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Jurnal Ilmu Kesehatan dan Gizi
Published by Pusat Riset dan Inovasi Nasional
ISSN : 29620325     EISSN : 29647819     DOI : 10.55606
Core Subject : Health,
Health Professions
Gizi klinik Gizi masyarakat Gizi olahraga Gizi molekuler Biokimia gizi Pangan fungsional Pelayanan dan manajemen gizi Ilmu Kesehatan
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 273 Documents
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Manajemen De-eskalasi Cairan pada Syok Hemoragik Obstetri dengan Edema Paru dan Gagal Napas Akut (Laporan Kasus) Faundra Arieza
Jurnal Ilmu Kesehatan dan Gizi Vol. 4 No. 2 (2026): April: Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v4i2.8921

Abstract

Background: The management of hemorrhagic shock in obstetrics typically involves aggressive fluid resuscitation, often leading to iatrogenic fluid overload and pulmonary edema. Implementing a timely fluid de-escalation (deresuscitation) strategy is critical to facilitate ventilator weaning and achieve early extubation. Case Illustration: A 31-year-old female (G5P3A1) was admitted to the ICU following emergency Re-Cesarean Section due to Grade IV hemorrhagic shock caused by postpartum hemorrhage (PPH) and placenta previa totalis. Intraoperative aggressive resuscitation triggered iatrogenic fluid overload, manifesting as bilateral pulmonary edema and severe gas exchange impairment (initial AaDO2 of 459 mmHg and lactate level of 2.8 mmol/L). Management and Results: Following initial hemodynamic stabilization, an active fluid de-escalation strategy was initiated on Post-Operative Day 1 (POD 1) using continuous furosemide infusion at 10 mg/hour targeting a negative fluid balance. The patient achieved a negative fluid balance of -1485 mL within 24 hours, accompanied by a significant increase in urine output (7.8 mL/kg/hour). This approach successfully reduced the AaDO2 to 162 mmHg and improved lactate clearance to 1.8 mmol/L without compromising hemodynamic stability. The patient was successfully extubated within 18 hours of ICU admission. Conclusion: Early transition from resuscitation to fluid de-escalation, guided by perfusion targets (lactate) and oxygenation markers (AaDO2), is safe in critical obstetric cases. This strategy effectively resolves pulmonary edema and accelerates early extubation.
Hubungan Indeks Massa Tubuh dan Aktivitas Fisik dengan Tekanan Darah pada Penderita Hipertensi Usia Dewasa di Puskesmas Pakuan Baru Febbi Pratiwi; Maulani Maulani; Dasuki Dasuki
Jurnal Ilmu Kesehatan dan Gizi Vol. 4 No. 2 (2026): April: Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v4i2.8925

Abstract

Hypertension is a non-communicable disease often referred to as a silent killer because it generally does not present noticeable symptoms. Several risk factors contribute to the development of hypertension, including high body mass index (BMI) and low levels of physical activity. However, data regarding the association between BMI, physical activity, and hypertension at Pakuan Baru Public Health Center, Jambi City, remain limited. Therefore, this study aimed to determine the relationship between body mass index and physical activity with hypertension among adults at Pakuan Baru Public Health Center, Jambi City. This study employed a quantitative approach with a cross-sectional design. The research was conducted at Pakuan Baru Public Health Center, Jambi City, from November 19 to December 6, 2025. The study population consisted of all adult patients with hypertension at Pakuan Baru Public Health Center, totaling 2,797 individuals. A sample of 93 respondents was selected using an accidental sampling technique. Data were collected using observation sheets through measurements of height and weight to calculate BMI, as well as the Global Physical Activity Questionnaire (GPAQ). Data analysis was performed using univariate and bivariate analyses with the chi-square statistical test. The univariate analysis showed that 27 respondents (29.0%) were classified as severely obese, 42 respondents (45.2%) had a low level of physical activity, and 28 respondents (30.1%) were categorized as having stage 2 hypertension at Pakuan Baru Public Health Center, Jambi City. The bivariate analysis revealed a significant relationship between body mass index and physical activity with blood pressure among patients with hypertension (p = 0.000). It is expected that healthcare providers at Pakuan Baru Public Health Center will continue to provide education regarding the importance of controlling body mass index and engaging in regular physical activity, as these factors contribute to increased blood pressure among patients with hypertension.
Hubungan Pengetahuan dan Sikap terhadap Perilaku Higiene Sanitasi Penjamah Makanan di Warung Makan Sekitar Universitas Muhadi Setiabudi Anggi Citra Suryani; Rifatul Masrikhiyah; Sulasyi Setyaningsih
Jurnal Ilmu Kesehatan dan Gizi Vol. 3 No. 4 (2025): Oktober: Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v3i4.8933

Abstract

The knowledge and attitudes of food handlers are pivotal in fostering proper hygiene practices; however, not all individuals grasp and implement the requisite standards. The aim of this study is to examine the correlation between knowledge and attitudes regarding the behavior of food handlers in the context of hygiene and sanitation practices at Muhadi Setiabudi University. The study uses an observational methods. The research design used was cross-sectional in nature. A total of 59 food handlers were selected for the study, all of whom fulfilled the established criteria. The sampling method employed was purposive sampling. The findings indicate that 26 individuals, representing 44.1%, demonstrated a commendable level of knowledge, while 33 individuals, or 55.9%, exhibited a lack of knowledge. Furthermore, 54 individuals, accounting for 91.5%, displayed a positive attitude, in contrast to 5 individuals, or 8.5%, who showed a negative attitude. Additionally, 26 individuals, corresponding to 44.1%, engaged in commendable behavior, whereas 33 individuals, or 55.9%, were characterized by poor behavior. The Chi-square test revealed a relationship between knowledge and behavior, indicated by p > 0.05 (p = 0.809), and between attitude and behavior, evidenced by p < 0.05 (p = 0.848). No correlation exists between knowledge and attitudes regarding food handler behavior.

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