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All Journal Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Jurnal Ilmu Kefarmasian Indonesia Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan
Sesilia Andriani Keban
UNIVERSITAS PANCASILA
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Public Health

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PENETAPAN KADAR FLAVONOID TOTAL DAN UJI TOKSISITAS AKUT EKSTRAK DAUN AFRIKA (Vernonia amygdalina Del.) PADA MENCIT JANTAN DDY Christine Meidiawati; Ummu Mastna Zuhri; Sesilia Andriani Keban; Wiwi Winarti
Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan Vol 3 No 2 (2018): JIIS
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (210.472 KB) | DOI: 10.36387/jiis.v3i2.182

Abstract

Salah satu tanaman berkhasiat antifertilitas yang banyak tumbuh adalah daun afrika (Vernonia amygdalina Del). Tanaman ini secara empiris untuk mengobati berbagai penyakit, namun belum ada data ilmiahnya. Penelitian ini bertujuan memperoleh ekstrak etanol 70% daun Vernonia amygdalina Del. yang aman digunakan dalam dosis tertentu terhadap hewan uji mencit DDY. Penapisan fitokimia dilakukan berdasarkan pustaka Farnsworth dan Departemen Kesehatan Republik Indonesia tahun 2000. Penetapan kadar flavonoid total menggunakan metode kolorimetri aluminium klorida dan alkaloid total dengan metode kompleks bromocresol green. Uji keamanan I yang dilakukan adalah uji toksisitas akut (LD₅₀) dengan metode Weil C.S. Hasil penelitian menunjukkan bahwa ekstrak daun Afrika mengandung senyawa alkaloid, flavonoid, saponin, tannin, kuinon, dan steroid/triterpenoid. Kadar flavonoid totalnya adalah 1,27%, sedangkan uji keamanan I ditemukan bahwa ekstrak etanol 70% daun Afrika memiliki LD50 yang lebih  besar dari 16 g/kg BB termasuk dalam kategori praktis tidak toksik.
Evaluasi Hasil Edukasi Farmasis Pada Pasien Diabetes Melitus Tipe 2 Di Rumah Sakit Dr. Sardjito Yogyakarta SESILIA ANDRIANI KEBAN; LUTFAN BUDI PURNOMO; MUSTOFA MUSTOFA
JURNAL ILMU KEFARMASIAN INDONESIA Vol 11 No 1 (2013): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

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Abstract

Diabetes mellitus (DM) is a metabolic disorder caused by a defect in insulin secretion or insulin action. Number of diabetic patients will increase if strategies are not prepared for preventing and controlling diabetes. This study aimed to evaluate the outcome of pharmacist education on the level of knowledge, level of medication adherence and diet, as well as the A1C value of type 2 diabetic patients in Dr. Sardjito Hospital Yogyakarta. This research was conducted prospectively using Nonrandomized Concurrent Control Trial. The number of subjects recruited were based on a three-months period and subjects were taken by consecutive sampling method. There were two groups: one group received education intervention for 3 months, and the other group as control did not receive education. Data were analyzed descriptively and quantitatively using Independent T and T-Paired test. The results showed that patients in the control group have developed an increase in the level of knowledge and adherence by themself, on the other hand patients in this group showed a decrease in A1C values, but the decrease was not as big as patients in the intervention group. Patient’s adherence to diet did not improve in either control nor intervention group. It can be concluded that education given by pharmacist can increase knowledge and adherence towards medication and decrease the A1C values of DM type-2 patients.
Pengaruh Air Seduhan Biji Rambutan (Nephelium lappaceum L.) terhadap Glukosa Darah dan Histologi Pankreas Mencit yang Diinduksi Aloksan LESTARI RAHAYU; LATIF ZAKIR; SESILIA ANDRIANI KEBAN
JURNAL ILMU KEFARMASIAN INDONESIA Vol 11 No 1 (2013): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

