Background: Adolescents are a window of opportunity for future development, so it is necessary to invest in the health and welfare of adolescents in accordance with the Adolescent Nutrition Program launched by the Indonesian government to adjust the Sustainable Development Goal at the UN meeting with a communication strategy for social change and adolescent behavior. Methods: This study used a quantitative design with 196 respondents whose samples were taken with probability sampling techniques in the form of simple random sampling. Physical activity data was taken from the International Physical Activity Questionnaire (IPAQ), data on knowledge of nutrients obtained from the Self Administere Qustionnaire (QuesCa) and intensity of fast food consumption obtained from the Food Frequency Questionnaire while nutritional intake through 24-hour food recall form. Data analysis used multiple linear regression with SPSS 25 statistical tools. Results: Based on the t test, it was concluded that there was an effect of physical activity and knowledge of nutrients with a significance value of 0.000 for each of the two variables. While the intensity of fast food consumption has a significance value of 0.968 (more than 0.05) which concludes that there is no effect of the intensity of fast food consumption on nutritional intake. Nutrient knowledge is the factor that most influences nutrient intake with a t-statistic of 5.941. Conclusions: In this study, it was concluded that there was an effect of physical activity and nutritional knowledge on nutritional intake, while the intensity of fast food consumption did not affect nutritional intake. The dominant factor affecting nutritional intake in this study was nutritional knowledge.

Not mandatory

Background: Constipation in cancer patients on chemotherapy is common (31.7%), worsened by medication side effects. Laxatives worsen symptoms, prompting exploration of alternative therapies like acupressure, particularly in pediatric cases. Indonesian National Hospital research assesses acupressure effectiveness in managing chemotherapy-induced constipation. This study aims to identifying the effectiveness of acupressure therapy in pediatric cancer patients with constipation. Methods: experimental research methods on cancer children with the health problem of constipation. Results: Before receiving acupressure therapy, the average patient had not defecated for 81 hours. Changes occurred after therapy, namely patients experienced defecation an average of 9.2 hours. Conclusions: The changes show that acupressure therapy is very significant in reducing constipation.

Background: Skeletal Muscle Mass (SMM) and strength are crucial for children health, and low SMM can lead to adverse health outcomes. A deficiency of essential minerals can cause poor growth, fractures or osteoporosis. The study aimed to explore the relationship between serum Calcium (Ca), Copper (Cu), and Magnesium (Mg) levels and SMM in Chinese children. Methods: 466 primary school children were recruited for a cross-section study aged 6-11 in Guangzhou City, South of China, from December 2015 to February 2017. The study conducted whole-body dual-energy x-ray absorptiometry (DXA) scans using the Hologic discovery W to obtain the Total skeletal mass (TSM) and appendicular skeletal mass (ASM) were calculated, which were used as parameters to calculate variables of Skeletal muscle mass (SMM). Results: Of the 466 primary school children, 266 were boys and 200 girls with mean ages of 8.00±1.00 years for boys and 8.08±0.97 years for girls. An increase in mean Cu serum concentration between the T1 and T3 in girls resulted in 3.19% (P- trend =0.034, P-diff =0.083), 3.57% (P- trend =0.037, P-diff=0.083), 2.44% (P- trend =0.018, P=diff=0.060) and 2.25% (P- trend =0.024, P-diff= 0.072) for ASM/Height, ASH/ Weight, TSM/ Height and TSM/ Weight respectively. No significant mean difference was observed between serum Cu and ASM, TSM, ASM/ AFM and TSM/TFM (P- trend >0.05). A significant mean difference in serum Mg levels and ASM/ AFM for the total and boys group was observed, with 6.68% and 9.44% (P- trend =0.042 and 0.041) respectively. No significant mean differences were seen between all the variables of serum Ca levels and all the variables of skeletal muscle mass and strength. Conclusions: Serum copper levels influence the development of SMM in girls, but not in boys. Serum Ca and Mg level in girls and boys do not influence SMM development among children aged 6-11.

Background: Cardiac surgery becomes one of surgical procedure that has potential for develop several complications including surgical site infection (SSI). Despite the case is still very common, SSI can be regarded as the most preventable, especially when the treatment approach used, because there are many risk factors associated with the target. This systematic review aims to assess the effectiveness of interventions strategies used to reduce the incident of SSI in cardiac surgery. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines provide a standardized framework for conducting and reporting systematic reviews. A comprehensive search was conducted across major electronic databases, The following database were PubMed, Scopus and ProQuest. The inclusion criteria were clinical and a randomized control trial published between 2018 to 2023. The primary outcome measure was SSI rates. Results: The studies encompassed diverse perioperative intervention strategies, such as pre operative nasal ointment, pre operative showering and shaving, chlorhexidine mouthwash, and negative pressure therapy. In total, 436.762 articles regarding SSI prevention strategies in cardiac surgery were found in this study. However, around 7 articles that were met with the criteria of this study. Conclusion: Actions to reduce the incidence of SSI are carried out at all perioperative stages. The action taken was modifying the intervention and also using additional therapy carried out by health workers.

This article discusses the impacts, implications and challenges of accelerating maternal mortality rates in Indonesia. Maternal Mortality Rate (MMR) in Indonesia is still a serious public health problem. MMR in Indonesia shows a downward trend throughout the 1991-2015 period. However, in 2012 the infant mortality rate increased again and then fell in 2018. Even though it shows a decline, the MMR in Indonesia is still relatively high and still above the MDGS target of 102 per 100,000 live births. MMR in Indonesia in 2021 compared to 2020. The impact of a high MMR is a decline in the productive and competitive workforce, a decline in social welfare and poverty, a decline in life expectancy and quality of life in society, a decline in fertility rates and population growth, which can affect the demographic structure and demographic bonus. and declining reproductive and nutritional health status of women and children. Meanwhile, the implications arising from a high MMR are implications in terms of health, social, economic and development status. The challenges faced by Indonesia in reducing MMR are the low health budget allocation, the lack of health facilities and personnel, low access to PONED (Basic Emergency Neonatal Obstetric Services) and PONEK (Comprehensive Emergency Neonatal Obstetric Services) facilities, high disparities in socio-economic levels, and low awareness and healthy living behavior in the community. The conclusion of this short article about the maternal mortality rate in Indonesia is that the maternal mortality rate in Indonesia is still high and has not yet reached the Sustainable Development Goals (SDGs) target set by the UN, namely 70 per 100,000 live births in 2030. This article recommends Reducing MMR requires comprehensive and collaborative efforts from all parties, including central and regional governments, health institutions, civil society organizations, academics, media and society.