Counseling Materials Research Articles

PENYULUHAN TENTANG PEMANFAATAN JUS WORTEL PADA LANSIA DENGAN HIPERTENSI

Elderly is someone who has reached the age of 60 years and over, both men and women. With increasing age, the risk of developing hypertension is greater, especially among the elderly. Hypertension is a condition when the blood pressure in the blood vessels increases. One of the non-pharmacological treatments that can be done in lowering blood pressure is consuming carrot juice. The benefits of carrots can lower blood pressure, because carrots contain potassium. Potassium acts as a diuretic which can maintain the balance of blood pressure. The purpose of this community service activity is to find out the benefits of carrot juice in lowering blood pressure in the elderly with hypertension. The service was carried out on 15 elderly people who had hypertension. The service implementation team provided training on how to process carrot juice in Talun Kenas village, Deli Serdang. The team made a home visit as an evaluation of the service program. The outreach activities went smoothly. There were 7 patients asked about the counseling material. The importance of carrying out routine counseling activities to the elderly about other complaints suffered to improve their health status.

Pemberdayaan Masyarakat Dalam Meningkatkan Pengetahuan Ibu Tentang Pemberian Imunisasi Pada Bayi Usia 0-12 Bulan di Kelurahan Mangga Kecamatan Medan Tuntungan

Immunization is the provision of immunity against a disease and will only provide immunity or resistance to that disease, so if you need to avoid various diseases, other immunizations are needed. Immunization is very effective in preventing infectious diseases, through immunization our bodies will not be susceptible to infectious diseases (Faisal, 2021). There are two types of immunization, namely active immunization and passive immunization. National immunization programs include BCG, Hepatitis B, DTP, Polio, Hib and measles.The subjects in the service activities are mothers who have babies aged 0-12 months in Mangga Village, Ladang Bambu District, as many as 12 people. In the initial stage, an approach was made to the residents to deliver counseling material using the lecture method, immunization implementation assisted by the village midwife and followed by a question and answer session. Community service activities with the title "Community Empowerment in Improving Mothers' Knowledge about Immunization for Infants 0-12 Months of Age in Mangga Village, Medan Tuntungan District in 2022" were carried out on Friday, February 11, 2022 at 09.00 WIB until completion. When the activity began, residents came to register, then heard counseling material about increasing maternal knowledge about immunization in infants aged 0-12 months, weighing the baby's weight and TB, and carrying out immunizations assisted by village midwives. It is hoped that health workers will conduct health counseling to mothers who have babies aged 0-12 months, and mothers know the benefits of immunization which can reduce the incidence of disease, disability, and loss of life of a baby caused by infectious diseases.

Primary prevention of ovarian cancer: a patient decision aid for opportunistic salpingectomy

The discovery of the fallopian tube epithelium as the origin of high-grade serous ovarian cancer has brought a new option for ovarian cancer prevention. The fallopian tubes have no known function after completion of childbearing and can be removed to reduce the lifetime risk of ovarian cancer. Although the lifetime risk in the general population does not justify preventive surgery in itself, salpingectomy can be performed during abdominal surgery for other indications, also known as an opportunistic salpingectomy. The popularity of opportunistic salpingectomy is increasing worldwide; however, the variation between gynecologists and hospitals in their advice on opportunistic salpingectomy occurs because of the remaining uncertainty of evidence. Therefore, whether a woman can make her own decision depends on the hospital or gynecologist she visits. We aimed to lower this practice variation by providing standardized and unbiased counseling material. We aimed to develop and test a patient decision aid for opportunistic salpingectomy in women undergoing pelvic gynecologic surgery to either retain the ovaries or opt for sterilization. We followed a systematic development process based on the International Patient Decision Aid Standards. Data were collected between June 2019 and June 2020, using both qualitative and quantitative methods. The development process that occurred in collaboration with patients and healthcare professionals was overseen by a multidisciplinary steering group and was divided into 4 phases: (1) assessment of decisional needs using individual telephone interviews and questionnaires; (2) development of content and format based on decisional needs, current literature, and guidelines; (3) alpha testing and the first revision round; and (4) alpha testing and the second revision round. An outline of the patient decision aid was developed on the basis of decisional needs, current literature, and guidelines. It became clear that the decision aid should consist of 2 separate paths: one with information specifically for salpingectomy in addition to abdominal surgery and one for salpingectomy as a sterilization method. Both paths contained information on the anatomy and function of ovaries and fallopian tubes, risk reduction of ovarian cancer, and potential benefits and risks of opportunistic salpingectomy. Moreover, the sterilization path contains information on various sterilization methods and risks of unwanted pregnancy. The patient decision aid was developed as an online tool that includes information chapters, a knowledge quiz, consideration statements, and a summary detailing the patient's preferences and considerations. Adjustments were made following alpha testing round 1. The improved patient decision aid was subjected to usability tests (alpha testing round 2), in which it scored an "excellent" in tests with patients and a "good" in tests with gynecologists. Furthermore, our patient decision aid met the requirements of 45 of 49 applicable items from the International Patient Decision Aid Standards criteria. In collaboration with patients and healthcare professionals, a patient decision aid was developed on opportunistic salpingectomy and salpingectomy as a sterilization method. Both patients and gynecologists believed it is a useful tool that supports patients in making an informed decision whether to undergo an opportunistic salpingectomy and supports the counseling process by gynecologists.

