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Analisis Biaya Obat Unit Rawat Jalan pada Rumah Sakit Badan Layanan Umum (BLU)/ Badan Layanan Umum Daerah (BLUD) di Indonesia 印尼公共服务医院/公共服务机构单位药品收费分析
Pub Date : 2019-08-30 DOI: 10.22435/jki.v9i2.1369
S. Suharmiati, Lestari Handayani, Betty Roosihermiatie
Drugs expenditure is the highest proportion in health services budget. financing for health services in National Universal Health Coverage era is carried out by BPJS payed to referral health facilities namely hospitals. The medicine cost at public service agency/District or Province public service agency is unknown certaintly. This descriptive study was advanced analyzes of the secondary data of 84 hospitals from health financing research in the year of 2016. The result showed that there were problems of drug availability in class B 94,6%, C 78,9% and A 77,8%. The highest proportion of generic drugs cost to total drug cost is class C hospital, followed by B class and A class hospitals i.e 40,57%, 37,83% dan 23,74% respectively. The cost of non generic drug compared to generic drugs at A, B and C class is 2,22 times, 1,15 times and 0,86 times respectively. The highest cost of generic drug is in outpatient specialist services in all class of hospitals. The cost of the drugs was increasing higher as well as the hospital class. Conclusion: The non generic drugs cost dominated in A and B class hospital while C class was generic drug cost. Generic drug use policy should be socialyzed by government and to be considered by management in order to be able to carried out cost efficiency.
药品支出在卫生服务预算中所占比例最高。国家全民健康覆盖时代的医疗服务融资由BPJS进行,支付给转诊医疗机构,即医院。公共服务机构/地区或省公共服务机构的药品费用未知。本描述性研究对2016年84家医院的医疗融资研究的二级数据进行了深入分析。结果表明,B类、C类和A类分别存在94,6%、78,9%和77,8%的药物可获得性问题。仿制药成本占药品总成本的比例最高的是C类医院,其次是B类和A类医院,分别为40,57%、37,83%和23,74%。与A、B和C类仿制药相比,非仿制药的成本分别为2,22倍、1,15倍和0.86倍。仿制药成本最高的是各类医院的门诊专科服务。药品的价格越来越高,医院的级别也越来越高。结论:甲类和乙类医院非仿制药费用占主导地位,丙类医院为仿制药费用。非专利药物使用政策应该由政府社会化,并由管理层考虑,以便能够实现成本效益。
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引用次数: 6
Aktivitas Antioksidan serta Penghambatan HMG CoA dan Lipase dari Kombinasi Ekstrak Daun Binahong-Rimpang Temu Lawak 抗氧化剂活性以及HMG CoA和Lipase从你的野根茎提取物中提取
Pub Date : 2019-08-30 DOI: 10.22435/jki.v9i2.1930
Nanang Yunarto, Nurul Aini, Intan Sari Oktoberia, Indah Sulistyowati, Arifayu Addiena Kurniatri
TThe prevalence of dyslipidemia in Indonesia continues to increase. Anredera cordifolia and Curcuma xanthorrhiza are empirically used in the community to overcome dyslipidemia disorders. Flavonoids as the main compounds in A. cordifolia and curcumin in C. xanthorrhiza have potential as antioxidant activity. This study aims to determine the in vitro mechanism of A. cordifolia and C. xanthorrhiza to reduce cholesterol associated with antioxidant activity. The testing was carried out on a combination of ethanol extracts of A. cordifolia leaves with C. xanthorrhiza rhizomes (1:1) and their single extract. The antioxidant activity test was conducted using DPPH method by making serial dilution of samples and ascorbic acid with adding DPPH. The inhibitory activity of HMG CoA and lipase enzymes was carried out enzymatically using ELISA as well as simvastatin as the comparison. The results showed that the highest antioxidant activity is in C. xanthorrhiza extract samples IC50 16.21 ± 1.74 µg/mL, but was less potential compared to ascorbic acid IC50 7,63±0,85 µg/mL. The most potential inhibition of HMG CoA and lipase is in C. xanthorrhiza samples IC50 8.35 ± 0.02 and 22.35 ± 1.26 µg/mL. The combination of A. cordifolia and C. xanthorrhiza (1: 1) is better than A. cordifolia extract but lower than C. xanthorrhiza extract in antioxidant activity as well as the inhibition of HMG CoA reductase and lipase. The result showed a correlation that the higher antioxidant activity, the higher inhibitory of HMG CoA reductase and lipase respectively.
