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THE EFFECT OF DRUG COUNSELING ON PATIENT COMPLIANCE AT ADAM MALIK CENTRAL GENERAL HOSPITAL USING THE PILL COUNT METHOD Elfia Neswita; Melnihati Laia; Henny Yolanda Ardilla; Siti Nurkholifah; Adinda Silvani Ginting; Asyrun Alkhairi Lubis; Muhammad Yunus
Jambura Journal of Health Sciences and Research Vol 5, No 1 (2023): JANUARI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v5i1.17428

Masih rendahnya kepatuhan pasien terhadap pengobatan pada pasien asma, stroke, rematik dan TBC menjadikan penyakit kronis ini menjadi masalah di Negara maju dan berkembang. Kebaruan penelitian ini adalah meneliti pengaruh konseling obat terhadap kepatuhan pasien pada beberapa jenis penyakit seperti asma, stroke, rematik dan TBC dengan menggunakan metode pill count. Tujuan dari penelitian ini untuk melihat perbedaan kepatuhan pasien sebelum dan sesudah diberi konseling obat (dengan materi konseling bersumber dari buku Pharmacotherapy Handbook Joseph T Dipiro edisi 9 untuk asma, stroke dan rematik; dan Farmaseutical Care untuk penyakit tuberculosis dimana membandingkan pill count sebelum dan sesudah konseling obat. Penelitian ini bersifat deskriptif dengan desain cross sectional pada pasien asma sebanyak 15 orang, pasien stroke 10 orang, pasien rematik 10 orang dan pasien TBC 30 orang yang memenuhi kriteria inklusi dan ekslusi dan hasil perhitungan dengan menghitung manual berdasarkan catatan sebelum dan sesudah konseling obat terhadap jumlah sisa obat (metode pill count). Hasil penelitian didapatkan adanya pengaruh konseling obat pada pasien asma, stroke, rematik dan TBC, dengan tingkat kepatuhan sebelum diberi konseling obat yang diukur menggunakan metode pill-count pada pasien asma, stroke, rematik dan TBC secara berturut-turut sebesar 6,66%, 40%, 30% dan 26,66 %. Sedangkan tingkat kepatuhan setelah diberi konseling obat yang diukur menggunakan pill-count pada pasien asma, stroke, rematik dan TBC secara berturut-turut sebesar 86,66%, 90%, 80% dan 83,33%. Kesimpulan terdapat perbedaan kepatuhan pasien sebelum dan setelah diberi konseling obat, dimana kepatuhan pasien semakin meningkat setelah diberi konseling obat pada pasien Asma, Stroke, Rematik dan TBC.Kata kunci: Kepatuhan; Konseling Obat; Pill Count.AbstractThe low adherence of patients to treatment in patients with asthma, stroke, rheumatism, and tuberculosis makes this chronic disease a problem in developed and developing countries. The novelty of this study is to examine the effect of drug counseling on patient adherence to several types of diseases, such as asthma, stroke, rheumatism, and tuberculosis, using the pill count method. The purpose of this study was to look at differences in patient adherence before and after being given drug counseling (with counseling material sourced from Joseph T Dipiro's 9th edition of the Pharmacotherapy Handbook for asthma, stroke, and rheumatism; and Pharmaceutical Care for tuberculosis disease where comparing pill count before and after drug counseling. This study is descriptive with a cross-sectional design in 15 asthma patients, 10 stroke patients, 10 rheumatic patients, and 30 TB patients who meet the inclusion and exclusion criteria and the calculation results by calculating manually based on records before and after drug counseling on the amount of drug residue (pill count method). The results of the study found the influence of drug counseling on asthma, stroke, rheumatism, and tuberculosis patients, with the level of adherence before being given drug counseling as measured using the pill-count method in asthma, stroke, rheumatism and tuberculosis patients respectively by 6.66%, 40%, 30%, and 26.66%. Meanwhile, the compliance rate after being given drug counseling measured using pill count in asthma, stroke, rheumatism, and tuberculosis patients was 86.66%, 90%, 80%, and 83.33%, respectively. Conclusion there are differences in patient adherence before and after being given drug counseling, where patient adherence increases after being given drug counseling in patients with Asthma, Stroke, Rheumatism, and Tuberculosis.

