Reactive oxidative stress (ROS) can lead to cell damage, and one of them is the kidney's cell.Etlingera elatior (Jack) R.M. Smith can be utilized as an agent that can protect the cell from ROS. This study aimed to investigate the protective effect of E. elatior fruit on the kidney's cell. We used experimental animals which were treated with Na-CMC (Group I), Na-CMC (Group II), the extracts of E. elatior fruit 200, 300, 400 mg/kg BW for Group III, IV, and V, respectively, for seven days. The blood was collected after treatment. At day 8, group I, III, IV, and V were induced by CCl4. At day 9, blood was collected and the kidneys were harvested for histopathology analysis. Blood collected were measured for albumin, total protein, urea and creatinine levels. After treatment, albumin and total protein showed no increased levels; urea decreased at doses of 200, 300, and 400 mg/kg BW, respectively, and creatinine levels only decreased at the dose of 400 mg/kg BW (p<0.05). The dose of 200 and 300 mg/kg BW showed protecting effects in the tubular cells of renal. Therefore, the ethanol extract of E. elatior showed a nephroprotective effect by normalizing the urea and creatinine levels of rats and protecting tubular cells of renal.

Wualae (Etlingera elatior (Jack) R.M. Smith) empirically been used by people to treat diseases and as food. This research was carried to determine the antipyretic activity of ethanol extracts of Wualae (Etlingera elatior (Jack) R.M. Smith) fruit on male mice (Mus musculus L) Balb/c along with ratio the effects of ethanol extracts of fruit Wualae with paracetamol as a antipyretic. Ethanol extracts of fruit Wualae obtained by maceration method using ethanol 96%. Male mice divided into 6 groups i.e: negative control (Na.CMC), positive control, and the treatment group (ethanol extracts of fruit Wualae 100 mg/KgBW, 200 mg/KgBW, 300 mg/KgBW, dan 400 mg/KgBW). Antipyretic activity tested by using DPT vaccine (Diphtheria Tetanus Pertussis) 0.1 cc intraperitoneally as an inducer and paracetamol 500 mg as a positive control. Temperature measurement determined for 3 hours with a 30 minutes interval. Data analysis was performed by Kruskal Wallis statistical analysis and continued with Mann-Whitney test. The results showed that the effects of ethanol extracts of wualae fruit at dose of 400 mg/KgBW has antipyretic effects with a total decrease of temperature was 1,237oC.Keywords: antipyretic, fever, Etlingera elatior, wualae, mice

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The quality of outpatient services can be measured by the SERVQUAL model that takes into account 5 dimensions, namely tangible, reliability, responsiveness, assurance, and empathy. The purpose of this study was to look at the effect of service quality on outpatient satisfaction at the Apotek Puskesmas Puuwatu Kota Kendari. The subjects in this study were 34 outpatients. The analysis technique used is gap analysis to compare expectations and reality received by patients, normality test data based on questionnaire patient satisfaction that has been tested for validation. The results of this study indicate the average value of the gap in the pharmacy of Apotek Puskesmas Puuwatu Kota Kendari amounting to 0.27. From the value of the gap, the lowest gap value in the pharmacy center of Puuwatu is the place of service, and the provision of inadequate drug information of -0.24. Based on the paired t-test where significant value> 0.05 then Ho is rejected and Ha accepted so that means a significant difference between the quality of service to the satisfaction of patients in Apotek Puskesmas Puuwatu Kota Kendari. This study concludes that there is a significant gap between expectations and reality at the Apotek Puskesmas Puuwatu Kendari City

Fungsi sistem imun adalah untuk melindungi tubuh dari benda-benda asing, dimana sistem imun dapat ditingkatkan dengan pemberian imunomodulator. Pendekatan kemotaksonomi Genus Etlingera memungkinkan Etlingera rubroloba A.D. Poulsen memiliki kandungan metabolit sekunder sebagai agen imunomodulator. Penelitian dimaksudkan untuk mengetahui aktivitas imunomodulator ekstrak etanol buah Etlingera rubroloba A.D. Poulsen terhadap fagositosis sel makrofag pada tikus jantan galur wistar. Hewan uji tikus sebanyak dua puluh empat ekor dibagi dalam enam kelompok perlakuan yaitu kontrol negatif (Na-CMC 0,5%), kontrol positif (ekstrak meniran komersial), kontrol normal (tanpa perlakuan), perlakuan dosis 1 (200 mg/kgBB), perlakuan dosis 2 (300 mg/kgBB)  dan  perlakuan dosis 3  (400 mg/kgBB). Perlakuan diberikan selama tujuh hari berturut-turut secara per oral  dan diberikan injeksi bakteri Staphylococcus aureus 0,5 mL secara intraperitonial pada hari kedelapan masing-masing kelompok. Apusan cairan peritoneum digunakan untuk menentukan aktivitas sel makrofag. Hasil penelitian menunjukkan aktivitas fagositosis sel makrofag pada kelompok kontrol negatif, kontrol positif, perlakuan 1, perlakuan 2, perlakuan 3 berturut-turut 36,75 %, 74,25%, 71.75%, 80,50%, 70,75%. Hasil penelitian menunjukkan pemberian ekstrak etanol buah Etlingera rubroloba A.D. Poulsen memiliki aktivitas imunomodulator terhadap fagositosis sel makrofag.