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All Journal International Journal of Public Health Science (IJPHS) Jurnal Sain Veteriner Jurnal Kesehatan Lingkungan indonesia e-Journal Pustaka Kesehatan Althea Medical Journal Majalah Geografi Indonesia Jurnal Kesehatan Jurnal Kesehatan Andalas Folia Medica Indonesiana Damianus Journal of Medicine Journal of Agromedicine and Medical Sciences Jurnal Media Gizi Indonesia (MGI) JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) The Indonesian Journal of Occupational Safety and Health UNEJ e-Proceeding Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Al-sihah: The Public Health Science Journal Jurnal Medik Veteriner Hearty : Jurnal Kesehatan Masyarakat J-Dinamika: Jurnal Pengabdian Kepada Masyarakat Journal of Health Sciences ARTERI : Jurnal Ilmu Kesehatan JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH MAHESA : Malahayati Health Student Journal Solo Journal of Anesthesi, Pain and Critical Care JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Berita Kedokteran Masyarakat Jember Medical Journal (JMJ) Indonesian Journal of Biomedicine and Clinical Sciences Journal of Agropharmacy
Wiwien Sugih Utami
Department Of Parasitology, Faculty Of Medicine, Universitas Of Jember, Jember 68121, Indonesia
Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Dentistry Earth & Planetary Sciences Education Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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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.
Combination Therapy for Cryptosporidiosis in Immunocompromised Patients Wiwien Sugih Utami; M.S. Irham Rozaq; Laksmi Indreswari; Cholis Abrori; Bagus Hermansyah
Folia Medica Indonesiana Vol. 60 No. 4 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmi.v60i4.60340

Abstract

Cryptosporidium sp. is a gastroenteritis-causing pathogen that may increase mortality and morbidity in immunocompromised patients. Diarrhea is a common problem among acquired immunodeficiency syndrome (AIDS) patients, with 30–60% of patients in developed countries and 90% in developing countries affected. The prevalence of cryptosporidiosis is 3–5% of the global population, with 14.42% of those affected being immunocompromised. There is currently no vaccine available to prevent cryptosporidiosis, while nitazoxanide monotherapy is ineffective in eradicating the organism in immunocompromised hosts and malnourished children. This study aimed to determine the most effective combination therapy for cryptosporidiosis in immunocompromised patients. This study used a systematic review design and implemented eligibility criteria for the literature search across PubMed, ScienceDirect, Epistemonikos, Google Scholar, Nature, Springer, and John Wiley databases. The search utilized specific keywords and Boolean operators, i.e., “Cryptosporidium,” OR “cryptosporidiosis,” AND “combination therapy,” OR “combination treatment,” AND “immunocompromised.” Two cohort studies and two case reports were selected, three of which used a nitazoxanide and azithromycin combination as the intervention, whereas only one cohort study used a nitazoxanide and fluoroquinolone combination. The studies comprised 54 samples from post-kidney transplantation patients and one sample from an acute lymphoblastic leukemia (ALL) patient. The nitazoxanide and fluoroquinolone combination showed superior outcomes than the nitazoxanide and azithromycin combination. The stool clearance was significantly lower with nitazoxanide monotherapy than the nitazoxanide and fluoroquinolone combination (OR=0.65, 95% CI=0.34–0.92, p=0.01). However, it was non-significantly lower with the nitazoxanide and azithromycin combination compared to monotherapy (OR=0.27, 95% CI=0.01–5.77, p=0.24). Nitazoxanide monotherapy exerted a significantly lower effect than the nitazoxanide and fluoroquinolone combination in stopping diarrhea symptoms (OR=0.45, 95% CI=0.21–0.81, p=0.004). In conclusion, a combination therapy using nitazoxanide and fluoroquinolone for cryptosporidiosis in immunocompromised patients offers more favorable outcomes compared to monotherapy, particularly in stopping diarrhea and enhancing stool clearance.
Hubungan Infeksi Soil-Transmitted Helminths (STH) dengan Angka Kejadian Tuberculosis (TB) pada Balita Stunting di Kecamatan Rambipuji Ayundasari, Asti; Hermansyah, Bagus; Nurmaida, Eny; Utami, Wiwien Sugih; Armiyanti, Yunita; Sulistyaningsih, Erma
Jurnal Kesehatan Andalas Vol 13, No 2 (2024): July 2024
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v13i2.2386

Abstract

Infection is one of the factors associated with stunting. The relationship between stunting and infection can have reciprocal effects. Stunting can increase the risk of infection. Conversely, infections such as Soil-Transmitted Helminths (STH) and Mycobacterium tuberculosis (M. tuberculosis) can also increase the risk of stunting. Objective: To analyzed the correlation between STH infection and the incidence of tuberculosis (TB) in stunting toddlers. Methods: The subjects of this study were 108 stunting toddlers obtained from a simple random sampling method. It was conducted from May 2023 to March 2024 in several villages within the Rambipuji District of Jember Regency, including Gugut, Rambigundam, Pecoro, and Kaliwining. The statistical analysis used in this study was the contingency coefficient test. Results: Findings revealed that the occurrence of STH infection with TB in stunting toddlers was 0%. Conclusion: There is no statistically significant relationship between STH infection and the incidence of TB in stunting toddlers in the Rambipuji District, Jember Regency.Keywords: soil-transmitted helminths, tuberculosis, stunting
Co-Authors Achmad Ilham Tohari Achmad Maududie Achmad Nazalal Furqon Adella Bintang Saputri Adinda Putri Yusri Amrina Amrina, Adinda Putri Yusri 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 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 Eny Nurmaida 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 Ilamto, Bambang 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 Muhammad Afiful Jauhani Muhammad Afiful Jauhani Muhammad Afiful Jauhani Muhammad Zainul Fikri Mukhammad Arif Hadi Khoirudin Nabila Putri Anissa 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 Rahardi, Verdian Rahardjo, Angga Mardro Rahmi, Aulya Ramadanti, Novi Awalia Ramadhani, Rafindra Ratnawati, Leersia Yusi Rena Normasari Rifaldy Nabiel Erisadana Sa'bani, Begawan Salsabilla, Safira Putri Nur Selly Silfana Liensa Sugeng Winarso Sulistyaningsih, Erma Syamsuddin, Alif Fazduani Tartila, Jasmine tunsiah, tunsiah Widjaja Putra, Bayu Taruna Wulandari, Lindi Priyantika Tri Yehuda Tri Nugroho Supranoto Yoga Setyo Yudha Nurdian Yudi Wicaksono Yunita Armianti Yunita Armiyanti Zulaikha Rizqina Rahmawati