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All Journal Sari Pediatri Public Health of Indonesia Syntax Literate: Jurnal Ilmiah Indonesia Sumatera Medical Journal Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) TROPHICO: Tropical Public Health Journal
Hutagalung, Sunna Vyatra
Departemen Parasitologi, Fakultas Kedokteran, Universitas Sumatera Utara
Humanities Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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ANALYSIS OF LIFESTYLE, KNOWLEDGE, ATTITUDE, AND KNOWLEDGE OF WOMEN AGED 20-50 YEARS OLD WITH VITAMIN D DEFICIENCY-INSUFFICIENCY IN NORTH SUMATERA, INDONESIA Keumala, Dina; Zulkarnaini Tala, Zaimah; Lestari, Sri; Hutagalung, Sunna Vyatra; Ganie, Ratna Akbari; Harum, Delina Sekar
Sumatera Medical Journal Vol. 1 No. 01 (2017): The Sumatera Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v1i01.75

Abstract

Background: Study showed that 95% women had serum level of 25(OH)D lower than normal and women have riskier lifestyle than men, this is based on women’s lifestyle, such as avoiding sun rays, sunblock application, low vitamin D intake, and low physical activity. As result of the deficiency, there will be increasing number of metabolic disorders such as obesity and diabetes mellitus type 2.Objectives: To discover lifestyle, knowledge, attitude, and action of women aged 20-50 years old with vitamin D deficiency-insufficiency regarding risk of metabolic disorder caused by vitamin D deficiency.Method: Cross-sectional study engaging 98 women participants with vitamin D deficiency-insufficiency. Lifestyle including avoiding sunlight, low physical activity, and sunblock application were assessed. The scoring was to assess knowledge, attitude and action of women aged 20-50 years old with vitamin D deficiency-insufficiency regarding risk of metabolic disorder in Medan and then the result was analyzed.Result: The study engaged 98 women aged 20-50 years old with vitamin D deficiency-insufficiency, showed vitamin D level with mean 19.66±5.69 ng/ml. There were 95% participants categorized into vitamin D deficiency-insufficiency and 5% participants categorized into vitamin D suficiency. All subjects were found to be low on sun rays exposure, high incidence sunblock applicaton, low vitamin D intake, and low physical activities. According to knowledge about risk of metabolic disorder, there were 42.3% participants with sufficient knowledge and 57.7% with deficient knowledge, and regarding attitude, 48.52% had negative attitude and 51.5% had positive attitude, regarding action, 24.7% was sufficient and 75.3% was deficient. According to the analysis, there was no significant association between action and knowledge, attitude and knowledge, but there was significant association between action and knowledge based on education (p=0.01).Conclusion: Lifestyle, sufficient knowledge, and action could be the caused of low vitamin D level. There was significant association between action and knowledge based on education, but didn’t show any associations. Based on this result, knowledge needs to be improved in order to improve attitude and action with counseling or books that are easy to be understood about the importance of vitamin D
Identification of Mites in Wild Rats in Simpang Limun Traditional Wet Market Area, Medan - Indonesia Sianturi, Livia Anastasia; Hutagalung, Sunna Vyatra; Darmadi; Siska Mayasari Lubis
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 6 No. 2 (2024): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v6i2.14918

Abstract

Background: Among human diseases are infectious diseases transmitted by animals to humans, called zoonoses. Rats carry ectoparasites that act as biological vectors in the transmission of zoonoses. Mites are ectoparasites of rats that cause various zoonoses, namely murine typhus, rat mite dermatitis, and others. The study aims to identify species of wild rats in the study area based on their morphology and presentation of mite-infected rats and mite species in wild rats in Simpang Limun traditional wet market in Medan, Indonesia. Methods: This cross-sectional study used a purposive sampling technique. Primary data were collected in the Simpang Limun traditional wet market area of Medan, namely in the first area; M. Nawi Harahap Street, and the second area; Kemiri I Street. Every afternoon for four consecutive days, ten baited rat traps were deployed in each area. The captured rats were anesthetized, identified, and examined for mites by combing and then identified under a microscope. Results: From 65 total wild rat samples, the majority of species found was Rattus tanezumi 60 (92.3%), followed by Rattus norvegicus 5 (7.7%). The identified mite species were Laelaps echidninus (84.5%) and Laelaps nuttalli (15.5%). Conclusion: Nearly all of the wild rats found were of Rattus tanezumab species, and the most common mite species identified was Laelaps echinus in Medan's Simpang Limun traditional wet market area. This has a significant medical impact, resulting in increased potential for zoonosis transmission and indirectly to the surrounding residents in Medan's Simpang Limun traditional wet market area.
Detection of rodent-borne intestinal helminths infestation in North Sumatra, Indonesia: A potential public health concern Hutagalung, Sunna Vyatra; Mardiani, Tengku Helvi; Albar, Marina Yusnita; Kurniawan, Ahadi; Sinaga, Ledy Afrida; Nasution, Hidayatullah; Hasibuan, Panusunan; Wardhana, April Hari
Public Health of Indonesia Vol. 10 No. 4 (2024): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i4.881

