bluuebunny/crossref_metadata_2025 huggingface dataset:
Stability analysis for milling system with variable pitch cutters under variable speed
Authors: Huang Jianwei , Deng Pengfei , Li He , Wen Bangchun
Published: March 2019

Regenerative chatter can reduce machining quality, tool life, and productivity during milling process. In order to control the milling chatter, the stability analysis of milling system is very important. It has been found that variable spindle speed milling and the use of variable-angle tools are effective to control milling chatter. This paper mainly studies the control effect when these two methods are used simultaneously. Firstly, the improved full-discretization method is used to predict the stability of variable spindle speed milling process with variable pitch cutters. And on the basis of stability prediction, the influence of spindle speed modulation parameters on stability is analyzed. Meanwhile, the stability prediction results of down-milling and up-milling operations, different radial immersion ratio and different tooth pitch variation form are compared. The results show that the stability of variable spindle speed milling process with variable pitch cutters is better than that of variable pitch cutters in constant spindle speed milling process. And the improvement of the stability is related to the spindle speed modulation parameters. When the modulation parameters are bigger, the stable cutting area of the stability lobes diagram will be larger. Secondly, in the up-milling operation and the low immersion operation, the variable spindle milling with variable pitch cutters has better stability than the down milling operation and the high immersion operation. Under the condition that the pitch angles vary linearly, the stability is better. Finally, the time domain simulation is performed and the simulation results verify the accuracy of the stability prediction results.
3D continuum-discrete coupling modeling of soil-hammer interaction under dynamic compaction
Authors: Wang Jian , Jiang Yuhan , Ouyang Huiyi , Jiang Tianheng , Song Minge , Zhang Xiang
Published: March 2019

To investigate the compaction effect and environmental impact effect of dynamic compaction (DC), a 3D continuous-discrete coupling method was used to simulate the hammer-soil interaction process for the first time. Through the dynamic response analysis of the hammer, it is found that the force of the hammer changes through three stages: the contact force increases rapidly, the contact force decreases rapidly, and the contact force decreases slowly; in addition, the soil particles are compacted under the dynamic load, resulting in oscillating changes in the soil porosity. The granular soil is punched by the hammer to form a truncated punching surface in the bulk below the bottom of the hammer. Ellipsoidal compaction bands are formed inside the punching surface, and shear bands are formed outside the punching surface. The compression and shear zones affect the soil outside the continuous-discrete interface and form a stress concentration zone and a plastic strain zone near the interface, resulting in a sharp attenuation of the acceleration amplitude as the radial distance increases. Through an amplitude and Fourier spectrum analysis, it is found that the radial vibration caused by the DC is the strongest, while the tangential and vertical vibrations are almost the same. With the increase in the radial distance, the radial vibration attenuation rate is greater than that of the tangential and vertical vibrations, and their PGAs tend to be the same away from the impact point. These research results are helpful for evaluating the influence of the DC and the installation process on the reinforcement effect of the soft ground and for improving the accurate design and control level of soft ground strengthened by DC.
The Association Between Web-Based or Face-to-Face Lifestyle Interventions on the Perceived Benefits and Barriers to Exercise in Midlife Women: Three-Arm Equivalency Study
Authors: McGuire Amanda Mary , Seib Charrlotte , Porter-Steele Janine , Anderson Debra Jane
Published: March 2019

Background

Noncommunicable diseases pose a significant threat to women’s health globally, with most diseases being attributed to modifiable risk factors such as physical inactivity. Women perceive a range of benefits and barriers to exercise; however, there is little evidence about the effect of different lifestyle intervention delivery modes on perceptions of exercise.

Objective

This study aimed to compare the effect of a multiple health behavior change (MHBC) intervention called the Women’s Wellness Program. This intervention was delivered in 3 different modes on perceived exercise benefits, perceived exercise barriers, and actual physical activity and exercise in midlife women.

Methods

Women aged 45 to 65 years were recruited via the study website. They were assigned in blocks to 3 different treatment groups (A: Web-based independent; B: face-to-face with nurse consultations; and C: Web-based with virtual nurse consultations). All participants received the 12-week intervention that utilizes principles from social-cognitive theory to provide a structured guide to promote healthy lifestyle behaviors with an emphasis on regular exercise and healthy eating. Data were collected using a self-report Web-based questionnaire at baseline (T1) and postintervention (T2) including perceived exercise benefits and barriers and exercise and physical activity. A data analysis examined both within- and between-group changes over time.

Results

Participants in this study (N=225) had a mean age of 50.9 years (SD 5.9) and most were married or living with a partner (83.3%, 185/225). Attrition was 30.2% with 157 participants completing the final questionnaire. Women in all intervention groups reported a significant increase in positive perceptions of exercise (P<.05); a significant increase in exercise and overall physical activity (P<.01) with moderate-to-large effect sizes noted for overall physical activity (d=0.5 to d=0.87). Participants receiving support from registered nurses in the face-to-face and Web-based groups had a greater magnitude of change in benefit perceptions and physical activity than those in the Web-based independent group. There was no significant change in exercise barrier perceptions within or between groups over time.

