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Abstrak :
Ruminants are herbivorous mammals that have special digestive tract, rumen, where digestion of cellulose and polysaccharides can be carried out by rumen microorganisms. Methanogenic bacteria in the rumen using H2 compounds results from anaerobic fermentation of carbohydrates to form methane. Methane production in the rumen is an energetically wasteful process, since the feed intake will be converted to methane and eructated as gas (Bunthoen, 2007). Rumen protozoa have a potential role in the process of digestion and breakdown of organic material. Hydrogen (H2) as one of the protozoa fermentation products are used by methanogenic bacteria to form methane. This causing methanogenic bacteria often found living attached to the surface of protozoa to keep a constant supply of hydrogen. The purpose of this study is to enumerate the number of methanogenic bacteria and protozoa with different diet and after the addition of probiotic Lactobacillus plantarum TSD-10 in vitro. This report consist of two parts, which are (1) Effect of Feeding Composition on Total Methanogenic Bacteria and Protozoa Rumen, and (2) Influence of Probiotic Lactobacillus plantarum TSD-10 on Total Methanogenic Bacteria and Protozoa In Vitro. The research was conducted at the Laboratory of Industrial Microbiology, Research Centre of Biotechnology? Indonesian Institute of Sciences (LIPI), Cibinong Bogor, from September 2008 ? May 2009. The treatment are diet A with ratio of grass : concentrate (30 : 70) and diet B with ratio of grass : concentrate (70 : 30). The probiotic L. plantarum TSD-10 dose are 0%, 5%, 10% and 15% v/v. The number of methanogenic bacteria obtained from diet A ranges between (0,74 ? 0,89) x 107 cfu/ml, whereas in diet B ranged from (1,71 ? 2,58) x 107 cfu/ml. Methanogenic bacteria average on feed B ((2,19 ± 0,44) x 107 cfu/ml) higher than the feed A ((0,82 ± 0,07) x 107 cfu/ml). Based on the Analysis of Variance (ANOVA), different composition of diet A and B, significantly affect the number of methanogenic bacteria ( 5%), with the best diet composition in suppressing the growth of methanogenic bacteria is diet A. The number of methanogenic bacteria in diet B are higher since the value of a more alkaline pH (8). According to Mirzaei-Aghsaghali et al. (2008), methanogenic bacteria are sensitive to changes in pH. Decrease in pH value will decrease the number of methanogenic bacteria and cause less methane gas produced. The low number of methanogenic bacteria on diet A, can also be caused by the ratio of acetate : propionate obtained lower than in diet B, and it also causes a lower pH of the diet A (Lana et al., 1998). The ANOVA showed the methanogenic bacteria average between diet A and B in the morning and afternoon sampling significantly different between treatments ( 5%), with the best treatment in suppressing methanogenic bacteria from each sampling were diet A. Increased methanogenic bacteria after feeding may be associated with the presence of protozoa in the rumen cilliata that serves as a producer of hydrogen and bacterial attachment to methanogen. Composition diet B low in fiber and high in starch are preferred by the protozoan (Leedle and Greening, 1988). The number of protozoa obtained from the diet A ranges between (1,93 ? 3,95) x 105 cells/ml, whereas the diet B ranged from (2,81 ? 4,35) x 105 cells/ ml. Protozoa average on diet B ((3,76 ± 0,83) x 105 cells/ml) higher than the diet A ((3,08 ± 1,04) x 105 cells/ml). Based on the ANOVA, differences composition diet A and B, not significantly different between treatments (5%). Diet B with a higher pH value causes no influential ration of protozoa, which does not cause a decrease in the number of protozoa. The ANOVA indicate that the average range of protozoa between diet A and B are significantly different (5%) in the morning sampling, with the best treatment in suppressing the number of protozoa are diet A. The afternoon sampling, ANOVA showed that the treatment was not significantly different (5%). Protozoa observed in treatment diet A and B are families