COVID-19 PANDEMIC'S IMPACT ON THE DRUG MANAGEMENT AND DRUG AVAILABILITY AT PUUWATU HEALTH CENTER, KENDARI CITY

The impact of Corona Virus Disease-19 or COVID-19 pandemic was seen almost all aspects, especially in health facilities. Puskesmas as known as Public Health Center is a primary health service facility that usually became the first choice for seeking treatment so that Puskesmas can be said to be the backbone in facing and fighting the COVID-19 outbreak. This study aimed to determine the impact of the Covid-19 pandemic on drug management and the level of drug availability at Puuwatu Public Health Center, Kendari City. This study was descriptive-evaluative research with quantitative and qualitative methods and retrospective data collection in 2019 (before the pandemic) and 2020 (during the pandemic). Based on the results of the study, the percentage of the suitability of items with National Formulary increased by 1.3% during the pandemic, the percentage of the empty stock increased by 9.8%, the percentage value of damaged and expired items increased by 1.73%, the percentage of less stock decreased by 6, 43%, the percentage of safe stock and excess stock items decreased by 2.36% and 1.06%, respectively. The percentage value of suitability of the physical number of items did not change both in 2019 and in 2020 at the Puuwatu Health Center, Kendari City

COVID-19 PANDEMIC'S IMPACT ON THE DRUG MANAGEMENT AND DRUG AVAILABILITY AT PUUWATU HEALTH CENTER, KENDARI CITY

The impact of Corona Virus Disease-19 or COVID-19 pandemic was seen almost all aspects, especially in health facilities. Puskesmas as known as Public Health Center is a primary health service facility that usually became the first choice for seeking treatment so that Puskesmas can be said to be the backbone in facing and fighting the COVID-19 outbreak. This study aimed to determine the impact of the Covid-19 pandemic on drug management and the level of drug availability at Puuwatu Public Health Center, Kendari City. This study was descriptive-evaluative research with quantitative and qualitative methods and retrospective data collection in 2019 (before the pandemic) and 2020 (during the pandemic). Based on the results of the study, the percentage of the suitability of items with National Formulary increased by 1.3% during the pandemic, the percentage of the empty stock increased by 9.8%, the percentage value of damaged and expired items increased by 1.73%, the percentage of less stock decreased by 6, 43%, the percentage of safe stock and excess stock items decreased by 2.36% and 1.06%, respectively. The percentage value of suitability of the physical number of items did not change both in 2019 and in 2020 at the Puuwatu Health Center, Kendari City

The Effect of Quality Service Towards Outpatients Satisfaction at Poasia Community Health Centre

The quality of outpatient services can be measured by the SERVQUAL model that considers five dimensions: tangibles, reliability, responsiveness, assurance, and empathy. This study aimed to look at the effect of service quality on outpatient satisfaction at the Poasia community health center's pharmacy. The subjects in this study were 33 outpatients. The analysis technique used is gap analysis to compare patients' expectations and reality, normality test data based on questionnaire patient satisfaction tested for validation. This study's results indicate the average value of the gap in the Poasia community health center's pharmacy, amounting to -0.44. From the value of the gap, the lowest gap value in the pharmacy center of Poasia is the place of service and the provision of inadequate drug information of -0.88. Based on the paired t-test where a significant value >0.05, Ho is rejected, and Ha accepted, which means a significant difference between the quality of service and patients' satisfaction in the Pharmacy of Puskesmas Poasia Kendari City. This study concludes that there is a significant gap between expectations and reality at the Poasia community health center's pharmacy.

Determination of total phenolic and flavonoid contents of jackfruit peel and in vitro antiradical test

Free radical is any molecular species that have unpaired free electrons in their outer orbital shell that make radicals highly reactive, resulting in pathogenesis conditions such as cellular injury, premature aging, cancer, hepatic disorders, neurodegenerative diseases, cardiovascular disease, and kidney disease. One source of natural antioxidant is jackfruit. The purpose of this research was to determine the phenolic and flavonoid contents in the extracts and fractions of jackfruit peel and their potential as antioxidants. Jackfruit peel powder was extracted from maceration. The total phenolic content was determined by the Folin-Ciocalteu method. Meanwhile, flavonoid content was determined using the aluminium chloride complex colorimetric method. Measurements of antioxidant activity were conducted using the 2,2-diphenyl-1-picrylhydrazyl (DPPH). The ethyl acetate fraction had high phenolic and flavonoid contents, which were 49.667±1.508 g GAE/100 g of sample and 70.199±0.374 g of quercertin equivalent/100 g. The ethyl acetate fraction had the strongest antioxidant activity with IC50 value of 4.539±0.201 µg/ mL and correlation value (R2 ) of 0.5881 for phenols and R2 of 0.7241 for flavonoids. Ethyl acetate fraction of jackfruit peel is very potential to be developed as a natural antioxidant and functional food.

