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Correlation of Intestinal Protozoa Infection with the Nutritional Status of Toddlers Aged 12–59 Months in Jember Regency, East Java, Indonesia Ardyansyah, Rizky Robeth; Armiyanti, Yunita; Astuti, Ida Srisurani Wiji; Hermansyah, Bagus; Utami, Wiwien Sugih; Sulistyaningsih, Erma
Althea Medical Journal Vol 11, No 2 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v11n2.3191

Abstract

Background: Intestinal protozoan infection is a problem faced by the global community at all ages. In toddlers, it can cause problems in the form of decreased nutritional status, which is often found in developing countries such as Indonesia. The purpose of this study was to determine the correlation between intestinal protozoa infection and the nutritional status of toddlers.Methods: An observational study with a cross-sectional approach was conducted in October–December 2022 on 45 children aged 12–59 months in Sucopangepok Village, Jelbuk District, Jember Regency, East Java, Indonesia using, consecutive sampling techniques and a total sample size. Nutritional Status was measured based on body weight to body length using the WHO Anthropometric Calculator. Stool examination used the direct smear method and modified Ziehl-Neelsen staining. Data was analyzed using the Cramer's V test. The p-value less than 0.05 was considered statistically significant.. Results: The incidence of wasted children was 15.6% and severely wasted was 2.2%. Intestinal protozoan infection had an incidence of 15.6%. The species detected were Giardia lamblia (6.7%), Cryptosporidium parvum (6.7%), and Blastocystis hominis (2.2%). Statistical analysis showed there was no correlation between intestinal protozoan infection and nutritional status (p= 0.441; r = 0.191).Conclusions: There is no correlation between intestinal protozoan infection and the nutritional status of toddlers. However, comprehensive collaboration between the government and the community needs to be improved, as well as healthy lifestyles for toddlers which also need to be encouraged to overcome nutritional problems in children under five  old and prevent intestinal protozoa infections.
Physical Water Quality and Intestinal Protozoa Contamination on Household Water in Ajung District, Jember Regency Dicky Setiawan; Wiwien Sugih Utami; Laksmi Indreswari; Yunita Armiyanti; Bagus Hermansyah
Jember Medical Journal Vol. 1 No. 1 (2022)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (640.261 KB) | DOI: 10.19184/jmj.v1i1.155

Abstract

Intestinal protozoa infections are still a major health problem in worldwide. The prevalence of intestinal protozoa infections are relatively high in countries facing lack of safe drinking water and lack of suitable sanitation facilities. Lack of sanitation facilities, open defecation, and contamination of environmental feces can make water quality worse, both in terms of physically, chemically, and biologically. Physical water quality is poor when the household water used daily does not meet the standard parameters of the physical water quality standard. The purpose of this study was to determine the relationship between physical water quality and intestinal protozoa contamination in household water in Ajung District, Jember Regency. This type of research is an observational analytic study with a cross sectional research design. The research method used is the correlation method, namely the relationship between physical water quality and intestinal protozoa contamination in household water. The population in this study is household water in Ajung District, Jember Regency. Data analysis consisted of univariate analysis to see the distribution and percentage of temperature, total dissolves solid, color, odor, and intestinal protozoa contamination in household water, and then bivariate analysis using the Chi-square test to analyze physical water quality and intestinal protozoa contamination. The conclusion is there is a relationship between physical water quality and intestinal protozoa contamination in household water.
PERBANDINGAN KONTAMINASI PROTOZOA USUS SUMUR GALI DENGAN SUMUR POMPA TANGAN BERDASARKAN KONDISI FISIK DI KECAMATAN JELBUK KABUPATEN JEMBER Syamsuddin, Alif Fazduani; Bagus Hermansyah; Jauhani, M. Afiful; Armiyanti, Yunita; Utami, Wiwien Sugih
Jurnal Kesehatan Vol 17 No 1 (2024): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v17i1.30977

