Journal of Agromedicine and Medical Sciences
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The Correlation Between Mother's Knowledge about Complementary Feeding with The Incidence of Stunting in Toddlers Under Two in Mayang, Jember
Full text linkStunting is a condition of toddlers who have a height-for-age less than -2 SD WHO Z-score. The period from a newborn until two years is also known as the golden period. Nutrition obtained after birth affects the growth and development of them. Complementary feeding was given when they were 6 months old. The level of mother's knowledge about complementary foods has an impact on complementary feeding. Inappropriate complementary feeding can lead to stunting. The research objective was to determine the correlation between mother's knowledge about complementary feeding and the incidence of stunting in toddlers under two in Mayang. The research was an analytical observational with a cross sectional study design. The sample was 90 respondents taken using consecutive sampling method. Data collection using a questionnaire on the mother and using height-for-age data from the toddlers. Statistical test using the Spearman test, showed that there was a significant correlation between the level of mother's knowledge about complementary feeding and the incidence of stunting (p=0.024.; rho=-0.238). Due to this result, we recommend continuous health promotion and education among mothers to decrease the risk of stunting in their children.
Keywords: stunting, complementary feeding, toddlers under two, mother’s knowledg
Identification of Intestinal Protozoa in Adults in Pasie Nan Tigo Sub-Distric Koto Tangah Padang
No full textIntestinal protozoan infection is one of the leading causes of morbidity and mortality worldwide. However, it is difficult to estimate the true problem of protozoal infections because cases are under-reported. This study aimed to identify intestinal protozoa in healthy adults. This study used a categorical descriptive research design and used a multistage random sampling technique. This research was conducted in Pasie Nan Tigo, Koto Tangah, Padang from July 2020 to December 2021 with a total of 61 samples obtained. Furthermore, the samples were examined using the direct stool examination method and with modified Ziehl-Neelsen staining. The results of this study were obtained, from 61 subjects the most age group was 45-49 years (27.9%), the most gender was female (88.5%), and the incidence of intestinal protozoal infection was 3.3% where only Blastocystis hominis found. The vacuole stage and cyst stage were found to be 50%, respectively. All samples examined were single infection. The conclusion of this study is that Blastocystis hominis infection is still found in healthy adults in Pasie Nan Tigo, Koto Tangah, Padang. Therefore, supportive therapy and measures to prevent infection transmission need to be carried out so that the incidence and morbidity rates can be reduced.
Keywords: Intestinal protozoa infections, healthy adul
The Effect of Alopurinol on Blood Urea Nitrogen and Creatinine Serum Levels in Patients with Chronic Kidney Disease
Full text linkChronic kidney disease (CKD) is a structural and function disorder of renal for > 3 months with implications for individual health. CKD has become a health problem throughout the world and its implementation provides a considerable economic burden on the health system. The decreasing value of GFR (glomerular filtration rate) in CKD can cause uric acid retention so that serum uric acid levels increase (hyperuricemia). Hyperuricemia can occur due to an increase in urinary metabolism (overproduction), a decrease in uric acid expenditure (underexcretion), or a combination of both. The group of antihyperuricemic drugs that have good effectiveness and long-term safety is xanthine oxidase inhibitors. The commonly used xanthine oxidase inhibitor drug is allopurinol. The purpose of this study was to determine whether there was an effect of allopurinol on kidney function in CKD patients. The results of this study are expected to provide input in the treatment of hyperuricemia in CKD patients and reduce the progression of CKD. This study used a retrospective observational analytic design with a cross-sectional approach. The study population was CKD patients from January 2018 to January 2019 at Bina Sehat Hospital Jember. The sampling technique uses purposive sampling. This study uses secondary data obtained from medical records of CKD patients at Bina Sehat Hospital Jember. Secondary data obtained in the form of identity data and the results of laboratory tests of patients. The medical record data that has been obtained is distributed and analyzed using a paired T-test to compare the mean or mean differences of the two groups in pairs. The bivariate test results for blood urea nitrogen and serum creatinine levels in CKD patients were obtained p <0.001. Based on these results there is a significant relationship between blood urea nitrogen and serum creatinine levels before and after consuming allopurinol. The conclusion was that allopurinol was shown to be able to provide an effect on the kidney function of CKD patients based on blood urea nitrogen and serum creatinine levels.
Keywords: Chronic kidney disease, hyperuricemia, allopurino
The Correlation between Knowledge Level and Personal Hygiene with Scabies Occurrence in Miftahul Ulum Islamic Boarding Schools Jember Regency
Full text linkScabies is caused by infestation and sensitization of Sarcoptes scabiei hominis varieties. Scabies is easily transmitted to individuals who live in groups such as boarding schools. Knowledge of scabies that is lacking and low in individual hygiene among student causes a transmission to be faster and wider. The purpose of this study was to determine the relationship between the characteristics, level of knowledge and individual hygiene of the student with the occurrence of scabies at the Miftahul Ulum Islamic Boarding School in Kalisat District, Jember Regency. This study used an observational analytical method with cross-sectional. Of the population of 358 students, 229 students were willing to become respondents. The results showed that 105 students (45.9%) suffered from scabies. The chi-square test results showed the characteristics of respondents such as gender, pruritus complaints, pruritus onset when entering the hut, treatment history was associated with the incidence of scabies (p <0.05). Risk factors for individual hygiene in the form of using towels alternately and washing towels together were also associated with the incidence of scabies (p <0.05). Bivariate analysis at the level of individual knowledge and hygiene as a whole showed no significant association with the incidence of scabies (p> 0.05). The result of multiple logistic regression test showed 2 variables, namely, sex and pruritus onset when entering the lodge significantly associated with the incidence of scabies (p <0.05).
