Overview of Usual Food Leftovers in Inpatients at the Jailolo Regional General Hospital, West Halmahera Regency

Hospital nutrition services are part of a complete health service. Each hospital provides nutritional services, not only providing food for patients and staff, but the most important thing is the provision of food that meets the needs of human metabolism for recovery during treatment. Food waste is the amount of food that is not eaten or not consumed by the patient. The purpose of this study was to determine the type of food and the amount of leftover food that was not consumed by patients who received regular food at the Jailolo Hospital. The type of research used is descriptive with sampling using purposive sampling as many as 20 respondents. The results showed that of the 20 respondents using the Comstock method, the average patient leftover food left a lot (> 20%) in the staple food type 40%, animal side dishes 35%, vegetable side dishes 30%, vegetables 30% and fruit 40%. Based on the results of the study, it can be concluded that most of the respondents still left a lot of food and it is recommended for nutrition installations to improve the quality and taste of the food served so that there is no more food left.

Promoting Inclusivity in Dementia Education and Screening in an Ethnically Diverse, Rural Community During a Pandemic

Rural, ethnically diverse older adults experience disparities in dementia detection/management. The Covid-19 quarantine exacerbated these disparities, and threatened faith-based dementia education and screening activities. We investigated the effectiveness of a telephone-based outreach for increasing dementia knowledge and detecting cognitive risk among a rural, diverse, underserved community of 89% African American, Hispanic, and Haitian Creole residents, Faith-based health educators, trained using virtual Alzheimer’s Association resources, contacted church congregants who responded to radio worship service announcements. Participants completed telephone measures of basic dementia knowledge and cognitive risk. Of the estimated 120 persons across five churches who received an invitation, 75% (n = 90) participated in dementia education and memory screening via telephone. Twelve (80%) of the 15 participants assessed as being at risk followed up with their provider. Rural residents are known for preferring face-to-face contact. Their willingness to complete health-promoting research activities by telephone highlighted the community’s interest in dementia awareness.

CEGAH STUNTING PADA ANAK MELALUI GERAKAN IBU SADAR 1000 HPK

The First 1000 Days of Life is a critical period for children's growth and development, malnutrition in this period can cause stunting problems in children, the government has compiled and implemented the First 1000 Days of Life (HPK) Movement program in an effort to prevent stunting. The prevalence for the West Java region itself is at 26.21%, this figure is still far above the minimum value set by WHO, which is less than 20% or one-fifth of the total number of children under five. The results of the observations made it known that the problem in RT 07 RW 02 Pasir Putih Village, Sawangan District, Depok City was that mothers under five had not yet optimal understanding of how to prevent stunting in children and health education about stunting in children had not been carried out and how to prevent it. Based on this, the service team from the Faculty of Health Sciences UPN Veterans Jakarta carried out community service in the form of health education about stunting and clean and healthy living behavior (PHBS) in household settings. The purpose of this activity is to raise awareness, willingness, and ability of mothers to recognize, prevent and protect children from stunting. This community service implementation method is carried out through several stages, namely: Regional potential surveys, dialogue program activities through FGDs, health promotion regarding stunting in children and clean and healthy living behavior in household settings and evaluation monitoring. The health promotion activities were attended by 10 mothers of children under five and posyandu cadres. The results of this activity obtained data that mothers who have good knowledge of 90% and 10% sufficient knowledge and PHBS behavior in household settings are 30% in perfect health and 70% in primary health. Conclusion: Continuous efforts are needed in the form of mentoring mothers of children under five to improve the behavior of stunting prevention efforts through optimizing 1000 HPK and increasing PHBS behavior towards complete health.1000 Hari Pertama Kehidupan adalah periode kritis bagi pertumbuhan dan perkembangan anak, kekurangan gizi pada periode ini dapat menyebabkan masalah stunting pada anak, pemerintah telah menyusun dan melaksanakan program Gerakan 1000 Hari Pertama Kehidupan (HPK) dalam upaya mencegah stunting. Prevalensi untuk wilayah Jawa Barat sendiri berada pada angka 26,21%, angka ini masih jauh diatas nilai minimal yang ditetapkan oleh WHO yaitu kurang dari 20% atau seperlima dari jumlah total balita. Hasil observasi yang dilakukan diketahui bahwa permasalahan di RT 07 RW 02 Kelurahan Pasir Putih Kecamatan Sawangan Kota Depok adalah belum optimalnya pemahaman ibu balita mengenai cara pencegahan stunting pada anak dan belum pernah dilakukan pendidikan kesehatan tentang stunting pada anak dan cara menceganya. Berdasarkan hal tersebut maka tim pengabdi dari Fakultas Ilmu Kesehatan UPN Veteran Jakarta melakukan pengabdian kepada masyarakat berupa pendidikan kesehatan tentang stunting dan perilaku hidup bersih dan sehat (PHBS) di tatanan rumah tangga. Tujuan dari kegiatan ini adalah untuk menumbuhkan kesadaran, kemauan, dan kemampuan ibu dalam mengenali, mencegah dan melindungi anak dari penyakit stunting. Metode pelaksanaan pengabdian masyarakat ini dilakukan melalui beberapa tahap yaitu: Survei potensi wilayah, dialog program kegiatan melalui FGD, promosi kesehatan mengenai stunting pada anak dan perilaku hidup bersih dan sehat di tatanan rumah tangga dan monitoring evaluasi. Kegiatan promosi kesehatan diikuti oleh 10 ibu balita dan kader posyandu. Hasil dari kegiatan ini diperoleh data bahwa ibu yang memiliki pengetahuan baik 90% dan pengetahuan cukup 10% dan perilaku PHBS di tatanan rumah tangga yaitu 30 % sehat peripurna dan 70% sehat utama. Kesimpulan: Diperlukan upaya berkelanjutan berupa pendampingan ibu balita untuk meningkatkan perilaku upaya pencegahan stunting melalui optimalisasi 1000 HPK dan meningkatkan perilaku PHBS menuju sehat paripurna.

