Digital Commons Network^™

The Role Of Bariatric And Metabolic Surgery In The Development, Diagnosis, And Treatment Of Endometrial Cancer, Robert C. Ross, Yetunde M. Akinde, Philip R. Schauer, Carel W. Le Roux, Donal Brennan, Amelia M. Jernigan, Marco Bueter, Vance L. Albaugh

School of Medicine Faculty Publications

The obesity pandemic continues to contribute to a worsening burden of disease worldwide. The link between obesity and diseases such as diabetes, cardiovascular disease, and cancer has been well established, yet most patients living with obesity remain untreated or undertreated. Metabolic and bariatric surgery is the most effective and durable treatment for obesity, is safe, and may have a protective benefit with respect to cancer incidence. In this review, an overview of the link between obesity, metabolic surgery, and cancer is discussed with emphasis on indications for endometrial cancer, the malignancy most strongly associated with obesity. Considerable evidence from retrospective …

Spatial Analysis For Enhancing The Use Of Health Data Availability From Different Sources To Help The Decision-Making Process, Tris Eryando

Kesmas

Spatial analysis in public health has become a common method used by researchers to understand the distribution of public health aspects related to the surrounding environment. It can also be used to analyze individual information in the form of a dot and the location or line of aggregated information in a specific area of study. Another benefit is the possibility of using different data sources to be analyzed in one statistical model analysis, as long as the identification area is sufficiently clear as a key variable. Spatial analysis can show an object's distribution on a locational map and explain the …

Sars-Cov-2 Antibody Seroprevalence In Jakarta, Indonesia, Iwan Ariawan, Hafizah Jusril, Muhammad N Farid, Pandu Riono, Wiji Wahyuningsih, Widyastuti Widyastuti, Dwi Oktavia T L Handayani, Endang Sri Wahyuningsih, Rebekka Daulay, Retno Henderiawati, Safarina G. Malik, Rintis Noviyanti, Leily Trianty, Nadia Fadila, Khin Saw Aye Myint, Frilasita A. Yudhaputri, Neeraja Venkateswaran, Kodumudi Venkateswaran, Venkatachalam Udhayakumar, William A. Hawley, Juliette Morgan, Paul M. Pronyk

Kesmas

The SARS-CoV-2 transmission dynamics in low- and middle-income countries remain poorly understood. This study aimed to estimate the SARS-CoV-2 antibodies seroprevalence in Jakarta, Indonesia, and to increase knowledge of SARS-CoV-2 transmission in urban settings. A population-based serosurvey among individuals aged one year or older was conducted in Jakarta. Employing a multistage sampling design, samples were stratified by district, slum, and non-slum residency, sex, and age group. Blood samples were tested for IgG against three different SARS-CoV-2 antigens. Seroprevalence was estimated after applying sample weights and adjusting for cluster characteristics. In March 2021, this study collected 4,919 respondents. The weighted estimate …

A Stunting Prevention Risk Factors Pathway Model For Indonesian Districts/Cities With A Stunting Prevalence Of ≥30%, Nina Fentiana, Endang L. Achadi, Besral Besral, Abram Kamiza, Trini Sudiarti

Kesmas

The prevalence of stunting in Indonesian children aged 0-23 months is a public health problem caused by direct and indirect factors. This study aimed to discover the path of the relationship between various risk factors and the stunting prevalence of ≥30% in 165 districts/cities in Indonesia. Data were obtained from the 2018 National Basic Health Research, National Socioeconomic Survey, and the Statistics Indonesia with a cross-sectional approach. The secondary data on stunting and risk factors were aggregated at the district/city level from individual data; children aged 0-23 months. The path analysis used to determine a stunting prevention model showed that …

Determinants Of Type 2 Diabetes Mellitus Among Passive Smokers, Adinda Rahma Triyaniarta, Santi Martini, Kurnia Dwi Artanti, Sri Widati, Rizma Dwi Nastiti

