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Aktivitas Antibakteri Ekstrak dan Fraksi dari Ekstrak Metanol Daun Manggis (Garcinia mangostana) pada Bakteri Penyebab Ulkus Diabetik Vivi Rosalina; R Mahendra
Jurnal Surya Medika (JSM) Vol 7 No 1 (2021): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v7i1.2203

Abstract

Diabetes mellitus (DM) is a degenerative disease due to metabolic disorders with acute to chronic hyperglycemic conditions. The complication of this disease is peripheral neuropathy exacerbated by bacterial infection, causing ulcers (sores) on the feet, hands, knees, back, and other parts of the body. The mangosteen plant (Garcinia mangostana) is empirically believed to have antidiabetic and cure diabetic ulcers. This study aims to compare the antibacterial activity of extracts and fractions of methanol extract of mangosteen leaves at concentrations of 20%, 40%, 60%, 80%, and 100% against the bacteria causing diabetic ulcers in vitro. The research began with the maceration of mangosteen leaf powder extraction using methanol as a solvent. The fractions were obtained by the vacuum liquid chromatography (KCV) method. The bacteria that cause diabetic ulcers are obtained from ulcer specimens of diabetic ulcer patients. Antibacterial activity of extracts and fractions at 5 concentration series was tested using the disc diffusion method with 10% DMSO negative control and positive controls, namely Amoxicillin, Ampicillin, Ciprofloxacin, Cefotaxime, Gentamycin, Erythromycin, and Doxycycline. Antibacterial activity was expressed by the large area of the inhibition zone on the media inoculated with ulcer bacteria and incubated for 24 hours at 370 C. The results showed that there were 5 dominant bacteria found in the diabetic ulcer specimens, namely Escherichia spp, Klebsiella spp, Staphylococcus spp, salmonella spp, and Shigella spp. The results of the antibacterial sensitivity test showed that ciprofloxacin had the largest area of inhibition zone compared to Amoxicillin, Ampicillin, Cefotaxime, Gentamycin, Erythromycin, and Doxycycline so that Ciprofloxacin could be used as a positive control. The results of the antibacterial activity test for the methanol extract of mangosteen leaves with a concentration of 100% produced the largest inhibition zone, namely 27.10 mm ± 0.1 compared to methanol extract, fractions A, B, and C in all concentration series. However, the inhibition zone of the 100% concentration of mangosteen leaves methanol extract was smaller than the positive control of ciprofloxacin 5 μg / disk, which was 35.01 mm ± 0.1.
Efektivitas Antidiabetik Oral Baik Tunggalmaupun Kombinasi Pada Pasien Diabetes Mellitus Tipe II Di RSUD Kota Madiun Kuncara Nata Waskita; Vivi Rosalina
Jurnal Sains dan Kesehatan Vol. 4 No. 2 (2020): Desember : Jurnal Sains dan Kesehatan (JUSIKA)
Publisher : Universitas Muhamadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jusika.v4i2.291

Abstract

Diabetes Mellitus is a group of chronic metabolic disorders due to abnormal metabolism of carbohydrates, fats, and proteins, characterized by hyperglycemia which is results in long-term microvascular, macrovascular and neuropathic complications. Oral antidiabetic therapy is the main pharmacological therapy to treat type II diabetes mellitus. This therapy can be oral antidiabetic therapy. Thus, to find out the effectiveness of either combination or single of antidiabetics on diabetes mellitus patients, researchers conducted a studies of inpatients at RSUD Madiun. This study included as non-experimental observational study with a cross-sectional study design at RSUD Madiun. Data were collected from Medical Records in October 2018. The sampling method that used in this study was non probability with purposive sampling technique, so there are 58 patients as a total sample. The results showed that the effectiveness of controlling blood sugar levels when using an effective single ADO was Metformin, because Metfomin was able to reduce blood sugar levels with an average length of stay of 6.17 and the effectiveness of controlling blood sugar levels when using an effective combination of ADO was Metformin and acarbosa, because Metfomin and acarbosa are able to reduce blood sugar average length of stay 7 days inpatient.