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- Isoprinosine along with Favipiravir or Oseltamivir in Patients with
Moderate Covid-19 at RSD Dr. Soebandi Jember
Authors: Chrysnanda Maryska, Didik Hasmono, Sofiati Diah Baisuni, Ayunda Nur Hidayatiningsih, Arina Dery Puspitasari, Retna Dwi Puspitarini, Budi Suprapti
Pages: 209 - 219
Abstract: Background: Isoprinosine is an immunomodulator that is now being used to treat Covid-19 patients. Objectives: To evaluate Isoprinosine with Favipiravir or Oseltamivir in moderate Covid-19. Methods: In a retrospective observational analysis, in-hospital moderate Covid-19 patients treated between June 2020 and June 2021 were included. Results: Inclusion criteria for 364 patients were met, with 135 receiving Favipiravir-Isoprinosine (Group 1) and 229 receiving Oseltamivir-Isoprinosine (Group 2). In group 1, the majority of patients (58.50%) were female (35.60%), had no comorbidities (71.60%), were discharged with a positive PCR (74.80%), did not require a breathing apparatus (99.26%), had leukocyte levels between 4,5-11,0 (82.22%), lymphocyte levels between 25-33 (34.07%), and were discharged with no ground-glass opacity (34.07%) (54.10%), LOS was 9-13 days (50.37%), while the mortality rate was 0.70%. In group 2, the majority of patients were male (54.10%), with the highest age range being 42-56 years (35.80%), without comorbidities (69.0%), discharged with a positive PCR (72.50 %), and without the need for a breathing apparatus (99.13%), with leukocyte levels ranging from 4.5 – 11.0 (81.22 %), with lymphocyte levels ranging from 25.0 – 33.0 (26.20 %), and were discharged with no ground-glass opacity (49.34 %), LOS was 9 - 13 days (34.06 %), and the mortality rate was 0.87%.Conclusion: In this trial, it was determined that combining isoprinosine with antivirals favipiravir or Oseltamivir could produce significant clinical improvement.
PubDate: 2022-12-09
DOI: 10.20473/jfiki.v9i32022.209-219
Issue No: Vol. 9, No. 3 (2022)
- The Effect of Decyl Glucoside on Stability and Irritability of
Nanostructured Lipid Carriers-Green Tea Extract as Topical Preparations
Authors: Rufaidah Azzahrah, Noorma Rosita, Djoko Agus Purwanto, Widji Soeratri
Pages: 220 - 228
Abstract: Background: Green Tea Extract (GTE) is a natural antioxidant compound that can protect the skin from photocarcinogenesis (DNA damage due to ultraviolet exposure). GTE has low stability, which needs a delivery system such as Nanostructured Lipid Carriers (NLC) with decyl glucoside (DG) as a natural surfactant that at the right concentration can produce a significantly small particle size which can improve the stability of the NLC. Objective: To determine the effect of DG usage on the characteristics, physical stability, and irritability of NLC-GTE preparation. Methods: NLC-GTE preparation used the High Shear Homogenization (HSH) method with three formulas, which contained DG 2%, 2.5%, and 3% consecutively. Afterwards, the characteristic and physical stability tests were conducted using the thermal cycling method for three cycles with two different temperatures (48 hours/cycle, 2 - 8°C and 40°C). The irritability test used Hen's Egg Test on the Chorioallantoic Membrane (HET-CAM) method. Results: Characteristic test of organoleptic showed that all formulas were white, odorless, and had a semi-solid consistency. However, the pH, particle size, and polydispersity index values from all formulas were within the normal range of values. The physical stability test result showed that 3% DG was the most stable formula. This formula was within the non-irritating range of values in HET-CAM. Conclusion: NLC-GTE with an increased concentration of DG as a surfactant can improve the characteristics and physical stability of the preparation. F3 (3% DG) is the best formula compared to other formulas and indicates non-irritating in the HET-CAM test.
