Jurnal Sains Farmasi & Klinis
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Studi Faktor Resiko, Pola Pengobatan, dan Luaran Klinis Pasien Preeklampsia di RSUD Sleman Yogyakarta
Full text linkPreeklampsia merupakan salah satu klasifikasi Hipertensi Dalam Kehamilan (HDK) yang dapat menimbulkan efek merugikan bagi ibu dan janin dalam jangka panjang antara lain peningkatan resiko gangguan kardiovaskular seperti gagal jantung, penyakit jantung koroner, dan stroke serta peningkatan morbiditas dan mortalitas. Penggunaan agen antihipertensi ditujukan untuk mencegah komplikasi atau kondisi perburukan yang terjadi serta untuk melihat gambaran antihipertensi yang tepat dan rasional bagi ibu hamil dengan preeklampsia. Penelitian ini menggunakan metode analisis observasional dengan pendekatan retrospektif dengan mengambil lokasi pada RSUD Sleman pada bulan Juni-Agustus 2022. Sumber data penelitian merupakan data sekunder yang berasal dari rekam medis pasien preeklampsia periode Januari-Desember 2021 dengan pengambilan data secara purposive sampling. Sejumlah 54 pasien preeklampsia memenuhi kriteria inklusi pada penelitian ini dengan prevalensi terbanyak usia pada rentang 25-35 tahun (18,50%), kehamilan pada trimester 3 (98,10%), multigravida (77,80%), dan derajat preeklampsia berat (85,20%). Monoterapi nifedipine yang merupakan golongan calcium channel blocker dengan pemberian oral menjadi pilihan pengobatan terbanyak (58,75%) dalam penelitian ini. Berdasarkan hasil analisis uji Chi-Square menunjukkan tidak ditemukan hubungan antara karakteristik pasien sebagai faktor resiko dengan derajat keparahan preeklampsia (p>0,05) serta tidak ada hubungan antara pola pengobatan dengan luaran klinis berupa ketercapaian target tekanan darah (p>0,05)
Knowledge and Beliefs about the Use of Antibiotics in Society: A Questionnaire Study of Gorontalo Province, Indonesia
Full text linkA lack of public understanding of the use of antibiotics has the potential to cause inappropriate use of antibiotics. The research aims to obtain information about the knowledge and beliefs of respondents regarding the use of antibiotics in Gorontalo Province.Methods: The study population is people over 18 years of age. Sampling was done randomly (N=384). Data was collected using a questionnaire and the results were analyzed using descriptive statistics.Results: Of the 384 respondents who met the inclusion and exclusion criteria, 55.99% of respondents knew that antibiotics had to be purchased with a doctor's prescription and that various types of antibiotics could be used for one type of bacterial infection (70.31%), antibiotics could be taken twice at the next dose (63.80%), accelerated recovery (60.16%), its use was stopped when symptoms disappeared (56.25%), the method of use was the same as other drugs (52.86) and effectively treated viruses (51.82). %), antibiotics can cause allergies (52.34%), resistance (59.38%), and bacterial resistance can increase if their use is not appropriate (48.96%). The results of the correlation analysis showed that there was a significant and unidirectional relationship between the two (rho=0.467).Conclusion: Respondents have adequate knowledge about antibiotics, resistance, and side effects but have inaccurate knowledge about the effectiveness of antibiotics for viral infections. Respondents have sufficient confidence that antibiotics cannot be obtained without a prescription, do not treat all diseases, and can cause resistance and side effects
Testing the effectiveness of hair growth tonic with cocoa bean extract on mice for physical stability and activity
Full text linkCocoa is a highly valued plant due to its versatile uses, including being processed into cosmetic products. Hair loss and slow hair growth are common hair-related concerns that can be effectively addressed through the use of hair tonics. Previously, research has shown that cocoa bean can effectively stimulate hair growth when made into a cream. Our research aimed to determine the secondary metabolite content of cocoa beans extract, formulate the extract into a hair growth tonic, and test its physical stability and effectiveness on hair growth in mice. Cocoa beans extracted by maceration method and conducted phytochemical screening. This extract was then used to create three formulations with different extract concentrations of 0.2%, 0.3%, and 0.5%, which were tested for physical