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All Journal Jurnal Ilmu Farmasi dan Farmasi Klinik (Journal of Pharmaceutical Science and Clinical Pharmacy) SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Lumbung Farmasi : Jurnal Ilmu Kefarmasian SOCIAL CLINICAL PHARMACY INDONESIA JOURNAL Jurnal Borneo Cendekia JKMP (Jurnal Kebijakan dan Manajemen Publik) Jurnal Kesehatan Cendikia Jenius International Journal of Health Systems and Policy JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai
Syaripah Ulandari
Department Of Pharmacy, Faculty Of Medicine, University Of Lampung
Agriculture, Biological Sciences & Forestry Computer Science & IT Control & Systems Engineering Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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The Effect of Definitive Antibiotic Appropriateness on therapeutic Outcomes in Diabetic Ulcer Patients Ulandari, Syaripah; Laksmi Meiliana, Made
Jurnal Kesehatan Cendikia Jenius Vol. 3 No. 1 (2025): Desember
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/jenius.v3i1.336

Abstract

Diabetic ulcers are infections, wounds, or tissue damage of the lower extremities in patients with diabetes mellitus caused by neuropathy and peripheral vascular impairment, which can lead to amputation. Up to 40% of amputation risks can be prevented through the use of appropriate antibiotic therapy. This study was to analyse the effect of the approproate use of definitive antibiotics on therapeutic outcomes in diabetic ulcer patients undergoing inpatient treatment at Hospital X in Bandar Lampung in 2023. used an analytical observational design with a retrospective cohort approach. The study population comprised 112 hospitalised patients diagnosed with diabetic ulcers, from which 87 patients were selected using the Slovin formula. Data were analysed descriptively to present patient characteristics, and the One-way ANOVA was used to examine the relationship between definitive antibiotic appropriateness and therapeutic outcomes. The results showed that 50 patients (57,5%) were female, the majority were aged 56-65 years (46%), and 80 patients(90%) received beta-lactam antibiotics. The One-way ANOVA test demonstrated a significant effects of appropriate definitive antibiotic use and improved therapeutic outcomes (p < 0.05). Improvements were observed in random blood glucose, HbA1c, leukocyte counts, and body temperature. Based on the result of this study, the appropriate use of definitive antibiotics can significantly improve the therapeutic outcome of diabetic ulcer patients. It is recommended that hospital pharmacies conduct intensive monitoring of antibiotic use to prevent futher infections that could lead to amputation and treatment resistance.
SENAM LANSIA SEBAGAI UPAYA MENINGKATKAN KEBUGARAN TUBUH PADA LANSIA DI POSYANDU ANYELIR 2 KECAMATAN NATAR KABUPATEN LAMPUNG SELATAN Ardhianto, Denny; Meiliana, Made Laksmi; Ulandari, Syaripah; Ismayati, Dwi
JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Vol. 10 No. 2 (2025): JURNAL PENGABDIAN MASYARAKAT RUWA JURAI
Publisher : FK Unila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jpmrj.v10i2.3687

Abstract

Senam lansia adalah serangkaian gerakan tubuh yang terarah dan terencana, dirancang khusus untuk orang lanjut usia (lansia) untuk meningkatkan dan memelihara kemampuan fungsional tubuh. Kegiatan ini bertujuan menjaga kesehatan fisik dan mental melalui latihan yang ringan dan tidak terlalu berat, fokus pada kelenturan, kekuatan otot, keseimbangan, serta fungsi jantung dan pernapasan. Tujuan utama senam lansia adalah meningkatkan dan memelihara kesehatan fisik dan mental para lansia, dengan fokus pada penguatan otot dan tulang, peningkatan kelenturan dan keseimbangan, menjaga kesehatan jantung dan pernapasan, serta memperbaiki fungsi kognitif dan kualitas tidur. Selain manfaat individual, senam lansia juga bertujuan meningkatkan kebugaran fungsional sehingga lansia dapat tetap aktif dan mandiri dalam aktivitas sehari-hari. Pengabdian kepada masyarakat ini bertujuan untuk meningkatkan kebugaran tubuh melalui senam lansia. Sasaran dalam kegiatan ini adalah lansia di Posyandu Anyelir 2 Kecamatan Natar Kabupaten Lampung Selatan sebanyak 20 orang. Metode yang digunakan pada kegiatan ini mencakup pelaksanaan senam lansia. Gerakan senam lansia yang dilakukan meliputi peregangan, latihan keseimbangan, dan penguatan otot. Gerakan tersebut antara lain peregangan leher dan bahu, mengangkat lutut dan telapak kaki, berdiri dengan satu kaki. Senam lansia terbukti efektif untuk meningkatkan kebugaran tubuh lansia di Posyandu Anyelir 2 Kecamatan Natar Kabupaten Lampung Selatan.
EDUKASI PENGGUNAAN DAN PENGELOLAAN OBAT (DAGUSIBU) PADA MASYARAKAT DI LAPANGAN KALPATARU, KEMILING, BANDAR LAMPUNG Ismayati, Dwi; Ardhianto, Denny; Meiliana, Made Laksmi; Ulandari, Syaripah; Pulungan, Yulianasari; Sari, Novita; Puspita, Okta; Muzammil, A.; Suwartini
JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Vol. 10 No. 2 (2025): JURNAL PENGABDIAN MASYARAKAT RUWA JURAI
Publisher : FK Unila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jpmrj.v10i2.3692

