Background: bserving plate waste is categorized as a simple way but yet still needs evaluation. When many foods are wasted, a dietitian should quickly respond and know the best way how to overcome the matters. There are three accurate ways to determine plate waste: plate waste weighing, visual estimation, and 24 hours recall. The application of each method really depends on its purposes. According to previous researches there are significant and positive correlations between the visual estimation of Comstock Scale and plate waste weighing. Visual estimation, moreover, has more advantages as it is easy to apply, cheap, and less time consuming. Considering those advantages, visual estimation needs to be socialized and considered as a new accurate method besides weighing methods.Objective: The objective of this study is to know the medical official accuracy in determining plate waste using visual estimation of 6 point Comstock Scale.Methods: An observational study was conducted using a cross-sectional design. Subjects were nurses and meal servants from hospital wards. Before the meal served to the patient the food is weighed, than the observers officer has to observed portion sized. After the patient having meal, plate waste should be estimated using Comstock Scale by the officer after that the plate waste have to be weight to know the actual weigh. The accuracy difference between two groups in determining plate waste using Comstock Scale were analysed with t-test.Results: There was significant differences of accuracy (p=0.01) between nurse group and meal servant in estimating wasted rice and wasted meat (p=0.02). The difference were not due to the job factor but the significant of various meal (p=0.0001). The work experience is a significant factor in the accuracy of plate waste (p=0.42). There was no correlation between kind of job and kind of meal (p=0.47), and kind of meal with the work experience (p=0.79).Conclusion: Visual estimation of 6 point Comstock scale could be used by both nurses and meal servant in determining plate waste.

Hyperuricemia (high levels of uric acid in the blood) can cause a buildup of monosodium urate crystals. Sudden increase may lead to gout attacks. Consumption of an unbalanced diet, intake of proteins containing high purine is one of the factors that affect gout arthritis. Based on data from medical records at the hospital Mohamad Palembang Hoesin and increase in the number of visits patients with gout, the cumulative incidence of gout reached 22 % after 5 years, the uric acid levels > 9 mg / dL. One of the efforts to help clients change behavior and accelerate the healing process that nutritional counseling is conducted face to face using leaflets media. The purpose of this study was to determine the effectiveness of low-purine diet counseling against uric acid levels in gout patients who were treated at the Hospital dr. AK Gani Palembang. Is a quasi-experimental study design, this study indicated that nutrition counseling with low-purine diet will help to change the behavior of people with gout in the diet to accelerate the reduction in uric acid levels. The average reduction in uric acid levels after being given a lowpurine diet counseling that is equal to 1.6 mg/dL and concluded that giving low-purine diet counseling are effective in lowering uric acid levels in patients with gout. Based on these results, low-purine diet counseling should be offered to patients with gout in an effort to motivate behavior change and reduction in uric acid levels. Nutrition counseling with Low-purine diet in patients with gout can change the eating habits of patients who eventually decreased the levels of uric acid.

Background : Wasting is a lack of weight for height so that the child body is not proportional (low weight for height). Data obtained from UNICEF/WHO/World Bank Group ini 2017 shows that in 2016 the prevalence of wasting was 7,7%. The high prevalence is still needed, one of which is the provision of additional food. Purple potatoes (lpomoea batatas var A) is a type of tubers high in energy sources for the body while tempeh is a source of protein that is easily digested by the body. So both of these foods can be used as a modification to provide additional food for children under five. This pre test and post test research with control group Purpose : aims to determine the effect of PMT fitbar bingu (purple sweet potato) on weight changes of under five wasting at under five wasting at Sako Health Center, Palembang City. Methods :The research is toddlers who are weighed at Sako Health Center and wasting totaling 93 people. Data collection was carried out using digital scales, microtoice, and a 24 hour recall form. The data analysis used was univariate and bivariate analysis.The results showed that some of the respondents were male 61,6% with age 18-57 months. From the result of statistical tests, the avarage body weight in the treatment group was 10,18 kg to 11,12 kg, while the comparison avarage body weight was 10,51 kg to 10,61 kg. The difference in body weight change in the treatment group was 0,24 kg while the comparison group was 0,10 kg, with the results of statistical tests (t independent p value = 0,000) Conclusioin : changes in weight of wasting children at Sako Palembang Health Center. Suggestion: Further research needs to be done to see changes in the nutritional status of children by giving additional food with a fitbar for a longer time so that it will look more significant.

