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    Feasibility of transdermal transport of atenolol by combination of iontophoresis and oleic acid pretreatment

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    Atenolol  has  a  low  oral  bioavailability  and  a  short  elimination  half-life. Therefore,  alternative  route  and  delivery  system  is  important.  Transdermal iontophoresis,  i.e.  a  systemic  drug  delivery  via  the  skin,  implementing  a  low intensity  of  electrical  current,  is  one  attractive  candidate.  This  study  evalu ated feasibility  of  atenolol  transdermal  transport  when  iontophoresis  is  applied  after enhancer  pretreatment.  There  were  4  formulas  prepared;  2  implemented iontophoresis  for  3  hours  (current  density:  0.25  mA/cm2)  while  the  others  did not  use  iontophoresis.  The  enhancer  was  oleic  acid  (5  or  10%  as  a  mixture  in propylene  glycol)  with  duration  of  pretreatment  of  one  hour.  Transport  was evaluated  in  the  diffusion  studies  across  the  fresh  rat  skin  in  a  static-vertical diffusion system. Data were analyzed based on the numeric convolution method to  obtain  simulated  Cp  profiles  as  well  as  AUC  of  Cp  profiles.  Based  on  the simulated Cp, the best transport was achieved in Formula 3, where iontophoresis is  performed  across  the  skin,  pretreated  with  5%  oleic  acid  for  one   hour.  The value  of  simulated  Cp  indicated  achievement  of  therapeutics  level  of  atenolol, suggesting the feasibility of the atenolol delivery by iontophoresis.Key words : atenolol, transdermal, iontophoresis, enhance

    Niosomes entrapment capacity of ketoprofen and prediction transdermal administration

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    Niosomes  are  vesicles  system  that  have  applications in  the  delivery  of lipophilic,hydrophilic  and  amphiphilic  drugs.  Ketoprofen,  is  very  insoluble  in water  and  cause  gastric  irritation  when  taken  orally.  It  is  very  important  to develop a transdermal delivery system for ketoprofen. This research was aimed to  design  niosomes  which  can  deliver  ketoprofen  via transdermal  route. Experiments  were  designed  to  incorporate  ketoprofen into  niosomes   with  lipid film  hydration  method.  Lipid  mixture  consist  of  cholesterol  and  sorbitan  ester (span  20,  60,  80).  Niosomes  which  can  deliver  ketoprofen  trough  the  skin barrier  determined  by  calculating  amount  of   ketoprofen  in  the  blood  of  rabbit. The  type  of  sorbitan  ester  was  chosen  based  on  the  highest  drugs  entrapment and  ketoprofen  as  drugs  model.  Preparation  of  niosomes  was  optimized  for  the highest  percent  drug  entrapment  by  increasing   molar  concentration  of  lipidmixture  with  the  stable  comparison  of  1:1.  This  research  result  are  niosomes with  lipid  mixture  span  60  and  cholesterol  have  the highest  drug  entrapment efficiency  of  niosomes  66.16%  with  range  size  1–6  µm.  Niosomes  can  deliver ketoprofen  to  the  systemic  circulation  via  transdermal  route  with  plasma  level concentration achieved in 1.5 hour.Key words: niosomes, ketoprofen, transdermal

    The determination of quercetin in Plectranthus scutellarioides(L.) R.Br. leaves extract and its In SilicoStudy on Histamine H4 Receptor

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    Plectranthus  scutellarioides  (L.)  R.Br.,  or  jawer  kotok,  Family  Lamiaceae, grows  widely  in  Indonesia,  and  has  a  long  history  of  therapeutic  usage  in Indonesian traditional jamuto cure various diseases. The brownish purple leaves of  Plecranthus  contain  alkaloids,  saponin,  flavonoids,  tannin,  volatile  oils,  and quercetin  which  has  been  proven  to  exert  antiinflammatory  activity.  In  this research,  a  determination  of  quercetin  in  Plecranthus  leaves  extract  was performed and followed by a study of its interaction with histamine H4 receptor to  understand its  anti-inflammatory  activity.  The  dry  leaves  were  macerated by using  a  mixture  of  methanol  and  water  (1:1)  for  48  hours  and  the  solvent  was evaporated  at  low  temperature  (40-50oC).  Analysis  of  quercetin  in  the  extract was performed by using reversed-phase HPLC method LC-10AT VP (Shimadzu), Atlantis  Hilicsilica  C18  (Waters®)  150  mm  x  4.6  mm,  5  µm  as  stationary  phase and  a  mixture  of  acetonitrile,  phosphoric  acid,  and methanol  (40:50:10),  flow rate 0.8 mL/minute.  In silicostudy of quercetin with histamine H4 receptor was performed by using AutoDock Tools 3.0.5. Histamine H4 receptor (H4R) belongs to  G  protein-coupled  receptors  which  is  involved  in arthritis,  asthma,  and inflammations.  The  3D  structure  model  of  H4R  was  built  by  using  MODELLER 9v7.  Quercetin  contained  in  Plecranthus  leaves  extract  was  0.05  %.  This compound interacted with H4R viahydrogen bond formation with Lys158 (2.006 Å)  and  Glu182  (2.048  Å),  and  van  der  Waals  interaction  with  Trp90,  Leu91, Asp94, Tyr95, Phe168, Thr178, Ser179, Tyr319, Phe344, and Tyr340, therefore Plecranthus  leaves  extract  might  have  a  chance  to  be  used  as  histamine  H4 receptor inhibitor.Key  words  :   histamine  H4  receptor,  in  silico  study,  Plecranthus  leaves,  Plectranthus scutellarioides, querceti