Abstract

Diarrhea is still a significant problem for people around the world. Diarrhea, a water-borne disease, can be caused by one type of parasite, namely intestinal protozoa. Intestinal protozoa can contaminate water sanitation if their hygiene is not maintained properly. This study’s purpose was to comparison of protozoal intestinal contamination of dug wells with hand pump wells based on physical conditions in Jelbuk District, Jember Regency. This study is an observational analytic study with a cross-sectional design. This study used primary data on the physical condition of dug wells and hand pump wells. The sedimentation method obtained primary data on intestinal protozoa contamination by microscopic detection. This study obtained 36 well water samples consisting of 30 dug wells and 6 hand pump wells. Entamoeba histolytica found in 4 dug wells (11.1%) is the type of intestinal protozoa that contaminates. This study concludes that there is a difference in contamination between dug wells and hand-pumped wells because the intestinal protozoan type Entamoeba histolytica is only found in dug well, but statistically, there is no difference in contamination between dug wells and hand-pumped wells.
Stall Sanitation Associated with Cryptosporidium sp. Infection on Calf and Cattle Farmer Ramadhani, Rafindra; Nurdian, Yudha; Rachmawati, Dwita Aryadina; Utami, Wiwien Sugih; Armiyanti, Yunita; Hermansyah, Bagus; Rahardjo, Angga Mardro
Jurnal Medik Veteriner Vol. 5 No. 2 (2022): October
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jmv.vol5.iss2.2022.178-187

Abstract

Increasing the cattle population can increase the amount of the waste. Poor management of cage sanitation has the risk of causing a decrease in the health conditions of cattle farmers, such as: diarrhea, nausea, vomiting, and itching, as many as 50% of cattle with diarrhea are infected with Cryptosporidium sp. The highest infection of Cryptosporidium sp. in cattle found in calves. The calf can excrete 1í—1010 oocysts of Cryptosporidium sp. per day. Cryptosporidium sp. also has the potential to cause zoonotic infections that are transmitted from animals to humans. The study aims was to determine the relationship between stall sanitation and Cryptosporidium sp. to calf and cattle farmer. The type of this research was analytic observational with a cross sectional approach conducted in Jatian Village, Pakusari, Jember during October 2021 - March 2022. The primary data was obtained through interviews and observations. The feces of calves and cattle farmer were collected and examined using sedimentation method and modified Ziehl-Neelsen (MZN) staining method. The statistical test used is the chi-square test. The results showed that the prevalence of Cryptosporidium sp. in calves by 14,3% and on cattle farmer by 4,8%. The bivariate analysis showed that that stall location and waste handling were associated with Cryptosporidium for calf (p≤0.05), and there were no variables that were significantly related to infection in cattle farmers (p>0,05). Cryptosporidium sp. in calves and humans can be caused by several factors, such as environmental factors and hosts. Preventive measures such as maintaining a clean environment including cowshed sanitation and personal hygiene need to be taken to reduce the risk of Cryptosporidium infection from calves to humans, and vice versa.
Correlation between Sanitation of Cow Stalls on Flies Density and Cryptosporidium sp. Manifestations Drajad, Rahadinda Mutia Dhamar; Nurdian, Yudha; Astuti, Ida Srisurani Wiji; Utami, Wiwien Sugih; Armiyanti, Yunita; Hermansyah, Bagus
Jurnal Medik Veteriner Vol. 6 No. 1 (2023): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jmv.vol6.iss1.2023.21-28

Abstract

The purpose of this study was to determine the correlation of stall sanitation on fly density and Cryptosporidium sp. presence on housefly. This study type was observational with a cross sectional approach in Jatian Village, Pakusari District, Jember Regency on December 2021 - February 2022. Data type was primary data that obtained using interview and observation. The correlation test that used was contingency coefficient test. The results showed that 77,5% of the stall had high fly density. Prevalence of Cryptosporidium sp. on housefly was 10%. Statistical analysis showed that cattle manure handling affected fly density (p≤0,05) with low correlation (r=0,384), meanwhile air vents affected Cryptosporidium sp. presence on housefly (p≤0,05) with low correlation (r=0,359). Farmers were suggested to keep the stall sanitation optimal to prevent Cryptosporidium transmission to humans.
Risk Factor Analysis of Cryptosporidium sp. Contamination in Dairy Cow Milk in Jember, Indonesia Sa'bani, Begawan; Hermansyah, Bagus; Sofiana, Kristianningrum Dian; Armiyanti, Yunita; Utami, Wiwien Sugih
Jurnal Medik Veteriner Vol. 7 No. 1 (2024): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jmv.vol7.iss1.2024.177-186

