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Fulltext Assessment of breastfeeding problems experienced by mothers in the first six months postpartum: a process of tool development

Manjilala, Februhartanty, Judhiastuty, Basuki, Dian N.

Malays J Nutr, 2014;20(3):351-365.
MyJurnal

Introduction: Studies have found that breastfeeding problems are associated with negative breastfeeding outcomes. Unfortunately, assessing breastfeeding problems can be quite difficult. The objective of the paper is to share the process of tool development for the assessment of breastfeeding problem in an Indonesian setting. Methods: The development of the tool was a two-stage process, consisting of understanding the range and pattern of breastfeeding problems (through literature review, discussions with lactation experts, and in-depth interviews with nursing mothers) and the production of the tool (through discussions with graphic designers and communication practitioners, pre-testing the tools, and finalising a workable, viable tool). The process led the authors to use flash cards for assessing the breastfeeding problems. Each card consisted of information about age, a code number, an image and a description of the breastfeeding problem. Each set of the flash cards represented an age period of 0-1, 1-3, and 3-6 months. The final flash cards were used in a cross-sectional study of 205 mothers of infants aged 6-12 months in Maros District, South Sulawesi. Results: The flash cards captured patterns of breastfeeding problems experienced by mothers within the first month, such as sore nipple, no milk production, fatigue, breast engorgement, and sleepy baby, or those problems that persisted throughout the six-month period such as infants' refusal to breastfeed and mothers feeling fatigued. The decreasing or increasing magnitude of a problem over time was also reflected in the flash cards. Conclusion: Identification of the dynamic patterns and magnitude of breastfeeding problems was successfully captured with the use of flash cards.

Matched MeSH terms: Indonesia
Fulltext Physiological and biomechanical analysis of badminton players: a brief review

Meor Shamsul Mahfudz Jeffry, Nur Ikhwan Mohamad

Jurnal Sains Sukan & Pendidikan Jasmani, 2014;2(1):9-16.
MyJurnal

Badminton is a court
based racquet games to be played either in single (one versus one) or double (two versus two)
in a court. Badminton is a famous sport especially in Asia and among the excellent team in
badminton includes China, Indonesia, Malaysia and South Korea. Outside of Asia, badminton
is well known in England and Denmark. One of the main tasks of strength and conditioning
coach or trainer is to design and implement physical conditioning program. Well developed
and implemented training programs mainly dependable on how accurate the training program
variables being devised and manipulated, in order to serve the need and goals of involved
athletes. Appropriate manipulation of training program variables and modifications made
from time to time relies a lot on the accuracy and reliability of monitoring assessment used.
The main purpose of this review is to identify what has been done previously regarding
physiological and biomechanical profiling of badminton players. It is also the aim of this
review to discuss on the type of test previously used in previous studies, especially with
regards to strength and power assessment, were close enough to movement pattern perform
by a badminton players during an actual badminton match.

Matched MeSH terms: Indonesia
Fulltext Elemental analysis of Indonesian and Australian bituminous coal used at Kapar power station

Muneer Saleh, Ahmad Suhaimi

Journal of Nuclear and Related Technologies, 2008;2008(2):9-17.
MyJurnal

An instrumental neutron activation analytical (INAA) technique is used for the determination of thirty elements in five coal samples collected from Kapar power station, imported from Indonesia and Australia. Analyses of the samples are being associated with standards. All irradiations were performed in the nuclear reactor of Malaysia Nuclear Agency (MNA). Samples were counted by Hyper Pure Germanium (HPGe) detector for short period irradiations at MNA, while for the long period irradiations the samples were counted at Universiti Kebangsaan Malaysia (UKM). The concentrations of thirty elements have been determined: The major components are Cl, Ca, Mg, K, Fe, Ti and Na with the mean concentrations in the range between 70±69 ppm- 6100±1639 ppm; and the trace elements are Zr, V, Mn , Sc, Cr, Co, As ,Br ,Rb ,Sb ,Ba , La, Ce, Nd, Sm, Eu, Tb, Yb, Lu, Hf, Th, U and Ta with the mean concentrations in the range between 0.1381±0.0202 - 69.0±2.8 ppm. The results have been compared to the reported data of eight coal samples from the United States and the reported data of Australian bituminous coal.

