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Hubungan antara Higiene Perorangan dan Kejadian Koinfeksi Cacingan pada Penderita Tuberkulosis Shofia, Lailatis; Hermansyah, Bagus; Suswati, Enny; Agustina, Dini; Mufida, Diana Chusna; Shodikin, Muhammad Ali
Sriwijaya Journal of Medicine Vol. 4 No. 1 (2021): Sriwijaya Journal of Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/SJM.v4i1.153

Abstract

Tuberculosis (TB) and intestinal worms are infectious diseases with a large number of sufferers in Indonesia. The high prevalence of intestinal worms in Indonesia allows the occurrence of STH coinfection in pulmonary TB patients which causes anti M. tuberculosis immunity to decrease so that the response to tuberculosis treatment is not optimal. One of the risk factors of STH infection is personal hygiene. The purpose of this study was to analyze the relationship between individual hygiene and the incidence of STH coinfection in TB patients in Tempurejo Sub-District, Jember District. This type of research is observational research with cross sectional analytic design. The population used was TB patients in Tempurejo Sub-District in the period September - October 2019. The data used in this study were primary data in the form of interviews and results of stool examination. Stool examination is carried out using the sedimentation and floatation methods. Data analysis was performed using Fisher's exact test. The results of this study indicate that the incidence of STH co-infection in TB patients in Tempurejo Subdistrict is 9.67% and is caused by two STH species, A. lumbricoides (66.7%) and Hookworm (33.3%). Respondents' personal hygiene consisted of good hygiene (64.5%) and bad hygiene (35.5%), where 66.7% of cases of STH coinfection occurred in respondents with poor personal hygiene. Fisher's test results showed that there was no significant relationship between personal hygiene with the incidence of STH coinfection in TB patients in Tempurejo Sub-District, Jember District (p-value of 0.281).
Interleukin-22-induced β‑defensin-2 expression by intranasal immunization with Streptococcus pneumoniae RrgB epitopes Mufida, Diana Chusna; Saputra, Antonius Dwi; Hermansyah, Bagus; Agustina, Dini; Shodikin, Muhammad Ali; Armiyanti, Yunita
Universa Medicina Vol. 41 No. 1 (2022)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2022.v41.37-46

Abstract

BackgroundStreptococcus pneumoniae causes pneumococcal disease, which is responsible for millions of deaths worldwide. Various pneumococcal vaccine candidates have been developed to prevent S. pneumoniae infection, one of which is an epitope-based vaccine. This study aimed to prove that intranasal immunization with each of the five S. pneumoniae RrgB epitopes can induce a mucosal immune response by increasing the β-defensin-2 concentration through upregulation of interleukin (IL)-22 expression. MethodsAn experimental laboratory study was conducted using 28 male Wistar rats aged 3-4 months, that were randomly divided into 7 groups containing four rats each. Group 1 was given 40 mL of phosphate-buffered saline (PBS) only (control group). Group 2 was the adjuvant group that received 40 mL PBS containing 2 ìg cholera toxin B (CTB), and groups 3-7 were immunized with 40 mL PBS containing a combination of adjuvant and one of the five different S. pneumoniae RrgB epitopes. The concentrations of IL-22 and β-defensin-2 from nasal rinse examination were measured by means of ELISA. The Kruskal-Wallis test, followed by the Mann-Whitney post-hoc test were used for statistical analysis. ResultsRats immunized with the adjuvant-epitope combination had significantly higher β-defensin-2 and IL-22 levels than the control group (p=0.030; p=0.018, respectively), according to the Kruskal-Wallis test. And the Mann-Whitney statistical test, showed there was a significant increase in β-defensin-2 and IL-22 levels. ConclusionsIntranasal immunization with epitope 1 of the S. pneumoniae RrgB can increase β-defensin-2 expression significantly and has a greater potential to be developed into a pneumococcal vaccine.
Case Report: Tuberculosis with Pericardial Effusion in Children Muhammad Ali Shodikin
Jurnal Ilmu Kesehatan dan Kesehatan Vol 6 No 1 (2022): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v6i1.2451

Abstract

Background. Tuberculosis pericardial effusion is a rare case in the developed countries. This may cause serious and deadly impact if not diagnosed and treated properly. Appropriates diagnosis and treatment of tuberculosis pericardial effusion can prevent mortality. Case. A 14-years-old boy was admitted with tightness of breath, chest pain, and abdominal enlargement. Chest X-ray revealed heart enlargement and echocardiography showed a massive pericardial effusion. The diameter of induration of tuberculin skin test was 14 mm. This patient was diagnosed as tuberculosis pericardial effusion and showed complete recovery after paricardiocentesis and anti-tuberculosis drugs administration for 12 month. Conclusion. Tuberculosis pericardial effusion should be remembered in cases of tightness of breath with chest x ray revealing heart enlargement. Adequate treatment by pericardiocentesis and anti-tuberculosis drugs can completely cure this disease.
Hubungan Riwayat Tuberkulosis Paru pada Keluarga dengan Terjadinya Limfadenitis Tuberkulosis pada Anak Muhammad Ali Shodikin; Putri Prameswari Nastiti Ayu; Adelia Handoko
Jurnal Kesehatan Masyarakat Indonesia Volume 16. No. 3. Tahun 2021
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (404.167 KB) | DOI: 10.26714/jkmi.16.3.2021.168-176