Conclusions

The results of this study suggest that the (MHBC) intervention is effective in increasing exercise benefit perceptions, overall physical activity, and exercise in midlife women. Although Web-based programs are cost-effective and flexible and can be delivered remotely, providing a range of options including face-to-face group delivery and personalized electronic health coaching from registered nurses has the potential to enhance participant engagement and motivation.
Addressing Depression Comorbid With Diabetes or Hypertension in Resource-Poor Settings: A Qualitative Study About User Perception of a Nurse-Supported Smartphone App in Peru
Authors: Brandt Lena R , Hidalgo Liliana , Diez-Canseco Francisco , Araya Ricardo , Mohr David C , Menezes Paulo R , Miranda J Jaime
Published: March 2019

Background

Smartphone apps could constitute a cost-effective strategy to overcome health care system access barriers to mental health services for people in low- and middle-income countries.

Objective

The aim of this paper was to explore the patients’ perspectives of CONEMO (Emotional Control, in Spanish: Control Emocional), a technology-driven, psychoeducational, and nurse-supported intervention delivered via a smartphone app aimed at reducing depressive symptoms in people with diabetes, hypertension or both who attend public health care centers, as well as the nurses’ feedback about their role and its feasibility to be scaled up.

Methods

This study combines data from 2 pilot studies performed in Lima, Peru, between 2015 and 2016, to test the feasibility of CONEMO. Interviews were conducted with 29 patients with diabetes, hypertension or both with comorbid depressive symptoms who used CONEMO and 6 staff nurses who accompanied the intervention. Using a content analysis approach, interview notes from patient interviews were transferred to a digital format, coded, and categorized into 6 main domains: the perceived health benefit, usability, adherence, user satisfaction with the app, nurse’s support, and suggestions to improve the intervention. Interviews with nurses were analyzed by the same approach and categorized into 4 domains: general feedback, evaluation of training, evaluation of study activities, and feasibility of implementing this intervention within the existing structures of health system.

Results

Patients perceived improvement in their emotional health because of CONEMO, whereas some also reported better physical health. Many encountered some difficulties with using CONEMO, but resolved them with time and practice. However, the interactive elements of the app, such as short message service, android notifications, and pop-up messages were mostly perceived as challenging. Satisfaction with CONEMO was high, as was the self-reported adherence. Overall, patients evaluated the nurse accompaniment positively, but they suggested improvements in the technological training and an increase in the amount of contact. Nurses reported some difficulties in completing their tasks and explained that the CONEMO intervention activities competed with their everyday work routine.

Conclusions

Using a nurse-supported smartphone app to reduce depressive symptoms among people with chronic diseases is possible and mostly perceived beneficial by the patients, but it requires context-specific adaptations regarding the implementation of a task shifting approach within the public health care system. These results provide valuable information about user feedback for those building mobile health interventions for depression.
Hubungan antara Kadar Serum Albumin Awal dengan Lama Rawat Inap dan Status Pulang Pasien Dewasa di Rumah Sakit
Authors: Kurdanti Weni , Hadi Hamam , Susetyowati Susetyowati
Published: March 2019

Background: Several community studies have reported a relationship between a low serum albumin level and increased risk of hospital death, nosocomial infection, and length of stay. But this kind of study is still lacking in Indonesia.Objective: To assess the relationship between admission serum albumin levels with length of stay and recovery rate among adult hospitalized patients.Methods: This cohort study was done in 2002. Subjects of this study were adults, inpatient of internal and neurological departments of Dr.Sardjito, Dr. M. Jamil and Sanglah hospitals. Serum albumin level, total lymphocyte count (TLC), and hemoglobin from each subject were collected at the admission. Energy intake of each subject was obtained using visual Comstock method. Information of length of stay and recovery status at discharge was obtained from medical records.Results: On average the length of stay (LOS) in patients with normal serum albumin was 9.8 days. In patients with low serum albumin the LOS was 2 days longer (p<0.05) than that in patient with normal serum albumin. LOS was not significantly different by serum albuminlevels among neurological and cancer patients. Neurological patients with low serum albumin had 10 times greater risk for not recover on discharge than non neurological patients with normal serum albumin.Conclusion: Serum albumin level at admission was associated with LOS and recovery status on discharge.
Pangan yang difortifikasi zat gizi mikro pada ibu hamil meningkatkan perkembangan motorik bayi
Authors: Saragih Bernatal , Syarief Hidayat , Riyadi Hadi , Nasoetion Amini
Published: March 2019