Pengaruh Ekstrak Biji Alpukat (Persea Americana Mill.) Terhadap Pertumbuhan Bakteri Staphylococcus Aureus Pada Luka Diabetes Metode Difusi Cakram Nabilah Khairunnisa; Ali Napiah Nasution; Asyrun Alkhairi Lubis
Jurnal Mahasiswa Ilmu Kesehatan Vol. 2 No. 3 (2024): Juli: Jurnal Mahasiswa Ilmu Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jumkes.v2i3.1527

. Avocado seeds are one of the plants used as a medicine for diabetes mellitus with the Latin name (Persea americana Mill.). Avocado seeds contain compounds such as alkaloids, flavonoids, saponins, tannins and triterpenoids which are beneficial for health. This study aims to determine the effect of avocado seed extract (Persea americana Mill.) on the growth of Staphylococcus aureus bacteria in diabetic wounds using the disc diffusion method. The extraction process is by maceration using 96% ethanol. The treatment was repeated 4 times with extract concentrations of 25%, 50%, 75%, 100%, as a positive control Ciprofloxacin and DMSO (Dimetyl Sulfoxide) as a negative control. The results of phytochemical screening show that avocado seeds contain alkaloids, flavonoids, saponins, tannins and triterpenoids. Based on the results of research conducted, avocado seed extract can inhibit the growth of Staphylococcus aureus bacteria as an inhibition zone is formed. The most effective concentration in inhibiting the growth of Staphylococcus aureus bacteria is at 100% concentration of 10.14 mm.

Pengaruh Pemberian Ekstrak Etanol Daun Kunyit (Curcuma Domestica Val) Terhadap Kadar Glukosa Darah Tikus Putih (Rattus Norvegicus) Jantan Yang Di Induksi Akmalul Habib Damanik; Asyrun Alkhairi Lubis; Ermi Girsang
An-Najat Vol. 2 No. 4 (2024): NOVEMBER - An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v2i4.1682

Indonesia is the largest archipelago in the world (17,504 islands). In addition, Indonesia has abundant natural resources and fertile soil that allows a wide variety of plants to live. Curcuma domestica val, known as turmeric, is one of Indonesia's medicinal plants. A number of active ingredients found in turmeric have been shown in studies to have potential health benefits, including anti-diabetic anti-inflammatory, anti-cancer, cough medicine, liver medicine, and Alzheimer's disease. Based on the results of phytochemical research, flavonoids, alkaloids, tannins, triterpenoids, steroids, saponins, and glycosides are present in the ethyl ethanol extract of turmeric leaves (Curcuma domestica Val). Diabetes mellitus is a metabolic condition characterised by increased blood glucose levels caused by disruption of the insulin hormone which functions to lower blood glucose levels to maintain body homeostasis. Because of the close relationship between diabetes mellitus and lifestyle, diet, sleep, work, daily routine activities and others must be balanced. This study was conducted in the laboratory and was experimental in nature using male white rats as research subjects. Rats were induced using Alloxan at a dose of 100 mg/kgBB. Rats were divided into 6 groups, each consisting of 5 rats. Group 1 is a normal group, Group 2 is a negative group only given aquadest and induced with Alloxan.

