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All Journal Jurnal Gizi dan Pangan Jurnal RESTI (Rekayasa Sistem dan Teknologi Informasi)
Mohd Fahmi Teng, Nur Islami
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Computer Science & IT Engineering Health Professions

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Experience of Healthcare Providers on Enteral Nutrition: Challenges and Ways to Improve Current Practice Abd Kadir, Nor Syahiza; Zaman, Mazuin Kamarul; Ahmad Sharoni, Siti Khuzaimah; Mohd Fahmi Teng, Nur Islami
Jurnal Gizi dan Pangan Vol. 20 No. Supp.1 (2025)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2025.20.Supp.1.19-28

Abstract

The aim of this qualitative study is to explore the experience of Healthcare Providers (HCPs) in Enteral Nutrition (EN) practice in hospital settings, the challenges they encounter, and the possible ways to improve the current practice. The study involved conducting in-depth interviews with expert panels, including clinicians, dietitians, nurses, and academic professionals who are involved in clinical or teaching practices related to EN. The recording of the interview was transcribed verbatim after each session. The coding process was done using the computer-assisted qualitative data analysis software Atlas-Ti. The thematic analysis procedure by Braun and Clarke is used to analyze the transcription. At the end of the study, eleven interviews were conducted, transcribed, and analyzed. Six themes addressing the challenges in EN were identified. The themes are standardization of EN practice, enteral feeding provision, knowledge of nurses, attitude of HCPs, skills of nurses, and resources in the healthcare facility. In addition to that, four themes addressing the current needs of EN practice were also documented. The themes identified are EN guidelines and protocols, improving Knowledge, Attitude, and Practice (KAP) on EN, continuous education on EN, and improving healthcare facilities. The insights shared by the participants can be thoroughly examined to develop strategies for enhancing existing EN processes.
Optimization Techniques and Programming for Developing Cost-Effective and Balanced Diet Schedules for Preschoolers Mohd Lip, Norliana; Sufahani, Suliadi Firdaus; Mohd Fahmi Teng, Nur Islami
Jurnal RESTI (Rekayasa Sistem dan Teknologi Informasi) Vol 9 No 5 (2025): October 2025
Publisher : Ikatan Ahli Informatika Indonesia (IAII)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29207/resti.v9i5.6650

Abstract

Proper nutrition is important for the growth, motor and cognitive development of young children since the foods consumed determine how well-rounded a child's diet is. However, preschool menu planning is complex because it requires balancing multiple constraints such as cost, dietary guidelines, and food variety. This study introduces a computational approach to menu planning for preschools through Linear Programming (LP), Integer Programming (IP), and Binary Programming (BP). This study highlights algorithmic design, constraint modelling, and computational efficiency in solving optimization problems, rather than focusing primarily on dietary outcomes. The models were tested using Malaysian food database to evaluate both feasibility and efficiency. The findings indicate that all models successfully fulfilled the Recommended Nutrient Intakes (RNI 2017) for children aged 4 to 6, ensuring adequate levels of energy, protein, calcium, carbohydrates, and fat. In terms of cost, the LP model was the most economical at RM4.20 per day, but impractical due to fractional servings. The IP model produced a more realistic balance between cost and practicality at RM4.40 per day. The BP model generated the most diverse and implementable menus at RM5.00 per day, though at a higher cost. Overall, these optimization methods provide decision-support tools for enhancing the efficiency of preschool menu planning.
Dietary Adherence in Children with Amino Acid Metabolism Disorders and its Impact on Caregivers’ Quality of Life Yong, Chien Yin; Rajikan, Roslee; Lim, Jing Ying; Yahya, Hanis Mastura; Ghazali, Shazli Ezzat; Leong, Huey Yin; Mohamad, Maslina; Md. Rani, Rufaidah; Mohd Fahmi Teng, Nur Islami
Jurnal Gizi dan Pangan Vol. 19 No. 1 (2024)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2024.19.1.41-50

