Jurnal Poltekkes Kemenkes Aceh
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    The effect of the family empowerment model on the ability to managing diet and increasing hemoglobin in pregnant women

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    Anemia often occurs due to iron deficiency because, in pregnant women, there is a doubling of an iron requirement to meet the mother's needs in preventing blood loss during childbirth and fetal growth. Therefore, anemia in pregnant women must be prevented so that the fetus can grow and develop properly. This study aimed to determine the effect of the family empowerment model on the ability to manage diet and increase hemoglobin (Hb) levels in pregnant women with anemia. The research design was quasi-experimental, conducted at the Langsa Baro Health Center work area in 2018. The sample comprised 30 pregnant women divided into two groups, namely 15 women who received intervention and 15 who did not. Sampling was performed using the purposive sampling technique, and data were collected through direct interview techniques with questionnaire instruments. Data processing was performed by statistical analysis using a Paired T-test test with a significance level of 95% CI. The results showed differences in Hb levels, knowledge, and attitudes before and after family empowerment (p <0,05). In conclusion, there was a significant effect on the ability to manage diet and increase hemoglobin (Hb) levels in pregnant women with anemia

    Analysis of the evaluation performance of cadres care stunting in efforts to prevent stunting

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    Stunting is a condition in which a child experiences growth disturbances so that the child's height is lower or shorter than the standard age. One of the efforts to prevent stunting is by providing assistance to pregnant women. Cadres as the spearhead of health workers who are near pregnant women and mothers with toddlers are expected to be able to monitor pregnant women and mothers with toddlers in efforts to prevent stunting. This study aims to analyze the evaluation of the performance of cadres in efforts to prevent stunting. The study used qualitative methods with in-depth interviews with four key informants and focus group discussions . In-depth interviews were conducted with 4 health cadres, and a Focus Group Discussion involving the  Leaders of Organization of regional apparatus for family planning affairs , District Bappeda, Village Government, Health Center and  Nutrition service staff. The data is then processed through the content analysis method. The data is then reduced through a coding process, summarized and drilled into partitions or sections that focus on questions. The results of the study show that, until now there has been no specific program in the context of efforts to prevent stunting to be carried out by cadres, even though there are currently various types of cadres besides health cadres who are known to be at posyandu, there are also other cadres who formed for the prevention of stunting, however, the implementation of the tasks has not been maximized because there is no specific program that is used as a reference in carrying out the tasks. In conclusion, that the performance of cadres is currently not optimal and focused on efforts to prevent stunting

    A qualitative comparative study: Coping strategies among food secure and insecure pregnant mothers during the COVID-19 pandemic in Serang District

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    The COVID-19 pandemic exacerbated the food security dimension, from the macro to micro level.  Households dealt with the crisis by implementing coping strategies led by mothers.  Consequently, these impacted their health and nutrition status, notably during pregnancy.  This unfavorable condition was due to their primary role in maintaining household food security.  This study aimed to explore the perceptions of pregnant mothers of food security and insecurity about their household coping strategies.  This study used phenomenology with purposive sampling, with 33 informants (21 pregnant mothers and 12 other informants) in Serang district from May to October 2022.  In-depth interviews (IDIs) were used during data collection, and the transcripts were verbatim.  Respectively, the data was analyzed using thematic coding with N-Vivo 12 Plus and Microsoft Excel.  Result, twenty-one pregnant mothers from food-secure (n=7) and insecure (n=14) households revealed adopting the food-focused coping strategies: rationing, scratching, seeking, and sharing.  Non-focused on food: sought new job and side hustle, sold assets, borrowed money.  Differentiation was the barter which the food insecure family solely adopted.  Conclusion, both food-secure and insecure households implemented 2 types of coping strategies, while the severe coping strategies were implemented by food insecure pregnant mothers

    Faktor determinan kematian ibu di Kabupaten Sintang periode Agustus 2021 – 2022

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    Background: indicators of maternal health in a country can be seen through the high and low Maternal Mortality Rate (MMR). Sintang District in 2021 will be the second highest contributor to MMR in West Kalimantan Province. The determinants of maternal mortality are inconclusive and show different results in each region according to the method of collecting maternal mortality data.Objectives: the general objective of this research is to find out the Determinant Factors for Maternal Mortality in Sintang District for the period August 2021 – August 2022.Methods: using a mix of quantitative and qualitative methods with sequential explanatory. Quantitative research samples totaled 16 cases and qualitative informants amounted to 40 informants with indepth interview method. .Results: quantitative proxy determinant of maternal death caused by complications of childbirth (37.5%) 6 cases, determinant intermediate age > 35 years (68.75%) 11 cases and ANC examination (68.75%) 11 cases, contextual determinant geographical area (75%) 12 cases. The qualitative results of the proxy determinants of maternal death were cases of retained placenta bleeding, the determinant intermediate the risk factors for maternal age > 35 years, high maternal parity ≥ 3 times giving birth and incomplete ANC examinations < 6 times. The determinant is far because it is in a rural area.Conclusion: the causes of maternal death in Sintang district are very complex and multifactor. Assistance for high-risk pregnant women by health personnel and monitoring periodic evaluations of the Program Birth Planning and Complication Prevention (P4K) must be carried out to reduce MMR in Sintang District

