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All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) Majalah Kedokteran Bandung Media Penelitian dan Pengembangan Kesehatan ASPIRATOR Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Ilmu Ternak Veteriner Majalah Kedokteran The Indonesian Biomedical Journal Universa Medicina Molecular and Cellular Biomedical Sciences (MCBS) Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Media Ilmu Kesehatan Majalah Kedokteran Andalas Riset Informasi Kesehatan Jurnal Kedokteran Meditek Jurnal Intelek Dan Cendikiawan Nusantara Indonesian Journal of Biomedicine and Clinical Sciences

Heri Wibowo

Department Of Parasitology, Faculty Of Medicine, Universitas Indonesia, Jakarta

Author-ID : 3289437

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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Density of Dermatophagoides spp. and Its Relationship with House-dust Mite Specific Serum IgE in Persistent Asthma Annisa Mulia Anasis; Anna Rozaliyani; Heri Wibowo
Molecular and Cellular Biomedical Sciences Vol 4, No 2 (2020)
Publisher : Cell and BioPharmaceutical Institute

Background: Asthma is a chronic inflammation of the bronchial tree that emerges as a response to exogenous factors, such as allergens, irritants, and infections. Some asthmatic patients had been reported having symptoms of asthma due to house-dust mites (HDM) allergen exposure. It is associated with immune responses which were increased in the form of specific Immunoglobulin E (IgE) production against HDM allergens. This case-control study aimed to determine the HDM profiles in persistent asthmatic patients, including density of mites, as well as its relationship with specific IgE anti-HDM serum levels.Materials and Methods: A total of 13 patients with persistent asthma and 12 control patients had their specific anti-HDM IgE levels examined using Immulite 2000 xpi. The house dust samples were taken and analyzed with the Fain method.Results: The results have shown that 69% of patients in the persistent asthma group and 25% of normal patients were positive for IgE anti-HDM. Dermatophagoides pteronyssinus is a predominant species with a total of 120 mites (83.9%) of 143 mites. Correlation analysis indicated a positive relationship between IgE anti-HDM levels within the serums of patients and the density of mites in the dust obtained from bedroom spaces (Spearmen Rho, R=0.35, p=0.04).Conclusion: Positive IgE anti-HDM patients in the persistent asthma group were higher (69%) than those in the clinically normal group (25%). The density of mites were dominated by D. Pteronyssinus. The bedroom-dust mites density revealed a positive correlation with serum IgE anti-HDM levels in persistent asthma patients.Keywords: asthma, density, Dermatophagoides spp.,IgE

Impaired Function of Regulatory T Cells in Type 2 Diabetes Mellitus Rona Kartika; Heri Wibowo
Molecular and Cellular Biomedical Sciences Vol 4, No 1 (2020)
Publisher : Cell and BioPharmaceutical Institute

Pathogenesis of type 2 Diabetes Mellitus (DM) is often associated with chronic low-grade inflammation. This kind of inflammation is characterized by an increased level of pro-inflammatory cytokines such as tumor necrosis factor α (TNF-α), interleukin (IL)-6 and IL-1β. From an immunological point of view, an inflammatory response is always followed by an anti-inflammatory response as negative feedback to avoid excessive tissue damages. Regulatory T cells are a subset of cluster of differentiation (CD)4+ T cells that have the function to maintain peripheral tolerance and suppress immune response. This review would discuss the impaired function of regulatory T cells in type 2 DM. DM is a group of metabolic diseases characterized by hyperglycemia due to a defect of insulin secretion or a combination of insulin resistance and relative insulin deficiency. Chronic low-grade inflammation has been known as a key factor in the development of insulin resistance. Regulatory T cells (Treg cells) action through contact and non-contact inhibition could suppress inflammatory response in innate and adaptive immune systems. In type 2 DM, the proportion and function of CD4+CD25+Foxp3+ and CD4+CD25+ regulatory T cell decreases due to the reduced number of Treg cells and the Treg cells depletion contributes to metabolic conditions such as insulin resistance. Moreover, Treg cells are more susceptible to apoptosis, the ability of Treg cells to produce anti-inflammatory cytokines such as transforming growth factor β (TGF-β) and IL-10 decreases, and there is an imbalance between the proportion of Th1/Th17 cells and Treg cells. This inadequate anti-inflammatory response gives rise to the chronic low-grade inflammatory condition in type 2 DM.Keywords: type 2 diabetes mellitus, inflammation, regulatory T cell

