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EFEKTIVITAS KOMBINASI EKSTRAK ETANOL 70% DAUN RAMANIA (Bouea macrophylla Griffith) dan GLIBENKLAMID DENGAN METODE INTOLERANSI GLUKOSA 以乙醇提取物70%的RAMANIA (Bouea macrophylla Griffith)和胶原体以葡萄糖不耐受的方式结合起来的有效性
Pub Date : 2023-08-31 DOI: 10.20885/jif.specialissue2023.art4
K. Astuti, Fitriyanti' Fitriyanti', Hadirvika Tjuthiyanda
Latar belakang: Diabetes  Melitus  merupakan kondisi  kronis  yang disebabkan kurang efektifnya insulin bekerja. Glibenklamid merupakan salah satu OHO yang sering digunakan baik dalam sediaan tunggal ataupun kombinasi. ramania (Bouea macrophylla Griffith) merupakan tanaman khas Kalimantan yang dapat digunakan sebagai pengobatan diabetes Tujuan: mengetahui konsentrasi terbaik dari kombinasi ekstrak etanol 70% daun ramania dengan glibenklamid sebagai antidiabetes. Metode: uji  intoleransi  glukosa  oral (UIGO). Hewan uji menggunakan mencit putih jantan yang dibagi menjadi masing-masing kelompok kontrol (Na-CMC 0,5%), kontrol, kontrol positif (glibenklamid 5 mg/kg BB), kelompok  kombinasi  ekstrak  etanol  70% daun  ramania  125;250; dan 500  mg/kgBB - glibenklamid 5 mg/kg BB. Mencit diinduksi glukosa secara oral agar mengalami hiperglikemia. Kadar glukosa darah pada menit ke-0, 30, 60, 90, 120 setelah induksi glukosa. Hasil: kombinasi ekstrak dan glibenklamid dengan dosis 250 dan 500 mg/KgBB menunjukkan efek antihiperglikemik. Kesimpulan: Diperoleh kombinasi terbaik dengan dosis 500 mg/KgBB yang dikombinasikan dengan glibenklamid
背景:糖尿病是一种慢性疾病,因为胰岛素工作效率较低。胶原蛋白是一种用于单一或组合的OHO。ramania (Bouea macrophylla Griffith)是加里曼丹的一种典型植物,可以用作治疗目的糖尿病的药物:它知道将70%的乙醇提取物与糖原原酸结合起来作为抗糖尿病药物的最佳浓度。方法:测试口腔葡萄糖不耐受(UIGO)。试验动物使用雄性小肠分为不同的控制组(na cmc 0.5%)、控制、正控制(gliben这件事5 mg/kg BB)、七成比例的乙醇提性剂集集ramania 125;250;以及500毫克/kgBB - 5毫克/kgBB。口服诱导葡萄糖以获得高血糖。血糖水平在葡萄糖诱导后0、30、60、90、120分。结果:提取物和糖原原体与剂量为250毫克和500毫克/KgBB的组合显示出抗糖色素沉着的效果。结论:服用500毫克/KgBB与糖原原蛋白结合的最佳组合
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引用次数: 0
ANALISIS KUALITAS PELAYANAN KEFARMASIAN DAN TINGKAT KEPUASAN PASIEN BADAN PENYELENGGARA JAMINAN SOSIAL ( BPJS) DI RSUD HADJI BOEJASIN PELAIHARI 分析d阿吉哈吉国际海事组织(BPJS)医疗服务质量与患者满意度的分析
Pub Date : 2023-08-31 DOI: 10.20885/jif.specialissue2023.art13
Depy Oktapian Akbar, Rahmayanti Fitriah, Muhammad Luthfi Aditya, Reny Marliadi, Wahyudi, Aesty Rahayu
Background: Pharmaceutical services are services that are provided directly and responsibly to patients, related to medicines to reach accurate results that enhance patient quality of life. Objective: The purpose of this research is to the analysis of the quality of pharmaceutical services and the level of satisfaction of BPJS patients at Hadji Boejasin Pelaihari Hospital. Method: A cross-sectional survey design with a targeted sampling design was used in this study. The research method was a questionnaire containing structured questions to quantify each variable studied. Results: Quality survey results pharmaceutical services were 85.96% (according) and 14.03% (not appropriate), while patient satisfaction with reliability dimension 78.63% (very satisfied), Responsiveness 77.82% (very satisfied) , Assurance 83.01% (very satisfied), Empathy 80.47% (very satisfied), and Tangible 82.53% (very satisfied). Conclusion: From the average of the five dimensions, a result of 547,4 was obtained with an average patient satisfaction index of 80,49% Keywords: BPJS, Service Quality, Satisfaction Level
