ARTERI : Jurnal Ilmu Kesehatan

Efikasi Bakterisidal Klorheksidin terhadap Escherichia coli dan Klebsiella pneumoniae Penghasil ESBL

Rustiana Tasya Ariningpraja — 2025-05-29

Nosocomial infections caused by multidrug-resistant bacteria, such as Escherichia coli and Klebsiella pneumoniae producing Extended-Spectrum Beta-Lactamases (ESBL), present a major challenge in healthcare. These bacteria reduce the effectiveness of antibiotics, worsening patient conditions. This study aims to evaluate the effectiveness of chlorhexidine in disinfecting medical devices contaminated with ESBL-producing bacteria. The methodology involves inoculating bacterial strains on plastic medical device surfaces and disinfecting them with chlorhexidine concentrations of 2.5%, 5%, and 7.5% for 10 minutes, with control groups using sterile water and 70% alcohol. The results indicate that chlorhexidine inhibited the colonies of E. coli and K. pneumoniae effectively, with the highest inhibition occurring at 7.5% for E. coli and at 2.5% for K. pneumoniae. This indicates that these bacteria respond differently to higher levels of chlorhexidine. Through cell lysis and membrane disruption, chlorhexidine shows vast promise as a disinfectant for medical devices against healthcare-associated infections.

Association between Physical Activity and Vitamin C Intake with HDL and LDL Levels among Overweight Students: A Cross-Sectional Study

Amilia Yuni Damayanti — 2025-05-31

Obesity is a medical condition characterized by the excessive accumulation of body fat tissue. It is a significant health concern because it can lead to degenerative diseases with high morbidity and mortality rates, such as dyslipidemia. This study aimed to analyze the relationship between physical activity, vitamin C intake, and High-Density Lipoprotein (HDL) and Low-Density Lipoprotein (LDL) levels in overweight adolescents. The subjects were 50 overweight female university students aged 17-25, selected via purposive sampling. The research was conducted at UNIDA Gontor and the Widodo Medika Laboratory. Instruments used included a clinical chemistry analyzer, reagents, weight scales, and a microtoise for height measurement. A cross-sectional study design was employed, and data were analyzed using the Spearman rank correlation test. The analysis indicated no significant relationship between physical activity and HDL levels (p=0.490), nor between physical activity and LDL levels (p=0.619). In contrast, the results revealed a significant correlation between vitamin C intake and HDL levels in the overweight female students (p=0.020), with a moderate correlation strength (r=0.327). However, no significant association was found between vitamin C intake and LDL levels (p=0.744), which demonstrated a very weak correlation (r=0.047). In conclusion, this study shows a significant relationship between vitamin C intake and HDL levels in overweight female students. Conversely, no significant correlation was found with LDL levels, and physical activity did not have a significant association with either HDL or LDL cholesterol.

Efektifitas Media Hema-Magz dalam Meningkatkan Pengetahuan PHBS di Lingkungan Kampus

Malinda Capri Nurul Satya — 2025-07-23

The implementation of Clean and Healthy Living Behaviors (PHBS) is essential for establishing positive habits across a university campus. However, PHBS within the campus environment is often neglected. A significant portion of the academic community has not yet fully adopted these behaviors, as evidenced by practices such as smoking on campus, consuming unhealthy food and beverages, and indiscriminate spitting. This situation is likely due to various factors, including a lack of knowledge about PHBS, insufficient outreach, and inadequate facilities. Poor adherence to PHBS can lead to infectious diseases like eye infections, diarrhea, anemia, and helminthiasis. One effective method to enhance the knowledge and awareness of PHBS among the academic community is through various information media, such as online magazines or e-magazines. Hema-Magz (Healthy Motion Magazine) is an e-magazine development containing information about PHBS on campus. This study aimed to evaluate the effectiveness of the Hema-Magz media on respondents' knowledge before and after the intervention. This research employed a quantitative design with a pretest-posttest approach, involving 15 respondents from the Tefa House of Health Promotion academic community. The research instrument consisted of 10 questions related to PHBS. The collected data were analyzed using a paired sample t-test. The results indicated an increase in the average knowledge score from 76.6% to 88.4%. Furthermore, the paired sample t-test yielded a p-value of 0.024, signifying a statistically significant difference in knowledge before and after using Hema-Magz. This media is effective in improving knowledge by offering engaging and interactive content. Further development into a mobile application is recommended to achieve a broader reach.

