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Peran Apoteker Terhadap Keberhasilan Pengobatan Tahap Intensif Pasien Tuberkulosis Katharina Aditya Candra Utukaman; Dian Ratih Laksmitawati; Ros Sumarny; Edwin Tomasoa
Poltekita : Jurnal Ilmu Kesehatan Vol. 15 No. 3 (2021): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v15i3.510

Abstract

Penelitian ini bertujuan untuk mengetahui pengaruh edukasi dan monitoring pengobatan tuberkulosis pada PKM dengan intervensi Apoteker (PKM Saumlaki) dan PKM tanpa intervensi Apoteker (PKM Larat). Responden penelitian ini adalah pasien baru TB dan Pengawas Menelan Obat (PMO) di kedua PKM pada bulan September-November 2020. Penelitian ini merupakan jenis penelitian quasi experimental dengan rancangan two group pretest-posttest design. Peran apoteker berupa edukasi dan monitoring dilakukan pada responden PKM Saumlaki selama 8 minggu observasi. Data dikumpulkan dalam bentuk kuesioner dan data catatan pengobatan di PKM masing-masing. Hasil penelitian menunjukkan karakteristik demografi responden di kedua PKM tidak berbeda bermakna. Perbedaan bermakna antara kedua PKM terdapat pada data pengetahuan, kepatuhan, outcome klinis berdasarkan BTA negative pada akhir pengobatan tahap intensif, dan data kepuasan pasien terhadap PMO. Sedangkan efek samping dan berat badan pasien antara kedua PKM tidak berbeda bermakna. Hal ini menandakan ada pengaruh edukasi dan monitoring oleh apoteker terhadap peningkatan jumlah pasien yang berhasil menjalani pengobatan TB. Analisis mengenai faktor yang signifikan berhubungan dengan keberhasilan pengobatan memberikan hasil bahwa faktor yang signifikan berpengaruh adalah adanya intervensi apoteker pada tingkat kepatuhan pasien, tingkat pengetahuan pasien dan PMO. Kesimpulan yaitu edukasi dan monitoring pengobatan langsung oleh apoteker pada pasien TB di PKM Saumlaki di KKT berpengaruh meningkatkan keberhasilan pengobatan pasien tuberkulosis
PENGARUH ANTIBIOTIKA PROFILAKSIS TERHADAP KEJADIAN INFEKSI LUKA OPERASI Oktaviana Zunnita; Ros Sumarny; July Kumalawati
FITOFARMAKA: Jurnal Ilmiah Farmasi Vol 8, No 1 (2018): FITOFARMAKA | Jurnal Ilmiah Farmasi
Publisher : Universitas Pakuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (644.421 KB) | DOI: 10.33751/jf.v8i1.1170

Abstract

Antibiotik profilaksis adalah antibiotik yang diberikan pada pasien yang akan menjalani pembedahan untuk mencegah terjadinya infeksi akibat tindakan operasi. Antibiotik profilaksis diberikan secara intravena agar dicapai konsentrasi maksimum di serum/jaringan pada saat operasi. Pemilihan antibiotika profilaksis yang sesuai pada tindakan pembedahan sangat menentukan keberhasilan dalam mencegah terjadinya infeksi luka operasi. Penelitian ini bertujuan untuk mengetahui besarnya angka kejadian infeksi luka operasi dan mengevaluasi penggunaan antibiotika profilaksis dalam pencegahan infeksi luka operasi di rumah sakit Premier Bintaro, Kota Tanggerang. Jenis penelitian ini adalah observasional dengan rancangan studi deskriptif analitik melalui penelusuran data yang dilakukan secara retrospektif pada pasien yang menjalani pembedahan di ruang operasi. Analisa dan evaluasi data berupa deskripsi pola penggunaan antibiotika profilaksis dan angka kejadian infeksi luka operasi serta hubungan antara penggunaan antibiotika profilaksis dengan kejadian infeksi luka operasi. Hasil yang diperoleh dalam penelitian ini menunjukan bahwa angka kejadian infeksi luka operasi pada tindakan pembedahan sebanyak 7 kasus (1,97%) dari jumlah total 355 kasus bedah pada periode penelitian. Antibiotika profilaksis yang paling banyak digunakan adalah sefalosporin generasi III (66,2%). Hasil analisa dengan Fisher exact menunjukkan bahwa sifat operasi, jenis antibiotika dan waktu pemberian antibiotika mempunyai hubungan bermakna dengan kejadian ILO (p 0,05). Dari penelitian terlihat pula bahwa semakin lama operasi berlangsung semakin tinggi risiko infeksi luka operasi. Antibiotik sefalosporin generasi III terbanyak yang digunakan adalah ceftriaxone injeksi.
Efek Stimulansia Infus Lada Hitam (Piperis nigri fructus) Pada Mencit ROS SUMARNY; LESTARI RAHAYU; NI MADE DWI SANDHIUTAMI; LIBERT MORY
JURNAL ILMU KEFARMASIAN INDONESIA Vol 11 No 2 (2013): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (328.345 KB)

