Journal of Local Therapy

Optimizing Nutrition Care Using Local Food in Malnourished Children with Measles: A Case Study

Alfiyyatunnisa — 2026-04-30

Introduction: Measles is a viral infectious disease and often accompanied by serious complications in children with malnutrition. Malnutrition and measles have a relationship that worsens each other, so as comprehensive management is needed through integrated nutrition care. Aim: This study aims to describe the application of integrated nutritional care in children with malnutrition and medical diagnosis of measles. Method: The study used a case study design on a 33-month-old inpatient child. Data collection was carried out through anthropometric, biochemical, clinical, and dietary intake assessments, as well as interviews with parents and medical records review during three days of treatment. Results and Discussion: The results of the study showed that the patient experienced acute malnutrition with very low energy and protein intake, accompanied by a clinical condition of measles infection. Nutritional interventions in the form of providing a High Calorie High Protein (HCHP) diet, collaboration with others health workers, and nutrition education to the parents (mother) showed an increase in nutrient intake, improvement in clinical conditions, and early weight gain during the hospitalization period. However, improvements in laboratory parameters have not been seen significantly in a short period of time. Conclusion: Integrated nutritional care plays an important role in supporting patient recovery and needs to be continued on an ongoing basis after the patient is discharged from the hospital.

Formulation and Antibacterial Activity Testing of Face Mist Containing Binahong Leaf Extract (Anredera cordifolia L.) against Propionibacterium acnes

Muhammad Hasan Wattiheluw — 2026-04-30

Acne is one of the common skin problems and is often caused by the bacteria Propionibacterium acnes. Acne treatment with antibiotics can cause side effects, including bacterial resistance. Therefore, this study aims to formulate and evaluate the antibacterial activity of a face mist preparation containing binahong leaf extract (Anredera cordifolia), which is known to have natural antibacterial properties. The research method includes extraction of binahong leaves using the maceration method with 70% ethanol, face mist formulation with various extract concentrations (1%, 2%, and 3%), and evaluation of its physical properties and antibacterial activity using the disc diffusion method. The results of the physical property test showed that all formulations had a pH within a safe range for the skin (4.5-6.5), good homogeneity, and optimal spray spread. The antibacterial activity test showed that face mist with an extract concentration of 2% had the highest inhibitory power against P. acnes with an average inhibition zone of 19.83 mm, classified as strong. This, binahong leaf extract has the potential as an active ingredient in face mist preparations to treat acne.

Developing Nutritious Crispy Brownies Using Tempe and Purple Sweet Potato Flour to Support Adolescent Nutritional Needs

Siti Nurfitriani — 2026-04-30

Crispy brownies are a popular snack with potential for nutritional improvement through the addition of tempe flour as a protein source and purple sweet potato flour as a source of fiber and anthocyanins. This study developed four crispy brownie formulas by partially substituting wheat flour with these local ingredients and assessed their hedonic quality and estimated nutritional content. The research was conducted from September to December 2024 at the Nutrition Laboratory of STIKes Cianjur using a Completely Randomized Design with four treatments: F0 (100% wheat flour), F1 (90%:10%), F2 (85%:15%), and F3 (80%:20%). Hedonic evaluation involving 31 panelists using a 1–6 scale was analyzed with One-Way ANOVA (α = 0.05) followed by Duncan’s test. Substitution significantly affected color and taste (p < 0.05), but not aroma or texture. Formula F2 was the most preferred, producing an appealing brownish-purple color and balanced flavor. It also showed increased protein and fiber with reduced energy and fat compared to the control. Based on sensory and nutritional attributes, F2 is the most optimal and has strong potential as a healthy local snack.

The Relationship Between Self-Management of Pain Due to Dysmenorrhea and Learning Activities Among Students at Universitas Muhammadiyah Karanganyar

Ahmad Muslimin — 2026-04-30

Dysmenorrhea is a common occurrence in women during menstruation that can interfere with activities, especially among college students. Pain caused by dysmenorrhea hinders participation in classroom activities, triggering physical and psychological problems. These problems cause students' academic performance to decline. The purpose of this study was to determine the relationship between pain management due to dysmenorrhea and student learning activities. This study was conducted using a quantitative method with a cross-sectional approach. Sampling was conducted using random sampling of 82 female students at Universitas Muhammadiyah Karanganyar. Data collection was conducted in September 2025. The study showed that 55 (67.1%) students were in the moderate category of self- management of pain due to dysmenorrhea, and 49 (59.8%) students reported that their learning activities were not disrupted during dysmenorrhea. The bivariate analysis results showed a p-value of 0.065. There was no relationship between self-management of pain due to dysmenorrhea and the learning activities of students at Universitas Muhammadiyah Karanganyar. Future researchers should add variables such as the scale and intensity of pain on different days during menstruation as independent variables

