• Title/Summary/Keyword: Health research and development

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Risk of Recrudescence of Lymphatic Filariasis after Post-MDA Surveillance in Brugia malayi Endemic Belitung District, Indonesia

  • Santoso, Santoso;Yahya, Yahya;Supranelfy, Yanelza;Suryaningtyas, Nungki Hapsari;Taviv, Yulian;Yenni, Aprioza;Arisanti, Maya;Mayasari, Rika;Mahdalena, Vivin;Nurmaliani, Rizki;Marini, Marini;Krishnamoorthy, K.;Pangaribuan, Helena Ullyartha
    • Parasites, Hosts and Diseases
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    • v.58 no.6
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    • pp.627-634
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    • 2020
  • Belitung district in Bangka-Belitung Province, Indonesia with a population of 0.27 million is endemic for Brugia malayi and 5 rounds of mass drug administration (MDA) were completed by 2010. Based on the results of 3 transmission assessment surveys (TAS), the district is declared as achieving elimination of lymphatic filariasis (LF) in 2017. The findings of an independent survey conducted by the National Institute of Health Research and Development (NIHRD) in the same year showed microfilaria (Mf) prevalence of 1.3% in this district. In 2019, NIHRD conducted microfilaria survey in 2 villages in Belitung district. Screening of 311 and 360 individuals in Lasar and Suak Gual villages showed Mf prevalence of 5.1% and 2.2% with mean Mf density of 120 and 354 mf/ml in the respective villages. Mf prevalence was significantly higher among farmers and fishermen compared to others and the gender specific difference was not significant. The results of a questionnaire based interview showed that 62.4% of the respondents reported to have participated in MDA in Lasar while it was 57.7% in Suak Gual village. About 42% of the Mf positive cases did not participate in MDA. Environmental surveys identified many swampy areas supporting the breeding of Mansonia vector species. Persistence of infection is evident and in the event of successful TAS3 it is necessary to monitor the situation and plan for focal MDA. Appropriate surveillance strategies including xenomonitoring in post-MDA situations need to be developed to prevent resurgence of infection. Possible role of animal reservoirs is discussed.

Associations Between Parental Depression and Early Childhood Development in Indonesia: A Cross-sectional Study

  • Saptarini, Ika;Rizkianti, Anissa;Arfines, Prisca Petty;Suparmi, Suparmi;Maisya, Iram Barida
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.6
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    • pp.451-460
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    • 2021
  • Objectives: This study aimed to determine the associations between parental depression and early childhood development among children aged 36 months to 59 months in Indonesia. Methods: From Indonesia's Basic Health Survey (RISKESDAS) 2018, this study included 6433 children aged 36 months to 59 months and their parents. Maternal and paternal depression was examined using the Mini International Neuropsychiatric Interview survey instrument, which was previously translated into Indonesian. The study also used the Early Child Development Index to measure child development and its 4 domains (cognitive, physical, socio-emotional, and learning). Multivariate logistic regression analysis was performed to determine the association between parental depression and early childhood development. Results: Overall, 10.3% of children aged 36 months to 59 months were off-track for development. After adjusting for biological, parental, and social characteristics, children born to parents with depression were found to be 4.72 times more likely to be off-track for development (95% confidence interval, 1.83 to 12.15). Conclusions: Children of depressed parents were more likely to be off-track for development. The findings highlight the need for early diagnosis and timely intervention for parental depression to promote early childhood development.

Factors Affecting Public Non-compliance With Large-scale Social Restrictions to Control COVID-19 Transmission in Greater Jakarta, Indonesia