印度尼西亚的血脂异常患病率持续上升。鹿茸和姜黄是经验使用在社区克服血脂异常障碍。桔梗中的黄酮类化合物和黄根中含有的姜黄素具有潜在的抗氧化活性。本研究旨在探讨花青藤和黄腐根降低胆固醇和抗氧化活性的体外作用机制。试验采用桔梗叶与黄根茎乙醇提取物(1:1)及其单提取物组合。采用DPPH法对样品和抗坏血酸进行连续稀释,加入DPPH进行抗氧化活性试验。采用酶联免疫吸附试验(ELISA)和辛伐他汀(辛伐他汀)对HMG辅酶a和脂肪酶的抑制活性进行测定。结果表明,黄芩提取物的抗氧化活性最高,IC50为16.21±1.74µg/mL,而抗坏血酸的IC50为7.63±0.85µg/mL。对HMG CoA和脂肪酶的抑制作用最强的是黄根菌样品,IC50分别为8.35±0.02µg/mL和22.35±1.26µg/mL。在抗氧化活性、抑制HMG CoA还原酶和脂肪酶活性方面,甘蓝花与黄芍(1:1)的组合优于甘蓝花提取物,但低于黄芍提取物。结果表明,抗氧化活性越高,对辅酶a还原酶和脂肪酶的抑制作用越强。
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引用次数: 13
Efek Dua Sediaan Ramuan Jamu pada Pasien Obesitas: Studi Klinis dengan Desain Paralel, Random dan Tidak Tersamar 肥胖症患者的两种草药制剂的作用:一种平行设计的临床研究,是随机和不透明的
Pub Date : 2019-08-30 DOI: 10.22435/jki.v9i2.1596
Zuraida Zulkarnain, Ulfatun Nisa, Enggar Wijayanti, Ulfa Fitriani
Obesity is a co-morbidity of cardiovascular disease, diabetes, and other metabolic diseases, which the prevalence increases every year. The use of herbal medicine is an alternative choice to overcome obesity. Clinical observation of decoction of herbal medicine (Dutch teak, kemuning, rhei radix and tempuyung) has been conducted for obesity therapy which has been proven to be effective in reducing body weight and body mass index (BMI). Innovation in steeping form is considered more practical than stew. Randomized open label pararel design research was carried out to assess the equal efficacy of the herbs in stew and steeping form. The number of subjects in each group were 30 subjects, they were patients of of Rumah Riset Jamu (RRJ) Hortus Medicus during June-October 2016 who met the inclusion criteria. BW and BMI are measured on Day-0, 28 and 56, while body height is measured once at Day-0. Both stew and steeping groups drank herbs twice a day for 56 days. At the end of the study, it was found that the mean of declining BW of the decoction group was 67.35 kg to 66.37 kg, while the steeping group 67.41 kg to 66.45 kg. BMI of stew group was decreased 26.85 kg / m2 to 26.46 kg / m2, while in steeping group 26.67 kg / m2 to 26.29 kg / m2. Statistic test result to compare BW and BMI of both two groups before and after treatment showed no significant differences in the two groups (p> 0.05). The ability of herbal medicines in steeping or stew forms can reduce the BW and BMI equally.
