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Vitamin D Levels in Chronic Kidney Disease Stage 3, 4, and 5 Kristianus, David; Supriyadi, Rudi; Wiramihardja, Siska
Althea Medical Journal Vol 5, No 4 (2018)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.28 KB) | DOI: 10.15850/amj.v5n4.1494

Abstract

Background: Hypovitaminosis D is highly prevalent in chronic kidney disease (CKD). This conditionmay increase CKD progression and cause various complications, since kidney has a pivotal role in metabolizing the vitamin D. The aim of this study was to find the difference in vitamin D levels among CKD stage 3 to 5.Methods: A cross-sectional study involving patients aged over 18 years with CKD stage 3 to 5 who visited Dr. Hasan Sadikin General Hospital, Dustira Hospital, and Kidney Special Hospital Ny. R.A. Habibie in 2017 was conducted. CKD stages were determined based on glomerular filtration rate (GFR). Kruskal-Wallis test was used to analyzethe difference in vitamin D levels among CKD stage 3 to 5.Results: One hundred subjects consisting of 57 men and 43 women met the study criteria. There were 97% of subjects experienced hypovitaminosis D, with 20% having vitamin D insufficiency and 77% having vitamin D deficiency. In subjects with vitamin D insufficiency, a decrease in the mean vitamin D levels was observed along with advancing stages of CKD (p=0.255). No vitamin D level difference was observed among CKD stage 3 to 5 [11.1 (3.8-27.7) ng/mL vs 14.45 (5.10-50.90) ng/mL vs 11.7 (4.2-38.0) ng/mL, p>0.05].Conclusions: There is no difference in vitamin D levels among CKD stage 3, 4 and 5.  
Gambaran Pelayanan Konseling Gizi dan Olahraga pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Kota Bandung Rofi, Faizah; Setiawati, Elsa Pudji; Wiramihardja, Siska
Jurnal Sistem Kesehatan Vol 2, No 4 (2017): Volume 2 Nomor 4 Juni 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.325 KB) | DOI: 10.24198/jsk.v2i4.12491

Abstract

Konseling gizi dan olahraga pada pasien DM Tipe 2 ( DMT2 ) diperlukan untuk mengontrol glukosa darah. Penelitian ini dilakukan untuk mengetahui gambaran keberlangsungan program pelayanan konseling gizi dan olahraga pada pasien DMT2 di Puskesmas Kota Bandung. Penelitian deskriptif kualitatif dilakukan dari bulan Agustus-November 2016 di tiga Puskesmas Kota Bandung. Responden penelitian terdiri dari 3 dokter umum, 3 ahli gizi, dan 18 pasien DMT2. Data diambil dengan wawancara mendalam dan observasi. Alur konseling meliputi pendaftaran, pemeriksaan, cek laboratorium, dan pemeriksaan kembali oleh dokter disertai konseling yang kemudian pasien disarankan untuk rujukan ke ahli gizi dan mengikuti Prolanis. Proses konseling gizi oleh ahli gizi meliputi inisiasi, pengkajian, diagnosis gizi, intervensi, dan evaluasi. Berdasarkan wawancara yang dilakukan dari 24 responden, 18 responden menyatakan konseling gizi oleh dokter dilakukan tanpa tahapan diagnosis gizi. Konseling olahraga meliputi pengkajian dan intervensi olahraga memenuhi 2 dari 7 protokol konseling olahraga. Pengetahuan dokter mengenai penyakit DM lebih lengkap dibandingkan ahli gizi. Fasilitas konseling meliputi ruangan dan food model telah tersedia. Konseling gizi dan olahraga pada pasien diabetes melitus tipe 2 oleh petugas kesehatan telah  diimplementasikan di Puskesmas Kota Bandung tetapi masih perlu ditingkatkan karena faktor-faktor berupa faktor dari pasien, petugas kesehatan, dan prosedur.Kata Kunci: Diabetes melitus tipe 2, konseling
Muscle Mass and Quality of Life of Elderly People in Panti Tresna Werdha in Bandung Stein, Lambok K. K.; Wiramihardja, Siska; Kulsum, Iceu D.
Journal of Medicine & Health Vol 2, No 1 (2018)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (329.392 KB) | DOI: 10.28932/jmh.v2i1.741

