Jurnal Gizi Klinik Indonesia
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Status gizi, asupan zat gizi mikro (kalsium, magnesium) hubungannya dengan sindroma premenstruasi pada remaja putri SMU Sejahtera di Surabaya
No full textBackground : Premenstrual syndrome generally known as the interruption the existing hormonal changing during menstrual cycle that will disturb the emotional and physical comfortable. It works on women during the reproductive age. The syndromes are denoted by the amount of signs and symptoms that occurred during fase luteal at the menstruation cycle. Psycho-emotional problems are more than common premenstrual complaint, although physical anxiety more often occurred during menstruation period. Factors of micronutrient intake (calcium, magnesium) greatly affect mood and behavior during premenstrual syndrome.Objective : The study was to identify relationship between nutritional status, micronutrient intake (calcium, magnesium), and premenstrual syndrome among female adolescence.Method : The study was observational or non-experimental which used cross sectional design. The populations were female adolescence of Sejahtera Senior High School at Surabaya. Samples were taken using total sampling technique because the subject had been determined to those aged 16–18 years. As many as 97 people fulfilled inclusion criteria. Data processing and analysis used univariable, bivariable, and multivariable techniques. Statistical test used logistic regression. Result : The result of the study showed that there was no significant relationship between good nutritional status and occurence of premenstrual syndrome (p = 0.086; OR = 2.278; 95% CI = 0.980-5.295), between calcium intake and premenstrual syndrome (p = 0.032; OR = 2.910; 95% CI = 1.176-7.200), between magnesium intake and premenstrual syndrome (p = 0.012; OR = 3.319; 95% CI = 1.369-8.043). There was significant relationship between calcium and magnesium intake and premenstrual syndrome. Conclusion : The result of multivariable analysis showed that nutritional status, intake of calcium and magnesium had significant relationship with premenstrual syndrome
Analisis sisa makanan lunak rumah sakit pada penyelenggaraan makanan dengan sistem outsourcing di RSUD Gunung Jati Cirebon
No full textBackground: An indicator of success in maintaining quality of service in patient nutrition can be measured from leftovers. In average inpatients got soft food as much as 40.1% and about 20.5% of them have leftovers. One benefit of leftover data is that they can be used to evaluate provision of hospital foods. Leftovers indicate that there is a waste in food cost.Objective: To analyze leftovers of hospital soft food in the provision of food using outsourcing system at Gunung Jati Hospital of Cirebon Municipality.Method: This was an observational study that used cross sectional design. Samples were as many as 93 patients. Data were analyzed quantitatively using chi square to identify in factors correlation the presence of leftovers and correlation in respondents’ satisfaction with the quality of food with the presence of leftovers and to identify correlation of irrelevance with leftovers of hospital soft foods portion served with the presence of leftovers. Characteristics of respondents and cost of foods wasted were analyzed using univariate technique.Result: The result of statistical analysis showed that there was significant correlation in sex, level of education, types of diseases and appetite on the presence of leftovers (p 0.05). There was no significant correlation in respondents’ satisfaction with quality of foods on the presence of leftovers (p > 0.05). There was significant correlation between irrelevances in the amount of soft food portion served on the presence of leftovers. Total cost foods wasted was Rp 12.559.12/day.Conclusion: There was correlation in sex, level of education, types of diseases and appetite on the presence of leftovers. There was no significant correlation in respondents’ satisfaction with quality of foods on the presence of leftovers (p > 0.05). There was significant correlation between irrelevances in the amount of soft food portion served with leftovers. The cost of foods wasted based on class of hospitalization served greatly varied
Determinan keberhasilan program suplementasi zat besi pada siswi sekolah
