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Building a Nutrition Module for the First 1000 Days of Life for the Management of Toddler Stunting at Puskesmas Karang Anyar, South Lampung Khairun Nisa Berawi
Jurnal Pengabdian Kepada Masyarakat Sakai Sambayan Vol 5 No 2 (2021)
Publisher : Lembaga Penelitian dan Pengabdian Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jss.v5i2.272

Abstract

Data riset kesehatan dasar tahun 2018 didapatkan angka stunting sebesar 30,8 persen (19,3 persen balita pendek dan 11,5 persen balita sangat pendek) mengindikasikan bahwa dari 10 anak balita 3 orang berisiko stunting. Berbagai dampak stunting dari jangka pendek dan panjang menjadi urgensi untuk semua pihak bekerjasama menurunkan kasus stunting. Pendekatan intervensi edukasi managemen nutrisi pada kelurga dengan balita stunting menjadi salah satu program solutif. Kegiatan pengabdian kepada masyarakat (PKM) dengan membangun modul nutrisi 1000 Hari Pertama Kehidupan diharapkan dapat menghasilkan program yang membantu menurunkan dan memanagemen kasus balita stunting, khususnya di Kabupaten Lampung Selatan. Metode yang digunakan adalah dengan edukasi melalui penyuluhan dan demonstrasi menggunakan modul nutrisi 1000 HPK yang ditargetkan kepada masyarakat khususnya keluarga dengan balita stunting, yang berada di wilayah Jati Agung Kabupaten Lampung Selatan. Kegiatan PKM diawali penyusunan modul dengan penelusuran literatur, diskusi ilmiah para anggota dengan pakar untuk memfinalkan draft modul edukasi asupan dan asuhan 1000 HPK, FGD dengan para bidan dan penanggung jwab gizi dari daerah lokus PKM, dan survei ke masyarakat khususnya keluarga dengan balita stunting untuk mengedukasi pengelolaan balita stunting dengan modul ini. Kegiatan PKM dievaluasi dengan membandingkan hasil pre-test dengan nilai rata-rata ibu 67, saat post-test nilai rata-rata 79. Hasil menunjukkan bahwa terjadi peningkatan pengetahuan peserta kegiatan, mengindikasikan peningkatan pengetahuan para ibu dengan balita stunting dengan menggunakan modul. Modul nurisi 1000 HPK diharapakan menjadi model edukasi berkelanjutan untuk mencegah balita stunting yang dapat diterapkan oleh seluruh lapisan masyarakat.
EDUKASI POLA PANGAN HARAPAN BAGI KELUARGA UNTUK MENURUNKAN KASUS BALITA STUNTING DI IBU IBU PKK KECAMATAN GUNUNG SUGIH, KABUPATEN LAMPUNG TENGAH Khairun Nisa Berawi
Jurnal Pengabdian Kepada Masyarakat Sakai Sambayan Vol 4 No 1 (2020)
Publisher : Lembaga Penelitian dan Pengabdian Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jss.v4i1.217

Abstract

Stunting merupakan suatu kondisi malnutrisi kronis adalah proses yang disebabkan oleh asupan makanan yang tidak memadai dan infeksi selama periode yang dimulai dalam rahim dan dua tahun pertama kehidupan anak atau dikenal sebagai "1000 hari pertama kehidupan" dan disebut juga sebagai periode emas untuk mencegah kekurangan gizi. Periode dua tahun pertama kehidupan dianggap sebagai masa kritis, karena pertumbuhan dan perkembangan terjadi sangat cepat selama periode ini. Kekurangan nutrisi (malnutrisi) selama periode ini dapat menyebabkan gangguan permanen termasuk stunting yang sulit untuk dipulihkan, bahkan jika kebutuhan nutrisi bisa terpenuhi Sehingga perlu dibangun model nutrisi seimbang yang tepat dan sesuai dengan kondisi kearifan lokal dan bahan lokal wiayah untuk asupan pangan keluarga dalam memanagemen bahkan mencegah masalah kurang gizi khususnya stunting pada anak balita. Peningkatan perilaku dari ibu yang berperan penting dalam pengelolaan gizi keluarga dengan adanya pengetahuan yang baik, diharapkan akan meningkatkan perbaikan managemen gizi keluarga termasuk pada saat hamil dan pada bayi dan balita sehingga membantu menurunkan kasus balita stunting. Kegiatan dilakukan dengan memberikan edukasi mengenai pola pangan harapan bagi keluarga dengan sasaran ibu ibu PKK Kecamatan Gunung Sugih, Lampung Tengah. Hasil kegiatan didapatkan peningkatan pengetahuan yang diharapkan membangun pola makanan sehat keluarga dari para ibu ibu PKK yang diharapkan menjadi role model di lingkungan masyarakat, didapatkan peningkatan rerata nilai peserta dari yang sebelumnya 52 menjadi 70 dari 52 peserta dan diharapkan akan meningkatkan perbaikan perilaku inu dalam mengelola gizi keluarga khususnya pada 1000 hari pertama kehidupan.Kata kunci: edukasi, pola pangan harapan, balita stunting, 1000 hari pertama kehidupan
PENINGKATAN STATUS GIZI DAN KESEHATAN ANAK BALITA MELALUI PENINGKATAN PERILAKU SEHAT IBU DI BANGUNREJO LAMPUNG TENGAH Khairun Nisa Berawi
Jurnal Pengabdian Kepada Masyarakat Sakai Sambayan Vol 3 No 1 (2019)
Publisher : Lembaga Penelitian dan Pengabdian Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jss.v3i1.133

