Adequacy Rate Research Articles

Pengaruh Senam Yoga Terhadap Mual Muntah Hamil

ABSTRACT 
 Nausea and vomiting can affect nutritional intake for pregnant women, changes in the pregnancy process increases the hormone estrogen and HCG placenta which stimulates nausea and vomiting in the first trimester, peaking at 9 weeks in the morning. Nausea and vomiting can cause a lack of nutritional intake and have a negative impact on the health of the mother and fetus with pregnancy complications. The nutritional adequacy rate of pregnant women must be met properly so that the fetus can grow and develop properly. The purpose of this study was to determine the effect of yoga exercise on pregnant women's nausea and vomiting
 The research method uses a cross-sectional approach, the population of first trimester pregnant women in Jatikalang Sidoarjo Village from January to March 2023. The sample of all first trimester pregnant women is 20 people, data collection uses a frequency distribution, data analysis uses the One sample test. Pregnancy exercise data were obtained from observations with checklists and nausea and vomiting data were obtained from interviews using a direct questionnaire instrument.
 Results: It is known that the characteristics of 20 pregnant women all experienced nausea and vomiting in the category of mild nausea and vomiting by 8 people (45%), moderate nausea and vomiting by 7 people (35%) and severe nausea and vomiting by 4 people (20%). The One-Sample Test analysis obtained a t value (tcount of -416,563. The df value (degrees of freedom) was 19. The Sig (2 tailed) value was 0.000 ≤ 0.05 indicating an average of 75 effectiveness of yoga exercises
 Conclusion: There is an effect of yoga exercise on nausea and vomiting of pregnant women. Regular and routine yoga exercises can effectively reduce nausea and vomiting in first trimester pregnant women

Diagnostic performance and safety of endoscopic ultrasound-guided tissue acquisition of gallbladder lesions: A systematic review with meta-analysis.

Endoscopic ultrasound (EUS)-guided tissue acquisition (TA) is widely used for various target samples, but its efficacy in gallbladder (GB) lesions is unknown. The aim of the present meta-analysis was to assess the pooled adequacy, accuracy and safety of EUS-TA of GB lesions. A literature search from January 2000 to August 2022 was done for studies analyzing the outcome of EUS-guided TA in patients with GB lesions. Pooled event rates were expressed with summative statistics. The pooled rate of sample adequacy for all GB lesions and malignant GB lesions was 97.0% (95% CI: 94.5-99.4) and 96.6% (95% CI: 93.8-99.3), respectively. The pooled sensitivity and specificity for the diagnosis of malignant lesions were 90% (95% CI: 85-94; I2 = 0.0%) and 100% (95% CI: 86-100; I2 = 0.0%), respectively, with an area under the curve of 0.915. EUS-guided TA had a pooled diagnostic accuracy rate of 94.6% (95% CI: 90.5-96.6) for all GB lesions and 94.1% (95% CI: 91.0-97.2) for malignant GB lesions. There were six reported mild adverse events (acute cholecystitis = 1, self-limited bleeding = 2, self-limited episode of pain = 3) with a pooled incidence of 1.8% (95% CI: 0.0-3.8) and none of the patients had serious adverse events. EUS-guided tissue acquisition from GB lesions is a safe technique with high sample adequacy and diagnostic accuracy. EUS-TA can be an alternative when traditional sampling techniques fail or are not feasible.

ANEMIA PADA REMAJA PUTRI DI SEKOLAH MENENGAH KEJURUAN KESEHATAN BINA PRESTASI TANGERANG

The problem of undernutrition and poor iron and protein nutrition is directly affected by food consumption and infectious diseases and will result in anemia. Want to know the incidence of anemia in young women at SMK Bina Prestasi Health Tangerang. This research uses a descriptive method. It was carried out from September to November 2020. The sampling technique is random sampling using a lottery. Respondents were female adolescents at the Bina Prestasi Health Vocational School, Tangerang, Sukadiri Health Center, Tangerang Regency, with a total sample of 40 respondents. The result, the Fe nutritional adequacy rate is (95%). For young women at Bina Prestasi Health Vocational School in Tangerang, the level of protein nutrition adequacy was (92.5%), and for young women at the Bina Prestasi Health Vocational School in Tangerang who experienced anemia was (42.5%). Those who did not experience anemia were (57.5%).

