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Leersia Yusi Ratnawati ¹, Bambang Wirjatmadi ², Merryana Adriani ², Soenarnatalina ³

Affiliations
1 Doctoral Student at Health Science, Airlangga University, ID
2 Departement of Nutrition School of Public Health, Airlangga University, Surabaya, ID
3 Departement of Bioastatistic and Population, Airlangga University, Surabaya, ID

Abstract

High prevalence of childhood obesity increases risk of insulin resistance in pre-pubertal children. The purpose of this study is to identify the presence of insulin resistance in pre-pubertal obese children and compare with children who had normal nutritional status. Observational analytic study with a cross sectional design is used for this research. There are 60 elementary school students aged 6-9 years involved in this study, 30 obese students and 30 students with normal nutritional status based on BMI for Age. Fasting insulin, fasting blood glucose and HOMA IR index were carried out in Parahita Laboratory at Sidoarjo. Statistical analysis using independent t-test was used to determine differences in fasting blood glucose, fasting insulin and HOMA IR between two groups and linear regression to analyze the effect of obesity on insulin resistance with a significance value < 0.05.The results showed mean scores of BMI obese and non-obese group were 25.6 and 15.96 respectively, the mean value of BMI z score among obese group and non-obese was 3.7 and-0.6 respectively; the abdominal circumference value of obese and non obese group consist of 84.95 and 59.48 cm. Statistical analysis showed no significant difference in fasting blood glucose levels, but fasting insulin levels and HOMA IR between 2 groups differed significantly. Obesity (BMI and abdominal circumference) influenced incidence of insulin resistance. Furthermore, obese and non-obese groups have different sensitivity of insulin response but had the same blood glucose level; obese group had higher HOMAIR than non-obese group. So, there needs an intervention to reduce obesity at an early age to reduce the risk of insulin resistance in pre-pubertal age.

Keywords

Insulin Resistance, Obesity, Pubertal Pre.

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Nurul Arifah ¹, Merryana Adriani ¹, N. Hanik Endang ¹

Affiliations
1 Airlangga University, C Campus Mulyorejo, Surabaya, ID

Abstract

The concept of mental health enforcement in the community makes mental health policies which are part of the national and regional health systems seek health implementation activities that are integrated in crosssectoral programs and involve society participation. Mental health nurses and community leaders play main roles in implementing the mental health enforcement in society started from the family. The objective was to briefly describe the phenomenology study of mental health nurses and community leaders’ roles in mental health enforcement in Surabaya urban society. This study used a qualitative research design with a phenomenological study approach. There were 7 representatives of authorized community leaders and health workers related to the mental health enforcement in the community which was taken by purposive technique. Data were taken using forum group discussion (FGD). Data were analyzed using the Colaizzi Analysis Method. The research findings obtained 7 themes and 12 sub-themes related to the roles of mental health nurses and community leaders in mental health enforcement. The mental health nurses and community leaders’ roles in mental health enforcement are important in handling several cases of mental disorders within a family in the society.

Keywords

Mental Health Nurse, Community Leader, Role, Enforcement, Phenomenology Study.

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Sahriana ¹, Merryana Adriani ¹, Hanik Endang Nihayati ¹

Affiliations
1 Airlangga University Surabaya, IN

Abstract

Mental health cadres have an important position in public health programs because cadres as part of the community have easier access to reach other community members. Cadres play a role in improving the degree of public health both physically and mentally. The active role of mental health cadres helps to prevent an increase in mental disorders through early handling in the community. This study aims to explore the supporting factors that influence mental health cadres in carrying out roles in Wonokromo Surabaya. Used a qualitative approach with phenomenological studies, 18 participants were interviewed and observed. Data were analyzed using the Colaizzi analysis method. The research findings obtained 4 themes namely 1) cadre characteristics, 2) knowledge, 3) motivation and 4) expectations. Supporting factors are important factors that influence the role of mental health cadres in carrying out their roles.

Keywords

Mental Health Cadre, Qualitative, Role.

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Suhartatik ¹, Veni Hadju ², Masyita Muis ³, Hasanuddin Ishak ⁴, Merryana Adriani ⁵

Affiliations
1 Doctoral Student in Public Health, Hasanuddin University of Indonesia, Poltekkes Kemenkes Makassar, ID
2 Department of Nutrition, Public Health Faculty of Hasanuddin University, ID
3 Department of Occupational Health and Safety, Public Health Faculty of Hasanuddin University, ID
4 Department of Environmental Health, Public Health Faculty of Hasanuddin University, ID
5 Department of Nutrition, Faculty of Public Health, Airlangga University, ID

Abstract

Background: Moringa oleifera is one of the vegetable food sources which has many nutritional content (minerals, vitamin A, vitamin C and vitamin B, sources of calcium, protein, potassium, and iron, amino acids such as methionine and cystine) which are very important to prevent disease.

Aims: To assess the large difference in infant morbidity from groups of mothers who received Moringa oleifera flour and groups who received iron tablets.

