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ANEMIA PADA IBU USIA 17-35 TAHUN DI DAERAH ‘REPLETE’ ENDEMIK DEFISIENSI IODIUM Budiman, Basuki; Dewi, Rosmala; Muljati, Sri
GIZI INDONESIA Vol 30, No 1 (2007): Maret 2007
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v30i1.36

ANEMIA OF CHILD BEARING AGE MOTHERS 17-35 YEARS OF AGE IN ENDEMIC IODINE ‘REPLETE’ AREAIron Deficiency Anemia (IDA) as well as Iodine Deficiency Disorder (IDD) both have adverseeffects on cognitive and neuropsychomotor, and adverse pregnant outcomes. Both iron andiodine have role on nuero development. Iron interact with iodine through the activity of thyroidperoxidase (TPO), an iron-dependent enzyme. IDA in iodine replete area (IRA) have not beenreported. Assesments IDA (Hb), free thyroxine (fT4), Thyrotropin hormone (TSH) of reproductivemothers 17-35 years of age were conducted in IRA and non-endemic deficiency iodine area(NEDIA). Casual iodine urin concentration (UIC) of school age children was also assesed toconfirm iodine endemicity of study area. Analysis of risk for anemia according to iodine status andcorrelation hemoglobin and thyrotropin were performed. The study area was confirmed to be nonendemic iodine deficiency (UIC criteria). Median EIU were 242 (24-880) µg/L in IRA and 211 (44-387) µg/L in NEDIA respectively. Proportion of EIU less than 100 µg/L in IRA were 5.0 % and inNEDIA 1.2 %. Proporsion of EIU greater than 300 µg/L were 29.6 dan 24.7 persen respectively.The results indicated that study areas were no longer endemic iodine deficiency and the peoplewhere they live consumed iodine tend to excess. These situation may effect on thyroid function asindicated by suppressed TSH and fT4 in normal range. Those two thyroid function parameterssignificantly different in the IRA and NEDIA. The everages serum concentration of TSH in thestudy area were 1,96(1,56-2,36) in IRA compared to 1,38 (1,09-1,67) mUI/L in NEDIA(p=0,23);while fT4 were 1,29 (1,14-1,44) and 0,98 (0,90-1,05) µg/dL respectively. Hemoglobin serumconcentration of mothers in those two area was not signicantly different; 12,45 (12,19-12,71) inIRA compared to 12,21 (11,96-12,46) mg/dL di NEDIA. Iron deficiency anemia was found 23,3 %in IRA and 35,7 % in NEDIA; however mothers in IRA have risk for anemia as big as mothers inNEDIA OR: 0,54(0,24-1,24). Analysis correlation (Spearman’s) between TSH and Hb providedcoefisient correlation Rho as much as 0.072 indicated very weak correlation between the twoparameters. There were no difference in proportion of hypothyroidism in the two study areas (OR:0,68 (0,207-2,25). Although the proportion of iron deficiensi anemia (IDA) in IRA much less thanthe proportion in NEDIA; there were no relationship between IDA and Iodine deficiency.Absorption of Fe in IRA may be more efficient than did in NEDIA. More studies are needed toconfirm this finding.Keywords: IDA, TSH, fT4, Hb, EIU, NEDIA, IRA

STATUS GIZI KURUS ANAK USIA (24-59) BULAN DENGAN DI NANGGROE ACEH DARUSSALAM Analisis Data Surkesda NAD 2006 Muljati, Sri; ., Sandjaja
GIZI INDONESIA Vol 31, No 2 (2008): September 2008
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v31i2.56