Keywords : scabies, knowledge level, personal hygien
Analysis of Factors Affecting the Contamination of Entamoeba sp. cyst and Soil-Transmitted Helminths egg on Dug Well Water
Full text linkDug well water is often polluted by fecal waste containment such as septic tank and pit latrine system due to its distance. The common pathogenic parasites found in fecal waste containment are E. histolytica and Soil-Transmitted Helminths (STH). The port de entry of both parasites is ingestion of contaminated food or water by fecal materials. This study was aimed to analyze factors affecting the existence of Entamoeba sp. cyst and STH egg on dug well water in Bungatan Village, Situbondo. This observational analytic study used cross-sectional approach, carried out 30 respondents in Bungatan Village, Situbondo. Entamoeba sp. cyst and STH egg were examined using sedimentation method, the distance of fecal waste containment to dug well measured by measuring tape. The characteristic of fecal waste containment and dug well was observed using questionnaires. The results showed 100% fecal containment used pit latrine system, 100% had an incomplete well standard, 66,7% had unstandardized distance with fecal waste containment. Entamoeba sp. cyst and STH egg were not found on all water samples. The soil condition near the dug well (acidity, temperature, moisture, and sunlight intensity) and physical condition (temperature) of dug well water were inappropriate to the development of Entamoeba sp. cyst and STH egg. The dug well's component and its distance to fecal containment did not affect Entamoeba sp. cyst and STH egg existence in all dug well water. The physical soil condition near the dug well and the temperature of dug well water were inappropriate to the development of both parasites.
Keywords: Entamoeba sp., Soil Transmitted Helminths, Dug Well, Fecal Waste Containmen
Case Report: Giant Epidermoid Cyst on the Neck with Hypopharyngeal Propulsion
Full text linkIntroduction: Dermoid cyst is a cystic mass lined with stratified squamous epithelium with skin adnexal structure. Histopathologically dermoid cysts consist of 3 types, namely epidermoid cysts, true dermoid cysts and teratoid cysts. Epidermoid cysts are characterized by masses with a simple squamous epithelial lining. When the cyst ruptures, it releases a cheesy white matter that smells bad. Epidermoid cysts are most commonly found in the age range of 15 and 35 years with almost the same frequency between male and female sexes. Case description: We report a case of a 52-year-old man with a lump on the left side of the neck that has been slowly growing since 1 year and a computer tomography of the neck suspected a cyst in the anterior glottis. The patient was diagnosed as a neck cyst. Management was carried out by excision of the cyst under general anesthesia and histopathological examination with the results of an Epidermoid cyst. Conclusion: Epidermoid cysts can develop in any part of the body, but are very rare on the head and neck. Definitive management of epidermoid cysts with complete excision of the cyst gives satisfactory results
Keywords: Giant Epidermoid Cyst, excision, hypopharyngeal propulsio
The Effect of Young Coconut Water (Cocos Nucifera L.) Consumption on VO2max in Young Adults Non-Athletes
Full text linkAbstract
The availability of carbohydrates and electrolytes in the body greatly affects Volume Oxigen Maximum (VO2max) to maintain stamina and endurance. The administration of young coconut water has the effect of increasing VO2max because it contains carbohydrates and electrolytes. The administration of young coconut water 15-60 minutes before exercise has the potential to delay exhaustion and increasing performance because glucose levels are maintained and muscle glycogen stores are restored. The purpose of this study was to determine the effect of administration of young coconut water on VO2max in young adults non-athletes. This study used a quasi experimental research design with a cross over design clinical trial. A total of 30 male non-athletes aged 18-24 years who fulfill the inclusion criteria were divided into groups randomLy, the treatment group (given 300 mL of coconut water) and the control group (given 300 mL of mineral water) 60 minutes before treatment, then crossover carried out 3 days after treatment. The results showed the control group fitness index was 141.83 ± 44.69, and the fitness index of the treatment group was 176.01 ± 59.07. The sample characteristics based on VO2max showed that the treatment group had a greater VO2max by a mean of 4.84 ± 1.05 compared to the control group with a mean of 4.19 ± 0.78. The results of the Paired T-Test showed a significance value of p= 0.000 (p <0.05) indicating that there was a significant difference between the control group and the treatment group. The conclusion of this study is that giving young coconut water increases VO2max levels in young adults non-athletes.