No full textBackground: The iron supplementation program is implemented in many countries for improving the iron status. However, this program is not always successfully reducing the prevalence of anemia due to the various factors.Objective: To determine the success factors of iron supplementation program at the female school students. Method: The program of iron supplementation at the school was run by the Health Office of Bekasi City. The pre-post design study was applied among junior and senior high school female students. The variables collected were age, health status, menstrual pattern, hand washing habit, body mass index, capsule compliance, and food consumption. The hemoglobin (Hb) was measured by cyanmethemoglobin method. The logistic regression was applied to analyses the determinant factors.Results: The prevalence of anemia among female students was decreased by 3.4% after four month of supplementation. However, its result was different between the junior and senior high school students, in fact the prevalence of anemia at the junior students was increased. The number of students at the junior high school who decreased in hemoglobin and became anemia were more than the senior high school. The logistic regression analyses showed that the success determinant of iron supplementation program were students not anemic before supplementation (OR = 10.81; 90% CI: 7.04-16.50) and they used to hand washing (OR = 11.22; 90% CI: 1.90-64.60).Conclusion: After the iron supplementation program, the decrease prevalence of anemia was different between the junior and senior high school students. The determinants of success program were hand washing habits and the anemia status before supplementation
Status gizi dan hubungannya dengan kejadian diare pada anak diare akut di ruang rawat inap RSUP Dr. Sardjito Yogyakarta
No full textBackground: in Indonesia diarrhea is still a major cause of morbidity and mortality among children especially those under five years of age. The Household Health Survey 2000 and 2003 shows an increase of diarrhea morbidity rate from 300 to 374 per 1,000 people. At the inpatient ward of Dr. Sardjito Hospital in 2005, diarrhea was found as the major cause of patients being hospitalized. One of the causes of high diarrhea morbidity rate is poor nutritional status. In 2002, the prevalence of undernourished children in Indonesia was 27.3% and in the Province of Yogyakarta Special Territory was 11.39%. Ultimately, nutritional status and diarrhea are related to each other, which lead to very famous "vicious cycle", diarrhea causes malnutrition and malnutrition causes diarrhea. Objective: To identify relationship between nutritional status and the duration of diarrhea. Method: This observational study was conducted with retrospective cohort design using the data of medical records and surveillance of diarrhea at Dr. Sardjito Hospital from September 2005 to September 2006. Subject of the study were 138 children of 6 months to 5 years old suffering from acute diarrhea. Data analysis used Fisher's exact test and one way ANOVA.Result: The average duration of diarrhea among undernourished children was 101.0 + 28.28 hours, wasted children was 96.31 + 16.69 hours, normal nourished children was 65.06 + 6.90 hours, and well nourished children was 64.52 + 11.70 hours. There was a significant relationship between nutritional status and the duration of diarrhea (p < 0.05). Conclusion: There was a significant relationship between nutritional status and the duration of diarrhea. This means that children with poor nutritional status would likely suffer longer from diarrhea.
Ekstrak air daun ceplikan (Ruellia tuberosa L.) serta pengaruhnya terhadap kadar glukosa darah dan gambaran histologis pankreas tikus putih (Rattus norvegicus) diabetes mellitus
No full textBackground: Effective control of blood glucose and activities of antioxidant are key factors that prevent diabetes mellitus (DM) and its complications. There are lots of herbal plants that have those both effects. Ceplikan leaves (Ruellia tuberosa L.) is a traditional medicine which is empirically used to lower blood glucose level. Instead of antioxidant compound, there is assumed other compound in ceplikan leaves that has side effect to pancreatic beta cells.Objective: To identify the effect of ceplikan leaves extract to blood glucose level and pancreas histology description in white diabetic rats (Rattus norvegicus).Method: Thirty subjects of Wistar strain male white rats of 2-3 months old and of 150-200 grams weight were made diabetic with aloxan and randomly divided into 5 groups. Group I consisted of diabetic rats with aquadest, group II with glibenclamide, and Group III-V were given extract of ceplikan leaves in different concentrations that were 1.6 mg, 3.2 mg, and 6.4mg, respectively. Treatment was given orally per day within 30 days. Level of blood glucose was measured in the day of 0, 3, 4, and 30. Statistical analysis used repeated measures and t-test.Result: The supply of ceplikan leaves extract could reduce level of blood glucose of diabetic rats, although the decrease was insignificant. Average diameter of wider Langerhans island occurred to the group of diabetic rats that were given extract of ceplikan leaves dosage 6.4 mg. There was no significant difference (p > 0.05) in changes of blood glucose level before and after experiment in diabetic rats. Pancreas histological description of rats showed that there was improvement as indicated by greater quantity of Langerhans Island and wider diameter of Langerhans Island.Conclusion: Ceplikan leaves was safe and efficacious, so that self-medication of DM using ceplikan leaves could be sustained through formal approach
Faktor-faktor yang berhubungan dengan tingkat kepuasan pasien rawat inap terhadap pelaksanaan konsultasi gizi ruangan di Rumah Sakit Umum Mataram
