KMS Remaja, Relevansinya Dengan Pemantauan Tumbuh Kembang Dalam Upaya Meningkatkan Gizi Dan Kesehatan

KMS REMAJA, RELEVANSINYA DENGAN PEMANTAUAN TUMBUH KEMBANG DALAM UPAYA MENINGKATKAN GIZI DAN KESEHATA

Relasi antara Penggunaan Android dan Perubahan Sosial Perdesaan

Social changes is all changes on social institutions within community which impacting on its system including values, norms and patern of behaviour between groups in community, technology is one of the cause. Technology of media cq Android pressumed will give impact on traditional rural so- cial system, thus these mixed-method research intended to study how far the impact of the USAge of Android on rural social changes.The present of internet followed by the more personalized Android in the rural community has made a transformation on interaction dimension between member of community both in Babakan village as urban-rural, and Petir as rural-village. The ownership and USAge of Android between member of community today has various of meanings, whether to build peer-relation,tighten the family cohesion or to support the economic activities. The social change as impact of the USAge of Android apparrently only occurs on interaction dimension without changing the structural or the cultural dimension. Research found, the prolonged social norms which has been rooted and maintaned by the community still able to work as social control mechanism, however the research shows the indication that the rationlisation on individual is ongoing, this may more or less loosen the social cohesion of rural community

Strategi Baru Penyuluhan Gizi-kesehatan Dalam Meningkatkan Perilaku Sehat Ibu Selama Hamil Dan Menyusui

A New Strategy of Nutrition Education In Improving Health Behaviour of Pregnant and Lactating Women.Background: The new health paradigm of the year 2010 is emphasizing on preventive and promotive measures through the improvement of health behavior of the population. On the same time, the economic crisis has worsened the nutritional status, particularly for pregnant and lactating women, leading to increase of malnutrition and mortality among infants and women. Programs in improving health behavior, particularly in many nutrition programs, have poorly designed and poorly implemented at grass root levels and therefore may not assess nutrition knowledge, attitude and practice prroperty, with the consequence that the results may have little meanings.Objective: The aim of the study was to examine model of empowering pregnant and lactating women through, the improvement of heatlh and nutriton behavior by using the method of Women\u27s Contact. Women\u27s Contact or Kontak Ibu was a trained person who always give services to pregnant and lactating women, including midwives, traditional birth attendants, community volunteers, such as ceders, etc.Methods: The study areas were located in Bogor and Tangerang Districts. In the treatment group areas 21 Kontak Ibu were trained for 2 days in improving their skills in nutrition and heatlh education and supervised. In the control group areas 20 Kontak Ibu were trained for 1 day and Without supervised during the 4 months of intervention period. The material of nutrition and heatlh education developed by the previous study, was provided for all Kontak Ibu. In the treatment area 80 women (40 pregnant and 40 lactating) received the services given by Kontak Ibu. The same number and proportion of women also received the services in control areas.Results: The performance of Kontak Ibu in the treatment areas generally better than in the control areas in term of the frequency of giving education, number of women receiving services, referral forms completed, and number of targeted women visited. The women who improved their practices in solving the problem of morning sickness and low appetite for pregnant women, and problem of eating and diarrhea for infants were significantly (p<0.05) higher in the treatment than in the control group. Other practices, such as solving problem of headache, edema, vances. fever, etc. were improved in both groups.Conclusion: It is found in both group the new service strategy using method of Kontak Ibu changed several behaviors among women in communites. The changes in the experiment group were more remarkable than in the control group.Suggestion: The strategies of Kontak Ibu services changed behavior of both the service providers ard the women seeking services. It is therefore likely that application of the model Kontak Ibu services could be implemented in the existing nutrition improvement programs

Norma Perkembangan Motor Milestone Anak Sehat Dan Bergizi Baik Dalam Rangka Pengembangan Suatu Rujukan

Norm of Motor Milestone Achievements In Healthy and Well Nourished Children Leading To The Development A Reference.Background: The prevalence of malnutrition is still high in Indonesia, and one of its functional consequences is level of the intelectual capacity of children. Motor development is an essential of cognitive performance, and it is generally believed related with nutritional status of children, however very few studies had been carried out in the field condition.Objectlves: To describe the ceiling of motor milestone achievements of healthy and well nourished children aged 3-18 months in the development of norms for Indonesian children.Methods: The study was conducted in 4 big cities: Surabaya, Malang, Bandung and Bogor in 2100 healthy and well nourished children aged 3-18 months came from high SES (socio-economic status) families who had no constraints on achieving normal growth and development. There were 17 milestones observed by well trainned enumerators following standard procedure. Analysis of percentiles 5, 10, 50, 90, and 95 for age against motor achievement were carried out for all children.Results: The difference in the attainment of the ceiling of motor milestones between males and females were not significant at any points of observation, therefore sex combined norm curve of motor development for children aged 3-18 months was ilustrated.Conclusions: The norm of motor milestone development for Indonesian children aged 3-18 months has been developed. Before being used as a reference, it needs to be evaluated or it is reliability and feasibility

