PKM Kelompok Kader Dan Ibu Balita Dalam Germas Ceting (Gerakan Masyarakat Cegah Stunting) Sebagai Upaya Pencegahan Balita Stunting

AbstractThe incidence of stunting in children can cause the low quality of a country's Human Resources (HR). Stunting causes poor cognitive abilities, low productivity, and increased risk of disease resulting in long-term losses for the Indonesian economy. Stunting also has other long-term impacts, namely the risk of suffering from chronic diseases such as diabetes mellitus (DM), coronary heart disease, hypertension, cancer, and stroke. Community participation is needed in the government's efforts to tackle stunting. Community behavior problems that are factors that cause stunting include 1) Lack of environmental hygiene 2) Lack of knowledge of mothers about health and nutrition 3) Busy parents 4) Poverty. GERMAS CETING (Community Movement to Prevent Stunting) is a community movement that is carried out jointly and continuously in order to increase public awareness in stunting prevention efforts with the main target of the entire community being Cadres, pregnant women and mothers of toddlers and other potential groups by integrating all specific interventions and interventions. sensitive. The purpose of this activity is to increase the knowledge of cadres and mothers of toddlers about stunting and to improve the skills of cadres and mothers of toddlers in making additional food according to the child's age. The implementation method used is problem identification, determining problem solving framework, conducting pre test, providing Health Education and training, conducting post test. There was an increase in mother's knowledge about exclusive breastfeeding, MP-ASI and PHBS. The results of the analysis are known p value 0.000. Keywords: Germas; ceting; cadres; mother of toddlers AbstrakKejadian stunting pada anak dapat menyebabkan rendahnya kualitas Sumber Daya Manusia (SDM) suatu negara. Keadaan Stunting menyebabkan buruknya kemampuan kognitif, rendahnya produktivitas, serta meningkatnya risiko penyakit mengakibatkan kerugian jangka panjang bagi ekonomi Indonesia. Stunting juga menimbulkan dampak jangka panjang yang lain yaitu berisiko menderita penyakit kronis seperti diabetes mellitus (DM), jantung koroner, hipertensi, kanker, dan stroke. Partisipasi masyarakat sangat dibutuhkan dalam dalam upaya pemerintah untuk penanggulangan stunting. Masalah perilaku masyarakat yang menjadi faktor penyebab stunting antara lain 1) Kurangnya menjaga kebersihan lingkungan 2) Kurangnya pengetahuan ibu mengenai kesehatan dan gizi 3) Kesibukan orangtua 4) Kemiskinan. GERMAS CETING (Gerakan masyarakat cegah stunting) merupakan gerakan masyarakat yang dilakukan secara bersama dan berkesinambungan dalam rangka meningkatkan kesadaran masyarakat dalam upaya pencegahan stunting dengan sasaran seluruh masyarakat utamanya adalah Kader, ibu hamil dan ibu balita serta kelompok potensial lainnya dengan mengintegrasikan seluruh intervensi spesifik dan intervensi sensitive. Tujuan dari kegiatan ini adalah meningkatkan pengetahuan kader dan ibu balita tentang Stunting serta Meningkatkan ketrampilan kader dan ibu balita dalam pembuatan makanan tambahan sesuai dengan usia anak. Metode pelaksanaan yang digunakan adalah identifikasi masalah, menentukan kerangka pemecahan masalah, melakukan pre test, memberikan Pendidikan Kesehatan dan pelatihan, melakukan pos test. Terjadi peningkatan pengetahuan ibu tentang ASI eksklusif, MP-ASI dan PHBS. Hasil Analisa diketahui p value 0.000. Kata kunci: Germas; ceting;kader;ibubalita

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Pendidikan Kesehatan dengan Pendekatan Model Information Motivation Behavior Skill (IMB) terhadap Peningkatan Pengetahuan dan Pola Konsumsi Sayur dan Buah pada Ibu Hamil

