Good Nutritional Status Research Articles

Abstract 4135434: Effect of early nutritional guidance for patients with acute myocardial infarction: A single center retrospective cohort study

Introduction/Background: Acute myocardial infarction (AMI) stands as a major global cause of mortality. Various intervention strategies, such as pre-hospital care, reperfusion therapies, pharmacological interventions, dietary modifications, and exercise therapies, have been researched to improve patient prognosis. Research Question: There remains a lack of evidence regarding the impact of early nutritionist-led dietary guidance on the prognosis of AMI patients. Aim: This study aimed to elucidate whether nutritional guidance by nutritionists who have national qualifications would improve the mortality and the primary composite endpoint (including acute decompensated heart failure, stroke, and acute coronary syndrome) of patients following an acute myocardial infarction. Methods/Approach: A retrospective cohort study enrolling 409 AMI patients who underwent emergency percutaneous coronary interventions between September 1, 2015, and October 31, 2023. Nutritionists guided 223 patients (54.5%) during hospitalization in this study. The nutritional guidance used in our study was also based on the definition of adequate caloric intake of 25–30 kcal per ideal body weight (kg). Under an appropriate total energy intake, a fat energy ratio of 20–25% and a carbohydrate energy ratio of 50–60% are recommended, with protein and lipid restrictions depending on the disease state. Results/Data: During a median follow-up of 39 months, 24 cases of all-cause mortality (5.9%) and 6 cases of cardiovascular mortality (1.5%) were recorded. Kaplan–Meier curves demonstrated significantly higher incidence rates of death and primary composite endpoints among patients without nutritional guidance during hospitalization. The multivariate Cox regression model revealed early nutritional guidance as a significant predictor for long-term mortality but not for primary composite endpoints. Furthermore, undernourished patients, defined as those with a geriatric nutritional risk index of 98 or less, showed a similar prognosis to those with good nutritional status after receiving nutritional guidance, indicating that nutritional guidance improves prognosis. Conclusion: Nutritionist-led dietary guidance for patients with AMI can potentially improve total mortality and is expected to be more effective in undernourished patients. Further research is warranted to explore the physiological impacts of improved diets resulting from such guidance and their effects on enhancing prognosis.

The Influence of Maternal Characteristics and Nutritional Status on Toddler Development: Literature Review

Introduction: The first five years of a child's life are a time of peak development. According to the global prevalence, 52.9 million children under the age of five suffer from developmental problems. Parental involvement in monitoring their children's development will rise if parents have greater education, have a high level of knowledge, higher socioeconomic level, income, and the mother does not work. In addition, toddlers with good nutritional status will optimise their development. Objective: This literature review aims to identify how maternal characteristics and nutritional status impact toddler development. Method: This study is a systematic review by searching the literature through Google Scholar, Science Direct, and PubMed. Articles in Indonesian and English published from 2016 to 2022. Article searches used keywords or Boolean operators (AND - OR), some of the keywords used to search the literature included combinations of “development” OR “education” OR “income”’ OR “knowledge” OR “occupation” OR “nutritional status”, “education” AND “development”, “income” AND “development”, “knowledege” AND “development”, “occupation” AND “development”, “nutritional sataus” AND “development”. Result: The results of this study showed that maternal characteristics such as education level, knowledge, occupation, and family income, as well as nutritional status affect the development of toddlers. Conclusion: Knowing the interaction between maternal role and nutritional status can help optimise the development of toddlers according to their age.

Spatial structure of breeding settlements of the Snowy Owl (<i>Bubo scandiacus</i>, Strigiformes, Strigidae) in the tundra of the Taimyr Peninsula