Method: Experimental with Randomized Double Blind design, Controlled design. The population in this study were community groups of pregnant and lactating women, a large sample of 20 pregnant women each group (Moringa Oleifera flour (GTK, n = 20) and received iron folate capsules (GBF, n = 20). Bivariate analysis uses chi-square and multivariate logistic regression to see the value of OR.

Results: There is a significant effect of moringa flour intervention on Morbidity of Infants aged 3 months (ρ = 0.018) and 6 months (ρ = 0.006). Based on the Odds Ratio test, the use of Moringa flour 5,500 times better for infant morbidity compared to the use of iron (Fe) tablets at 3 months of age and the use of Moringa flour 7.857 times better for infant morbidity than the use of iron (Fe) tablets at the age of infants 6 months are measured based on the morbidity of children in the last 3 months.

Conclusion: There is an effect of the intervention of Moringa flour on infant morbidity, the use of Moringa flour is better than the use of iron tablets (Fe). Moringa flour provides the same benefits as Fe and can be an alternative fulfillment of nutrition to maintain the health of children in order to avoid disease.

Keywords

Moringa oleifera, Iron Tablets, Morbidity.

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Rahma Tunny ¹, Merryana Adriani ¹, Bambang Wirjatmadi ¹

Affiliations
1 Airlangga University, ID

Abstract

Malnutrition is one of the main nutritional problems in Indonesia. Toddler is one of the age groups that are vulnerable to nutritional problems. One of the causes immediate nutritional problem is a lack of energy. This study aims to analyze the effect of supplementary feeding (PMT) hotong porridge mixed with moringa leaves and government biscuits on weight gain and underweight nutritional status in the working area of the Five Public Health Center. This study used Randomized Controlled Trial Design, with a quasi-experimental approach. The distribution of PMT hotong porridge with Moringa leaf mixture as a treatment group and the administration of PMT biscuits by the government program as a control group. The sample size was 32 toddlers. Data were analyzed using paired-sample T test. There was a significant effect on body weight and nutritional status after administration of PMT hotong porridge with moringa leaf mixture and PMT biscuits of government programs with p-value of 0.001 in the treatment group and the control group. Hotong slurry feeding and biscuit mix Moringa leaves government programs throughout a period of 30 days to take effect on the increase in body weight and nutritional status of children on the mark with most of the value of z-score infants already stood at -2SD s/d +2SD, which means that most of the children under five are already in the nutritional status of the mall.

Keywords

Toddler, Weight, PMT, Nutritional Status.

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Ikhram Hardi S. ¹, Tri Martiana ², Merryana Adriani ³, Suharni ⁴

Affiliations
1 Lecturer, Department of Occupational Health and Safety, Faculty of Public Health, Universitas Muslim Indonesia, Makassar,, ID
2 Professor, Department of Occupational Health And Safety, Faculty of Public Health, Universitas Airlangga, Surabaya 60115,, ID
3 Professor, Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya,, ID
4 Lecturer, Department of Occupational Health and Safety, Faculty of Public Health, Universitas Muslim Indonesia, Makassar, ID

Abstract

This study aims to explain the haematological profile, nutritional status and health complaints of Pertamina fuel station operators in Makassar City. This descriptive observational study conducted with 29 subjects as operators in two Pertamina fuel stations. Data of haematology profile was obtained through haematology examined by Prodia Makassar Clinical Laboratory, nutritional status by measurement of BMI (Body Mass Index) and health complaints were taken by questionnaire. Data were analyzed using descriptive tests. The hematological profile of subjects data focused on abnormal result frequency, mean and min-max include Hb Levels (10.3%; 12.30-16.80 g/dl), Hematocrit Levels (6.9%; 35.90-48.80%), Erythrocyte Levels (3.4%; 3.98-5.74 10⁶/μL), MCV Levels (0%; 81.30-92.90 fL), MCH Levels (0%; 27.70-32.80 pg), MCHC levels (3.4%; 33.10-36.40 g/dL), RDW-CV levels (6.9%; 11.30-13.90%), Platelet Levels (10.3%; 145.00-495.00 10³/μL), Leukocyte Levels (10.3%; 5.50-13.30 10³/μL), Basophile Levels (10.3%; 0.20-1.30%), Eucinophil Levels (65.5%; 0.50-11.50 %), Neutrophil Levels (27.6%; 36.10-67.40%), Lymphocyte Levels (17.2%; 24.80-52.40%), Monocyte Levels (27.6%; 5.30-15.10%), ESR Level (6.9%; 2.00-25.00 mm/hr). Furthermore, nutritional status shown that thin (17.2%), Normal (58.6%) and Fat (24.1%); (17.10-33.60kg/m2) and data of Health Complaint were mild complaints (62.1%) and severe complaints (37.9%). This research found that Eucinophil was the highest haematological profile abnormal (more than half of the subject of study) and all of the subjects had MCV and MCH at a normal level. Only some subjects were thin and fat on nutritional status. Moreover, there were much more subjects had severe complaints. So, it is recommended to identified factors related to cause of abnormal haematology profile and the severe complaints and how to cope it.

Keywords

Hematology Profile, BMI, Nutritional Status, Health Complaints, Fuel Station.

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