scholarly journals Correlation Between Protein, Calcium and Zinc Intake with Stunting in Children Age 3-5 Years Old in Gubeng, Mojo, Surabaya

2019 ◽  
Vol 3 (12) ◽  
pp. 480-485
Author(s):  
Ayuning Tetirah Ramadhani ◽  
Widati Fatmaningrum ◽  
Roedi Irawan
Keyword(s):  
Calcium Intake ◽  
Control Method ◽  
Case Control ◽  
Nutrition Status ◽  
P Value ◽  
Zinc Intake ◽  
Exact Test ◽  
Psychosocial Stimulation ◽  
Nutrition Intake ◽  
Poor Nutrition

Stunting is a condition that occurs as the result of the disruption in the growth of height due to poor nutrition intake and nutrition status, repeated incidence of infection and inadequate psychosocial stimulation. In year 2017, the prevalence status for stunting incindence in Indonesia is categorized as high, reaching at 29,6%. This study was conducted to determine the correlation between nutritional intake of protein, calcium and zinc with the incidence of stunting. This study was an observational analytic research with a case control method, conducted to determine the correlation between exposure of risk factors and disease by comparing stunting groups with non-stunting groups. This study obtained a relation between depleted calcium intake and stunting incidence using the Fisher’s Exact test with a p value of 0.001 and odd ratio 0.056. A significant correlation of insufficient calcium intake with the incidence of stunting was found, yet there were no correlation between insufficient protein and zinc intake with the incidence of stunting. Keywords: stunting; protein; calcium; zinc

scholarly journals Asupan Gizi dan Mengantuk pada Mahasiswa

2012 ◽  
Vol 7 (3) ◽  
pp. 99
Author(s):  
Sada Rasmada ◽  
Triyanti Triyanti ◽  
Yvonne M. Indrawani ◽  
Ratu Ayu Dewi Sartika
Keyword(s):  
Physical Activity ◽  
Sleep Duration ◽  
Nutrition Status ◽  
Dominant Factor ◽  
P Value ◽  
Fat Intake ◽  
Iron Intake ◽  
Cross Sectional ◽  
Nutrition Intake ◽  
Diabetes Melitus

Asupan nutrisi dan energi, status nutrisi, serta aktivitas harian berpengaruh pada kejadian mengantuk yang berpengaruh negatif pada konsentrasi dan produktivitas belajar pada mahasiswa. Kejadian mengantuk berhubungan dengan penurunan kemampuan kognitif yang disebabkan oleh defisiensi zat besi. Seseorang yang mengantuk akan mengalami penurunan aktivitas fisik yang menyebabkan kelebihan berat badan sehingga berisiko lebih tinggi untuk terkena penyakit degeneratif seperti penyakit kardiovaskular dan diabetes melitus. Penelitian ini bertujuan untuk menganalisis faktor dominan yang berpengaruh pada kejadian mengantuk di kalangan mahasiswa. Penelitian dengan desain studi cross sectional ini dilakukan terhadap sampel 139 mahasiswa Fakultas Kesehatan Masyarakat Universitas Indonesia. Proporsi mahasiswa yang hampir mengantuk sekitar 28,80%. Terdapat hubungan yang signifikan antara durasi tidur dan masalah kantuk (nilai p = 0,048). Mahasiswa dengan durasi tidur < 8 jam per hari mengalami kejadian mengantuk 0,50 kali lebih besar daripada mahasiswa dengan durasi tidur ³ 8 jam per hari. Faktor dominan yang berhubungan dengan kejadian mengantuk adalah durasi tidur setelah dikontrol dengan asupan protein dan lemak, aktivitas fisik, dan paparan media. Mahasiswa yang sering mengantuk memperlihatkan asupan zat besi rendah sehingga disarankan untuk meningkatkan asupan zat besi yang berasal dari sumber makanan yang mengandung heme.Kata kunci: Asupan nutrisi, aktivitas fisik, konsentrasi, masalah kantukAbstractNutrient and energy intake, nutrition status, and daily activity could give impact for sleepiness problem. Sleepiness related to the decreasing of cognitive ability that caused by iron deficiency. A person who feels sleepy will have a lack of physical activities that lead to overweight and therefore has a higher risk to suffer degenerative diseases such as cardiovascular and diabetes mellitus. This study aimed to analyze dominant factor that can give influence to sleepiness problem among students. The cross sectional research used 139 students of Faculty of Public Health University of Indonesia. The percentage of students who is almost sleepy was 28,80%. This research showed the association between sleep duration and somnolence problem is significant (p value = 0,048). Students with sleep duration < 8 hours a day could be 0,50 times more sleepy than students with sleep duration ³ 8 hours a day. The dominant factor is sleep duration after controlled by protein and fat intake, physical activity, and media exposure. Students that frequently feels sleepy indicated low iron intake so that suggested to increase the iron intake through consuming heme contained food.Key words: Nutrition intake, physical activity, concentration, sleepiness problem