Data on Snowy Owl breeding settlements and encounters in the tundra were analyzed for the periods of 1996–2007, 2012, 2014–2020 in the vicinities of the Medusa Bay (73°21ʹN, 80°32ʹE), northwestern Taimyr Peninsula, Siberia. Breeding Snowy Owls were detected in 1996, 1999, 2002, 2004, 2005, 2007, 2014, 2016 and 2019. The spatial distribution of nests, summarized for 9 breeding years, appear to be grouped (clustered). This means that the spatial population structure of Snowy Owls mostly consists of permanent breeding sites, or territorial cells. However, the distribution of these cells in the tundra area is uniform. The reasons for such an attraction to the same sites in the tundra that fail to differ from many others are not clear yet. The existing version of the “signal field” theory cannot account for this attraction: owls very rarely occupy previously used nest sites, definitely preferring new entire breeding places within these territorial cells. In fact the basis of so dividing the breeding area into permanent territorial cells and of choosing definite ones among them seems to indicate that birds are oriented to certain yet unknown features of the environment rather than only to the ecological characteristics of the habitat and/or to tracks from the previous bird activity. A summarized distribution of the Snowy Owl encounters of non-breeding birds was clustered, as well. The distribution of these clusters across the plain tundra (in rugged areas non-breeders occurred very rarely) appeared to be random. In different seasons, regardless of the breeding status, Snowy Owls may behave in very different ways: they may tend to pose closer to other owls or try to stay farther away; they may start breeding at very low lemming numbers or, vice versa, they do not breed in good nutritional conditions.

Implementation of Posyandu Program in Fulfilling the Rights of Pregnant Women and Toddlers in Cibinong Sub-District, Bogor District, a Case Study in Pondok Rajeg Village

Health issues are fundamental in society. Moreover, after COVID-19, several adjustments were made to strengthen public health. Then the importance of developing quality human resources as a national priority cannot be separated from good nutritional status, especially in nutritionally vulnerable groups such as pregnant women and toddlers. Optimal nutritional conditions for pregnant women are very important because they have the potential to influence the growth and development process of the fetus. Malnutrition in pregnant women can increase the risk of giving birth to babies with low birth weight (LBW) and stunting. Likewise, toddlers as a group who are in a period of rapid growth and development are very vulnerable to malnutrition. Therefore, special attention to pregnant women and toddlers needs to be increased in an effort to improve national nutritional status. This research was conducted to determine the success of the implementation of the Posyandu program in Pondok Rajeg Village, Cibinong District, Bogor Regency in an effort to fulfill the rights of pregnant women and toddlers. The method used is a descriptive qualitative method using George C. Edward III's theory with four dimensions, namely Communication, Resources, Disposition and Bureaucratic Structure. The success of the implementation or implementation of the Posyandu program in Pondokrajeg Village, Cibinong District, Bogor Regency has been good, which can be seen from the results of research with resource persons, supporting documents and reports on improving the health of pregnant women and toddlers in Pondok Rajeg District, Cibinong District, Bogor Regency

006. Wilm’s Tumor with Obstructive Ileus in A Newborn

Background: Wilms' tumor is the most common kidney malignancy in the pediatric population. Wilms' tumor can spread to other organs, pressing on surrounding organs, and causing kidney damage and high blood pressure. This case report aims to report on neonatal patients with Wilms' tumor which complicate into obstructive ileus. This study aims to explore the effect of wilm’s tumor on causing obstructive ileus which can be detrimental to a newborn. Methods: A 21-day-old baby boy was brought in with complaints of a lump in the left abdomen that had been felt since birth. The lump was felt to be growing rapidly and feels hard. Physical examination revealed sunken eyes, dry lips, holosystolic murmur on parasternal line intercostal II-IV, and a solid mass sized 5x4 cm in the left hypochondrium up to left iliac region. Abdominal ultrasound and CT scan confirmed a renal mass. Results: The patient was diagnosed with partial obstructive ileus due to left kidney tumor suppression, suspected Wilms tumor and low intake malnutrition with moderate to severe dehydration. The patient was managed with laparotomy and left nephrectomy. The procedure alleviated all symptoms and upon 1 month follow up, the patient was healthy with good nutrition status. Conclusion: The presence of large abdominal mass in neonates can be a sign of Wilms tumor. This disease can lead to obstructive ileus and can be treated with laparotomy and nephrectomy.