Abstract

This study aimed to determine the factors influencing Cryptosporidium sp. contamination in dairy cow milk in Jember. This study used an observational analytic design with a cross-sectional approach. The number of samples in this study was 30 cow farmers, using a purposive sampling technique. Data sources were obtained from questionnaire interviews, observation sheets, and laboratory examination results of milk samples. Data were then analyzed using univariate, bivariate, and multivariate analysis. Bivariate analysis used the Kruskal-Wallis comparison test, and multivariate analysis used the logistic regression test. The results showed Cryptosporidium sp. contamination in the milk of dairy cows by 6.7%. Most of the cow farmers in Jember had sufficient knowledge (40%), milking hygiene was categorized as sufficient (70%), and equipment sanitation was sufficient (66.7%). The statistical analysis showed no significant relationship between farmers' knowledge and equipment sanitation and Cryptosporidium sp. contamination (p > 0.05). There was a significant relationship between milk hygiene and Cryptosporidium sp. contamination in dairy cow milk in Jember (p < 0.05). In conclusion, milking hygiene was a risk factor affecting Cryptosporidium sp. contamination in dairy cow milk in Jember.
THE IMPACT OF CHRONIC PESTICIDE ON INCIDENCE OF GASTRIC CANCER: SYSTEMATIC REVIEW AND META-ANALYSIS Khoiruddin, Mukhammad Arif Hadi; Tartila, Jasmine; Utami, Wiwien Sugih; Kusuma, Irawan Fajar
HEARTY Vol 12 No 3 (2024): AGUSTUS
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v12i3.14515

Abstract

Indonesia as an agricultural country relies heavily on its corps as the main sector of nation’s development. On daily basis, many farmers use pesticide to increase corps productivity. However, pesticides were known to induce malignancy, one of them being gastric cancer; the fourth most mortal cancer in the world, with less than 12 month life expectancy on advanced stage, thereby making it a global health problem. This research used systematic review and meta-analysis methods to examine pesticide exposure variables on gastric cancer cases. Three journals were found, and meta-analysis results showed that there was a significant increase in the risk of gastric cancer in respondents who experienced pesticide exposure, especially with prolonged exposure with an odds ratio of 1.47 (more than two years). However, this review cannot explain the toxicity dose of pesticides and the nutritional status of respondents which can increase the incidence of gastric cancer due to the lack of research on related variables.
Perspektif Tenaga Kesehatan Terhadap Kualitas Pelayanan Puskesmas Pasca Akreditasi Nikmah, Faizatun; Sujoso, Anita Dewi Prahastuti; Utami, Wiwien Sugih
ARTERI : Jurnal Ilmu Kesehatan Vol 5 No 2 (2024): Februari
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v5i2.403

