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Ekstrak ethanol pegagan (Centella asiatica) meningkatkan osifikasi tulang dan panjang badan larva zebrafish (Danio rerio) model stunting usia 9 hari pasca fertilisasi Evi Zahara; Een Nuraenah; Tri Yuliyani; Darwitri Darwitri; Husnul Khotimah; Umi Kalsum; I Wayan Arsana Wiyasa; Nurlaili Ramli; Agus Hendra Al Rahmad; Mohammad Muljohadi Ali
AcTion: Aceh Nutrition Journal Vol 3, No 2 (2018): AcTion Vol 3 No 2 Tahun 2018
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (828.578 KB) | DOI: 10.30867/action.v3i2.87

Abstract

Centella Asiatica (Linn) Urban is known as Gotu Kola. Centella Asiatica (CA) is rich in micro and macronutrients. The aim of this study was to investigate the effect of ethanol extract of CA on bone ossification and body length in zebrafish larva stunting model at 9 dpf. This study used zebrafish at 2 hpf (hour post-fertilization) - 9 dpf (day post-fertilization). The population of 300 larvae divided into 5 groups consisting of control group, rotenone group (exposed by 12.5 ppb of rotenone) and 3 rotenone+CA groups that exposed to CA extract for 4, 5 and 6 days,  respectively. The CA extract was obtained by maceration method with ethanol solvent. The results showed that rotenone 12,5 ppb able to inhibit the growth of larvae >2SD of body length and decrease bone ossification at rotenone group, were significantly different from the control group. Administration of CA extract was increased expression of cartilage at rotenone+CA5 as well rotenone+CA6 group and increase expression of bone at the rotenone+CA5 group and also increase body length rotenone+CA groups significantly different from rotenone group. It can be concluded that the period of CA extract exposure can correct the length of the body reaching 99.6% at 9 dpf and increased bone ossification in a time-dependent manner.Centella asiatica (Linn) Urban dikenal dengan nama pegagan. Centella Asiatica (CA) kaya akan mikro maupun makro nutrisi yang diperlukan bagi tubuh terutama masa pertumbuhan. Penelitian ini bertujuan mengetahui efek ekstrak etanol CA terhadap osifikasi tulang dan panjang badan larva zebrafish model stunting yang diinduksi rotenone pada 9 hari post fertilisasi. Penelitian ini menggunakan zebrafish mulai 2 hpf (hour post fertilisation) - 9 dpf (day post fertilisation), populasi larva sejumlah 300 yang dibagi 5 kelompok yang terdiri dari kelompok kontrol, kelompok rotenon (dipapar rotenone 12,5 ppb) dan 3 kelompok rotenone+CA yang diberikan pegagan selama 4, 5 dan 6 hari secara berurutan. Ekstrak CA diperoleh melalui  metode maserasi dengan pelarut etanol. Hasil penelitian menunjukkan bahwa rotenone dapat menghambat pertumbuhan panjang larva >2SD dan menurunkan osifikasi tulang pada kelompok rotenon secara signifikan dibanding kontrol. Pemberian ekstrak CA dapat meningkatkan ekspresi tulang rawan kelompok rotenone+CA5 maupun rotenone+CA6 dan meningkatkan ekspresi tulang keras kelompok rotenone+CA5 serta meningkatkan panjang badan kelompok rotenone_CA secara signifikan dibanding kelompok rotenone. Dapat disimpulkan bahwa lamanya pemberian ekstrak CA dapat meningkatkan osifikasi tulang dan meningkatkan panjang badan mencapai 99.6% pada 9 dpf. 
Efektivitas Penggunaan Standar Pertumbuhan WHO Anthro Terhadap Kualitas Dan Informasi Data Status Gizi Balita Agus Hendra AL Rahmad
Jurnal Sistem Informasi Kesehatan Masyarakat Vol 1, No 2 (2016)
Publisher : Minat Sistem Informasi Manajemen Kesehatan Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jisph.6095