The Relationship Between Nutritional Status And The Development Of Children Aged 4-60 Months

Child development is an important aspect of human life, especially in the early period of life, which is often referred to as the critical or golden period as the child's brain undergoes rapid growth. Developmental disorders in children under five, especially in terms of motor skills, have a long-term impact on their development, and a child's nutritional status has been shown to play a role in the process. Therefore, this study aims to determine the relationship between nutritional status and development of children aged 4-60 months in Jember Regency. The research method used was a quantitative correlational approach with a cross-sectional approach, involving a total of 57 children who had a Kartu Menuju Sehat (KMS) as the population. From the results of the formula calculation, the sample size was determined as 50 respondents using a non-randomized (non-probability) method, namely purposive sampling based on certain criteria. The research instruments involved the Kartu Menuju Sehat (KMS) to assess children's nutritional status and the Developmental Pre-Screening Questionnaire (KPSP) to identify children's development. The results of the chi-square statistical test revealed a significant relationship between nutritional status and development of children aged 4-60 months in Jember District. [ Children with good nutritional status show more optimal developmental progress, while children with poor nutritional status tend to experience slower or inappropriate development for their age. This finding supports theories that emphasize the importance of adequate nutrition for children's growth and development. Therefore, efforts to improve children's nutritional status should be a top priority in various child health and education programs. With the right understanding and action, we can help create a healthier and more potential future generation.

Effects of prognostic nutritional index and obesity on 1-year mortality in patients with acute heart failure

Abstract Background Increased body mass index (BMI) has paradoxically been linked to improved survival rates among patients with acute heart failure (AHF). However, the impact of different nutritional statuses on this obesity paradox on 1-year mortality remains unclear. The prognostic nutritional index (PNI) is a simple tool to assess nutrition status. Recently, landmark findings such as the STEP-HFpEF (Semaglutide Treatment Effect in People With Obesity and HFpEF) trial showed at 1-year, semaglutide not only reduced weight considerably, but also significantly improved health-related quality of life, functional status, and CRP levels. Also, the semaglutide effects on heart disease and stroke in patients with overweight or obesity (SELECT) trial demonstrated a 20% reduction in cardiovascular outcomes. Purpose To investigate the association between obesity and AHF on all-cause mortality according to nutritional status. Methods The cohort study comprised 7258 patients with a cardiopulmonary condition, all of whom were admitted and included on-site at the Emergency Department (ED) in a large University Hospital in Denmark, between March 2020 and March 2022. The follow-up time was at least 365 days. 408 patients with AHF were identified by chart review by trained cardiologists for analysis. PNI was calculated according to the formula: 10×serum albumin (g/ dL) + 5×total lymphocyte count×109/L. A value ≥ 38 is considered well-nourished, and a value < 38 is considered malnourished. Patients were divided into High-PNI (≥38) and Low-PNI (<38) according to cut-off value of PNI. The Kaplan-Meier (KM) curves were used to analyze cumulative survival in each subgroup, and the log-rank test was used to compare differences between groups. Cox regression models were used to analyze associa­tions between BMI, nutritional status and outcomes, expressed as hazard ratios (HR) and relative 95% confi­dence intervals (CI). Results Amongst 408 hospitalized AHF patients, 384 (mean age 75.6 ±11.7) with available PNI scores were enrolled into this study. 55.7% (n=214) were male, 56.4% (n=93) died in the Low-PNI group and 34.2% (n=75) died in the High-PNI group within 1 year. After adjusting for potential confounders in the High-PNI population, compared with the under/normal and overweight BMI group, obesity was negatively associated with 1-year mortality, with adjusted HR of 0.47, 95% CI (0.24–0.94), P = 0.033. However, this correlation disappeared in the Low-PNI group (obese BMI: HR 1.2, 95% CI 0.71–2.1, P = 0.457). In addition, those who were overweight in the Low-PNI group had an 80% increase in 1-year risk of death. Conclusion Obesity (BMI>30) was associated with reduced 1-year mortality only in AHF-patients with good nutritional status. However, this association disappeared in malnourished patients. Consequently, additional research is essential to formulate weight loss recommendations for malnourished obese patients with AHF.

