Jurnal Ilmiah Manuntung
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    The number of JKN participants increase continuously everyday. Therefore, health facilities should be grow and developed well to serve them. One of the facility is pharmacy. In Bogor, there are three districts that do not have BRP pharmacy, they are East Bogor, North Bogor and Tanah Sareal. The less and uneven of pharmacy on those districts will affect the eviciency and accesibility of the participants. We could say that the accesibility is not good on those districts. And if it does, it will affect the satisfaction of patients against the BRP. This research was conducted in Bogor City. The purpose of this research is to find out the comparison of service performance and financial performance between BRP-Chronic pharmacy cooperating to BPJS and pharmacy non cooperating to BPJS. This research was conducted by using descriptive comparative method with qualitative and quantitative approach. It was build with survey, questionaire, observation and interview. Using purposing sampling, there was 2 BRP-Chronic pharmacies and 10 non BRP-Chronic pharmacies that become the sample of this research. The instruments were developed based on Permenkes number 73 on 2016. The qualitative data analysis method was made descriptively. The qualitative data was presented descriptively to explain the qualitative data. The result of this research showed that the BPR-Chronic pharmacies were more prime on pharmaceutical preparations, clinical pharmaceutical service, pharmaceutical service quality evaluation, and ensuring the availability. On the other hand, non cooperating to BPJS pharmacies were more excellent on pharmaceutical resources and service report. The result of financial performance research showed that pharmacy non cooperating to BPJS was better than BRP-Chronic. The BRP-Chronic has problem on claiming, not being collected and late claim payment. Pharmacy non cooperating to BPJS was rely on clients’ prescriptions and suplement salling and also it use the new technology such as media social and e-commerce

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    This recent day hospital facing a competitive competition, and high expectation of health services from public. Thus the hospital have to fix and improve public health services quality. There was a need to evaluate Pharmacy Installation performance, if the hospital already work in line with the vision, mission, and goal of the organization. The objectives of this research was to performance measurement of Pharmacy Installation at RSD Liun Kendage Tahuna using balanced scorecard (BSC) method from customer perspective and learning and growth perspective. Research design used in this study was descriptive evaluation with prospective data collection. Qualitative data was a inteview with head of Pharmacy Installation, although quantitative data were an observation, questionnaire and administration report. The result of performance measurement from customer perspective showed Ikj value were -0,43 (negative index), which means there were a gap between the reality and expectation on health services that delivered. Patient growth level increased from 92,3 % in 2016; 94,5% in 2017; and 95,3% in 2018. Performance measurement from learning and growth perspective showed average value 2,85 for employee spirit (high category), and productivity were 78,64% (good category). The conclusion were Pharmacy Installation of RSD Liun Kendage Tahuna already showed a good performance, although there were a need to make an improvement on customer satisfaction

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    Papaya (Carica papaya L.) and purple sweet potato (Ipomoea batatas L. Lam) are commonly used empirically as traditional medicines, including for malaria, malnutrition, fever and hemorrhagic fever. The purpose of this study was to determine the effect of differences in the concentration of ethanol solvents on the chromatogram profile and compound content. The research method began with maceration using 50%, 70%, and 96% ethanol, then thin layer chromatography test, and determination of total phenol and flavonoid levels with Elisa at λ of 750 nm and 415 nm, where the comparator used were gallic acid and quercetin . The results of total phenol levels obtained in papaya leaf extract were 3,493 mg GAE/gram and in sweet potato leaves the results were 4,786 mgGAE/mg. While the total flavonoid yield obtained from papaya leaf extract was obtained as much as 4,630 mg QE/gram and on sweetpotato which was 4,269 mgQE/mg. Characterisation of extract compound content was carried ouy by using Gas Chromatography- Mass Spectroscopy (GC-MS), where comparison of extracts used in extract combination samples are 50:50, 75:25, and 25:75. The results showed that ethanol extract contained alkaloids, flavonoids, saponins, tannins, and triterpenoids. Characterization by using GC-MS for single extract and combination extract of papaya leaves and purple sweet potato leaves obtained the main active compounds are Phytol, Neoheptadine, and n-Hexadecanoic acid

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    UV solar radiation intensively caused damage to human skin. Purple sweet potato leaves (Ipomoea batatas (L.)) contain a high anthocyanin component which has a chromophore group with conjugated double bonds, thus absorbing electromagnetic radiation in UV and Visible wavelength, so it can be used as a natural source of sunscreen. The aim of this research was conducted to determine the SPF value of ethanolic extract of purple sweet potato leaves (Ipomoea batatas (L.)) Antin-3 variety from two different drying methods namely freeze-drying for 48 hours (EFD) and oven for 24 hours (EOV). The results of this study indicate that Antin-3 leaf extract (EFD) at a concentration (ppm) 900; 700; 500; 300; 100 respectively are SPF 30; 25; 17; 11 and 4, while (EOV) respectively are SPF 13; 10; 7; 4 and 1. Effectivity sunscreen represented as SPF values, above 15 were categorized as ultra protection; between 8 and 15 as maximal protection; between 6 and 8 as extra protection; between 2 and 4 as minimal protection. From the results of this study, it can be concluded that the method of freeze-drying even though it requires a longer time and costs more expensive than the oven method but provides protection for sunscreen 2.5 times higher. &nbsp