HEALTH EDUCATION FOR STUDENT CADRES IN MIDDLE SCHOOL HEALTH CENTER TO IMPROVE THEIR KNOWLEDGE OF ADDITIONAL AND BALANCE NUTRITION

Food additives are materials added to food to affect the nature or shape of the food. These condiments can cause adverse effects on health if being consumed every day more than the amount in mg/Kg body weight. In addition, there are food additives that are prohibited, such as boric acid, formalin, salicylic acid, and others. The lack of understanding of junior high school (SMP) students regarding food additives that are allowed and prohibited cause students to be more likely exposed to foods that contain harmful substances that will accumulate or cause negative effects in the long term. This Community Service Activity aims to improve the understanding of School Health Unit (UKS) cadre students regarding food additives and balanced nutrition. This activity was attended by students from SMPN 1 Singosari, SMP 4 Muhammadiyah Singosari, and SMP Islam Bani Hasyim Singosari. Before and after the counseling material regarding food additives and balanced nutrition, the level of understanding was measured using pre and post-tests. The test results were then analyzed using independent T-test statistics with a confidence level of 95. The results of this activity indicate that there is an increase in participants' knowledge (40%) about food additives and balanced nutrition. Counseling is one of the ways to increase students' understanding of food additives as food safety and balanced nutrition is important to support growth and development.

HEALTH EDUCATION ON ACUTE RESPIRATORY SYNDROME AND URIC ACID TESTING FOR COMMUNITY IN GUNUNGSARI DISTRICT, PEMIJAHAN, BOGOR COUNTY

Efforts to prevent acute respiratory infections (ARI) are very important, because of the ease of transmission and can cause death. Health data from the Desa Gunung Sari Health Center, Kecamatan Pamijahan, Kabupaten Bogor in 2017 indicated that ARI was the most frequent complaint. The purpose of this community service is to educate health cadres about ARI. In addition, an examination of uric acid levels was held for the people of Desa Gunung Sari which was a series of counseling activities. The method used is counseling and direct examination. The counseling participants were 45 people and the uric acid examination was 146 people. The results showed that the cadres listened well to the counseling material, as seen in the correct answers to spontaneous questions during the counseling. The community's uric acid levels were mostly in the normal category and education helps increase public understanding of ARI. Thus, the continuity of similar activities is very much needed.

Evaluation of satisfaction with a model of structured contraceptive counseling: Results from the LOWE trial.

