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All Journal Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Jurnal Kedokteran Syiah Kuala Medula Juke Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya WMJ (Warmadewa Medical Journal) Mutiara Medika: Jurnal Kedokteran dan Kesehatan Majalah Kedokteran Sriwijaya SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Jurnal Ilmu Kedokteran dan Kesehatan Minda Baharu Jurnal Ilmiah Biologi Eksperimen dan Keanekaragaman Hayati (J-BEKH) Malahayati International Journal of Nursing and Health Science JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Ners Jurnal Aisyah : Jurnal Ilmu Kesehatan Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences JK Unila (Jurnal Kedokteran Universitas Lampung) Bioscientia Medicina : Journal of Biomedicine and Translational Research Journal of Language and Health Sanitasi: Jurnal Kesehatan Lingkungan JURNAL HUTAN TROPIS JUKEJ: Jurnal Kesehatan Jompa Majority Jurnal Pengabdian Masyarakat Holistik Jurnal Kesehatan JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Jurnal Ilmu Kedokteran dan Kesehatan Indonesia JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Jurnal Penelitian Perawat Profesional
Jhons Fatriyadi Suwandi
Department Of Microbiology And Parasitology, Faculty Of Medicine, University Of Lampung
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Karakteristik Fisik, Kimia, dan Biologi Tempat Perindukan Potensial Nyamuk Anopheles sp. di Wilayah Kerja Puskesmas Hanura Septilia Sugiarti; Riyan Wahyudo; Betta Kurniawan; Jhons Fatriyadi Suwandi
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.66

Abstract

Malaria is an infectious disease transmitted through mosquitoes and has become a health problem both in the world and Indonesia especially in Lampung. The population of the malaria vector is strongly influenced by the location of the breeding place. This study will examine the characteristics of breeding place of Anopheles sp as the malaria vector. This was an observational descriptive study conducted in the work area of Puskesmas Hanura Kabupaten Pesawaran. The physical characteristics has done by measuring temperature and water depth, the chemical characteristics by measuring pH and water salinity, and the biological characteristics by looking at organisms found at the sampling site. The breeding places are damaged boat, lagun, ditch, rice fields and abandoned ponds. The characteristics of the breeding palces are water temperature 29.5-32.4°C, water depth 10.1-28.6 cm, pH 5-6.6, salinity 0-9.3. Predators found in the breeding place are Aplocheilus panchax (tin head fish), Gambusia affinis (Cere Fish), Culex sp. (larvae stages), Aedes sp. (larvae stages), and water plants Ocsillatoria sp. (alga), Spirogyra (alga). Physical, chemical, and biological characteristics of Anopheles sp. breeding place in Puskesmas Hanura working area are optimum characteristics for Anopheles sp. breeding.
Kolaborasi Tuberculosis (TBC) dan Human Immunodeficiency Virus (HIV) Yona Arisena Magdalena Silitonga; Intanri Kurniati; Retno Ariza; Mukhlis Imanto; Jhond Fatriyadi S
Medula Vol 9 No 2 (2019): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i2.269

Abstract

Tuberculosis (TBC) is becoming one of the highest causes of death in the world. Tuberculosis is caused by Mycobacterium tuberculosis that is transmitted via droplet originating from tuberculosis patients. It is estimated that one-third of people in the world have been infected by tuberculosis, but only 10-20% of people will show the symptoms. Symptoms that can arise in tuberculosis are such as bleeding cough, weight loss, night sweats, chest pain, shortness of breath and weakness. Meanwhile, human immunodeficiency virus (HIV) is a retrovirus-famili because of its ability to convert the RNA genome into DNA. HIV transmission occurs due to the entry of this virus into the body through body fluids of people who are already infected by HIV. Both of these infectious diseases alike because both of them can cause a decrease in immune system activities in the body of the sufferer. Collaboration of both diseases is common and is a deadly combination because it interacts with each other in all aspects of the disease, ranging from pathogenesis, epidemiology, clinical manifestations, treatment and prevention. Tuberculosis is also a leading cause of death in HIV-positive patients. In 2016 in Indonesia, there are found 360,565 cases of TBC, with 14% of them are also known to suffer from HIV-positive. The results of the study suggest that there is a mutual relationship between the two diseases in causing a clinical symptoms through decreased activity of the body's immune system.
Potensi Ekstrak Kulit Batang Bakau Minyak (Rhizophora apiculata) Sebagai Larvasida Terhadap Larva Aedes Aegypti Dzakwan Cedri Ketierteu; Jhons Fatriyadi Suwandi; Putu Ristyaning Ayu Sangging; Hanna Mutiara
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.577

