Highlights : Medium- and high-risk STRONGkids scores are related with low total lymphocyte count and serum albumin, which are related to hospital malnutrition, albeit indirectly. The use of STRONGkids with total lymphocyte count and serum albumin can detect the risk of hospital malnutrition in children. Abstract : Hospital malnutrition occurs in hospitalized patients who do not consume enough food while their nutritional requirements increase. It occurs particularly in children who have undergone gastrointestinal surgery. Despite the lack of a universal instrument for detecting hospital malnutrition, various parameters can be considered to assist in its identification. STRONGkids has demonstrated its efficiency in detecting malnutrition risk in children. Total lymphocyte count (TLC) and serum albumin are biochemical markers that are related to infection and protein leakage, which can worsen hospital malnutrition. The research objective was to analyze the correlation between STRONGkids and biochemical markers (TLC, serum albumin) to identify hospital malnutrition in children who underwent gastrointestinal surgery. This was a retrospective cross-sectional observational study utilizing medical records. The statistical analysis was conducted using SPSS 21. This study included 37 subjects, with a 24.32% hospital malnutrition incidence rate. The subjects were divided into two groups: hospital malnutrition (n=9) and non-hospital malnutrition (n=28). The STRONGkids of both groups at admission demonstrated a significant difference, while the albumin and TLC did not. The significantly different STRONGkids scores of both groups at admission correlated negatively with the length of hospital stay (LOS), body weight reduction, TLC, and albumin. Those parameters also did not correlate with hospital malnutrition. However, hospital malnutrition increased the risk of low albumin and TLC at discharge by 2.951 and 5.549 times, respectively. In conlusion, TLC and serum albumin cannot be used as independent markers for hospital malnutrition, but STRONGkids can be used in conjunction with TLC and serum albumin to identify hospital malnutrition risk.
Wanita hamil merupakan populasi yang rentan terdampak penyakit COVID-19. Kehamilan dengan COVID-19 memiliki peningkatan risiko untuk terjadi penyulit seperti persalinan preterm. Data per Januari 2021 di RSUD dr. Soetomo Surabaya, menunjukkan kasus kehamilan dengan COVID-19 telah mencapai 140 kasus, di mana 85% adalah warga Surabaya. Tujuan kegiatan ini adalah untuk mengetahui tingkat pengetahun masyarakat terkait COVID-19 pada kehamilan di Kota Surabaya. Metode yang digunakan dalam kegiatan ini adalah penyuluhan digital menggunakan Whatsapp secara individual dilengkapi video kepada kelompok ibu hamil di wilayah kerja Puskesmas Mulyorejo Kota Surabaya. Video berisi materi mengenai kesehatan ibu hamil dan janin di masa pandemi COVID-19, protokol Kesehatan untuk ibu hamil, serta cara deteksi dini COVID-19 pada kehamilan dan kegawatannya. Selanjutnya dilakukan intervensi secara daring dengan peserta mengisi google form pre-test dan post-test sebagai indikator peningkatan wawasan peserta. Hasil dari kegiatan pelaksanaan ini adalah terdapat pengaruh peningkatan pengetahuan ibu hamil mengenai pentingnya menjaga kesehatan kehamilan di masa pandemi COVID-19.
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