Susiawan, Lieza Dwianasari
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PENGETAHUAN ORANG TUA TENTANG KECACINGAN DAN PENGOBATAN TERHADAP KEJADIAN INFEKSI SOIL TRANSMITTED HELMINTH DI SDN CIBEREM KECAMATAN SUMBANG KABUPATEN BANYUMAS: A CROSS SECTIONAL STUDY Susiawan, Lieza Dwianasari; Wahyudin, Wahyudin; Sari, Octavia Permata; Pramono, Wisnu Budi; Bahiyah, Fiona Annisa
Medical and Health Journal Vol 3 No 2 (2024): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2024.3.2.11388

Abstract

Soil Transmitted Helminths (STH) infection is a disease caused by nematodes and often occurs among elementary school age children. One factor that can influence the occurrence of recurrent infections is parents' lack of understanding about worm treatment. Errors in treating worms can be influenced by several factors, one of which is the level of parental knowledge. To determine the relationship between the level of parental knowledge about worms and treatment on the incidence of Soil Transmitted Helminth infections at SDN Ciberem, Sumbang District, Banyumas Regency. Analytical research is an observational study with a cross-sectional design on 96 Ciberem Elementary School students using purposive sampling techniques. Data collection was carried out by questionnaires on parental knowledge and fecal examination at the FK Unsoed Parasitology Laboratory using the floating method (qualitative). Hypothesis analysis uses Fisher's Exact test. Result: The prevalence of STH infection at SDN Ciberem was 5.2% with the worm type Trichuris trichiura. The results of the Fisher's Exact statistical test showed that parental knowledge about worms (p= 0.052) did not have a significant relationship with the incidence of STH infection. The level of parental knowledge about worm treatment (p=0.033) has a significant relationship with the incidence of STH infection. Conclusion: There was no relationship between the level of parental knowledge about worms and the incidence of STH infection. There is a relationship between the level of parental knowledge about worm treatment and the incidence of STH infection.
COMPARISON OF THE EFFECTIVENESS OF SKIN SWAB AND SKIN SCRAPING TECHNIQUES FOR SCABIES DIAGNOSIS Ihtiaringtyas, Suci; Susiawan, Lieza Dwianasari; Sari, Octavia Permata; Firinda, Rizma Haidif
Medical and Health Journal Vol 4 No 2 (2025): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.4.2.14686

Abstract

Scabies is a skin disease caused by an infestation of the mite Sarcoptes scabiei var. hominis. This disease often mimics other skin conditions, earning it the nickname "The Great Imitator." Four main signs (cardinal signs) of scabies infestation are recognized: intense itching at night (pruritus nocturna), group infections affecting multiple individuals, burrows accompanied by papules or vesicles, and the presence of mites on the patient’s lesions. Atypical scabies has several rare and difficult-to-recognize forms, which can lead to misdiagnosis. Accurate diagnosis is crucial to prevent further spread and complications.Several diagnostic methods can be employed to confirm this disease. Two diagnostic techniques commonly used are skin swab and skin scraping; however, the comparative effectiveness of these methods has not been extensively studied. This study aims to compare the effectiveness of these two techniques in detecting scabies. The research design used in this study is observational with a cross-sectional approach and a full-sampling method. The test subjects were scabies-infected rabbit obtained from the Research Laboratory of the Faculty of Medicine, Jenderal Soedirman University.A total of 8 samples were collected: 4 samples using the skin swab technique and 4 samples using the skin scraping technique. Samples were taken from active lesion areas using the skin swab technique with transparent adhesive tape and the skin scraping technique with a sterile scalpel. The collected samples were examined under a microscope to detect mites, eggs, or their feces. The results showed no statistically significant difference between the outcomes of the skin swab and skin scraping methods, with a p-value of 0.448 (p > 0.05). Both techniques were equally effective in diagnosing scabies in rabbit.Additionally, the skin swab technique was more comfortable for patients and minimized the risk of injury. In conclusion, the skin swab technique can serve as a safer and more effective alternative to skin scraping, particularly for diagnosing scabies in sensitive lesion areas. This study is expected to assist medical practitioners in selecting the optimal diagnostic method for scabies.
INFEKSI SOIL TRANSMITTED HELMINTHS PADA ANAK USIA SEKOLAH DASAR: PERILAKU JAJAN DAN PERILAKU HIGIENE Sari, Octavia Permata; Susiawan, Lieza Dwianasari; Wisesa, Sindhu; Harini, Ika Murti; Setiawati, Setiawati
Mandala Of Health Vol 17 No 2 (2024): Mandala of Health: a Scientific Journal
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mandala.2024.17.2.12213

