Jurnal Poltekkes Kemenkes Aceh
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The risk of children's malnutrition amid COVID-19 pandemic: A literature review
Get PDFMalnutrition is one of the public health problems that existed during the pandemic; both problems, under and overnutrition, existed. Furthermore, malnutrition can worsen the infection in all groups, including children. The risk of being infected was higher in the malnutrition group than in the well-nourished one. This article aimed to review the risk of malnutrition and possibly related factors in children during the pandemic. This article used the literature review method and was conducted by the initial 2022 from several countries. The object included in the analysis was children's health and nutrition related. The source of articles highlighted the occurrence of malnutrition in children. The source of articles was from PubMed and Cochrane Library, which resulted in 21 eligible papers. The result of the study found that the identified possible factors are self-isolation, physical activity, dietary patterns, nutrient shortage, and socioeconomic factors. There was a shift in dietary patterns among children during the COVID-19 pandemic due to several factors. Those are the scarcity of food sources and compensation for the lockdown, and those findings confirmed the possibility of under- and overnutrition among children. In low-middle income countries (LMICs), the risk of malnutrition problems in this pandemic has heightened the magnitude of the public health problem. The mitigation program should overcome the existing problem to minimize the adverse effect of malnutrition among children
Analysis of determinants of hydration status of medical students at the Universitas Sumatera Utara
No full textDehydration can impair the operation of the body's organs and cause mortality because the human body is 60% water. The purpose of this study was to analyze factors related to hydration status. This study using a cross-sectional research design in a descriptive-analytical study. The study was conducted in the Nutrition Department of the Faculty of Medicine, Universitas Sumatera Utara. The study was conducted from September to October 2020. 99 students were chosen at random to participate in the study. Respondent characteristics, physical activity, nutritional status, body composition, fluid intake, and hydration status were among the information gathered. Subject follow-up was carried out for 7 consecutive days. Positive relationships and significance between dietary status (p < 0,014), total body water (p < 0,018), muscle mass (p < 0,012), level of exercise (p < 0,003), and total fluid intake (p < 0,044) were found in the results of the multiple regression test. Additionally, a negative association and significance between visceral fat (p < 0,03) and body fat (p < 0,016) is discovered. Based on the test's findings, a determination coefficient with a value of 85,5% was calculated, meaning that 85,5% of factors influencing hydration status include dietary habits, body composition, visceral fat, total body water, muscle mass, level of exercise, and total fluid intake. Conclusion, nutritional status, total body water, muscle mass, physical activity, and overall fluid intake all have a positive correlation with hydration status. However, there was shown to be a negative correlation between body fat and visceral fat and hydration status
Determinants of stunting in children aged 6-24 months in rural areas: Case control study
No full textInappropriate breastfeeding, complementary feeding and repeated infections are direct causes of stunting in children under two years of age. The objective of this research was to investigate the relationship between history of breastfeeding and history of infection with stunting in children living in rural areas who were between the ages of 6 and 24 months old. The research was conducted using a case control study, carried out in the working area of Puring Health Center in 2021 using a sample of 43 children aged 6-24 months taken by simple random sampling. The data were gathered through anthropometric measurements of child’s body length and mother’s height, questionnaire interviews for history of breastfeeding and infection, and the examination of Maternal and Child Health (MCH) book. The chi-square test and multiple logistic regression were utilized in the analysis that was carried out. The final results suggested that stunting was caused by gender (p= 0,032), mothers’s height (p= 0,032), and food parenting pattern aged 6-8 months (p= 0,026). Food parenting pattern aged 6-8 months was the most dominant factor associated with stunting (p=0,026 AOR 5,17 95% CI:1,22-21,95). In conclusion, gender, mother’s height, and food parenting pattern aged 6-8 months were significantly associated with stunting
Literatur Review: Pembatasan energi untuk peningkatan umur panjang. Manajemen alternatif terhadap metabolik obesitas
Get PDFDiet development today tends to lead to accelerated growth of chronic diseases. Obesity plays a negative role in the development of chronic disease. This risk factor also occurs in the aging process. The condition of organ tissue dysfunction and cell death that occurs with aging also occurs in obesity due to chronic inflammation. This study analyzes the beneficial effects of applying Calorie Restriction (CR) or Energy Restriction (PE) to achieve a long life span, especially in obese individuals. This article is a literature review study with qualitative analysis by searching the PubMed electronic database from February to July 2021 and searching for articles through Meta-analysis, Review, and Systematic Review. Six articles have high relevance. References obtained were compiled and reviewed by summarizing and analyzed by triangulation. Furthermore, examining previous research's pros and cons finally gives alternative solutions. The results of the study showed the application of the PE method by reducing daily energy consumption without causing the risk of malnutrition because it still considers an essential nutrient. In conclusion, the benefits of PE have an impact on slowing down aging molecularly. Slowing down the aging process can increase a person's life expectancy
Differences in body weight post-induction sleep deprivation and sleep recovery in white male rats (Rattus norvegicus)
Get PDFSleep Deprivation (SD) reduced leptin levels, increased ghrelin levels, and it caused were multifactorial, so research was conducted on experimental animals to prove whether SD was the single factor causing changes in body weight (BW). The study's objectives were to know the difference in BW after induction of paradoxical and total SD and to observe the improvement in sleep recovery (SR). This study was true experimental with posttest only, and a control group design used 25 male albino rats randomly shared into five groups; control, PSD, TSD, PSD+SR, dan TSD+SR on August – September 2021. The weight is measured by OHAUS® balance. Statistical analysis used by One-way ANOVA and paired t-test denoted no significant difference after SD (p=0,277) and SR (p=0,297), a significant difference in the TSD+SR and TSD between before (p=0,014), after SD (p=0,008), and after SR (p=0,034). Sleep deprivation increases BW through raised ghrelin, and SR reverses the effects by increasing the antioxidant. Results must be confirmed by measuring ghrelin levels and leptin orexin type 1 and 2 receptors. In conclusion, that was a significant difference in the TSD+SR and TSD between pre and post-sleep deprivation and the TSD+SR between pre and post-SR.