Efek Pemberian Ekstrak Daun Gelagah (Saccharum spontaneum L.) terhadap Diabetes Induksi Aloksan pada Tikus Putih (Rattus Norvegicus) Tiara Salsabilla Mendrofa; Asyrun Alkhairi Lubis
Jurnal Indah Sains dan Klinis Vol 5 No 1 (2024): Jurnal Indah Sains dan Klinis
Publisher : Yayasan Penelitian dan Inovasi Sumatera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52622/jisk.v5i1.05

Saccharum spontaneum L. (Family: Poaceae) is a tall perennial grass with deep roots and rhizomes, capable of growing up to 3-4 meters in height, and is commonly found along water bodies or roadsides. This plant is widely distributed throughout the tropical regions of Asia, Africa, America, and Australia. Saccharum spontaneum L. is a tall, erect, perennial grass with feathery inflorescences, often growing in swampy areas. Its leaves and stems contain lignin, carbohydrates, proteins, and amino acids, while its roots and lower stems contain starch and polyphenolic compounds. This study aims to evaluate the effect of Saccharum spontaneum L. leaves extract on blood glucose levels in male white rats (Rattus norvegicus) induced with alloxan. The leaves extract was obtained through maceration using 96% ethanol solvent. Phytochemical screening results indicated that the leaves of Saccharum spontaneum L. contain alkaloids, flavonoids, saponins, tannins, and steroids/triterpenoids. The antidiabetic test was conducted using male Wistar rats. In this study, the Saccharum spontaneum L. leaves extract was administered in three different doses: group 4 received a dose of 100 mg/KgBW, group 5 received a dose of 200 mg/KgBW, and group 6 received a dose of 400 mg/KgBW. Additionally, there were control groups consisting of group 1 (normal), group 2 (negative control), and group 3 (positive control) which were given the drug glibenclamide 5 mg/60 kg. All doses were administered orally. Diabetes induction in the rats was performed using alloxan monohydrate at a dose of 100 mg/KgBW administered intraperitoneally. The results of the study showed that the greatest reduction in blood glucose levels occurred in group 6 with a dose of 400 mg/KgBW, which decreased blood glucose levels by 71.78% at the 180th minute. Group 5 showed a reduction of 55.80% and group 4 showed a reduction of 51.91% at the 180th minute. Group 3, which was given glibenclamide, showed a reduction in blood glucose levels of 71.14% at the 180th minute. These results indicate that the highest dose of Saccharum spontaneum L. leaves extract (400 mg/KgBW) had the most significant effect in lowering blood glucose levels in male Wistar rats induced with alloxan monohydrate

Uji Efek Nefroprotektif Ekstrak Daun Kemangi (Ocimum Bacilicum L.) Terhadap Tikus Wistar Jantan Yang Diinduksi Aspirin Rizkya Adinda Nasution; Asyrun Alkhairi Lubis; Novitaria Br Sembiring
An-Najat Vol. 3 No. 2 (2025): Mei : An-Najat : Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v3i2.2537

The kidneys serve a vital function in maintaining homeostasis by filtering blood, excreting metabolic waste, and eliminating exogenous substances, including drugs and environmental toxins. However, prolonged or excessive exposure to certain chemicals, such as nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin, can result in nephrotoxicity and lead to significant renal damage. In the pursuit of alternative therapeutic agents with fewer side effects, natural compounds with antioxidant properties have gained increasing interest. Ocimum basilicum L., commonly known as sweet basil, is a medicinal plant traditionally used for various therapeutic purposes. Its leaves are rich in antioxidant compounds that are hypothesized to possess nephroprotective activity. This study aimed to investigate the protective effects of Ocimum basilicum leaf extract against aspirin-induced renal injury in experimental rats. The study involved dividing the rats into multiple groups: a control group, a group treated with aspirin only, and groups treated with aspirin followed by Ocimum basilicum leaf extract at different dosages (400, 600, and 800 mg/kg BW). Renal function was assessed via serum creatinine levels and histopathological analysis of kidney tissues. The results revealed that aspirin administration significantly increased serum creatinine levels and caused observable damage to kidney tissue, confirming nephrotoxicity. However, post-treatment with Ocimum basilicum extract, particularly at the highest dose of 800 mg/kg BW, markedly reduced serum creatinine levels and improved renal histological architecture. These findings indicate that Ocimum basilicum leaf extract has potential as a nephroprotective agent, capable of mitigating aspirin-induced kidney damage, likely through its antioxidant activity. Further research is warranted to explore its mechanism of action and potential clinical applications.