Abstract

Berdasarkan survei yang dilakukan Kemenkes RI melalui riskesdas didapatkan prevalensi balita stunting di Indonesia meningkat dari 36,8% (2007) menjadi 37,2% tahun 2013. Kabupaten Lampung Tengah, Lampung didapatkan kejadian stunting paling tinggi yaitu 52,7% berdasarkan Profil Kesehatan Provinsi Lampung tahun 2015. Penurunan prevalensi balita stunting menjadi salah satu prioritas pembangunan. Stunting terjadi akibat kurangnya asupan dan penyerapan nutrisi terutama pada 1000 hari pertama kehidupan dan merupakan masalah multifaktorial. Stunting memerlukan kerjasama lintas institusi termasuk managemen kesehatan keluarga yang membutuhkan peran ibu sebagai pengelola rumah tangga. Peningkatan perilaku sehat ibu diharapkan mampu meningkatkan status gizi dan kesehatan balita untuk mencegah stunting pada Balita. Kegiatan dilaksanakan melalui penyuluhan mengenai managemen balita sehat dan edukasi perilaku hidup bersih dan sehat pada ibu ibu PKK di Kecamatan Bangun Rejo, Lampung Tengah, yang diharapkan menjadi role model ibu sehat. Hasil pengabdian didapatkan peningkatan pengetahuan peserta berdasarkan hasil pre test diketahui 50, 55% peserta mempunyai pengetahuan kurang dan 49,45% peserta telah memiliki pengetahuan yang cukup dan hasil post test, diketahui bahwa 20% peserta cukup paham, 50% telah memiliki pengetahuan yang baik dan 30% sangat baik. Diharapkan peningkatan pengetahuan dan edukasi yang diberikan akan membantu peningkatan perilaku sehat ibu sehingga mampu mencegah stunting pada balita. Kata kunci: Balita stunting, managemen kesehatan keluarg, status gizi dan kesehatan balita
Perbandingan Map (Mean Arterial Pressure) antara Obesitas General dengan Obesitas Sentral pada Pegawai Laki-Laki Dewasa di Lingkungan Universitas Lampung Khairun Nisa; Nur Anggraini
Inovasi Pembangunan : Jurnal Kelitbangan Vol 5 No 01 (2017): April 2017
Publisher : Balitbangda Provinsi Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (380.575 KB)

Abstract

Obesity was an abnormal condition due to the excess accumulation of fat in adipose tissue. The increasing prevalence of obesity impacted on various cardiovascular diseases. Common cardiovascular risk was blood pressure increase. The research purpose was to determine the comparison of MAP (mean arterial pressure) between general obesity and central obesity on male employees in the University of Lampung. Theresearchemployed comparative analytic method with cross sectional approach. The research was conducted in September-December 2016. The population was the male employees in the University of Lampung as many as 60 respondents. Samples were taken following the consecutive sampling technique. The results showed the samples were in the age group 40 – 49 years of age (51.7%). The mean value for MAP on respondents with central obesity averaged to 108.22 mmHg and respondents with general obesity averaged to 95.56 mmHg with a difference of 12.67 mmHg. The Student’s t test results in comparingthe MAP between general obesity and central obesity was significant at p = 0.001. There were differences of MAP between general obesity and central obesity in male employees at the University of Lampung.
Hubungan antara Mikrobiota dan Psoriasis Alinta Ayuningtyas Alinta; Khairun Nisa Berawi; Nurul Islamy
Jurnal Ilmu Medis Indonesia Vol. 1 No. 1 (2021): September
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.508 KB) | DOI: 10.35912/jimi.v1i1.277

