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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kesehatan Lingkungan indonesia Jurnal Berkala Epidemiologi Journal of Agromedicine and Medical Sciences Majalah Kedokteran Sriwijaya NurseLine Journal Al-sihah: The Public Health Science Journal Jurnal Kesehatan Prima Jurnal Respirologi Indonesia Journal of Health Sciences JHECDs: Journal of Health Epidemiology and Communicable Diseases CoMPHI Journal : Community Medicine and Public Health of Indonesia Journal
Angga Mardro Raharjo
Departemen Kesehatan Masyarakat, Fakultas Kedokteran Universitas Jember, Jember 68121
Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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THE RELATION OF PERSONAL HYGIENE WITH THE RISK OF OCCURRENCE OF SOIL-TRANSMITTED HELMINTH CO-INFECTION IN TB PATIENTS IN THE WORKING AREA OF THE JENGGAWAH HEALTH CENTER IN JEMBER REGENCY Ellen Ocktavironita; Bagus Hermansyah; Angga Mardro Raharjo; Diana Chusna Mufida; Dini Agustina; Muhammad Ali Shodikin
Majalah Kedokteran Sriwijaya Vol 52, No 2 (2020): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v52i2.11977

Abstract

Tuberculosis (TB) and soil-transmitted helminth (STH) infections are infectious diseases with a high prevalence in Indonesia. STH co-infection in TB patients can worsen the prognosis of TB disease due to the dysregulation of the immune response. The high prevalence of STH infections in Indonesia is caused by environmental factors such as poor personal hygiene habits. Jenggawah Subdistrict is an area with a high number of TB cases in Jember Regency and most of the area is in the form of agricultural fields and plantations that have a suitable humidity and temperature for the development of STH. The purpose of this study was to determine the relationship of personal hygiene risk factors with the risk of STH co-infection in TB patients in the work area of the Jenggawah Health Center in Jember Regency. This study used an observational analytic design with a cross sectional method and was conducted from September to December 2019. The research was conducted at the TB Polyclinic in Jenggawah Health Center in Jember Regency with a total sample of 26 respondents who were given a personal hygiene questionnaire. Stool examination was conducted at the Laboratory of Parasitology FK UNEJ using sedimentation and flotation methods. The results showed the incidence of STH co-infections was 15.3%, good personal hygiene was 57.7%, and bad personal hygiene was 42.3%. Fisher exact test results showed that there was no significant relationship between personal hygiene risk factors and the risk of the occurrence of STH co-infection in TB patients in the working area of the Jenggawah Health Center in Jember Regency (p = 1,000).
THE IMPACT OF KNOWLEDGE, ATTITUDE AND PRACTICE OF EATING BEHAVIOR ON STUNTING AND UNDERNUTRITION IN CHILDREN IN THE AGRICULTURAL AREA OF JEMBER DISTRICT, INDONESIA Ancah Caesarina Novi Marchianti; Dwita Aryadina Rachmawati; Ida Srisurani Wiji Astuti; Angga Mardro Raharjo; Rony Prasetyo
Jurnal Berkala Epidemiologi Vol. 10 No. 2 (2022): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V10I22022.140-150