Matched MeSH terms: Indonesia
Plasmodium inui: serologic relationships of Asian isolates

Collins WE, Warren M, Skinner JC, Alling DW

Exp Parasitol, 1970 Jun;27(3):507-15.
PMID: 4986810
Matched MeSH terms: Indonesia
Fulltext Present status of malaria control in Asia

Dy FJ

Bull World Health Organ, 1954;11(4-5):725-63.
PMID: 13209318

The author summarizes the information given by 13 governments-Afghanistan, Burma, Ceylon, China, India, Indonesia, Malaya, Netherlands New Guinea, Philippines, Portuguese India, Sarawak, Thailand, and Viet Nam-on their existing and proposed malaria-control programmes in response to a questionnaire prepared by WHO for discussion at the First Asian Malaria Conference, which was held in Bangkok in September 1953.Although in late 1953 nearly 46.5 million of the 271 million people living in malarious regions were protected against the disease, more than 224 million others were still unprotected.It is noted that residual-insecticide spraying-the basis of most campaigns-has significantly reduced spleen- and parasite-rates; that the minor opposition to spraying initially encountered in some places quickly disappeared as the benefits became apparent; that malaria control has resulted in general improvements in public health and has promoted socio-economic development; that anopheline resistance to the insecticides used has not been observed; that ten governments voiced the need for indoctrination of public officials concerning malaria control; and that there is a trend among governments to make financial provision for long-term malaria-control schemes.

Matched MeSH terms: Indonesia
Customers satisfaction towards Posyandu at urban and rural areas

Sharifa Ezat, W.P., Aniza, I., Jamiah, M., Khalib, L., Dwiyanti

Journal of Health Management, 2008;4(1):88-95.
MyJurnal

Customer satisfaction is one of the main priority to any service provider. It indicates process and quality involved in delivering of services. However, satisfaction level varies from one service to another. In Indonesia, satisfaction study is seldom done on Posyandu activity. This study tries to understanding this issue. A cross sectional study was conducted on Posyandu services located in urban and rural areas of South Sumatera, Indonesia from November 2005 until January 2006 with 125 respondents in urban area and 123 respondents in rural area using multi stages random sampling. Data was collected via structured questionnaires using SERVQUAL score method based on five dimensions : tangible, reliability, responsiveness, assurance and empathy. The results showed that the proportion of satisfied customers was higher at 74% particularly in the rural area. Satisfied respondents were significantly associated with age, education, income and distance to Posyandu services. The most satisfying dimension were tangible and reliability especially in the urban area, but not for responsive and empathy dimension. Overall, the mean SERVQUAL score of all dimension was higher for the urban as compared to the rural area, implying that customer perceptions are much better from what was expected.
Responsive and empathy dimension were the main barrier affecting customer satisfaction. Staff development efforts such as training, refreshing and others form of organizational development strategies, therefore, need to be incorporated into its current managerial practice in order to improve the health services delivery and increase customers' satisfaction.

Matched MeSH terms: Indonesia
Traditional midwives and family planning in Asia

Rogers EM, Solomon DS

Stud Fam Plann, 1975 May;6(5):126-33.
PMID: 1145693 DOI: 10.2307/1964747

The objectives of this article are (1) review the contribution of traditional midwives to family planning communication in several Asian countries; (2) organize knowledge gathered from various studies into general guidelines for the most effective use of traditional midwives in family planning programs; and (3) present hypotheses for future research. In certain countries where pilot projects have tested the potential performance of traditional midwives in family planning programs, results have been encouraging. In other nations, more research is needed to determine the contribution traditional midwives can make to the family planning program.
PIP: Traditional midwives are found in almost every village and in many urban neighborhoods in the developing world, delivering the majority of births in these areas. Several Asian nations have begun to recognize the potential contribution of traditional midwives to modern family planning and health programs. A total of about 17,000 traditional midwives have been trained as family planning recruiters in Indonesia, Malaysia, the Philippines, and Thailand. Because traditional midwives deliver a large number of births in Asian nations, the potential is great for them to reach large numbers of women regarding family planning -- particularly poor, illiterate women. There is much to be learned from the traditional health system and governmental health and family planning programs should join hands with these older systems.