Abstract

Latar Belakang: Limfadenitis Tuberkulosis (TB) merupakan penyakit radang kelenjar getah bening yang disebabkan oleh infeksi Mycobacterium tuberculosis (MTB). Faktor risiko limfadenitis TB pada anak antara lain adanya kontak dengan penderita TB dewasa. Tujuan: Mengetahui hubungan riwayat TB paru pada keluarga dengan terjadinya limfadenitis TB pada anak. Metode: Jenis penelitian ini adalah analitik observasional (case control). Populasi penelitian adalah pasien limfadenitis anak (usia < 18 tahun) di Rumah Sakit Daerah (RSD) dr. Soebandi Jember tahun 2018 – 2020. Kelompok kasus adalah pasien limfadenitis TB, sedangkan kelompok kontrol adalah pasien limfadenitis non TB. Teknik total sampling digunakan untuk menentukan sampel penelitian. Uji Chi-square digunakan untuk analisis data. Hasil: Didapatkan masing-masing 23 pasien limfadentis TB dan non TB, semua pasien mengeluhkan adanya benjolan. Dari 23 pasien limfadenitis TB anak didapatkan 17 anak (74%) memiliki riwayat TB paru pada keluarga. Analisis data menunjukkan adanya hubungan yang signifikan antara riwayat TB paru pada keluarga dengan limfadenitis TB pada anak: p-value=0,003 (OR = 6,476). Kesimpulan: Riwayat TB paru pada keluarga berhubungan erat dengan kejadian limfadenitis TB pada anak.
Hubungan antara Kadar Feritin dengan Kadar BUN-Kreatinin pada Pasien Talasemia Beta Mayor di RSD dr. Soebandi Jember (The Correlation between Ferritin Levels and BUN-Creatinine Levels of Major Beta Thalassemia Patients at dr. Soebandi Hospital Jember) Kurnia Elka Vidyarni; Mohamad Ali Shodikin; Rini Riyanti
Pustaka Kesehatan Vol 5 No 3 (2017)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Major beta thalassemia patients with iron overload will have increase on ferritin levels. Free iron can cause damage in several organs including kidney. One of parameter used to investigate the function of kidney is BUN and creatinine. This study was aimed to determine the correlation between ferritin levels and BUN-creatinine levels of major beta thalassemia patients at dr. Soebandi Hospital Jember. This is an analytical observational study with cross sectional study design, using 15 patients of thalassemia at the Paediatrics Department of dr. Soebandi Hospital Jember who met inclusion criteria. The data was obtained from medical records or patients report book. Data was analyzed with Shapiro Wilk normality test and Spearman correlation test. The mean of ferritin levels was 3.145±57,99 ng/mL, BUN levels was 8,87±1,18 mg/dL, and creatinine levels was 0,53±0,24 mg/dL. The Spearman correlation test for the correlation between ferritin levels and BUN levels showed r=0,073 and p=0,795 and the correlation between ferritin levels and creatinine levels resulted r=0,173 and p=0,537. In conclusion, there was no correlation between ferritin levels and BUN-creatinine levels of major beta thalassemia patients at the dr. Soebandi hospital Jember. Keywords: thalassemia, ferritin, BUN, creatinine
Titer Widal pada Populasi Sehat di Universitas Jember Dissa Yulianita Suryani; Muhammad Ali Shodikin; Ida Srisurani Wiji Astuti
Pustaka Kesehatan Vol 6 No 2 (2018)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v6i2.7611

