DIGITAL MANAJEMEN ASUPAN CAIRAN PASIEN HEMODIALISIS : LITERATUE REVIEW

Digital recording is a method that has the potential to help chronic disease (CKD) patients undergoing hemodialysis manage problems related to fluid intake. This literature review examines the mobile application intervention for hemodialysis patients, application characteristics, application, effectiveness in changing user behavior, and user satisfaction. The method used is a literature review using articles sourced from electronically based data such as EBSCO, Google Scholar, Pubmed and Scopus with the keywords diet management, fluid status, hemodialysis in the period 2010-2021. The results are five studies describing the evaluation of changes in dietary behavior related to with self-management has a positive change impact. Conclusion: According to the current study, digital recording using an application can hold promise in hemodialysis patients' self-management of fluid intake dietary behavior.

Feed Intake of Growing Dairy Heifers Raised under Tropical Conditions: A Model Evaluation Using Meta-Analysis

Several models for predicting dry matter intake (DMI) of replacement dairy heifers have been developed; however, only a few have been evaluated using data from heifers of different breeds raised under tropical conditions. Thus, the objective of this study was to evaluate the DMI equations for dairy heifers managed under tropical conditions. A total of 230 treatment means from 61 studies using dairy heifers (n = 1513 heifers, average body weight = 246 kg) were used. The animals were grouped into two groups based on their genetics: (1) Bos taurus (Holstein, Jersey, Brown Swiss, and Holstein × Jersey) and (2) crossbred (Bos taurus × Bos indicus). Seven previously published DMI equations (HH, HHJ, QUI, STA, 2001 NRC, OFLin, and OFNLin) for heifers were evaluated using mean bias, slope bias, mean squared prediction errors (MSPE) and its decomposition, and other model evaluation statistics. For Bos taurus heifers, our results indicated that OFNLin and HHJ had lower mean bias (0.13 and 0.16 kg/d, respectively) than other models. There was no significant slope or mean bias for HHJ and OFNLin (p > 0.05), indicating agreement between the observed and predicted DMI values. All other models had a significant mean bias (p < 0.05), whereas the QUI model also presented a significant slope bias (p < 0.02). For crossbred heifers, the STA equation was the only one that did not present mean and slope bias significance (p > 0.05). All other DMI models had significant mean bias when evaluated using crossbred data (p < 0.04), and QUI, OFLin, and OFNLin also presented significant slope bias (p < 0.01). Based on our results, predictions from OFNLin and HHJ best represented the observed DMI of Bos taurus heifers (MSPE ≤ 1.25 kg2/d2, mean bias ≤ 0.16 kg/d), whereas STA was the best model for crossbred heifers (MSPE = 1.25 kg2/d2, mean bias = 0.09 kg/d). These findings indicate that not all available models are adequate for estimating the DMI of dairy heifers managed under a tropical climate, with HHJ and OFNLin for Bos taurus and STA for crossbreds being the most suitable models for DMI prediction. There is evidence that models from Bos taurus heifers could be used to estimate the DMI of heifers under tropical conditions. For heifer ration formulation is necessary to consider that DMI is influenced by breed, diet, management, and climate. Future work should also include animal genetic and environmental variables for the prediction of DMI in dairy heifers.

The Effect of Family Caregiver Support used Three Dimension Magnetic Diabetic Food to Improve Diet Management

BACKGROUND: Diabetes mellitus (DM) Patient, especially the elderly in running a DM diet was often a major obstacle in the success of quality of life. Family caregiver support by using the miniature of three dimension (3D) magnetic diabetic food as a support for DM patient needed to help they DM diet. AIM: The purpose of this study was to analyze the effect of family caregiver support using miniature 3D magnetic diabetic food to was of dietary patterns of DM patients in elderly. METHODS: The study used was pre-experimental with a static-group comparison design. The research sample consisted of two groups, 36 DM patients in the treatment group and the control group, using a simple random sampling technique from the 90 elderly study populations. The variable was Family caregiver support using miniature magnetic 3D diabetic food and dietary patterns of DM patients in elderly. Data collect used 24-hour Food Recall Form questionnaire and Morisky Medication was Scale-8 Questionnaire . Data analysed using Wilcoxon Signed Rank Test and Man Whitney with alpha significance level <0.05. RESULTS: The results from the Wilcoxon Signed Rank Test statistic test showed a significant value of dietary patterns was showed p = 0.000. Different results between the control and treatment groups with the Whitney Man Test showed a value of p = 0.000. There was a difference in was to the diets of DM patients after family caregiver support for Media 3D Magnet. CONCLUSION: Family caregiver support using miniature 3D magnetic diabetic food can be used as an alternative to health education in improving patient was with DM diet management.

