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Journal : Sumatera Medical Journal

ANALYSIS OF LIFESTYLE, KNOWLEDGE, ATTITUDE, AND KNOWLEDGE OF WOMEN AGED 20-50 YEARS OLD WITH VITAMIN D DEFICIENCY-INSUFFICIENCY IN NORTH SUMATERA, INDONESIA Keumala, Dina; Zulkarnaini Tala, Zaimah; Lestari, Sri; Hutagalung, Sunna Vyatra; Ganie, Ratna Akbari; Harum, Delina Sekar
Sumatera Medical Journal Vol. 1 No. 01 (2017): The Sumatera Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v1i01.75

Abstract

Background: Study showed that 95% women had serum level of 25(OH)D lower than normal and women have riskier lifestyle than men, this is based on women’s lifestyle, such as avoiding sun rays, sunblock application, low vitamin D intake, and low physical activity. As result of the deficiency, there will be increasing number of metabolic disorders such as obesity and diabetes mellitus type 2.Objectives: To discover lifestyle, knowledge, attitude, and action of women aged 20-50 years old with vitamin D deficiency-insufficiency regarding risk of metabolic disorder caused by vitamin D deficiency.Method: Cross-sectional study engaging 98 women participants with vitamin D deficiency-insufficiency. Lifestyle including avoiding sunlight, low physical activity, and sunblock application were assessed. The scoring was to assess knowledge, attitude and action of women aged 20-50 years old with vitamin D deficiency-insufficiency regarding risk of metabolic disorder in Medan and then the result was analyzed.Result: The study engaged 98 women aged 20-50 years old with vitamin D deficiency-insufficiency, showed vitamin D level with mean 19.66±5.69 ng/ml. There were 95% participants categorized into vitamin D deficiency-insufficiency and 5% participants categorized into vitamin D suficiency. All subjects were found to be low on sun rays exposure, high incidence sunblock applicaton, low vitamin D intake, and low physical activities. According to knowledge about risk of metabolic disorder, there were 42.3% participants with sufficient knowledge and 57.7% with deficient knowledge, and regarding attitude, 48.52% had negative attitude and 51.5% had positive attitude, regarding action, 24.7% was sufficient and 75.3% was deficient. According to the analysis, there was no significant association between action and knowledge, attitude and knowledge, but there was significant association between action and knowledge based on education (p=0.01).Conclusion: Lifestyle, sufficient knowledge, and action could be the caused of low vitamin D level. There was significant association between action and knowledge based on education, but didn’t show any associations. Based on this result, knowledge needs to be improved in order to improve attitude and action with counseling or books that are easy to be understood about the importance of vitamin D
Parasite Contamination of Water Source at Pangkalan Masyhur Sub-district, Medan Johor District Hutagalung, Sunna Vyatra; Khairuna Damanik, Rahmah; Rattaprasert, Pongruj
Sumatera Medical Journal Vol. 7 No. 3 (2024): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v7i3.11826

Abstract

According to World Health Organisation (WHO) estimates, at least 1,8 billion people consume contaminated water worldwide, hence most of the diarrheal disease in the world is attributable to unsafe water, and the lack of sanitation and hygiene. Water utilization by humans and animals can generate biological pollutants which may contaminate the water. These contaminants come from waste products that may contain bacteria, protozoa, and other parasites. This was a descriptive study with cross sectional design and simple random sampling to determine the contamination of water source by pathogens, particularly parasites at Region V Pangkalan Masyhur sub-district, Medan Johor district, Medan, North Sumatera in 2012. Samples were obtained from each house, depending on the main water source used, either from tap water, open wells, or the nearby river streams. Modified Caldwell’s sedimentation technique was applied to examine the samples under light microscope. Out of the 103 water samples collected, most were from tap water (78 samples), followed by open wells (19 samples), and only six were from the nearby river streams. We found Paramecium caudatum from nine samples (8,7%) collected from the open wells and the nearby river streams, followed by hookworm larva in one tap water sample (1%). No protozoa such as Entamoeba spp., Cryptosporidium spp., and Giardia spp. found in any of the samples. Based on this data, the abundant presence of P.caudatum represented the condition of high organic debris in the open wells and the nearby river streams. Additionally, the presence of hookworm larva in the tap water indicated the distribution system was contaminated with the surrounding soil. Hence it is imperative to provide counseling about optimal environmental sanitation and clean water management, including proper maintenance for water source and its distribution system. Tap water distribution, including its network of pipe deliverance system, must be checked and maintained regularly.