Kesmas

Type 2 diabetes mellitus (T2DM) leads to complications of other diseases. The modifiable risk factors for T2DM are overweight, physical activity, hypertension, unhealthy diet, and smoking. This study aimed to analyze determinants of T2DM incidence in passive smokers among various factors. This study was conducted at Hospital X in Surabaya City, East Java Province, Indonesia, from September 2019 to April 2020. The variables were univariate, bivariate, and multivariate. Case samples were T2DM patients and passive smokers, while control samples were non-T2DM patients and passive smokers, with 52 respondents per group, of 104 total respondents. Variables statistically significant related to the …

The Effect Of Health Promotion Program On Perceived Self-Efficacy And Self-Care Practices Among Elderly With Multimorbidity In Chiang Mai, Thailand, Jukkrit Wungrath, Nuttida Khumai, Phinphot Phrommasen

Kesmas

Multimorbidity in the elderly is a major public health issue with serious consequences. This study investigated the effects of health promotion programs on perceived self-efficacy and self-care practices among the elderly with multimorbidity using a quasi-experimental study design from February to July 2021. The study samples were the elderly from Doi Saket District, Chiang Mai Province, Thailand, selected by a multistage random sampling technique. The experimental and control groups each comprised 40 elderlies with multimorbidity. All elderly participants took part in a 12-week health promotion program. The perceived self-efficacy and self-care practices of the study samples were assessed using interviews, …

Predictors Of Anxiety Toward Covid-19 Delta Variant: A Cross- Sectional Study Among Healthcare Providers In Java And Bali, Indonesia, I Ketut Swarjana, I Gede Putu Darma Suyasa, I Kadek Nuryanto

Kesmas

Health facilities are experiencing overcapacity, oxygen scarcity, and a limited number of healthcare providers due to the coronavirus disease 2019 (COVID-19), thus impacted on anxiety. This study aimed to determine predictors of anxiety among healthcare providers toward the Delta variant of COVID-19 in Indonesia. A cross-sectional study was conducted with 371 healthcare providers in Java and Bali Islands, and the snowball sampling technique was used. Data were collected using a questionnaire and distributed through social media (WhatsApp), then analyzed using univariate analysis, bivariate analysis (Chi-square test), and multivariate analysis (multiple logistic regression). The results showed that 81 (21.8%) respondents experienced …

Perspectives On Reproductive Health Education Among Javanese Parents, Bagoes Widjanarko, Ratih Indraswari, Aditya Kusumawati, Novia Handayani

Kesmas

This study aimed to investigate the perspectives of reproductive health education among Javanese parents of children aged 9-11 years. This cross-sectional study was conducted with 12,306 parents in Semarang City, Central Java Province, Indonesia, using a purposive sampling technique. Some parents agreed that reproductive health education at home was unnecessary (29.5%), taboo (45%), difficult (73.1%), and awkward (41.5%). Most parents (72.7%) were not transparent in providing reproductive health information to their children by using other terms to name the genitals, considering the politeness aspect. Good practices of providing reproductive health information are slightly more common in mothers (54.2%), unemployed parents …

Spatial Analysis Of Seven Islands In Indonesia To Determine Stunting Hotspots, Tiopan Sipahutar, Tris Eryando, Meiwita Budiharsana

Kesmas

Indonesia is a vast country struggling to reduce its stunting prevalence. Hence, identifying priority areas is urgent. In determining areas to prioritize, one needs to consider geographical issues, particularly correlations among areas. This study aimed to discover whether stunting prevalence in Indonesia occurs randomly or in clusters; and, if it occurs in clusters, which areas are the hotspots. This ecological study used aggregate data from the 2018 National Basic Health Research and Poverty Data and Information Report from the Statistics Indonesia. This study analyzed 514 districts/cities across 34 provinces on seven main islands in Indonesia. The method used was the …

Editorial: Promising Strategies For Vaccine Messages: The Message And The Source, Bridget J. Kelly, Amy E. Leader, Nora B. Henrikson

Department of Medical Oncology Faculty Papers

No abstract provided.

The Relationship Among Menopausal Knowledge, Stress, And Symptom Management In Southern Rural African American Women: A Developmental Perspective, Susan L. Prather

Dissertations

More than 12.9 million African American women are between the ages of 45 and 54, which is the perimenopausal period. Regardless of the millions of African American women transitioning to menopause yearly, very little information is available about their experiences, and even less is known about how they manage their symptoms.