背景:药学服务是直接和负责任地向患者提供的与药物相关的服务,目的是达到准确的结果,提高患者的生活质量。目的:本研究旨在分析Hadji Boejasin Pelaihari医院BPJS患者的药学服务质量和满意度。方法:采用横断面调查设计和目标抽样设计。研究方法是一份包含结构化问题的问卷,以量化所研究的每个变量。结果:质量调查结果药学服务质量满意度分别为85.96%(一般)和14.03%(不适宜),患者满意度在信度维度上分别为78.63%(非常满意)、77.82%(非常满意)、83.01%(非常满意)、80.47%(非常满意)和82.53%(非常满意)。结论:五个维度的平均值为547,4,患者满意度平均为80,49%。关键词:BPJS,服务质量,满意度
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引用次数: 0
The study of conformity of the pharmaceutical service in Puskesmas Bogor City towards PMK No. 74, 2016 Puskesmas茂物市药品服务对PMK No. 74, 2016的一致性研究
Pub Date : 2023-08-31 DOI: 10.20885/jif.specialissue2023.art12
Nhadira Nhestricia, Hero Prasetio Kusworo, Lusi Agus Setiani
Background: Improving the quality of pharmaceutical services requires a change in the old product-oriented paradigm (drug-oriented) into a new patient-oriented paradigm (patient-oriented) by executing pharmaceutical care. Improving the quality of pharmaceutical services to people who have direct contact through primary health care as the first-level health facility refers to PMK No. 74 of 2016.Objective: This study aims to determine the description of the implementation of pharmaceutical service standards at the Primary Health care facility in Bogor City for the 2022 period based on PMK No. 74 of 2016.Method: This study used a descriptive approach with an exploratory research type. Retrieval of data using questionnaire instruments and observation checklists The research was conducted for six months, from April to September 2022. The population in this study (24 primary health care and 24 pharmacy installation heads as respondents).Results: Based on the research results, the description of the implementation of pharmaceutical service standards at Bogor City Primary Health Care, based on PMK No. 74 of 2016, for the 2022 period showed that the average value of the questionnaire and observation instruments in the fields of management of pharmaceutical supplies and medical consumables (BMHP), clinical pharmacy services, and pharmaceutical quality control had successive values of 94.87, 85.5, and 100% (very good). The results of the value of the availability of pharmaceutical human resources were 95.83% (very good).Conclusion: The conclusion of the implementation of pharmaceutical services at the Bogor City Primary Health Care is in accordance with the pharmaceutical service standards at the Primary Health Care based on PMK No. 74 of 2016.Intisari Latar belakang: Peningkatan kualitas pelayanan kefarmasian menuntut adanya perubahan paradigma lama yang berorientasi terhadap produk (drug oriented) menjadi paradigma berkembang pada era saat ini yang berorientasi pada pasien (patient oriented) dengan melaksanakan pharmaceutical care. Peningkatan kualitas pelayanan kefarmasian pada masyarakat yang berhubungan