of, Ophryoscolecidae, Isotrichidae and Blepharocorythidae. Most number obtained from each diet is Ophryoscolecidae, while the less is Blepharocorythidae. This is due to Ophryoscolecidae a part of the Order Entodiniomorphida who compiled most of rumen cilliata. In the contrary, Family Isotrichidae and Blepharocorythidae are part of the order Trichostomatida which is rarely found in rumen (Ogimoto and Imai, 1981). Decreasing in the number of methanogenic bacteria in the diet B (56,8%) higher than diet A (29,8%), while the decrease in the number of protozoa in the diet B (64,9%) higher than diet A (62,7% ). Diet B with a higher concentrate composition can provide a change in the pattern of rumen fermentation. These changes make the environment less suitable for methanogenic bacterial growth. One of the unfavorable change is a reduction of rumen pH values (Moss et al., 2000). On the addition of probiotics in vitro, the ANOVA showed the range of the number of methanogenic bacteria was not significantly different ( 5%) on the variations of diet A and B but significantly different (5%) on the number of protozoa, with the best in suppressing the growth of protozoa are diet A. Variations doses of probiotic significantly different (5%) on the number of methanogenic bacteria and protozoa, with the best dose 5% v/v to suppress methanogenic bacteria and 15% v/v to suppress protozoa in vitro. Feed Digestibility Coefficient (FDC) shows the FDC from 27,99 ? 31,95%, while the diet B ranged from 25,85 to 31,3%. In diet A, the value FDC obtained tended to increase (8,5%) along with increasing concentration of probiotic L. plantarum TSD-10. Increasing FDC value expected to suppress the growth of methanogenic bacteria by altering the rumen fermentation pattern which results in volatile fatty acids produced. Diet A shows the value of higher acetate than propionate, because diet A high on fiber that will support the growth of the acetate-producing bacteria species, diet B rich in starch that supports the growth of propionic-producing bacteria species, and marked by increasing propionate than acetate (France and Dijkstra, 2005).

Abstrak :
Proses fermentasi merupakan salah satu tahap yang penting dalam penanganan pasca panen coklat. Penolahan biji coklat basah menjadi biji coklat kering diperlukan untuk membentuk aroma coklat, selama pengolahan biji coklat basah menjadi biji coklat kering aroma coklat yang akan terbentuk apabila fermentasi dan pengeringan dilakukan dengan sempurna....

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[ABSTRAK
Latar Belakang : Pada penderita Systemic Lupus Erythematosus (SLE) terdapat defek pada sel T regulator baik dalam hal jumlah maupun fungsi sel T regulator. Pemberian probiotik dalam hal ini pemberian Lactabacillus reuteri diharapkan mampu menstimulasi timbulnya respon imun yang bersifat imunoregulator dengan cara meningkatkan jumlah sel T regulator dan menurunkan produksi IL6. Tujuan : Mengetahui pengaruh pemberian probiotik terhadap toleransi sistem imun penderita SLE melalui perubahan kadar T regulator (CD4+CD25+Foxp3+) dan IL 6. Metode :30 subjek pasien SLE dengan manifestasi ringan yang datang ke poliklinik Alergi Imunologi RSCM, diberikan probiotik Lactobacillus reuteri (15 orang) dan placebo (15 orang) selama 8 minggu. CD4+CD25+FoxP3+ dan IL 6 diperiksa sebelum dan sesudah perlakuan menggunakan flowcytometri dan pemeriksaan ELISA. Hasil : Pemberian Lactobacillus reuteri selama 8 minggu meningkatkan kadarCD4+CD25+FoxP3+secara bermakna (1,38+ 8,36% VS 3,71+3,17% ; P=0,007 ; CI =-3,91 ? -0,74) . Terdapat penurunan kadar IL 6 setelah perlakuan, baik pada kelompok yang diberikan Lactobacillus reuteri (4,76+5,75 pg/ml VS 3,7 +3,36 pg/ml ; P=0,25 ; CI -0,83- 2,9) maupun pada kelompok placebo ( 2,6+2,02 pg/ml VS 2,07+2,39 ; P= 0,35 ; CI = -0,57 ? 1,52). Namun begitu, pada akhir penelitian perubahan tersebut tidak menimbulkan perbedaan bermakna kadar CD4+CD25+FoxP3+dan IL 6antara kedua kelompok. Kesimpulan :Terjadi peningkatan bermakna kadar CD4+CD25+FoxP3+ pada kelompok yang diberikan probiotik Lactobacillus reuteri selama 8 minggu.

