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Abstrak :
Kelompok umur yang rentan terhadap kekurangan gizi adalah kelompok bayi dan balita. Karena status gizi yang baik sangat diperlukan untuk pertumbuhan dan perkembangan saat bayi dan balita, maka sangat penting untuk mengetahui status gizi dimulai sejak bayi. Status gizi menunjukkan seberapa besar kebutuhan fisiologis individu tersebut telah terpenuhi. Status gizi dipengaruhi oleh berbagai faktor. Penelitian ini bertujuan untuk mengetahui sebaran status gizi bayi usia 1,5-8 bulan di Jakarta Pusat dan hubungannya dengan jenis kelamin bayi, pendidikan terakhir ibu, pekerjaan ibu, penghasilan ibu, usia ibu saat melahirkan, morbiditas diare dan Infeksi Saluran Napas Atas (ISPA), dan pemberian Air Susu Ibu (ASI). Juga diketahuinya sebaran ibu bayi. Penelitian menggunakan studi crosssectional dan dilakukan pada 92 responden yang memiliki bayi usia 1,5 hingga 8 bulan di Jakarta Pusat. Data didapatkan berupa status gizi bayi, jenis kelamin bayi, usia ibu saat melahirkan, tingkat pendidikan ibu, penghasilan ibu, morbiditas diare dan ISPA, dan pemberian ASI yang akan diteliti hubungannya dengan status gizi bayi yang diuji dengan uji Chi-Square (p<0,05). Dari hasil penelitian didapatkan status gizi non-wasted sebesar 94,6%, sedang sebesar 5,4%. Persentase hasil yang didapatkan masing-masing ialah jenis kelamin bayi laki-laki 46,7%, dan perempuan 53,3%, pemberian ASI eksklusif sebesar 33,7%, ibu bekerja 18,5%, diare dan ISPA bayi dalam kurun waktu 2 minggu terakhir masing-masing 10,9% dan 70,7% tingkat pendidikan ibu rendah 33,7%, sedang 50,0%, dan tinggi 16,3%, tingkat penghasilan keluarga sedang 27,2% dan tinggi 72.8. Semua variabel tersebut tidak memiliki hubungan yang bermakna dengan status gizi bayi.

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Age Group that is most vulnerable to malnutrition condition is infant and chidlren under five years. A Good nutritional status is necessary for growth and development in infant and children under five years, so it is important to know the nutritional status since early childhood. Nutritional status of someone shows how big the individual physiological needs have been met. Nutritional status is influenced by various factors. This study is intended for the purpose of knowing the nutritional status of infants aged 1.5 to 8 months in Central Jakarta and the relationship with the infant's sex, maternal last education, working mother, family income, maternal age at birth, morbidity of diarrhea and Upper Respiratory Tract infection (URTI), and breast milk. This research is conducted using crosssectional study with 92 respondents who have a baby aged 1.5 to 8 months in Central Jakarta. Data obtained includes the nutritional status of the baby, the infant's sex, maternal?s education, working mother, maternal age at birth, maternal education level, family income, morbidity of diarrhea and Upper Respiratory Tract infection (URTI), and breast milk will be related to the nutritional status of infants tested with the Chi-Square test (p <0.05). Results obtained from research are non-wasted nutritiona status of 94.6% and high of 5.4%. The percentage of each result accomplished by baby?s sex: boy is 46.7% and girl is 53.3%, the provision of exclusive breastfeeding is 33.7%, 18.5% from working mother, diarrhea and URTI in infants during the last two weeks respectively is 10.9% and70.7%, lower maternal education level is 33.7%, moderate 50.0%, 16.3% and higher, moderate level of family income is 27.2% and 72.8 high. All these variables have no meaningful relationship with the nutritional status of infants.

Abstrak :
[ABSTRAK
Pendahuluan: Pada traumatic brain injury (TBI) dapat terjadi peningkatan metabolisme sehingga pasien rentan mengalami malnutrisi. Tatalaksana nutrisi yang adekuat sesuai dengan kondisi klinis dan komorbiditas berperan dalam mencegah terjadinya malnutrisi, menurunkan morbiditas dan mortalitas, serta mengoptimalkan outcome neurologis. Presentasi Kasus: Keempat pasien dalam serial kasus ini adalah laki-laki berusia antara 31?60 tahun dengan TBI dan berbagai faktor penyulit. Pasien pertama dengan obesitas dan mengalami hiponatremia berulang selama perawatan, pasien kedua memiliki status gizi malnutrisi, pasien ketiga dengan riwayat kemoradiasi pada astrositoma, amiloid angiopati dan disfagia, sementara pasien keempat dengan hipertensi dan fibrilasi atrium. Skrining gizi dengan MST pada keempat pasien menunjukkan skor dua. Pemberian energi pada keempat pasien adalah sebesar 140?150% dari kebutuhan energi basal yang dihitung dengan Harris-Benedict, dengan target pemberian protein sebesar 1,5?1,9 g/kg BB/hari atau setara dengan 20% energi. Selama pemantauan asupan protein pada keempat pasien adalah sebesar 0,55?1,67 g/kg BB/hari atau setara dengan 13,1?19,5% energi. Restriksi cairan dilakukan pada pasien pertama sebagai tatalaksana hiponatremia yang diperkirakan terjadi akibat SIADH. Pemberian natrium pada pasien keempat tidak direstriksi meskipun pasien mengalami hipertensi karena hipertensi adalah salah satu mekanisme kompensasi pada TBI. Pasien ketiga mengalami disfagia jika mengasup air putih sehingga dilakukan latihan menelan. Asupan per oral dimulai pada hari ke 6?15 pasca trauma. Hasil: Keempat pasien menunjukkan perbaikan outcome neurologis yang tampak berdasarkan peningkatan skor GCS disertai peningkatan kapasitas fungsional. Kesimpulan: Tatalaksana nutrisi yang adekuat pada pasien TBI dengan mempertimbangkan komorbiditas pasien diperlukan untuk menunjang penyembuhan dan memperbaiki outcome pasien.

