客户的角度进行了非实验、定量的描述性分析,用研究变量对客户满意度和客户成长进行了描述。采用回顾性和前瞻性方法收集资料。这项研究同时使用了定性和定量数据。通过访谈获得定性数据。通过问卷调查和直接观察获得定量数据。从员工满意度指标的成长和学习角度进行绩效研究的结果是,满意度为2724,工作精神指标为高,平均总分为3.14,IFRSU UMM员工保留率指标为正常值,平均离职率为7.88%。内部业务视角的绩效研究结果显示,常规处方的调剂时间指标为22分钟,复方处方为32分钟。药品可得率100%,药品信息服务指标评价研究结果100%落实,但存在剂量、副作用、用药期限、药品储存方法等信息成分未传达。绩效顾客视角下的顾客满意指标用Servqual方法得到一个负差距值,表示顾客不满意。使用IPA方法进行分析得出的平均符合率为93,00%,其结果符合印度尼西亚共和国卫生部长2008年关于医院MSS的第129号法令。对客户增长指标的分析显示,2019年的百分比结果为101.39%,2020年的百分比结果为10035%,超出了良好标准的范围。综上所述,玛琅大学医院药房设备的使用效果还不错,但仍需进一步优化和改进。
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引用次数: 1
Pengaruh Kombinasi Matriks terhadap Karakter Tablet Metformin HCl Lepas Lambat Sistem Floating Effervescent
Pub Date : 2022-06-01 DOI: 10.21776/ub.pji.2022.007.02.3
Melati Permata Hati, Yandi Syukri, Bambang Hernawan Nugroho
The research aimed to prepare and evaluate of sustained release metformin HCl tablet with floating system. The tablets were prepared by wet granulation using HPMC K4M and chitosan as matrixes with proportions (w/w) 17.78%:4.44%; 14.44%:7.78%; 11.11%:11.11% ;7.78%;14.44%; 4.44%:17.78%. The tablets were evaluated of weight variation, drug content, hardness, friability, and in vitro floating and drug release studies. The dissolution study had been carried out for 6 hours using USP dissolution apparatus II (paddle) in 900 ml HCl pH 3.0 media at 37±0.50C. All tablet formulas showed closed similarity with the requirement physical tablet of United State Pharmacopea (USP) and Farmakope Indonesia reference. The matrixes containing higher HPMC K4M, and lower chitosan showed floating lag time decreased and duration time increased. Meanwhile, tablet disintegration was the lowest. The release test showed that all formulas did not meet the requirements dissolution metformin HCl sustained release tablet. The result of this study is sustained release tablet metformin HCl with matrixes HPMC K4M and chitosan able to float, but it did not form sustained release.
本研究旨在制备漂浮体系盐酸二甲双胍缓释片并对其进行评价。以HPMC K4M和壳聚糖为基质,w/w分别为17.78%和4.44%,采用湿法制粒;14.44%: 7.78%;11.11%: 11.11%, 7.78%, 14.44%;4.44%: 17.78%。对其重量变化、药物含量、硬度、脆性、体外漂浮和释放度进行了评价。使用USP溶出仪II(桨),在37±0.50℃下900 ml HCl pH 3.0介质中进行6小时的溶出研究。所有片剂的处方均与美国药典(USP)和印尼Farmakope参考标准的要求物理片具有密切的相似性。高HPMC K4M和低壳聚糖的基质均表现出悬浮滞后时间缩短、持续时间延长的特点。同时,片剂崩解程度最低。释放度试验表明,所有处方的溶出度均不符合盐酸二甲双胍缓释片的要求。实验结果表明,以HPMC - K4M和壳聚糖为基质的盐酸二甲双胍缓释片能漂浮,但不形成缓释。
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引用次数: 1
Formulasi Sabun Cair Antibakteri Dari Kombinasi Ekstrak Daun Sirih Merah Dan Ekstrak Kulit Lidah Buaya 由红槟榔提取物和芦荟提取物结合而成的抗菌肥皂配方
Pub Date : 2022-06-01 DOI: 10.21776/ub.pji.2022.007.02.4
Teti Indrawati, S. Bahri, Melissa Pradita, Aqilla Nur Fadia, Alfianur Azmi Muhammad
