Description Of Mother's Knowledge Levels Of Nutritional Status In Tolls In Nagari Tanjung Bungo, Suliki District, Lima Puluh Kota District

In 2018 in West Sumatra, data on children under five who experienced malnutrition according to (BB/U) was 3.51% malnourished, undernourished 15.42%, well-nourished 79.46%, over-nourished 1.61%, based on prevalence nutritional status according to (TB/U) very short 9.66%, short 10.48%, and normal 79.86%. Nutritional status based on (W/U) in children under five in the District of Lima Puluh Kota, poor nutrition 2.12%, undernutrition 16.22%, and good nutrition 81.67%. According to the prevalence of nutritional status (TB/U) very short 10.78%, short 29.35%, and normal 59.87%. The purpose of this study was to determine the characteristics of the mother's level of knowledge about the nutritional status of toddlers. This type of research is descriptive which was carried out in Kenagarian Tanjung Bungo, Suliki District, Lima Puluh Kota Regency with a total sample of 63 respondents. The results showed that the mother's level of knowledge was mostly in the high category with a total of 35 people (55.5%). The limitation of this study is that the researcher could not make direct observations about the mother's knowledge about the nutritional status of children under five. Researchers can only find out the mother's level of knowledge with the results of the questionnaire that has been distributed to the respondents

The Relationship of Family Communication Level With The Sexual Behavior of Adolescent With Disability In The Umbrella Disability Project (UDP) Bukittinggi City

According to Survey Demografi Kesehatan Indonesia (SDKI) at 2018, it is said that adolescents who have knowledge about reproductive health are still lacking with a percentage of 35.3% of female adolescents and 31.2% of male adolescents aged 12-19 years. Individuals have reached a developmental transition that is closer to adulthood. This growth and development is not only experienced by normal adolescents but also experienced by adolescents with disabilities. The purpose of this study was to determine the relationship between the level of family communication and adolescent sexual behavior in the UDP community in Bukittinggi City. This type of research is descriptive analytic with a cross sectional design. The population of this study were all youth with disabilities (deaf) who were in the Umbrella Disability Project (UDP) community as many as 30 respondents. The sampling technique was carried out by total sampling. The results of this study were almost half (43.3%) of respondents had poor family communication levels and less than half (33.3%) of respondents had poor sexual behavior. After carrying out the Chi-square analysis test, it was found that there was a significant relationship between the level of family communication and the sexual behavior of adolescents with disabilities in the UDP community in Bukittinggi City (p < 0.05). Based on this research, it is concluded that adolescents with disabilities during their growth and development need special attention, especially parents and families to prevent risky sexual behavior so that it is not difficult for them to discuss efforts to prevent negative sexual behavior in societ

Acute Chloroform Ingestion Successfully Treated with Intravenously Administered N-acetylcysteine

Chloroform, a halogenated hydrocarbon, causes central nervous system depression, cardiac arrhythmias, and hepatotoxicity. We describe a case of chloroform ingestion with a confirmatory serum level and resultant hepatotoxicity successfully treated with intravenously administered N-acetylcysteine (NAC). A 19-year-old man attempting suicide ingested approximately 75 mL of chloroform. He was unresponsive and intubated upon arrival. Intravenously administered NAC was started after initial stabilization was complete. His vital signs were normal. Admission laboratory values revealed normal serum electrolytes, AST, ALT, PT, BUN, creatinine, and bilirubin. Serum ethanol level was 15 mg/dL, and aspirin and acetaminophen were undetectable. The patient was extubated but developed liver function abnormalities with a peak AST of 224 IU/L, ALT of 583 IU/L, and bilirubin level reaching 16.3 mg/dL. NAC was continued through hospital day 6. Serum chloroform level obtained on admission was 91 μg/mL. The patient was discharged to psychiatry without known sequelae and normal liver function tests. The average serum chloroform level in fatal cases of inhalational chloroform poisoning was 64 μg/mL, significantly lower than our patient. The toxicity is believed to be similar in both inhalation and ingestion routes of exposure, with mortality predominantly resulting from anoxia secondary to central nervous system depression. Hepatocellular toxicity is thought to result from free radical-induced oxidative damage. Previous reports describe survival after treatment with orally administered NAC, we report the first use of intravenously administered NAC for chloroform ingestion. Acute oral ingestion of chloroform is extremely rare. Our case illustrates that with appropriate supportive care, patients can recover from chloroform ingestion, and intravenously administered NAC may be of benefit in such cases

Gastrointestinal decontamination in the acutely poisoned patient

ObjectiveTo define the role of gastrointestinal (GI) decontamination of the poisoned patient.Data sourcesA computer-based PubMed/MEDLINE search of the literature on GI decontamination in the poisoned patient with cross referencing of sources.Study selection and data extractionClinical, animal and in vitro studies were reviewed for clinical relevance to GI decontamination of the poisoned patient.Data synthesisThe literature suggests that previously, widely used, aggressive approaches including the use of ipecac syrup, gastric lavage, and cathartics are now rarely recommended. Whole bowel irrigation is still often recommended for slow-release drugs, metals, and patients who "pack" or "stuff" foreign bodies filled with drugs of abuse, but with little quality data to support it. Activated charcoal (AC), single or multiple doses, was also a previous mainstay of GI decontamination, but the utility of AC is now recognized to be limited and more time dependent than previously practiced. These recommendations have resulted in several treatment guidelines that are mostly based on retrospective analysis, animal studies or small case series, and rarely based on randomized clinical trials.ConclusionsThe current literature supports limited use of GI decontamination of the poisoned patient