Abstract

Primary Healthcare Centers use accreditation as reference for improving health services quality. Health workers are the main component in providing health services at Primary Healthcare Center, but they have not felt the impact of accreditation on service quality. The study intend to figure out the perspective of health workers on the quality of health services in 44 Primary Healthcare Centers in Jember Regency after the implementation of accreditation. The type of study used is quantitative analytic with 330 health worker respondents. Interview was used to collect data while SEM-PLS was used to analyze data. Selection of study samples using multistage random sampling technique. Multistage random sampling is group sampling, where for each group selected as a sample, sample elements from each group are selected again. First, determine the primary healthcare centers to be studied from the 50 primary healthcare centers using the Slovin formula. The calculation results obtained were for 44 primary healthcare centers randomly. The second step was to select a sample of health workers from 1,866 people based on the sample size formula using the Slovin formula, resulting in 330 health workers. This study resulted that that leadership, strategic planning, human resources, customer focus, had a positive and significant effect on service quality with a p-value <0,05. Primary Healthcare Centers are advised to apply accreditation standards to improve service quality, improve service systems, improve facilities and infrastructure at Primary Healthcare Center, and increase health workers' competence by participating in training. The Health Office is expected to provide post-accreditation assistance continuously.
Effect of micronutrient deficiency on protozoal infection in stunting toddler Utami, Wiwien Sugih; Ramadanti, Novi Awalia; Rachmawati, Dwita Aryadina; Ratnawati, Leersia Yusi; Armiyanti, Yunita; Hermansyah, Bagus
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 4, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.12(4).233-241

Abstract

Background: Stunting is a developmental disorder caused by chronic inadequate nutritional intake in toddlers, leading to deficiencies in various nutrients, including iron and zinc. This can weaken toddlers' immunity, making them more vulnerable to infectious diseases, such as intestinal protozoa. An infected digestive tract can interfere with absorbing nutrients and reduce appetite, causing the infection to persist and become chronic. Chronic infection triggers the formation of pro-inflammatory cytokines that affect bone growth, hindering growth and causing stunting.Objectives: This study confidently investigates the correlation between iron and zinc micronutrient intake and intestinal protozoan infection in stunting toddlers in Jember District.Methods: The research is observational and cross-sectional, with 568 stunting toddlers aged 0-59 months in Jember District, East Java as study subjects. Iron and zinc intake were collected through 2x24-hour food-recall questionnaire interview and processed using the Nutrisurvey software. Protozoan infection status in toddler feces samples was identified using direct smear and modified Ziehl-Neelsen methods. The data analysis method chosen was the Spearman correlation test.Results: The study found that stunted toddlers in Jember District had mostly deficient micronutrient intake. The average iron intake is 2.56±3.06 mg and the average zinc intake is 1.8±1.47 mg. Protozoan infection was found in this study has a prevalence of 15.7%, with identified species including Entamoeba histolytica (3.3%), Giardia lamblia (2.6%), Cryptosporidium parvum (3.2%), Blastocystis hominis (5.3%), and mixed infections (1.2%). The statistical analysis confirms that there is no significant correlation between the intake of micronutrients iron (p=0.91;r=0.005) and zinc (p=0.76;r=0.013) and intestinal protozoan infection in stunting toddlers in Jember District.Conclusions: Based on the data, protozoan infection may be caused by multiple factors, such as parenting practices and family socioeconomics. However, improving nutrition by education and giving additional supplementation are crucial to reduce the prevalence of malnutrition in toddlers.
Analisis Penerimaan Aplikasi E-Promkes di Kabupaten Probolinggo Prriantono, Dwinda; Arina, Yuliana Mahdiyah Daat; Prasetyo, Aris; Utami, Wiwien Sugih; Suryaningsih, Ika Barokah
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 9, No 2 (2023): JMK Yayasan RS.Dr.Soetomo, Kedua 2023
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jmk.v9i2.1497