Abstract

Dengue Hemorrhagic Fever (DHF) is a disease in humans which is transmitted by the Aedes aegypti mosquito as a vector which causes many cases of death. In Indonesia, the number of cases of dengue fever deaths will be 705 cases in 2021. Alternative natural insecticides are needed to avoid potential resistance to chemical insecticides. Rhizophora apiculata stem bark contains active compounds, namely saponins, flavonoids, alkaloids, and tannins which are larvicidal. The purpose of this study was to determine the larvicidal effectiveness of Rhizophora apiculata stem bark extract. This study used a laboratory experimental research design with a post test only control group design pattern. Divided into 6 groups, namely negative control, 0.045%, 0.09%, 0.18%, 0.36%, and positive control. Each group contained 25 larvae in 20 ml of Rhizophora apiculata stem bark extract solution with 4 repetitions. The data analysis used was univariate data analysis to find which concentration caused the highest death of Aedes aegypti larvae. From the research results, it was found that the average mortality of larvae from 4 repetitions at concentrations of 0.045%, 0.09%, 0.18%, and 0.36% were 68%, 97%, 99%, and 100% respectively.
PERBEDAAN KONTAMINASI TELUR SOIL TRANSMITTED HELMINTH PADA TANAH DI DAERAH PEDESAAN DAN PERKOTAAN Alvan Muhammad Hibatullah Santoso; Hanna Mutiara; Giska Tri Putri; Jhons Fatriyadi Suwandi
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.479

Abstract

Soil Transmitted Helminth is an infection that causes malnutrition, anemia, growth retardation. Transmission is through contact with eggs or larvae in the soil. Cases of STH infection in Indonesia are high in areas of poor sanitation, poor hygiene and lack of understanding of clean and healthy lifestyles. Therefore, this study aims to determine the contamination of STH eggs on soil in rural and urban areas. This research is a cross-sectional study with purposive sampling. The number of samples is 90 soil sample points in rural and urban areas and then the univariate and bivariate analysis tests are carried out using the pearson chi-square Test. The number of STH contamination in rural areas was 29 out of 90 samples with 26 samples of Ascaris lumbricoides, 2 samples of Hookworm, and 1 sample of Trichuris trichiura. STH egg contamination in urban areas was 22 out of 90 samples with details of 17 samples of Ascaris lumbricoides, 3 samples of Hookworm, and 2 samples of Trichuris trichiura. Based on the results of the pearson chi-square Test analysis, a p-value of 0.467 was obtained. There is no difference in contamination of STH eggs on soil in rural and urban areas.
Hubungan Determinan Sosial Kesehatan dengan Infeksi Toksoplasma gondii Jasmine, Almaina Puteri; Mutiara, Hanna; Suwandi, Jhons Fatriyadi; Putri, Giska Tri
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i1.938

Abstract

Toxoplasma gondii is an obligate intracellular protozoan that causes toxoplasmosis. The high rate of toxoplasmosis infection in the Lampung region reaches 88.23%. Typically, toxoplasmosis presents no symptoms but can pose serious problems for individuals with compromised immune systems or pregnant women. The purpose of this study is to identify the relationship between social health determinant factors such as age, gender, educational level, occupation, and residence address with the incidence of T. gondii infection among patients at Dr. H. Abdul Moeloek Hospital. The aim is to identify individuals at risk of toxoplasmosis infection early so prevention can be done immediately. This study is an analitic quantitative research with a cross-sectional design. The study population consists of patients at Dr. H. Abdul Moeloek Hospital who have been screened for toxoplasmosis from 2017 to 2023, with a sample size of 93 samples. A total of 67 samples were tested positive for toxoplasmosis, while 26 samples tested negative with the sampling technique using total sampling. Data were collected from patients medical records and were analyzed by univariate and bivariate analysis using Chi-square method. The results indicate a relationship between age (p 0.002), gender (p <0.001), and educational level (p <0.001) with the incidence of Toxoplasma gondii infection among patients at Dr. H. Abdul Moeloek Hospital from 2017 to 2023.
Literature Review: Helminthiasis pada Kehamilan Cahyani, Faradhila Azqiah; Septiani, Linda; Mutiara, Hanna; Suwandi, Jhons Fatriyadi
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.944