Background: Many factors infl uence the growth and development of an infant but nutrition was undeniably one of the most important factors. One way to improve the nutritional status of infants was by providing supplementary foods fortifi ed with multiple micronutrients to mothers during pregnancy. Nutritional interventions during pregnancy provided better nutrient reserves for mothers and fetus.Objective: To analyze the impact of multi micronutrient-fortifi ed supplementary foods provision in pregnant mothers on motor development and anemia status of infants in three sub-districts of Bogor District namely: Leuwiliang, Leuwisadeng and Ciampea.Method: A total of 120 infants were followed up in a prospective cohort study. The subjects were divided into three groups, i.e: 40 infants in fortifi ed group (pregnant mothers received supplementary foods (vermicelli, milk and biscuit) fortifi ed with multi-nutrients i.e. iron, iodine, zinc, folic acid, vitamin C and vitamin A), 40 infants in non-fortifi ed groups (pregnant mothers received non fortifi ed foods) and 40 infants in the control groups (pregnant mothers did not receive any supplementary foods). Motor development was measured by methods developed by the Ministry of Health, Republic of Indonesia. Hb was measured by Cyanmethemoglobin method. Ancova and linear logistic regression were used to analyze the data.Results: Provision of multi micronutrient-fortifi ed supplementary foods in pregnant mothers substantially improves infant’s motor development (77% better than other groups). In addition, supplementation of multi micronutrient-fortifi ed foods in pregnant mothers reduced the rate of hemoglobin and hematocrit decline in infants up to the age of 6 months. There were no infants aged 6 months with Hb < 90 g / L in the fortifi ed group, while in the non-fortifi ed group and control group the prevalence of anemia was 8.3% and 11.11%, respectively.Conclusion: Provision of multi micronutrient-fortifi ed supplementary foods in pregnant mothers improved infant’s motor development.
Efek F100 dan formula tepung tempe terhadap kadar serum Fe dan hemoglobin pada anak gizi kurang
Authors: Iva Tsalissavrina , Prawirohartono Endy Paryanto , Lestari Lily Arsanti
Published: March 2019

Background: Protein energy deficiency is a major public health problem in Indonesia. WHO has recommended F100 made from skim milk for undernourished patient. Alternative formulas have been developed using other nutritious foods that are cheaper, easily accessible and can be used for children with lactose intolerance such as tempe flour.Objective: To investigate the effect of F100 and tempe flour formula supplementation on serum Fe and hemoglobin (Hb) levels of undernourished child.Method: This was an experimental study with randomized controlled clinical trial design and purposive sampling method. Subjects of the study were undernourished patients aged 1-10 years hospitalized at Dr. Saiful Anwar Hospital Malang. Sample consisted of 30 patients divided into 2 groups; group 1 supplemented with F100 and group 2 with tempe flour formula. Hb level was assessed by cyanmethemoglobin and serum Fe level by colorimetric method. Dietary intake data was collected by visual comstock and food recall. Data were analyzed by chi square, unpaired t-test and double linear regression.Results: Statistical analysis showed that there were no significant differences in Hb (p=0.139) and serum Fe levels (p=0.313) between both groups after treatment. Intake data indicated that there was a significant disparity in protein (p=0.019) and Fe intake (p=0.006) between the two groups, whereas energy, fat and carbohydrate intake showed no significant differences. Lastly, the association between energy and nutrient intake with serum Fe and Hb levels was not significant and the correlation was weak (r<1).Conclusion: There were no significant differences in hemoglobin and serum Fe levels between F100 group and tempe flour formula group, but there was a significant difference in protein and Fe intake.
Pendidikan gizi dan pesan gizi melalui short message service terhadap pengetahuan, perilaku, dan kepatuhan ibu hamil minum tablet besi
Authors: Kusfriyadi Mars Khendra , Hadi Hamam , Fuad Anis
Published: March 2019

Background: Low compliance as one cause of high prevalence of anemia in Indonesia is mainly due to forgetfulness. Nutrition education and short message service (SMS) are expected to become media to send nutrition message and remind pregnant mothers of taking iron tablet.Objective: To identify impact of nutrition education and nutrition message through SMS to knowledge, behavior and compliance of pregnant mothers with taking iron tablet.Method: The study was a quasi experiment that used pre and post test control/non equivalent control group design involving 3 groups of experiment, i.e. nutrition education only, nutrition education and SMS, and control as comparator. Subject of the study consisted of 121 pregnant mothers. The study was carried out from November 2009 to April 2010 at Palangka Raya Municipality in Pahandut, Kayon and Tangkiling Health Centers. Statistical analysis was performed by using paired t-test, ANOVA, Tukey test, and multivariate test.Results: Pregnant mothers that got nutrition education and SMS intervention significantly improved their knowledge and behavior (p<0.05). Pregnant mothers that got nutrition education and SMS had knowledge 18 point higher (coef=18.26), behavior 4 point better (coef=4.07) and probability 4 times more compliant than the control group (OR=3.79; p=0.03). Nutrition education and SMS intervention could increase compliance and significantly affect increase of hemoglobin (Hb) level up to 1.3g/dl (p<0.05). Increase of Hb level went in line with increase of compliance (dose-response) in pregnant mothers with preliminary Hb level <11g/dl. Meanwhile in pregnant mothers with preliminary Hb level ≥11g/dl, increase of Hb level was statistically significant when compliance reached ≥90%. Conclusion: Pregnant mothers that got nutrition education and SMS had better knowledge, behavior and compliance with taking iron tablet than those that only got nutrition education and the control group. High compliance could significantly increase Hb level.
Konsumsi rokok dan asupan zat gizi balita pada rumah tangga miskin
Authors: Irwanti Winda , Julia Madarina , Prabandari Yayi Suryo
Published: March 2019