    Influence of learning and growth toward internal business processes: case studies on Departement of Hospital Pharmacy in DIY

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    Hospital Pharmacy have revenue contribution to the Hospital reached 40-60%,  thus  becoming  one  of  the  hospital  revenue  center.  However  hospital pharmacy  services  in  Indonesia  are  still  many  shortcomings,  is  considering several  constraints  such  as  the  ability  of  pharmaceutical  workers,  the  limited ability  of  hospital  management,  hospital  management policies,  and  limited knowledge of the relevant parties of hospital pharmacy services. Such conditions must be efforts to change with the development of learning and growth factors, because  these  factors  (human  capital,  organizational  capital  and  information capital)  and  that  effective  management  is  a  source  of  sustainable  competitive advantage. The research objective is to determine the relationship and influence of learning and growth to the internal business processes in Hospital Pharmacy. Kind  of  research  is  non-experimental  research  is  associative.  Research  tool includes a questionnaire indicators of learning andgrowth, and internal business processes.  The  subjects  was  the  head  of  hospital  pharmacy  in  the  hospital region  of  Daerah  Istimewa  Yogyakarta  (DIY).  Sample  size  was  35  hospital.  In addition  to  sending  questionnaires,  random  interviews  will  be  conducted  on several  hospital  pharmacies  to  enrich  the  results  of  the  survey  questionnaire. The  data  was  analyzed  by  correlation  and  linear  regression  to  determine  the relationship  and  influence  the  learning  and  growth  factors  to  the  internal business  processes  in  hospital  pharmacy.  Results  obtained  from  statistical calculations  with  95%  confidence  show  that  there  is a  strong  relationship between  the  organizational  culture  against  internal business  processes  with  r value of 0.981 with a contribution of 96.20% of theorganizational capital of the sustainability  of  the  internal  business  processes  in  Hospital  pharmacy  in Yogyakarta  Special  Region.  There  is  not  significant relationship  between  the human  capital  against  internal  business  processes.   There  is  not  significant relationship between the information capital against internal business processesKey words:learning and growth, internal business processes, the hospital pharmacy

    Antibacterial activity of ethanolic extract and fraction of leaves of singawalang (Petiveria alliaceae) against resistant bacteria

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    One  of the plants  that grow  in Indonesia,  and  still does  not  use widely  is singawalang  (Petiveria  alliaceae)  from  Phytolaceae  family.  Traditional   herbal medicine  preparations  contained  of  Petiveria  alliacea  in  the  Caribbean,  Latin America,  West  Africa  and  other  regions  for  hundreds  years  has  been  used  to treat  pain,  colds,  inflammation,  tumor,  bacterial  and  fungal   infection,hyperlipidemia,  diabetes and  other  diseases.  This  study  aims to determine  the antibacterial  activity  of  singawalang  growth  in  Indonesia  against  resistant bacteria  to  antibiotics.  The  minimum  inhibitory  concentration   (MIC)  and minimum  bactericidal  concentration(MBC)  were  determined  by  microdilution broth method and type of antibacterial action were determined by observing the profile of bacterial growth curve. Ethanol extract of dried leaves showed activity against bacteria i.e. MRSA (Methicillin-Resistant Staphylococcus aureus), MRCNS (Methicillin-Resistant  Coagulase-Negative  Staphylococci),  VRE  (VancomycinResistant  Enterococcus).   Further  studies  conducted  by  reviewing  the  type  of work  by  looking  at the  growth curve  and  the observed changes  in cell walls by scanning  electron  microscopy  (SEM)  at  MRCNS  (Methicillin-Resistant Staphylococcus  coagulase-Negative).  The  results  showed  that  ethanol  extracts and  all  fractions  showed  good  antibacterial  activity  against  resistant  bacteria, are  bacteriostatic  hexane  fraction  until  the  concentration  of  8  MIC  and  change the morphology of the cell wall of MRCNS.Key words:Singawalang, Antibacteria, Broth Microdilution, bacterial growth curve, SEM

