Candida albicans is fungi that cause 50-90% candidiasis in human. Candida albicans is commensal and opportunistic pathogen which interfere gastrointestinal, oropharynx, and female genitalia. Candida albicans resistant to standard antifungal due to repeated use of antifungal. Virgin coconut oil (VCO) contain fatty acid which effective as antifungal. The previous study showed the result of Kirby Bauer method on antifungal effect of 7.5% fatty acid in VCO were able to inhibit Candida albicans, this concentration is equal to nystatin 195 unit. Gas chromatography mass spectrometry showed the fatty acids are caproic acid (0.187%), cyclopropanepentanoic acid (1,12%), nonanoic acid (0.54%), lauric acid (32.73%), myristic acid (28.55%), palmitic acid (17.16%), oleic acid (14.09%), adna octadecanoic acid (5.68%). Saturated and unsaturated fatty acid in VCO are able to inhibit the growth of Candida albicans.

AbstrakInfeksi merupakan penyakit penyebab kematian di Indonesia. Salah satu penyebab perkembangan penyakit infeksi di Indonesia adalah resistensi bakteri terhadap antibiotik standar. Antimicrobial Activity of Betel Nut Ethanolic Extract Fractions in Methicillin Resistant Staphylococcus aureus AbstractInfection is the major cause of death in Indonesia. Antibiotic resistant is responsible for this progression. Methicillin resistant Staphylococcus aureus (MRSA) is known as the main cause of nosocomial and community infections.The antimicrobial activity of ethanolic extract fractions of betel nut (Areca catechu L) was studied on MRSA. The research was performed at the Microbiology Laboratory, School of Health Sciences, Jenderal Achmad Yani University, Cimahi, the Pharmacology Laboratory of Bandung Institute of Technology, and Research and Development of Ocean Geology Laboratory in May-June 2011.The antimicrobial activities of the extract and fraction were tested by microdilution broth method, bioautography and scanning electron microscope (SEM). The most effective result showed by water fraction with minimum inhibitory concentration (MIC) was 256 µg/mL. Bioautography result showed a spot on thin layer chromatography (TLC) chromatogramof water fraction which inhibited the bacterial growth, which was the spot with Rf 0.6. The spot was suggested as a phenolic substance due to positive result to FeCl3. The electron microscope image showed the breakdown of membrane cell/inner site of bacteria which was exposed by betel nut extract and fractions in which the bacteria was shrinked, bubbled and broken.In conclusion, betel nut ethanolic extract has the ability to inhibit MRSA. [MKB. 2014;46(2):94-9]

AbstrakKandidiasis merupakan penyakit infeksi Candida baik primer maupun sekunder. Penyebab utama kandidiasis adalah Candida albicans (C. albicans). Pengobatan kandidiasis dilakukan dengan pemberian obat antijamur, terutama nistatin, amfoterisin-B dan azole, tetapi toksisitas dan resistensi obat ini menjadi masalah potensial. Diperlukan pemakaian obat lain yang lebih aman. Salah satunya adalah pemanfaatan bahan alami, yaitu minyak kelapa murni. Tujuan penelitian ini adalah mengetahui potensi asam lemak minyak kelapa murni dalam menghambat pertumbuhan C. albicans. Desain penelitian eksperimental. Penelitian menggunakan difusi Kirby Bauer untuk mendapatkan konsentrasi hambat minimum minyak kelapa murni dalam menghambat C. albicans. Penelitian dilakukan pada bulan September-Oktober 2010 di Laboratorium Kimia dan Mikrobiologi Sekolah Tinggi Ilmu Kesehatan Jenderal Achmad Yani Cimahi. Hasil menunjukkan asam lemak dalam fraksi n-heksan dan metanol hasil hidrolisis berpotensi dalam menghambat pertumbuhan C. albicans. Fraksi n-heksan konsentrasi minimal yang memberikan hambatan adalah 75% dengan diameter hambatan rata-rata sebesar 3,3 mm, sebanding dengan antibiotik nistatin 195 unit. Fraksi metanol memberikan hambatan dimulai pada konsentrasi 75% dengan diameter hambatan rata-rata sebesar 4 mm, sebanding dengan antibiotik nistatin 195 unit. Hasil konsentrasi hambat minimum asam lemak masing-masing untuk fraksi metanol konsentrasi 25% dan fraksi n-heksan 100%. Simpulan, asam lemak pada minyak kelapa murni dapat menghambat C. albicans. . The main cause of candidiasis isCandida albicans (C. albicans). Candidiasis is