Analisa Situasi Kini Tentang Isi Dan Pelaksanaan Kegiatan Gizi Dalam "Primary Health Care"

Dalam USAha untuk meningkatkan keadaan gizi masyarakat berpenghasilan rendah diberbagai negara di kawasan Asia Tenggara, termasuk Indonesia, langkah pertama ialah mengadakan penelitian mengenai isi dan pelaksanaan kegiatan gizi dengan pendekatan PHC yang telah dijalankan oleh negara bersangkutan. Penelitian ini mendapat bantuan dari WHO-SEARO.Sehubungan dengan itu telah dilakukan penelitian, dengan tujuan untuk memperoleh data saat ini, tentang isi dan pelaksanaan kegiatan gizi dengan pendekatan PHC pada organisasi kesehatan (Puskesmas-UKIA, UPGK-Kes, KB-Gizi dan PKMD) di berbagai daerah, agar hasilnya dapat digunakan dalam meningkatkan pelaksanaan kegiatan gizi.Daerah terpilih ialah propinsi Jawa Barat, Jawa Tengah dan Sumatera Barat

CLIC1 regulates dendritic cell antigen processing and presentation by modulating phagosome acidification and proteolysis

© 2016, Company of Biologists Ltd. All rights reserved. Intracellular chloride channel protein 1 (CLIC1) participates in inflammatory processes by regulating macrophage phagosomal functions such as pH and proteolysis. Here, we sought to determine if CLIC1 can regulate adaptive immunity by actions on dendritic cells (DCs), the key professional antigen presenting cells. To do this, we first generated bone marrow-derived DCs (BMDCs) from germline CLIC1 gene-deleted (CLIC1-/-) and wild-type (CLIC1+/+) mice, then studied them in vitro and in vivo. We found phagocytosis triggered cytoplasmic CLIC1 translocation to the phagosomal membrane where it regulated phagosomal pH and proteolysis. Phagosomes from CLIC1-/- BMDCs displayed impaired acidification and proteolysis, which could be reproduced if CLIC1+/+, but not CLIC1-/- cells, were treated with IAA94, a CLIC family ion channel blocker. CLIC1-/- BMDC displayed reduced in vitro antigen processing and presentation of full-length myelin oligodendrocyte glycoprotein (MOG) and reduced MOG-induced experimental autoimmune encephalomyelitis. These data suggest that CLIC1 regulates DC phagosomal pH to ensure optimal processing of antigen for presentation to antigen-specific T-cells. Further, they indicate that CLIC1 is a novel therapeutic target to help reduce the adaptive immune response in autoimmune diseases

Faktor-faktor yang Mempengaruhi Status Gizi Keluarga di Tiga Daerah Berbeda Pola Kekerabatan

The study was carried out in three different kinship areas : bilineal in West Java, patrilineal in Lampung and matrilineal in West Sumatera. The purpose of this study was to investigate the extent of sociocultural factors that may effect nutritional status. A total of428 women in three study areas were interviewed and families were observed. The mean per capita expenditure was about the same in the three areas, and the portion of expenditure for food was 55 to 59 percent. Based on weight for height using WHO-NCHS standard, the percent of families with malnourished children was 42,9 percent in Cianjur (West Java), 29,5 percent in Lampung Selatan (Lampung), and 30,7 percent in Tanah Datar (West Sumatera). The study revealed that condition and characteristic of the families of different kinships in the study areas contribute the difference in knowledge, practice and eating pattern leading to the difference in nutritional status. In promoting behavioural change and for determining appropriate approaches to use, factors such as the role and status of women in the family in different kinships and community experiences combined with appropriate methods of adult education should be considered in applying the nutrition extension programme

A waitlist-controlled trial of group cognitive behavioural therapy for depression and anxiety in Parkinson’s disease

Background: The aim of this study was to evaluate the efficacy of a group Cognitive Behavioural Therapy (CBT) treatment for depression and anxiety in Parkinson’s disease (PD). Methods: A waitlist-controlled trial design was used. Eighteen adults with PD and a comorbid DSM-IV-TR diagnosis of depression and/or anxiety were randomised to either Intervention (8-week group CBT treatment) or Waitlist (8-week clinical monitoring preceding treatment). The Depression, Anxiety, Stress Scale-21 (DASS-21) was the primary outcome. Assessments were completed at Time 1 (pretreatment), Time 2 (posttreatment/post-waitlist) and 1-month and 6-month follow-ups. Results: At Time 2, participants who received CBT reported greater reductions in depression (Mchange = -2.45) than Waitlist participants (Mchange = .29) and this effect was large, d = 1.12, p = .011. Large secondary effects on anxiety were also observed for CBT participants, d = .89, p = .025. All treatment gains were maintained and continued to improve during the follow-up period. At 6-month follow-up, significant and large effects were observed for both depression (d = 2.07) and anxiety (d = 2.26). Conclusions: Group CBT appears to be an efficacious treatment approach for depression and anxiety in PD however further controlled trials with larger numbers of participants are required