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Mirna Kawulusan
Jurusan Gizi Poltekkes Kemenkes Manado

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ANALISIS FAKTOR RISIKO TERJADINYA SISA MAKANAN PADA PASIEN JIWA DI RUMAH SAKIT JIWA PROF. DR. V. L RATUMBUYSANG MANADO Rudolf Boyke Purba; Mirna Kawulusan; Resmin Sangkide
Jurnal GIZIDO Vol 6 No 2 (2014): Jurnal GIZIDO Edisi November 2014
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/gizi.v6i2.49

Abstract

The nutrition service of the hospital is a community nutrition needs fulfillment activities toimproving health as well as to correct abnormalities in the metabolism of the body in theframework of preventive efforts (prevention), promotif, curative and rehabilitative.The patientreceived power of food served can be seen from the rest of the food. The success of anorganization can be assessed from the food there is absence of leftovers, so leftovers can beused as indicators for evaluating the activities of the Organization of the hospital food.Thepurpose of the research: find out the factors of occurrence of leftovers mental patients treated inpsychiatric hospitals, Prof. Dr. v. l. Ratumbuysang Manado. Types of observational analyticstudy.Research conducted in July 2014 in a mental hospital, Prof. Dr. v. l. Ratumbuysang.Populations in the study are all patients with psychiatric disorders and sample as many as 67people and sampling based on purposive sampling.Data collected data record medic,leftovers.Data analysis to answer hypotheses using Test Chi Square statistical tests. The resultis that like to eat spicy and fried-fried foods (74.6%) don't eat spicy and fried-fried foods (25.4%),the patient's psychic soul belongs to the continental level (6%), the level was as much as (94percent). Organization of the food in the hospital who are satisfied with the appearance of food(97 percent), taste (94 percent). Leftovers in patients who successfully found on fruit are (were95.5 percent). Conclusion: there is a relationship of eating habits with the rest of the food animalside (p = 0.03), There is no relationship with the rest of the rice eating habits (p = 0,52),vegetable side dish (p = 0.48), vegetable (p = 0.42), fruit (p = 0.75), there was no relationshippsychic with the remaining rice (p = 0,52), animal side (p = 0.27), vegetable side dish (p = 0.32),vegetable (p = 0.16), fruit (p = 0,83), there was no relationship with the food the food'sappearance at Rice (p = 0.21, animal side (p = 0.53), vegetable side dish (p = 0.42), vegetable(p = 0,62), fruit (p = 0.92). The taste of food, rice (p = 0.63), animal side (p = 0.63), animal side(p = 0,71), vegetable side dish (p = 0.32), vegetable (p = 0.16), fruit (p = 0,83)
HUBUNGAN KONSUMSI GLUTEN DAN KASEIN DENGAN PERTUMBUHAN SERTA PRESTASI AKADEMIK ANAK PADA SEKOLAH LUAR BIASA DAMAI DI KOTA TOMOHON Mirna Kawulusan; Vera T. Harikedua; Daniel Robert
Jurnal GIZIDO Vol 6 No 2 (2014): Jurnal GIZIDO Edisi November 2014
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/gizi.v6i2.50

Abstract

Child growth include the growth and development of organs cells. Growth is measuredby the physical dimensions of the present picture of the state of nutrition. Growth can beused as an indicator of the adequacy of inputs of nutrients essential because it can bemeasured by the volume of the child's weight gain. Motor development is a process thatmust be passed in a child's life. One of the child's motor skills are gross motor skillsrelated to movement skills that are affected by the large muscles such as : standing,walking, running and jumping. Learning is a process of the work done for someone toacquire a new behavior changes as a whole as his own experience in the interactionwith the environment. Learning means filling activities or the development of cognitiveabilities with the fact that as many students mastered.Survey research methods used (non-experimental) with the cross-sectional design.Exceptional location at the School of Peace in Tomohon is from August to October2013, amounting to 40 students. Statistical analysis used were t - test and Pearson'scorrelation test.Results The average intake of gluten students as much as 247.50 g, average 19.75 gcasein intake, correlation test showed no association between gluten intake in growingchildren (p= 0.881), there was no association between gluten intake with academicachievement children (p= 0.411), there was no correlation between casein intake withgrowth of children (p= 0.319 ), and there is a relationship between the intake of caseinto academic achievement (p= 0,04)
PERBEDAAN POLA MAKAN DAN STATUS GIZI SISWA ANAK SEKOLAH DASAR DARI KELUARGA NELAYAN DAN BUKAN NELAYAN DI KABUPATEN MINAHASA TENGGARA Jufri Sineke; Mirna Kawulusan
Jurnal GIZIDO Vol 7 No 2 (2015): Jurnal GIZIDO Edisi November 2015
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/gizi.v7i2.76