Case Report on Hydatid Cysts with Hydropnemonothorax

Introduction: Hydatid disease is caused by a parasite infection induced by an echinococcus tapeworm. The hydatid cyst is one recognized cause of liver mass. It is a significant pathogenic, zoonotic, and parasitic illness (acquired from animals) of humans after consumption of tapeworm eggs produced in the faeces of infected dogs. Hydatid disease is a serious endemic health concern in various regions of the world. Cystic hydatid disease is most often associated with the liver (50–70%), although it can also affect the lung, spleen, kidney, bones, and brain. A hydropneumothorax occurs gradually. Case Presentation: A 35-year-old Man was taken to the Acharya Vinoba Bhave Rural Hospital with the chief complaint of abdominal discomfort, breathlessness (dyspnea) right side pain for 2 days. Approximately to the peritoneal cavity of the right chest by a hydatid cyst in the subscapular posterior part of the right lobe of the liver. For minimal ascites, a contrast study was conducted, revealing a multi-located hypodense cystic lesion spread across the abdomen was recognized as sign of hydatid disease. Conclusion: In a patient with a hydatid disease, physical and psychological therapy should be put together. In this study, we primarily focus on professional management and outstanding nursing care, which may give the comprehensive care that hydatid cyst requires. The complete health care team works together to assist the patient to restore his or her prior level of independence and happiness after a full recovery.

Implementation of the WHO’s collaborative framework for the management of tuberculosis and diabetes: a scoping review

ObjectiveTo map evidence on the implementation of the WHO’s collaborative framework for the management of tuberculosis (TB) and diabetes mellitus (DM) comorbidity, globally.DesignScoping review.MethodsGuided by Arksey and O’Malley’s scoping review framework, this review mapped literature on the global implementation of the framework for the management of TB and DM comorbidity, globally. An extensive literature search for peer-reviewed studies, theses, studies in the press and a list of references from the selected studies was conducted to source-eligible studies. PubMed, Google Scholar, Web of Science, Science Direct, the EBSCOhost platform (academic search complete, health source: nursing/academic edition, CINAHL with full text), Scopus and the WHO library were used to source the literature. We performed title screening of articles using keywords in the databases, after which two independent reviewers (RS and PV) screened abstracts and full articles. Studies from August 2011 to May 2021 were included in this review and the screening was guided by the inclusion and exclusion criteria. Findings were analysed using the thematic content analysis approach and results presented in the form of a narrative report. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension was used as a checklist and for explaining the scoping review process.ResultsThis review found evidence of the WHO TB-DM collaborative framework’s implementation in 35 countries across the globe. TB-DM comorbidity was identified in patients through bidirectional screening of both patients with TB and patients with DM in rural and urban settings.ConclusionDue to the paucity of evidence on mechanisms of collaboration, we recommend further research in other implementing countries to identify techniques used for diagnosis and integration of TB and DM services, in order to ensure that effective and joint management of TB-DM comorbidity in populations is achieved.

A Pragmatic Plan for the Mental Health Consequences During Covid-19 Pandemic Through Ayurveda

Introduction: Beyond infection, the COVID-19 pandemic has also affected individuals through associated mental illnesses like anxiety and stress and has caused a collateral damage. Ayurveda has described 3 main factors which are responsible for the occurrence of diseases, one of them is Prajnaparadha, which is stated as the main cause for all the mental illness. The threefold treatment principles of Daivavyapashraya, Yuktivyapashraya and Satvavajaya targeting the Ahara, Achara and Chesta is an ideal plan to deal with stress built up in this pandemic. Materials and methods: The Ayurvedic classical textbooks and the peer reviewed articles focusing mental health researches were reviewed. This plan involves the implementation of Daivavyapashraya, Yuktivyapashaya and Satvavajaya based on the exposure and exhibition of symptoms of COVID-19. Daivavyapashraya Chikitsa is employed by Vishnusahasranama recitation/listening, Yuktivyapashraya Chikitsa is employed by the various drugs like Bramhi, Shankapushpi, Ashwagandha etc. and formulations which have psycho-neuro-immune-response, Satvavajaya Chikitsa by the process of counseling. Results and Discussion: The interdependent nature of immunity and psychological state is already well established and it decides the outcome of disorders. An immune response can be largely affected by mental well-being and mental illness can negatively affect its outcome. Conclusion: The three fold treatment plan centering the pshycho-neuro-immune action is a complete health promotive, preventive and curative plan and will certainly help in the revival of mental health in the times and after the COVID-19 pandemic.

