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JFIOnline
ISSN : 14121107     EISSN : 2355696X     DOI : -
Core Subject : Health,
Jurnal Farmasi Indonesia yang diterbitkan oleh Pengurus Pusat Ikatan Apoteker Indonesia. Isi website memuat seluruh jurnal yang telah diterbitkan mencakup semua aspek dalam ilmu pengetahuan dan teknologi kefarmasian antara lain farmakologi, farmakognosi, fitokimia,farmasetika, kimia farmasi, biologi molekuler, bioteknologi, farmasi klinik,farmasi komunitas, farmasi pendidikan, dan lain-lain.
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Articles 443 Documents
Formulasi Tablet Hisap Yang Mengandung Ekstrak Akar Ginseng Korea (Panax ginseng C. A. Meyer) Dan Ekstrak Rimpang Temulawak (Curcuma xanthorrhiza ROXB.) Gozali, Dolih; Susilawati, Yasmiwar; Simorangkir, T.P.H.; Utami, Nadya Firdianna
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 8, No 1 (2016)
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ABSTRACT: The aims of this research is to find the best organoleptically acceptable formula of lozenges that contain ginseng and curcuma extract. Lozenges were prepared using wet granulation method with variation in concentration of sweetener (aspartame) and citric acid, i.e. for formula I aspartame 1% and citric acid 3%, formula II aspartame 0,75% and citric acid 4%, formula III aspartame 0,5% and citric acid 5%, and formula IV without aspartame and citric acid. The result of quality test of the tablets showed that tablets have a good quality and complied with the requirement. Thin Layer Chromatography indicated that all formulas still contain active ingredients from ginseng and curcuma extract after formulation process. Organoleptic test showed that formula II is the most suitable compared to the other three formulas. Keywords: formulation, lozenges, ginseng, temulawak, Panax ginseng, Curcuma xanthorrhiza ABSTRAK : Penelitian ini dilakukan dengan tujuan untuk menentukan formula tablet hisap yang mengandung ekstrak Ginseng Korea (Panax ginseng C. A. Meyer) dan Temulawak (Curcuma xanthorrhiza ROXB.) yang dapat diterima oleh masyarakat. Tablet dibuat dengan metode granulasi basah dengan variasi konsentrasi pemanis (aspartam) dan asam sitrat, yaitu untuk formula I aspartam 1% dan asam sitrat 3%, formula II aspartam 0,75% dan asam sitrat 4%, formula III aspartam 0,5% dan asam sitrat 5%, dan formula IV tanpa aspartam dan asam sitrat. Pengujian kualitas tablet menunjukan bahwa tablet memiliki kualitas yang baik dan memenuhi persyaratan. Hasil uji kromatografi lapis tipis menunjukan bahwa senyawa aktif yang terdapat dalam ekstrak ginseng dan temulawak masih terdapat dalam tablet hisap. Hasil uji kesukaan yang dilakukan terhadap 30 responden menunjukan bahwa formula II lebih disukai dibandingkan ketiga formula lainnya. Kata kunci: formula, tablet hisap, ginseng, temulawak, Panax ginseng, Curcuma xanthorrhiza 
Efek penambahan parasetamol pada terapi ketorolak terhadap nyeri akut pascaoperasi orthopedi Santoso, Agustinus; Huwae, Thomas Erwin CJ; Idha, Arofa; Suprapti, Budi
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 8, No 1 (2016)
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ABSTRACT : The aim of this research is to analyze pain control of paracetamol addition to ketorolac compared with ketorolac alone on patient’s pain response. Ketorolac group (K group) recieved ketorolac 10 mg i.v every 8 hours and Ketorolac and Paracetamol group (KP group) recieved ketorolac 10 mg i.v and paracetamol 1,000 mg orally every 8 hours. Observation of pain intensity with Face Scale at ½ hours before and after administration at the first, the fourth and the seventh analgesics. Observation quality of pain management with QUIPS at ½ hours after administration the seventh analgesics. As the results, paracetamol addition to ketorolac provide better pain control, shown at the mean pain intensity KP group was lower at