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The study purpose was to analyse the training load and recovery of experienced and inexperienced swimmers with disabilities. Materials and methods. The study subjects consisted of seven swimming athletes with disabilities at the provincial level who underwent training camps in preparation for the Indonesia Paralympics Games. The groups of athletes were divided based on their level of training and experience in national championships. For thirteen weeks, the athletes monitored their training load and recovery rate. Borg CR-10 was used to measure the internal training load, while the athlete’s recovery rate was measured using Total Quality Recovery (TQR). IBM SPSS Statistics version 22 was used to analyse normality and test differences between the two groups. The Mann-Whitney test was used to test the significance of the RPE Borg CR-10, while the unpaired T-test was used to test the significance of the TQR. Results. The Borg CR-10 mean for the experienced athlete group was 7.78±0.47, while it was 8.28±0.56 (p0.05) for the inexperienced athlete group. Furthermore, the Borg RPE shows the training load of experienced athletes of 17.12±1.03, which is lower than the average RPE of inexperienced athletes of 18.21±1.24, and also the TQR average of experienced athletes was of 18.24±1.47, while it was of 18.52 ±1.55 (p

The prevalence of DM patients in Indonesia in 2013 has increased compared to 2007. The non- adherence of patients in undergoing treatment therapy is one of the drug therapy problems (DTP) that needs special attention. The purpose of the study was to obtain the results of an analysis of direct and indirect relationships related to knowledge, attitudes, family support, and adherence to taking medication for blood glucose levels in patients with DM of type II. Research with correlation analytic research design, with a population of all DM patients of type II with outpatient care in the Sleman region, DIY, were 530 people. The sample was determined by the proportionate stratified random sampling technique of 119 people. The independent variables include knowledge, attitude, family support, while the dependent variable is blood glucose levels in patients with DM of type II and the intervening variable is adherence with taking medication. This study uses path analysis techniques. The results of this study draw conclusions, knowledge, attitudes, family support and medication adherence to DM patients with directly influence blood glucose levels. Apart from knowledge, attitudes and family support through adherence to taking drugs indirectly affect blood glucose levels.

Kasus Leptospirosis di Kota Semarang selalu mengalami peningkatan. Puskesmas Bandarharjo adalah Puskesmas yang wilayahnya merupakan zona rawan Leptospirosis. Tahun 2015, di wilayah Puskesmas Bandarharjo ditemukan 22 kasus Leptospirosis, meningkat dari tahun sebelumnya yaitu 14 kasus pada tahun 2014. Kasus Leptospirosis tersebut paling banyak terjadi di Kelurahan Tanjung Mas. Fakta ini menempatkan Puskesmas Bandarharjo tertinggi kasus Leptospirosis di kota Semarang. Wilayah ini termasuk endemis, karena wilayah ini merupakan daerah rawan banjir dan merupakan daerah yang sering terdampak rob (kawasan rob). Banyak genangan air pada musim penghujan maupun akibat rob menyebabkan banyak selokan-selokan yang menggenang, sampah-sampah menumpuk yang menjadi tempat berkembangbiaknya tikus. Studi awal oleh tim pengabdi, diketahui bahwa tingginya kasus penyakit Leptospirosis di wilayah tersebut selain karena faktor lingkungan yang rawan banjir dan rob, juga dipengaruhi oleh perilaku masyarakat yang belum menerapkan pola hidup bersih dan sehat. Pengetahuan masyarakat yang kurang tentang penyakit Leptospirosis. Penyakit ini penting untuk diketahui secara lengkap oleh masyarakat serta harus mendapatkan prioritas dalam pengendalian dan pemberantasannya terutama menjelang musim hujan tiba dan khususnya pada wilayah-wilayah rawan terjadi banjir. Pembentukan pos informasi Leptospirosis di kawasan terdampak air rob dipilih sebagai bentuk inovasi pola pemberian informasi kepada masyarakat. Pos Informasi Leptospirosis ini sebagai wadah komunikasi dan informasi kesehatan dengan konsep pengembangan masyarakat dalam rangka penanggulangan Leptospirosis di kawasan rawan banjir dan kawasan terdampak air rob. Pos Informasi Leptospirosis menjadi pusat kegiatan penyebaran informasi penyakit Leptospirosis di masyarakat. Hasil evaluasi kegiatan Pos Informasi Leptospirosis telah mampu meningkatkan peran Kader Kesehatan dalam edukasi masyarakat, dapat meningkatkan pengetahuan, serta kesadaran masyarakat dalam menerapkan perilaku hidup bersih dan sehat serta dapat meningkatkan kewaspadaan terhadap bahaya penyakit Leptospirosis.

