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All Journal World Nutrition Journal IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN) Strada Jurnal Ilmiah Kesehatan (SJIK)
Yohannessa Wulandari
Department Of Nutrition, Faculty Of Medicine, Universitas Indonesia - Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
Dentistry Health Professions Medicine & Pharmacology Public Health

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TERAPI NUTRISI PADA PASIEN STENOSIS GASTROJEJUNOSTOMI Amelia Jessica; Audria Graciela; Yosua Yan Kristian; Yohannessa Wulandari
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 4 No 1 (2021): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v4i1.59

Abstract

Latar belakang Stenosis merupakan komplikasi yang dapat terjadi pada pembedahan gastrojejunostomi. Stenosis dapat menyebabkan gastric outlet obstruction (GOO), yaitu terhambatnya pengosongan lambung sehingga menimbulkan keluhan mual, muntah, intoleransi terhadap makanan, penurunan selera makan, dan nyeri perut. Gastic outlet obstruction berkepanjangan berisiko menyebabkan terjadinya dehidrasi, ketidakseimbangan elektrolit, serta malnutrisi. Penurunan berat badan ditemukan pada 65% pasien dengan GOO. Laporan Kasus Tn. B, 62 tahun, dengan diagnosis tumor ganas kolon asenden, pasca laparotomi hemikolektomi dekstra, eksklusi pilorus, dan gastrojejunostomi. Sejak satu tahun sebelum masuk rumah sakit, pasien mengeluhkan mual dan muntah disertai nyeri perut hilang timbul, terutama sebelah kanan. Pada pemeriksaan didapatkan tumor pada usus besar dan dilakukan operasi hemikolektomi kanan. Saat pembedahan, terdapat perlengketan tumor pada duodenum dan saat dibebaskan terjadi cedera pada duodenum, sehingga dilakukan eksklusi pilorus serta gastrojejunostomi. Sembilan hari pasca pembedahan dilakukan relaparotomi gastrojejunostomi Roux-en-Y serta adhesiolisis akibat adanya stenosis dan adhesi. Pasien mengalami penurunan berat badan sebanyak 19 kg dalam waktu 1 tahun terakhir. Terapi nutrisi berupa diet 1420 kkal, protein 1.1g/kgBB/hari, lemak 32%, dan karbohidrat 50% dalam bentuk nutrisi parenteral. Pemberian mikronutrien enteral untuk sementara ditunda. Pemantauan dilakukan setiap hari pada pasien berupa toleransi asupan, saluran cerna, tanda vital serta keseimbangan cairan. Kesimpulan Stenosis gastrojejunostomi merupakan komplikasi yang jarang terjadi, namun dapat mengakibatkan terjadinya GOO. Pemberian nutrisi parenteral perioperasi diberikan pada pasien yang tidak dapat mencukupi kebutuhan energi melalui oral atau enteral, serta kondisi malnutrisi berat pada pasien yang akan menjalani pembedahan. Nasogastrojejunal tube merupakan jalur pilihan pemberian nutrisi yang diutamakan pada GOO.
Body Mass Index And Survival Rate in Nasopharyngeal Cancer Patient: An Evidence-based Case Report Yohannessa Wulandari; Metta Satyani; Marvin Marino; Nurul Ratna Mutu Manikam
World Nutrition Journal Vol. 3 No. 2 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V03.i2.0005

Abstract

Introduction: Nasopharyngeal cancer is the most common type of head and neck cancer with prevalence of 6.2/100000 population. Recently, study of prognostic factors for nasopharyngeal cancer still becomes one of research focuses. Several studies have tried to find the relationship between nutritional status (body mass index/BMI) and nasopharyngeal cancer patients’ survival rate, but the results are still inconsistent.                    Objective: To find the relationship between nutritional status represented by BMI and nasopharyngeal cancer patients’ survival rate.Methods: Electronic literature searches were performed in Cochrane®, Scopus®, and Pubmed®. Mesh term and title/abstracts were screened based on inclusion and exclusion criteria before relevant journals were reviewed.Results: Two articles were selected based on the eligibility criteria and relevancy to the clinical question. In the study of Huang et al., the subject was nasopharyngeal cancer patient stage III and IV was included as subject of the study. In the study of Lin et al., nasopharyngeal cancer patient with metastases was also included. Patient with higher BMI has better survival rate than underweight BMI category.Conclusion: Increasing BMI in underweight cancer patient simproves nasopharyngeal cancer patient’ survival rate.
The effect of dietary fiber on insulin resistance in obesity: A literature review Santri Dwizamzami Faridahanum; Fariz Nurwidya; Yohannessa Wulandari
World Nutrition Journal Vol. 4 No. 2 (2021): Volume 04 Issue 2, August 2021
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.i2.0009

