{"id":"https://openalex.org/W7217153227","doi":null,"title":"Penerapan Pendekatan \u201cBeyond Calories\u201d: Rehabilitasi Nutrisi pada Kasus Gizi Buruk Berat dengan Komorbiditas Kompleks","display_name":"Penerapan Pendekatan \u201cBeyond Calories\u201d: Rehabilitasi Nutrisi pada Kasus Gizi Buruk Berat dengan Komorbiditas Kompleks","publication_year":2026,"publication_date":"2026-06-19","ids":{"openalex":"https://openalex.org/W7217153227"},"language":"id","primary_location":{"id":"pmh:oai:ojs2.journalofmedula.com:article/1876","doi":null,"is_oa":true,"landing_page_url":"https://www.journalofmedula.com/index.php/medula/article/view/1876","pdf_url":"https://www.journalofmedula.com/index.php/medula/article/download/1876/1338","source":{"id":"https://openalex.org/S4387286803","display_name":"Medical Profession Journal of Lampung","issn_l":"2339-1227","issn":["2339-1227","2615-479X"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"10.53089/medula.v16i4","raw_type":"info:eu-repo/semantics/article"},"parent_works":[],"lineage":["https://openalex.org/W7217153227"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.journalofmedula.com/index.php/medula/article/download/1876/1338","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5114094437","display_name":"Maria Devi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I12833781","display_name":"Lampung University","ror":"https://ror.org/05wtz9f44","country_code":"ID","type":"education","lineage":["https://openalex.org/I12833781"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Devi, Maria","raw_affiliation_strings":["Medical Faculty, Lampung University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical Faculty, Lampung University","institution_ids":["https://openalex.org/I12833781"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5155594365","display_name":"Arief Rahman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I12833781","display_name":"Lampung University","ror":"https://ror.org/05wtz9f44","country_code":"ID","type":"education","lineage":["https://openalex.org/I12833781"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Rahman, Arief","raw_affiliation_strings":["Fakultas Kedokteran Universitas Lampung"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Fakultas Kedokteran Universitas Lampung","institution_ids":["https://openalex.org/I12833781"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I12833781"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10596","display_name":"Child Nutrition and Water Access","score":0.4706999957561493,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10596","display_name":"Child Nutrition and Water Access","score":0.4706999957561493,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10858","display_name":"Clinical Nutrition and Gastroenterology","score":0.43799999356269836,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13393","display_name":"Child Nutrition and Feeding Issues","score":0.03539999946951866,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/severe-acute-malnutrition","display_name":"severe acute malnutrition","score":0.9760000109672546},{"id":"https://openalex.org/keywords/marasmus","display_name":"marasmus","score":0.6200000047683716},{"id":"https://openalex.org/keywords/down-syndrome","display_name":"Down syndrome","score":0.9440000057220459},{"id":"https://openalex.org/keywords/anorectal-malformation","display_name":"anorectal malformation","score":0.8149999976158142},{"id":"https://openalex.org/keywords/cow-s-milk-allergy","display_name":"cow's milk allergy","score":0.9950000047683716},{"id":"https://openalex.org/keywords/hypothyroidism","display_name":"hypothyroidism","score":0.9950000047683716},{"id":"https://openalex.org/keywords/failure-to-thrive","display_name":"failure to thrive","score":0.7820000052452087},{"id":"https://openalex.org/keywords/nutritional-rehabilitation","display_name":"nutritional