Abstract

Latar Belakang: Peningkatan dan performance Tenaga Pelaksana Gizi (TPG) dalam memberikan informasi mutlak diperlukan. TPG Puskesmas ujung tombak dalam menginput data antropometri yang menjadi sumber data bagi dinas kesehatan, dan fondasi data status gizi. Menciptakan informasi data akurat, representatif dan reliable, maka tenaga gizi sebagai end-user  perlu pemberdayaan standar pertumbuhan WHO untuk menghasilkan data gizi berkualitas. Metode: Penelitian kuantitatif ini menggunakan jenis Quasi Experimental, dengan rancangan pretest posttest non equivalent group. Subjek diambil sebanyak 40 TPG secara non-random assignment. Analisis data meliputi uji statistik Dependent T-Test dan Independent T-Test.Hasil: Terdapat pengaruh signifikan pelatihan dan penerapan standar pertumbuhan WHO Anthro dalam meningkatkan persepsi TPG dan kualitas informasi data gizi, dengan p-value < 0,05. Pelatihan berbasis software WHO Antro mempunyai efektivitas yang lebih baik dalam meningkatkan persepsi TPG dan kualitas informasi data gizi, dengan p-value < 0,05. Sedangkan, aspek relevansi (p=0,40120) pada persepsi tidak menunjukan efektivitas (p-value > 0,05).Kesimpulan: Pelatihan dan penerapan standar pertumbuhan WHO Anthro berpengaruh terhadap peningkatan persepsi TPG dan kualitas informasi data status gizi, dan mempunyai efektivitas yang lebih baik persepsi TPG maupun kualitas informasi data status gizi di wilayah Dinas Kesehatan Kota Banda Aceh.
Sosialisasi pola makan dan sedentari dalam mencegah masalah obesitas pada anak sekolah dasar di Kota Banda Aceh Agus Hendra Al Rahmad; T. Khairul Fadjri; Yulia Fitri; Nunung Sri Muliyani
Jurnal PADE: Pengabdian & Edukasi Vol 3, No 2 (2021): Oktober
Publisher : Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (229.459 KB) | DOI: 10.30867/pade.v1i2.708

Abstract

Obesitas pada anak merupakan masalah,akibat etiologi yang kompleks dan multi faktor. Penanganan obesitas anak haruslah terpadu antara semua aspek etiologi. Semakin dini penanganan obesitas pada anak akan memberikan hasil yang lebih baik. Pengabmas bertujuan untuk meningkatkan pengetahuan anak sekolah dasar melalui sosialisasi asupan makan dan sedentari dalam antisipasi masalah obesitas. Metode pelaksanaan mengacu kedalam model atau bentuk pendidikan dan pelayanan kepada masyarakat. Pelaksanaan pada tahun 2018 di beberapa Sekolah Dasar di Kota Banda Aceh. Sasaran yaitu anak-anak sekolah dasar sebanyak 60 orang. Data dikumpulkan secara wawancara dan pengukuran antropometri. Analis digunaka untuk mengukur keberhasilan kegiatan yaitu menggunajan uji t-dependent. Hasil menunjukkan pengetahuan anak SD antara sebelum diberikan leaflet dengan setelah diberikan leaflet mempunyai selisih rerata sebesar 2,6 dengan deviasinya 2,95. Hasil statistik menunjukan terdapat perbedaan signifikan antara pengetahuan anak setelah mendapatkan informasi melalui leaflet dengan nilai p=0,001 (p-value < 0,05). Kesimpulan, sosialiasi melalui pemberian lealfet untuk mengatisipasi kegemukan pada anak SD menujukan pengaruh yang bermakna untuk meningkatkan pengetahuan anak SD balita dalam hal memantau pertumbuhan.
Implementation of exclusive breastfeeding counseling for prospective brides in Lueng Bata District, Banda Aceh City Agus Hendra Al Rahmad; T. Khairul Fadjri; Ampera Miko; Herry Imran; Niakurniawati Niakurniawati
Jurnal PADE: Pengabdian & Edukasi Vol 4, No 2 (2022): Oktober
Publisher : Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (436.651 KB) | DOI: 10.30867/pade.v4i2.1030

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The importance of increasing knowledge about exclusive breastfeeding for expectant mothers in Aceh Province is an effort to achieve exclusive breastfeeding success above the national achievement of 69,7%. Optimal breastfeeding practices are one of the keys to success in reducing stunting. Counseling is essential in increasing the knowledge of prospective mothers or brides, supported by the use of media such as flyers that make it easier to understand the importance of exclusive breastfeeding for babies. This community service activity aims to increase the knowledge of prospective brides through counseling on exclusive breastfeeding using flyer media. Community service was carried out using a pretest-posttest non-equivalent group approach, namely providing exclusive breastfeeding counseling to prospective brides in Lueng Bata District. The number of participants was 20 people (10 couples), and activities were carried out in 2020. The counseling media is an exclusive breastfeeding flyer from the Indonesian Ministry of Health. Data collection was conducted through interviews using a questionnaire. The evaluation was carried out descriptively, consisting of a pretest and a posttest. The results showed an increase in average knowledge between before (26,3), and after (33,1) exclusive breastfeeding counseling was given using flyer media to prospective brides, or there was an increase in knowledge of 60,0%. In conclusion, through flyer media, exclusive breastfeeding counseling can improve the knowledge or understanding of prospective brides about exclusive breastfeeding.
Peningkatan pengetahuan dan sikap ibu untuk pencegahan stunting di Kabupaten Aceh Besar Nunung Sri Mulyani; Eva Fitriyaningsih; Agus Hendra Al Rahmad; Abdul Hadi
Jurnal PADE: Pengabdian & Edukasi Vol 4, No 1 (2022): Maret
Publisher : Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (352.805 KB) | DOI: 10.30867/pade.v4i1.810