Sustainable Innovation and Firm Performance Driven by FinTech Policies: Moderating Effect of Capital Adequacy Ratio

This study empirically investigated the role played by government policy in the financial industry in promoting sustainable innovation, business performance, and risk management. An original dataset, comprising data from the Taiwan Economic Journal (TEJ), Taiwan Patent Search System, and company annual reports from the period 2015–2019 was used to analyze the effects of government policy on the financial industry in Taiwan. The research results showed that a firm’s sustainable commitment is conducive to its business growth and does not increase its risk in the financial industry. The financial industry can report on FinTech news that highlights business growth, while companies with high capital adequacy rates are better equipped to manage the risks associated with innovation commitment. Financial companies are suggested to engage in sustainable innovation and thus improve their profitability. In addition, policymakers should mandate that financial companies increase their capital adequacy ratios, improve their risk-bearing capacity, and maintain financial market stability.

Adequacy Rate of Kisan Credit Card Scheme: An Empirical Study in the Budaun District of Uttar Pradesh (India)

The Kisan Credit Card (KCC) scheme intends to provide farmers with timely and sufficient credit in a cost-effective and flexible manner. Credit availability is a critical factor for boosting the agricultural sector’s performance and output. The study was carried out in the Budaun district of Uttar Pradesh (India) to determine the adequacy rate of the KCC scheme and its effectiveness in meeting the credit needs of farmer households. The research design used in the present research was Descriptive & Exploratory in nature which aims to determine the adequacy rate of credit under the KCC scheme. In the present study, the Stratified Random Sampling technique is used, which comes under the probability sampling techniques. The present study reveals that an adequate amount of credit is available to beneficiary farmers under the KCC scheme to fulfil their credit requirements. The study also reveals that the adequacy of credit has a significant impact on loan purpose(s) under the KCC scheme to beneficiary farmers. Very few research studies have been conducted on the adequacy rate of the credit available to farmer households under the KCC scheme and how much this scheme succeeds in providing an adequate amount of credit to farmer households. This study will be significantly important in taking necessary measures for the effective distribution of schemes like KCC scheme.

Clinical Benefits of Laparoscopic Adhesiolysis during Peritoneal Dialysis Catheter Insertion: A Single-Center Experience.

Background and Objectives: In peritoneal dialysis (PD) therapy, intra-abdominal adhesions (IAAs) can cause catheter insertion failure, poor dialysis function, and decreased PD adequacy. Unfortunately, IAAs are not readily visible to currently available imaging methods. The laparoscopic approach for inserting PD catheters enables direct visualization of IAAs and simultaneously performs adhesiolysis. However, a limited number of studies have investigated the benefit/risk profile of laparoscopic adhesiolysis in patients receiving PD catheter placement. This retrospective study aimed to address this issue. Materials and Methods: This study enrolled 440 patients who received laparoscopic PD catheter insertion at our hospital between January 2013 and May 2020. Adhesiolysis was performed in all cases with IAA identified via laparoscopy. We retrospectively reviewed data, including clinical characteristics, operative details, and PD-related clinical outcomes. Results: These patients were classified into the adhesiolysis group (n = 47) and the non-IAA group (n = 393). The clinical characteristics and operative details had no remarkable between-group differences, except the percentage of prior abdominal operation history was higher and the median operative time was longer in the adhesiolysis group. PD-related clinical outcomes, including incidence rate of mechanical obstruction, PD adequacy (Kt/V urea and weekly creatinine clearance), and overall catheter survival, were all comparable between the adhesiolysis and non-IAA groups. None of the patients in the adhesiolysis group suffered adhesiolysis-related complications. Conclusions: Laparoscopic adhesiolysis in patients with IAA confers clinical benefits in achieving PD-related outcomes comparable to those without IAA. It is a safe and reasonable approach. Our findings provide new evidence to support the benefits of this laparoscopic approach, especially in patients with a risk of IAAs.

