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Chronic Energy Deficiency (CED) in women of childbearing age, to be precise at the age of 15 - 45 years may occur since adolescence which continues during pregnancy and breastfeeding. This can occur as a result of low energy and nutrient reserves. The long-term impact is anemia and low birth weight. This study aims to determine the effect of giving biscuits made from pumpkin seeds on hemoglobin (Hb) and zinc status (Zn) in pregnant women who experience chronic energy deficiency in Bone Regency, South Sulawesi. The experimental research was conducted with a pre test - post test design involving pregnant women in CED. The research subjects consisted of 22 people in the intervention group and 28 in the control group who were selected purposively. Data were analyzed using paired t-test, paired two-sample t-test, Mc. Neymar test and Chi-Square test. The results of the study found that there was an increase in mean hemoglobin levels in both groups in the pre and post test, but the increase that occurred was not statistically significant in the intervention group (p> 0.05). In contrast, a significant increase in Hb levels (p <0.05) occurred in the control group (p = 0.020). Regarding zinc status (Zn), based on the results of the study, there was no change in zinc status before and after the intervention, both in the intervention group and the control group (p> 0.05). Referring to the results obtained from the study, it can be concluded that there is no effect of pumpkin seed biscuits on hemoglobin levels and zinc status of pregnant women who suffer from chronic energy deficiency. [ABSTRACT FROM AUTHOR]

Objective: This study aims to analyze the leadership function of midwives who collaborate with nurses in postpartum services on the coverage of postpartum services in community health centers. Methods: The study design used a descriptive-analytic, cross-sectional approach. The research subjects were 30 midwives who served in maternal health services. Collecting data using a questionnaire which includes 4 indicators of leadership functions, namely directive, consultative, participatory, and delegative functions. For the coverage of postpartum services, namely the frequency of visits by postpartum mothers 4 times, and the need for IEC and health promotion. Results: The significant relationship between leadership and coverage in postpartum services was directive function (p=0.002), consultative function (p=0.042), participatory function (p=0.000), and delegation function (p = 0.028). The most significant correlation was the participatory function with an OR value of 8,011 (95% CI = Lower 1.315 - Upper 21.052). Conclusion: It was found that the four leadership functions of midwives were significantly related to the coverage of postnatal care. Practical implications in the future require strengthening organizational culture factors and empowering community behavior in accessing services and making use of available health information.. [ABSTRACT FROM AUTHOR]

This study aims to determine the effectiveness of walnut extract (Canarium indica) and metformin in reducing blood sugar level of Wistar rats (Rattus norvegicus) induced by alloxan. Experimental research was conducted with pre-post test control group design. The sample in this study were 28 rats induced by alloxan to become hyperglycemic. The test animals were divided into four groups, each consisting of seven: negative control (Na CMC 1%), positive control (metformin 150 mg/kg BW), walnut extract group 300 mg/kg BW (60mg/200gr BW), and extract 600 mg/kg BW (120mg/200gr BW). The intervention was given walnut extract for 21 days. Blood sugar level was analyzed using Autocheck Multi-Monitoring System on day 0, day 3, day 6, day 24, and day 27 and analyzed using spss with paired t-test and ANOVA test. This research was conducted with the permission of the Ethics Committee of the Hasanuddin University Faculty of Public Health with number: 2584 / UN.4.14.1 / TP 01.02 / 2020. The results showed a significant reduction in fasting blood sugar level in all groups (p <0.05). There was a significant decrease in blood sugar level between the four groups (p = 0.006). The highest reduction in blood sugar level was in the extract group 600mg/kg BW (301.0 mg/dl), then positive control(KP) group (metformin 150mg/kg BW) (288.5 mg/dl), extract 300 mg/kg BW (247.71 mg/dl), and the lowest decrease in thenegative control(KN) group (Na CMC 1%) (41.55 mg/dl). In this study, found no significant differences between walnut extract and metformin in order decrease blood fasting glucosa level. In conclusion walnut extract has the same effectiveness as metformin. The intervention of walnut extract for 21 days was able to reduce blood sugar level in alloxan-induced hyperglycemic rats, starting with a dose of 300mg/kg BW to 600mg/kg BW. [ABSTRACT FROM AUTHOR]