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Meta-Analysis the Effect of Pharmaceutical Care on Blood Glucose Level in Type 2 Diabetes Mellitus Patients Syafira, Muthia; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Health Policy and Management Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Pharmaceutical care is a patientoriented program carried out by pharmacists. In the management of type 2 diabetes mellitus (T2DM) several parameters have been determined as targets for the success of pharmaceutical care such as HbA1c and the level of patient compliance. This paper aims to evaluate the role of pharmaceutical care in improving clinical outcomes and compliance of patients with T2DM.Subjects and Method: This study was conducted using a Systematic Review and Metaanalysis study design using PICO, population: Diabetes mellitus type 2 patients, Intervention: Obtaining pharmaceutical care. Comparison: Did not receive pharmaceutical care, Outcome: Hba1c. The articles used in this study came from 4 databases, namely Pubmed, ScienceDirect, ProQuest and Google scholar. Article keywords are Diabetes Mellitus, Type 2 OR T2DM OR Type 2 diabetes AND Pharmaceutical care OR Clinical pharmacy OR Community pharmacy OR Pharmacist* OR Pharmaceutical services OR Education OR Intervention OR Medication Management AND Knowledge OR adherence OR HbA1c OR glycemic control” Included articles in this study is a full paper article, RCT study design for 20112021.Results: A total of 12 RCT studies with 1,746 T2DM patients in Asia (Jordan, Hong Kong, Northern Cyprus, Thailand, China, Malaysia and Indonesia), Americas (Brazil) and Europe (France and England). From the data processing, it was found that the provision of pharmaceutical care reduced HbA1c levels by 0.81 in patients with type 2 diabetes mellitus compared to those without pharmaceutical care. (SMD= 0.81; 95% CI= 1.11 to 0.52 p<0.0001).Conclusion: The provision of pharmaceutical care can improve clinical outcomes in the form of decreasing HbA1c values.Keywords: Pharmaceutical Care, Type 2 Diabetes Mellitus, HbA1c, Glycemic Control.Correspondence: Muthia Syafira. Masters Program in Public Health Sciences, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email mutsyaf@student.ac.id. Mobile: +6285920660180.Journal of Health Policy and Management, (2022), 07(02): 112-124https://doi.org/10.26911/thejhpm.2022.07.02.03
Meta Analysis the Relationship of Social Support on Depression in Pregnant Women Rahmawati, Mitha Amelia; Syafira, Muthia
Journal of Epidemiology and Public Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Depression in pregnancy can lead to poor pregnancy outcomes, such as pre-eclampsia, insufficient weight gain, and preterm delivery which can progress to postpartum depression thereby posing a risk to the mother-infant bond and impacting the child's social development at a further level. Social support is one of the important factors that can increase the risk of depression during pregnancy, because with a lack of social support, the increased risk of depression in pregnant or postpartum women will enhance. The purpose of this study was to estimate the relationship between low social support and depression in pregnancy.
Meta Analysis the Relationship of Social Support on Depression in Pregnant Women Rahmawati, Mitha Amelia; Syafira, Muthia
Journal of Epidemiology and Public Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Depression in pregnancy can lead to poor pregnancy outcomes, such as pre-eclampsia, insufficient weight gain, and preterm delivery which can progress to postpartum depression thereby posing a risk to the mother-infant bond and impacting the child's social development at a further level. Social support is one of the important factors that can increase the risk of depression during pregnancy, because with a lack of social support, the increased risk of depression in pregnant or postpartum women will enhance. The purpose of this study was to estimate the relationship between low social support and depression in pregnancy.
SOSIALISASI PLATELET RICH PLASMA (PRP) ALOGENIK SEBAGAI TERAPI PENDUKUNG DIABETES MELLITUS PADA TENAGA KESEHATAN DI FASILITAS KESEHATAN KOTA SEMARANG Anzhari, Della Hashfi; Syafira, Muthia; Ariani, Resti; Astuti, Anna Kartika Yuli; Lestari, Tulus Puji
JPMUJ Vol. 4 No. 1 (2026): SEMUA ARTIKEL TERBIT SECARA ONLINE
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat UIKA Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/jpmuj.v4i1.3247

Abstract

Diabetes mellitus is a non-communicable disease with an increasing prevalence and is often accompanied by chronic complications, one of which is diabetic foot ulcers that are difficult to heal and have a high risk of infection and amputation. Conventional management of diabetic wounds often fails to produce optimal results, necessitating innovative and evidence-based supportive therapies. Platelet-Rich Plasma (PRP) is a blood-derived product rich in growth factors that has the potential to accelerate wound healing. Although the potential of PRP has been widely reported, healthcare professionals' understanding and readiness to apply it remain limited, particularly in primary healthcare facilities. This community service activity aims to increase the knowledge and understanding of health workers regarding allogeneic PRP, including topical or spray formulations, as a supportive therapy in the treatment of diabetic wounds. The community service method was carried out through educational and knowledge dissemination activities, which included material presentations, interactive discussions, and demonstrations of the use of PRP on diabetic wounds using simulation media. The activity was carried out at the Indonesian Red Cross in Semarang City, involving health workers from the Indonesian Red Cross and affiliated health care facilities. The material presented covered the basic concepts of PRP, the mechanism of PRP in wound healing, the differences between autologous and allogeneic PRP, and the principles of using topical or spray PRP. Data were obtained through observation during the activity and participant responses, then analyzed using descriptive qualitative methods. The novelty of this activity was the introduction of allogeneic PRP in topical or spray form as a supportive therapy for diabetic wounds to health workers, which is still relatively rarely applied in health service practice. The results of the activity showed an increase in participants' understanding, enthusiasm, and readiness to consider the use of PRP as part of rational and safe diabetes wound management. It was concluded that this community service activity could increase healthcare workers' knowledge of the use of allogeneic PRP as a supportive therapy for diabetic wounds and has the potential to encourage the adoption of evidence-based regenerative therapies in healthcare facilities.