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ABSTRACT
Backgroud : In patients with Systemic Lupus Erythematosus (SLE) there are abnormality on T lymphocytes, including the existence of a defect in the regulatory T cells both in terms of number and function. Giving probiotic, in this case Lactabacillus reuteri administration, is expected to stimulate the immune response to be more tolerance by increasing the number of regulatory T cells and decreasing the IL6 production. Aim : To know the effect of probiotic (Lactobacillus reuteri ) on the immune system of patients with SLE through changes in the levels of regulatory T cells (CD4+CD25+ Foxp3+) and IL 6 Method :Thirty ofSLE patients with mild manifestations, who came to Allergy and Immunology Clinic of Cipto Mangunkusumo Hospital, were given the probiotic Lactobacillus reuteri (15 people) and placebo (15 people) for 8 weeks. CD4+ CD25 + FoxP3+ and IL 6 were examined before and after exposure using flowcytometri and ELISA. We then analyzed the levels of CD4 + CD25 + FoxP3 + and IL6 before and after exposure. Result : Administration of Lactobacillus reuteri for 8 weeks brought statistically significant improvement on CD4+ CD25 + FoxP3 +level (1,38+ 8.36% + 3.17% vs. 3.71; P = 0.007; CI = -3.91 - -0.74). There were decreased level of IL 6 in Lactobacillus reuteri group (4.76 + 5.75 pg / ml VS3,71 + 3.36 pg / ml; P = 0.25; CI - 0,83- 2, 9) and the placebo group (2.6 + 2.02 pg / ml vs. 2.07 + 2.39; P = 0.35; CI = - 0.57 - 1.5). However,at the end of study, those changes didn?t make statistically significant difference of CD4+CD25+FoxP3+ and IL 6 level between two group. Conclusion : A significant increase of the levels of CD4 + CD25 + FoxP3 + were found after 8 weeks Lactobacillus reuteri administration, Backgroud : In patients with Systemic Lupus Erythematosus (SLE) there are abnormality on T lymphocytes, including the existence of a defect in the regulatory T cells both in terms of number and function. Giving probiotic, in this case Lactabacillus reuteri administration, is expected to stimulate the immune response to be more tolerance by increasing the number of regulatory T cells and decreasing the IL6 production. Aim : To know the effect of probiotic (Lactobacillus reuteri ) on the immune system of patients with SLE through changes in the levels of regulatory T cells (CD4+CD25+ Foxp3+) and IL 6 Method :Thirty ofSLE patients with mild manifestations, who came to Allergy and Immunology Clinic of Cipto Mangunkusumo Hospital, were given the probiotic Lactobacillus reuteri (15 people) and placebo (15 people) for 8 weeks. CD4+ CD25 + FoxP3+ and IL 6 were examined before and after exposure using flowcytometri and ELISA. We then analyzed the levels of CD4 + CD25 + FoxP3 + and IL6 before and after exposure. Result : Administration of Lactobacillus reuteri for 8 weeks brought statistically significant improvement on CD4+ CD25 + FoxP3 +level (1,38+ 8.36% + 3.17% vs. 3.71; P = 0.007; CI = -3.91 - -0.74). There were decreased level of IL 6 in Lactobacillus reuteri group (4.76 + 5.75 pg / ml VS3,71 + 3.36 pg / ml; P = 0.25; CI - 0,83- 2, 9) and the placebo group (2.6 + 2.02 pg / ml vs. 2.07 + 2.39; P = 0.35; CI = - 0.57 - 1.5). However,at the end of study, those changes didn’t make statistically significant difference of CD4+CD25+FoxP3+ and IL 6 level between two group. Conclusion : A significant increase of the levels of CD4 + CD25 + FoxP3 + were found after 8 weeks Lactobacillus reuteri administration]

Abstrak :
ABSTRAK