Intervention trials of structured contraceptive counseling have proved to increase use of long-acting reversible contraceptives (LARCs) and decrease numbers of unintended pregnancies. However, these interventions have not been evaluated from a user perspective. This study aimed to evaluate both healthcare providers' and participants' satisfaction with an intervention used in a large trial in Sweden. A cross-sectional study on the intervention group from a cluster randomized trial conducted at 28clinics in Stockholm, Sweden. Clinics were randomized (1:1 allocation ratio) to provide either structured contraceptive counseling (intervention) or standard contraceptive counseling (control). The intervention consisted of four parts; an educational video to be seen by the participant prior to contraceptive counseling, key questions to be asked by the healthcare provider, an effectiveness chart, and a box of contraceptive models. Eligible participants were 18years or older, sexually active without a wish to conceive, and with the main purpose of contraceptive use being pregnancy prevention. Healthcare providers completed an electronic semi-structured survey to evaluate the intervention. This study analyses provider and participant satisfaction with the counseling material used in the intervention and if the intervention was found to be supportive in contraceptive counseling and contraceptive choice. ClinicalTrials.gov (NCT03269357). Fourteen intervention clinics enrolled 658 participants from September 2017 to May 2019. Response rate among providers was 88.0% (55/62) and among participants 97.1% (639/658). Providers found the intervention to be supportive in their counseling. Each separate part of the intervention package received high ratings from both providers and participants. Participants found the educational video and the effectiveness chart to be more helpful than the box of contraceptive models in their contraceptive choice. Providers reported the time taken to complete the intervention outside the study to be time-neutral to standard counseling, and most providers wished to continue to use all parts of the intervention package. The intervention of structured contraceptive counseling had high provider and participant satisfaction. The structured counseling package could be used in several clinical settings to improve quality in contraceptive counseling and to enhance informed decision making about use of contraceptive methods.

PEMBERDAYAAN IBU RUMAH TANGGA DALAM MENINGKATKAN KESEHATAN KELUARGA MELALUI MAKANAN DAN MINUMAN YANG BERKHASIAT OBAT

The purpose of this activity is to provide solutions by providing socialization about the types of medicinal plants that can be used as raw material for making medicinal foods and drinks, the characteristics of Moringa leaves as ingredients for making food, training in making medicinal foods and drinks. The method used is to provide counseling materials, practice making medicinal foods and drinks, providing assistance and evaluation of results. The results of this dedication show that there is an increase in partners' knowledge about the definition, types and benefits of medicinal plants as raw materials for making medicinal foods and drinks tofu to tofu is 27% to 100%, from not knowing to tofu by 33% to 100% and partners who already know the knowledge of medicinal plants by 40% to 100%. As well as Partners are able and skilled at making healthy food and drinks.

PENINGKATAN KEMAMPUAN KOMUNIKASI RELAWAN SOSIAL DESA TANJUNGWANGI, KECAMATAN CICALENGKA, KABUPATEN BANDUNG MELALUI TEKNIK PUBLIC SPEAKING

This service aims to empower the Social Volunteers of Tanjungwangi Village, Cicalengka District, Bandung Regency in improving their public speaking skills. The ability to speak in public is an important part of every activity, especially activities in social settings. In fact, there are still very few social volunteers who have public speaking skills in carrying out their duties in various social activities. From this, the Community Service Team for the Communication Science Study Program of Universitas Pasundan took the initiative to carry out community service with the theme of Improving the Communication Ability of Social Volunteers in Tanjungwangi Village, Cicalengka District, Bandung Regency, West Java Province through Public Speaking Techniques. The location selection is inseparable from the large number of community social volunteers who wish to have the ability to speak in front of the general public and presentation techniques during counseling but have not yet been honed. The method used in this training is to present material, discussion, and simulation. The problems faced by partners are partners who do not yet have the ability to make materials or materials for counseling, partners have not been able to communicate effectively using public speaking techniques. This service activity uses a contextual approach, namely giving theory first and providing direction and mentoring partners in making outreach materials, preparing presentations, and public speaking techniques. Then with the facilitating method in content containing counseling, information, and education materials in the form of writing and video through social media.