PubDate: 2022-12-09
DOI: 10.20473/jfiki.v9i32022.220-228
Issue No: Vol. 9, No. 3 (2022)
- Effect of Alpha-Lipoic Acid on the Characteristics and Physical Stability
of NLC-Green Tea Extract
Authors: Fairuz Yaumil Afra, Widji Soeratri, Djoko Agus Purwanto
Pages: 229 - 234
Abstract: Background: The addition of alpha-lipoic acid in Nanostructured Lipid Carrier-Green Tea Extract (NLC-GTE) has potential to increase effectiveness of anti-aging preparations. It happened because alpha-lipoic acid can increase stability and antioxidant activity. Objective: Comparing the physical characteristics and stability of NLC-GTE with or without alpha-lipoic acid. Methods: NLC-GTE manufactured using the High Shear Homogenization method. NLC-GTE was divided into two formulas, without the addition of alpha-lipoic acid for F1 and with the addition of alpha-lipoic acid for F2. The characteristics and physical stability were tested, including organoleptic, pH, particle size, and polydispersity index. Stability test was held using the thermal cycling method. Results: Based on characteristic test, it was found that F2 had larger particle size value than F1. The average particle size value of F1 is 313.9 ± 0.76 nm and 423.4 ± 0.75 nm for F2. The F1 and F2 preparations had a polydispersity index value below 0.3, so they were homogeneous. The average pH value of F1 is 5.998 ± 0.01, and F2 is 4.798 ± 0.004. The physical stability test showed a difference before and after the sixth day in particle size and pH, but it was still in the range, so it was safe. However, there was a separation in F1 after day 6. Conclusion: Based on the characteristics and physical stability tests, F1 (without alpha-lipoic acid) and F2 (with alpha-lipoic acid) had differences in particle size and pH. From the physical stability test, it can be concluded that F2 is more stable than F1.
PubDate: 2022-12-09
DOI: 10.20473/jfiki.v9i32022.229-234
Issue No: Vol. 9, No. 3 (2022)
- Optimization Method and Stability Test to Determinate Luteolin, Quercetin,
Apigenin, and Sinensetin Levels in Herbal Medicines Using TLC-Densitometry
Authors: Muhammad Hidayatullah, Mochammad Yuwono, Riesta Primaharinastiti
Pages: 235 - 241
Abstract: Background: Nephrolithiasis is a condition in which there are one or more kidney stones in the pelvis or calyces. Luteolin, quercetin, apigenin, and sinensetin are marker compounds in the extracts of Plantago major, Sonchus arvensis, Strobilanthes crispus and Orthosiphon stamineus which have nephrolithiasis activity. To control the quality of herbal medicines, a TLC-Densitometry method was developed in this study using luteolin, quercetin, apigenin, and sinensetin as phytochemical markers. Objective: The present work aimed to develop optimal conditions for analyzing luteolin, quercetin, apigenin, and sinensetin. Methods: Determination of optimal conditions for analysis is carried out by determining the composition of the mobile phase, chamber saturation time, and analysis wavelength. Silica gel 60 F254 was used as the stationary phase. Stability tests were carried out by analyzing standards and samples at 0, 4, 8, and 24 hours. Results: The best separation that produces symmetrical peaks of herbal medicine was achieved under isocratic conditions using the composition of the mobile phase chloroform : acetone: dichloromethane : acetonitrile : formic acid (6 : 2: 2 : 0,05 : 0.05 v/v/v/v/ v) with a wavelength of 335 nm with a saturation time of 30 minutes. Conclusion: In this study, the optimal conditions for the analysis of luteolin, quercetin, apigenin, and sinensetin. Luteolin, quercetin, apigenin, and sinensetin are unstable during 8 hours of storage. Therefore, standard solutions and samples must be made fresh to maintain stability.
