Pengaruh sistem pemesanan makanan digital terhadap ketepatan waktu pemberian makanan dan kepuasan pasien

Effect of digital food ordering system on timeliness of feeding and patient satisfactionBackground: Computer-based information systems simplify food ordering, speed up the calculation of order data, and reduce operational costs for patient food ordering processes to reduce the time lag between ordering food and serving it to consumers. Only a few studies have examined the effect of digital food ordering applications on feeding accuracy and patient satisfaction.Objective: This study aims to determine the relationship between the digital food ordering system and the timeliness of feeding, and the relationship between timeliness of feeding, taste, menu variety, staff appearance, and food service with patient satisfaction.Methods: This study uses a mixed design design with a parallel concurrent mixed method. Quantitative research uses the one-group pretest-posttest pre-experimental design without a control group design and qualitative research uses the social constructivism–interpretation paradigm. The research was conducted in July 2022 at the Bayu Asih Hospital in Purwakarta. The study population consisted of 91 inpatients using a sampling technique, namely total sampling, while the number of samples for qualitative data was five persons using purposive sampling. Bivariate analysis used the Wilcoxon and Chi-Square tests, while the qualitative analysis used a deductive approach.Results: The average time for serving food with manual ordering tends to be greater, namely 181.5 seconds, which decreases to 156.62 seconds after using a digital food ordering system. Most of patients (73.6%) were satisfied with the timeliness of feeding, the taste of the food provided, the varied menu, and the neat appearance of the servers. The results of the analysis showed a significant relationship between the timeliness of food serving (p=0.006); food taste (p=0.001); menu variety (p=0.001); and the appearance of the waitress (p=0.001) with patient satisfaction.Conclusion: The timeliness of feeding increases after using a digital food ordering system. Timeliness of feeding, food taste, variety of food menus, appearance of food serving staff, and food service are significantly related to patient satisfaction

FAKTOR- FAKTOR YANG BERASOSIASI PADA KEJADIAN STUNTING PADA BAYI DI BAWAH DUA TAHUN DI WILAYAH KERJA PUSKESMAS PANDRAH KABUPATEN BIREUEN

Stunting is a condition of physical growth failure characterized by height for age under -2 SD from the WHOchart growth standard. This study used adesign cross sectional with variables of birth weight, non-exclusive breastfeeding, maternal education, education. father, history of ANC visits, socio-economic history, and work history of parents.  This study used a sample of 56 baduta who were stunting. The sample in this study, namely mothers who have baduta. This study uses instruments in the form of a questionnaire and an infantometer. Data analysis used univariable analysis, bivariable analysis with chi square test and multivariable with logistic regression analysis.  The results showed that the prevalence of stunting in the study site was 31.8%, the factor most associated with stunting in the ANC visit was POR = 10.54 (95% CI: 4.20-25.03) p value

Correlation between Health Perception, Body Image, and Eating Habits in High School Students

Background: Mental disorders, including eating disorders, mostly begin during youth. Moreover, negative body image is found to cause unhealthy eating habits in the context of several cross-cultural settings. This study aimed to examine the correlation between health perception and body image with eating habitsamong high school students.Methods: A structured, anonymous questionnaire was distributed to students of a private high school in Bandung, Indonesia in June-October 2014. The questionnaire included questions about health perception, body image, eating habits, body weight and height, and also other demographic parameters. The school was selected as the study object through purposive sampling, and 140 high school students (72 male and 68 female) were ramdomly selected.Results: Male and female did not show considerable differences in health perceptions. Out of 13 statements, 12 statements of male respondents showed better body image than female. While in eating habits statements, female respondents seemed to maintain healthier eating habits than male respondents. No significant correlation was observed between body image and eating habits (r=-0.015, p=0.858). There was significant correlation between health perception and eating habits (r=0.374, p<0.001). Correlation between sex andeating habits was found (p=0.020), there was not significant relationship between eating habits and Body Mass Index (BMI) (p=0.368).Conclusions: The negative relationship between body image and eating habits is not significant. However there was a significant positive relationship between health perception and eating habits. Furthermore, there was correlation between sex and eating habits, while the positive relationship between eating habits and BMI was still not found. [AMJ.2016;3(2):216–21]DOI: 10.15850/amj.v3n2.77

Pattern of Energy and Protein Intake among Stunted Children Aged 3–5 Years in Jatinangor