Abstract

Black pepper (Piperis nigri fructus) has been empirically used to eliminate fatigue and to increase stamina or as stimulant. The aim of this study was to determine the efficacy of black pepper infuse as stimulant on 30 male DDY mice using swimming and rotarod methods. The mice were divided into five groups. First group was given distilled water as control, second group was given caffeine of 0.36 mg/20 g bw. The other three groups were given orally with black pepper infuse of 0.32 mg/20 g bw, 0.65 mg/20 g bw, or 1.3 mg/20 g bw. Observations on mice swimming endurance and mice endurance on a rotarod, were carried out 60 minutes after oral administration of the solutions. Analysis using Kruskal-Wallis showed that there was significant difference in the stimulant efficacy between the black pepper infuse and the negative control (p<0.05). There was no significant difference in stimulant effect between the 0.32 mg/20 g bw of black pepper infuse and the caffeine positive control, however, the infuse dose of 0.65 mg/20 g bw and 1.3 mg/20 g bw have demonstrated stronger stimulant effects (p>0.05) as compared to the caffeine positive control.
Pengaruh Pemberian Aspartam secara Oral terhadap Kadar AST dan ALT Serum serta Gambaran Histopatologi Hati Tikus Putih Ros Sumarny; Sondang Khairani; Mohamad Rega Satria Ramadhan
JURNAL ILMU KEFARMASIAN INDONESIA Vol 18 No 1 (2020): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (691.319 KB) | DOI: 10.35814/jifi.v18i1.830

Abstract

Aspartame is low calorie sweetener metabolized into aspartic acid, phenylalanine and methanol, methanol cause damage to the liver. The purpose this study to determine the effect rats of oral aspartame administration for 90 days on biochemical parameters AST, ALT and liver histopathology. Rats were divided randomly into four groups: normal control, dose groups 126, 252, 504 mg/kgBW. Blood samples were taken on the 0th, 30th, 60th and 90th days to measure AST, ALT levels and 90th day to see liver histopathology. AST and ALT measurements using UV-VIS spectrophotometry with a wavelength of 340 nm. The levels of AST and ALT on the 90th day in the normal group 41,55 and 48,40 UI/L. Dose groups 126, 252, and 504 mg / kgBW were low doses 54,62 and 57,72 UI/L, 66,88 and 70,47 UI/L, 77,50 and 80,03 UI/L. Rats histopathology liver of aspartame showed hemorrhage. Concluded aspartame can increase of AST and ALT levels in rats blood serum and liver damage.
Pengaruh Pemberian Ekstrak Etanol Buah Makasar (Brucea javanica [L.] Merr) terhadap Aktivitas dan Kapasitas Fagositosis serta Produksi ROI Sel Fagosit Mencit secara In vivo ROS SUMARNY; SILVI RISDIYANTI
JURNAL ILMU KEFARMASIAN INDONESIA Vol 10 No 1 (2012): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

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Abstract

One way to prevent of disease through increased endurance by increasing the effectiveness of the immune system to light the causes of disease. Macassar fruit (Brucea javanica [L.] Merr) of Simambaceae is known containing quasinoid which has cytotoxic activity against cancer, antiplasmodium, and improving the effectiveness of humoral immun system. The work is to investigate the effect of Macassar fruit ethanol extract on the activity and phagocytic capacity, as well as phagocyte ROI production of mice phagocyte cells. Five groups consisted of 12 mice per group were prepared. Group I, a normal control was given distilled water, Group II was given orally with Macassar fruit ethanol extract dose of 100 mg/ kg, Group III a dose of 200 mg/kg, Group IV a dose of 300 mg/kg, and positive control group V was given Stimuno. Results showed that the phagocytic activity of phagocyte cells increased with increasing doses. The highest phagocytic activity was achieved by the 300 mg/kg dose, observed either at 8th and 15th days after the treatment, with an increase in phagocytic activity of 65 .60% and 70.5%. ROI production of phagocytic cells has different response after 7 days or 14 days treatment with Macassar fruit extract. The ROI production increased by 43% after 14 days treatment with Maccasar fruit ethanol extract with the dose of 300 mg/kg BW.
Analisis Urea-Kreatinin Tikus Putih pasca Pemberian Ekstrak Buah Mahkota Dewa dan Herba Pegagan WAHONO SUMARYONO; AGUNG ERU WIBOWO; SRI NINGSIH; KURNIA AGUSTINI; ROS SUMARNY; FITRIANIAR AMRI; HENDIG WINARNO
JURNAL ILMU KEFARMASIAN INDONESIA Vol 6 No 1 (2008): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