Abstract

Background:Studies indicate that approximately 75% of emerging infections in humans are zoonotic, originating from animals. Within the One Health framework, it is evident that recent global environmental changes have contributed to the widespread proliferation of rodents, increasing their interaction with human dwellings and subsequently elevating the risk of rodent-borne diseases. Rodents play a crucial role in the transmission of zoonotic pathogens, including various intestinal helminths such as the cestodes Hymenolepis nanaand Hymenolepis diminuta. Objective:The objective of this study was to identify zoonotic intestinal helminths present in the rodent population of North Sumatra. Methods:This descriptive cross-sectional study utilized purposive sampling and was conducted in three regencies of North Sumatra: Serdang Bedagai, Batu Bara, and Asahan. Rodents were captured using baited traps placed both inside and outside residential areas. Following species identification, the rodents were euthanized, and their intestines were dissected. The intestinal contents were macroscopically examined for the presence of adult helminths, then processed using the formalin-ether concentration technique (FECT) and microscopically analyzed for helminths and their eggs. Results:A total of 47 rodents were captured, with Rattus tanezumibeing the most prevalent species (59.6%), followed by Rattus norvegicus(29.8%) and Rattus tiomanicus(4.3%). Other species identified included Rattus argentiventer, Rattus exulans, and Mus musculus, each constituting 2.1% of the total sample. Seven species of intestinal helminths were detected in 37 of the rodents (78.8%), with most animals having co-infections involving multiple helminth species. Notably, Mus musculusshowed no evidence of infection, whereas the remaining rodent species exhibited a high transmission rate of intestinal helminths, ranging from 71.4% to 100%. The helminths identified were Nippostrongylus brasiliensis(61.7%), Moniliformis moniliformis(36.2%), Heligmosomoides polygyrus(27.7%), and the cestode Hymenolepis nana(8.5%). Additionally, Ascarids, Trichuris spp., and Hymenolepis diminutawere also detected, each with a prevalence of 4.3%. Conclusion:This study identified seven species of intestinal helminths in rodents captured in selected areas of North Sumatra, predominantly from Rattus tanezumiand Rattus norvegicus. Some of the identified helminths, such as Hymenolepis nanaand Hymenolepis diminuta, are known zoonotic pathogens, highlighting the public health risks associated with rodent-borne diseases.  Keywords:one health; zoonosis; rodents; infestation; helminths
Antimicrobial Activity of the Ethanolic Extract of Durio zibethinus Rind against ESBL-producing Escherichia coli and Klebsiella pneumoniae : Antimicrobial Activity of the Ethanolic Extract of Durian Rind against ESBL-producing E. coli and K. pneumoniae Kannady, Johnson; Mayasari, Evita; Mardiani, Tengku Helvi; Hutagalung, Sunna Vyatra; Alona, Ivana; Simatupang, Maria Magdalena
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 7 No. 1 (2025): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v7i1.19027

Abstract

Background: Durio zibethinus (durian) contains secondary metabolites with antibacterial potency, such as alkaloids, flavonoids, saponins, tannins, and glycosides. Indonesia is one of the world’s largest producing countries of durian, yet the thorny part of the fruit rind often ends up as waste. Investigations of durian rind for its antimicrobial activity will maximize the benefits and prevent waste accumulation. Objective: In this experimental study, we analyzed the antimicrobial activity of ethanolic extract of durian rind against extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli and K. pneumoniae in vitro. Methods: This study used a one-group posttest-only design. The disc diffusion method for antimicrobial susceptibility test was used to test the ethanolic extract of durian rind against ESBL-producing E. coli and K. pneumoniae, each with six experimental repetitions to observe the inhibition zone produced around discs containing the extracts at various concentrations (12.5%, 25%, 50%, 75%, 80%, and 100%). Results: Ethanolic extract of durian rind showed an inhibition zone against ESBL-producing E. coli at the extract concentration of 50%, with an average inhibition zone of 3.57 mm. The inhibition zone was also observed against ESBL-producing K. pneumoniae at the extract concentration of 75%, with an average inhibition zone of 3.73 mm. Conclusions: The ethanolic extract of durian rind showed inhibition zones against ESBL-producing E. coli and K. pneumoniae, showing its potential antimicrobial activity in vitro.
Pengaruh Frekuensi Membaca Buku Kesehatan Ibu dan Anak terhadap Pengetahuan Ibu Putra, Muhammad Irvan Triono; Tanjung, Ika Citra Dewi; Hutagalung, Sunna Vyatra; Lubis, Andriamuri Primaputra
Sari Pediatri Vol 25, No 6 (2024)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp25.6.2024.371-7