No full textBackground: Nutrition counseling is one of the nutrition services successful indicators in hospitals. The quality of nutrition counseling will improve the effectiveness and efficiency of resources utility and furthermore, it will improve patients’ satisfaction. The quality of nutrition counseling services effect directly on internal and external customers’ satisfaction. Evaluation about nutrition counseling services in hospital ward and its association with patients’ satisfaction was needed to determine priority aspects to be improved.Objective: To determine factors that associate with the rate of hospitalized patients’ satisfaction towards nutrition counseling in Mataram Hospital.Method: A total 38 hospitalized adult patients included in this observational study with cross sectional design. Proportional stratified sampling was conducted to determine subjects of study. Data collections included the description of nutrition counseling factors consisted of counselors, materials, methods, media, time, place, and visitation frequency of dietitians based on questionnaires completed directly by hospitalized adult patients. Spearman rank correlation and linear regression analysis were used to determine the association between nutrition counseling factors with the rate of hospitalized patients’ satisfaction, completely by multiple linear regressions to analyze all of nutrition counseling factors in the same time.Results: This study showed that counselors, time, place, and dietitians’ nutrition counseling visitation were the significant factors associated with the rate of hospitalized adult patients’ satisfaction (R = 0,086 p = 0,027; R = 0,099 p = 0,017; R = 0,108 p = 0,013; R = 0,166 p = 0,002, respectively). The most dominant factors among all of associated factors were visitation frequency of dietitians (p = 0,035).Conclusion: There was a significant association between counselors, time, place, and dietitians’ nutrition counseling visitation frequency with the rate of hospitalized patients’ satisfaction. The most dominant factors among all of associated factors were visitation frequency of dietitians
Efektivitas penurunan jumlah angka kuman alat makan dan efisiensi biaya yang digunakan pada metode pencucian alat makan di Rumah Sakit Kota Surakarta
No full textBackground : Proper process of dishwashing has an important role in the prevention of disease transmission because unclean dishes that contain microorganism can transmit diseases through foods. Therefore, the process of dishwashing has to fulfill the standard of health. Currently, there are three methods of dishwashing in the hospital; electronic dishwashing, three compartment sink (TCS), and conventional method. They have the same purpose, i.e. cleaning dishes. To find out effectiveness and efficiency of those three methods, it is necessary to know the germ rate and cost spent. Objective : To identify the effectiveness of germ rate reduction and cost efficiency of electronic dishwashing, TCS, and conventional method of dishwashing at hospitals in Surakarta Municipality. Method : This experiment used randomized design trial. Populations were all dishes at hospitals of Surakarta Municipality with certain criteria. Hospitals that fulfilled the criteria were Dr. Moewardi Hospital, Prof. Dr. R. Soeharso Orthopedic Hospital, and Banjarsari Hospital. There were six items of samples consisting of two plates, two drinking glasses, and two spoons. The number of experiment units in the study were 3 experiments x 3 times repeating x 6 items of dishes x 2 evaluations totaling 108 units of experiment. Analysis used t-test, ANOVA, and cost effectiveness.Result : Washing process used electronic dishwashing, TCS, and simple method could reduce the different numbers of germs, those amounted to 84 colony/cm2, 1,276.38 colony/cm2, and 321.27 colony/cm2, respectively. TCS was the most effective and efficient method in reducing the number of germ. The cost only Rp 1,00 to reduce 15.56 colony/cm2 using TCS method. Conclusion : There were different reductions of germ rate after dishwashing used electronic dishwashing, TCS, and conventional methods. Among them, TCS was the most effective and efficient method in reducing germ rate
Pola, tren, dan perbedaan praktik menyusui di Indonesia: analisis deskriptif peran modernisasi dan budaya tradisional dari data Survei Demografi Kesehatan Indonesia 2007