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Abstract

Rambutan (Nephelium lappaceum L.) is a plant which can be used to treat various diseases, including diabetes mellitus. This research was conducted to investigate the effect of rambutan seed infusion on the mice blood glucose levels and body weight. In this research, 30 mice (Mus musculus) were divided into 6 groups, each group consists of 5 mice. The 6 groups consists of a normal control group (distilled water), negative control group (alloxan tetrahydrate 250 mg/kg bw + distilled water), three experimental groups (induced with alloxan 250 mg/kg bw) were given rambutan seed infusion of 1.56 gram/kg bw, 2.34 gram/kg bw and 3.12 gram/kg bw and a positive control group (alloxan tetrahydrate 250 mg/kg bw + treated with glibenclamide 0.65 mg/kg bw). After given treatment for 16 days, it was observed that high dose of rambutan seed infusion has significant effects in reducing the blood glucose and body weight of mice. Histology of the pancreas were checked and the ammount of live pancreatic beta cells found in high dose of rambutan seed infusion were almost the same as the positive control group. It can be concluded that the effect of high dose of rambutan seed infusion (3.12 gram/kg bw) was not significantly different from glibenclamide (0,65 mg/kg bw).
Hubungan Rasionalitas Pengobatan dan Self-care dengan Pengendalian Glukosa Darah pada Pasien Rawat Jalan di Rumah Sakit Bina Husada Cibinong SESILIA ANDRIANI KEBAN; ULFA AYU RAMDHANI
JURNAL ILMU KEFARMASIAN INDONESIA Vol 14 No 1 (2016): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

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Abstract

Diabetes melitus (DM) merupakan kelompok penyakit metabolik yang bila tidak terkendali dengan baik dapat menimbulkan komplikasi yang berbahaya. Pengobatan yang rasional pada penderita DM diduga dapat mengendalikan glukosa darah karena pasien menerima obat sesuai dengan kebutuhan klinisnya. Selain pengobatan yang rasional, penderita DM harus mampu melakukan self-care yang merupakan perawatan diri secara mandiri untuk meningkatkan kualitas hidup dan mencegah komplikasi. Penelitian ini bertujuan untuk mengetahui hubungan antara rasionalitas pengobatan dan self-care dengan pengendalian glukosa darah pasien DM tipe II di Poli Rawat Jalan Rumah Sakit (RS) Bina Husada Cibinong. Penelitian ini menggunakan metode deskriptif analitis dengan desain cross sectional. Pengambilan data dilakukan secara retrospektif maupun prospektif terhadap 109 pasien DM tipe 2 selama periode Maret-Mei 2015. Digunakan kuesioner Diabetes Self-Management Questionnaire untuk mengakses self-care. Hasil penelitian menunjukkan data demografi pasien DM tipe 2 adalah 57,80% wanita dan 42,20% pria dengan kisaran usia terbanyak yaitu 46-55 tahun (49,54%). Persentase pengobatan yang rasional cukup tinggi yaitu 61,47%, sedangkan self care pasien sebagian besar (69,72%) berada pada kriteria “baik” dan sisanya (30,28%) pada kriteria “cukup”. Pada uji korelasi Chi-square independen ditemukan tidak adanya hubungan antara rasionalitas pengobatan dan self care dengan pengendalian glukosa darah (p > 0,05). Hal ini menunjukkan kemungkinan adanya faktor lain yang dapat mempengaruhi pengendalian glukosa darah.
Peran Apoteker dalam Meningkatkan Kepatuhan Pengobatan pada Pasien Rawat Jalan Tube LUNGGUK HUTAGAOL; MITA RESTINIA; SESILIA ANDRIANI KEBAN
JURNAL ILMU KEFARMASIAN INDONESIA Vol 15 No 1 (2017): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