Abstract

Pengetahuan tentang obat adalah keharusan bagi masyarakat, mengingat maraknya praktik pengobatan mandiri atau swamedikasi. Kurangnya pemahaman tentang obat berisiko menyebabkan kesalahan fatal, mulai dari cara penggunaan, penyimpanan, hingga pembuangan obat yang tidak sesuai dengan petunjuk standar. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk mengenalkan masyarakat tentang penggunaan dan pengelolaan obat yang benar, khususnya melalui konsep DAGUSIBU (Dapatkan, Gunakan, Simpan, dan Buang). Kegiatan ini dilakukan bersamaan dengan pelaksanaan senam bersama yang bertujuan untuk meningkatkan dan memelihara kesehatan fisik dan mental. Peserta kegiatan yang hadir diberikan edukasi secara langsung oleh apoteker dengan metode ceramah dan menggunakan media informasi berupa leaflet. Leafleat ini memuat informasi tentang penggunaan obat menggunakan konsep DAGUSIBU. Partisipan adalah masyarakat umum yang beraktivitas di sekitar Lapangan Kalpataru. Sebanyak 30 partisipan hadir dan mengikuti kegiatan edukasi yang diberikan langsung oleh apoteker. Partisipan menunjukkan antusiasme tinggi dan mampu mempraktikkan cara identifikasi tanggal kedaluwarsa dan dosis dengan benar. Kegiatan pengabdian kepada masyarakat ini terlaksana melalui rangkaian senam dan edukasi obat menggunakan konsep DAGUSIBU. Masyarakat telah memperoleh informasi langsung mengenai praktik pengelolaan obat yang benar sesuai prinsip DAGUSIBU.
SOSIALISASI DAN EDUKASI PENGGOLONGAN DAN PENYIMPANAN OBAT SEBAGAI UPAYA PENINGKATAN PENGGUNAAN OBAT RASIONAL DI POSYANDU AS-SYIFA, KECAMATAN LABUHAN RATU, KOTA BANDAR LAMPUNG Denny Ardhianto; Made Laksmi Meiliana; Syaripah Ulandari; Okta Puspita; Novita Sari; M. Aditya Permana; Maya Ulfah; Andriansyah
JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Vol. 11 No. 1 (2026): JURNAL PENGABDIAN MASYARAKAT RUWA JURAI
Publisher : FK Unila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jpmrj.v11i1.3832

