Kapsul Ekstrak Daun Kelor (Moringa Oleifera Leaves) Terhadap Kadar Hemoglobin Pada Ibu Menyusui

Anemia pada masa laktasi merupakan salah satu masalah gizi di lrrdonesia. ditandai dengan rendahnya kadar hemoglobin. Pada ibu laktasi anemia gizi biasanya terjadi karena pengeluaran darah yang berlebihan pada waktu melahirkan. Pada kondisi tersebut ibu harus mengkonsumsi makanan yang bergizi terutama yang banyak mengandung protein dan zat besi agar dapat mengembalikan kondisi tubuhnya. Tujuan penelitian untuk mengetahui pengaruh pemberian kapsul ekstrak daun kelor terhadap kadar hemoglobin pada ibu menyusui dipuskesmas tilango kab.gorontalo. Metode penelitian yang digunakan adalah Quasy eksperimen. Jumlah sampel dalam penelitian ini sebanyak 40 orang ibu menyusui dibagi 2 kelompok yaitu kelompok intervensi yang diberikan ekstrak daun kelor  mengkonsumsi 2x2 kapsul pada pagi dan malam hari sedangkan  kelompok kontrol tidak diberi apa-apa. Hasil penelitian bahwa kelompok intervensi berupa pemberian pemberian kapsul daun kelor pada Ibu tidak signifikan secara klinis meningkatkan kadar Hemaglobin (Hb) karena rata–rata kenaikan hanya sebesar 0,190 g/dl dengan nilai p value 0,200 sedangkan penambahan kebutuhan zat besi selama menyusui adalah 6-8 mg dibandingkan dengan ibu yang hanya diatur pola makan (food record).Kesimpulan pemberian kapsul ekstrak daun kelor tidak memberikan pengaruh yang signifikan terhadap kadar hemoglobin Ibu menyusui antara kelompok kontrol dan intervensi

Pemberian Kapsul Ekstrak Daun Kelor Terhadap Kadar Vitamin A Pada Ibu Menyusui

Status gizi yang baik selama kehamilan, persalinan hingga menyusui merupakan hal yang penting, yaitu dengan mengkonsumsi banyak makronutrien dan mikronutrien yang memberikan manfaat untuk memenuhi kebutuhan tambahan nutrisi selama kehamilan dan pasca salin. Unsur yang terkandung dalam daun kelor termasuk unsur mikro yaitu zat besi 28, 2 mg, kalsium (ca) 2003,0 mg dan vitamin A 16,3 mg kaya, protein vitamin A, C, D, E, K dan B dalam jumlah sangat tinggi yang mudah dicerna dan diasimilasi oleh tubuh manusia Penelitian ini bertujuan untuk melihat pengaruh pengaruh tepung daun kelor terhadap ibu menyusui vitamin A. Penelitian ini merupakan Quasi eksperiment. Teknik pengambilan sampel yang digunakan adalah purposive sampling dan diperoleh sebanyak 40 sampel yang terdiri dari 20 kelompok kontrol dan 20 kelompok intervensi. Sampel darah diuji dengan metode ELISHA, perlakuan dilakukan dengan pemberian kapsul tepung daun selama 3 minggu dan mempertahankan penarikan makanan pada kelompok kontrol yaitu kelompok yang tidak diberi kapsul tepung daun kelor. Hasil penelitian menunjukkan bahwa kadar Vitamin A antara kelompok yang diberi Kapsul tepung daun (intervensi) dan kelompok kontrol setelah mempersembahkan daun melalui uji Mann Whitney menunjukkan nilai p = 0,001 Hal ini menunjukkan adanya pengaruh pengaruh kelor. Pemberian daun kelor dapat meningkatkan kadar vitamin A. Hasil penelitian menunjukkan bahwa kadar Vitamin A antara kelompok yang diberi Kapsul tepung daun (intervensi) dan kelompok kontrol setelah mempersembahkan daun melalui uji Mann Whitney menunjukkan nilai p = 0,001 Hal ini menunjukkan adanya pengaruh pengaruh kelor. Pemberian daun kelor dapat meningkatkan kadar vitamin A. Hasil penelitian menunjukkan bahwa kadar Vitamin A antara kelompok yang diberi Kapsul tepung daun (intervensi) dan kelompok kontrol setelah mempersembahkan daun melalui uji Mann Whitney menunjukkan nilai p = 0,001 Hal ini menunjukkan adanya pengaruh pengaruh kelor. Pemberian daun kelor dapat meningkatkan kadar vitamin A

The Role of Hyperlactatemia Status as a Prognostic Parameter in Critically Ill Nenonates