The purpose of this study was to examine the relationship between menopausal knowledge, stress, and symptom management among rural southern African American women. Researchers have examined menopausal experiences over the last two decades; the majority of health information about menopause is based on studies of middle-toupper-class Caucasian women. Hence, …

Butterhead Lettuce Variety Performance Trial In A Hydroponic Nft System, Leah Worth, Mary Rogers, Amanda Reardon

Midwest Vegetable Trial Reports

Lettuce (Lactuca sativa L.) is a cool-season crop grown exclusively for fresh consumption. The intensive consumer demand of pre-packaged and living butterheads in the market today has been supported by the shift of soil production methods to soilless hydroponic systems. Hydroponic varietal and fertility recommendations for living butterhead optimization are limited to small-scale growers, however. To increase understanding of butterhead lettuce fertility preference, we examined two different water reservoir fertility concentrations across 12 replicated nutrient film technique (NFT) systems planted with six butterhead lettuce varieties. No differences were found between varieties grown in either recommended or high fertility concentrations, …

The Impact Of Covid-19 On Physical (In)Activity Behavior In 10 Arab Countries, Haleama Al Sabbah, Zainab Taha, Radwan Qasrawi, Enas A Assaf, Leila Cheikh Ismail, Ayesha S Al Dhaheri, Maha Hoteit, Ayoub Al-Jawaldeh, Reema Tayyem, Hiba Bawadi, Majid Alkhalaf, Khlood Bookari, Iman Kamel, Somaia Dashti, Sabika Allehdan, Tariq A Alalwan, Fadwa Hammouh, Mostafa I Waly, Diala Abu Al-Halawa, Rania Mansour, Allam Abu Farha, The Regional Corona Cooking Survey Group ( The Regional Corona Cooking Survey Group (

All Works

Insufficient physical activity is considered a strong risk factor associated with non-communicable diseases. This study aimed to assess the impact of COVID-19 on physical (in)activity behavior in 10 Arab countries before and during the lockdown. A cross-sectional study using a validated online survey was launched originally in 38 different countries. The Eastern Mediterranean regional data related to the 10 Arabic countries that participated in the survey were selected for analysis in this study. A total of 12,433 participants were included in this analysis. The mean age of the participants was 30.3 (SD, 11.7) years. Descriptive and regression analyses were conducted …

Exclusive Breastfeeding For At Least Four Months Is Associated With A Lower Prevalence Of Overweight And Obesity In Mothers And Their Children After 2–5 Years From Delivery, Maria Mantzorou, Dimitrios Papandreou, Georgios K. Vasios, Eleni Pavlidou, Georgios Antasouras, Evmorfia Psara, Zainab Taha, Efthymios Poulios, Constantinos Giaginis

All Works

INTRODUCTION: Obesity is a current public health concern. Higher body weight is influenced by genetic and environmental parameters, and their interplay and is associated with a greater risk for several chronic diseases. Breastfeeding has been suggested as a preventive measure against obesity, which can further reduce long-term negative health outcomes for both women and children. AIM: The aim of the present study was to evaluate the role of breastfeeding on maternal and childhood overweight and obesity. MATERIALS AND METHODS: This is a cross-sectional study conducted on 2515 healthy mothers and their children, aged 2-5 years, enrolled from nine different Greek …

Cross-Sectional Study On Overweight And Obesity Associated With Fast-Food Consumption In Bangladesh, Farhana Sultana, Shafayet Ahmed Siddiqui, Md. Ashraful Islam, Mohammad Hamid Al Muktadir, Md. Shalahuddin Millat, Muhammed Mohibul Islam, Abu Montakim Tareq, Nahida Afroz, Mahabuba Rahman, Mohammad Nurul Amin, Talha Bin Emran

Makara Journal of Health Research

Background: This study aimed to investigate the risk factors and status of fast-food consumption among students in Bangladesh.

Methods: This cross-sectional study was conducted from March to November 2020. A total of 654 samples were collected from several schools, colleges, and universities during this study period.

