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"Most therapeutics available today are highly toxic, very expensive and exhibit minimum efficacy. The issue of toxicity is even more critical for prevention than for therapy because the former involves normal subjects. Thus, therapeutics that are safe and affordable are needed for both prevention and therapy. Spices of Southeast Asian origin, once employed for taste, appearance and preservation of food, now appear to have therapeutic value for humans. What the active principles in these spices are and how they mediate their effect against various diseases are beginning to emerge from extensive research carried out within the last half-century. The current monograph is an attempt to address the active constituents, their molecular targets and the therapeutic uses of these spices"

"Penyakit COVID-19 yang merebak di seluruh dunia pada akhir tahun 2019 diakibatkan oleh virus SARS-CoV-2. Penelitian ini membahas simulasi penambatan serta dinamika molekuler dari beberapa senyawa herbal dari tumbuhan Anredera cordifolia (binahong) yaitu procyanidin, metil linoleat, asam oleat dan vitexin dengan protein target (Mpro SARS-CoV-2). Simulasi dinamika molekuler dilakukan selama 20 ns. Selain itu, analisis toksikologi dan farmakologi (ADMET) dilakukan untuk setiap ligan. Hasil simulasi ini dibandingkan dengan ligan kontrol quercetin yang sudah terbukti memiliki interaksi yang baik dengan protein target (Mpro SARS-CoV-2). Hasil prediksi ADMET menunjukkan bahwa semua ligan baik untuk dijadikan obat, kecuali metil linoleat dan asam oleat. Simulasi penambatan molekuler menunjukkan procyanidin serta vitexin memiliki skor penambatan dan binding energy paling baik. Hasil dinamika molekuler juga membuktikan procyanidin, vitexin dan quercetin memiliki nilai RMSD dan RMSF paling baik dan menunjukkan interaksi paling stabil dan kompleks dengan protein target. Sehingga, secara keseluruhan, procyanidin dan vitexin berpotensi untuk menjadi inhibitor Mpro SARS-CoV-2.

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COVID-19 that spread across the globe at the end of 2019 is caused by the SARS-CoV-2. This virus attacks human respiratory cell. Until now, there is no efficacious drug to treat this disease. This sudy discusses molecular docking and molecular dynamics simulations of four herbal compounds from Anredera cordifolia (binahong), which are procyanidin, methyl linoleate, oleic acid, as well as vitexin with Mpro SARS-CoV-2 as the protein target. The molecular dynamics simulations were carried out for 20 ns. In addition, toxicological and pharmacological analyses (ADMET) were performed for each ligand. The results were compared to quercetin as the control ligand, which has been shown to have good interaction with the protein target. ADMET prediction results show that all ligands are good for use as drugs, except methyl linoleic and oleic acid. Molecular docking simulation results show that procyanidin and vitexin have the docking scores and binding energy scores. The results of molecular dynamics also prove that procyanidin, vitexin and quercetin have the best RMSD and RMSF values ​​and show the most stable as well as complex interactions with target proteins. Thus, procyanidin and vitexin have the potential to be Mpro SARS-CoV-2 inhibitors."

"Pemakaian obat herbal dimasyarakat diiringi dengan berkembangnya industri obat tradisional. Khusus untuk Industri Kecil Obat Tradisional (IKOT) setiap tahun pertumbuhannya semakin meningkat. IKOT turut berkontribusi sebesar 20% dari omset nasional produk herbal. Permasalahan utama yang dihadapi oleh IKOT adalah ketersediaan bahan baku dan kualitas produksi yang belum terstandar. Penelitian ini bertujuan untuk menganalisis ketersediaan bahan baku untuk produk IKOT dan kontribusi dari kualitas produk IKOT terhadap pemakaian produk herbal masyarakat. Metode yang digunakan adalah survey dan wawancara kepada 4 IKOT di kota Depok dan responden yang menggunakan produk herbal sebanyak 84 orang. Berdasarkan analisa hasil penelitian diperoleh Y = 0,549 X atau pemakaian produk = 0,549 kualitas produk. Artinya apabila kualitas produk ditingkatkan satu kali maka pemakaian produk akan meningkat 1/0,549 atau sekitar dua kali. Kualitas produk berkaitan secara bermakna dengan kualitas bahan baku herbal. Kontinuitas produksi di IKOT tergantung pada bahan baku yang berasal dari bukan hasil budidaya. Kemitraan dengan petani penyedia bahan baku melalui pola penanaman sistem Good Agriculture Practice (GAP). Pembinaan petani diarahkan pada cara budidaya, pengelolaan panen dan pasca panen serta cara penyimpanan bahan baku yang sesuai dengan Cara Pembuatan Obat Tradisional yang Baik (CPOTB). Kerjasama dengan pihak perguruan tinggi dalam hal pengujian bahan baku herbal harus dilakukan oleh IKOT agar kualitas bahan terstandar.