Abstract

Stunting terjadi mulai dari dalam kandungan dan baru terlihat saat anak berusia dua tahun. Stunting disebabkan oleh tiga faktor yaitu faktor individu yang meliputi asupan makanan, berat badan lahir, dan keadaan kesehatan; faktor rumah tangga yang meliputi kualitas dan kuantitas makanan, sumber daya, pola asuh, dan faktor lingkungan seperti sosial ekonomi, layanan pendidikan dan layanan kesehatan. Kegiatan ini bertujuan untuk meningkatkan pengetahuan dan sikap ibu terhadap pencegahan stunting balita. Pengabdian kepada masyarakat telah dilakukan di desa Gurah kecamatan Peukan Bada Kabupaten Aceh Besar pada bulan September 2020 berjumlah 30 peserta. Hasil yang didapatkan sebelum diberikan penyuluhan didapatkan bahwa masih rendahnya pengetahuan ibu tentang stunting yaitu 63,3% dan setelah diberikan penyuluhan didapatkan bahwa terjadi peningkatan pemahaman ibu tentang stunting yaitu baik 73,3%. Sebelum diberikan penyuluhan didapatkan bahwa masih rendahnya sikap ibu-ibu tentang stunting yaitu 70% dan setelah diberikan penyuluhan didapatkan bahwa terjadi peningkatan sikap ibu tentang stunting yaitu baik 63,3%. Intervensi edukasi gizi pada ibu dapat meningkatkan pengetahuan, dan sikap tentang stunting. Kesimpulan, perlakuan pemberian penyuluhan gizi dapat berpengaruh terhadap pengetahuan,dan sikap tentang stunting dimana terjadi peningkatan pengetahuan ibu tentang stunting dan terjadi peningkatan terhadap sikap ibu.
Pengetahuan dan sikap ibu hamil dengan pola kepatuhan mengonsumsi tablet tambah darah di Kabupaten Aceh Timur Devi Utari; Agus Hendra Al Rahmad
Jurnal SAGO Gizi dan Kesehatan Vol 4, No 1 (2022): Juli - Desember
Publisher : Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v4i1.247

Abstract

Background: Pathological conditions from pregnancy to childbirth in a woman are essential to pay attention to watch out. One of them is anticipating chronic energy deficiency disorders in women. Adherence to the consumption of blood supplement tablets is still constrained due to mothers' low knowledge and attitudes.Objectives: The study aimed to measure the relationship between the knowledge and attitudes of pregnant women with adherence to taking blood supplement tablets in the East Aceh District.Methods: The research design was cross-sectional, involving a sample of 41 pregnant women, and was conducted in 2019 in East Aceh. Data collection on knowledge, attitude, and compliance were through direct interview techniques with questionnaire instruments. Data processing starts from editing, coding, entry cleaning, data entry, to tabulation. Data analysis using Chi-square statistical test at 95% CI.Results: Most pregnant women had good knowledge (58,5%) and attitudes (68,3%) about nutrition, anemia, and consumption of blood supplement tablets. Iron tablet consumption compliance was 70,7%. There was an association between knowledge (p= 0,035; OR= 4,4) and attitude (p= 0,018; OR= 5,4) with adherence to taking blood supplement tablets among pregnant women in East Aceh District.Conclusion: Good knowledge and attitude are related to the level of compliance of pregnant women in taking blood supplement tablets.
WHO-Anthro Growth Standard's Effect On Quality and Data On Toddler Nutrition Agus Hendra Al Rahmad
Ghidza: Jurnal Gizi dan Kesehatan Vol 6 No 2 (2022): December
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/ghidza.v6i2.570