PENDIDIKAN KESEHATAN TENTANG CARA PENGOLAHAN SAMPAH DI LINGKUNGAN MASYARAKAT DI DESA CITANGTU KECAMATAN WANARAJA GARUT

Environmental problems are a decrease in the carrying capacity of the environment as a result of low public awareness of the importance of environmental management. This is caused by several factors, including: changes in the function and arrangement of the environment, a decrease in the carrying capacity and quality of the environment, the lack of integration in the management of human, natural and artificial resources in environmental management between various parties, the less than optimal utilization of urban space, and environmental pollution. generated by waste. The purpose of community service in addition to reducing waste is also to provide solutions in reducing community environmental pollution in the form of organic waste, creating a healthy and comfortable community environment, increasing community income by selling products from processing organic waste in the form of compost. The method used was lectures, discussions and questions and answers as well as waste management practices which were attended by 42 participants. The results obtained from this activity produce several products from processed waste in the form of doormats, bags and other recycled products. The conclusions obtained from the activities of processing household waste/waste into materials of economic value in the form of providing theoretical and practical counseling to PKK mothers in Citangtu Village, Wanaraja Garut District, received a very good response. The provision of counseling materials interspersed with motivation for entrepreneurship makes the mothers more enthusiastic and this activity can continue to improve the welfare and standard of living of the residents.

Effect of Community-Based Kangaroo Mother Care Package on Neonatal Mortality Among Preterm and Low Birthweight Infants in Rural Pakistan: Protocol for a Cluster Randomized Controlled Trial.

BackgroundNeonatal mortality due to preterm birth and low birthweight remains a significant challenge in Pakistan. Kangaroo mother care (KMC) is a unique, low-cost intervention proven to reduce neonatal mortality and morbidity and increase exclusive breastfeeding rates. However, KMC has not been attempted in community settings in Pakistan. We aim to implement and evaluate the effectiveness of a community-based KMC package to reduce neonatal morbidity and mortality among preterm and low birthweight (LBW) infants, which will provide evidence for policy development and the large-scale implementation of KMC across the country.ObjectiveThe primary objective of this trial is to reduce neonatal mortality among preterm and LBW infants. The secondary objectives are growth (measured as weight gain), reduced incidence of possible serious bacterial infection, and increased exclusive breastfeeding and continued breastfeeding practices.MethodsWe designed a community-based cluster randomized controlled trial in one rural district of Pakistan. Stable, LBW babies (weighing 1200 grams to 2500 grams) are included in the study. The community KMC package, consisting of the KMC kit, information and counseling material, and community mobilization through KMC champions (village volunteers), was designed after preliminary research in the same geographical location and implemented in intervention clusters. The standard essential newborn care is offered in the control clusters. Infants are recruited and followed up by independent teams of data collectors. Data are collected on the duration of skin-to-skin contact, growth, breastfeeding practices, morbidities, neonatal mortality, and neurodevelopment status. Data analysis will be conducted based on the intention to treat principle. The Cox regression model will be used to assess the primary outcome of neonatal mortality. The secondary outcomes will be evaluated using linear or logistic regression.ResultsThe Ethics Review Committee of Aga Khan University, Pakistan, approved the study protocol in February 2017. Data collection began in August 2019 and will be completed in December 2021. Data analyses are yet to be completed.ConclusionsThis intervention may be effective in preventing sepsis and subsequently improve survival in LBW newborns in Pakistan and other low-income and middle-income countries worldwide.Trial Registrationclinicaltrials.gov NCT03545204; https://clinicaltrials.gov/ct2/show/NCT03545204International Registered Report Identifier (IRRID)DERR1-10.2196/28156

Efektifitas Media Promosi Kesehatan Dalam Penanganan Stunting (Literatur Review)

Health promotion media is media that can support the success of health promotion efforts. Determining good media is one that suits the characteristics of the target. Handling health problems requires health promotion media as an effort to make it easier for officers to deliver material according to target, place, age and time. The more five senses that utilize the media, the easier it is for the target to receive the counseling material. The method used in this research is a literature review using a library review method, data obtained from articles taken from journal search engines. The results of this research show that variations in the visual media of posters, leaflets and flip sheets will make it easier for the public to receive knowledge from health promotion officers.
 
 Keywords: , Stunting.

The introduction of genetic counseling in Ethiopia: Results of a training workshop and lessons learned.

