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HUBUNGAN PEMBERANTASAN SARANG NYAMUK DENGAN KEBERADAAN AEDES SPP. SEBAGAI VEKTOR PENYAKIT DEMAM BERDARAH DENGUE Ewin Sadana Hutapea; Ridwan Balatif; Lambok Siahaan
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 8 No. 2 (2022)
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v8i2.484

Abstract

Objective:to determine the relationship between mosquito nest eradication and the presence of Aedes spp. as a vector of dengue hemorrhagic fever in the Asahan district. Methods:This research is an analytic observational type in a cross sectional design by determining the sample using the Slovin formula and the proportionate stratified random sampling method, because the population is heterogeneous. Assessment of PSN measures was measured using a questionnaire and the presence of Aedes mosquito larvae was known by direct inspection of the respondent's residence. Results:Respondents were dominated by women (59.6%) with the highest age range being 26-25 years (28.4%). Most of the respondents are high school graduates (38.9%) and work as housewives (52.4%). The PSN action of most of the respondents (77.1) was classified as good. From the results of calculating the presence of mosquito larvae density, it was found that the Density Figure (DF) of Asahan Regency was at level 4 which means the medium category. From the analysis of the relationship between PSN action on the presence of Aedes mosquito larvae, significant results were obtained (p= 0.001). Conclusion: There is a relationship between the eradication of mosquito nests and the presence of dengue hemorrhagic fever vectors in the Asahan district.
KARAKTERISTIK BALITA PENDERITA MALARIA DI DAERAH HIPOENDEMIS Lambok Siahaan
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 5 No 1 (2022): Medika Kartika : Jurnal Kesehatan dan Kedokteran
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (219.96 KB)

Abstract

Malaria masih menjadi masalah kesehatan masyarakat di Indonesia. Balita adalah salah satukelompok yang berisiko mengalami infeksi penyakit ini. Pengenalan karakteristik penderitamalaria dapat membantu memutus rantai penularan penyakit malaria. Penelitian ini bertujuanuntuk mengetahui karakteristik balita penderita malaria di daerah hipoendemis. Penelitian inimerupakan penelitian longitudinal dimana setiap sampel penelitian diamati selama dua bulan.Penelitian dilakukan pada masyarakat yang telah tinggal menetap di wilayah penelitian yangmemiliki beberapa faktor risiko malaria. Diagnosis malaria ditentukan dengan pemeriksaanmikroskopis secara serial. Hasil penelitian terdapat balita penderita malaria dengan proporsitertinggi adalah penderita malaria klinis. Penyebab malaria tersering adalah Plasmodiumvivax. Ditemukan adanya perbedaan yang signifikan kadar hemoglobin pada balita penderitamalaria dengan non-penderita malaria. Pada penelitian tidak ditemukan perbedaan yangsignifikan pada parameter perlindungan diri dan perilaku. Diagnosis malaria pada anak dibawah lima tahun tidak dapat ditentukan hanya berdasarkan gejala klinis demam dan tandaklinis anemia, tetapi harus dilakukan pemeriksaan mikroskopis secara serial. DOI : 10.35990/mk.v5n1.p1-11
KETIDAKSESUAIAN KONDISI KLINIS DAN DIAGNOSIS MALARIA Lambok Siahaan; Restuty H Saragih
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 4 No 3 (2021): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (231.793 KB)

Abstract

Malaria masih merupakan masalah kesehatan di Indonesia. Ketidaksesuaian hasil pemeriksaan laboratorium merupakan salah satu masalah diagnosis yang sering dijumpai dalam praktik klinis. Pemeriksaan mikroskopis apusan darah pasien merupakan standar diagnosis malaria. Hasil pemeriksaan tersebut dapat memberikan informasi lebih lanjut mengenai spesies dan kepadatan parasit yang secara umum berkorelasi dengan kondisi klinis pasien. Manifestasi klinis penderita malaria bervariasi, bergantung pada beberapa faktor, seperti endemisitas daerah dan sistem imunitas tubuh penderita. Kepadatan parasit dan keterampilan pemeriksa sangat berpengaruh dalam mendeteksi parasit pada sampel darah penderita malaria tanpa gejala. Kami melaporkan kasus seorang pria Indonesia berusia 45 tahun yang dirujuk ke Rumah Sakit Haji Adam Malik, Medan pada tahun 2019, dengan demam intermiten, anemia dan beberapa keluhan lainnya. Pemeriksaan mikroskopis pada apusan darah secara serial tidak ditemukan adanya parasit. Namun pada pemeriksaan mikroskopis pada sediaan biopsi sumsum tulang menemukan benda yang diduga sebagai “plasmodium”. Pasien dinyatakan menderita penyakit malaria berdasarkan hasil biopsisumsum tulang dan kondisi klinis pasien serta mendapatkan obat antimalaria. Namun kondisi klinis pasien tidak mengalami perubahan yang signifikan. Tatalaksana penyakit lain juga diberikan berdasarkan diagnosis penyakit penyerta lainnya dan menunjukkan perbaikan, walaupun lambat. Perbedaan hasil pemeriksaan laboratorium dan kondisi klinis pasien bisa saja terjadi dalam praktik klinis. Keputusan klinis suatu penyakit sebaiknya dibuat berdasarkan standar diagnosis penyakit tersebut. DOI : 10.35990/mk.v4n3.p220-229
Infeksi Parasit Usus Di Daerah Kumuh: Suatu Infeksi Yang Terabaikan Lambok Siahaan; Yoan Panggabean; Adelina Sinambela; Janry Sinaga; Jonathan Napitupulu
Jurnal Formil (Forum Ilmiah) Kesmas Respati Vol 8, No 3 (2023)
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/formil.v8i3.518