Abstract

Background: Indonesia as an agricultural country is still having nutritional problems (stunting and undernutrition) caused by mothers’ lack of knowledge, attitude and practice of eating behavior. Purpose: This research aims to investigate the impact of knowledge, attitude, and practice of eating behavior of mothers of children under five on stunting and undernutrition prevalence in the agricultural communities in Jember. Methods: This cross-sectional research used questionnaires as a method to collect data from respondents i.e. mothers who have toddlers about the knowledge, attitudes and practice of eating behavior. The research was conducted in 2018-2019 in Jember. A total of 414 respondents who met the inclusion criteria (those resided in the study area and were willing to participate in this study) were chosen through random sampling. The data were then analyzed by using Spearman rho’s test to search the effect of the knowledge and attitudes of the mothers of under fives toward stunting and undernutrition. While eating behavior was described based on the results of interviews with respondents on 2x24 hours of food recall and food frequency questionnaires.  Results: This study showed that knowledge and attitudes of mothers regarding eating behavior were related to the occurrence of stunting (p = 0.01; p = 0.04) and malnutrition (p = 0.04), except for the attitude variable towards malnutrition (p = 0.81). Data analysis results regarding eating behavior showed that there was still a lack of fulfillment of certain nutrients, both macronutrients (fiber) and micronutrients (Vitamin B1, Vitamin C, Vitamin E, Potassium, Sodium, Calcium and Folic Acid.) to the RDA reference which was recorded as severe deficiency in 60-97% of children under five. Conclusion: Adequate knowledge and attitudes of mothers of diet can be a factor that prevents nutritional problems (stunting and malnutrition). The consumption pattern assessed showed that there was still a lack of fulfillment of certain nutrients both macro (fiber) and micronutrients against RDA reference. Further research needs to be done to explore the right promotive and prevention approach based on the lack of nutrition found in each area.
The Effectivity of Extracts Soybean on Increasing Concentration of RBP (Retinol binding protein) in White Rat (Rattus norvegicus) Kwashiorkor Model Rizsa Aulia Danesty; Heni Fatmawati; Angga Mardro Raharjo
Journal of Agromedicine and Medical Sciences Vol 3 No 1 (2017)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v3i1.4095

Abstract

Kwashiorkor is a disease caused by a deficiency of protein in terms of both quality and quantity. Kwashiorkor cause dysfunction in various organ systems. The purpose of this study was to determine the role of soy in increasing serum RBP levels in rat models of kwashiorkor. The liver is a vital organ for protein synthesis, one RBP. The liver is particularly vulnerable to the effects of kwashiorkor. The method used is the mice given low-protein diet for 30 days and then given extract of soybean meal for 30 days subsequent serum RBP levels were evaluated using ELISA method. The results showed that the soy extract can increase the levels of RBP in mice models of kwashiorkor. Keywords: RBP, soybean extracts and kwashiorkor 
Risk Factors Analysis of Hypertension Incidence at Karangtengah Public Health Center, Wonogiri Regency Atina Robbiatul Azizah; Angga Mardro Raharjo; Inke Kusumastuti; Cholis Abrori; Pipiet Wulandari
Journal of Agromedicine and Medical Sciences Vol 7 No 3 (2021)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v7i3.23979

Abstract

Hypertension is the most common disease found in Karangtengah Health Center, Wonogiri Regency. The incidence of hypertension can be influenced by factors such as: factor that can not be changed consists of age, gender, family history of illness and modifiable factors consisted of obesity, occupation, and smoking history. Of these risk factors, still unknown factors which increse the incidence of hypertension in Karang Tengah Public Health Center. The purpose of this study was to determine the relationship of these risk factors with the incidence of hypertension and the determinants of the incidence of hypertension in Karangtengah Public Health Center, Wonogiri Regency. This type of research is analytic observational with a cross-sectional design. The sample of this study used the total sampling method, namely all medical record data of new adult patients (>26 years) with a history of chronic diseases who came to Karangtengah Public Health Center, Wonogiri Regency in October 2020 and this study was conducted in March 2021. There were 76 patients. Most of the patients had hypertension (n=42; 55.3%), including the category of elderly (n=55; 72.4%), women (n=41; 53.9%). More patients had a family history of disease (n=50; 65.8%), were obese (n=40; 52.6%), had minimal work activities (n=44; 57.9%), and had a history of smoking (n=42; 55.3%). The risk factors associated with the incidence of hypertension were age, gender, family history of disease, BMI, occupation, and smoking history (all p<0.05). Keywords: Hypertension, age, family history, BMI, occupation
The Correlation of Family and Household Factors on The Incidence of Stunting on Toddlers in Three Villages Sumberbaru Health Center Work Area of Jember Farmarida Dika Rufaida; Angga Mardro Raharjo; Adelia Handoko
Journal of Agromedicine and Medical Sciences Vol 6 No 1 (2020)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v6i1.9541