Diabetes Mellitus merupakan penyakit metabolik yang ditandai dengan hiperglikemia sebagai akibat dari defek sekresi insulin, kerja insulin atau keduanya. Diabetes Mellitus disebabkan karena tidak seimbangnya asupan makanan sehingga meningkatkan kadar glukosa darah. Makanan camilan dengan indeks glikemik rendah dan tinggi serat dibutuhkan untuk penderita DM. Tujuan penelitian ini yaitu untuk mengetahui pengaruh pemberian puding d’bingu terhadap penurunan kadar glukosa darah pada penderita DM di Puskesmas Sosial Palembang. Jenis penelitian ini adalah penelitian kuantitatif dengan desain quasi eksperiment. Analisa data ini menggunakan paired t-test dan t-independen.Hasil penelitian menyatakan sebagian besar kelompok perlakuan rata-rata asupannya kurang yaitu asupan energi 50%, karbohidrat 50% dan serat cukup 66.7%. Sedangkan pada kelompok kontrol asupan energi 53.3%, karbohidrat 60%, dan serat 46,7%. Rata-rata kadar glukosa darah sebelum pada kelompok perlakuan 275.17 mg/dl dan kelompok kontrol 263.77 mg/dl sedangkan rata-rata kadar glukosa darah setelah pada kelompok perlakuan 221.87 mg/dl dan kelompok kontrol 250.03 mg/dl. Perbedaan kadar glukosa darah sebelum dan setelah kelompok perlakuan yaitu p-value 0.000 dan kelompok kontrol yaitu p-value 0.011. Ada pengaruh pemberian puding d’bingu terhadap penurunan kadar glukosa darah dengan p-value 0.000. Kesimpulan yang didapat adalah puding D’bingu dapat menurunkan kadar glukosa darah pada penderita DM Tipe 2 di Puskesmas Sosial Palembang.

Latar Belakang: Dislipidemia adalah kelainan metabolisme lipid yang ditandai dengan peningkatan maupun penurunan fraksi lipid dalam plasma. Dislipidemia dapat disebabkan karena faktor genetik, usia, jenis kelamin, asupan zat gizi dan merokok. Abnormalitas kadar lipid dalam darah merupakan salah satu faktor risiko timbulnya penyakit kardiovaskular dan metabolik. Penatalaksanaan dislipidemia mencakup terapi farmakologis dan non farmakologis yang dapat didukung melalui pemberian konseling gizi. Tujuan: Tujuan penelitian ini untuk mengetahui adanya pengaruh pemberian konseling gizi terhadap perilaku pasien dislipidemia yang mendapat booklet dan leaflet di RSI Siti Khadijah Kota Palembang. Metode: Desain penelitian adalah quasi experiment dengan rancangan penelitian pretest dan posttest. Penelitian dilakukan pada bulan Januari-Maret 2019. Analisis data menggunakan uji Wilcoxon dan Mann Whitney. Hasil: Pada uji Wilcoxon didapatkan hasil jika konseling gizi pada kedua kelompok sama-sama memberikan pengaruh terhadap pengetahuan, sikap dan tindakan. Berdasarkan Uji Mann Whitney yang dilakukan pada kedua kelompok terhadap pengetahuan didapatkan nilai p sebesar 0,274, terhadap sikap didapatkan nilai p sebesar 0,010 dan terhadap tindakan didapatkan nilai p sebesar 0,065. Kesimpulan: Tidak ada perbedaan peningkatan pengetahuan dan tindakan antara kelompok booklet dan leaflet namun ada perbedaan peningkatan sikap antara kelompok booklet dan leaflet dimana leaflet lebih berpengaruh dalam meningkatkan sikap responden menjadi lebih baik dalam menjalankan diet dislipidemia.