Matched MeSH terms: Indonesia
THE PATTERNS OF DYADIC FOREIGN CONFLICT FOR 1963

Hall D, Rummel RJ

Multivariate Behav Res, 1970 Apr 1;5(3):275-93.
PMID: 26812697 DOI: 10.1207/s15327906mbr0503_2

Five patterns of dyadic foreign conflict behavior were delineated for 1963. The first of these patterns was negative communications, which accounted for patterns, violence intensity, and warning and defensive acts, marked the general decrease in military activity from 1966 to 1963. The most militant conflict behavior in 1963 was that of China to Taiwan and Taiwan to China. There were a number of warning and defensive acts, most noteworthy being those of Indonesia to Malaysia and Malaysia to Indonesia. Negative sanctions and unofficial incidence of violence were the most stable patterns of foreign conflict behavior between 1966 to 1963, each accounting for about ten percent of foreign conflict behavior. The United States was involved in a number of sanctions directed against Cuba, the Dominican Republic, Russia, and South Vietnam. The unofficial incidents of violence occurred most frequently in the less developed, smaller nations, and were frequently directed against major world powers. The negative communication pattern characterized the primary behavior of the major world powers.

Matched MeSH terms: Indonesia
Exophthalmos in ritual sculptures in the Sunda Isles

Ber A

Int Surg, 1970 Apr;53(4):279-85.
PMID: 4907253
Matched MeSH terms: Indonesia
Fulltext Some observations on the cholera (E1 Tor) epidemic in 1961-62

Felsenfeld O

Bull World Health Organ, 1963;28(3):289-96.
PMID: 13962884

The author discusses some of the features of the cholera epidemic caused by El Tor vibrios in 1961-62 in the Western Pacific. The disease originated in the Celebes and spread from there to other parts of Indonesia, to Sarawak and, possibly, to Kwangtung. Hong Kong and Macau were most probably infected from Kwangtung. Subsequently the disease reached the Philippines, progressing from Manila southwards to the other islands, whence it invaded British Borneo. The El Tor epidemic did not differ clinically or epidemiologically from other cholera outbreaks observed during the past decade. The disease attacked poor, under-nourished people living under insanitary conditions. It spread along the coastline and, to a limited extent, along inland waterways. The authorities in the affected territories recommended that the quarantine regulations, sanitary measures and treatment methods used against cholera caused by the so-called "true" cholera vibrios be applied also to cholera caused by El Tor vibrios.

Matched MeSH terms: Indonesia
Fulltext Cost of type 2 diabetes mellitus in selected developing countries

Wan Norlida Ibrahim, Syed Aljunid, Aniza Ismail

Malaysian Journal of Public Health Medicine, 2010;10(2):68-71.
MyJurnal

Increasing prevalence of chronic diseases is a major contributor for rapid rise in healthcare cost in developing countries since the last decade. It was estimated that around 54% of deaths in developing countries are due to chronic non-communicable diseases which is predicted to rise by 65% by 2030. Diabetes mellitus is among the most prevalent chronic diseases suffered by more than 180 million people worldwide. By 2030 it is estimated that around 400 million people in the world will be afflicted with diabetes. Annual deaths attributable to diabetes are probably as high as 3 million with more than 80% occur in developing countries. India, China and Indonesia are three countries in the Asian region with most number of people with diabetes. The total number of cases in these three countries is expected to increase more than double from 61 million in 2000 to 163 million in 2030. China and India will suffer cumulative GDP loss of 13.8% and 16.7% respectively, over the next ten year period. Assessing economic burden of diabetes is a challenging task for researchers because identification of direct and indirect cost of the disease is often complex since patients with diabetes also suffers from other complications and co-morbidities. In conclusion, the heavy economic burden of diabetes pose major challenges to health policy makers in developing countries to assess the current approach in managing this chronic disease. Serious efforts should be made on focusing and up-scaling activities on health promotion and prevention of diabetes so that to provide a more cost-effective solution to this condition with huge and increasing economic loss.