Abstract

Stunting is a condition of the child's length or height according to his age compared to the WHO standard, the z-score is less than -2SD. Stunting is caused by multifactorial which can affect directly or indirectly and causes various adverse effects. The purpose of this study was to determine the correlation of family and household factors on the incidence of stunting (especially sex of toddler, age of toddler, father's education, mother's education, mother's employment status, number of children, birth distance, family income, and mother's height) in three villages Sumberbaru Health Center Work Area of Jember. This type of research is observational analytic research with cross-sectional research design. A sample of 130 people who met the inclusion and exclusion criteria. The sampling technique uses purposive sampling technique. Bivariate analysis using chi-square test and multivariate analysis using binary logistic regression. The results of the bivariate analysis of this study showed p <0.05 on sex of toddler, number of children, family income, mother’s height, and p > 0.05 on age of toddler, father's education, mother's education, mother's employment status, birth distance. Multivariate analysis showed mother's height <147cm (p = 0,007; OR = 3,345), family income below UMK Jember (p = 0,045; OR = 2,344), and male sex (p = 0,044; OR = 0,456 ). Based on these results it can be concluded that the incidence of stunting is directly affected by mother's height <147cm, family income below UMK Jember, and male sex of boys. While indirectly affected by the number of children >2. Factors that did not affect the incidence of stunting were the age of the toddler, father's education, mother's education, mother's employment status, and birth distance. Mother's height <147cm is the most influencing factor.
Correlation Between Leukocyte Differential Counts with The Severity and Outcome of Coronavirus Disease 2019 (COVID-19) Patients In Jember Angga Mardro Raharjo; Eprila Darma Sari; Diana Chusna Mufida
Jurnal Respirologi Indonesia Vol 41, No 3 (2021)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v41i3.186

Abstract

Background: Coronavirus Disease 2019 (COVID-19) is an acute respiratory disease caused by new strain of RNA viruses named Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Hematological changes, especially leukocyte differential counts, presumed to be a predictor of the severity and outcome of COVID-19 patients. This study aimed to analyze the correlation between leukocyte differential counts with the severity and outcome of COVID-19 patients. Methods: This study was conducted using a cross-sectional analytic observational method, through secondary data analysis of COVID-19 patients who were tested positive by Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR) and hospitalized between April–November 2020 at Citra Husada Jember, Kaliwates Jember, and Jember Klinik Hospital. Results: From 267 patients, there were 139 female patients (52.1%) and 128 male patients (47.9%). There was a positive correlation on leukocytes, neutrophil, and neutrophil-lymphocyte ratio (NLR) with the severity and outcome of the patients, and negative correlation on eosinophils, lymphocytes, and monocytes (P 0.05) Conclusion: Leukocyte differential counts examination could be a predictor of the severity and outcome of COVID-19 patients, especially neutrophils, lymphocytes, and NLR.
Bacterial Contamination of Escherichia coli in Long Beans at Traditional Markets Muhammad Ali Shodikin; Ika Rahmawati Sutejo; Dini Agustina; Angga Mardro Raharjo; Anaditya Wahyu Kumudhaningsih
Jurnal Kesehatan Prima Vol 16, No 1 (2022): FEBRUARY
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v16i1.706

Abstract

Escherichia coli (E. coli) bacteria may contaminating uncooked food and cause food poisoning disease. Long beans (Vigna sinensis L) is one of the vegetable that consumed by people in raw (uncooked) and often traded in traditional markets. Many traditional markets do not meet sanitation requirements and many sellers do not perform good personal hygiene. These situation can potentially to cause bacterial contamination of vegetables sold in traditional markets. There has been no research examining E. coli contamination in long beans that sold at traditional markets in Jember.The purpose of this study to prove the contamination of E. coli bacteria in long beans at traditional markets in Jember. The research method uses an observational descriptive design with the cross sectional approach. Research places in eight traditional markets in Jember Regency and Microbiology Laboratory, Faculty of Medicine, University of Jember. The samples used amounted to 40 long beans purchased from 40 traditional market traders. The microbiological examination is performed using the most probable number (MPN) method, namely presumptive test and completed test. The results showed from the presumptive test all of 40 samples (100%) contaminated with coliform bacteria. After completed tests, 36 out of 40 samples (90%) were found contaminated by E. coli. The majority of long beans sold in traditional markets have been contaminated by E. coli bacteria.
The Difference of Eosinophil Amount in Tuberculosis Patients with and without Soil-Transmitted Helminths Co-infection in Panti District, Jember Yunita Armiyanti; Nisrina Salsabila Firmansyah; Angga Mardro Raharjo; Muhammad Ali Shodikin; Enny Suswati; Dini Agustina
NurseLine Journal Vol 5 No 1 (2020): May 2020
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v5i1.16729

