Jurnal Poltekkes Kemenkes Aceh
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Study of the response to the glycemic index of rice starch (Oryza sativa L) modified by physical and enzymatic treatment
Excessive rice consumption with a high glycemic index has a negative effect on health. This study aimed to determine the effects of physical and enzymatic modifications of rice starch on estimated glycemic index (eIG). This study was conducted between June and November 2023. This experimental study used a completely randomized design (CRD) with four treatments: heat moisture treatment (HMT)-microwave, HMT-autoclave, and enzymatic pullulanase (20 units/g rice starch). The observed parameters included the eIG, amylose content, solubility, swelling power, and thermal characteristics. The eIG values were measured using the in vitro method with four replicates for each treatment. The research data are expressed as the average value ± standard deviation and were analyzed using descriptive methods. The results showed that the HMT-microwave, HMT-autoclave, and enzymatic pullulanase treatments reduced the eIG value of rice starch by 3,06%, 7,19%, and 9,06%, respectively. Thermal analysis using DSC showed that modified starch experienced an increase in the onset temperature (To), peak temperature (Tp), and end-set temperature (Te) compared to normal rice flour. In conclusion, the physical modification of HMT and enzymatic activity can reduce the eIG value of rice starch. This study provides an alternative for the development of functional rice starch-based products with a low glycemic index
Formulasi body scrub alami berbahan sari labu kuning dan ampas kelapa sebagai eksfolian
Background: Pumpkin juice and coconut pulp are natural ingredients that have potential as body scrubs. Pumpkin is known to be rich in antioxidants, such as vitamin C, vitamin E, and β-carotene, which play an important role in protecting the skin from UV damage. Coconut pulp functions as a natural exfoliant that can remove dead skin cells, scrape off the outermost layer of dry and rough skin, and moisturize the skin. The use of these natural ingredients in making body scrubs aims to develop skin care products made from natural ingredients.Objective: This study aims to formulate pumpkin juice (Curcubita moschata) and coconut pulp (Cocos nucifera L.) into a body scrub preparation and evaluate the physical characteristics of the preparation.Methods: Experimental research was conducted at the Unsyiah Herbarium Laboratory and the Pharmaceutics Laboratory of the Poltekkes Kemenkes Aceh from February to April 2023. Evaluation of the preparation includes organoleptic test, homogeneity, spreadability, emulsion type, irritation, liking test, and pH measurement. Data analysis was carried out descriptively.Results: The results showed that the formulated body scrub preparation had a semi-solid shape, yellow color, distinctive aroma of pumpkin juice and coconut pulp, and good homogeneity. The pH of the preparation was in accordance with SNI standards (pH 6.1-6.2), the spreadability met the requirements (5.5 cm), and the type of emulsion formed was oil in water. All preparations did not cause skin irritation, and the formula most preferred by respondents was F3 (20% pumpkin juice and 15% coconut pulp).Conclusion: The combination of pumpkin juice and coconut pulp can be used as a natural exfoliant in body scrub cream
Literature Review: peran vitamin D terhadap inflamasi pada kejadian sindrom ovarium polikistik (SOPK)
Background: Polycystic Ovary Syndrome (PCOS) is an endocrine disorder affecting 5-18% of women of reproductive age, with a high prevalence in Europe and 1,8-15% in Indonesia. PCOS is often associated with chronic inflammation and vitamin D deficiency, which can exacerbate symptoms and increase the risk of cardiovascular disease due to the anti-inflammatory effects of vitamin D.Objectives: To determine the role and most effective dosage of vitamin D in reducing inflammatory markers through a literature review. Methods: The methodology employed is a Systematic Literature Review using the PRISMA method. A search in the Google Scholar, ScienceDirect, and Scopus databases yielded 1,046 articles, of which 7 RCT articles were selected for analysis. The selected articles investigate the effects of vitamin D on inflammation in PCOS, with a total population of 434 participants, published between 2019 and 2024, and were deemed suitable using The Joanna Briggs Institute (JBI) Critical Appraisal method. Results: Out of seven randomized controlled trials (RCTs), five showed that vitamin D supplementation reduced levels of inflammatory biomarkers such as hs-CRP in patients with PCOS. Results varied depending on the dosage, but two specific dosages of vitamin D supplementation 4,000 IU and 50,000 IU showed potential as adjunctive therapy for managing PCOS. Conclusion: Vitamin D supplementation is effective in reducing inflammation in PCOS and has potential as a beneficial adjunctive therapy with positive implications for the long-term health of patients. Dosages of 4,000 IU per day and 50,000 IU every two weeks have been proven effective in reducing PCOS-related inflammation. However, due to the limited number of studies reviewed, the most effective combination of micronutrients to be used alongside vitamin D has yet to be determined.KeywordsInflammation, Polycystic Ovary Syndrome, vitamin