Abstract

The proportion of elderly continues to increase from year to year due to theincrease of life expectancy. Elderly will experience degenerative process related tomuscle mass. This can disrupt the quality of life. The aim of this study was to determinethe muscle mass and quality of life (QoL) in the elderly. This study used cross sectionalapproach with the number of subjects as many as 32 elderly residents of Tresna Werdhain Bandung. The tool used to measure muscle mass is BIA Tanita SC-240 while theinstrument used in measuring quality of life is the WHOQL-BREF questionnaire. Theresult showed that the mean value of muscle mass per unit body surface area was 22.86±2.20 kg/m 2 . The highest average value of QoL is the physical domain (59.15±8,06%)while the lowest is the environmental domain (42.97±11.11%). The conclusion of thisstudy is muscle mass possessed by elderly study participants is good. The QoL isclassified as moderate.Keywords: elderly people, muscle mass, quality of life,  WHOQL-BREF questionnaire
Factors Influencing Outcomes of Children Hospitalized with Acute Severe Malnutrition Rusmil, Viramitha Kusnandi; Wiramihardja, Siska; AP, Adhitya; Gurnida, Dida A
Althea Medical Journal Vol 5, No 2 (2018)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (57.903 KB)

Abstract

Background: Nutrition is still a global health issue, and improving nutrition is among the targets of the Sustainable Developmental Goals (SDGs). One of Indonesia’s SDGs indicators is to reduce prevalence of malnutrition in children. Indonesia, as a developing country, implements a comprehensive malnutrition treatment program for children, including various aspects related to management of children with acute malnutrition. The purpose of this study was to identify factors associated with the outcome of children hospitalized with acute severe malnutrition. Methods: This cross sectional study enrolled 195 children with severe acute malnutrition, admitted to hospital from November 2016 to August 2017. Statistical Analysis was conducted using multivariable logistic regression to identify factors associated with the outcome. Adjusted Ratio with Confident Interval 95% and the value of P <0 .05 was considered significant. Result: A total of 195 children were diagnosed havings acute severe malnutrition. A history of complete immunization status (p value <0.001) was proved to be directly proportional to the recovery rate of patients with acute severe malnutrition. Provision of other types of antibiotic (p value 0.001) showed to increase recovery rates of patients with acute severe malnutrition. Several comorbid diseases reduced recovery rates such as pneumonia (Crude OR 0.619) tuberculosis (Crude OR 0.606) and HIV (p value 0.08).Conclusions: This study shows that although the provided treatments are appropriate with the standard treatment for severe malnutrition, they still encounter high levels of morbidity. Further large-scale studies should be conducted to develop better interventions and management of acute severe malnutrition, in order to achieve better outcome. 
Factors Influencing Outcomes of Children Hospitalized with Acute Severe Malnutrition Rusmil, Viramitha Kusnandi; Wiramihardja, Siska; AP, Adhitya; Gurnida, Dida A
Althea Medical Journal Vol 5, No 2 (2018)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (57.903 KB) | DOI: 10.15850/amj.v5n2.1246

Abstract

Background: Nutrition is still a global health issue, and improving nutrition is among the targets of the Sustainable Developmental Goals (SDGs). One of Indonesia’s SDGs indicators is to reduce prevalence of malnutrition in children. Indonesia, as a developing country, implements a comprehensive malnutrition treatment program for children, including various aspects related to management of children with acute malnutrition. The purpose of this study was to identify factors associated with the outcome of children hospitalized with acute severe malnutrition. Methods: This cross sectional study enrolled 195 children with severe acute malnutrition, admitted to hospital from November 2016 to August 2017. Statistical Analysis was conducted using multivariable logistic regression to identify factors associated with the outcome. Adjusted Ratio with Confident Interval 95% and the value of P <0 .05 was considered significant. Result: A total of 195 children were diagnosed havings acute severe malnutrition. A history of complete immunization status (p value <0.001) was proved to be directly proportional to the recovery rate of patients with acute severe malnutrition. Provision of other types of antibiotic (p value 0.001) showed to increase recovery rates of patients with acute severe malnutrition. Several comorbid diseases reduced recovery rates such as pneumonia (Crude OR 0.619) tuberculosis (Crude OR 0.606) and HIV (p value 0.08).Conclusions: This study shows that although the provided treatments are appropriate with the standard treatment for severe malnutrition, they still encounter high levels of morbidity. Further large-scale studies should be conducted to develop better interventions and management of acute severe malnutrition, in order to achieve better outcome. 
Malnutrition in Non-Hodgkin Lymphoma Patients at Dr. Hasan Sadikin General Hospital Bandung Ardinal, Azizah Puspitasari; Wiramihardja, Siska; Wijaya, Indra
Althea Medical Journal Vol 6, No 1 (2019)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (56.609 KB) | DOI: 10.15850/amj.v6n1.1521