Pengujian Efek Proteksi Jus Tomat (Solanum Lycopersicum (L.)) Terhadap Fungsi Ginjal Tikus Yang Diinduksi Parasetamol Angelia Vega; Asyrun Alkhairi Lubis; Muhammad Yunus
Jurnal Kesehatan Amanah Vol. 9 No. 1 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i1.763

Excessive doses of paracetamol can cause nephrotoxicity due to accumulation of NAPQI and oxidative stress, which damages the proximal tubules of the kidney. Tomato (Solanum tomato L.) which is rich in lycopene has the potential to prevent this damage through its antioxidant activity. This experimental study used a posttest-only control group design with 25 white rats (Rattus norvegicus) divided into 5 groups: positive control, negative control, and three treatment groups. The mice were induced with toxic doses of paracetamol, while the treatment group was given tomato juice. Evaluation is carried out through measurement of plasma creatinine and renal histopathological analysis. The results showed that toxic doses of paracetamol (250 mg/kgBW) increased creatinine levels and relative kidney weight, which indicated acute kidney damage. Giving high doses of tomato juice (800 mg/kgBW) was most effective in reducing creatinine levels and protecting kidney tissue compared to lower doses. Administration of paracetamol 250 mg/kgBW caused kidney damage which was characterized by an increase in creatinine and relative kidney weight. Tomato juice at a dose of 800 mg/kgBW provided the best protective effect by reducing creatinine levels close to the positive control. These results demonstrate the potential of tomato juice as a protective agent against paracetamol-induced kidney damage.

Efektivitas Ekstrak Etanol Biji Alpukat (Persea americana Mill.) dalam Penurunan Hiperurisemia pada Mencit (Mus musculus L.) Sylvia Winata; Rena Meutia; Astriani Natalia; Asyrun Alkhairi Lubis
Jurnal Kesehatan Amanah Vol. 9 No. 1 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i1.764

Hyperuricemia is a degenerative condition due to increased blood uric acid levels from purine metabolism, often occurring in the elderly. Avocado seeds (Persea americana Mill.) contain flavonoids with antioxidant and anti-inflammatory properties that can inhibit xanthine oxidation. This study evaluated the effectiveness of its extract in reducing uric acid levels in potassium bromate-induced male mice. Mice were divided into six groups: negative control (Na CMC 0.5%), positive control (allopurinol 10 mg/kg BW), three treatment groups (avocado seed extract 120, 150, and 180 mg/kg BW), and normal group. Uric acid levels were measured for seven days using one-way ANOVA test and BNT test LSD method. The results showed that doses of 120-180 mg/kg BW effectively reduced uric acid levels, with the optimal dose of 150 mg/kg BW reducing hyperuricemia by 37.3% (p = 0.118).

Potensi Aktivitas Antibakteri Antara Ekstrak dan Fraksi Kulit Jeruk Terhadap Ulkus Diabetes Farren Farren; Rena Meutia; Astriani Natalia Br Ginting; Asyrun Alkhairi Lubis
Jurnal Kesehatan Amanah Vol. 9 No. 1 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i1.765