Abstract

Tuberculosis is one of the world's health problems even in Indonesia. The immune response that needed to deal with TB can be influenced by other infections, such as helminth infection. The helminth infections induce Th2 immune responses and eosinophilia to eliminate these pathogen. Meanwhile, the Th2 response and eosinophilia can also suppress the Th1 immune response which is very important to eliminate the bacterium M. tuberculosis and make a negative impact on the success of TB therapy. Thus, the eosinophil profile can describe the immune response in TB patients with helminth co-infection. This study aims to determine the prevalence of helminthiasis in TB patients and determine the differences in eosinophil amount in tuberculosis patients with and without helminth co-infection. This study was an observational analytic study with a cross-sectional design conducted at Puskesmas Panti in August 2019-January 2020 using fecal and blood samples from 24 research subjects. Helminth co-infection status was obtained from fecal examination with sedimentation and flotation methods while the number of eosinophils was obtained from leukocyte counts. Data analysis used the Mann Whitney U test to determine differences in the number of eosinophils in the two groups. The results showed there was no difference in the number of eosinophils in TB patients with helminth co-infection and without helminth co-infection (p> 0.05). There is no typical picture of the number of eosinophils in both groups so that eosinophils cannot describe the immune response that arose in TB patients with helminth co-infections in Panti district, Jember.
Hubungan Kejadian Ko-Infeksi Soil-Transmitted Helminths pada Pasien Tuberkulosis dengan Jumlah Eosinofil di Kecamatan Kalisat Kabupaten Jember Widhiasari Normaningtyas; Muhammad Ali Shodikin; Angga Mardro Raharjo; Dini Agustina; Diana Chusna Mufida; Yunita Armiyanti
Jurnal Ilmiah Kesehatan Vol 13 No 2 (2020): Jurnal Ilmiah Kesehatan (Journal of Health Science)
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (297.874 KB) | DOI: 10.33086/jhs.v13i2.1462

Abstract

Abstrak: Tuberkulosis (TB) menjadi masalah kesehatan utama baik lingkup global maupun nasional. Tuberkulosis menyebabkan status gizi kurang baik. Status gizi yang kurang baik dapat disebabkan oleh infeksi kronis, salah satunya infeksi cacing usus terutama Soil-Transmitted Helminths (STH). Ko-infeksi STH pada pasien TB selain mempengaruhi status gizi, juga akan mempengaruhi respon imun pasien. Respon imun pada pasien ko-infeksi STH akan menghambat respon imun Th 1 dalam melawan TB serta akan didapatkan peningkatan eosinofil (eosinofilia). Tujuan utama dalam penelitian ini adalah untuk mengetahui jumlah eosinofil pada pasien tuberkulosis terhadap ko-infeksi STH di Kecamatan Kalisat, Kabupaten Jember. Jenis penelitian ini adalah penelitian observasional dengan desain analitik cross sectional. Populasi yang digunakan adalah pasien TB di Kecamatan Kalisat dalam periode waktu September – Desember 2019. Data yang digunakan dalam penelitian ini adalah data primer berupa hasil pemeriksaan darah dengan metode hitung jenis dan hasil pemeriksaan feses menggunakan metode sedimentasi dan floatasi. Analisis data dilakukan menggunakan uji Fisher. Hasil penelitian menunjukkan bahwa kejadian koinfeksi STH pada pasien TB di Kecamatan Kalisat Kabupaten Jember sebesar 3,6% dan disebabkan oleh Hookworm. Hasil uji Fisher menunjukkan tidak ada hubungan yang signifikan antara jumlah eosinofil dengan kejadian koinfeksi STH pada pasien TB di Kecamatan Kalisat Kabupaten Jember dengan nilai p-value 1,000. Kata kunci: Tuberkulosis, Soil-Transmitted Helminths, Eosinofilia
Hubungan ko-infeksi soil-transmitted helminths terhadap status gizi pada penderita tuberkulosis di Kecamatan Puger Enny Suswati; Muhammad Alif Taryafi; Bagus Hermansyah; Muhammad Ali Shodikin; Yunita Armiyanti; Angga Mardro Raharjo
JHECDs: Journal of Health Epidemiology and Communicable Diseases Vol 7 No 2 (2021): JHECDs Vol. 7, No. 2, Desember 2021
Publisher : Balai Litbangkes Tanah Bumbu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jhecds.v7i2.5123