Abstract

Helminthiasis is a disease caused by intestinal nematode worms that are transmitted through soil orSoil Transmitted Helminth (STH). The types of STH are:Ascaris lumbricoides, Trichuris trichiura, Ancylostoma duodenale, and Necator americanus. Helminthiasis has infected as many as 1.5 billion of the world's population. Helminthiasis is often found in countries with tropical, subtropical climates and countries that are still categorized as poor. Helminthiasis falls into the categoryNeglected Tropical Disease (NTD) which if left untreated can cause health problems. Purpose ofliterature review This provides a review of the epidemiology, clinical manifestations, necessary examinations, and management of helminthiasis, especially in pregnant women. This research uses a literature study method from 2016-2023. The results of this literature study show that clinical manifestations are influenced by the severity or lightness of the infection, gold standardTo find out the incidence of helminthiasis is to do a stool examination, and helminthiasis can be treated by providing care servicesantenatal care. The conclusion is that helminthiasis in pregnant women can affect the condition of the mother and fetus in the womb.
Peran Faktor Determinan Sosial Kesehatan, Personal Hygiene, dan Lingkungan dalam Penularan Protozoa Usus Khuluq, Muhammad Khusnul; Irawati, Nur Ayu Virginia; Mutiara, Hanna; Suwandi, Jhons Fatriyadi
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1406

Abstract

Intestinal protozoan infections are a significant health issue, particularly in developing countries with low socioeconomic conditions, poor sanitation, and inadequate personal hygiene practices. The transmission of intestinal protozoa is closely linked to various social determinants of health, including education level, occupation, and household income. Parents with lower education levels tend to have limited knowledge about hygiene and infection prevention, increasing the risk of transmission to children. Certain occupations, such as farming, are also associated with a higher risk of infection due to exposure to contaminated environments. Personal hygiene plays a crucial role in preventing intestinal protozoan infections. Habits such as washing hands before eating, after defecation, and maintaining overall cleanliness can reduce the risk of transmission through the fecal-oral route. Additionally, inadequate environmental sanitation, including the absence of toilets, poor waste management, and limited access to clean water, contributes to high infection rates. Several studies indicate that communities living in areas with poor sanitation are more vulnerable to infection, mainly due to high fecal contamination in water and soil. Beyond social and environmental factors, the presence of pets or livestock can also serve as a source of transmission. Animals exposed to intestinal protozoa pose a risk of spreading the infection if not properly managed. Therefore, preventing intestinal protozoan infections requires a comprehensive approach, including health education, increased awareness of personal hygiene, improved sanitation facilities, and access to safe drinking water for communities.
Infeksi Protozoa Usus Pada Anak Sekolah Dasar Di Indonesia: Tinjauan Naratif Tentang Pengetahuan Dan Faktor Resiko Ipan Jeremia Manik; Anisa Nuraisa Jausal; Endah Setyaningrum; Jhons Fatriyadi Suwandi
Medula Vol 16 No 3 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i3.1782

