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Hubungan PH Saliva Anak Stunting dengan Karies Gigi di Kecamatan Sungai Pandan Kabupaten Hulu Sungai Utara Provinsi Kalimantan Selatan Sari, Emilda; Insana, Aima
An-Nadaa: Jurnal Kesehatan Masyarakat (e-Journal) Vol 11, No 2 (2024): AN-NADAA JURNAL KESEHATAN MASYARAKAT (DESEMBER)
Publisher : Universitas Islam Kalimantan Muhammad Arsyad Al Banjari Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31602/ann.v11i2.16273

Abstract

Stunting dan karies gigi merupakan masalah kesehatan yang signifikan di Indonesia, khususnya di Kalimantan Selatan. Penelitian ini bertujuan untuk mengetahui hubungan antara pH saliva dengan karies gigi pada anak stunting di Kecamatan Sungai Pandan, Kabupaten Hulu Sungai Utara, Provinsi Kalimantan Selatan. Survei analitik dengan desain cross-sectional dilakukan, melibatkan 162 anak stunting. pH saliva dan karies gigi dinilai. Hasil menunjukkan bahwa 55,6% responden memiliki pH saliva normal, sementara 57,4% memiliki tingkat karies rendah. Ditemukan hubungan yang signifikan antara pH saliva dan karies gigi (p<0,000), dimana saliva yang lebih asam dikaitkan dengan risiko karies yang lebih tinggi. Penelitian ini menekankan pentingnya memperhatikan pH saliva pada anak stunting sebagai bagian dari strategi pencegahan karies yang komprehensif.
PEMBERDAYAAN MASYARAKAT DALAM PENCEGAHAN DAN MENGATASI PENYAKIT JAMUR PADA KAKI PETAMBAK IKAN DI KELURAHAN CINDAI ALUS KABUPATEN BANJAR Nurlailah, Nurlailah; Dwiyanti, Ratih Dewi; Insana, Aima
JURNAL RAKAT SEHAT (JRS) : Pengabdian Kepada Masyarakat Vol 3 No 2 (2024): Jurnal Rakat Sehat
Publisher : UPPM Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jrs.v3i2.55

Abstract

Fish farming is a type of work that involves daily work in watery and wet places. Generally, fish farmers work without wearing protective equipment, which can cause their feet to become damp and wet, thus becoming a supporting factor for fungal growth.The aim of the activity is to increase public health knowledge about fungal diseases of the skin, nails and hair and reduce the morbidity rate of fungal infections by administering anti-fungal infection drugs to fish farmers in Cindai Alus, Martapura District. The methods used in this activity are pretest, delivery of material, taking nail samples and posttest. The sampling technique was purposive where samples were taken on the toenails of participants/partners who were indicated to have a fungal infection with the criteria of nail color being black, brittle and uneven and smelling. The results of Community Service showed that there was an increase in partners' knowledge about fungal infections of the skin, nails and hair based on the results of the questionnaire. After monitoring and evaluating for 2 months, it was found that there was a decrease in fungal infections, especially on the toenails and hands, from 18 people (55%) who were infected, down to 15 people (36%) who were still infected.
Impact of Antiretroviral Therapy Duration on Hematology Profile in HIV Patients at Buntok Health Center, Indonesia Wulandari, Eka Dwi; Norsiah, Wahdah; Insana, Aima
Tropical Health and Medical Research Vol. 7 No. 1 (2025): Tropical Health and Medical Research
Publisher : Baiman Bauntung Batuah Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35916/thmr.v7i1.128

Abstract

HIV/AIDS is a global health challenge that requires long-term therapy, one of which is the use of Antiretroviral (ARV). ARV therapy has a significant impact on the patient's hematological profile, such as hemoglobin, hematocrit, erythrocytes, leukocytes, and platelets. However, the long-term effects of ARV therapy on hematological profiles in Indonesia, especially in the Central Kalimantan region, have not been widely studied. This study aims to analyze the relationship between the length of ARV therapy and hematological profile in HIV patients at Buntok health center. This study used an analytic survey design with a cross-sectional approach. The study sample involved 29 HIV patients undergoing ARV therapy, taken by total sampling. Data were obtained from medical records and laboratory examinations and then analyzed using the Spearman correlation test to test the relationship between variables. The results showed a significant association between the duration of ARV therapy and the levels of hemoglobin (p = 0.005), hematocrit (p = 0.001), erythrocytes (p = 0.000), and platelets (p = 0.023). However, no significant relationship was found between the duration of ARV therapy and the number of leukocytes (p = 0.063). The correlation found was negative, indicating that the longer the ARV therapy, the more certain hematological parameters decreased. It is concluded that the duration of ARV therapy is associated with changes in the hematological profile of HIV patients. These findings suggest the importance of routine monitoring of hematologic profiles to detect adverse effects of ARV therapy, especially in patients on long-term therapy.
Evaluation of the Duration of Anti-Tuberculosis Drug Administration on Leukocyte Profiles in Tuberculosis Patients Ipniliati, Eva; Dwiyanti, Ratih Dewi; Insana, Aima
Tropical Health and Medical Research Vol. 7 No. 1 (2025): Tropical Health and Medical Research
Publisher : Baiman Bauntung Batuah Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35916/thmr.v7i1.129