Background: A child’s optimal growth can be indicated by many factors, among them is body height, therefore stunting is one of the evidences of undergrowth. Nutrition, on the other hand, is one of variables affecting growth. This study aimed to examine the nutrition intake, in the form of energy, carbohydrate, protein, and fat in stunted children aged 3–5 years in Jatinangor.Methods: This cross sectional study was carried out in September to October 2014 using the random sampling method. Dietary data from 70 stunted children aged 3–5 years in pre–school and kindegarten located in 9 urban areas in Jatinangor were collected through 3x24 Recall and Food Frequency Questionaire and analyzed.Results: Mean energy intake was 1113.6 kcal and mean carbohydrate intake was 137.4 grams. Mean protein intake was 38.4 gram and mean fat intake was 38.2 gram. Types of food highly consumed as the source of carbohydrate were white rice and biscuit, and as the source of protein were meatball, sausage, and egg. Highest consumed vegetables, fruits and snack were water spinach, cabbage, watermelon, banana, and milk respectively.Conclusions: Mean energy intake, mean carbohydrate intake, and mean fat intake are all below the recommended dietary allowance (RDA) 2013 with individual value of mean energy intake is below RDA 2013 for all subjects. Mean protein intake is slightly above RDA 2013. [AMJ.2016;3(3):364– 70]DOI: 10.15850/amj.v3n3.907

Serum Level of IL-6, Reactive Oxygen Species and Cortisol in Patients with Recurrent Aphthous Stomatitis related Imbalance Nutrition Intake and Atopy

One of the most common oral ulcerations is recurrent aphthous stomatitis (RAS), affecting approximately 20% of the general population worldwide. The etiology of RAS is still unclear but it is considered to be multifactorial, including imbalanced nutrition intake and allergic conditions such as atopy. The purpose of this study was to investigate the differences and correlation between the serum level of IL-6, reactive oxygen species (ROS), and cortisol in RAS patients. Our study was cross-sectional and used a consecutive sampling method. There were significant differences of IL-6 and ROS levels in all groups (p = 0.000, p = 0.049 respectively) and a significant correlation between cortisol and ROS in the RAS group without atopy (r = -0.985, p = 0.015). Serum IL-6 and ROS measurement may be used for detecting RAS caused by malnutrition or atopy but not cortisol for patients without psychological stress detected. This is consistent with the results of a very strong correlation with a negative value between cortisol and ROS in RAS without atopy

Hubungan Pola Makan dan Pola Aktivitas Fisis dengan Obesitas pada Anak

Perubahan gaya hidup yang juga berpengaruh terhadap Perubahan polakonsumsi pangan dan pola aktivitas fisis menyebabkan prevalensi obesitas padaanak di Indonesia cenderung meningkat. Tujuan penelitian ini adalah untukmenyelidiki hubungan antara pola makan dan pola aktivitas fisis denganterjadinya obesitas primer pada anak. Penelitian dilakukan pada 122 anak berusia4-12 tahun di Kota Bandung antara bulan Mei dan Juli 2000. Status obesitasditentukan berdasarkan klasifikasi indeks massa tubuh (IMT) dan berat badanterhadap tinggi badan (BBTB). Kepada 122 subjek ini dilakukan wawancara polamakan menurut pola kebiasaan (PK) dan rekaman diet 24 jam (RD) yang meliputiambilan kalori, makronutrien, dan mikronutrien yang dinyatakan dalam persenterhadap angka Kecukupan Gizi yang dianjurkan (KGA) untuk anak, jugawawancara skor aktivitas fisis (SAF) dan rekaman aktivitas fisis harian yangdinyatakn dalam keluaran energi (KE). Hasil penelitian menunjukkan bahwajumlah anak obes adalah sebanyak 81 orang dan non obes 41 orang berdasarkanklasifikasi IMT, sedangkan berdasarkan BB-TB didapatkan anak obes sebanyak 47orang dan non obes 75 orang. Ambilan kalori anak obes lebih besar dari anak nonobes dengan perbedaan sangat bermakna berdasarkan RD baik padapengklasifikasian status obesitas menurut IMT (p=0,0,026) dan BB-TB(p=0,0001). Ambilan makronutrien berdasarkan wawancara PK/RD antara anaknon obes dan obes menurut IMT/BB-TB tidak menunjukkan perbedaan bermakna,baik dalam ambilan karbohidrat, lemak, maupun protein (p.0,05). Hasil ANOVAmenunjukkan bahwa berdasarkan PK dan derajat obesitas IMT, lemak merupakanmakronutrien yang paling berperan (F=3,392; p=0,006) tetapi berdasarkan BBTB,kalori lebih berperan (F=2,557; p=0,042). Berdasarkan RD pada statusobesitas IMT maupun BB-TB, ambilan karbohidrat yang paling erat hubungannyadengan derajat obesitas (F=7,909; p=0,007 dan F=6,928; p=0.010). Ambilanmikronutrien tidak menunjukkan perbedaan bermakna antara anak non obes danobes (p>0,05), kecuali untuk masukan kalsium berdasarkan PK dan statusobesitas berdasarkan BB-TB (p=0,043). Hasil uji t terhadap aktivitas fisismenunjukkan bahwa anak non obes memiliki SAF lebih tinggi daripada anak obes(p=0,000), dan dengan korelasi Pearson, SAF berkorelasi negatif negatif secarabermakna dengan IMT (r=-0,615; p=0,000). Sementara itu selisih ambil kalori(PK/RD) dan keluaran energi (KE) anak non obes lebih besar daripada anak obespada klasifikasi status obesitas menurut IMT [p=0,001 (PK) dan p=0.0068 (RD)].Pola makan dengan ambilan kalori berlebih dan aktivitas fisis rendahberhubungan dengan terjadinya obesitas pada anak, sedangkan derajat obesitaslebih dipengaruhi oleh ambilan nutrien lemak dan karbohidrat