  • Rosha, Bunga Christitha;Suryaputri, Indri Yunita;Irawan, Irlina Raswanti;Arfines, Prisca Petty;Triwinarto, Agus
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.4
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    • pp.221-229
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    • 2021
  • Objectives: The Indonesian government issued large-scale social restrictions (called Pembatasan Sosial Berskala Besar, or PSBB) at the beginning of the coronavirus disease 2019 (COVID-19) pandemic to control the spread of COVID-19 in Jakarta, Bogor, Depok, Tangerang, and Bekasi (Greater Jakarta). Public compliance poses a challenge when implementing large-scale social restrictions, and various factors have contributed to public non-compliance with the regulation. This study aimed to determine the degree of non-compliance and identify the factors that contributed to public non-compliance with the PSBB in Greater Jakarta, Indonesia. Methods: This was a quantitative study with a cross-sectional design. A total of 839 residents of Greater Jakarta participated in this study. Data were collected online using a Google Form, and convenience sampling was undertaken. Univariate and multivariate analyses were performed to explore the relationships between public non-compliance with the PSBB regulation and socio-demographic variables, respondents' opinion of the PSBB, and social capital. Results: A total of 22.6% of subjects reported participating in activities that did not comply with the PSBB. The variables that most affected non-compliance with the PSBB were age, gender, income, opinion of the PSBB, and social capital. Conclusions: Strengthening social capital and providing information about COVID-19 prevention measures, such as washing one's hands with soap, wearing masks properly, and maintaining social distancing, is essential. Robust public understanding will foster trust and cooperation with regard to COVID-19 prevention efforts and provide a basis for mutual agreement regarding rules/penalties.

Accuracy of Body Mass Index-defined Obesity Status in US Firefighters

  • Jitnarin, Nattinee;Poston, Walker S.C.;Haddock, Christopher K.;Jahnke, Sara A.;Day, Rena S.
    • Safety and Health at Work
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    • v.5 no.3
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    • pp.161-164
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    • 2014
  • Obesity is a significant problem affecting United States (US) firefighters. While body mass index (BMI) is widely used to diagnose obesity, its use for this occupational group has raised concerns about validity. We examined rates and types of misclassification of BMI-based obesity status compared to body fat percentage (BF%) and waist circumference (WC). Male career firefighters (N = 994) from 20 US departments completed all three body composition assessments. Mean BMI, BF%, and WC were $29kg/m^2$, 23%, and 97 cm, respectively. Approximately 33% and 15% of BF%- and WC-defined obese participants were misclassified as non-obese (false negatives) using BMI, while 8% and 9% of non-obese participants defined by BF% and WC standards were identified as obese (false positives) using BMI. When stratified by race/ethnicity, Pacific Islanders showed high rates of false positive misclassification. Precision in obesity classification would be improved by using WC along with BMI to determine firefighters' weight status.

Sexual Intercourse and Its Correlates Among School-aged Adolescents in Indonesia: Analysis of the 2015 Global School-based Health Survey

  • Rizkianti, Anissa;Maisya, Iram Barida;Kusumawardani, Nunik;Linhart, Christine;Pardosi, Jerico Franciscus
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.5
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    • pp.323-331
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    • 2020
  • Objectives: This study aimed to determine the prevalence and correlates of sexual intercourse among junior secondary and high school students in Indonesia from the 2015 Global School-based Health Survey (GSHS). Methods: The survey was conducted among 11 110 students from 75 schools in Indonesia using a self-administered questionnaire. Univariate and multivariate analyses were conducted to explore associations between sexual intercourse and socio-demographic variables, substance use, mental distress, and protective factors. Results: Overall, 5.3% of students reported having ever had sex (6.9% of boys and 3.8% of girls). Of students who engaged in sexual intercourse, 72.7% of boys and 90.3% of girls had an early sexual debut (before reaching the age of 15) and around 60% had multiple sex partners. Sexual intercourse was associated with gender, school grade, smoking, alcohol consumption, drug use, suicidal ideation, truancy, peer support, and parental supervision. Conclusions: These findings indicate a pressing need to develop more comprehensive sexual health education in the national curriculum. An effective strategy should also address other risky behaviours.

