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Community Diagnosis Report on Reducing New Cases of Toddler Malnutrition Through Primary Health Care Interventions Fauzy, Sely Nur; Rebecca, Rebecca; Negara, Tahta Rajesa Bihi Jaya Putra; Ayuningtami, Diajeng; Ernawati, Ernawati
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 4 No. 3 (2025): JULY
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v4i3.1850

Abstract

This study aims to reduce the number of new cases of malnutrition in the working area of Kresek Primary Health Center by identifying priority locations, analyzing main causes, formulating short-term solutions, and evaluating the results of interventions that have been implemented. A mini survey was conducted for data collection, followed by community problem analysis using the ‘Blum’ paradigm, then problem priorities were determined using the Delphi method. The root causes of problems were identified using a fishbone diagram. Based on the Blum paradigm, lifestyle was identified as the main problem. Interventions were carried out in the form of pre-test, post-test, and counseling on nutrition as well as training on food creation and balanced nutrition menu planning. Pre-test results showed <70 scores for 24 (80%) participants. Post-test results ≥70 were obtained by 30 (100%) participants. The activity results were declared successful because >80% of participants obtained scores ≥70. The results obtained from food creation training and balanced nutrition menu planning for toddlers showed that all participants were able to practice properly and correctly. The cause of increased new cases of malnutrition in the working area of Kresek Primary Health Center is lifestyle factors. Counseling is expected to increase knowledge of malnutrition and balanced nutrition in toddlers so that malnutrition cases can be resolved and prevented.
Hubungan Vitamin D dengan Kontrol Glikemik Menurut HBA1C Pada Pasien Diabetes Mellitus Tipe 1 dan 2 Negara, Tahta Rajesa Bihi Jaya Putra; Novitasari, Diana
Malahayati Nursing Journal Vol 6, No 2 (2024): Volume 6 Nomor 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i2.13219

Abstract

ABSTRACT Vitamin D is a fat-soluble secosteroid hormone. It is currently believed that vitamin D has many extraskeletal effects, one of which is related to glucose homeostasis. It has been found that vitamin D deficiency is associated with higher HbA1c levels, increased incidence of DM and decreased glycemic control in DM sufferers. The aim of the current systematic review was to evaluate the effect of vitamin D supplementation on HbA1c. This research is a literature review. A study search was carried out on databases such as PubMed, ScienceDirect, and Google Scholar, and ResearchGate. The included studies were those published within the last 5 years. In a number of studies, it has been observed that serum 25-OH D levels are significantly lower in diabetic patients than in healthy people. It was found that there was an inverse relationship between blood vitamin D levels and HbA1c levels, with low serum vitamin D resulting in greater HbA1c and worse glycemic control. It has also been discovered that low serum vitamin D levels are linked to the development of diabetes complications such DKD and CVD.  High-dose, short-term vitamin D treatment was found to be the most effective for glycemic control. The effectiveness of vitamin D supplementation in glycemic management, however, cannot be established due to inconsistent research findings. Keywords: Vitamin D, Type 1 Diabetes Mellitus, Type 2 Diabetes Mellitus, Hba1c  ABSTRAK Vitamin D adalah hormon secosteroid larut kemak yang saat ini diyakini bahwa vitamin D memiliki banyak efek ekstraskeletal, salah satunya adalah terkait homeostasis glukosa. Telah ditemukan bahwa defisiensi vitamin D dikaitkan dengan kadar HbA1c yang lebih tinggi, peningkatan kejadian DM dan penurunan kontrol glikemik pada penderita DM. Tujuan untuk mengevaluasi pengaruh suplementasi vitamin D terhadap HbA1c. Penelitian ini adalah literature review. Pencarian studi dilakukan pada database berupa PubMed, ScienceDirect, dan Google Scholar, dan ResearchGate dengan kata kunci diabetes mellitus, vitamin D, HbA1c, dan glycemic control. Studi-studi yang diinklusikan adalah yang diterbitkan dalam 5 tahun terakhir.   Dalam sejumlah penelitian, telah diamati bahwa kadar serum 25-OH D secara signifikan lebih rendah pada pasien diabetes dibandingkan pada orang sehat.  Kadar HbA1c ditemukan berbanding terbalik dengan kadar vitamin D serum, dimana vitamin D serum yang rendah akan menghasilkan HbA1c yang lebih tinggi, mengartikan bahwa kontrol glikemik lebih buruk. Vitamin D serum rendah juga telah ditemukan berhubungan dengan munculnya komplikasi DM seperti DKD dan PJK. Suplementasi vitamin D ditemukan paling baik untuk kontrol glikemik bila diberikan diberikan dalam dosis tinggi dan jangka pendek. Namun, belum dapat dipastikan bahwa suplementasi vitamin D efektif dalam kontrol glikemik karena hasil penelitian yang masih bertentangan. Kata Kunci: Vitamin D, Diabetes Mellitus Tipe 1, Diabetes Mellitus Tipe 2, Hba1c