The Contribution of Protein Intake and Training Frequency to Cardiovascular Endurance of Kendari Rowing Athletes

The aim of the study was to analyze the contribution of protein intake and exercise frequency to the cardiovascular endurance of rowing athletes in the Student Sports Education and Training Center, known as PPLP, in Kendari. The research sample consisted of 50 athletes, including 25 junior PPLP rowing athletes aged 16-19 years and 25 formers senior PPLP rowing athletes aged 25-30 years. This research included an observational study with a cross-sectional design. The collected data were analyzed using the Pearson and Spearman correlation statistics tests. The instrument for measuring protein intake was the Nutrition Adequacy Rate based on WNPG VII 2019. Exercise frequency data were obtained through interviews using a questionnaire. Cardiovascular endurance was measured by the athlete’s maximum mileage from a 15-minute running test. The results of the Spearman correlation test between exercise frequency and cardiovascular endurance showed no significant results (p 0.05). Exercise frequency had a significant positive relationship with cardiovascular endurance (p = 0.004, r = 0.395). It showed that there was a significant relationship between protein intake and cardiovascular endurance (p = 0.003, r = 0.415). The junior rowing athlete group generally had moderate cardiovascular endurance (80.0%), while the former senior rowing athlete group generally had sufficient (48.0%) and less (44.0%) cardiovascular endurance. On average, the cardiovascular endurance of the junior rowing athlete group (40.1 ml O2/kg BW/min) was higher and significantly different (p 0.05) compared to the former senior rowing athlete group (36.2 ml O2/kg BW/min). Athletes with normal protein intake (75%) had a good cardiovascular endurance. Most athletes with normal protein intake had sufficient cardiovascular endurance (45.4%). Meanwhile, the athlete with a severe protein deficiency had less cardiovascular endurance (38.4%). This study concludes that the higher the sports activity, the higher the need for protein consumption, which eventually increases the work function of the heart, especially in rowing athletes in PPLP Kendari.

Application value of structured psychological nursing combined group health education in blood purification patients: Assisted by the purification of a nanofiber composite

To explore the research value of structured psychological nursing combined with group health education in patients with blood purification. From May 2020 to March 2022, 96 pure-blood patients in the hospital were selected and divided into research group and control group according to simple random classification, with 48 patients in each group. The control group received routine nursing, and the study group conducted health education combined with structured psychological nursing on the basis of usual care. The disease cognitive ability, negative emotions, blood purification adequacy rate, nutritional status qualification rate and complication rate of the two groups before and after intervention were counted. (1) The number of disease points with unclear status in the study group after intervention was 10.39 ± 1.87, complications were 13.88 ± 2.27, lack of disease information was 12.36 ± 2.16, and unpredictability was 9.58 ± 1.38, which were lower than 13.12 ± 2.53, 17.56 ± 2.53, 15.83 ± 3.0411.67 ± 1.71; (2) After the intervention, the values of SDS of 40.77 ± 3.69 and SAS of 41.52 ± 4.06 were lower than those of 45.82 ± 5.01 and 46.35 ± 4.81 in the control group. (3) The blood adequacy rate of the study group was 91.67%, and the nutritional qualification rate was 93.75%, and the data of both groups were higher than that of 77.08% and 79.17% of the control group. (4) The incidence of complications in the study group was 4.17%, and the control group was 16.67%. Group health education and structured psychological care can effectively alleviate patients' negative emotions and deepen their awareness of diseases, thereby improving blood purification rate and nutrient absorption.

Endoscopic ultrasound-guided fine-needle aspiration pancreatic adenocarcinoma samples yield adequate DNA for next-generation sequencing: A cohort analysis.