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The use of herbs remedies in industrial growth accompanied by traditional medicine. Specifically for Small traditional medicine Industry (IKOT) increasing its growth each year. IKOT contribute 20% of the national turnover of herbs products. The main problems faced by IKOT is the availability of raw materials and production quality that has not been standardized. This research aims to analyze the availability of raw materials for the product and IKOT contributions from IKOT product quality to the use of herbs products community. The method used was a survey and interviews to 4 IKOT in Depok and respondents who use herbs products as much as 84 people. Based on an analysis of the research results obtained Y = 0.549 X or product usage = 0.549 product quality. It means that, when the quality of products improved once and then use the product to rise 1/0.549 or about twice. The quality of the product concerned significantly to the quality of raw herbs. Continuity of production at IKOT depending on the raw material comes from is not the result of cultivation. Partnership with farmers providing raw materials through a system of planting pattern of Good Agriculture Practice (GAP). The construction of the farmers directed at how the cultivation, harvest and post harvest management and storage of the raw materials according to the way of making a good traditional medicine (CPOTB). Cooperation with the College in terms of raw herbs material testing must be carried out by the quality of the ingredients, standardized so that the IKOT."

"Resep jamu kuno Au Fere II (Persea americana dan Vigna cylindrica) dari daerah Maluku dipercayai memiliki khasiat sebagai antihipertensi sejak masa lampau, meskipun belum terdapat bukti ilmiah terkait efeknya pada tekanan darah. Penelitian ini bertujuan untuk mengetahui pengaruh ekstrak Au Fere II terhadap kadar angiotensin II plasma pada model tikus Two-Kidney-One-Clip (2K1C). Studi dilakukan terhadap enam kelompok tikus, yaitu kelompok sham (n=4) dan lima kelompok 2K1C (n=20). Tikus 2K1C diinduksi dengan pemasangan mikroklip stainless steel 0,2 mm pada arteri ginjal kiri selama lima minggu. Kelompok tikus 2K1C (>140/100 mmHg, n=4 per kelompok) dibagi menjadi kelompok kontrol negatif (2K1C: tidak diberi perlakuan), kontrol positif (CAP: kaptopril 4,5mg/200g BB), dosis 1 ekstrak Au Fere II (D1: 0,495mL/200g BB), dosis 2 (D2: 0,99mL/20g BB), dan dosis 3 (D3: 1,98mL/200g BB). Pemberian perlakuan dilakukan secara per oral sekali sehari selama satu minggu. Pemberian perlakuan tersebut memengaruhi tekanan darah dan kadar angiotensin II plasma, serta tidak memengaruhi rasio berat ginjal basah/berat badan. Tekanan darah sistolik (D1 dan D3) dan diastolik (D1, D2, dan D3) menunjukkan perbedaan yang bermakna jika dibandingkan terhadap kelompok 2K1C, namun tidak menunjukkan adanya aktivitas yang dose-dependent dari tiga dosis yang diujikan. D3 mengalami penurunan tekanan darah paling efektif dibandingkan dengan D1 dan D2. Selain itu, kadar angiotensin II plasma seluruh kelompok perlakuan juga lebih rendah dibandingkan terhadap kelompok 2K1C, meskipun tidak bermakna secara statistik. Hasil penelitian ini membuktikan bahwa resep jamu kuno Au Fere II menunjukkan potensi sebagai antihipertensi dengan menurunkan tekanan darah dan kadar angiotensin II plasma.

