EFEK EKSTRAK ETANOL DAUN SINGKONG (Manihot Utilissima Pohl) SEBAGAI OBAT ALTERNATIF ANTI REMATIK TERHADAP RASA SAKIT PADA MENCIT

Medicinal plants used for generations one of which is crop cassava leaves. Cassava leaves is believed to cure rheumatism, gout, anemia, constipation, and to increase endurance. This study aims to determine the Effects Of Ethanol Leaf Extract Singkong (Manihot Utilissima Pohl) As Drug Alternatif Antirheumatic Of Pain On Mice. This study was an experimental study using 25 mice. These animals were divided into five groups where each group consisted of 5 mice. Cassava leaf extracts as a control test, flamar gel as a positive control, and distilled water as a negative control. Observations were made for 45 minutes using a hot excitatory response in the form of a decrease in a lick or jump after the treatments. The results showed a decline in the response of mice to lick the feet or jump to the heat stimuli were administered after administration of cassava leaf extract. Cassava leaf extract has an effect antirheumatic to pain in mice. Based on the analysis of SPSS best dose in this study is the first dose (0.65mg / 20gr mice BB)

UJI AKTIVITAS ANTIOKSIDAN EKSTRAK ETANOL LIMBAH KULIT BUAH APEL (Malus domestica Borkh.) TERHADAP RADIKAL BEBAS DPPH (2,2-Diphenyl-1-Picrylhydrazil)

Recently, many plants have not been utilized properly, one of those is apple plant. There are several types of apples which are widely consumed and used as processed products, among others, as candied apples, syrup and fruit juice. The effluent from the process in the form of processed peel and pulp is not only used as a substitute for animal feed and fertilizer plants, but also used as a natural antioxidant that is needed by the human body against various free radical. Most of the people who like to consume apples prefer to discard the apple peel without using it. Apple peel contains quercetin substances, which needed to increase the levels of antioxidants. The preparation of ethanol extract from apple peels waste is used by maceration method using solvent 70% ethanol. To test the antioxidant activity towards free radical DPPH the extract was made into several concentrations, namely 10 ppm, 20 ppm, 30 ppm, 40 ppm and 60 ppm, and than mixed with a solution of DPPH with concentration of 100 ppm. The absorbance was measured using  a  spectrophotometer  UV-Visible.  Based  on  the  result  of  the  research,  the percentage  of  reduction  obtain  from  those  of  extract  concentrations  were  8.580%, 14.510%, 21.653%, 26.685% and 34,232%. From percentage reduction result, it was obtain IC50 in the amount of 87.795 ppm. Based on the IC50 values can be conclud that the ethanol extract of apple peel waste has strong antioxidant activity classificatio

STUDI KELENGKAPAN PENJELASAN CARA PENGGUNAAN SEDIAAN CONTROLLER INHALER (KOMBINASI KORTIKOSTEROID DENGAN BETA-2 AGONIS) JENIS DISKUS® DAN TURBUHALER® OLEH APOTEKER DI APOTEK

Asthma is a chronic disease that can be controlled by treatment with a controller containing a corticosteroid combination with beta-2 agonists, which are available in the form Diskus® and Turbuhaler® which is DPI (dry powder inhaler) in Indonesia. Techniques improper use can give less than optimal results, therefore, the role of pharmacists to provide education in the form of how to explain the inhaler. This study aims to find out information on how to use Diskus® and Turbuhaler® by pharmacists to patients with asthma in the pharmacy area of the city of Surabaya. This research is non-experimental research with cross sectional method, and using observation techniques in the form of a checklist. Sampling by non-random sampling method by using purposive. The data will be processed with descriptive statistical analysis. Based on the results of research on the use of information studies preparation Diskus® explanation is given, it can be concluded there is no pharmacist in the category optimal technique that is able to mention all the steps properly. Most pharmacists categorized adequate technique for the pharmacist is able to name all of the critical step. While on how to use Turbuhaler® information provided by pharmacists in explaining Turbuhaler to patients in pharmacies is still lacking for by an explanation of each step are not all pharmacists can explain all the steps correctly and based on the critical step yet pharmacists who achieve adequate and optimal techniques

FAKTOR SOSIODEMOGRAFI DENGAN KELANGSUNGAN HIDUP BAYI DI INDONESIA (ANALISIS DATA SDKI 2007)