Diabetic ulcers, a chronic complication of diabetes mellitus, result from long-term uncontrolled blood sugar levels and are characterised by infection-prone foot wounds. Staphylococcus aureus is often found as the bacteria that cause infection in these wounds. Antibiotic resistance has become a serious challenge in medicine, so alternatives such as orange peel (Citrus sinensis (L.) Osbeck) were investigated for their metabolite content with antibacterial potential. This study was designed experimentally with a Posttest Only Control Group Design approach. Orange peels were processed through sorting, drying, extraction using 96% ethanol, and fractionation with ethyl acetate. Antibacterial activity test was conducted by disc method against Staphylococcus aureus, using ethanol extract and ethyl acetate fraction. DMSO and mupirocin were used as negative and positive controls, with concentrations of 25%, 50%, and 75%. The results showed that the ethanol extract had antibacterial activity, with a concentration of 75% producing the largest inhibition zone (13.56 mm), including the medium category. However, the ethyl acetate fraction did not show antibacterial activity at all concentrations, presumably due to the low levels of extractable semipolar metabolites. Environmental factors such as UV light, humidity, and high temperature during drying are also thought to affect metabolite levels. It was concluded that ethanol extract of orange peel was more effective than ethyl acetate fraction in inhibiting the growth of Staphylococcus aureus.

Avocado Seed Ethanol Extract's Ability to Reduce Hyperuricemia in Mice Sylvia Winata; Rena Meutia; Astriani Natalia; Asyrun Alkhairi Lubis
Jurnal Indah Sains dan Klinis Vol 6 No 1 (2025): Jurnal Indah Sains dan Klinis
Publisher : Yayasan Penelitian dan Inovasi Sumatera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52622/jisk.v6i1.01

Background: Hyperuricemia causes uric acid buildup in the blood, often in older people due to how the body processes purines. Studies show avocado seeds (Persea americana Mill.) may reduce blood uric acid through their flavonoid content, which fights off oxygen molecules and reduces inflammation, stopping a process called xanthine oxidation. Objective: This study aims to assess the effectiveness of avocado seed extract in lowering uric acid levels in male mice. Method: Mice were induced with potassium bromate, and the mice were divided into six groups of five individuals each. The groups included a negative control (Na CMC 0.5%), a positive control (allopurinol 10 mg/kg BW), treatment 1 (avocado seed extract 120 mg/kg BW), treatment 2 (avocado seed extract 150 mg/kg BW), treatment 3 (avocado seed extract 180 mg/kg BW), and a normal group (not treated). Checked uric acid levels for seven days. Then, used a statistical test and a BNT test with the LSD method to examine the results. Results: The findings showed that avocado seed extract given at a dose of 120-180 mg/kg body weight can reduce uric acid levels in mice. Conclusion: The best dose, 150 mg/kg BW, reduced hyperuricemia levels by 37.3%, with a significance value of 0.118

Uji Efektivitas Ekstra Etanol Daun Salam (Syzygium Polyanthum (Wight) Walp) Terhadap Profil Histologi Pankreas Tikus Putih Jantan (Rattus Norvegicus) Diabetes Melitus Gerhart Frengki Hardian Harefa; Erida Novriani; Asyrun Alkhairi Lubis
Jurnal Sains Farmasi Dan Kesehatan Vol. 3 No. 1 (2025): Mei - Agustus
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jfkes.v3i1.3339

ABSTRACT Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia due to impaired insulin secretion or function, which can damage organs, including the pancreas. Natural treatment alternatives are needded because conventional drugs cause side effects. Bay leaf, also known as Syzygium polyanthum (Wight) Walp, contains bioactive compounds like flavonoids, tannins, and saponins that have potential to fight diabetes and protect pancreatic tissue. The aim of this study is to determine the effect of bay leaf extract on the histology of the pancreas in diabetic rats and to identify the optimal dose to reduce pancreatic tissue damage. This study used 25 male Rattus norvegicus rats and was conducted experimentally with a pretest-posttest control group design. The rats were divided into 6 groups: normal control, negative control (NaCMC), positive control (metformin), and three treatment groups given bay leaf extract at doses of 200 mg/kgBW, 300 mg/kgBW, and 400 mg/kgBW. For 15 days, the extract was administered orally, and blood glucose was measured; therefore, bay leaf extract can be used as an alternative to improve pancreatic damage caused by diabetes.

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