Indonesia which is a developed country, has community health issue, as nowadays face a double concern of nutrition problem. Based on the data in 2007 to 2010, over nutrition prevalence on children under five years was 14.0%, increase from condition in 2007 which was 12.2%, aligned with poor and malnutrition prevalence. Programs applied has not resulted nutrition status improvement as expected. The problem in this research is how does the effectiveness of community empowerment optimalization model in the effort to improve nutrition status. Qualitative approach is used to evaluate model implementation, with focus of the research is model implementation based on the input, process and output. Respondents are determined by purposive technique. While the instruments are observation guide, interview guide, and FGD guide. Analysing Technique by Miles and Huberman model. The quantitative approach, to assess model effectiveness, with data-fill form intrument. The calculation is viewed from number increase and effectiveness criteria from Sugiyono. Local potential optimalization in the effort to improve nutrition status indicate effectiveness criteria (60%), This activity could not result maximum effectiveness level due to the leadership style tends to paternalistic which is dominated by otoritarism, causing community empowerment by cadre members and Family Welfare Program which are the potential that will be utilized can play maximum role.

ABSTRACT Kelompok usia reproduksi terbagi dalam tiga fase yaitufase menunda kehamilan (30 tahun). Cara yang ditempuh yaitu dengan pemakaian kontrasepsi.baik MKJPmaupunnon MKJP. Tujuan penelitian ini adalah untuk mengetahui ada atau tidak perbedaan pemilihan kontrasepsi MKJP dan non MKJP berdasarkan efek samping pada dua kelompok usia reproduksi. Penelitin ini menggunakan desain cross sectional, pengambilan data dengan kuesioner. Sampel dalam penelitian ini adalah akseptor KB baik MKJP maupun non MKJP pada bulan april sampai juni sebanyak 200 responden, dimana tekhnik pengambilan datanya dengan random sampling dan kuota sampling. Hasil penelitian kemudian diuji dengan mann-whitney test.Hasil penelitian dengan uji mann whitney test diperoleh p = 0.662 dengan kata lain p > α (0.05) yang berarti tidak ada perbedaan pemilihan MKJP dan non MKJP berdasarkan efek samping di Wilayah Kabupaten Semarang. ABSTRACT Reproductive-age category can be divided into three groups which are the group of delayed interval pregnancy (less than 20 years old), the group of intervalcontrol pregnancy (20 to 30 years old), and the group of high risk pregnancy (more than 30 years old). An alternative to avoid high risk pregnancy is by using contraception tool namely long-term contraception (MKJP) and non long-term contraception (non MKJP).The purpose of this research is to analysedwhether there are differences in choosing MKJP and non –MKJP based on side effects in the two reproductive-age groups.This research was an explanatory research with cross-sectional design. The population were all women of contraception acceptors in Semarang Regency.The samples were 200 respondents, used simple random sampling and quota sampling. This research used quisionaire instrument and analyze used mann whitney test (α=0,05). Theresult showed thatP = 0,662 meaning P > α = 0.05 which means there is no difference in choosing MKJP and non-MKJP based on side effects in the two reproduction-age groups in Semarang regency.

ABSTRACT SUN (Scalling Up Nutrition) merupakan upaya global dalam rangka rencana aksi percepatan perbaikan gizi salah satunya menanggulangi balita stunting fokus pada 1000 HPK. Stunting merupakan prevalensi tertinggi di Wilayah kerja Puskesmas Sirampog di Kabupaten Brebes, ini menunjukkan bahwa kualitas pelayanan kesehatan masih rendah. Tujuan penelitian ini adalah untuk mengevaluasi penatalaksanaan status gizi balita stunting dengan unsur input, proses dan output. Penelitian ini merupakan penelitian kualitatif. Informan awal ditentukan dengan teknik purposive sampling. Metode pegumpulan data melalui wawancara mendalam, observasi dan dokumentasi terhadap 6 informan awal yang terdiri dari kepala puskesmas, bidan koordinator KIA, koordinator gizi, bidan desa, kader dan ibu balita sasaran. Dua informan triangulasi yang terdiri dari koordinator kesehatan kelurga dan koordinator gizi Dinas Kesehatan Kabupaten. Hasil penelitian menunjukkan pada tahap input yaitu tenaga kesehatan yang terlibat masih memerlukan tambahan, belum ada tenaga gizi. Pada unsur proses, sebagian program terlaksana dengan baik meliputi program sehat bagi wanita hamil, pemberian ASI Eksklusif, pemantauan tumbuh kembang, pemberian makanan tambahan, pemberian vitamin A kecuali program pemberian taburia. Pada unsur output, cakupan prevalensi stunting di Puskesmas Sirampog Kabupaten Brebes tahun 2015 sebesar 16,74 %. ABSTRACT SUN (Scalling Up Nutrition) is the global efforts from all shorts of countries in the framework of program attractive speeding up of nutrition improvement one of them to cope with baby of stunting focused to 1000 HPK. Stunting is highest prevalency in estate work clinik of sirampog brebes, this is indicate that quality of health treatment is too low. The porpose of This research is to evaluate management status nutrition of baby stunting included unsure input, proses and output.. This research is the qualitative reseearch in estate work clinik of sirampog brebes. Initial informant determined by purposive sampling. Methods of collecting data obtained through in-depth interviews, observation and document aboutfirst 6 top informant including heads of health centers, coordinator of midwives KIA, coordinator of nutrition, midwives of village, cadre and postpartum mother and two informants triangulation consisting coordinator of family health and nutrition coordinator health center official. The yield of research indicated that at input stage is health staff involved need more addition in order to program run with optimal, no one nutrition staff, In the process, part of program carried out comprises health program for pregnancy, Giving ASI, monitoring of growing, giving and addition food, giving vit A except giving taburia doesn’t good integreted in duty. At the output,scope of stunting prevalensi in clinik center sirmpog brebes at 2015 amount 16,74%.