treated by antifungal drug treatment, specifically using nistatin, amphotericin-B, and azole. However, drug toxicity and resistance have become potential problems. Therefore, other methods are needed as a safer treatment. One of the natural resources which has antifungal property is virgin coconut oil. This was an experimental study to determine the potential of fatty acid in virgin coconut oil to inhibit C. albicans. Kirby Bauer Method was used to determine the minimum inhibition concentration. This study was performed in September-October 2010 at the Chemistry and Microbiology Laboratory of the School of Health Sciences, Jenderal Achmad Yani University Cimahi. The result showed the hydrolyzed fatty acid in n-hexane and methanol fractions had the potential to inhibit the growth of C. albicans. Minimum inhibitory concentration againstC. albicans was 75% with an average diameter of inhibiting zone of 3.3 mm, which was equal to 195 units of nistatin. The methanol fraction inhibition on C. albicans started from 75% with an average diameter of 4 mm or equals to 195 units of nistatin. The minimum fungicidal concentration showed that C. albicanswas inhibitedby 25% methanol fraction and 100%n-hexane fraction. . In conclusion, fatty acid of virgin coconut oil has the ability to inhibit C. albicans. [MKB. 2016;48(4):200-4]

ABSTRAKHepatitis B dan C dianggap paling berbahaya diantara jenis hepatitis yang lain karena keduanya dapat berkembang menjadi penyakit kronik, sering tanpa gejala, dan menyebabkan kematian. Salah satu upaya yang disarankan oleh WHO untuk mencegah peningkatan angka Hepatitis B dan C adalah melakukan kegiatan edukasi kesehatan bagi masyarakat, khususnya kelompok beresiko tinggi seperi Warga Binaan Pemasyarakatan (WBP). Oleh sebab itu, kegiatan penyuluhan ini bertujuan untuk meningkatkan pengetahuan WBP terkait penyebab, gejala, cara penularan, pencegahan, dan layanan kesehatan yang disediakan oleh pemerintah. Kegiatan ini dilakukan di Lembaga Pemasyarakatan (Lapas) Narkotika Kelas IIA Bandung dengan jumlah peserta sebanyak 30 orang WBP. Penyuluhan dilaksanakan dengan metode ceramah. Evaluasi kegiatan dilakukan dengan cara menganalisis hasil kuesioner dan nilai tes para peserta. Teknik analisis yang digunakan adalah analisis deskriptif. Hasil evaluasi membuktikan bahwa mayoritas WBP melakukan tindakan beresiko tinggi karena keterbatasan pengetahuan dan informasi, namun setelah mendapatkan materi penyuluhan terlihat adanya peningkatan nilai tes pada seluruh peserta. Kegiatan ini berhasil meningkatkan pengetahuan WBP di Lapas Narkotika Kelas IIA Bandung terkait penyebab, gejala klinis, cara penularan, pencegahan, serta beberapa layanan kesehatan pemerintah untuk mencegah, mendiagnosa, serta mengobati penyakit Hepatitis B dan C. Kata Kunci: hepatitis B; hepatitis C; penyuluhan; lembaga pemasyarakatan ABSTRACTHepatitis B and C are considered as the most dangerous hepatitis types compared to the other, because both can develop into chronic diseases, asymptomatic, and cause death. One of the methods suggested by WHO to prevent an increase of Hepatitis B and C numbers is to conduct health education activities for the community, especially for the high-risk groups such as prisoners (WBP). Therefore, the aim of this extension activity was to upgrade the WBP's knowledge regarding the disease causes, symptoms, transmission methods, prevention, and health services provided by the government. This activity was conducted in Bandung Narcotics Penitentiary class IIA, with 30 WBP participants. The extention was done by the lecture method. Then, the activity evaluation was done by analyzing of questionnaire results and participants' test-scores. Besides, the analysis technique used was descriptive analysis. The evaluation result proved that the majority of WBP taking the high-risk action due to the limited of knowledge and information, but there was a testscore increase for all participants after obtaining counseling materials. This activity was successful to improve the WBP's knowledge in Bandung Narcotics Penitentiary class IIA related to the causes, clinical symptoms, modes of transmission, prevention, and also some government health services to prevent, diagnose, and treat the Hepatitis B and C.

