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Lili Anggeraini
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+6281273066835
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Fakultas Kedokteran Universitas Muhammadiyah Palembang Gedung F lantai 1 Jl. KH Balqhi, 13 Ulu, Palembang Telpon 0711-520045
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Kota palembang,
Sumatera selatan
INDONESIA
(Medical Scientific Journal) MESINA
ISSN : 27464148     EISSN : 27464156     DOI : https://doi.org/10.32502/msj.v5i1.6586
Focus and Scope All areas of medicine, biomedicine, and publich health fields. - Anatomy - Biomedicine - Pharmacology - Microbiology - Nutrition - Biochemistry - Physiology - Tropical Medicine - Public Health - Pediatric - Internal Medicine - Obstetry and Gynaecology - Dermatovenereology - Surgery - Neurology - Family Medicine - Medical Education - Islamic Medicine
Articles 72 Documents
Analysis of the Free Nutritious Meal (MBG) Program Menu Using the Importance–Performance Analysis (IPA) Method Ferdiansyah Ferdiansyah; Darmin Darmin; Nur Husnul Khatimah; Muammar Iksan
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11375

Abstract

The Free Nutritious Meal (MBG) Program is designed to support students’ nutritional needs through the provision of safe, nutritious, and acceptable school meals. The success of the program depends not only on nutritional adequacy and food safety but also on menu acceptability and the extent to which service performance meets beneficiaries’ expectations. This study aimed to analyze the importance and performance of MBG menu attributes and to identify priority areas for improvement using Importance–Performance Analysis (IPA). A descriptive quantitative cross-sectional study was conducted from May to June 2026 in Wera District, Bima Regency. A total of 175 students aged 17–18 years who had received and consumed MBG meals were recruited using purposive sampling. Data were collected using a five-point Likert-scale questionnaire assessing the importance and performance of ten menu attributes. The analysis included mean scores, gap analysis, conformity levels, and Cartesian IPA mapping. The mean importance score was 4.72, while the mean performance score was 4.20, resulting in an average gap of ?0.52 and an overall conformity level of 88.93%. The largest gaps were identified in fruit and vegetable availability (?0.70) and menu variety (?0.68). Nutritional completeness, fruit and vegetable availability, and food taste were classified as high-priority attributes for improvement. Food hygiene, ingredient freshness, and food safety were categorized as attributes whose performance should be maintained. Overall, the MBG menu was rated positively, although its performance had not fully met students’ expectations. Improvement efforts should prioritize nutritional completeness, fruit and vegetable provision, and food taste, while menu variety should be evaluated continuously. This study assessed students’ perceptions and did not measure changes in nutritional status or academic performance. 
Acceptability Testing of Moringa-Enriched Corn Porridge as a Local Food-Based Nutritional Intervention for Stunting Prevention in Children Under Five Heni Aryani; Dea Zara Avila; Alkhair Alkhair; Aris Irwansyah
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11374

Abstract

Indonesia. One of the strategies to prevent stunting is the utilization of nutrient-rich local foods as supplementary feeding for children under five. Corn is an abundant local commodity in Woha District, Bima Regency, and has the potential to be developed into a nutritious food product through the addition of Moringa oleifera leaves, which are rich in protein, vitamins, and minerals. The success of such food products depends not only on their nutritional value but also on their sensory acceptability. Objective: This study aims to determine the acceptability of corn-egg porridge as an effort to utilize local food resources in stunting prevention within the working area of Woha Community Health Center. Methods: This study aims to determine the acceptability of corn-egg porridge as an effort to utilize local food resources in stunting prevention within the working area of Woha Community Health Center. This study is expected to produce a corn-egg porridge formulation with a high level of acceptance based on organoleptic characteristics. The resulting product has the potential to serve as a nutritious, affordable, and locally based supplementary food alternative that can be implemented in stunting prevention programs for children under five years of age.Keywords: stunting, corn porridge, Moringa oleifera, acceptability, local food, hedonic test.
Association of Environmental Sanitation and Personal Hygiene Practices with Underweight Among Children Under five Fitratun Nisa; Hairunnisah Hairunnisah; Alkhair Alkhair; Nur Husnul Khatimah
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11404