    Determination of vitamin D3 encapsulated in liprotide β-lactoglobulin crosslink oleic acid by HPLC and SEM

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    Vitamin D is an unstable compound to light, heat, and certain chemicals, so it is easily degraded under various conditions. Therefore, instability is achieved through the encapsulation method using complex protein carrier compounds with fatty acids known as liprotide. This study aims to determine vitamin D3. Method, the determination of vitamin D3 was analyzed, including the determination of vitamin D3 standard eluents, calibration curve, and determining the retention time of vitamin D3 encapsulated in liprotide using HPLC (High-Performance Liquid Chromatography). Morphology of vitamin D3 encapsulated in liprotide using SEM (Scanning Electron Microscopy). The results showed that the standard vitamin D3 HPLC analysis using acetonitrile: methanol and acetonitrile: aquabidest obtained two peaks. Butanol: n-hexane eluent obtained one peak with a retention time of 2,170 minutes. The results of the standard calibration curve for vitamin D3 at a linearity value of R2 = 0,9997 and f(x) = 14,928x-117,930. The same retention time was obtained for vitamin D3 encapsulated in liprotide. Conclusion, an enlargement of the cubic structure, which occurred due to the encapsulation of vitamin D3 by the liprotide-forming micelles

    The changes of dietary fiber intake in obese adults: NCDs cohort study in Bogor City

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    The prevalence of obesity in the adult is increasing each year due to increased consumption of fast food and decreased consumption of fiber.  Based on Basic Health Research there was 20% of Indonesians suffered from obesity in 2018. The objective is to analyze changes in dietary fiber intake in adult obese in Bogor City. Methods: This research is conducted using secondary data from Risk-Factor of Non-Communicable Disease Bogor. The research design was prospective cohort.  Total subjects were 138 subjects who were newly suffer from obesity in 2014 and 2016, and had normal BMI in baseline (2011 and 2012). Consumption data were collected using 24-hr recall and FFQ and were processed and analyzed using Nutri Survey, Microsoft excel and SPSS 23.0 version. Univariate analysis was used to see the characteristic of the subjects, while different test was using Wilcoxon test since the data are not distributed normally. Results,most subjects were women (77,5%) aged 35-44 years old. The mean of dietary fiber intake was at about 9,7 g in the beginning and it increased by 1,2 g. Despite the increment in the percentage of the people who consumed dietary fiber at about 58%, the mean was still under the recommendation (<25g) at 96,4%. Conclusions, there was an increasing number of dietary fiber in the obese adult who were newly suffered from obesity in two years follow-ups, but the intake is still under the recommendation

    Pengaruh pemberian bubuk susu kacang hijau terhadap tekanan darah dan denyut nadi pasca pemulihan atlet sepakbola

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    Background: Resistance exercise can cause microdamage to muscle tissue, leading to more severe damage over time. In particular, athletes who tend to exercise with moderate to heavy intensity are at a high risk of injury and have a longer recovery due to excessive fatigue during exercise. A proper nutritional strategy is needed to reduce the effects of exercise and accelerate recovery by supplementation with amino acids (BCAA). BCAAs are a branch-chain amino acid series of leucine, lysine, and isoleucine. Green beans are foods high in amino acids, such as lysine, valine, isoleucine, cysteine, methionine, and tryptophan.Objectives: This study aimed to investigate the effect of green bean milk powder on post-recovery blood pressure and pulse rate in football athletes.Method: The research used a quasi-experimental approach with a one-group pre-posttest control group design. The subjects in this study were 22 football athletes at BPPLOP Central Java, conducted in May 2023. The markers used in this study were post-recovery blood pressure and pulse rate. Blood pressure and pulse measurements were performed using the oscillometric method by placing the cuff on the upper arm, and the measurement results were observed on the monitor connected to the cuff on the Omron® digital tensimeter. Data were analyzed using an Independent Sample T-Test and Mann-Whitney U test at 95% CI.Results: Both groups of subjects in this study consisted of ages ranging from 15-19 years, body weight between 52-72 kg, height between 165-178 cm, nutritional status between normal-fat, percent body fat in the normal category, energy intake, carbohydrates, protein, and fat. At the same time, the energy and nutrient intake analysis results in each group showed that the subjects’ energy intake was still in the deficit or deficient group. In contrast, fat intake in each group was classified as excess. There was no significant difference in the provision of mung bean milk powder intervention before and after stages 1 and 2 of the study on the results of systolic blood pressure measurements (p= 0,844), diastolic blood pressure (p= 0,115) and post-recovery pulse rate (p= 0,972).Summary: Giving green bean milk powder at 25 g/day after exercising for eight days did not significantly affect blood pressure or post-recovery pulse rate