Abstract

As the largest organ of the human body, the skin is colonized by a variety of microorganisms, most of which are harmless and have benefits for the host. This microbiota contributes to the metabolism and immunity of the host. The human microbiota includes bacteria, fungi, viruses and archaea, which inhabit various areas of the body. Most of the microbiota resides in the intestine, only a small part of which inhabit epithelial surfaces such as the mouth, airways, vagina and skin. The total number of microbiota on the surface of the skin is usually in the range 104 to 106 cells per cm2. Psoriasis is one of the most common immune-mediated inflammatory skin diseases. The prevalence of disease has been reported, with a range of 0.09- 11.43% by the WHO Global Report 2016. To date the causes of this disease are not fully understood, genetic and environmental interactions play an important role in disease progression. Recently, immunological approaches have helped to clarify the pathophysiology of the disease significantly. The skin microbiota has been shown to play a role in the pathogenesis of lichenified plaque formation in psoriasis. Corynebacterium, Propionibacterium, Staphylococcus, and also Streptococcus have been identified as the main microbiota. It has not been determined whether these changes in the microbiota are a cause or consequence of psoriasis. For this reason, further research on selective modulation of the skin microbiota is needed. This systematic review aims to elucidate the correlation between the microbiome and pathogenesis of psoriasis and the modulation of the microbiota that could lead to possible therapeutic interventions. Keywords: Microbiota, Psoriasis, Skin
Mikrobiota Usus dan Osteoartritis Redi Bintang Pratama; Khairun Nisa Berawi; Nurul Islamy
Jurnal Ilmu Medis Indonesia Vol. 1 No. 1 (2021): September
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (300.383 KB) | DOI: 10.35912/jimi.v1i1.279

Abstract

Osteoarthritis (OA) is one of the most commonly experienced musculoskeletal diseases. Various studies were conducted to find the relationship between the gut microbiota and the incidence of osteoarthritis. The gut microbiota encourages the production of proinflammatory cytokines and bacterial metabolites which are considered to be part of the pathophysiological mechanisms of osteoarthritis. Various risk factors that trigger osteoarthritis, such as age, gender, diet, and obesity have an influence on the gut microbiota. This suggests the possible involvement of the microbiota in the incidence of osteoarthritis. The increasing prevalence of osteoarthritis calls for an effective disease-modifying therapy strategy to relieve symptoms and slow the progression of the condition. The investigators hypothesized that modulation of the gut microbiota by external approaches might influence the progression of osteoarthritis. To date, some evidence suggests that gut microbiota intervention can be realized through probiotics, prebiotics, exercise, and fecal microbiota transplantation (FMT). Keywords: Osteoarthritis, Microbiota, Risk Factor
Manajemen Holistik dengan Pendekatan Kedokteran Keluarga pada Pasien Wanita 37 Tahun dengan Hipertensi Primer Annisa Putri Perdani; Khairun Nisa Berawi
Jurnal Ilmu Medis Indonesia Vol. 1 No. 1 (2021): September
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (391.251 KB) | DOI: 10.35912/jimi.v1i1.505

Abstract

Purpose: This study aimed to identify risk factors, clinical problems and provide management of patients with the implementation of holistic family physician services based on evidence-based medicine approach to patient and family-centered approach. Research methodology: This study is a case report. Primary data were obtained through history taking (directly from the patient and indirectly from family members), physical examination, and a home visit to complete the family, psychosocial and environmental data. Secondary data were obtained from the medical records of the patient at the health center. The assessment was based on a holistic diagnosis from the beginning, process, and the end of quantitative and qualitative studies. Results: A 37-year-old female was diagnosed with primary hypertension with worries that his disease would get worsen into a stroke. Patients do not know exactly what diet is recommended for hypertensive patients. The evaluation results obtained that complaints and worries of patients were reduced, the knowledge of patients and their families regarding hypertension increased and behavior related to hypertension improved. Contribution: Holistic management has been done with the approach of a family doctor, Mrs. S age 37 years with primary hypertension adjusted for EBM based on baseline holistic diagnostics. These interventions have increased the patient's knowledge and changed some of the patient's behavior and his family, as indicated by improvements in the final holistic diagnostics.
The Efek Neuroprotektif Kafein terhadap Fungsi Motorik pada Penyakit Parkinson Khairun Nisa Berawi; Ilham Nugroho
Jurnal Ilmu Medis Indonesia Vol. 1 No. 1 (2021): September
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.191 KB) | DOI: 10.35912/jimi.v1i1.510

