Hasil untuk "kesehatan"

Timotius Timotius, Angelica Joana Charity Kamalo, Debora Eunike et al.

Acne vulgaris is an inflammation that occurs in the pilosebaceous gland with a prevalence of 18-21 years affected adolescents. This study aimed to determine the relationship between consumption of whey protein and the incidence of acne vulgaris. The research design was a literature review by searching medical scientific articles. Over 7,408 articles were found when searching for "protein" and "acne vulgaris." The articles were sorted by relevant publication in the last five years. There were 2,179 pertinent articles, which were then excluded from book studies that read 581 articles. Then, articles were screened only for whey protein research in the form of milk, so the remaining 129 studies were continued by selecting only subjects—adolescents aged 18-21 years so that the remaining 20 relevant articles are summarized in this study. The literature review results show a significant relationship between protein consumption and the incidence of acne vulgaris. The increase in sebum production caused by high protein consumption is the main reason for this correlation. Research findings suggest that people who consume high amounts of whey protein are more likely to develop acne vulgaris. In conclusion, this study lost the importance of nutrition in the incidence of acne vulgaris, with whey protein consumption being a significant contributing factor. The findings of this study may benefit individuals who wish to prevent or treat acne vulgaris by making dietary changes. Further research is needed to determine the optimal amount of protein intake to minimize acne vulgaris.

Desi Andriyani, Arianto Arianto, Karsal Meilendra

The causes of dental and oral health problems in the community include the behavior of ignoring dental and oral hygiene. This is due to a lack of knowledge about the importance of maintaining oral and dental hygiene. Dental health promotion needs to be done to change behavior so that it can reduce the number of people with dental and oral diseases. Aims this study is to know the effect of dental health promotion with the simulation method on the level of knowledge of students at the Darul Hidayah Islamic Boarding School in 2021. The type of research used was quasi-experimental. This research method uses a pre-experimental approach with a one-group pre and post-test design approach. This design attempts to reveal a causal relationship by involving the experimental group. The sample in this study were students of SMP Pondok Pesantren Darul Hidayah with a total sample of 50 people. Research Results Before the simulation was given, there were 4 students (8%), students who had sufficient knowledge were 12 people (24%), and students who had good knowledge were 34 people (68%), After being given the simulation there was less knowledge 1 person (2%), students who have sufficient knowledge are 7 people (14%), and students who have good knowledge are 42 people (84%). Correlation test results obtained a p-value=0.012 which means there is a significant effect between dental health promotion with the simulation method on the level of knowledge of students.

Irawan Wibisono, Soesanto ., Mahalul Azam

The COVID-19 pandemic in Indonesia affects student learning methods, one of which is the change from offline to online. Learning activities using a smartphone for a long time causes the neck position to become not ergonomic. The result will be neck pain. The purpose of this study was to determine the effect of the craniovertebral angle on neck pain in physiotherapy students at Widya Husada University Semarang. The research method using observational cross sectional. The results showed that most of the samples had normal cranivertebral angle (CVA) with mild neck pain and neck pain frequency more than 1 time per week. While the strong correlation is CVA is directly proportional to the frequency of neck pain.

Ilmiawati Ilmiawati, Liganda Endo Mahata, Gestina Aliska et al.

Plastic is a global problem; plastic pollution production reaches 350 million tons annually. This plastic pollution will be degraded into microplastic. This microplastic will pollute the environment and negatively impacted health if exposed too much. Recent research has found microplastics in clothes, toys, and even food. The Department of Pharmacology and Therapeutics, Faculty of Medicine, Universitas Andalas conducts outreach to the public to enhance the general public's understanding of microplastics and their impact on health. The outreach activity began with filling out a pre-test to assess the public's understanding of microplastics. Followed by education about microplastic exposure, the dangers of microplastics, and education about a healthy lifestyle to reduce sources of microplastic exposure. The event ended with filling out a post-test by participants. Paired t-test analysis on pre-test and post-test data showed an increase in public understanding regarding microplastics, sources of exposure, health impacts and ways to reduce microplastic exposure. Based on these results, it can be concluded that the provision of public service can increase public understanding regarding the sources of microplastics and their impact on health and encourage people to live a healthy lifestyle that minimizes exposure to microplastics.