Development and Prospects of Environmental Health Indicators in Korea (우리나라 환경보건지표 개발현황과 전망)

  • Lee, Young-Mee;Jung, Soon-Won;Choi, Wookhee;Park, Kyung-Hwa;Lee, Chul-Woo;Yu, Seung-Do;Park, Choong-Hee
    • Journal of Environmental Health Sciences
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    • v.42 no.5
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    • pp.293-301
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    • 2016
  • Objectives: This paper presents the current development progress of environmental health indicators (EHIs) in the Republic of Korea and discusses the utilization, limitations and prospects of EHIs. Methods: The development process and assessment criteria of EHIs were established based on the DPSEEA (Driving force-Pressure-State-Exposure-Effect-Action) framework with reference to that of the World Health Organization-Europe. In order to explore the applicability of EHIs, a case study was performed to compare the atmospheric environmental health status between the Republic of Korea and European region countries using six indicators. Results: Through the development process, 23 indicators in five areas including air quality, indoor air quality, climate change, chemicals, and water quality were developed, mostly using national statistical data. As a result of the case study comparing environmental health indicators in air quality between the Republic of Korea and Europe, it could be useful to understand the different situation of air pollution source, emission, exposure and health effects. Conclusion: In order for EHIs to compare environmental health status and be used as an environmental health policy development tool for vulnerable areas and related factors, it is necessary to develop further indicators for various issues other than air quality and conduct additional research on their interpretation and related implications, such as policy implementation effects.

High-intensity Fitness Training Among a National Sample of Male Career Firefighters

  • Jahnke, Sara A.;Hyder, Melissa L.;Haddock, Christopher K.;Jitnarin, Nattinee;Day, R. Sue;Carlos Poston, Walker S.
    • Safety and Health at Work
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    • v.6 no.1
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    • pp.71-74
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    • 2015
  • Obesity and fitness have been identified as key health concerns among USA firefighters yet little is known about the current habits related to exercise and diet. In particular, high-intensity training (HIT) has gained increasing popularity among this population but limited quantitative data are available about how often it is used and the relationship between HIT and other outcomes. Using survey methodology, the current study evaluated self-reported HIT and diet practice among 625 male firefighters. Almost one-third (32.3%) of participants reported engaging in HIT. Body composition, as measured by waist circumference and percentage body fat, was significantly related to HIT training, with HIT participants being approximately half as likely to be classified as obese using body fat [odds ratio (OR) = 0.52, 95% confidence interval (CI) = 0.34-0.78] or waist circumference (OR = 0.61, 95% CI = 0.37-0.98). Those who engaged in HIT were more than twice as likely as those who did not (OR = 2.24, 95% CI = 1.42-3.55) to meet fitness recommendations. Findings highlight directions for future prevention and intervention efforts.

Analysis and Application Methods of Patent Map for Performance Diffusion of Translational Research in Health Technology Research and Development (보건의료 R&D 연구성과 활용·확산을 위한 특허맵 분석 및 활용방안 연구)

  • Cheon, Su-Hwan;Lee, Kyung-Min;Kim, Mi-Kyoung;Je, Young-Tae;Shin, Sang-Hun;Kim, Myung-Hwan;Kim, Dong-Seok;Park, Seong-Ho;Kim, Gi-Tae;Kwak, Jung-Ae;Jeon, Hye-Kyoung;Kwon, Jun-Young;Kim, Dong-Il;Kim, Byung-Soo;Park, Noh-Hyun
    • KSBB Journal
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    • v.28 no.6
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    • pp.339-348
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    • 2013
  • Translational research (TR) as high quality research can accelerate collaboration strongly between biotechnology-based researchers and clinical-research experts for overcoming diseases. TR facilitates basic science translated to clinical efficacy and effectiveness from bench (basic science) to bedside (clinical practice) for the enhancement of human health. Disease-oriented TR programs were defined as unilateral, bilateral and multilateral TR in this patent performance analysis. Patent performance was measured in a R&D project on Health and Medical Technology to enhance the productivity of R&D investment on disease-oriented TR in Health Technology (HT). Patent Map (PM) analysis and Bibliometrics were conducted to collect information for the assessment of research patents of TR programs. Futhermore, PIAS (Patent Information Analysis System) and Thinklear programs were applied for quantitative and qualitative analysis successfully. These indicate that multi-dimensional analysis of patent performance for disease-oriented TR could promote the connection of R&D-IP (Research and Development-Intellectural Property) and R&BD (Research and Business Development) supporting system significantly.