Over the past two decades non-communicable diseases (NCDs) have steadily increased as a cause of worldwide disability and mortality with a concomitant decrease in disease burden from communicable, maternal, neonatal and nutritional conditions. Congenital anomalies, the most common NCD affecting children, have recently become the fifth leading cause of under-five mortality worldwide, ahead of other conditions such as malaria, neonatal sepsis and malnutrition. Genetic counseling has been shown to be an effective method to decrease the impact of congenital anomalies and genetic conditions but is absent in almost all sub-Saharan Africa countries. To address this need for counseling services we designed and implemented the first broad-based genetic counseling curriculum in Ethiopia, launching it at St. Paul's Millennium Medical College (SPHMMC) in Addis Ababa, Ethiopia. The curriculum, created by Michigan Medicine and SPHMMC specialists, consisted of medical knowledge and genetic counseling content and was delivered to two cohorts of nurses. Curriculum evaluation consisted of satisfaction surveys and pre- and post-assessments covering medical knowledge and genetic counseling content. Following Cohort 1 training, the curriculum was modified to increase the medical knowledge material and decrease Western genetic counseling principles material. Both cohorts reported high levels of satisfaction but felt the workshop was too short. No significant improvements in assessment scores were seen for Cohort 1 in terms of total scores and medical knowledge and genetic counseling-specific questions. Following curriculum modification, improvements were seen in Cohort 2 with an increase in total assessment scores from 63% to 73% (p = 0.043), with medical knowledge-specific questions increasing from 57% to 79% (p = 0.01) with no significant change in genetic counseling-specific scores. Multiple logistic, financial, cultural and systems-specific barriers were identified with recommendations for their consideration presented. Genetics medical knowledge of Ethiopian nurses increased significantly following curriculum delivery though difficulty was encountered with Western genetic counseling material.

SOSIALISASI RUANG KONSELING PRE SECTIO CAESAREA PADA BIDAN DAN PERAWAT DI RUMAH SAKIT UMUM SEMBIRING DELI TUA

One of the problems experienced by a person when sick is anxiety, especially if the person has to undergo medical action, namely surgery and acts as a patient. Various bad abilities can occur which will be dangerous for the patient. So it is not surprising that patients and their families often show a somewhat exaggerated attitude with the anxiety they experience. Anxiety is an alerting signal to take action to overcome the threat. Sectio caesarea action with various complications causes anxiety. Excessive anxiety can result in delays in planning the delivery process by cesarean section. The existence of professional and quality hospital services is important to ensure the delivery operation process runs smoothly so as to reduce anxiety (Pawate, 2013). Sectio caesarea in deliveries carried out at Sembiring Delitua General Hospital from year to year is quite high. The socialization of the Pre Sectio Caesarea Counseling Room for Midwives and Nurses was carried out at the Sembiring General Hospital with an implementation time of 2 months with 4 meetings. Every meeting of the midwife and nurse who is a counselor will be given materials related to good counseling techniques. Participants will be given a book on counseling materials. In practice, the provision of material will be provided by competent resource persons in the field of Counseling.

PENYULUHAN MANFAAT PERASAN BUAH MENGKUDU DALAM MENURUNKAN HIPERTENSI

Hypertension is a state of increasing blood pressure beyond normal limits. Hypertension is often accompanied by symptoms that cause discomfort to the sufferer. The symptoms experienced are headache, palpitations, difficulty breathing, fatigue and blurred vision. To lower blood pressure to reduce the symptoms felt can be done by using noni fruit. Iuni action is very practical, cheap and easy and can be done by everyone. This action is still rarely performed by patients in the community when experiencing increased blood pressure. The service was carried out on 15 people who had hypertension. The service implementation team provided training on how to process noni in the work area of ​​the Patumbak Health Center. The team made home visits as an evaluation of the service program. The outreach activities went smoothly. There were 5 patients who asked about the counseling material. The importance of conducting regular outreach activities to the community about other complaints they suffer to improve their health status.