FORMULATION OF CREAM BODY SCRUB FROM ETHANOL EXTRACT OF CASSAVA LEAVES (Manihot esculenta) AS ANTIOXIDANT

Background : Plant cassava leaves (Manihot esculenta) are known flavonoid is efficacious as antioxidant. Antioxidant can prevent damage to the skin by reducing free radical activity. Purpose : The purpose of this study to determine the concentration of ethanol extract of leaves of cassava can be formulated into dosage cream body scrub which have antioxidant activity. Method : Cassava leaf extract obtained by maceration using 97% ethanol. Determination of antioxidant activity by the method of reduction of free radical DPPH (1,1-diphenyl-2-picryl-hydrazyl). Result : The ethanol extract of cassava leaves are formulated into dosage cream body scrub with concentration variations 0,0085 mg/mL  (formula 1), 0,017 mg/mL  (formula 2), and 0,0255 mg/mL  (formula 3). Stability test preparation cream body scrub using cycling tests performed for 6 cycles. Preparation cream body scrub to formula I has a moderate antioxidant activity with IC50 158,16 µg/mL, formula 2 has an active antioxidant activity with IC50 66,59 µg/mL, and formula 3 has a stronger antioxidant activity with IC50 38,80 µg/mL. Conclusion : cream body scrub and cassava ethanol extract does not irritate so it is safe to use. Preparations cream body scrub well have the most activity at a concentration of 0,0255 mg/mL with IC50 38,80 µg/mL.

Molecular modeling of cationic porphyrin-anthraquinone hybrids as DNA topoisomerase IIβ inhibitors

Human DNA Topoisomerase II has been regarded as a promising target in anticancer drug discovery. In the present study, we designed six porphyrin-anthraquinone hybrids bearing pyrazole or pyridine group as meso substituents and evaluated their potentials as DNA Topoisomerase IIβ inhibitor. First, we investigated the binding orientation of porphyrin hybrids into DNA topoisomerase IIβ employing AutoDock 4.2 and then performed 20-ns molecular dynamics simulations to see the dynamic stability of each porphyrin-Topo IIβ complex using Amber 14. We found that the binding of porphyrin hybrids occured through intercalation and groove binding mode in addition interaction with the amino acid residues constituting the active cavity of Topo IIβ. Each porphyrin-Topo IIβ complex was stabilized during 20-ns dynamics simulations. The MM-PBSA free energy calculation shows that the binding affinities of porphyrin hybrids were modified with the number of meso substituent. Interestingly, the affinity of all porphyrin hybrids to Topo IIβ was stronger than that of native ligand (EVP), indicating the potential of the designed porphyrin to be considered in experimental research.

In silico study of porphyrin-anthraquinone hybrids as CDK2 inhibitor

Cyclin-Dependent Kinases (CDKs) are known to play crucial roles in controlling cell cycle progression of eukaryotic cell and inhibition of their activity has long been considered as potential strategy in anti-cancer drug research. In the present work, a series of porphyrin-anthraquinone hybrids bearing meso-substituents, i.e. either pyridine or pyrazole rings were designed and computationally evaluated for their Cyclin Dependent Kinase-2 (CDK2) inhibitory activity using molecular docking, molecular dynamics simulation, and binding free energy calculation. The molecular docking simulation revealed that all six porphyrin hybrids were able to bind to ATP-binding site of CDK2 and interacted with key residues constituted the active cavity of CDK2, while molecular dynamics simulation indicated that all porphyrins bound to CDK2 were stable for 6ns. The binding free energies predicted by MM-PBSA method showed that most compounds exhibited higher affinity than that of native ligand (4-anilinoquinazoline, DTQ) and the affinity of mono-H₂PyP-AQ was about three times better than that of DTQ, indicating its potential to be advanced as a new CDK2 inhibitor.