stability, including organoleptic properties, homogeneity, pH, and specific gravity. Mice were divided into five treatment groups, hair length growth measurements were taken every week, on the 7th, 14th and 21st days. Six strands of hair were taken from the application area, and their length was measured using a calliper. Results revealed that cocoa seed extract contains flavonoids, alkaloids, tannins, and phenolics. The formula with a 0.3% concentration of cocoa bean extract showed the best physical stability. Hair growth tests on mice showed no significant difference between the 0.3% and 0.5% cocoa bean extract formulas and the positive control in the second week. The 0.3% formula is the best for ensuring good physical stability and promoting hair growth in mice when used twice daily for two week
Pengaruh Jenis Vaksin Covid-19 pada Kualitas Hidup Terkait Kesehatan (HRQoL) Masyarakat di Kota Padang dan Pariaman
No full textCovid-19 (Corona Virus Disease-2019) merupakan penyakit infeksi yang disebabkan oleh virus coronavirus 2 yang sangat mudah menular dan menyebabkan infeksi pada sistem pernafasan. Vaksinasi Covid-19 adalah salah satu upaya pencehagan penularan, dimana jenis vaksin yang diberikan kepada masyarakat ditetapkan oleh pemerintah. Tujuan penelitian ini adalah menganalisis pengaruh jenis vaksin Covid-19 terhadap kualitas hidup terkait kesehatan (HRQoL) di Kota Padang dan Pariaman. Penelitian dilakukan dengan menyebarkan dalam jaringan kuisioner generik WHOQOL-BREF yang berisi 26 pertanyaan pada bulan Juli – September 2022. Jenis vaksin merupakan variabel independen sedangkan data sosiodemografi responden yang meliputi jenis kelamin, usia, status perkawinan, pekerjaan, kota domisili, pendidikan terakhir, dan penyakit penyerta sebagai covariat. Kuisioner diolah secara statistik menggunakan SPSS versi 26 dengan analisis univariat. Vaksin Covid-19 yang diterima oleh responden yaitu Sinovac dan Sinopharm (inactivated virus), Moderna dan Pfizer (mRNA), serta Astra Zeneca (Non-Replicating Viral Vector). Kuisoner yang diisi secara  lengkap oleh 418 responden didapatkan hasil dimana sebanyak 242 dan 81 responden menyatakan kualitas hidup terkait kesehatan mereka berstatus baik dan sangat baik, sedangakan  93 dan 2 repsonden menyatakan biasa dan buruk. Hasil uji statistik menunjukkan tidak terdapat pengaruh yang signifikan (p>0,05) antara jenis vaksin terhadap ke empat domain pada HRQoL. Namun, terdapat pengaruh yang signifikan (p<0,05) pada covariat yaitu status perkawinan, pekerjaan dan pendidikan terakhir terhadap semua domain pada HRQoL
Adherence Assessment on Hypertension Therapy Using The Pill Count Method In Lubuk Kilangan Health Center, Indonesia
Full text linkAdherence is a major problem in hypertension treatment. Patients' adherence can be evaluated through pill count by counting the remaining amount of the patient's medication at the beginning and the end, using a pillbox as a tool to improve patient medication adherence. The purpose of this study was to describe the differences in adherence between patients who used the pillbox and without the pillbox. The research method used is Pretest-Posttest Control Group Design. The sample of this study is Prolanis (Chronic Disease Management Program) patients in 2021 at the Lubuk Kilangan Health Center in Padang City. They meet the inclusion and exclusion criteria that have been set. Sampling was carried out by total sample and obtained 70 subjects divided into the treatment group and the control group. The research technique used a Home Medication Review (HMR). The results of the study using the Mann-Whitney Test statistical test on adherence (p = 0.007) showed a value (p<0.05). It can be concluded that there are differences in adherence before and after the intervention. This result indicates that adherence is higher in patients who use the pillbox than those without the pillbox
Pencarian Inhibitor DYRK2 dari Database Bahan Alam Zinc15: Analisis Farmakofor, Simulasi Docking dan Dinamika Molekuler