Abstract

Tuberculosis (TB) is a global health problem that requires monitoring the immune response during treatment. Leukocyte profile is an important indicator in assessing the body's response to anti-tuberculosis drug therapy. The purpose of the study was to determine the difference in leukocyte profiles in pulmonary TB patients after 0 months and 2 months of anti-tuberculosis drug treatment—analytical research method with cross-sectional design on 60 pulmonary TB patients in Sungai Malang and Karias Health Center. Samples were selected purposively. Leukocyte examination was performed using Hematology Analyzer, and data were analyzed by independent t-test and Mann-Whitney. The results showed a significant decrease in the number of leukocytes (9,877/mm³ to 6,678/mm³, p<0.05), segment neutrophils (68.73% to 51.33%, p<0.05), and a significant increase in lymphocytes (21.07% to 37.33%, p<0.05). Basophils, eosinophils, rod neutrophils, and monocytes showed no significant difference (p>0.05). Conclusion A 2-month anti-tuberculosis drug treatment duration decreased leukocytes and segment neutrophils and significantly increased lymphocytes. Leukocyte monitoring is recommended as an indicator of therapy response.
Oral Candida spp. Density as a Blood Glucose Marker in Diabetes Mellitus Patients Insana, Aima; Nurlailah, Nurlailah; Adawiyah, Rabiatul
Tropical Health and Medical Research Vol. 7 No. 2 (2025): Tropical Health and Medical Research
Publisher : Baiman Bauntung Batuah Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35916/thmr.v7i2.133

Abstract

Candida spp. is a commensal fungus in the oral cavity that can become an opportunistic pathogen when there is a decrease in the immune system or metabolic disorders such as diabetes mellitus. Hyperglycemia in people with diabetes increases salivary glucose levels, which can be a nutrient source for Candida, thus triggering increased density, biofilm formation, and antifungal resistance. This study aims to analyse the relationship between blood glucose levels and oral Candida spp. density in patients with diabetes mellitus. The study used a cross-sectional design in 29 Guntung Manggis Banjarbaru Community Health Centre patients. Saliva samples were collected by mouthwash and planted on Hichrome Candida Differential Agar (HCDA) media to calculate colony density. At the same time, blood glucose levels were measured spectrophotometrically using the GOD-PAP method. The results showed abnormal blood glucose levels (?200 mg/dL) were found in 16 respondents (55.2%), and abnormal Candida spp. density (>500 CFU/mL) was also found in 16 respondents (55.2%). The growth of Candida spp. detected in 24 samples (82.8%). The Chi-square test showed a significant association between hyperglycemia and increased oral Candida spp. density (p = 0.017). These findings suggest that hyperglycemia plays a role in increased Candida density in the oral cavity. Hence, monitoring blood glucose levels and oral Candida density is important for preventing fungal infection complications in patients with diabetes mellitus.
Comparison of TCM GeneXpert MTB/RIF Ultra Examination Results with AFB Microscopic Examination in Pulmonary TB Patients with MTB Detected Ulfah, Putriana; Dwiyanti, Ratih Dewi; Insana, Aima
Tropical Health and Medical Research Vol. 7 No. 2 (2025): Tropical Health and Medical Research
Publisher : Baiman Bauntung Batuah Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35916/thmr.v7i2.135