Background: Eradication of poverty and starvation is still an agenda of Millennium Development Goals (MDGs) 2015 due to the serious impact of poverty and starvation to human beings. Poverty and starvation are worsened by smoking habit of the Indonesian population. Expenditures used for cigarettes may bring bad impact to the health of toddlers, including lack of nutrient intake. However, until today it is not yet precisely known how much lack of nutrient intake in toddlers caused by cigarette consumption. Objective: To identify difference in nutrient intake of energy and protein of toddlers based on the amount of cigarettes consumed in poor household at Yogyakarta Municipality.Method: The study used cross sectional design. Subject consisted of 86 toddlers of two-five years living in poor household at Yogyakarta Municipality. Cigarette consumption, mother of toddlers and all members of the family were obtained from interview. Method to assess intake was multiple 24 hours food recall within four days, whereas interview was used to assess cigarette consumption. Statistical analysis was performed by using Two Sample Independent t-test, Mann-Whitney U-test, regression, and Chi-Square.Results: As much as 77.9% of poor household had at least one smoker. There was no significant difference in intake of energy and protein of toddlers living with smokers and non smokers, though percentage of expenditure for food was significantly lower in the household with smokers. This might be due to high consumption of food with high energy density at affordable price and protein at low price. Snacks were the third most consumed by toddlers and 40% of animal protein consumed were eggs.Conclusion: There was no significant difference in intake of energy and protein of toddlers living in the poor household with smokers and those living with non smokers, but percentage of expenditure for food significantly lower in household with smokers.
Faktor-faktor yang berhubungan dengan kadar malondialdehyde plasma pada penyandang diabetes mellitus tipe 2
Authors: Nazarina Nazarina , Christijani Reviana , Sari Yunita Diana
Published: March 2019

Background: Diabetic is associated with the risk of having lipid peroxidation causing macro and micro vascular diseases. Malondialdehyde (MDA) is a mutagen product of lipid peroxidation.Objective: This research was to identify some factors associated to plasma MDA (P-MDA) level in type 2 diabetes mellitus.Method: Eighty two subjects were randomly recruited. Subjets were members of Persadia, physical training club for diabetic at Mardjoeki Mahdi Hospital in Bogor. Data of fruits, vegetables, and nuts-legumes-seeds consumption were collected by interviewing using semi quantitative food frequency questionnaires. Fasting blood glucose and plasma MDA were assayed using Wills method, based on the reaction of thiobarbituric acid. Other data such as physical training, smoking status, and diseases history were collected by interviewing using structured questionnaires. Nutritional status data was determined as body mass index. All data was analyzed using Odds Ratio (OR) and logistic regression test to identify the dominant factors contributed to P-MDA level.Results: Factors that contribute to P-MDA level is vegetables, nuts-legumes-seeds consumption and physical training. Consuming vegetables less than 300 g/d and nuts-legumes-seeds less than 2.5 servings/d are associated significantly with having high level of P-MDA (≥0.8 nmol/L), respectively OR=5 (95%CI:1.154-22.02) and OR=4.8 (95%CI:1.26-18.57). Not having physical activity routinely is risk for having high level P-MDA (OR=1.3; 95%CI:1.12-1.45). Those factors are associated to P-MDA level independently.Conclusion: Vegetables and nuts-legumes-seeds consumption have a significant contribution to P-MDA level, it is important to know further which type and chemical content in those food that can prevent lipid peroxidation.
Akurasi petugas dalam penentuan sisa makanan pasien rawat inap menggunakan metode taksiran visual skala comstock 6 poin
Authors: Susyani Susyani , Prawirohartono Endy Paryanto , Sudargo Toto
Published: March 2019

Background: bserving plate waste is categorized as a simple way but yet still needs evaluation. When many foods are wasted, a dietitian should quickly respond and know the best way how to overcome the matters. There are three accurate ways to determine plate waste: plate waste weighing, visual estimation, and 24 hours recall. The application of each method really depends on its purposes. According to previous researches there are significant and positive correlations between the visual estimation of Comstock Scale and plate waste weighing. Visual estimation, moreover, has more advantages as it is easy to apply, cheap, and less time consuming. Considering those advantages, visual estimation needs to be socialized and considered as a new accurate method besides weighing methods.Objective: The objective of this study is to know the medical official accuracy in determining plate waste using visual estimation of 6 point Comstock Scale.Methods: An observational study was conducted using a cross-sectional design. Subjects were nurses and meal servants from hospital wards. Before the meal served to the patient the food is weighed, than the observers officer has to observed portion sized. After the patient having meal, plate waste should be estimated using Comstock Scale by the officer after that the plate waste have to be weight to know the actual weigh. The accuracy difference between two groups in determining plate waste using Comstock Scale were analysed with t-test.Results: There was significant differences of accuracy (p=0.01) between nurse group and meal servant in estimating wasted rice and wasted meat (p=0.02). The difference were not due to the job factor but the significant of various meal (p=0.0001). The work experience is a significant factor in the accuracy of plate waste (p=0.42). There was no correlation between kind of job and kind of meal (p=0.47), and kind of meal with the work experience (p=0.79).Conclusion: Visual estimation of 6 point Comstock scale could be used by both nurses and meal servant in determining plate waste.
Pengaruh konseling gizi terhadap status gizi ibu hamil KEK pada program JPS-BK di Kota Palembang
Authors: Yuniarti Hana , Boediman Dradjat , Sudargo Toto
Published: March 2019