肥胖是心血管疾病、糖尿病和其他代谢性疾病的共同发病率,其发病率每年都在增加。使用草药是克服肥胖的另一种选择。采用荷兰柚木、克母宁、大黄、天补饮等中药煎剂治疗肥胖症,经临床观察,对减轻体重和体重指数(BMI)有效。浸泡形式的创新被认为比炖菜更实用。进行了随机开放标签pararel设计研究,以评估炖煮和浸泡形式的草药的同等疗效。每组受试者人数为30名,他们是2016年6月至10月期间符合纳入标准的Rumah Riset Jamu(RRJ)Hortus Medicus的患者。体重和BMI在第0、28和56天测量,而身高在第0天测量一次。炖煮组和浸泡组每天喝两次草药,持续56天。研究结束时发现,煎煮组的平均体重下降幅度为67.35kg至66.37kg,浸泡组为67.41kg至66.45kg,炖煮组的BMI下降幅度为26.85kg/m2至26.46kg/m2,浸泡组的BMI降低幅度为26.67kg/m2至26.29kg/m2。比较两组治疗前后体重和体重指数的统计检验结果,两组比较无显著性差异(p>0.05),中药浸泡或炖煮的能力可同等降低体重和体重。
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引用次数: 0
Efek Sitotoksik Formula Jamu Daun Sirsak, Buah Takokak, dan Umbi Bidara Upas terhadap Sel Kanker Payudara MCF-7 柠ktic配方草本柳枝、高山果和Upas对MCF-7乳腺癌细胞的生长
Pub Date : 2019-08-30 DOI: 10.22435/jki.v9i2.1049
Y. Widiyastuti, Ika Yanti M. Sholikhah, Sari Haryanti
Cancer is one of the leading cause of death in the world. Complicated and high cost treatments of cancer encourages people to look for alternative treatments among others using medicinal plants. Some medicinal plants that are empirically claimed to have anticancer effect are soursop (Annona muricata), takokak (Solanum torvum), and bidara upas (Merremia mammosa). However, these medicinal herbs have not been tested for cytotoxic activity against MCF-7 cancer cells. The purpose of this study was to determine the cytotoxic activity of the anticancer herbal formula consisting those three plants. The effect of each single extract and the combination formula were tested for their activity on cell viability of MCF-7 with MTT assay method. The herbal formula with the most active combination of medicinal plant extracts was further tested for its activity on the expression of Bcl-2 protein by immunocytochemistry methods. The results showed that each single extract and the combination formula gave cytotoxic effect on MCF-7 breast cancer cells. Formula A, consisted of a mixture of soursop leaves, takokak fruit, and bidas upas bulb with a ratio of 1:1:1, results in highest inhibition of the viability of MCF-7 cells with IC50 values of 48 µg/ml. The formula also enhances the apoptosis process in MCF-7 cells which is shown by decreasing the expression of antiapoptotic Bcl-2 proteins.
癌症是世界上导致死亡的主要原因之一。复杂而昂贵的癌症治疗方法促使人们寻找替代疗法,其中包括使用药用植物。根据经验,一些药用植物被认为有抗癌作用,如番荔枝(Annona muricata),龙葵(Solanum torvum)和白桦(Merremia mammosa)。然而,这些草药尚未被测试对MCF-7癌细胞的细胞毒性活性。本研究的目的是确定由这三种植物组成的抗癌草药配方的细胞毒活性。采用MTT法检测各单一提取物及组合配方对MCF-7细胞活力的影响。采用免疫细胞化学方法进一步检测了药用植物提取物组合最有效的中药配方对Bcl-2蛋白表达的活性。结果表明,各单一提取物及复方对MCF-7乳腺癌细胞均有细胞毒作用。配方A由刺果叶、枇杷果和刺果球茎按1:1:1的比例配制而成,对MCF-7细胞活力的抑制效果最好,IC50值为48µg/ml。该配方还通过降低抗凋亡Bcl-2蛋白的表达来促进MCF-7细胞的凋亡过程。
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引用次数: 3
Faktor-Faktor yang Memengaruhi Clinical Outcome Nyeri pada Pasien Diabetes Neuropati di Poliklinik Penyakit Dalam RSUD Kota Yogyakarta 日惹市糖尿病神经病变综合征患者营养状况的影响因素
Pub Date : 2019-08-30 DOI: 10.22435/jki.v9i2.388
Dirga Dirga, A. Nugroho, D. Pramantara
The treatment of diabetic neuropathy pain has not possessed an explicit guideline therapy yet, due to the difference perception towards the respond of pain from certain individu. In indonesia, the data regarding factors that could affect clinical outcome of pain are still limited to the meassurement of tolerance, perception, and sensitivity of certain pain. This study aims to describe the clinical outcome of pain along with the affected factors for diabetic neuropathy patients in Internal Medicine Clinics of Yogyakarta City General Hospital. The design of this This study is an analytical descriptive with cross sectional approach to 81 patients of diabetic neuropathy pain. The pain level measurement of patient is conducted with Visual Analog Scale (VAS) Instrument. The obtained data are analyzed statistically by applying Chi Square and logistical regression analysis. The results of this study showed that 60 patients (74,07%) had reached clinical outcome of pain, and 21 patients (25,93%) had not reached clinical outcome of pain. Factors that affecting clinical outcome of pain to diabetic neuropathy patients were BMI non-obesity (p = 0.043), period of diabetic less than 5 year (p = 0.022), anticonvulsant consuming (p = 0.039), and neurotropic vitamin (p = 0.002). According to the result of multivariate analysis by applying logistical regression test, neurotropic vitamin was claimed as the most influential factor towards clinical outcome of neuropathy pain to diabetic neuropathy patients with p = 0.013, OR = 11.109, and Cl = (1,668-73,970).