Program Pencegahan Kekerasan Seksual pada Anak dengan Media Pembelajaran di TK PKP JIS Jakarta Timur

Children are the next generation of the nation in the future, of course, they need to get good attention and education so that their potential can be channeled and developed properly, so that they will grow and develop into humans who have various abilities and skills that are beneficial to life. Sex education in children is defined as education about the anatomy of organs that can be continued in sexual reproduction. Based on the various solutions for the activities mentioned above, the output targets to be achieved in this program are formulated, including scientific publications and increasing knowledge of teachers and students. This type of counseling with participatory methods in the Prevention of Sexual Violence in Children with Learning Media for teachers and students at PKP JIS Kindergarten, East Jakarta. The activity was carried out in January at the PKP JIS Kindergarten East Jakarta. The results of a series of community service activities for teachers and students at PKP JIS, Kindergarten, East Jakarta, turned out to be quite satisfying, both mastery of the material that had been given. The participants' understanding was seen during the discussion, KSPA asked and answered. From the results of the questions carried out in the discussion with the participants after being given counseling material, it can be concluded that the KSPA counseling went well, teachers and students looked enthusiastic about the large number of participants who attended and hoped that this activity would continue

Sosialisasi Fungsi Vitamin dan Penggunaan Cairan Antiseptik Berbasis Alkohol dalam Pencegahan Covid 19 di Panti Asuhan Yatim Piatu Ar-Rodiyah Tembalang Semarang

The Covid-19 pandemic (Corona virus) is a pandemic transmitted by the corona virus that attacks humans, especially children and the elderly. The transmission of Covid-19 can be through droplets; therefore, it is necessary to prevent it through health protocol, namely clean and healthy living habits, including using masks, washing hands, maintaining distance, and increase body immunity, The purpose of community service is to provide education about the function of vitamins, and how to use an alcoholic-based antiseptic solution for children Ar-Rodiyah Tembalang Orphanage, Semarang. This activity was carried out by lecturers, D4 Health Analyst students and S2 Clinical Laboratory Science students at Universitas Muhammadiyah Semarang on January 31, 2021. The target of this activity was 51 children aged 8-20 years. The results of the implementation of community service at the Ar-Rodiyah orphanage Semarang were distributing 2 posters about the function of vitamins, and how to use an alcoholic-based antiseptic solution, then during the meeting an explanation of the material and the function of vitamins, and how to use an alcoholic-based antiseptic solution and questions and answers was delivered during the meeting. The conclusion from this community service increase knowledge of orphans about function of vitamin from 30 to 80 and knowledge to use alcohol-based antiseptic fluids correctly can increase from 45 to 90. The orphaned children also really hoped for sustainability of this community service activity with other counseling material.

PROGRAM PENYULUHAN PENGENALAN PERAN SUMBU SEBAGAI PENGIKAT PERKEMBANGAN FISIK KAWASAN BAGI MASYARAKAT PERKOTAAN

Community service, is the mandate from the Ministry of Education and Culture, to close the distance between the world of education and the daily life of the community, this activity is a manifestation of the implementation of Community Service activities based on the scientific expertise of Architecture. The implementation of this community service activity is in the form of an introduction aimed at various groups in urban communities, conveyed online through Instagram social media. The purpose of this outreach implementation activity is to provide knowledge to the public about the importance of the values ​​of the imaginary axis of the heritage area as the city identity. The implementation of this counseling is related to the material and learning process in the KOKA (Kuliah dan Observasi Kajian Arsitektur) course which has been routinely programmed in each lecture process. On this occasion, which was still in a pandemic condition, the exposure of counseling materials related to the KOKA learning process was transferred in the form of online material exposure through Instagram online social media. As an embodiment, on this occasion the material preparation was carried out based on the direction of the Lecturer Team by involving the student team to produce the online poster. With the implementation of online, the exposure material will continue to be conveyed to the target community automatically since the material is broadcast.

TINGKAT KEPUASAN PASIEN RAWAT INAP TERHADAP PELAYANAN KONSELING GIZI DI RUMAH SAKIT PUSAT OTAK NASIONAL

Background : Nutrition counseling is a two-way communication process between counselor and client to help clients recognize and overcome nutritional problems. Patients are entitled to receive a good quality nutrition counseling since that is an integral part in accelerating the patient's healing process. The purpose of this study was to determine the level of satisfaction of patients with nutrition counseling services at the Rumah Sakit Pusat Otak Nasional. Methods : This research was a descriptive study with cross sectional design. The sample technique used accidental sampling with total samples were 30 patients from second and third-grade room. The level of satisfaction included counseling service time, attitudes and characteristics of counselor, materials of counseling and media of counseling. Response options were based on a five-point Likert scale from “strongly satisfied” to “strongly unsatisfied”. Results : The results showed that the satisfaction rate with counseling service time was 77,06% (satisfied), attitudes and characteristics of counselor was 84,26% (very satisfied), counseling material was 78,13% (satisfied), and the use of media during the nutritional counseling process was 65,86% (satisfied). Conclusion : The satisfaction rate with nutritional counseling services at the Rumah Sakit Pusat Otak Nasional is satisfied (73,33%).