Abstract

This study explored the relationship among socio-demographic factors, patients’ dietary adherence, and the Quality of Life (QoL) experienced by their caregivers. A cross-sectional study was carried out, involving 66 caregivers of pediatric patients in Malaysia diagnosed Amino Acid Metabolism Disorders (AAMDs). Dietary adherence was assessed using a modified version of the Malaysia Medication Adherence Assessment Tool (MyMAAT-12), and the caregiver’s QoL was evaluated using the 36-Item Short Form Survey (SF 36) questionnaire. Majority of the patients were Malay (75.76%), and female (59.1%). Statistical analysis found that caregivers with a higher education level were associated with a higher dietary adherence (rs (64)=0.382, p=0.002) and better mental health (rs (64)=0.281, p=0.022). The age of patients had negative significant correlation with the physical function and general health (rs (64)=0.287, p=0.019) of their caregivers. Besides that, dietary adherence was negatively correlated with social functioning (p=0.010), role limited due to physical health (p=0.018), role limited due to emotional problems (p=0.022), vitality (p=0.021), mental health (p=0.014) and pain (p=0.011). Conclusion: Dietary adherence had a significant impact on the QoL for caregivers of patients with amino acid metabolism disorders. Therefore, it is crucial to explore appropriate treatment strategies and provide support to enhance patients' adherence to their dietary requirements, simultaneously improving the caregivers' QoL.
Effects of Time-Restricted Eating on Cardiometabolic and Cardiovascular Health: Study Protocol (TRES) Zaman, Mazuin Kamarul; Mohd Fahmi Teng, Nur Islami; Kasim, Sazzli Shahlan; Juliana, Norsham
Jurnal Gizi dan Pangan Vol. 19 No. Supp.1 (2024)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2024.19.Supp.1.35-44

Abstract

This study aims to assess the safety, feasibility, and effectiveness of 10-hr Time-Restricted Eating (TRE) compared to ad libitum eating on anthropometric measurements, cardiometabolic and cardiovascular health in patients with Acute Coronary Syndrome (ACS). The Time-Restricted Eating Study (TRES) is a single-centre, pragmatic, prospective, randomised controlled trial that will include 48 patients with ACS. Participants will be randomised in a 1:1 ratio to the intervention group where eating duration is restricted to 10 hours per day or control group with no limitation of eating duration imposed. Testing is scheduled at baseline and after four weeks of intervention. The primary outcome is change in body weight after four weeks of intervention. Secondary outcomes include changes in body composition, glycaemic and lipid profiles, inflammatory markers, oxidative stress, endothelial function, arterial stiffness, blood pressure, heart rate, safety, and feasibility of TRE on patients with ACS. The study was approved by the UiTM Research Ethics Committee. Findings will be disseminated through manuscripts, reports, and presentations. Findings on the feasibility and effectiveness of TRE in patients with ACS may broaden the body of evidence for implementing TRE as a dietary intervention to prevent secondary cardiovascular diseases.
Nutrition Management for Acute Stroke with Right-Sided Hemiparesis: A Case Study Md Said, Norfarhana; Mohd Fahmi Teng, Nur Islami; Mohamed Denil, Nurnajwa; Rahim, Hazelin Abdul
Jurnal Gizi dan Pangan Vol. 19 No. Supp.1 (2024)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2024.19.Supp.1.45-52

Abstract

This case study aims to report on the nutrition management of acute stroke with right-sided hemiparesis using an approach of early enteral feeding intervention to prevent malnutrition. Mr. R, a 77-year-old Malay man was admitted to the hospital due to an acute stroke with right hemiparesis with underlying disease of Atrial Fibrillation (AF), hypertension, type 2 Diabetes Mellitus (DM), Chronic Kidney Disease (CKD) stage 3b, and significant Peripheral Artery Disease (PAD). His BMI was 24kg/m2 with a weight of 67kg and height of 1.67m, and he was presented with abnormal blood results. All his vital signs were normal, and he appeared lethargic. The patient was on bolus Nasogastric (NG) feeding via Ryle’s tube with polymeric formula. Inadequate enteral nutrition infusion related to infusion volume not yet reached, as evidenced by a 47% energy and 60% protein adequacy feeding history. The polymeric formula was changed to a diabetic-specific formula for better blood sugar control, and feeding was given according to the patient's needs. Mr. R required at least 70% of 1,675 kcal of energy and 53.6 g of protein (0.8 g/kg body weight) to prevent malnutrition. The patient was still on Ryle’s tube feeding and already achieved the targeted energy and protein requirements. Before being discharged, the patient was allowed orally, and a sample menu was given as guidance to avoid weight loss and muscle wasting during longterm recovery. This case highlights the importance of early enteral feeding support in stroke recovery and the need to prioritize meeting nutritional needs in stroke patient care. Mr. R showed improvement in health and nutrition and concluded that early and focused enteral nutrition support can lead to improved results and better quality of life for stroke survivors.
Co-Authors Abd Kadir, Nor Syahiza Ahmad Sharoni, Siti Khuzaimah Ghazali, Shazli Ezzat Juliana, Norsham Kasim, Sazzli Shahlan Leong, Huey Yin Lim, Jing Ying Md Said, Norfarhana Md. Rani, Rufaidah Mohamad, Maslina Mohamed Denil, Nurnajwa Mohd Lip, Norliana Rahim, Hazelin Abdul Rajikan, Roslee Sufahani, Suliadi Firdaus Yahya, Hanis Mastura Yong, Chien Yin Zaman, Mazuin Kamarul