Yenni Gustiani Tarigan, Ivan Elisabeth Purba

Washing hands with soap (CTPS) is one of the clean and healthy lifestyle behaviors that is currently becoming the world's attention given the outbreak of the COVID-19 virus that occurred at the end of December 2019 and had a very fatal impact on all corners of the world because it caused many deaths. The purpose of this community outreach is to increase the knowledge of the community in Huta Tonga Tonga Lingkungan II about the correct behavior of washing hands with soap. This activity was carried out in Lingkungan II Huta Tonga Tonga, North Sibolga District by visiting as many as 30 houses on January 12, 2021 with the target being housewives. This activity is carried out by providing individual education and attaching stickers in front of people's homes. After providing education to the participants, then the practice of washing hands using soap with running water was carried out where participants also practiced hand washing with soap according to the directions. It is hoped that this activity can have an impact on the residents of the house and other people who read the stickers can be encouraged to apply hand washing with soap in daily life, especially during the current pandemic. Cuci tangan pakai sabun (CTPS) merupakan salah satu perilaku hidup bersih dan sehat yang saat ini menjadi perhatian dunia mengingat merebaknya virus covid-19 yang terjadi dari akhir Desember 2019 dan berdampak sangat fatal ke seluruh penjuru dunia karena menyebabkan banyak kematian. Tujuan pengabdian ini adalah untuk meningkatkan pengetahuan masyarakat di Lingkungan II Huta Tonga Tonga tentang perilaku cuci tangan pakai sabun yang benar. Kegiatan ini dilaksanakan di Lingkungan II Huta Tonga Tonga, Kecamatan Sibolga Utara dengan mengunjungi sebanyak 30 rumah pada tanggal 12 Januari 2021 dengan sasaran adalah ibu rumah tangga. Kegiatan ini dilaksanakan dengan memberikan edukasi secara individu dan menempelkan stiker di depan rumah masyarakat. Setelah pemberian edukasi kepada peserta kemudian dilakukan kegiatan praktek cuci tangan menggunakan sabun dengan air mengalir dimana peserta juga melakukan praktek cuci tangan pakai sabun sesuai arahan. Diharapakan dengan kegiatan ini dapat berdampak kepada penghuni rumah maupun orang lain yang membaca stiker tersebut dapat terpacu untuk menerapkan cuci tangan pakai sabun dalam kehidupan sehari-hari terutama pada saat pandemi sekarang ini.

Supriyatiningsih Wenang, Supriyatiningsih Wenang, Juergen Schaefers et al.

Background: Adopting Universal Health Coverage for implementation of a national health insurance system [Jaminan Kesehatan Nasional (JKN)/Badan Penyelenggara Jaminan Sosial or the Indonesian National Social Health Insurance Scheme (BPJS)] targets the 255 million population of Indonesia. The availability, accessibility, and acceptance of healthcare services are the most important challenges during implementation. Referral behavior and the utilization of primary care structures for underserved (rural/remote regions) populations are key guiding elements. In this study, we provided the first assessment of BPJS implementation and its resulting implications for healthcare delivery based on the entire insurance dataset for the initial period of implementation, specifically focusing on poor and remote populations.Methods: Demographic, economic, and healthcare infrastructure information was obtained from public resources. Data about the JKN membership structure, performance information, and reimbursement were provided by the BPJS national head office. For analysis, an ANOVA was used to compare reimbursement indexes for primary healthcare (PHC) and advanced healthcare (AHC). The usage of primary care resources was analyzed by comparing clustered provinces and utilization indices differentiating poor [Penerima Bantuan Iur (PBI) membership] and non-poor populations (non-PBI). Factorial and canonical discrimination analyses were applied to identify the determinants of PHC structures.Results: Remote regions cover 27.8% of districts/municipalities. The distribution of the poor population and PBI members were highly correlated (r2 > 0.8; p < 0.001). Three clusters of provinces [remote high-poor (N = 13), remote low-poor (N = 15), non-remote (N = 5)] were identified. A discrimination analysis enabled the >82% correct cluster classification of infrastructure and human resources of health (HRH)-related factors. Standardized HRH (nurses and general practitioners [GP]) availability showed significant differences between clusters (p < 0.01), whereas the availability of hospital beds was weakly correlated. The usage of PHC was ~2-fold of AHC, while non-PBI members utilized AHC 4- to 5-fold more frequently than PBI members. Referral indices (r2 = 0.94; p < 0.001) for PBI, non-PBI, and AHC utilization rates (r2 = 0.53; p < 0.001) were highly correlated.Conclusion: Human resources of health availability were intensively related to the extent of the remote population but not the numbers of the poor population. The access points of PHC were mainly used by the poor population and in remote regions, whereas other population groups (non-PBI and non-Remote) preferred direct access to AHC. Guiding referral and the utilization of primary care will be key success factors for the effective and efficient usage of available healthcare infrastructures and the achievement of universal health coverage in Indonesia. The short-term development of JKN was recommended, with a focus on guiding referral behavior, especially in remote regions and for non-PBI members.