Abstract

Penelitian ini dilakukan di kawasan kumuh untuk mengetahui prevalensi penyakit dan faktor risiko infeksi protozoa usus pada masyarakat yang tinggal di kawasan tersebut. Partisipan penelitian diperoleh dengan cara simple random sampling. Diagnosis infeksi parasit usus ditegakkan melalui pemeriksaan mikroskopis dengan metode sediaan langsung dan konsentrasi. Hal serupa juga dilakukan pada spesimen tanah dan air yang diambil dari beberapa titik di sekitar pemukiman warga. Analisis statistik dilakukan dengan menggunakan uji chi square untuk melihat hubungan antara infeksi parasit usus dan faktor risiko. Sampel penelitian adalah 216 rumah warga dan kepala keluarga atau wakilnya yang berperan sebagai partisipan. Prevalensi infeksi parasit usus ditemukan sebesar 56,5%. Protozoa usus yang paling umum adalah Cryptosporidium spp. (25,9%). Sedangkan Ascaris lumbricoides (57,7%) merupakan cacing usus yang paling banyak ditemukan. Infeksi protozoa usus berpotensi terjadi 2,7 kali (95% CI: 1,2-5,9) karena tanah terkontaminasi dan 6,2 kali (95% CI: 2,3-16,6) karena air terkontaminasi. Sedangkan infeksi cacing usus juga dapat terjadi 2,8 kali lebih besar (95% CI: 1,4-5,7) jika tanah terkontaminasi dan 2,5 kali lebih besar (95% CI: 1,4-4,5) jika air terkontaminasi. Tanah dan air di sekitar permukiman kumuh telah terkontaminasi oleh parasit usus. Kondisi ini dapat meningkatkan peluang terjadinya infeksi parasit usus pada penduduk sekitarnya dan menjadi infeksi yang terabaikan. 
Intestinal parasitic infections and associated risk factors: A cross-sectional study in Sunggal District, Deli Serdang Sinaga, Janry Lewis Hasan Sarma; Siahaan, Lambok; Amelia, Rina
Jurnal Prima Medika Sains Vol. 6 No. 1 (2024): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i1.5485

Abstract

Intestinal protozoan infections have been reported worldwide with highly variable prevalence rates, particularly in tropical and subtropical regions. Despite this, limited research has been conducted on intestinal protozoan infections over the past decade, both in Indonesia and specifically in North Sumatra. Therefore, further investigation into the prevalence and risk factors of intestinal parasitic infections, especially protozoan infections, in areas surrounding Medan is warranted. This cross-sectional study assessed the association between risk factors and intestinal parasitic infections among 136 residents of Sunggal District, Deli Serdang, selected using consecutive sampling. Participants underwent interviews to evaluate risk factors using a checklist and provided fecal samples, as well as livestock samples if applicable. Data were analyzed using the Chi-square test and Fisher's exact test. Results revealed a significant association between age and Protozoa infection (p = 0.001), helminth infection (p = 0.0002), and overall parasitic infection (p = 0.0001). However, no significant associations were found for other variables. Furthermore, sanitation and hygiene levels were not significantly associated with parasitic infections (p > 0.05). These findings suggest that the risk factors assessed in this study were not significantly associated with intestinal protozoan infections. Nonetheless, the prevalence of both overall parasitic infections and protozoan infections remains high, with a spectrum ranging from asymptomatic to symptomatic cases. Further research is needed to elucidate the complex interplay of factors contributing to the persistence of these infections in the region.
Factors influencing histoplasmosis incidence in multidrug-resistant pulmonary tuberculosis patients: A cross-sectional study in Indonesia Khairunnisa, Selfi; Soeroso, Noni N.; Abdullah, Muntasir; Siahaan, Lambok; Eyanoer, Putri C.; Daulay, Elvita R.; Wahyuningsih, Retno; Denning, David W.
Narra J Vol. 3 No. 3 (2023): December 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i3.403