Abstract

Intestinal protozoan infections are a prevalent public health problem among primary school children in Indonesia, contributing significantly to acute and chronic diarrhoea, malnutrition, and anaemia, which ultimately reduce cognitive performance and learning ability. This literature review aims to identify patterns of knowledge, hygiene behaviour, and environmental and socio-economic factors that serve as key risk predictors for intestinal protozoan infections in this population. Various cohort and cross-sectional studies in Indonesia highlight Giardia duodenalis, Entamoeba histolytica/dispar, and Blastocystis spp. as the dominant pathogens, with the highest prevalence in areas with poor sanitation, limited access to clean water, and high population density. Behavioural factors include a lack of consistency in handwashing with soap (HWS), nail hygiene, and healthy snacking habits, despite the widespread implementation of health education interventions. Multivariate analysis of the literature review indicates a synergistic interaction between low hygiene knowledge and inconsistent practices, coupled with suboptimal environmental sanitation, limited potable water infrastructure, and low socioeconomic status as key determinants. Overall, these findings emphasise the need for a multidimensional intervention approach that integrates behaviour-based education, improved sanitation infrastructure, and socio-economic support to reduce the burden of intestinal protozoan infections in primary school children in Indonesia. Further prospective research is needed to validate causality and evaluate the effectiveness of interventions.
Personal Hygiene dalam Pencegahan Infeksi Soil Transmitted Helminth Nayla Priyanka Dara Tsanya; Terza Aflika Happy; Betta Kurniawan; Jhons Fatriyadi Suwandi
Medula Vol 16 No 3 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i3.1795

Abstract

Soil-transmitted helminth (STH) infection is a disease caused by intestinal nematode worms transmitted through contaminated soil. The STH species that most commonly infect humans include Ascaris lumbricoides, Trichuris trichiura, Ancylostoma duodenale, and Necator americanus. STH infection remains a global public health problem and is estimated to affect more than 1.5 billion people worldwide, particularly in developing countries with tropical and subtropical climates and inadequate sanitation conditions. Among school-aged children, STH infection is one of the most frequently encountered forms of helminthiasis due to suboptimal hygiene-related behaviors. This infection can lead to various adverse health outcomes, including impaired nutrient absorption, poor nutritional status, reduced learning ability, and delays in children’s growth and development. This literature review aims to provide an overview of the role of personal hygiene, including handwashing with soap, nail hygiene, and the use of footwear, in preventing STH infection among  children. The findings indicate that the prevalence of STH infection among children with poor personal hygiene ranges from 24% to more than 80% in several endemic areas. Children who do not wash their hands with soap are reported to have a 6–9 times higher risk of infection compared to those who practice good hygiene. Poor nail hygiene and not wearing footwear are also associated with an increased risk of infection. This literature review emphasizes that personal hygiene plays a crucial role in preventing STH infection and reinfection among children and should be strengthened as part of school-based promotive and preventive strategies.
Article Review: Personal Hygiene sebagai Faktor Risiko Infeksi Protozoa Usus pada Anak Sekolah Luthfi Shiba Andana; Suryadi Islami; Betta Kurniawan; Jhons Fatriyadi Suwandi
Medula Vol 16 No 4 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i4.1809