由于某些个体对疼痛反应的感知不同,糖尿病神经病变疼痛的治疗还没有明确的指导性治疗方法。在印度尼西亚,关于可能影响疼痛临床结果的因素的数据仍然局限于对某些疼痛的耐受性、感知和敏感性的测量。本研究旨在描述日惹市总医院内科诊所糖尿病神经病变患者疼痛的临床结果及其影响因素。本研究的设计是对81例糖尿病神经病变疼痛患者进行横断面分析描述。使用视觉模拟量表(VAS)测量患者的疼痛程度。应用卡方和逻辑回归分析对所得数据进行统计分析。这项研究的结果显示,60名患者(74,07%)达到了疼痛的临床结果,21名患者(25,93%)没有达到疼痛的临床效果。影响糖尿病神经病变患者疼痛临床转归的因素是BMI非肥胖(p=0.043)、糖尿病5年以下(p=0.022)、服用抗惊厥药(p=0.039)和嗜神经维生素(p=0.002),嗜神经性维生素被认为是影响糖尿病神经病变患者神经病变疼痛临床结果的最重要因素,p=0.013,OR=11.109,Cl=(1668-73970)。
{"title":"Faktor-Faktor yang Memengaruhi Clinical Outcome Nyeri pada Pasien Diabetes Neuropati di Poliklinik Penyakit Dalam RSUD Kota Yogyakarta","authors":"Dirga Dirga, A. Nugroho, D. Pramantara","doi":"10.22435/jki.v9i2.388","DOIUrl":"https://doi.org/10.22435/jki.v9i2.388","url":null,"abstract":"The treatment of diabetic neuropathy pain has not possessed an explicit guideline therapy yet, due to the difference perception towards the respond of pain from certain individu. In indonesia, the data regarding factors that could affect clinical outcome of pain are still limited to the meassurement of tolerance, perception, and sensitivity of certain pain. This study aims to describe the clinical outcome of pain along with the affected factors for diabetic neuropathy patients in Internal Medicine Clinics of Yogyakarta City General Hospital. The design of this This study is an analytical descriptive with cross sectional approach to 81 patients of diabetic neuropathy pain. The pain level measurement of patient is conducted with Visual Analog Scale (VAS) Instrument. The obtained data are analyzed statistically by applying Chi Square and logistical regression analysis. The results of this study showed that 60 patients (74,07%) had reached clinical outcome of pain, and 21 patients (25,93%) had not reached clinical outcome of pain. Factors that affecting clinical outcome of pain to diabetic neuropathy patients were BMI non-obesity (p = 0.043), period of diabetic less than 5 year (p = 0.022), anticonvulsant consuming (p = 0.039), and neurotropic vitamin (p = 0.002). According to the result of multivariate analysis by applying logistical regression test, neurotropic vitamin was claimed as the most influential factor towards clinical outcome of neuropathy pain to diabetic neuropathy patients with p = 0.013, OR = 11.109, and Cl = (1,668-73,970).","PeriodicalId":31842,"journal":{"name":"Jurnal Kefarmasian Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42224392","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: 0
Aktivitas Antibakteri Minyak Atsiri Daun Tembakau terhadap Pertumbuhan Bakteri Escherichia coli dan Staphylococcus aureus 烟草叶的抗菌活性对大肠杆菌和球菌aureus的生长有影响
Pub Date : 2019-05-17 DOI: 10.22435/jki.v9i1.1219
Elda Nurnasari, K. S. Wijayanti
Tobacco plants are widely used as raw material for cigarettes, but the results of the study show that in tobacco leaves contain compounds that can be used in the pharmaceutical and health fields. Tobacco leaves contain essential oils that have a distinctive aroma. The study aims to examine the antibacterial activity of tobacco essential oil from six sources tobacco such as Temanggung, Yogyakarta, Purwodadi, Boyolali, Blitar and Probolinggo. Tobacco essential oil is obtained by the steam-water distillation method. Antibacterial activity evaluation was carried out by diffusion method and the minimum inhibitory concentration on two bacteria, Escherichia coli and Staphylococcus aureus. The yield of tobacco essential oil ranged from 0.54-3.39%. Tobacco essential oil had antibacterial activity against bacteria E. coli and S. aureus in the presence of inhibition zones in bacterial media. The biggest inhibition zone was in Yogyakarta tobacco essential oil of 26 mm for S. aureus bacteria, while for E. coli bacteria the biggest inhibition zone was Blitar tobacco essential oil which was equal to 21 mm. The inhibition zone was not much different from the inhibition zone in tetracycline antibiotic testing (positive control) which was 25 mm in S. aureus and 21.5 mm bacteria in E. coli bacteria. Tobacco essential oil from Probolinggo was able to inhibit the growth of S. aureus bacteria up to a concentration of 6.25% and E. coli bacteria to a concentration of 12.5%.