Preoperative Nutrition in a Malnourished Child with Cryptorchidism and Irreducible Inguinal Hernia: Case Report

Meintansari Manik — 2026-04-30

The management of irreducible inguinal hernia with cryptorchidism is complicated by malnutrition, creating a "surgical-nutritional paradox" where surgical urgency conflicts with metabolic fragility. This case report elucidates the integrated nutritional management of a 10-year-old male presenting with an undescended testis, incarcerated hernia, and wasting. Methods: Utilizing the standardized Nutrition Care Process Terminology, a 72-hour preoperative "metabolic priming" strategy was implemented. This involved a High-Energy High-Protein (HEHP) diet synergized with Metamizole for pain and Dexamethasone for appetite stimulation to maintain the oral route. The intervention reversed the "Pain-Anorexia Cycle," increasing oral intake from a 52.3% deficit to 115.5% hyper-alimentation within three days. This optimization replenished glycogen stores, allowing for successful orchidopexy and herniotomy without complications. Short-term, aggressive preoperative nutritional support serves as a vital therapeutic bridge in hemodynamically stable patients, challenging the dogma of immediate incision.

VALIDATION OF AN HPLC METHOD FOR THE DETERMINATION OF DEXAMETHASONE IN JAMU PEGAL LINU

Lidha Semmeru — 2026-04-30

Pharmaceutical adulterants are still frequently detected in traditional medicines, including jamu pegal linu. Dexamethasone, a corticosteroid, is often illicitly added to enhance analgesic and anti-inflammatory effects. According to BPOM regulations, traditional medicines are prohibited from containing Active Pharmaceutical Ingredients (APIs). Although dexamethasone identification is commonly performed using Thin Layer Chromatography (TLC) and spectrophotodensitometry, High-Performance Liquid Chromatography (HPLC) offers higher resolution and improved analytical performance. This study aimed to optimize and validate an HPLC method for the determination of dexamethasone in jamu pegal linu. Method validation was performed based on linearity, specificity, accuracy, precision, limit of detection (LOD), and limit of quantification (LOQ). Mobile phase optimization was conducted using four methanol–water ratios (55:45, 60:40, 65:35, and 70:30). The optimal mobile phase was methanol–water (60:40, v/v), producing a retention time of 6.744 minutes, resolution of 2.339, tailing factor of 1.123, and theoretical plate number of 2,262. The validated method demonstrated reasonable specificity, excellent linearity (r = 0.9988), LOD of 1.147 μg/mL, LOQ of 3.823 μg/mL, 101.107% recovery, and precision (%RSD) of 1.918%.

Nursing Care for Type 2 Diabetes Mellitus Patients to Reduce Blood Sugar Levels via Benson Relaxation Therapy in the Pangandaran Ward, Dr. Saiful Anwar Hospital

Nadia Mey Saputri — 2026-04-30

Diabetes Mellitus is a chronic metabolic disorder characterized by high blood glucose levels (hyperglycemia). Stress can contribute to blood glucose instability by increasing cortisol and adrenaline hormones, thereby worsening hyperglycemia. This study aims to assess the effectiveness of Benson Relaxation Therapy—which combines deep breathing techniques with the repetition of calming words—in maintaining blood sugar stability in patients with Type 2 Diabetes Mellitus. This study utilized a descriptive design with a case study approach involving three patients who met the inclusion criteria. Data were collected through interviews and observations during the nursing care process. Therapy was conducted in several sessions, each lasting 10–15 minutes, with blood glucose levels monitored before and after therapy. The results indicated that all patients experienced a decrease in blood glucose levels: from 416 mg/dL to 186 mg/dL (Patient 1), 425 mg/dL to 209 mg/dL (Patient 2), and 350 mg/dL to 192 mg/dL (Patient 3). Physiological improvements included decreased heart rate, more regular breathing, and increased comfort following therapy. In conclusion, Benson Relaxation Therapy positively impacts blood glucose stability by reducing stress and serves as a safe, cost-effective, and easy-to-implement complementary intervention in nursing practice.