Introduction: The Basic Health Research of the Ministry of Health Indonesia in 2008 reported that the single most important cause of death was stroke, in both urban and rural populations. The risk factors underlying the cause of death are associated with hypertension, obesity and dyslipidemia. The purpose of thi s study was to determine the mean intake of trans fatty acids and its relation to dyslipidemia in a sample of Indonesian adults. Methods: A cross-sectional study was conducted on a total of 180 adult male and female respondents aged 35-60 years living in rural and urban areas of Depok city, West Java. Dietary intake was assessed by means of 24-hour recall and semi-quantitative FFQ. Results: The mean intake of trans fatty acids was 0.48% of total calories (urban 0.40% and rural 0.55%). The prevalence of dyslipidemia in the rural and urban subjects were 61.1% and 66.7%, respectively. There was a statistically significant relationship between trans fatty acids intake and hypercholesterolemia and hypertriglyceridemia. Conclusion: The intake of trans fatty acid among the Indonesian adults studied was half the recommended level. The high prevalence of dyslipidemia found indicates the need for intervention to reduce the rising incidence of cardiovascular diseases in Indonesia

Successful aging is a universal goal, but it is a challenge owing to declining physical, psychological, and social conditions that occur with increasing age. The aim of this study was to analyze risk factors and changes in successful aging among older individuals (≥ 60) in Indonesia. This longitudinal study (2000 to 2014) used data from the Indonesia Life Survey (IFLS). Successful aging was defined with physical, mental and social health based on the available questionnaire. The univariate analysis and chi-square- test was used in this study. Of the 801 individuals followed up, 588 (93.2%) were found to have unsuccessful aging and 43 (6.8%) older person showed a change from unsuccessful to successful aging. The proportion of older persons mental and social unhealthy were higher than physical. Factors significantly relating to unsuccessful aging included female sex (p < 0.001), living in rural areas (p < 0.05) or movement from rural to urban areas (p < 0.05), unemployed (p < 0.001), movement from employed to unemployed (p < 0.001), unmarried (p < 0.001) and underweight (p < 0.05). Older individuals who are not categorized as successful aging at the age of ≥ 60 years can still change for better success in aging at ≥ 74 years of age. Maintaining mental and social health of older individuals can be achieved through their empowerment by providing opportunities for social activity and work productivity in the community.

The cross-sectional study was conducted among ESRD patients required haemodialysis in Ipoh aimed at determining their level of knowledge, attitude, and practice (KAP) towards drug phosphate binders. A total of 105 patients on phosphate binders’ medication participated in the study. The questionnaires on sociodemographic characteristics and KAP towards phosphate binder medication were used to obtain the data. In this study, most patients were aged 40 to 60 and slightly more women. Patients were generally highly knowledgeable about phosphate binders. Over 90% of respondents were aware of the importance of the medication and the need to follow the regimen. More 70% of the patients have a positive attitude toward medication. In terms of practice, most of patients take the medication daily (90.5%) and always taking it with meals (93.3%). The older patients aged more than 45 years old, married and not working patients had significantly better compliance to medication. In conclusion, most patients in this study have a good knowledge of phosphate binder medications, a high positive attitude and good adherence to a medication. There is still a need for a structured health education method and counselling session to improve the knowledge of patients, change an attitude of a specific group of patients and increase the treatment compliance focusing on a specific ethnic group, young, unmarried, and employed patients.
Dialysis

Introduction: Carbohydrate (CHO) mouth rinsing can enhance sports performance through a central action mediated by receptors in the mouth. This study examined the effect of a CHO mouth rinse on salivary lysozyme concentrations, mood states and running performances. Methods: Ten males recreational runners were randomised to three running trials with a 1 week recovery period between the trials. Each trial involved running at 75% maximum heart rate (HRmax) for 1 h, followed by a 15 min time trial. The participants used a CHO mouth rinse, placebo (PLA) solution or control (CON, no solution) every 15 min during the exercise. Heart rate (HR), rating of perceived exertion (RPE) and mood states were recorded pre-, during and post-exercise. Saliva samples were collected pre-, post- and 1 h post-exercise. Results: There was no significant interaction and time effect (P > 0.05) on the salivary lysozyme concentration and running performance, but it was significant (P < 0.05) for HR and RPE (increase in all trials). However, there was no significant difference (P > 0.05) in salivary lysozyme concentrations, running performances, HR values or RPE between the trials. Mood states were not significantly different (P > 0.05) between the trials, but one of the mood sub-scales showed a significant (P < 0.001) time effect (increase fatigue in all trials). Conclusion: CHO mouth rinsing did not affect physiological parameters, salivary lysozyme concentrations, mood states or running performance among recreational runners.

Antipsychotic Agents ; therapeutic use ; Cardiovascular Diseases ; epidemiology ; Female ; Humans ; Male ; Metabolic Syndrome ; epidemiology ; Schizophrenia ; drug therapy

This article describes the psychological assessment and management for trauma survivors. An appropriate assessment is essential to ensure that psychotherapy, behavioural treatment and support networks are sufficient for the trauma survivor’s long-term needs or until the individual is capable of functioning normally. In line with the mission of the American Psychological Association (APA) Division 56 (Trauma Psychology), this article suggests practical guidelines for psychologists, counselors and social health workers. Issues discussed include definition of trauma, post-incident symptoms and trauma recovery. Among the types of trauma examined were cancer, sudden death, sexual abuse and AIDS. A working model to initiate assessment was presented together with projected treatment modalities. Additionally, this article also incorporates knowledge on profesional and public education about dissociation, trauma and trauma related disorders besides strengthening knowledge about trauma, dissociation and disorders related to chronic trauma. This article also supports communication and cooperation among clinicians and other profesionals in the field of dissociation and trauma as well as stimulating national and international research projects. Different individuals react differently to a similar event. A person may experience trauma as a reaction to the event while another person may not. Not all individuals who experience a potentially traumatic event will be psychologically traumatised.
Behavioral Medicine