THE PREVALENCE OF WASTINGOF CHILDREN AGE 24-59 MONTHS IN NANGGROE ACEH DARUSSALAMSurkesda NAD 2006 as post tsunami household health survey and covering all 21 districts/citieshad assessed child nutritional status (wasting), with cut-off point -2.00 SD for age 24-59 months.A total sample of 922 children was included in the assessment. The objective of this study is toanalyze child nutritional status and factors related to the status in NAD after tsunami. The studyrevealed that the prevalence of wasting in NAD was 16.7% (ranges from 5.9%-31.3%). Theprevalence of wastingin NAD were higher than those of Indonesia. Multivariate analysis identifiedvarious factors that associated with the prevalence of wasting. Higher risk of wasting wasidentified for children (24-59 months) with absence of BCG immunization (OR=1.63), and thoseattending out-patient clinics for treatment of their illnesses (OR=1.47). It is recommended thatintensive nutrition program be implemented in high areas of wasting through exclusive breastfeeding promotion, proper complementary food distribution, growth monitoring and promotion, IECfor nutrition and child caring practices.Keywords: child nutritional status, tsunami, Aceh, balita

PENGEMBANGAN ALAT SKRINING UNTUK HIPERTENSI Harahap, Heryudarini; Widodo, Yekti; Muljati, Sri; Triwinarto, Agus; Effendi, Imam
GIZI INDONESIA Vol 33, No 2 (2010): September 2010
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1382.427 KB)

THE DEVELOPMENT OF SCREENING TOOL FOR HYPERTENSIONThe increasing prevalence of hypertension is an important public health problem contributing to significant excess disease and mortality. The risk factors of high blood pressure were smoking, sex, age, consumption, activity, obesity, and heredity. Studies showed that subjects didn’t aware about their blood pressure as well as subjects’ knowledge about risk and symptom of hypertension was not good. Hypertension prevention can be done by giving screening tools to detect the blood pressure as well asgiving information about risk and symptom of hypertension. The objective of the study was to develop screening tool to detect hypertension. A cross-sectional survey was conducted in Bogor, North Jakarta and Tangerang district. Blood pressure was collected using spyhgmanometer. The JNC 7 was used to classify of hypertension. Screening tool and leaflet was developed based on the result of Basic Health Research data set as well as literature study. The study had three activities that were focus group discussion, validity and reliability, as well as screening tool trial. Results: Validity test showed that over 17 questions only 6 questions were valid (p<0,05, r = 0,176). After re-construction of screening tool questions then validity test was done again. Over 15 questions, 12 was valid (p<0,05, r = 0,07).Eventhough 3 questions were not valid that questions were still included in that screening tools. Reliabilty of screening tool was realiable (α Cronbach’s = 0.586). The sensitivity (Se) and Specificity (Sp) of subjects that had been have 7 scores or higher was had Se 61.6 and 64.1 Sp respectively. Conclusion: This study implies that hypertension screening tool can be used as screening tool to detect hypertension.Keywords: hypertension, obesity, sensitivity, screening tool, specificity

GANGGUAN PERTUMBUHAN DAN DEFISIT BERAT BADAN PADA BALITA DI PERKOTAAN DAN PEDESAAN Muljati, Sri; Hapsari, Dwi; Budiman, Basuki
GIZI INDONESIA Vol 28, No 2 (2005): September 2005
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (131.831 KB)

GROWTH FAILURE AND BODY WEIGHT DEFICIT OF UNDERFIVE CHILDREN IN URBAN AND RURAL AREASThe prevalence of malnutrition in Indonesia in 2003 is 19 percents; three percents of them are severe malnutrition. Study on the age beginning deviation of growth failure and the extent of the deficit in body weight of underfive children in Indonesia is scarce. We analysed 1694 records of children underfive year old from National Household Survey (SKRT) having complete data in weight, height and age. The study revealed that 42.9% children underfives suffered from growth failure, in which the magnitude was greater in rural than urban e.i. 53.8% and 46.2% respectively growth failure started. In the age 4 months, infant begins deficit his her body weight and the peak of the deficit is infant in six months e.i 21.05%. This analysis supports international finding that deviation in growth failure begin at 4 month for Indonesian children should be consideredKeywords: under five year children, growth