    Evaluation of side effect of risperidon on schizophrenic patient in Amino Gondohutomo hospital Semarang

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    Schizophrenia  is  a  psychiatrical  chronical  disease  of  human  being’s  mind which  can  influence  someone  so  that  it  bothered  the interpersonal  relation  and ability to have a social relationship. Antipsychotic drug can be used to overcome the  symptom of  schizophrenia, for  example risperidone.  This  study was  aims to evaluate the side effects of the use of risperidoneon the inpatient of Dr. Amino Gondohutomo  Mental  Hospital  Semarang  for  a  month  in the  period  of  February 2008.  This  evaluation  covers  the  side  effects  of  medicine  that  occur  due  to  the use  of  risperidone,  concomitant  administration  of  risperidone  and  other antipsychotic,  drug  interaction,and  also  executed  therapy  of  the  side  effects  of the  risperidone.  This  study  followed  the  descriptive  analysis,  while  the  data collecting  was  conducted  prospectively.  The  subjects  of  research  were represented  by  the  entire  patients  of  the  inpatient ward  of  Dr.  Amino Gondohutomo Mental Hospital Semarang during the period of February 2008 and fulfilled  the  inclusive  criteria.  The  inclusive  criteria  covered  the  patients  who were diagnosed as paranoid schizophrenia, hebephrenic schizophrenia, catatonic schizophrenia,  undetailed  schizophrenia  and  received  anti-psychotic  risperidone medication.  Based  on  these  criteria  31  samples  were found.  The  result  of  the study indicated that the most possibility of side effects of the use of risperidone was  agitation  (19.51  %),  with  the  most  anti-psychotic  combination  of risperidone  and  haloperidol  (45.83  %)  and  there  were  15  interactions  which could potentially cause a drug side effect.Key words: schizophrenia, drug side effects, anti-psychoticrisperidon

    Scientific Aspects of Water Extract Katola (Arcangelisia flava L. Merr) as Antidiarrhea Agent in Mina South Sulawesi

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    Water  extract  of  katola  (Arcangelisia  flava  L.  Merr)  stem  is  traditionally used in communities Muna Distric for the treatment of many diseases, including anti  diarrhea.  According  to  the  information  of  Muna  Distric  Health  Office, diarrhea  is  one  of  the  10  groups  diseases  in  this  district.  The  objective  of  this study was conducted to determine the potential antimicrobial, acute toxicity and identified  of  the  water  extract  of  bioactive  compounds  and  alkaloid  relative concentration content.  Infection of microbial was induced by oral administration of  Shigella  flexneri  ATCC  12022  1  x  108 CFU/mL.  Boiling  water  of  katola  dose 12  mg/kg,  24  mg/kg  and  48  mg/kg  body  weight  and  the  antibiotic  ampicillin 24  mg/kg  administered  2  times  daily  for  5  days.  The  number  of  S.  flexneri  in feces were determined every day. The toxicity of water extract of  katola stem  is determined  based  on  the  value  of  LD50  acute  oral  toxicity  testing  followed  by guidelines  OECD  423. The  bioactive compounds was determined by bioautografi method  and  the  concentration  alkaloid  relative  content  was  calculated  as berberine  hydrochloride.  The  results  showed  that boling  water extract of  katola stem  did  not  cause  toxic  symtoms,  with  LD50  >  31.5  g/kg  body  weight (unclassified)  or  104  times  the  dose  therapy  of  human.  In  vitro,  the  Minimum Inhibition  Concentration  (MIC)  and  Minimum  Bactericidal  Concentration (MBC)value  of  the  boiling  water  were  1.2  and  2.4%,  respectively.  In  vivo,  the boiling  water  dose  48  mg/kg  body  weight  given  twice  a  day  have  an  effect  on eradication the S. flexneri 100% by day 5. Bioactive compounds of antimicrobial in  the  water  extract  is  alkaloid  berberine  HCl.    A  cocentration  of  berberine hydrochloride  in  water  exract  stem  and  leaves  dosage  use  of  the  public  were 16.7% and 0.75% respectively.Key words: Katola, toxicity, anti diarrhea, antimicroba, Arcangelisia flava L. Merr