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The Au Fere II ancient herbal recipe (Persea americana and Vigna cylindrica) from Maluku was believed to have antihypertensive properties since the past, although there has been no scientific proof regarded its effect on blood pressure. This study aimed to determine the effect of Au Fere II extract on angiotensin II plasma levels in the Two-Kidney-One-Clip (2K1C) rat model. The study was conducted on six groups, the sham group (n=4) and five groups of 2K1C rats (n=20). The left kidney artery was clipped with a 0.2mm stainless steel microclip for five weeks. Twenty hypertensive rats (>140/100mmHg) were assigned into five groups (n=4), negative control (2K1C: not treated), positive control (CAP: captopril 4.5mg/200g BW), dose 1 Au Fere II extract (D1: 0.495mL/200g BW), dose 2 (D2: 0.99mL/200g BW), and dose 3 (D3: 1.98mL/200g BW). The treatment was given orally once/day for one week. Au Fere II reduced blood pressure and plasma angiotensin II levels but did not affect the kidney's-wet-weight/body-weight ratio. Systolic (D1, D3) and diastolic blood pressure (D1, D2, D3) were significantly lower compared to the 2K1C group but did not show any dose-dependent activity of the three doses tested. D3 was shown the most effective reduction in blood pressure compared to D1 and D2. Angiotensin II plasma levels in all treatment groups decreased compared to the 2K1C group, although it was not statistically significant. These results suggest that Au Fere II could potentially be used as an antihypertensive by lowering blood pressure and angiotensin II plasma levels.

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"Latar Belakang: Penggunaan jangka panjang steroid sebagai kontrol inflamasi pada uveitis non-infeksi dan idiopatik dapat menyebabkan efek samping, dan hal tersebut memicu kebutuhan untuk agen imunomodulator lainnya. Penggunaan herbal dan obat tradisional saat ini sedang meningkat. Beberapa herbal memiliki efek imunomodulator dan diduga memiliki peran dalam uveitis. Akan tetapi, bukti penggunaan herbal pada uveitis belum diketahui secara pasti.Tujuan: Untuk meninjau bukti-bukti ilmiah mengenai efikasi, keamanan, dan mekanisme penggunaan herbal pada uveitis dan model uveitis.Metode: Tinjauan sistematis berdasarkan panduan Preferred Reporting Items for Systematic Reviews and Meta-analysis. Kata kunci uveitis dan herbal serta sinonim terkait digunakan pada database PubMed, CENTRAL, dan ScienceDirect. Penelitian herbal sebagai terapi ajuvan uveitis pada manusia dan penelitian herbal pada model uveitis dipilih. Penelitian kemudian ditelaah dan dinilai validitasnya.Hasil: Dua uji klinis, satu laporan kasus, dan 32 penelitian hewan mengenai penggunaan herbal pada uveitis ditelaah secara kualitatif. Intervensi ekstrak Echinacea purpurae (pada uveitis anterior) dan kurkuma menghasilkan proporsi kasus inaktif yang tinggi: 85.70% dan 81.48%. Durasi bebas steroid pada kelompok ajuvan Echinacea lebih lama secara signifikan dibandingkan kelompok steroid saja (p<0.05). Intervensi herbal pada model uveitis mencakup 8 preparat herbal, 14 ekstrak herbal, dan 18 komponen herbal. Flare akuos dan skor klinis menurun secara signifikan. Penelitian yang didapat menunjukkan tak adanya efek samping atau kematian.Kesimpulan: Echinacea dan kurkuma menunjukkan potensi yang baik, sementara Gardeniae fructus, Scutellariae radix, Berberis aristata, dan Yanyankang potensial untuk dilanjutkan menjadi penelitian klinis. Penelitian dengan level of evidence yang lebih tinggi dan risiko bias yang lebih rendah masih dibutuhkan. Data keamanan masih minimal. Mekanisme yang didapat dapat menjadi landasan untuk penelitian lanjutan.