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    Wet noodles are one of the foods that are favored by all people, especially in Indonesia. Wet noodles are made from basic ingredients of wheat flour or wheat flour. So far there have been many innovations of wet noodles with basic ingredients apart from wheat flour. The difference in the basic ingredients and additional ingredients can affect the quality of the noodles. However, it is not yet known whether the effect of the quality of the wet noodles is influenced by the type of flour used, the amount of the basic ingredients, or whether there is an effect of the extracts of other ingredients on the quality of the wet noodles. This is the reason for this research. Thus, this study aims to determine the types and differences in the use of basic ingredients in making wet noodles that can affect the quality of wet noodles. Measurement parameters used are by calculating the level of water absorption. The combination of wheat flour, cassava flour, and seaweed were used in this study. Calculation analysis is performed using the Taguchi method. The Taguchi method is the methodology in the world of Engineering which can be used as a method to measure or improve the quality of a product, as well as minimize costs. Wet noodle making experiments were conducted according to the Taguchi Design of Experiments (DOE) method. The repetition of the experiment was carried out eight times according to the orthogonal array (OA) matrix used. There are 5 control factors and 3 noise factors that are used in this study. Control factors are wheat flour, cassava flour, eggs, salt, and seaweed. Meanwhile, the noise factor is a lot of water, a long time to rest dough, and a long time to steam. ANOVA analysis and mean effect were carried out to find out which factors had the most significant influence on the quality of the noodles. &nbsp

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    This study was conducted to determine the effectiveness of garlic (Allium sativum L.) extract gel for healing burns and cuts. Garlics are often used in healing wound because they contained sulfur in garlic, namely Diallyl thiosulfinate (allicin) and Diallyl disulfide (ajoene). Allicin in garlic will reduce inflammatory reactions and antibacterial, which will accelerate in healing wound. Garlics extract made in gel preparations with a concentration of 15% and 20%, then given to burns and cuts mice that have been divided into several groups. In testing, mice that had been made burns were divided into 4 groups and each group contain of 3 mice, namely the 15%, 20% concentration gel group. The Bioplacenton group as a comparison and also the control group. In the examination of cuts, the division of the group of mice that have been made the cuts is the same as the burn test, the comparison is Povidone iodine. From the burn test, the results are the 20% concentration gel group experienced the best healing after 18 days of gel administration and its healing power was better than Bioplacenton. The results of cuts testing is the 15% concentration gel group experienced the best healing and slightly better than Povidone Iodine

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    Various forms of medicine can provide options for using drugs to the public such as patch. The research purpose was to determine variation concentration of Polyvinylpirolidone (PVP) and Ethyl cellulose (EC) as polymer patch which obtain the best physical characteristics of the Orthosiphon stamineus leaves ethanol extract patch. The ethanol extract of Orthosiphon stamineus leaves was obtained through maceration method using 70% ethanol solvent. The extract was formulated in the form of patch using the solvent casting method. The result showed that the best physical characteristics patch formulation was the F3 formula (250 mg of EC and 25 mg of PVP) with organoleptic test (a brownish green color, square shape and characteristic odor), patch humidity ( 3,64%), the average weight uniformity test (0.567 gram ± 0.01) and the patch thickness test (0.375 mm ± 0.02)

