Jurnal Poltekkes Kemenkes Aceh
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    Upaya percepatan program pencegahan stunting dengan pendekatan pembinaan kader di Kota Medan

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    Background: Stunting is a global problem that affects human development. Stunting, a nutritional health problem, has impacted and spread throughout the country, especially in Indonesia. The trend and target of reducing stunting have progressed but not significantly. Of course, there are still several contributing factors; therefore, specific efforts are needed to accelerate the reduction of stunting.Objectives: This study aimed to determine accelerated program efforts in stunting prevention using a cadre coaching approach in Medan City.Methods: This study uses a mixed methods approach that uses a sequential exploratory design through qualitative and quantitative analyses. The research was conducted on April 05, 2023, in Belawan Sicanang, Belawan Bahari, and Pekan Labuhan Villages. The sample taken by the researchers included 35 cadres. Data collection techniques used questionnaires with cadres who used a range scale. The statistical test for quantitative analysis used the univariate test to determine the description of cadre coaching on the running of the stunting program.Results: The results of the data taken directly by the researcher through a questionnaire instrument based on the Medan Mayor's Regulation (PERWAL) on Stunting Prevention Configuration in Medan City found that from the indicators of accelerating stunting prevention with a cadre coaching approach in Medan City, there were still cadres who had not participated in training on health promotion efforts related to stunting (25 %) and those who had participated in training (75 %).Conclusion: There is a relationship between cadre training and health promotion in reducing stunting

    Pengaruh stimulasi psiko-sosial terhadap perkembangan sosio-emosional pada anak stunting di Aceh Tengah

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    Children who experience stunting are known to have problems in socio-emotional development. One of the factors that can help optimize children's socio-emotional development is the provision of psycho-social stimulation. This study aims to determine the effect of psychosocial stimulation on the socio-emotional development of stunted children in Central Aceh. This study uses a quantitative approach with a correlation cross-sectional research design. This research was conducted in February 2021. One hundred children aged 3 to 5 years with stunting conditions in Central Aceh were selected as participants in this study through convenience sampling. The measuring instruments used in this study are Ages & Stages Questionnaires: Social-Emotional, Second Edition (ASQ: SE-2) to measure children's socioemotional development and The Early Childhood Home Observation for Measurement of Environment (ECHOME). The analysis uses linear regression and multiple regression. The results showed no effect on providing psycho-social stimulation on socio-emotional development in stunted children in Central Aceh (p= 0,063). Furthermore, the results showed that language stimulation affected socio-emotional development (p= 0,003). In conclusion, overall psycho-social stimulation does not affect the socio-emotional development of stunted children in Central Aceh, and only language stimulation significantly affects socio-emotional development

    SIMPATIK website nutrition education on mother's knowledge and diversity of toddler consumption in Jambi City

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    The problem of under-five nutrition is still a significant concern in developing countries. One of the main factors is the level of nutritional knowledge, so feeding toddlers is inappropriate and less varied. Nutrition education must be delivered in an informative and flexible. This study aims to analyze the effect of nutrition education based on the SIMPATIK website on mothers' knowledge and diversity of toddler consumption in Jambi City. The study used a Quasy Experimental design in a pre-post test only, with 60 mothers of toddlers as subjects in the working area of the Tahtul Yaman Public Health Center in 2022. Were collection used a questionnaire, interviews and assistance using the SIMPATIK. Statistical analysis using the Wilcoxon test at 95% CI. The results of the study, the SIMPATIK website on the nutritional knowledge of toddler mothers (p= 0,000; = 2,18), and diversity of food consumption (p= 0,000; = 0,99). In conclusion, SIMPATIK increased the nutritional knowledge of mothers of toddlers and the variety of toddlers' consumption in Jambi City. The SIMPATIK website can be used as a tool for nutrition education in the community

    Effect of strawberry fruit substitution (Fragaria x ananassa) on organoleptic, proximate levels and dietary fiber levels for diabetes mellitus patients

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    Strawberry is a nutritious food, but the variety of processed foods is still limited; therefore, innovation is required to develop a wider range of strawberry-based products. This study aimed to analyze the effect of strawberry substitution on the characteristics of snack bars. The experimental design employed a completely randomized design (CRD) with three levels of strawberry fruit substitution on the flour: F0 (without strawberries), F1 (25%), F2 (50%), and F3 (75%). All snack bar ingredients were mixed until it became a smooth dough, then baked at 180°C with a low heat setting for 30 minutes. The study was conducted in March-June 2022, with 35 respondents. The organoleptic test data were analyzed with the Kruskal Wallis test and the Mann-Whitney test (data was not normal), the proximate content and dietary fiber were analyzed with a t-test. The result, the organoleptic test revealed that the snack bar with the selected formula was F1 (25%) with proximate results of 5,65% water content, 0,45% ash content, 2,7% protein, 13,93% fat, 27,26% carbohydrates, and food fiber content of 5,68%. Based on the proximate test and dietary fiber content, there was no statistically significant (p= 0,112) difference between the control and F1 formulas. In conclusion, strawberry fruit substitution affects the characteristics of snack bars

