Feranita Kumalasari
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Health Literacy by Telehealth Apps to Decrease Breast Cancer Diagnosed Feranita Kumalasari; Nathania; Reny I'tishom
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI1 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI1.2024.155-162

Abstract

Background: Health literacy always being one of the health promotion ways to support the SDGs program in creating the better life for people surroundings. Health literacy try to make accessible information for positive impact in stimulating people awareness about disease especially in malignant such as breast cancer. Breast cancer still being on the first place of cancer's rank with high number of affected people. The digitalization in health literacy offers the service like online consultation, suggested daily diet, suggested time duration to do physical activities based on personal data of the user, and others. Aims: This study was to evaluate the application of technology being used in health literacy to decrease the number of breast cancer diagnosed around the world. Methods: This literature review databases were searched using online journal from Google Scholar, PubMed, ScienceDirect, online article, and WHO newsletter. This study focuses on the development of telehealth using in health literacy for malignant. Results: The digitalization in health literacy for promoting SDGs program to reduce the number people affected by breast cancer help people surroundings accessing their health personal data and to remind the suggested schedule to do medical checkup for malignant and suggested daily lifestyles. So that the target to support SDGs health promotion way in people awareness about cancer can be reached effectively. Conclusion: Telehealth using in the digitalization of health literacy give positive impact in stimulating people awareness about breast cancer, which lead to the decreasing number of people affected by breast cancer around the world.
Centella asiatica Nanoparticles as Potential Acetylcholinesterase Inhibitor for Cognitive Decline Therapy using Ellman's Method: An in Vitro Study Nathania Nathania; Selvina Cindy Kusumaningrum; Reny I'tishom; Feranita Kumalasari; Ria Margiana
Folia Medica Indonesiana Vol. 60 No. 4 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmi.v60i4.62182

Abstract

Highlights:1. This research contributes novel data to current studies by combining the potential of Centella asiatica extract with PEG-400 to develop a therapeutic agent aimed at improving cognitive function through an effective drug delivery system capable of penetrating the blood-brain barrier.2. The findings of this study revealed that the combination of Centella asiatica extract and PEG-400 at an adequate ratio exhibits great potential as an acetylcholinesterase inhibitor. AbstractCognitive impairment, caused by neurocognitive changes and neuroinflammation, affects 65.6 million elderly people worldwide and can interfere with their quality of life. Centella asiatica is recognized for its neuroprotective potential due to its active compounds. This study aimed to investigate the acetylcholinesterase inhibitory properties of Centella asiatica as potential therapeutic agents for cognitive decline. Polyethylene glycol 400 (PEG-400) was used to achieve an effective drug delivery system of Centella asiatica extract, facilitating the inhibition of the apoptosis signaling pathway and allowing neuroprotective agents to cross the blood-brain barrier (BBB). This research involved several testing stages, including gas chromatography-mass spectrometry (GC-MS) to identify active compounds (e.g., tryptamine, γ-sitosterol, and β-sitosterol) that contribute to cognitive function improvement. Particle size analysis (PSA) tests were conducted on three formulations of the extract and PEG-400, with ratios of 1:100, 100:1, and 1:1, to determine the optimal formulation for subsequent testing. Scanning electron microscopy (SEM) was utilized to observe the morphology and surface structure of the samples, while Ellman's method was employed to test the ability of acetylcholine (ACh) in improving cognitive abilities. The results subsequently underwent descriptive analysis, particle distribution analysis, analysis of variance (ANOVA), nonparametric tests, image analysis, regression tests, multivariate analysis, and correlation tests. The synthesis demonstrated that the 1:100 formulation produced ideal-sized nanoparticles (5–7 nm), optimal for penetrating the BBB. The PSA and SEM analyses supported this finding by demonstrating homogeneous particle morphology and consistent chemical composition. The in vitro Ellman's assay revealed a high inhibitory rate of 97.63% for the 100:1 formulation. The 1:1 and 1:100 formulations demonstrated a very high effectiveness as acetylcholinesterase inhibitors. The combination of PEG-400 and Centella asiatica extract has great potential as an innovative pharmacological therapy for cognitive decline. However, further research is required to ensure the right dosage and development of the research findings.