HUBUNGAN INFEKSI CACING USUS DAN ATOPI PADA ANAK SEKOLAH DASAR Nora Harminarti; Taniawati Supali; Heri Wibowo
Majalah Kedokteran Andalas Vol 32, No 1: April 2008
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22338/mka.v32.i1.p56-69.2008

AbstrakPeningkatan kasus alergi di wilayah yang berhasil menurunkan infeksi keca-cingan dibandingkan dengan yang infeksi kecacingannya masih tinggi membuat hubungan respon imun terhadap infeksi cacing usus dan alergi sangat penting untuk dipelajari. Hal ini di dukung oleh laporan mengenai rendahnya prevalensi atopi pada penderita infeksi cacing usus akibat kemampuan cacing memodulasi respon IgE poliklonal yang dapat menekan atopi/alergi. Adanya laporan kontroversial dengan hasil yang sebaliknya menjadikan hubungan cacing dan alergi semakin menarik untuk dipelajari lebih lanjut. Penelitian ini bertujuan untuk mengetahui hubungan infeksi cacing usus dengan manifestasi atopi pada anak Sekolah Dasar di desa Anaranda dan Nangapanda, kabupaten Ende, Flores, Nusa Tenggara timur (NTT). Atopi dilihat dari tes uji kulit (skin prick test) yang positif terhadap aero-allergen (tungau debu rumah dan kecoa) dan food-allergen (kacang). ELISA digunakan untuk menentukan kadar IgE total. Di Anaranda lebih banyak ditemukan atopi (80,0%) dan infeksi cacing usus (75,6%) dibandingkan dengan Nangapanda yang prevalensi atopi 61,8% dan cacing usus 65,5%.Tidak ditemukan pengaruh infeksi cacing usus terhadap atopi (p=0,469). Kadar IgE total secara signifikan lebih tinggi pada yang atopi (p=0,031), sedangkan pada yang terinfeksi cacing usus tidak berbeda bermakna (p=0,607). Dari penelitian ini dapat disimpulkan infeksi cacing usus tidak mempengaruhi manifestasi atopi pada anak-anak Sekolah Dasar di daerah endemis cacing usus.Kata kunci: infeksi cacing usus, atopi, IgE total, anak Sekolah DasarAbstractThe reports of increasing allergy in areas of decreased helminth infestation compared with the endemic areas make the study of the correlation between helminth infestations and allergy very important. It is also supported by researchers showing that low atopy prevalence in helminth infested humans is caused by helminth ability in modulating IgE polyclonal response which could suppress atopy/allergy. On the contrary, some researchers also show different results and make this correlation interesting for further study. This study aimed to determine relationship between helminth infestation and atopy in school children in Anaranda and Nangapanda villages at Ende district, Flores, Nusa Tenggara Timur (NTT). Helminth infestation status was determined by microscopic examination, while skin prick test was performed to study the prevalence of atopy for aeroallergen (mite and cockroach) and food allergenARTIKEL PENELITIAN59(peanut). ELISA was used to determine the titer of total IgE. Atopy is more prevalent in Anaranda (80.0%) where helminth infestation was also higher (75.6%), while in Nangapanda atopy is 61.8% and helminth prevalence is 65.5%. We found no impact on intestinal helminth infection to atopy (p=0.469). Total IgE titer is significantly higher in atopic children (p=0.031) while not significantly different in intestinal helminth infested children (p=0.607). We conclude that intestinal helminth infestation does not affect atopy manifestation in elementary school children in endemic area.Keywords: Intestinal helminth infection, atopy, Total IgE, elementary school children

PREVALENSI DAN INTENSITAS INFEKSI Ascaris lumbricoides DAN Trichuris trichiura PADA ANGGOTA KELUARGA DI JAKARTA DAN CIPANAS, JAWA BARAT Rizal Subahar; Patra Patiah; Widiastuti Widiastuti; Agus Aulung; Heri Wibowo
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 11, No 1 (2017): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