Abstract

Underweight among children under five is a serious nutritional problem that adversely affects children's growth and development. Environmental sanitation and personal hygiene are considered important factors associated with the incidence of underweight. This study aimed to analyze the relationship between environmental sanitation and personal hygiene among children under five and the incidence of underweight in the working area of the Mpunda Community Health Center, Bima City. This study employed a quantitative cross-sectional design. Data were collected using questionnaires and direct field observations. Data were analyzed using the Chi-square test for bivariate analysis and multiple logistic regression for multivariate analysis. The bivariate analysis showed a significant association between environmental sanitation and underweight (p < 0.001; PR = 9.44; 95% CI: 3.59–24.84), as well as between personal hygiene and underweight (p < 0.001; PR = 3.98; 95% CI: 2.05–7.72). The multivariate analysis indicated that environmental sanitation and personal hygiene were significantly associated with the incidence of underweight. Environmental sanitation was identified as the most dominant variable in the analytical model, while personal hygiene was also significantly associated with underweight. Therefore, improving environmental sanitation through the provision of safe drinking water, sanitary latrines, and strengthening parental education on clean and healthy living practices for children under five is essential for preventing underweight.
Optimization of MRI Image Quality Through Slice Thickness Variations in AXIAL T2-Weighted Imaging Using Air™ RECON DL Ni Wayan Yuniarsih; Ni putu Rita Jeniyanthi; Dedy Rudy H Mantow
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11425

Abstract

Magnetic Resonance Imaging (MRI) is a diagnostic imaging modality with excellent soft-tissue contrast. MRI image quality is influenced by several acquisition parameters, including slice thickness. AIR™ Recon DL (Deep Learning Image Reconstruction) has been developed to improve image quality through noise reduction and deep learning-based reconstruction. This study aimed to analyze the effects of slice thickness variation and AIR™ Recon DL level on the image quality of axial T2-weighted sequences acquired on a 1.5-Tesla MRI system. A quantitative experimental design using a phantom study was employed. Slice thicknesses of 1 mm, 3 mm, and 5 mm were evaluated at four AIR™ Recon DL levels: Off, Low, Medium, and High. Image quality was assessed using Signal-to-Noise Ratio (SNR) and Contrast-to-Noise Ratio (CNR), measured with the Region of Interest (ROI) method. Data were analyzed using the Shapiro–Wilk test, Two-Way Repeated Measures ANOVA, and post hoc testing. The results demonstrated that slice thickness, AIR™ Recon DL level, and their interaction significantly affected both SNR and CNR (p<0.001). SNR increased with greater slice thickness and higher AIR™ Recon DL levels, with the highest value observed at 5 mm and the High level. In contrast, CNR tended to decrease as both parameters increased, and the highest CNR was obtained at 1 mm with AIR™ Recon DL Off. These findings indicate that AIR™ Recon DL can effectively improve signal quality; however, protocol optimization should maintain an appropriate balance among signal enhancement, noise reduction, partial-volume effects, and image contrast. The findings may support optimization and clinical studies.
Association of Family Socioeconomic Status and Infectious Diseases with Underweight Among Children Aged 24–59 Months Nur Mut&#039;mainah; Hairunnisah Hairunnisah; M.Noris M.Noris; Darmin Darmin
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11356

Abstract

Underweight remains a public health nutrition problem, particularly among children under five years old, because it may affect physical growth, cognitive development, and increase the risk of morbidity. Family socioeconomic status and infectious diseases are considered factors associated with underweight. This study aimed to analyze the relationship between family socioeconomic status and infectious diseases with the incidence of underweight among children aged 24–59 months in the working area of Rasanae Timur Public Health Center, Dodu Village, Bima City. This study employed a quantitative method with a cross-sectional design. The sample consisted of 50 children under five, including 25 cases and 25 controls selected using purposive sampling. Data were collected through interviews using questionnaires, weight measurements, and documentation. Data analysis was conducted using the Chi-Square test with a significance level of p<0.05. The results showed that there was no significant relationship between father’s education level (p=0.553), father’s occupation (p=0.221), mother’s occupation (p=0.514), family income (p=0.480), and infectious diseases (p=0.564) with underweight incidence among children under five. However, a significant relationship was found between mother’s education level and underweight incidence (p=0.010). This study concludes that maternal education plays an important role in fulfilling nutritional needs and child care practices. Therefore, improving maternal knowledge through nutrition education and regular growth monitoring is recommended to prevent underweight among children under five.
Perceptions of Older Adults Regarding a Balanced diet for Maintaining Physical Health Ramli Ramli; Juraidin Juraidin; Hairunnisah Hairunnisah
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11413