Analysis of maternal factors and food security with the incidence of stunting in children 0-59 months of age in Sungai Penuh City
The high incidence of stunting is the leading cause of death in children under five years of age worldwide. Sungai Penuh City is one of the urban areas in Indonesia that has experienced an increase in the prevalence of stunting. Stunting is caused by long-term nutritional deficiency in the mother due to inadequate food supply due to low household food security. Stunting can also occur because of the reproductive condition of the mother, who is not ready to conceive. This cross-sectional study aimed to analyze maternal factors and food security that have the greatest influence on the incidence of stunting in toddlers aged 0-59 months in Sungai Penuh City using data from the 2022 Indonesian Nutrition Status Survey conducted in August-September 2022. The sample consisted of 308 toddlers living in urban areas. Data were analyzed using descriptive non-parametric statistical tests with the chi-square test and Logistic Regression test. The results of this study prove that short maternal stature has a significant relationship with the incidence of stunting in toddlers (p0,05). Maternal short stature is an indicator of past chronic malnutrition and a major predictor of stunting in children under fiv
Literature review: Paparan merkuri (Hg) pada anak stunting di area pertambangan emas
Background: Mercury (Hg) is used by small-scale gold miners to extract gold. Mercury waste is dangerous and toxic because it pollutes the environment and living creatures. Mercury can accumulate in the body through the food chain, air and air. Children who are exposed to mercury are associated with a risk of various health problems that can result in stunting.Objective: The aim of writing this literature review is to identify exposure to mercury (Hg) in stunted children.Method: This research is in the form of descriptive analysis. This research took the form of a literature review, article synthesis was carried out in a narrative manner as recommended by the PRISMA statement in selecting the articles found. The keywords used are stunting, exposure to mercury (Hg) and gold mining areas. Literature sources were obtained from the Scopus database, Google Scholar, PubMed Central and Science Direct. Inclusion criteria are stunting, exposure to mercury (Hg) and gold mining areas, full text, published in 2013-2023. Exclusion criteria are articles in the form of books and documents, reviews, meta-analysis and systematic reviews.Results: Results from the literature show that stunted children are exposed to mercury that comes from the environment due to gold mining. Urine samples of stunted children aged 0-59 months contain mercury above 7 μg/L, which is the threshold set by Human Biomonitoring (HBM).Conclusion: Stunted children aged 0-59 months who live in gold mining areas are exposed to mercury. The risk of mercury exposure to children can come from food, water and air.KeywordsGold Mining Area, Mercury Exposure, Stuntin
Pengaruh kombinasi pijat oksitosin dan teknik marmet terhadap produksi ASI ibu postpartum primipara
Background: One of the causes of death is infection. Breast milk is the main food for newborn babies because it contains protective nutrients that can prevent infectious diseases in babies. One effort to improve the quality of breast milk is to stimulate the release of the hormone prolactin through oxytocin massage.Objective: To analyze the effect of a combination of oxytocin massage and the marmet technique on breast milk production in primiparous mothers.Method: This research design is quasi-experimental, using a one-group pre- and post-design research method and a sampling technique using consecutive sampling. The research was conducted in Bandung Regency on primiparous breastfeeding mothers. Univariate analysis to see the frequency and normality of the data (Shapiro Wilk test) and bivariate analysis for this study used a paired sample t test for 1 group with the Wilcoxon test to see the significance between before and after the intervention.Results: The results showed that the average breast milk production before the intervention was given was 24,22 ml, while after the intervention was given, it increased to 95,47 ml. So there was an increase in breast milk production of 71,25 ml after being given a combination of oxytocin massage and the marmet technique three times. The T-test results obtained a p-value of 0,000 < α (0,05), so it can be concluded that there is a significant difference in breast milk production before and after the intervention.Conclusion: There is a significant difference in breast milk production before and after the combination of oxytocin massage and the marmet technique. So, it is hoped that the smooth release of a mother's breast milk can increase the success of exclusive breastfeeding.