Abstract

Soil Transmitted Helminths (STH) are a group of parasitic nematodes that pass through the soil in their life cycle. STH can infect the digestive system and cause harm to humans. One of the risk factors for STH is snacking behavior and poor hygiene behavior in school-aged children. This study aims to determine the relationship between snacking behavior and hygiene behavior with the incidence of STH infection in students at SDN Ciberem, Sumbang District, Banyumas Regency. This research is an analytical observational study with a cross-sectional design and was carried out using purposive sampling. The population of this study were students in grades 1-5 at SDN Ciberem with a sample size of 96 students. Data collection was carried out using questionnaires and fecal examination at the FK Unsoed Parasitology Laboratory using qualitative methods. The data obtained were analyzed using Fisher's Exact Test. In this study, it was found that 5 students (5.2%) were infected with Trichuris trichiura type STH. The Fisher's Exact test showed a significant relationship between STH infection with hand washing habits (p = 0.037), the condition of the snacks being served open (p = 0.026), and lots of flies around the snacks (p = 0.031), but there was no significant relationship with the habit of using footwear (p = 1.000), the habit of cutting nails (p = 0.256), and the frequency of snacks (p = 0.333). There is a significant relationship between the habit of washing hands, buying open snacks and snacks with lots of flies around them and the incidence of STH infection. Key words: STH, SD, snacking behavior, hygiene behavior, washing hands
Gender Differences in Scabies Risk Factors at Darul ‘Ulum Islamic Boarding School, Cilacap Aulia, Fadhila Shufi; Putranti, Ismiralda Oke; Susiawan, Lieza Dwianasari
Medical and Health Journal Vol 5 No 1 (2025): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.5.1.14920

Abstract

Background: The global prevalence of scabies remains high, with approximately 300 million cases reported annually. Despite educational and behavioral interventions implemented in Islamic boarding schools, case reduction has been insignificant. Gender-related risk factors for scabies require further investigation. Objective: This study aimed to determine the differences in scabies risk factors between males and females at A.P.I Darul ‘Ulum Islamic Boarding School, Cilacap. Methods: An observational analytic study with a cross-sectional approach was conducted on 37 students selected through total sampling from February to March 2024. Data were collected using questionnaires and physical examinations and analyzed using Fisher's exact test. Results: Scabies was identified in 10.8% of the respondents (4 out of 37), all of whom were males. Most respondents exhibited poor personal hygiene (73.0%) and normal nutritional status (56.8%). Significant differences were found in scabies incidence based on gender (p=0.036), knowledge level (p<0.001), and nutritional status (p=0.003). However, personal hygiene did not show a significant correlation with scabies incidence (p=0.557). Male respondents with underweight nutritional status and low knowledge levels had a higher risk of scabies (40%). Conclusion: There were differences in scabies risk factors between males and females at A.P.I Darul ‘Ulum Islamic Boarding School, Cilacap.
Biopotency of Ethanol Extract of Rasamala (Altingia excelsa) Leaves as a Botanical Insecticide Against Aedes aegypti Mosquitoes Sari, Octavia Permata; Ihtiaringyas, Suci; Susiawan, Lieza Dwianasari; Firinda, Rizma Haidif; Wahyudin, Wahyudin; Wijaya, Faza Nur
Medical and Health Journal Vol 5 No 1 (2025): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.5.1.17251

Abstract

Aedes aegypti is the primary vector of dengue hemorrhagic fever (DHF), which remains a major public health concern in Indonesia. Continuous use of synthetic insecticides has led to the emergence of resistance andadverse environmental impacts. This study aimed to evaluate the biopotential of ethanol extract from Altingia excelsa (rasamala) leaves as a botanical insecticide against Aedes aegypti mosquitoes. The experiment was conducted by exposing female Aedes aegypti mosquitoes aged 3–5 days to vapor from rasamala leaf extract at threeconcentrations (25%, 50%, and 75%) using an electric liquid vaporizer device. Mortality percentages were recorded at 8, 16, and 24 hours and subsequently analyzed using statistical and probit methods. The results demonstrated that rasamala leaf extract possesses insecticidal activity. However, the LC₅₀ value of 182% indicated low efficacy, as it exceeded the highest concentration tested. Moreover, the LT₅₀ value could not be reliably determined within the observed time frame. These findings suggest that while Altingia excelsa extract exhibits insecticidal potential, further optimization of its formulation or an increase in concentration is required to achieve greater effectiveness.