Abstract

Penggunaan obat secara rasional merupakan salah satu dasar utama dalam mewujudkan pelayanan kesehatan yang aman, efektif, dan berkualitas. Namun, penggunaan obat yang tidak rasional masih menjadi masalah kesehatan global yang serius dan dapat menyebabkan resistensi antimikroba, peningkatan efek samping obat, pemborosan sumber daya, serta penurunan kualitas pengobatan. Pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan golongan dan penyimpanan obat melalui edukasi di Posyandu As-Syifa Kecamatan Labuhan Ratu Kota Bandar Lampung. Sasaran dalam kegiatan ini adalah masyarakat Posyandu As-Syifa, Kecamatan Labuhan Ratu, Kota Bandar Lampung sebanyak 23 orang. Metode yang digunakan pada kegiatan ini mencakup pelaksanaan Pre-Evaluasi yang dipandu oleh kader dan pengabdi. Kemudian dilakukan pembagian leaflet informasi mengenai golongan obat. Kegiatan diakhiri dengan kegiatan tanya jawab dan Post-Evaluasi. Hal ini ditunjukkan dengan adanya peningkatan pengetahuan antara hasil pre-evaluasi dan post-evaluasi pada 23 responden. Hasil analisis menunjukkan tingkat pemahaman pada pre-evaluasi sebesar 83%, kemudian meningkat menjadi 98% pada post-evaluasi setelah pemberian edukasi. Edukasi ini terbukti efektif untuk meningkatkan pengetahuan mengenai penggolongan obat dan cara simpan obat di Posyandu As-Syifa Kecamatan Labuhan Ratu Kota Bandar Lampung.
Profile Of Patient Diagnosed With Depression In Bandar Lampung In 2023 (BPJS Kesehatan Sample Data From 2024): A Descriptive Study Syaripah Ulandari; Yulianasari Pulungan; Dwi Ismayati; Made Laksmi Meiliana
International Journal of Health Systems and Policy Vol. 2 No. 1 (2026): Vol 2 No 1 June 2026
Publisher : Ponpes As-Salafiyyah Asy-Syafi'iyyah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71305/ijhsp.v2i1.1622

Abstract

Depression is a major global public health concern and a leading cause of disability worldwide, affecting individuals across various demographic groups. Despite its high burden, local descriptive data on depression remain limited, particularly in Bandar Lampung. This study aims to describe the sociodemographic profile of patients diagnosed with depression in Bandar Lampung in 2023 using BPJS Kesehatan sample data. This study employed a descriptive, observational, cross-sectional design using secondary data from the 2023 BPJS Kesehatan dataset. The sample included patients diagnosed with depression based on ICD-10 codes F32 and F33 who accessed referral healthcare facilities (FKRTL). A total of 41 patients from Bandar Lampung were included after data cleaning. Descriptive statistical analysis was conducted to summarize patient characteristics, including diagnosis type, generation, gender, participant segmentation, marital status, and healthcare costs. The results showed that the most common diagnosis was unspecified depressive episode (F329) (31.71%). The majority of patients were from Generation Z (41.46%), female (85.37%), and formally employed participants (31.71%). Most patients were married (53.66%). The total healthcare cost for depression cases reached IDR 10,929,600. These findings highlight the predominance of depression among younger individuals, women, and working populations. In conclusion, depression in Bandar Lampung is influenced by demographic and socioeconomic factors, with higher prevalence observed among vulnerable groups such as Generation Z and women. These findings underscore the need for improved mental health screening, targeted interventions, and strengthened healthcare system support to address depression effectively. Further studies with larger, more comprehensive datasets are recommended.
Effectiveness of Vitamin D Supplementation in Children with Attention-Deficit/Hyperactivity Disorder: A Systematic Review Okta Puspita; Made Laksmi Meiliana; Denny Ardhianto; Syaripah Ulandari
SOCIAL CLINICAL PHARMACY INDONESIA JOURNAL Vol 11, No 1 (2026)
Publisher : Universitas 17 Agustus 1945 Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52447/scpij.v11i1.9367

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder that significantly affects functioning and quality of life. Emerging evidence suggests that vitamin D may contribute to neurodevelopment and behavioral regulation, and children with ADHD have been reported to exhibit lower serum 25(OH)D concentrations. However, findings regarding the clinical effectiveness of vitamin D supplementation remain inconsistent. This study systematically reviewed the effectiveness of vitamin D supplementation in children with ADHD. A systematic review was conducted in accordance with PRISMA guidelines by searching PubMed, ScienceDirect, and Scopus for randomized controlled trials (RCTs) published between January 2016 and February 2026. Eligible studies included children aged ≤18 years diagnosed with ADHD who received oral vitamin D supplementation. Study quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist, and a qualitative synthesis was performed. Six RCTs met the inclusion criteria. Across studies, vitamin D supplementation consistently increased serum 25(OH)D concentrations. However, clinical effects were heterogeneous. Although some trials reported modest improvements in specific symptom domains, particularly inattention, consistent reductions in overall ADHD severity were not observed. In conclusion, vitamin D supplementation effectively improves serum 25(OH)D levels but demonstrates variable clinical benefits in children with ADHD. Current evidence does not support its use as a definitive standalone treatment, although potential adjunctive benefits cannot be excluded. Further high-quality, large-scale RCTs are needed to clarify its clinical role. 
Analisis Drug Related Problem (DRPs) Pada Pasien Congestive Heart Failure (CHF) di Instalasi Rawat Inap Rumah Sakit X Kota Bandar Lampung Made Laksmi Meiliana; Nihayatul Masykuro; Syaripah Ulandari; Okta Puspita; Denny Ardhianto
Lumbung Farmasi: Jurnal Ilmu Kefarmasian Vol 7, No 1 (2026): Januari
Publisher : UNIVERSITAS MUHAMMADIYAH MATARAM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/lf.v7i1.36553

