No abstract

Pandemi Coronavirus Disease 2019 (COVID-19) sudah mempengaruhi berbagai aspek kehidupan mulai dari kesehatan, pendidikan, serta sosial-ekonomi masyarakat. Hal ini juga turut mempengaruhi masalah nutrisi atau pangan yang belum banyak disadari dampaknya oleh masyarakat. Edukasi masalah nutrisi selama pandemi COVID-19 ini bertujuan untuk memberikan pengetahuan dan kewaspadaan terhadap masyarakat sehingga dapat menanggulanginya. Kegiatan pengabdian masyarakat ini diadakan secara virtual melalui aplikasi Zoom kepada ikatan remaja masjid Al Rasyid (IKRAMA) Bandar Khalipah. Sebanyak 17 peserta kegiatan mendapatkan edukasi berupa pemaparan materi dan diakhiri dengan sesi tanya jawab. Materi yang disampaikan menjelaskan pentingnya menerapkan gizi seimbang dan gaya hidup sehat untuk menjaga daya tahan tubuh selama pandemi. Kegiatan ini berdampak positif bagi peserta karena menambah pemahaman mengenai kesiapsiagaan nutrisi menghadapi pandemi COVID-19.

This research aims to test the hypothesis that a combination of solid Sludge biogas from manure of dairy cows with a different ratio of water and the addition of quality-enhancing organic material can increase the content of N, P and K. This research method using a randomized block design (RBD) with 3 x 4 factorial design with two replicates. Factor A is the solid Sludge and dairy manure biogas, Factor B is the quality-enhancing organic material (blood meal, bone meal, rice husk ash and mixed). Variables observed included N-organic content, PO 4 and K 2 O. The results showed solid Sludge composting dairy manure biogas with different ratio of water and adding blood meal increased the organic content of the N-1.6135%, faecal Sludge dairy cows with a different ratio of water and the addition of bone meal to improve the content of 2.9089% PO 4 dairy manure and Sludge with different ratio of water and the addition of a mixture of organic materials (1% blood meal, bone meal ash 3% and 3%) increase the content of 0.4382% K 2 O.

Background Mobile applications such as personalized tracking tools and food choice aids may enhance weight loss programs. We developed and assessed client preferences for the content, user interface, graphics, and logic flow of a mobile application, and evaluated its validity for tracking compliance with weight control and making healthy and sustainable food choices. Methods Our four-stage study comprised formative research, application development, acceptance assessment, and validity. The formative research included literature reviews and six focus groups with 39 respondents aged 19–64 years at high risk for obesity. The development stage included programmer selection, defining application specifications, design, and user interface. Prototype acceptability was assessed with 53 respondents who graded 17 features of content, graphic design, and application flow (ranked as good, moderate, and poor). A feature was considered to have "good" acceptance if its mean response was higher than the mean of overall responses. The validity was assessed in 30 obese women using Bland–Altman plots to compare results from dietary intake assessment from the application to conventional paper-based methods. Results The application was named as EatsUp®. The focus group participants defined the key requirements of this app as being informative, easy, and exciting to use. The EatsUp® core features consisted of simple menu recommendations, health news, notifications, a food database, estimated portion sizes, and food pictures. The prototype had a "good" overall acceptance regarding content, graphics, and flow. Fourteen out of 17 parameters were graded as "good" from > 70% of respondents. There was no significant difference between the rated proportions for content, graphics, and app flow (Kolmogorov–Smirnov Z-test, p > .05). The agreement using the Bland–Altman plots between EatsUp® and the paper-based method of measuring food intake was good, with a mean difference of energy intake of only 2.63 ± 28.4 kcal/day (p > 0.05), well within the 95% confidence interval for agreement. Conclusions The EatsUp® mobile application had good acceptance for graphics and app flow. This application can support the monitoring of balanced and sustainable dietary practice by providing nutritional data, and is comparable with conventional dietary assessment tools, and performed well in tracking energy, macronutrient, and selected micronutrients intakes. Trial registration NCT03469869. The registration date was March 19, 2018.

The use of Oral Chemotherapy is increasing nowadays. Family who directly involve in caring the patient should be aware of the side effect and how to handle this agent safely. Phenomenology approach of qualitative study was conducted to get illustration regarding family experience in managing care of patient receiving oral chemotherapy. Data was collected by semi structured interviewed. Study gathered from 10 participants who meet criteria. The current study showed that three temathic item related to how they manage care to their family’s member. Those are 1) Lack of knolwedge about oral chemotherapy, 2) Confusing in handling safe oral chemotherapy and 3) lack of ability in caring patients when  side effect appeared and following adherence. These three things are considered lacked by the patients.  Therefore, health care professional especially nurses are expected to give more education and attention about administering oral chemotherapy agents, safe handling, adherence and managing side effects  both of in clinical and home setting. Multi-component interventions that include education, equipment, and technology can improve compliance with oral chemotherapy and will help families to secure and provide the appropriate affection to them.ABSTRAKPenggunaan kemoterapi oral semakin meningkat saat ini. Keluarga yang secara langsung terlibat dalam merawat pasien harus menyadari efek samping dan cara menangani terapi ini dengan aman. Penelitian kualitatif dengan pendekatan fenomenologi dilakukan untuk mendapatkan gambaran mengenai pengalaman keluarga dalam mengelola perawatan pasien yang menerima kemoterapi oral. Data dikumpulkan secara semi terstruktur melalui wawancara. Penelitian ini terdiri dari 10 partisipan keluarga yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan  terdapat tiga tema terkait bagaimana keluarga merawat pasien dengan oral chemotherapy di rumah. Ketiga tema tersebut adalah 1) kurangnya pengetahuan keluarga tentang oral kemoterapi, 2) kebingungan keluarga dalam penanganan keamanan oral chemotherapy dan 3) ketidakmampuan keluarga dalam menangani efek samping dan menjaga kepatuhan. Ketiga hal ini dianggap masih belum bisa dilakukan oleh keluarga dan membutuhkan bimbingan serta informasi dari petugas kesehatan. Oleh karena itu, petugas kesehatan professional terutama perawat diharapkan dapat memberikan edukasi dan perhatian yang lebih kepada keluarga  tentang bagaimana pemberian kemoterapi oral yang baik, penanganan yang aman serta peningkatan kepatuhan dalam menjalani perawatan. Memberikan intervensi multikomponen yang mencakup pendidikan, peralatan pendukung, dan teknologi dipercayai dapat meningkatkan kemampuan dalam perawatan dan kepatuhan dalam menjalani kemoterapi oral, sehingga  dapat membantu keluarga untuk memberikan rasa aman dan kasih sayang yang kepada pasien.