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"Diet dapat menentukan status seng selama kehamilan. Namun, beberapa penelitian mengenai hubungan antara asupan, pola makan dan kualitas makanan berbasis lokal dengan status seng masih terbatas. Oleh karena itu, penelitian ini bertujuan untuk mengetahui apakah asupan seng, pola makan berbasis lokal PMBL dan kualitas diet berhubungan dengan kadar serum seng pada ibu hamil Minangkabau. Penelitian cross-sectional ini dilakukan dengan melibatkan 360 ibu hamil dengan usia kehamilan antara 16 dan 32 minggu. Semi-quantitative Food Frequency Questionnaire SFFQ digunakan untuk memperolah data asupan makanan, dan PMBL ditentukan berdasarkan hasil principal component analysis PCA . Penelitian ini mengolah 21 kelompok makanan dengan menggunakan PCA menjadi pola makanan bersumber nabati, pola makanan bersumber ikan, ayam dan jeroan, pola makanan bersumber tepung dan pemanis, pola makanan bersumber daging, pola makanan bersumber ikan masak santan, telur dan kacang-kacangan, pola makanan bersumber seafood/hasil laut dan pola makanan bersumber susu. Kualitas diet dianalisis dengan menggunakan Healthy Eating Index HEI 2010. Kadar serum seng diukur dengan menggunakan metode atomic absorption spectrophotometric. Analisis regresi linier multivariat dilakukan untuk menilai asupan seng, PMBL dan kualitas diet dengan kadar serum seng setelah dikontrol oleh faktor perancu. Rerata kadar serum seng adalah 10.1 2.1 mol/L. Asupan seng secara signifikan berhubungan dengan konsentrasi serum seng setelah dikontrol oleh umur, usia kehamilan, asupan energi, asupan serat, lokasi geografis dan pengeluaran rumah tangga adjusted ? = 0,083, 95 CI: 0,003, 0.163, p < 0.05 . Pola makanan bersumber tepung dan pemanis berbanding terbalik dengan kadar serum seng setelah dikontrol oleh umur, usia kehamilan dan pengeluaran rumah tangga adjusted ? = -0.179, 95 CI: -0,335, -0,023, p < 0.05 ; sedangkan PMBL lainnya tidak berhubungan secara signifikan dengan kadar serum seng. Skor total HEI 2010 tidak berhubungan dengan kadar serum seng pada semua responden, tetapi skor HEI 2010 menunjukkan hasil yang berhubungan di daerah pantai setelah dikontrol oleh umur, usia kehamilan, asupan serat dan asupan fitat adjusted ? = 0.186, 95 CI: 0.066, 0.306, p < 0.05 . Secara keseluruhan, antara asupan seng, pola makanan lokal Minangkabau dengan rendah tepung dan pemanis secara positif mempengaruhi kadar serum seng selama masa kehamilan. Meskipun kualitas diet yang dinilai menggunakan HEI 2010 tidak berhubungan dengan kadar serum seng, tetapi kualitas diet menunjukkan hubungan dengan serum seng pada ibu hamil yang tinggal di daerah pantai.Kata Kunci : pola makan; kehamilan; kadar serum seng; Minangkabau; Indonesia

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Diet has consequences on zinc status during pregnancy. However, studies focusing on association of dietary intake, pattern and quality in locally produced foods with zinc status are limited. Therefore, this study aimed to investigate whether zinc intake, local based dietary patterns LBDPs and diet quality are associated with serum zinc concentration among Minangkabau pregnant women. A cross sectional study was conducted involving 360 pregnant women between the 16th and 32nd weeks of gestation. Using dietary data from semi quantitative Food Frequency Questionnaire, LBDPs were identified by principal component analysis PCA . This study extracted 21 food groups into plant sources, fish, chicken and meat organ sources, flour and sweetness source, meats sources, fish with coconut milk, eggs and nuts sources, seafood sources and milk sources patterns by PCA. Dietary quality was analyzed by using the Healthy Eating Index HEI 2010. Serum zinc concentration was measured by using atomic absorption spectrophotometric methods. Multivariate linear regression analysis was performed to assess zinc intake, the LBDPs, and diet quality with serum zinc concentration after adjusted for potential confounders. The mean serum zinc concentration of pregnant women was 10.1 2.1 mol L. Zinc intake significant associated with serum zinc concentration after adjusted for age, gestational age, energy intake, fiber intake, geographic location and household rsquo s expenditure adjusted 0.083 95 CI 0.003, 0.163 p 0.05 . The flour and sweetness sources pattern was inversely associated with serum zinc concentration after adjusted for age, gestational age and household rsquo s expenditure adjusted 0.179 95 CI 0.335, 0.023 p 0.05 while the other LBDPs were not significantly associated with serum zinc concentration. The overall HEI 2010 score was not significantly associated with serum zinc concentration in the total subjects, but it was associated in coastal area after adjusted for age, gestational age, fiber and phytate intakes adjusted 0.186, 95 CI 0.066, 0.306, p 0.05 . In conclusion, zinc intake and local based Minangkabau foods with less in flour and sweetness positively influence serum zinc concentration during pregnancy. Although, the dietary quality assessed by the HEI 2010 did not associate with serum zinc concentration, it clearly associated with zinc serum of pregnant women in coastal area.Keywords dietary patterns pregnancy serum zinc Minangkabau Indonesia."