Abstract

At this time, Indonesia faced a double nutritional problem is the problem of malnutrition and overnutrition problems. Umumya problem of malnutrition caused by poverty, lack of food supplies, lackof good kualiatas environment (sanitation), the lack of public knowledge about nutrition, abalanced diet and health and nutrition for poor areas (Iodine). Instead more nutritional problemscaused by economic progress in specific segments of society is accompanied by a lack ofknowledge about nutrition, balanced diets and health (Almatsier 2010). Nutritional problems foundin children who live on the coast and mountains. Usually the wrong diet that cause nutritionalproblems. The purpose of research to describe dietary and nutritional status of children of primaryschool students from families of fishermen and not fishermen in Southeast Minahasa Regency.This type of research is a survey research is descriptive, cross sectional study, the sampleamounted to 72 people. Data collected in the form of diet by using FFQ form and the level of foodconsumption is done with a 24-hour recall method performed 2 times. Data nutritional status ofchildren, collected using BMI index / U.The results showed that the pattern of energy consumption in general (52.7%) are less good, andonly 33.3% good, 66.7% carbohydrate consumption patterns less and 22.2% good, 58.3% proteinand 25% less good, 72.2% fat and 18.1% less well. Nutritional status of children 54.2% better, butthere is a very thin 5.5%, 22.2% and 2.7% underweight obesity. There is no difference betweenthe energy consumption patterns of children from families of fishermen with fishing instead offamily where p> 0.05, there is no difference between the pattern of nutrient consumption ofcarbohydrates with a child from a family of fishermen instead of fishing families where p> 0.05,there is no difference between the pattern of nutrient consumption of protein from fishing familieswith children instead of fishing families where p> 0.05, there is no difference between fatconsumption pattern child family fisherman with no fishing families where p> 0.05, there is nodifference between the nutritional status of children family fishermen not fishing families where p>0.05.
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN STATUS GIZI ANAK BALITA DI KELURAHAN SINDULANG SATU KOTA MANADO Irene Natalia Papendang; Mirna Kawulusan; Nonce Nova Legi
Jurnal GIZIDO Vol 9 No 1 (2017): Jurnal GIZIDO Edisi Mei 2017
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.08 KB) | DOI: 10.47718/gizi.v9i1.428

Abstract

One of the International Conference On Nutrition's commitments in Rome 2014 is to eliminate hunger and prevent any form of malnutrition worldwide. Toddler nutrition status is influenced by direct and indirect causes. The direct causal factors are food intake and infectious diseases, while the underlying causes are mother's level of knowledge and history of exclusive breastfeeding. This research is to know the factors related to the nutritional status of children under five in Sindulang Urban One Kota Manado. This type of research is analytic correlation with crossectional design. Population as many as 284 balita and samples 43 under fives. Data analysis using Fisher Exact Test to know the correlation of independent and bound variable and multinominal logistic regression test to know the most dominant factor that related to nutrition status of Toddler. Instruments used in this study are questionnaires, food recall form 24 hours weighing scales, and stationery. The results of this study indicate that there are 5 children under five who have bad nutritional status (BGM) based on BB / U index, energy intake is dominated by good intake level and less, and there are 5 infants who have suffered from infectious diseases (acute diarrhea). 21 Toddlers are given Exclusive Breast Milk and 22 Toddlers are not given Exclusive Breast Milk. Most Balita women have a good level of knowledge about nutrition. There is correlation between energy intake with nutritional status of children under five (p = 0.000), there is correlation history of infectious disease with nutrient status of children under five (p = 0.007). There is no history of exclusive breastfeeding relationship with underfive nutritional status (p = 0.127). There was no correlation between maternal knowledge level and nutritional status of children under five (p = 1,000). Energy intake is the most dominant factor affecting the nutritional status of children under five in Sindulang Satu Village.
Efektivitas Nasi Beras, Merah (Oryza Nivara) Terhadap Kadar Kolesterol Total Penderita Diperkolesterolemia Nonce Nova Legi; Mirna Kawulusan; Marstevi Olivia Gedoan
Jurnal GIZIDO Vol 11 No 01 (2019): Jurnal GIZIDO Edisi Mei 2019
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/gizi.v11i01.747