Penurunan frekuensi defekasi PFD memiliki korelasi antara host, diet, dan lingkungan. Gaya hidup sedentary merupakan faktor risiko PFD pekerja pabrik serta kantor, dan sering disertai konsistensi feses keras dan flatulensi. Penelitian sebelumnya menunjukkan probiotik memperbaiki PFD melalui produksi SCFA yang menstimulasi pergerakan kolon melalui berbagai mekanisme. Penelitian ini merupakan studi acak tersamar ganda, terkontrol terhadap pekerja kantor dan pabrik dengan PFD. Secara acak subjek dialokasikan selama 6 minggu untuk suplementasi probiotik kombinasi strain L.plantarum KCTC 10782 BP, S.thermophilus KCTC 11870 BP, B.bifidum KCTC 12199 BP 4x109 CFU/hari dan 1920 mg Fructooligosaccharide/hari atau kelompok kontrol hanya diberikan 1920 mg Fructooligosaccharide/hari. Hasil menunjukkan sebagian besar subjek adalah perempuan, dengan rerata usia 29,6 untuk kelompok intervensi dan 25,2 tahun untuk kelompok kontrol, memiliki status gizi berlebih, kebiasaan olahraga kurang, memiliki konstipasi fungsional, frekuensi defekasi 3 kali/minggu, dan kadar asam butirat feses rendah. Perbedaan rerata perubahan frekuensi defekasi, kadar asam butirat feses, skor flatulensi, dan distribusi skor Bristol tidak berbeda antara kedua kelompok, meskipun dilakukan adjusted terhadap usia dan nilai baseline asupan serat. Penelitian ini menyimpulkan bahwa kombinasi probiotik dalam penelitian ini tidak memperbaiki frekuensi buang air besar, kadar asam butirat feses, skor flatulensi, dan distribusi skor Bristol secara signifikan dibandingkan kelompok kontrol.

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ABSTRACT
Decreased defecation frequency DDF has a correlation between host, diet, and environment. Sedentary lifestyle is risk factors of DDF in factory and office workers, and often accompanied by hard stool consistency and flatulence. Previous study showed that probiotics improve DDF through SCFA production that stimulates bowel motility through few mechanisms. This is a double blind, randomized controlled trial was conducted among office and labour worker who experienced DDF. They were randomly allocated to receive 6 weeks probiotic supplementation of strain L.plantarum KCTC 10782 BP, S.thermophilus KCTC 11870 BP, B.bifidum KCTC 12199 BP 4x109 CFU day and 1920 mg FOS day or control group with 1920 mg FOS day only. Results showed most subjects in this study were women, with mean age 29.6 and 25.2 years for the intervention group and control group, had excess nutritional status, less exercise habits, had functional constipation, defecation frequency 3 times week, and low levels of butyric acid stool. Mean difference in changes of defecation frequency, butyric acid stool, flatulence score, and Bristol score distribution did not differ between two groups even after adjustment for age and baseline value of fiber intake. It concluded that a mixture of probiotics strain in this study did not significantly improve DDF compared to control

Abstrak :
ABSTRAK
Ekstraksi Asbuton secara biologis terhadap CaCO3 sebagai pengotor utama Asbuton dilakukan dengan dua tahap. Tahap pertama glukosa dikonversi menjadi asam laktat oleh bakteri Lactobacillus acidophilus FNCC 0051 melalui proses fermentasi selama 24 jam pada suhu 37oC. Tahap kedua proses bioleaching CaCO3 berlangsung saat asam laktat bereaksi dengan CaCO3 menjadi kalsium laktat. Tingginya kandungan umpan glukosa dan besarnya kecepatan agitasi mempengaruhi kemampuan bakteri mereduksi padatan karbonat. Keberadaan kalsium laktat, CaCO3 dan aspal diuji menggunakan FTIR. Hasil penelitian menunjukkan bahwa kandungan glukosa yang tinggi dengan kecepatan agitasi yang rendah mampu menghasilkan CaCO3 terlarut sebesar 0,3188%. Kandungan CaCO3 pada ekstrak bitumen berkurang menjadi 19,67% dari 43,28% pada 150 rpm dengan umpan glukosa 12 % (b/v).