No full textBackground : A modernization can lead to the adoption of western behavior while cultural values can also prevails, resulting in rejection of certain aspects of modernity. The question is how such conflicting forces affect breastfeeding practices in Indonesian women. Objective : This study examined modern and traditional factors that may affect pattern, trends and differentials of breastfeeding in Indonesia. Methods : The study based on data from Indonesian Demographic Health Survey (IDHS) conducted in 2007. There were 32.895 women or 19.939 children born after January 2002 and contributed to this information. We used duration of breastfeeding as dependent variables which based on information pertained to the last two children of respondent. The variable was calculated as the number of months that the mother reports having breastfed the child. The early use of supplementary food for children and the use of health services were examined to represent cultural values and modernity respectively. Socio-economic and demographic variables were considered important variables for breastfeeding practices. Kaplan Meier graphs were employed for the analysis of pattern, trends, and differentials of breastfeeding.Result : In Indonesia, the duration of breastfeeding varied between provinces. There was a trend of shortening of duration breastfeding about two months during 5 years period. Factors associated with modernity were significant determinant in shortening breastfeeding practice. These included: type of residence (urban or rual), level of education, prenatal care, previous or ever use of contraceptives, delivery at the hospital, and the use of an infant formula. Conclusion : Factors associated with modernity were significant in terms of early termination of breastfeeding. Traditional factors associated with breastfeeding practice did not show significant roles in maintaining the breastfeeding practice. We recommend to use a social enginering to include breastfeeding practice as a part of modern health practices
Pola makan dan kebugaran jasmani atlet pencak silat selama pelatihan daerah Pekan Olahraga Nasional XVII Provinsi Bali tahun 2008
No full textBackground : The fulfillment of nutrient intake is a basic need of athletes. The result of observation to some athletes with varied branches of sport indicates that nutrition and physical exercise will simultaneously bring better output. Presently, attention to the administration of nutrition for athletes is lacking, moreover at local level. Meanwhile, providing good nutrition is as important as maintaining sports achievement.Objective : The study aimed to identify support of eating pattern to physical exercise of Bali self-defence athletes during local training of National Sports Week XVII Province of Bali.Method : This was a descriptive analytical study which used qualitative and quantitave approaches and cross sectional design. Subjects of the study were all of 26 self defence athletes participating in local training at National Sports Week Province of Bali. Data gathered were eating pattern, physical fitness (VO2 max and body fat percent), and physiological condition (hemoglobin level). Support of eating pattern to physical exercise was measured in terms of physical fitness using regression and correlation analysis. Result : Most of nutrient intakes of Bali self-defences athletes were low in carbohydrate but high in fat and protein. Statistical analysis showed that there were correlation and effect of vitamin C and Fe intake to VO2 max. There were correlation and effect of carbohydrate to body fat percent. There was protein affected hemoglobin level. Conclusion : Adequate consumption of nutrients was needed to support athletes in doing physical exercise during training period
Konseling gizi dan pengaruhnya terhadap asupan zat gizi dan tekanan darah pada pasien hipertensi rawat jalan di Rumah Sakit Umum Daerah Provinsi Sulawesi Tenggara
No full textBackground : Hypertension is one of the most common worldwide diseases that can be an important public health challenge. The causes of hypertension are high consumption of salt and fat, obesity, stress, age, sex, family history, smoking, and consumption of alcoholic drinks. The prevalence of hypertension in the world, Asia, and Indonesia are 15-20%, 8-18%, and 1,8-28,6%, respectively. The solution to this problem is not only depend on drugs but also counseling through leaflet as the process of assisting clients in facing the problem of hypertension.Objectives : To know the effect of nutrition counseling on nutrition intake and blood pressure of hypertension outpatients at local hospital of the Province of Southeast Sulawesi. Methods : The study was quasi experimental with pre- and post-control design. Samples were divided into 2 groups; intervention group was given nutrition counseling and leaflet and the second (control) was only given leaflet. Samples were hypertension outpatients who fulfilled inclusions and exclusions criteria, and there were 25 samples per group. Data of nutrient intake were processed using Nutrisurvey. Chi-square test was used to identify the difference between the intervention group and the control group; whereas t-test was used to identify independent as well as dependent variables.Results : There were no significant differences in intake of fat, natrium, potassium, and magnesium between the intervention group and control group (p > 0.05); but there were differences between them at the end of study (p 0.05); however, at the end of study there was difference between them (p < 0.05).Conclusion : Nutrition counseling could improve nutrition intake and blood pressure of hypertension outpatients at local hospital of the Province of Southeast Sulawesi