Jurnal Kesehatan ◽

10.26630/jk.v10i3.1433 ◽

2019 ◽

Vol 10 (3) ◽

pp. 320

Author(s):

Farhati Farhati ◽

Riska Resmana ◽

Dian Nurhadianti

Keyword(s):

Health Education ◽

Pregnant Women ◽

Consumption Patterns ◽

P Value ◽

Chi Square ◽

Increased Risk ◽

Post Test ◽

Quasi Experimental ◽

Chi Square Test ◽

Vegetables And Fruits

<p>Low consumption of vegetables and fruit causes an increased risk of chronic diseases such as cancer, heart disease, and diabetes. The results showed that the majority of pregnant women (52.9%) rarely consume vegetables and fruit in sufficient quantities as recommended. Therefore, it is necessary to provide education about the importance of vegetables and fruits consumption, one of which is through the Information Motivation Behavioral Skill (IMB) approach. This study aims to determine the effect of health education with the Information Motivation Behavior Skill (IMB) approach to increasing knowledge and consumption patterns of vegetables and fruits in pregnant women. This research is a quasi-experimental study with pre-post test design with control groups conducted in pregnant women in the city of Bandung with 60 samples using the observation sheet and questionnaire instruments. Data analysis used the chi-square test. The result of this study indicates that there are significant differences in knowledge and patterns of consumption of vegetables and fruit in pregnant women between the control and treatment groups with a p-value<0.05. Information Motivation Behavior Skill (IMB) Health Education Model approach has a role in increasing the knowledge and consumption patterns of vegetables and fruits in pregnant women.</p>

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PENGARUH PEMBERIAN EKSTRAK KULIT KAYU MANIS UNTUK PENURUNAN KADAR GULA DARAH PADA PASIEN DIABETES MELLITUS (Studi di Puskesmas Bulik Kabupaten Lamandau Kalimantan Tengah)

Jurnal Borneo Cendekia ◽

10.54411/jbc.v2i2.193 ◽

2018 ◽

Vol 2 (2) ◽

pp. 232-237

Author(s):

Utin Desi Fitriani ◽

Yayat Supriyatna

Keyword(s):

Diabetes Mellitus ◽

P Value ◽

Post Test

Pendahuluan: Masalah kesehatan mengenai diabetes mellitus dapat mengenai semua organ tubuh dan dapat menimbulkan berbagai macam keluhan penyakit. Dimana masalah penyakit ini sudah menjadi suatu masalah yang sering dialami oleh masyarakat. Penyelenggaraan penelitian ini bermaksud memberikan tujuan berupa menganalisis pengaruh pemberian ekstrak kulit kayu manis untuk penurunan kadar gula darah pada pasien diabetes mellitus. Metode: Penggunaan jenis penelitian yang diambil berupa eksperimen, dimana dibuat oleh peneliti dengan pendekatan pre-post test. Populasi penelitian berisikan seluruh pasien yang mengalami diabetes mellitus berjumlah 30, teknik sampling diterapkan menggunakan metode purpose sampling. Setelah itu didapakan sampel sebagian pasien yang mengalami diabetes mellitus berjumlah 14. Penyajian data berupa tabel yang disajikan setelah mendapatkan hasil dari instrumen lembar kuesioner dan menggunakan uji rank spearman. Hasil penelitian: hasil ini menggunakan hasil uji rank spearman menunjukkan ada pengaruh pemberian ekstrak kulit kayu manis untuk menurunkan kadar gula darah pada pasien diabetes mellitus di puskesmas bulik dengan P value 0,001 yang artinya H1 diterima ada pengaruh pemberian ekstrak kulit kayu manis untuk penurunan kadar gula darah pada pasien diabetes mellitus. Kesimpulan: kesimpulan yang didapatkan dalam penelitian ini adalah ada pengaruh pemberian ekstrak kulit kayu manis untuk penurunan kadar gula darah pada pasien diabetes mellitus. Kata Kunci: Diabetes Melllitus, Kulit Kayu Manis