PubDate: 2022-12-09
DOI: 10.20473/jfiki.v9i32022.235-241
Issue No: Vol. 9, No. 3 (2022)
- The Effect of Insulin Administration on Medication Adherence in Type 2
Diabetes Mellitus Patients with Neurological Complications
Authors: July, Rani Sauriasari, Nadia Farhanah Syafhan, Hadijah Tahir
Pages: 242 - 251
Abstract: Background: Medication adherence is essential to achieving controlled blood sugar in diabetic patients. Insulin generally provides better glycemic control but is considered painful and requires special techniques. Insulin administration in patients with neurological complications requires particular consideration because these complications can cause physical and cognitive barriers. Objective: This study analyses the effect of insulin administration on medication adherence in diabetic patients with neurological complications and the influence of various confounding variables (baseline characteristics, medical and medication history). Methods: This observational study was conducted with a cross-sectional design at a government hospital in East Jakarta from September 2021 to January 2022. The sample was type 2 diabetes mellitus patients with neurological complications who received antidiabetics for at least six months. The neurological complications include central nervous disorders (such as stroke) and peripheral nervous disorders (such as neuropathy). The independent variable was insulin administration, while the dependent variable was adherence, measured using subjective methods [Adherence to Refills and Medications Scale (ARMS)] and objective methods (Medication Refill Adherence (MRA) and HbA1c]. Results: Of 175 respondents, based on the three methods (MRA, ARMS, HbA1c), 13 respondents (7.4%) were adherent, namely one respondent (1.8%) in the insulin group and 12 respondents (10.1%) in the non-insulin group. Insulin administration affects adherence to antidiabetics by 0.123 times (95% CI: 0.015 - 1.024), or patients who use insulin have 87.7% lower adherence controlled by antidiabetic changes and the total number of medicines used. Conclusion: Insulin administration significantly affects medication adherence in diabetes mellitus patients with neurological complications.
PubDate: 2022-12-09
DOI: 10.20473/jfiki.v9i32022.242-251
Issue No: Vol. 9, No. 3 (2022)
- The Influence of Feeling Lonely and Received Social Support on Medication
Adherence in Elderly with Hypertension
Authors: Dwi Novita Sari, Wahyu Utami, Elida Zairina
Pages: 252 - 261
Abstract: Background: Hypertension is currently a non-contagious disease that primarily affects the elderly population in Indonesia. Medication adherence is critical in managing hypertension and reducing the risk of morbidity and mortality. Previous research has found that loneliness and support received by older adults with hypertension influence medication adherence. Objective: This study aimed to examine the impact of feeling lonely and receiving social support on medication adherence in the elderly with hypertension at the Community Health Center in Surabaya. Methods: The study design of this research was a descriptive cross-sectional study from December 2021 to March 2022. A total of 235 eligible subjects fulfilled the inclusion criteria. The instruments used in the data collection were the patient's information form, UCLA-Loneliness Scale, MOS-Social Support Survey, and the ARMS (Adherence to Refill and Medication Scale). Results: The results revealed that the correlation between loneliness and social support was significantly associated with medication adherence in the elderly with hypertension (p < 0.05). In addition, other factors, such as occupation status, living status, comorbidity, the number of drugs taken, and antihypertensive drug therapy, showed a significant correlation with medication adherence (p < 0,05). The most influential factor on medication adherence was loneliness (35.5%), followed by social support (24.4%), the number of drugs taken (7.1%), antihypertensive drug therapy (monotherapy or combination therapy (2.5%), occupation status (2.4%), comorbidity (1.6%), and living status (0.2%). Conclusion: This study confirms that feeling lonely and receiving social support affect medication adherence in the elderly with hypertension at the Community Health Center in Surabaya.
PubDate: 2022-12-09
DOI: 10.20473/jfiki.v9i32022.252-261
Issue No: Vol. 9, No. 3 (2022)
- Sunscreen Cream Formulation of Noni Leaf Extract (Morinda citrifolia L.)