scholarly journals Nutrition Intake and Stunting of Under-Five Children in Bogor West Java, Indonesia

2021 ◽  
Vol 7 (3) ◽  
pp. 1-7
Author(s):  
Trini Sudiarti ◽  
Keyword(s):  
Growth And Development ◽  
Recurrent Infections ◽  
West Java ◽  
Under Five ◽  
Under Five Children ◽  
Psychosocial Stimulation ◽  
Nutrition Intake ◽  
Poor Nutrition

Stunting is a growth and development disorder experienced by children due to poor nutrition, recurrent infections, and inadequate psychosocial stimulation.

scholarly journals Faktor Risiko Kejadian Schistosomiasis di Dataran Tinggi Lindu Kabupaten Sigi Sulawesi Tengah

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Hairil Akbar
Keyword(s):  
Random Sampling ◽  
Control Method ◽  
Simple Random Sampling ◽  
Case Control ◽  
Health Programs ◽  
P Value ◽  
Parasitic Disease ◽  
Blood Flukes ◽  
Community Behavior ◽  
History Of

Schistosomiasis, known as snail fever is a parasitic disease caused byinfection with trematode worms of the genus Schistosomajaponica Sp (blood flukes) that live in the mesenterica vein or veins of the bladder. The purpose of this study was to determine epidemiological determinants in the incidence of Schistosomiasis in Lindu Plateau, Sigi Regency. The study applied observational analytic with case control method. The sample size used in this study consisted of 82 people representing 41 people for cases and 41 people for controls obtainedwith Simple Random Sampling. The result indicated that there were significant influence of the history of Schistosomiasis, with p value 0,000 (p < 0,05) and the utilization of health programs with p value of 0,020 (p < 0,05). While variable jobs p value 0,165 (p > 0,05), income p value 1,000 (p > 0,05) there is no influence on the incidence of Schistosomiasis. Based on the findings above, it can be inferred that the prevalence of the Schistosomiasis was still high, these disease is closely related to the behaviors or habits of the community.Keywords: Community Behavior, Lindu, Schistosomiasis,

scholarly journals HUBUNGAN DURASI PENGGUNAAN GADGET DENGAN INTERAKSI SOSIAL ANAK USIA PRASEKOLAH DI KELURAHAN TERBAN WILAYAH KERJA PUSKESMAS GONDOKUSUMAN II 2018

2019 ◽  
Vol 7 (1) ◽  
pp. 9-17
Author(s):  
Ignasia Yunita Sari
Keyword(s):  
Preschool Children ◽  
Social Interaction ◽  
Social Interactions ◽  
Random Sampling ◽  
Control Method ◽  
Sampling Technique ◽  
Case Control ◽  
P Value ◽  
The Relationship ◽  
Cluster Random Sampling