It is recommended for a mother to initiate to give early breastfeeding for a newborn as the first breast milk is known to be nutritious and contains antibody. The delay of breastfeeding shows that non breast milk-supplementary food is given. Based on BPS and Macro International data 65% of infants received pre-lacteal feeds besides breast milk in their three days of life.The known relationship between sociodemography and infants’ survival in Indonesia.This was an observational study with a cohort retrospective study design by using IDHS data year 2007. Samples were all infants (<12 months, breastfed after birth) from mothers aged 15-49 years old as many as 15.679 mothers. The independent variable was sociodemography and the dependent variable was infants’ survival. The analyses used univariable, bivariable, and survival analysis with Kaplan-Meier and Log regression. Bivariable analysis using survival Kaplan-Meier showed that there was significant relationship between mother age with Log Rank 15,89 and p<0,05, mother education with Log Rank 16,25 and p<0,05 , place of residence with Log Rank 18,84 and p<0,05, socioeconomic with Log Rank 38,71 and p<0,05, birth attendant with Log Rank 17,35 and p<0,05 and infants’ survival. Sociodemography  was associated significant with an infant survival. Other factors affecting infant’s survival were birth attending with no professional and mother’s age <20 and ≥35 years old

FORMULASI GEL PATI BENGKUANG (Pachyrhizus erosus (L.) Urb.) DENGAN GELLING AGENT METILSELULOSA

Bengkuang roots (Pachyrhizus erosus (L.) Urb.)  empirically have been used as cosmetics materials, primarily as sun screen and whitening agent. Bengkuang roots posses 6 compound which have tyrosinase inhibitory activities. Commercially, bengkuang roots available as whitening cream and lotion but those dosage forms are not suitable for oily skin. In this study the gel was formulated with varying methylcellulose (4% and 5%) as gelling agent. The evaluation included stability, organoleptic, pH, homogeneity, and spreading test. Formula A (4% methylcellulose) meets all physical requirements of gel. The result of acceptability (hedonic test. showed the most acceptance formula was formula A (4% methylcellulose)

UJI KUALITAS SERUM SIMPANAN TERHADAP KADAR KOLESTEROL DALAM DARAH DI POLTEKKES KEMENKES KALTIM

Clinical Chemistry Examination Guidelines stated several factors may affecting the stability of the specimen i.e. contaminant germs and chemicals, exposure to sunlight, the effects of temperature and metabolism of living cells such as blood cells. Blood specimens should be stored in the form of serum in a refrigerator at a temperature of 2-80 C. This study aimed to compare cholesterol levels of serum with no erythrocyte and with erythrocytes during storage for 3 and 9 days at 2-8ºC. This is an analytical survey to compare cholesterol levels in serum blood during storage. Data was analyzed using Independent Sample t-test. The result showed value p (0.410) is greater than α (0.05), so there is no correlation between serum with erythrocytes and with no erythrocytes in cholesterol at a temperature of 2-8 0C stored for 3 days and the p-value (0.162) is greater than α (0.05) then pat concluded that there was no influence of serum with erythrocytes and without erythrocytes to changes in cholesterol at a temperature of 2-8 0C during storage of 9 day

UJI AKTIVITAS EKSTRAK ETANOL BIJI PINANG (Areca catechu L.) TERHADAP PENYEMBUHAN LUKA BAKAR PADA KULIT PUNGGUNG MENCIT PUTIH JANTAN (Mus musculus)

Areca seeds contain flavonoid, tannin, and alkaloid which can help the healing process of burn wounds on the back skin of mice. Areca seeds are used for treatment because it has  antimicrobial activity. Areca Seeds are one of Indonesian plants which the fruit in tranditional way is used as burn medicine. The objective of this study was to know theeffect of ethanol extract of areca seeds against burn wound healing on the back skin of mice. Fifteen mices were used in this experiment and were divided into 5 groups : vaseline flavum as a control negative, branded ointment as a control positive , ethanol extract of areca seeds in vaseline flavum with consentration 20%, 40 % and 60 %. Each group consisted of 3 mices. The back skin of mice was induced using hot iron size 1×1 cm for 2 seconds then given a treatment for 14 days. The percentage of healing of burns  by calculating the surface area of wound. The results of its preliminary phytochemical analysis showed the presence of alkaloids, flavonoids, tannins and saponins. The percentage of burn wound healing of ethanol extract in concentration 20 % was 84,33 %, 40 % was 87,67%; and 60% was 89,67%. Data was analyzed using one-way Analysis of Variance (ANOVA) which showed that data has significant differences (P < 0,05) was 0,000. LSD test showed that each treatment group had siginicant differences with significant value < 0,05. 