Abstract

Latar belakang. Buku Kesehatan Ibu dan Anak merupakan salah satu upaya pelayanan kesehatan promotif bagi masyarakat yang berfungsi sebagai alat komunikasi, informasi dan edukasi terkait kesehatan ibu dan anak. Pemanfaatan buku tersebut mencakup membawa buku saat pemeriksaan kesehatan, membaca, dan mengisi buku yang dapat meningkatkan pengetahuan ibu mengenai kesehatan anak. Studi mengenai pemanfaatan Buku Kesehatan Ibu dan Anak dan pengetahuan ibu mengenai kesehatan anak masih sedikit.Tujuan. Mengetahui hubungan antara pemanfaatan Buku Kesehatan Ibu dan Anak dengan pengetahuan kesehatan anak pada ibu.Metode. Penelitian cross-sectional dengan wawancara menggunakan kuesioner terstruktur yang valid dan reliabel kepada orangtua dari anak usia 0-59 bulan yang datang ke Posyandu di praktek bidan mandiri periode Maret sampai Desember 2023 secara consecutive sampling. Kriteria inklusi adalah ibu yang memiliki buku dan anak usia 0-59 bulan, dan ibu menyetujui mengikuti penelitian. Kriteria eksklusi adalah anak tidak datang bersama ibu. Hasil. Dari 144 reponden penelitian, pemanfaatannya terbanyak dengan kategori baik (60,4%) dan pengetahuan ibu mengenai kesehatan anak terbanyak dengan kategori cukup (43,8%). Terdapat hubungan bermakna antara pemanfaatan Buku Kesehatan Ibu dan Anak dengan pengetahuan kesehatan anak pada ibu (p=0,001).Kesimpulan. Hubungan antara pemanfaatan Buku Kesehatan Ibu dan Anak dengan tingkat pengetahuan ibu mengenai kesehatan anak bermakna. Oleh karena itu, ibu harus memanfaatkannya lebih sering untuk meningkatkan pengetahuan mengenai kesehatan anak.
Parasite Contamination of Water Source at Pangkalan Masyhur Sub-district, Medan Johor District Hutagalung, Sunna Vyatra; Khairuna Damanik, Rahmah; Rattaprasert, Pongruj
Sumatera Medical Journal Vol. 7 No. 3 (2024): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v7i3.11826

Abstract

Background: Water utilization by humans and animals can generate biological pollutants which may contaminate the water. These contaminants come from waste products that may contain bacteria, protozoa, and other parasites. Objective:  The aims of this study was to determine the contamination of water source by pathogens, particularly parasites at Medan, North Sumatera, Indonesia. Methods: This was a descriptive study with cross sectional design and simple random sampling. Results: We found Paramecium caudatum from nine samples (8,7%) collected from the open wells and the nearby river streams, followed by hookworm larva in one tap water sample (1%). Conclusion: No protozoa such as Entamoeba spp., Cryptosporidium spp., and Giardia spp. found in any of the samples. Based on this data, the abundant presence of P.caudatum represented the condition of high organic debris in the open wells and the nearby river streams. Additionally, the presence of hookworm larva in the tap water indicated the distribution system was contaminated with the surrounding soil.
Peran Tikus Liar sebagai Pembawa Parasit Saluran Cerna dan Potensi Risiko Zoonosis: Systematic Literature Review Adnani, Athika; Amelia, Rina; Hutagalung, Sunna Vyatra
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v9i1.14851