Sari desi Esta Ulina Sitepu, Abdi Lestari Sitepu, Pratiwi Christa Simarmata et al.

Surgery is performed by taking certain body parts, with the aim of improving the body that has abnormalities such as laparotomy. This action can disable the sound of the prism with the state of the body that is anesthetized. Early mobilization is one of the effective ways to re-stimulate bowel function and produce normal peristaltic sounds and patients can be selected. The purpose of this study was to determine the effect of early mobilization on the recovery of intestinal peristalsis in post-laparatomy patients at Grandmed Lubuk Pakam Hospital. This study used a one-group pretest-posttest design, with pre-experimental pre-test (early stage) and post-test (final stage) with a sample of 27 respondents while the research instrument used an observation sheet. Data analysis used bivariate analysis, namely the Paired Sample T-Test. The results of the bivariate test with Paired Sample T-Test proved that there was an effect of early mobilization on increasing intestinal peristalsis before and after the procedure, as evidenced by the p-value = 0.00 < 0.05. As early as possible, early mobilization doing in post-laparatomy patients, the faster the intestinal peristaltis recovery process will be.

Yeni Riskawati, Martono Tri Utomo, Pudji Lestari

Abstract Background: In Indonesia the Neonatal mortality rate was 15 infants per 1000 births and in Surabaya in 2018 LBW deaths were 50 per 1000 live births, while in Haji General Hospital the LBW deaths were 12 babies in 1 year. Kangaroo care was the most effective way to meet the basic needs of LBW. Babies with 1500-2500 grams body weight either due to prematurity or small pregnancy period will lose weight ranging from 10-15% in 7 days of life. To overcome the problem Kangaroo care method4 component aims to promote weight loss, maintain body temperature remains stable and facilitate breastfeeding Methods: The method of this study was observational analytic with the design of the study cohort. Total sample of 40 LBW with sampling techniques using Sequential Sampling in the period August-October period 2019. Variabel was free kangaroo care method  given 1-2 times a day with a duration of more than 120 minutes. The dependent variable was increased in body weight carried out 3x the measurement. Results: The results of the study using paired T test showed an increase in body weight, namely 1) the first measurement of 31.82 grams for 3 days with p = 0.037, 2) the second measurement increased by 227.15 for 7 days, with p = 0,000, 3) the third measurement was 258.97 with p = 0,000. The conclusion: of the studied, that there were a significant difference between the kangaroo method treatments for weight gain in LBW in the NICU Room Haji Hospital Surabaya

Syahrina Syahrina, Vivi Asfianti, Kasta Gurning et al.