Results: About 60.1% and 39.9% of the students were male and female, respectively. Of the students, 53.1% considered fast food as unhealthy (p < 0.001), but only 47.7% were leading a sedentary lifestyle. A significant outcome of overweight and pre-obesity was observed for student institutions, consumption frequency, daily fast-food consumption, and sedentary lifestyle (p < 0.001). In addition, positive association was observed for fast-food consumption more than three times and less than three times per week (OR and 95% CI: 11.13 [7.52–16.47], p < 0.001), higher social class and lower class (OR and 95% CI: 2.18 [1.31–3.62], p = 0.003), fast food preference and other foods (OR and 95% CI: 1.55 [1.11–2.15], p = 0.009), and sedentary and heavily active lifestyle (OR …

Body Image Perception And Its Association With Food Intake Among Undergraduate Students In Kuala Lumpur, Malaysia, Christie Loke Sin Mun, Roslee Rajikan, Hanis Mastura Yahya

Makara Journal of Health Research

Background: Body image dissatisfaction may lead to the practice of imbalanced diet to achieve the desired body weight. This study aimed to determine the association between body image perception and food intake among undergraduate students.

Methods: This cross-sectional study was conducted on the data of 155 students from three faculties located at National University of Malaysia, Kuala Lumpur. Assessments included demographic data, body mass index, Contour Drawing Rating Scale, and 3-day food records.

Results: The majority of the subjects were categorized as normal weight (64.5%), and the remaining were classified as underweight (26.5%), overweight (7.7%), and obese …

Selection Of Commercially Available Membrane Between Resorbable And Nonresorbable Materials For Guided Bone Regeneration, Yunia Dwi Rakhmatia, Yasunori Ayukawa, Akihiro Furuhashi, Kiyoshi Koyano

Journal of Dentistry Indonesia

Objective: This study aims to evaluate the commercially available membranes used for treatment in Guided Bone Regeneration (GBR). Methods: Four membranes resorbable and non-resorbable were used and a critical size defect in six-week-old Wistar rats was created for membrane application. Meanwhile, the defect without membrane treatment was used as the control (C). Results: After 4 and 8 weeks, all rats were euthanized and block biopsies of calvaria including membrane were excised and analysed using microcomputed tomography (micro-CT). The sections were dehydrated with graded ethanol, embedded in resin, and cut for histologic evaluation. After 4 weeks, all membrane …

Critical Evaluation Of Failed Maxillary Resin Bonded: A Case Study, Yew Hin Beh, Azirrawani Ariffin

Journal of Dentistry Indonesia

Resin bonded bridge (RBB) is a conservative, medium to long-term restoration of missing teeth. A high rate of debonding was the main limitation in a clinically demanding situation. Objective: To highlight the critical evaluation in identifying the contributing factors leading to the failure of RBBs and avoiding as well as controlling such factors optimally prior to providing further rehabilitative treatment. Case report: This case illustrates a young patient who received resin bonded bridges to replace her missing lateral incisors. Unfortunately, she had issues with bridge debonding, in which one of the abutment teeth was extracted due to caries …

Effects Of Lime (Citrus Aurantifolia Swingle) Peel Extract Addition To Periodontal Dressing On The Number Of Blood Vessels In The Gingival Wound Healing Process, Malianawati Fauzia, Savira Pratista Oktaviana

Journal of Dentistry Indonesia

Background: Periodontal dressings that are currently available can only protect wounds from mechanical trauma, but have no ability to accelerate wound healing. Lime (Citrus aurantifolia Swingle) peel extract added to periodontal dressing contains flavonoids which can stimulate the formation of new blood vessels, thus accelerating the healing process. Objective: To determine the effects of adding lime (Citrus aurantifolia Swingle) peel extract to periodontal dressing on the number of blood vessels in the gingival wound healing process. Methods: 32 rabbits with 2 mm wound made on the gingiva were divided into 8 groups. For the control groups of …

Primary Oral Myiasis Of Anterior Maxilla In An Intellectually Disabled Female – A Case Report, Sridhar M, Shivayogi Charantimath, Anjana Bagewadi, Lokesh Kumar S, Arun Panwar, Jayapriya T, Vaishali Keluskar

