Ricardo, I Komang Aan Adi
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EDUKASI PENCEGAHAN STUNTING MELALUI SUPLEMENTASI PADA KADER POSYANDU DESA WONGAYA GEDE Kurnianta, Putu Dian Marani; Prasetya, Anak Agung Ngurah Putra Riana; Astari, Ni Komang Eni; Ricardo, I Komang Aan Adi
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 1 (2024): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/gemakes.v4i1.1395

Abstract

Stunting masih menjadi masalah kesehatan di Indonesia. Pemerintah telah melakukan berbagai upaya untuk mengatasinya, namun hingga saat ini kejadian stunting masih terjadi. Pemberian suplemen mikronutrien berupa vitamin dan mineral merupakan salah satu upaya dalam pencegahan stunting. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan kader kesehatan mengenai peran penting suplemen pada ibu hamil, balita, wanita usia subur, dan remaja putri untuk mencegah terjadinya stunting, dengan melibatkan 44 kader Posyandu di Desa Wongaya Gede. Metode pelaksanaan kegiatan dilakukan dengan memberikan edukasi melalui media PowerPoint. Evaluasi dilakukan dengan membandingkan hasil antara pre-test dan post-test dengan menggunakan kuesioner yang telah memenuhi uji validitas. Hasil kegiatan ini menunjukkan adanya perbedaan yang signifikan setelah pemberian edukasi (pre-test dan post-test, p=<0,001, 95%). Tingkat pengetahuan yang sebelumnya masuk dalam kategori “Cukup” (73,2%) meningkat menjadi “Baik” (82,7%) setelah diberikan edukasi. Kami berharap kegiatan edukasi ini dapat menjadi program yang berkelanjutan, sehingga para kader dapat lebih paham mengenai cara mencegah stunting dan tidak ada lagi kasus stunting pada balita di Desa Wongaya Gede.
Optimization of self-nano emulsifying drug delivery system of rifampicin for nebulization using cinnamon oil as oil phase Ricardo, I Komang Aan Adi; Arimurni, Dewa Ayu
Pharmaciana Vol. 14 No. 3 (2024): Pharmaciana
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/pharmaciana.v14i3.28892

Abstract

Lung delivery can overcome the problems related to the effectiveness of tuberculosis treatment by increasing the drug concentration at the target site. Rifampicin as the first-line antibiotic for tuberculosis has low water solubility and is unstable in gastric which hinders its effectiveness. Self-nanoemulsifying drug delivery system (SNEDDS) is a strategy known to improve the solubility and stability of such drugs. This study aimed to obtain the optimum formula of rifampicin SNEDDS intended for lung nebulization using essential oil as an oil phase. Several essential oils are known to have effective antibacterial on Mycobacterium tuberculosis. However, a high capability to solubilize the drug is required for SNEDDS formulation. Cinnamon oil, tween 80, and transcutol P were chosen as SNEDDS components for optimization using a D-optimal mixture based on the physicochemical characteristics. The optimum formula comprised 12.65% cinnamon oil, 75.00% tween 80, and 12.35% transcutol P which dispersed easily to form a highly transparent emulsion in normal saline under 1 minute. Upon dilution with saline, the optimal SNEDDS can produce a homogenous nanometer droplet (169.2±19.771 nm, PDI of 0.258±0.070) with acceptable pH for lung administration. It also has a viscosity similar to water (0.94±0.01 cP) which allows it to be nebulized easily (aerosol output rate of 0.14±0.02 g/min). Although the diluted SNEDDS has a zeta potential of -2.533±0.268 mV, it was stable for up to 4 hours during the nebulization. These results indicate the potential of cinnamon oil-based rifampicin SNEDDS to be an alternative in the pulmonary delivery of rifampicin via nebulization.
Layanan Home Pharmacy Care terhadap Peningkatan Kepatuhan Terapi pada Pasien Diabetes dan Hipertensi: Tinjauan Sistematis Etik dan Regulasi Widhiartini, Ida Ayu Alit; Ricardo, I Komang Aan Adi; Pebrianti, Ni Putu Wika; Pratama, Putu Yudha Kartika
PHARMADEMICA : Jurnal Kefarmasian dan Gizi Vol 5 No 1 (2025): April - September
Publisher : LPPM-KI - POLTEKKES PIM (Formerly AKAFARMA-AKFAR PIM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54445/pharmademica.v5i1.97

Abstract

Home pharmacy care is a part of community pharmacy service that is critical in improving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         patient adherence, which is a significant challenge in managing chronic diseases. One approach that can help overcome this problem is the practice of home pharmacy care. The current study aimed to evaluate the role of home pharmacy care interventions can enhance medication adherence among diabetic and hypertensive patients and to examine the ethical and regulatory aspects associated with its implementation. A systematic review was conducted based on the PRISMA guidelines, using the keywords “home pharmacy care” AND (diabetes mellitus OR hypertension) AND kepatuhan, home pharmacy care AND diabetes mellitus AND (adherence OR compliance), home pharmacy care AND hypertension AND (adherence OR compliance) on Google Scholar and PubMed databases with a search time limit from January 2015 to May 2025. The ethical and regulatory analysis was conducted by reviewing secondary literature regulating home pharmacy care and professional codes of ethics. Out of a total of 290 identified articles, only 10 met the inclusion criteria for further analysis. Based on the ten reviewed articles, it was stated that home pharmacy care interventions can enhance medication adherence among patients with diabetes mellitus and hypertension. However, the implementation of this service faces challenges, such as ethical concerns and regulatory limitations. The development of comprehensive regulations and consistent application of the code of ethics are expected to strengthen legal protection for pharmacists and improve the quality of home pharmacy care services.