Introduction: Hypoxia and hypoperfussion is often found in neonates in an intensive care unit, however the clinical manifestations can only be found after cellular hypoxia and tissue perfussion disorder occur. Objective: The study aims to find the ability of hyperlactatemia status as a prognostic parameter for infants in Neonatal Intensive Care Unit Level IIIA. Methods : The research was a cohort prospective study using bivariat and multivariat analysis in NICU of Dr. Wahidin Sudirohusodo Hospital from June 2012 to April 2013. The analysis of the lactate level on samples that met the inclusion and exclusion criterias was done immediately after the neonates get into the NICU level IIIA. The capliary lactate level was measured using hand held analyser. The samples were distributed into groups of hyperlactatemia and without hyperlactatemia followed by outcome observation (death or good recovery). The number of subjects were 102 patients consisted of 69 males and 33 females. Results : The study showed the incidence of hyperlactatemia at NICU leve IIIA was 53,9%. Hyperlactatemia ((p=0.000; IK95% 4.11-56.75.00; AOR 15.28) and chronological age <24 hours (p=0.014; IK95% 1.5037.04; AOR 7.47) was significant in determining the patient\u27s outcome. Conclusions: The study found that hyperlactatemia status and cronological age less than 24 hours were prognostic factors for patient\u27s outcome related to elevated mortality risk

The Effect of Storyline Therapy on The Development Language in 3 Years Age Children

Delays or disorders in children's speech and language in Indonesia are increasingly common, parents must be aware of their child's speech development, remembering that if these delays are not treated early, they will result in intelligence and behavioral disorders. The aim of this research is to determine the effect of storytelling therapy on language development in 3-year-old children at Posyandu Arumsari III Puskesmas Mranggen I. This type of research is a quantitative, quasi-experimental design type One Group Pretest Posttest design. The population of this study was all children under 3 years old at the Posyandu Arumsari III, Desa Kembangarum, Puskesmas Manggen 1, Kabupaten Demak, with a total of 26 children. The sample is determined by Federer's formula of 18 respondents. The sampling technique in this research is purposive sampling. Data analysis used univariate and bivariate analysis using Wilcoxon. Language development in children 3 years before storytelling therapy had an average of 29.2, with a median 29, after storytelling therapy had an average of 30.67, median 31. There was an effect of storytelling therapy on language development in children aged 3 years, obtained Pvalue 0.002 0.05. There is an effect of storytelling therapy on language development in children aged 3 years. The results of this study are expected that mothers can do storytelling therapy at least 3 times a week to stimulate children's language development

Application of Self-Reflection Using Reflective Journal on Oxytocin Massage Skills in Diploma Three Midwifery Students

Midwifery is a profession based on women-centered and evidence-based care through the provision of mutually respectful professional relationships and partnerships. To train students' skills, repeated learning is needed, learning can be sourced from experiences such as doing self-reflection by keeping a reflective journal. This research aims to analyze the effect of applying self-reflection using a reflective journal on oxytocin massage skills. This research is an experimental research using a one-group pretest-posttest group design approach, taking samples using a simple random sampling technique. The research population was all level III students in a bivariate analysis using the Friedman ANOVA test. The results showed that the pretest mean value was 59.28 increasing to 79.50 in the first posttest and 83.38 in the second posttest with a p-value &lt;0.05, which means that there is an effect of applying reflective journals using reflective journals on oxytocin massage skills. Having students write reflective journals is a great way for them to learn new concepts. This approach is also useful for lecturers to get feedback on the concepts being studied by students. The use of reflective journals will guide students to analyze what they have and do not know about the material being studied and how to overcome the obstacles encountered so that learning goals are achieved and foster independent learning in students

ANALYSIS OF MALONDIALDEHYDE LEVELS IN CHILDREN WITH BETA THALASSEMIA: A CROSS-SECTIONAL STUDY

AbstractBeta thalassemia is an autosomal recessive genetic condition affecting people worldwide, including in Indonesia. Malondialdehyde levels, a peroxidation product, can be used to see if there is an iron buildup in the body due to lifelong transfusions. This research is a novelty because it analyzes malondialdehyde levels in children with beta-thalassemia: a cross-section study. The study aims to analyze malondialdehyde levels in children with beta-thalassemia. Methods in this study, a cross-sectional investigation was carried out at Dr. Hospital Wahidin Sudirohusodo, Makassar. The study was carried out between April and August of 2022. The study sample consisted of participants diagnosed with beta-thalassemia and non-thalassemia (controls) eligible to participate. Patients with and without beta-thalassemia had their malondialdehyde levels measured. The study results showed that the 60 children, aged six months until 18 years, were separated into two groups, 30 of whom had beta-thalassemia and another 30 who did not. With a significant P-value of 0.000, it was determined that beta-thalassemia children had more substantial amounts of malondialdehyde than children without the condition. Children with beta-thalassemia major had significantly higher malondialdehyde levels than those with beta-thalassemia HbE (P-value = 0.000). The conclusion was that malondialdehyde levels were more significant in beta-thalassemia kids than non-thalassemia kids. Malondialdehyde values are more effective in kids with beta-thalassemia major than those with beta-HbE thalassemia.Keywords: Malondialdehyde; Beta thalassemia; Transfusion; Children