Journal of Dentistry Indonesia

“Myiasis” is a term used to represent invasion caused by fly larvae that affect organs and tissues of human beings and feeds on the host tissue. It is a rare and non-specific pathology that varies according to the species of fly larvae and the area of the body involved. Various factors like extraction wounds, uncontrolled diabetes, necrotic tissues, alcohol addiction, poor oral hygiene, immunocompromised conditions and people with special care needs like debilitated or mentally challenged individuals predispose to develop myiasis. We hereby report a case of oral myiasis of the maxillary anterior region of the palate and labial mucosa, …

Neutral State Access To Ukraine’S Food Exports, James Kraska

International Law Studies

This article originally appeared in Articles of War, the online publication of the Lieber Institute at the U.S. Military Academy, May 18, 2022, https://lieber.westpoint.edu/neutral-state-access-ukraines-food-exports/.

An Overview Of The Regulations Of Corporate Social Responsibility (Csr) Labelled Product, Zaid Zaid

Indonesia Law Review

Over the last 5 years, Indonesia has experienced an emergency of illegal products. Most of them are imported products that do not have adequate labeling standards which can adversely affect both domestic or national trade and stakeholders. On the other hand, product labels are one of the most effective ways to detect the legality, safety, and warranty of a product. This article aims to explore and analyze how the role of product labels can protect and cover social interests. In addition, this research also tries to observe how ethics and laws or regulations regulate product labels to provide a moral …

Proteome Phenotypes Discriminate The Growing Location And Malting Traits In Field-Grown Barley, Mahya Bahmani, Angéla Juhász, James Broadbent, Utpal Bose, Mitchell G. Nye-Wood, Ian B. Edwards, Michelle L. Colgrave

Research outputs 2022 to 2026

Barley is one of the key cereal grains for malting and brewing industries. However, climate variability and unprecedented weather events can impact barley yield and end-product quality. The genetic background and environmental conditions are key factors in defining the barley proteome content and malting characteristics. Here, we measure the barley proteome and malting characteristics of three barley lines grown in Western Australia, differing in genetic background and growing location, by applying liquid chromatography-mass spectrometry (LC-MS). Using data-dependent acquisition LC-MS, 1571 proteins were detected with high confidence. Quantitative data acquired using sequential window acquisition of all theoretical (SWATH) MS on barley …

Virtual Global Health In Graduate Medical Education: A Systematic Review, Lisa Umphrey, Nora Lenhard, Suet Kam Lam, Nathaniel E Hayward, Shaina Hecht, Priya Agrawal, Amy Chambliss, Jessica Evert, Heather Haq, Stephanie M Lauden, George Paasi, Mary Schleicher, Megan Song Mchenry

Faculty, Staff and Students Publications

OBJECTIVES: To synthesize recent virtual global health education activities for graduate medical trainees, document gaps in the literature, suggest future study, and inform best practice recommendations for global health educators.

METHODS: We systematically reviewed articles published on virtual global health education activities from 2012-2021 by searching MEDLINE, EMBASE, Cochrane Library, ERIC, Scopus, Web of Science, and ProQuest Dissertations & Theses A&I. We performed bibliography review and search of conference and organization websites. We included articles about primarily virtual activities targeting for health professional trainees. We collected and qualitatively analyzed descriptive data about activity type, evaluation, audience, and drivers or barriers. …

Effect Of Floor Cooling On Sows Under Heat Stress, Javier Flores

American Journal of Rising Scholar Activities

With temperatures increasing steadily throughout the last century, the hog farrowing industry is beginning to confront an ongoing dilemma. Temperatures are now exceeding ideal conditions for optimal milk production, as well as maximum litter size. Temperatures that exceed optimal conditions can lead to significant heat stress among sows. Efficiently cooling-down sows, while keeping piglets at ideal temperatures, is the focus of this project. A cooling pad was built with copper pipes inside a high-density polyethylene board, covered by an aluminum plate. Experimental treatments included cool water flowing through the copper pipes at different levels depending on the specific sow. Intervals …

