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The Relationship between Anxiety Symptoms and Smoking AmongAdolescents in Samarinda Insany, Vicca Yulia; Ningsih, Riyan; Azmiardi, Akhmad
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Adolescents are a vulnerable population for both anxiety disorders and health risk behaviors such as smoking, including the use of electronic cigarettes. Anxiety symptoms in adolescents are thought to contribute to earlier smoking initiation. Objective : This study aimed to examine the relationship between anxiety symptoms and smoking behavior among adolescents in Samarinda Research Methods/ Implementation Methods : This cross-sectional study was conducted in the working area of Baqa Primary Healthcare Center, Samarinda, in 2025. A total of 212 senior high school students were selected using a total sampling technique. Smoking behavior data were collected using a smoking behavior screening questionnaire. Anxiety symptoms were measured using the Mini MINDHEAR Youth Scale V.1 (anxiety subscore). Data were analyzed using univariate and bivariate analysis with the Chi-Square test Results : Most respondents were aged 15 to 17 years. Among the smokers, 40 participants were male (81%) and 9 were female (19%); 29 respondents (59%) reported smoking conventional tobacco cigarettes, while 20 respondents (40%) used electronic cigarettes. The proportion of smoking (tobacco/e-cigarettes) among respondents with anxiety symptoms was 33.9%, compared to 19.2% among those without anxiety symptoms. There was a statistically significant association between anxiety symptoms and smoking behavior (p = 0.025; PR = 2.157; 95 percent CI = 1.091–4.264). Conclusion/Lesson Learned : There is a significant relationship between anxiety symptoms and smoking behavior among students. These findings highlight the importance of mental health screening and intervention within School Health Programs (UKS), Adolescent Integrated Community Health (Posyandu Remaja), and Smoking Cessation Program (UBM

Analysis of Escherichia coli Contamination in Frozen Beef and Food Safety Implications in Balikpapan City Tanty, Yulis; Ningsih, Riyan; Sedionoto, Blego
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Escherichia coli presence in animal-derived foods serves as a crucial indicator of hygiene and sanitation standards throughout handling, storage, and distribution. Frozen beef distributed to consumers risks contamination when food safety controls, particularly cold chain maintenance, are inconsistently implemented. This study assessed E. coli contamination levels in frozen beef marketed in Balikpapan City and evaluated compliance with the Maximum Contaminant Limit (MCL) under SNI 7388:2009. Objective : This study aimed to assess the contamination level of E. coli in frozen beef marketed in Balikpapan City and to evaluate its compliance with the Maximum Contamination Limit (MCL) established by SNI 7388:2009. Research Methods/ Implementation Methods : A quantitative descriptive design with a laboratory testing approach was used. A total of 65 frozen beef samples were collected from modern retail outlets, slaughterhouses (RPH), and cold storage facilities. Laboratory examination was conducted through isolation, identification, and colony counting stages using standard microbiological method. The results were analyzed descriptively and compared with the MCL standards specified in SNI 7388:2009. Results : Analysis revealed that 55 samples (84.62%) contained E. coli levels below 1 × 102 CFU/g, complying with MCL requirements. However, 10 samples (15.38%) exceeded this limit, indicating non-compliance with food safety standards. These findings suggest potential contamination during post-slaughter handling, storage, or distribution phases, likely due to inadequate cold chain maintenance. Conclusion/Lesson Learned : In conclusion, the majority of frozen beef circulating in Balikpapan is considered safe for consumption; however, strengthening sanitation practices and ensuring strict cold chain management are recommended to minimize potential public health risks.