Abstract

Indonesia began implementing the WHO-2006 child growth standard in 2010, including Aceh Province. However, it has not used WHO-Anthro to measure the quality of data and information on the nutritional status of children under five. Nutritionists only assess the growth of toddlers using simplified tables and growth charts. The study aims to measure the effect of using WHO-Anthro growth standards on toddlers' quality and nutritional status data.The study used a Quasi Experiment design conducted at the Banda Aceh City Health Office in 2021. The subjects were all nutritionists, namely 22 nutritionists. Data collection was carried out for three months, starting from the pretest and post-test after one month of practice and after two months—the training on using WHO-Anthro application-based growth standards. The data collected was the quality of nutrition data, including timeliness, completeness of information, accuracy, and usefulness. Data were analyzed using the Repeated Measured Anova test at 95% CI. The results found that using WHO-Anthro standards for two months after the intervention had improved the quality of nutrition data to 85.16%. Therefore, there is a statistically significant difference in average data quality between before and after one to two months of using WHO-Anthro (p-value < 0.05). In conclusion, using WHO-Anthro growth standards can improve the quality of data and information on the nutritional status of young children.
Scoping Review: The Role of Micronutrients (Fe, Zn, Iodine, Retinol, Folate) During Pregnancy Agus Hendra Al Rahmad
Jurnal Kesehatan Manarang Vol 9 No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v9i1.812

Abstract

Pregnant women are highly vulnerable to nutritional problems such as Chronic Energy Deficiency (CHD), deficiency of micronutrient intake (iron, zinc, and vitamin A intake), anemia, and Iodine Deficiency Disorder (IDD). Micronutrient deficiencies in pregnant women must be specifically prevented. A healthy and nutritionally balanced diet is essential for maternal and fetal health. The review study aimed to identify the role of micronutrients (Fe, Zn, Iodine, Vitamin A, and Folate) during pregnancy. The literature review used a scoping review technique referring to the Arksey and O'Malley framework. The literature review (2012-2022) used the online databases PubMed, Science Direct, Willey Online Library, ProQuest, and Springer. The search used Medical Subject Headings (MeSH), including the variables "role of nutrients," "pregnant women," "micronutrients (Fe, Zn, Iodine, Vitamin A, Folate)," and "during pregnancy." The selection of articles using the PRISMA Flowchart starts with identification, screening, eligibility, and selected articles. Results, this literature study has found 18 articles that are feasible and meet the criteria. This study identified that women preparing for pregnancy and pregnant women must pay attention to nutrient intake at conception, nutritional status in trimesters I to III, and the role and intake of micronutrients during pregnancy both for maternal health and optimal health fetal growth. Obtaining adequate and balanced micronutrient intake is very important to maintain the health of pregnant women and fetuses during pregnancy. In conclusion, the role of micronutrients is significant for pregnant women and fetuses. One of the most important for pregnant women and fetuses is vitamin B9), which helps form red blood cells, maintain a healthy nervous system, and help in iron metabolism. Folic acid also helps in fetal growth and development, and iron helps produce red blood cells and maintains adequate oxygen levels in the body.
ANALISIS PENGGUNAAN JENIS MP-ASI DAN STATUS KELUARGA TERHADAP STATUS GIZI ANAK USIA 7 – 24 BULAN DI KECAMATAN JAYA BARU KOTA BANDA ACEH Agus Hendra AL Rahmad
Jurnal Kesehatan Manarang Vol 3 No 1 (2017): Juli 2017
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v3i1.28

Abstract

Children under two years is a period with rapid growth and development in (the golden period) and is classified in the group were extremely malnutrition. Complementary feeding and the nutritional status of children cause problems in the aspect of a causal relationship, that the giving its less precise impact on malnutrition status. The study aims to measure the difference in the use omplementary feeding type in families with non-civil and civil servants on the nutritional status of children aged 7 – 24 months in the district Jaya Baru Banda Aceh. The research method with quantitative approach through the cross-sectional design, with a variables consist of the use complementary feeding, nutritional status, and family status. Data was collected through interviews and observations taken at 83 randomly selected samples. Analysis data used with statistical a Chi-Square test on CI:95%. The results showed no difference in proportion of nutritional status (p-value= 0,518) between a families from civil servants with not a family of civil servants (p-value > 0,05). Furthermore, the use omplementary feeding type a proportionally shows the difference with p= 0,005 (p-value < 0,05) in the district of Jaya Baru Banda Aceh. The conclusion that the nutritional status of children between the families of civil servants with not civil servants did not show a difference, but in the use of omplementary feeding by proportion and type of family status have significant differences.
Implementation of Android Platform Application "PSG Balita" ISO/IEC 25010 Standardized to Improve Nutritional Status Data for Toddler Agus Hendra Al Rahmad; Ichsan Ichsan; Ratna Wilis
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 1 (2023): May
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i1.2083

