Jurnal Poltekkes Kemenkes Aceh
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The role of mothers in meeting nutritional needs of children with grade II dengue hemorrhagic fever
Get PDFGrade II Dengue Hemorrhagic Fever (DHF) in children often leads to symptoms, such as nausea, vomiting, appetite loss, extended hospital stay, and delayed recovery. Proper nutrition is essential for managing these symptoms and supporting recovery. Mothers play a critical role in fulfilling their children’s nutritional needs. This study explored the role of mothers in meeting the nutritional needs of children with Grade II DHF in the Pediatric Ward at Meuraxa Hospital Banda Aceh municipality. Using a qualitative case study approach, data were collected from three mothers whose children were treated for two weeks, from admission to discharge, during the study period in August 2021. Data were gathered through interviews, observations, and medical records and then analyzed through thematic content analysis focusing on education, caregiving, and nurturing. The results showed that, while mothers followed hospital feeding schedules, they faced difficulties in encouraging their children to eat because of their low appetite. They fostered a supportive environment using storytelling and praise but avoided discussing meal nutrition, assuming that their children were too young to understand. In conclusion, mothers demonstrated strong caregiving. Challenges include limited nutritional knowledge and difficulty in making the food appealing. Enhancing maternal knowledge and feeding strategies can support faster recovery of children with DHF
Pengaruh palm kernel oil terhadap karakteristik daging panggang meltique: pH, susut masak, dan tingkat kesukaan
Get PDFBackground: Beef has the highest Digestible Indispensable Amino Acid Score. However, beef is often difficult to consume because it has a tougher texture than poultry or fish. Meltique beef can be an alternative beef product that is easy to consume, but it still uses imported vegetable oil, which has an impact on the high selling price. It is necessary to innovate meltique using local vegetable oil.Objective: Analyse the effect of palm kernel oil (PKO) addition on the pH, cooking shrinkage and palatability of meltique meat.Methods: Using a Completely Randomised Design conducted at the Laboratory of the Faculty of Animal Husbandry, IPB from April to June 2024. The beef used was Brahman Cross sirloin. Two PKO formulas were injected, MP1 and MP2. There were four controls, namely MK1, MK2, WG and DR. The variables studied were pH using a pH meter, cooking loss by calculating the difference in raw-cooked weight, and the level of panellist preference using the hedonic test form. There were 25 semi-trained panelists who met the inclusion criteria to rate the level of preference for nine sensory attributes with a score range of 1 - 5. Statistical tests used ANOVA to analyse differences in pH, cooking loss, and Kruskal-Wallis test to analyse differences in level of preference.Results: There was a significant difference in the pH values of MP1 and MP2 with WG (P-value =0.000). There was no difference in cooking loss value (p-value =0.220). Hedonic test results showed that the level of preference of MP1 and MP2 was significantly different from WG (p-value <0.05).Conclusion: Meltique beef formulas have standard pH characteristics and cooking loss values similar to wagyu beef, but the preference level is still different from wagyu beef
The dominant factors associated with stunting among two years children in five provinces in Indonesia
Get PDFStunting is a significant malnourishment problem in Indonesia. The 2021 Indonesian Nutritional Status Study (SSGI) reported that there are five provinces with a high prevalence of stunting (>30%). Age under two years (old age) is the golden period during which children overgrow, and malnutrition during this period can still be corrected. This study analyzed the dominant factors associated with stunting in two-year-old children from five provinces: Aceh, NTB, NTT, West Sulawesi, and Southeast Sulawesi. This cross-sectional study used secondary data from the SSGI 2021. The subjects were 4,554. Children (0-23 months) under five. The 2021 SSGI study was conducted in 34 provinces and 514 regencies/cities from January to December 2021. Data were collected through interviews using the SSGI 2021 questionnaire and anthropometric measurements. Statistical applications were used for data processing. Data analysis was performed using multiple logistic regression tests with the criteria of p<0,05 and a confidence interval (CI) of 95%. The risk factors associated with stunting in children from the five provinces were underweight (OR=9,367), age 6-11 months (OR=1,386), age 12-23 months (OR=1,386), diagnosis of measles (2,5681 CI), male sex (OR=1,400), family size ≥ 8 people (OR=1,612), poor sanitation (OR=1,273 CI 95% 1,041-1,556), and the father's occupation as a farmer/occupation/fisherman/driver (OR=1,278). In conclusion, being underweight is the dominant factor associated with stunting in toddlers