Latar Belakang : Era digital berkembang cepat dan pesat, seiring dengan berkembangnya gadget. Gadget bukan merupakan barang yang asing, termasuk untuk anak prasekolah. Penggunaan gadget yang tidak sesuai mengganggu proses tumbuh kembang anak. Tujuan Penelitian : Penelitian ini bertujuan untuk mengidentifikasi hubungan durasi penggunaan gadget dengan interaksi sosial pada anak usia prasekolah di Kelurahan Terban wilayah kerja Puskesmas Gondokusuman II Tahun 2018. Metode Penelitian : Penelitian ini menggunakan merupakan penelitian survey analitik korelasional dengan metode case control Teknik pengambilan sampel yang digunakan adalah cluster random sampling dengan 74 responden. Hasil Penelitian : Hasil uji statistic diperoleh hasil nilai p value = 0,025 ( yang berarti  ada perbedaan proporsi interaksi sosial antara anak yang jarang menggunakan gadget dengan anak yang sering menggunakan gadget. Dari hasil analisis diperoleh pula nilai OR= 4,469, artinya anak yang jarang menggunakan gadget mempunyai peluang 4,469 kali untuk mempunyai interaksi sosial yang baik. Kesimpulan dan Saran : ada hubungan signifikan antara durasi menggunakan gadget dengan interaksi social. anak yang jarang menggunakan gadget mempunyai peluang 4,469 kali untuk mempunyai interaksi social yang baik. Sebaiknya dilakukan penelitian selanjutnya mengenai faktor yang terkait penggunaan gadgetpada anak prasekolah.                            Kata Kunci : gadget, interaksi, interaksi social, prasekolah   ABSTRACT   Background: The digital age is developing fast and rapidly, along with the development of gadgets. Gadgets are not foreign items, including for preschoolers. The use of inappropriate gadgets interferes with the child's growth process. Objective: This study aims to identify the relationship between the duration of gadget usage and social interaction in preschool children in the Kelurahan Terban working area of Puskesmas Gondokusuman II in 2018.Method: This study uses a correlational analytic survey with a case control method. The sampling technique used was cluster random sampling with 74 respondents. Result: The results of the statistical test obtained the value of p value = 0.025 (which means there is a difference in the proportion of social interactions between children who rarely use gadgets and children who often use gadgets. From the analysis results also obtained OR = 4.469, meaning children who rarely use gadgets have the opportunity 4,469 times to have good social interaction. Conclusion and Reccomendation: There is a significant relationship between the duration of using a gadget and social interaction. children who rarely use gadgets have 4,469 chances to have good social interactions. It is better to do further research regarding factors related to the use of gadgets in preschool children   Keywords : gadget, interaction, social interaction, preschool

scholarly journals FAKTOR MATERNAL YANG MEMPENGARUHI KEJADIAN BERAT BAYI LAHIR RENDAH (BBLR) DI KOTA TEGAL

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Umriaty Umriaty ◽  
Juhrotun Nisa
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Case Control ◽  
Nutrition Status ◽  
Control Group ◽  
P Value ◽  
Chi Square ◽  
Maternal Factor ◽  
Anemia In Pregnancy ◽  
In Pregnancy

AbstrakMenurut data WHO tahun 2015 jumlah BBLR di Indonesia berada di peringkat sembilan dunia dengan persentase BBLR lebih dari 15,5 % dari kelahiran bayi. Bayi yang lahir dengan berat badan kurang dari 2500 gram mempunyai resiko mengalami komplikasi. Keberlanjutan kehidupan bayi yang lahir dengan berat rendah juga sangat tergantung dari keadaan ekonomi, Pendidikan orang tua  dan perawatan pasca bayi lahir. Penelitian ini adalah penelitian survey analitik. Rancangan penelitian yang digunakan adalah  case control yaitu penelitian melibatkan kelompok kasus yaitu bayi BBLR yang berjumlah 32 dan bayi yang lahir dengan berat lahir normal sebagai kelompok kontrol yang berjumlah 32. Variabel faktor ibu yang diteliti pada penelitian ini adalah umur ibu, paritas, jarak kehamilan, status gizi ibu, anemia dalam kehamilan, pre eklampsi, dan riwayat berat lahir rendah pada kehamilan sebelumnya. Penelitian ini dilakukan pada bulan Oktober sampai dengan Desember 2017. Hasil penelitian menunjukkan bahwa sebagian besar bayi lahir  pada  umur ibu usia tidak beresiko 68, 8 %, paritas Pirmi/multigravida 90,6 %, jarak kehamilan ≥ 2 tahun 84,6 %, ibu hamil tidak KEK 68,8, anemia dalam kehamilan 50 %. Hasil analisis uji hubungan dengan Chi Square dan alpha 0,05 didapatkan 2 variabel mempunyai hubungan yang bermakna yaitu status gizi (p value 0,023), dan Anemia dalam kehamilan (p value 0,012). Kata kunci : faktor maternal, Bayi Berat Lahir Rendah AbstractAccording to WHO data in 201, the number of Low Birth Weight (LBW) of Indonesia is ranked ninth in the world with the percentage of LBW more than 15.5% of babies born. Babies born with weight less than 2500 grams have a risk of complications. The sustainability of a low birth weight baby's life is also highly based on the state of the economy, parental education and post-natal care.This research is an analytic survey research. The design of the research used was case control, the study involved case groups of 32 LBW infants and babies born with normal birth weight as a control group of 32. Maternal factor variables studied in this study were maternal age, parity, gestational distance, maternal nutritional status, anemia in pregnancy, pre-eclampsia, and a history of low birth weight in previous pregnancies. This study was conducted during October to December 2017. The results showed that most of the babies born at the age of the mother were not at risk 68,8%, Primi / multigravida 90.6%, the distance of pregnancy ≥ 2 years 84.6%, pregnant women not KEK 68.8, anemia in pregnancy 50%. Result of analysis of test of correlation with Chi Square and alpha 0,05 got 2 variables have significant relationship that is nutrition status (p value 0,023), and Anemia in pregnancy (p value 0,012). Keyword : maternal factor, Low Birth Weight