Abstract

The need to obtain data and information on nutritional status based on the name by address is required for nutrition reporting. Thus, we should use technological advances to support the quality of toddler nutritional status data. The "PSG Balita" application has ISO/IEC 25010 standards and allows proper recording. This study aimed to measure the effect of implementing an Android-based "PSG Balita" application with ISO/IEC 25010 standards on the quality of toddler nutritional status data. A quasi-experimental research design was conducted in Banda Aceh City in 2021, involving 30 nutritionists at a health center. Data were collected through interviews and observations using a questionnaire that included timeliness, completeness, accuracy, and usefulness. The intervention was conducted through training using the Android-based "PSG Balita" application for one month. Data analysis using the Repeated Measures ANOVA test. Results, the "PSG Balita" application has shown a significant effect in improving the quality of nutritional status data for children under five (p < 0.05). It was found that after implementing the application for one month, the aspects of timeliness (p= 0.000), completeness (p= 0.000), accuracy (p= 0.001), and usefulness (p= 0.002) could improve the quality of nutritional status data for toddlers. In conclusion, the "PSG Balita" application has made it easier for users to monitor the nutritional status of a toddler, has good accuracy, and allows early identification of the risk of malnutrition. The "PSG Balita" application, which adheres to ISO/IEC 25010 standards, can enhance the accuracy of nutritional status data for young children.
Co-Authors . Zulfan Abdul Hadi Abdul Hadi Abdul Hadi Abdul Hadi Abdul Hadi Adithia Chanda Ainun Mardiah Alamsyah, Putri Rahmah Alamsyah, Teuku Alfridsyah Alfridsyah Alfridsyah Alfridsyah Alfriedsyah Alfriedsyah Almunadia Almunadia Ampera Miko Ampera Miko Andriaty, S. Nora Annaria Annaria Annisa, Siti Fainurryzky Anshory, Jamil Apripin Ahmad Aripin Ahmad, Aripin Arnisam Arnisam Asma Asma Azhari Azhari Binti Firdaus, Shausan Cut Affianijar Cut Aja Nuraskin Cut Rizka Rahmi Darwitri, Darwitri Dedy Rusmawar Devi Utari Dewi, Silfia Dini Junita Dwi Lestari Een Nuraenah Effendy, Nurul Hajmi Emilda AS, Emilda AS Emilda Emilda Emilda, Emilda Erwandi Erwandi Erwandi Erwandi Eva Fitriyaningsih Eva Fitriyaningsih Evi Zahara Fadjri, T Khairul Fadjri, T. Khairul Fahmi Hafid Fajarna, Farah Farid Bastian Farida Hanum Fauziati, Mirna Halimatussakdiah Halimatussakdiah Herry Imran Hizir Sofyan Husnul Khotimah Ichsan Ichsan Ichsan Ichsan Ichsan Ichsan Ika Fadillah Ika Fadillah Ilzana, Teuku Muhammad Imran, Herry Indah Yusra Indra Kurniawan Iskandar Iskandar Iskandar Iskandar Iskandar Iskandar Junaidi Junaidi Junaidi Junaidi Junita, Dini Kalsumy, Umi Kaluku, Khartini Khazanah, Wiqayatun Kusuma Wardani, Dyah Ayu Lia Lajuna Lina Lina M. Nur Dewi Kartikasari Mahjuri Mahjuri Masyudi Masyudi Maulidiya, Rizki Mohammad Muljohadi Ali Mudatsir Mudatsir Muhammad Yani Niakurniawati Niakurniawati Noni Zakiah Nora Usrina Nora Veri Nunung Sri Muliyani Nunung Sri Muliyani Nunung Sri Mulyani Nunung Sri Mulyani Nurbaiti Nurbaiti Nurlaili Ramli Putri, Isnaini Rachmawati Rachmawati Rahmi, Maulianur Raihan Raihan Rasidah Rasidah, Rasidah Ratna Wilis Ratna Wilis Ratna Wilis Ratu Laili Amelia Raudatul Jannah Reca Reca Rini Handayani Rosa Galica Gita Gressia Rosi Novita Safwan Safwan, Safwan Salsabila, Jeumpa Syahrana Sembiring, Rinawati Shavira, Najwa Silvia Wagustina, Silvia Sudiarto, Dwi Suryana Suryana Suryana Suryana Syahnaz Salsabila T Khairul Fadjri T Khairul Fajri T. Khairul Fadjri T. Khairul Fadjri T. Khairul Fadjri T. Khairul Fadjri Taufik Hidayat Tri Yuliyani Trini Sudiarti Ummul Hijriah Usman, Said Utami, Kurniati Dwi Wiqayatun Khazanah Wiyasa, I Wayan Arsana Yulia Fitri Yulia Fitri Yuniwati, Cutyuniwati