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Abstract 6023: The Need for Blood Transfusion Is an Independent Predictor of Incident Cardiovascular Events and All-Cause Mortality among Patients Undergoing Percutaneous Coronary Intervention

Circulation ◽

10.1161/circ.118.suppl_18.s_1049-a ◽

2008 ◽

Vol 118 (suppl_18) ◽

Author(s):

Jasper Jan Brugts ◽

Nestor Mercado ◽

Joachim Ix ◽

Michael G Shlipak ◽

Simon R Dixon ◽

...

Keyword(s):

Diabetes Mellitus ◽

Blood Transfusion ◽

Cardiovascular Events ◽

Cox Regression ◽

Independent Predictor ◽

P Value ◽

Transfusion Rate ◽

Cox Regression Analysis ◽

Increased Risk ◽

All Cause Mortality

Periprocedural bleeding is one of the most frequent complications of percutaneours coronary interventions. We assessed the relation between blood transfusion and all-cause mortality or incident cardiovascular events (death, MI, stroke) among 6103 patients of the Evaluation of Oral Xemilofiban in Controlling Thrombotic Events (EXCITE)-trial. Subjects were followed for 7 months after enrollment for the occurrence of events. Multivariate Cox-regression analysis evaluated the independent association of blood transfusion with each outcome adjusted for age, gender, race, diabetes mellitus, hypertension, hypercholesterolemia, history of MI, PCI, CABG, heart failure, LVEF<30%, use of beta-blockers, statins, ACE-inhibitors, platelet inhibitors and allocation to treatment with xemolifiban. In addition, propensity score analyses were performed (ROC 0.80). Mean age was 59.2 years, 21.7% were female, and 18.9% had diabetes mellitus. Of the169 patients who received blood transfusion, 14 (8.3%) died and 42 (24.9%) experienced a CVD event. Of the 5934 patients without transfusion, 65 (1.1%) died (p-value: <0.001) and 555 (9,4%) experienced a CVD event (p-value: <0.001) In multivariate analysis, blood transfusion was associated with a 5.3 fold increased risk of mortality (HR 5.3; 95% CI 2.8 –10.2), and a 2.5 fold increased risk of incident CVD (HR 2.5; 95% CI 1.7–3.4.) Noteworthy, patients who were US citizens had a higher transfusion rate then non-US citizens (OR 1.45, 95%CI 1.02–2.06) The need of blood transfusion is a strong and independent predictor of all-cause mortality and incident CVD events among patients undergoing PCI.

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Impact of Diabetes Mellitus on Antithrombotic Management Patterns and Long‐Term Clinical Outcomes in Patients With Acute Coronary Syndrome: Insights From the EPICOR Asia Study

Journal of the American Heart Association ◽

10.1161/jaha.119.013476 ◽

2020 ◽

Vol 9 (22) ◽

Cited By ~ 1

Author(s):

Shaoyi Guan ◽

Xiaoming Xu ◽

Yi Li ◽

Jing Li ◽

Mingzi Guan ◽

...

Keyword(s):