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ABSTRACT
Background: Hypermetabolism in traumatic brain injury (TBI) increase the risk of malnutrition. Adequate nutritional management based on clinical status and comorbidity reduces the risk of malnutrition, therefore reduces morbidity and mortality rate and improves neurological outcomes. Case Presentation: The four patients included in this serial case were male, 31?60 years old. All patients were diagnosed with TBI complicated by various comorbidities.The first patient was obese with reccurrent episode of hyponatremia during hospitalization, the second patient was malnourished, the third patient had history of chemoradiation due to astrocytoma and was diagnosed with angiopathy amyloid and dysphagia, while the fourth patient was diagnosed with hypertension and atrial fibrilation. The MST scores in all four patients were two. Target of energy provision were between 140?150% of predicted basal energy requirement and target of protein provision were 1,5?1,9 g/kg BW/day or equal to 20% of energy. The protein intake during monitoring were 0,55?1,67 g/kg BW/day or equal to 13,1?19,5% energy. The fluid intake was restricted in first patient due to SIADH- related hyponatremia. Sodium intake was not restricted for the forth patient eventhough the patient was diagnosed with hypertension. In TBI, hypertension could occur due to compensational mechanism. The third patient was having difficulties consuming water due to dysphagia, and was conducted to multiple swallowing therapy exercises. Oral intake in four patients were initiated in day 6? 15 post trauma. Result: There were improvement of neurological outcome shown by the higher GCS score and improvement of the functional capacity in all four patients Conclusion: Adequate nutritional management in TBI patient can support the recovery and improve patient?s outcome. Nutritional management should consider patient?s comorbidities.;Background: Hypermetabolism in traumatic brain injury (TBI) increase the risk of malnutrition. Adequate nutritional management based on clinical status and comorbidity reduces the risk of malnutrition, therefore reduces morbidity and mortality rate and improves neurological outcomes. Case Presentation: The four patients included in this serial case were male, 31–60 years old. All patients were diagnosed with TBI complicated by various comorbidities.The first patient was obese with reccurrent episode of hyponatremia during hospitalization, the second patient was malnourished, the third patient had history of chemoradiation due to astrocytoma and was diagnosed with angiopathy amyloid and dysphagia, while the fourth patient was diagnosed with hypertension and atrial fibrilation. The MST scores in all four patients were two. Target of energy provision were between 140–150% of predicted basal energy requirement and target of protein provision were 1,5–1,9 g/kg BW/day or equal to 20% of energy. The protein intake during monitoring were 0,55–1,67 g/kg BW/day or equal to 13,1–19,5% energy. The fluid intake was restricted in first patient due to SIADH- related hyponatremia. Sodium intake was not restricted for the forth patient eventhough the patient was diagnosed with hypertension. In TBI, hypertension could occur due to compensational mechanism. The third patient was having difficulties consuming water due to dysphagia, and was conducted to multiple swallowing therapy exercises. Oral intake in four patients were initiated in day 6– 15 post trauma. Result: There were improvement of neurological outcome shown by the higher GCS score and improvement of the functional capacity in all four patients Conclusion: Adequate nutritional management in TBI patient can support the recovery and improve patient’s outcome. Nutritional management should consider patient’s comorbidities., Background: Hypermetabolism in traumatic brain injury (TBI) increase the risk of malnutrition. Adequate nutritional management based on clinical status and comorbidity reduces the risk of malnutrition, therefore reduces morbidity and mortality rate and improves neurological outcomes. Case Presentation: The four patients included in this serial case were male, 31–60 years old. All patients were diagnosed with TBI complicated by various comorbidities.The first patient was obese with reccurrent episode of hyponatremia during hospitalization, the second patient was malnourished, the third patient had history of chemoradiation due to astrocytoma and was diagnosed with angiopathy amyloid and dysphagia, while the fourth patient was diagnosed with hypertension and atrial fibrilation. The MST scores in all four patients were two. Target of energy provision were between 140–150% of predicted basal energy requirement and target of protein provision were 1,5–1,9 g/kg BW/day or equal to 20% of energy. The protein intake during monitoring were 0,55–1,67 g/kg BW/day or equal to 13,1–19,5% energy. The fluid intake was restricted in first patient due to SIADH- related hyponatremia. Sodium intake was not restricted for the forth patient eventhough the patient was diagnosed with hypertension. In TBI, hypertension could occur due to compensational mechanism. The third patient was having difficulties consuming water due to dysphagia, and was conducted to multiple swallowing therapy exercises. Oral intake in four patients were initiated in day 6– 15 post trauma. Result: There were improvement of neurological outcome shown by the higher GCS score and improvement of the functional capacity in all four patients Conclusion: Adequate nutritional management in TBI patient can support the recovery and improve patient’s outcome. Nutritional management should consider patient’s comorbidities.]