Description of knowledge, Behavior of Vegetable and Fruit Consumption, and Nutritional Status in Class X Students in Public High School 1 Porong Sidoarjo

In Indonesia, according to the 2018 Basic Health Research report, the majority of the population above the age of 5, which is around 95.5%, still consumes vegetables and fruits below the recommend levels. When a person's knowledge and behavior are not optimal, then they will have difficulty maintaining the balance of food intake they consume. The purpose of the study was to determine the description of knowledge, fruit vegetable consumption behavior and nutritional status in class X students at SMA Negeri 1 Porong. This was a descriptive study. The Sampling method used was simple random sampling with a total samples size of 40 people. The results showed that the knowledge level of respondents in the poor category was 18 adolescents and in the good category was 11 adolescents. Most adolescents (34) exhibited poor vegetable consumption behavior, while the majority (21) demonstrated good fruit consumption behavior. The nutritional status of most respondents had good nutritional status as many as 25 adolescents. In Conclusion, adolescents in SMA Negeri 1 Porong have knowledge about vegetables and fruits in the poor category, poor vegetable consumption behavior, good fruit consumption behavior and good nutritional status.

The Relationship of the Level of Nutritional Knowledge and Fat Intake to Cholesterol Levels in PT Employees Bolaang Mongondow District Tourism Management

Background: The quality of human resources is the main factor required for the successful implementation of business in the company. Labour productivity has a very important role in the development of human resources in the company. Empirical evidence shows that the quality of human resources can be determined by good nutritional status, and good nutritional status is determined by nutritional knowledge, the amount of food intake consumed and a person's physical activity. Objective: The aim of this research was to determine the relationship between the level of nutritional knowledge and cholesterol levels and fat intake among employees of PT Tata Wisata JRBM Bakan, Bolaang Mongondow Regency. Study Design: This type of research is analytical with a cross sectional approach. Place and Duration of Study: The research was conducted at PT. Bakan Village Tourism Arrangement, Bolaang Mongondow Regency in November 2023. Methods: The population in this study were all employees of PT. Tata Wisata – JRBM Bakan Regency. Bolaang Mongondow aged 20-49 years, a total of 49 people. The samples in this study were 33 samples which were determined using the Slovin formula.Data collection was obtained from measuring cholesterol levels, fat intake using a 24-hour food recall form and nutritional knowledge by giving questionnaires to the sample. Results: The results of research and data analysis of a large sample with high category nutritional knowledge were 20 samples (60.6%). The fat intake of most samples was in the category above requirements for 18 samples (33%). Most of the cholesterol levels were at the threshold of high cholesterol levels in 14 samples (42.4%) and high cholesterol in 4 samples (12.1%). There is no relationship between nutritional knowledge and fat intake with a p value of (0.629). There is a relationship between fat intake and cholesterol levels with a p value (0.000). There is no relationship between nutritional knowledge and cholesterol levels with a p value of (0.882). From this research it can be concluded that of the 3 variables tested, namely nutritional knowledge, cholesterol levels and fat intake, only fat intake and cholesterol levels have a relationship.

Investigations on the Health Status and Infection Risk of Harbour Seals (Phoca vitulina) from Waters of the Lower Saxon Wadden Sea, Germany.

Harbour seals (Phoca vitulina) are the most common pinniped species in the Wadden Sea of Schleswig-Holstein, Hamburg and Lower Saxony, Germany. Their numbers have recovered after significant depletion due to viral outbreaks and effects of anthropogenic activities like pollution and habitat disturbance. Within the Wadden Sea National Park of Lower Saxony the harbour seal is protected. As a top predator in the Wadden Sea ecosystem, the harbour seal is a sentinel species for the state of the environment. Between 2015 and 2017, a total of 80 stranded dead harbour seals were collected along the coastline of Lower Saxony and submitted for pathological investigations. Of these, 70 seals were born in the same year (0-7 months, age group 1) and eight in the previous year (8-19 months, age group 2), due to high mortality rates in these age groups. However, two perennial animals were also available for examination during this period, one of which was in good nutritional condition. Many of the seals that had been mercy-killed and found dead were in poor nutritional status. Histopathological, microbiological, parasitological and virological examinations were conducted on 69 individuals (86% (69/80)) in a suitable state of preservation. Respiratory tract parasitosis, cachexia, and bronchopneumonia were the most common causes of death or disease. Overall, there was no evidence of a relapse of a viral disease outbreak. Macrowaste, such as plastic waste or fishery-related debris, were not found in any gastrointestinal tract of the animals examined. There was also no evidence of grey seal predation. Weakness and cachexia were prominent causes of disease and death in harbour seals found within a few weeks after birth, but bronchopneumonia and septicaemia also developed in slightly older animals. Frequently found microbial pathogens in seals from Lower Saxony were similar to those found in other studies on seals from the Wadden Sea region in Schleswig-Holstein, for example streptococci and Escherichia coli/v. haemolytica, Brucella spp. and Erysipelothrix rhusiopathiae, potentially human pathogenic germs. The results of the examinations of dead harbour seals from Lower Saxony show that pathological investigations on a representative number of animals deliver urgently needed information on the health status of the population. The results represent an important contribution to the state of the top predators of the Wadden Sea as part of the obligations within the Trilateral Wadden Sea Agreement, Oslo and Paris Convention for the Protection of the Marine Environment of the North-East Atlantic (OSPAR) and the Marine Framework Directive. The investigations should be continued as a matter of urgency and the stranding network should be expanded.

