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TERAPI NUTRISI PADA PASIEN CARDIAC CACHEXIA ET CAUSA CHRONIC HEART FAILURE NYHA III DENGAN PENYULIT EDEMA PARU KARDIOGENIK AKUT Layle Rahmiyanti; Suryani As’ad; Nurbaya Syam
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 3 No 1 (2020): 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.v3i1.21

Abstract

Pendahuluan Cardiac cachexia (CC) adalah penurunan berat badan dengan/ tanpa muscle wasting pada pasien gagal jantung. Terapi nutrisi merupakan salah satu upaya untuk mencegah perburukan klinis CC. Laporan Kasus Ny.R, 54 tahun dikonsultasikan dengan diagnosa edema paru kardiogenik akut dan congestive heart failure NYHA III. Keluhan utama berupa masukan makan berkurang sejak 1 tahun dan memberat dalam 8 hari terakhir karena sesak napas. Ada riwayat penurunan berat badan, namun tidak diketahui besar penurunannya. Tampak lemah dan sesak napas. Antropometri: TB 154 cm, LLA 19.5 cm. Terdapat kehilangan jaringan lemak subkutan dan muscle wasting tanpa edema. Handgrip strength 5.2 kg. Food recall 24 hour 343 kkal. Status gizi buruk berdasarkan SGA. Terapi nutrisi: kalori 1600 kkal diberikan bertahap, dengan komposisi makronutrien: karbohidrat 45-50%, protein 1.5 gr/kgBBI/hari dan lemak 32-37%. Diberikan nutrient spesifik berupa EPA dan BCAA. Suplementasi mikronutrien: zink, curcuma, vitamin Bkompleks, thiamin dan ekstrak ikan gabus. Setelah Pasien dipulangkan, kami lakukan pemantauan selama 8 bulan untuk menilai asupan kalori, berat badan dan kapasitas fungsional serta kepatuhan pasien terhadap program terapi nutrisi yang diberikan. Terdapat perbaikan klinis peningkatan asupan energi, berat badan yang stabil, dan peningkatan kapasitas fungsional. Kesimpulan Terapi nutrisi yang adekuat dan pemberian nutrient spesifik dapat mencegah perburukan CC.
HUBUNGAN POLA MAKAN DAN STATUS GIZI TERHADAP KEJADIAN STUNTING PADA BADUTA USIA 6-23 BULAN DI KECAMATAN POLONGBANGKENG UTARA TAHUN 2019: HUBUNGAN POLA MAKAN DAN STATUS GIZI TERHADAP KEJADIAN STUNTING PADA BADUTA USIA 6-23 BULAN DI KECAMATAN POLONGBANGKENG UTARA TAHUN 2019 Umi Kalsum; Veni Hadju; Suryani As’ad
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 12 No 1 (2020): Jurnal Riset Kesehatan Poltekkes DepKes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (363.385 KB) | DOI: 10.34011/juriskesbdg.v12i1.838

Abstract

Nutrition problems are the main cause of the burden of disease in children globally. The occurrence of a short toddler or stunting is one of the nutritional problems experienced by toddlers in the world today. Relationship of Eating Pattern and Nutrition Status with Stunting Occurrence in The Toddler Anging 6-23 Months in North Polongbangkeng Distric. This study aims to determine the risk factors for stunting in the toddler aging 6-25 months after controlling for other variables in North Polongbangkeng Dsitrict, in 2019. This type of research is obsevasional analytic with case control desing. The number of research samples as many as 68 cases, namely toddler suffering from stunting and 68 people as controls, namely normal / not stunting toddlers. Bivariate data nalysis used chi-square test with α=0.05 and multivariat analysis used logistic regression test.The result showd that a significant risk factor for the occurrence of stunting, namely maternal factors which included a history of eating patterns and nutritional status based on anemia and KEK. History for eating patterns p=0,000 (<0,05) with an OR value of 7,824 times having stunting. Nutritional status based on anemia was p=0,026 (<0,05) with an OR value of 2.473 times the risk of stunting. Nutritional status based on KEK is p=0,000 (<0,05) with OR = 5,093 times the risk of stunting. There is a relationship between diet and maternal nutritional status on the risk of stunting in baduta.
PENGEMBANGAN DAN EVALUASI PROGRAM KONSELING GIZI INTENSIF PADA IBU HAMIL DALAM MENINGKATKAN KUALITAS DIET Natalia Rorrong Pamilangan; Aminuddin Aminuddin; Agussalim Bukhari; Veni Hadju; Nilawati Usman Andi; Suryani As’ad
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 12 No 1 (2020): Jurnal Riset Kesehatan Poltekkes DepKes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (298.399 KB) | DOI: 10.34011/juriskesbdg.v12i1.855