Abstract

Background: Coffee is one of the most consumed drinks in the world and has become a routine part of everyday life. Coffee is known to be a stimulant because of its high caffeine content. Parkinson's disease is the second most common neurodegenerative disorder characterized by the clinical presentation of motor and non-motor disorders. Neuroinflammation plays a major role in the pathogenesis of Parkinson's disease which is regulated by reactive microglia and causes neurodegeneration of dopaminergic neurons. Consumption of caffeine can exert anti-inflammatory effects on nerves in a variety of pathological conditions. Method: The method used is a literature study from various national and international journals. This method is used with the aim of summarizing a current topic in order to increase an understanding. The literature study restates previously published material and reports new facts or analyzes from relevant literature studies and then compares the results in the article. Results: Caffeine can act as a neuroprotective against the development of Parkinson's disease by keeping the blood-brain barrier intact so that the function of the central nervous system remains stable. Caffeine can improve motor function in Parkinson's disease patients by modulating adenosine A2AR receptors at different doses. Caffeine as an adjuvant drug in the treatment of Parkinson's disease is given together with Trihexyphenidyl (THP) which is an anti-Parkinson's agent that has been used clinically to treat Parkinson's disease. Conclusion: Caffeine is a neuroprotective agent that is widely available and can be used in the treatment of Parkinson's disease with current therapies. However, the correct dosage and safety of caffeine are of particular concern, especially when given at high doses for a period of time and concurrently with other Parkinson's drugs.
Sindrom Rapunzel: Laporan Kasus Khairun Nisa Berawi; Fauziyyah Nuur Al Azizah
Jurnal Ilmu Medis Indonesia Vol. 1 No. 2 (2022): Maret
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1161.17 KB) | DOI: 10.35912/jimi.v1i2.730

Abstract

Purpose: This study aimed to summarize the general history, physical exam findings, confirmation test, and treatment of a patient with rapunzel syndrome. Research Methodology: This article is a pediatric surgery RSUD Abdoel Moeloek Lampung case report in 11 March 2020. The subject of the case is a 11-year-old girl who is hospitalized in the hospital ward with Rapunzel syndrome. Result: A 11-year-old girl, an inpatient in the Pediatric surgery Ward, RSUD Abdoel Moeloek Lampung, with abdominal pain such as squeezing, nausea and vomiting filled with water and hard and little bowel movements.. On physical examination, bloated abdomen, epigastric tenderness and left hypochondrium, mass (+).on ct scan examination with gastric contrast looks enlarged, isodense lesions appear, irregular edges in the gastric lumen to the duodenum, separated from the wall, post contrast does not appear enhanced. The patient was clinically diagnosed with “Rapunzel Syndrome.” Management of the patient during treatment was upper midline laparatomy. Limitations: This case report is limited to rapunzel syndrome cases with a scarce number of cases and rare cases in children. Contribution: This case report can be helpful in medical education or used as a reference in making relevant case reports and can be applied in the hospital area when there are cases of Rapunzel syndrome.
IMPLEMENTASI METODE PEMBOBOTAN BERBASIS ATURAN DAN METODE PROFILE MATCHING PADA SISTEM PAKAR MEDIS UNTUK PREDIKSI RISIKO HIPERTENSI Agus Wantoro; Admi Syarif; Khairun Nisa Berawi; Kurnia Muludi; Sri Ratna Sulistiyanti; Sutyarso Sutyarso
Jurnal Teknoinfo Vol 15, No 2 (2021): Juli
Publisher : Universitas Teknokrat Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33365/jti.v15i2.1523