STUDI FARMAKOVIGILANS PENGOBATAN ASMA PADA PASIEN RAWAT INAP DI SUATU RUMAH SAKIT DI BOJONEGORO

Background: Asthma is a respiratory disease with a large enough number of prevalence in the world. Asthma treatmentin hospital needs serious monitoring because of the risk to patient safety and increase the cost of treatment. One attempt to reduce the incidence of unwanted is the pharmacovigilance studies to improve patient safety.Purpose: to determine safety in terms of adverse drug reactions (ADR) and drug interactions of the treatment of inpatient asthmatic patients in a hospital.Methods: This is a non-experimental study with sampling using purposive sampling. Then the data were obtained from medical records were analyzed ADRs and drug interactions that occur using the library and shown descriptively.Results: The study sample as many as 43 people. The results showed there were 56 cases of ADRs on asthma medications, especially the use of nebulized salbutamol (57.14%). While the incidence of asthma therapy drug interactions there were 10 cases and the highest is aminophylline with salbutamol (14.29%).Conclusion: Treatment of asthma need to get to the ADR incidence and risk of drug interactions. Incidence of ADRs and drug interactions at most of the use of salbutamol which is relatively safe preference. This still needs to be done further research

HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN MINUM OBAT PASIEN HIPERTENSI LANSIA DI WILAYAH KERJA PUSKESMAS SUNGAI CUKA KABUPATEN TANAH LAUT

One of communicable diseases become very serious health problem was hypertension. The purpose of hypertension therapy was to control blood pressure in range of normal blood pressure, it is needed the adherence for hypertension therapy. The family supportcould improved healthy status. Patient with family support  feel that people care, so it could directed patient to improve their healthy lifestyle.The purpose of this study was to determine elderly family support, medication adherence in elderly hypertensive patients, and analyzedthe correlation between the family support with the adherence ension in elderly hypertension patients in Puskesmas Sungai Cuka Tanah Laut.This study was conducted with the cross sectional design in December 2014 until January 2015. Population was280the elderly patient in the region of  primary public health Sungai Cuka and 164 of them were used for sample. Data was collected by completion questionnaires family support and Morisky Modification Adherence Scale (MMAS)questionnaires. Data analysis was performed by gamma test with 95% confidence level.Based on the results, that Elderly who have family support by category 23.8% lower category, middle category were 64%, high category were 11.6%, and 0.6% were very high category. The adherence degree of elderly hypertension patientwere 45,7% low adherence degree, moderate adherence degreewere 36%, and high adherence degree were 18.3%. There were a correlation between the family support andthe medication adherence in elderly hypertension patients at Puskesmas Sungai Cuka Tanah Laut. (γ =0.295)

FORMULASI EKSTRAK ETANOL GAMBIR (Uncaria gambir Roxb.) DALAM BEDAK ANTI JERAWAT

Acne occurs due to blockage of pilosebaseus (oil glands) and inflammation causing by Propionibacterium acne, Staphylococcus epidermidis and Staphylococcus aureus. The purpose of the study was to test the antibacterial activity of gambir (Uncaria gambier Roxb.) ethanol extract toward Staphylococcus epidermidis and to formulate gambir ethanol extract into a loose powder dosage form that meets the standards of physical powder quality. Gambir was macerated with 95% ethanol. Activity of gambir ethanol extract against Staphylococcus epidermidis was tested by diffusion method using varying concentrations 3%, 6% and 9% of gambir etanol extract. Afterward, gambir ethanol extract formulated into powder. Analyze of powder physical properties including organoleptic test, homogeneity and particle size distribution. The results showed gambirethanol extract 3%, 6%, 9% has inhibition zone diameter 3.6 mm, 4.2 mm, and 6.8 mm respectively. Gambir ethanol extract powder has a homogeneous, fine size with a light brown color and a distinctive gambir aroma. The average particle size of the powder is 236.17 μ