Background: Low quality and quantity of food and limited knowledge on nutrition are major cause of malnutrition among pregnant mothers. Nutrition counseling is expected to improve nutrition status of pregnant mothers.Objective: To identify the effect of nutrition counseling to nutrition status of chronic energy malnourished pregnant mothers.Method: The study was a quasi experiment which used pretest – posttest control group design. Subject of the study were pregnant mothers with upper arm circle < 23.5 cm. The study was conducted at 2 health centers which had high prevalence of chronic energy malnourished pregnant mothers in Palembang Municipality. Nutrition counseling was given every 2 weeks within 3 months. Data obtained were food consumption every 2 weeks at 6 times (multiple recall), weight gain and measurement of upper arm circle once a month and knowledge of the subject about nutrition.Results: There was difference in knowledge of mothers who got nutrition counseling from those who did not (p<0.05). There was difference in energy consumption of mothers who got nutrition counseling from those who did not (p<0.05). There was no difference in protein consumption between mothers who got nutrition counseling and those who did not (p<0.05). There was difference in weight and upper arm circle of mothers who got nutrition counseling and those who did not (p<0.05).Conclusion: Nutrition counseling affected increase of knowledge, energy consumption, weight and upper arm circle. Nutrition counseling did not affect increase of protein consumption.
Hubungan antara pola konsumsi gluten dan kasein dengan skor CARS (childhood autism rating scale) pada anak ASD (autistic spectrum disorder)
Authors: Rahmawati Rahmawati , Sunartini Sunartini , Julia Madarina
Published: March 2019

Background: The worldwide prevalence of ASD (Autistic Spectrum Disorder) during the last few years is increasing. The association between diet free of gluten and casein and improvement of autistic behaviors is still under questions.Objective: To study the association between the consump6tion of gluten and casein and the score of Childhood Autistic Rating Scale (CARS) in children with ASD (Autistic Spectrum Disorder). The study also aimed at understanding mothers’ attitude toward the diet.Methods: This was a cross sectional study on 10 mothers of children suffering from ASD in a clinic in Yogyakarta, Indonesia. A dietician measured the consumptions of gluten and casein with scored food frequency questionnaire while experts in the clinic measured CARS. In-depth interviews were performed to capture the mothers’ attitude toward the diet.Result: There was a decrease in the mean score of consumption of gluten and casein before and after diagnoses of ASD, mean difference of 156.6 (125.2; 187.9), p<0.001). There was no significant correlation between the consumption score of gluten and casein and the decrease in the score of CARS (r= 0.274, p= 0.82). Mothers thought diet free of gluten and casein was associated with improvement of behaviors.Conclusion: Consumption of gluten and casein decreased after diagnosis of ASD. Mothers think diet free of gluten and casein improved their children’s behaviors.
Pengaruh suplementasi zink (Zn) terhadap diare pada penderita umur 6-36 bulan yang dirawat di RSUD Dr. Soedarso Pontianak, Kalimantan Barat
Authors: Gambir Jurianto , Julia Madarina , Jufrrie Muhammad
Published: March 2019

Background: Diarrhoea is one of the major causes of infants and childhood death in Indonesia. Malnutrition and zinc deficiency in diarrhoea may lead to impaired immunity.Objective: To assess the influence of zinc supplementation on the duration of diarrhoea and the frequency of watery stools in under-three-year-old childrenMethod: This was a double-blind randomized controlled clinical trial, with 31 children in the supplemented group and 33 children in the placebo group. All children had acute watery diarrhea and were given supplementation within 24 hours of admission. Daily supplementation of 20 mg zinc was given to the experimental group.Results: The supplemented group had a shorter hospitalization compared to the placebo. Beginning from the second day of supplementation, the frequency of watery stools in the supplemented group was significantly less than in the placebo group (p<0.001). While there was a significant decrease in the concentration of zinc in the serum of the placebo group, there was a slight increase in the supplemented group.Conclusion: Zinc supplementation can shorten hospitalization and reduce the frequency of watery stools in children with diarrhoea.
Hubungan citra tubuh dengan status obesitas, aktivitas fisik dan asupan energi remaja SLTP di Yogyakarta dan Kabupaten Bantul
Authors: Tarigan Noviani , Hadi Hamam , Julia Madarina
Published: March 2019

