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"Tujuan penelitian adalah diketahuinya pengaruh pemberian suplementasi makanan cair 500 kalori per hari berturut-turut dari awal radiasi sampai radiasi ke 20 terhadap kadar albumin serum dan berat badan pasien kanker nasofaring yang menjalani kemoradioterapi. Penelitian ini merupakan uji klinis paralel, membandingkan kelompok yang mendapat suplementasi makanan cair disertai penyuluhan gizi dan diet sehari-hari (P) dengan kelompok yang hanya mendapat penyuluhan gizi dan diet sehari-hari saja (K). Sebanyak 18 pasien kanker nasofaring yang menjalani kemoradioterapi yang memenuhi kriteria dibagi dalam dua kelompok secara randomisasi blok. Data yang diambil meliputi usia, jenis kelamin, indeks massa tubuh, stadium penyakit, asupan energi dan protein dengan food recall 1 x 24 jam Serta kebutuhan energi dan protein dengan rumus Harris- Benedict. Pemeriksaan kadar albumin semm Serta berat badan dilalcukan pada awal dan akhir perlakuan. Analisis data menggunakan uji t tidak berpasangan dan berpasangan Serta uji Mann Whitney dengan batas kemaknaan 5%. Diperoleh 8 orang di kelompok P dan 8 orang di kelompok K dengan usia 18-59 tahun yang mengikuti penelitian secara lengkap. Tidak ada perbedaan data awal yang bermakna antara kelompok P dan kelompok K. Pcnurunan ltadar albumin serum pada kelompok P Iebih rendah daripada kelompok K. Diperoleh rerata persentase penurunan berat badan pada kelompok P yang kurang 2,24 % dari kelompok K, namun secara statistik tidak bermakna. Pemberian suplementasi makanan cair 500 kalori per hari berturut-turut dari awal radiasi sampai radiasi ke 20 tidak dapat mempertahankan kadar albumin serum dan mengurangi rerata persentase penurunan berat badan pada kelompok perlakuan.

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The aims of this study were to investigate the influence of 500 calorie per day liquid food supplementation from the first day of chemoradiotherapy until twenty times radiation therapy on serum albumin level and body weight in nasopharynx cancer patients undergoing chemoradiotherapy. The study was a parallel randomized clinical trial.` Eighteen subjects of nasopharynx cancer patients treated with a targeted chemoradiotherapy were selected using certain criteria. The randomly (block randomization) eighteen subject were divided into two group. The treatment group received 500 calorie per day liquid food supplementation from the first day of treatment until twenty times radiation therapy, nutrition counseling and daily diet; the control group received nutrition counseling and daily diet alone. This study was conducted at Dr. Cipto Mangunkusumo Hospital Department of Radiotherapy. Data collected included age, gender, body weight and tall, body mass index, intake of energy and protein, and using l x 24 hours food recall. Laboratory 'findings (serum albumin levels) were done before and after intervention. For statistical analysis, impaired t-test, paired t-test and Mann Whitney were used with the level of significance was 5%. Eight subjects in the treatment group and Eight subjects in the control group completed the study and analyzed. The characteristic data of the two groups at baseline were not significantly different, therefore they were closely matched at baseline. There were decrease of serum albumin in both group, but it was lower in the treatment group than the control group, although it is not statistically significant (p>0,05). There were a 23,24 % relative reduction in weight loss in the treatment group but it is not statistically significant. In conclusions, the influence of 500 calorie per day liquid -food supplementation from the first day of chemo radiotherapy until twenty times radiation' did not preserve serum albumin level and were not reduction in weight loss in the treatment group."

