Pemberian Makanan Tambahan pada Ibu Hamil KEK di Puskesmas Karya Wanita Pekanbaru

Chronic Energy Deficiency in pregnant women is a condition of pregnant women due to an imbalance in the intake of energy and protein nutrients, so that the substances the body needs are not fulfilled. Incident chronic energy deficiency in pregnant women have a risk of abortion, bleeding, prolonged labor, infection, low birth weight baby, birth defects, and causes of death indirectly. An attemt to resolve the incidence of malnutrition in pregnant women in chronic energy deficiency with supplementary food. Type of qualitative research. Research informants were pregnant women chronic energy deficiency, nutrition staff, midwives, health promotion officers, and cadres. Research results are the knowledge of pregnant women in chronic energy deficiency about supplementary feeding is stil lacking, the attitudes of pregnant women in chronic energy deficiency and their husband’s support about supplementary feeding are already good, compliance of pregnant women in chronic energy deficiency is still lacking, acceptance of pregnant women in chronic energy deficiency about supplementary feeding is stil lacking, delivery of information when counseling needs to be improved by using the contemporary method, distribution of supplementary feeding for Puskesmas officers in collaboration with cadres. Advice doing technical guidance to health workers about supplementary feeding, health workers increase again in providing information related to supplementary feeding, provide information using digital media such as video, made a special trick of setting an alarm as a reminder to consume supplementary feeding, make derivate technical guidelines from the ministry of helath according to conditions in the field.

Formula “ke-kame-tu” high protein and zink as basic ingredients for under five years old supplementary feeding

The aim of the research was to create a “ke-kame-tu” formula high in protein and zinc. Making the formula "ke-kame-tu" using a randomized block design, taste data obtained by organoleptic test followed by ANOVA analysis. Protein analysis using the micro-kjeldahl method, and zinc analysis using the spectrophotometric method. The “ke-kame-tu” formula consists of a mixture of moringa leaf flour, red bean flour and tuna fish flour with the following ratio (gram) that is F1 (15-70-15); F2 (15-60-25); F3 (15-50-35); F4 (15-40-45); F5 (15-30-55); F6 (15-20-65). The nutritional content of the "ke-kame-tu" formula is as follows: a) Zinc content between 17.28% (F6) to 23.87% (F1), b) Protein content between 16.49% (F6) to 26.97% (F2), and c) Fat content is between 4.20% (F1) to 5.93% (F5). The ke-kame-tu formula contains complete essential amino acids, namely the amino acids histidine, threonine, arginine, methionine, valine, phenylalanine, iso leusie, leucine and lysine and as the limiting amino acid is methionine. Supplementary feeding (PMT) N1 protein content 10.138 g; N2 9.683 g; N3 9.097 g; N4 9.243 g; N5 10,473g and N6 10,197g. The best PMT based on the acceptability test by the panelists is the nugget product added with the F2 formula (15-60-25).

Nutritional Intervention through Education and Supplementary Food Provision to Fostered Families with a Family Doctor Approach in Uteunkot Village, Muara Dua District, Lhokseumawe

Indonesia as a developing country still has some gaps and shortcomings in health problems, one of which is nutritional problems. Based on the 2018 Global Nutrition Report, Indonesia is included in 17 countries that have complex nutritional problems, like stunting, wasting and overweight. Aceh Province in 2018 reported that there were 16.8% undernourished children under five and 6.7% malnourished children, while 2.9% were overweight. One of the things that can be done in overcoming these problems is through nutritional intervention to the community. Therefore, this research was conducted as a form of nutrition intervention through education and supplementary feeding (PMT) to the assisted families with a family medicine approach in Uteunkot Village, Muara Dua District, Lhokseumawe. The measuring instrument used is a balanced nutrition questionnaire which has been tested for validity and reliability to assess the level of knowledge of respondents about balanced nutrition. In addition, education on balanced nutrition and supplementary feeding is also carried out. The sampling technique used is total sampling with a total of 79 respondents. The results of the distribution of the level of knowledge of respondents on balanced nutrition before being given education were the most in the poor category with a total of 41 people (51.9%), after an intervention in the form of education obtained the distribution of the level of knowledge of respondents about balanced nutrition in the good category with a total of 69 people (87.3%). In addition, it was also found that almost all respondents consumed the given Supplementary Food

Carcass Traits, Meat Quality, and Volatile Compounds of Lamb Meat from Different Restricted Grazing Time and Indoor Supplementary Feeding Systems

This study was conducted to investigate the carcass traits, meat quality, and volatile compounds of growing lambs under different restricted grazing time and indoor supplementary feeding systems. Fifty 3-month-old male Tan lambs (with similar body weight) were divided into five groups randomly according to grazing time 12 h/d (G12), 8 h/d(G8), 4 h/d(G4), 2 h/d (G2), and 0 h (G0, indoor supplementary feeding). Animals were slaughtered at the end of the experiment, and the longissimus thoracis (LT) samples were collected for further analysis. The results indicated that indoor supplementary feeding improved the percentages of carcass fat and non-carcass fat of pre-slaughter weight (PSW) and decreased the cooking loss of lamb meat. Grazing for 8 h/d or 2 h/d enhanced PSW, carcass, and meat percentages of PSW. Lambs grazing for 2 h/d with supplement and indoor supplementary feeding lambs had a higher level of intramuscular fat and lightness (L*) value and lower cooking loss in the LT muscle, but higher yellowness (b*) and fat content were found in indoor supplementary feeding lambs. More categories of volatile compounds were identified in meat from grazing lambs than from indoor supplementary feeding lambs, but lower content of aldehydes and total volatile flavor compounds was detected in grazing lambs. Overall, the results demonstrated that the feeding system is a main factor that affects lamb meat quality, and proper grazing time can improve the quantity and quality of lamb meat and provide meat with different flavors to the consumers.