Assessing the Dietary Practices and Anthropometric Outcomes of Students Consuming Mid-day Meals Versus Home-Cooked Meals.

Early childhood and adolescence are prime years that people spend in school. These formative years give the school ample opportunities to impart certain aspects of lifestyle and healthcare to the student, in addition to academics. School health programs are vital in providing comprehensive education and healthcare services. The objectives of the study are to enlist the socio-demographic factors affecting the nutritional level between students who enrolled for the mid-day meal scheme and those who did not. This is a cross-sectional questionnaire-based study, which was carried out between children who enrolled in the mid-day meal program and home-cooked meals for students from 3rdto 12thgrade in Faridabad. The study was conducted by the Department of Public Health Dentistry, Faridabad, from January to June 2024. It was determined that 162 (53.6%) males and 222 (74.9%) females were obese. 332 (55.3%) believed that social media had an impact on their dietary decisions, while 268 (44.7%) disagreed. When asked to rate how many healthy food alternatives were available at their school, 53 (8.8%) of them said it was great, 194 (32.3%) said it was good, 196 (32.7%) said it was fair, and 157 (26.2%) said it was poor. 236 (78.7%) parents of the mid-day meal group never had dietary supplemental education, which is why children have indigent nutritional status. The mean waist-to-hip ratio (WHR) was calculated as 0.92 ± 0.43 and 0.88 ± 0.69 with significant values of 0.00 (p≤0.05) in the home-cooked and mid-day meal-consuming groups respectively. Students consuming home-cooked meals showed a better WHR for age than those consuming mid-day meals. Children of parents with high education levels have good nutritional status and are healthier as compared to children with parents who have low education levels. Thus, there is a dire need to include school health programs to provide healthy and nutritious food to children, in need.

Good nutritional status and oral food intake are important to be discharged to home after treatment in emergency hospital in elderly people

Good nutritional status and oral food intake are important to be discharged to home after treatment in emergency hospital in elderly people

Correlation between Iron Consumption, Hemoglobin Level, and Nutritional Status on the Physical Fitness of Young Women at MA Al-Irsyad Gajah

Background: Good nutritional status, normal hemoglobin levels, and adequate iron consumption will help a person achieve good physical fitness. Lack of iron consumption causes a decrease in hemoglobin production. Low levels of hemoglobin cause disruption of oxygen transport to whole body associated with energy production. Malnutrition or excess nutritional status causes a person to have difficulty moving, which results in a lower level of physical fitness. Objectives: To determine the relationship between iron consumption, hemoglobin level and nutritional status on the physical fitness of female adolescents. Methods: The study used a cross-sectional design, with total sample of 65 respondents. The data were nutritional status from BMI/U, hemoglobin levels using the Easytouch GCHb (Glucose, Cholesterol, and Hemoglobin) tool, iron consumption using food recall, and physical fitness measured using beep test. Bivariate analysis was measured by Gamma correlation test and ordinal logistic regression test for multivariate analysis. Results: Most of respondents had good nutritional status (55.4%), normal hemoglobin levels (69.2%), good iron consumption (58.5%), and sufficient physical fitness (60%). The results of bivariate analysis showed that nutritional status did not correlate with physical fitness (p=0.905). Meanwhile, hemoglobin level and iron consumption correlated with physical fitness (p=0.004). Multivariate analysis explained that hemoglobin levels had a 1.73 effect on physical fitness compared to iron intake which influenced physical fitness by 1.1 times. Conclusions: There is a correlation between iron consumption and hemoglobin levels with physical fitness. There is no correlation between nutritional status and physical fitness.

