ANTIMUTAGENIC ACTIVITY OF BINARA HERBS (ARTEMISIA VULGARIS L.) ETHANOL EXTRACT IN MALE MICE INDUCED BY CYCLOPHOSPHAMIDE

 Objectives: This study aims to evaluate the antimutagenic activity of binara herbs (Artemisia vulgaris L.) ethanol extract on male mice.Methods: Binara herbs powder was extracted is used ethanol 96% by maceration, then made into a suspension preparation used 0.5% carboxymethylcellulose with 3 dose variations (100, 200, and 300 mg/kg). Further, the extract was administrated orally in mice for 7 consecutive days. 4 h after the last orally, cyclophosphamide 50 mg/kg IP was injected. 30 h after cyclophosphamide injection, the animals were killed, and the samples of bone marrow were prepared and stained with gems. For each sample, 200 cells of polychromatic erythrocytes (PCE) and the same number of normochromatic erythrocytes (NCE) and the cells containing their micronucleus (MN) were counted using the MN test method in vivo.Results: Cyclophosphamide increased the frequency of MnPCE and decreased cell proliferation (PCE/PCE+NCE). All doses of extracts significantly reduced the frequency of MnPCE (p<0.05). The cell proliferation ratio (PCE/PCE+NCE) was also increased. The most effective dose is 300 mg/kg because it has the greatest ability to decrease the frequency of MnPCE and increase the cell proliferation ratio.Conclusion: Results of this study indicated that binara herbs (A. vulgaris L.) ethanol extract has potent antimutagenic activity

Evaluation of Ethanol Extract of Red Algae (Kappaphycus Alvarezii Doty): Total Phenolic and Flavonoid Content

This study aims to determine the characterization of red algae simplicia and the amount of yield obtained from the manufacture of red algae ethanol extract using the soxhletation method. Red algae were taken from Banggai Islands Regency, South Sulawesi and processed into dry simplicia and characterized by macroscopic examination, determination of water content, content of water soluble extract and ethanol, total ash content and acid insoluble ash content. Simplicia was extracted using 96% ethanol solvent by soxhletation method and calculated the amount of yield obtained. Macroscopic observation of red algae simplicia obtained a brown coarse powder accompanied by a distinctive taste and odor. Determination of the water content of simplicia obtained 7.21%, water soluble extract content 31.54%, ethanol soluble extract content 17.27%, total ash content 33, 96% and 11.42% acid insoluble ash content. The ethanolic extract of red algae using the soxhletation method was obtained as much as 68.92 grams with a total extract yield of 13.78%. Based on the results of the study, it can be concluded that the simplicia characterization of red algae meets the requirements and has a large extract yield

THE EFFECTS OF THE ADDUCTION OF EFFERVESCENT POWDER OF BASTARD CEDAR LEAF (GUAZUMA ULMIFOLIA LAMK.) EXTRACT TOWARD WEIGHT REDUCTION OF MALE MICE

 Objective: The objective of this study was to discover the effect of the adduction of Bastard cedar leaf extract that was formulated in the form of effervescent powder toward weight loss.Methods: The study design was an experimental study with pretest–posttest one group control design. The sample was divided into 3 treatment groups which were dosage 1 g/kg body weight (BW), 2 g/kg BW, and 3 g/kg BW of Bastard cedar leaf effervescent powder and one control group. The research was conducted for 28 days.Result: The result of the research exhibited the 1st day of the adduction of Bastard cedar leaf effervescent powder that the dosage 3 g/Kg BW contributed to the largest reduction compared with the others. On the last day of adduction, dosage 1 g/Kg BW contributed almost the similar weight reduction effect to the mouse with the dosage 3 g/Kg BW; however, when both were compared, the dosage 3 g/Kg BW remained giving the most significant effect (p<0.05).Conclusion: The adduction of bastard cedar leaf effervescent powder could reduce the weight of the mouse in all dosage treatment which was dosage 1 g/Kg BW, 2 g/Kg BW, and 3 g/Kg BW

Acute Toxicity Effect of The Ethanolic Extract of Watercress Herb (Nasturtium officinale R. Br.) in Mice