post to 4, pre to 7 and post to 7 than K group, and the QUIPS results were side effects of paracetamol additional well tolerated, reduce needs for additional analgesics, but no difference at patient satisfactions. These results suggest that paracetamol addition to ketorolac had better pain control than ketorolac alone in patients with orthopedic postoperative acute pain.Keywords : ketorolac, paracetamol, postoperative, face scale, QUIPS ABSTRAK: Penelitian ini bertujuan untuk mengetahui pengendalian nyeri oleh penambahan parasetamol pada ketorolak dibandingkan dengan ketorolak tunggal berdasarkan respon nyeri pasien. Kelompok Ketorolak (Kelompok K) mendapatkan ketorolak 10 mg i.v setiap 8 jam dan kelompok Ketorolak dan Parasetamol (kelompok KP) mendapatkan ketorolak 10 mg i.v dan parasetamol 1000 mg per oral setiap 8 jam. Penilaian intensitas nyeri dengan Face Scale pada 30 menit sebelum (pre) dan sesudah (pasca) pemberian dosis analgesik pertama, ke empat dan ke tujuh. Pengamatan kualitas manajemen nyeri dengan QUIPS pada 30 menit setelah pemberian analgesik dosis ke tujuh. Hasil pengamatan menunjukkan bahwa penambahan parasetamol pada ketorolak memberikan kendali nyeri yang lebih baik, ditunjukkan oleh rerata intensitas nyeri kelompok KP pada pasca dosis ke 4, pre dosis ke 7 dan pasca dosis ke 7 lebih rendah dari kelompok K, serta hasil QUIPS bahwa efek samping penambahan parasetamol dapat ditoleransi, menurunkan kebutuhan analgesik tambahan, namun tidak berbeda pada kepuasan pasien. Hasil diatas menyatakan bahwa penambahan parasetamol pada ketorolak memberikan kendali nyeri lebih baik dari ketorolak tunggal pada pasien nyeri akut pascaoperasi orthopedi. Kata kunci: ketorolak, parasetamol, pascaoperasi, QUIPS  
Evaluasi Kuantitatif Penggunaan Antibiotik pada Pasien Caesarean Section di RSUD se-Kabupaten Banyumas Kusuma, Anjar Mahardian; Galistiani, Githa Fungie; Wijayanti, Dwi Nur; Umami, Muzayanatul; Nurdiyanti, .; Utaminingrum, Wahyu; Sudarso, .
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 8, No 1 (2016)
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ABSTRACT : Antibiotics usage in woman having caesarean section is assumed 5-fold greater than woman having normal labor. The aim of the study is to count the antibiotics usage in patient having caesaren section in several hospitals in Banyumas, i.e. RSUD Prof. DR. Margono Soekarjo, RSUD Ajibarang, and RSUD Banyumas. This study use cross sectional study design, retrospective data collection of medical records and data were statistically analyzed with Mann- Whitney and Kruskal-Wallis. Results of the study showed that the greatest quantity of antibiotic use was in RSUD Ajibarang with 110.75 DDD/100 patient- days, followed by RSUD Prof. DR Margono Soekarjo and RSUD Banyumas respectively 76.20 DDD/100 patient-days and 46.07 DDD/100 patient-day. The comparison of DDD for each antibiotic in three hospitals showed a significant difference on antibiotic amoxicillin and cefotaxime usage. Keywords : antibiotics, DDD, caesarean section ABSTRAK : Penggunaan antibiotik pada pasien caesarean section diperkirakan 5 kali lipat lebih banyak dibandingkan pada persalinan normal. Penelitian ini bertujuan untuk menghitung kuantitas penggunaan antibiotik terapi pada pasien caesarean section di beberapa rumah sakit di kabupaten Banyumas, yaitu RSUD Prof. DR. Margono Soekarjo, RSUD Ajibarang, dan RSUD Banyumas. Penelitian ini menggunakan rancangan studi potong lintang (cross sectional), pengambilan data dilakukan secara retrospektif terhadap rekam medik dan data dianalisis dengan analisis statistik Man-Whitney and Kruskal-Wallis. Dari hasil penelitian ini diperoleh data bahwa kuantitas penggunaan antibiotik terbesar terjadi di RSUD Ajibarang yakni 110,75 DDD/100 pasien-hari kemudian diikuti RSUD Prof. DR. Margono Soekarjo dan RSUD Banyumas dengan masing-masing 76,20 DDD/100 pasien-hari dan 46,07 DDD/100 pasien-hari. Hasil perbandingan DDD tiap antibiotik di tiga rumah sakit menunjukkan adanya perbedaan bermakna nilai DDD antibiotik amoksisilin dan sefotaksim di tiga rumah sakit tersebut. Kata kunci: antibiotik, DDD, caesarean section