    Edukasi pemanfaatan daun kelor menjadi produk olahan pemberian makanan tambahan (PMT) balita di Desa Deunong, Aceh Besar

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    Latar Belakang :  Daun kelor (Imoringa oleifera) terbukti secara ilmiah memiliki kandungan gizi dan obat berkhasiat, sehingga diyakini memiliki potensi untuk mengatasi kekurangan gizi, kelaparan, serta mencegah dan menyembuhkan berbagai penyakit. Permasalahan yang terjadi yaitu belum banyak masyarakat Indonesia yang mengonsumsi daun kelor dikarenakan karakteristik daun kelor memiliki bau yang khas dan tidak disukai. Tujuan : Secara umum kegiatan pengabdian pada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan masyarakat agar dapat mengolah berbagai makanan PMT dengan menggunakan daun kelor. Hasil Kegiatan : Dari hasil perolehan nilai rata-rata pengetahuan dan keterampilan peserta yang mengikuti pre-test dan post-test terlihat bahwa ada peningkatan pengetahuan peserta sebesar 14,5% yaitu dari 62,6% menjadi 77,1%. Kemudian, terjadi peningkatan juga terhadap rata-rata keterampilan peserta sebesar 13% yaitu dari 79% menjadi 92%. Kesimpulan: Edukasi tentang pemanfaatan daun kelor menjadi produk olahan pemberian makanan tambahan (PMT) balita ini memberikan dampak yang positif bagi peningkatan pengetahuan dan keterampilan tentang pemanfaatan daun kelor sebagai PMT balita.

    Perbandingan bupivacain 0,5% 15 mg dan fentanil 25 mcg dengna bupivacain 0,5% 15 mg terhadap nilai oksigenasi pada pasien dengan anestesi spinal

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    Background: Spinal anesthesia is a safe anesthetic technique for elective and emergency surgeries. Spinal anesthesia adversely affects cerebral oxygenation, especially when fentanyl is administered as an adjuvant to spinal anesthesia.Objectives: To determine the difference in cerebral oxygenation values between patients undergoing spinal anesthesia using bupivacaine 0,5% with fentanyl and bupivacaine 0,5% in patients undergoing spinal anesthesia.Methods: This was an analytic post-test experiment with a cross-sectional design. This study was conducted at the Haji Adam Malik Hospital Medan, with a total sample of 36 patients. The research group was divided into groups that received bupivacaine 0,5% 15 mg and bupivacaine 0,5% 15 mg plus fentanyl 25 µg. The rSO2 value was assessed before spinal action (T0), shortly after spinal anesthesia (T1), and 15 min after spinal anesthesia (T2). Near-infrared spectroscopy was used as the measurement instrument. Data to be collected were analyzed with a bivariate, independent T-test and Mann-Whitney test with a 95% confidence interval (CI).Results: The average rSO2 values of patients who received bupivacaine were 64,0% on the right and 65,1% on the right and left sides, respectively. The average rSO2 values of patients who received bupivacaine were 74,8% on the right and 76,1% on the left. There was a significant difference in blood pressure and rSO2 values in patients who received 0,5% bupivacaine spinal anesthesia with 0,5% bupivacaine added to 25 µg fentanyl (p <0,05).Conclusion: There was a significant difference in rSO2 values between patients who received 0,5% bupivacaine spinal anesthesia with 0,5% bupivacaine plus 25 µg fentanyl.