Background: The prevalence of obesity in adolescence, both in industrial and in developing countries, is increasing. This might be due to the fact that globalization has affected the lifestyle and the eating pattern of the adolescents. Apart from related to higher risk of cardiovascular morbidity and mortality, obesity in adolescents might be also related to dissatisfaction of body image.Objective: To asses the association between obesity and body image, and between body image and energy intake and physical activities of junior high school adolescents in the District of Yogyakarta and Bantul.Method: This is a cross-sectional study. Subjects were 96 pairs of 12-15 years old obese and non-obese adolescents, identified in the obesity screening programs in junior high schools in Yogyakarta and Bantul. Subjects were asked to complete 34 questions on body shape image. Energy intake and physical activity data were obtained by food- and physical-activity-frequency questionnaires.Results: Obese adolescents had higher odds to be dissatisfied to their body images compared to their non-obese peers, i.e. Mantel-Haenszel Odds Ratio (95% CI) of 14.6(6.2-34.4). Obese female adolescents had higher odds to be dissatisfied than their male counterparts, OR (95% CI) of 19.5(2.4-15.9) in female and OR (95%CI) of 13.4(5.3 – 33.8) in male adolescents. There were no significant associations between dissatisfaction status with energy intake and time spent on light physical activities. Dissatisfied adolescents tended to spend less time on hard physical activities compared to their satisfied peers.Conclusion: Obese adolescents were more likely to be dissatisfied with their body images compared to their non-obese peers, but the dissatisfaction did not lead to less energy intake and more time spent on harder physical activities.
Pengaruh suplementasi besi-folat, vitamin A dan seng terhadap durasi dan frekuensi sakit ISPA pada anak sekolah dasar dengan status gizi kurang di Kabupaten Bantul
Authors: Mulyati Sri , Julia Madarina , Mursyid Abidillah
Published: March 2019

Background: Children in school-age are categorized as sensitive group who are in the second fast growth so that adequate nutrition intake is needed. Under-nourished students tend to have low immune and susceptible to illness. Nutrition with infections disease has reciprocal relation, well-nourished will increase body immunity to infections disease and on the other hand, infection disease may worsen nutritional status condition. The relation between lack of micro-nutrient and the decreasing of body immune to ARI need to be solved; one way to solve such problem is by giving supplementation.Objective: The study was meant to know the influence of iron-folate, vitamin A and zinc supplementation to the duration and frequency of ARI among under-nourished elementary students grade IV – VI in Bantul regency.Method: This was experimental with factorial design. Subjects were divided into four treatment groups: iron-folate supple-mentation group were 38 students, iron-folate and vitamin A supplementation group were 39 students, iron-folate and zinc supplementation group were 40 students, and iron-folate, vitamin A and zinc supplementation group were 37 students. Data collected with recall twice a week during 3 months supplementation.Result: Supplementation did not influence frequency of ARI among 113 elementary students with ARI (p=0.72) among four supplementation groups, while the duration of ARI were: iron-folate, vitamin A, zinc 6.5 days, iron-folate, vitamin A 7.7 days, iron-folate, zinc 8.6 days and iron-folate only 11.2 days. In the average, the duration of ARI from every ARI symptom was the duration of cough, the longest cold was in iron-folate group, while cough symptom, the shortest cold was in iron-folate, zinc and vitamin A group.Conclusion: There were influence differences between iron-folate supplementation with Vitamin A and/or zinc and iron-folate supplementation to ISPA duration, but it did not give smaller influence statistically among frequency of ARI. Students with iron-folate, zinc and vitamin A supplementation had the shortest duration of ARI while students with iron-folate supplementation had the longest duration of ARI.
Hipnoterapi untuk penurunan berat badan pada individu obes
Authors: Nurlita Hera , Purba Martalena , Paramastri Ira
Published: March 2019

Background: Obesity is a major health problem. There is a dramatic increase in the prevalence of obesity in many countries and in Indonesia. Evidence strongly suggests that dietary intake of high energy, high fatty foods and decrease physical activity are the primary causes of obesity. Obesity has been directly linked with mortality and morbidity from chronic diseases. Treatment for obese person involves multiple techniques and strategies including dietary therapy, physical activity, behavior therapy as well as combination of these strategies. Hypnosis enables someone to change habits, achieve goals to reduce weight and long-term weight loss maintenance.Objective: This study was conducted to know whether hypnosis have an effect for weight loss in obese people.Method: The study was a quasi-experimental with a pre and posttest control group design. Subjects were divided into two groups; 11 obese individuals received hypnotherapy and nutrition counseling and another 11 obese individuals received only nutrition counseling. Weight was measured at the beginning of the intervention and thereafter. Food intake was analyzed with computer software. Wilcoxon was used to analyze the data.Result: Results of study showed that weight reduction varied between case and control (with hypnotherapy and without hypnotherapy). The average weight loss among the two groups (3.29 kg in case and 0.60 kg in control) were significantly different (p<0.05). The average energy intake among the two groups (1278.4 kcal in case and 1659 kcal in control) were significantly different (p<0.05). Physical activity in case group was higher than the control group.Conclusion: A combination of hypnotherapy and nutrition counseling leads to a better weight reduction than the one without hypnotherapy.
Pengaruh pelatihan tenaga gizi puskesmas terhadap program keluarga sadar gizi di Kota Samarinda Provinsi Kalimantan Timur
Authors: Iswandi Sri Sedono , Prawirohartono Endy Paryanto , Mursyid Abidillah
Published: March 2019