Penilaian Pelayanan Kefarmasian Program Rujuk Balik Jaminan Kesehatan Nasional di Kotamadya Denpasar Bersadarkan Sudut Pandang Pasien Wirasuta, I Made Agus Gelgel; Wistari, Ni Made Ayu; Kosasih, Diah Ayu Nirmala; Cahyadi, Maria Fiani; Sari, Ni Putu Latsartika; Sudarni, Ni Made Rai; Sarasmita, Made Ary; Larasanty, Luh Putu Febryana
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 8, No 1 (2016)
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ABSTRACT: The aim of this study was to evaluate the implementation of pharmaceutical care in pharmacies from patient’s point of view. The questioner assessment based on expectations, perceptions and level of satisfaction of patients. The questions were grouped into universal pharmaceutical care aspect, infrastructure and medicine management, drug auditing practice and dispensary waiting time, dispensing practice, drug information and drug counseling, and drug monitoring. The patients have a very high expectation of the pharmaceutical care in aspects of universal pharmaceutical care, infrastructure and medicine management, drug auditing practice and dispensary waiting time, and dispensing practice. The patients expressed a high expectation of drug information and counseling care, and a medium expectation in the drug monitoring. The patients have very high perception only at universal pharmaceutical care along with the infrastructure and medicine management aspects, while the drug auditing practice and dispensary waiting time along with dispensing practice aspects have medium perception. The drug information and counseling care along with drug monitoring aspects have poor perception. The comprehensive assessment showed that patient satisfaction levels were low on pharmaceutical care on community practice. The high expectation of patients to pharmaceutical care was a challenge to pharmacist to improve their role in better patient care. Keywords: pharmaceutical care, pharmacy, patient expectation, perception, satisfaction ABSTRAK: Penelitian ini bertujuan untuk menilai implementasi pelaksanaan pelayanan kefarmasian di apotek dari sudut pandang pasien. Penilaian didasarkan pada aspek harapan, persepsi dan tingkat kepuasan pasien terhadap praktek kefarmasian menggunakan kuisioner tertutup dengan penilaian berdasarkan skala Likert. Kuisioner disusun berdasarkan standar pelayanan kefarmasian di apotek tahun 2014. Pernyataan dalam kuisioner dikelompokkan ke dalam 6 aspek yaitu aspek layanan umum, sarana prasarana dan pengelolaan perbekalan Kefarmasian, pengkajian resep dan waktu tunggu, dispensing, layanan Pusat informasi obat (PIO) dan konseling, serta monitoring. Secara umum pasien memiliki harapan yang sangat tinggi pada aspek layanan umum, sarana prasarana dan perbekalan kefarmasian, pengkajian resep dan waktu tunggu, serta pada aspek dispensing, harapan pelayanan yang tinggi pada aspek layanan pusat informasi obat (PIO) dan konseling, serta harapan yang sedang pada aspek monitoring. Namun demikian, pasien memiliki persepsi yang tinggi hanya pada aspek layanan umum serta sarana prasarana dan perbekalan kefarmasian, sedangkan pada pelayanan pengkajian resep dan waktu tunggu serta dispensing memiliki tingkat persepsi sedang, serta persepsi yang sangat rendah pada pelayanan PIO dan konseling serta monitoring. Secara menyeluruh pasien memberikan tingkat kepuasan yang rendah pada pelayanan kefarmasian. Tingginya harapan pasien pada pelayanan kefarmasian yang sesuai dengan standar menunjukkan tuntutan dan peluang bagi apoteker khususnya dalam peningkatan praktek asuhan kefarmasian di apotek. Kata kunci: JKN, pasien rujuk balik, asuhan kefarmasian, apotek, persepsi, kepuasan .  