Abstrak Pelayanan gizi rumah sakit merupakan bagian yang sangat vital dari sistem pelayanan paripurna terhadap pasien di rumah sakit.Pelayanan gizi diberikan agar pasien mencapai kondisi yang optimal dalam memenuhi kebutuhan giziataupun mengoreksi kelainan metabolisme. Penelitian ini mengenai bagaimana peran petugas gizi dalam memberikan pelayanan asuhan gizi kepada pasien rawat inap di RSUD dr. R. Soetrasno Kabupaten Rembang. Jenis penelitian adalah penelitian observasional dengan pendekatan kualitatif yang mendekripsikan objek dengan mengamati, melakukan wawancara serta mencatat bagaimana petugas gizi memberikan pelayanan asuhan gizi. Data sampel diambil secara purposive sampling dengan jumlah responden 7 orang. Petugas gizi sudah melaksanakan dengan baik sesuai dengan perannya yaitu melakukan monitoring dan evaluasi pasien terhadap dampak asuhan giziserta melaporkan hasil asuhan gizi kepada dokter atau tenaga kesehatan lain. Perlu pembentukan tim terapi gizi tersandart dengan melibatkan tenaga kesehatan lain agar pelayanan gizi rumah sakit lebih optimal. Abstract The hospital nutrition care service is a vital part of the plenary service system to the patients in the hospital. Nutrition care services given to patients in order to achieve optimal conditions in fulfillment of nutritional needs or correcting metabolic abnormalities.This study was conducted to answer whether the role of nutritionists in providing nutrition care services to inpatients in dr. R. Soetrasno hospital, is in accordance with hospital nutrition care service or not.This study was an observational study using qualitative approach, that described object by observing, interviewing and making notes about how is the role of nutritionists. Data was taken using purposive sampling with 7 respondances.Nutritionists already performed their duties properly by doing evaluation to the inpatients and report the results of nutrition care services to the doctor or other health professionals. Hospitals need to create a qualified nutritional therapy team, involving other health professionals.

Severe malnutrition may increase the risk of mortality, morbidity from infectious diseases, and delayed physical likewise cognitive development. The incidence of severe malnutrition in Cilacap in 2013 was 112 cases and increased in 2014 to 116 cases. Therefore, it was necessary to know and analyze the implementation of severe malnutrition management, in terms of input, process, and output components. This study used qualitative research, using case study design on 6 informants selected with eligibility criteria. Data collection was conducted by observation, in-depth interviews, and document studies. Validity test was done with triangulation. Data were analyzed with Miles and Huberman analysis model. It showed that the management of severe malnutrition was good enough. It could be seen from the input components (the number of health volunteers and the infrastructure facilities have been fulfilled, while the number of nutrition officers was still less and their role have not been well implemented), the process components (preparation stage was good, while organizing has not well structured, implementation and severe malnutrition service flow have not well run as procedure), and the output components (malnourished children under five have treated for 3 months and there was an improvement to better nutritional status).