    Development of ciprofloxacin radiopharmaceutical formulation in single vial

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    Bacterial infection diseases is the greatest death causes in Indonesia. Detection of the deep-seated infection location caused by the gram positive and gram  negative  bacteries  could  be  done  with  nuclear  technique  using 99mTc-ciprofloxacin  radiopharmaceutical.   In  order  to  fulfill  the  necessity  of  this radiopharmaceutical,  the  development  of  formulation in  single  vial  based  on Sn(II)  chloride  and  tartaric  acid  instead  of  Sn(II) tartrat  has  been  carried  out. The  aim  of  this  investigation  is  to  obtained  the  optimum  condition of 99mTc-ciprofloxacin  preparation  with  maximum  labelling efficiency. Several  parameters  influencing  the  labelling  process  of 99mTc-ciprofloxacin such  as  the  amount  of  tartaric  acid,  pH  of  the  reaction,  the  amount  of  Sn(II) ion  as  a  reducing  agent  and  the  incubation  time  has been  studied.   The labelling  efficiency  and  the  radiochemical  purity  of 99mTc-ciprofloxacin  were determined  by  double  chromatography  system  using  Whatman  I/methyl ethyl  keton  to  determine  the  free 99mTc-pertechnetate  and  ITLCSG/(ethanol:water:ammonia = 2:5:1) to separate  the free 99mTc-reduced. The  optimum  preparation  condition  was  obtained  at  pH  =  2.95-3.20,  2  mg  of ciprofloxacin,  0.06  µg  of  tartaric  acid,  50  µg  of  SnCl22H2O  and  15  minutes incubation  time  at  room  temperature,  gave  90-93  %  of  labelling  efficiency,  in wchich was stable for 20 minutes at room temperature. Beside that, studies on the  effect  of  Na99mTcO4  solution  volume  to  the 99mTc-ciprofloxacin   labelling efficiency  was  carried  out.   Labelling with up to 0.3 mL of Na99mTcO4 solution volume gave less than 90 % labelling efficiency.Key words: radiopharmaceutical, ciprofloxacin, 99mTc, single via

    Testing of antiplasmodium activity substance from endophytic fungus of Artemisia annua L.

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    Malaria is a life-threatening disease caused by  Plasmodium parasites. The rapid  spread  of  malaria-quinoline  resistance  enforce  to  find  of  new  antimalaria drug. Artemisia annua L having artemisinin as secondary metabolites, has been used as antimalaria agent for long time. One of source of bioactive compound is endophytic fungus. This fungus can produce similar bioactive compound to host plant.  The  thin  layer  chromatography  result  showed  that  endophytic  fungusfrom   A.annua    had  similar  chromatogram  profile  with  artemisinin.  This metabolite  was  not  secreted  in  the  fermentation  medium,  but  was  kept  in  the fungus  mycelium.  The  result  of  the  haem  polymerization  inhibitory  activity assay  showed  that  this  secondary  metabolites  inhibited  the  haem polymerization.  Ethyl  acetate  extract  of  fungus  A  had  IC50  value  0.824  ±  2.89 μM  to  inhibit  the  haem  polymerization;  fungus  E  was  0.861±  2.43  μM;  and fungus F was 1.394 ± 3.73 μM.Key words : endophytic fungus, antiplasmodium, the haem polymerization, IC50

    Identification of physical interaction between trimethoprim and sulfamethoxazole by contact method koflerand crystallization reaction

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    Identification  of  solid  state  interaction  between  TMP  and  SMZ  by  hot contact  method Kofler and  crystallization  reaction  had  been  carried  out.  The results of hot contact method Koflershown formation a new crystalline habit as long  and thin needle  shaped  on  contact  zone  (mixing  zone) between Solid  TMP and SMZ. It had a different melting point in compared to its single component. Crystallization  reaction  between  two  of  supersaturated  solution  of  component TMP and  SMZ  in methanol  solvent  also  indicated  the  growth  of crystal  habit  as similar as   hot contact method Kofler.  Solid  state  interaction between  TMP  and SMZ  was confirmed  by  microscopic  SEM, powder  X-ray diffraction,  and  thermal DSC.  Microscopic  analysis by  SEM  showed significantly  the  change  of habit and morphology  of   crystal  as  long  and  thin  needle  shaped.  New  powder  X-ray diffraction  (PXRD)  interferences  peaks  were  observed  in  addition  to  PXRD interference  peaks  of  each  component  that  proved  formation  of  cocrystalline phase.  Thermogram  DSC  indicated  a  new   endothermic  peak  corresponding  to melting point of a new cocrystalline phase at temperature 178,82 °C.Key words : trimethoprim, sulfamethoxazole, physical interaction, cocrystalline phas

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