Diabetes Mellitus ◽

Acute Coronary Syndrome ◽

Antiplatelet Therapy ◽

Dual Antiplatelet Therapy ◽

Antiplatelet Agents ◽

Coronary Syndrome ◽

Increased Risk ◽

Antithrombotic Management

Background Long‐term use of antiplatelet agents after acute coronary syndrome in diabetic patients is not well known. Here, we describe antiplatelet use and outcomes in such patients enrolled in the EPICOR Asia (Long‐Term Follow‐up of Antithrombotic Management Patterns in Acute Coronary Syndrome Patients in Asia) registry. Methods and Results EPICOR Asia is a prospective, observational study of 12 922 patients with acute coronary syndrome surviving to discharge, from 8 countries/regions in Asia. The present analysis included 3162 patients with diabetes mellitus (DM) and 9602 patients without DM. The impact of DM on use of antiplatelet agents and events (composite of death, myocardial infarction, and stroke, with or without any revascularization; individual components, and bleeding) was evaluated. Significant baseline differences were seen between patients with DM and patients without DM for age, sex, body mass index, cardiovascular history, angiographic findings, and use of percutaneous coronary intervention. At discharge, ≈90% of patients in each group received dual antiplatelet therapy. At 2‐year follow‐up, more patients with DM tended to still receive dual antiplatelet therapy (60% versus 56%). DM was associated with increased risk from ischemic but not major bleeding events. Independent predictors of the composite end point of death, myocardial infarction, and stroke in patients with DM were age ≥65 years and use of diuretics at discharge. Conclusions Antiplatelet agent use is broadly comparable in patients with DM and patients without DM, although patients with DM are more likely to be on dual antiplatelet therapy at 2 years. Patients with DM are at increased risk of ischemic events, suggesting an unmet need for improved antithrombotic treatment. Registration URL: https://www.clinicaltrials.gov ; Unique identifier: NCT01361386.

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Long-term BMI change trajectories in Chinese adults and its association with the hazard of type 2 diabetes: evidence from a 20-year China Health and Nutrition Survey

BMJ Open Diabetes Research & Care ◽

10.1136/bmjdrc-2019-000879 ◽

2020 ◽

Vol 8 (1) ◽

pp. e000879

Author(s):

Baibing Mi ◽

Chenlu Wu ◽

Xiangyu Gao ◽

Wentao Wu ◽

Jiaoyang Du ◽

...

Keyword(s):

Type 2 Diabetes ◽

Latent Class ◽

Chinese Adults ◽

Change Trajectories ◽

Nutrition Survey ◽

Health And Nutrition ◽

Increased Risk

IntroductionTo investigate the relationship between long-term change trajectory in body mass index (BMI) and the hazard of type 2 diabetes among Chinese adults.Research design and methodsData were obtained from the China Health and Nutrition Survey (CHNS). Type 2 diabetes was reported by participants themselves in each survey wave. The duration of follow-up was defined as the period from the first visit to the first time self-reported type 2 diabetes, death, or other loss to follow-up from CHNS. The patterns of change trajectories in BMI were derived by latent class trajectory analysis method. The Fine and Gray regression model was used to estimate HRs with corresponding 95% CIs for type 2 diabetes.ResultsFour patterns of the trajectories of change in BMI were identified among Chinese adults, 42.7% of participants had stable BMI change, 40.8% for moderate BMI gain, 8.9% for substantial BMI gain and 7.7% for weight loss. During the follow-up with mean 11.2 years (158 637 person-years contributed by 14 185 participants), 498 people with type 2 diabetes (3.7%) occurred. Risk of type 2 diabetes was increased by 47% among people who gained BMI more substantially and rapidly (HR: 1.47, 95% CI 1.08 to 2.02, p=0.016) and increased by 20% among those in people with the moderate BMI gain (HR: 1.20, 95% CI 0.98 to 1.48, p=0.078), compared with those with stable BMI change.ConclusionsLong-term substantial gain of BMI was significantly associated with an increased risk of type 2 diabetes in the Chinese adults.

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Long-term quality of VKA treatment and clinical outcome after extreme overanticoagulation in 14,777 AF and VTE patients

Thrombosis and Haemostasis ◽

10.1160/th14-06-0537 ◽

2015 ◽

Vol 113 (04) ◽

pp. 881-890 ◽

Cited By ~ 9

Author(s):

Nic J. G. M. Veeger ◽

Nakisa Khorsand ◽

Hanneke C. Kluin-Nelemans ◽

Hilde A. M. Kooistra ◽

Karina Meijer ◽

...