Abstract

Tuberkulosis (TB) adalah penyakit yang disebabkan oleh infeksi Mycobacterium tuberculosis. Kejadian ko-infeksi parasit di daerah endemik TB sering dilaporkan yang mengakibatkan kondisi penderita TB semakin parah dan sulit disembuhkan. Ko-infeksi cacing pada penderita TB diketahui berpengaruh terhadap respon imun, proses pengobatan, status gizi, dan prognosisnya. Tujuan penelitian ini adalah untuk mengetahui hubungan ko-infeksi soil-transmitted helminthiasis (STH) terhadap status gizi pada penderita TB di Kecamatan Puger, Kabupaten Jember. Studi ini adalah penelitian observasi dengan desain cross sectional yang dilakukan di Puskesmas Puger, Kabupaten Jember, Jawa Timur pada September 2019 sampai Januari 2020. Data ko-infeksi cacing pada penderita TB diperoleh dari pemeriksaan feses dengan metode sedimentasi dan flotasi sedangkan status gizi diperoleh dari pengukuran indek masa tubuh (IMT). Analisis data menggunakan uji Chi-square untuk mengethui adanya hubungan ko-infeksi STH terhadap status gizi penderita TB. Hasil penelitian menunjukkan bahwa 6 dari 32 pasien TB (18,72 %) terinfeksi STH, 4 (%) terinfeksi Ascaris lumbricoides, dan 2 (%) terinfeksi hookworms. Hasil pengukuran IMT adalah18 (56,25%) yang mengindikasikan bahwa penderita TB berstatus gizi kurang dan14 (43,75%) berstatus gizi normal. Hasil uji Chi Square menunjukkan tidak ada hubungan ko-infeksi STH terhadap status gizi penderita TB (p>0,05). Dengan demikian, perlu dilakukan edukasi pada penderita TB tentang gizi seimbang khususnya di wilayah puskesmas Puger Kabupaten Jember, Jawa Timur agar status gizi dapat meningkat.
Co-Authors Adelia Handoko Adilah Julinar Irianti Aisya, Meutia Citra Alyssandra Afqorina Agung Anaditya Wahyu Kumudhaningsih Ancah Caesarina Novi Marchianti Aris Prasetyo Atina Robbiatul Azizah Azham Purwandhono Bagus Hermansyah Cholis Abrori, Cholis Diana Chusna Mufida Dini Agustina Dwita Aryadina Rachmawati Ellen Ocktavironita Elvia Rahmi Marga Putri ENNY SUSWATI Eprila Darma Sari Erma Sulistyaningsih Farmarida Dika Rufaida Hanu Neda Septian Heni Fatmawati Ida Srisurani Wiji Astuti Ika Rahmawati Sutejo Inke Kusumastuti Irawan Fajar Kusuma Jauhar Firdaus M. Ali Shodikin Muhammad Alif Taryafi Nisrina Salsabila Firmansyah Pipiet Wulandari Putu Ayu Laksmi Lestari Rizsa Aulia Danesty Rony Prasetyo Widhiasari Normaningtyas Wiwien Sugih Utami Yudha Nurdian Yuli Hermansyah Yunita Armiyanti