Pemberdayaan mitra desa dalam pencegahan pernikahan usia dini: pendampingan kader dan orang tua melalui pembentukan kegiatan pelayanan kesehatan remaja (KPKR) di Desa Bukit Raya
Bukit Raya Village recorded 34 teenagers who married at an early age. The number of contributions and roles of partners and target partners in this PKM scheme community service is village partners through community groups who contribute as a role model for the sustainability of community service activities in villages that participate in training and mentoring on the prevention of Early Marriage with the formation of Youth Health Service Activities (KPKR). The target indicators of community service achievement are to form an Adolescent Health Service Activity Team (KPKR) to improve the knowledge and skills of health cadres in providing education to the community, increase the knowledge and skills of target partners about providing education to the community about early marriage to 100%, help increase the achievement of reproductive health discovery and services according to standards from 66.0% to 77.0% and improve the skills of village community groups and cadres as mentors and role models in providing education to the community about early marriage from 0% to 100%
Peningkatan kesehatan gigi dan mulut dengan pengendalian plak yang tepat pada anak SDN 51 Banda Aceh
Plaque control is essential for the maintenance of healthy teeth and mouth. The habit of maintaining healthy teeth and mouth is influenced by knowledge and brushing techniques. Proper hygiene is essential for achieving dental and oral hygiene. Therefore, the delivery of dental and oral health education to students is very important to do. This community service aims to increase knowledge about controlling plaque and brushing teeth properly and correctly for children of State Elementary School 51 Banda Aceh. This community service is carried out using a descriptive method, with the target being all 51 grade V students of State Elementary School 51 Banda Aceh. The intervention provided was in the form of counseling on dental health and a demonstration of how to see and control plaque (how to brush your teeth properly and correctly). The results obtained by children's dental and oral hygiene status before the intervention were mostly in the very poor category (72%), while the results after the intervention were the child's dental hygiene status in the good category (84%). The conclusion was increased knowledge and improved dental and oral hygiene status
Development of nutrition edutainment program for expectant mothers in disaster situation in Padang
Expectant mothers are vulnerable to health risks during disasters such as disruption of clean water, exposure to inadequate environmental sanitation, and limited access to safe food. Padang is located on a volcanic plateau which is prone to disasters. This study aimed to develop expectant pregnant mothers on education-based nutritional education for expectant mothers in disaster situations in Padang. This study used a quasi-experimental design conducted in April-November 2019, with a sample of 100 expectant mothers, who were selected by random sampling and divided into four groups of treatments (PowerPoint, Android, website, and Android-website combination). Data were collected through interviews and questionnaires and analyzed using Wilcoxon and Kruskal-Wallis tests. Edutainment-based nutritional education has been developed based on the needs of expectant mothers in disaster situations. The results showed changes in knowledge in all groups (p<0,05), while changes in attitudes occurred in Groups B and C (p<0,05) and changes in practices occurred in Groups A and C (p<0,05) after the intervention. In conclusion, Treatment C had a significant impact on knowledge, attitudes, and practices
Pengalaman dosen dalam penggunaan simulasi sebagai metode pembelajaran di Akademi Keperawatan Ibnu Sina
Background: The application of simulation method is one of the keys to improve students' practical skills. However, many lecturers face challenges in integrating simulation effectively, mainly due to limited facilities, lack of training, and difficulty in measuring learning impact.Objectives: This study aims to explore how lecturers' experiences in implementing simulation methods, especially related to the strengths, challenges, student responses and the role of institutions related to simulation methods.Methods: This design is a qualitative study with a descriptive phenomenological approach involving seven nursing educators with in-depth interviews at the Akademi Keperawatan Ibnu Sina Kota Sabang. Data analysis used the Miles and Huberman Model which refers to data collection, data reduction, data presentation, and drawing conclusions.Results: There are four main themes in this study, namely the strengths of the simulation method, challenges of the simulation method, student responses and the role of educational institutions.Conclusion: The simulation method makes students more interactive, makes it easier to elaborate on the topics being studied, make decisions, gain direct experience, think critically and work together in a team