scholarly journals Hubungan Praktik Pemberian Makan Bayi dan Kejadian Gastroenteritis

2020 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Yuslina FNB Siahaan ◽  
Evawany Y Aritonang ◽  
Taufik Ashar
Keyword(s):  
Control Method ◽  
Case Control ◽  
P Value ◽  
Feeding Practice ◽  
Chi Square ◽  
Work Area ◽  
Chi Square Test ◽  
Loss Of Appetite ◽  
The Relationship ◽  
Research Analysis

ABSTRAKLatar Belakang: Gastroenteritis pada bayi adalah peradangan selaput mukosa lambung dan usus kecil yang ditandai dengan gejala diare, mualmuntah dan demam ringan disertai dengan hilangnya nafsu makan dan rasa tidak nyaman di perut. Pada tahun 2010 gastroenteritis adalah penyebab utama kematian di Indonesia dan berada di urutan pertama sebagai penyebab pasien dirawat di rumah sakit. Tujuan: Menganalisis hubungan praktik pemberian makan bayi dengan kejadian gastroenteritis. Metode: Penelitian ini menggunakan metode case control yang menganalisis hubungan antara pola makan dan kejadian gastroenteritis pada bayi di wilayah kerja Puskesmas Silangit Kabupaten Tapanuli Utara. Sampel dalam penelitian ini adalah bayi berusia 7 hingga 12 bulan sebanyak 94 orang, 47 kasus dan 47 kontrol. Data dianalisis menggunakan uji Chi Square dan Regresi Logistik Berganda. Hasil: Hasil penelitian menunjukkan distribusi pola makan bayi sebagian besar tidak baik sebanyak 78,7%. Hasil analisis penelitian menunjukkan bahwa ada hubungan yang signifikan antara pola makan dengan kejadian gastroenteritis, dengan nilai p <0,001 dan nilai OR sebesar 8,202. Simpulan: Ibu yang memiliki bayi diberi dorongan untuk memberikan pola makan yang baik kepada bayi dengan cara menyusui secara eksklusif, menerapkan perilaku hidup bersih dan sehat untuk meningkatkan kesehatan bayi.Kata kunci: praktik pemberian makan, gastroenteritis, bayiThe Relationship Between Feeding Practice and the Incidence of GastroenteritisABSTRACTBackground: Gastroenteritis in infants is an inflammation of the mucous membrane of the stomach and small intestine characterized by symptoms of diarrhea, nausea, vomiting and mild fever accompanied by loss of appetite and discomfort in the stomach. In 2010 gastroenteritis is the leading cause of death in Indonesia and is the first order that causes patients hospitalized in the hospital. Objective: to analyze the relationship between feeding practice and the incidence of gastroenteritis. Method: This study used a case control method that analyzed the relationship between feeding practice and the incidence of gastroenteritis in infants in the work area of Silangit Public Health Center of North Tapanuli Regency. The sample in this study was 7 to 12 months old infants as many as 94 people, 47 cases and 47 controls. Data were analyzed using Chi Square test and Multiple Logistic Regression. Results: The results showed the distribution of infant feeding practice is mostly not good as much as 78.7%. The result of research analysis showed that there was a significant correlation between feeding pattern with the incidence of gastroenteritis with p value <0.001 and OR value of 8,202. Conclusion: Mothers with babies are encouraged to provide good feeding practice to infants by exclusive breastfeeding, applying clean and healthy living behaviors to improve infant health.Keywords: Feeding practice, gastroenteritis, infants