Effect of hepatogomax on serum alkaline phosphatase, bilirubin, gamma-glutamyl transferase levels in Sprague Dawley rats cirrhosis
Get PDFCirrhosis is the final stage of all chronic liver diseases. Complications that occur are malnutrition. Administration of Hepatogomax as an enteral formula with adequate nutrients, specifically Branched-Chain Amino Acids (BCAA) and Medium-chain Triglyceride (MCT), can reduce serum ALP, bilirubin, and GG levels. This study aimed to determine the effect of hepatogomax in different doses on serum ALP, bilirubin, and GG levels. The study used the True Experimental post-test group design. Twenty-four male rats were divided into control group K normal and K(-) cirrhotic, treatment groups P1 and P2, given TAA and hepatogomax induction, respectively, at doses of 4,87 g/200gBW/day and 14,6 g/200gBW/day. Intervention for 28 days at the PAU Laboratory, Gadjah Mada University, February 2022 to April 2022. Statistical analysis used the Kruskal Wallis and Mann Whitney Post Hoc tests. The data is the result of examining serum levels after the intervention. The results showed significant differences in ALP, bilirubin, and GGT (p0,05) groups. Giving hepatogomax at a dose of 14,6 g/200BB/day reduced serum ALP, bilirubin, and GG levels. In conclusion, Hepatogomax decreased ALP, bilirubin, and GGT serum levels in rats with cirrhosis. The most significant decrease in serum ALP, bilirubin, and GGT levels was observed at the P2 dose.
Efektivitas managemen nyeri persalinan non farmakologi dengan Deep Back Massage
No full textBackground: The birth process will be experienced by every pregnant woman. The labor process will cause pain caused by contractions that give the effect of pain which is called labor pain. Many factors influence the response to labor pain, including parity. Pain that is felt during labor can have an effect in terms of psychology, suffering, fear, and anxiety as well as the effect on the fetus to be born. Various efforts have been made to reduce labor pain, one of which is massage..Objectives: The research objective was to determine the effectiveness of labor pain management using deep back massage techniques.Methods: The method used in this study was experimental with a one group pretest-posttest design approach that focused on pain management with massage during labour. The sample of this study were 10 mothers giving birth with 4-6 openings. The research instrument used was a questionnaire containing age, gravid, history of miscarriage and Numerical Rating Scale (NRS) pain scale. This research was conducted at Ernita Midwife Independent Practice. The time for conducting the research was carried out in November-December 2021. Pain measurements were carried out before deep back massage was given and after deep back massage was given. The research instrument used was a questionnaire and data were collected by interview. Statistical test using the Wilcoxon Signed Ranks Test.Results: The results of the study describe the level of pain felt by mothers in labor before massage, the majority of severe pain is controlled by 7 respondents (70%) and the majority of labor pain after massage is mild pain by 7 respondents (70%). Massage techniques are effective in reducing pain. The results found that the average labor pain scale before being given a massage was 8.4 and decreased after being given a massage to 2.8. The act of massage for women in labor is effective in reducing labor pain. The results of the statistical test showed a significance, p <0.05.Conclusion: Effective deep back massage techniques performed on birthing mothers provide a reduction in labor pain and are highly recommended for health workers or midwives as birth attendants who can provide deep back massage for birthing mothers
Analisis penerapan Standard Operating Procedure (SOP) sanitasi peralatan makan dengan angka kuman di Instalasi Gizi RSUD Meuraxa Banda Aceh
No full textBackground: the application of SOP is very important to pay attention to, because having SOP will help every job, where a hospital is a health service institution for many people it is so important to pay attention to the sanitation of its equipment. Improper sanitation can result in things that can be detrimental to patients such as poisoning, because food contamination can occur from various sources, one of which is cutlery that does not meet the requirements.Objective: to find out the application of the SOP for sanitation of cutlery with germ numbers in the Nutrition Installation of Meuraxa Hospital, Banda Aceh.Methods: the design used in this research is quasi-experimental with one group pretest posttest design. This research was conducted on 20 June-26 August 2022 at the Meuraxa Hospital in Banda Aceh. A sample of 9 servers was taken by saturated sampling technique. Data processing through four stages, namely editing, coding, processing, tabulating. Data