Perinatal complications and maximising lamb survival in an adolescent paradigm characterised by premature delivery and low birthweight

The competition for nutrients in overnourished and still-growing adolescent sheep negatively impacts gestation length, colostrum supply and lamb birthweight, all of which may affect neonatal morbidity and survival to weaning. Herein perinatal complications and the requirement for supplementary feeding were analysed in relation to gestational-intake, and the degree of premature delivery and prenatal growth-restriction exhibited. Pregnancies were established by embryo transfer and the mean/standard deviation (SD) gestation length and birthweight of the optimally-fed control group (n = 100) was used to define early delivery and reduced birthweight categories (1.5 and 3.0 SDs below the control mean for each aspect). Control lambs were largely delivered at term (94%), and had a normal birthweight (92%), while very preterm (≤139days, 18.5%) and preterm delivery (140-142days, 54.8%), extremely low birthweight (ELBW; females ≤2838g and males ≤3216g, 21.1%) and low birthweight (LBW; females 2839 to ≤4001g and males 3217 to ≤4372g, 32.2%), were common in the overnourished group (n = 270, P<0.001). Accordingly, overnourished dams were more likely to lamb without assistance while the incidence of major dystocia was greater in controls. Initial lamb vigour at birth was independent of gestational-intake, delivery or birthweight category but both ELBW and very premature lambs required more assistance with feeding in the first 24h postnatal, primarily reflecting low colostrum availability. Indeed, relative to normal, ELBW lambs had a greater risk of experiencing mismothering, and enhanced likelihood of requiring supplementary feeding throughout the neonatal period (P<0.001). ELBW lambs also had a greater possibility of respiratory issues at birth (P<0.01) and renal complications (P<0.001), while very preterm delivery was associated with an increased risk of gastrointestinal tract problems (P<0.01). In spite of these complications, all-cause mortality was low (5.4%) suggesting that our proactive neonatal care regime can overcome many of the issues associated with extreme prematurity and low birthweight.

The Effect of Additional Feed Fermentation of Moringa Oleifera Leaves on The Cholesterol Level of Mojosari Laying Ducks

The purpose of this research was to determine the effect of supplementary feeding with fermented Moringa leaf flour on cholesterol levels of Mojosari duck eggs and to calculate the cost of production. This study used 60 mojosari ducks, layer phase aged 27 weeks. Moringa flour was fermented using probiotics and given in four treatments, namely P0 (100% commercial feed), P1 (0.5% moringa leaf flour fermentation + 100% commercial feed), P2 (1% moringa leaf flour fermentation + 100% commercial feed), P3 (1.5% fermented Moringa leaf meal + 100% commercial feed). The variable observed in this study was cholesterol levels in Mojosari duck eggs. The results showed thatgiving Moringa leaf flour fermentation can give significantly different values (p <0.05) in each treatment both P0, P1, P2 and P3.In the fermentation of moringa leaf flour as much as 1.5% (P3) had the lowest cholesterol levels (113.13 ± 12.55) Meanwhile, 1% (P2) of moringa leaf flour fermentation has the highest cholesterol level (170.42 ± 13.19).

PENGARUH PEMBERIAN MAKANAN TAMBAHAN PEMULIHAN BERBAHAN DASAR LOKAL TERHADAP PERUBAHAN BERAT BADAN BALITA GIZI KURANG

Malnutrition is a health disorder due to a lack or imbalance of nutrients needed for growth, thinking activities and all things related to life. One of the efforts made to help meet the nutritional needs of malnourished children under five is the Recovery Supplementary Feeding (PMT) program. The purpose of this study was to analyze whether the effect of supplementary feeding with local ingredients on changes in body weight of undernourished children under five. The type of research used is pre-experimental research design with one group pre and post-test design. This research was conducted in the working area of the Nanga Public Health Center. The population in this study were all underweight children under five in the working area of the Nanga Health Center as many as 30 people, the sampling technique in this study was total sampling. Data processing is done by editing, coding, entry, tabulating and cleaning. Data analysis in this study was bivariate with Paired Test. The results showed that there was an effect of providing local-based supplementary food to changes in body weight of undernourished children under five as indicated by a p value of 0.000 < 0.05, with a pre-test Mean value (9.744) < Post-test Mean (10.022). and the value of t-count (7.409) > t-table (2005). Based on these results, it can be concluded that the provision of local-based supplementary food is effective in increasing the weight of undernourished children under five.