scholarly journals Identification of drugs associated with reduced severity of COVID-19: A case-control study in a large population

eLife ◽  
2021 ◽  
Vol 10 ◽  
Author(s):  
Ariel Israel ◽  
Alejandro A Schäffer ◽  
Assi Cicurel ◽  
Ilan Feldhamer ◽  
Ameer Tal ◽  
...  
Keyword(s):  
Protective Effect ◽  
Multiple Testing ◽  
Severe Disease ◽  
Large Population ◽  
Positive Control ◽  
Case Control ◽  
National Institutes Of Health ◽  
P Value ◽  
Exact Test ◽  
Control Study

Background: Until COVID-19 drugs specifically developed to treat COVID-19 become more widely accessible, it is crucial to identify whether existing medications have a protective effect against severe disease. Towards this objective, we conducted a large population study in Clalit Health Services (CHS), the largest healthcare provider in Israel, insuring over 4.7 million members. Methods: Two case-control matched cohorts were assembled to assess which medications, acquired in the last month, decreased the risk of COVID‑19 hospitalization. Case patients were adults aged 18-95 hospitalized for COVID-19. In the first cohort, five control patients, from the general population, were matched to each case (n=6202); in the second cohort, two non-hospitalized SARS-CoV-2 positive control patients were matched to each case (n=6919). The outcome measures for a medication were: odds ratio (OR) for hospitalization, 95% confidence interval (CI), and the p‑value, using Fisher's exact test. False discovery rate was used to adjust for multiple testing. Results: Medications associated with most significantly reduced odds for COVID-19 hospitalization include: ubiquinone (OR=0.185, 95% CI (0.058 to 0.458), p<0.001), ezetimibe (OR=0.488, 95% CI ((0.377 to 0.622)), p<0.001), rosuvastatin (OR=0.673, 95% CI (0.596 to 0.758), p<0.001), flecainide (OR=0.301, 95% CI (0.118 to 0.641), p<0.001), and vitamin D (OR=0.869, 95% CI (0.792 to 0.954), p<0.003). Remarkably, acquisition of artificial tears, eye care wipes, and several ophthalmological products were also associated with decreased risk for hospitalization. Conclusions: Ubiquinone, ezetimibe and rosuvastatin, all related to the cholesterol synthesis pathway were associated with reduced hospitalization risk. These findings point to a promising protective effect which should be further investigated in controlled, prospective studies. Funding: This research was supported in part by the Intramural Research Program of the National Institutes of Health, NCI.

scholarly journals Faktor-Faktor yang Mempengaruhi Kejadian Gizi Kurang pada Balita di Kelurahan Oesapa Kota Kupang

2019 ◽  
Vol 1 (2) ◽  
pp. 76-84
Author(s):  
Delima Nala Ngoma ◽  
Apris A. Adu ◽  
Dominirsep O. Dodo
Keyword(s):  
Family Income ◽  
Control Design ◽  
Case Control ◽  
P Value ◽  
Maternal Knowledge ◽  
Maternal Parenting ◽  
Hygiene Practices ◽  
The Social ◽  
Independent Variable ◽  
Poor Nutrition

