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All Journal Journal of Tropical Life Science : International Journal of Theoretical, Experimental, and Applied Life Sciences Jurnal Kedokteran Brawijaya Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education The Indonesian Journal of Occupational Safety and Health MNJ (Malang Neurology Journal) Majalah Kesehatan FKUB Indonesian Journal of Medicine CRJIM (Clinical and Research Journal in Internal Medicine) Jurnal Klinik dan Riset Kesehatan Indonesian Journal of Biomedicine and Clinical Sciences Deka in Medicine
Didi Candradikusuma
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Assessment of Knowledge, Perception, and Attitude of Health Cadres Toward Zoonotic Diseases in Rural Area, Malang Regency Milanitalia Gadys Rosandy; Didi Candradikusuma; Dewi Indiastari; Niniek Budiarti; Heri Sutanto; Sinta Silvia
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI1 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI1.2025.27-38

Abstract

Background: Zoonotic diseases are infections transmitted between animals and humans. Human life is closely intertwined with animals, as many people live alongside animals, consume animal meat, and so forth, which increases their exposure to zoonotic infections. Objectives: This study aims to assess the level of knowledge, perception, and attitude of health cadres toward zoonotic diseases in rural area of Malang Regency. Methods: This study used a cross-sectional approach with a sample size of 108 selected using simple random sampling in rural area of Malang Regency. Data were collected through a questionnaire, including respondent characteristics as well as predisposing, knowledge, perception, and attitude factors for zoonotic diseases. Data were analyzed using a chi-square test for bivariate analysis and a logistic regression test for multivariate analysis. Results: The average age of respondents was 48.1±14,3 years the majority graduating from elementary school (47.2%) and working as farmers (63.9%). The average knowledge score on zoonotic diseases was 8.0 ± 3.9, with 63.9% of respondents scoring below average. The average perception score was 13.4 ± 1.8, with 44.4% of respondents scoring below average. Additionally, 63.9% of respondents had below-average attitude scores (17.3±2,2). The level of education and occupation had a significant relationship with the level of knowledge, perception, and attitude of respondents. Conclusions: The results indicate that the knowledge, perceptions, and attitudes of respondents toward zoonotic diseases are still insufficient. There is a need for enhanced education in this disease to improve public understanding and facilitate early detection.
Exploring a rare oncologic complication: alveolar rhabdomyosarcoma in HIV patient Santoso, Dimas; Santoso, Budi; Kristyana, Septian; Candradikusuma, Didi; Natasia, Septalisa; Evatta, Arde
Deka in Medicine Vol. 1 No. 2 (2024): August 2024
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2024.e277

Abstract

BACKGROUND: Alveolar rhabdomyosarcoma is one of the rare oncological complications in Human Immunodeficiency Virus (HIV) patients, but it has a serious impact. Therefore, case report study discussing case of alveolar rhabdomyosarcoma in HIV patient is very important. CASE: A 22-year-old man complained of pain and a growing lump behind his right knee for 9 months. The lump, initially small, became larger and more painful, affecting his ability to move his leg. The patient was diagnosed with HIV 3 years ago and also had leprosy. Additionally, the patient had a history of weight loss and a low body mass index (BMI). Physical examination revealed a 10x15x10 cm mass behind the right knee. Magnetic Resonance Imaging (MRI) of the right knee showed a complex cystic solid lesion involving several muscles and blood vessels. Fine Needle Aspiration Biopsy (FNAB) suggested a High-Grade Sarcoma. Open biopsy confirmed alveolar rhabdomyosarcoma with aggressive features and high mitotic activity. CONCLUSION: In conclusion, our study reported the first case of alveolar rhabdomyosarcoma in an HIV patient. Our study emphasizes the importance of thorough diagnosis for suspected malignancies in HIV patients.
Diagnosis dan Manajemen Obstruksi Jalan Napas Atas (Jackson 1) Akibat Infeksi Difteri pada Wanita Hamil Dwikarlina, Intan; Wijaya, Rendy; Yulia Rusmayanti, Mega; Antariksa, Genta; Candradikusuma, Didi
Jurnal Klinik dan Riset Kesehatan Vol 4 No 2 (2025): Edisi Februari
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.04.2.9

Abstract

Diphtheria is an infectious disease caused by Corynebacterium diphtheria, which generally causes inflammation of the airways, leading to severe symptoms that can be life-threatening. Indonesia is listed as one of the ten countries with the highest cases of diphtheria worldwide. However, studies on cases of diphtheria infection, especially in the pregnant women population, have rarely been reported. A 28-year-old woman presented with shortness of breath. Complaints accompanied by difficulty swallowing and speaking. The patient had a child who died due to similar symptoms. Signs of airway obstruction are found as inspiratory stridor and suprasternal retraction, pseudomembranes in the pharynx, and subcutaneous crepitation in the colli. Diphtheria infection was confirmed through a throat swab examination with Neisser staining and culture. In addition to isolation, the patients were administered oxygen therapy, anti-diphtheria toxin, penicillin procaine, dexamethasone, and additional supportive therapy. Diphtheria infection is transmitted through direct contact, droplets or contaminated items. Manifestations of laryngeal diphtheria generally come from the extension of tonsillar-pharyngeal diphtheria symptoms, including sore throat, hoarseness, and advanced respiratory obstruction. A definite diagnosis is made by isolating the bacteria or finding an increase in serum antibodies. Therapies targeting infectious conditions and supporting obstetrics help improve the overall patient condition. Diphtheria is a highly contagious and potentially fatal disease, especially for pregnant women; thus, immediate diagnosis is needed. Isolation and appropriate management alleviate upper airway obstruction. Diphtheria management should include both curative therapy and preventive to protect the community further and prevent outbreaks from emerging.
Association of Antiretroviral Regimens and CD4 Counts with Dyslipidemia in HIV Patients: Implications for Metabolic Management Rosandy, Milanitalia Gadys; Candradikusuma, Didi; Yudha, Nyoman Satvika Dharma
Indonesian Journal of Medicine Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2025.10.1.797