Abstract

Tuberculosis (TB) is a disease in Indonesia with the second largest number of cases in the world after India. One of the TB-free strategies is early diagnosis with bacteriological laboratory examination for rapid treatment, thereby reducing the incidence rate. WHO recommends the GeneXpert molecular rapid test for confirming the diagnosis of TB. The TB diagnosis is confirmed by Acid-Fast Bacilli (AFB) microscopic examination for laboratories with difficulty accessing rapid molecular tests. The study aims to compare the rapid molecular test GeneXpert MTB/RIF Ultra examination with Ziehl-Neelsen stained AFB microscopic examination in diagnosing lung patients who have been detected with Mycobacterium tuberculosis very low, low, medium, and High (MTB detected)—the type of observational analytical study, with a cross-sectional design to understand the differences. The sampling technique is a total sampling of 30 samples, and data analysis using the Wilcoxon statistical test. Of the 30 samples tested for Mycobacterium tuberculosis (MTB), the Molecular Rapid Test identified all samples as positive (100%). In contrast, AFB microscopy detected only 23 positive cases (76.67%) and failed to detect MTB in 7 samples (23.33%). Based on bacterial load classification, three samples (10%) were categorized as very low, with AFB results showing two negatives (6.67%) and one scanty (3.33%). Among the nine low-load samples (30%), five were AFB-negative (16.67%) and four were positive (1+) (13.33%). In the seven medium-load samples (23.33%), microscopy detected five samples as 1+ (16.67%), two as 2+ (6.67%), and one as 3+ (3.33%). Of the 11 high-load samples (36.67%), AFB identified three as 2+ (10%) and eight as 3+ (23.33%). The conclusion of the results of the Molecular Rapid Test examination with AFB microscopic there shows a significant difference (P < 0.025) < ? (0.05). It is recommended that further research be conducted to compare three bacteriological examinations, namely rapid molecular test, AFB microscopic, and culture, as a gold standard examination.
Family Socioeconomic Factors as a Risk Factor for ARI Incidence in Toddlers in Pekauman Dalam Village, Banjar Regency, Indonesia Dwiyanti, Ratih Dewi; Insana, Aima
Tropical Health and Medical Research Vol. 7 No. 2 (2025): Tropical Health and Medical Research
Publisher : Baiman Bauntung Batuah Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35916/thmr.v7i2.138

Abstract

Acute Respiratory Tract Infections (ARI) remain a leading cause of infant mortality worldwide, including in Indonesia. Banjar Regency, South Kalimantan, has the highest infant pneumonia mortality rate in the province, despite its lower prevalence. This situation necessitates a study of the risk factors contributing to the incidence of ARI, particularly from a family's socioeconomic perspective. This study aims to determine the relationship between the incidence of ARI in toddlers and family socioeconomic risk factors in Pekauman Dalam Village, Banjar Regency. This study used an analytical study design with a cross-sectional approach. A sample of 28 toddlers was selected using total sampling. Data were collected through structured questionnaires completed by the toddlers' mothers/caregivers. Data analysis was performed bivariately using simple binary logistic regression, with further analysis using the Chi-Square test and Fisher's Exact Test on significant variables. The results of the study showed that among the 28 toddlers examined, six toddlers (21.4%) exhibited symptoms of acute respiratory infections (ARI). Statistical analysis revealed that, among all variables tested, only the toddler's age had a significant association with ARI incidence (p = 0.001; Fisher's Exact Test = 0.011). Toddlers aged ?1 year had a higher proportion of ARI cases than toddlers aged >1 year. Other variables such as family income, home ownership, residential density, cooking fuel, and maternal education did not show statistically significant relationships, although some had p-values approaching the significance threshold. Toddler age was the main risk factor influencing ARI cases in this study. Although most other socioeconomic factors were not statistically significant, these aspects are still important to consider in ARI prevention efforts. This study can form the basis for more targeted preventive interventions in areas with high socioeconomic vulnerability.
The Effect of Sputum Delivery Time on the Sensitivity of Culture and AFB Microscopy in the Diagnosis of Drug-Resistant TB Rizkiyah, Risa; Dwiyanti, Ratih Dewi; Insana, Aima
Tropical Health and Medical Research Vol. 7 No. 2 (2025): Tropical Health and Medical Research
Publisher : Baiman Bauntung Batuah Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35916/thmr.v7i2.139