"ABSTRAKLatar belakangLulusan fakultas kedokteran harus mampu bertugas sebagai dokter layanan primer, sesuai Standar Kompetensi Dokter Indonesia. Karena itu, ilmu kedokteran komunitas mempunyai posisi strategis dalam menyelesaikan masalah kesehatan. Kebutuhan dokter layanan primer akan kompetensi ilmu kedokteran komunitas seharusnya sesuai dengan kompetensi yang diberikan melalui kurikulum fakultas kedokteran. Penelitian ini bertujuan untuk melihat kesesuaian kompetensi ilmu kedokteran komunitas yang ada dalam SKDI dengan kebutuhan dokter puskesmas dan kompetensi ilmu kedokteran komunitas yang tertuang dalam kurikulum Program Studi Kedokteran Universitas Batam (Prodi KUB)MetodeDesain penelitian potong lintang dilaksanakan menggunakan kuesioner dengan skala Likert, untuk mengetahui kesesuaian tujuh belas (17) kompetensi kedokteran komunitas dalam SKDI dengan kebutuhan kompetensi kedokteran komunitas di puskesmas. Selain itu, jugadianalisis kesesuaian kompetensi ilmu kedokteran komunitas SKDI dalam Prodi kedokteran KUB oleh suatu tim ahli. Hasil kuesioner kebutuhandihubungkan dengan hasil analisis kurikulum tim.HasilDari 84 dokter puskesmas ada 72 (85,7%) memenuhi syarat. Kompetensi dalam Prodi KUB telah mencakup ke tujuh belas butir kompetensi ilmu kedokteran komunitas SKDI dengan pencapaian kompetensi antara 2-4. Dokter puskesmas membutuhkan semua kompetensi dalam SKDI dengan nilai Likert antara 4,50 – 5,00 dari penilaian 1-6. Didapat korelasi positif lemah tidak bermakna, antara kompetensi kedokteran komunitas dalam kurikulum Prodi KUB dengan kebutuhan kompetensi yang dirasakan dokter puskesmas (r= 0,267; p = 0,30).SimpulanKompetensi kedokteran komunitas kurikulum Prodi KUB telah sesuai dengan materi kompetensi SKDI. Kebutuhan kompetensi kedokteran komunitas yang dirasakan dokter puskesmas belum ditunjang dengan tingkat kompetensi dalam kurikulum Prodi KUB.

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ABSTRACTBackgroundA medical graduate should be able to carry out duties as a primary care phycisian in accordance with Indonesian Competency Standard (ICS). In line with this, the role of community medicine (CM) science is strategic in resolution of health problems especially in the health center. Community Medicine competency is gained from the medical school curriculum. This study aim to asses the relevance between CM competency in curriculum of Faculty of Medicine in Batam (KUB) to the needs of primary health care doctor in carrying out the task in health center.MethodA cross sectional study with questionaire (Likert scale 1-6) used to determine the compatibility of primary care doctor needs of CM competency with the seventeen competencies in ICS. The relevance of CM competencies in the KUB curriculum with the ICS was also analyzed by an expert team from KUB. The result of the questionaire then was correlate with the analysis result of the team.ResultAmong 84 health center doctors in Batam, 72 (85,7%) were elligible for this study. Respondents mentioned that all CM competencies in the ICS were needed in their role in health center, with a range of 4.5 – 5.0 Likert scale. Analysis of KUB curriculum reveal that all CM competencies in ICS were covered, and the level varies between 2-4. There was a positive weak, not significant correlation between the need of CM according to the doctors and the competencies in the KUB curriculum (r= 0,267; p = 0,30).ConclusionCommunity Medicine competency in KUB curriculum is in conformity with the ICS. High need of CM competency felt by the primary doctor in Batam has not been supported by the curriculum above. "

"Tujuan : Mengetahui korelasi antara asupan besi. hemoglobin dan kadar feritin serum dengan indikator panjang badan untuk usia pada bayi stunring usia 6-I2 bulan.Tempat : Pada 20 desa dan kelurahan di Kota dan Kabupaten Tangerang di wilayah binaan CARE International Indonesia.Bahan dan cara: Pada penelitian dengan disain potong lintang ini didapatkan 3l subyek sesuai kriteria penelitian. Data yang dikumpulkan meliputi pendidikan formal ibu, status gizi berdasarkan HAZ, asupan kalori, protein dan besi dcngan menggunakan FFQ semikuantitati pemeriksaan laboratorium darah yaitu hemoglobin clan feritin serum. Uji statistik yang digunakan adalah Kolmogorov Smirnov, dan korelasi Pearson/spernmn's Rank.Hasil : Pada penelitian ini didapatkan 5I,6% pendidikan formal ibu sekolah dasar/sederajat. Subyek merupakan kelompok stunting yang sebagian besar (80,6%) merupakan stunting sedang. serata asupan energi adalah 767,99_+;275,42 kkal/hari dan protein 2l,80_~§l l,08 g/hari. Asupan energi dan protein subyek yang rendah 74,2% dan 29% dibandingkan RDA. Rcrata asupan besi adalah 6,06 j 4, l 6 mg/hari, sebagaian besar subyek (8l%) dengan asupan besi kurang menurut RNI. Rerata kadar hemoglobin 10,041 1,32 g/dL dan kadar feritin serum didapatkan median 10,93 (l,62; 90,38) pg/L. Subyek yang mengalami anemia 71%, depiesi besi tanpa anemia 9,7% dan anemia defisiensi besi 41.9°/6. Pada analisis tidak didapatkan korelasi yang bermakna antara asupan besi dengan hemoglobin dan feritin scrum. Pada analisis korelasi antara hemoglobin dan feritin serum dengan HAZ skor tidak didapatkan korelasi bermakna.Kesimpulan : Tidak didapatkan korelasi yang bemiakna antara asupan besi dengan hemoglobin dan feritin serum. Tidak didapatkan korelasi yang bcrmakna antara hemoglobin dan feritin serum dengan HAZ skor.