rehabilitation","score":0.6039999723434448},{"id":"https://openalex.org/keywords/elemental-formula","display_name":"elemental formula","score":0.8510000109672546},{"id":"https://openalex.org/keywords/zinc-supplementation","display_name":"zinc supplementation","score":0.6620000004768372},{"id":"https://openalex.org/keywords/levothyroxine","display_name":"levothyroxine","score":0.949999988079071},{"id":"https://openalex.org/keywords/chronic-diarrhea","display_name":"chronic diarrhea","score":0.5820000171661377},{"id":"https://openalex.org/keywords/formula-intolerance","display_name":"formula intolerance","score":0.47600001096725464},{"id":"https://openalex.org/keywords/child-nutrition","display_name":"child nutrition","score":0.33799999952316284}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8098000288009644},{"id":"https://openalex.org/C551997983","wikidata":"https://www.wikidata.org/wiki/Q12167","display_name":"Malnutrition","level":2,"score":0.7287999987602234},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.4880000054836273},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.43860000371932983},{"id":"https://openalex.org/C44315111","wikidata":"https://www.wikidata.org/wiki/Q1344580","display_name":"Enteral administration","level":3,"score":0.37299999594688416},{"id":"https://openalex.org/C61427482","wikidata":"https://www.wikidata.org/wiki/Q6656244","display_name":"Anthropometry","level":2,"score":0.36959999799728394},{"id":"https://openalex.org/C2991860470","wikidata":"https://www.wikidata.org/wiki/Q47232","display_name":"Absorption capacity","level":2,"score":0.36559998989105225},{"id":"https://openalex.org/C78722104","wikidata":"https://www.wikidata.org/wiki/Q21653202","display_name":"Parenteral nutrition","level":2,"score":0.35109999775886536},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.3467000126838684},{"id":"https://openalex.org/C147583825","wikidata":"https://www.wikidata.org/wiki/Q620876","display_name":"Body weight","level":2,"score":0.3443000018596649},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3310999870300293},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.28760001063346863},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.2791000008583069},{"id":"https://openalex.org/C544821477","wikidata":"https://www.wikidata.org/wiki/Q718113","display_name":"Weight loss","level":3,"score":0.2777000069618225},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.27129998803138733},{"id":"https://openalex.org/C120863210","wikidata":"https://www.wikidata.org/wiki/Q17064264","display_name":"Lean body mass","level":3,"score":0.2639999985694885},{"id":"https://openalex.org/C3018892814","wikidata":"https://www.wikidata.org/wiki/Q12167","display_name":"Nutritional deficiency","level":3,"score":0.2572999894618988},{"id":"https://openalex.org/C2988147884","wikidata":"https://www.wikidata.org/wiki/Q5377024","display_name":"Energy expenditure","level":2,"score":0.25099998712539673}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:ojs2.journalofmedula.com:article/1876","doi":null,"is_oa":true,"landing_page_url":"https://www.journalofmedula.com/index.php/medula/article/view/1876","pdf_url":"https://www.journalofmedula.com/index.php/medula/article/download/1876/1338","source":{"id":"https://openalex.org/S4387286803","display_name":"Medical Profession Journal of Lampung","issn_l":"2339-1227","issn":["2339-1227","2615-479X"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"10.53089/medula.v16i4","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"pmh:oai:ojs2.journalofmedula.com:article/1876","doi":null,"is_oa":true,"landing_page_url":"https://www.journalofmedula.com/index.php/medula/article/view/1876","pdf_url":"https://www.journalofmedula.com/index.php/medula/article/download/1876/1338","source":{"id":"https://openalex.org/S4387286803","display_name":"Medical Profession Journal of