1,720,969 research outputs found
Findings from Nutriplanet: how ready are we for healthy aging?
Full text linkHealthy aging has become one of the important focus in many countries. The World Health Organization and the United Nation have initiated The Healthy Aging Decade (2021 – 2030) which focus on collaborative efforts to reach healthy aging condition – a condition in which the senior population remains productive, has good quality of life and not become economic burden for the country. To reach this condition, one should put efforts as early as possible. In Indonesia, it is predicted that in 2040 there will be an increment in aging population. Pre-senior population (aged 45 – 60 years) will reach 17.5% and senior population (aged >60 years) will reach 10.1%. These numbers will make Indonesia one of the countries with the highest senior population in the world
Rising trends and indication of Caesarean section in Indonesia
Full text linkThe rate of Caesarean delivery is rising dramatically worldwide, and also nationally. The number of Caesarean births exceeds the WHO recommended rate. This study aims to provide an overview of current increasing trend of Caesarean section, including elective procedure, and its risk. A review was conducted using online database, surveillance reports, and national surveys to identify studies with topics of prevalence, trend, indications, and risks of Caesarean delivery. Overall, there is an increase of Caesarean section in global, Asia, and Indonesia setting. We found an increase of 8% from 2013 to 2018 based on population survey, and increase of elective Caesarean surgery, particularly in tertiary care. We listed the possible health risks in short term, long term among mothers and child. Advanced maternal age, higher socio-economic status, higher educational level, residing in urban area, and ownership of health insurance were found to be factors associated with maternal choice on Caesarean delivery. The information presented is important to raise awareness among policy makers aimed to develop a national strategy in reducing the rate of Caesarean delivery
Indonesian health care practitioner’s perception on gut-brain-axis and social-emotional concept
Full text linkBackground The microbiome-gut-brain-axis (GBA) concept has long been appreciated. It is recognized that the microbes resident in the gastrointestinal tract can influence brain physiology and the social-development competencies, and vice versa. Therefore, it is crucial for health care practitioners (HCPs) to understand this concept, especially in children; however, no study has been reported.
Methods: This study used qualitative methods to explore HCPs’ perception and awareness about the microbiome-GBA concept. Data were collected through in-depth interviews using online video calls with HCPs, including general practitioners, pediatricians, and midwives.
Results: We found that responders are aware of the microbiome-GBA concept, as this issue is often discussed in seminars and other events. They realized that gut health is a significant concern, and it is significantly impacting brain health and leads to social and emotional development (SED). This process starts from the early stages of life.
Conclusion: The HCPs in our study have a good perception of the microbiome-GBA concept, e.g., a healthy brain is not possible without a healthy gut. As far as we are concerned, this is the first study to investigate the knowledge of HCPs about bidirectional communication of microbiome-GBA as an essential factor in child management
An Overview of Hydration Status and Its Relation to Occupational Heat Stress among Workers
Full text linkWorking in high temperature environment is unavoidable condition for an outdoor worker, especially the outdoor workers in to tropical countries such as Indonesia. Heat stress leads to various heat-related illnesses, such as heat stroke, hyperthermia, heat exhaustion, heat cramps or heat rashes. A mild and moderate heat stress usually less serious and did not harm general health condition, however it could cause individual fatigue and unfocused, which will interfere the working performance and productivity. Heat stress will had caused physiologic response of the body, as it needs to reduce the increased temperature inside the body; known as heat strain condition
Perspective of Soy Formula and Fiber intake among Non-Cow’s Milk Drinker Pediatric Patients; A Survey among Indonesian Health Care Practitioners
Full text linkIndonesia is one of the highest countries for soy-based product consumption, which the usage also started from early age as breastmilk substitute product, although local regulation and guideline stated that soy-based formula recommended for cow’s milk protein allergy. However, evidences showed that soy-based formula supplemented with fiber in non-cow’s milk drinker could also have health effect to gastrointestinal system. This online survey aimed to explore the perspective of health care practitioners (HCPs) in recommending soy-based formula for non-cow’s milk drinker pediatric patients, as well as identify the required additional ingredient or supplementation, specifically on fiber, in soy-based formula. Majority of respondents (97% of paediatricians (P < 0.001)), (96% of nurses (P = 0.003)), (99% of midwives (P < 0.001)) recommended soy-based formula as nutritional product toward non-cow’s milk drinker patients. On the added ingredients required, 43% of respondents mentioned that AA and DHA and 31% mentioned that fibre is the ingredient that need to be added to complete the benefits of soy formula. This study concluded that the overall perspective of HCPs showed that soy-based formula is a nutritional product recommended for non-cow’s milk pediatric patients. However, fiber is required to be added to achieve the potential benefits of soy-based formula
Breastfeeding is Best. But What After Breastfeeding?
Full text linkLong-term exclusive breastfeeding is definitively the best feeding for every infant. Exclusive breast feeding should be for six months. From the age of six months onwards, solid food should be introduced while breast feeding is continued.1There are only very few contra-indications for breast feeding or mother’s milk. A maternal severe disease is an example of a contra-indication for breast feeding. If a mother has to take medication or undergo a treatment that may have a deleterious effect on the health of the baby, such as chemotherapy or radiotherapy, breast feeding cannot be recommended.2In such a situation, mother’s milk from a different mother or a “milk bank” may offer a solution. If this are not possible, infant formula is indicated. Some seldom metabolic diseases such as galactosemia are also contra-indications for mother’s milk, because in such a situation lactose is causing severe damage to the baby. Cow’s milk based lactose containing infant formula is then as well contra-indicated, since the baby cannot metabolize lactose. However, it speaks for itself that these situation are exceptional.3,
Investing in adult nutrition to reduce mobility problems in ageing population
Full text linkAs people age, most body organs deteriorate. Osteoporosis, arthritis, sarcopenia, muscle aches, low back pain and neuropathy are common mobility issues in the elderly. Body mass index (BMI), physical inactivity, and having comorbidities increase the likelihood to have mobility health problems. One in every ten adults over the age of 45 years in Indonesia develops these mobility problems, and one in every fifteen adults has difficulty in walking/stepping before entering the elderly age. Nutrition has been reported to have important role in controlling weight and physical locomotive organs. Generally, 46% adults in Indonesia have vitamin A deficiency, 70% vitamin C deficiency, 77% vitamin E deficiency, and inadequate calcium intake. Low nutrition intake can result in increasing mobility problems that lead to health issues in the aging population. Dietary strategies are necessary to achieve healthy ageing. Currently, no standardized guideline has been developed for preventing mobility health problems in Indonesia. This calls for urgent need to hinder poor quality of life in elderly population
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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