Abstract

Background: Non-hodgkin lymphoma (NHL) has the highest prevalence among hematologic malignancies. The prognosis and response to therapy in NHL patients may worsen in the presence of malnutrition. The aim of the study was to describe the malnutrition status in NHL patients. Methods: This was a cross-sectional descriptive study. Nutritional status was assessed using Subjective Global Assessment (SGA) obtained from the medical records of all NHL patients at Dr. Hasan Sadikin General Hospital registered in 2017.Results: In total, there were 78 medical records of NHL patients that fulfilled the inclusion criteria. All NHL patients had experienced malnutrition, categorized as mild-moderate malnutrition (70.5%) and severe malnutrition (29.5%). In NHL patients with mild-moderate malnutrition, 29% had 5–10% weight loss; 60% had suboptimal solid diet; 56.4% experienced anorexia; and 50.9% had subcutaneous fat loss. In NHL patients with severe malnutrition, 78.3% had more than 10% weight loss; 73.9% had suboptimal solid diet; 78.3% experienced anorexia; and 100% had subcutaneous fat loss.Conclusions: Based on subjective assessment, all NHL patients were malnourished and experienced change of food intake and loss of subcutaneous fat, therefore, a better nutritional support scheme are crucial for NHL patients.
UKURAN ANTROPOMETRI GIZI YANG BERHUBUNGAN DENGAN PREDIABETES PADA OBESITAS DI PEJAGALAN, JAKARTA Santi, Bryany Titi; Wiramihardja, Siska; Arisanti, Nita; Raksanagara, Ardini S; Mariani, Helni; Setiawati, Elsa Pudji
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol 6 No 2 (2018): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (187.643 KB) | DOI: 10.22437/jmj.v6i2.5974

Abstract

Prevalence of prediabetes in Indonesia is increasing Type 2 Diabetes &nbsp;prevalence and its complications. Its complications is causing &nbsp;economic burden since one third of the costs of Indonesia national health insurance?s claim. Based on this problem, prediabetes is the right strategy to do but in practice it is an effective and efficient method for high-risk groups, namely obesity. The current assessment is the Body Mass Index (BMI) but has limitation for those with big muscle . Waist circumference is debated. &nbsp;Similarly, waist &nbsp;to height ratio is shown to have corellation to prediabetes. But, studies that explain which are the best anthropometry indicator that have strongest corellation &nbsp;to prediabetes is still limited. This study aims to determine the greatest association among these anthropometry indicators to predict &nbsp;prediabetes in the obese group. Methods: The study used a cross sectional study design for 166 adult respondents 21-65 years who met one of the criteria for obesity: BMI&gt; 25 kg / m2; waist circumference&gt; 80 cm in women or&gt; 90 cm in men; weight to height ratio 0,5. Respondents had fasting for 8-10 hours before checking sugar with a glucometer. Analysis using SPSS 18.00 program, univariate &nbsp;analysis to describe characteristic respondents in the Pejagalan area, then performed linear regression analysis to see the difference between BMI, waist circumference, or the waist to height ratio with most related to prediabetes. Results: The prevalence of prediabetes in obesity was 81 people (48.2%). Different age, BMI, and behavior in male and female respondents. Regression analysis showed that weight-to-height ratio is has strongest corellation in increasing risk of prediabetes. Conclusion: Waist to heigt ratio &nbsp;can be a measure of nutritional anthropometry that is most associated with prediabetes. Keywords: BMI, waist circumference, waist circumference - height, prediabetes
PENINGKATAN KAPASITAS KADER POSYANDU DALAM MENDETEKSI DAN MENCEGAH STUNTING Megawati, Ginna; Wiramihardja, Siska
Dharmakarya Vol 8, No 3 (2019): September 2019
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (271.107 KB) | DOI: 10.24198/dharmakarya.v8i3.20726