Abstract

The quality of a pregnant woman's diet is important for maternal health, fetal growth and development. Nutritional counseling interventions are effective in preventing complications for both mother and fetus. This study aims to determine differences in the quality of the diet of pregnant women in the treatment group and the control group, knowing the difference in the quality of the diet of pregnant women before and after intensive nutrition counseling using leaflet media. This research is a quasi-experimental study with a one post pre control group design approach. This research was conducted at Polongbangkeng Utara Health Center, Takalar Regency. The sampling technique uses simple random sampling method. The sample in this study was pregnant women trimester I-III who met the inclusion and exclusion criteria. The group that received intensive nutrition counseling was 35 people and the group without intensive nutrition counseling was 35 people. Intensive nutritional counseling was provided by researchers with the help of media leaflets then mentoring with a target of six sessions / meetings for 45 minutes. Every 7 (seven) days will be assessed again the quality of the diet per individual Respondents record the food consumed in URT (Household Size) or gram, then researchers estimate / estimate URT (estimated food record) into a measure of weight (grams). The calculation of diet quality is calculated using Nutrisurvey 2007 software. The results showed there were differences in the quality of the diets of pregnant women in the treatment and control groups with a p value = 0.002 <0.05. The results of statistical tests using Wilcoxon indicate there are differences in the quality of the diet of pregnant women before and after intensive nutrition counseling is given (p <0.05). Intensive nutritional counseling using leaflet media can improve the quality of the diet of pregnant women.
Nutritional Therapy in High Output Enterocutaneus Fistula with Ileum Adhesion Grade III-IV : A Case Report January, Rima; Agussalim Bukhari; Nurbaya Syam; Nurpudji Astuti Taslim; Suryani As’ad; Haerani Rasyid; A. Yasmin Syauki
Nusantara Medical Science Journal Volume 9 Issue 1, January - June 2024
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.vi.26614

Abstract

Introduction and importance: Enterocutaneus fistula (ECF) is an uncommon connection between the gastrointestinal tract and the skin. Loss of intestinal fluid in ECF patients results in an imbalance of electrolytes. The objectives of nutritional therapy were to fulfill nutrient needs, maintain fluid balance, & promote ECF closure.  Presentation of case:    A 22-year-old male, was diagnosed with post-adhesiolysis and end colostomy surgery. His oral intake was reduced for one month, and he experienced weight loss. We detected a loss of subcutaneous fat and fistula in the right abdomen region and wasted time on physical examination. Abnormal laboratory findings were leucocytosis, thrombocytosis, imbalance electrolyte, and hypoalbuminemia.  Discussion: Nutritional assessment was based on mid-upper arm circumference. Nutritional treatment was provided with a calorie target of 2300 kcal and protein 2g/kg ideal body weight (IBW)/day. On the seventh day of treatment, the patient went through relaparotomy due to high output ECF (2000 ml/d) and ileum adhesion grade 3-4. Following surgery, the patient was on parenteral nutrition for eighteen days. Due to high ECF output, protein intake was increased by 2g/kg IBW/day, and fluid intake was adjusted based on fistula output. The patient received a combination of polymeric formula and whey protein by oral intake and micronutrient supplementation at twice the usual dosage. By the 27th day of treatment, ECF output had decreased to 0 ml/d, and laboratory results showed improvement. Conclusions:   Adequate nutrition, fluid, and electrolyte balance through optimal nutritional therapy can improve laboratory values and reduce ECF output in ECF patients
Effect of Intermittent Fasting on Decreased Interleukin-6 Genes mRNA Expression in Mice (Mus Musculus) Herman, Sriyana; Muhammad Basir; Mochammad Hatta; Suryani As’ad; Ilhamjaya Patellongi; Ahmad Hadi Modi
Indonesian Andrology and Biomedical Journal Vol. 5 No. 2 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/iabj.v5i2.65697

Abstract

Nowadays, the development of various degenerative diseases is very rapid. The rapid development of the disease has encouraged the wider community to understand the impact. Intermittent fasting can help prevent the emergence of cancer (one of the degenerative diseases) because during fasting the body's cells are in protective mode so as to protect the body from disease. Intermittent fasting reduces the body's inflammatory status by inhibiting the expression of proinflammatory cytokines, especially interleukin-6 (IL-6). This study aims to examine the effect of intermittent fasting on IL-6 gene mRNA expression. This study is an experiment with Pretest-Posttest with Control Group design to examine the effect of intermittent fasting on the of IL-6 genes mRNA expression. The subjects of this study were 10 mice divided into 2 groups: the intermittent fasting group and the control group. The research was carried out at the Laboratory of Molecular Biology and Immunology Department, Faculty of Medicine, Universitas Hasanuddin, Makassar, as a place for the maintenance and care of experimental animals as well as examination of IL-6 genes mRNA expression. The study was conducted for 30 days. The results showed a decrease in the average value of IL-6 mRNA expression of subjects before and after intermittent fasting with the value of ρ = 0.003 (ρ <0.05) showed that there is a significant effect between intermittent fasting on the decrease in IL-6 genes mRNA expression. In conclusion, there is a decline in the IL-6 genes mRNA expression after intermittent fasting.