"Cardiovascular disease causes 8.6 million deaths of women every year, which is the major cause of death by one-third of all deaths of women in the world.Half of all deaths of women older than 50 years old is caused by cardiovascular and stroke diseases. This study aimed to analyze risk factors related to coronaryheart disease among women aged older than 45 years at Dody Sarjoto Makassar Air Force Hospital 2016. The total of sample was 76 consisting of 64cases of coronary heart disease and 12 non-coronary heart disease. Determination of sample used purposive sampling. Primary data were obtained throughinterview to respondents using questionnaire and direct interview. Data were analyzed by using contingency correlation coefficient (Exp (B)) test to identifysignificant relation between dependent and independent variables. Results found were hypertension (Exp (B) = 0.309), obesity (Exp (B) = 0.140), diabetesmellitus (Exp (B) = 0.164) and dyslipidemia (Exp (B) = 0.185), as proven having relation with coronary heart disease among women aged older than 45 years,and the factor which had the most significant relation was dyslipidemia.Penyakit kardiovaskuler menyebabkan 8.6 juta kematian pada perempuan setiap tahun, yang merupakan penyebab kematian terbanyak, yaitu sepertiga dariseluruh kematian perempuan di seluruh dunia. Setengah dari seluruh kematian perempuan berusia di atas 50 tahun disebabkan oleh penyakit jantung danstroke. Penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan penyakit jantung koroner pada perempuan usia > 45 tahun di RumahSakit TNI AU Dody Sarjoto Makassar. Besar sampel sebanyak 76 sampel yang terdiri dari 64 kasus penyakit jantung koroner dan 12 kasus non penyakit jantungkoroner. Penentuan sampel menggunakan metode purposive sampling. Data primer diperoleh melalui wawancara terhadap responden dengan menggunakankuesioner dan wawancara langsung. Data dianalisis menggunakan uji koefisien korelasi kontingensi (Exp (B)) terhadap variabel independen dandependen. Adapun hasil yang ditemukan adalah obesitas (Exp (B) = 0.140), diabetes mellitus (Exp (B) = 0.164), dan dislipidemia (Exp (B) = 0.185) terbuktimemiliki hubungan dengan kejadian penyakit jantung koroner pada perempuan usia > 45 tahun dan faktor yang memiliki hubungan paling besar adalah dislipidemia."

"This cross sectional study was conducted on 304 elderly, aged 55 years and over, who were randomly selected at the Public Health Center levels in South Jakarta. The prevalence of CHD risk factors for the total population indicated by dyslipidemia and abdominal over fatness in this study were high (76% and 48°1o, respectively). Differences between gender were found with respect to body fat distribution as determinant of serum lipid profiles. In the elderly women, AHR were positively correlated with serum triglycerides and total cholesterol (p<0.05) but not in the elderly men. Energy, fat and cholesterol intakes did not show correlation with any serum lipid status in this population group. Energy intake of the elderly was low. Percent energy from fat and cholesterol intake were in accordance with the Indonesian Consensus of Dyslipidemia and NCEP (National Cholesterol Education Program). Generally, the elderly men and women had similar scores for several aspects of later life status. However cognitive function, well being, and later life status in the elderly men were higher than those in the elderly women. It was demonstrated that there was a significant negative association between physical activity score and selected serum lipid profiles (TC and TG), especially in the elderly women. Similar findings were also observed for social activity scores. No associations were found between alcohol consumption and serum lipid profiles in this study. On the other hand, smoking which was prevalent in the elderly men contributed to the elevation of serum triglycerides concentration. "

"ABSTRAKNagari as government and customary institutions in West Sumatra is torn between the interests of the government system and the importance of maintaining the fundamental values in the community. Various government regulations regarding the village or Nagari generate new questions, the loss of the community's identity and local wisdom of Nagari as an autonomous and independent society. This study aims to explore and describe the Nagari system of government, as a social system of indigenous peoples of Minangkabau that combine the state government system with the adat system of local customary institutions. The study was conducted with qualitative methods, using in-depth interviews with the community leaders as well as some observations related to the dynamics of its social community in addition to literature study. This study found that Nagari as Minangkabau community social unity has a sacred local wisdom from the community's comprehensive thinking, and natural conditions. With its history, Nagari grows as an autonomous region where the community manages the social and natural resources potential independently. The Institutional system of Nagari is a combination between the state, custom, and religion, which is combined in the framework of tungku tigo sajarangan, tali tigo sapilin, the government, niniek mamak, and religious scholars. The social system that emerged from the wisdom of "reading" nature, as the strength of the Minangkabau community, made Nagari be one of the regions in Indonesia which are called by the Netherlands as "the Small Republic"."