Full text linkDYRK2 (Dual-specificity tyrosine phosphorylation-regulated kinase 2) merupakan protein kinase yang memiliki banyak peranan dalam berbagai proses biologis, termasuk pembelahan sel, proliferasi sel, diferensiasi sel, dan apoptosis. DYRK2 diantaranya terlibat dalam regulasi siklus sel dengan cara mengatur aktivitas proteasom 26S sehingga inhibisi aktivitas DYRK2 dapat menghambat fungsi proteasom 26S dan mengurangi proliferasi sel kanker. Secara in vitro, kurkumin menunjukan kemampuan mengurangi proliferasi sel kanker melalui penghambatan enzim DYRK2. Pada penelitian ini, analog kurkumin telah diskrining dari database bahan alam Zinc15 dengan menggunakan model farmakofor yang diperoleg dengan pendekatan berbasis ligan. Hasil skrining kemudian dievaluasi dengan menerapkan teknik docking molekuler dan dinamika molekuler berdasarkan energi interaksi, rata-rata energi pengikatan bebas dan stabilitas interaksi antara ligan dan situs aktif DYRK2. Skrining terhadap 270.547 molekul dari database bahan alam Zinc15 menghasilkan 110 senyawa hit terpilih. Dengan mempertimbangkan hasil simulasi docking dan dinamika molekuler, tiga analog kurkumin prospektif telah dipilih yaitu ZINC000085597244, ZINC000217945958, dan ZINC000217643970. Molekul-molekul ini memiliki kriteria yang lebih baik dibandingkan kurkumin pada beberapa kriteria, seperti energi interaksi, energi pengikatan bebas, dan stabilitas interaksi dengan target. Disimpulkan, senyawa-senyawa ZINC000085597244, ZINC000217945958, dan ZINC000217643970 diprediksi sebagai kandidat potensial untuk obat anti-kanker dengan mekanisme aksi spesifik terhadap DYRK2
Treatment Duration and Drug Regimen Correlation with Side Effects Incidence in Drug-Resistant Tuberculosis (DR-TB) Patients at Pulmonary Hospital
Full text linkThe bacteria Mycobacterium tuberculosis causes Drug-Resistant Tuberculosis (DR-TB). Excessive use of drugs canresult in drug resistance with various side effects. This study aimed to analyze the correlation between the treatment duration and drug regimen with the side effects incidence in DR-TB Patients at Pulmonary Hospital Dr. M. Goenawan Partoidigdo (RSPG) Bogor. This is an observational study with a cross-sectional design. Subjects were selected with purposive sampling methods based on inclusion and exclusion criteria. The research showed that DR-TB patients were mostly male (50.2%) with productive age (46.1%). The most common DR-TB treatment experienced by patients in the advanced phase, generally for 9-24 months (75.3%), and the type of drug side effect most experienced was gastrointestinal disorders, that is nausea (55.1%). The use of standard conventional drug regimens mostly in Z, E, Eto, Km, Lfx, Cs (Pyrazinamide, Ethambutol, Ethionamide, Kanamycin, Levofloxacin, Cycloserine) of 51.4%. The chi-square analysis showed no significant correlation between the treatment duration and the incidence of side effects. At the same time, there was a meaningful correlation between the drug regimen (short-term, long-term, and conventional standard regimen) and the side effects incidence. The suspected drugs causing gastrointestinal side effects were pyrazinamide, ethambutol, ethionamide, and levofloxacin. The side effects of arthritic arthralgia were suspected to be caused by pyrazinamide, ethionamide, and levofloxacin.The bacteria Mycobacterium tuberculosis causes Drug-Resistant Tuberculosis (DR-TB). Excessive use of drugs can result in drug resistance with various side effects. This study aimed to analyze the correlation between the treatment duration and drug regimen with the side effects incidence in DR-TB Patients at Pulmonary Hospital Dr. M. Goenawan Partoidigdo (RSPG) Bogor. This is an observational study with a cross-sectional design. Subjects were selected with purposive sampling methods based on inclusion and exclusion criteria. The research showed that DR-TB patients were mostly male (50.2%) with productive age (46.1%). The most common DR-TB treatment experienced by patients in the advanced phase, generally for 9-24 months (75.3%), and the type of drug side effect most experienced was gastrointestinal disorders, that is nausea (55.1%). The use of standard conventional drug regimens mostly in Z, E, Eto, Km, Lfx, Cs (Pyrazinamide, Ethambutol, Ethionamide, Kanamycin, Levofloxacin, Cycloserine) of 51.4%. The chi-square analysis showed no significant correlation between the treatment duration and the incidence of side effects. At the same time, there was a meaningful correlation between the drug regimen (short-term, long-term, and conventional standard regimen) and the side effects incidence. The suspected drugs causing gastrointestinal side effects were pyrazinamide, ethambutol, ethionamide, and levofloxacin. The side effects of arthritic arthralgia were suspected to be caused by pyrazinamide, ethionamide, and levofloxacin