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    Dengue Hemorrhagic Fever (DHF) is an acute fever caused by the dengue virus that enters human blood circulation through mosquito bites from the genus Aedes. Until now there is no cure for dengue disease, so people often panic if contracting the dengue virus. Various methods are used to prevent transmission of the dengue virus, one of which is the use of plants as a natural mosquito repellent. Continuous use of chemicals, besides adversely affecting health, will also make mosquitoes resistant. Therefore, it is necessary to use various alternative anti-mosquito drugs from plant species, one of which is lime. Lime skin contains one of the mosquito repellent substances so that it is possible for the lime peel to be effective as a mosquito repellent. This study aims to determine whether the extract from lime peel is effective as a mosquito protection power. The research method used was Quasi Experiment with 4 treatment activities and 3 replications, namely A (0%), B (15%), C (30%) D (45%). The object in this study was the aedes aegipty mosquito. Reppelent is considered effective if the protection power is ≥ 90%. The results showed that lime peel extract at a concentration of 15%, had a protective ability of 60%. At a concentration of 30% lime peel extract has a protection power of 90%. The protection of lime peel extract is very effective at a concentration of 45%, because it has a protective ability of 98%. With a concentration of 98% lime peel extract can be said as a mosquito repellent. The greater the concentration of orange peel extract, the greater the protection power obtained.Demam Berdarah Dengue (DBD) adalah penyakit demam akut yang disebabkan oleh virus dengue yang masuk ke peredaran darah manusia melalui gigitan nyamuk dari genus Aedes. Sampai saat ini belum ada obat untuk menyembuhkan penyakit DBD, sehingga masyarakat sering panik jika tertular virus dengue. Berbagai cara dilakukan untuk mencegah penularan virus dengue salah satunya adalah dengan penggunaan tanaman sebagai anti nyamuk alami. Penggunaan bahan kimia secara terus menerus, selain berdampak buruk terhadap kesehatan, juga akan membuat nyamuk menjadi resisten. Oleh sebab itu perlu berbagai alternatif obat anti nyamuk yang berasal dari jenis tumbuhan yang salah satunya adalah jeruk nipis. Kulit jeruk nipis mengandung salah satu dari zat penolak nyamuk sehingga dimungkinkan kulit jeruk nipis juga efektif sebagai penolak nyamuk. Penelitian ini bertujuan untuk mengetahui apakah ekstrak dari kulit jeruk nipis efektif sebagai daya proteksi nyamuk. Metode penelitian yang digunakan adalah Quasi Experiment dengan rancangan kegiatan 4 perlakuan dan 3 kali ulangan yaitu A (0%), B (15%), C (30%) D (45%). Objek dalam penelitian ini adalah nyamuk aedes aegipty. Reppelent dianggap efektif apabila daya proteksinya ≥ 90%. Hasil penelitian menunjukkan bahwa ekstrak kulit jeruk nipis pada konsentrasi 15 %, memiliki kemampuan proteksi sebesar 60%. Pada konsentrasi 30% ekstrak kulit jeruk nipis memiliki daya proteksi sebesar 90%. Daya proteksi ekstrak kulit jeruk nipis sangat efektif pada konsentrasi 45 %, karena mempunyai kemampuan proteksi sebesar 98 %. Dengan konsentrasi 98 % ekstrak kulit jeruk nipis sudah dapat dikatakan sebagai repellent anti nyamuk. Semakin besar konsentrasi zat ekstrak kulit jeruk, semakin besar pula daya proteksi yang diperoleh

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    Blood pressure in acute onset of ischemic stroke usually increase in patients with intracranial artery stenosis. The aim of increasing blood pressure in this situation is to maintain cerebral autoregulation, meanwhile increased blood pressure in acute onset of ischemic stroke is associated with poor clinical outcomes. This study aims to determine the association between systolic blood pressure and stroke outcomes in patients with and without intracranial large artery stenosis which will help the clinician to determine the prognosis in acute ischemic stroke patients. This study used a cross-sectional design. The population of this study was ischemic stroke patients with or without intracranial arterial stenosis based on the results of transcranial doppler ultrasonography in the neurology department of RSUP Dr. M. Djamil Padang from January 2018 - July 2018. P-value <0.05 was considered statistically significant. In 25 subjects, there were 9 males (36%) and 16 females (64%) based on the gender category.There was a significant difference in systolic blood pressure in both groups (p=0.035). There was no significant difference in MRS values in both groups (p=0.480). There was no significant difference between systolic blood pressure and MRS values in patients with intracranial large artery stenosis (p=0.579) and patients without intracranial large artery stenosis (p=0.481). There was no association between systolic blood pressure and stroke outcome in patients with and without intracranial large artery stenosis. &nbsp

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    Red kidney bean is one of the string beans that contain highest-fiber with a concentration 26.3 gram/100 gram substance. Red kidney bean contains flavonoid tannin steroid/triterpenoid and coumarin. The Flavonoid in red kidney bean has anti-diabetes activity. This research aims to determine total flavonoid content in the red kidney bean extract. Extraction is done using the maceration method with 70% ethanol solvent. The extract which is got is used for qualitative and quantitative analysis. Quercetin used as a standard solution. The qualitative analysis of flavonoid using TLC, Wilstater Cyanidin by forming a red complex and NaOH by a forming yellow complex. The Quantitative analysis was using colorimetry method with reagent AlCl3 to form complexes between AlCl3 and keto groups. Quantitative analysis continued with Visible Spectrophotometry on a wavelength of 430.0 nm and operating time at the 27th minute. The results of the qualitative test showed that the extract was positive flavonoids. The average concentrations of total flavonoids were 0,4733% extract with a variation coefficient value of 1,2%. &nbsp

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