Abstract

Rising life expectancy has given rise to the ageing population phenomenon, which contributes to declining physiological function and the emergence of degenerative diseases among older adults. A balanced diet serves as a key foundation for helping the elderly maintain independent daily activity, yet adherence to nutritional guidelines among this group remains low due to misconceptions about nutritional needs in old age. This study aims to explore how elderly individuals in Kalajena Village perceive the implementation of a balanced diet and to identify the physiological, social, and economic factors that hinder its practice. A descriptive qualitative approach was employed, involving six older adults as key participants and two supporting informants selected through purposive sampling. Data were collected through in-depth interviews, observation, and documentation, then processed through data reduction, categorization, and interpretation. The findings reveal that participants' understanding of balanced nutrition remains at a basic level and has not been fully translated into daily practice, with hypertension emerging as the most prevalent health condition. This gap stems from deeply rooted eating habits, limited family support for those living alone, and economic constraints restricting access to vegetables and fruit. The study concludes that perception, physiological condition, social support, and economic capacity are interrelated in shaping elderly eating behavior toward healthy ageing. Keywords: elderly perception; balanced diet; physical health; nutritional barriers; healthy ageing 
The Role of Maternal Education, Dietary Diversity and Feeding Practies in Stunting Among Children Under Five Nurilah Kuswanti; Dea Zara Avila; Darmin Darmin; Alkhair Alkhair
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11292

Abstract

Balita merupakan kelompok yang rawan mengalami masalah gizi. Salah satu masalah gizi yang terjadi pada balita adalah stunting. Ada beberapa faktor yang menyebabkan stunting, antara lain tingkat pendidikan, keragaman pangan dan pola asuh dalam pemberian makan. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pendidikan ibu, keragaman pangan dan pola asuh pemberian makan. Penelitian ini menggunakan desain penelitian observasional analitik dengan pendekatan case control. Pengambilan sampel penelitian menggunakan purposive sampling. Sampel berjumlah 78 balita di Wilayah Puskesmas Kerja Wawo, terdiri dari 39 sampel stunting dan 39 sampel tidak stunting. Data stunting diperoleh dengan cara perhitungan TB/U dan data tingkat pendidikan, keragaman pangan serta pola asuh diperoleh melalui cara kuesioner. Analisis data dalam penelitian ini menggunakan uji Chi Square. Hasil uji hubungan tingkat pendidikan (p =0.774 ), keragaman pangan (p = 0.011), dan pola pengasuhan memberikan makan (p = 0.000). Kesimpulan : Tidak ada hubungan tingkat pendidikan ibu dengan kejadian stunting pada balita di Wilayah Kerja Puskesmas Wawo. Ada hubungan keragaman pangan dengan kejadian stunting pada balita di Wilayah Kerja Puskesmas Wawo. Ada hubungan pola asuh pemberian makan dengan kejadian stunting pada balita di Wilayah Kerja Puskesmas Wawo.
Determinants of Exclusive Breastfeeding, Early Breastfeeding Cessation, and Recurrent Infections among Stunted Under-Five Children Dwi Rezeki Auliah; Darmin Darmin; Dea Zara Avila; M.Noris M.Noris
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11353

Abstract

Stunting—characterized by height that is inappropriate for a child's age—is a health issue that poses a long-term threat to a toddler's well-being if left unaddressed. This condition reflects chronic, persistent nutritional deficiency, which has the potential to hinder physical growth, intellectual development, and future productivity. This study aimed to analyze the associations between exclusive breastfeeding, early cessation of breastfeeding, and recurrent infections among stunted toddlers in the working area of the Langgudu Timur Community Health Center (Puskesmas). Methods: A quantitative study was conducted using a case-control design and a retrospective approach involving 90 respondents—mothers of toddlers with either normal nutritional status or stunted status. Sampling was carried out using a combination of probability and purposive sampling. Results: Statistical analysis using the Chi-Square test revealed significant associations between stunting and the variables studied: exclusive breastfeeding (p-value = 0.003 < 0.05; OR = 4.64), early cessation of breastfeeding (p-value = 0.000 < 0.05; OR = 11.00), and recurrent infections (p-value = 0.000 < 0.05; OR = 5.38). It is recommended that all stakeholders strengthen stunting prevention efforts by promoting exclusive breastfeeding for the first six months of life, continuing breastfeeding until the child is two years old or older, and enhancing early prevention and management of infections in toddlers.
Effect of the Arc Acceleration Factor on Brain MRI Image Quality in the 3D Sagittal T1 Cube Sequence Feybe Eka Dayuni; Ni Putu Rita Jenyanthi; I Made Darma Adipranata
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11426