Abstract

Stunting bayi dan balita merupakan permasalahan gizi kronis yang membutuhkan penanganan komprehensif dan melibatkan berbagai sektor. Pada tahun 2018 ditetapkan penanganan stunting merupakan prioritas pembangunan nasional melalui Rencana Aksi Nasional Gizi dan Ketahanan Pangan. Kabupaten Sumedang termasuk 160 kabupaten/kota prioritas penanganan stunting. Upaya penanganan stunting dengan mengoptimalkan kondisi pada 1000 hari pertama kehidupan (HPK) dapat dilaksanakan di Posyandu. Posyandu sebagai bentuk pemberdayaan masyarakat bidang kesehatan memiliki peran strategis, namun karena kader posyandu memiliki latar belakang pendidikan serta sosial budaya yang beragam pengetahuan dan keterampilannya perlu terus menerus mendapatkan pembaruan. Pada kasus stunting, berbagai penelitian menunjukkan pengetahuan dan keterampilan kader terkait stunting dan  upaya pencegahannya sebagian besar belum baik, karena itu upaya peningkatan kapasitas kader posyandu penting dilakukan. Pada bulan Juli 2018 dilakukan pelatihan peningkatan kapasitas kader posyandu mendeteksi dan mencegah stunting di Desa Cipacing Kecamatan Jatinangor Kabupaten Sumedang. Pelatihan ini merupakan rangkaian pengabdian masyarakat yang terintegrasi Kuliah Kerja Nyata Mahasiswa Universitas Padjadjaran yang dilaksanakan pada periode  April - Juli 2018. Kegiatan pelatihan pada 42 orang kader posyandu dari 18 RW tersebut dilaksanakan dalam tiga tahap yaitu sosialisasi program, persiapan dan  pelaksanaan pelatihan, menggunakan pendekatan model deduktif, materi pelatihan disusun berdasar data pengamatan lapangan yang kemudian didiskusikan dengan narasumber ahli. Setelah pelatihan kader posyandu dapat memahami mengenai gizi seimbang, deteksi dini stunting dan peran penting kader posyandu menginformasikan gizi optimal pada 1000 HPK sebagai upaya pencegahan stunting serta mengidentifikasi faktor risiko penyebab stunting di wilayah kerja posyandu. Diharapkan peningkatan kapasitas ini dibuat sebagai pelatihan berkesinambungan bersifat periodik dan terprogram dengan baik.  
Gambaran Pelayanan Konseling Gizi dan Olahraga pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Kota Bandung Rofi, Faizah; Setiawati, Elsa Pudji; Wiramihardja, Siska
Jurnal Sistem Kesehatan Vol 2, No 4 (2017): Volume 2 Nomor 4 Juni 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.325 KB) | DOI: 10.24198/jsk.v2i4.12491

Abstract

Konseling gizi dan olahraga pada pasien DM Tipe 2 ( DMT2 ) diperlukan untuk mengontrol glukosa darah. Penelitian ini dilakukan untuk mengetahui gambaran keberlangsungan program pelayanan konseling gizi dan olahraga pada pasien DMT2 di Puskesmas Kota Bandung. Penelitian deskriptif kualitatif dilakukan dari bulan Agustus-November 2016 di tiga Puskesmas Kota Bandung. Responden penelitian terdiri dari 3 dokter umum, 3 ahli gizi, dan 18 pasien DMT2. Data diambil dengan wawancara mendalam dan observasi. Alur konseling meliputi pendaftaran, pemeriksaan, cek laboratorium, dan pemeriksaan kembali oleh dokter disertai konseling yang kemudian pasien disarankan untuk rujukan ke ahli gizi dan mengikuti Prolanis. Proses konseling gizi oleh ahli gizi meliputi inisiasi, pengkajian, diagnosis gizi, intervensi, dan evaluasi. Berdasarkan wawancara yang dilakukan dari 24 responden, 18 responden menyatakan konseling gizi oleh dokter dilakukan tanpa tahapan diagnosis gizi. Konseling olahraga meliputi pengkajian dan intervensi olahraga memenuhi 2 dari 7 protokol konseling olahraga. Pengetahuan dokter mengenai penyakit DM lebih lengkap dibandingkan ahli gizi. Fasilitas konseling meliputi ruangan dan food model telah tersedia. Konseling gizi dan olahraga pada pasien diabetes melitus tipe 2 oleh petugas kesehatan telah  diimplementasikan di Puskesmas Kota Bandung tetapi masih perlu ditingkatkan karena faktor-faktor berupa faktor dari pasien, petugas kesehatan, dan prosedur.Kata Kunci: Diabetes melitus tipe 2, konseling