Malnutrition is a condition of a child's weight that is not appropriate to his age. Poor nutrition is still an unresolved health problem in Oesapa Village. The incidence of malnutrition continues to increase from 2016 to 2018. Malnutrition is influenced by several factors including: family income, maternal knowledge, maternal parenting and occupancy density. This study aims to analyze the influence of family income, maternal knowledge, parenting and occupancy density, on the incidence of malnutrition. This research is an analytic observational study, with a case control design. The sample size were 31 cases and 31 controls. The dependent variable in this study was the incidence of malnutrition and the independent variable consisted of family income, maternal knowledge, maternal parenting and occupancy density. Data analysis was performed univariately and bivariately. The results showed that, there are two variables that influence the incidence of malnutrition. The two variables are family income with p-value 0.01, OR 7.576, and mother's parenting with p-value 0.01, OR 3.870. To deal with these problems, the Social Service offier provider social assistance and oversee its use, so that it can be used in accordance with household needs. In addition, efforts to increase counseling on maternal parenting need to be done, which includes simple ways of providing and processing food, the process of bathing children under five and the application of hygiene practices, such as washing hands before processing and serving food.

scholarly journals Pemberian makanan pendamping ASI (MP-ASI) dengan status gizi pada bayi usia 6-12 bulan

2020 ◽  
Vol 14 (1) ◽  
pp. 29-37
Author(s):  
Linawati Novikasari ◽  
Hardono Hardono ◽  
Heru Sapto Adi
Keyword(s):  
Breast Milk ◽  
Nutritional Status ◽  
Health Center ◽  
Complementary Feeding ◽  
Nutrition Status ◽  
P Value ◽  
Complementary Foods ◽  
Cross Sectional ◽  
Good Nutrition ◽  
Poor Nutrition

Complementary foods on infant breast milk intake and nutrition status in infants 6 to 12 months oldBackground: Based on pre-survey data for January 2019 in the Karang City Health Center for 30 infants aged 6-12 months, 12 infants (40%) had normal nutritional status, and 18 infants (60%) with undernourished status, based on data from interviews with people parents who have children aged 6-12 months with poor nutritional status, 10 mothers (55.5%) said they did not know about the importance of giving MP-ASI such as the right time in giving MP-ASI, food menu for MP-ASI, and the portion MP-ASI for babies, and 8 mothers (44.5%) said they only gave formula milk as a substitute for breast milk.Purpose: Knowing to the relationship of complementary feeding (MP-ASI) with nutritional status in infants aged 6-12 months in the working area of Karang Bandar Lampung Health Center in 2019.Method: Quantitative research type. Analytic survey research design with cross sectional design. The population of all mothers who have infants aged 6-12 months in the working area of Karang Bandar Lampung Health Center in 2019 amounted to 86 respondents, a sample of 86 respondents. The sampling technique used is total sampling. Chi-square test data analysis.Results: Known in the working area of Karang Bandar Lampung Health Center in 2019, there were 45 respondents given MP-ASI well, 27 respondents (60.0%) had good nutrition and 18 respondents (40.0%) had poor nutrition, while there were 41 respondents given MP-ASI are not good, 10 respondents (24.4%) have good nutrition and 31 respondents (75.6%) have poor nutrition. Statistical test results, obtained p-value 0.002 or p-value <0.05.Conclusion: There is a relationship between complementary feeding (MP-ASI) with nutritional status in infants aged 6-12 months in the working area of Karang Bandar Lampung Health Center in 2019 with a p-value of 0.002. It is expected that the Puskesmas will be able to make a list of MP-ASI gift menus and provide infrastructure facilities on the MP-ASI menu according to the baby's needs.Keywords: Complementary foods; Breast milk; Nutritional status; Infants 6 to 12 months oldPendahuluan: Berdasarkan data prasurvey bulan Januari 2019 Di Puskesmas Kota Karang terhadap 30 bayi yang berusia 6-12 bulan, diketahui 12 bayi (40%) status gizi normal, dan 18 bayi (60%) dengan status gizi kurang, berdasarkan data wawancara terhadap orang tua yang mempunyai anak usia 6-12 bulan dengan status gizi kurang, 10 ibu (55,5%) mengatakan kurang mengetahui tentang pentingnya pemberian MP-ASI seperti waktu yang tepat dalam pemberian MP-ASI, menu makanan untuk MP-ASI, serta porsi MP-ASI untuk bayi, dan 8 ibu (44,5%) mengatakan hanya memberikan susu formula sebagai pengganti ASI.Tujuan: Diketahui hubungan pemberian makanan pendamping ASI (MP-ASI) dengan status gizi Pada Bayi usia 6-12 bulan Di Wilayah Kerja Puskesmas Kota Karang Bandar Lampung Tahun 2019.Metode: Jenis penelitian kuantitatif. Rancangan penelitian survey analitik dengan desain cross sectional. Populasi seluruh ibu yang mempunyai Bayi usia 6-12 bulan yang berada di Wilayah Kerja Puskesmas Kota Karang Bandar Lampung Tahun 2019 berjumlah 86 responden, Sampel 86 responden. Teknik sampling yang digunakan total sampling. Analisa data uji chi-square.Hasil: Diketahui bahwa di wilayah kerja Puskesmas Kota Karang Bandar Lampung Tahun 2019, terdapat 45 responden yang diberikan MP-ASI dengan baik, 27 responden (60,0%) mengalami gizi baik dan 18 responden (40,0%) mengalami gizi kurang baik, sedangkan terdapat 41 responden yang diberikan MP-ASI kurang baik, 10 responden (24,4%) mengalami gizi baik dan 31 responden (75,6%) mengalami gizi kurang baik. Berdasarkan hasil uji statistik, didapatkan p-value 0,002 atau p-value < 0,05.Simpulan: Ada hubungan pemberian makanan pendamping ASI (MP-ASI) dengan status gizi pada bayi usia 6-12 bulan Di Wilayah Kerja Puskesmas Kota Karang Bandar Lampung Tahun 2019 dengan p-value 0,002. Diharapkan kepada pihak Puskesmas agar dapat membuat daftar menu pemberian MP-ASI dan menyediakan fasilitas sarana prasarana tentang menu MP-ASI sesuai dengan kebutuhan bayi.