烟草植物被广泛用作香烟的原料,但研究结果表明,烟叶中含有可用于制药和保健领域的化合物。烟叶中含有具有独特香气的精油。本研究旨在考察Temanggung、Yogyakarta、Purwodadi、Boyolali、Blitar和Probolinggo等6个烟源烟草精油的抑菌活性。采用蒸汽-水蒸馏法得到烟草精油。采用扩散法和最低抑菌浓度对大肠杆菌和金黄色葡萄球菌进行抑菌活性评价。烟草精油得率为0.54 ~ 3.39%。烟草精油对细菌培养基中存在抑菌带的大肠杆菌和金黄色葡萄球菌具有抑菌活性。对金黄色葡萄球菌的最大抑制区为日惹烟草精油26 mm,对大肠杆菌的最大抑制区为Blitar烟草精油21 mm。对金黄色葡萄球菌和大肠杆菌的抑菌带分别为25 mm和21.5 mm,与四环素类抗生素的抑菌带(阳性对照)差异不大。Probolinggo烟草精油对金黄色葡萄球菌和大肠杆菌的抑制浓度分别为6.25%和12.5%。
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引用次数: 2
Kajian Sistematik: Efek Gen Multi Drug Resistance-1 pada Farmakokinetik Klopidogrel 系统试验:多药耐药-1基因对氯吡格雷药代动力学的影响
Pub Date : 2019-05-17 DOI: 10.22435/jki.v9i1.584
R. Niruri, Rini Noviyani, Indah Mei Rahajeng
Multi Drug Resistance-1 (MDR-1) gene polymorphisms encoding for P-glycoprotein can affect clopidogrel intestinal absorption. This systematic review aim to identify the impact of MDR-1 gene 3435 variants on clopidogrel pharmacokinetics. Literature review were retrieved from MEDLINE, Science Direct, Scopus, Clinical Key, ProQuest and Google Scholar databases. The articles are critically reviewed and analyzed to answer this systematic review’s aim. The result showed that, in patients with cardiovascular disease, the peak plasma concentration (Cmax) and the total area under the plasma concentration–time curve (AUC) of clopidogrel and its active metabolites were lower in 3435TT compared to 3435CC. Nevertheless, the variants of MDR-1 gene were not significantly correlated to the plasma concentration in healthy subjects. Clopidogrel pharmacokinetic profile varied widely between MDR-1 3435 variants and subjects.