COMPARISON OF TRANSFERRIN SATURATION LEVELS IN ANEMIA OF CHRONIC DISEASE AND IRON DEFICIENCY ANEMIA: A CROSS-SECTIONAL STUDY

About 33 percent of the global population is anemic. Anemia of chronic disease (ACD) is caused by chronic inflammation. Iron deficiency anemia (IDA) is caused by a decrease in the body's iron reserves to form red blood cells. There are many clinical and laboratory similarities between ACD and IDA, but the treatment is very different. Transferrin saturation level can be used to differentiate between the two. This research is novel because it compares transferrin saturation levels in chronic and iron deficiency anemia. This study aims to determine the transferrin saturation level in patients with ACD and IDA. This research method uses a cross-sectional study. Data taken from medical records. The sample for this study were children with ACD and IDA aged 1 month to 18 years at Wahidin Sudirohusodo Hospital, Makassar. The results showed that the mean transferrin saturation value in DKA children (19.40%) was higher than that in ADB children (5.66%). The Mann-Whitney test showed that there was a significant difference between the two groups (p=0.001) with a transferrin saturation cut-off point between the DKA and IDA groups of 6.5% with a sensitivity of 73.6%, a specificity of 72.5%, positive predictive value (PPV) of 78%, negative predictive value (NPV) of 67%, and odds ratio (OR) of 19,476 (95% CI). In conclusion, transferrin saturation levels can differentiate IDA and ACD using a cut-off point of 6.5%

The Cortisol Serum Measurement as a Marker of Stress in Neonates

The first few days of life are crucial; the neonates are particularly vulnerable to stress and infection during this period. Stress can cause changes in metabolic and endocrine, including cortisol level. The disease causes an indirect impact on cortisol level through cytokines and enzymes. Elevation of cortisol level can disturb hemostasis and cause long terms complications. This research aimed to compare the difference in cortisol level between healthy and neonatal with high suspicion of sepsis. The study was an observational study using the cross-sectional method, conducted in Ananda mother and child hospital Makassar, from February until April 2018. Sixty neonates who fulfill the criteria were included in the study. They were divided into control group (CG) and patient group (PG). The blood samples in CG were taken a right after birth before the routine procedure was performed. Meanwhile, blood samples in PG were made at the time of diagnosis. The level of serum cortisol was measured Duplo with ELISA.The average serum cortisol level in CG and PG ranged between 9,98 - 120 ng/mL (average of 55,64 ng/mL) and 125,56 - 273,06 ng/mL (182,09 ng/mL) respectively. The correlation of cortisol level  between PG and CG was statistically significant with p-value 0.000 (p &lt; 0.05), 95% CI -143,59475 – (-109, 31159). In this study, the gender, gestational age, birth weight, length of stay, and Apgar score 5 minutes were not correlated with cortisol level in PG and CG. The only mode of delivery correlated with serum cortisol level with p-value 0.000 (95% CI 34,20958 – 101,67470). The serum cortisol level is an accurate method to indicate neonatal stress, and it is significantly higher in ill neonates compare to the healthy ones. It can be used as a prognostic marker, and continuous monitor of its dynamic changes may help us understand better about the implication of stress in early life

Perbandingan Frekuensi Tangisan antara Perawatan Metode Kanguru Posisi Pronasi dengan Posisi Lateral Dekubitus pada Bayi Berat Lahir Rendah

Latar belakang. Perawatan metode kanguru (PMK) merupakan suatu cara perawatan dengan meletakkan bayi di dada ibu sehingga terjadi kontak antara kulit bayi dan kulit ibu. Banyak manfaat PMK pada bayi antara lain membuat jumlah tangisan bayi berkurang. Tangisan bayi sering merupakan alasan orang tua mencari masalah kesehatan pada bayi mereka atau menganggapnya sebagai suatu kegagalan orang tua dalam merawat bayinya dan hal ini meningkatkan kecemasan mereka. Metode PMK dapat dilakukan dengan posisi pronasi dan lateral dekubitus. Tujuan.Membandingkan frekuensi tangisan antara PMK posisi pronasi dengan posisi lateral dekubitus pada bayi berat lahir rendah. Metode.Penelitian uji klinik acak terkontrol dengan desain paralel pada BBLR yang memenuhi kriteria di Bagian Ilmu Kesehatan Anak FKUH/RS Wahidin Sudirohusodo dan RSIA Siti Fatimah, Makassar periode Mei - Juli 2010. Hasil.Tujuhpuluh subyek yang memenuhi kriteria penelitian dibagi atas kelompok PMK posisi pronasi dan PMK posisi lateral dekubitus. Frekuensi tangisan pada kelompok PMK lateral dekubitus lebih sedikit secara bermakna dibandingkan dengan PMK pronasi. Terdapat penurunan frekuensi tangisan dari hari ke hari terlihat menurun secara bermakna pada kedua kelompok. Kesimpulan.Perawatan metode kanguru (PMK) posisi lateral dekubitus menurunkan frekuensi tangisan bayi secara bermakna dibandingkan PMK posisi pronasi