Abstract

Penggunaan teknologi informasi ini berhubungan erat dengan upaya untuk meningkatkan percepatan arus informasi dengan sarana perangkat elektronik untuk mampu menunjang pelayanan dan pengelolaan di dalam suatu sistem kesehatan. Penggunaan aplikasi e-promkes sebagai platform pelaporan kegiatan promosi kesehatan sangat penting sebagai dasar sebuah penentuan kebijakan. Tujuan penelitian ini adalah menilai seberapa besar penerimaan sistem informasi e-promkes dan pengaruh antar variabel TAM dalam penggunaan e-promkes. Penelitian ini menggunakan pendekatan cross sectional. Sampel pada penelitian ini adalah petugas kesehatan yang pernah mengoperasikan e-promkes di tiap kecamatan dengan jumlah 33 responden. Untuk melihat pengaruh antar variabel, analisis jalur dilakukan menggunakan SmartPLS 4.0. Berdasarkan analisis jalur didapatkan empat variabel yang signifikan antara lain Persepsi kemudahan (PEOU) memberikan dampak penggunaan e-promkes oleh petugas karena mampu membantu dalam penyelesaian tugas, meningkatkan kinerja, meningkatkan produktivitas dan efektivitas.
Co-Authors Achmad Ilham Tohari Achmad Maududie Achmad Nazalal Furqon Adella Bintang Saputri Adinda Putri Yusri Amrina Adinda Putri Yusri Amrina Angga Mardro Raharjo Angga Mardro Raharjo Anita Dewi Prahastuti Sujoso, Anita Dewi Prahastuti Ardyansyah, Rizky Robeth Arina, Yuliana Mahdiyah Daat Aris Prasetyo Asis Fitriana Aulya Rahmi Ayundasari, Asti Ayundasari, Asti Azham Purwandhono Aziz, Ayu Munawaroh Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Bagus Hermansyah Bambang Ilamto Baskoro Adi Prayitno Brillian Adexa Yudinda Cholis Abrori, Cholis Devita Prima Nurmasari Dewi Rokhmah Dian Eka Putri Harnandhari Diana Chusna Mufida Dicky Setiawan Dini Agustina Dita Diana Parti Drajad, Rahadinda Mutia Dhamar Dwi Prijatmoko Dwita Aryadina Rachmawati Elvia Rahmi Marga Putri ENNY SUSWATI Epafroditus Sanjaya Adiguna Erfan Efendi Erma Sulistyaningsih Erma Sulistyaningsih Faizatun Nikmah, Faizatun Febrianti, Zahrah Ghaiska Najma Amnur Hanu Neda Septian Heni Fatmawati Hermansyah, Bagus Ida Srisurani Wiji Astuti Ika Barokah Suryaningsih Ika Rahmawati Sutejo Ika Rahmawati Sutejo Ika Sriwinarti Irawan Fajar Kusuma Isa Ma'rufi Isa Ma’rufi Jauhani, M. Afiful Jauhar Firdaus Kesy Sasta Handani Khoiruddin, Mukhammad Arif Hadi Kristianningrum Dian Sofiana Laily Nurhayati Laksmi Indreswari Laksmi Indreswari Laksmi Indreswari Leersia Yusi Ratnawati M. Ali Shodikin M.S. Irham Rozaq Mash’ab Zirrun Al-Qomah Mauliya Sri Sukmawati Wahyudi Mei Syafriadi Muhammad Afiful Jauhani Muhammad Afiful Jauhani Muhammad Afiful Jauhani Muhammad Zainul Fikri Mukhammad Arif Hadi Khoirudin Nanda Nuramna Nanik Kurniati Nanik Kurniyati Nidia Nursafitri Nindya Shinta Rumastika Nur Hasyimiyyah Nuri Nurmaida, Eny Nurmaida, Eny Nurus Saffana Yulianto Pangestu, Ahmad Yudho Hadi Pradana, Tasya Lukita Cyndi Pralampita, Pulong Wijang Prriantono, Dwinda Pungky Setya Arini Putra, Muhamad Dwi Eka Rachmawati, Dwita Aryadina Rahardjo, Angga Mardro Ramadanti, Novi Awalia Ramadhani, Rafindra Ratnawati, Leersia Yusi Rena Normasari Rifaldy Nabiel Erisadana Rini Riyanti Rondhianto Rondhianto Sa'bani, Begawan Salsabilla, Safira Putri Nur Selly Silfana Liensa Sugeng Winarso Sulistyaningsih, Erma Syamsuddin, Alif Fazduani Tartila, Jasmine Verdian Rahardi Widjaja Putra, Bayu Taruna Winda Cindy Wulandari Yehuda Tri Nugroho Supranoto Yoga Setyo Yudha Nurdian Yudi Wicaksono Yunita Armianti Yunita Armiyanti Yunita Armiyanti Zulaikha Rizqina Rahmawati