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Abstract

The evaluation of toxicity of a mixed herbal extract containing mahkota dewa fruits (Phaleria macrocarpa Scheff. Boerl) and pegagan leaves (Centella asiatica L. Urban) on Wistar-strain rats had been carried out by the determination of the urea and creatinine content in urine and plasma after feeding. Oral doses of 100 mg, 500 mg, and 2500 mg of the mixed extract/kg body Weight were administered for 16 consecutive weeks to three groups of rats. Each treated group consisted of 15 males and 15 females, and the control group was represented by 10 males and 10 females. Samples of urine and plasma of the treated groups were taken at the time right before treatment (Week zero) and at Sm, 16th, 18th Week, while those of the control were taken at zero Week, 8th, and 16th Week, respectively. The result showed that theurea and creatinine contents among the treated and control groups were not signihcantly different. It could be concluded that oral administration ofthe mixed extract by a dose up to 2500 mg/kg body weight for 16 Weeks did not influence the urea and creatinine contents both in urine and plasma of the treated animals. Based on this result, it could be assumed that the use of the mixed extract is safe.
Efek Antioksidan Larutan Kosolven Ekstrak Kulit Buah Manggis (Garcinia mangostana L.) pada Tikus dengan Parameter MDA dan SOD ROS SUMARNY; LILIEK NURHIDAYATI; SITI SOFIAH; YATI SUMIYATI; FRANSISKA DIANA SANTI
JURNAL ILMU KEFARMASIAN INDONESIA Vol 13 No 1 (2015): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (407.637 KB)

Abstract

Mangosteen (Garcinia mangostana L.) rinds extract in capsule form has been marketed. a-mangostin, the active compound of G. mangostana had been known has low solubility in water. This study was aimed to measure and compare antioxidant effect of a-mangostin as cosolvent solution to extracts suspentions. 25 rats were divided into 5 groups: negative (I) and positive (II) control, cosolvent solution (III), extract (IV) and extract® (V). Treatment were given for 14 days, free radicals were induced by CCl . MDA were analyzed using thiobarbituric acid method while SOD by using adenochrome assay. Results showed MDA level were: 1.0±0.19; 0.3±0.05; 0.4±0.04; 0.6±0.04 and 0.5±0.00 nmol/mL, whereas SOD activity were: 17±0.0; 123±25.3; 107±19.0; 73±18.9 and 97±27.0 U/mL for group I, II, III, IV and V, respectively. Kruskal Wallis test showed a significant difference in MDA between group III with IV and V (p>0.05), showing cosolvent has higher ability to decrease MDA than the extracts suspension. There were significant differences of SOD between group III and IV (p>0.05), meaning cosolvent has higher ability to increase SOD activity compare to the extracts. Research showed cosolvent has a higher antioxidant effect with potential to inhibit MDA formation by 70% and increase SOD activity by 623%.
Comparison of Pain Scale, Hemodynamics, and Side Effects of Percutaneous and Intravenous Fentanyl in Post Sectio Caesaria Patients at Bunda Hospital Annisa`'a Nurillah Moesthafa; Achmad Riviq Said; Ros Sumarny; Yati Sumiyati
Borneo Journal of Pharmacy Vol 5 No 1 (2022): Borneo Journal of Pharmacy
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/bjop.v5i1.2876

Abstract

This is novel research about comparison pain scale, hemodynamics, and side effects of percutaneous and intravenous fentanyl in post sectio cesarean patients. Sectio cesarean is a method of delivering a fetus through an incision in the abdominal wall (laparotomy) and the uterus wall. This method induces pain in the incision, so patients feel complicated or afraid to mobilize. Fentanyl is one of the opioid analgesics, which is the main choice in section caesarian surgery because safe for breastfeeding, is more potent than morphine, and acts as balanced anesthesia—comparing the use of percutaneous fentanyl with intravenous fentanyl with pain scale parameters, hemodynamics, and side effects in sectio caesarian patients at Bunda Mother and Child Hospital Jakarta. Before conducting this research, an observational study first makes an ethical approval. Data were taken prospectively and collected simultaneously to compare percutaneous and intravenous fentanyl performed on post sectio cesarean patients with the physical status of the American Society of Anesthesiologists (ASA) I–II at Bunda Mother and Child Hospital Jakarta from September to November 2020. Comparative data observed were pain scale parameters, hemodynamics, and side effects after percutaneous fentanyl therapy or intravenous fentanyl therapy. Data were processed using SPSS 22 version and Microsoft Excell 2016. In conclusion, intravenous fentanyl is more effective in reducing pain scale and has more minor side effects than percutaneous fentanyl. There is no significant difference in hemodynamic parameters (p-value >0.05).
HIGH PERFORMANCE LIQUID CHROMATOGRAPHY METHOD VALIDATION OF α-MANGOSTIN ASSAY IN MANGOSTEEN (Garcinia mangostana L.) FRUIT RIND EXTRACT FORMULATED IN ORAL SOLUTION Liliek Nurhidayati; Siti Sofiah; Ros Sumarny; Kevin Caesar
ALCHEMY Jurnal Penelitian Kimia Vol 11, No 1 (2015): Maret
Publisher : UNIVERSITAS SEBELAS MARET (UNS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/alchemy.11.1.104.38-46