Matched MeSH terms: Indonesia
Fulltext Epidemiological screening of lymphatic filariasis among immigrants using dipstick colloidal dye immunoassay

Wan Omar A, Sulaiman O, Yusof S, Ismail G, Fatmah MS, Rahmah N, et al.

Malays J Med Sci, 2001 Jul;8(2):19-24.
PMID: 22893756

We have recently reported that a dipstick colloidal dye immunoassay (DIA) that detect parasite antigens in human serum is sensitive and specific for the diagnosis of active infection of lymphatic filariasis. Rabbit polyclonal antibodies (RbBmCAg) labelled with a commercial dye, palanil navy blue was used to detect filarial antigenemia among Indonesian and Bangladeshi immigrant workers (N= 630) at oil palm estates at Hulu Trengganu District, Peninsular Malaysia. Microfilaremia with Brugia malayi were detected in 51 (8.10 %) individuals, of which 42 (6.67 %) were among the Indonesians and 9 (1.98 %) among the Bangladeshis. Microfilaremia with Wuchereria bancrofti were detected in 33 (5.24 %) individuals of which 15 (2.38 %) were among the Indonesians and 18 (2.86 %) among the Bangladeshis workers. The DIA detected 96 (15.24 %) antigenemic cases which comprise of all the microfilaremic cases and 15 (2.38 %) amicrofilaremic cases. The amicrofilaremic cases with filarial antigenemia consisted of 9 (1. 43 %) Indonesians and 6 (0.95%) Bangladeshis. We have used 6 ul of the RbBmCAg and diluted (1:10) patients' sera per dipstick which make the DIA reagent conservative. The DIA is a rapid test and can be read in approximate 2 hours.. Additionally, coloured dots developed in the DIA can be qualitatively assessed visually for intensity. The DIA does not require sophisticated equipment or radioactivity, and therefore suitable for field application.

Matched MeSH terms: Indonesia
Fulltext Indonesian version of the fear of COVID-19 scale: validity and reliability

Mohd Amiruddin Mohd Kassim, Friska Ayu, Assis Kamu, Pang,Nicholas Tze Ping, Ho,Chong Mun, Hafid Algristian, et al.

Borneo Epidemiology Journal, 2020;1(2):124-135.
MyJurnal

Background and Objective: The Fear of COVID-19 Scale (FCV-19S) is a seven-item uni-dimensional scale assessing the severity of COVID-19 concerns. A translation and validation of the FCV-19S in Bahasa Indonesia language was expedited in view of the worrying trends of COVID-19 in Indonesia as well as its psychological squeal.
Methods:Formal WHO forward and backward translation sequences were applied in translating the English FCV-19S into Bahasa Indonesia. Indonesian university participants were recruited viaconvenience sampling online using snowball methods. The reliability and validity of the Indonesian FCV-19S was psychometrically evaluated by applying confirmatory factor analysis and Rasch analysis in relation to sociodemographic variables and response to the depression, anxiety, and stress components of the Indonesian version of DASS-21. The sample consisted of 434 Indonesian participants.
Results:The Cronbach α value for the Indonesia FCV-19-I was 0.819 indicated very good internal reliability. The results of the confirmatory factor analysis showed that the uni-dimensional factor structure of the FCV19S fitted well with the data. The FCV-19-I was significantly correlated with anxiety (r=0.705, p

Matched MeSH terms: Indonesia
Fulltext Substituting white rice with brown and black rice as an alternative to prevent diabetes mellitus type 2: a case-study among young adults in Yogyakarta, Indonesia

Helmyati S, Kiasaty S, Amalia AW, Sholihah H, Kurnia M, Wigati M, et al.