"Penyakit jantung koroner (PJK) merupakan penyebabkan kematian utama di Indonesia. Pada perusahaan minyak dan gas, PJK menjadi salah satu penyebab utama kematian akibat penyakit diantara pekerja saat ini. Terdapat 5 kejadian evakuasi medis pada tahun 2023 di Perusahaan ini dengan diagnosis gangguan jantung dan pembuluh darah. Oleh karena itu, analisis faktor risiko PJK pada Perusahaan ini menjadi hal yang fundamental sebagai dasar dalam menentukan program promosi kesehatan yang sesuai. Penelitian ini dilakukan untuk memprediksi risiko PJK 10 tahun mendatang pada pekerja dengan metode framingham dan hubungan antara faktor risiko menggunakan desain penelitiancross sectional dan mixed-method sequential explanatory. Hasil penelitian ini menunjukkan tingkat risiko PJK di Perusahaan minyak dan gas ini adalah 3,8% risiko tinggi, 18,1% sedang dan 78,1% rendah. Gambaran faktor risiko PJK, antara lain 34,4% riwayat CVD keluarga, 82,7% pria, 51,4%, berusia <40 tahun, 67,6% dislipidemia, 26,7% hipertensi, 15,2% diabetes melitus, dan 81,9% kelebihan BB, 40% perokok aktif, 27,6% waktu tidur berisiko, 49,5% tidak aktif berolahraga, 99% sedenter, 52,5% berpola makan tidak baik, 6,7% stress psikososial, 40% bekerja di area non-office, 23,8% shift. Analisis hubungan diketahui bahwa terdapat hubungan signifikan antara usia, hipertensi, diabetes dan risiko PJK pada pekerja dan usia merupakan faktor risiko dominan PJK. Tidak terdapat hubungan antara riwayat keluarga, jenis kelamin, dislipidemia, BMI, alkohol, sedenter, pola makan, waktu tidur, stress psikososial, jenis pekerjaan, area kerja dan risiko PJK pada pekerja. Selain itu, berdasarkan analisis kualitatif yang dilakukan pada faktordeterminan perilaku pekerja, diketahui terdapat hubungan antara faktor determinan perilaku dan perilaku pekerja. Pada faktor pengetahuan (faktor pre-disposisi) diketahui bahwa pekerja non office kurang memahami faktor risiko PJK. Potensi penyebabnya adalah edukasi kesehatan pekerja belum merata pada seluruh area kerja. Analisis faktor pemungkin diketahui bahwa perusahaan telah memberikan dukungan penuh untuk meningkatkan kesehatan pekerja, namun masih ditemukan pekerja yang belum melakukan perbaikan perilaku kesehatan. Analisis faktor penguat memperlihatkan bahwa perusahaan telah menjalankan pengawasan dan pemantauan secara baik dan kosisten, namun pelaksaan program kesehatan setiap site belum terintegrasi. Oleh karena itu, perlu dilakukan perbaikan program promosi kesehatan yang komprehensif dan menyeluruh, baik dari perusahaan, pekerja, dan juga pembuat kebijakan.

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Coronary Heart Disease (CHD) is the leading cause of death in Indonesia. In oil and gas companies, CHD is one of the main causes of disease-related deaths among workers. In 2023, there were 5 medical evacuation incidents at this company with diagnoses of heart and vascular disorders. Therefore, analyzing CHD risk factors at this company is fundamental in determining appropriate health promotion programs. This study was conducted to predict the 10-year risk of CHD among workers using the Framingham method and to assess the relationship between risk factors using a cross-sectional and mixed-method sequential explanatory research design. The results showed that the CHD risk levels at this oil and gas company were 3.8% high risk, 18.1% moderate risk, and 78.1% low risk. The risk factors for CHD included 34.4% with a family history of CVD, 82.7% men, 51.4% under 40 years old, 67.6% with dyslipidemia, 26.7% with hypertension, 15.2% with diabetes mellitus, 81.9% overweight, 40% active smokers, 27.6% with risky sleep duration, 49.5% not physically active, 99% sedentary lifestyle, 52.5% with poor eating habits, 6.7% with psychosocial stress, 40% working in non-office areas, and 23.8% working shifts. There was a significant association between age, hypertension, diabetes, and CHD risk among workers, with age being the dominant risk factor for CHD. There was no association between family history, gender, dyslipidemia, BMI, alcohol consumption, sedentary lifestyle, dietary habits, sleep patterns, psychosocial stress, job type, work area, and CHD risk among workers. Additionally, qualitative analysis of behavioral determinants showed a relationship between behavioral determinants and worker behavior. Regarding worker knowledge as predisposing factors, non-office workers were found to have less understanding of CHD risk factors. The potential cause is uneven health education across all work areas. Analysis of enabling factors revealed that the company has provided full support to improve worker health, but some workers have not yet improved their health behaviors. The analysis of reinforcing factors showed that the company has implemented good and consistent health monitoring, but the implementation of health programs at each site is not yet integrated. Therefore, comprehensive and thorough improvements in health promotion programs are needed from the company, workers, and policymakers. "