Genetic tests are increasingly performed for the management of unresectable pancreatic cancer. For genotyping aimed samples current guidelines recommend using core specimens, although based on moderate quality evidence. However, in clinical practice among the endoscopic ultrasound (EUS) guided tissue acquisition methods, fine needle aspiration (FNA) is the most widely performed. To assess the adequacy for next generation sequencing (NGS) of the DNA yielded from EUS-FNA pancreatic adenocarcinoma (PDAC) samples. Between November 2018 and December 2021, 105 patients with PDAC confirmed by EUS-FNA were included in the study at our tertiary gastroenterology center. Either 22 gauge (G) or 19G FNA needles were used. One pass was dedicated to DNA extraction. DNA concentration and purity (A260/280, A260/230) were assessed by spectrophotometry. We assessed the differences in DNA parameters according to needle size and tumor characteristics (size, location) and the adequacy of the extracted DNA for NGS (defined as A260/280 ≥ 1.7, and DNA yield: ≥ 10 ng for amplicon based NGS, ≥ 50 ng for whole exome sequencing [WES], ≥ 100 ng for whole genome sequencing [WGS]) by analysis of variance and t-test respectively. Moreover, we compared DNA purity parameters across the different DNA yield categories. Our cohort included 49% male patients, aged 67.02 ± 8.38 years. The 22G needle was used in 71% of the cases. The DNA parameters across our samples varied as follows: DNA yield: 1289 ng (inter quartile range: 534.75-3101), A260/280 = 1.85 (1.79-1.86), A260/230 = 2.2 (1.72-2.36). DNA yield was > 10 ng in all samples and > 100 ng in 93% of them (one sample < 50 ng). There were no significant differences in the concentration and A260/280 between samples by needle size. Needle size was the only independent predictor of A260/230 which was higher in the 22G samples (P = 0.038). NGS adequacy rate was 90% for 19G samples regardless of NGS type, and for 22G samples it reached 89% for WGS adequacy and 91% for WES and amplicon based NGS. Samples with DNA yield > 100 ng had significantly higher A260/280 (1.89 ± 0.32 vs 1.34 ± 0.42, P = 0.013). Tumor characteristics were not corelated with the DNA parameters. EUS-FNA PDAC samples yield DNA adequate for subsequent NGS. DNA amount was similar between 22G and 19G FNA needles. DNA purity parameters may vary indirectly with needle size.

IZAZOVI U UBLAŽAVANJU SIROMAŠTVA: KOMPARATIVNA ANALIZA SUSTAVA MINIMALNOG DOHOTKA HRVATSKE I SLOVENIJE

CHALLENGES IN POVERTY ALLEVIATION: A COMPARATIVE ANALYSIS OF THE MINIMUM INCOME SYSTEMS IN CROATIA AND SLOVENIA ABSTRACT Minimum income systems in the countries of the European Union are an important instrument in the policy of fighting poverty. Although in several strategic documents of various EU institutions, member states are invited to improve their minimum income systems and the recommendations how to do it are included, in a large number of EU countries, including Croatia, the aforementioned recommendations are still awaiting implementation. Therefore, the main goal of this work is to achieve a deeper insight into the potentials and challenges of the minimum income system in their focus on poverty alleviation and better social integration of their users in Croatia and Slovenia through a comparative analysis of the minimum income systems in Croatia and Slovenia. For the comparison and evaluation of the minimum income systems, numerous indicators will be analysed, such as the rate of adequacy of the minimum income and the rate of coverage of the poor by the minimum income for the period from 2018 to 2020. Elements of the availability of the minimum income system to citizens will be analysed, such as the complexity of the application process and the complexity of the method of checking income and assets, the so-called means test. At the end, after the analysis, certain recommendations for improving the minimum income system in the Republic of Croatia will be presented. Key words: minimum income; poverty; social exclusion; social integration

Cases of Nutritional Adequacy Rates and Strategies for Improving Middle-Aged Elderly Nutrition in Aceh

Cases of Nutritional Adequacy Rates and Strategies for Improving Middle-Aged Elderly Nutrition in Aceh

Technical Adequacy of Fully Automated Artificial Intelligence Body Composition Tools: Assessment in a Heterogeneous Sample of External CT Examinations.

BACKGROUND. Clinically usable artificial intelligence (AI) tools analyzing imaging studies should be robust to expected variations in study parameters. OBJECTIVE. The purposes of this study were to assess the technical adequacy of a set of automated AI abdominal CT body composition tools in a heterogeneous sample of external CT examinations performed outside of the authors' hospital system and to explore possible causes of tool failure. METHODS. This retrospective study included 8949 patients (4256 men, 4693 women; mean age, 55.5 ± 15.9 years) who underwent 11,699 abdominal CT examinations performed at 777 unique external institutions with 83 unique scanner models from six manufacturers with images subsequently transferred to the local PACS for clinical purposes. Three independent automated AI tools were deployed to assess body composition (bone attenuation, amount and attenuation of muscle, amount of visceral and sub-cutaneous fat). One axial series per examination was evaluated. Technical adequacy was defined as tool output values within empirically derived reference ranges. Failures (i.e., tool output outside of reference range) were reviewed to identify possible causes. RESULTS. All three tools were technically adequate in 11,431 of 11,699 (97.7%) examinations. At least one tool failed in 268 (2.3%) of the examinations. Individual adequacy rates were 97.8% for the bone tool, 99.1% for the muscle tool, and 98.9% for the fat tool. A single type of image processing error (anisometry error, due to incorrect DICOM header voxel dimension information) accounted for 81 of 92 (88.0%) examinations in which all three tools failed, and all three tools failed whenever this error occurred. Anisometry error was the most common specific cause of failure of all tools (bone, 31.6%; muscle, 81.0%; fat, 62.8%). A total of 79 of 81 (97.5%) anisometry errors occurred on scanners from a single manufacturer; 80 of 81 (98.8%) occurred on the same scanner model. No cause of failure was identified for 59.4% of failures of the bone tool, 16.0% of failures of the muscle tool, or 34.9% of failures of the fat tool. CONCLUSION. The automated AI body composition tools had high technical adequacy rates in a heterogeneous sample of external CT examinations, supporting the generalizability of the tools and their potential for broad use. CLINICAL IMPACT. Certain causes of AI tool failure related to technical factors may be largely preventable through use of proper acquisition and reconstruction protocols.