Abstract

Hypercholesterolemia is an increase in total cholesterol levels in the blood beyond the normal limits. Excess cholesterol levels in the blood will have an impact on degenerative diseases. Brown rice (oryza nivara) is a rice rich in vitamins, minerals and contain water soluble fiber that can help bind cholesterol, then throw it out of the body. Regular consumption of brown rice is very beneficial for health that can reduce levels of LDL. The aim of this research is to know the effectiveness of brown rice rice to total cholesterol level in hypercholesterolemia patient in Vilage Sea Pineleng District of Minahasa Regency. The type of this research is Quasi Eksperimen with One Group of Pretest and Posttest Design. The sample in this study is the entire population of hypercholesterolemia patients recorded in Posbindu Village Sea Pineleng District Minahasa regency that meets the inclusion criteria. Rice brown rice is given for 8 consecutive days every morning, day and night. Total cholesterol levels were measured before and after administration of brown rice. Data analysis using Paired t-test. The results showed that the total cholesterol level before the study was the highest of 360 mg / dl, the lowest was 216 mg / dl, and after the highest total cholesterol was 298 mg / dl, the lowest was 164 mg / dl. The result of statistical test shows that p = 0,019 (p <0,05), which means that there is difference of total cholesterol before and after giving of rice of red rice to hypercholesterolemia patient in Vilage Sea Pineleng Sub-district of Minahasa Regency.
Hubungan Tingkat Pengetahuan Gizi Dan Pola Makan Dengan Kejadian Obesitas Pada Siswa Smk Negeri 1 Biaro Jufri Sineke; Mirna Kawulusan; Rudolf B. Purba; Anita Dolang
Jurnal GIZIDO Vol 11 No 01 (2019): Jurnal GIZIDO Edisi Mei 2019
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/gizi.v11i01.752

Abstract

Obesity is a problem worldwide because of its increasing prevalence in adults and adolescents. Riskesdas results showed an increase in the prevalence of over nutrition in children aged 16-18 years, for the fat category from 1.4% in 2010 to 7.3% consisting of 5.7% fat and 1.6% obesity in 2013. This study aims to determine the relationship between the level of nutritional knowledge and eating patterns with the incidence of obesity in students of Biaro 1 Vocational School. This research is an analytic observational descriptive study with cross sectional design, with a sample of 36 people who met the inclusion criteria. Data was collected through interviews using nutritional knowledge questionnaires and semi-FFQ forms to determine dietary patterns, and measurements of abdominal circumference for obesity data. Univariate analysis was performed descriptively and the bivariate analysis used was the correlation test with Kendall's tau-b with a value of α = 0.05. The results of this study showed that the level of nutritional knowledge of 36 respondents was mostly lacking at 50.0%, the respondents' eating patterns were mostly not good at 80.6%, and obesity status with an average abdominal circumference size of 80-85 cm was 55.7%. Statistical test results show that there is a relationship between the level of nutritional knowledge and eating patterns with the incidence of obesity in students of State Vocational School 1 Biaro (p <0.05).
Pola Asuh Dan Pendapatan Keluarga Dengan Kejadian Stunting Pada Anak Usia 2-5 Tahun Di Wilayah Kerja Puskesmas Bohabak Mirna Kawulusan; Rivolta G.M. Walalangi; Jufri Sineke; Regita C. Mokodompit
Jurnal GIZIDO Vol 11 No 2 (2019): Jurnal GIZIDO Edisi November 2019
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/gizi.v11i2.778