Uric acid is the final product of purine metabolism that will be excreted through urine, feces, and sweat. Excessive production of uric acid can cause hyperuricemia, known as gout. The skin of shallots (Allium cepa L.) is one of the household wastes that are very rarely used by the community. Ethanol extract of shallot skin (EESS) was tested for phytochemical screening and anti-hyperuricemia activity using potassium oxonate. Mice were divided into five groups (Allopurinol, Na-CMC, EESS 200 mg/kg BW, 300 mg/kg BW, and 400 mg/kg BW) and uric acid levels were observed at 2-hour intervals for six hours. Phytochemical screening shows that EESS has potential compounds in the treatment of gout. Tests to reduce uric acid levels showed that EESS has better potential than allopurinol at concentrations of 300 mg/kg BW and 400 mg/kg BW after six hours of induction in reducing uric acid levels.

Fitra Mulyawan, Kiki yulinda

In the development of Indonesian National Law, the existence of Islamic law is very important, in addition to being a material for the preparation of national law, Islamic law is also an inspiration and dynamic in the development of national law. Likewise in the health sector, where the existence of Islamic law is an integral part of national law in the rules that exist in the health sector law. Intended to see whether Islamic law becomes an integral part of the rules in the field of health. Then whether the existence of Islamic law in these rules is explored from Islamic law which develops normatively into positive law. Therefore, Islamic law in the form of fatwas has a strong influence on the legislative process in Indonesia. All of this is clearly seen in the rules of health, first revealed elements of Islamic law that exist in the rules of health, namely the health law from independence to existing laws and apply to this day. So that the health law found a value system in Islam related to health, such as forbidden abortion, the existence of strict rules.

Riselligia Caninsti

Penyakit gagal ginjal kronis dan terapi hemodialisis yang dilakukan 2-3 kali seminggu, membawa dampak pada kondisi psikologis pasien. Pasien merasa kecewa dan putus asa terhadap hidupnya sehingga mengalami kecemasan dan depresi, sering kali pasien baru dapat menerima kenyataan setelah yang bersangkutan berada di ambang kematian. Pada umumnya pasien yang menjalani pengobatan di rumah sakit hanya mendapatkan penanganan secara medis, sedangkan kondisi psikologis yang merupakan reaksi dari keluhan isik atau faktor lain yang merupakan akibat dari adanya keluhan isik yang dirasakan sering kalitidak diperhatikan. Penelitian ini bertujuan untuk mengetahui kondisi psikologis pasien, terutama yang terkait dengan kecemasan dan depresi melalui sebuah alat ukur yang dapat digunakan oleh Dokter, Perawat, Psikolog dan praktisi kesehatan lainnya di setting rumah sakit. Alat ukur yang digunakan adalah Hospital Anxiety and Depression Scale (HADS) yang telah dirancang untuk digunakan dalam setting rumah sakit dan hanya terdiri dari 14 item. Dengan diaplikasikannya alat ukur HADS kepada pasien, diharapkan dapat diketahui tingkat kecemasan dan depresi pasien, sehingga praktisi kesehatan mampu memberikan pendampingan yang tepat untuk mengatasi permasalahan psikologis pasien. Hasil penelitian menunjukkan bahwa 73.33 % subjek memiliki tingkat kecemasan yang tergolong normal, 23.33 % borderline abnormal, dan 3.33 % normal. Sementara itu pasien yang mengalami depresi dalam tingkat normal sebanyak 76.67 %, borderline abnormal 23.33 % dan tidak ada yang mengalami depresi dalam kategori abnormal.

Ni Nyoman Sri Yuliani, Elsa Trinovita

Excessive fat accumulation in the obese body causes chronic low-grade inflammation. The continuous occurrence will affect health, which may lead to damage to cell metabolism related to metabolic age. Therefore, anthropometric application by measuring neck circumference (NC) and body mass index (BMI) was performed. The aim of this study was to determine NC cut-off which can be used to identify the increase of metabolic age in an individual. This study is a diagnostic study using cross sectional design using subjects who met the criteria needed for this study (n = 82). BMI and NC anthropometric measurements were performed in this study. Metabolic age was measured using Bioelectrical Impedance Analyzer (BIA). Data were analyzed using 2 x 2 diagnostic table and Receiver Operating Characteristic (ROC) curve to obtain Area Under Curve (AUC). The results showed that the highest BMI was obese (65.8%) with the most common age of 30-57 years old. The result of ROC-AUC NC on metabolic age showed that AUC value of NC measurement was 0.77, cut-off ≥ 33 cm, sensitivity 71.2%, and specificity 69.6%. This study concludes that the cut-off value of NC in predicting the increase of metabolic age had good sensitivity and specificity.