Abstract

Histoplasmosis is an infectious disease caused by the dimorphic fungus Histoplasma capsulatum, which, in chronic conditions, is generally difficult to distinguish from pulmonary tuberculosis based on its clinical appearance; therefore, diagnostic errors can occur. Meanwhile, the prevalence of multidrug-resistant pulmonary tuberculosis (MDR-TB) in Indonesia remains high. Study determining the incidence of histoplasmosis in MDR-TB is unavailable worldwide. The aim of this study was to determine the risk factors of histoplasmosis incidence in MDR-TB patients in Indonesia. A cross-sectional was conducted at H. Adam Malik General Hospital, Medan, Indonesia and the ELISA platform (semi-quantitative) was used to detect histoplasma antibodies. Factors associated with histoplasmosis incidence among MDR-TB were determined using a Chi-squared test. A total of 50 MDR-TB patients were included this study of which 14 of them (28%) had histoplasmosis. The majority of histoplasmosis occurred in males, in MDR-TB patients with a history of TB treatment and among who had chest x-rays with far-advanced lesions. However, statistical analyses indicated none of those factors (sex, TB treatment history, status of the lung) as well as age group, acid-fast bacillus result, Mycobacterium tuberculosis culture result, having pet, living in damp house, working in the field or plantation, having HIV infection and smoking status were associated with histoplasmosis incidence. This study highlights that the incidence of histoplasmosis is relatively high and therefore further studies are important to be conducted in Indonesia that has a high MDR-TB cases.
Prevalence of Cockroach Density, Gastrointestinal Disorders, and Identification of Parasites in Cockroaches in Helvetia Deli Serdang Village Irawan, M Ari; Panggabean, Yoan Carolina; Dalimunthe, Dina Arwina; Siahaan, Lambok
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 6 No. 1 (2024): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v6i1.14224

Abstract

Background. Cockroaches are known to be vectors of various pathogens that can infect humans, one of which is intestinal parasites. Parasitic infectious diseases can cause symptoms of gastrointestinal disorders in sufferers, which can interfere with the sufferer's quality of life. This research aims to determine cockroach density, and gastrointestinal disorders in the community, and identify parasites in cockroaches.                                                             Method. The research method used in this research is observational analytics. The population and sample for this study were the houses of the Helvetia Deli Serdang Village community which met the slum criteria of 100 houses. The caught cockroaches are then examined in the laboratory. Results. The results obtained were that 96 houses (96%) were not infested with cockroaches, 4 houses (4%) had no cockroaches, and no houses were infested with cockroaches. The number of respondents who had experienced gastrointestinal disorders was 41 respondents (41%) and 59 respondents (59%) had never experienced them. Based on laboratory examination, 22 rhabditiform hookworm larvae (21.78%), 5 hookworm eggs (4.95%), and 1 Oxyruris vermicularis egg (0.99%) were found. Toxocara sp. as many as 1 piece (0.99%), and cysts Entamoeba histolytica as much as 1 piece (0.99%). Conclusion. Based on these results, there was no high density of cockroaches found at the research location, the majority of respondents had never experienced gastrointestinal disorders in the past year, and parasites were found in cockroaches.
The Relationship between House Environmental Condition and Mosquito Larvae Density (Diptera: Culicidae) in Medan Denai Sub-District, Medan City Panggabean, Merina; Panggabean, Yoan Carolina; Siahaan, Lambok; Sinambela, Adelina Haryani; Siregar, Irma Sepala Sari
Jurnal Penelitian Pendidikan IPA Vol 11 No 7 (2025): July
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i7.11076

Abstract

Mosquitoes are the primary vectors for disease transmission in tropical regions such as Indonesia, which has high humidity levels that support their reproduction. Household environmental conditions play a crucial role in determining the presence and density of mosquito larvae as disease vectors. The Medan Denai subdistrict is a densely populated area experiencing an increase in Dengue Hemorrhagic Fever (DHF) cases. This study analyzes the relationship between household environmental conditions and mosquito larvae density. A survey was conducted on 300 homes divided into three groups. Environmental condition data were collected through direct observation, while the presence of larvae was analyzed using the House Index (HI), Container Index (CI), and Breteau Index (BI) to calculate the Density Figure (DF). Results showed that 24% of homes tested positive for larvae, primarily in dispenser containers. A total of 61% of homes had unclean environmental conditions. The highest DF of 5.3 was found in the 1–100 home group, which falls under the high-risk category for disease transmission. Chi-Square analysis revealed a significant association between environmental conditions and larval density (p = 0.045). These findings underscore the importance of improving environmental conditions as a strategy for mosquito vector control.
The Relationship Between Nail Hygiene and the Incidence of Intestinal Parasite Infections (Intestinal Parasites) in Scavengers at Final Disposal Sites (TPA) Terjun Village, Medan Marelan District, Medan Hutagaol, Crisny; Siahaan, Lambok; Haryani, Adelina; Sitanggang, Maria; Carolina, Yoan; Shinaya, Shinaya
Riwayat: Educational Journal of History and Humanities Vol 8, No 4 (2025): Oktober, In proggress
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jr.v8i4.49003