Muscle Strength and Phase Angle Are Potential Markers for the Efficacy of Multidisciplinary Weight-Loss Program in Patients with Sarcopenic Obesity.

Background/Objectives: Traditional weight-loss methods often result in the loss of both fat and muscle mass. For individuals with sarcopenic obesity (SO), additional muscle loss can exacerbate sarcopenia, leading to further declines in muscle strength and function, ultimately worsening quality of life. To mitigate this risk, weight-loss strategies should emphasize the preservation and building of muscle mass through adequate protein intake and tailored resistance training. This study aimed to evaluate changes in SO status following a 4-week multidisciplinary weight-loss intervention program in hospitalized patients with obesity. Methods: This study included adult patients with obesity (BMI > 30 kg/m2, aged 18-90 years). The SO diagnosis was performed using the handgrip strength (HGS) test and skeletal muscle mass (SMM) by bioelectrical impedance analysis (BIA) according to ESPEN/EASO-2022 guidelines. Results: A total of 2004 patients were enrolled, 64.8% female, with a mean age of 56 (±14) years and a BMI of 40.7 (±6.48) kg/m2. SO was present in 9.38% (188 patients) at baseline. At discharge, 80 patients (42.55%) were no longer classified as sarcopenic and showed significant improvements in HGS. The likelihood of resolving SO was not modified in patients with only phase angle (PhA) improvement (p-value = 0.141). Patients with HGS increment had a 65% probability to be No-SO at discharge and this probability, with the concomitant PhA increment, rose to 93% (p-value < 0.0001), indicating that functional changes and good nutrition status are crucial in improvement of SO. Muscle mass (MM) and SMMI remained unchanged in the studied cohort. Conclusions: Improvements in HGS and the PhA are potential markers for the efficacy of weight-loss programs tailored to patients with SO. These findings suggest that specific interventions focusing on these markers could be beneficial in managing SO patients.

Comparison of short-term clinical efficacy between modified Kamikawa anastomosis and double tract anastomosis after laparoscopic proximal gastrectomy.

This study aimed to explore the short-term clinical efficacy of modified Kamikawa anastomosis and double tract anastomosis after laparoscopic proximal gastrectomy. A retrospective analysis was carried out by collecting the clinical and pathological data of 42 patients who underwent laparoscopic proximal gastrectomy after admission in our centre from May 2020 to October 2022. Among the 42 enrolled patients, 22 underwent modified Kamikawa anastomosis (modified Kamikawa group), and the other 20 underwent double tract anastomosis (double tract group). Outcome measures included intraoperative condition, postoperative recovery, postoperative quality of life, postoperative nutritional status and gastroesophageal reflux. The patients were followed up using outpatient examination and telephone interviews to identify their nutritional status, reflux esophagitis and anastomotic status. (1) Intraoperative condition: Compared with the double tract group, the modified Kamikawa group had significantly prolonged time for operation and digestive tract reconstruction. However, no statistically significant difference in intraoperative blood loss was found between the two groups. (2) Postoperative recovery: Compared with the double tract group, the modified Kamikawa group had a significantly shorter time for the first postoperative intake of fluids, drainage tube placement and postoperative hospital stay. No statistically significant difference in the time to first postoperative anal exhaust and postoperative complications was found between the two groups. (3) Postoperative quality of life: Compared with the double tract group, the modified Kamikawa group showed better quality of life at 12 months after surgery. (4) Postoperative nutritional status and gastroesophageal reflux: No statistically significant difference in hemoglobin, total serum albumin, albumin, body mass index, MUST score, PG-SGA score, grading of reflux esophagitis using the Los Angeles classification system and GERD score was found between the two groups at 6 and 12 months after surgery. All patients did not experience anastomotic stenosis and tumour recurrence or metastasis. Modified Kamikawa anastomosis is a safe and feasible treatment in laparoscopic proximal gastrectomy, which can ensure good postoperative anti-reflux effect and nutritional status. It has the advantage of better postoperative recorvery and quality of life compared with double tract anastomosis.