Abstract

Stunting is defined as height according to age -2 standard median child growth curve. One of the causes of stunting is poor parenting practices. Family income influences a person's ability to access certain foods which affect the nutritional status of children. The purpose of this study was to determine the pattern of fostering and family income with stunting in the work area of ​​the Bohabak Health Center, North Bolaang Mongondow Regency. his type of research is analytic observational using cross sectional design. The number of samples determined by Purposive Sampling as many as 41 people aged 2-5 years. Bivariate data analysis used Chi square test with Fisher's Exact value. The results showed the sample in the short category is 68.3% and in the very short category 31.7%, the sample gets good parenting ie 63.4% and parenting less 36.6%, the sample that has high family income is 22% and low family income 78%. It is known that there is no significant relationship between Parenting and Stunting in children aged 2-5 years in the work area of ​​the Bohabak Health Center. There is a significant relationship between family income with the incidence of stunting in children aged 2-5 years in the work area of ​​the Bohabak Community Health Center. It is recommended for puskesmas especially nutrition programs to provide counseling to adolescents, women of childbearing age and pregnant women about the causes of stunting and the importance of handling the First 1000 Days of Life.
Tingkat Pendidikan TINGKAT PENDIDIKAN IBU DAN PENYAKIT DIARE TERHADAP KEJADIAN STUNTING PADA ANAK 3-5 TAHUN DI PUSKESMAS TUNGOI Vera Tasentimbang Harikedua; Rivolta Gusta Marsya Walalangi; Grace Kerly Loni Langi; Mirna Kawulusan; Livy Paulus
Jurnal GIZIDO Vol 12 No 2 (2020): Jurnal GIZIDO edisi November 2020
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/gizi.v12i2.1225

Abstract

ABSTRAK Diare merupakan penyakit yang paling banyak menimpa pada anak. Diare pada anak dapat terjadi karena berbagai sebab sedangkan stunting merupakan kondisi gagal tumbuh pada bayi (usia 0-11 bulan) dan anak balita (usia 12-59 bulan) akibat dari kekurangan gizi kronis terutama dalam 1.000 hari pertama kehidupan sehingga anak terlalu pendek untuk usianya. Tujuan dari penelitian ini adalah untuk mengetahui hubungan tingkat pendidikan ibu dan diare dengan kejadian stunting di Puskesmas Tungoi. Jenis penelitian ini bersifat analitik observasional dengan desain kasus cross sectional dan dilaksanakan di wilayah kerja Puskesmas Tungoi Kecamatan Lolayan Kabupaten Bolaang Mongondow tanggal 10 Februari sampai 24 Februari 2020. Teknik pengambilan sampel yaitu purposive sampling dengan jumlah sampel 34 balita dan menggunakan uji Fisher’s Exact Test. Hasil penelitian menunjukkan bahwa tidak terdapat hubungan yang bermakna antara tingkat pendidikan ibu terhadap kejadian stunting pada anak 3-5 tahun di Puskesmas Tungoi dengan nilai p=0.196. Untuk penyakit diare, tidak terdapat hubungan yang bermakna antara penyakit diare terhadap kejadian stunting pada anak 3-5 tahun di Puskesmas Tungoi dengan nilai p=0.317. Abstrack Stunting is a condition of failure to thrive in infants (ages 0-11 months) and toddlers (ages 12-59 months) due to chronic malnutrition, especially in the first 1,000 days of life, so the child is too short. for her age. Toddlers are said to be short if the z-score for body length according to age (PB / U) or age height (height / age) is less than -2SD / standard deviation (stunted) and less than -3SD (severe stunted). The purpose of this study was to see the relationship between maternal education level and diarrhea with the incidence of stunting at Tungoi Health Center. This type of analytic observational research with cross sectional case design. This study describes the relationship between maternal education level and diarrheal disease on the incidence of stunting in children aged 3-5 years at Tungoi Health Center. The research was conducted in the working area of ​​the Tungoi Community Health Center, Lolayan District, Bolaang Mongondow Regency on February 10 to February 24, 2020. The sampling technique was purposive sampling with a sample size of 34 children under five and using Fisher's exact test. The results showed that there was no relationship between the level of maternal education and the incidence of stunting in children under 3-5 years old at the Tungoi Health Center with a value of p = 0.196. For diarrheal diseases, there is no close relationship between diarrheal disease and the incidence of stunting in children 3-5 years at the Tungoi Health Center with a value of p = 0.317.
SUPLEMENNTASI PEMBERIAN MAKANAN RINGAN (BISKUIT) BERBAHAN DASAR PANGAN LOKAL TEPUNG TULANG IKAN MALALUGIS (DECAPTERUS SPP) DAN BIHUN DALAM MENINGKATKAN STATUS GIZI ANAK BALITA STUNTING USIA 1-2 TAHUN Jufri Sineke; Mirna Kawulusan
Jurnal GIZIDO Vol 12 No 2 (2020): Jurnal GIZIDO edisi November 2020
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/gizi.v12i2.1226