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ABSTRACT
Biologically extraction of Asbuton to leaching CaCO3 as the main impurities Asbuton done in two phases. The first phase, glucose is converted to lactic acid by the bacteria Lactobacillus acidophilus FNCC 0051 through fermentation for 24 hours at 37oC. The second phase, bioleaching CaCO3 takes place when lactic acid reacts with CaCO3 into calcium lactate. Percentage of glucose content and the rate of agitation speed in the feed is affects the ability of bacteria to reduce carbonate solids. Presence of calcium lactate, CaCO3 and asphalt were tested using Fourier- Transform Infrared (FTIR). The results showed that the high glucose content with low agitation speeds is able to produce CaCO3 dissolved by 0,3188%. Content of CaCO3 solids in the extract bitumen was reduced to 19,67% from 43,28% at 150 rpm agitation speeds with 12% (w/v) glucose content.

Abstrak :
Latar belakang: merupakan salah satu tindakan pembedahan yang mempengaruhi motilitas gastrointestinal. Penelitian Cihoric et al menunjukkan sebanyak 12,5% pasien pasca laparotomi mengalami komplikasi disfungsi gastrointestinal. Disfungsi pada motilitas gastrointestinal merupakan komplikasi yang sering terjadi pada prosedur pembedahan abdomen. Dari 100 pasien operasi laparotomi digestif, ditemukan sebanyak 40% pasien di ICU mengalami peningkatan gastric residual volume pada pasien pasca operatif laparotomi digestif. Pemberian suplementasi dengan Lactobaciillus acidophilus diketahui dapat meningkatkan motilitas gaster. Tujuan: Penelitian ini bertujuan untuk mengetahui efek hubungan antara pemberian probiotik Lactobacillus acidophillus dengan GRV. Metode: Desain penelitian yang digunakan adalah eksperimental atau uji klinis acak tersamar ganda. Sebanyak 55 subjek yang mengikuti randomisasi, 54 subjek yang akan menjalani operasi laparotomi gastrointestinal dimasukkan ke dalam penelitian, 1 subjek drop out karena sepsis. Subjek penelitian diberikan kapsul probiotik Lactobacillus acidophilus 109 (kelompok probiotik) atau diberikan kapsul laktosa (kelompok plasebo) selama 3 hari sebelum operasi. Kadar GRV diukur 2 hari sesudah prosedur. Hasil: Dari 54 subjek dengan 27 subjek tiap kelompok mengikuti penelitian hingga selesai. Pada hari pertama (24 jam), GRV 24 jam dengan pemberian probiotik dan kelompok kontrol menunjukkan hasil yang tidak signifikan (p value 0,669). Pada hari ke 2 (48 jam), GRV 48 jam dengan pemberian probiotik dan kelompok kontrol menunjukkan hasil yang tidak signifikan (p value 1,000). Hasil yang tidak signifikan pada GRV 24 jam dan 48 jam dapat dipengaruhi faktor perancu yaitu geriatri, riwayat kelainan saraf, obesitas, riwayat penggunaan vasopressor, riwayat konsumsi opioid, hiperkapnia dan hiperglikemia selama di ICU. Simpulan: Pemberian probiotik Lactobacillus acidophilus dengan GRV tidak mempunyai efek hubungan dibandingkan dengan placebo. ......Background: Laparotomy is a surgical procedure that affects gastrointestinal motility. Research by Cihoric et al showed that 12.5% ​​of post-laparotomy patients experienced complications of gastrointestinal dysfunction. Dysfunction in gastrointestinal motility is a frequent complication of abdominal surgical procedures. Out of 100 patients with digestive laparotomy surgery, it was found that as many as 40% of patients in the ICU experienced an increase in gastric residual volume in postoperative digestive laparotomy patients. Supplementation with Lactobaciillus acidophilus is known to increase gastric motility. Aim: This study aims to determine the effect of the relationship between administration of Lactobacillus acidophillus probiotics and GRV. Methods: The study design used was an experimental or double-blind randomized clinical trial. A total of 55 subjects who followed the randomization, 54 subjects who would undergo gastrointestinal laparotomy were included in the study, 1 subject dropped out due to sepsis. Research subjects were given probiotic capsules Lactobacillus acidophilus 109 (probiotic group) or given lactose capsules (placebo group) for 3 days before surgery. GRV levels were measured 2 days after the procedure. Results: Of the 54 subjects with 27 subjects in each group, they followed the research to completion. On the first day (24 hours), the 24-hour GRV with the administration of probiotics and the control group showed insignificant results (p value 0.669). On day 2 (48 hours), GRV 48 hours with probiotic administration and the control group showed insignificant results (p value 1,000). Results that were not significant at GRV 24 hours and 48 hours could be influenced by confounding factors, geriatrics, history of neurological disorders, obesity, history of vasopressor use, history of consumption of opioids, hypercapnia and hyperglycemia while in the ICU. Conclusion: Administration of Lactobacillus Acidophilus probiotics with GRV had no association effect compared to placebo.