To describe the sociodemographic profile, contraceptive practice, and awareness of HIV infection among unmarried post partum women in the biggest government hospital in Pahang. Methods: A cross sectional questionnaire-proforma-based study was conducted for one year duration from August 2010 until July 2011 by identifying and recruiting all the unmarried women upon admission for delivery. Basic information were obtained from the use of patients’ case notes, and further related and necessary information were obtained from a direct face-to-face interview based on a proforma. Results: A total of 121 unmarried women were identified and recruited. The age ranged from 13 to 36 years with a mean age of 21.6 years. 31.4% were teenagers. Only 16% of patients have tertiary education, and 2.5% never had any formal education. About one third of the women were smokers or ex-smokers, 7.5% had consumed alcohol, but none denied ever use of any recreational drugs. Almost 9% has prior history of being sexually assaulted. About three quarter of the women never used any contraceptive method. Majority of the patients (85.1%) were aware of HIV transmission risk; 75% never had any antenatal checkup or booked at late gestation (> 20 weeks); and 45.8% were not aware of any support groups for single mothers. Conclusion: Single unmarried women are associated with disadvantaged sociodemographic profile. Contraceptive practice was also very low despite significant awareness towards risk of HIV infection. Further follow up, support and care should be offered to these women.

The study was conducted to develop and provide initial validation results for an Indonesian version of the Child-Oral Impacts on Daily Performances measure among children aged 12-15 years in Jakarta. The Child-OIDP followed an established process of cross cultural adaptation. The face and content validity, internal consistency reliability, and discriminant validity of the Indonesian version of the Child-OIDP were assessed by evaluating its psychometric properties. This was accomplished through a cross-sectional study of 502 participants using a random sampling method to select 6 of 287 schools among all public junior high schools in Jakarta. Clinical assesment was done according to the Indonesian version of the Child-OIDP. Result of this study confirmed that the cross-cultural adaptation process of the Indonesian Child-OIDP was well established. All the inter-item correlation coefficients among the eight items of Child-OIDP ranged from 0.12 to 0.41. The corrected item-total correlation coefficients ranged from 0.37 to 0.51. The Cronbach’s alpha coefficient was 0.74. The measure was able to discriminate between different clinical groups in terms of pulpal involvement, ulceration, fistula, and abscess (PUFA), gingival index (GI), and plaque index (PI). Overall, 64.9% of the participants reported at least one oral impact in the past 3 months. The Indonesian version of the Child-OIDP demonstrated excellent internal consistency reliability and was well able to discriminate between different clinical groups among children aged 12-15 years in Jakarta.

Introduction: This study aimed to determine the blood pressure profile for preschool children in Kuching Sarawak and its relationship with sociodemographic characteristics, nutritional status and parental hypertension. Methods: This was a cross sectional study conducted in a government preschool in Kuching district from January to June 2017. Data were collected using questionnaire as well as anthropometric and blood pressure measurements. Data were entered into and analyzed using SPSS Version 22. Results: A total of 229 preschool children participated in this study (response rate of 81%). About 9.7% of the respondents were at risk for hypertension. The mean systolic blood pressure was 95.6 mmHg (SD=8.36), and the mean diastolic blood pressure was 59.9 mmHg (SD=6.09). Ten percent of the children were overweight and 7.4% were obese. Binary logistics regression analysis indicated that gender (Male: OR = 3.085, p< 0.05), parent’s education level (comparing primary education and below with secondary education: OR = 4.88, p<0.05; comparing primary education and below tertiary education: OR = 7.63, p<0.05) and ethnicity (comparing Malay with Chinese: OR = 0.10, p< 0.01) were significantly associated with being at risk for hypertension. Conclusion: The study showed that 9.7% of the children were at risk for hypertension and that 17.4% had abnormal body weights. Identifying and tackling the factors leading to these issues will help to improve and ensure a better quality of non-communicable disease programs offered in primary health clinics and school health programs.

Hypertension has been recognised as an important public health issue, affecting paediatric population. This study aimed to determine the prevalence of hypertension and its relationship with obesity among different ethnic, gender primary school children in Kuching division, Sarawak. It was a cross-sectional study using multistage sampling. Data was collected using anthropometric equipment and digital blood pressure monitor. Data was analysed using SPSS version 20. A total of 1314 respondents participated. 36.9% of the respondents were overweight and obese, 31% were overfat and obese, 29% had abnormal waist circumference and 32.8% had abnormal waist-height ratio (WHtR). About 22.1% of the respondents were found to be in pre-hypertension and hypertension stage. There were significant differences in overweight and obese, overfat and obese, WHtR between males and females. Indigenous Sarawak reported to have the highest number of hypertensive at risk, overweight and obese, overfat and obese, abnormal waist circumference and WHtR. Those respondents who were hypertensive were found to be overweight and obese, overfat and obese, with abnormal waist circumference and WHtR. Screening of potential risk factors at a young age would help to reduce the incidents of chronic disease in the adulthood. Blood pressure measurement should be included in the routine physical examination, to identify high risk children for further investigation.