The gut microbial signature of gestational diabetes mellitus and the association with diet intervention

Gestational diabetes mellitus (GDM) is a high-risk pregnancy complication that is associated with metabolic disorder phenotypes, such as abnormal blood glucose and obesity. The link between microbiota and diet management contributes to metabolic homeostasis in GDM. Therefore, it is crucial to understand the structure of the gut microbiota in GDM and to explore the effect of dietary management on the microbiota structure. In this study, we analyzed the composition of the gut microbiota between 27 GDM and 30 healthy subjects at two time points using Illumina HiSeq 2500 platform. The taxonomy analyses suggested that the overall bacteria clustered by diabetes status, rather than diet intervention. Of particular interest, the phylum Acidobacteria in GDM was significantly increased, and positively correlated with blood glucose levels. Moreover, Partial least-squares discriminant analysis (PLS-DA) revealed that certain genera in the phyla Firmicutes, Bacteroidetes, Proteobacteria, and Lentisphaerae characterized the GDM gut microbiota. Correlation analysis indicated that blood glucose levels and BMI index were correlated with the relative abundance of SCFAS-producing genera. Through the comparison between the GDM and healthy samples with or without diet intervention, we discovered that the role of short-term diet management in GDM processes is associated with the change in the Firmicutes/Bacteroidetes ratio and some specific taxa, rather than an alternative gut microbial pattern. Our study have important implications for understanding the beneficial effects of diet intervention on the specific gut microbiota and thus possibly their metabolism in pregnant women with GDM.ImportanceUnderstanding the composition and dynamics of the gut microbiota in GDM women under diet intervention is important because there may be opportunities for preventive strategies. We examined the relationships between GDM gut microbiota at two times before and after the diet intervention during second trimester of pregnancy and clinical characteristics in cohort of GDM women. We found that short-term diet management in GDM processes is associated with changes in the Firmicutes/Bacteroidetes ratio and some specific taxa rather than an alternative gut microbial pattern. Our study highlights the importance of considering diet intervention as the rescue of microbial dysfunction of GDM disease and can serve as a strategy for early prevention in future study.

EDUKASI PENGATURAN DIET DIABETES MELLITUS (DM) PADA PENYANDANG DM SELAMA MENJALANI PUASA RAMADHAN

ABSTRAKPengaturan diet DM sebagai salah satu pilar penatalaksanaan DM masih menjadi masalah sehingga memerlukan edukasi lebih lanjut bagi para penyandang DM di wilayah kerja puskesmas Tanjung Karang Kota Mataram terutama di bulan puasa. Pengaturan diet sangatlah penting sehingga glukosa darah penyandang DM tetap terkontrol pada batas normal. Tujuan kegiatan pengabdian ini adalah untuk meningkatkan pemahaman penyandang DM dalam mengatur diet dibulan puasa sehingga meminimalisir timbulnya berbagai komplikasi akibat ketidakstabilan glukosa darah, meningkatkan kualitas hidup dan dapat menjalankan puasa dengan lancar. Pengabdian kepada masyarakat ini dilakukan dengan metode ceramah dan diskusi. Kegiatan yang dilakukan berupa pre-test, pemberian edukasi serta post-test pengetahuan tentang diet saat menjalankan puasa pada penyandang DM. Dari 30 orang penyandang DM yang mengikuti kegiatan ini didapatkan pengetahuan sebelum diberikan edukasi dengan kategori baik 10%, cukup sebanyak 40% dan kurang sebanyak 50% dan setelah diberikan edukasi terjadi peningkatan pengetahuan dengan kategori baik sebanyak 67% dan cukup 33%. Dengan demikian dapat disimpulkan terjadi peningkatan pengetahuan terkait pengaturan diet pada penyandang DM melalui edukasi yang baik sehingga bisa diterapkan dalam kehidupan sehari-hari. Kata kunci: diabetes mellitus; diet; puasa; edukasi. ABSTRACTThe regulation of the DM’ diet as one of the pillars of DM management is still a problem so it requires further education for people with DM in the working area of the Tanjung Karang Public Health Center, Mataram City, especially during the fasting month. Dietary regulation is very important so that the blood glucose of people with diabetes remains controlled at normal limits. The purpose of this service activity is to increase the understanding of people with diabetes in regulating diet in the month of fasting so as to minimize the emergence of various complications due to blood glucose instability, improve quality of life and be able to carry out fasting smoothly. This community service is carried out using lecture and discussion methods. Activities carried out in the form of pre-test, providing education and post-test knowledge about diet when fasting for people with DM. Of the 30 people with DM who took part in this activity, knowledge was obtained before being given education in the good category of 10%, sufficient as much as 40% and less as much as 50% and after being given education there was an increase in knowledge in the good category as much as 67% and enough 33%. Thus, it can be concluded that there is an increase in knowledge related to diet management in people with DM through good education so that it can be applied in everyday life. Keywords: diabetes mellitus; diet; fasting; education.