Mar'atul Hasanah, Makhfudli Makhfudli, Andri Setiya Wahyudi

Introduction: Multidrug-resistant (MDR-TB) occurs due to treatment failure, dropping, treatment, or improper treatment resulting in primary resistant. This research aimed to analyze the correlation between family support and self-efficacy of multidrug-resistant (MDR-TB) patient at MDR-TB Polly Ibnu Sina Hospital Gresik. Method: Descriptive correlational involved 15 respondents who selected using consecutive sampling. Independent variable was family support. The dependent variable was self-efficacy. Data were retrieved by questionnaire then analyzed using Spearman rho with a degree of meaning α ≤ 0,05. Result and analyze: Family support not significantly correlated with self-efficacy with p-value = 0,120 or (p ≥ 0,05). Conclusion: All respondents of MDR-TB patients in MDR-TB Ibnu Sina Hospital Gresik have positive family support and high self-efficacy. Suggestions for the further researcher to research about health education to increase the participation of family support for MDR-TB patients.    ABSTRAK Pendahuluan : TB-MDR terjadi karena kegagalan pengobatan, putus pengobatan, atau pengobatan yang tidak benar sehingga terjadinya resistensi primer. Penelitian ini bertujuan untuk menganalisis hubungan antara dukungan keluarga dengan Efikasi Diri  penderita Tuberkulosis resisten obat di Poli TB-MDR RSUD Ibnu Sina Gresik. Metode : Desain penelitian deskriptif korelasional melibatkan 15 responden Penderita TB-MDR yang sedang menjalani pengobatan di poli TB-MDR RSUD Ibnu Sina Gresik pada 28 Maret – 28 Juni 2018 yang di pilih menggunakan consecutive sampling. Variabel bebas adalah dukungan keluarga. Variabel terikat adalah Efikasi Diri. Data diperoleh menggunakan kuesioner yang kemudian dianalisis menggunakan Spearman rho dengan derajat kemaknaan α ≤ 0,05. Hasil dan Analisis : Dukungan keluarga tidak berhubungan secara signifikan terhadap Efikasi Diri  dengan p-value = 0,120 atau (p ≥ 0,05). Kesimpulan : semua responden penderita TB-MDR di Poli TB-MDR RSUD Ibnu Sina Gresik memiliki dukungan keluarga yang positif dan Efikasi Diri  tinggi. Saran bagi peneliti selanjutnya agar meneliti tentang hubungan antara dukungan keluarga dengan Efikasi Diri  yang dapat meningkatkan partisipasi dukungan keluarga.

Eko Wahyudi, Novialdi Novialdi

Pendahuluan: Sialolitiasis merupakan penyakit pada kelenjar liur yang ditandai dengan terbentuknya batu pada saluran atau kelenjar liur. Sering terjadi pada kelenjar. Mekanisme pembentukan batu masih belum diketahui dengan pasti. Gejala klinis yang paling sering dikeluhkan adalah bengkak dan nyeri saat dan setelah makan. Pemeriksaan penunjang yang dianggap sebagai baku standar untuk menegakkan diagnosis sialolitiasis adalah sialografi. Penatalaksanaan dari sialolitiasis bervariasi dan terus dikembangkan dari waktu ke waktu. Laporan Kasus: Dilaporkan satu kasus sialolitiasis submandibula kiri pada seorang anak perempuan umur 14 tahun yang dilakukan sialolitektomi dengan pendekatan transoral. Kesimpulan: Pada kasus diatas dilakukan sialolitektomi dengan pendekatan transoral, dimana teknik ini dilakukan pada kasus sialolitiasis yang berukuran besar dengan angka keberhasilan yang cukup tinggi dan angka kekambuhan yang rendah.