Abstrak :
Latar belakang: Laparotomi merupakan teknik operasi untuk membuka akses kavitas peritoneum dengan membentuk sayatan terbuka di area abdomen. Cedera mukosa akibat trauma pembedahan mengganggu homeostasis epitel, merusak ekosistem mikrobiom, meningkatkan produksi sitokin proinflamasi dan berkaitan dengan kejadian komplikasi pascaoperatif. Probiotik Lactobacillus acidophillus memperkuat sawar usus, mempertahankan ekosistem mikrobiom dan berpotensi memodulasi respon imun. Namun, belum terdapat penelitian mengenai dampak pemberian Lactobacillus acidophilus terhadap kadar c-reactive protein (CRP) pascalaparotomi gastrointestinal sebagai penanda inflamasi Tujuan: Penelitian ini bertujuan untuk mengetahui dampak pemberian Lactobacillus acidophilus terhadap kadar CRP pascalaparotomi gastrointestinal Metode: Penelitian ini merupakan uji klinis acak tersamar ganda. Sebanyak 56 subjek yang akan menjalani operasi laparotomi gastrointestinal dimasukkan ke dalam penelitian. Subjek penelitian diberikan kapsul probiotik Lactobacillus acidophilus 109 (kelompok probiotik) atau diberikan kapsul laktosa (kelompok plasebo) selama 3 hari sebelum operasi. Kadar CRP diukur 3 hari sebelum prosedur dan 3 hari sesudah prosedur. Hasil: Lima puluh enam subjek dengan 28 subjek pada tiap kelompok, mengikuti penelitian hingga selesai. Pada hari ketiga pascaoperatif, probiotik secara efektif menurunkan peningkatan respon inflamasi dengan nilai akhir CRP pada kelompok probiotik lebih rendah dibandingkan kelompok plasebo (median probiotik 89,65 mg/L vs. plasebo 204 mg/L, p < 0,001). Perubahan peningkatan nilai CRP lebih rendah pada kelompok probiotik dibandingkan kelompok plasebo (median probiotik 84,8 mg/L vs. plasebo 187,6 mg/L, p < 0,001). Terdapat efek samping yang signifikan (mual, diare, muntah dan rasa kembung di perut) pada kelompok probiotik selama penelitian (p = 0,04). Simpulan: Pemberian probiotik preoperatif menurunkan secara signifikan peningkatan CRP pada pasien pascalaparotomi gastrointestinal ......Background: Laparotomy is a surgical technique to open access to the peritoneal cavity by forming an open incision in the abdominal area. Mucosal injury due to surgical trauma can disrupt epithelial homeostasis, impair the microbiome ecosystem, increase the production of proinflammatory cytokines and relating to the incidence of postoperative complications. Lactobacillus acidophillus probiotic administration improve the intestinal barrier function, maintains the microbiome ecosystem and potentially modulate immune responses. However, there has been no research on the impact of Lactobacillus acidophilus administration on C-Reactive Protein (CRP) levels after gastrointestinal laparotomy as a marker of inflammation. Objective: This study aimed to determine the impact of Lactobacillus acidophilus on CRP levels after gastrointestinal laparotomy Methods: This study is a randomized controlled trial. Fifty six subjects scheduled gastrointestinal laparotomy surgery were enrolled. Subjects received Lactobacillus acidophilus 109 probiotic capsules (probiotic group) or lactose capsules (placebo group) for 3 days before surgery. CRP levels were measured 3 days before the procedure and 3 days after the procedure. Results: Fifty-six subjects with 28 subjects in each group completed the study. On the third postoperative day, probiotics effectively suppressed the elevating inflammatory response with the final CRP value in the probiotic group lower than the placebo group (median probiotic 89.65 mg/L vs. placebo 204 mg/L, p < 0.001). Elevated CRP values ​​were lower in the probiotic group than in the placebo group (median probiotic 84.8 mg/L vs. placebo 187.6 mg/L, p < 0.001). There was a significant side effects (nausea, diarrhea, vomiting, and bloating) in the probiotic group during study (p = 0.04). Conclusions: Preoperative probiotic administration significantly reduced elevated CRP in patients After Undergoing Gastrointestinal Laporotomy.