Pengaruh Pemberian Air Susu Ibu Eksklusif terhadap Status Gizi Bayi

Exclusive breastfeeding for the first 6 months of life without additional food and drink is important for optimal growth of the baby. Good nutritional status of the baby can be assessed through indicators of weight/length or weight/height based on WHO (World Health Organization) standards. To determine the effect of exclusive breastfeeding on the nutritional status of infants in Mare District, Bone Regency. The type of research conducted was descriptive analytical with a cross-sectional design. The number of samples is 50 babies. Babies who receive exclusive breastfeeding with good nutritional status are 40 babies (100%) and the status of being at risk of overweight nutrition is 0 babies (0%). Then babies who do not receive exclusive breastfeeding with good nutritional status are 9 babies (90%) and the status of being at risk of overweight nutrition is 1 baby (10%). Based on the results of the Chi-Square test, p = 0.043 was obtained, which means p value &lt; 0.05. There is a relationship (correlation) between exclusive breastfeeding and the nutritional status of infants in Mare District, Bone Regency.

HUBUNGAN ANTARA ANEMIA DAN INDEKS MASA TUBUH IBU HAMIL TERHADAP KEJADIAN STUNTING PADA ANAK: LITERATURE REVIEW

There are many factors that cause stunting, including anemia. Pregnant women who experience anemia have a reduced oxygen supply to their body cells and brain. In general, anemia in pregnant women is caused by a lack of nutrition, a lack of iron in the food consumed, poor absorption, and chronic diseases (such as tuberculosis, lung, intestinal worms, and malaria). The body mass index of pregnant women is another cause of stunting. Mothers who are short (height &lt;150 cm) and thin (body mass index &lt;18.5 kg/m2) have a greater risk of birthing stunting babies than mothers who have good nutritional status. In addition to macronutrient problems, micronutrient deficiencies in pregnant women need attention. The objective of this study is to determine the relationship between anaemia and body mass index of pregnant women on the incidence of stunting in children, through a literature review. We used the literature review method with 15 journals, 10 international journals, and 5 national journals. The literature review analysis revealed a correlation between anaemia and body mass index in pregnant women and the incidence of stunting. The condition of anaemia in the mother during pregnancy will affect the metabolism of the foetus to be not optimal because there is a lack of haemoglobin levels to bind oxygen so that the adequacy of nutritional intake while in the womb is low and has an impact on foetal growth, which results in low birth weight and length. There is a relationship between anemia and pregnant women's body mass index in terms of stunting incidence.

Preoperative Nutrition Impacts Retear Rate After Arthroscopic Rotator Cuff Repair.

A rotator cuff retear following arthroscopic rotator cuff repair (ARCR) is a concern in older patients. However, only a few of its risk factors are amenable to preoperative intervention. We aimed to elucidate the relationship between preoperative nutritional status and rotator cuff retears after ARCR. This single-center retrospective study included patients aged ≥65 years with rotator cuff tears who underwent ARCR. The Geriatric Nutritional Risk Index (GNRI) was used to assess preoperative nutritional status. Data collection encompassed patient demographics, clinical assessments, and surgical specifics. Patients were divided into healed and retear groups based on 2-year post-ARCR magnetic resonance imaging results. Logistic regression analysis was conducted to adjust for confounding factors and detect independent risk factors for retears. The GNRI cutoff value for retear prediction was determined by a stratum-specific likelihood ratio; clinical outcomes were compared based on the cutoff values obtained. Overall, 143 patients were included. The retear rate was 20.3%. The albumin level, GNRI, postoperative shoulder strength of abduction and external rotation, and postoperative Japanese Orthopaedic Association and Constant scores in the retear group were significantly lower than those in the healed group. The logistic regression analysis showed that low risk of morbidity and mortality (compared with no risk) based on the GNRI (odds ratio [OR], 3.39) and medial-lateral tear size per mm (OR = 1.10) were independent risk factors for a retear 2 years after ARCR. Stratum-specific likelihood ratio analysis identified data-driven strata as GNRI < 103, 103 ≤ GNRI < 109, and GNRI ≥ 109. Univariate analysis showed that patients with GNRI < 103 had a significantly higher retear risk than those with 103 ≤ GNRI < 109 and those with GNRI ≥ 109. Logistic regression analysis showed that GNRI < 103 compared with 103 ≤ GNRI < 109 (OR = 3.88) and GNRI < 103 compared with GNRI ≥ 109 (OR = 5.62), along with the medial-lateral tear size per mm (OR = 1.10), were independent risk factors for a retear at 2 years after ARCR. When assessing the risk of a retear after ARCR, GNRI ≥ 103 may indicate good preoperative nutritional status. However, more data are essential to ascertain the importance of this finding. Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.