Validasi Metode Penetapan Kadar Lisinopril dalam Spiked Plasma Secara Ultra Performance Liquid Chromatography Melalui Derivatisasi dengan 1-Fluoro 2,4 Dinitrobenzen Sumiyani, Ririn; Martono, Sudibyo; Sugiyanto, .
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 8, No 1 (2016)
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ABSTRACT: A rapid, accurate, and sensitive method for determining lisinopril in spiked plasma was developed by means using an Ultra Performance Liquid Chromatography (UPLC) with 1-fluoro 2,4 dinitrobenzen (FDNB) derivatization. Lisinopril was precolumn derivatized with FDNB at optimum condition, i.e. room temperature and borate buffer at pH 11, subsequently analyzed with UPLC. Isocratic condition of acetate buffer (0.01 M, pH 3.50) : acetonitrile : metanol = 70 : 10 : 20 (v/v/v) as mobile phase, 0.3 mL/min of flow rate at λ 296 nm were applied at Acquity BEH C18 column, resulting a linearity of lisinopril at range of concentration of 5,0-100 ng/mL (Y = 410,59x + 211,91, r = 0.93). The accuration of the established method was achieved by 88,59±6,01 to 101,70± 2,56% recovery, while the precision was shown with RSD value of 2,57- 8,16 %, limit of detection (LOD) instrument of 0,73 ng/mL and limit of quatification (LOQ) 2,44 ng/mL, dwith R2 = 0,9987 dan r = 0,9993. In addition, the resulted LOD and LOQ more or less similar with the published HPLC-MS-MS method (1.03-10.0 ng/mL). Hence, it could be concluded that the developed UPLC method can be used as an alternative method for determining lisinopril in plasma.Keywords: Lisinopril, FDNB, derivatization, UPLCABSTRAK: Penetapan kadar lisinopril dalam spiked plasma secara Ultra Performance Liquid Chromatography (UPLC) melalui derivatisasi dengan 1-fluoro 2,4 dinitrobenzen (FDNB) merupakan metode yang cepat, sensitif dan akurat. Derivatisasi precolumn lisinopril dan FDNB optimum pada suhu kamar, suasana dapar borat pH 11,0, dilanjutkan analisis secara UPLC isokratis menggunakan kolom Acquity BEH C dan fase gerak dapar asetat (0,01 M pH 3,50): asetonitril:metanol (70: 10: 20, v/v/v), laju alir 0,3 mL/menit pada λ 296 nm, menghasilkan linieritas kadar lisinopril dalam spiked plasma pada rentang 5,0 -100 ng/mL terhadap luas area lisinopril-DNB dengan persamaan Y = 410,59x + 211,91 dengan R2 = 0,9987 dan r = 0,9993 Akurasi metode ditunjukkan dengan nilai % rekoveri sebesar 88,59±6,01 smpai dengan 101,70± 2,56 %. Ketelitian ditunjukkan dengan nilai RSD 2,57- 8,16 %, sedangkan Batas Deteksi Instrumen = 0,73 ng/ mL dan Batas Kuantitasi = 2,44 ng/mL. Hasil Batas Deteksi penelitian ini relatif sama dengan Batas Deteksi penetapan kadar lisinopril secara HPLC-MS (1,03- 10,0 ng/mL). Dengan demikian dapat disimpulkan bahwa metode ini berpotensi dikembangkan sebagai metode alternatif pengganti HPLC-MS untuk penetapan lisinopril dalam plasma.Kata kunci: Lisinopril, FDNB, derivatisasi, UPLC
Kesinambungan Pendanaan JKN-BPJS Kesehatan Situmorang, Chazali H
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ABSTRACT: Jaminan Kesehatan Nasional (JKN) is one of five social security programmes in Indonesia, under the Sistem Jaminan Sosial Nasional (SJSN) scheme. So far, there has been a significant improvement in JKN programme’s operation. However, there is a concern of maintaining financial sustainability, as the key factor to attain the programme’s long-term objective. In order to study the financing of JKN, an actuarial analysis has been done. The data used in this analysis were obtained from two main sources, i.e. BPJS Kesehatan and Ministry of Health RI. Other data used were the JKN premium revenues and health care costs (capitation, non-capitation, CBGs and non-CBGs). Based on the analysis, there is a clear evidence that shows a large mismatch in JKN financing. The health care costs of JKN is projected to increase from 6.1 Billion IDR in year 2014, to approximately 23.8 Billion IDR in year 2019, an increase of more than 58% each year. Based on these findings, it can be