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Background: In non-infectious and idiopathic uveitis, long-term corticosteroid use can lead to undesirable side effects, and it warrants the need for other immunomodulatory agents. Use of herbal or traditional medicine is currently on rise. Some herbs displayed immunomodulatory features and are expected to have a role in managing uveitis. However, herbal roles in uveitis have not been established yet.

Objective: To review the human and animal evidence of herbal efficacy, safety, and mechanisms in uveitis.

Method: A systematic review was performed using standardised Preferred Reporting Items for Systematic Reviews and Meta-analysis guideline. Uveitis and herbal-related keywords were entered in PubMed, CENTRAL, and ScienceDirect databases to obtain evidences regarding herbal therapy in clinical (as adjuvant) and pre-clinical trials. The selected studies were reviewed, extracted, and assessed for their validities.

Result: Two clinical trials, one case report, and thirty-two animal studies were qualitatively reviewed. Echinacea purpurae extract (in anterior uveitis) and curcuma displayed high efficacy in inactive case proportion: 85.70% and 81.48%, respectively. Steroid-free duration in Echinacea adjuvant group was significantly longer than steroid group (p<0.05). Herbal intervention in experimental model consisted of eight herbal preparation, fourteen herbal extracts, and eighteen herbal components, with decreased aqueous flare measurement and clinical scoring, and no mortality. Review on animal models proposed an involvement of both innate and adaptive immunity in herbs mechanisms.

Conclusion: Echinacea and curcumin showed good potencies, while Gardeniae fructus, Scutellariae radix, Berberis aristata, and Yanyankang were potential to be continued as clinical trial. Studies with higher level of evidence and lower risk of bias are still needed. There were still lack of safety data. The proposed mechanisms were a good foundation to design further research."

"Usaha-usaha yang dilakukan oleh aparat penegak hukum belum berhasil memberantas peredaran jamu berbahan Kimia Obat (BKO). Salah satu penyebabnya adalah penindakan yang bersifat reaktif sporadis, membuka kesempatan pelanggar hukum untuk beradaptasi dan terus berinovasi dalam melaksanakan modus operandinya demi menghindari tekanan dari penegak hukum. Untuk mengatasi hal ini diperlukan kewaspadaan nasional terhadap ancaman peredaran jamu BKO sebagai dasar penyusunan dan pelaksanaan suatu sistem peringatan dini. Yaitu serangkaian teknologi, kebijakan dan prosedur yang disusun khusus untuk pemprediksi dan memitigasi dampak peredaran jamu BKO. Penelitian ini menggunakan pendekatan kualitatif dengan metode collection and analysis dalam pengolahan data. Teknik triangulasi digunakan untuk memastikan validitas data baik primer maupun sekunder. Hasil penelitian menunjukkan bahwa pelibatan komponen intelijen negara dan partisipasi aktif masyarakat menjadi hal yang mutlak dibutuhkan demi keberhasilan sistem peringatan dini atau early warning terkait peredaran jamu BKO. Badan intelijen negara selaku coordinator dari seluruh intelijen yang ada di instansi negara wajib menjalankan fungsi sebagai komite intelijen pusat (kominpus). Dalam satu system yang dibangun seharusnya Indonesia National Single Window (INSW) seharusnya didapat kerjasama kontrol antar lembaga yaitu BPOM, BIN, Bea dan Cukai, Kepolisian dan masyarakat. Early warning system menghadirkan 4 komponen utama sistem peringatan dini yaitu pengetahuan resiko, layanan pemantauan dan peringatan, diseminasi dan komunikasi serta kemampuan respons. Saran untuk melakukan pemberantasan dan pencegahan peredaran jamu BKO adalah melakukan studi untuk menilai potensi kerugian negara akibat peredaran BKO. Hasil studi tersebut dijadikan dasar untuk membangun kewaspadaan nasional dan ditindak lanjuti dengan penyusunan sistem peringatan dini yang melibatkan berbagai instansi terkait dan dukungan masyarakat.