Abstrak :
Prebiotik merupakan bahan makanan yang ditujukan untuk meningkatkan pertumbuhan bakteri menguntungkan dalam saluran cerna. Buah Pisang mengandung inulin yang merupakan salah satu bahan prebiotik. Tujuan dari penelitian ini adalah untuk mengembangkan ekstrak buah pisang menjadi tablet kunyah prebiotik sehingga dapat meningkatkan kegunaan dan nilai jual dari buah pisang....

Abstrak :
Latar belakang: Enterokolitis nekrotikans EKN merupakan inflamasi pada saluran cerna yang sering terjadi pada bayi prematur. Lactobacillus reuteri merupakan mikroorganisme hidup yang dilaporkan dapat mencegah kejadian EKN, intoleransi minum dan menurunkan angka mortalitas. Tujuan: Mengidentifikasi kejadian EKN pada bayi prematur yang mendapat Lactobacillus reuteri DSM 17938 dan sekunder kejadian sepsis, intoleransi minum, waktu mencapai full feeding, lama hari perawatan, efek samping dan kematian. Metode: Uji klinis acak tersamar ganda membandingkan pemberian Lactobacillus reuteri dengan plasebo pada neonatus usia gestasi 28-34 minggu dan berat lahir 1000-1800 gram di Rumah Sakit Dr. Cipto Mangunkusumo. Masing-masing kelompok terdiri dari 47 subjek. Hasil: Kejadian EKN stadium 2 dan 3 didapatkan 3 subjek 6,4 pada kelompok plasebo dan tidak ada ada pada kelompok probiotik RR 1,07 IK 95 0,99-1,15, p=0,24 . Intoleransi minum berupa muntah, kembung, atau keduanya lebih rendah pada kelompok probiotik dibandingkan plasebo 8,5 vs. 25,5 , RR 0,33 IK 95 0,12-0,96, p=0,03 . Proven sepsis pada kelompok probiotik dan plasebo tidak berbeda bermakna 2,1 vs. 6,4 , p=0,62 . Waktu mencapai full feeding dan lama perawatan tidak didapatkan perbedaan bermakna antara kedua kelompok. Efek samping yang diobservasi berupa diare tidak berbeda bermakna antara kedua kelompok 2,1 vs. 4,3 , p=1,00 . Kematian tidak berbeda bermakna antara kedua kelompok 2,1 vs. 8,5 , p=0,36. Simpulan: Kejadian EKN terjadi pada kelompok plasebo sebesar 6,4 dan tidak ada pada kelompok probiotik. Intoleransi minum secara bermakna lebih rendah pada kelompok probiotik dibandingkan plasebo. Luaran sekunder proven sepsis, waktu mencapai full feeding, lama perawatan, efek samping diare dan kematian tidak didapatkan perbedaan bermakna antara kedua kelompok.