Pre-Emptive and Non-Pre-Emptive Goal Programming Problems for Optimal Menu Planning in Diet Management of Indian Diabetes Mellitus Patients

Diet management or caloric restriction for diabetes mellitus patients is essential in order to reduce the disease’s burden. Mathematical programming problems can help in this regard; they have a central role in optimal diet management and in the nutritional balance of food recipes. The present study employed linear optimization models such as linear, pre-emptive, and non-pre-emptive goal programming problems (LPP, PGP and NPGP) to minimize the deviations of over and under achievements of specific nutrients for optimal selection of food menus with various energy (calories) levels. Sixty-two food recipes are considered, all selected because of being commonly available for the Indian population and developed dietary intake for meal planning through optimization models. The results suggest that a variety of Indian food recipes with low glycemic values can be chosen to assist the varying glucose levels (>200 mg/dL) of Indian diabetes patients.

Development of a discharge education program using the teach-back method for heart failure patients

Background Heart failure (HF) patients have difficulties in self-management after discharge. This study aimed to develop a discharge education program for HF patients using the teach-back method (TBM). Methods As a methodological study to develop a program, we applied the analysis, design, development, implementation, and evaluation (ADDIE) model comprised of (1) analysis using EMR data, systematic review, and focus group interviews, (2) design and development of a program draft, (3) tests of program validity using 15 experts, 10 nurses, and 10 patients, and (4) development of the final program. The content validity index (CVI), and understandability and actionability of the educational material were used. Results The discharge education program provides definitions and information about medication, symptom/weight/diet management, physical activity, and other precautions. The educational method uses TBM. The overall CVI for the program was 0.96, and all item CVIs were greater than 0.8. The understandability and actionability were 90.2 and 91.3 % in patients, and 94.6 and 86.8 % in nurses. The contents and methods of the program were appropriate for patients and providers. Conclusions We expect the discharge education program using TBM to enhance self-management among HF patients. The process we used to develop this program could guide researchers and clinical practice.

Perception of Healthcare Providers About the Use of Social Media to Manage a Healthy Diet in Saudi Arabia

Purpose: The objective of this study is to investigate the perceptions of healthcare providers about the use of social media for healthy diet management in Saudi Arabia.Participants and Methods: A cross-sectional study was designed to investigate the use of social media healthy diet management. The sample constituted 308 healthcare professionals from Saudi Arabia. The social media application, WhatsApp is employed to distribute the questionnaire, which has achieved a response rate of 50.61%. Out of the total participants, 55% of the participants were under 30 years of age, 71% were females, and 55% of the participants had a bachelor's degree.Results: Among the total respondents, 66% used social networking applications more than four hours a day, and 78% utilized social media to get information about a healthy diet. The respondents employed the following platforms for this purpose: Instagram (27%), YouTube (19%), Snapchat (19%), WhatsApp (18%), Twitter (8%), and Facebook (5%). The respondents considered that social media is very helpful to educate (44%), communicate with specialists (33%), and get applications for a healthy diet (38%). They held an opinion that social media is very helpful in improving knowledge about a healthy diet (47%), creating diet awareness (42%), and achieving healthy diet outcomes (37%) and lifestyle (37%).Conclusion: According to the perception of health providers, social media can be used to promote healthy diet management in Saudi Arabia. Also, the growing use of social media in Saudi Arabia represents the potential to create programs that encourage and promote healthy eating habits in the Kingdom of Saudi Arabia. Instagram, YouTube, Snapchat, and WhatsApp platforms can be used for this purpose.

Reassessment of Poststroke Dysphagia in Rehabilitation Facility Results in Reduction in Diet Restrictions

Background: Dysphagia assessment in postacute stroke patients can decrease the incidence of complications like malnutrition, dehydration, and aspiration pneumonia. It also helps to avoid unnecessary diet restrictions. The aim of this study is to verify if regular reassessment of dysphagia would change the diet management of postacute stroke patients in rehabilitation settings. Methods: This single-center retrospective study included 63 patients referred to an inpatient neurological rehabilitation center between 2018–2019. A standardized clinical swallowing evaluation and Fiberoptic Endoscopic Evaluation of Swallowing (FEES) were performed. Diet level according to Functional Oral Intake Scale (FOIS) was evaluated. As the primary endpoint, the FOIS values based on diagnostic procedures were assessed at hospital discharge, rehabilitation admission, and after FEES. Results: 19 women (30%) and 44 men (70%), with a mean age of 75 y (SD ± 10.08), were enrolled. The intergroup ANOVA revealed significant differences (p < 0.001) between dietary prescriptions in an acute care setting and following clinical and endoscopic reassessment in the rehabilitation center. Diet recommendations changed in 41 of 63 (65%) enrolled patients (p < 0.001). Conclusion: Instrumental diagnostic by FEES during the early convalescence period of stroke patients leads to clinically relevant changes to diet restrictions and lower rates of pneumonia. Our findings underline the need for regular and qualitative dysphagia diagnostics in stroke patients participating in neurological rehabilitation.