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Abstract

Our previous study showed that one of risk factor may lead treatment failure on tuberculosis was non adherence. The current research was carried out to fi nd the role of pharmacist in increasing on medication adherence of tuberculosis outpatients. A non-randomized controlled study was conducted at one of government hospital in Jakarta during April 2015 to July 2015 using MMAS-8. Total sample were 108 patients that divided each group of 54 patients into experimental group who had education and control group without education. Mean of age were 36.93 (SD=15.02) of experimental group and 38.12 (SD=15.11) of control group. More than 50% respondents were male with education level of senior high school. Control group had higher adherence in pre education than post education (P<0.05). Meanwhile, medication adherence in experimental group of pre education was signifi cantly diff erent with post education, 1.94±1.65 vs 0.54±0.64 (P<0.05). There was no diff erence signifi cant of adherence between experimental group and control group in pre education. Furthermore after patients education had been applied experimental group’s adherence had higher than control group (P<0.05). The fi nding of the study may lead that impact of patient education by pharmacist result in better medication adherence.
Pengaruh Kitosan Iradiasi dalam Menurunkan Kadar Gula Darah Mencit Jantan Swiss Webster dengan Metode Tes Toleransi Glukosa Oral SESILIA ANDRIANI KEBAN; SWASONO R. TAMAT R. TAMAT
JURNAL ILMU KEFARMASIAN INDONESIA Vol 12 No 2 (2014): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

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Abstract

Chitosan is a dietary iber that has been used as an antihyperglycemia agent. Irradiation of chitosan resulted in 1,4-β glycosidic chain termination which shortened the chitosan chains, lower its molecular weight, and minimize steric effects. This is a preliminary experimental study to ind the effective irradiation dose and chitosan type in lowering blood sugar levels. Fifty two mice were used in this research and divided into various treatment groups which included: normal control, negative control, positive control (Acarbose), non-irradiated chitosan and irradiated chitosan. Chitosan solution were given for 15 days and then oral glucose tolerance test were conducted using 1.5 g/kg bw of glucose. Blood sugar levels were monitored at minute 0, 30, 90, 120, and 150; and Area Under the Curves (AUC) were calculated. The results showed that the irradiation of chitosan can lower blood sugar levels greater than the non-irradiated chitosan; and chitosan irradiation of 100 kGy dose I and II can lower blood sugar levels better than irradiated chitosan and positive control. It was concluded that although the 100 kGy irradiated chitosan appears to have greater ability than the positive control group in lowering blood sugar levels. But after LSD test towards the AUC value, it appears that both groups have the same effectivity.
Evaluating the Use of Warfarin Using the HAS-BLED Score and INR on Atrial Fibrillation Patients at Harapan Kita National Heart Center Meva Sari Chandra; Shirly Kumala; Sesilia Andriani Keban
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 14, No 2 (2020): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/jpm.v14i2.1671

Abstract

Patients with atrial fibrillation are associated with a 4-5-fold risk of having a stroke. The most effective treatment for atrial fibrillation is to prevent the formation of blood clots by administering anticoagulant drugs. Warfarin is an anticoagulant drug that has a narrow therapeutic index with side effects of the risk of bleeding; hence it needs supervision in its use. In this study, the HAS-BLED score was used to measure major bleeding risk and as a value representing each risk factor for bleeding. The bleeding risk can be prevented by maintaining a warfarin response in the therapeutic range with an INR (International Normalized Ratio) measurement 2-3. This study was an observational study conducted with retrospective data collection through medical records of patients with a primary diagnosis of atrial fibrillation who received oral warfarin anticoagulant therapy at Harapan Kita National Heart Center in the period of January-December 2017. Using a sample of 40 patients who met the inclusion criteria. According to the data, found that atrial fibrillation patients who received oral warfarin therapy 55% were male patients, while 45% were female patients. Patients with atrial fibrillation who got the most oral warfarin therapy were patients who were over 40 years old with 90% of the total sample, with the highest group in patients aged 50-54 years with 22.5%. The HAS-BLED values arranged from 0-9, the percentage of patients who had HAS-BLED values of 0, 1, 2 respectively at 7.5%, 42.5%, 30%. The HAS-BLED score ≥ 3 showed patients classified as at high risk of bleeding by 20%. The most risk factors based on HAS-BLED score from all study samples were 18 patients with abnormal kidney or 45%. The average INR score in patients at high risk of bleeding showed that 37.5% had an average INR score in the target ratio score of INR 2-3.
Co-Authors Christine Meidiawati LATIF ZAKIR Lestari Rahayu LUNGGUK HUTAGAOL LUTFAN BUDI PURNOMO Meva Sari Chandra Mita Restinia Mustofa Mustofa Shirly Kumala SWASONO R. TAMAT R. TAMAT ULFA AYU RAMDHANI Ummu Mastna Zuhri Wiwi Winarti