Background: The nutritional status of lactating mothers (LMs) is related to their own health and significantly impacts the secretion of breast-milk, and subsequently the growth and development of infants. Due to the influence of regional economy, traditional habits, and lack of nutrition knowledge, the problem of poor dietary nutrition among Chinese LMs is prominent. We aimed to evaluate and compare the dietary and nutrient intakes in LMs from urban and rural areas in China to provide baseline data for the implementation of relevant health guidance and strategies. Methods: A multi-stage sampling method was used to recruit urban and rural LMs from 13 provinces and municipalities in China. An online dietary record using food photographs was employed to keep track of what the LMs had eaten in 2 days in the form of face-to-face interview. A total of 954 participants were included in the final analysis. Data expressed as quartiles P50 (P25; P75) were compared using the Mann-Whitney U-test (level of significance: p < 0.05). Results: The consumption of staple food was higher in the rural (283.37 g/d) than in the urban areas (263.21 g/d). The consumption of vegetables, fruits, fish, shrimp, and shellfish, milk and dairy products was lower than the recommended amounts in both areas, and the insufficient intake of these food types was more serious in rural areas. While the energy intake of 83.8% of all LMs was lower than the estimated energy reference, it was comparable in the urban and rural areas. The intake of macronutrients (carbohydrates, protein, and fats) in rural areas was lower than in urban areas. The intake of some vitamins (VA, VB 1 , VB 2 , VB 9 and VC) and minerals (calcium, magnesium, iodine and copper) was not ideal for LMs in both rural and urban areas. Conclusions: Overall, the dietary intake in LMs was lower than the recommended levels. Many essential nutrients failed to meet the recommended doses, both in the urban and rural areas. The deficiencies in micronutrients were more prevalent in rural compared to urban areas. Educating LMs about women's health and appropriate dietary intake is, therefore, essential.
Novel coronavirus was first identified in China in December 2019, causing several cases of the new type of pneumonia. The exported cases were found in other countries, including countries in the Southeast Asia region. At the same time, no cases were confirmed in Indonesia. We aimed to assess COVID-19 related knowledge, precautionary actions, and perceived risk among general Indonesian population when there were no confirmed cases in Indonesia. This study was a descriptive cross-sectional study involving 382 participants aged 17 years and above residing in Indonesia. The data was collected through the online questionnaire from February 19<sup>th </sup>to February 29<sup>th</sup> 2020. The average score of COVID-19 related knowledge was 88.0%, whereas 83.8% of the participants had a high level of knowledge. The average score of taking precautionary actions was 77.4% and 65.7% had a high level of performance. In terms of the perceived risk of COVID-19, only 11.3% of the participants perceived themselves likely to acquire COVID-19 when compared with other diseases or accidents. The perceived risk of COVID-19 was significantly associated with precautionary action (p<0.05). Perceived risk of COVID-19 was at a low level when there were no confirmed cases. Effective strategies of risk communication are needed to improve precautionary actions to prevent COVID-19.
Indonesia confirmed its first coronavirus disease 19 (COVID-19) case on 2nd March 2020, when other countries have already reported several numbers in the previous month. This study aimed to explore the risk perception of Indonesians in the early stage of the COVID-19 outbreak. This cross-sectional study was conducted among 495 participants using a web-based questionnaire. Primary data were collected from 3rd to 27th March 2020 including the perceived severity, vulnerability, threat, self, and response efficacy of the participants. The results showed that the perceived threat of the outbreak in its early stage is the second highest compared to other diseases. The perceived severity among the participants was high. However, they had a low vulnerability. Those in the middle region showed a higher level of self and response efficacy. Meanwhile, people who work as private sector employee (β=0.146, p=0.004), live in the western region (β=-0.184, p=0.000), with a higher knowledge score (β=0.096, p=0.032) had a higher perceived threat. These results found those who had high knowledge, was also had higher perceived risk. The most important of these studies have determined various factors related to risk perception, thus it could be good preliminary evidence for public health authorities to arrange an effective way for epidemic control.
There are well-known traditional risk factors for coronary artery disease (CAD). Among them, smoking is one of the most prominent and modifiable risk factors. This study aims to determine the magnitude of smoking as a risk factor for CAD in the Nepalese population. A hospital-based age- and sex-matched case–control study was carried out with a total of 612 respondents. Bivariate analysis showed that the risk of developing CAD in ex-smokers and current smokers was higher (odds ratio (OR): 1.81 (confidence interval (CI): 1.21–2.7) and OR: 5.2 (CI: 3.4–7.97)), with p-values less than 0.004 and <0.00001, respectively, compared to the risk in never smokers. From stratified socio-demographic, cardio-metabolic, behavioural and psychosocial risk factor analysis, smoking was found to be associated with CAD in almost all subgroups. In the subsequent multivariate analysis, adjustment for socio-demographic, cardio-metabolic and psychosocial risk factors showed a steady increase in risk. However, further adjustment for behavioural risk factors (alcohol use and physical activity) showed that the risk was attenuated by 59% in current smokers. After adjusting for the covariates, current smokers and ex-smokers had an increased risk of CAD (OR: 6.64, 95% CI: 3.64–12.12, p < 0.00001; OR: 1.89, 95% CI: 1.08–3.31, p < 0.012, respectively) compared with non-smokers. In conclusion, smoking was found to increase the risk of CAD in the Nepalese population.
Suatu institusi pemerintahan harus membuat sebuah aturan atau kode etik secara sistematis demi menjaga moral, mutu, dan kontrol sosial di masyarakat umum. Begitu juga legislator. Ia harus paham segala tindakan baik di dalam sidang maupun diluar siding demi menjaga nama baik wakil rakyat. Jika melanggar kode etik, ia bisa dikenakan sanksi. Artikel ini merupakan kajian normatif dengan pendekatan konseptual dan perundang-undangan. Kajian ini melihat seperti apa keberlakuan kode etik profesi DPR dalam permasalahan kekerasan seksual dan apa hukuman yang diterima apabila anggota DPR melakukan pelanggaran kode etik profesi. Kajian ini juga melihat substansi hukum yang mengatur antar struktur hukum yang dikenakan pada si pelaku hingga pencegahan dan solusi terhadap pelanggaran kode kode etik apabila terulang kembali.
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