Daun sirih merah (Piper crocatum Ruiz & Pav.) dan kulit lidah buaya (Aloe vera (L.) Burm.f.) mempunyai manfaat sebagai antibakteri. Tujuan dari penelitan ini adalah optimasi formula sabun cair kombinasi ekstrak daun sirih merah dan ekstrak kulit lidah buaya sebagai antibakteri terhadap Staphylococcus aureus. Penelitian ini dibuat dengan cara ekstrak daun sirih merah dan kulit lidah buaya dimaserasi dengan etanol 96% dan dipekatkan dengan rotary evaporator pada suhu 50°C. Pengujian antibakteri dilakukan terhadap bakteri Staphylococcus aureus menggunakan metode difusi sumuran. Kombinasi ekstrak daun sirih merah dan kulit lidah buaya dibuat dalam 3 perbandingan yaitu 2,5% : 7,5%, 10% : 0%, 0% : 10%. Pembuatan sabun cair antibakteri dibuat dengan metode saponifikasi. Hasil penelitian menunjukkan kombinasi optimum ekstrak daun sirih merah dan kulit lidah buaya dihasilkan pada perbandingan 2,5% : 7,5% dengan aktivitas antibakteri kategori kuat sebesar 19,23 mm. Kombinasi optimum ekstrak daun sirih merah dan kulit lidah buaya 2,5% : 7,5% dapat dibuat sediaan sabun cair antibakteri yang berwarna hijau kecoklatan, pH 8, kadar alkali bebas 0,13%, bobot jenis 1,09 g/mL, stabilitas busa 87%, viskositas 160 cP, rheologi termasuk pseudoplastis tiksotropi, dan memiliki aktivitas antibakteri yang optimum dengan kategori sangat kuat sebesar 26,6 mm
红槟榔叶(Piper crocatum ruv)和芦荟(芦荟,L)。burmf)具有抗菌特性。这项研究的目的是优化红槟榔叶提取物和芦荟提取物的液体肥皂配方,以抗菌对抗葡萄球菌。这项研究用槟榔叶提取物制成,红色和皮肤芦荟dimaserasi乙醇96%和温度的蒸发器50A扶轮dipekatkan°C。对欧瑞斯葡萄球菌进行的抗菌测试采用了同种扩散方法。红槟榔叶和芦荟的提取物的3个比较是2.5%:7.5%,10%:0%,0%:10%。抗菌肥皂的制造是用皂化法制成的。研究表明,红叶提取物和芦荟提取物的最佳组合为2.5%:7.5%与19.23毫米的抗菌活性。皮肤红最佳组合槟榔叶提取物和芦荟可以创造2004年:7.5% sediaan卡其色,绿色的抗菌肥皂液pH 8、碱含量0,13%自由重量类型1.09 g / mL, 87%泡沫稳定性粘度160 cP,流变包括pseudoplastis tiksotropi,有着最佳的抗菌活性强大26,6毫米大小的类别
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引用次数: 0
Pengaruh Kombinasi Polimer PVP:EC dan HPMC:EC Terhadap Sediaan Transdermal Pada Karakteristik Patch yang Baik : Review
Pub Date : 2022-06-01 DOI: 10.21776/ub.pji.2022.007.02.10
Nova Fuziyanti, Aji Najihudin, Siti Hindun
Transdermal is a drug delivery system that is placed through the surface of the skin to release the active substance in a certain dose into the bloodstream. The main constituent component in the transdermal drug delivery system which has an effect on characteristics is polymer. One of the developments in the transdermal route is the manufacture of patch preparations. Physically, a good patch must be flexible, thin, smooth, homogeneous, have drying shrinkage and low moisture absorption. So the aim of this review article was to determine the effect of polymer combinations on transdermal preparations on good patch characteristics. The method used in this review article is a literature review of various journals published online, with the category of national and international journals. The results obtained 2 primary journals related to polymer combinations to transdermal preparations, namely the combination of PVP: EC and HPMC: EC. The results of the review show that the polymer combination can have an influence on the characteristics of the patch, including the fold resistance test, weight uniformity test, thickness test, drying shrinkage test and moisture absorption test.