Zora Olivia, Arinda Lironika Suryana

Consumption of antihypertensive drugs has the potential to cause drug and food interactions. Captopril/lisinopril can increase potassium levels by inhibiting the activity of renin angiotensin aldosterone. If captopril/lisinopril is consumed together with bananas, there is a risk of hyperkalemia because bananas are a high pottasium fruits. The aimed of this study was to determined the effect of captopril/lisinopril given with banana (Musa Sp) on potassium serum levels of Rattus novergicus strain Wistar hypertension model. This research was an experimental study with a randomized post-test control group design.Thirty (30) male wistar strain rats aged 2-3 months, weighing 200-250 grams were divided into 6 groups. The control group (K-) non-hypertensive rats, the control group (K+) hypertension rats+standard diet, the treatment group (P1) hypertension rats + standard diet + captopril 2.25 mg/kgBB, the treatment group (P2) hypertensive rats + standard diet + lisinopril 0.6 mg/kgBB, treatment group (P3) hypertension rats + standard diet + captopril with banana and treatment group (P4) hypertension rats + standard diet + lisinopril with bananas. Measurement of potassium serum levels was carried out using electrolyte analyzer. Furthermore, the data were analyzed by One Way ANOVA test. The results showed that there were no significant differences in potassium serum levels between all groups. In conclusion, both of captopril 2.25 mg/kgBB and lisinopril 0.6 mg/kgBB given together with banana 9g/kgBB for 3 days hasn’t caused drug and food interactions. Keywords: banana fruits, captopril, lisinopril, potassium serum

Bernadeta Trihandini, Diyah Fatmasari, Lucia Endang Hartati YK et al.

Background: Anxiety in stroke patients occurs as a normal reaction to stress with life changes; however, when it becomes excessive, It becomes disabling. Effort to deal with anxiety is needed and spiritual approach nursing care is considered useful in caring patients with stroke. Objective: To examine the effect of spiritual nursing care on anxiety in stroke patients in the inpatient ward. Methods: This study used a quasy experimental design with pretest-postest control group. Thirty respondents were selected using consecutive sampling, which 15 respondents assigned in the experiment and control group. The Hamilton Anxiety Rating Scale was used to measure anxiety. Data were analyzed using paired t-test and independent t-test. Results: The results showed that the mean level of anxiety in the experiment group before intervention was 29.33 and decreased to 9 after intervention, while in the control group the mean level of anxiety before intervention was 29.47 and decreased to 17.73 after intervention. Paired t-test obtained p-value 0.000 (<0.05), which indicated that there was a significant effect of spiritual nursing care on anxiety levels in patients with stroke. Conclusion: Spiritual nursing care could reduce anxiety in patients with stroke.

Fitriani Fitriani

Padi hitam mempunyai potensi cukup besar dikembangkan, karena mengandung antioksidan, vitamin BI, makroelemen serta mineral yang sangat baik untuk kesehatan. Oleh karena itu, produktivitas padi hitam harus ditingkatkan, Namun, padi memiliki tinggi batang semu yang lebih tinggi dibandingkan padi yang lain sehingga rentan terhadap kerobohan. Oleh karena itu perlu diaplikasikan paklobutrazol dan pupuk organik cair untuk menurunkan tinggi batang semu serta meningkatkan ketebalan diameter batang semu sehingga tahan terhadap kerebahan. Penelitian dilakukan di "Green House" dan areal pertanian dengan menggunakan RALK 2 faktor. Faktor pertama adalah aplikasi paklobutrazol yang terdiri atas 4 konsentrasi, yaitu: 0 ppm, 10 ppm, 20 ppm atau 30 ppm diberikan pada saat perkecambahan. Faktor kedua adalah aplikasi pupuk oganik cair yang terdiri atas 4 konsentrasi, yaitu: 0 ml (kontrol)/pot, 0.6 ml/pot, 1.2 ml/ pot dan 1.8 ml/pot diberikan saat tanaman berumur 4, 8 dan 12 minggu. Parameter yang diamati yaitu: ketebalan anatomi batang, panjang berkas pengangkut dan tebal kortek batang semu tanaman padi hitam. Analisis data dengan ANAVA, jika terdapat perbedaan dilanjutkan dengan DMRT. Analisis ini dilakukan dengan menggunakan Software SPPS 21.0padataraf 5%. Hasil penelitian menunjukkan bahwa aplikasi paklobutrazol 30 ppm tunggal berpengaruh nyata terhadap ketebalan anatomi batang, panjang berkas pengangkut dan, tebal kortek.

