scholarly journals Penerapan Learning Vector Quantization (LVQ) untuk Klasifikasi Status Gizi Anak

Author(s):  
Elvia Budianita ◽  
Widodo Prijodiprodjo

AbstrakPenentuan klasifikasi status gizi anak yang sering dilakukan adalah berdasarkan indeks berat badan menurut tinggi badan (BB/TB). Pada Puskesmas Batupanjang, indeks antropometri tersebut dihitung secara manual untuk menilai status gizi anak sekolah dasar dengan menggunakan daftar tabel z-skor atau simpangan baku / standar deviasi (SD) WHO NCHS (National Centre for Health Statistic). Metode Learning Vektor Quantization (LVQ) dan salah satu algoritma pengembangannya yaitu LVQ3 digunakan dalam penelitian ini untuk menangani penilaian status gizi anak berdasarkan simpangan baku rujukan terhadap indeks berat badan dan tinggi badan tersebut. Variabel yang digunakan dalam penilaian status gizi anak adalah jenis kelamin, berat badan, tinggi badan, penyakit infeksi, nafsu makan, dan pekerjaan kepala keluarga (KK). Berdasarkan dari hasil penelitian dan pembahasan yang dilakukan, algoritma LVQ3 lebih baik diterapkan untuk klasifikasi status gizi anak dibandingkan dengan algoritma LVQ1. Penggunaan parameter window (ε) pada jaringan syaraf tiruan LVQ3 memberikan pengaruh positif yakni dapat meningkatkan performa dalam klasifikasi jika dibandingkan tanpa menggunakan window (LVQ1). Kata kunci— Antropometri,  Learning Vektor Quantization,  Z-skor.  AbstractThe shortest path determination of child nutrient that common uses is based on body weight index by body high level (BB/BT). In Batupanjang Puskesmas, that anthropometry index is calculated manually for assessing  the nutrition of children in elementary school by used z-score table list or deviation standard  (SD) WHO NCHS (National Centre for Health Statistic).Learning Vektor Quantization (LVQ) Method and one of its algorithm, LVQ3 is used for this research to handle appraisal of children nutrition status based on deviation standard reference for that weight and high index. The variable that used in this appraisal are genre, body weight, body high, infection disease, appetite, and father work.Based on result of this research and discuss that has been done, LVQ3 algorithm is better applied for children nutrient status classification than LVQ1 algorithm. Using of window parameter (ε) in neural network LVQ3 effect positive impact, that is can increase perform in classification than without used window (LVQ1). Keywords—Anthropometry,  Learning Vektor Quantization,  Z-score.

2021 ◽  
Vol 3 (2) ◽  
pp. 81-90
Author(s):  
Siti Ramadhani H ◽  
Jelita Inayah Sari ◽  
Rauly Rahmadhani

Background: Breast milk is the most ideal biological and physiological first food during the growth and development process due to the presence of protective and nutritional factors and also the needs of children according to their age and phase of growth and development. Methods: This study aims to determine differences in nutritional status based on BB/U and PB/U for children aged 6-24 months in Mattampa Bulu Village. This study used 47 samples which were measured for body weight and length then the mother filled out a questionnaire. Result:  The results of the study using the Chi Square test showed that there was a significant difference between nutritional status based on body weight in children with exclusive and non-exclusive breastfeeding history with p < 0.05 (p = 0.011), but there was no difference in nutritional status based on PB/ U with p > 0.05 (p=0.913). Results: Based on the research, it may be concluded that children with exclusive breastfeeding have good nutritional status based on the indicators of BB/U and there is no difference in the incidence of stunting in children with a history of exclusive and non-exclusive breastfeeding


2020 ◽  
Author(s):  
Xingye Li ◽  
Zheng Li ◽  
Youxi Lin ◽  
Haining Tan ◽  
Chong Chen ◽  
...  

Abstract Background: Early onset scoliosis (EOS) may cause malnutrition in affected patients. Growing-rod treatment has been an effective protocol for treating EOS. The objective of this study is to demonstrate whether growing-rod treatment improves nutritional status of EOS patients.Methods: 52 EOS patients who had dual growing-rod surgery was enrolled. The minimum follow-up was 3-years. Their body weights were normalized based on the data of two National Population Census of China. Z-scores were used to indicate the standard deviation from the median body weight-for-age.Results: The median follow-up time was 6 years. Preoperatively, the prevalence of malnutrition (Z<-2) was 21.2%, and reduced to 9.6% at the end of the follow-up. Preoperatively, the average Z-score was -0.94, and it increased to -0.65 at the latest follow-up (p<0.05). Patients with preoperative Z-score below -1 had more significant increase of Z-scores (-2.15 vs -1.26, p<0.001). A significant negative correlation between the change of Z-score and the preoperative Z-score (correlation coefficient -0.65, p<0.001).Conclusions: The growing rod surgery and lengthening procedures significantly improves the nutrition status of EOS patients. The body weight gains are more significant in patients with lower body weights.


BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xingye Li ◽  
Zheng Li ◽  
Youxi Lin ◽  
Haining Tan ◽  
Chong Chen ◽  
...  

Abstract Background Early onset scoliosis (EOS) may cause malnutrition in affected patients. Growing-rod treatment has been an effective protocol for treating EOS. The objective of this study is to demonstrate whether growing-rod treatment improves nutritional status of EOS patients. Methods Fifty-two EOS patients who had dual growing-rod surgery was enrolled. The minimum follow-up was 3-years. Their body weights were normalized based on the data of two National Population Census of China. Z-scores were used to indicate the standard deviation from the median body weight-for-age. Results The median follow-up time was 6 years. Preoperatively, the prevalence of malnutrition (Z < − 2) was 21.2%, and reduced to 9.6% at the end of the follow-up. Preoperatively, the average Z-score was − 0.94, and it increased to − 0.65 at the latest follow-up (p < 0.05). Patients with preoperative Z-score below − 1 had more significant increase of Z-scores (− 2.15 vs − 1.26, p < 0.001). A significant negative correlation between the change of Z-score and the preoperative Z-score (correlation coefficient − 0.65, p < 0.001). Conclusions The growing rod surgery and lengthening procedures significantly improves the nutrition status of EOS patients. The body weight gains are more significant in patients with lower body weights.


Author(s):  
Anna Gogojewicz ◽  
Barbara Pospieszna ◽  
Jakub Bartkowiak ◽  
Ewa Śliwicka ◽  
Joanna Karolkiewicz

Windsurfing is a demanding activity that requires a high level of physical fitness as well as appropriate training and nutritional strategies. Therefore, the aim of this study was to assess the dietary intake of amateur windsurfers and consider possible dietary mistakes. This field study was conducted among 10 Polish male amateur windsurfers (aged 22 ± 2 years, mean training experience of 9.5 ± 4 years). Dietary intake was assessed using a standardized 3-day food record. The total energy expenditure of each participant was estimated using a mobile fitness application. The daily energy supply in assessed portions of the windsurfers’ food was lower than the estimated demand during the competition. The contribution of macronutrients to the total energy intake adhered to those guidelines, but not with the ones recommended for athletes practicing extreme sports. Daily fluid consumption was insufficient. In the windsurfers’ diet, we noticed low consumption of vitamin D and calcium, while cholesterol, sodium, potassium, and phosphorus intake was too high. Nutritional practices of amateur windsurfers during the competitive period do not comply with current sports nutrition guidelines. The results suggest that windsurfers are in need of nutritional education and dietary counseling in order to meet macronutrient intake targets.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Reshma Roshania ◽  
Rakesh Giri ◽  
Melissa Fox Young ◽  
G Sai Mala ◽  
Amy Webb Girard ◽  
...  

Abstract Objectives The objective of this study was to estimate the prevalence of child malnutrition and the determinants of nutrition status among circular migrant families working in the brick industry in Bihar, India, focusing on differences by origin. Methods We used a stratified, cluster sampling design consisting of a cross-sectional survey in 552 randomly selected brick kilns (clusters) throughout Bihar. Circular migration was defined as residence outside the home block for at least 60 days for employment plus at least one home return in the previous year. Per kiln, three circular migrant households with children 0–35 months of age were randomly selected. We collected kiln, household and child-level data including anthropometric measurements for each selected child (n = 1198). Descriptive, bivariate and logistic regression analyses were conducted in SAS. The primary outcomes were stunting (<-2 SD height-for-age z score) and wasting (<-2 SD weight-for-height z score). The primary exposure of interest was intrastate vs. interstate origin; covariates included household wealth index, parity of the mother, and child age and gender. Results Prevalence of stunting was lower among interstate migrants (47%) compared to intrastate migrants (55%, aOR: 0.66, 95%CI: 0.50–0.88). Wasting was higher among interstate migrants (43%) compared to intrastate migrants (34%, aOR:1.51, 95%CI: 1.17–1.94). Among children 6–23 months, 13% had a minimum acceptable diet; MAD was higher among interstate migrants (17%), compared to intrastate migrants (10%) (P = 0.014). Full immunization coverage among circular migrants was 39%, lower than the overall state (62%, NFHS IV). Open defecation was reported by over 90% of circular migrants. Conclusions Our results are likely to inform the ongoing policy discourse on circular migrants’ access to health and nutrition benefits. State of origin emerged as an important predictor of nutrition status, operating differently for acute and chronic malnutrition; we will further explore pathways of nutrition by origin in future analyses. Funding Sources Bill & Melinda Gates Foundation.