Abstract

Congestive Heart Failure (CHF) merupakan kondisi ketidakmampuan jantung untuk mempertahankan curah jantung yang cukup guna memenuhi kebutuhan oksigen dan metabolik jaringan meskipun aliran balik vena memadai. Drug Related Problems (DRPs) adalah kejadian atau keadaan yang melibatkan terapi obat yang dapat berpotensi mengganggu hasil kesehatan yang diinginkan. Penelitian ini bertujuan untuk mengetahui adanya kejadian DRPs pada pasien CHF dan mengidentifikasi persentase tertinggi kejadian DRPs pada pasien CHF di Instalasi Rawat Inap Rumah Sakit X Kota Bandar Lampung tahun 2024. Penelitian ini merupakan penelitian observasional dengan pendekatan cross-sectional deskriptif dengan pengambilan data secara retrospektif yaitu data diperoleh dari bulan Januari-Desember 2024. Lima puluh satu sampel dari penelitian ini diambil menggunakan purposive sampling. Pasien CHF pada penlitian ini sejumlah 51 pasien dengan 38 (74,51%) laki-laki dan 13 (25,49%) pasien perempuan. Hasil penelitian menunjukkan bahwa kejadian DRPs pada pasien CHF cukup tinggi, yaitu sebesar 87,93%. Jenis kejadian dengan persentase tertinggi terdapat pada kategori pemilihan obat, sebanyak 165 kejadian (59,36%). Pada kategori efektivitas pengobatan ditemukan 54 (19,43%) kejadian, keamanan terapi 51 (18,35%), pemilihan obat 165 (59,36%), dan pemilihan dosis 8 (2,88%). Kesimpulan dari penelitian ini adalah terdapat subkategori dengan presentase tertinggi penggunaan obat yang tidak sesuai dengan pedoman atau formularium dengan jumlah 50 (17,99%) kejadian.
Efficacy and Safety of Antihypertensive Drugs in Chronic Kidney Disease Patients at Menggala Regional General Hospital Denny Ardhianto; Made Laksmi Meiliana; Dwi Ismayati; Syaripah Ulandari; Okta Puspita; Rena Oktaviana
Jurnal Ilmu Farmasi dan Farmasi Klinik Vol. 23 No. 1 (2026): Jurnal Ilmu Farmasi dan Farmasi Klinis (JIFFK)
Publisher : Universitas Wahid Hasyim Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31942/jiffk.v23i1.14983

Abstract

Chronic kidney disease (CKD) is a progressive condition characterized by a gradual decline in glomerular filtration rate, often accompanied by hypertension, necessitating antihypertensive therapy. This study aimed to evaluate the effectiveness of antihypertensive drugs in achieving blood pressure targets (<140/90 mmHg or a mean arterial pressure reduction of ≥20 mmHg) and to identify the incidence of adverse effects in CKD patients at Menggala Regional General Hospital during 2024. A retrospective observational study was conducted using medical records from 199 CKD inpatients selected via purposive sampling. Data analysis employed descriptive statistics, paired t-tests for effectiveness, and chi-square tests for associations between drug types. Results indicated that combination therapy with furosemide IV, candesartan, and amlodipine was the most common (77.4%) and demonstrated effectiveness in 50.8% of cases (p=0.01). Adverse effects occurred in only 1.0% of patients, primarily peripheral edema. The findings underscore the efficacy of combination therapies involving diuretics, ARBs, and CCBs in managing hypertension in CKD, with minimal adverse events. This research provides valuable insights for optimizing antihypertensive regimens in similar settings.
Issues Regarding the Nomenclature of D3 Pharmacist in KEPMENDIKTISAINTEKS Number 337/M/KEP/2025: Problematik Nomeklatur D3 Apoteker dalam KEPMENDIKTISAINTEKS Nomor 337/M/KEP/2025 Syaripah Ulandari; Made Laksmi Meiliana; Dwi Ismayati
JKMP (Jurnal Kebijakan dan Manajemen Publik) Vol 14 No 1 (2026): April
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/jkmp.v14i1.2068