DESCRIPTION OF BACTERIAL CONTAMINTANT IN TOOTHBRUSH. Brushing activity is an effort to keep oral hygiene from pathogenic microorganisms that can cause infection. Oral infection has been an increasingly common risk factor for systemic disease. Oral infections, especially periodontitis, can affect travel and pathogenesis of a number of systemic diseases, such as cardiovascular disease, bacterial pneumonia, diabetes mellitus, and low birth weight. Keeping your teeth and mouth clean is not enough just brushing your teeth, but replace the toothbrush for a maximum of three months. This study aims to identify the contaminant bacteria found on toothbrushes that have been used for more than 3 months. The method of identification by planting the isolation result of 20 toothbrushes has been used for more than three months on selective media ie blood agar (AD), McConkey Agar (MCA), Eosin Methylen Blue (EMB), Manitol Salt Agar (MSA) . The results showed that all samples of toothbrush were contaminated with Streptococcus and Staphylococcus, 16 samples were Klebsiella (80%), four samples (20%) were Proteus, and one sample (5%) was contaminated with Escherichia. All of the toothbrush samples showed to have been contaminated by bacteria. Bacterial contamination of the toothbrush can be caused by the storage of a toothbrush that is too close to the toilet and toilet, possibly exposed through aerosols containing intestinal bacteria. This toothbrush contamination plays an important role in both oral and systemic diseases, including septicemia and gastrointestinal, respiratory cardiovascularmy, and kidney problems. Abstrak: GAMBARAN BAKTERI KONTAMINAN PADA SIKAT GIGI. Kegiatan menyikat gigi merupakan upaya untuk menjaga kebersihan gigi dan mulut dari mikroorganisme pathogen yang dapat menyebabkan infeksi. Infeksi mulut telah menjadi faktor risiko yang semakin umum untuk penyakit sistemik. Infeksi mulut, terutama periodontitis, dapat mempengaruhi patogenesis dari sejumlah penyakit sistemik, seperti penyakit kardiovaskular, pneumonia bakteri, diabetes mellitus, dan berat badan lahir rendah. Menjaga kebersihan gigi dan mulut tidak cukup hanya menyikat gigi saja, melainkan mengganti sikat gigi maksimal tiga bulan sekali. Penelitian ini bertujuan untuk mengidentifikasi bakteri kontaminan yang terdapat pada pada sikat gigi yang telah digunakan selama lebih dari 3 bulan. Metode identifikasi dengan melakukan penanaman hasil isolasi 20 sikat gigi yang telah digunakan selama lebih dari tiga bulan pada media selektif yaitu agar darah (AD), McConkey Agar (MCA), Eosin Methylen Blue (EMB), Manitol Salt Agar (MSA) dengan metode gores.  Hasil penelitian menunjukkan semua sampel sikat gigi terkontaminasi Streptococcus dan Staphylococcus, 16 sampel terdapat Klebsiella (80%), pada empat sampel (20%) terdapat Proteus, dan satu sampel (5%) terkontaminasi Escherichia. Semua sampel sikat gigi menunjukkan telah terkontaminasi oleh bakteri. Kontaminasi bakteri pada sikat gigi ini dapat disebabkan oleh penyimpanan sikat gigi yang terlalu dekat dengan jamban, sehingga kemungkinan terpapar melalui aerosol yang mengandung bakteri usus. Kontaminasi sikat gigi ini memegang peranan penting pada penyakit oral maupun sistemik, termasuk septikemia dan gastrointestinal, kardiovaskularm pernapasan, dan masalah ginjal.