    Determinan kematian neonatal di Kabupaten Sintang Kalimantan Barat tahun 2022

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    Background: Neonatal mortality is an indicator to take a look at the degree of public health because health progress is seen from the seriousness of all elements of society in reducing neonatal mortality. 2017 Indonesian Demographic and Health Survey (IDHS) showed that 15/1,000 live births occurred during the neonatal period. This research was conducted to analyze the determinants of neonatal mortality in the Sintang district in 2022.Objective: To analyze what are the determinants that affect neonatal mortality in Sintang District, West Kalimantan 2022.Methods: Mix method research with sequential explanatory design. Beginning with a descriptive quantitative research design by looking at medical record data, followed by qualitative research in the form of in-depth interviews. which combines quantitative and qualitative. Quantitative research samples totaled 52 cases and qualitative samples totaled 11 informants. Research time October to November 2022.Results: The quantitative results of the near determinant of neonatal mortality were asphyxia at 44,2% and premature at 19,2%, the intermediate determinant was due to maternal age at 61,5%, and gestational age at 53,8%, the determinant of distance was due to ANC examination 36,5% and the distance house 30.8%. The qualitative results of the determinants of distance are irregular ANC, delivery assistance by non-medical personnel, place of delivery without health facilities, and distance from home to health facilities, intermediate determinants are the age of at-risk mothers, high parity, a distance of at-risk pregnancies and complications of pregnancy and childbirth, determinants of near-death neonatal are asphyxia, premature and pneumonia.Conclusion: Causes of neonatal mortality in Sintang District occur from close determinants (asphyxia and premature), intermediate determinants (age of mother and gestation), and distant determinants (ANC examination and distance from home)

    Kajian perilaku higiene sanitasi penjamah makanan sekitar sekolah dasar pada wilayah desa dan kota selama masa pandemi Covid-19

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    Food handlers with poor knowledge of food born diseases and poor personal hygiene can be potential sources of food contamination. This study aimed to analyze food handlers' knowledge, attitudes, and hygiene practices around elementary schools in Banyumas. This research was conducted using a cross-sectional study design, has been conducted at Banyumas in 2020. The multistage sampling method determined the number of subjects as many as 150 food handlers. Data on characteristics, knowledge, attitudes, and practices were obtained by interview and analyzed using Mann Whitney and spearman correlation test. The results showed no significant difference in the knowledge (p= 0,287) and attitudes (p= 0,689) of subjects who lived in rural and urban areas. There was a significant difference in the average practice score between subjects living in rural and urban areas (p= 0,000). The Spearman correlation test showed a relationship between knowledge-attitudes of subjects living in rural (p= 0,002) and urban (p= 0,000). There was a relationship between the knowledge practice of the subject who lived in rural (p= 0,015) and urban (p= 0,000). There was no relationship between the attitudes and practices of the subject in rural (p= 0,122) and urban areas (p= 0,819). In conclusion,  there was a relationship between knowledge-attitude and knowledge-practice of hygiene and sanitation in rural and urban areas. There was no relationship between attitude and practice in rural or urban areas.

    Validitas dan reliabilitas kuesioner literasi gizi pada remaja (Nulit) di Wilayah Pascabencana

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    The validation of the nutritional literacy questionnaire with a broader concept has never been published in Indonesia. This study aims to describe the validation of a nutritional literacy questionnaire (Nulit) in adolescents in post-disaster areas. Content validation was carried out qualitatively and quantitatively. They involve nine panellists by calculating the content validity index (CVI) and multi-rater kappa statistics. Face validation involved ten adolescents living with their mothers in Palu during the 2018 natural disaster. The face validation, item validity, and reliability were assessed by the impact score, the correlation score of each item with the total score, and the value of Cronbach's Coefficient Alpha. The results found that the I-CVI on all items was between 0,78 - 1, which is considered very good. The validation of the questionnaire display found the statement items to be essential and appropriate in the daily life of adolescents, and the impact factor value was 3,9 - 4,3. A total of 21 items are valid; the Cronbach's alpha value is FNL= 0,73, INL= 0,70 and CNL= 0,71. In conclusion, the Nulit Questionnaire is valid and reliable for measuring nutritional literacy in adolescents in post-disaster areas

    Low birth weight and low mother education as dominant risk factors of stunting children in Magelang Regency, Central Java

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    Stunting children are still highly prevalent in Indonesia, especially in Magelang Regency, a stunting locus area. Stunting risk factors were multifactorial and closely related to maternal health and education. The study aimed to analyze the relationship between low birth weight (LBW), mother education and other risk factors with Magelang Regency stunting. This study used a case-control design and involved 328 children aged 24-59 months. The stunting group was 162 children, and the normal group was 166 children. Nutritional status was measured using median z-score height for age from WHO anthropometric standard. Children's birth weight was obtained from Maternal and Child Health books records. Other socio-demographic characteristics were obtained through interviews with mothers. The bivariate association was analyzed using Chi-square with a 95% Confidence Interval (CI). Multivariate analysis was carried out using logistic regression. The result showed that children who had a low birth weight of 7,418 higher risked being stunted (p= 0,000), and low mother education of 1,604 higher risked to be had stunted children (p= 0,041).  In conclusion, LBW and low mother education are Magelang's primary determinants of stunting.

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