langsung melalui puskesmas sebagai fasilitas kesehatan tingkat pertama yang merujuk pada PMK No. 74 Tahun 2016. Tujuan: Penelitian ini bertujuan untuk mengkaji kesesuaian implementasi standar pelayanan kefarmasian di Puskesmas Kota Bogor terhadap PMK No 74 Tahun 2016.Metode: Penelitian ini menggunakan pendekatan deskriptif dengan jenis penelitian eksploratif. Pengambilan data menggunakan instrumen kuisioner dan daftar tilik observasi. Penelitan dilakukan selama 6 bulan sejak April – September 2022. Populasi dalam penelitian ini adalah kepada kepala instalasi farmasi di seluruh Puskesmas Kota Bogor.Hasil: Implementasi standar pelayanan kefarmasian Puskesmas Kota Bogor berdasarkan PMK No. 74 tahun 2016 periode 2022 didapatkan hasil nilai rata-rata instrumen kuesioner dan observasi di bidang Pengelolaan Sediaan Farmasi dan Bahan Medis Habis Pakai (BMHP),
背景:提高药学服务质量需要通过实施药学服务,将旧的以产品为导向的模式(以药物为导向)转变为以患者为导向的新模式(以患者为导向)。提高通过初级卫生保健作为一级卫生设施直接接触的人的药品服务质量,参考了2016年第74号PMK。目的:本研究旨在根据2016年PMK第74号命令确定2022年期间茂物市初级卫生保健机构药品服务标准实施情况的描述。方法:本研究采用探索性研究型的描述性研究方法。本研究于2022年4月至9月进行,为期6个月。本研究的人口(24名初级卫生保健机构和24名药房机构负责人作为调查对象)。结果:基于研究结果,基于2016年PMK第74号对2022年期间茂物市初级卫生保健机构药品服务标准执行情况的描述显示,药品耗材管理(BMHP)、临床药学服务和药品质量控制领域的问卷和观察仪器的连续值分别为94.87、85.5和100%(非常好)。结果药学人力资源可得性评价值为95.83%(非常好)。结论:茂物市初级卫生保健机构实施药品服务的结论符合2016年PMK第74号《初级卫生保健机构药品服务标准》。Peningkatan kualitas pelayanan kefarmasian menuntut adanya perubahan范式lama yang berorientasi terhadap产品(药物导向)menjadi范式berkembang paada era saat ini yang berorientasi pada pasien(患者导向)登根melaksanakan药学服务。Peningkatan kualitas pelayanan kefarmasian pada masyarakat yang berhubungan langsung melalui puskesmas sebagai fasilitas kesehatan tingkat pertama yang merujuk pada PMK第74号,2016。图胡安:Penelitian ini bertujuan untuk mengkaji kessuaian实施标准pelayanan kefarmasian di Puskesmas Kota茂物terhadap PMK No . 74 Tahun 2016。方法:Penelitian ini menggunakan pendekatan deskscripatif denengan Penelitian eksplatiatian。彭甘比兰数据观测站,孟古那坎仪器观测站,数据分析观测站。Penelitan dilakukan selama 6 bulan sejak 2022年4月至9月。在哥打茂物,人们都是这样的。Hasil: Implementasi standard pelayanan kefarmasian Puskesmas Kota bota Bogor berdasarkan PMK No. 74 tahun 2016年,2022年didapatkan Hasil nilai rata-rata仪器kuesoner dan observasi di bidang Pengelolaan Sediaan Farmasi dan Bahan Medis Habis Pakai (BMHP), pelayanan Farmasi klinik serta pengendalian mutu kefarmasian memiliki nilai berturutu-turut sebesar 94,87;85年,5;丹100% (sangat baik)。Hasil nilai ketersediaan SDM kefarmasian sebesar 95,83% (sangat baik)。kespulan: Pelayanan kefarmasian di Puskesmas Kota Bogor telah sesuai dengan PMK 74号,2016年7月。卡塔昆奇;permenkes;puskesmas
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引用次数: 0
Analisis determinan terhadap Length of Stay (LoS) di ruang isolasi Covid-19 RSUD Jend. A. Yani Kota Metro 在Covid-19 RSUD Jend将军的隔离室中确定停留的长度(LoS)的分析。亚尼镇地铁
Pub Date : 2023-07-31 DOI: 10.20885/jif.vol19.iss1.art7
Devina Harti Syaputri, D. Laksmitawati, P. Sarnianto, Andreas Infianto