The infection of Ascaris lumbricoides and Trichiuris trichiura may be occured among family members. The aim ofthe study was to know the prevalence and intensity of A.lumbricoidesand T.trichiurainfections among family members in Jakarta and Cipanas, West Java. This study was conducted in two Government Schools, namely SDN Kalibaru 07 Pagi(North Jakarta) and SDN Tarigu(Cipanas, West Jawa) using a cross-sectional design. The feces samples of respondents consisted of father, mother, schoolchildren, as well as other family members. The feces samples were tested by Kato-Katz method. A total of feces samples examined was 842 samples consisting of 242 samples from Kalibaru and 600 from Cipanas. The feces samples were examined by Kato-Katz method. In Kalibaru the prevalences of A. lumbricoides and T.trichiura in father were 27,8% and 13,9%, mother 32,6% and 7,0%, schoolchildren 37,5% and 36,5%, and other family members 30,5% and 21,1% respectively. Statistically, no significant differentiation (p>0.05) of the prevalences of the intestinal helminths among faher, mother, schoolchildren, and other familiy members in Kalibaru. In Cipanas, the prevalences of A. lumbricoides andT.trichiura in fahter were 0,0% and 4,0%, mother 2,0% and 4,70%, schoolchildren 2,0% and 16,7%, and other family members 0,0% and 4,7%. The intensity of A. lumbricoides and T. trichiura infections among the family members in Kalibaru and Cipanans was light to moderate. The A. lumbricoides high infection was only found among schoolchildren in Kalibaru. The family members infected by A. lumbricoides and T. trichiura were a source of infection for transmitting the intestinal helminths in the community.

Analisis Titer dan Subtipe Antibodi pada Inkompatibilitas ABO yang Menyebabkan Hemolytic Disease of Fetus and Newborn Sheila Nurrahmah; Heri Wibowo; Ria Syafitri Evi G
MEDIA ILMU KESEHATAN Vol 11 No 1 (2022): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v11i1.675

Background: Hemolytic disease of the fetus and newborn (HDFN) is a type of anemia in the fetus or newborn. Clinical features of HDFN such as hepatosplenomegaly, liver failure, ascites, at birth die from heart failure to brain damage. One of the most common causes is incompatibility of blood groups such as ABO. Differences in clinical manifestations that occur in HDFN are caused by differences in antibody titers and IgG subtypes.Objective: The aim of this study was to determine the anti-A and anti-B antibody titers and the types of immunoglobulins that affect HDFN due to ABO incompatibility.Methods: The sample used in this study was blood and umbilical cord blood from 30 pairs of mother-babies who had different blood groups. Titration examination by tube method and IgG subtype by ELISA method were performed on maternal samples.Results: The correlation of total bilirubin levels with maternal Anti-A and Anti-B titers are p= 0.023 and p= 0.001, in addition there are significant increase in OD of Anti-A IgG1 and Anti-B IgG1 againts elevated infant bilirubin levels.Conclusion: IgG titers >8 causing hyperbilirubinemia, but no jaundice and IgG titers >16 causing hyperbilirubinemia to jaundice. The IgG subtype that plays a more role in causing clinical problems is IgG1.

High-Fat Diet Impact on T Cell Polarization in First Degree relative (FDR) Subject with Type 2 Diabetes Mellitus Dini Aulia Cahya; Heri Wibowo; Alida Rosita Harahap
MEDIA ILMU KESEHATAN Vol 11 No 2 (2022): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v11i2.681

Background: The prevalence of high-fat diet consumption that triggered obesity is increasing in last 2 decades. Type 2 diabetes mellitus is associated by the increasing number of inflammation marker, Acute phase protein in blood serum. In type 2 diabetes mellitus, combination of lifestyle and genetic factors is the most influential factors. Due to that fact, person with First Degree Relative ( FDR) in type 2 diabetes mellitus has the higher risk to develop into type 2 diabetes mellitus. T cell is one of leucocyte that has a significance role in adaptive immune response.T cell polarization will show the profile of adaptive immune response in chronic inflammation Objective: This study is purposed to analyse how T cell polarized in First Degree Relative (FDR) subject in risk of type 2 diabetes mellitus with high fat diet treatment.Methods: 30 Non-FDR subjects and 30 FDR subjects who included in parameter inclusion were treated with 250 mL whipping cream per day in 5 days. Pre and post treatment blood collection were tested for blood profile and flowcytometry intraseluler staining.Results: BMI is significantly increasing in Non-FDR subject meanwhile Cholesterol and HDL are significantly increasing in FDR subject. There are no significant changes in T cell subset including Th1, Th2, Th17 and Treg.Conclusion: Short term high fat diet treatment in 5 days increased some metabolic profiles on both group but there are no significantly different changes in T cell polarization.