Effectiveness of the Complete Health Improvement Program in a Geriatric Population

The Complete Health Improvement Program (CHIP) is an intensive therapeutic lifestyle modification program (ITLMP) with well-documented success in decreasing risk factors for cardiovascular disease (CVD). Plant-based diets and physical activity are components of the program that contribute to these improvements. Yet, there are few studies on how ITLMPs affect risk factors specifically for the geriatric population. The goal of this study was to examine results of CHIP participants with a focus on the older (greater than 65 years) population in Athens, Ohio. Retrospective data from 2011 to 2017 were analyzed for 26 CHIP classes. Recorded variables included body mass index (BMI), blood pressure (BP), total cholesterol (TC), triglycerides, low-density lipoprotein cholesterol (LDL), high-density lipoprotein cholesterol (HDL), blood glucose (BG), and exercise level. Among geriatric participants, significant changes were found in BMI, BP, TC, LDL, HDL, BG, and exercise level ( P < .001). As compared to the younger population, changes in variables were equivalent in the geriatric population in all variables ( P > .05). These improvements in CVD risk factors among the elderly support the hypothesis that CHIP should be considered for CVD prevention and treatment in the geriatric population.

Vertebral Fractures as a Manifestation of Phosphaturic Mesenchymal Tumor-Induced Osteomalacia

Background. The rarity of the disease and, in this regard, the lack of doctors awareness about the pathology, late diagnosis and severe complications of the musculoskeletal system emphasize the relevance of clinical case demonstrating. The uniqueness of the case lies in the fact that hypophosphatemia, noted 3 years after the disease debut, was not taken into account.Case description. A 45-year-old patient with complaints of muscle weakness, gait disorders, torso deformity and multiple vertebral body fractures that appeared against the background of any somatic diseases absence, a differential diagnosis of metastatic vertebral bodies lesions and secondary osteoporosis complicated by vertebral body fractures was carried out for four years in various hospitals, and was even treated with bisphosphonates. Against this background, the chest deformity increased, kyphosis and remodeling fractures of other bones appeared. The assessment of calcium and phosphorus homeostasis was first performed at the 4th year of the disease, but the detected hypophosphatemia was not regarded as a manifestation of hypophosphatemic osteomalacia.Conclusion. Among adult patients with multiple low-energy fractures, severe muscle weakness and bone pain that appeared against the background of complete health, to exclude hypophosphatemic osteomalacia induced by mesenchymal tumor, it is necessary to include the level of phosphorus in blood and daily urine assessment in the diagnostic algorithm.

STRATEGI PENGEMBANGAN HEALTH TOURISM DI YOGYAKARTA

Health tourism is a travel activity to get health services. Yogyakarta is one of the provinces that has the potential to develop health tourism. This is seen by Yogyakarta type A hospitals, having 11 5-star hotels that provide spa and fitness. However, currently health tourism has not been widely realized and has not been developed in Yogyakarta. The purpose of this study was to determine the components of health tourism development and to find out the strategy for developing health tourism. This research uses descriptive qualitative method with data collection techniques using in-depth interviews and literature study. The data analysis method used is the SWOT method. The result of this research is that the components of health tourism development are adequate facilities, qualified human resources, professional medical personnel, affordable prices, marketing, and information technology. The strategy in developing health tourism is to increase promotion from both social and print media, provide training to human resources, provide discounts on certain products, make attractive products, health tourism is covered by BPJS, complete health tourism support facilities, build buildings / interesting facilities so that it becomes its main attraction.

Metabolic View on Human Healthspan: A Lipidome-Wide Association Study

As ageing is a major risk factor for the development of non-communicable diseases, extending healthspan has become a medical and societal necessity. Precise lipid phenotyping that captures metabolic individuality could support healthspan extension strategies. This study applied ‘omic-scale lipid profiling to characterise sex-specific age-related differences in the serum lipidome composition of healthy humans. A subset of the COmPLETE-Health study, composed of 73 young (25.2 ± 2.6 years, 43% female) and 77 aged (73.5 ± 2.3 years, 48% female) clinically healthy individuals, was investigated, using an untargeted liquid chromatography high-resolution mass spectrometry approach. Compared to their younger counterparts, aged females and males exhibited significant higher levels in 138 and 107 lipid species representing 15 and 13 distinct subclasses, respectively. Percentage of difference ranged from 5.8% to 61.7% (females) and from 5.3% to 46.0% (males), with sphingolipid and glycerophophospholipid species displaying the greatest amplitudes. Remarkably, specific sphingolipid and glycerophospholipid species, previously described as cardiometabolically favourable, were found elevated in aged individuals. Furthermore, specific ether-glycerophospholipid and lyso-glycerophosphocholine species displayed higher levels in aged females only, revealing a more favourable lipidome evolution in females. Altogether, age determined the circulating lipidome composition, while lipid species analysis revealed additional findings that were not observed at the subclass level.