透皮是一种药物输送系统,通过皮肤表面将一定剂量的活性物质释放到血液中。经皮给药系统中影响其特性的主要成分是聚合物。透皮途径的发展之一是生产贴片制剂。从物理上讲,一个好的贴片必须是柔韧的、薄的、光滑的、均匀的,具有干燥收缩率和低吸湿性。因此,本文的目的是确定聚合物组合对透皮制剂的良好贴片特性的影响。本综述文章采用的方法是对网上发表的各类期刊进行文献综述,分类为国内期刊和国际期刊。结果获得了2个与聚合物组合到透皮制剂相关的主要期刊,即PVP: EC和HPMC: EC的组合。综述结果表明,聚合物组合可以对贴片的抗折性测试、重量均匀性测试、厚度测试、干燥收缩测试和吸湿性测试等特性产生影响。
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引用次数: 0
Insurance, Policy, Knowledge Level and Epidemiology As Factors Affecting Demand And Supply of Pharmaceutical Product 影响药品供求的因素:保险、政策、知识水平和流行病学
Pub Date : 2022-06-01 DOI: 10.21776/ub.pji.2022.007.02.2
N. Cahaya, Hananditia Rachma Pramestutie, Anita Kumala Hati, P. Utami
Fulfillment of drug availability is always a challenge from year to year and is determined by supply and demand issues for pharmaceutical drugs. Good management of drugs and pharmaceutical supplies is important in health services. This is related to the quality of health services and the efficiency and effectiveness of the budget. This review study aims to examine the factors that influence drug supply and demand simultaneously with a different perspective from other studies, namely, the focus is to simultaneously discuss the effects of health insurance financing schemes, registration regulations for pharmaceutical products and imports of pharmaceutical products, the level of pharmacist knowledge, changes in disease patterns, disasters, and wars on drug supply and demand. The research design that was used in this study is a narrative review. The data sources that were used are PubMed, Science Direct, Scopus, and Google Scholar. The inclusion criteria in this study are all research related to the demand for pharmaceutical supplies and drugsthat will be reviewed in the study, either in the form of original research, reviews, or reports. The results obtained articles consisting of 8 articles related to health insurance financing, 6 articles related to registration regulation of pharmaceutical products and import of pharmaceutical products, 5 articles related to pharmacist knowledge level, 3 articles related to changes in disease patterns, and 3 articles related to disasters and wars. Based on the 25 articles that were used as data in this study, it was found that the factors that influence the supply and demand of pharmaceutical supplies are health insurance financing, regulation of registration drug processes and imports of pharmaceutical products, level of knowledge of pharmacists as pharmaceutical service providers, changes in disease patterns, disasters, politics, and war.
药品供应的实现每年都是一个挑战,这是由药品的供需问题决定的。药品和药品供应的良好管理对保健服务很重要。这关系到保健服务的质量以及预算的效率和效力。本研究旨在以不同于其他研究的视角,检视影响药品供需的因素,即同时探讨医疗保险筹资方案、药品注册法规、药品进口法规、药师知识水平、疾病模式变化、灾害、战争等因素对药品供需的影响。本研究采用的研究设计是叙述性回顾。使用的数据源是PubMed、Science Direct、Scopus和Google Scholar。本研究的纳入标准是所有与药品供应和药物需求相关的研究,这些研究将以原始研究、综述或报告的形式进行审查。结果获得的文献包括:与健康保险融资相关的文献8篇、与药品注册监管及药品进口相关的文献6篇、与药师知识水平相关的文献5篇、与疾病模式变化相关的文献3篇、与灾害和战争相关的文献3篇。本研究以25篇文章作为研究资料,发现影响医药供应供求的因素包括医疗保险融资、药品注册流程及进口管制、药剂师作为医药服务提供者的知识水平、疾病模式的变化、灾害、政治和战争。
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引用次数: 0
Efektivitas SNEDDS Kombinasi Fraksi Etil Asetat Daun Cengkodok (Melasthoma malabathricum)-Antibiotik terhadap Bakteri Hasil Isolat dari Pasien Ulkus Diabetik 糖尿病溃疡患者白藜芦醇乙酰乙酸叶(糖苷)-抗菌抗生素
Pub Date : 2022-06-01 DOI: 10.21776/ub.pji.2022.007.02.5
Rafika Sari, Pratiwi Apridamayanti, Liza Pratiwi
Diabetic ulcer is a condition where there are neurological abnormalities and peripheral arterial vascular disease that causes infection, ulceration, and/or damage to the deepest skin tissue on the feet of people with diabetes mellitus (DM). The long duration of wound healing is due to the wrong use of antibiotics for a long time, and bacteria tend to become resistant to antibiotics. Antimicrobial compound fraction of cengkodok combined with gentamicin and ciprofloxacin antibiotics for prevention and reduction of antibiotic resistance in the cause of diabetic ulcers. The drug preparation is in the form of self nanoemulsifiying drug delivery system (SNEDDS), which is the optimum combination of cengkodok leaf fraction with gentamicin and ciprofloxacin antibiotics. The use of SNEDDS in this study is because the SNEDDS made from nanoemulsion formulations has small particle size, large surface absorption, and good dispersion, so that it can be evenly dispersed on the skin and penetrates the skin layer. This study aims to determine the effectiveness of the formulation cengkodok leaf fraction with gentamicin and ciprofloxacin antibiotics against B. cereus and S. aureususing the SNEDDS drug delivery system. The test uses the spotless diffusion method without using paper discs. The results showed that the combination of cengkodok leaf fraction with gentamicin and ciprofloxacin antibiotics had better activity against B. cereus and S. aureus than cengkodok leaf fraction, gentamicin and ciprofloxacin only.