Abstract

Magnetic resonance imaging (MRI) menjadi salah satu modalitas utama dalam evaluasi kelainan neurologis karena mampu menghasilkan kontras jaringan lunak dengan detail anatomi yang lebih tinggi dibandingkan modalitas pencitraan lainnya. Di RSU Siloam Jember salah satu sekuen tambahan yang sering digunakan ialah sekuen 3D Sagittal T1 Cube. Namun, penambahan sekuen ini memiliki kelemahan utama yaitu waktu akuisisi yang relatif lama. Untuk mengatasi permasalahan tersebut maka digunakan teknik parallel imaging yaitu Autocalibrating Reconstruction for Cartesian (ARC) yang memungkinkan percepatan waktu akuisisi dengan mengurangi jumlah data yang diambil, akan tetapi penggunaan ARC juga dapat mempengaruhi kualitas citra yang dihasilkan. Tujuan penelitian ini untuk melihat pengaruh faktor ARC terhadap kualitas citra MRI Brain khususnya pada sekuen 3D Sagittal T1 CUBE. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan eksperimental yang dilakukan di RSU Siloam Jember menggunakan MRI GE Signa explorer 1.5T. Sampel penelitian ini terdiri dari 5 relawan yang menjalani MRI Brain khusus sekuen 3D Sagittal T1 CUBE dengan variasi faktor akselerasi. Peneliti melakukan scan dengan variasi nilai akselerasi 1, 1.5, dan 2 dengan parameter lain yang dijaga konstan. Data yang diperoleh kemudian dianalisis secara kuantitatif. Setelah analisis dilakukan, penulis menyimpulkan bahwa dengan diberikan variasi terhadap nilai akselerasi tidak terdapat perubahan signifikan pada nilai SNR dan CNR ,namun terdapat perbedaan yang signifikan pada waktu pemeriksaan dan kualitas spatial resolution. Dimana semakin tinggi nilai faktor akselerasi ARC semakin singkat waktu scan namun kualitas spatial resolution mengalami penurunan
Association Between The Implementation Of the Four Pillars Of Balanced Nutrition and Type 2 Diabetes Mellitus Among Elderly: A Case–Control Study Nur Arfatunnisah; Nur Husnul Khatimah; Darmin Darmin; Juraidin Juraidin
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11373

Abstract

Type 2 Diabetes Mellitus (DM) is a non-communicable disease that has become a public health problem because its incidence continues to increase, especially among the elderly. One of the efforts to prevent and control this disease is the implementation of the four pillars of balanced nutrition, namely consuming a diverse diet, engaging in physical activity, practicing clean and healthy living behavior (CHLB), and monitoring body weight. This study aimed to determine the effect of implementing the four pillars of balanced nutrition on the incidence of Type 2 Diabetes Mellitus among the elderly in the working area of Penanae Public Health Center. This study used a quantitative method with a case-control design. The population consisted of 142 individuals, with a sample of 104 respondents comprising 52 respondents with Type 2 Diabetes Mellitus and 52 respondents without Type 2 Diabetes Mellitus selected using purposive sampling. Data were collected through questionnaires and analyzed using the Chi-Square test. The results showed a significant association between dietary diversity and Type 2 DM (p=0.000), physical activity (p=0.001), CHLB (p=0.000), and body weight monitoring (p=0.002). In conclusion, the four pillars of balanced nutrition influence the incidence of Type 2 Diabetes Mellitus among the elderly in the working area of Penanae Public Health Center. It is recommended that health education and promotion programs be strengthened to increase public awareness, particularly among the elderly, in adopting healthy lifestyles consistently as an effort to prevent and control Type 2 Diabetes Mellitus.Keywords: Type 2 Diabetes Mellitus, Elderly, Four Pillars of Balanced Nutrition,Diverse Diet, Physical Activity, Clean and Healthy Living Behaviors, Body Weight Monitoring.