Purdue Hog Cooling Pad Experience, Marco Baez

American Journal of Rising Scholar Activities

The demand for food is increasing with the growing population. The pork industry is currently thriving and will continue to prosper as long as sows continue to reproduce. However, the reproduction of pigs is currently facing the problem of heat stress. Environmental temperatures are reaching extremes, and lactating sows produce less milk for offspring when they are in hot weather. The main reason that they produce less is because of undernourishment. Sows eat less when hot, because when they do eat, it actually causes them to heat-up. The goal of the overall cooling pad effort is to reduce the heat …

Physical Activity And Academic Achievement: An Analysis Of Potential Student- And School-Level Moderators, Peter J. Boedeker, Hannah G. Calvert

Curriculum, Instruction, and Foundational Studies Faculty Publications and Presentations

Background: Many children do not engage in sufficient physical activity, and schools provide a unique venue for children to reach their recommended 60 daily minutes of moderate-to-vigorous physical activity (MVPA). Prior research examining effects of MVPA on academic achievement is inconclusive, and few studies have investigated potential moderators of this relationship. This study examined whether student-level characteristics (gender, race/ethnicity, free/reduced-price lunch status) and school-level characteristics (proportion of students qualifying for free/reduced-price lunch, physical activity environment and opportunities) moderate the relationship between MVPA and academic achievement.

Methods: In a large, diverse metropolitan public school district in Georgia, 4,936 students in Grade …

Zero Discharge Of Nutrient Solution To The Environment In A Soilless Greenhouse Cucumber Production System, Xiaotao Ding, Lizhong He, Rongguang Li, Tingting Qian, Hongmei Zhang, Haijun Jin, Jiawei Cui, Hong Wang, Qiang Zhou, Jun Zou, Dafeng Hui, Yuping Jiang, Kun He, Jizhu Yu

Biology Faculty Research

With the development of the economy and society, more attention is being paid to energy costs and the potential environmental pollution caused by vegetable cultivation. The aim of this study was to investigate the impacts of zero discharge of nutrient solutions on cucumber growth, leaf photosynthesis, and the yield and quality of cucumber under greenhouse conditions. The results show that zero discharge treatment did not change plant height, stem diameter, internode length, leaf area, net photosynthetic rate (Pn), stomatal conductance (Gs), intercellular CO2 concentration (Ci), transpiration rate (Tr), and leaf relative chlorophyll content on the most measurement days. Only Pn …

Infection Avoidance Behaviors Across Vertebrate Taxa: Patterns, Processes, And Future Directions, Patricia C. Lopes, Susannah S. French, Douglas C. Woodhams, Sandra A. Binning

Biology, Chemistry, and Environmental Sciences Faculty Books and Book Chapters

An infected animal can behave, smell, sound, and look very different from a healthy version of itself. The same is true when comparing habitats, food, or water sources contaminated with parasite infectious stages to their uncontaminated counterparts. All these differences provide cues or indications of disease risk and thus allow uninfected animals to modify their behaviors in ways that alter disease transmission. This chapter focuses on prophylactic behaviors: host behaviors that reduce the risk of infection. It provides an overview of how infection avoidance behaviors are triggered, then summarizes the avoidance behaviors known to occur in vertebrates, giving special attention …

Effects Of Nutrient Claims On Consumer Purchasing Of Snacks In White-Collar And Blue-Collar Working Environments, Cecily R. Martinez, Amy M. Bardwell, Julie R. Schumacher, Jennifer L. Barnes

Journal of Global Hospitality and Tourism

The objective of this study was to examine nutrient claims signage on the purchasing of snacks in corporate foodservice operations. The effectiveness of claims among foodservice operations serving primarily administrative roles (white-collar) were compared with those serving primarily manufacturing roles (blue-collar). An experimental study was conducted through the implementation of six nutrient claims evaluated by a group of registered dietitians. The snack items were conveniently placed near the cash register to “nudge” purchases, and sales of snacks before and after the implementation of claims were examined. Paired-samples t-tests indicated that after nutrient claims were implemented, sales of snacks increased …