The increasing prevalence and mortality of diabetes require appropriate treatment, one of which is eating arrangements. The snack development for diabetic patients has begun. Previous studies have developed growol, cassava fermented food, into cookies, but growol cookies still have a high glycemic index (GI). Adding inulin to growol cookies is thought to reduce cookies' GI, which will affect the glycemic load (GL). This study examines the effect of adding inulin to the GI and GL of growol cookies. An observational laboratory design was used to assess the GI and GL of modified growol cookies compared to standard foods (glucose). The study was conducted from June to November 2021 and involved 10 healthy subjects. The total area under the curve (IAUC) was used to calculate the GI of modified growol cookies. The GL was obtained by multiplying the GI by the number of available carbohydrates per serving. Independent Sample T-Test was used to analyze IAUC differences between glucose and modified growol cookies with a significant level of 95% (p<0,05). The IAUC for glucose and modified growol cookies was 4830 and 1995, respectively. There was a difference in the IAUC between glucose and modified growol cookies (p= 0,005). Modified growol cookies have a low GI (41) and low GL if consumed as much as 10-40 grams. Based on GI and GL values, modified growol cookies can be used as a snack for people with diabetes.
Background and Objective: Data from Indonesia Basic Health Research (2013) states that the chronic renal failure in Indonesia is increasing, especially in Yogyakarta with the prevalence of chronic renal failure of 0,3%. If the patients of chronic renal failure are in End Stage Renal Disease (ESRD), the kidney needs replacement therapy to help its function. This therapy is called Continuous Renal Replacement Therapy (CRRT) or Hemodialysis (HD). Hemodialysis therapy may influence to the imbalance of oxyhemoglobin in the blood. Patients undergoing hemodialysis may experience intradialytic nausea and vomiting. The objective of this study is to identify whether there is a relationship between pre-dialysis oxygenation status through oxygen saturation (SpO2) and respiratory rate (RR) examination and the intradialytic nausea-vomiting occurrence. Method: This research is a comparative research with analytical cross sectional design. This research was conducted in hemodialysis room in Public Hospital of Panembahan Senopati Bantul. The subject of the research was taken using total sampling, by paying attention to research ethics. The total research subjects are 183 respondents. The researchers measured the oxygen saturation and patients’ respiratory rate and examined the intradialytic nausea and vomiting complaints. Result: The analysis result of Fisher’s exact in this research shows p value of 0,000 both in bivariate analysis of oxygen saturation to the nausea and vomiting occurrence and in bivariate analysis of the respiratory rate to the nausea and vomiting occurrence. The multivariate analysis employing regression logistic shows that the OR of oxygen saturation is 73,57, this means that the measurement of the abnormal oxygen saturation has the chance of seventy three times more to the nausea and vomiting occurrence, if compared to the patients with normal oxygen saturation. Conclusion and Suggestion: Intradialytic nausea and vomiting is one of the causes of the imbalance of oxyhemoglobin. The readiness of pre-dialysis oxygenation status needs to be noticed so that the nausea and vomiting complaints can be anticipated earlier.
Aktivitas fisik pada pasien hipertensi menjadi salah satu penatalaksanaan non farmakologi hipertensi. Sebelum adanya pandemi COVID-19 aktivitas fisik baik di dalam maupun luar rumah tidak dibatasi namun saat pandemi COVID-19 berlangsung muncul kebijakan physical distancing sehingga pasien hipertensi tidak melakukan senam hipertensi seperti sebelum masa pandemi COVID-19 dan pekerjaan hanya dilakukan didalam dirumah. Penelitian ini bertujuan untuk mengetahui perbedaan aktivitas fisik pada pasien hipertensi sebelum dengan saat adanya pandemi COVID-19. Jenis penelitian ini yakni kuantitatif menggunakan metode observasional analitik dengan pendekatan secara cross sectional. Pengambilan sampel menggunakan teknik accidental sampling dengan jumlah sampel yang diteliti sebanyak 74 responden. Pengumpulan data dari google form dan secara langsung dengan menggunakan instrumen International Physical Activity Quesioner Short Form (IPAQ-SF). Analisis data menggunakan McNemar. Hasil uji McNemar dengan nilai ρ value 0,001 (<0,05). Ada perbedaan aktivitas fisik pada pasien hipertensi sebelum dengan saat adanya pandemi COVID-19 di Puskesmas Tegalrejo Kota Yogyakarta
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