Keyword(s):

Atrial Fibrillation ◽

Venous Thromboembolism ◽

Clinical Outcome ◽

Vitamin K ◽

Vitamin K Antagonists ◽

P Value ◽

Risk Of Bleeding ◽

Increased Risk

SummaryVitamin K antagonists (VKA) are widely used in atrial fibrillation and venous thromboembolism (VTE). Their efficacy and safety depend on individual time in the therapeutic range (iTTR). Due to the variable dose-response relationship within patients, also patients with initially stable VKA treatment may develop extreme overanticoagulation (EO). EO is associated with an immediate bleeding risk, but it is unknown whether VKA treatment will subsequently restabilise. We evaluated long-term quality of VKA treatment and clinical outcome after EO. EO was defined as international normalized ratio (INR) ≥ 8.0 and/or unscheduled vitamin K supplementation. We included a consecutive cohort of initially stable atrial fibrillation and venous thromboembolism patients. In EO patients, the 90 days pre- and post-period were compared. In addition, patients with EO were compared with patients without EO using a matched 1:2 cohort. Of 14,777 initially stable patients, 800 patients developed EO. The pre-period was characterised by frequent overanticoagulation, and half of EO patients had an inadequate iTTR (< 65 %). After EO, underanticoagulation became more prevalent. Although the mean time between INR-measurements decreased from 18.6 to 13.2 days, after EO inadequate iTTR became more frequent (62 %), p-value < 0.001. A 2.3 times (95 % confidence interval [CI] 2.0–2.5) higher risk for iTTR< 65 % after EO, was accompanied by increased risk of bleeding (hazard ratio [HR] 2.1;CI 1.4–3.2), VKA-related death 17.0 (HR 17.0;CI 2.1–138) and thrombosis (HR 5.7;CI 1.5–22.2), compared to the 1600 controls. In conclusion, patients continuing VKA after EO have long-lasting inferior quality of VKA treatment despite intensified INR-monitoring, and an increased risk of bleeding, thrombosis and VKA-related death.Note: There have been no previous presentations, reports or publications of the complete data that appear in the article. Parts of the data in this article have been presented as a poster at the American Society of Hematology (ASH) congress 2013, New Orleans, United States.

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The Long-Term Impact of Preschool Health and Nutrition on Education

Food and Nutrition Bulletin ◽

10.1177/15648265050262s210 ◽

2005 ◽

Vol 26 (2_suppl2) ◽

pp. S193-S201 ◽

Cited By ~ 21

Author(s):

Matthew Jukes

Keyword(s):

Early Childhood ◽

Gender Equity ◽

Cognitive Abilities ◽

Malaria Prevention ◽

Long Term Effects ◽

Health And Nutrition ◽

Nutrition Supplementation ◽

Infancy And Early Childhood ◽

Long Term Impact

Malnutrition and infectious diseases in infancy and early childhood have an impact on the cognitive development of children in developing countries. The long-term effects of these diseases are less well understood. A number of studies relate early malnutrition, iron deficiency, and malaria infection to poor cognitive abilities in the school-age years. The long-term effect of randomized interventions in early childhood has been evaluated for nutrition supplementation and psychosocial stimulation of malnourished children and for malaria prevention in a community cohort. The evidence suggests that improving the health and nutrition of young children can improve their subsequent chances of attending school, the gender equity of education access, and performance of children once at school.

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Gestational Diabetes Risk in Migrants. A Nationwide, Register-Based Study of all Births in Denmark 2004 to 2015

The Journal of Clinical Endocrinology & Metabolism ◽

10.1210/clinem/dgaa024 ◽

2020 ◽

Vol 105 (3) ◽

pp. e692-e703 ◽

Cited By ~ 2

Author(s):