Indeks Massa Tubuh Menurut Usia, Aktivitas Fisik, dan Pola Makan Pada Remaja SMP Negeri 13 Semarang

Nutritional status is a health condition that occurs as a result of a comparison between needs and the fulfillment of nutritional substances. There are several factors that can influence a person's nutritional status, namely suitability of needs with food intake, physical activity, increased nutritional needs due to various diseases, and other factors such as social and economic background. The nutritional status of adolescents can be described through measuring BMI/U. The prevalence of underweight in adolescents aged 13-15 years, based on research and development data from the Ministry of Health in 2013, is 11.1% (3.3% very thin and 7.8% thin) while for obese people aged 13-15 years was 10.8% (2.5% very obese and 8.3% obese). Data was obtained by interviews regarding identity, student age, weight and height measurements, exercise and physical activity habits, eating patterns and interpretation of nutritional status on Z-Score BMI according to Age. The results of this study showed that 59.5% of students had good nutritional status, 15.7% of students had overweight nutritional status, 13% of students have poor nutritional status, 10.3% of students have poor nutritional status, 1.6% students have obesity nutritional status.

Ectoparasites of the European wildcat (Felis silvestris) in Germany

Understanding the impact of parasites on wildlife populations is an important aspect of conservation management. However, research on ectoparasites in wildlife can be difficult, as examinations of live animals which are not habituated to human handling are often impossible. The European wildcat (Felis silvestris) is a strictly protected wildlife species whose population has been recovering in Germany in recent decades. Several studies from different European countries have investigated the parasitological status of European wildcat populations. However, most of these studies assessed endoparasite infections, whereas ectoparasite infestations have often been neglected. To fill this knowledge gap for wildcats in Germany, 131 dead found specimens were examined for ectoparasites by macroscopic and microscopic examination of the fur and the ear canals. Infestation with ectoparasites was present in 84.0% (110/131) of the wildcats. Ticks showed the highest prevalence with 72.5% (95/131) of wildcats infested, with 49.6% (65/131) infested with Ixodes ricinus and 36.6% (48/131) with Ixodes hexagonus/canisuga. A total of 27.5% (36/131) of the wildcats were positive for at least one flea species. Of the nine different flea species identified by morphology and/or molecular analyses, Ceratophyllidae were most common (16.8% [22/131]), with Ceratophyllus sciurorum confirmed on 12.2% (16/131) and Nosopsyllus fasciatus on 1.5% (2/131) animals, followed by Pulex irritans (5.3% [7/131]), Spilopsyllus cuniculi (3.8% [5/131]), Chaetopsylla spp. (3.1% [4/131]) (2/131 Chaetopsylla trichosa and 1/131 Chaetopsylla globiceps), Ctenocephalides felis (1.5% [2/131]), Archaeopsylla erinacei (1.5% [2/131]) and Ctenophthalmus baeticus (0.8% [1/131]). Further, 23.7% (31/131) of the wildcats harboured mites, identified as Trombicula autumnalis in 12.2% (16/131) and Otodectes cynotis in 4.8% (6/124) of cases. The only louse species detected was Felicola hercynianus with a prevalence of 2.3% (3/131). Infestation intensities ranged from 1 to 86 ticks, 1–49 fleas, 1–1896 mites, and 1–92 F. hercynianus per wildcat. This study demonstrates that a variety of ectoparasites infests wildcats in Germany, but they do not seem to have a serious impact on the general health of wildcats, as judged by the hosts' mostly good or very good nutritional condition. In addition, the potential risk to domestic cats (Felis catus) and humans posed by the wildcats’ ectoparasites, appears to be low but present.