Intisari Latar belakang: Angka kejadian Coronavirus Disease 2019 (COVID-19) yang mengalami peningkatan di Indonesia mempengaruhi kebutuhan layanan rawat inap rumah sakit. Salah satu parameter mutu layanan dan penggunaan sumber daya rumah sakit adalah length of stay (LOS).Tujuan: Untuk mencari determinan COVID-19 yang berpengaruh terhadap LOS di rumah sakit.Metode: Pengambilan data secara retrospektif observasional menggunakan desain studi cross sectional. Metode pengambilan sampel menggunakan total sampling selama periode rawat Januari-Agustus 2021 di Ruang Isolasi RSUD Jend. A. Yani Kota Metro. Data yang digunakan adalah data rekam medis. Analisis bivariat dengan menggunakan Chi Square, sedangkan analisis multivariat menggunakan Regresi Logistik Ganda.Hasil: Sampel berjumlah 443 pasien yang di rawat selama periode Januari-Agustus 2021 di ruang isolasi COVID-19 RSUD Jend. A. Yani Kota Metro. Median LOS adalah 6 hari. Analisis regresi logistik ganda menunjukkan bahwa determinan LOS meliputi; tingkat keparahan, diabetes mellitus, penyakit jantung, D-Dimer.Kesimpulan: Tingkat keparahan, komorbid diabetes mellitus, komorbid penyakit jantung, nilai D-Dimer merupakan determinan terhadap LOS pasien COVID-19 terkonfirmasi di ruang isolasi COVID-19 RSUD Jenderal Ahmad Yani Provinsi Lampung.Kata kunci: Determinan, Coronavirus Disease, LOS, rumah sakit
背景资料:印度尼西亚发病率上升的冠状动脉病毒发病率2019 (COVID-19)影响了住院服务的需要。医院资源的服务质量和使用质量参数之一是stay (LOS)。目标:在医院寻求影响洛斯的COVID-19保险公司。方法:利用交叉研究设计进行观察回顾数据提取。在2021年1月至8月的住院期间,样本采集的方法完全采用了样本。亚尼镇地铁。所使用的数据是医疗记录。双变量分析使用Chi平方,而多变量分析使用双重物流回归。结果:在2021年1月至8月期间,共有443名患者在科维-19将军的隔离室接受治疗。亚尼镇地铁。洛斯的中位数是6天。双物流回归分析表明,洛萨确定性包括;严重程度,糖尿病,心脏病,D-Dimer。结论:麦利迪乌斯糖尿病发病率、心脏病发病率、d -19分对洛斯患者COVID-19的确诊病例的严重程度。关键词:承诺,冠状动脉病毒疾病,LOS,医院
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引用次数: 0
Validation and development of UV-Vis spectrophotometer analysis methods for alpha-tocopherol acetate 紫外-可见分光光度法测定α -生育酚醋酸酯方法的验证与发展
Pub Date : 2023-03-03 DOI: 10.20885/jif.vol19.iss1.art8
Arif Al Iman, Winni Auli, S. Sukrasno
Background: The COVID-19 pandemic had caused the consumption of vitamins in the community to increase with the aim of maintaining immunity in the body. Objective: This study aims to develop an analysis method with a UV-Vis spectrophotometer, which is considered an alternative analysis method that is easier, more practical, and cheaper. Method: Methods for analyzing alpha-tocopherol acetate are validated through specificity tests, linearity measurements, precision tests, accuracy tests, determination of detection limits, determination of quantitation limits, and determination of range using ethanol p.a solvent and UV-Vis Spectrophotometer instruments. Then, examine the alpha tocopherol acetate content of vitamin E dietary supplements. Results: The specificity test showed that matrix had no significant effect on the analysis, the linearity test met the requirements with a concentration range of 20–60 ug/mL (r = 0.9991), the accuracy test was 99.897-100.315%, intraday and interday precision tests were obtained with %RSD less than 2%, the LOD value was 1.859 ug/mL and the LOQ value was 5.635 ug/mL. The determination of levels of vitamin E in dietary supplements showed levels for brand A of 100.508% and brand B of 100.089%. Conclusion: The analytical method developed had met the validation requirements, and the levels of vitamin E food supplements had met the USP requirements. Keywords: method validation, UV-Vis spectrophotometer, alpha tocopherol acetate