Deteksi Antibody Anti-Human Leukocyte Antigen (HLA) Kelas I Pada Donor Darah Wanita Eti Herani; Ni Ken Ritchie; Heri Wibowo
MEDIA ILMU KESEHATAN Vol 11 No 2 (2022): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v11i2.673

Background: HLA class I is very polymorphic, if it enters the body of another person it will be considered foreign so that alloimmunization can occur by producing class I anti-HLA antibodies. These antibodies are found in individuals exposed to allogeneic cells due to transfusion, problems, and pregnancy. Female blood donors who have anti-HLA class I antibodies when donating blood and transfused to patients who have the appropriate HLA can cause a transfusion reaction. Research on class I anti-HLA antibodies in female blood donors in Indonesia is still very rare. This research is further to get an overview of class I anti-HLA antibodies in female blood donors.Objective: To determine the presence of potential class I anti-HLA antibodies in female donors.Methods: The subjects of this study were 30 female donors who had never been pregnant and 60 donors who had been pregnant and gave birth who donated their blood at UTD PMI DKI Jakarta. The collected samples were screened using the whole platelet ELISA method to detect platelet antibodies, namely anti-HPA and anti-HLA class I antibodies, followed by consulting anti-HLA class I antibodies with the MAIPA method.Results: Sixteen samples were detected to contain anti-platelet antibodies and 74 were negative. Identification of class I anti-HLA antibodies in 16 samples showed all negative results.Conclusion: Identification of 16 positive anti-platelet antibody samples in female donors did not show class I anti-HLA antibodies

Deteksi Varian Rhesus Dweak pada Populasi Rhesus Negatif di Provinsi DKI Jakarta Endang Pratiwi; Ni Ken Ritchie; Heri Wibowo
MEDIA ILMU KESEHATAN Vol 11 No 2 (2022): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v11i2.744

Background: The Rhesus blood group system is determined by the presence or absence of the D-antigen, and has clinical importance because it can cause Haemolytic Transfusion Reaction (HTR) and Haemolytic Disease of the Newborn (HDN). There are several variants of the D-antigen which are weak, so it will be detected as Rhesus Negative.Objective: The purpose of this study was to determine the prevalence of the Rhesus D weak blood group variant in DKI Jakarta Province, so that it could determine the identity status of the blood group correctly.Methods: The samples used in this study were whole blood samples with a maximum storage time of three days in the blood refrigerator. The examination used in this study is the Indirect Antiglobulin Test (IAT).Results: Rhesus Dweak variant was detected in 103 samples examined using the IAT examination method.Conclusion: Determination of the Rhesus variant in individuals is necessary to prevent clinical impact on the patient. Further examination is needed to ensure the D-antigen of the Rhesus blood group