with Emulsifier Combination of Tween 80 and Lecithin
Authors: Bianca Levie Tania, Rini Dwiastuti, Agatha Budi Susiana Lestari, Dewi Setyaningsih
Pages: 262 - 271
Abstract: Background: Noni leaf (Morinda citrifolia L.) extract is a natural product that can be used as a sunscreen. The extract contains flavonoids which function act as an antioxidant. In this work, sunscreen cream formulated with noni leaf extract was prepared using a combination of tween 80 and lecithin. Objective: The purpose of this study is to evaluate how the combination of tween 80 and lecithin affects the physical qualities of the cream, such as organoleptic, homogeneity, emulsion type, spreadability, adhesion, pH, and stability over 28 days of storage at room temperature, and to find the best formula. Methods: This study used 10% of noni leaf extract in the cream formulation. The Simplex Lattice Design (SLD) method was used to determine the effect of different concentrations of the two emulsifiers on the cream's spreadability, adhesion, and pH. Furthermore, the SLD was used to find the best formula. Results: The results showed that different concentrations of the emulsifier, which are the tween 80 and lecithin combination, affected the physical properties and storage stability of cream preparations. The interaction of tween 80 and lecithin is having a significant impact on the cream's adhesion and spreadability; however, the effect of the interaction on the pH value was not significant. Conclusion: The formula containing 2.5 % tween 80 and 2.5 percent lecithin was found to be the most effective in fulfilling the cream physical properties while remaining stable during storage.
PubDate: 2022-12-09
DOI: 10.20473/jfiki.v9i32022.262-271
Issue No: Vol. 9, No. 3 (2022)
- Mannitol Production from Fructose by Using Resting Cells of Methylotrophic
Yeasts
Authors: Nisa Yulianti Suprahman, Khairul Basyar, Herman Suryadi
Pages: 272 - 278
Abstract: Background: Mannitol is a polyol sugar widely used in pharmaceutical and food industries which can be produced by bioconversion. Using of resting cells and methanol as a carbon source are strategies to increase the efficiency of mannitol production by increasing NAD(P)H needed in the reduction process. Objectives: This research aimed to optimize bioconversion condition by using resting cells of methylotrophic yeasts with methanol and fructose as carbon source and substrate, respectively. Methods: Several isolates were used including Candida sp, Debaryomyces nepalensis and Debaryomyces hansenii and three species suspected to be yeast isolated from a local paddy field. The methylotrophic characteristic of the yeasts was screened by turbidometry. The optimization of fermentation condition was conducted by varying cultivation time (24-96 hours), resting cell concentration (30-140 mg/mL), fructose concentration (7.5-15%), ammonium sulphate concentration (0.25-0.75%) and aeration condition (50-80%). Quantitative analysis of the mannitol was conducted by HPLC with NH2 column and Refractive Index Detector. Results: D. hansenii showed the highest yield value in mannitol production (23.17%), followed by D. nepalensis, Isolate A and Candida sp. (6.52%, 6.50% and 4.38%, respectively). Variation of bioconversion condition using D. hansenii showed that the highest resting cell concentration (140 mg/mL) incubated for 72 hours, moderate fructose concentration (10%), the highest ammonium sulphate concentration (0.75%) and moderate aeration condition (70%) would result in the highest yield value of mannitol (60%). Conclusion: This finding showed the potency of D. hansenii in mannitol production and gave preliminary information of its optimum fermentation condition.
PubDate: 2022-12-09
DOI: 10.20473/jfiki.v9i32022.272-278
Issue No: Vol. 9, No. 3 (2022)
- Jelly Candy Hydroxyapatite from Mackerel Fish Bone
Authors: Lia Anggresani, Santi Perawati, Ryan Afandi, Rahmadevi
Pages: 279 - 289
Abstract: Background: Calcium is a mineral that is needed by bones and teeth. Calcium needs have not been achieved evenly among children, about 1000mg/day. Hydroxyapatite contains Ca and apatite which is good for the maintenance of bones and teeth. Hydroxyapatite is made from the bones of mackerel, where the bones of mackerel have a high source of calcium. For easy being consumed for children, the hydroxyapatite made in the form of jelly candy. Objective: The aim of this research was Hydroxyapatite Mackerel Fish Bone can be made as Jelly Candy. Methods: Hydroxyapatite from mackerel bones is made by the precipitation method. Then, hydroxyapatite was formulated into jelly candy with concentrations of hydroxyapatite was 18%, 19% and 20% respectively for Formula I, II and III. Jelly candy evaluation includes organoleptic test, gel strength, khamir and ALT ochre, weight uniformity, pH, hedonics, homogeneity and storage. Results: The evaluation showed that all jelly candy formulas are safe for consumption according to SNI 3547.2-2008. Conclusion: In conclusion, hydroxyapatite mackerel fish bone can be made as Jelly Candy with the best concentration in Formula 1.