    Sifat organoleptik dan kadar protein pada rolade ikan lele dumbo (Clarias gariepinus) dengan penambahan tepung kacang kedelai

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    Background: Rolade is a processed product made from a mixture of finely ground meat with flour or strach. Generally, rolade used beef as the main ingredient. This study used african catfish as the main ingridient and the addition of soybean flour to increase the nutritional contents of rolade as specially protein content.Objectives: This study amied was to analyzes the effect soybean flour subsitution on the nutritional contents (moisture, ash, fat, protein, carbohydrate, and iron) and to assess changed in the organolpetic propoerties if rolade after vacuum packaging.Methods: This design in this study was used a experimental dsign with a completely randomized design. There are 3 treatment levels (tapioca flour : soybean flour), namely 100:0 (0%), 80:20 (20%), 70:30 (30%). Rolade organoleptic testing was carried out in a Food Processing Labory at Karawang Singaperbangsa University and nutritional analysis was carried out in a Food Technology Labory at Pasundan University. Statistical analysis was used the Kruskal Wallis Test and the Mann Whitney follow-up test.Results: The addition of soybean flour in general didn’t have a significant to the hedonic yield and hedonic quality on all rolade assessment attributes (p>0,05). Vacuum packaging and cold temperature storage didn’t have a significant difference to all rolade assessment atributes (p>0,05). The addition of soybean flour increase the protein content of the rolade.Conclusion: The addition of soybean flour has an effect on the organoleptic of catfish rolade. Vacuum packaging and cold storage can maintained rolade for 14 days. Rolade protein content added to soybean flour has increased.

    Hubungan perilaku menyikat gigi dengan status kebersihan gigi dan mulut PHPM (Personal Hygiene Performance-Modified) pada murid sekolah dasar

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    Background: Oral health maintenance efforts should be conducted early in elementary school. The awareness and maintenance behavior of each individual is very important in maintaining oral hygiene. Oral health maintenance is instrumental in regular plaque control and removal. Preventive measures can be carried out routinely, such as brushing teeth, flossing, and dental examinations once every 6 months regularly to the dentist.Objectives: This study aimed to determine the relationship between tooth brushing behavior and oral hygiene status in elementary school students.Methods: This cross-sectional study was conducted at the State Elementary School of 50 Banda Aceh City in December 2022. The sample comprised 40 students. Collection through interviews and dental and oral examinations using diagnostic sets, disclosing fluids, and patient cards (KSP). Statistical analysis was performed using the chi-square test at a significance level of 95% CI.Results: Tooth brushing behavior among elementary school children was generally poor (57,5%), and oral hygiene was poor (47,5%). In addition, this study found a significant relationship between tooth brushing behavior and oral hygiene status (p = 0,007) in students from State Elementary School 50 in Banda Aceh City.Conclusion: Tooth brushing behavior had a significant relationship with oral hygiene status in students of State Elementary School 50 in Banda Aceh City. Suggestions for students to understand oral hygiene and how to brush their teeth properly

    Literature Review: Infant formulas with human milk oligosaccharides on gut microbiome and intestinal immune system

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    Background: Infant formula has a similar composition to breast milk, especially on key components like proteins, fats, and functional oligosaccharides. However, significant differences exist between bovine milk-based formula and human breast milk, particularly in the abundance and diversity of human milk oligosaccharides (HMOs). HMOs are pivotal in shaping the infant gut microbiome and immune system, with potential implications for infant health and development.Objectives: The literature review aimed to explore the role of HMOs in shaping the gut microbiome and strengthening the intestinal immune system in infants.Methods: Descriptive research was carried out in May-August 2023 using the literature review method. The design and implementation of this study referred to the guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) for Randomized Controlled Trials (RCTs). Literature sources were obtained from PubMed, Elsevier, Medline, Nature, PLOS, MPDI, JAMA, and Scopus publication databases with a limitation of the last ten years (2013-2023). One hundred twenty articles were obtained with these keywords and then selected in stages according to predetermined criteria. Six articles that met the criteria were retrieved from 2013-2023. The articles obtained were compiled, analyzed, and concluded by looking for similarities and dissimilarities, giving views, comparing, and summarizing.Results: The review revealed that HMOs significantly influenced the composition and function of the infant's intestinal microbiota, inhibiting harmful pathogens in the intestine. Therefore, HMOs as prebiotics were crucial in promoting intestinal immune system health in infants.Conclusion: Human Milk Oligosaccharides (HMOs) in infant formula substantially impacted the gut microbiome composition and the infant's intestinal immune system. Studies consistently showed that HMOs influenced the growth and diversity of gut bacteria, leading to outcomes similar to those seen in breastfed infants

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