背景:COVID-19大流行导致社区维生素消费增加,目的是维持体内免疫力。目的:本研究旨在建立一种简便、实用、经济的紫外可见分光光度计分析方法。方法:通过特异性试验、线性测量、精密度试验、准确度试验、检出限测定、定量限测定、范围测定等方法,对α -生育酚醋酸酯的分析方法进行了验证。然后,检测维生素E膳食补充剂中α -生育酚醋酸酯的含量。结果:特异性试验表明基质对分析无显著影响,线性试验满足要求,浓度范围为20 ~ 60 ug/mL (r = 0.9991),准确度试验为99.897 ~ 100.315%,日内、日间精密度试验RSD < 2%, LOD值为1.859 ug/mL, LOQ值为5.635 ug/mL。对膳食补充剂中维生素E含量的测定显示,A牌维生素E含量为100.508%,B牌维生素E含量为100.089%。结论:所建立的分析方法符合验证要求,维生素E食品补充剂的含量符合美国药典的要求。关键词:方法验证,紫外可见分光光度计,醋酸α生育酚
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引用次数: 0
Quality and Antioxidant Activity of Faloak (Sterculia quardifida R.Br) Extract Syrup with Variations in Addition of Ginger (Zingiber officinale Roscoe) 不同生姜添加量法洛木提取物糖浆的品质及抗氧化活性研究
Pub Date : 2023-03-03 DOI: 10.20885/jif.vol19.iss1.art2
P. Tenda, Lely A. V. Kapitan, Maria I. M. Indrawati, F. R. Soeharto
Background: Faloak is known to contain flavonoids, terpenoids, phenols, and tannins, all of which have antioxidant activity. The preparation of faloak in the dosage form of syrup has been completed, but the suboptimal extraction of the active ingredient reduces the antioxidant activity of the syrup. In this study, the syrup was created by macerating extracts of faloak and red ginger, which contain active substances. The quality of the syrup is further evaluated for its antioxidant activity. Objective: To determine the characteristics of the extract, the quality of the syrup, and the antioxidant activity of the syrup. Method: During extraction using the maceration technique, both specific and non-specific characteristics of the extract are evaluated. The 2,2-diphenyl-1-picrilhydrazyl (DPPH) method was used to measure antioxidant activity. Results: The results of testing particular properties revealed that faloak and red ginger extracts contained flavonoids, triterpenoids, phenols, and tannins. The faloak and red ginger extracts had a water content of 5.926 ± 0.116 and 4.270 ± 0.121, respectively, and a total ash content of 2.430 ± 0.160 and 3.570 ± 0.140, according to non-specific analyses of the extract. The IC50 values for the antioxidant activity of formula 1 and formula 2 syrups were 114.002 ± 0.174 and 107.888 ± 0.115 ppm, respectively. Conclusion: The addition of red ginger to Faloak syrup increases its antioxidant activity compared to that of the syrup without the addition of red ginger, although both syrups have moderate antioxidant activity. Keywords: Faloak, syrup, antioxidant, DPPH
背景:众所周知,法卢克含有黄酮类、萜类、酚类和单宁,所有这些都具有抗氧化活性。糖浆剂型法洛克的制备已经完成,但有效成分的提取不理想,降低了糖浆的抗氧化活性。在这项研究中,糖浆是通过浸渍法卢克和红姜的提取物制成的,它们含有活性物质。糖浆的质量进一步评价其抗氧化活性。目的:测定其提取物的性质、糖浆的质量及抗氧化活性。方法:在浸渍法提取过程中,对提取物的特异性和非特异性进行评价。采用2,2-二苯基-1-吡啶肼(DPPH)法测定其抗氧化活性。结果:实验结果表明,红姜提取物含有黄酮类、三萜、酚类和单宁。非特异性分析结果表明,黄姜和红姜提取物含水量分别为5.926±0.116和4.270±0.121,总灰分含量分别为2.430±0.160和3.570±0.140。配方1和配方2的IC50值分别为114.002±0.174和107.888±0.115 ppm。结论:与不添加红姜的糖浆相比,添加红姜的糖浆的抗氧化活性有所提高,但两种糖浆的抗氧化活性均为中等水平。关键词:法洛克,糖浆,抗氧化剂,DPPH