J Diabetes Metab Disord, 2020 Dec;19(2):749-757.
PMID: 33553011 DOI: 10.1007/s40200-020-00555-8

Purpose: The purpose of this study is to explore the preference and acceptance of white rice substitution with brown and black rice among young adults in Indonesia to prevent diabetes.
Methods: This study used a qualitative design. Rice preference deeply explored using focus group discussion as a case-study. 85 informants with an average of ages 20 years old were divided into several groups. Several topics to discuss include the reasons to accept or reject brown and black rice, knowledge, attitude, motivation, and potency to substitute white rice.
Results: Price was the main barrier to substitute white rice to brown and black rice. The participants have known brown rice from parents, mass media, and friends. Most of them were still unfamiliar with black rice. Culture also affected the preferences of the participants. To motivate people to change their white rice diet, creative packaging and segmentation of the sale were recommended.
Conclusion: Substituting white to brown and black rice is still a challenge for young adults in Indonesia. Several barriers such as culture, accessibility, and affordability need to be considered. Further efforts are important to manage a program to increase brown and black rice consumption.

Matched MeSH terms: Indonesia
Fulltext Factors Influencing Asia-Pacific Countries' Success Level in Curbing COVID-19: A Review Using a Social-Ecological System (SES) Framework

Ling GHT, Md Suhud NAB, Leng PC, Yeo LB, Cheng CT, Ahmad MHH, et al.

Int J Environ Res Public Health, 2021 Feb 10;18(4).
PMID: 33578829 DOI: 10.3390/ijerph18041704

Little attention has been paid to the impacts of institutional-human-environment dimensions on the outcome of Coronavirus disease 2019 (COVID-19) abatement. Through the diagnostic social-ecological system (SES) framework, this review paper aimed to investigate what and how the multifaceted social, physical, and governance factors affected the success level of seven selected Asia-Pacific countries (namely, South Korea, Japan, Malaysia, Singapore, Vietnam, Indonesia, and New Zealand) in combatting COVID-19. Drawing on statistical data from the Our World In Data website, we measured the COVID-19 severity or abatement success level of the countries on the basis of cumulative positive cases, average daily cases, and mortality rates for the period of 1 February 2020 to 30 June 2020. A qualitative content analysis using three codes, i.e., present (P), partially present (PP), and absent (A) for each SES attribute, as well as score calculation and rank ordering for government response effectiveness and the abatement success level across the countries, was undertaken. Not only did the standard coding process ensure data comparability but the data were deemed substantially reliable with Cohen's kappa of 0.76. Among 13 attributes of the SES factors, high facility adequacy, comprehensive COVID-19 testing policies, strict lockdown measures, imposition of penalty, and the high trust level towards the government seemed to be significant in determining the COVID-19 severity in a country. The results show that Vietnam (ranked first) and New Zealand (ranked second), with a high presence of attributes/design principles contributing to high-level government stringency and health and containment indices, successfully controlled the virus, while Indonesia (ranked seventh) and Japan (ranked sixth), associated with the low presence of design principles, were deemed least successful. Two lessons can be drawn: (i) having high number of P for SES attributes does not always mean a panacea for the pandemic; however, it would be detrimental to a country if it lacked them severely, and (ii) some attributes (mostly from the governance factor) may carry higher weightage towards explaining the success level. This comparative study providing an overview of critical SES attributes in relation to COVID-19 offers novel policy insights, thus helping policymakers devise more strategic, coordinated measures, particularly for effective country preparedness and response in addressing the current and the future health crisis.

Matched MeSH terms: Indonesia
Fulltext Reproductive Toxicity of 3,4-dichloroaniline (3,4-DCA) on Javanese Medaka (Oryziasjavanicus, Bleeker 1854)