STATUS GIZI KURUS ANAK USIA (24-59) BULAN DENGAN DI NANGGROE ACEH DARUSSALAM Analisis Data Surkesda NAD 2006 Muljati, Sri; ., Sandjaja
GIZI INDONESIA Vol 31, No 2 (2008): September 2008
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (175.397 KB)

THE PREVALENCE OF WASTINGOF CHILDREN AGE 24-59 MONTHS IN NANGGROE ACEH DARUSSALAMSurkesda NAD 2006 as post tsunami household health survey and covering all 21 districts/citieshad assessed child nutritional status (wasting), with cut-off point <-2.00 SD for age 24-59 months.A total sample of 922 children was included in the assessment. The objective of this study is toanalyze child nutritional status and factors related to the status in NAD after tsunami. The studyrevealed that the prevalence of wasting in NAD was 16.7% (ranges from 5.9%-31.3%). Theprevalence of wastingin NAD were higher than those of Indonesia. Multivariate analysis identifiedvarious factors that associated with the prevalence of wasting. Higher risk of wasting wasidentified for children (24-59 months) with absence of BCG immunization (OR=1.63), and thoseattending out-patient clinics for treatment of their illnesses (OR=1.47). It is recommended thatintensive nutrition program be implemented in high areas of wasting through exclusive breastfeeding promotion, proper complementary food distribution, growth monitoring and promotion, IECfor nutrition and child caring practices.Keywords: child nutritional status, tsunami, Aceh, balita

ANEMIA PADA IBU USIA 17-35 TAHUN DI DAERAH ‘REPLETE’ ENDEMIK DEFISIENSI IODIUM Budiman, Basuki; Dewi, Rosmala; Muljati, Sri
GIZI INDONESIA Vol 30, No 1 (2007): Maret 2007
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (145.639 KB)

ANEMIA OF CHILD BEARING AGE MOTHERS 17-35 YEARS OF AGE IN ENDEMIC IODINE ‘REPLETE’ AREAIron Deficiency Anemia (IDA) as well as Iodine Deficiency Disorder (IDD) both have adverseeffects on cognitive and neuropsychomotor, and adverse pregnant outcomes. Both iron andiodine have role on nuero development. Iron interact with iodine through the activity of thyroidperoxidase (TPO), an iron-dependent enzyme. IDA in iodine replete area (IRA) have not beenreported. Assesments IDA (Hb), free thyroxine (fT4), Thyrotropin hormone (TSH) of reproductivemothers 17-35 years of age were conducted in IRA and non-endemic deficiency iodine area(NEDIA). Casual iodine urin concentration (UIC) of school age children was also assesed toconfirm iodine endemicity of study area. Analysis of risk for anemia according to iodine status andcorrelation hemoglobin and thyrotropin were performed. The study area was confirmed to be nonendemic iodine deficiency (UIC criteria). Median EIU were 242 (24-880) µg/L in IRA and 211 (44-387) µg/L in NEDIA respectively. Proportion of EIU less than 100 µg/L in IRA were 5.0 % and inNEDIA 1.2 %. Proporsion of EIU greater than 300 µg/L were 29.6 dan 24.7 persen respectively.The results indicated that study areas were no longer endemic iodine deficiency and the peoplewhere they live consumed iodine tend to excess. These situation may effect on thyroid function asindicated by suppressed TSH and fT4 in normal range. Those two thyroid function parameterssignificantly different in the IRA and NEDIA. The everages serum concentration of TSH in thestudy area were 1,96(1,56-2,36) in IRA compared to 1,38 (1,09-1,67) mUI/L in NEDIA(p=0,23);while fT4 were 1,29 (1,14-1,44) and 0,98 (0,90-1,05) µg/dL respectively. Hemoglobin serumconcentration of mothers in those two area was not signicantly different; 12,45 (12,19-12,71) inIRA compared to 12,21 (11,96-12,46) mg/dL di NEDIA. Iron deficiency anemia was found 23,3 %in IRA and 35,7 % in NEDIA; however mothers in IRA have risk for anemia as big as mothers inNEDIA OR: 0,54(0,24-1,24). Analysis correlation (Spearman’s) between TSH and Hb providedcoefisient correlation Rho as much as 0.072 indicated very weak correlation between the twoparameters. There were no difference in proportion of hypothyroidism in the two study areas (OR:0,68 (0,207-2,25). Although the proportion of iron deficiensi anemia (IDA) in IRA much less thanthe proportion in NEDIA; there were no relationship between IDA and Iodine deficiency.Absorption of Fe in IRA may be more efficient than did in NEDIA. More studies are needed toconfirm this finding.Keywords: IDA, TSH, fT4, Hb, EIU, NEDIA, IRA