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Efforts by law enforcement officers have not succeeded in eradicating the circulation of medicinal chemicals-contained herbal medicine or also known as Jamu Berbahan Kimia Obat (BKO). One of the causes is sporadic reactive action, which gives opportunities for law offenders to adapt and continue to innovate in carrying out their operational mode to avoid pressure from law enforcement. In order to overcome this issue, national awareness as an early warning system regarding the threat of BKO herbal medicine distribution is required. Such early warning system comprises a series of technologies, policies and procedures devised specifically for predicting and mitigating the impact of BKO herbal medicine circulation. This research uses the qualitative approach with collection and analysis method in data processing. Triangulation techniques are used to ensure the validity of both primary and secondary data. The results showed that the involvement of state intelligence components and the active participation of the community becomes absolutely necessary for the success of early warning system or early warning related to the circulation of BKO herbal medicine. National Intelligence Agencies (BIN) as the coordinator of all intelligences in state institutions must perform the function as central intelligence committee (Kominpus). The one-stop integrated system namely Indonesia National Single Window (INSW) should maintain cooperation between institutions such as BPOM, BIN, Customs and Excise, Police and society. Early warning system presents 4 main components, such as risk knowledge, monitoring and warning service, dissemination and communication, as well as response capability. As a suggestion, in eradicating and preventing the circulation of BKO herbal medicine, a study to assess the potential loss of the state due to the circulation of BKO herbal medicine should be conducted. The results of these studies serve as a basis for building national awareness and are followed up by the preparation of an early warning system involving various relevant agencies and community support."

"[Penelitian ini membahas mengenai perilaku demedikalisasi dari pasien pengguna obat herbal. Penelitian ini menggunakan konsep demedikalisasi oleh Peter Conrad dan penggunaan obat herbal oleh Calixto. Menggunakan pendekatan kuantitatif dengan teknik survei terhadap 100 responden dan menggunakan teknik accidental sampling. Hasil penelitian ini menunjukkan bahwa tingkat perilaku demedikalisasi diantara pasien pengguna obat herbal adalah rendah, namun tingkat penggunaan obat herbal tinggi. Selain itu, terdapat hubungan antara persepsi penggunaan obat herbal dengan perilaku demedikalisasi. Hal ini disebabkan oleh adanya ketakutan yang dirasakan oleh pasien Klinik Sehat terhadap efek samping yang akan ditimbulkan oleh obat-obatan medis. Selain itu, faktor yang berpengaruh adalah obat herbal dirasa menjadi suatu solusi kesehatan yang aman dan bebas dari efek samping. Saran berupa perlu adanya penguatan peran pemerintah dalam mengatur kegiatan medis. Hal ini dilakukan agar kegiatan medis lebih teratur dan lebih aman bagi masyarakat.;This study discuss the demedicalization behavior among herbal medicine patients. This study uses the concept of demedicalization by Peter Conrad and the use of herbal medicine by Calixto. Using quantitative approach with survey technique to 100 respondents and using accidental sampling technique. The results shows that the level of demedicalization behavior among herbal medicine patients are low, however the level of the use of herbal medicine are high. However, there?s a relationship between the use of herbal medicine perception and demedicalization behavior. This is caused by the fear felt by the patient Clinic of side effects that would be caused by medical drugs. In addition, factors that influence is felt to be a herbal medicine health solutions that are safe and free from side effects. Suggestions such as the need for strengthening the role of government in regulating medical activity. This is done so that medical activities more organized and safer for the public., This study discuss the demedicalization behavior among herbal medicine patients. This study uses the concept of demedicalization by Peter Conrad and the use of herbal medicine by Calixto. Using quantitative approach with survey technique to 100 respondents and using accidental sampling technique. The results shows that the level of demedicalization behavior among herbal medicine patients are low, however the level of the use of herbal medicine are high. However, there’s a relationship between the use of herbal medicine perception and demedicalization behavior. This is caused by the fear felt by the patient Clinic of side effects that would be caused by medical drugs. In addition, factors that influence is felt to be a herbal medicine health solutions that are safe and free from side effects. Suggestions such as the need for strengthening the role of government in regulating medical activity. This is done so that medical activities more organized and safer for the public.]"