Effect of quercetin and avobenzone concentration on physical characteristics and in vitro activity of sunscreen
Full text linkQuercetin is a flavonoid compound that has great potential activity, one of which is a chemical absorber of ultraviolet (UV) radiation, especially UV B radiation. The objective of the present study was to optimize quercetin as a UV B absorber combined with avobenzone as a UV A absorber in sunscreen cream formulation. Optimization was carried out by factorial design method using Design Expert 11.0 Software, with viscosity, pH, Sun Protection Factor (SPF) value, Percent of Erythema Transmission (% TE), and Percent of Pigmentation Transmission (% TP). The results showed that the quercetin factor was decreasing viscosity, pH, % TE, and % TP value but increasing the SPF value of the formulation. Avobenzone factor affected the increase of viscosity, pH, and SPF value but decreased the % TE and TP value. The interaction of quercetin and avobenzone significantly affected decreasing the viscosity and pH value but increased the SPF < % TE, and % TP value. Evaluation of optimum formula obtained by the overlay contour plot on the software resulting viscosity cream at 338,33 dPas, pH value at 5,40; SPF value at 33,31; % TE at 2,62x10-3 % and % TP at 1,56x10-5 %
Preparation and Characterization of Multicomponent Crystal Piperine-Caffeine
Full text linkPiperine (C17H19NO3) belongs to the alkaloid group mainly found in the Piperaceae family, especially in black pepper (Piper nigrum L.). Piperine is practically insoluble in water. This study aims to improve the solubility of piperine by preparing it into a multicomponent crystal using caffeine as a coformer. The formation of piperine-caffeine multicomponent was prepared by solvent evaporation and solvent drop grinding. Each sample was characterized using Powder X-ray diffraction (XRD), Differential Scanning Calorimetry (DSC), and FT-IR spectroscopy. The solubility test was carried out by sonication for 30 minutes at room temperature (30 â°C), and the dissolved piperine was analyzed by High-Performance Liquid Chromatography (HPLC) using methanol: water (80:20) as the mobile phase. This study shows a decrease in peak diffraction intensity on PXRD analysis and a reduction in endothermic peak on the DSC thermogram of multicomponent crystals. In the FTIR analysis, multicomponent crystals slightly shift, indicating the physical interaction. The multicomponent crystal of piperine-caffeine prepared by solvent evaporation method has an increase in solubility of 2.56 times, and the multicomponent crystal with solvent drop grinding method has an increase in solubility of 1.61 times, respectively. In conclusion, the multicomponent crystal piperine–caffeine can enhance the solubility of piperine
In-vitro Sun Protecting Factor of Rice Bran Oil and Its Formulation as Compact Powder
Full text linkThis study aims to determine the effective concentration of rice bran oil which can protect against ultraviolet (UV) rays as well as formulate it in compact powder preparation followed by determination of its Sun Protecting Factor (SPF) value. Rice bran samples were extracted using the Soxhlet extraction method with n-hexane: ethanol (1:1) as the solvent. Further identification of the γ-oryzanol in rice bran oil was carried out using TLC silica gel GF254 with eluent of n-hexane:ethyl acetate (3:1). The obtained γ-oryzanol in rice bran oil was used as the ingredient to develop the compact powder which is made into five formulas with 0,05 %-0,25 % concentration. All formulas were characterized, including homogeneity, adhesion and crack test. UV-Visible spectrophotometry was used to determine the SPF value of rice bran oil and its compact powder. The identification results demonstrated a positive presence of the chemical γ-oryzanol in the rice bran oil. At concentrations of 500, 1000, 1500, 2000, and 2500 ppm, rice bran oil may protect against UV rays with SPF values ranging from 1.741 to 11.884. The result showed that all formulas dispersed homogeneously, performed well in terms of compactness, and had no breaks or cracks discovered. Meanwhile, the SPF values of all formulas are found to be 1.390 and 1.274. The results indicate that the SPF values are shallow and are included in the minimal SPF category (2-4) in protecting against UV rays