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"A cross sectional study was conducted at the Department of Medicine, Khan Kaen Regional Hospital, Thailand to investigate the relationship between protein energy and anorexia status in 100 adult hospitalized patients (50 males and 50 females), aged 20-50 years, who stayed 4-7 days in hospital. Protein Energy Malnutrition (PEM) was diagnosed using Body Mass Index (BMI) < 18.5 kg/m2 as a cut-off point and anorexia was based on the weight of leftover food; in this study leftover food containing > 213 (> 66.7%) of the energy served reflected anorexia. On admission, 30% of males were suffering from PEM and it increased to 34% on discharge while among females it was 28% both on admission and discharge. In men, 16% were suffering from anorexia on admission, which decreased to 10% on discharge while 6% of females were suffering from anorexia on admission and increased to 10% on discharge. The anorexia subjects had lower BMI and had a longer length of stay than the non-anorexic subjects (p < 0,05 in males).In conclusion, PEM of hospitalized patients occurred before admission and during hospitalization. There was a negative association between nutritional status and length of stay in hospital. PEM was found to be more prevalent in males than females and the leftover foods of males was also more than the females. The prevalence of PEM is related to leftover foods; it can be used as an estimate of anorexic status and represents an objective indicator for anorexia."

"ABSTRACTCropping intensification in rainfed rice based farming systems through multiple cropping after the rice harvest by using residual soil moisture and supplemental irrigation offers a way to increase agricultural productivity and boost rural incomes in Northeast Thailand. This study identifies localities, planted areas, types of crops, and number of households growing crops after rainfed rice in Khon Kaen Province; it also analyzes some of the physical and social factors associated with the occurrence of this system. A questionnaire survey was conducted in 2013 of 198 agricultural extension officers in each subdistrict (tambol) in the province to collect data on multiple cropping. An area of 10,384 ha (2.9% of the total rainfed rice area) was used for multiple cropping by 16,184 households (10.9% of all rainfed rice farming households). Both field crops (e.g., cassava, crotalaria, field corn) and vegetables (e.g., sweet corn, watermelon, Chinese radish) were grown. These crops generated USD414 to 49,072 per hectare per crop for a total revenue of USD32 million, which is three times higher than the value of rice grown in the same field area. However, the area that can be utilized for multiple cropping in different subdistricts may be limited by physical conditions, including availability of irrigation sources and soil texture, as well as social and economic factors such as availability of markets, institutional support, and farmer skills."

"Penelitian ini dilakukan untuk mengetahui pengaruh pemberian nutrisi enteral tinggi protein pada status protein penderita stroke akut. Subjek penelitian dibagi 2 kelompok secara randomisasi blok, yaitu kelompok perlakuan mendapat nutrisi enteral tinggi protein (NETP) dan kelompok kontrol mendapat nutrisi enteral standar rumah sakit (NERS). Tiga puluh enam subjek dari 60 penderita stroke akut berhasil menjalani 7 hari penelitian ini. Hasil penelitian menunjukkan bahwa pemberian NETP dapat meningkatkan kadar prealbumin serum, menurunkan ekskresi kreatinin urin, dan memperkecil penurunan kadar albumin serum dibandingkan kelompok kontrol. (Med J Indones 2004; 14: 37-43)

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The objective of this study was to determine the effect of high protein enteral nutrition on protein status in acute stroke patients. The subjects were divided into two groups using block randomisation, i.e. the intervention group that received high protein enteral nutrition (HPEN), and the control group that received enteral hospital diet. Thirty six out of 60 acute stroke patients had completed 7 days of follow-up. The results showed that HPEN have increased prealbumin level, decreased urinary creatinine excretion, and decreased the decline of albumin serum compared to the control group. (Med J Indones 2004; 14: 37-43)"

"Liver cirrhosis is a chronic and irreversible disease. The patients quality of life (QOL) may be impaired because of long-standing burden of the disease. This research was a cross-sectional study conducted at Dr. Sardjito Hospital, Yogyakarta to determined the QOL of patients with liver cirrhosis who hospitalized in this institution. The parameter for the QOL was measured according to Spitzer index. Sixty-five patients with liver cirrhosis of various etiology were abled to be studied. The number of male and female patients were almost equal (30 and 35 respectively). There was a reduction in QOL in both male (21/30) and female (28/ 35) but no significant different between this variable. There was a significant positive correlation between Child criteria, and nutritional status with QOL (r=0.68, p<0.05 and r=0.37, p<0.05). It was concluded that Child criteria and nutritional status were positively correlated with QOL."