Antimicrobial Resistance Pattern of Clinical Bacterial Isolates at the East Kalimantan Provincial Health Laboratory, 2024 Rahmadi, Rahmadi; Ningsih, Riyan; Sedionoto, Blego
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background: The increasing incidence of infections caused by antimicrobial-resistant bacteria has become a serious public health problem in Indonesia; however, data on resistance patterns in Kalimantan Timur, particularly Samarinda, remain limited. Objective: This study aimed to describe the antimicrobial resistance patterns of clinical bacterial isolates examined at the East Kalimantan Provincial Health Laboratory in 2024. Methods: This study employed a descriptive observational design using secondary data from culture and antibiotic susceptibility testing results of 201 clinical bacterial isolates collected from January to December 2024. Data were analyzed descriptively through tabulation and percentage distribution. Results: Among all positive isolates (n = 201), 54.4% were Gram-negative and 45.6% were Gram positive bacteria. The most frequently identified bacteria were Escherichia coli (24.4%), followed by Staphylococcus haemolyticus (7.0%) and Pseudomonas aeruginosa (7.0%). Susceptibility testing revealed that E. coli showed high sensitivity to meropenem (98%) and amikacin (100%), whereas Staphylococcus aureus exhibited 30.8% resistance to oxacillin, indicating the presence of methicillin resistant S. aureus (MRSA). The predominant resistance mechanisms detected included β-lactamase production (21.7%), extended-spectrum β-lactamase (ESBL, 40.6%), and MRSA (37.7%). Conclusion: Antimicrobial resistance based on bacterial isolates examined at the East Kalimantan Provincial Health Laboratory demonstrated a wide variation in antibiotic susceptibility patterns. These findings provide an initial overview of resistance conditions in Samarinda and can serve as a foundation for the implementation of continuous antimicrobial resistance surveillance.

The Effectiveness of UKS Teacher Training in Samarinda City inImproving Knowledge and Competence in the Implementation ofHealthy Schools Ningsih, Riyan; Rahmawati, Ayudhia; Elfira, Vivi Elfira; Chaerunnisa, Morin
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : The Healthy School Program is a strategic effort to form a learning environment that supports the physical, mental, and social health of students. However, its implementation in Samarinda City still faces obstacles to limited sanitation facilities, lack of health education, and weak capacity of UKS coaching teachers. Objective : This study aims to analyze the effectiveness of UKS teacher training on improving knowledge and skills in the implementation of healthy school programs. Research Methods/ Implementation Methods : The study used a pretest-posttest one group design with a total sample of 72 UKS teachers from public and private elementary schools. Data were collected through questionnaires before and after training, then analyzed using the Wilcoxon test (α = 0.05). Results : The results showed a significant increase in participants' knowledge (p = 0.000). The increase of 27.55% shows that training is effective in strengthening the competence of UKS teachers. Conclusion/Lesson Learned : This participatory-based training also encourages cross-sector collaboration between universities and local governments in strengthening the Healthy School Movement program.

Edukasi Jamu Sebagai Upaya Pencegahan Hipertensi dan Diabetes Mellitus di Kutai Barat Rahayu, Eka Putri; Ningsih, Riyan; Mubarak, Muhammad Ikhsan Al
Yumary: Jurnal Pengabdian kepada Masyarakat Vol. 6 No. 2 (2025): Desember
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/yumary.v6i2.4470

Purpose: This community service initiative aimed to promote the use of traditional herbal medicine for treating hypertension and diabetes mellitus among residents of Empas Village, Melak District, West Kutai Regency. The program sought to enhance public awareness of the benefits of herbal medicine as a safer alternative to generic pharmaceuticals. As part of Indonesia’s cultural heritage, herbal medicines offer natural ingredients with minimal side effects that can provide significant health benefits. Methodology/approach: The activity comprised educational sessions focused on herbal medicine recipes for managing hypertension and diabetes. These sessions were conducted at the local posyandu (integrated health post) with 30 community participants present. Results: The survey data revealed a high prevalence of hypertension and diabetes within the village. Through the distribution of informational pamphlets and systematic educational presentations, participants gained an improved understanding of the therapeutic potential of local medicinal plants. Conclusion: Education on the use of traditional herbal medicine has succeeded in increasing public knowledge and awareness regarding the potential of herbal medicine as a viable alternative treatment for hypertension and diabetes mellitus. Limitations: The participants were limited to only Empas villagers with a total of 30 persons. Contribution: This community service positively impacted villagers by promoting the use of medicinal plants, potentially improving their overall quality of life.