PubDate: 2022-12-09
DOI: 10.20473/jfiki.v9i32022.279-289
Issue No: Vol. 9, No. 3 (2022)
- Physicochemical Properties and Antioxidant Activity of Three Types of
Monofloral Honey from Indonesia
Authors: Sulistyianingsih, Achmad Toto Poernomo, Riesta Primaharinastiti
Pages: 290 - 297
Abstract: Background: In addition to minerals, honey contains carbohydrates (glucose and fructose), protein, amino acids, water, enzymes, ash, vitamins, and other substances. Compounds of honey can affect the chemical properties of honey. Knowing the physicochemical properties of honey is very important because physicochemical properties affect the quality of honey. One of the biological activities of honey is an antioxidant. Antioxidants can interfere with oxidative processes, prevent disease, and play an important role in the body's defence system. Objective: to determine and compare physicochemical properties (color, viscosity, ash content, water content, reducing sugar (glucose), total phenolic compound, HMF) and antioxidant activities of monofloral honey samples from Indonesia. Methods: The color of honey are categorized using the Pfund scale. Viscosity measurement is carried out using a Brookfield viscometer. The water content is carried out using a refractometer. Phenolic content and antioxidant activities analysis were carried out by UV-VIS spectrophotometer. Results: The results show that rambutan honey from Malang has the highest physicochemical properties and antioxidant activity, which had an amber color, water content of 21.7% b/b, acidity 20.7 mL NaOH/Kg, viscosity of 33.08 poise, ash content of 0.17% b/b, reducing sugar 69.38%b/b, total phenolics content 533.7 mg GAE/Kg sample and IC50 0.111 µg/mL. Conclusion: The quality of honey varies from region to region. The best honey (according to SNI) is rambutan honey from Malang.
PubDate: 2022-12-09
DOI: 10.20473/jfiki.v9i32022.290-297
Issue No: Vol. 9, No. 3 (2022)
- Assessing the Neurotoxicological Effect of the Acute Paraquat Aerosols
Exposure in Causing Parkinsonism on Mouse through Behavioral Assays
Authors: Sherlo Maulana, Santi Nurul Kamilah, Choirul Muslim, Aceng Ruyani, R. R. Sri Astuti
Pages: 298 - 304
Abstract: Background: In the scientific community, there is no consensus that paraquat, a widely used herbicide, has a strong relationship with the occurrence of Parkinson’s disease. A reliable epidemiological explanation of how paraquat can induce parkinsonism is urgently needed because it relates to the agriculture community's potential public health problem. Objective: In this study, mice exposed to aerosols of paraquat solution were assessed by behavioral assays designed to observe whether mice exposed to paraquat aerosols develop cardinal symptoms of Parkinson’s disease, such as tremor-at-rest, bradykinesia, rigidity, and postural instability. Methods: To obtain the intended information, we carried out the observation on distal extremities, catalepsy test, wire suspension test, and swimming test consisting of the head position sub-test, the involvement of limbs sub-test, and the swimming direction test, respectively, to both the group of mice exposed to paraquat aerosols and the one which is not. Results: According to the result of the independent-samples t-test calculation on the data obtained from behavioral assays, a significant difference is shown only by the wire suspension test used to assess the development of forelimb rigidity and not the others. Conclusion: Therefore, this study showed that daily exposure for a week to paraquat aerosols insignificantly causes tremor-at-rest, bradykinesia, and postural instability in studied mice but dramatically affects their forelimb performance in the form of rigidity.