Abstract

Enteric fever is endemic in developing countries including Indonesia. Widal test in a single serum sample is commonly used as laboratory diagnosis especially where culture facilities are not available. Examination of the single Widal test in endemic countries such as Indonesia, will give less accurate results with the large number of false-positive or false-negative. One of false-positive results is single Widal interpretation of test in endemic areas where the majority of the healthy population had contact or infected previously, and showed a positive result of Widal test. Widal titre examination in healthy population both men and women have not been investigated in Jember. So the aim of this study was to determine Widal titres among apparently healthy population in Jember University. In this cross-sectional study, blood samples were collected as much as 3 mL from healthy men (n=47) and women (n=47) and were analyzed for the presence of Salmonella antibodies by carrying out the Widal slide agglutination test. The data was analyzed using SPSS version 23 descriptively. The result showed that the most frequent antibody titres of O, H, AO, AH, BO, and BH antigens were 1/320 (37,2%), 1/320 (38,2%), 1/320 (86,1%), 1/320 (67,0%), 1/320 (77,7%) and 1/40 (27,7%) respectively in healthy population. In conclusion, antibody titre of AO dominated the most positive results in healthy population. Keywords: Widal test, healthy population, Indonesia
THE RELATION OF PERSONAL HYGIENE WITH THE RISK OF OCCURRENCE OF SOIL-TRANSMITTED HELMINTH CO-INFECTION IN TB PATIENTS IN THE WORKING AREA OF THE JENGGAWAH HEALTH CENTER IN JEMBER REGENCY Ellen Ocktavironita; Bagus Hermansyah; Angga Mardro Raharjo; Diana Chusna Mufida; Dini Agustina; Muhammad Ali Shodikin
Majalah Kedokteran Sriwijaya Vol 52, No 2 (2020): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v52i2.11977

Abstract

Tuberculosis (TB) and soil-transmitted helminth (STH) infections are infectious diseases with a high prevalence in Indonesia. STH co-infection in TB patients can worsen the prognosis of TB disease due to the dysregulation of the immune response. The high prevalence of STH infections in Indonesia is caused by environmental factors such as poor personal hygiene habits. Jenggawah Subdistrict is an area with a high number of TB cases in Jember Regency and most of the area is in the form of agricultural fields and plantations that have a suitable humidity and temperature for the development of STH. The purpose of this study was to determine the relationship of personal hygiene risk factors with the risk of STH co-infection in TB patients in the work area of the Jenggawah Health Center in Jember Regency. This study used an observational analytic design with a cross sectional method and was conducted from September to December 2019. The research was conducted at the TB Polyclinic in Jenggawah Health Center in Jember Regency with a total sample of 26 respondents who were given a personal hygiene questionnaire. Stool examination was conducted at the Laboratory of Parasitology FK UNEJ using sedimentation and flotation methods. The results showed the incidence of STH co-infections was 15.3%, good personal hygiene was 57.7%, and bad personal hygiene was 42.3%. Fisher exact test results showed that there was no significant relationship between personal hygiene risk factors and the risk of the occurrence of STH co-infection in TB patients in the working area of the Jenggawah Health Center in Jember Regency (p = 1,000).
The Analgesic Effectiveness Test of Cocoa Husk (Theobroma cacao L.) Extract to Licking Time of Mice Induced by Formalin Yuli Lusiana Sari; Desi Dwi Wisudanti; Muhammad Ali Shodikin
Journal of Agromedicine and Medical Sciences Vol 4 No 2 (2018)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v4i2.6328

Abstract

Cocoa (Theobroma cacao L) is an industrial material that often used in chocolates production, but the part that used is cocoa bean, so that cocoa husk accumulate as waste. This study aimed to determine effectiveness of cocoa husk extracts to first and second phase of licking time of mice induced formalin. This study used 28 mices that divided into seven groups. NaCMC 1% to group K(-), 0.0048 mg/gBW sodium diclofenac to K(+), extracts dose variations, ie 0.25 mg/gBW, 0.5 mg/gBW, 1 mg/gBW, 2mg/gBW and 4 mg/gBW to group K1, K2, K3, K4, and K5 administered orally 30 minutes before subcutaneous injection of 200 μl formaldehyde 2.5% on hind paw. Graph of dose response on first phase data was fluctuate with highest inhibition percentage occurred on dose group 0,5 mg/gBW and 1 mg/gBW, that is 68,750% while on second phase data was biphasic with highest inhibition percentage occurred on dose group 1mg/gBW, that is 94,052%. One Way ANOVA analysis showed no significant difference (p> 0.05) on first phase, but showed significant difference (p <0,05) on second phase. This results indicated that cocoa husk extracts can decrease second phase, inflammatory phase significantly. Keywords: cocoa, analgesic, licking time, formaldehyde, inflammatory phase
Bacterial Mapping Toward Patients in Intensive Care Unit Dr. Soebandi Jember Hospital Achmad Ma'ruf Fauzi; Muhammad Ali Shodikin; Yuli Hermansyah
Journal of Agromedicine and Medical Sciences Vol 5 No 3 (2019)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v5i3.6821