糖尿病性溃疡是一种伴有神经系统异常和外周动脉血管疾病的疾病,可引起糖尿病患者足部最深层皮肤组织的感染、溃疡和/或损伤。伤口愈合持续时间长是由于长期错误使用抗生素,细菌容易对抗生素产生耐药性。仙果德抗菌复方部位联合庆大霉素和环丙沙星抗生素预防和减少糖尿病性溃疡的耐药性。该药物制剂以自纳米乳化给药体系(SNEDDS)的形式制备,为仙果叶提取物与庆大霉素、环丙沙星等抗生素的最佳组合。本研究使用SNEDDS是因为纳米乳液配方制备的SNEDDS粒径小,表面吸收率大,分散性好,可以均匀地分散在皮肤上,穿透皮肤层。本研究旨在利用SNEDDS给药系统,研究庆大霉素和环丙沙星抗生素复方苍果叶提取物对蜡样芽孢杆菌和金黄色葡萄球菌的药效。本试验采用无污点扩散法,不使用纸盘。结果表明,竹叶提取物与庆大霉素和环丙沙星联合使用对蜡状芽孢杆菌和金黄色葡萄球菌的抑制作用优于竹叶提取物、庆大霉素和环丙沙星单用。
{"title":"Efektivitas SNEDDS Kombinasi Fraksi Etil Asetat Daun Cengkodok (Melasthoma malabathricum)-Antibiotik terhadap Bakteri Hasil Isolat dari Pasien Ulkus Diabetik","authors":"Rafika Sari, Pratiwi Apridamayanti, Liza Pratiwi","doi":"10.21776/ub.pji.2022.007.02.5","DOIUrl":"https://doi.org/10.21776/ub.pji.2022.007.02.5","url":null,"abstract":"Diabetic ulcer is a condition where there are neurological abnormalities and peripheral arterial vascular disease that causes infection, ulceration, and/or damage to the deepest skin tissue on the feet of people with diabetes mellitus (DM). The long duration of wound healing is due to the wrong use of antibiotics for a long time, and bacteria tend to become resistant to antibiotics. Antimicrobial compound fraction of cengkodok combined with gentamicin and ciprofloxacin antibiotics for prevention and reduction of antibiotic resistance in the cause of diabetic ulcers. The drug preparation is in the form of self nanoemulsifiying drug delivery system (SNEDDS), which is the optimum combination of cengkodok leaf fraction with gentamicin and ciprofloxacin antibiotics. The use of SNEDDS in this study is because the SNEDDS made from nanoemulsion formulations has small particle size, large surface absorption, and good dispersion, so that it can be evenly dispersed on the skin and penetrates the skin layer. This study aims to determine the effectiveness of the formulation cengkodok leaf fraction with gentamicin and ciprofloxacin antibiotics against B. cereus and S. aureususing the SNEDDS drug delivery system. The test uses the spotless diffusion method without using paper discs. The results showed that the combination of cengkodok leaf fraction with gentamicin and ciprofloxacin antibiotics had better activity against B. cereus and S. aureus than cengkodok leaf fraction, gentamicin and ciprofloxacin only.","PeriodicalId":19897,"journal":{"name":"PHARMACY: Jurnal Farmasi Indonesia (Pharmaceutical Journal of Indonesia)","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82840395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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PHARMACY: Jurnal Farmasi Indonesia (Pharmaceutical Journal of Indonesia)
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