Perbandingan Kadar Hemoglobin pada Bayi yang Diberikan Makanan Pendamping ASI Buatan Pabrik dengan Buatan Rumahan

Latar belakang. Anemia merupakan masalah kesehatan global di dunia. Penyebab tertinggi anemia adalah defisiensi besi, umumnya terjadi setelah usia 6 bulan saat masa penyapihan. Dinegara berkembang, orangtua lebih sering memberikan MPASI buatan rumahan yang seringkali tidak dapat memenuhi kebutuhan zat mikronutrien dibandingkan MPASI berfortifikasi buatan pabrik karena alasan ekonomi. Tujuan. Mendapatkan gambaran perbedaan kadar Hemoglobin (Hb) bayi yang diberikan MPASI buatan pabrik dengan buatan rumahan. Metode. Penelitian analitik komparatif potong lintang dilaksanakan pada Mei-Juni 2018 di wilayah kerja Puskesmas Garuda kota Bandung pada bayi usia 7-8 bulan secara consecutive sampling yang memenuhi kiteria inklusi untuk masing-masing kelompok MPASI buatan pabrik dan buatan rumahan. Dilakukan pengukuran kadar Hb dan recall pemberian makanan dalam 7 hari terakhir. Uji statistik dilakukan menggunakan uji t dan Mann Whitney dengan tingkat kemaknaan p<0,05. Hasil.Terdapat 36 bayi terbagi dalam 2 kelompok. Rerata kadar Hb bayi kelompok MPASI buatan pabrik 11,48 g/dL (0,85 SD), kelompok buatan rumahan 10,8 g/dL (1,2 SD). Didapatkan perbedaan yang bermakna antara jenis MPASI dengan kadar Hb (p<0.03). Kesimpulan.Kadar hemoglobin bayi yang mendapatkan MPASI buatan pabrik lebih tinggi dibandingkan bayi yang mendapatkan MPASI buatan rumahan. MPASI berfortifikasi buatan pabrik dapat diberikan sebagai salah satu upaya pencegahan anemia

The correlation between trauma and poor diet in oral ulceration: an online-based survey

The most common oral ulceration in the community might be as recurrent as aphthous stomatitis (RAS) or traumatic ulcer. The aim of this study was to report and analyze the characteristics of oral ulceration and risk factors based on an online survey. A questionnaire using Google forms containing a total of 34 questions. Four questions wereabout personal details, whereas 30 questions related to oral ulceration were recorded and presented descriptively. The chi square test was carried out to determine the relationship between several questionnaire variables. A total of 208 respondents were involved, consisting of 162 female and 46 male. Respondents were in the age range of 0–50 year old with >23 year old as the age group with the highest number of respondents (53%). Oral ulceration data showed no recurrence in 157 respondents (75%), rare recurrence/ once in a year (52%), frequent recurrence in the labial mucosa in 121 respondents, single ulcer (86%), round shape (75%), risk factor due to trauma (biting/friction) in 165 respondents, ulcer untreated (64 %), and ulcer recovery of less than 7 days (70%). The respondents had no symptoms of anemia (73%), and were not on a vegan diet (98%). Chi square test indicated that there was a significant correlation between trauma and the poor diet (p= 0.001). The data in this present study indicate that the characteristics of oral ulceration might lead to RAS or traumatic ulcers and this might be attributed to local (trauma) and systemic (diet) factors

Correlation between Neutrophil-to-Lymphocyte Ratio (NLR) and Immature-to-total Neutrophil (I/T) Ratio to Bacterial Infection among Children with Chronic Kidney Disease

Background: Chronic kidney disease (CKD) in children has a long-lived impact, such as an increased risk of bacterial infection. Infection may accelerate disease progression, making early detection crucial. Inflammatory markers typically used for bacterial infection are C-Reactive Protein (CRP) and Procalcitonin (PCT). This study aimed to determine the correlation between levels of neutrophil-to-lymphocyte ratio (NLR) and immature-to-total-neutrophil ratio (I/T ratio) to bacterial infection in children with CKD as indicated by the serum levels of CRP and PCT.Methods: Observational analysis with a cross-sectional design was conducted from January 2019 to November 2021 in children from 3 months to 18 years old with CKD and bacterial infection.  Retrospective data were obtained from medical records at Dr. Hasan Sadikin General Hospital, Bandung. Correlation analysis was performed (SPSS program) at a 95% confidence level, and results were considered significant if the p-value 0.05) and NLR (r=0,188; p>0.05) to CRP.Conclusions: NLR and I/T ratios have a significant positive correlation with PCT levels but not with CRP levels. NRL and I/T ratios can be considered as alternative markers for diagnosing CKD in children with a bacterial infection