Background The use of herbal and dietary supplement (HDS) in health and disease management has gained global attention. HDS are generally accepted by the public and are associated with positive health behaviours. However, several reports have been documented with regards to their potential adverse effects and interaction with conventional medicines. Limited data is currently available on the use of HDS among elderly population in Malaysia. This present study aims to investigate the prevalence of and pattern of HDS use among a sample of community-dwelling elderly in a suburban town in Malaysia. Methods A cross-sectional survey was conducted between March and May 2019 among the elderly aged ≥60 years old. The participants with the following criteria were included in the study: aged ≥60 years, residing in Puncak Alam and able to understand Malay or English language. Data were collected using a pre-validated questionnaire. All statistical analysis was conducted using IBM SPSS ver. 23. Results Overall, 336 out of 400 elderly responded to the survey, achieving a response rate of 84%. This study observed that almost 50% of the respondents were using at least one type of HDS in the past one month of the survey. Among HDS non-users, most of them preferred to use modern medicines (62.6%, 114/182). Among the HDS users, 75.3% (116/154) were using at least one type of modern medicine (prescription or over-the-counter medicine). Multivariate analysis showed that having good to excellent perceived health (adjusted OR = 2.666, 95% CI = 1.592–4.464), having felt sick at least once in the past one month (adjusted OR = 2.500, 95% CI = 1.426–4.383), and lower body mass index (adjusted OR = 0.937, 95% CI = 0.887–0.990) were associated with HDS use. It was noted that only a small percentage of HDS users (16.2%, 25/154) had informed healthcare providers on their HDS use. Conclusion The use of HDS is common among the elderly sampled. Hence, healthcare providers should be more vigilant in seeking information of HDS use for disease management in their elderly patients. Campaigns that provide accurate information regarding the appropriate use of HDS among the elderly are pertinent to prevent misinformation of the products.

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Penyakit Diabetes Mellitus merupakan penyakit dengan prevalensi tinggi dan menduduki peringkat 10 besar di dunia termasuk di Indonesia. Permasalahan besar yang dihadapi dunia kesehatan dewasa ini adalah Diabetes Mellitus tidak bisa disembuhkan secara total dengan obat antihiperglikemik konvensional. Penelitian perlu dilakukan dalam hal menelusuri potensi bahan alam yang biasa digunakan oleh masyarakat Kalimantan berdasarkan skrining fitokimia dari beberapa tumbuhan yang secara empiris digunakan sebagai antidiabetes yaitu Carica papaya radix (CPR), Nephelium lappaceum semen (NLS) dan Piper ornatum folium (POF). Tumbuhan obat yang diperoleh dilakukan ekstraksi maserasi dan diidentifikasi golongan senyawa dan profil kromatografinya.Kegiatan penelitian ini meliputi: 1) Pengambilan sampel tumbuhan,2) Pembuatan simplisia uji, 3) Pembuatan ekstrak etanol tumbuhan, 4) Uji kualitatif kandungan kimia tumbuhan, dan 5) Identifikasi secara kromatografi lapis tipis. Hasil dari penelitian dipilih dan dilakukan pengujian terhadap 3 ekstrak yaitu Carica papaya radix, Nephelium lappaceum semen dan Piper ornatum folium. Ekstrak Carica papaya radix diduga mengandung senyawa alkaloid (Rf : 0,53), saponin (Rf : 0,93), flavonoid (Rf : 0,38 ; 0,75) dan tanin (Rf : 0,52 ; 0,88). Ekstrak Piper ornatum folium diduga mengandung senyawa saponin (Rf : 0,89), steroid (Rf :0,20 ; 0,42) dan tanin (Rf : 0,52 ; 0,71 ; 0,85). Ekstrak Nephelium lappaceum semen menunjukkan hasil positif terhadap keberadaan senyawa alkaloid (Rf : 0,65 ; 0,82), flavonoid (Rf : 0,83) dan tanin (Rf : 0,79 ; 0,92).

The tourism industry in Indonesia continues to grow along with the development of technology, transportation, and information. So that companies or tourism business actors must pay attention to tourism marketing by promoting service products and service quality in these tourist destinations. Kumala Island is a leading tourist attraction in Kutai Kartanegara Regency. The purpose of this study was to determine the effect of attractions, accessibility, amenities, and quality of service on the interest in repeat visits to Kumala Island, Kutai Kartanegara Regency. This study uses primary data by distributing questionnaires. The population in this study are visitors who have visited Kumala Island, with a sample of 100 respondents using thetechnique Accidental Sampling. The data analysis of this research uses multiple linear analysis using SPSS version 25.The results of this study prove that the Attraction variable partially has a positive and significant effect on Tourist Revisit Interest. Then the accessibility variable partially has a positive and significant effect on Tourist Revisit Interests. The Amenity variable partially has a positive and significant effect on Tourist Revisit Interests. Furthermore, the service quality variable partially has no positive and insignificant effect on Tourist Revisit Interests. Furthermore, simultaneously attractions, accessibility, amenities and quality of service partially have a positive and significant effect on Tourist Revisit Interests. The conclusion of this study explains that partially between the variables of attraction, accessibility, amenity have a positive and significant influence on the interest of repeat tourists. While the quality of service does not have a positive and insignificant effect on the interest of repeat tourists, but simultaneously the variables of attraction, accessibility, amenity and service quality have a positive and significant influence on the interest of repeat tourists.