Background: Under nutrition remains a major malnutrition problem in Indonesia. In dealing with the problem, the Indonesian government has already implemented strategies including empowering health workers and families. It is very likely that the nutrition problem and the family awareness on nutrition are closely related. Families that practice balanced nutrition are able to recognize and cope with their nutrition problems are defined as nutritionally aware or better known as Kadarzi.Objective: To study the impact of nutrition training on family awareness on nutrition in Samarinda province of East Kalimantan.Method: This observational study was carried out using cross-sectional design. The study population was household with under five years old children in Samarinda. A hundred and thirty two households were drawn from the population with cluster random sampling technique. The data gathered in the study were Kadarzi indicators, achievement program on Kadarzi, and related information that was collected by inter-viewing Head of Primary Health Care Center (puskesmas) and Integrated Health Service Center (posyandu) cadres at the village level.Result: The training on nutrition had an effect to attainment of the family awareness (Kadarzi) in Samarinda (OR=6,9; 95 % CI =1,98 – 23,82). Other variable which playing a part in of the influence was mother education.Conclusion: Nutrition staff who were well trained had an effect to attainment of the family awareness.
Hubungan kadar serum albumin dengan kejadian morbiditas dan mortalitas pada pasien penyakit ginjal kronik dengan hemodialisis di RS Dr. Sardjito Yogyakarta
Authors: Banudi La , Asdie Ahmad Husain , Susetyowati Susetyowati
Published: March 2019

Background: Chronic kidney disease is a characterized by decreasing kidney function with creatine clearance test <15 mL/minute. At such condition toxic in the body accumulates so that dialysis is needed to eliminate it. Blood albumin serum level may indicate nutrition status and is closely related to morbidity and mortality of hemodialysis patients.Objective: To find out association between albumin serum level and occurrence of morbidity and mortality among patients of chronic kidney disease with hemodialysis.Method: The study was observational with prospective cohort design. It was conducted at Dialysis Installation of Dr. Sardjito Hospital from August 2004 to December 2005. Population were all patients of hemodialysis. Samples were purposively taken using inclusion criteria with as many as 44 minimal samples. Dependent variables were morbidity and mortality. Independent variables  were albumin serum level, age and long time hemodialysis. Data analysis was done in phases, univariable, and then bivariable.Results: There was association between albumin serum level and morbidity at observation I (p=0.021), observation II (p=0.036), and observation III (p=0.012) which indicated that p<0.05. There was also association between albumin serum level and mortality at observation I (p=0.011), observation II, III and IV (p=0.000) which indicated that p<0.05.Conclusion: There was association between albumin serum level and morbidity and mortality of chronic kidney disease patients with hemodialysis.
Pola konsumsi pangan, paritas, dan status gizi ibu pospartum 4 dan 6 bulan
Authors: Mahadewi IGA Putri , Hadi Hamam , Padmawati Retna Siwi
Published: March 2019

Background: Breastfed mothers are included in nutritional high-risk group. A the age of 4-6 months after postpartum, their weight start to decrease because of recovery and breastfeeding. Based on Susilo’s research, the prevalence of inadequate food intake of pregnant mothers in Bantul Regency is 28.69%. That high prevalence is caused by the lack of energy and protein intake. The nutritional status of breastfed mothers depend on their food intake during pregnancy. Nevertheless, the nutritional status of breastfed mothers aged 4 and 6 months who have sufficient and insufficient food intake are not known yet.Objective: To know the relationship between food intake pattern, the nutritional status during pregnancy, and parity with nutritional status of breastfed mothers aged 4 and 6 months.Method: This was observational research with cohort combined with concurrent and non-concurrent prospective study. Subjects were mothers who had baby aged 4 months. Data collected were mother’s nutritional status during pregnancy, nutritional status of breastfed mothers aged 4 and 6 months, food intake pattern (variety, quantity, frequency, avoidance of food), and economics social data (family, education, job, income, outcome, and parity). Food intake determined using FFQ. Data was analyzed descriptively and analytically with chi square and logistic examination. Multivariate logistic test was used to control variable that influence nutritional status of breastfed mothers.Results: The result showed that there was no relationship between food intake patterns during pregnancy with nutritional status of breastfed mothers aged 4 and 6 months. There was also no relationship between parity and nutritional status of breastfed mothers aged 4 and 6 months. Yet, there was significant influence between nutritional status during pregnancy with nutritional status of breastfed mothers aged 4 and 6 months (p<0.05). OR nutritional status during pregnancy and breastfeeding aged 4 month was 4.89:95% CI 1.63-14.7 and 6 month was 12:95% CI 2.37-15.81.Conclusion: The food intake pattern of breastfed mothers and parity did not influence nutritional status of breastfed mothers aged 4 and 6 months. However, the better the nutritional status of mothers during pregnancy, the better the nutritional status of breastfed mothers aged 4 and 6 months.
Pengetahuan dan sikap suami behubungan dengan perilaku keluarga mandiri sadar gizi (kadarzi) di Kota Bandung Provinsi Jawa Barat
Authors: Misbakhudin Misbakhudin , Sudargo Toto , Jamil Muhammad Dawam
Published: March 2019