Abstract

Drug-resistant tuberculosis (DR-TB) is a major challenge in TB control in Indonesia. Early detection using liquid and solid media cultures is crucial due to the limited sensitivity of Acid-Fast Bacilli (AFB) microscopic examination. In addition, the time of sputum specimen delivery can also affect bacterial viability. This study aims to determine the relationship between liquid and solid media culture results with AFB microscopic results in immediate and delayed sputum in patients with DR-TB. This is an observational analytical study with a cross-sectional design, involving 40 sputum samples from DR-TB patients examined at the South Kalimantan Provincial Health Laboratory from January to April 2025. Samples were grouped based on the time of sputum delivery (<7 days = immediate; ?7 days = delayed), and examined using AFB microscopic methods, Mycobacterium Growth Indicator Tube liquid culture, and Lowenstein-Jensen solid culture. Data analysis was performed using the Spearman correlation test. Of the 40 sputum samples examined, 2 (5%) were positive by AFB microscopy, 8 (20%) were positive by liquid culture (MGIT), and 6 (15%) were positive by solid culture (Lowenstein-Jensen). The results showed that in immediate sputum, Mycobacterium tuberculosis (MTB) was detected in 7 samples using liquid media and in 5 samples using solid media. In contrast, in delayed sputum, only one sample was positive in both media. Most samples with negative AFB microscopy still yielded MTB growth in culture, particularly in immediate sputum. There was no significant correlation between AFB and liquid culture results in immediate sputum (p=0.172), but there was a substantial correlation between AFB and solid culture (p=0.025). In delayed sputum, both liquid and solid cultures showed a significant correlation with AFB results (p=0.046). Liquid culture was proven to be more sensitive than AFB microscopic examination, especially for immediately examined sputum. MTB viability and accuracy of results decreased in late-delivered sputum, so optimal specimen delivery management is necessary to maintain diagnostic quality.
Pengaruh Lama Penyimpanan Jamu Beras Kencur terhadap Pertumbuhan Kapang Pinto Laksono, Fransiskus Xaverius Agung; Dwiyanti, Ratih Dewi; Rifqoh, Rifqoh; Insana, Aima
Jaringan Laboratorium Medis Vol. 4 No. 2 (2022): November 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jlm.v4i2.8571

Abstract

During the Covid-19 pandemic, people began to maintain their health, by using herbal medicine as an alternative treatment. One type of herbal medicine used is jamu beras kencur because it has properties to increase stamina, increase appetite, and relieve aches and cough disorders. In the Regulation of the Minister of Health of the Republic of Indonesia No. 007 of 2012 carrying herbs such as jamu beras kencur does not require marketing authorization. The quality of the herbal medicine produced has not been confirmed as feasible from microbial contamination, especially in molds, the number of yeast molds in the jamu beras kencur must comply with BPOM standards Number 32 of 2019 namely AKK <103 colonies/mL. This study aimed to determine the effect of the storage time of jamu beras kencur on mold growth with storage treatments of 0 hours, 4 hours, 8 hours, 12 hours, and 24 hours at room temperature. This type of research is a Quasi Experiment with a research design of One Group Pretest-Postest Design. The results of this study showed that the average AKK value was 0 hours 0.2x100 colonies/mL, 4 hours 0.4x100 colonies/mL, 8 hours 0.4x100 colonies/mL. 12 hours 0.8x100 colonies/mL and 24 hours 2.2x100 colonies/mL. These results stated that the jamu beras kencur met the BPOM standard requirements Number 32 of 2019 which was AKK <103 Colonies/mL. The results of the Kruskal Wallis test obtained a sig value of 0.286, it was concluded that there was no effect of storage time for the jamu beras kencur on the growth of molds. The identification results on the jamu beras kencur obtained fungal species, namely Aspergillus flavus, Aspergillus niger, and Penicillium sp. Suggestions for further researchers can examine the effect of storage time on mold growth in other types of herbal medicine.
Media Lokal Ekonomis Untuk Kultivasi Trichophyton Rubrum: Inovasi Kacang Hijau, Glukosa Dan Kitin Aima Insana; Siti Rachmah; Ricko Dharmadi Utama
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i3.571

Abstract

This study examined the effect of modified mung bean powder (Vigna radiata) media with the addition of glucose and chitin on the growth of Trichophyton rubrum. The results of the One Way ANOVA test showed a p value = 0.931 (p>0.05), indicating no significant difference between the modified media and Sabouraud Dextrose Agar (SDA). Media with a concentration of 2% showed a colony diameter of 97.8% of the control, proving the ability of mung bean nutrition, glucose, and chitin to support fungal growth. The color of the media varied from light to dark yellow without affecting the morphology of the colony. The best growth occurred on the 4th to 14th day with a cotton-like colony texture. These results confirm the potential of modified mung bean media as an economical, environmentally friendly, and effective alternative to SDA, especially for laboratories with limited resources, as well as opening opportunities for the development of local media based on other natural materials.