Perbandingan ekspresi sitokin proinflamasi interferon-gamma dan antiinflamasi interleukin-10 pada whole blood culture terhadap pajanan mikroorganisme yang distimulasi dengan phytohemagglutinin pada subjek di pemukiman kumuh dan non kumuh Talitha Vania Salsabella; Ndaru Andri Damayanti; Heri Wibowo
Riset Informasi Kesehatan Vol 11 No 2 (2022): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Abstrak Latar Belakang : Kondisi permukiman dapat mempengaruhi tingkat pajanan mikroorganisme penduduknya. Penduduk yang tinggal di daerah kumuh memiliki risiko lebih tinggi untuk terpajan mikroorganisme. Penelitian ini bertujuan untuk mengetahui perbedaan ekspresi IFN-Î³ dan IL-10 pada whole blood culture (WBC) penduduk daerah kumuh dan nonkumuh yang distimulasi oleh phytohemagglutinin (PHA). Metode : Penelitian potong-lintang dilakukan untuk menentukan perbedaan kadar IFN-Î³ dan IL-10 pada WBC yang berasal dari subjek daerah kumuh dan nonkumuh yang distimulasi dengan mitogen PHA. Data sitokin merupakan data sekunder. Hasil : Kadar IFN-Î³ pada kondisi basal ditemukan secara signifikan lebih tinggi pada kelompok nonkumuh daripada kelompok kumuh (p=0,004). Temuan serupa terlihat pada kadar IL-10 basal (p=0,002). Pascastimulasi PHA, tidak ditemukan perbedaan signifikan pada kadar IFN-Î³ (p=0,488), sedangkan kadar IL-10 pascastimulasi PHA secara signifikan lebih tinggi pada kelompok kumuh dibandingkan nonkumuh (p=0,001). Rasio IFN-Î³ terstimulasi/IFN-Î³ basal secara signifikan lebih tinggi pada kelompok kumuh dibandingkan nonkumuh (p=0,010) dan rasio IL-10 terstimulasi/IL-10 basal juga secara signifikan lebih tinggi pada kelompok kumuh dibandingkan nonkumuh (p=0,004). Potensi inflamasi dinilai dengan rasio keseimbangan IFN-Î³ terhadap IL-10, didapatkan potensi inflamasi yang secara signifikan lebih tinggi pada daerah nonkumuh dibandingkan daerah kumuh (p=0,002). Kedua sitokin menunjukkan korelasi positif yang cukup kuat dan signifikan, terutama terlihat pada kelompok kumuh (R=0,642 dan p=0,002). Kesimpulan : Terdapat perbedaan kadar sitokin IFN-Î³ dan IL-10 pada kelompok kumuh dan nonkumuh pada kondisi basal. Pascastimulasi PHA perbedaan hanya terlihat pada kadar IL-10. Rasio keseimbangan kedua sitokin di kedua kelompok berbeda, menunjukkan potensi inflamasi kelompok nonkumuh lebih kuat dibandingkan kelompok kumuh. Terdapat korelasi positif antara sitokin IFN-Î³ dan IL-10 dimana peningkatan IFN-Î³ akan diikuti dengan peningkatan IL-10, terutama terlihat pada kelompok kumuh.

Perbandingan Uji Diagnostik Mini FLOTAC dengan Kato-Katz Sebelum dan Sesudah Pengobatan Albendazol Dosis Tunggal pada Anak yang Terinfeksi Cacing Usus Monica Puspa Sari; Taniawati Supali; Heri Wibowo
Jurnal Kedokteran Meditek Vol. 21 No. 55 Januari - April 2015
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v21i55.1200

