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Journal : Science Midwifery

Cost effectiveness analysis of rheumatoid arthritis outpatient at a hospital in bandung Oskar Skarayadi; Wita Anggraeni; Pudjiastuti Kartidjo; Andri Reza Rahmadi; Suci Nar Vikasari
Science Midwifery Vol 10 No 6 (2023): February: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i6.1155

Abstract

Rheumatoid arthritis is a chronic systemic autoimmune disease of the joints with unknown etiology. treatment therapy is carried out to reduce the symptoms of inflammation, one of which is by using methylprednisolone and methotrexate. treatment is carried out in the long term. this study aims to analyze the cost-effectiveness of combined methylprednisolone in rheumatoid arthritis patients. the study used a retrospective descriptive analytic design. the data were taken from 31 outpatient medical records in hasan sadikin hospital from january 2017-december 2018. the research data included the das28 score, doctor visit fees, medical expenses, and laboratory fees. cost-effectiveness analysis is done by calculating the average cost effectiveness ratio (acer) and incremental cost effectiveness ratio (icer). the results showed 17 patients using methylprednisolone+methotrexate, 6 patients using methylprednisolone+sulfasalazine, 1 patient using methylprednisolone+cyclosporine, 2 patients using methylprednisolone+methotrexate+chloroquine, 3 patients using methylprednisolone+chloroquine+cyclosporine and 2 patients using methylprednisolone+chloroquine. the lowest acer value was obtainedwhen the combination of methylpredisolone+chloroquine was rp. 453,716 per effectiveness with an icer value of rp. 11,686 per effectiveness. this study concludes that the combination of methylprednisolone + chloroquine is the most effective therapy compared to other combinations of methylprednisolone.
Antibacterial effects of plants from lembang highland towards skin-infecting microorganisms Anna Choirunnisa; Ita Nur Anisa; Dwi Yuliana Prasita; Suci Nar Vikasari
Science Midwifery Vol 11 No 1 (2023): April: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v11i1.1198

Abstract

Bacterial skin infection is a common infection in Indonesia. Staphylococcus aureus cause skin and soft tissue infections and Propionibacterium acnes causes acne (acnes vulgaris). Moringa oleifera, Piper betle, and Leucaena leucocephala leaves traditionally use as. This study aims is to evaluate antimicrobial activity of the ethanol extract of the leaves from Lembang highland against S. aureus and P. acnes. The extract of each leaves prepared using reflux in 50% ethanol and examination of antibacterial activity of the ethanol extract using the microdilution method in vitro. The results showed that the ethanol extracts of M.oleifera, P.betle, and L.leucocephala leaves had antibacterial activity against S. aureus and P. acnes with different minimum inhibitory concentrations. The greatest antibacterial activity against S.aureus was shown by the ethanol extract of moringa leaves (MIC = 1024 µg/ml), where the greatest antibacterial activity against P. acnes was possessed by the ethanol extract of betel leaves (MIC = 512 µg/ml).
Co-Authors Afifah B. Sutjiatmo Afifah B. Sutjiatmo Afifah B. Sutjiatmo Afifah Bambang Sutjiatmo Afifah Bambang Sutjiatmo, Afifah Bambang Aisyah, Salmanda Akhirul Kahfi Syam Ambarsundari Ambarsundari Andi Supriatna Andri R. Rahmadi Andri Reza Rahmadi Anna Choirunnisa Anna Choirunnisa, Anna Ari Sri Windyaswari, Ari Sri Asri Wulandari Astuti, Niken Juni Ayu Nurfitiria Rahmi Ayu Nurfitiria Rahmi, Ayu Nurfitiria Bintussolihah, Falna Candra Candra Candra candra Dewi Lidya Ichwana Nasution Dwi Yuliana Prasita Dzikrial Sa’id Elin Yulinah Elin Yulinah Sukandar Elin Yulinah Sukandar ELIN YULINAH SUKANDAR Elivas Simatupang Elivas Simatupang Encep Abdurahman Faizal Hermanto Febrinella, Catellya Fikri Alatas Grace S. Mardiana Hanna Sari Widya Kusuma, Hanna Sari Widya Haq, Fahmy Ahsanul Hartyana Sutarna, Titta Ita Nur Anisa Ita Nur Anisa Khansa Rana Khalifa Kristian, Randi Kuatrina Kuatrina Kuatrina, Kuatrina Kusmaningati, Suswini Kusmayadi, Anandita Tiara Kusumawardhana, Gelar Taufiq Lucky Rachmawan Lucky Rachmawan Melani, Beta Nengdiana Permana Niken Juni Astuti Nindy Dwi Siftiani Novia Anggraeni Hanafi Novia Anggraeni Hanafi, Novia Anggraeni Oskar Skarayadi, Oskar Pudjiastuti Kartidjo Pudjiastuti Kartidjo Puput Ayu Perdana Puput Ayu Perdana, Puput Ayu Purwoko, Agus Puspa Sari Dewi Solihah Rachmawan, Lucky Raden Mohamad Herdian Bhakti Rahajeng, Dea Julianti Ramadhan Muhamad Syahrul Redya Hernawati Redya Hernawati, Redya Regita Ayu Lestari Ririn Puspadewi Ririn Puspadewi, Ririn Ririn Sinaga Ririn Sinaga, Ririn RR. Ella Evrita Hestiandari Salmanda Aisyah Setiani, Nur Asni Sheba, Shiane Hanako Shifa A. Savitri Siftiani, Nindy Dwi Simatupang, Elivas Solihah, Puspa Sari Dewi Solihat, Ananda Khairunisa Soraya Riyanti, Soraya Sri Wahyuningsih Sujiatmo, Afifah Bambang Sulaeman Al Jati Supito, Sarasvati Sekar Ayu Suryani Suryani Suryani Sutandi Tatan Syarifuddin Syarifuddin Syarifuddin Syarifuddin Syifa Khoirunnisa, Syifa Tupak, Helma Malini Marol Vina Septiani, Vina WAHYU WIDOWATI Wita Anggraeni Wulan Anggraeni Yulia Ratnawati, Yulia Yulianti, Maulidya Yuliartati, Ni Luh Ade Zahiroh, Fadhilah Haifa