Risiko Underweight pada balita terakhir di Rumah Tangga Muljati, Sri; Budiman, Basuki
Jurnal Kedokteran YARSI Vol 16, No 2 (2008): MEI - AGUSTUS 2008
Publisher : Lembaga Penelitian Universitas YARSI

Household health survey and covering all 30 provinces had assessed child nutritional status(underweight) for age 1-59 months, with cut-off point <-2.00 SD. A total sample of 1714 children aged 1-59 months was included in the assessment. The objective of this study was to analyze child nutritional status and factors related to the status. The study revealed that the prevalence of underweight in Indonesia was higher than those of Malaysia or China.Multivariate analysis identified various factors that associated with the prevalence ofunderweight. Children aged 1-59 months with higher risk of underweight were those head offamily age, birth order of children and head of family education. Odd Ratio (OR=1.35), thosewhose head of family age <25 year and had education less than senior high school (OR=1.25),and birth order of children (OR=1.18). Strategies to improve nutritional status of childrenshould include accelerate nutrition intervention programs, improving carrying knowledge/practice for children and community development.

PENGGUNAAN MODEL LEARNING CYCLE DALAM MENINGKATKAN HASIL BELAJAR SISWA DI SMAN 1 KALIJATI muljati, Sri
EDUTECH Vol 20, No 2 (2021)
Publisher : Prodi Teknologi Pendidikan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/e.v20i2.17740

This study aims to improve student learning outcomes in chemistry subjects by using the learning cycle learning model. Given that student learning outcomes in chemistry subjects show unsatisfactory results, so there is a need for improvement efforts through improvements in the teaching and learning process because the authors believe that a good process will give good results as well. The learning cycle consists of five stages, namely Engagement, Exploration, Explaination, Elaboration, and Evaluation). However, the emphasis in this study is on strengthening the explanation (concept reinforcement) by using a concept map. The average student is very weak in understanding concepts so that it is difficult to understand generalization material. And in the study of student learning outcomes experienced progressive changes so that the use of the learning cycle learning model is highly recommended.Penelitian ini bertujuan untuk meningkatkan hasil belajar siswa pada mata pelajaran kimia dengan menggunakan model pembelajaran learning cycle. Mengingat hasil belajar siswa pada mata pelajaran kimia menunjukan hasil yang kurang memuaskan sehingga perlu adanya upaya perbaikan melalui pembenahan pada proses belajar mengajar karena penulis menyakini bahwa proses yang baik akan memberikan hasil yang baik pula. Dalam learning cycle terdiri dari lima tahapan, yaitu Engagement, Exploration, Explaination, Elaboration, dan Evaluation). Namun, yang ditekankan pada penelitian ini adalah pada penguatan explaination (penguatan konsep) dengan menggunakan peta konsep. Rata-rata peserta didik sangat lemah terhadap pemahaman konsep sehingga kesulitan dalam memahami materi yang bersifat generalisasi. Dan pada penelitian hasil belajar siswa mengalami perubahan yang progresif sehingga penggunaan model pembelajaran learning cycle sangat disarankan.

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