Isolated Liner Revision for Total Knee Arthroplasty Instability: A Road That Should Remain Less Taken

2020 ◽  
Author(s):  
Jason D. Tegethoff ◽  
Rafael Walker-Santiago ◽  
William M. Ralston ◽  
James A. Keeney
Keyword(s):  
Total Knee Arthroplasty ◽  
Femoral Component ◽  
Knee Arthroplasty ◽  
Primary Total Knee Arthroplasty ◽  
P Value ◽  
Surgical Morbidity ◽  
Exact Test ◽  
Total Knee ◽  
Component Revision

AbstractIsolated polyethylene liner exchange (IPLE) is infrequently selected as a treatment approach for patients with primary total knee arthroplasty (TKA) prosthetic joint instability. Potential advantages of less immediate surgical morbidity, faster recovery, and lower procedural cost need to be measured against reoperation and re-revision risk. Few published studies have directly compared IPLE with combined tibial and femoral component revision to treat patients with primary TKA instability. After obtaining institutional review board (IRB) approval, we performed a retrospective comparison of 20 patients treated with IPLE and 126 patients treated with tibial and femoral component revisions at a single institution between 2011 and 2018. Patient demographic characteristics, medical comorbidities, time to initial revision TKA, and reoperation (90 days, <2 years, and >2 years) were assessed using paired Student's t-test or Fisher's exact test with a p-value <0.01 used to determine significance. Patients undergoing IPLE were more likely to undergo reoperation (60.0 vs. 17.5%, p = 0.001), component revision surgery (45.0 vs. 8.7%, p = 0.002), and component revision within 2 years (30.0 vs. 1.6%, p < 0.0001). Differences in 90-day reoperation (p = 0.14) and revision >2 years (p = 0.19) were not significant. Reoperation for instability (30.0 vs. 4.0%, p < 0.001) and infection (20.0 vs. 1.6%, p < 0.01) were both higher in the IPLE group. IPLE does not provide consistent benefits for patients undergoing TKA revision for instability. Considerations for lower immediate postoperative morbidity and cost need to be carefully measured against long-term consequences of reoperation, delayed component revision, and increased long-term costs of multiple surgical procedures. This is a level III, case–control study.

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