Abstract

Cardiovascular is a disease that often causes death. One of the cardiovascular diseases that often cause death is the risk of Hipertensi. The highest risk factors for premature death and disability in the world are caused by smoking habits, high systolic blood pressure, and increased blood sugar levels. This death factor is because people with Hipertensi generally do not experience any symptoms until their blood pressure is too high which can cause death. Efforts that can be made are by utilizing information technology in the form of a medical expert system to Kelasify the risk of Hipertensi. This study aims to develop a medical expert system in a different way using rule-based weighting methods and profile matching. The weighting method is used to determine the risk weight based on patient variables, while the profile matching method is used to calculate the risk Kelasification based on the core factor and secondary factor variables on the risk of Hipertensi. System evaluation is carried out by comparing asset data taken from the Pima Indian Hipertensi Data (NHANES) with results from the system. The results of the comparison show that the accuracy of the proposed system is 96.67%. The proposed system is also compared with other Kelasification methods such as decision tree, Random Tree, Decision Stump, KNN, Naïve BaYa, Deep Learning, and Rule Induction. Based on the comparison results, the proposed system has a better level of accuracy, therefore the system developed can be used to Kelasify risks for other types of diseases.
Co-Authors Admi Syarif Agung, Leni Yulinda Kesuma Agus Wantoro Agustyas Tjiptaningrum Ahmad Arkan Ichsan Ahmad Arkan Ichsan Alicia Rahma, Cinta Alinta Ayuningtyas Alinta Amir, Anzela Angelica Philia Christy Anggraeni Janar Wulan anggraini janar wulan Angraini, Dwi Indria Anisa Adelia Annisa Adietya Pratama Annisa Fath Annisa Putri Perdani Apri Lyanda Arsistya Ayu Marella Asep Sukohar Assidiq, Hans Pratama Ayu Dinda Fatimah Azizah Nur Rahmah Azizah, Nailul Azizza, Zahra Qori Chicy WIdya Morfi CNA Qolbi Dea Okta Pabiola Dewi Nur Fiana Dewi Nur Fiana Dewi Nur Fiana Dian Isti Anggraini Dian Isti Angraini Dian Syafitri Dian Syafitri Dian Syafitri Diana Mayasari Dilangga, Pad Dinda Annisa Fitria Ditya Ananda Safira Diva Iole Humaira Dwita Oktaria Dyah Wulan Sumekar Rengganis Wardani Eca Cania Efrida Warganegara Emantis Rosa Ester Krisdayanti Exsa Hadibrata Fauzi Ahmad Muda Fauziyyah Nuur Al Azizah Feni Astiti Fitria Putridewi Abidin Fitria Saftarina Frigandra Syahputri Ghaitsa Lulua Giska Tri Putri Gozali, Achmad Haikal Nirfandi Haikal Shiddiq Hanif, Fauziah Happy, Terza Aflika Helmi Ismunandar Hendri Busman Heni Sulistiani Herdato, M. Junus Didiek Ilham Nugroho Ilham Nugroho Iswandi Darwis Jauzaa Faishal Ahmad Padmadisastra Khalisah Nurjihany Salsabila Kurnia Muludi Kurniawan, Ryanda Masri Kurniawaty, Evi Kusumajati, Pusparini Latief, Adhi Nugroho Leni Ervina, Leni Lesilolo, Caroline Virgine Putri Liana Sidharti M Masykur Berawi M. Irfan zaki Rici Maharani, Atifah Fadilah Marcellia, Selvi Marzon, Mafalda Maulana Irfan Hazairin Siregar Messah, Anse Diana Valentiene Muhammad Aditya, Muhammad Muhammad Aditya, Muhammad Aditya Muhammad Farid Adityo Muhammad Rifki Pratama Muhartono Muhartono Neema Putri Prameswari Nelly Yuana Nisa Karima Nisa Karima Nur Anggraini Nurul Islamy Oktafany, Oktafany Oktavia Ningtias, Nabila Perdami, Roro Rukmi Windi Pramesona, , Bayu Anggileo Puspaningrum, Dewi Ayu Putri Giani Purnamasari Qanita Arindia, Naifa Hana Rahma, Cinta Alicia Ramadhan, Yasmine Aulia Ramadhana Komala Rani Himayani Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Ratu Nirmala Wahyunindita Redi Bintang Pratama Reni Zuraida Risti Graharti Riyan Wahyudo Roro Rukmi Windi Perdani, Roro Rukmi RR. Ella Evrita Hestiandari Salma Khairunnisa Samsul Bakri Sembiring, Rinawati Septiani, Linda Smith Imanuel Saputra Soemarwoto, Retno Ariza S. Sri Ratna Sulistiyanti Suci Nurhaliza Suharmanto Suharmanto Suharmanto Suryadi Islami Susianti Susianti Sutyarso Sutyarso Syahrani Alya Murfi Ta Larasati TA Larasati Tasya Khariena Akbar Theodora Agverianti Tsurayya Fathma Zahra Verizka, Talitha Warsito Warsito Warsono Warsono Wibowo, Gatra Hadimuti Winda Trijayanthi Utama, Winda Trijayanthi Wuryaningsih Dwi Sayekti Yoga, M. Agung Prasetya Adnyana Yolanda, Jennifer Ester Yulita Yulita Zefanya, Ezekial