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Background: Necrotizing enterocolitis NEC is an inflammatory disorder of the gastrointestinal tract that often occurs in preterm infants. Lactobacillus reuteri is a living microorganism that has been reported to prevent NEC. Objectives: Identify the NEC prevalence in preterm infants receiving Lactobacillus reuteri DSM 17938 with secondary outcomes including sepsis, feeding intolerance, time to reach full feeding, length of stay, adverse effects, and mortality. Methods: Double blind randomized controlled trial of Lactobacillus reuteri DSM 17938 versus placebo in 28 34 weeks of gestational neonates and birth weight 1000 1800 grams at Dr. Cipto Mangunkusumo Hospital. Each group consisted of 47 subjects. Results The prevalence of NEC stages 2 and 3 were found in three subjects 6,4 of the placebo whereas none occurred in the probiotic RR 1.07, 95 CI 0.99 1.15, p 0.24 . Feeding intolerance vomiting, distension, or both were found to be lower in the probiotic compared to the placebo 8.5 vs 25.5 RR 0.33 95 CI 0.12 0.96, p 0.03. No significant differences were found between both groups for the proven sepsis, time to reach full feeding, length of stay, and adverse effects of diarrhea. Mortality rates were 2.1 in the probiotic and 8.5 in the placebo, p 0.36. Conclusion 6,4 of the placebo group experienced NEC whereas none occurred in the probiotic group. Feeding intolerance was found to be significantly lower in the group receiving probiotics compared to the placebo group. Secondary outcomes including proven sepsis, time to reach full feeding, length of stay, adverse effect diarrhea , and mortality were also not found to be significantly different between both trial groups.

Abstrak :
Lactobacillus plantarum FNCC-0461 merupakan bakteri asam laktat yang diisolasi dari dadih, yang berpotensi sebagai probiotik. Probiotik menunjukkan manfaat jika memiliki viabilitas minimal 1 x 10⁷ CFU di ileum distal atau kolon. Namun, sebagian besar probiotik tidak tahan terhadap kondisi ekstrim selama melalui saluran cerna. Enkapsulasi probiotik menjadi sediaan pelet tertarget kolon menjadi solusi yang baik untuk menjaga viabilitas dan memberikan pelepasan probiotik ke lokasi spesifik di kolon. Pelet diformulasikan menggunakan metode ekstrusi-sferonisasi dengan eksipien berupa Microcrytalline Cellulose (MCC), laktosa, pektin, Cellulose Acetate Phthalate (CAP) dan shellac. Sediaan pelet yang telah dibuat dievaluasi karakteristik fisik, viabilitasnya hingga dilakukan uji disolusi selama 24 jam pada pH 1,2; 6,8 dan 7,4. Pelet yang dilapisi CAP menunjukan hasil yang paling optimum dengan karakteristik pelet yang berbentuk bulat dengan distribusi ukuran partikel 913,57 ± 8,28 μm dan persen perolehan kembali 88,71 ± 1,04 % yang memiliki sifat alir yang sangat baik, kekuatan mekanik yang baik, viabilitas 4,76 x10⁷ CFU/g dan hasil uji disolusinya menunjukan pelepasan sel tertinggi pada cairan simulasi kolon sebesar 1,38 x 10⁷ CFU/g setelah 24 jam. ......Lactobacillus plantarum FNCC-0461 is a lactic acid bacteria isolated from dadih which has potential as a probiotic. Probiotics show health benefits if they have viability at least 1 x 10⁷ CFU in the distal ileum or colon. However, most probiotics are not resistant to extreme conditions while passing through the digestive tract. Encapsulation of probiotics into colon-targeted pellets was a good solution to maintain the viability and provide release of probiotics to specific site in the colon. Pellets were formulated using extrusion-spheronization method with excipient such as Microcrystalline Cellulose (MCC), lactose, pectin, Cellulose Acetate Phthalate (CAP) and shellac. The obtained pellets were evaluated for their physical properties, viability and dissolution study was carried out at pH 1.2; 6.8 and 7.4 for 24 hours. CAP-coated pelet provide the optimum formulation were spherical with particle size distribution was 913.57 ± 8.28 μm and yield was 88.71 ± 1.04 %, it’s have very good flow properties, good mechanical properties, viability was 4.76 x10⁷ CFU/g and it’s dissolution study showed the highest cell release in simulated colonic fluid of 1.38 x 10⁷ CFU/g for 24 hours.