Ibrahim MA, Zulkifli SZ, Azmai MNA, Mohamat-Yusuff F, Ismail A

Animals (Basel), 2021 Mar 12;11(3).
PMID: 33809309 DOI: 10.3390/ani11030798

Compound 3,4-dichloroaniline (3,4-DCA) is a metabolite of several urea herbicides and intermediate chemical of several industrial products. Moreover, 3,4-DCA has been frequently detected in aquatic ecosystems around the world. This aniline is more toxic than the parent chemicals, and it affects non-target organisms. This study evaluated a 21-day reproductive response of an emerging aquatic vertebrate model, Javanese medaka (Oryzias javanicus), exposed to 3,4-DCA. Fecundity and gonads histopathology were observed. The spawning rate and fertilisation reduced significantly in the highest exposed-group (250 µg/L). Gonadosomatic index (GSI) was significantly low in females exposed to 250 µg/L. No substantial structural alteration of male gonads. However, oocyte development and ovarian cell structure were disrupted in 250 µg/L exposed females. The gonadal developmental was not affected in the males; however, a significant reduction in the developmental of female gonads was observed at 250 µg/L. These results show that 3,4-DCA interfere with the reproduction of Javanese medaka through fecundity and alteration of gonadal tissues.

Matched MeSH terms: Indonesia
Fulltext Ten Years of Strong Opioid Analgesics Consumption in Malaysia and Other Southeast Asian Countries

Zin CS

J Pharm Bioallied Sci, 2020 Nov;12(Suppl 2):S846-S851.
PMID: 33828388 DOI: 10.4103/jpbs.JPBS_252_19

Background: It was reported that opioid consumption in developing countries was stagnated or decreased, but precise data on the consumption are unclear. This study examined the trends and patterns of opioid consumption in Malaysia and other four Southeast Asian countries.
Materials and Methods: Data of five strong opioids consumption (morphine, oxycodone, fentanyl, pethidine, and methadone) between 2005 and 2014 from Malaysia, Singapore, Indonesia, Thailand, and Vietnam were extracted from the Pain and Policy Studies Group. Defined daily doses per 1000 inhabitants per day (DDD/1000 inhabitants/day) was used for calculating the annual amount of opioid use.
Results: The total consumption of five strong opioids was increased in all five Southeast Asian countries during a 10-year study period. Malaysia was recorded with the largest increase of the opioid consumption (993.18%), followed by Indonesia (530.34%), Vietnam (170.17%), Singapore (116.16%), and Thailand (104.66%). Malaysia also had the highest total strong opioid consumption (11.2 DDD/1000 inhabitants/day), primarily for methadone. Among the opioids used for pain management, fentanyl was primarily used in Malaysia and Singapore but the greatest increase in these two countries was for oxycodone. Fentanyl was also primarily used in Indonesia while morphine was predominantly used in Thailand and Vietnam.
Conclusion: Growing trends of strong opioids consumption in all five Southeast Asian countries demonstrated in this study may indicate improved access to opioid analgesics in these countries. Given the increasing trends, it is important to ensure that the utilization of opioids is according to the guideline to prevent the negative consequences of opioids particularly when used in chronic non-cancer pain.

Matched MeSH terms: Indonesia
Offspring's labor migration and its implications for elderly parents' emotional wellbeing in Indonesia

Kumar S

Soc Sci Med, 2021 05;276:113832.
PMID: 33784552 DOI: 10.1016/j.socscimed.2021.113832

Population ageing and labor out-migration are increasingly challenging normative intergenerational support systems and familial welfare in parts of Asia. Extant studies look at how migration affects the material wellbeing of sending-households, but less is known about how migration shapes the emotional health of non-migrants as origin and destination conditions evolve. This study examines how labor migration among adult children shape the emotional health of elderly parents in Indonesia, and how observed implications are modified by alternative care arrangements and different migrant destinations. Using panel data from 2101 respondents age 50+ in the 2007 and 2014 Indonesia Family Life Survey, and individual-level fixed effects regressions, this study finds that offspring's migration is associated with increased parental depression, net of covariates. Depressive outcomes are abated if resulting care deficits are offset by co-residence or daily interactions with adult children, or if children move to economically lucrative international destinations; however, having a child in Malaysia - a destination characterized by high informal labor employment - increased parental depression. These findings draw attention to the non-economic implications of migration and the distress experienced specifically by parents who lack intergenerational support and who have concerns about child's wellbeing at destination.