Author(s):  
Jean-François Lemay ◽  
Shauna Langenberger ◽  
Scott McLeod

Abstract Background The Alberta Children’s Hospital-Autism Spectrum Disorder Diagnostic Clinic (ACH-ASDC) was restructured due to long wait times and unsustainable clinic workflow. Major changes included the initiation of pre- and post-ASD parent education sessions and distinct ASD screening appointments before the ASD diagnostic appointment. Methods We conducted a parental program evaluation in summer 2018 of the ACH-ASDC. We used a cross-sectional survey to evaluate key outcomes including parental satisfaction, and the percentage of families obtaining access to government supports and early intervention programs. Results For the 101 eligible patients diagnosed with ASD under 36 months of age 70 (69.3%) parents agreed to participate. The mean diagnostic age of the children diagnosed with ASD was 30.6 months (SD=4.1 months). There were no statistically significant age differences between biological sexes. Ninety-three per cent of parents felt that ASD educational sessions were useful, and 92% of parents were satisfied to very satisfied with the overall ASD diagnostic process. Ninety per cent of parents had access to at least one of the key resources available for ASD early intervention in our province following diagnosis. Parents reported a positive impact on intervention provided to their child in the areas of communication, social interaction, and behaviour. Conclusion Parents of children diagnosed with ASD expressed a high level of satisfaction with the restructured ACH-ASDC process. Implementing parent education sessions was well received and met parents’ needs. Parents were able to access intervention services following diagnosis and reported positive impacts for their child. Re-envisioning program approaches to incorporate novel strategies to support families should be encouraged.


Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 341
Author(s):  
Panagiotis Varagiannis ◽  
Emmanuella Magriplis ◽  
Grigoris Risvas ◽  
Katerina Vamvouka ◽  
Adamantia Nisianaki ◽  
...  

Childhood overweight and obesity prevalence has risen dramatically in the past decades, and family-based interventions may be an effective method to improve children’s eating behaviors. This study aimed to evaluate the effectiveness of three different family-based interventions: group-based, individual-based, or by website approach. Parents and school aged overweight or obese children, 8–12 years of age, were eligible for the study. A total of 115 children were randomly allocated in one of the three interventions, and 91 completed the study (79% compliance); Group 1 (n = 36) received group-based interventions by various experts; Group 2 (n = 30) had interpersonal family meetings with a dietitian; and Group 3 (n = 25) received training through a specifically developed website. Anthropometric, dietary, physical activity, and screen time outcomes were measured at baseline and at the end of the study. Within-group comparisons indicated significant improvement in body weight, body mass index (BMI)-z-score, physical activity, and screen time from baseline in all three study groups (p < 0.05). Furthermore, total body fat percentage (%TBF) was also decreased in Groups 2 and 3. Between-group differences varied with body weight and %TBF change, being larger in Group 3 compared to Groups 1 and 2, in contrast to BMI-z-score, screen time, and health behaviors, which were significantly larger in Group 2 than the other two groups. In conclusion, personalized family-based interventions are recommended to successfully improve children’s lifestyle and body weight status.


2014 ◽  
Vol 664 ◽  
pp. 423-428
Author(s):  
Mauricio Plaza Torres ◽  
William Aperador

Hip disarticulation is an amputation through the hip joint capsule, removing the entire lower extremity, with closure of the remaining musculature over the exposed acetabulum. Tumors of the distal and proximal femur were treated by total femur resection; a hip disarticulation sometimes is performance for massive trauma with crush injuries to the lower extremity. This article discusses the design a system for rehabilitation of a patient with bilateral hip disarticulations. The prosthetics designed allowed the patient to do natural gait suspended between parallel articulate crutches with the body weight support between the crutches. The care of this patient was a challenge due to bilateral amputations at such a high level and the special needs of a patient mobility.


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