analysis used the Dependent T-test.Results: there is a difference in the behaviour of the servers before the socialization and after the socialization regarding the implementation of the SOP for eating utensils sanitation (p= 0.002). The value of the germ count on cutlery before being given socialization regarding SOP for sanitation of cutlery obtained an average laboratory result of 275.67 colonies/cm2 and there was a decrease in laboratory results of the germ count after socialization to 77.56 colonies/cm2, 0.023.Conclusion: there is a significant difference in implementing of the SOP for the sanitation of cutlery with the number of germs in the Nutrition Installation of the Meuraxa Hospital in Banda Aceh. Conduct further research with different designs to find out more about what factors can affect the number of germs on cutlery
Analisis distribusi sumber daya manusia kesehatan berdasarkan standar ketenagaan Puskesmas di Kabupaten Deli Serdang
No full textBackground: Health Human Resources (HR) are a key component that drives health development and play a role in increasing awareness, willingness, and ability to live a healthy life for everyone, as regulated in PERMENKES No.43 of 2019. The number of health workers on duty in Public Health Center (PHC) throughout Indonesia in 2020 was 434,308 people with a total number of PHC of 10.205 units. From the comparison of these numbers, it is possible that there are PHC that have not met the adequacy of health workers.Objectives: This study aimed to analyze the distribution and equity of the workforce at PHC based on PERMENKES No. 43 of 2019 in Deli Serdang Regency.Methods: This type of research used the MMR (Mix mode research (MMR) research method with a concurrent triangulation design. It was conducted in November-December 2022 in the Deli Serdang Regency, with a total sample of 34 Puskesmas units. Qualitative data collection with interactive interviews and descriptive statistical analysis of the quantitative data.Results: Based on the data analysis, the accumulation of human resources can be described as the current condition is still experiencing inequality. Based on the distribution, the completeness of the type of health workers is only 17,6% (6 out of 34 PHC units), and 100% or all the PHC units do not have complete types of non-health workers.Conclusion: All of the PHC in Deli Serdang Regency have vacancies for certain types of staff, or it can be said that they are not available
Uji aktivitas antioksidan dan sitotoksik ekstrak daun Jarak Pagar (Jatropha curcas)
Get PDFBackground: antioxidants play an important role in preventing cell damage and generating inhibition of signalling pathways of cancer, aging and various diseases. Several extracts, oils, and herbal formulations were shown to be important Antioxidant agents for preventing cell damage. Jarak Pagar (Jatropha Curcas) leaves. were a common natural Antioxidant phytochemical screening of Jatropha leaves that contained flavonoids, where flavonoids acted as antioxidants.Objectives: this study aims to determine the Antioxidant and cytotoxic activity of ethanol extract of Jatropha leaves using the DPPH and shrimp larvae method, respectively.Methods: the design in this study was quasi-experimental, using various concentrations of ethanol extract and vitamin C (comparison control) in inhibiting free radicals and each Concentration was repeated three repetitions. The research was conducted at the Laboratory of Chemistry FMIPA Palangka Raya University and Chemistry Education FKIP Halu Oleo University in 2022. The ethanol extract of Jatropha leaves weighing 60 grams was extracted using the Soxhletion method to obtain 1.667 grams of thick ethanol extract. Phytochemical characterization was further conducted by tube method, Antioxidant tests by DPPH (1,1-diphenyl-2-picrylhydrazyl) and cytotoxic test assessed by the Brine Shrimp Lethality Test (BSLT) method. The data analysis used the One Way Anova statistical test and continued with post hoc Tamhane at 95% Cl.Results: the results showed that Jatropha curcas L. leaves contained several secondary metabolites such as flavonoids, saponins, alkaloids, polyphenols and tannins. Furthermore, the Antioxidant activity test of ethanol extract of Jatropha curcas L leaves and control (vitamin C) provided IC50 of 32.83 ± 0.09 (μg/mL) and 8.78 ± 0.21 (μg/mL), respectively. Another finding found that ethanol extract of Jatropha leaves contained active compounds that were toxic to shrimp larvae with LC50 of 427 ppm. Based on the One Way Anova test, each Concentration had a significant difference in the percentage of radical scavenging (p= 0,05). The Concentration of 160 ppm is the most effective in radical scavenging.Conclusion: we concluded that the ethanol extract of Jatropha leaves showed strong Antioxidant activity and potential as an anticancer agen