Karoline Kragelund Nielsen ◽

Gregers Stig Andersen ◽

Peter Damm ◽

Anne-Marie Nybo Andersen

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Socioeconomic Position ◽

Odds Ratio ◽

Country Of Origin ◽

P Value ◽

Asian Countries ◽

Substantial Variation ◽

Increased Risk ◽

Interaction Term

Abstract Background Much remains to be understood about socioeconomic position and body mass index (BMI) in the pathways linking ethnicity, migration, and gestational diabetes mellitus (GDM). We investigated differences in GDM prevalence according to maternal country of origin and the role played by socioeconomic position and BMI on this relationship. Finally, we examined how length of residency was associated with GDM. Methods A register-based cohort study of the 725 482 pregnancies that resulted in a birth in Denmark, 2004 to 2015. Of these, 14.4% were by women who had migrated to Denmark. A GDM diagnosis was registered in 19 386 (2.7%) pregnancies, of which 4464 (23.0%) were in immigrant women. The crude risk of GDM according to maternal country of origin compared to Danish-born women ranged from an odds ratio (OR) of 0.50 (95% CI 0.34-0.71) for women from Sweden to an OR of 5.11 (95% CI 4.28-6.11) for women from Sri Lanka. Adjustment for socioeconomic position slightly attenuated the risks. Adjusting for BMI resulted in increased ORs for women, especially from Asian countries. The separate and joint effects of migration and overweight on GDM risk differed substantially between the countries of origin (P value interaction term < .001). Immigrants with 10 or more years of residency had a 56% increased risk of GDM (OR 1.56, 95% CI 1.44-1.68) compared to immigrants with less than 5 years in Denmark. This risk was somewhat diluted when adjusting for age and BMI. Conclusions This study demonstrates substantial variation in the risk of GDM according to country of origin. The risk associations are only slightly affected by socioeconomic position and BMI.

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Coronary Stenting in Diabetic Patients: Evaluation of Immediate Procedural Success & Adverse Outcomes

University Heart Journal ◽

10.3329/uhj.v6i1.7181 ◽

1970 ◽

Vol 6 (1) ◽

pp. 3-8

Author(s):

Md Harisul Hoque ◽

Sufia Rahman ◽

Md Abu Siddique ◽

Syed Ali Ahsan ◽

CM Ahmed ◽

...

Keyword(s):

Diabetes Mellitus ◽

Clinical Success ◽

Adverse Outcomes ◽

Diabetic Group ◽

Coronary Stenting ◽

P Value ◽

Diabetic Patients ◽

Number Of Patients ◽

Increased Risk ◽

Procedural Success

Diabetes mellitus (DM) itself increases the risk of Coronary Artery Disease (CAD) by 2-4 fold and in out country we are treating a good number of patients having CAD with DM. On the other hand several studies have reported increased risk of adverse outcomes following balloon angioplasty in diabetic cases. In this situation this study had been carried out at National Institute of Cardiovascular Diseases (NICVD) cath lab to determine the immediate procedural success & in-hospital adverse outcomes in this population. In our study 100 cases were enrolled. Out of which, 40 patients had type II DM & rest were non-diabetic.Diabetic patients were compared with non- diabetic and found no major difference between the two patient group except for a higher number of LCX (Left Circumflex) lesion in the non-diabetic (25% VS 35%, P value 0.038). The lone case of renal complication came from the diabetic group. No MACE (Major Adverse Cardiovascular or Cerebrovascular Events) or death was occur in this series. Angiographic, procedural and clinical success in diabetic was 97.5%, 97.5% & 95% respectively whereas 100% found in non-diabetic group at its all segment. But this results are statistically insignificant and P value is 0.4000 for angiographic success, 0.4000 for procedural success and 0.158 for clinical success. P value for hospital stays is also insignificant i.e. 0.250 (while p value of < 0.05 was considered significant). Therefore in the setting of diabetes mellitus the outcomes of the stenting procedure are quite encouraging. Key words: Coronary Stenting; Diabetic; Outcomes DOI: 10.3329/uhj.v6i1.7181University Heart Journal Vol.6(1) 2010 pp.3-8

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