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引用次数: 0
Anticancer activity of ethanol extract, n-hexane, and the ethyl acetate fraction of tin leaves (Ficus carica l.) on MCF-7 breast cancer cell lines 锡叶乙醇提取物、正己烷和乙酸乙酯部分对MCF-7乳腺癌细胞株的抗癌作用
Pub Date : 2023-03-03 DOI: 10.20885/jif.vol19.iss1.art4
Aji Winanta, Widhi Yana Sari
Background: Breast cancer is ranked as the second-highest cause of death in Indonesia. Many of the available cancer treatments result in severe adverse effects for patients. Tin (Ficus carica L.) leaves contain ingredients that can function as anticancer agents. Objective: The study aims to identify phytochemical secondary metabolites in tin leaves and the cytotoxic activity of the extract and tin leaf fraction on MCF-7 cells. Method: Tin leaf powder was macerated with 70% ethanol for 7 days. The extracts were fractionated using n-hexane and ethyl acetate. An identification test with ethanol extract was then carried out using spray reagents. The cytotoxic activity of ethanolic extract, n-hexane and ethyl acetate fraction of tin leaf was determined using the MTT method. Result: The results of the identification with TLC found that the ethanol extract of tin leaves contains flavonoids and steroids. The ethyl acetate fraction of tin leaf was thought to have weak cytotoxic properties with an IC50 value of 274.5877 ug/mL while the ethanol extract and n-heksan fraction of tin leaf do not have cytotoxic properties because they have an IC50 value of 562.827 and 576.3552 ug/mL. Conclusion: Based on the results, tin leaves have the potency to be developed as a chemopreventive agent for MCF-7 breast cancer cells. Keywords: Breast Cancer, MCF-7 cells, tin leaf (Ficus carica), cytotoxic activity
背景:在印度尼西亚,乳腺癌被列为第二大死因。许多现有的癌症治疗方法会对患者产生严重的不良影响。锡(Ficus carica L.)的叶子含有抗癌成分。目的:研究锡叶中植物化学次生代谢产物及其提取物和锡叶提取物对MCF-7细胞的细胞毒活性。方法:用70%乙醇浸泡锡叶粉7 d。提取液采用正己烷和乙酸乙酯进行分馏。然后用喷雾试剂对乙醇提取物进行鉴定试验。采用MTT法测定了锡叶乙醇提取物、正己烷和乙酸乙酯部分的细胞毒活性。结果:薄层色谱鉴别发现锡叶乙醇提取物中含有黄酮类化合物和甾类化合物。锡叶的乙酸乙酯部分的IC50值为274.5877 ug/mL,而锡叶的乙醇提取物和n-heksan部分的IC50值分别为562.827和576.3552 ug/mL,不具有细胞毒性。结论:锡叶具有开发作为MCF-7乳腺癌细胞化学预防剂的潜力。关键词:乳腺癌,MCF-7细胞,锡叶,细胞毒活性
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引用次数: 0
Drug utilization pattern and cost estimates of antihypertensive drugs in pharmacies BPJS Kesehatan back-referral program in Kudus Regency 库德斯县药房降压药使用模式及成本估算
Pub Date : 2023-03-03 DOI: 10.20885/jif.vol19.iss1.art3
Wildayanti Wildayanti, Tri Wijayanti, T. Andayani
Background: Hypertension is one of the main causes of mortality and morbidity in Indonesia. Drug usage, utilization patterns, and cost estimates are important elements in calculating drug needs in the forecasting of drug needs plans for pharmacies. Objective: to determine the pattern of drug use with the Anatomical Therapeuetik Chemical (ATC)/Defined Daily Dose (DDD) and Drug Use 90% (DU90%) methods and the estimated cost of antihypertensives with the use of antihypertensive drugs based on the national formulary. Methods: This research uses observational methods using a cross-sectional design. Retrospective data collection includes prescription from BPJS Kesehatan back-referral