Rapid on-site evaluation improves the sensitivity of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) for solid pancreatic lesions irrespective of technique: A single-centre experience.

Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is the first-line technique for the sampling of pancreatic lesions. Many factors can influence the diagnostic performance of this procedure, including the use of rapid on-site evaluation (ROSE). The primary aim of this study was to compare the adequacy, diagnostic yield, accuracy, sensitivity and specificity of EUS-FNA for solid pancreatic lesions before and after the introduction of ROSE. This retrospective single-centre study evaluated all consecutive patients who underwent EUS-FNA for suspicious, solid pancreatic masses from April 2012 to March 2015. We compared the findings of EUS-FNA procedures performed during the first and second years following the adoption of ROSE ("ROSE1" and "ROSE2", respectively) to those performed the year before ROSE introduction (the "pre-ROSE" group). Ninety-one consecutive patients with a total of 93 pancreatic lesions were enrolled. For the pre-ROSE, ROSE1 and ROSE2 groups, the adequacy rates were 96.2%, 96.6% and 100%, the diagnostic yield values were 76.9%, 89.7% and 92.1% and accuracy values were 69.2%, 86.2% and 89.5% (p = NS). Sensitivity for malignancy improved from 63.7% in the pre-ROSE group to 91.7% and 91.2% in the post-ROSE groups (p < 0.05). Specificity for malignancy was 100% in all groups. ROSE can improve the diagnostic performance of EUS-FNA for solid pancreatic lesions, although only sensitivity reached statistical significance.

Rapid on-site evaluation in percutaneous core needle biopsies of renal masses: Cytologic-histologic concordance and diagnostic challenges.

Image-guided fine needle aspirations (FNAs) and core needle biopsies (CNBs) play the critical role in diagnosis of renal lesions. Rapid on-site evaluation (ROSE) can potentially increase the adequacy rate and improve diagnostic yield, while providing additional information for rapid clinical decisions. The aim of this study is to evaluate the diagnostic utility of ROSE in obtaining adequate tissue for diagnosis of renal lesions in our institution. We retrospectively reviewed all percutaneous renal CNB cases with available ROSE interpretations for a 11-year period. The ROSE interpretations and CNB diagnoses was compared and the concordance rate was calculated accordingly. The discrepant cases were re-reviewed and the possible causes for discrepancy were analyzed. A total of 189 cases were identified. Definitive diagnoses were rendered in 164 (87%) cases on the final CNBs, including primary renal lesions in 151 cases and metastatic malignancies in 13 cases. At the time of ROSE, samples were deemed to be adequate in the majority of cases (83%). The calculated concordance rate between ROSE interpretations and CNB final diagnoses was 84.6%. Sampling issue and scant tumor cells were the main causes for the discordance between ROSE interpretations and CNB diagnoses. Our study showed a relatively high-concordance rate of 84.6% between ROSE interpretations and CNB final diagnoses, suggesting that ROSE is a valuable tool for procurement of adequate renal CNB samples for diagnosis.