Matched MeSH terms: Indonesia
Fulltext Geographical separation and ethnic origin influence the human gut microbial composition: a meta-analysis from a Malaysian perspective

Dwiyanto J, Ayub Q, Lee SM, Foo SC, Chong CW, Rahman S

Microb Genom, 2021 Aug;7(8).
PMID: 34463609 DOI: 10.1099/mgen.0.000619

Ethnicity is consistently reported as a strong determinant of human gut microbiota. However, the bulk of these studies are from Western countries, where microbiota variations are mainly driven by relatively recent migration events. Malaysia is a multicultural society, but differences in gut microbiota persist across ethnicities. We hypothesized that migrant ethnic groups continue to share fundamental gut traits with the population in the country of origin due to shared cultural practices despite subsequent geographical separation. To test this hypothesis, the 16S rRNA gene amplicons from 16 studies comprising three major ethnic groups in Malaysia were analysed, covering 636 Chinese, 248 Indian and 123 Malay individuals from four countries (China, India, Indonesia and Malaysia). A confounder-adjusted permutational multivariate analysis of variance (PERMANOVA) detected a significant association between ethnicity and the gut microbiota (PERMANOVA R2=0.005, pseudo-F=2.643, P=0.001). A sparse partial least squares - discriminant analysis model trained using the gut microbiota of individuals from China, India and Indonesia (representation of Chinese, Indian and Malay ethnic group, respectively) showed a better-than-random performance in classifying Malaysian of Chinese descent, although the performance for Indian and Malay were modest (true prediction rate, Chinese=0.60, Indian=0.49, Malay=0.44). Separately, differential abundance analysis singled out Ligilactobacillus as being elevated in Indians. We postulate that despite the strong influence of geographical factors on the gut microbiota, cultural similarity due to a shared ethnic origin drives the presence of a shared gut microbiota composition. The interplay of these factors will likely depend on the circumstances of particular groups of migrants.

Matched MeSH terms: Indonesia
Fulltext The efficacy of honey-cinnamon commixture in diabetic wound healing. [Abstract]

Azib FN, Lee CH, Mohd Yusof NM, Yusuf N, Mohd Fuad NF, Saharuddin NS, et al.

Malaysian Journal of Medicine and Health Sciences, 2020;16(105):23-0.
MyJurnal

1st UMS INTERNATIONAL NURSING CONFERENCE IN CONJUNCTION WITH 11TH INTERNATIONAL NURSING STUDENTS’ FORUM
A view into the future of nursing: Nursing Transformation towards IR-4.0, Held at the Faculty of Medicine and Health Sciences,, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia, On 6-8th March 2020
Introduction: Delayed wound healing and a hefty cost of treatment poses a burden to those undergoing treatment for Diabetic wound care. An alternative wound product to speed up wound healing may address this problem. Honey has been recognized around the world for its efficacy as treating wounds, eczema, and inflammation while cinnamon has a variety of biological functions including anti-diabetic, anti-microbial, and anti-inflammatory. As both cinnamon and honey possess different properties in wound healing, it is hypothesized that combining both products can accelerate wound healing. This study is to compare the efficacy of pure honey, pure cinnamon and honey-cinnamon commixture in diabetic wound healing.
Methods: Three volunteers were selected from Kitamura clinic, Pontianak, Indonesia participated in this study. Each of them was given a different wound product which were pure honey (subject 1), pure cinnamon extract (subject 2), and honey-cinnamon commixture (subject 3). The wound bed percentage, size, and characteristics were recorded and compared. Results: Usage of pure cinnamon was discontinued during the second visit due to its drying effect. Subjects 1 and 3 both presented with an increase in granulation and reduction in sloughing of cells and biofilm. However, subject 3 showed faster wound contraction and reduction in maceration as compared to subject 1.
Conclusion: Pure cinnamon extract should not be used as a standalone wound product due to its drying properties. However, topical co-administration of honey and Cinnamon cassia extract has a synergistic interaction effect, improves wound healing in diabetic individuals and is recommended as a new topical herbal drug production for treating of the diabetic wound. Further studies on the therapeutic concentration of honey-cinnamon commixture should be conducted.

Matched MeSH terms: Indonesia

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