concluded that the JKN financing is not sustainable, at least at existing conditions. However, there are solutions for the policy makers to increase the sustainability, i.e. by revising the premium nominal value through the amendment of Perpres No. 111/2013, by rasionalising the health care costs standard tariff through the amendment of Permenkes No. 59/2014, and by implementing cost control and cost efficiency in every operational aspects. Keywords: Indonesia, National Health Security, National Social Security System, JKN, SJSN ABSTRAK: Jaminan Kesehatan Nasional (JKN) merupakan satu dari lima program Sistem Jaminan Sosial Nasional (SJSN) di Indonesia. Kemajuan besar telah dicapai dalam pelaksanaan program JKN. Namun demikian kesinambungan keuangan merupakan faktor kunci yang perlu dipertimbangkan untuk mencapai tujuan JKN jangka panjang. Oleh karena itu, dalam rangka menentukan keberlanjutan pendanaan JKN, sebuah analisis aktuaria telah dilakukan. Data yang digunakan dalam analisis aktuaria ini diperoleh dari dua sumber utama, yaitu BPJS Kesehatan dan Kementerian Kesehatan RI. Data lain yang digunakan juga mencakup data pendapatan JKN (premium) dan biaya kesehatan (kapitasi, non-kapitasi, CBGs dan non- CBGs). Hasil kajian menunjukkan bukti jelas adanya kesenjangan pendanaan program JKN. Meskipun hanya untuk membiayai manfaat JKN, kesenjangan pendanaan JKN naik dari 6,1 triliun rupiah pada tahun 2014 menjadi 23,8 triliun rupiah pada tahun 2019, atau naik lebih dari 58% per tahun. Sehubungan dengan hasil kajian ini disimpulkan bahwa kondisi keuangan JKN tidak mampu berkelanjutan, setidaknya dalam kondisi seperti sekarang ini. Namun demikian ada beberapa cara dimana para pembuat kebijakan dapat membuat kebijakan agar sistem keuangan JKN lebih berkelanjutan. Cara tersebut meliputi revisi nilai premi yang kini diatur dalam Peraturan Presiden Nomor 111/2013, rasionalisasi tarif pelayanan kesehatan yang kini diatur dalam PerMenkes 59/2014, serta meluncurkan serangkaian program pengendalian biaya dan mempromosikan efisiensi. Kata kunci: Jaminan Kesehatan Nasional, Sistem Jaminan Sosial Nasional, JKN, SJSN, aktuaria, pendanaan kesehatan
Standarisasi Ekstrak Sarang Semut untuk Pemenuhan Mutu Ekstrak Menuju Obat Herbal Terstandar Antikanker Lindawati, Novena Yeti; Murtisiwi, Lusia
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 8, No 2 (2016)
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Dry extract of sarang semut (Myrmecodia pendens Merr & Perry) water/n-butanol fraction is native plant from Papua is proven to be active against cancer cells. This research aims to improve the quality of extracts of sarang semut become the raw material that meets the standards of medicinal plant extracts in the fulfillment of the quality of the extracts into anticancer Standardized Herbal Medicine / Obat Herbal Terstandar (OHT). Extraction with ultrasonic methods (1:10 with methanol) and fractionation with water:butanol (1:1) as much as 1:20. Standardization and data analysis based on parameters of the Medicinal Plant Extracts (Kepmenkes RI No: 55/Menkes/SK/I/2000) and BPOM RI Regulation No. 12, Year 2014 about quality requirements of traditional medicine. Dry extract of sarang semut (water/n-butanol fraction) met the standards of raw material preparation for OHT with organoleptics shaped dried extracts, dark brown color, aromatic smell, and has a sour-bitter taste. Moisture content was 9,259 ± 0.001 (≤ 10%). Total Plate Count was 5 x 103 colonies/g (< 104 colonies/g). Yeast and Mold Count was 0,5 x 101 colonies/g (< 103 colonies/g). Pathogenic bacteria test shows that MPN Coliform value was 0 colonies/g and negatively to the presence of Escherichia coli, Salmonella sp, Staphylococcus aureus, Pseudomonas aeruginosa, and Shiggella sp. The extract was not detected the presence of aflatoxin total (aflatoxin B1, B2, G1 and G2). The content of heavy metal Cd was 0,0052 ± 0.0005 ppm (≤ 0.3 ppm) and heavy metals Pb was 0,9429 ± 0,0087 ppm (≤ 10 ppm).