Gambaran nilai laktat, ScvO2, dan PvaCO2 GAP pada pasien sepsis di Rumah Sakit Umum Haji Adam Malik Medan
Get PDFBackground: We need a prognostic predictive value in sepsis and septic shock patients to determine the aggressiveness of the therapy we will choose. We use various methods to predict patient mortality. To assess tissue perfusion disorders, we need markers. Lactate, SvO2, and PvaCO2 gaps are commonly used as early biomarkers to assess tissue perfusion and cellular oxygenation.Objectives: To describe the value of lactate, ScvO2, and PvaCO2 gap in septic patients.Methods: This study is an analytical descriptive study that examines the lactate value, ScvO2, and PvaCO2 gap in 40 patients diagnosed with sepsis. We conducted the study in the emergency room (IGD) of the Hajj Adam Malik Hospital in MedanWe began by gathering information from research samples that satisfied the inclusion and exclusion criteria, providing explanations to the families of patients involved in the study, obtaining blood samples, and conducting data analysis. We used ultranonography to collect blood from the central vein. The SPSS application carried out data analysis using univariate tests.Results: In this study, the lactate values were found in the normal range with an average of 1.45 ± 1.81, the ScvO2 value increased by an average of 91.29 ± 7.91, and the PvaCO2 gap value increased by an average of 11.52 ± 8.28.Conclusion: In this study, lactate values were above normal, with AGDA parameters indicating metabolic acidosis expression. ScvO2 PvaCO2 gap value that increased
Formulasi minuman sinbiotik dengan okara (Glycine max) dan probiotik Lactiplantibacillus plantarum Dad-13
Get PDFBackground: Okara is the byproduct of soymilk production process. Okara contains high nutritional value and considered as a source of oligosaccharide. Oligosaccharide in okara will stimulate the growth of probiotic bacteria and thus showed prebiotic effect. The underutilization of goat milk can be used as a carrier for probiotic bacteria as well as to develop sinbiotic functional foods.Objective: This study aims to determine the formulation of fermented goat's milk with the addition of okara (glycine max) as a synbiotic drink to obtain dietary fibre, amino acid profiles as well as microbiology and sensory profiles.Methods: Randomized complete designed were used in this study with 5 formulations with the addition of okara. The study was conducted in Laboratorium Sains Dasar Universitas Dhyana Pura in July of 2023. The okara was obtained at local tofu producer in Denpasar, whereas goat milk was obtained from milk distributor located in Denpasar. The populations of this study were okara and goat milk that already thoroughly cleaned and pasteurised. Data collection was performed in the laboratory and all data were analyzed using Anova and Duncan with significant levels of 95%.Results: The study showed that the addition of 5% okara (F4) (Glycine max) was the most prefarable symbiotic drink. Based on proximate analysis, the F4 contained water 88.58%, fat 1.11%, protein 2.17%, carbohydrate 7.656%, total LAB 5.05 x 108 CFU/ mL, essential amino acids, and 2.19% dietary fiber. Based on sensory tests, formulation 1 (0%) and formulation 4 (5%) had overall significant differences.Conclusion: The addition of okara 5% with goat's milk can be used as a synbiotic drink. The formulation with the addition of 0% okara and 5% okara have overall significant differences in terms of taste, texture, aroma and also color
Identifikasi bakteri gram negatif batang pada urine suspek infeksi saluran kemih mahasiswi di Poltekkes Kemenkes Aceh
Get PDFBackground: Urinary tract infection is a disease caused by the growth of microorganisms in the human urinary tract. 25-35% of adult women experience UTIs based on data from clinical epidemiology studies. On this campus, students are predominantly female with busy activities, so they tend to consume less drink according to the standard and often experience symptoms of UTI caused by gram-negative rod bacteria.Objectives: to determine the presence or absence and type of gram-negative rod bacteria in the urine of female students suspected of UTI in the D-III TLM Study Program.Methods: analytical observational design with cross sectional design, which was conducted at UPTD Labkes Center and Medical Device Testing in August 2023 with a sample of 20 female students' urine. Data analysis in this study is univariate analysis to find the number and type of gram-negative rod bacteria and observe bacterial growth.Results: the identification results showed that the number of positive samples was 75% and the negative samples were 25%. The types of bacteria are: Escherichia coli (35%), Enterobacter Sp (20%), Citrobacter disversus (5%) and Serratia rubidae (15%). This is because most D-III TLM students have high activity, so they pay less attention to water intake or rarely drink and they also often experience anyang or difficulty urinating which is a symptom of UTI.Conclusion: In the urine of female students suspected of UTI in the D-III TLM Study Program of the Poltekkes Kemenkes Aceh there are gram-negative rod bacteria.