Abstract

Background. Intestinal parasitic infections are a global problem in humans, especially in developing countries. Indonesia has an intestinal parasitic infection prevalence rate of 45-65%. Intestinal parasitic infections are caused by helminths, namely Ascaris lumbricoides, Hookworms, Trichuris trichiura, and protozoa. The mode of transmission is ingestion of eggs or other infective forms. Nails are the body part that transmits infective forms of intestinal parasites orally. Scavengers work to sort garbage and have contact with the ground with a high risk of intestinal parasite infection. Objective. To determine the relationship between nail hygiene and the incidence of intestinal parasitic infections in waste pickers at Terjun landfill. Methods. Observational analytic research design with cross sectional method. Primary data was obtained from 121 waste pickers by interviewing based on questionnaires, collecting nails and feces in Terjun Village, Medan Marelan District. Samples were examined using a light microscope with 100x and 400x magnification at the Parasitology Laboratory, Faculty of Medicine, University of North Sumatra. Results. Four intestinal parasites were found in the nails and 18 intestinal parasites in the feces of scavengers. There were 95 people (78.5%) with healthy nails and 74 people (66.8%) with poor hand hygiene. Conclusion. There is a relationship between hand hygiene and nail health with a p value of 0.000. There is a relationship between nail hygiene and infection
Malaria Vivax di Kabupaten Nias Selatan Siahaan, Lambok
Kesmas Vol. 3, No. 1
Publisher : UI Scholars Hub

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Abstract

Diperkirakan sekitar 2,5 milyar manusia hidup di wilayah endemis malaria dengan ± 300 juta kasus dan ± 1 juta kematian yang sebagian besar adalah anak-anak. Di Indonesia, malaria tak pernah tereradikasi dan mengalami pasang surut dari tahun ke tahun. Di Jawa-Bali, API pada tahun 2001 (0,62%) dan 2004 (0,15‰) dan di luar Jawa-Bali, AMI pada tahun 2001 (26,20‰) dan 2004 (21,20‰) terlihat menurun. Kabupaten Nias Selatan merupakan daerah endemis malaria dengan angka Monthly Malaria Incidence (MoMI) pada 2005 (124,24 ‰). Gempa bumi tektonik dan tsunami dan gempa bumi susulan yang terjadi berpengaruh meningkatkan angka insiden. Lingkungan menjadi lebih kondusif bagi perkembangan vektor penyakit malaria. Hidup di pengungsian dan penurunan daya beli penduduk menurunkan daya tahan tubuh. Kerusakan sarana dan prasarana kesehatan juga sangat berpengaruh pada pregram pencegahan dan pengendalian penyakit. Penelitian ini bertujuan untuk mendapatkan data tentang prevalensi penderita malaria vivax di Kabupaten Nias Selatan. Penelitian dengan desain epidemiologi diskriptif kasus seri ini menegakkan diagnostik malari secara klinis dan laboratorium. di Kabupaten Nias Selatan lebih sedikit daripada malaria spesies plasmodium yang lain. Kasus terbanyak dijumpai pada jenis kelamin perempuan (3,6%) dan kelompok umur 35-44 tahun (1,9%). The South Nias District is an endemic malaria area with Monthly Malaria Incidence (MoMI), in 2005 of 124.24 ‰. The increase of the M0MI rate is influenced by tectonic earthquake and tsunami. The enviroment become more condusive for vector development. Living condition in barrack and the decreasing buying ability affected body immunity. The destruction of health facilities affected prevention and disease control program. The study was conducted to obtain data on prevalence of malaria vivax in South Nias District. Data was collected through structured interviewed in a cross sectional study design. The diagnosis of malaria was made by microscopic blood examination. The prevalence of malaria vivax in South Nias district was 5.1%. Most cases were found among women (3.6%) and 35-44 years of age group (1.9%). It was concluded that in South Nias district, patient of malaria vivax was fewer than other types of malaria.