"Background: older people contributed to 38.6% of death cases related to COVID-19 in Indonesia. Data regarding clinical profile of hospitalised elderly with COVID-19 in Indonesia were still lacking. Older people are at-risk population in the pandemic, whom we should pay attention to. Methods: this single centre descriptive study utilised complete data of elderly inpatients with COVID-19 in Indonesia’s national general hospital from April to late August 2020. The data consisted of clinical characteristics, symptoms, comorbidities, multimorbidity, and mortality outcome. Results: among elderly patients (n=44), a majority of patients were aged 60-69 years (68%), were male (66%), and had no history of close contact with COVID-19 patient (86%). The most common symptoms were fever, cough and shortness of breath (classic symptoms of COVID-19), whereas the most common chronic diseases were diabetes mellitus, hypertension, and malignancy. Multimorbidity was only found in 14% of patients, all of whom remained alive following SARS-CoV-2 infection. The death rate among elderly inpatients with COVID-19 in this study was 23%, and male older adults contributed to 90% of death cases. Conclusion: male patients dominated both confirmed cases and death cases among elderly with COVID-19. Classic symptoms of COVID-19 were only found in about half of the study patients. Non-survivors had higher percentage of the classic symptoms of COVID-19 than survivors. Atypical COVID-19 presentations are possible in older adults. We postulated that immunosenescence and sex-specific immunoregulatory function play an important role in causing death in this study cohort."

"Latar Belakang : Special Care Dentistry merupakan salah satu cabang spesialisasiKedokteran Gigi yang berfokus dalam memberikan perawatan kepada individu dengandisabilitas dan membutuhkan perawatan serta penanganan khusus. Guna memberikanperawatan yang maksimal, sikap dan persepsi dari operator selaku pemberi pelayananmerupakan salah satu faktor krusial. Oleh sebab itu, studi mengenai sikap dan persepsimahasiswa Kedokteran Gigi Universitas Indonesia, Universitas Can Tho, dan UniversitasKhon Kaen perlu dilakukan. Tujuan : Mengetahui sikap dan persepsi mahasiswaFakultas Kedokteran Gigi Universitas Indonesia, Universitas Can Tho, dan UniversitasKhon Kaen terhadap Special Care Dentistry. Metode : Penelitian ini menggunakan selfadminiseredquestionnaire dengan memanfaatkan google form di 2021 kemudian diolahmenggunakan perangkat lunak statistik SPSS pada tahun 2022 dengan menggunakan ujimann whitney, kruskal wallis, dan chi-square. Hasil Penelitian : Didapatkan totalresponden mahasiswa sebanyak 471 dari Universitas Indonesia, Universitas Can Tho, danUniversitas Khon Kaen angkatan 2016-2018 dengan response rate 70%. Sebanyak 71,5%responden dapat mendefinisikan Special Care Dentistry dengan 66,9% merasamembutuhkan pembelajaran didaktik maupun 94,3% responden merasa dibutuhkannyapelatihan klinis mengenai Special Care Dentistry guna menunjang pelayanan.Kesimpulan : Mahasiswa Kedokteran Gigi Universitas Indonesia, Universitas Can Tho,dan Universitas Khon Kaen memiliki sikap dan persepsi yang baik terhadap individupasien dengan disabilitas.

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Background: Special Care Dentistry is a specialty branch of Dentistry that focuses on

providing care to individuals with disabilities who require special care and treatment. In

order to provide maximum care, the attitude and perception of the operator as a service

provider is one of the crucial factors. Therefore, it is necessary to conduct a study on the

attitudes and perceptions of Dentistry students at the University of Indonesia, Can Tho

University, and Khon Kaen University. Objective: To find out attitudes and perceptions

of students of the Faculty of Dentistry, University of Indonesia, Can Tho University, and

Khon Kaen University towards Special Care Dentistry. Methods: This study used a selfadministered

questionnaire by utilizing the Google form in 2021 and then processed using

the SPSS statistical software in 2022 using the Mann Whitney, Kruskal Wallis, and Chisquare

tests. Research Results: A total of 471 student respondents were obtained from

the University of Indonesia, Can Tho University, and Khon Kaen University class of

2016-2018 with a response rate of 70%. As many as 71.5% of respondents can define

Special Care Dentistry with 66.9% feeling the need for didactic learning and 94.3% of

respondents feeling the need for clinical training on Special Care Dentistry to support

services. Conclusion: Dentistry students at the University of Indonesia, Can Tho

University, and Khon Kaen University have good attitudes and perceptions of individual

patients with disabilities"