Abstract

ABSTRAK Malnutrisi merupakan keadaan kurangnya asupan zat gizi baik makronutrien maupun mikronutrien, jika dibandingkan dengan kebutuhan hariannya. Salah satu masalah gizi kurang dengan prevalensi tinggi di Indonesia adalah stunting. Stunting merupakan hasil dari gagalnya pertumbuhan anak sehingga tinggi badan anak sangat rendah dan tidak sesuai dengan perbandingan usianya. Penelitian bertujuan untuk memberikan suplementasi makanan ringan (snack) berbahan dasar pangan lokal tepung tulang ikan malalugis (Decapterus SPP) dan Bihun dalam meningkatkan status gizi anak balita stunting usia 1-2 tahun. Jenis penelitian adalah penelitian bersifat quasy eksperiment one group design pre and post test. Sampel berjumlah 37 anak balita stunting 1 – 2 tahun. Pengambilan sampel dilakukan dengan cara total sampling. Data karakteristik dikumpulkan dengan wawancara menggunakan kuesioner, data komsumsi zat gizi mengunakan formulir recall 24 jam sebelum dan sesudah intervensi. pengukuran tinggi badan menggunakan mikrotois. Uji statistik yang digunakan uji t-tes pada tingkat kepercayaan 95% dan batas kemaknaan p<0,05. Hasil penelitian rata-rata nilai tinggi badan sampel sebelum intervensi sebesar 77,63 cm dan nilai tinggi badan sesudah intervensi adalah 78,17 cm, peningkatan nilai tinggi badan 0,54 cm sesudah dilakukan inervensi. Derajat z-scor stunting sebelum dilakukan intervensi 21 sampel (56,76%) dengan derajat stunting -2SD dan 16 sampel (43,24%) dengan derajat stunting -3SD. Setelah intervensi derajat z-skor stunting sampel tidak mengalami perubahan. Ada perbedaan tinggi badan sebelum dan sesudah intervensi pada anak balita stunting. Ada perbedaan konsumsi zat gizi (Energi, Protein, Karbohidrat, Lemak, Kalsium dan Zink) sebelum dan sesudah intervensi. ABSTRACT Malnutrition is a state of lack of intake of nutrients both macronutrients and micronutrients, when compared to their daily needs. One of the malnutrition problems with high prevalence in Indonesia is stunting. Stunting is the result of failure to develop a child so that the child's height is very low and does not match the age ratio. This study aims to provide snack supplementation made from local food, malalugis fish bone meal (Decapterus SPP) and vermicelli in improving the nutritional status of stunting children aged 1-2 years. This type of research is a quasy experimental one group design pre and post test. The sample consisted of 37 children under five with 1 - 2 years of stunting. Sampling was done by total sampling. Characteristic data were collected by interview using a questionnaire, nutritional consumption data using a 24-hour recall form before and after the intervention. measurement of height using microtois. The statistical test used was the t-test at the 95% confidence level and the limit of significance p <0.05. The results of the study the average height value of the sample before the intervention was 77.63 cm and the height value after the intervention was 78.17 cm, an increase in the height value of 0.54 cm after the intervention was carried out. The degree of stunting z-score before intervention was 21 samples (56.76%) with a stunting degree of -2SD and 16 samples (43.24%) with a stunting degree of -3SD. After the intervention, the stunting degree of the sample did not change. There are differences in height before and after the intervention in stunting children under five. There were differences in the consumption of nutrients (energy, protein, carbohydrates, fat, calcium and zinc) before and after the intervention.