Abstract

Introduction Obesity has become a significant public health problem in developing countries such as Indonesia. According to WHO, 13% of adults aged 18 years and over were obese in 2016. In Indonesia, 21.8% of adults were obese. In obesity, the body's resistance to insulin will develop. Some studies showed a probable link between dietary fiber and insulin resistance. This research aims to investigate the role of the dietary fiber on insulin resistance in obesity. Methods: This study is a literature study to determine the effect of dietary fiber on insulin resistance in obesity with sources from scientific publications 10 years back. The databases were PubMed and Google Scholar. The search term used was using the explode function for subgroup terms with operators (“and,” or) for “dietary fiber”, “obesity”, “insulin resistance”. Hand-searching was used to identify further potential eligible studies. There were no language restrictions, however only publications with full texts available were included. Total 138 publications titles and abstract were screened for their relevance to this literature review. Results: A total of 25 publications were finally included. There are cross-sectional studies, randomized clinical trial, cohort studies, and article review. Some studies showed that dietary fiber had an effect on improve insulin resistance, but other studies did not find this effect. Conclusion: The studies of dietary fiber effect on insulin resistance have inconsistent results. In the future, further studies are required for better understanding about the effect of dietary fiber on insulin resistance in obesity
Medical nutrition therapy and vitamin D supplementation improved nutritional status and quality of life in relapse systemic lupus erythematosus patient : A case report Ayu Diandra Sari; Yohannessa Wulandari; Diyah Eka Andayani
World Nutrition Journal Vol. 5 No. S3 (2022): Selected conference proceedings of the Nutri Virtual Symposium 2021
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V05.S3.0025

Abstract

Medical nutrition therapy (MNT) plays pivotal role in comprehensive management of autoimmune disease, includes systemic lupus erythematosus (SLE). Meanwhile, MNT for SLE is still not a concern in many international clinical practice guidelines. Many studies reported about nutritional declines and metabolic complications related to long term corticosteroid use in SLE patients, i.e. malnutrition, sarcopenia, hypovitaminosis D, hypertension and etc. Besides, obesity is more expected become important risk factor in SLE.
Medical nutrition therapy and home monitoring in type 2 diabetes mellitus patient with metabolic syndrome and history of diabetic ketoacidosis Anak Agung Eka Widya Saraswati; Yohannessa Wulandari; Lily Indriani Octovia
World Nutrition Journal Vol. 5 No. S3 (2022): Selected conference proceedings of the Nutri Virtual Symposium 2021
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V05.S3.0024

Abstract

Obesity, one of the risk factors for mtype 2 diabetes mellitus (T2DM), is known to cause low-grade inflammation and increase T2DM morbidity. Obesity and T2DM also lead to other comorbidities, such as metabolic syndrome. The provision of medical nutrition therapy accompanied with routine home monitoring could improve glycemic control and achieve therapeutic targets, simultaneously.
Vitamin D serum level as a prognostic factor in 1 predicting mortality severe COVID-19 patients: An evidence based case report Heny Puspita; Marcia Kumala; Yohannessa Wulandari
World Nutrition Journal Vol. 6 No. 1 (2022): Volume 06 Issue 1, August 2022
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V06.i1.0002

Abstract

Introduction: The mortality rate of COVID-19 is still high. Many prognostic factors have been studied to decrease the mortality rate. One of the many factors is vitamin D status, known for years as an immunomodulator and anti-inflammatory agent. Vitamin D deficiency could worsen the symptoms of COVID-19 and ultimately lead to mortality. However, some literature shows controversial results. Methods: Literature research was conducted by advanced searching in Pubmed, Cochrane Library, Scopus, and ProQuest, using a combination of both MeSH Terms and Title/Abstract. After removing duplicates, these literature were screened according to the eligibility criteria. Appraisal and level of evidence of the final literature were determined based on Oxford Centre for Evidence-Based Medicine. Results: Two selected literature were relevant to answer our clinical question. The former is a retrospective cohort study by Radujkovic et al. (2020), while the latter is a prospective cohort study by Bennouar et al. (2020). Both show similar results that low vitamin D serum levels in severe COVID-19 patients can increase the in-hospital mortality risk. Conclusion: Vitamin D is one of the prognostic factors that can predict the mortality rate of severe COVID-19 patients. We suggest that vitamin D serum level can be measured regularly in COVID-19 patients and administered to patients with such deficiencies. Adequate vitamin D deficiency management is expected to lower the COVID-19 mortality rate.
The Correlation between Fiber Intake and Insulin Resistance in Normal and Overweight Employees in Jakarta Santri Dwizamzami Faridahanum; Fariz Nurwidya; Yohannessa Wulandari
STRADA : Jurnal Ilmiah Kesehatan Vol. 10 No. 1 (2021): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v10i1.586

Abstract

This study aims to determine the correlation between fiber intake and insulin resistance in normal and overweight employees in Jakarta. This study is a cross-sectional study of 58 employees of a pharmacy company aged 19-49 years with normal or overweight and normal blood sugar. BMI, waist circumference, physical activity, smoking status and food intake were assessed. The fiber intake was assessed by 3 days estimated food record and the insulin resistance was assessed by HOMA IR obtained from fasting blood sugar and insulin. Data analysis technique used the Spearman Correlation test with the Statistical Package for Social Science (SPSS). Result obtained fiber intake and HOMA IR has r= -0.390 and p = 0.002. Based on the result of the study, it can be concluded that there is a negative correlation between fiber intake with insulin resistance in normal and overweight employees in Jakarta.
Co-Authors Amelia Jessica Anak Agung Eka Widya Saraswati Audria Graciela Ayu Diandra Sari Diyah Eka Andayani Fariz, Nurwidya Heny Puspita Lily Indriani Octovia Marcia Kumala Marvin Marino Metta Satyani Nurul Ratna Mutu Manikam Santri Dwizamzami Faridahanum Santri Dwizamzami Faridahanum Yosua Yan Kristian