PubDate: 2022-12-09
DOI: 10.20473/jfiki.v9i32022.298-304
Issue No: Vol. 9, No. 3 (2022)
- Viability and Antibacterial Activity of Bifidobacterium bifidum in
Fermented Robusta Coffee for Diarrhea Treatment
Authors: Miksusanti, Elsa Fitria Apriani, Dimas Nur Hidayat
Pages: 305 - 313
Abstract: Background: Diarrhea can be treated with probiotic bacteria such as Bifidobacterium bifidum, which decreases the intestinal environment's pH to become acidic so that pathogenic bacteria cannot thrive. Objective: To make fermented coffee that can increase the number of probiotic bacteria Bifidobacterium bifidum and has antidiarrheal activity against pathogenic bacteria Escherichia coli. Methods: Robusta coffee (20.25% and 19.75%) was fermented using Saccharomyces cerevisiae, and then the probiotic bacteria Bifidobacterium bifidum was added. Unfermented coffee was compared with the same concentration (20.25% and 19.75%) to obtain four formulas. Organoleptic panelists tested all formulas to determine the best formula for fermented and non-fermented coffee. The number of Bifidobacterium bifidum and antibacterial activity was calculated on the optimum formulation using the Total Plate Count and Disc Diffusion Method. Result: The optimum formula obtained at fermented and unfermented coffee concentration was 20,25%. The number of probiotic bacteria Bifidobacterium bifidum growing in fermented and non-fermented coffee was 7.3 x 108 ± 32.4 and 3.1 x 108 ± 30.7 (p < 0.05). The diameter of the inhibition zone of the best fermented and non-fermented coffee was 11.5 ± 0.5 mm and 8.5 ± 0.5 mm, respectively (p < 0.05). Conclusion: Fermented coffee can increase the growth of the probiotic bacteria Bifidobacterium bifidum and has strong antibacterial activity against Escherichia coli bacteria.
PubDate: 2022-12-09
DOI: 10.20473/jfiki.v9i32022.305-313
Issue No: Vol. 9, No. 3 (2022)
- Knowledge and Perception on Overclaim against the Behaviors of
Implementing the COVID-19 Prevention Protocol Communities in Indonesia
Authors: Elsa Christina, Didik Setiawan, Dina Ratna Juwita, Lianawati
Pages: 314 - 322
Abstract: Background: COVID-19 occurs in various countries and has been declared a pandemic by WHO. Multiple efforts have been made to reduce the number of cases of COVID-19. However, the incidence of COVID–19 continues to increase, along with control efforts carried out by various parties, causing overclaims for the prevention or treatment of COVID–19. Objective This study aimed to determine the relationship between knowledge and public perception of the behavior of implementing the COVID-19 prevention protocol in Central Java Province. Methods: This cross-sectional study used primary data collected online via WhatsApp, Telegram, Instagram, and Facebook in December 2020. A total of 1,098 of 1,115 respondents passed the inclusion and exclusion criteria. Backward Elimination is used to determine factors related to behavior in the multivariable model stage using multiple logistic regression. Results: The knowledge, perception, and behaviors prevalence of implementing COVID-19 prevention protocols were good & enough 79.1% (95% CI 76.63 – 81.45), 96.6% (95% CI 95.38 – 97.55), and 92.3% (95% CI 90.62 – 93.78) respectively. The result revealed that Knowledge (adjOR = 2.034, 95% CI 1.253 - 3.302, P = 0.004) and Perception (adjOR = 4.064, 95% CI 1.859 - 8.882, P = < 0.001) were possibly associated with behaviors of implementing COVID-19 prevention protocols among communities in Central Java Province. Conclusion This study found a slight prevalence of good & enough knowledge, perception, and behaviors of implementing COVID-19 prevention protocols in a representative sample among Communities in Central Java Province. Knowledge and perceptions were statistically significant with behaviors.
PubDate: 2022-12-09
DOI: 10.20473/jfiki.v9i32022.314-322
Issue No: Vol. 9, No. 3 (2022)
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