Anggun Pranessia Anggrasari, S.K PARENT CARE PATTERNS WITH PICKY EATING BEHAVIOR IN PRE-SCHOOL AGE

Pre-school age children are a time when children need adequate nutrition for children's growth and development. This is just the opposite of eating behavior in children. At that age, parents often experience difficulties in feeding. A son has been able to choose the type of meal 's what you want to consume or often (picky eating) where children can refuse to eat given, mealtime be long until more than 30 minutes, or the child will only eat certain food-only. One of the efforts to overcome the problem of picky eating in children is to apply parenting in every child's life. The purpose of this study was to identify the relationship between parenting style and picky eating behaviorin pre-school age children at TK Bahtera Mojokerto. Researchers used a correlation design with a sample size of 60 parent respondents. The instruments used were the parenting style questionnaire and the picky eating behavior questionnaire which was adapted from previous research. The results of the study using the k chi square statistical test showed a p-value of 0.001, which means that there is a relationship between parenting styles and picky eating behavior in pre-school children. The hope is that by implementing proper parenting styles from an early age, it can make children's eating habits become regular and in accordance with the Nutritional Adequacy Rate needed by preschoolers.

Chemical properties of dragon fruit probiotic drink produced by biocapsules Lactobacillus paracasei ssp. paracasei M1.3 isolated from “Dadih” traditional fermented food West Sumatra

In this research, Biocapsules Lactobacillus paracasei ssp. paracasei Ml.3 isolated from “dadih” was used to ferment a probiotic drink made from dragon fruit juice. L. paracasei ssp. paracasei Ml.3 biocapsules are produced by extruding carrageenan-skim (2:1). Making dragon fruit juice probiotic drink using L. paracasei ssp. paracasei Ml.3 at concentrations of 3%, 5%, and 7% for 18 hours. The following factors were analyzed: nutritional adequacy rates, moisture content, ash content, protein, fat, crude fiber content, carbohydrate, sugar, and total dissolved solids. The results showed that the use of culture concentrations of 3%, 5%, and 7% had no significant effect on the dragon fruit juice probiotic drink’s chemical characteristics. All fermented products (3%, 5%, and 7%) had an average water content of 81.93–82.56%, an ash content of 0.17–0.19%, protein content of 0.53–1.45%, a fat content of 0.33–0.42%, crude fiber content of 0.24–0.39%, carbohydrate content of 15.10–16%, sugar content of 12–13%, and a total soluble solids content of 16.5–17.2%. The highest antioxidant capacity against ascorbic acid was obtained in the 3% treatment, 94.28 ppm. The product’s nutritional adequacy rate meets the criteria set forth for functional foods, where the nutritional adequacy rate number indicates that protein makes up 0.267 kcal (0.133%) of total energy, fat makes up 0.196 kcal (0.049%) of it, and carbohydrates make up 35.474 kcal (2.534%).

Adequacy of surgical margins, re-excision, and evaluation of factors associated with recurrence: a retrospective study of 769 basal cell carcinomas

BackgroundAchieving adequate surgical margins and preventing recurrence are important in the treatment of basal cell carcinoma (BCC). ObjectivesThe objectives of this study were to evaluate the adequacy of surgical margins and the re-excision rates in patients with primary BCC who underwent standard surgical treatment using our proposed algorithm and to define the risk factors in patients with recurrent BCC. MethodsThe medical records of patients who were histopathologically diagnosed with BCC were reviewed. An algorithm created based on previous literature was used to determine the distribution of optimal surgical margins adequacy and re-excision rates. ResultsStatistically significant differences were observed between the cases with and without recurrence in age at diagnosis (p=0.004), tumor size (p=0.023), tumor location in the H zone of the face (p=0.005), and aggressive histopathological subtype (p=0.000). When the tumors were evaluated for adequacy of deep and lateral surgical margins and re-excision rates, higher rates of adequate excision (457 cases, 68.0%) and re-excision (43 cases, 33.9%) were noted for tumors in the H or M zone. Study limitationsInadequate follow-up of newly diagnosed patients in terms of recurrence and metastasis and the retrospective application of our proposed algorithm are the limitations of the present study. ConclusionsOur results showed that if BCC was detected at an early age and at an early stage, recurrence was lower. The H and M zones were the regions with the highest rates of optimal surgical outcomes.