program (PRB) which goes into pharmacy A, B, and C for the period 2020. Results: The most widely used drugs at pharmacy A, B and C based on ATC/DDD classification were amlodipine, candesartan, ramipril, hydrochlorothiazide, and lisinopril. Amlodipine was the most frequent drug in the DU segment 90%. The highest cost of using the drug was candesartan 16 mg (Rp 4,381,531). The percentages of adherence to the use of antihypertensive drugs with the national formulary in pharmacy A, B, and C were 73.91%, 80%, and 68.42%, respectively. Conclusion: In general, the highest consumption of antihypertensive drugs in Back-Referral Program (PRB) pharmacies in the area of Kudus Regency, which is included in the DU segment 90%, was amlodipine, and the suitability of drugs with the National Formulary has not reached 100%. Referring to the results of the pattern of use of PRB drugs in this study, it is hoped that there will be better coordination between BPJS Kesehatan and pharmacies regarding the distribution and availability of PRB drugs. Keywords: ATC/DDD, DU 90%, hypertension, national formulary, PRB
背景:高血压是印度尼西亚死亡和发病的主要原因之一。药物使用、利用模式和成本估算是预测药店药物需求计划中计算药物需求的重要因素。目的:确定解剖治疗化学(ATC)/限定日剂量(DDD)和药物使用90% (DU90%)方法的用药模式,以及基于国家处方使用降压药物的降压成本估算。方法:本研究采用横断面设计的观察方法。回顾性数据收集包括来自BPJS Kesehatan反向推荐计划(PRB)的处方,该计划于2020年期间进入药房A, B和C。结果:根据ATC/DDD分类,A、B、C药房使用最多的药物是氨氯地平、坎地沙坦、雷米普利、氢氯噻嗪和赖诺普利。氨氯地平是DU段最常见的药物,占90%。使用该药物的最高成本是坎地沙坦16毫克(4,381,531卢比)。A、B、C药房降压药依存率分别为73.91%、80%、68.42%。结论:总体来看,库德斯县地区backreferral Program (PRB)药房降压药用量最高的是氨氯地平,属于DU段90%,与国家处方集的契合度未达到100%。参考本研究中PRB药物使用模式的结果,希望BPJS Kesehatan与药房在PRB药物的分配和可及性方面有更好的协调。关键词:ATC/DDD, DU 90%,高血压,国家处方,PRB
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引用次数: 0
Isolation of antifungal bioactive compounds from an ethanolic extract of beluntas leaves (Pluchea indica) against Microsporum canis 白桦叶乙醇提取物对犬小孢子虫抗真菌活性化合物的分离
Pub Date : 2023-03-03 DOI: 10.20885/jif.vol19.iss1.art5
Devi Safitri, M. Muhaimin, Nelson Nelson, I. L. Tarigan, L. Lizawati, M. Latief
Background: Fungus prevalence in Indonesia is still relatively high. This happens because Indonesia has high temperatures and humidity. Beluntas (Pluchea indica) is a shrub native to Indonesia and widely distributed in most parts of the country. Pluchea indica is usually used by the community as a medicine for skin diseases. The bioactive content of P. indica leaves has potential as an antifungal agent. One of the fungi that is pathogenic to humans is Microsporum canis. Method: N-hexane, ethyl acetate, and ethanol served as the solvents for the graded maceration method of extraction over two 24-hour periods. Furthermore, using Vacuum Liquid Chromatography (VLC) and characterization with UV-Vis and FT-IR. Antifungal activity was performed by disc diffusion method. Results: Pluchea indica leaves have antifungal activity in the ethanol extract of 20.08 mm (very strong), the F5 fraction of 22.24 mm (very strong), and the F5 isolate of 6.3 mm (weak) at a concentration of 4%. Based on the UV-Vis and FT-IR data, the isolate had a wavelength of 267 nm with a functional group of -OH, C=C aromatic, C-H, and C-O. Conclusion: Isolate from the ethanol extract of Pluchea indica leaves has potential as an antifungal originating from the flavonoid group. Keywords: Pluchea indica, antifungal, Microsporum canis, isolation compound