Abstract

Intensive Care Unit (ICU) a part of the hospital with specialized staff and equipment specially to the observation, care and treatment of patients suffering from life threatening complications. The importance of knowing the mapping of bacterial is to know the types of bacterial and the resistance of bacterial to the therapy that will be given. The research used is descriptive by taking primary data. Criteria of research sample in the form of blood culture in patients in ICU RSD. Dr. Soebandi Jember. Sampling method is by using total sampling technique. The results is S. xylosus (55.60%), S. epidermidis (11.10%), Enterobacter cloacea (11.10%) and Stenotrophomonas maltophilia (11.105). Sensitivity test results of Staphylococcus xylosus bacteria showed resistant to class III cephalosporin group, Erythromycin, penicillin, clindamycin and macroloid. While the sensitive to chloramphenicol, linezolid, glikopeptida and vancomycin. The results of the antibiotic sensitivity test of Staphylococcus epidermidis, Enterobacter cloacea, and Stenotrophomonas maltophilia are sensitive to tetracycline and aminoglycoside antibiotics. Meanwhile, antibiotic sensitivity test of Staphylococcus epidermidis and Streptococcus sp are resistant to antibiotic penicillins, fourth generation cephalosporin, erythromycin, azithromycin. Streptococcus sp and Stenotrophomonas maltophilia are resistant to ceftriaxone antibiotic.
Risk Factor Analysis of Dengue Shock Syndrome Occuring to Children in RSD dr. Soebandi Jember Regency Oessi Salsabila; Muhammad Ali Shodikin; Dwita Aryadina Rachmawati
Journal of Agromedicine and Medical Sciences Vol 3 No 1 (2017)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v3i1.4099

Abstract

Dengue Shock Syndrome is a medical emergency situation caused by shocking DHF. Some factors that can influence the DSS. The purpose of this research know some risk factors that might cause DSS. Those are age, nutritional status, gender, and amount of platelet and hematocrit. This research was retrospective case control doing in dr. Soebandi Hospital Jember. The sample were divided into 2 groups. Those were DSS (case group) and non-DSS group (control group). Data analysis was done by Chi-Square test using SPSS 21 version. These were 136 patients which were divided into 94 patients of control group and 42 patients of case group. In this research, there were p-value for ages, nutritional status, gender, amount of platelet and hematocrit on each 0,450; 0,490; 0,198; 0,001; 0,007 respectively. In this search, it could be concluded that age, nutritional status, and gender were not significantly related to DSS case although amount of platelet and hematocrit were significantly related to DSS case.Keywords:dengue shock syndrome, age, nutritional status, gender, hematocrit, platelet.
Co-Authors Achmad Ma'ruf Fauzi Adelia Handoko Adilah Julinar Irianti Agustin, Aisyiyah Alviana Ainindya Pasca Rachmadiani Aisyiyah Alviana Agustin Anaditya Wahyu Kumudhaningsih Angga Mardro Raharjo Angga Mardro Raharjo, Angga Mardro Annisa Nadhifa Witanto Bagus Hermansyah Bellynda, Wynne Billy Jusup Kurniawan Cholis Abrori, Cholis Cicih Komariah Desi Dwi Wisudanti Desie Dwi Wisudanti Diana Chusna Mufida Dina Luthfiyah Dini Agustina Dissa Yulianita Suryani Dwita Aryadina Dwita Aryadina Rachmawati Ekvan Danang Setya Pramudito Ellen Ocktavironita Elvia Rahmi Marga Putri ENNY SUSWATI Erfan Efendi Eva Deswinta Maharani Firman Pratama Andraputra Gianevan, Nicholas Jirezra Hadi Khoiruddin, Mukhammad Arif I Nyoman Semita Ida Srisurani Wiji Astuti Ika Rahmawati Sutejo Inke Kusumastuti Irawan Fajar Kusuma Kristianningrum Dian Sofiana Kurnia Elka Vidyarni Laila Rizqi Kurniawati Lailatis Shofia Marchianti, Ancah C N Mira Haninda Ramadhanty Muhammad Alif Taryafi Nexia Nevarachell Onny Amirsyah Nisrina Salsabila Firmansyah Nurlaila Ayu Purwaningsih Oessi Salsabila Pradewi, Ranny Tandria Pramono, Anang Putra Uta, Diego Rafi Putri Prameswari Nastiti Ayu Qintar Layallia Faza Rahami, Nahla Ahmad Renny Suwarniaty Rini Riyanti Rosita Dewi Saputra, Antonius Dwi Sheilla Rachmania, Sheilla Shofia, Lailatis Sudarmanto, Yohanes Susanto Nugroho Tsintani Nur Aristiana Wahidah Nur Indasyah Widhiasari Normaningtyas Wiwien Sugih Utami Wiwin Sugih Utami Yasmin Auralia Putri Yudha Nurdian Yuli Hermansyah Yuli Hermansyah Yuli Hermansyah, Yuli Yuli Lusiana Sari Yunita Armiyanti