"ABSTRACTThe relationship between serum vitamin A level and protein-energy status of 61 children in Jakarta was studied. The children 1 - 6 years old either received vitamin A supplements at various times, or never received any vitamin A supplements at all. There was a high prevalence of PEM among the sample and their energy and vitamin A consumption were low, though protein intake was adequate. The serum vitamin A levels of PEM children who received vitamin A supplements tended to decline more rapidly with time after supplementation compared to their non-PEM counterparts. A positive correlation, though weak, was also observed between serum vitamin A level and Wt/Age of the children. It was thus concluded that the fast decline in serum vitamin A level of PEM children could predispose them to vitamin A deficiency despite vitamin A supplementation. It was also suggested that further investigation is needed on the relationship between Wt/age and serum vitamin A level, because if such a relationship is established, Wt/age could be a very useful index for identifying children who are "at risk" of developing vitamin A deficiency."

"Nama : NurchajatieProgram Studi : Ilmu Kesehatan MasyarakatJudul :Model Prediksi Perubahan Status Gizi Pasien Diabetes MelitusTipe 2 Di Ruang Rawat Inap RSUP Fatmawati Tahun 2018.Pembimbing : Ir. Ahmad Syafiq, M.Sc, Ph.dStatus gizi kurang akibat malnutrisi rumah sakit merupakan penurunan statusgizi karena kurangnya asupan atau daya terima makanan selama perawatan, danmenjadi masalah gizi pasien di rawat inap dan sering mendapat sorotan. Statusgizi kurang seringkali dijadikan prediksi lama rawat pasien di rumah sakit.Malnutrisi rumah sakit atau penurunan status gizi selain akibat dari kekuranganasupan makanan, peningkatan kebutuhan sehubungan dengan kondisipenyakitnya dan juga kepuasan terhadap pelayanan gizi, umur, jenis kelamin,selera makan, dan kepatuhan diet. Tujuan penelitian adalah mengetahui modelprediksi perubahan status gizi pasien diabetes melitus tipe 2. Penelitian iniadalah penelitian observasional analitik dengan pendekatan cross sectional.Hasil penelitian perubahan status gizi berdasarkan IMT rata-rata -0,2 0,3kg/m2. Dari hasil analisis regresi linier multivariate diperoleh model prediksiperubahan status gizi = - 0,764 0,004 Asupan Makan - 0,01 Kepatuhan diet ndash;0,014 Kepuasan terhadap pelayanan gizi 0,011 Selera makan. Kesimpulan:Apabila asupan makan , nilai skor kepatuhan diet, nilai skor kepuasan terhadappelayanan gizi serta nilai skor selera makan menurun, maka perubahan statusgizi akan semakin negatif menurun dan asupan makan merupakan variabelyang berpengaruh dalam perubahan status gizi pasien DM tipe 2.Kata kunci: perubahan status gizi, diabetes melitus , malnutrisi rumah sakit.

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ABSTRACTName NurchajatieStudy Program Public HealthTitle Prediction Model of the Change in Nutritional Status ofHospitalized Diabetes Melitus type 2 Patients inFatmawati General Hospital in 2018.Counsellor Ir. Ahmad Syafiq, M.Sc, Ph.dLack of nutrition caused by malnutrition during hospitalization is a decreasingnutritional status which is caused by lack of intake or the decreasing ability toaccept food intake during hospitalization and become a nutrition problem for apatient of which often becomes focus of attention. Patient 39 s lack of nutrition isoften used to predict the length of treatment in the hospital. Malnutrition ordecreasing nutrition status caused by lack of food intake, moreover caused byincreasing need related to the condition of the sickness and also the satisfactiontoward the services in nutrition provision, age, sex, appetite, and diet obedience.The main research objective is to know the model of prediction in the change ofnutritional status of diabetes mellitus type 2. This research is an analyticalobservational research using cross sectional approach. The research result in thechange of nutritional status is based on average IMT 0.2 0.3 kg m2. From theresult of multivariate linear regression, it is obtained the prediction model of thechange in nutritional status 0.764 0.004 Food intake 0.01 Diet obedience 0.014 Satisfaction towards services in nutrition provision 0.011 Appetite.Conclusion if the food intake, the score of satisfaction towards services innutrition provision, and the score of eating appetite are decreasing, then thechange in nutritional status tends to be more negative decreasing and the foodintake is an influential variable in the change of DM type 2 patient 39 s nutritionalstatus.Key words change in nutritional status, diabetes mellitus, hospital malnutrition"