Watercress (Nasturtium officinale R. Br.) is an annual plant of the Brasicaceae family. Watercress has efficacy in the treatment of a hypo-allergenic, anti-diabetic, antioxidant, anticancer, and treatment of tuberculosis.The purpose of this research was to determine the potential for acute toxicity of ethanolic extract of watercress. This study aims to observe the histopathology liver , kidney , heart mice and to determine the LD50. Test animals used were 40 male mice and 40 female mice were divided into 8 groups. Group 1 as the control group were given Na – CMC 0,5 % b/v and groups 2-8 were given ethanol extract of watercress herb with a doses of  0,5; 5; 50 ; 500 ; 1000 ; 2000; and 4000 mg/kg bw . LD50 test is determined by the number of deaths in the test group during the 14 days of treatment in the form of one administration of the test materials. Histopathological results at the highest doses showed necrosis and hydropic degeneration of the liver, serosis the kidneys, and the heart inflammation with myofibril irregular heart. LD50 test demonstrated the practical test material is not toxic because no test animals died.Keywords: acute toxicity, Nasturtium officinale R. Br., Ethanolic extrac

RELAXATION EFFECT OF ETHANOLIC EXTRACT OF AVERRHOA BILIMBI L. LEAVES ON ILEUM SMOOTH MUSCLE CONTRACTION OF IN VITRO ISOLATED RAT (RATTUS NORVEGICUS)

Objective: The study was aimed to investigate the relaxation effect of ethanolic extract of Averrhoa bilimbi L. leaves (EEABL) and ondansetron against 5-HT-induced contraction of the 5-HT3 receptor.Methods: The study of the relaxation effect of the cumulative concentration EEABL leaves (0.5–4 mg/mL) and ondansetron (10−5–3×10−2) after the contracted with 5-HT (EC80: 1.158×10−6 M) was conducted in vitro using isolated rat's ileum organ in the Tyrode solution.Results: The EEABL and ondansetron decreased ileum contraction after induced by 5- HT. EEABL has no difference in terms of ability as ondansetron in reducing the ileum smooth muscle contraction induced by 5-HT (p>0.05).Conclusion: The EEABL has relaxation effect on smooth muscle of rat's isolated ileum which has induced by 5-HT

Anti-Inflammatory Activity of Rhaphidophora pinnata (L.F) Schott Leaf Extract

BACKGROUND: Cancer growth is influenced by many factors and in general it is an interaction between gene factors and environmental factors, especially the microenvironment that exists around cancer. The inflammatory response plays a decisive role in various stages of cancer growth. AIM: The aim of this study was to determine the anti-inflammatory activity of ethanol extract of Rhaphidophora pinnata leaves. METHODS: R. pinnata leaf extract was obtained by percolation method using 96% ethanol as the solvent at room temperature. Anti-inflammatory activity was determined based on the paw edema method. Thirty male albino mice were treated orally with sodium carboxyl cellulose suspension (as negative control group), R. pinnata leaf extract (35, 70, 140, and 280 mg/kgBW), and diclofenac (as positive control group), 60 min before 0.2 mL 1% carrageenan injection. The paw thickness was measured using plethysmometer before injecting the carrageenan and after 1, 2, 3, 4, 5, and 6 h. RESULTS: The subplantar injection of carrageenan caused a time-dependent paw edema in the mice. Oral administration of R. pinnata leaf extract inhibited paw swelling at 1, 2, 3 4, 5, and 6 h after carrageenan injection. R. pinnata leaf extracts doses of 35, 70, 140, and 280 mg/kgBW gave a percentage inhibition of 56.56%, 56.18%, 62.77%, and 49.30%, respectively. The effective dose of R. pinnata leaf extract as an anti-inflammatory was 140 mg/kgBW. CONCLUSION: Ethanol extract of R. pinnata leaf has anti-inflammatory activity in male albino mice

Evaluation of Drug Management of Pharmacy Installation at Universitas Sumatera Utara Hospital

Evaluation of Drug Management of Pharmacy Installation at Universitas Sumatera Utara Hospita

Pharmacists Intervention Reduced Drug-Related Problems in the Treatment of Patients with Type 2 Diabetes Mellitus

