Analysis of Nutrition Care Chronic Renal Failure Patients with Health Technology Assessment

Declined in nutritional status of hospitalized Chronic Renal Failure (CRF) patients were due to nutrient intake inadequate which required special attention from the Hospital Nutrition Service Team. This study analyzed the nutritional service on hospitalized CRF patients in Dr. Hasan Sadikin Hospital, Bandung using Health Technology Assessment. The study was conducted in 2014. The study design mixed method with concurrent embedded strategies. The hospital management, nutritionist and hospitalized CRF patients were qualitative subjects, selected using purposive sampling. Quantitative subjects selected using total sampling were 25 patients. Food weighing were used to measure food waste. The nutritional services technology aspects especially nutritional care using PAGT has not been entirely done. Nutritional monitoring and evaluation have not been well programmed and scheduled. The collaboration of nutritional care team have not been optimal. The food service mechanism are quite good while its portions are standardized yet. According to patient\u27s point of view towards food service quality, the food have less variety and taste. Total of cost damage from food waste are Rp.18.099,00 in a year. The lack of technological and organizational aspects can reduce the food service quality. According to the patient, the lack of food service quality will increase the food waste and total cost damage

The Influence of Coconut Oil and Palm Oil on Body Mass Index, Abdominal Circumference, and Fat Mass of Wistar Male Rats

Overweight is one of the risk factors for degenerative diseases, one of which is due to excessive oil consumption. Coconut oil consists mostly of saturated fatty acids of 90% and medium chain fatty acids, making it easier to metabolize into energy, compared to palm oil. This study aims to compare the effect of coconut oil and palm oil on body mass index, abdominal circumference, and fat mass in male wistar rats. This study was conducted in November–December 2017 in Animal Laboratory Department of Pharmacology and Therapy in Fakultas Kedokteran Universitas Padjadjaran Bandung. This study was an experimental study conducted for 28 days in 3 groups, each consisting of 7 rats fed standard diet ad libitum (G0), standard diet plus coconut oil supplementation (G1), and standard diet plus palm oil supplementation (G2). The result showed that the difference of BMI before and after treatment G0=0.06±0.050, G1=0.04±0.032, G2=0.05±0.027 (p=0.553). Difference in mean abdominal circumference before and after treatment G0=1.85±0.852, G1=0.71±1.318, and G2=0.42±1.789 (p=0.149). Mean fat mass group G0=4.61±1.318, G1=4.02±3.439, and G2=6.03±2.568 (p=0.179). There were no significant differences in BMI, abdominal circumference, and fat mass among the experimental groups. In conclusion, supplementation of coconut oil and palm oil in rats can increases BMI, abdominal circumference, and fat mass