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Objective :To know correlation between dietary iron intake, hemoglobin, serum feritin and height tbr age Z score in shunting infant age 6-I2 month.Location : 20 villages and kelurahan in Tangerang City and District the area under serviced by CARE, international Indonesia (Cll).Material and Method: A cross sectional study had been canied out on 31subjects selected. Data collected consist of' respondent (mother) tbmial education, subject characteristic i.e HAZ, dietary intake of energy, protein and iron using semi quantitative FFQ, and laboratory examination lbr hemoglobin and serum ferritin. Statistical analysis was using Kolmogorov-Smimov and Pearson/Spearman?s rank correlation tests.Result : Most of mothers? formal education was primary school (5l.6%). Majority ofthe subjects was in moderate stunting (80,6%). Average energy and protein intake were 767.99i275.42 kcal/day and 2 l,80il l,08 g/day. respectively. Subjects with low energy and protein intake as compared to the RDA are 74.2% and 29%, respectively. Average iron intake 6.061 4.l6 mg/day and 8l% of the subject had iron intake less than RNI. Average hemoglobin level was l0.04=t:l.32 g/dl, whereas median serum ferritin was l0.93 (1.62; 9038) ug/L. Subject with anemia, iron depletion without anemia and iron deficiency anemia were 71%,9.7%, and 4l.9%, respectively. There was no significant correlation between iron intake and hemoglobin. There was negative correlation between iron intake and serum ferritin (p>0.05). No significant correlation was found between hemoglobin and serum ferritin with HAZ score.Conclusion: There were no significant correlations between iron intake with hemoglobin, and serum ferritin. There were no significant correlations between hemoglobin and serum ferritin with HAZ score unstinting infant 6-12 month."

"Perilaku remaja yang berisiko terhadap IMS, HIV/AIDS merupakan salah satu masalah kesehatan yang membutuhkan layanan kesehatan yang tepat bagi remaja. Penelitian ini bertujuan untuk mengidentifikasi pengetahuan remaja tentang kesehatan reproduksi dan seksual, sikap, self-efficacy, life skills pencegahan perilaku berisiko dan menguji efektivitas model layanan kesehatan reproduksi (life skills) berbasis sekolah terhadap perilaku berisiko IMS, HIV/AIDS, berdasarkan kebutuhan dan permasalahan remaja melalui pelatihan keterampilan hidup (life skills) di sekolah untuk meningkatkan pengetahuan, sikap, self-efficacy, life skills dan perilaku pencegahan perilaku berisiko. Sejumlah 340 responden remaja ikut berpartisipasi pada penelitian tahap survey ini, kemudian diambil 40 responden terpilih untuk diberikan pelatihan layanan kesehatan reproduksi (life skills) berbasis sekolah terhadap perilaku berisiko IMS, HIV/AIDS selama 4 bulan. Pendidikan kesehatan reproduksi dasar diberikan pada 40 responden sebagai kontrol. Model layanan kesehatan reproduksi (life skills) berbasis sekolah terhadap perilaku berisiko IMS, HIV/AIDS ini merupakan bagian dari layanan keperawatan yang dapat diberikan melalui usaha kesehatan sekolah (UKS) dan merupakan aspek penting dari peran perawat dalam mendukung tujuan dari millennium development goals (MDGs) yaitu penanganan berbagai penyakit menular berbahaya diantaranya adalah HIV/AIDS.

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Behaviors of adolescents which are risky for STIs and HIV/AIDS are one of health problems that require appropriate health services. This study aims to identify the knowledge of adolescents about reproductive and sexual health, attitudes, self- efficacy, and life skills to prevent risky behaviors and to test the effectiveness of school-based reproductive health services (life skills) for risky behaviors of STI and HIV/AIDS based on the needs and problems of the youth through life skill training. This training is aimed to improve the knowledge, attitudes, self-efficacy, life skills and behavioral prevention of risk behaviors. A number of 340 adolescent respondents participated in the research survey. As many as 40 respondents were selected to be trained in school-based reproductive health services (life skills) for risky behaviors of STI and HIV/AIDS for 4 months. Education about basic reproductive health was given to 40 respondents as the control group. The model of school-based reproductive health services (life skills) for risky behaviors of STI and HIV/AIDS is a part of nursing services that can be provided through the school health unit (UKS). It is also an important aspect of the nurse's role in supporting the objectives of the millennium development goals (MDGs) which is the handling of dangerous infectious diseases such as HIV/AIDS."