Enhancing Teacher Awareness on Healthy Schools: A Community Services Initiative for Elementary and Junior High School Teachers in Bontang Wisnuwardani, Ratih Wirapuspita; Irawan, Bambang; Ningsih, Riyan; Akbar, Paisal
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 11, No 4 (2025): December
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpkm.104897

A healthy school environment is vital in promoting the well-being of students, teachers, and the school community. This study aimed to enhance teachers' knowledge and implementation of healthy school practices through a community service program. The initiative involved socialization and training sessions targeting elementary and junior high school teachers in Bontang. The program was structured into three phases: preparation, implementation, and evaluation. Educational materials covering healthy school concepts, balanced nutrition, mental health, and environmental assessments were developed, followed by training conducted at Puri Senyiur Hotel, Samarinda, East Kalimantan, from December 1-4, 2024. A total of 83 teachers participated, receiving instruction from health experts. Knowledge assessments were conducted before and after training, analysed using the Wilcoxon test due to non-normal data distribution. Results showed a significant median difference of 20 in knowledge scores (p = 0.0001), indicating substantial improvement post-training. Although the assessment measured short-term effects, the findings suggest a positive increase in awareness. Regular teacher training on healthy schools is essential for preventing malnutrition and fostering better health practices among students. This initiative aligns with governmental efforts to promote healthy eating behaviors in schools. Sustaining such programs requires collaboration between healthcare professionals, universities, and other institutions, along with integrating nutrition education into school curricula.

Peran Teknik Pencucian dalam Menekan Kontaminasi Kuman di Kantin Kampus Universitas Mulawarman Ningsih, Riyan; Khasanah, Uswatun
Jurnal Skala Kesehatan Vol 17 No 1 (2026): Jurnal Skala Kesehatan Edisi Januari 2026
Publisher : Politeknik Kementerian Kesehatan Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jsk.v17i1.478

Food safety is an important aspect of food provision in higher education environments. This study aims to analyze the relationship between dishwashing techniques and the level of microbial contamination in the University of Mulawarman cafeteria. This research uses a cross-sectional design with observation and laboratory examination of 25 samples of eating utensils. Analysis was performed using Spearman correlation test. The results indicate a significant relationship between washing techniques and the number of microbes (ρ = 0.000), while the sanitation facilities for washing were not significantly related (ρ = 0.596). These findings emphasize the importance of applying proper washing techniques to reduce the levels of microbial contamination. Education for food handlers and improvement of washing facilities are strongly recommended to ensure food safety in campus environments.

Hygiene Sanitasi dan Keberadaan Bakteri Escherichia Coli pada Depot Air Minum (DAM) Elsa, Peronika Deliana; Ningsih, Riyan; Badrah, Sitti
Buletin Keslingmas Vol. 44 No. 4 (2025): BULETIN KESLINGMAS: VOL. 44 NO. 4 TAHUN 2025
Publisher : Poltekkes Kemenkes Semarang

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Drinking safe water is essential for public health, yet challenges remain in meeting this need, particularly in developing regions. In Indonesia, while 93% of the population has access to improved water sources, only 11,9% receive safe drinking water. Refill water depots are the primary source of drinking water for households; however, studies have reported significant contamination risks, including Escherichia coli, often due to poor hygiene and sanitation practices. This study examines the relationship between hygiene and sanitation practices and the presence of E. coli in refill water depot in Sempaja Selatan. Using a descriptive quantitative method with a cross-sectional observational approach, the study analyzed five refill water depots identified with E. Coli contamination in 2023. Data collection included direct observations, interviews, and laboratory testing of water samples. Results revealed no. E. coli contamination in any samples, reflecting improvements in sanitation and hygiene practices, such as regular equipment maintenance and adherence to personal cleanliness by operators. However, 60% of depots still fail to meet hygiene and sanitation standards, particularly in personal hygiene and raw water quality management. Although No. bivariate analysis was conducted due to homogeneous data, the findings highlight the importance of health regulations to ensure water safety. Future research should expand the sample size and explore external factors influencing water quality.