Uji Keamanan Cemaran pada MP-ASI Berbahan Kedelai Kulit Buah Naga

Zora Olivia — 2025-07-23

Complementary feeding is nutritious food in addition to breast milk given to infants during the complementary feeding period to achieve nutritional adequacy. Complementary feeding products to be marketed should be guaranteed to be safe from metal and microbial contamination. SNI 01-7111.1-2005 explains the minimum limits for contamination of arsenic, lead, tin, mercury and free from Escherichia coli, Salmonella sp, Staphylococcus aureus microbes. This study aims to determine safety by comparing the metal contamination and microbial contamination figures between the P1, P2 and P3 complementary feeding formulas. P1 and P2 are complementary feeding made from soybean powder and dragon fruit skin. P1 consists of 25% soybean powder, 45% powdered milk, 10% dragon fruit skin powder, 20% sugar. P2 consists of 35% soybean powder, 35% powdered milk, 10% dragon fruit skin powder, 20% sugar. While P3 is a commercial complementary feeding. The methods used for metal contamination detection are ICP-MS, coliform and Escherichia coli microbial contamination with the Most Probable Number (Apm) technique and APL with the pour plate technique, detection of salmonella spp. according to ISO 6579-1: 2017, Positive Coagulation Staphylococci. The results include arsenic metal contamination in P2 and P3 while lead in P2 with levels below the maximum SNI limit. Microbial contamination ALT, Escherichia coli, Salmonella sp, Staphylococcus aureus. P1, P2, P3 according to SNI standards while coliform only in P2 meets SNI standards. So it can be concluded that the MPASI formula from soybean powder and dragon fruit skin P2 is the safest to consume because it has metal and microbial contamination results according to SNI standards.

The The Effect of Katuk Vegetable Feeding on Breast Milk Production at TPMB Mimik Suwarminingsih, Mumbulsari District, Jember Regency

Dinar Perbawati — 2025-07-30

Suboptimal exclusive breastfeeding coverage remains a significant health challenge. Non-pharmacological interventions are needed to support lactation. Katuk (Sauropus androgynus) leaves are traditionally known as a natural galactagogue due to their bioactive compounds that stimulate prolactin and oxytocin, but empirical evidence on their efficacy during the critical early postpartum period is limited. Objective: This study aimed to analyze the effect of katuk leaf consumption on breast milk production in postpartum mothers, measured through infant weight gain. This study utilized a one-group pre-experimental design with a pretest-posttest approach. A total of 16 postpartum mothers were recruited through purposive sampling. The intervention consisted of consuming 200 grams of steamed katuk leaves daily for seven consecutive days. Infant weight was measured before the intervention (Day 4) and after (Day 8) to assess breast milk production adequacy. Data were analyzed using the Wilcoxon Signed-Rank Test. Results: The findings revealed a statistically significant increase in infant weight gain post-intervention. The median infant weight gain rose from 110g at pretest to 190g at posttest. The Wilcoxon Signed-Rank Test confirmed that this improvement was significant (Z = -3.527, p = 0.001). The consumption of katuk leaves is significantly associated with increased breast milk production among postpartum mothers. This supports its potential as an accessible and non-pharmacological intervention to enhance lactation. However, due to the study's pre-experimental design without a control group, these findings should be interpreted with caution. Further research using randomized controlled trials is recommended to establish causality.

Pengaruh Penggunaan Cakram Diet Rendah Kalori terhadap Pengetahuan Gizi Pegawai Kantor Direktorat Jenderal Pajak

Annisa Fadhila Karuniati — 2025-07-29

The global prevalence of obesity has doubled over the past four decades, regardless of sex, age, ethnicity, or socioeconomic status. A low-calorie diet is an effective weight loss strategy for individuals who are overweight or obese. This study aimed to examine the effect of using a low-calorie diet disc on changes in nutrition knowledge among employees at the Head Office of the Directorate General of Taxes. A quasi-experimental design with a pre- and post-test control group was employed. The sample consisted of 100 employees, divided into a treatment group (n=50) who received a lecture using the diet disc as a medium, and a control group (n=50) who received education using PowerPoint slides. Data were analyzed using the Wilcoxon rank test followed by the Mann–Whitney U test. The results showed a significant difference in nutrition knowledge scores before and after the intervention in both groups (p<0.05), as well as a significant difference between the intervention and control groups (p<0.05), with an average increase of 35.4 points in the intervention group and 27.7 points in the control group, resulting in a final difference of 9.5 points between the groups. This study recommends that the Head Office of the Directorate General of Taxes conduct regular weekly low-calorie diet education sessions led by community nutritionists specializing in promotive and preventive health, to promote healthier and higher-quality staff.