LACTATION MANAGEMENT AGAINST NUTRITIONAL STATUS IN INFANT IN SUNGAI RAYA DALAM PRIMARY HEALTHCARE CENTER, KUBU RAYA REGENCY, WEST KALIMANTAN

During the covid19 pandemic, malnutrition should be prevented. Nutritional status in infants may weaken their immunity, intelligence and productivity and arises their vulnerability to diseases and stunting during their development. The initial survey showed that in the working area of Sungai Raya Dalam Primary Healthcare Center, Kubu Raya District, West Kalimantan 60% of mothers have infants with malnutrition. This study aims to determine the relationship between lactation management (techniques, duration and frequency of breastfeeding) and the nutritional status of infants (0-12) months. This study used a case-control design. The research sample was 98 respondents (49 cases and 49 controls) selected by purposive sampling technique. The results showed that there was a significant relationship between mother's breastfeeding technique (p = 0.001; OR = 4.471; 95% CI = 1.882-10.620), duration of breastfeeding (p = 0.004; OR = 3.692; 95% CI = 1.578-8.638), and the frequency of breastfeeding (p = 0.009; OR = 3.257, OR = 1.422-7.459) with nutritional status of infants aged 0-12 months in the working area of Sungai Raya Dalam Primary Healthcare Center. Reflecting on the study, it is recommended for the health workers to provide counseling materials related to the techniques, duration and frequency of breastfeeding, and encourage mothers to get the required knowledge about them using Kartu Menuju Sehat (KMS) or Health Cards.Keywords: lactation management, malnutrition, breastfeeding technique, duration, frequency

Evaluation of Measured Resting Metabolic Rate for Dietary Prescription in Ageing Adults with Overweight and Adiposity-Based Chronic Disease.

The primary objective of this study was to compare weight changes in two groups of ageing Irish adults with overweight and adiposity-based chronic disease: participants who had dietary energy requirements prescribed on the base of measured RMR and participants whose RMR was estimated by a prediction equation. Fifty-four Caucasian adults (male n = 25; female n = 29, age 57.5 ± 6.3 years, weight 90.3 ± 15.1 kg, height 171.5 ± 9.5 cm, BMI 30.7 ± 4.6 kg/m2) were randomly assigned to a dietary intervention with energy prescription based on either measured RMR or estimated RMR. RMR was measured by indirect calorimetry after an overnight fast and predicted values were determined by the Mifflin et al. (1990) prediction equation. All participants received individual nutritional counselling, motivational interviewing and educational material. Anthropometric variables, blood pressure, blood glucose and blood lipid profile were assessed over 12 weeks. Body weight at week 12 was significantly lower (p < 0.05) for both groups following dietary interventions, mRMR: −4.2%; eRMR: −3.2% of initial body weight. There was no significant difference in weight loss between groups. Overall, 20.8% mRMR and 17.4% of eRMR participants experienced clinically meaningful (i.e., ≥5% of initial weight) weight reduction. Weight reduction in adults aged ≥50 years over the short term (12 weeks) favoured a reduction in blood pressure, triglycerides and glucose, thus reducing cardiovascular disease risk factors. This research indicates that employing a reduced-calorie diet using indirect calorimetry to determine energy needs when improving weight outcomes in adults (>50 years) with overweight and adiposity-based chronic disease is equal to employing a reduced-calorie diet based on the Mifflin et al. (1990) prediction equation. A reduced-energy diet based on mRMR or eRMR facilitates clinically meaningful weight reduction in adults (≥50 years) over the short term (12 weeks) and favours a reduction in blood pressure, triglycerides and glucose, thus reducing cardiovascular disease risk factors. Moreover, the addition of motivational interviewing and behaviour change techniques that support and encourage small behaviour changes is effective in short-term weight management.