Background: A nutrition awareness of family (kadarzi) can be actualized through family empowerment by improving knowledge and attitude toward nutrition alert behavior. To implement the program of kadarzi needs a motivator, i.e. a husband as head of the family. The result of kadarzi mapping at Bandung Municipality in 2005 showed that 57.23% of families were not nutrition alert. Therefore, it is necessary to study the relationship between knowledge and attitude of husbands and behavior of kadarzi.Objective: To identify the relationship between knowledge and attitude of husbands and behavior of kadarzi.Method: The study was observational with cross sectional design using quantitative method. Analysed units were 378 households with husbands and wives as respondents. Location of the study was Bandung Municipality and samples were taken using multistage cluster technique. Data of knowledge and attitude of husbands in kadarzi were obtained through observation using check list. Data analysed with univariable and bivariable technique; statistical test used chi square (χ2 ) and multivariable analysis used logistic regression statistical test.Results: Knowledge of husbands on kadarzi was 63.2% belonged to high category and 36.6% belonged to low category. Attitude of husbands toward kadarzi was 53.2% belonged to strong category and 46.8% belonged to weak category. As much as 69.60% of families had not practiced kadarzi and 30.40% had practiced kadarzi. The result of statistical test showed that there were significant relationship between knowledge and attitude of husbands and behavior of kadarzi, wives’ level of education and activities and behavior of kadarzi (p<0.05).Conclusion: There was a siginifcant relationship between knowledge and attitude of husbands and behavior of kadarzi when control variables of wives’ education and activities were included in the analysis.
Asupan natrium dan kalium berhubungan dengan frekuensi kekambuhan sindrom dispepsia fungsional
Authors: Dwijayanti Hervina , Ratnasari Neneng , Susetyowati Susetyowati
Published: March 2019

Background: A high-salt diet is known to cause gastritis, has been associated with a high risk of atrophic gastritis, and is considered a gastric tumor promoter. Excessive NaCl intake enhances Helicobacter pylori colonization in mice and in humans and that chronic salt intake may exacerbate gastritis by increasing Helicobacter pylori colonization. Furthermore, elevated salt intake may potentiate Helicobacter pylori-associated carcinogenesis by inducing proliferation, pit cell hyperplasia, and glandular atrophy.Objective: The aim of this research was to describe the correlation between sodium and potassium intake and relapse frequent functional dyspepsia syndrome in Sardjito Hospital Yogyakarta.Method: This was an observational research with cross sectional design. The subjects of this research were 32 course care patients in Sardjito Hospital Yogyakarta on November 2006–Januari 2007 who met the inclusion criteria. Those were who diagnosed as functional dyspepsia, with or without Helicobacter pylori infection, and above eighteen years old. Data were collected by interviewing and gathered from medical record, then analyzed using Rank-Spearman test.Results: The average of the relapse frequent of dyspepsia syndrome in Sardjito Hospital was 14.38 ±2.93, with the minimum score was 4 and the maximum score was 32. The result showed that sodium intake gave a positive relation and significant for relapse frequent of dyspepsia syndrome (p<0.05). The potassium intake gave a negative relation and significant for relapse frequent of dyspepsia syndrome (p<0.05).Conclusion : There was a positive and significant correlation between sodium intake and relapse frequent of dyspepsia syndrome, but there was a negative and significant correlation between potassium intake and relapse frequent of dyspepsia syndrome.
Pengaruh diet rendah protein modifikasi terhadap keseimbangan nitrogen pada pasien penyakit ginjal kronik predialisis di RSU Dr. Soeradji Tirtonegoro
Authors: Sunaryo Agus , Asdie Ahmad Husein , Susetyowati Susetyowati
Published: March 2019

Background: Chronic kidney disease (CKD) is a decreasing function of kidney chronically, progressive, and irreversible. In this condition, one of the symptom found is uremia where gastrointestinal disturbance such as vomiting and anorexia occurred. This causes less nutrition intake, therefore careful diet is needed in attention. One of important aspect of diet procedures for CKD patients is eating management.Objective: To find out the influence of the modification of low protein diet intake towards nitrogen balance in predialysed CKD patients.Method: This was an experimental research using randomized controlled trial design.The subjects were predialysed CKD patients treated who fulfilled the following criteria: adult patients, obtained a low protein diet therapy, treated for at least two days, and willing to be examined. The treatments were a modification of low protein diet compare with a hospital standard of low protein diet.The twenty patients were devided into two groups namely a-ten-people treatment group and a-ten-people control.Result: The statistical test showed that there were no significant difference (p>0.05) in energy and protein intake, urea nitrogen appearance, and nitrogen balance between modification of low protein diet and the hospital standard of low protein diet in predialysed CKD patients.Conclusion: There were no significant difference in nitrogen balance between modification of low protein diet and the hospital standard of low protein diet in predialysed CKD patients.