Assessment of nutrient intake and antenatal education method for pregnant women in Gianyar, Bali, Indonesia

Introduction: Nutrient intake for pregnant women was associated with the health status of young children from infancy to adolescents. Antenatal education increases the awareness of nutrient importance for pregnant women. The purpose of this study was to describe the nutritional consumption of pregnant women in terms of the method of antenatal education. Methods: Cross-sectional study involving 150 pregnant women in Gianyar Regency. They were selected using a cluster random sampling technique. Nutrition consumption data was collected using a 24-hour food recall form. The first interview was conducted on workdays to collect the sociodemographic and obstetric data, the data on the implementation of antenatal education, and 24-hour dietary recall. The second interview was conducted on the weekend, to collect the data on a 24-hour dietary recall. Results: The results showed that there was no significant difference (p&gt;0.05) in the average consumption of macro and micronutrients for pregnant women in terms of antenatal education methods. The level of consumption of macro and micronutrients was almost all below the nutritional adequacy rate, only protein consumption was in accordance with the nutritional adequacy rate. The results of the analysis of factors related to nutritional consumption showed that there was a significant relationship (p=0.021) between the education factor with calcium consumption. Age, occupation, and gravida factors were not related to the nutritional consumption of pregnant women. Conclusions: The conclusion of this study was no difference in the nutritional consumption of pregnant women in terms of antenatal education methods. The consumption of macro and micronutrients for pregnant women was almost all below the nutritional adequacy rate

Dietary Intake Estimated From a 24-Hour Recall Questionnaire in the Dene and Métis Communities of the Northwest Territories, Canada

BackgroundFood security and nutrient deficiencies are frequent issues for people living in northern remote regions of Canada. ObjectiveThe objective of this study is to describe the nutrient intake of residents living in the Dene/Métis communities of the Dehcho and Sahtú regions of the Northwest Territories. MethodsA 24-h dietary recall survey was used to collect information from participants of a study completed in 9 communities during the winter seasons of January 2016 to March 2018. Intakes for food groups, vitamins, macroelements, and microelements were calculated. Nutrient intakes were compared with the available DRIs. ResultsIn total, there were 197 participants. On average, 37% of their energy was consumed from fat, and fruit/vegetable consumption was low (2.8 servings). Some vitamin levels (i.e., folate and vitamins A, B-6, C, and D) indicated a risk of nutritional deficiency for at least half of the participants. Of the nutrients examined, the nutrients least likely to meet the DRIs, according to the age/sex category of respondents were vitamin D (6%–20%), fiber (0%–11%), and calcium (4%–30%). Males tended to have a higher rate of nutrient adequacy above the DRIs. Importantly, 52% of the childbearing age female participants appeared deficient in folate, 48% deficient in zinc, 41% deficient in B12, and 22% deficient in iron, which might affect pregnancy and children’s development. ConclusionsA focus on supporting a higher intake of nutrient-dense foods would benefit the health of these communities. Nutrition and health promotion programs should be implemented to improve public health efforts in the region.

Efficacy and safety of endosonography-guided transvascular needle aspiration of thoracic and abdominal lesions: A systematic review and meta-analysis.

The diagnosis of intrathoracic and abdominal masses is challenging when lesions are located behind major vessels. Endoscopic ultrasound (EUS) or endobronchial ultrasound (EBUS)-guided transvascular needle aspiration (TVNA) provides a potentially useful diagnostic tool for such lesions. Data with respect to the safety and outcome of E-TVNA are scarce. Hence, this meta-analysis was conducted to assess the critical role of E-TVNA for diagnosis of various lesions. A meta-analysis was performed by pooling the data from studies obtained from comprehensive search of Medline, Embase, and Scopus from January 2000 to September 2022. The outcomes analyzed included sample adequacy, diagnostic accuracy and adverse events including bleeding. A total of 17 studies (n=411) were included in the final analysis. The pooled rate of sample adequacy was 91.5% [95% confidence interval (CI): 86.8-96.2], while the pooled rate of diagnostic accuracy was 85.0% (95% CI: 78.9-91.2). The pooled rate of bleeding with E-TVNA was 1.4% (95% CI 0.0-3.1%). All the episodes of bleeding were mild and resolved without any further intervention. There was no significant heterogeneity with respect to various outcomes and results were comparable on sensitivity analysis. E-TVNA offers a safe and accurate diagnostic modality for the diagnosis of mediastinal and abdominal lesions located on the other side of major vessels. Selection of potential candidates and close periprocedural observation are essential to improve the outcome.