背景:真菌在印度尼西亚的流行率仍然相对较高。这是因为印尼的高温和高湿度。白龙塔(Pluchea indica)是一种原产于印度尼西亚的灌木,广泛分布于该国的大部分地区。梅花通常被社会用作治疗皮肤病的药物。籼稻叶片的生物活性成分具有作为抗真菌剂的潜力。对人类有致病性的真菌之一是犬小孢子菌。方法:以正己烷、乙酸乙酯和乙醇为溶剂,采用梯度浸渍法提取,时间为2小时。此外,利用真空液相色谱(VLC)和紫外可见光谱(UV-Vis)和红外光谱(FT-IR)进行表征。用圆盘扩散法测定其抗真菌活性。结果:在浓度为4%时,梅子叶乙醇提取物20.08 mm(很强)、F5提取物22.24 mm(很强)、F5分离物6.3 mm(弱)均有抗真菌活性。通过UV-Vis和FT-IR分析,该分离物的波长为267 nm,官能团为-OH、C=C芳、C- h和C- o。结论:从梅子叶乙醇提取物中分离得到的一种黄酮类化合物具有抗真菌活性。关键词:梅花,抗真菌,犬小孢子菌,分离化合物
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引用次数: 0
In Silico Study of Monascus sp. Pigment Derivatives as Anticardiovascular Candidate 红曲霉色素衍生物抗心血管候选物的硅研究
Pub Date : 2023-03-03 DOI: 10.20885/jif.vol19.iss1.art1
D. Zain, Anna Yuliana
Background: Cardiovascular disease is the leading cause of death in the world. The therapeutic activity of Monascus sp. pigment can act as an anticardiovascular agent. Research on Monascus sp. pigment is rapidly developing, including the discovery of new pigments, the methods used, and their identification. Currently, there are 57 dyestuff compounds that have been successfully isolated from Monascus molds. So, researchers conducted an in-silico study of Monascus sp. Objective: To determine whether it can have better interactions and activities as an anticardiovascular medicine candidate. Method: PAK1 is used as a receptor for anticardiovascular drugs. 57 test compounds were carried out for ligand preparation and application of Lipinski's rule of five by using MarvinSketch software, ADME prediction and toxicity testing using PreADMET, the docking process using Autodock tools, and visualization using Discovery Studio. Results: The results of the docking analysis are seen from the values of binding affinity consecutively. compound R3 (-8.74 kcal/mol), red shandong (-8.16 kcal/mol), and monaphilol (-8.14 kcal/mol) are lower than the comparison compound bisoprolol (-6.44 kcal/mol), which shows that the three compounds have better interactions than the comparison compounds. Conclusion: Derivative compounds from Monascus sp. Pigment are predicted to have better interactions and can be used as anticardiovascular medicine candidates. Keywords: Monascus sp., pigment, anticardiovascular, in silico, PAK1, ADME, and toxicity
背景:心血管疾病是世界上导致死亡的主要原因。红曲霉色素具有抗心血管药的作用。红曲色素的研究正在迅速发展,包括新色素的发现、使用方法和鉴定。目前,已成功从红曲霉中分离出57种染料化合物。因此,研究人员对红曲霉进行了计算机研究。目的:确定其作为抗心血管药物候选物是否具有更好的相互作用和活性。方法:将PAK1作为抗心血管药物的受体。采用marvinssketch软件,使用PreADMET进行ADME预测和毒性测试,使用Autodock工具进行对接过程,使用Discovery Studio进行可视化,对57个测试化合物进行了Lipinski五法则的配体制备和应用。结果:从结合亲和度的值可以看出对接分析的结果。化合物R3 (-8.74 kcal/mol)、红山东(-8.16 kcal/mol)和单酚(-8.14 kcal/mol)均低于对照化合物比索洛尔(-6.44 kcal/mol),说明这3种化合物的相互作用优于对照化合物。结论:红曲霉色素衍生物具有良好的相互作用,可作为抗心血管药物的候选药物。关键词:红曲霉,色素,抗心血管,硅,PAK1, ADME,毒性
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引用次数: 0
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Kartika Jurnal Ilmiah Farmasi
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