Abstract

The issuance of Decree No. 337/M/KEP/2025 concerning Higher Education Providers for Medical and Health Personnel Conducting Competency Tests has sparked controversy due to the use of the nomenclature "D3 Pharmacist". Conceptually and normatively, the term combines the vocational education level (Diploma III) with a professional degree, which in the national higher education and health legal system is placed at the professional education level. This study aims to analyze the problematic nomenclature and its implications for legal certainty, regulatory coherence, and governance of the pharmaceutical profession. The study used a qualitative approach with a literature study method. Data were obtained from relevant laws and regulations, policy documents, and scientific articles, then analyzed using the Miles and Huberman interactive model through the stages of data reduction, data presentation, and conclusion drawing. The results show that the use of the term "D3 Pharmacist" is not aligned with the national qualification framework and regulations that clearly differentiate vocational and professional education. This inconsistency creates regulatory ambiguity, risks double interpretation in policy implementation, and disrupts the formation of professional identity. Furthermore, this contributes to scope-of-practice confusion, weakens licensing and degree protection mechanisms, and creates a legitimacy gap in the healthcare workforce. Therefore, immediate regulatory harmonization is crucial to ensure legal clarity, protect professional standards, and maintain the quality of healthcare services.
Gambaran Karakteristik Pasien Tuberkulosis Paru di Puskesmas Kota Bengkulu Syaripah Ulandari; Denny Ardhianto; Made Laksmi Meiliana; Okta Puspita
Jurnal Borneo Cendekia Vol 10 No 1 (2026): Jurnal Borneo Cendekia
Publisher : STIKES Borneo Cendekia Medika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54411/jbc.v10i1.657

Abstract

Latar Belakang: Tuberkulosis (TB) merupakan penyakit infeksi menular yang disebabkan oleh Mycobacterium tuberculosis, dengan penularan utama melalui droplet yang tersebar di udara. Indonesia menempati peringkat kedua dunia dalam jumlah kasus TB, dengan peningkatan signifikan di Provinsi Bengkulu pada tahun 2021-2022. Penelitian ini bertujuan untuk menggambarkan karakteristik pasien TB paru di enam Puskesmas di Kota Bengkulu. Metode: Penelitian observasional prospektif dilakukan pada Juli-September 2023 dengan 72 pasien TB paru di Puskesmas Padang Serai, Betungan, Telaga Dewa, Nusa Indah, Jembatan Kecil, dan Sawah Lebar. Data dikumpulkan melalui purposive sampling berdasarkan kriteria inklusi dan dianalisis secara univariat menggunakan Microsoft Excel 2021. Hasil: Mayoritas pasien TB paru berusia 18-35 tahun (44,4%), laki-laki (58,3%), berpendidikan SMA (70,8%), memiliki riwayat merokok (51,4%), dan 27,8% dengan riwayat diabetes melitus (DM). Faktor risiko seperti merokok dan DM konsisten dengan literatur global. Kesimpulan: Pasien TB paru di Kota Bengkulu didominasi kelompok usia produktif, laki-laki, lulusan SMA, dengan merokok dan DM sebagai faktor risiko utama. Intervensi seperti edukasi kesehatan, kampanye berhenti merokok, dan manajemen DM diperlukan untuk pengendalian TB.
Co-Authors Andriansyah Ardhianto, Denny Athaya Aulia Rannisa Azzahra Hasrianti Citra Yuliyanda Pardilawati Denny Ardhianto Denny Ardhianto Denny Ardhianto Denny Ardhianto Dwi Aulia Ramdini Dwi Ismayati Ihsanti Dwi Rahayu Kahirun Nisa Berawi Laksmi Meiliana, Made M Aditya Permana Made Laksmi Meiliana Made Laksmi Meiliana Made Laksmi Meiliana Made Laksmi Meiliana Maya Ulfah Meiliana, Made Laksmi Muzammil, A. Nihayatul Masykuro Novita Sari Novita Sari Okta Puspita Okta Puspita Okta Puspita Oktadoni Saputra Pulungan, Yulianasari Puspita, Okta Putri Berliana Rena Oktaviana Roro Rukmi Windi Perdani Shinta Nareswari Suwartini Yulianasari Pulungan