Kajian karakteristik, status gizi dan konsumsi makanan sumber protein pada ibu hamil di Kabupaten Jayapura
Get PDFBackground: High-risk pregnancy occurs when a pregnant woman experiences increased health risks during pregnancy. This condition is influenced by several factors, including the mother's age being too young or too old, short gestation, frequent childbirth, and nutritional problems such as Chronic Energy Deficiency (CED). In Papua Province, the prevalence of CED in pregnant women reached 25.78%, higher than the national average. In addition, the prevalence of CED in Jayapura Regency is much higher than the national and provincial averages of 36.94%.Objectives: To investigate the age, gestational age, parity, and nutritional status of high-risk pregnant women, and to examine their consumption patterns of protein-rich foods.Methods: The type of research used is descriptive observational research with a cross-sectional design. This research was conducted at the Dosay Health Center, Waibhu Health Center, Sentani Health Center, and Harapan Health Center in Jayapura Regency, from June to August 2023. The study population included all pregnant women in the working area of the Health Center in the first and second trimesters, totaling 183 pregnant women, with a sample size of 105 pregnant women selected through purposive sampling. Data collected included the age of the pregnant women, the interval between pregnancies, parity, and nutritional status using BMI and upper arm circumference (Lila), along with dietary intake of protein sources, gathered using a Food Frequency Questionnaire. Data analysis was carried out using univariate statistical tests using SPSS 16. Results: Among 105 sample, the majority had a risk age > 35 (52,4%). Pregnancy interval > 3 years (48,6%), parity < 4 (53,1%), good nutritional status (42,9%), upper arm circumference ≥ 23,5 cm (83,8%) and diet Insufficient protein sources (78,1%).Conclusion: The percentage of pregnant women with good nutritional status is quite low (42,9%) and most have a diet lacking in protein sources (78,1%). This condition emphasizes the need for improved nutrition and health education to ensure safe pregnancy and childbirth. Keywords :Nutrition for pregnant women, protein consumption, protein source
Factors associated with stunting among children 0-23 months in Aceh: A cross-sectional study using SSGI 2021
Get PDFStunting is a chronic health problem that affects children and has long-term implications for their cognitive development. The multifactorial causes of stunting require identification of the most dominant factors to facilitate effective interventions. This study aimed to analyze the factors associated with stunting in children under two years old in Aceh. This was a cross-sectional study involving 2,395 subjects aged 0-23 months. Data were obtained from the 2021 SSGI National Survey, consisting of stunting prevalence, child and family characteristics, household sanitation, universal health insurance ownership, breastfeeding and complementary feeding practices, immunization status, parenting and pregnancy classes, supplementary feeding, and food security. Logistic regression analysis was performed using 95% confidence intervals. The results showed a significant association between stunting and child sex, sanitation conditions, parental education, exclusive breastfeeding, complementary feeding practices, immunization status, micronutrient supplementation, and breastfeeding duration (p<0,05). In conclusion, the factors associated with stunting in children aged 0-23 months in Aceh are sanitation, parental education, exclusive breastfeeding, complementary feeding practices, immunization, micronutrient supplementation, and breastfeeding duration. This study highlights the importance of improved nutrition education, family support, immunization coverage, and environmental sanitation to reduce the prevalence of stunting among young children in Ace
Impact of layering, sequencing, and integration approaches in mitigating food and nutrition insecurity in Zimbabwe
Get PDFThe reduction in food production due to climate shock has contributed to food and nutrition insecurity, malnutrition, and diet-related non-communicable diseases. There is an urgent need for adaptation measures to manage the impact of climate change on communities. Developing resilience in food and nutrition security remains a novel concept. The aim of the study was to determine the impact of Layering, Sequencing and Integration (LSI) of different interventions on food and nutrition outcomes among smallholder farmers. Participants were drawn from three wards in the Zvishavane District of the Midlands province in Zimbabwe. A total of 301 randomly chosen participants were interviewed. A mixed methodology using quantitative and qualitative tools was used to collect the data. The majority (95,3%) of the study participants had an acceptable diet based on the food consumption score (77,1%), with a high dietary diversity score, and 48,2% had an annual cereal surplus. A total of 69,1% of participants had no reduced coping strategies. Economic shocks (34,9%) were most severe, followed by climate-induced shocks (24,6%). The LSI approach can potentially increase diversified food production levels, thereby increasing access to diverse foods and resulting in improved food and nutrition security outcomes for a given community.
Pengaruh pemberian actinomycetes terhadap penurunan jumlah leukosit pada mencit diare
Get PDFBackground: Diarrhea cases are mostly caused by enteropathogenic escherichia coli (EPEC). Elevated white blood cells or leucocytes are closely associated with the incidence of diarrhea due to bacterial infection. Actinomycetes are known to have antibacterial properties that can fight pathogenic microorganisms.Objectives: To analyze of the effectiveness of Actinomycetes from the right wing of Musca domestica on leucocyte counts in EPEC-induced mice.Methods: Experimental study with randomized post-test only with control group design. This study was conducted from June to July 2023 at the Pharmacology Laboratory of Muhammadiyah Surakarta University, using 30 mice divided into 5 groups. Actinomycetes intervention was given equivalent to 0,5 McFarland standard with dose variations: 0,26ml/20gBW (group P1), 0,65ml/20gBW (group P2), and 1,3ml/20gBW (group P3). EPEC induction was 0,5ml orally in the treatment group and negative control group (KN). The healthy control group (KS) was given 0,5ml of mineral water. The variable measured was the number of leucocytes of Mus musculus mice taken on the third day after the intervention. Data processing was performed using the Kruskall-Wallis Test to determine differences between groups with level significantly p<0,05.Results: There was a decrease in the leucocytes counts in the treatment group compared to the KN group (p=0,027). The highest mean leukocyte count was seen in the KN group (8.786,7 mm3) while, the lowest mean leukocyte count was in the P2 group (6.48,3 mm3).Conclusion: Actinomycetes intervention in EPEC-induced diarrhea mice effectively reduces leucocyte counts.KeywordActinomycetes, Leukocyte, Diarrhe