AbstrakUntuk memantau pengobatan anthelmintik, diperlukan teknik pemeriksaan yang lebih akurat dan sensitif dibandingkan denganÂ Kato-Katz yang merupakan teknik standar yang ada saat ini.Â Penelitian ini merupakan uji diagnostik yang dilakukan terhadap anak sekolah dasar dilakukan pada bulan Maret 2013 di Kelurahan Kalibaru, Kecamatan Cilincing, Jakarta Utara. Sampel tinja diperiksa menggunakan metode Kato-Katz dan Mini FLOTAC sebelum dan sesudahÂ pemberian obat albendazol 400 mg dosis tunggal pada hari ke 7,14, dan 21. Dari 209 subyek penelitian, terjaring 197 subyek yang bersedia ikut serta. Â Sebelum pengobatan, sensitivitas dan NPV (negative predictive value)Â Â Kato-KatzÂ Â Â Â danÂ Mini FLOTAC masingâ€“masing 94%, 96%Â dan 81%, 88% terhadap infeksi A. lumbricoides. Terhadap T. trichiura 88%, 92% dibandingkan Mini FLOTAC 100%. Nilai kappa agreement antara teknik Kato-Katz dan Mini FLOTAC adalah 0.773 untuk diagnosis infeksi A. lumbricoides dan 0.895 untukÂ infeksi T. trichiura. Terhadap Ascaris,Â 19.79% tergolong infeksi ringan dengan Kato-Katz. Sedangkan 25.88% tergolong infeksi ringan dengan Mini FLOTAC. Terhadap Trichuris,Â 34.51% tergolong infeksi ringan dengan Kato-Katz dan 42.13% tergolong infeksi ringan dengan Mini FLOTAC. Setelah diberikan pengobatan, Kato-Katz lebih sensitif dibandingkanÂ Mini FLOTAC dalam mendeteksi infeksi A. lumbricoides, terutama pada hariÂ 7 dan 14 dan sebaliknya Mini FLOTAC lebih sensitif terhadap infeksi T. trichiura.Teknik Mini FLOTAC dapat dipakai sebagai alternatif dari teknik Kato-Katz dalam mendeteksi infeksi cacing usus dan lebih sensitif mendeteksi T. trichiura dibanding Kato-Katz. Â Kata Kunci : Kato-Katz, Mini FLOTAC, Albendazol, Infeksi cacing ususÂ Â AbstractÂ Â Â Â Â Â Â Â Â Â Â To monitor anthelmintic treatment, will require examination techniques that are more accurate and sensitive than the Kato-Katz technique which is the current standard. This study is a diagnostic examination performed on primary school children. It was conducted in March 2013 inÂ Â Kalibaru village, Cilincing Sub-District, North Jakarta. Stool samples were examined using the Kato-KatzÂ and Mini FLOTAC methods on day 7,14, and 21 after the administration of a single dose of 400 mg albendazole. Of the 209 study subjects, 197 subjects were willing to participate. Before treatment, the sensitivity and the NPV (negative predictive value) against A. lumbricoides infection were 94%,96%, respectively for Kato-Katz and 81%, 88%, respectively for Mini FLOTAC. For T. trichiura, sensitivity and the NPV of Kato-Katz were 88%, 92%, respectively,while for Mini FLOTAC both values were 100%. Kappa value of agreement between Kato-Katz and Mini FLOTAC techniques was 0.773 for the diagnosis of A. lumbricoides infection and 0.895 for T. trichiura. For Ascaris, 19.79% versus 25.88% of infected children have light infection by Kato-Katz and Mini FLOTAC, respectively. For Trichuris, 34.51% versus 42.13% of infected children have light infection with Kato-Katz and Mini FLOTAC, respectively. After the treatment was given,Â Kato-KatzÂ was more sensitive compared to Mini FLOTAC in detecting A. lumbricoides infection, especially at day 7 and day 14. On the contrary, Mini FLOTAC was more sensitive in detecting T. trichiura infection. The Mini FLOTAC technique can be used as an alternative for Kato-Katz in detectingÂ helminth infections. Mini FLOTAC was more sensitive to detect T. trichiura compared to Kato-Katz. Â Keywords Â :Â Kato-Katz, Mini FLOTAC, Albendazole, Soil transmitted helminthesÂ Â

Co-Authors Agus Aulung Agus Aulung Alida Rosita Harahap Ambar Hardjanti Ananta Putri Oktafianti Andi Yasmon Anis Shafa Anna Rozaliyani Annisa Mulia Anasis April Hari Wardhana Arleni Bustami Armedy Ronny Hasugian Ceisar Pawenang Aji Cicilia Febriani Hayuningrum Cityta Putri Kwarta Din Syafruddin Dini Aulia Cahya Dyah Haryuningtyas Sawitri Elita Donanti Emiliana Tjitra Endang Pratiwi Eti Herani Hanny Siti Nuraeni Helena Ullyartha Pangaribuan Hendri Astuty Ibnu Agus Ariyanto Inge Sutanto Iris Rengganis Irma Safitri Ismail E Prayitno Isna Indrawati Maya Ulfah Monica Puspa Sari Muammar Khadaffi Muammar Khaddafi Muhammad I. Kahtan Muharam Natadisastra Nadar Sukri Ndaru Andri Damayanti Ni Ken Ritchie Ni Ken Ritchie Nora Harminarti Nurhadi Eko Firmansyah Oky Satiagraha Patra Patiah Perdana Heriyoko Puji Budi Setia Asih, Puji Budi Puspita Eka Wuyung Ria Kodariah Ria Syafitri Evi G Rizal Subahar Rizal Subahar Rona Kartika Rona Kartika Sari, Monica Puspa Sheila Nurrahmah Siti Aqila Zahra Nst Suradi Suradi Suriyani Tan Sylvia Sance Marantina Talitha Vania Salsabella Taniawati Supali Taniawati Supali Taniawati Supali Taniawati Supali Utami, Diah Dwi Viya Aurelia Salsabila Wahyu Pangestuti Lestari Widiastuti Widiastuti Yolazenia Yolazenia Yordan Khaedir Zulhasril Zulhasril

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