编码P-糖蛋白的MDR-1基因多态性可影响氯吡格雷的肠道吸收。本系统综述旨在确定MDR-1基因3435变异对氯吡格雷药代动力学的影响。文献综述检索自MEDLINE、Science Direct、Scopus、Clinical Key、ProQuest和Google Scholar数据库。对这些文章进行了批判性的回顾和分析,以回答这一系统综述的目的。结果显示,在心血管疾病患者中,与3435CC相比,3435TT中氯吡格雷及其活性代谢产物的峰值血浆浓度(Cmax)和血浆浓度-时间曲线下总面积(AUC)较低。然而,MDR-1基因的变异与健康受试者的血浆浓度没有显著相关性。氯吡格雷的药代动力学特征在MDR-13435变体和受试者之间差异很大。
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引用次数: 0
Studi in Silico Lima Senyawa Aktif Sebagai Penghambat Protein Virus Dengue Silico五种动物蛋白登革热抑制剂的研究
Pub Date : 2019-05-17 DOI: 10.22435/jki.v9i1.1157
R. Herman
Dengue infection is an endemic disease in the tropics and subtropics, caused by dengue virus (DENV) infection. Some compounds have been shown to have antiviral effects on some viruses. In silico study is conducted to predict the stability of natural ingredient compounds: artemisinin, catechin, mangiferin, epigallocatechin gallate (EGCG), and quercetin in their interactions with dengue virus proteins at molecular level. This study is carried out using the 2008 version of the Molecular Operating Environment (MOE) software. Ligands are ribavirin as antiviral control whereas artemisinin, mangiferin, EGCG, and quercetin with 3D mole format structures. The downloaded DENV protein with PDB document format is the DENV serotype 2 envelope protein with 1OKE code, non structural protein 3 (NS3) with 2VBC code and NS5 protein with 1L9K code. In silico test generally showed that catechin, mangiferin, EGCG, and quercetin had more stable docking ligands to DENV’s proteins. In particular, mangiferin had stable docking ligand to envelope proteins, NS3 (helicase and protease) and in NS5-methyltransferase compared to ribavirin. Catechin stabled on NS3-protease, EGCG on NS3 (helicase and protease) and quercetin on NS3-protease. Artemisinin had less stabled bonds than ribavirin. The results indicated that catechin, mangiferin, EGCG, and quercetin had potential inhibition to DENV proteins whereas mangiferin was the most potential compound to inhibit dengue virus protein targets.
登革热是由登革病毒(DENV)感染引起的热带和亚热带地方病。一些化合物已被证明对某些病毒具有抗病毒作用。进行了计算机研究,以预测天然成分化合物的稳定性:青蒿素、儿茶素、芒果苷、表没食子儿茶素没食子酸盐(EGCG)和槲皮素在分子水平上与登革热病毒蛋白相互作用。这项研究是使用2008年版的分子操作环境(MOE)软件进行的。配体是利巴韦林作为抗病毒对照,而青蒿素、芒果苷、EGCG和槲皮素具有3D摩尔形式的结构。下载的具有PDB文档格式的DENV蛋白是具有1OKE编码的DENV血清型2包膜蛋白、具有2VBC编码的非结构蛋白3(NS3)和具有1L9K编码的NS5蛋白。在计算机上测试通常表明儿茶素、芒果苷、EGCG和槲皮素与DENV的蛋白质具有更稳定的对接配体。特别是,与利巴韦林相比,芒果苷与包膜蛋白NS3(解旋酶和蛋白酶)和NS5甲基转移酶具有稳定的对接配体。儿茶素在NS3蛋白酶上稳定,EGCG在NS3(解旋酶和蛋白酶)上稳定,槲皮素在NS3酶上稳定。青蒿素的稳定键不如利巴韦林。结果表明,儿茶素、芒果苷、EGCG和槲皮素对登革病毒蛋白具有潜在的抑制作用,而芒果苷是最有可能抑制登革热病毒蛋白靶标的化合物。
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引用次数: 5
Uji Sensitisasi Dermal Masker Gel Kombinasi Ekstrak Ampas Daun Teh dan Air Cucian Beras 测试皮肤增敏面膜凝胶提取物组合,不包括茶片和熨斗冲洗水
Pub Date : 2019-05-17 DOI: 10.22435/jki.v9i1.491
Andi Nurul Annisa, Wahyu Utaminingrum, Erza Genatrika
The combination of tea leaf dregs extract and rice washing water as a peel-off gel mask was found to be stable up to 28 days of storage and had an IC50 value 20.4 ppm. This potential can provide an optimal effects as cosmetic ingredients.However, to meet the regulatory requirements of Badan Pengawas Obat Makanan (BPOM) RI and ISO 10993, a dermal sensitization test also need to be done. The aim of this study was to determine the dermal sensitization reaction from peel-off gel mask containing a combination of tea leaf dregsextract (Camellia sinensis L.) and rice washing water (Oryza sativa L.) in test animal. Thisstudy was designed based on experimental laboratory methods and sample selection by simple random sampling. The intervention was given based on posttest-only control group design. The test results for dermal sensitization were determined using the Guinea Pig Maximization Test (GPMT) method. The results showed erythema and edema reactions according to the Magnusson and Kligman scale after administration of peel-off gel masks as samples in the topical tests in test animals, appeared on the 11th day and in the challenge test appeared on the 24th day. This was due to incubation period for one week where the hypersensitivity state can develop, so that this reaction is also called the delayed hypersensitivity reaction
发现茶叶渣提取物和大米洗涤水的组合作为剥离凝胶掩膜在储存28天内是稳定的,并且具有20.4ppm的IC50值。这种潜力可以作为化妆品成分提供最佳效果。然而,为了满足Badan Pengavas Obat Makanan(BPOM)RI和ISO 10993的监管要求,还需要进行皮肤致敏测试。本研究的目的是确定含有茶叶渣提取物(Camellia sinensis L.)和大米洗涤水(Oryza sativa L.)的组合的剥离凝胶面膜对试验动物的皮肤致敏反应。本研究基于实验室实验方法和简单随机抽样的样本选择进行设计。干预是基于仅测试后的对照组设计进行的。使用豚鼠最大化试验(GPMT)方法测定皮肤致敏的试验结果。结果显示,在试验动物的局部试验中,根据Magnusson和Kligman量表,在施用剥离凝胶口罩作为样品后,红斑和水肿反应出现在第11天,在激发试验中出现在第24天。这是由于潜伏期为一周,此时会出现超敏状态,因此这种反应也被称为迟发型超敏反应
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引用次数: 0
Uji Aktivitas Antiseptik Ekstrak Etanol Daun Sirih (Piper betle Linn.) dalam Obat Kumur terhadap Staphylococcus aureus secara in Vitro 测试槟榔叶乙醇提取物的抗菌活性
Pub Date : 2019-05-16 DOI: 10.22435/jki.v9i1.351
Dian Sundari, Almasyhuri Almasyhuri
Betle leaf (Piper betle Linn.) is very popular in Indonesia. Betle leaf is useful for dental health and frequently used as mouthwash; to eliminate body and mouth odor; treats mouth ulcer, nosebleed, itching, ulceration and vaginal discharge in women. An oral cavity is a place for bacteria. If there is a bacterial immunity reduction, that was originally commensal bacteria can turn into a pathogen that cause infection. One of bacteria that commonly found in the oral cavity is Staphylococcus aureus. The bacteria have the ability to occupy and form biofilm on biomaterials that cause resistant to antimicrobials, thus making it difficult to eradicate host that is infected by S. aureus. Previous study reported a multidrug resistant of S. aureus that could cause death, that to overcome it, betle leaves extract ethanol in vitro antiseptic test to S.aureus was conducted. The test was conducted by the phenol coefficient method using S. auereus ATCC 25923 bacteria. Povidone iodine mouthwash that is circulated in the market is used as a comparison. The results showed that mouthwash containing ethanol extract of betle leaf had a phenol coefficient value of 1.87 while povidone iodine mouthwash as a comparison, had a phenol coefficient of 1.0. Mouthwash containing ethanol extract of betle leaf had higher antiseptic effectiveness than the comparative mouthwash.
槟榔叶(Piper Betle Linn.)在印度尼西亚非常流行。槟榔叶对牙齿健康有益,经常用作漱口水;消除体臭、口臭;治疗女性口腔溃疡、鼻出血、瘙痒、溃疡和阴道分泌物。口腔是细菌滋生的地方。如果细菌免疫力下降,那原本的共生细菌就会变成引起感染的病原体。口腔中常见的一种细菌是金黄色葡萄球菌。这种细菌有能力占据并在生物材料上形成生物膜,从而对抗菌素产生耐药性,从而使被金黄色葡萄球菌感染的宿主难以根除。以往的研究报道了金黄色葡萄球菌的多药耐药,可导致死亡,为了克服它,进行了甜菜叶提取物乙醇对金黄色葡萄球菌的体外杀菌试验。采用苯酚系数法对金黄色葡萄球菌ATCC 25923菌进行了试验。以市场上流通的聚维酮碘漱口水为对照。结果表明,含槟榔叶乙醇提取物漱口水的苯酚系数为1.87,而含聚维酮碘漱口水的苯酚系数为1.0。含槟榔叶乙醇提取物的漱口水杀菌效果优于对照漱口水。
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引用次数: 11
期刊
Jurnal Kefarmasian Indonesia
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