Abstract

Intestinal protozoa infections remain a significant public health problem, particularly among school children in developing countries such as Indonesia. These infections contribute substantially to morbidity related to gastrointestinal disorders, including both acute and chronic diarrhea. Transmission of intestinal protozoa generally occurs through the fecal–oral route and is strongly influenced by personal hygiene practices in daily life. This article aims to determine the association between personal hygiene and the risk of intestinal protozoa infections among elementary school children through a literature review method. A literature search was conducted in the PubMed and Google Scholar databases using the keywords personal hygiene, intestinal protozoa infections, and school children, covering publications from 2011 to 2025. Relevant articles were selected and critically analyzed to identify the relationship between personal hygiene and the incidence of intestinal protozoa infections. The findings indicate that poor personal hygiene, particularly the habit of not washing hands with soap before meals and after defecation, inadequate nail hygiene, nail biting, and poor food and beverage hygiene, is significantly associated with an increased risk of intestinal protozoa infections. Several studies also reported a statistically significant higher risk of infection among children with poor personal hygiene compared to those with good hygiene practices. In conclusion, personal hygiene is a significant risk factor for intestinal protozoa infections.
Co-Authors Ade Triajayanti Ahmad Farizan Radhitya Aila Karyus Aila Karyus Alfi Noor Istiqomah Aloysius Krishartadi Damar Bawono Alvan Muhammad Hibatullah Santoso Andi Nabila Maharani Insan Anisa Nuraisa Jausal Anisya Yulida Syani Arief Darmawan Asep Sukohar Asnah Tarigan Audya Pratiwi Putri Riyanda Azzahra Ahnia Rizki Azzarine Nabila Suryadana Bakri S Bayu Anggileo Pramesona Benazhir Saninah Annasya Betta Kurniawan Betta Kurniawan Betta Kurniawan Betta Kurniawan betta kurniawan Betta Kurniawan, Betta Bilal Achmad Biomed E. A.M Cahyani, Faradhila Azqiah Christine Wulandari Christine Wulandari Christopher P P Pandiangan Citra Yuliyanda Pardilawati Decci Sandriyana Dewi Agustina Iryani Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Dwi Indria Anggraini Dyah Wulan Sumekar Dyah Wulan Sumekar Rengganis Wardani Dzakwan Cedri Ketierteu Efrida Warganegara Elma Sandya Putri Endah Setyaningrum Endah Setyaningrum, Endah Endro Prasetyo Endro Prasetyo Wahono Erwan Sani Elbands Ety Apriliana Ety Apriliana Fadli, Muhammad Yogie Fajar Supramono Fitria Saftarina Fitria, Saftarina Giska Tri Putri Hamzah, Muhammad Syafei Handayani Dwi Utami Hanna Mutiara Hanna Mutiara Hanna Mutiara Hanna Mutiara Hanna Mutiara Hanna Mutiara, Hanna Hardianto, Devina Husaini Gustiar Ika Yunidasari Indri Lestari Indri Windarti Intanri Kurniati Intanri Kurniati Ipan Jeremia Manik Ipan Jeremia Manik Irawati, Nur Ayu Virginia Irma Nur Humaida Jasmine, Almaina Puteri Jausal, Anisa Nuraisa Joko Apriyono Karima, Nisa Kartika, Juspeni Keumala Hayati Khaironi Fitriany Khairul Anam Khuluq, Muhammad Khusnul Linda Septiani Luthfi Shiba Andana Luthfi Shiba Andana Martin Paskal Giovani Maryatun Hasan Merry Indah Sari Muhammad Alif Zahran Muhammad Ricky Ramadhian Muhammad Yusran Mukhlis Imanto Nanda Fitri Wardani Nanda Tiara Santika Natasya Hayatillah Naufal Rasyid Aswan Nayla Priyanka Dara Tsanya Nayla Priyanka Dara Tsanya Nixon Steven Novita Carolia Nuning Nurcahyani Nurul Utami Nurul Utami Oktafany Oktafany Puji Indah Permatasari Rahmatullah Rayman Ramadhana Komala Rana Noor Fakhira Siregar Ratna, Maya Ganda Reni Zuraida Reni Zuraida Retno Ariza Rika Lisiswanti Rika Lisiswanti Risal Wintoko Riyan Wahyudo Rizki Hanriko Rohayati Rohayati Ronald David Martua N Ronalda Budyantara Samsul Bakri Samsul Bakri Sangging, Putu Ristyaning Ayu Sanjaya T Selvi Marcellia Septia Eva Lusina Septiani, Linda Septilia Sugiarti Sofyan Musyabiq Wijaya Soraya, Yeni Sri Janahtul Hayati Sri Janahtul Hayati Suharmanto Suharmanto Suryadi Islami Suryani Agustina Daulay Susianti Susianti Sutanto Sutanto Sutarto Sutarto Sutyarso Sutyarso Syahrul Hamidi Nasution Syazili Mustofa Syfa Dinia Putri Syukma Dewi Octavie Y. Terza Aflika Happy Tri Umiana Soleha Tri Umiana Soleha Ulima Mazaya Ghaisani Ulima Mazaya Ghaisani Utari Gita Mutiara Wahono E. P Wardani D. W. S. R Widianningrum, Wahyu Wuryaningsih Dwi Sayekti Yona Arisena Magdalena Silitonga Yudhi Atmajaya