Abstract

Mangosteen fruit rind extract contain a lot of antioxidants. α-Mangostin is a component in mangosteen fruit rind that has highest antioxidant effect. The oral solution containing mangosteen fruit rind extract is required an assay method for quality assessment. Determination of a very low concentration of analyte in sample with very complex matrix, such as α-mangostin in oral solution, needs a selective and sensitive method, such as high performance liquid chromatography (HPLC). In this study, α-mangostin assay was performed by reverse phase HPLC system using octadecylsilane (C18) as stationary phase,  methanol-water (90:10) as mobile phase, the flow rate is 1.0 mL/min, and the UV detector at 316 nm. The retention time of α-mangostin was 9.622 minutes. Peak of α-mangostin was well separated with resolution of 1.725. Linearity was in the range of 1.67-5.01 ppm with correlation coefficient of 0.9986. The relative standard deviation (RSD) was 1.30 %, the recovery was in the range of 95.80-100.76 
Korelasi antara High Sensitivity C-Reactive Protein dengan Kadar Glukosa Darah dan Profil Lipid pada Mahasiswa Obesitas Fakultas Farmasi Universitas Pancasila Manuppak Irianto Tampubolon; Ros Sumarny; Yati Sumiyati
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : CV. Ridwan Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.598 KB) | DOI: 10.36418/syntax-literate.v7i1.5736

Abstract

Obesitas merupakan keadaan dimana terjadi ketidaknormalan atau kelebihan akumulasi lemak dalam tubuh yang disimpan dalam jaringan adiposa. Keadaan obesitas akan mempengaruhi sekresi adiponektin. C-reactive protein merupakan suatu globulin yang disintesis oleh hepatosit, produksi CRP ini diinduksi oleh interleukin-6, interleukin-1 dan tumor necrosis factor α, yang kemudian akan disekresi ke dalam darah. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara inflamasi dengan gangguan metabolisme karbohidrat dan metabolisme lipid serta mendapatkan data kadar High Sensitivity C-Reactive Protein sebagai penanda inflamasi, Kadar glukosa darah untuk menilai gangguan metabolisme glukosa, sedangkan kolesterol, trigliserida, LDL untuk menilai gangguan metabolisme lipid dan mengetahui hubungan antara High Sensitivity C-Reactive Protein dengan glukosa darah dan profil lipid (kolesterol total, trigliserida dan LDL) pada mahasiswa obesitas Fakultas Farmasi Universitas Pancasila. Penelitian ini dilakukan menggunakan metode observasional dengan rancangan penelitian cross sectional dengan pengambilan data secara consecutive sampling dimana peneliti melalukan pengukuran terhadap indikator obesitas (berat badan, tinggi badan, lingkar pinggang) kadar C-Reactive Protein (CRP) dan profil lipid. Uji statisitik yang digunakan dalam penelitian ini adalah Kolmogorov smirnov, Leaven test dan Spearman. Karakteristik responden berdasarkan parameter indeks massa tubuh didapatkan sebesar 27.54 kg/m2. Distribusi frekuensi pada parameter jenis kelamin yang paling banyak dengan jenis kelamin perempuan sebanyak 74,1%. Rerata lingkar perut sebesar 91.97 cm. Diketahui rata-rata 48,1% mahasiswa obesitas fakultas farmasi mengalami hiperglikemia, 48,1% mengalami hiperkoleterolemia, 37% hipertrigliseridemia, 88,9% hiperbetalipoprotenemia dan 29,6% mahasiswa memiliki kadar hs-CRP > 3 mg/L. Terdapat hubungan bermakna antara hs-CRP dan indeks massa tubuh (r = 0.503 dan p = 0.007) serta didapatkan juga hubungan bermakna antara indeks massa tubuh dan tekanan darah diastolik (r= 0.506 dan p = 0.007). Dapat disimpulkan bahwa indeks massa tubuh (IMT) berkolerasi dengan hs-CRP dan tekanan darah diastolik.