Keywords: Young coconut water, VO2max, fitness inde
Effect of Morus alba L. Ethanol Leaves Extract on Conjunctivitis Wistar Rats Model by Staphylococcus aureus
Full text linkConjunctivitis is inflammation in the conjunctiva, with clinical signs of exudation, cellular infiltration, and vascular dilatation. In adults, Staphylococcus species are the most common pathogenic bacteria resulting in bacterial conjunctivitis. Previous studies in vitro, explaining that mulberry leaf extract can inhibit the growth of S. aureus bacteria. The purpose of this study was to investigate the effect of mulberry leaf ethanol extract (Morus alba L.) on wistar mice conjunctivitis model by S. aureus. This type of research is true experimental with pretest-posttest control group design. The 24-wistar mice were adapted for 7 days. On day 8, a conjunctivitis induction was performed with 1.5 x 108 CFU / ml of S. aureus at 1 drop every 10 minutes for 1 hour (left 3 days) until conjunctivitis . On day 12 until day 19 (7 days), given mulberry leaf extract 45%, 55%, 65% and 75%. The results of TPC S. aureus logarithm on MSA medium of the 11th (pretest) day conjunctival swab and the 17th day (posttest) of rat adaptation were K (-) (5.70 and 4.07); K (+) (5.78 and 3.31); P1 (5.65 and 3.78); P2 (5.63 and 3.82); P3 (5.84 and 3.74); and P4 (5.69 and 3.63), with the posttest group there was improvement in conjunctivitis symptoms rather than the pretest group. The result of One Way Way Anova data analysis showed significant result at pretest p = 0,002 and posttest p = 0,046 (p <0,05) and paired t-test got significant result p = 0,000 (p <0,05). From this study it can be concluded that mulberry leaf extract (Morus alba L.) has the effect of decreasing the number of colonies of S. aureus bacteria and improving symptoms of conjunctivitis.
Keywords: mulberry leaf extract, conjunctivitis, S. aureu
Relationship between Soil-Transmitted Helminths Infection and Insulin Sensitivity in Adults at Padang City
Full text linkHelminth infections in Indonesia are most often caused by Soil-transmitted Helminths (STH) species. It turns out that STH infection has a protective effect against metabolic diseases by affecting glucose metabolism and insulin sensitivity. The effect related to the immune response that caused by STH infection. The aim of this study was to investigate the relationship between STH infection with insulin sensitivity in adults at Padang City. This study design was a comparative cross-sectional study with multistage random sampling technique. Stool samples were taken from 127 adults and there were 24 subjects (18.9%) infected with STH. Furthermore, We took another 24 uninfected subjects and compared their fasting blood glucose (FBG) and fasting insulin. Then, from the data We calculated it’s Homeostatic Model for Insulin Resistance (HOMA-IR) score to assess insulin sensitivity. Unpaired T test and chi-square were used to analyze the data. The study result showed the average levels of FBG and fasting insulin were lower in STH-infected group than STH-uninfected group. However, there was no significant difference between two groups (FBG p=0.678; fasting insulin p=0.075). Also, STH-infected group tend to had good insulin sensitivity (66.7%) than STH-uninfected group (45.8%), but statistically, there was no significant relationship between STH infection and insulin sensitivity with p value=0.244. In conclusion, there is no relationship between STH infection and insulin sensitivity.
Keywords: Soil-transmitted Helminths, Insulin Sensitivity, FB
Severe Deficit in Energy and Protein Intake Correlates wih Stunting among Children Aged 12-24 Months in Plerean Sumberjambe Jember
Full text linkThe current nutritional problems are still the world's attention, especially in developing countries, including Indonesia. The Global Nutrition Report shows that Indonesia is a country with three main nutritional problems: wasting, overweight, and stunting (under five) in infants. Stunting has short-term and long-term effects associated with growth and developmental disorders. This study wants to determine the correlation between energy and protein intake of children aged 12-24 months in Plerean, Sumberjambe, Jember. This is an observational research with cross sectional study design. The population of this study were all children aged 12-24 months in Plerean Village, Sumberjambe, Jember. A total of 48 parents/respondents were interviewed about the consumption history of the on the previous day. This is done to determine the energy and protein intake consumed by the research subjects. Measurement of energy and protein intake using 24-hours food recall method and stunting was obtained from secondary data obtained from Puskesmas Sumberjambe. This research used purposive sampling method. The data obtained is then converted into calorie units and processed using a statistical program. The results showed showed 28 subjects were male. Most parents of research subjects earn less than the Minimum Wage District (UMK). A total of 68.75% of subjects had severe deficit in energy intake. A total of 52.08% of subjects had a severe deficit protein. Using Spearman correlation test the correlation of energy intake with the incidence of stunting obtained p value = 0.000 with correlation coefficient -0.589. Then, the relationship of protein intake with the incidence of stunting obtained p = 0.001 with a correlation coefficient of -0.446. So it can be concluded that severe deficit in energy and protein intake correlates with stunting in the study subjects.
Keywords: 24-hours food recall, Energy, Protein, Stunting