BACKGROUND: Type 2 Diabetes Mellitus (T2DM) remains as a global public health problem, including Indonesia due to its continuous increasing prevalence. AIM: To analyze the impact of pharmacist intervention on drug-related problems (DRPs) occurred in the management of patients with T2DM admitted to Tebing Tinggi Hospital (TTH), Indonesia, period March through August 2018. METHODS: This six-month retrospective prospective cohort study evaluated the impact of pharmacist intervention on the occurrence of DRPs in the management of patients with T2DM (n = 45) insured by Social Security Organizing Body in TTH, North Sumatera, Indonesia. The inclusion criteria were T2DM patients with age ≥ 18 years and under treatment of antidiabetic drugs. A questionnaire was used to assess the characteristics of the patients and antidiabetic drugs provided. The incidence of DRPs in groups with usual care for the previous three-month and with pharmacist interventions for the next three-month admissions were analyzed using Pharmaceutical Care Network Europe (PCNE) DRP classification system version 8.01 that consists of 3 primary domains for problems, 8 primary domains for causes, and 5 primary domains (PCNE, 2017) and trustable literatures. The obtained data were analyzed using descriptive statistics and paired t test in the program of Statistical Package for the Social Sciences version 19 (p < 0.05 was considered significant). RESULTS: Most (66.7%) of the patients were female. Their mean age was 61.96 ± 6.45 (years). The three most widely provided drugs were metformin, glimepirid, and gliclazide. Total incidence of DRPs in groups with: usual care, 128; intervention, 39. There was a significant difference between the incidence of DRPs in groups with usual care and intervention, p ≤ 0.001. CONCLUSION: Pharmacist intervention reduced the incidence of DRPs in the management of T2DM patients

Formulation and effectiveness test of clove flower oil (Syzygium aromaticum L.) nanoemulsigel preparations against Propionibacterium acnes bacteria

Background: Acne is a chronic inflammatory process in the pilosebaceous glands. The appearance of acne is a process of follicular hyper-keratinization, which causes blockage of the pores so that the hair follicles are blocked by bacteria known as Propionibacterium acnes. Clove flower oil contains eugenol compounds which have the strongest activity against gram-positive and gram-negative bacteria. Methods: In this research, antibacterial activity tests were carried out on clove flower oil with various concentrations and nano-emulsion gel preparations were made with a clove flower oil concentration of 1.5%; 3%; 5.5%, which was then tested for antibacterial activity on the nano-emulsion gel preparations of clove flower oil measured using a caliper and the diameter of the inhibition zone produced was recorded. Results: the results of the organoleptic research showed that the color was yellow, transparent and had a distinctive odor, homogeneity showed that there were no coarse particles, viscosity was still within the required range, pH showed that the pH was still within the required range of 4.5-6.5, particle size test was below 200 nm, cycling test showed that it was stable during storage at hot and cold temperatures for 6 cycles of P. acnes inhibitory clove flower oil nano-emulsion preparation with a concentration of 1.5%; 3%; 5.% respectively have resistance of 11.60 mm, 13.53 mm, 15.76 mm Conclusions: From the results of the research that has been carried out, it is concluded that clove flower oil can be formulated into a nano-emulsion gel preparation, is stable during cycling tests, and has a particle size below 200 nm. Nano-emulsion gel formulations have the greatest antibacterial activity compared to emulsion gel formulations

The Impact of Pharmaceutical Care Implementation on The Incidence of Drug-Related Problem and Clinical Outcome of Hypertension Patients at Puskesmas Lubuk Pakam in 2021

The role of pharmacists in the implementation of pharmaceutical care has been shown to improve the outcome of therapy in hypertension patients in various countries. This study aimed to implement pharmaceutical care for hypertension patients and determine its impact on the incidence of drug-related problems (DRPs) and clinical outcomes of hypertension patients in Puskesmas Lubuk Pakam. This study used a comparative experimental method before and after the intervention of 73 hypertension patients in March-August 2021. Identification of the of DRPs was using the PCNE V9.00 standard and blood pressure values were obtained from direct examination of patients. Data were analyzed using the Wilcoxon Signed-Rank test. The results showed that the average DRPs incidence was significantly reduced after the intervention (observation, interview, and education) on the hypertension patients. The average blood pressure before intervention was 154.38 ± 16.20 mmHg and after intervention became 144.04 ± 15.94 mmHg (p value = 0.000). Based on the results of the study, it can be concluded that the application of pharmaceutical care can reduce the incidence of DRPs and improve clinical outcomes in hypertension patients in Puskesmas Lubuk Pakam