Edukasi Jamu Sebagai Upaya Pencegahan Hipertensi dan Diabetes Mellitus di Kutai Barat Rahayu, Eka Putri; Ningsih, Riyan; Mubarak, Muhammad Ikhsan Al
Yumary: Jurnal Pengabdian kepada Masyarakat Vol 6 No 2 (2025): Desember
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/yumary.v6i2.4470

Purpose: This community service initiative aimed to promote the use of traditional herbal medicine for treating hypertension and diabetes mellitus among residents of Empas Village, Melak District, West Kutai Regency. The program sought to enhance public awareness of the benefits of herbal medicine as a safer alternative to generic pharmaceuticals. As part of Indonesia’s cultural heritage, herbal medicines offer natural ingredients with minimal side effects that can provide significant health benefits. Methodology/approach: The activity comprised educational sessions focused on herbal medicine recipes for managing hypertension and diabetes. These sessions were conducted at the local posyandu (integrated health post) with 30 community participants present. Results: The survey data revealed a high prevalence of hypertension and diabetes within the village. Through the distribution of informational pamphlets and systematic educational presentations, participants gained an improved understanding of the therapeutic potential of local medicinal plants. Conclusion: Education on the use of traditional herbal medicine has succeeded in increasing public knowledge and awareness regarding the potential of herbal medicine as a viable alternative treatment for hypertension and diabetes mellitus. Limitations: The participants were limited to only Empas villagers with a total of 30 persons. Contribution: This community service positively impacted villagers by promoting the use of medicinal plants, potentially improving their overall quality of life.

UPAYA PENINGKATAN KUALITAS MAKANAN MELALUI KURSUS HYGIENE SANITASI MAKANAN DI KANTIN UNIVERSITAS MULAWARMAN Ningsih, Riyan; Sedionoto, Blego; Firdaus, Ade Rahmad
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 1 (2024): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i1.20457

Abstrak: Masalah penjamah kantin Universitas Mulawarman banyak yang tidak memiliki sertifikat hygiene sanitasi makanan dan minuman padahal itu merupakan syarat jika mau mendirikan jasa makanan dan minuman salah satu penanggung jawabnya harus mempunyai sertifikat dari dinas yang berwenang. Tujuan dilaksanakan pengabdian ini adalah memberikan kursus hygiene sanitasi makanan pada penjamah kantin Unmul untuk meningkatkan kebersihan dan kualitas makanan di kantin unmul menjadi lebih baik. Pengabdian ini menggunakan metode pelatihan hygiene sanitasi makanan dan minuman kepada penjamah makanan di kantin Universitas Mulawarman sebelum dilakukan pelatihan diberikan pretest dan sesudah pelatihan diberikan posttest yang terdiri dari 10 pertanyaan pilihan ganda terkait dengan materi pelatihan. Mitra pendukung pengabdian ini adalah Dinas Kesehatan Kota Samarinda selaku pemateri 1 team yang terdiri dari 3 orang dan mitra peserta penjamah makanan kantin Unmul sebanyak 10 orang. Hasil sudah terlaksana pengabdian dengan baik dan lancar terjadi peningkatan skor pengetahuan 25,6%.Abstract: Food and beverage sanitation hygiene certificate even though it is a requirement if you want to establish a food and beverage service, one of the persons in charge must have a certificate from the authorized agency. The purpose of this service is to provide food sanitation hygiene courses to Unmul canteen handlers to improve the cleanliness and quality of food in the Unmul canteen for the better. This service uses a food and beverage sanitation hygiene training method to food handlers in the canteen of Mulawarman University before the training is given a pretest and after the training is given a posttest consisting of 10 multiple-choice questions related to the training material.this service partner is the Samarinda City Health Office as the speaker of 1 team consisting of 3 people and Unmul canteen food handlers as many as 10 people. The results have been carried out well and there has been an increase in knowledge score of 25.6%.

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