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Journal : Science Midwifery

Evaluation of antihypertensive drug use in preeclampsia and eclampsia patients in the inpatient room of Bandung Regency Hospital Sutrisno, Entris; Selifiana , Nita; Sodik , Jajang Japar; Agustin, Ia Nurfauziah
Science Midwifery Vol 12 No 4 (2024): October: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i4.1703

Abstract

Indonesia is one of the third highest developing countries in ASEAN with maternal mortality rate (MMR) and infant mortality rate (IMR). One of the three main causes of pregnancy-related maternal deaths is hypertension during pregnancy. It is very important to get rational antihypertensive therapy immediately in order to maintain normal blood pressure. This study aims to determine the profile of the use and rational use of antihypertensive drugs in preeclampsia and eclampsia patients in the Inpatient Room of Bandung Regency Hospital. The study was conducted observational with retrospective data collection. Samples were taken by random sampling which met the inclusion criteria for the period January-December 2021. The rationality of antihypertensive drug use is based on the 2019 American College of Obstetrics and Gynecologists and PIONAS guidelines. There were 78 medical records that met the criteria. The characteristics of the majority of patients aged 21-35 years (64%) with a gestational age of 28-40 weeks (97%) and the antihypertensive drug therapy that was widely used was nifedipine (56%). The percentage of rational use of antihypertensive drugs showed the right indication (100%), the right drug (95%), the right dose (100%), and the right frequency (100%).
Nanophytosome delivery system and in vivo test of combination of binahong leaf extract (Andredera cordifolia) and bay leaf (Syzygium polyanthum) as a diabetic wound healer Saifurrohman, Arip; Jafar, Garnadi; Sutrisno, Entris; Senjaya, Fathurahman Ari
Science Midwifery Vol 14 No 1 (2026): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i1.2326

Abstract

This study aimed to develop and characterize a nanophytosome system containing combined extracts of bay leaf (Syzygium polyanthum) and binahong leaf (Anredera cordifolia), and to evaluate its wound healing activity through in vivo study. The extracts were prepared by maceration using 96% ethanol and characterized through phytochemical screening and LC-MS/MS analysis. Nanophytosomes were formulated using phospholipid complexes with variations of surfactants, followed by homogenization and sonication. The formulations were evaluated for particle size, polydispersity index, zeta potential, and entrapment efficiency. The results showed that particle size ranged from 16.30 to 927.18 nm, with the smallest size observed in Tween 80-based formulation. The polydispersity index ranged from 0.20 to 0.86, indicating better homogeneity in Tween 80 systems. Zeta potential values ​​were in the range of −6 to −17 mV, suggesting moderate stability. Entrapment efficiency was high in all formulations (92.5–97.3%), with the highest value observed in Cremophor-based formulation. In vivo evaluation demonstrated that the nanophytosome significantly accelerated wound healing compared to control groups, as indicated by faster wound contraction and improved tissue regeneration. In conclusion, the nanophytosome system enhanced the physicochemical properties and delivery of bioactive compounds, showing potential as an effective therapeutic approach for wound healing.