Abstract

Background: Dyslipidemia, a key risk factor for cardiovascular disease, is prevalent among people living with HIV/AIDS receiving antiretroviral therapy. This study aims to evaluate the impact of different ART regimens on lipid profiles in HIV patients and identify regimens with better outcomes in lipid profile levels. Subjects and Method: An observational study was conducted from June to August 2024 at Dr. Saiful Anwar Regional General Hospital, Malang, Indonesia. Participants were recruited using consecutive random sampling, including HIV patients on ART for at least three months. Independent variables included ART regimens and CD4 counts, while the dependent variable was dyslipidemia status. Data were collected via demographic forms, medical record reviews, and lipid profile analysis. Statistical analysis was performed using chi-square and t-tests, with significance set at p < 0.05. Results: Of the 110 participants, 38.2% were identified with dyslipidemia. The highest dyslipidemia rates were observed in patients using the Duviral Alluvial regimen (80.0%), followed by Duviral Neviral (71.4%). Newer regimens, TLD and TLE, were associated with lower dyslipidemia rates (31.3% and 36.0%, respectively; p = 0.045). A significant association was also noted between dyslipidemia and CD4 counts, with dyslipidemic patients showing higher mean CD4 counts (560.29 cells/μL) compared to non-dyslipidemic individuals (378.40 cells/μL; p = 0.009). Conclusion: Newer ART regimens such as TLD and TLE are associated with better lipid profile outcomes and lower dyslipidemia risk compared to older regimens. Higher CD4 counts may reflect an increased risk of lipid abnormalities, emphasizing the need for lipid monitoring and regimen optimization in HIV care.
Association Between Personal Hygiene Practices and Peripheral Blood Profiles in Agrarian Workers: An Analysis with Socio-demographic and Helminthiasis Considerations Indiastari, Dewi; Didi Candradikusuma; Milanitalia Gadys Rosandy; Niniek Budiarti; Heri Sutanto; Sinta Silvia
The Indonesian Journal of Occupational Safety and Health Vol. 14 No. 2 (2025): The Indonesian Journal of Occupational Safety and Health
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijosh.v14i2.2025.164-179

Abstract

Introduction: Helminthiasis remains a significant public health issue in Indonesia, negatively impacting nutrition and cognitive development, particularly among individuals who are in direct contact with soil. To mitigate this issue, improving personal hygiene and awareness of infection prevention is essential. This study aims to examine the correlation between sociodemographic factors and personal hygiene with blood profiles among workers in agrarian areas. Methods: A cross-sectional approach was used, with 144 samples collected through purposive sampling in the agrarian area of Malang Regency. Data were gathered using questionnaires covering sociodemographic factors and personal hygiene, as well as through hematology tests results obtained from blood samples taken from respondents, which were tested at the dr. Saiful Anwar Malang General Hospital. For data analysis, the Chi-square test was utilized for bivariate analysis, while logistic regression was employed for multivariate analysis. Results: The mean age of respondents was 48.1 ± 14.1 years, with a majority having attained only an elementary education (51.4%) and primarily working as farmers (66.7%). Approximately 38.2% of respondents demonstrated poor personal hygiene. Significant associations were found between personal hygiene and hemoglobin levels (p=0.031), as well as eosinophil counts (p=0.007). Multivariate analysis showed that respondents who did not wash their hands before eating had 1.8 times higher odds of having abnormal blood profiles compared to those who practiced handwashing. Conclusion: The results of this study suggest that sociodemographic factors and personal hygiene are associated with the quality of blood profile among respondents. Enhanced education is needed to raise community awareness regarding personal hygiene.
Co-Authors Abellia, Gaby Agustina Tri Endharti Al-Rasyid, Harun Amalia, Dinda Antariksa, Genta Asmiragani, Syaifullah Badrul Munir, Badrul Bagus Hermansyah Burhan, Niniek Chozin, Iin Noor Dewi Indiastari Dwi Budi Santoso Dwi, Pratiwi Suryanti Dwikarlina, Intan Eko Arisetijono Erma Sulistyaningsih Evatta, Arde Fathoni, Alfan Fatma, Endah Gatoet Ismanoe Hendrik Wahyudi Heri Sutanto Heri, Sutanto Hidayat Sujuti Indiastari, Dewi Kristyana, Septian Loeki Enggar Fitri Machlusil Husna, Machlusil Milanitalia Gadys Rosandy Natasia, Septalisa Niniek Budiarti Niniek Budiarti B Nur Samsu Purbasari, Bethasiwi Rendy Wijaya Rosandy, Milanitalia Rosandy, Milanitalia Gadys Samsul Arifin Santoso, Dimas Shahdevi Nandar Kurniawan, Shahdevi Nandar Sinta Silvia Sri Budhi Rianawati, Sri Budhi Tri Wahju Astuti, Tri Wahju Tuda, Josef Sem Berth Umar Zein Widodo Mardi Santoso, Widodo Mardi Winoto, Eden Suryoiman Yudha, Nyoman Satvika Dharma Yulia Rusmayanti, Mega