Lampung","issn_l":"2339-1227","issn":["2339-1227","2615-479X"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"10.53089/medula.v16i4","raw_type":"info:eu-repo/semantics/article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.8409000039100647,"id":"https://metadata.un.org/sdg/2","display_name":"Zero hunger"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7217153227.pdf","grobid_xml":"https://content.openalex.org/works/W7217153227.grobid-xml"},"referenced_works_count":2,"referenced_works":["https://openalex.org/W2754934236","https://openalex.org/W3048452309"],"related_works":["https://openalex.org/W3102357941","https://openalex.org/W3113702412","https://openalex.org/W7163412068","https://openalex.org/W3016157086","https://openalex.org/W4320080650","https://openalex.org/W7216925048","https://openalex.org/W4400559972","https://openalex.org/W2056574487","https://openalex.org/W7214326856","https://openalex.org/W3164687666"],"abstract_inverted_index":{"Severe":[0],"acute":[1,124],"malnutrition":[2,125],"in":[3,14,208],"children":[4],"with":[5,20,62,85,118],"congenital":[6],"and":[7,17,27,44,51,81,91,109,150,175,185,205,220,228],"chronic":[8,86],"comorbidities":[9],"presents":[10],"a":[11,58,65,76,97,103,110,119,217],"significant":[12],"challenge":[13],"both":[15],"diagnosis":[16,120],"management.":[18],"Children":[19],"Down":[21,63],"syndrome":[22],"have":[23],"increased":[24],"nutritional":[25,35,49,182,222],"requirements":[26],"are":[28],"more":[29],"susceptible":[30],"to":[31,89,127,198,202,232],"gastrointestinal":[32],"disturbances;":[33],"therefore,":[34],"strategies":[36],"should":[37,45],"extend":[38],"beyond":[39],"merely":[40],"meeting":[41],"caloric":[42],"demands":[43],"consider":[46],"the":[47,157,164,181,214],"patient\u2019s":[48],"tolerance":[50,207],"absorptive":[52],"capacity.":[53],"This":[54,211],"case":[55,212],"report":[56],"describes":[57],"12-month-old":[59],"male":[60],"infant":[61],"syndrome,":[64],"history":[66],"of":[67,100,106,114,121,180,193,216],"multiple":[68],"surgical":[69],"interventions":[70],"for":[71,188],"anorectal":[72],"malformation":[73],"(anal":[74],"atresia),":[75],"cow\u2019s":[77],"milk":[78],"protein":[79],"allergy,":[80],"hypothyroidism,":[82],"who":[83],"presented":[84],"diarrhea,":[87,177],"failure":[88],"thrive,":[90],"severe":[92,123],"wasting.":[93],"Anthropometric":[94],"assessment":[95],"revealed":[96],"body":[98,104],"weight":[99],"4.2":[101],"kg,":[102],"length":[105],"62":[107],"cm,":[108,116],"mid-upper":[111],"arm":[112],"circumference":[113],"6.5":[115],"consistent":[117],"marasmic":[122],"according":[126],"WHO":[128],"criteria.":[129],"Nutritional":[130],"rehabilitation":[131,165],"was":[132,154,167],"initiated":[133],"using":[134],"an":[135,194],"amino":[136],"acid":[137],"based":[138],"elemental":[139,195],"formula,":[140],"intravenous":[141],"fluid":[142],"therapy,":[143],"empirical":[144],"antibiotic":[145],"treatment":[146],"(cefotaxime),":[147],"zinc":[148],"supplementation,":[149],"levothyroxine.":[151],"Clinical":[152],"improvement":[153],"observed":[155],"during":[156],"initial":[158],"stabilization":[159],"phase;":[160],"however,":[161],"progression":[162],"into":[163],"phase":[166],"complicated":[168],"by":[169,225],"oral":[170],"feeding":[171],"intolerance,":[172],"recurrent":[173],"vomiting,":[174],"persistent":[176],"necessitating":[178],"reassessment":[179],"management":[183],"strategy":[184],"close":[186],"monitoring":[187,231],"formula":[189,196],"intolerance.":[190],"The":[191],"use":[192],"contributed":[197],"overcoming":[199],"challenges":[200],"related":[201],"nutrient":[203],"absorption":[204],"immunological":[206],"this":[209],"patient.":[210],"highlights":[213],"importance":[215],"comprehensive,":[218],"individualized,":[219],"multidisciplinary":[221],"approach,":[223],"accompanied":[224],"family":[226],"education":[227],"intensive":[229],"clinical":[230],"support":[233],"successful":[234],"long-term":[235],"recovery.":[236]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-10-03T00:00:00"}