Sri Lestari, Rosidi Rosidi, Laeli Budiarti

<p align="justify">Tujuan kegiatan IbM ini adalah untuk memperbaiki sistem manajemen kelompok, administrasi kelompok, peningkatan peralatan produksi, peningkatan produktivitas peternakan dan usaha kuliner, peningkatan efisiensi usaha peternakan dan produk kuliner, sistem manajemen usaha kecil yang baik, peningkatan mutu produk kuliner, kemasan dan label yang menarik untuk produk kuliner, peningkatan daya tarik lokasi dan higienitas lingkungan jualan dan kegiatan pemasaran yang efektif.</p><p align="justify">Metode yang digunakan untuk mencapai tujuan tersebut dengan alih teknologi melalui penyuluhan dan <em>workshop</em>, praktek, serta pendampingan. Pendampingan yang dilakukan meliputi manajemen pemeliharaan, pembuatan formula pakan berbasis sumber daya lokal, pembuatan pembukuan, analisis usaha, pengelolaan SDM, serta penerapan manajemen pemasaraan yang benar meliputi kualitas produk, kemasan, standar kesehatan, penentuan harga, saluran distribusi, dan promosi dengan baik.</p><p><strong>K</strong><strong>ata Kunci</strong>: <em>Manajemen Budidaya Enthog, Manajemen Usaha Kuliner, Pakan Enthog, Bahan Pakan Lokal</em></p>

Syafruddin Haris, Taralan Tambunan

Obesitas merupakan masalah yang banyak dijumpai baik di negara maju maupun di negara berkembang. Seiring dengan meningkatnya kejadian obesitas, dikenal sindrom metabolik yang terdiri dari obesitas sentral, resistensi insulin, hipertensi, dan dislipidemia berupa kadar trigliserida yang tinggi dan kolesterol high density lipoprotein (HDL) yang rendah. Sindrom metabolik terutama disebabkan oleh obesitas dan resistensi insulin. Selain sebagai tempat penyimpanan energi, jaringan lemak juga menghasilkan faktor yang menyebabkan hipertensi. Jaringan lemak dapat menguraikan angiotensin dari sistem angiotensin-renin. Pada obesitas, terjadi resistensi insulin dan gangguan fungsi endotel pembuluh darah yang menyebabkan vasokonstriksi dan reabsorbsi natrium di ginjal dan menyebabkan hipertensi. Penurunan berat badan merupakan faktor penting dalam tata laksana sindrom metabolik dengan hipertensi yang dicapai dengan diet, latihan, medikamentosa atau gabungan hal-hal tersebut. Obat antihipertensi dapat dipertimbangkan sebagai bagian pendekatan holistik dalam tata laksana. (

Tiurma Heryawanti P, Endy Paryanto Prawirohartono, Toto Sudargo

Background: Food service success relates to patient plate waste. Patient plate waste in Indonesia Hospitals could be more than 25%. Cause of patient plate waste in Hospital is lack of food and equipment quality. Almost of 32.8% patients in 10 hospitals model in Indonesia clarify that appearance, cleanliness, and equipment are good. Objective: The aim of theses research was to identify the effect of serving utensils and the other factors to the plate waste. Methods: This was a Quasi Experiment study using pre posttest with control. Study subject consisted of 45 patients in the treatment group and 45 patients in the control group. Data were analyzed descriptively and whereas t-test, Fisher Exact test, Chi-Square were performed to differentiate the proportions and means in two groups. The effect of several variables on plate waste was calculated using logistic regression on analysis. Results: This study showed that no significant difference of taste, appearance, attitude of the staff who serve meals, service timeliness, kind of food, kind of diseases and environment to patient plate waste (p>0.05). There was no significant effected of the serving disposable utensils on patient plate waste (p>0.05). Conclusion: The type of serving disposable utensils was no a significant factor effected the plate waste.