HENY EKOWATI
Bachelor of Pharmacy Program, Jendral Soedirman University, Purwokerto

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An Extract of Zingiber officinale and Piper retrofractum Combination and Its Effect to Cancer Cell Line Ekowati, Heny; Septiyaningsih, .; Harwoko, .
Indonesian Journal of Cancer Chemoprevention Vol 2, No 1 (2011)
Publisher : Indonesian Research Gateway

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Abstract

Chemotherapy may emerge sideeffect since it may treatinconveniently the synthesis of nucleic acids and proteins,both cancer cells or normal cells.Plants as a cancer therapy were expected to reduce this toxicityand side effects.Plants which used empirically for cancer therapy was Zingiber  officinale cv. Rubrum and Piper  retrofractum. This study was conducted to examine the cytotoxic activity of ethanolic extractc ombination of two plants in HeLa and T47D celllines.Zingiber  officinale cv.Rubrum,Piper  retro fractum and mixture (1:1)powdered then macerated with 96 % ethanol for 3x24 hours.Identification ofthe constituent that had potential anti cancer effect was usedTLC with silica GF254 as stationary phase,cytotoxic activity wasexamined by yellow MTT assay,the nanalyzed using probit.Apoptotic assay was performed by immunofluororescencemethod,using fluoro chromes ethidium bromide and acridineorange.The result showed that Zingiber officinalecv.Rubrumcontains terpenoids, while Piper  retrofractum contains alkaloids substance. The mixture showed cytotoxic activity against HeLa and T47D cell with IC50 33 and 53 6g/mL respectively.Theextract caused cytotoxic effect through apoptotic mechanism.
In Vitro Antioxidant Activity of Zingiber officinale, Piper retrofractum, and Their Combinations Wasito, Hendri; Ekowati, Heny; Hayati, Fitri Fauziah
Indonesian Journal of Cancer Chemoprevention Vol 2, No 3 (2011)
Publisher : Indonesian Research Gateway

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Many  plants  are  used  empirically  as  antioxidant.  Plants  that  are  frequently  used  in Indonesian  communities  are  Zingiber  officinale  and  Piper  retrofractum.  The  aim  of  this  research was  to  investigate  the  in  vitro  antioxidant  activity  of  single  ethanolic  extract  and  the combinations ofZ. officinale and P. retrofratum using free radical scavenging DPPH (1,1-diphenyl-2-picrylhydrazyl)  method.  Z.  officinale  and  P.  retrofratum  were  extracted  by  maceration  using 95%  ethanol  for  3  x  24  hours. Antioxidant  activity  was  evaluated  using  1,1-diphenyl-2-picrylhydrazyl (DPPH) method. The concentration of the extract (μg/mL) that was required to scavenge 50% of free radicals (IC50)was calculatedusing the percent scavenging activities of six different  extract  concentrations.  The  results  showed  that  the  single  ethanolic  extract  of  Z. Officinalle produced the highest antioxidant activity with IC50of 56 μg/mL, while the antioxidant  activity of the single ethanolic extract of  P. retrofractum produced an IC50 of 3.445 μg/mL. The IC50 of combination of Z. officinale and P. retrofratum ethanolic extracts at concentration ratios of 1: 2, 1 : 1, and 2 : 1 were 148 μg/mL, 85 μg/mL, and 73 μg/mL.Key words: Zingiber  officinale, Piper retrfratum, Antioxidant, DPPH
Anti-Proliferative Activity of Nigella sativa Chloroform Extract on 7,12-Dimenthylbenz[a]anthracene Induced Female Rats Splenocyte Firdaus, Ahmad Fiki; Sobri, Iskandar; Ekowati, Heny
Indonesian Journal of Cancer Chemoprevention Vol 3, No 1 (2012)
Publisher : Indonesian Research Gateway

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Previous study reported that Nigella sativa has in vitro and in vivo cancer activity. This study was conducted to observe the effect of chloroform extract of Nigell sativa seed (NCE) on 7,12-Dimethylbenz[a]anthracene (DMBA)-induced female rats splenocyte. The experiment consisted of five groups, corn oil solvent control group, DMBA group, DMBA+250 mg/kgBW NCE, DMBA+500 mg/kgBW NCE and DMBA+750 mg/kgBW NCE. Extract was dissolved in corn oil and oral administered daily for 2 weeks before and during the DMBA induction. Observation of cell proliferation was performed using haematoxylin and eosin (H&E) and AgNOR stainings. H&E staining showed decreased necrocis activity extract groups compared to DMBA group. From AgNOR staining results, mean AgNOR (mAgNOR) of extract groups was less in number compared to DMBA group. The mAgNOR in corn oil solvent control group, DMBA group, DMBA+250 mg/kgBW NCE, DMBA+500 mg/kgBW NCE and DMBA+750 mg/kgBW NCE were 1.22, 1.91, 1.29, 1.36 and 1.33, respectively. Our current results showed that NCE reduces the proliferation of DMBA-induced rat spleenocytes. Thus, NCE has potency to be developed as a chemopreventive agent.Keywords : Nigella sativa, spleen, DMBA, anti-proliferative
Cost Analysis of Cancer Side Effects Therapy in Cancer Patients in Rumah Sakit Prof. Dr. Margono Soekarjo Purwokerto Pradana, Febrian; Purwonugroho, Tunggul Adi; Ekowati, Heny
Indonesian Journal of Cancer Chemoprevention Vol 3, No 3 (2012)
Publisher : Indonesian Research Gateway

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Abstract

Cancer  is  the  leading  cause  of  death  in  Indonesia.  Generally,  cancer  therapy  use chemotherapy,  radiation,  surgery  or  combination  of  those.  Various  side  effects  caused  by cancer  therapy  make  the  use  of  additional  drugs.  This  leads  to  an  increase  in  total  cost incurred  to  cancer  patients.  The  purpose  of  this  study  was  to  describe  the  treatment  of cancer  therapy’s side effects  as  well  as  the  average  cost  of  side  effects  treatment,  and  its percentage  in  the  total  cost  of  cancer  patients  in  Rumah  Sakit  Margono  Soekarjo.  This research was a descriptive study with retrospective data  by total sampling method obtained from  patients’  medical  and  receipts  records  of  five  most  common  cancers  (breast, nasopharynx,  Non  Hodgkins  Lhympoma  (NHL),  ovarian,  and  cervix)  during  January-December 2010. The average cost of  patient’s side effects treatment was calculated by the average  cost  of  side  effects  compared  to  the  average  total  direct  costs  incurred  to  cancer patients.  The  samples  was  obtained  from  the  population  of  2261  patients  who  met  the inclusion criteria, that are 73 patients consist of 62 female patients and 11 male patients. The most  common  side  effects  of  cancer  therapy  were  nausea  and  vomiting  (59.80%),  nausea-vomiting,  anemia,  and  pain  (16.44%),  and  nausea-vomiting  and  anemia  (15.07%).  The  most used therapy was vitamin B complex followed by histamine-2 inhibitor. The average cost of side effects for breast cancer was Rp 1,715,373 (8.73%), nasopharynx was Rp 1,149,049 (6.98 %);  NHL  was  Rp  360,778  (1.97  %);  ovary  was  Rp  911,118  (3.61  %)  and  cervical  was  Rp 1,416,027 (8.87 %). The results indicated  that the hospital needs  to pay  more attention  on nausea-vomiting effect of chemotherapy, and also cervical cancer side effects therapy as the most costly.Keywords: Cost Analysis, Cancer, Side Effects, Prof. Dr. Margono Soekarjo Hospital