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Journal : Althea Medical Journal

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.
Var Gene Encoding Duffy-Binding Like (DBL) 1α- Plasmodium Falciparum Erythrocyte Membrane Protein 1 (PfEMP1) as Diagnostic Marker and Clinical Predictor Candidates for Falciparum Malaria Dewi, Rosita; Sulistyaningsih, Erma; Aprilia, Annisa Nadya; Kusuma, Irawan Fajar; Sillehu, Sahrir
Althea Medical Journal Vol 11, No 4 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v11n4.2396

Abstract

Background: The pathogenesis of severe malaria involves the antigenic protein Plasmodium falciparum erythrocyte membrane protein-1 (PfEMP1), encoded by the var gene. One of the important domains in PfEMP1 is Duffy Binding Like 1α (DBL1α). To diagnose malaria, microscopic examination has low sensitivity and specificity, therefore, the development of molecular-based methods is needed. This study aimed to determine the potential of DBL1α-PfEMP1 as a diagnostic marker and clinical predictor for falciparum malaria.Methods: An exploratory descriptive study was conducted in 2019 on malaria patients at the Tiakur public health center, Southwest Maluku, Indonesia. Blood samples of patients infected with Plasmodium falciparum malaria were collected on filter paper for DNA isolation. Amplification by polymerase chain reaction (PCR) method used primers αAF [5'-GCA CG(A/C) AGT TTT GC-3'] and αBR [5'-GCC CAT TC(G/C) TCG AAC CA-3'] with cycles of denaturation 95oC 1-minute, annealing 42oC 1-minute, elongation 60oC 1-minute. PCR products were electrophoresed using 1% agarose gel. Amplicons were sequenced directly and analyzed using nucleotide BLAST-NCBI. Results: All patients showed mild malaria symptoms. PCR amplification yielded bands of 370 bp in all samples and 600 bp in 8 out of 10 samples, and 1 sample had a different pattern. Sequencing results confirmed that the amplicon was DBL1α, a var gene that had similarities to sequences from other regions.Conclusion: Positive amplification and sequencing results confirm the sensitivity of DBL1α-PfEMP1 as a diagnostic marker. The sequence variability of PCR product implies the presence of DBL1α variations, indicating a correlation with clinical outcomes and making it a clinical predictor.
Co-Authors Agustina Tri Endharti Al Munawir Alami, Eqiel Navadz Akthar Aldi Cahya Muhammad Alfi Kamalia Aliyatul Farida Anas Bakhtiar Diyansah Ancah Caesarina Novi Marchianti Andriani, Made Prasanti Aprilia, Annisa Nadya Ardyansyah, Rizky Robeth Arifin, Mochammad Samsul Ayundasari, Asti Aziz, Ayu Munawaroh Bagus Hermansyah Burhan, Niniek Cholis Abrori, Cholis Cicih Komariah Denaneer Rahmadatu Devita Prima Nurmasari Dewantoro, Dicky Didi Candradikusuma Didi Candradikusuma Dini Agustina Dion Krismashogi Darmawan Dwi Wahyuni Dwita Aryadina Rachmawati Elly Nurus Sakinah, Elly Nurus Endang Sri Purwanti Wulandari Eny Nurmaida Erfan Efendi Eva Sulawati Arum Fathul Hidayatul Hasanah, Fathul Hidayatul Febrina Sylva Fridayanti, Febrina Sylva Firdha Novitasari Fitri Dika Maharani FX Ady Soesetijo, FX Ady Ghani Silahudin Hadi Prayitno Heni Fatmawati Hidayat Sujuti I Dewa Ayu Ratna Dewanti I Ketut Suada Ida Srisurani Wiji Astuti Ika Rahmawati Sutejo Intan Rachmawati Irawan Fajar Kusuma Istinaroh, Nurul Iza Billa Fahmi Jarot Subandono Jarot Subandono Jauhar Firdaus Josef Sem Berth Tuda Kahfi Karunia Ilahi Kholifaturrohmah, Sakinatus Sariroh Kholifaturrohmy, Muhammad Rizqi Laeli Kurniasari Laili, Elisa Fadia Laily Rahmawati Loeki Enggar Fitri Luh Putu Ratna Sundari Muhammad Hasan Nabila Putri Anissa Ngurah Agung Reza Satria Nugraha Putra Nicole Berens-Riha Nicole Berens-Riha, Nicole Niniek Burhan Nur Aqmarina Kusumawardani Nurmaida, Eny Parawita Dewanti Pralampita, Pulong Wijang Pungky Setya Arini Putri, Izza Amalia Rahma, Nafisah Hani Asyifah Rina Fitriana Rina Fitriana Ristya Widi Endah Yani Rosita Dewi Salim Salim Samsul Arifin Sari, Leny Yulia Widia Sa’diyah, Nindya Audatus Setyoadji, Winnie Almira Sheilla Rachmania, Sheilla Sillehu, Sahrir Silvi Ahmada Chasya Sinta Ariyani Sri Hernawati Sugiyanta Sugiyanta Sukarti Moeljopawiro Sukarti Moeljopawiro Thomas Loescher Thomas Loescher, Thomas Tri Agus Siswoyo Tristira Urvina Tuda, Josef Sem Berth Umar Zein Warda Ayu Nadira Wayan T. Artama Wayan T. Artama Widhi Dyah Sawitri Wiji Utami Wiwien Sugih Utami Wulandari, Lindi Priyantika Tri Yunita Armiyanti Zahniar, Zahniar