Isolasi dan Skrining Aktivitas Antimikroba Jamur Laut pada Alga Kappaphycus alvarezii dari Kabupaten Takalar Sulawesi selatan Fitriana, Fitriana; Julianti, Elin; Wibowo, Marlia Singgih
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 8, No 2 (2016)
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Marine microorganisms, especially actinomycetes bacteria and fungi produce a variety of secondary metabolites that biologically active and have a unique structure. This study aims to isolate some strains of marine fungi that grow on marine algae as a potential source of antimicrobial agent. Marine fungal strains isolated from the marine algae with antimicrobial activity screening is done by using the disc diffusion method. In this study, it was obtained 18 strains of fungal isolates. The screening results that give best antimicrobial activity shown by the activity of the extract liquid culture of fungal isolate strain AKT.C6 are 10.0 mm against the bacteria Escherichia coli and 10.8 mm against Bacillus subtilis. Mycelium extract of fungal isolates strain AKT.C4 is 16.9 mm against the bacteria Escherichia coli and 17.6 mm against Bacillus subtilis, while the liquid culture extract and mycelium extract did not show any activity against Candida albicans. The isolation of fungi from Kappaphycus alvarezii algaee has potential as an antibacterial agent.
Evaluasi Efek Teratogen Ekstrak Terpurifikasi yang Diisolasi dari Fraksi Etil Asetat Daun Surian (Toona sureni (Blume) Merr) Suharti, Suharti; Yosmar, Rahmi; Fitriani, Ade; Almahdy, Almahdy
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 8, No 2 (2016)
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Evaluation of teratogenic effects of purified extract isolated fromethyl acetate fractionation of surian leaves (Toona sureni (Blume) Merr.) onwhite female fetus mice has been carried out. The extract was given to miceorally in solution at doses of 5, 10, and 20 mg/kg BW on 6th until 15th day ofpregnancy. On 18th day of pregnancy, laparatomy was performed, then two– third of fetuses were immersed in alizarin red solution and the remainingin Bouin’s solution. The analyzed parameters were the weight of pregnantmice, the number of fetuses, the weight of fetuses, skeletal malformation andmorphology. The result showed that malformations were not shown in dose of 5mg/kg BW, but in dose of 10 mg/kg BW from one mice found one fetus causedlate growth and death. While on dose 20 mg/kg BW, one mice was not death.
Pengaruh pemberian fraksi air kulit buah delima (Punica granatum L) terhadap jumlah duktus payudara tikus yang diovariektomi Sunarmi, Sunarmi; Bahtiar, Anton; Wuyung, Puspita Eka
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Pomegranate (Punica granatum L.) is known to have estrogenic activity. Pomegranate peel proven to increase the number of osteoblasts and increases bone density. This study aims to determine the potential of the water fraction of the pomegranate peel as natural Selective Estrogen Receptor Modulators (SERMs) through histological mammary in ovariectomized rats. Ovariectomy method used as a model representing menopause, conducted on 42 rats female Sprague Dawley strain aged 50 days were divided into 7 groups: Sham, OVX, and a group of OVX, each getting estradiol, tamoxifen and fractions water pomegranate peel dose of 50, 100, and 200 mg/kg BW. The results obtained showed water fraction of pomegranate peel did not show any increase in volume and number of mammary ducts.