Obesitas merupakan suatu keadaan yang melebihi dari berat badan relatif seseorang sebagai akibat penumpukan zat gizi terutama karbohidrat, lemak dan protein. Obesitas pada anak sekolah merupakan masalah serius karena akan berlanjut hingga usia dewasa serta merupakan faktor risiko terjadinya penyakit metabolik dan degeneratif. Upaya pencegahan dan terapi obesitas pada anak dapat dilakukan dengan cara pengaturan diet, peningkatan aktifitas fisik dan mengubah pola hidup atau perilaku. Penelitian ini bertujuan mengetahui pengaruh penggunaan media Diary TERATAS (Terapi Anak Obesitas) yang berisi pedoman dan rekam jejak diet terhadap perubahan perilaku gizi pada siswa sekolah dasar. Jenis penelitian ini adalah penelitian pra eksperimen dengan rancangan one group pre-test post-test design. Populasi penelitian ini adalah semua siswa kelas 5 SD Islam Al Azhar 14 Kota Semarang yang masuk dalam kategori obesitas. Pada penelitian ini digunakan total sampling. Jumlah responden adalah 32 siswa. Analisis data dilakukan secara univariat dan bivariat (wilcoxon). Dari hasil penelitian didapatkan hasil signifikansi antara nilai pre-test dan post-test adalah 0,000. Nilai p (0,000) < 0,05, maka pemberian media Diary TERATAS (Terapi Anak Obesitas) mampu mengubah perilaku gizi siswa di SD Islam Al Azhar 14 Kota Semarang. Obesity was a condition when the body weight of a person was more than the relative body weight as the result of the accumulation of nutrients especially carbohydrate, fat and protein. Obesity in school children was a serious problem since it would continue until they were adult and it was also the factor of metabolic and degenerative disease. The prevention and control of obesity in school children could be done by putting them on diet, increasing their physical activities, and changing their life styles or their behaviors. This study aimed to determine the effect of the use of “Diary TERATAS” (Terapi Anak Obesitas) which contained the guidance and track records of diet in changing nutritional behavior of elementary students. This research was pre-experiment research with one group pre-test post-test design. The population was 5th graders of Islamic Elementary School of Al Azhar 14 Semarang with obese category. It used total sampling with 32 students as respondents. Data analysis used univariate and bivariate (Wilcoxon). From the research, it showed significance between the pre-test and post-test was 0.000. P-value (0.000)

Penelitian ini bertujuan untuk mengetahui profil serta perbedaan status gizi balita yang bertempat tinggal di wilayah pantai dan punggung bukit. Jenis penelitian adalah Deskriptif kuantitatif dengan pendekatan Cross Sectional.Pengambilan sampel menggunakan teknik insidental sampling yang bertempat tinggal di wilayah pantai kecamatan Mlonggo dan wilayah punggung bukit kecamatan Kembang Kabupaten Jepara.Sampel penelitian berjumlah 30 balita wilayah pantai dan 30 balita wilayah punggung bukit. Hasil uji Mann-Whitney diperoleh hasil signifikansi p-value 0,59 untuk status gizi balita, p-value 0,51 untuk Tingkat Konsumsi Energi, p-value 0,02 untuk Tingkat Konsmsi Protein, p-value 0,48 untuk tingkat ketersediaan pangan sumber energi dan p-value 0,25 untuk tingkat ketersediaan pangan sumber protein. Terdapat perbedaan Tingkat Konsmsi Protein balita dan tidak terapat perbeaan pada variabel status gizi, tingkat konsums energi, tingkat keterseiaan pangan sumber energi, dan tingkat ketersediaan pangan sumber protein antara wilayah pantai dan wilayah punggung bukit di Kabupaten Jepara tahun 2013. This study aims to determine the profile and differences in nutritional status of toddlers who reside in coastal and ridge areas. This research was a descriptive quantitative with Cross-sectional approach. Sampling was done by incidental sampling technique. The population in this study were toddler who reside in coastal areas of Mlonggo Districts and who reside in ridgeareas of Kembang districts in Jepara. The samples were 30 toodler in coastral area and 30 toddlers in ridge area. Results of Mann-Whitney test obtained p-value 0.59 for the nutritional status, p-value 0.51 for Energy Consumption level, p-value 0.02 for Protein consumption Levels, p-value 0.48 food availabilityof energy sources and the p-value of 0.25 food availability of protein sources. There was a difference of protein consumption toddler and there was not difference nutritional status, Energy Consumption level, food availabilityof energy sources level, food availability of protein sources level on Jepara in 2013.

The purpose of this study was to determine the relationship between the characteristics of individuals with jumantik cadres practices in dengue PSN in the Sampangan Village. This research is explanatory research using cross sectional design. Samples numbered 49 in the RT-level cadres jumantik Urban Village Sampangan taken with samples Total Samples techniques. The instrument used was a questionnaire sheet and statement of village resident. Data were analyzed using Chi square test and Fisher's exact test. The results showed that variables relationship is long task (p value = 0.012). There were no relationship between variables age (p value = 0.665), education level (p value = 0.492), employment status (p value = 0.287), per capita family income (p value = 1), how to become a cadre of (p value = 0.278), training (p value = 0.760), and knowledge (p value = 0.363). Suggestions is to improve coordination and regular meetings with the cadre of jumantic for healthy center, give reward for jumantic of cadre for healthy service.