Abstract

Zoonosis merupakan penyakit yang dapat menular antara hewan dan manusia, dan dapat menjadi ancaman serius bagi kesehatan masyarakat. Identifikasi parasit pada hewan liar, seperti tikus liar, menjadi penting karena tikus liar dapat berperan sebagai vektor atau sumber penyakit zoonosis yang dapat menular kepada manusia melalui kontak langsung atau melalui konsumsi makanan yang terkontaminasi. Penelitian ini bertujuan untuk mengidentifikasi dan meninjau literatur yang ada mengenai peran tikus liar sebagai pembawa parasit saluran cerna dan potensi risikonya terhadap zoonosis. Metode yang digunakan dalam penelitian ini adalah systematic literature review. Teknik pengumpulan data dalam penelitian ini melibatkan pencarian dan seleksi literatur yang relevan dari berbagai database ilmiah dan sumber lainnya. Analisis data dalam systematic literature review melibatkan proses penilaian kualitas studi yang ditinjau, ekstraksi data dari studi dan sintesis temuan dari berbagai studi. Hasil penelitian menunjukan bahwa tikus liar, terutama jenis Rattus tanezumi dan Rattus norvegicus, memiliki peran yang signifikan dalam penyebaran parasit saluran cerna dan potensi risiko zoonosis di Indonesia. Tikus tersebut dapat menjadi reservoir berbagai patogen, seperti bakteri zoonotik dan parasit cacing, serta berperan sebagai vektor bagi penyakit seperti leptospirosis, hantavirus, dan penyakit pes. Upaya pengendalian populasi tikus, perbaikan sanitasi lingkungan, dan peningkatan kesadaran masyarakat terhadap risiko zoonosis yang dapat ditularkan oleh tikus liar menjadi langkah krusial dalam pencegahan penyebaran penyakit tersebut.
The impact of pig ownership, history of exposure to worms, and personal hygiene on taeniasis infection in Silou Kahean District Sitanggang, Ismail Juli Rico; Darlan, Dewi Masyithah; Ramayani, Oke Rina; Lubis, Inke Nadia Diniyanti; Hutagalung, Sunna Vyatra
TROPHICO Vol. 5 No. 2 (2025): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v5i2.23187

Abstract

Taeniasis remains a zoonotic public health concern in communities with traditional pig farming systems. Silou Kahean District, Simalungun Regency, is an endemic area where free-range pig husbandry increases exposure risk and may sustain persistent local transmission. This study aims to analyze the relationship between pig ownership status, the number of pigs owned, and pig husbandry practices with the incidence of taeniasis in Silou Kahean District, Simalungun Regency. This cross-sectional quantitative study (October 2024–June 2025, Silou Kahean, Simalungun) analyzed 270 cluster-randomized respondents from a population of 21,149 using structured questionnaires and Kato-Katz fecal examination. Associations between pig ownership, pig density, husbandry method, and taeniasis infection were tested using chi-square (95% CI). The findings revealed a significant relationship between pig ownership and the occurrence of taeniasis (p-value = 0.002; PR = 5.513; 95% CI: 1.953–15.560), indicating that respondents who owned pigs had a higher risk of infection than those who did not. The number of pigs owned also showed a significant association with infection (p-value = 0.035). Furthermore, husbandry methods significantly influenced the occurrence of taeniasis (p-value = 0.0001), with a higher prevalence observed among respondents practicing free-range pig rearing compared to those using pen systems. Pig ownership, higher pig density, and free-range husbandry are significant risk factors for taeniasis in Silou Kahean District. Community education, sanitation improvement, and stronger livestock supervision are critical to interrupt transmission in endemic areas.
Co-Authors Alona, Ivana Anak Agung Gede Sugianthara APRIL HARI WARDHANA Athika Adnani Darlan, Dewi Masyithah Darmadi Evita Mayasari Harum, Delina Sekar Hasibuan, Panusunan Inke Nadia Diniyanti Lubis, Inke Nadia Diniyanti Kannady, Johnson Keumala, Dina Khairuna Damanik, Rahmah Kurniawan, Ahadi Lubis, Andriamuri Primaputra Mardiani, Tengku Helvi Marina Yusnita Albar Nasution, Hidayatullah Oke Rina Ramayani, Oke Rina Putra, Muhammad Irvan Triono Ratna Akbari Ganie, Ratna Akbari Rattaprasert, Pongruj Rina Amelia Sianturi, Livia Anastasia Simatupang, Maria Magdalena Sinaga, Ledy Afrida Siska Mayasari Lubis Sitanggang, Ismail Juli Rico Tanjung, Ika Citra Dewi Zulkarnaini Tala, Zaimah