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Caesarean delivery mode and its impact on children’s growth and cognitive development Rini Sekartini; Levina Chandra Khoe
World Nutrition Journal Vol. 4 No. S2 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S2.0004

Abstract

There is an increasing concern on the potential risk of Caesarean birth on child health outcomes. This study aims to present the current available evidences on the effect of Caesarean section on child’s growth and development. Literature searching were done on several online databases to identify articles which discussed the effect of Caesarean birth on child’s body weight, length, nutritional status, cognitive development, memory, learning ability, and intelligence quotient. Several studies showed positive association between Caesarean and risk of overweight and obesity in childhood, adolescence, and adulthood. While, there has not been sufficient evidences to confirm the association between C-section and child’s cognitive outcomes.
The impact of Caesarean delivery mode towards brain and neurodevelopment among children Tjhin Wiguna; Levina Chandra Khoe
World Nutrition Journal Vol. 4 No. S2 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S2.0005

Abstract

In regards to the rising rate of Caesarean birth globally, there is concern about the risk of Caesarean birth in children. However, the effect of Caesarean delivery towards the child brain and neurodevelopment is not well understood. We reviewed articles from online database with topics related to the relation between caesarean delivery mode and brain development/neurodevelopment/behaviour and emotional development. Several studies discussed how birth mode could affect brain structural connectivity through neural and hormone changes. Some studies also assessed possible effect on child’s psychological development.  The result showed differences in child’s brain development between caesarean and natural delivery in the early life, but not in the long run. Additionally, no significant association between birth mode and emotional problem.
Immune development of children born from Caesarean section Zakiudin Munasir; Levina Chandra Khoe
World Nutrition Journal Vol. 4 No. S2 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S2.0003

Abstract

Several studies results have shown that mode of delivery affects the health of children, and recent studies showed that elective cesarean section (CS) is associated with aberrant short-term immune responses in the newborn baby and an increased risk of developing immune disorders. This article focused on the effect and role of the C-section on the immune development in children. Begin at pregnancy, the infant's immune system is activated and develops years after birth. In this article we find that cesarean delivery mode will influence the offspring's immune system by disrupting the intestinal tract's bacterial colonization, different levels of birth adaptive stress, and altering gene expression epigenetic regulation. Some studies have found that gut microbiome composition plays a significant role in the development of immune system along with other factors such as diet/lifestyle, antibiotic use, formula feeding, vaccination with life vaccine, and pathogen exposure. In early life, disrupted colonization induced dysbiosis that was associated with lower Bifidobacteria and higher counts of C. difficile. These findings are related to infant immune disease and allergy. Dysbiosis following C-section has a huge effect of developing altered immune system, and this microbiome imbalance can be controlled by nutritional support such as maternal breast milk or the use of different combinations of prebiotics and probiotics (synbiotic) which could be beneficial for the immune and metabolic system.
Strengthening Community Program toward Healthy Ageing: What are the Potential Interventions? Endang Mariani Rahayu; Nuri Purwito Adi; Levina Chandra Khoe
Amerta Nutrition Vol. 4 No. 1SP (2020): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v4i1SP.2020.6-9

Abstract

Background: The number of elderly populations is increasing each year. As the number of elderly populations increases, the risk of non-communicable diseases, such as hypertension, diabetes, stroke, will also increase. The main risk factors for this disease include unhealthy diet, inadequate physical activity, smoking, inadequate rest, frequent stress and etc., which are considered as individual's lifestyle. This lifestyle starts when the individual grows up. Therefore, health interventions must be carried out since the individual turns to adulthood in order to prepare themselves for healthy ageing.Purpose: This study aimed to review the conceptual framework necessary to develop public health programs in preparation for healthy aging.Discussion: In the preparation for healthy ageing, health interventions should be conducted by targeting the adult population. The health interventions should be based on the theory of behavior change, life-course approach, and ecological approach. In addition, with the advancement of technology, the health interventions can also be carried out by involving digital intervention. The contextual elements, such as social, cultural and psychological context are also important in implementing the program so that it can be accepted by the targeted community.Conclusion: There is no intervention that fits all levels of society. Therefore, the interventions must be developed specifically for the population according to the local context.
Usability of a Mobile Application for Dengue Fever Reporting by Community Health Workers Agus Sugiharto; Levina Chandra Khoe; Reza Haryo Yudanto; Dani Muhamad Trianto; Muhammad Aji Muharrom
JITSI : Jurnal Ilmiah Teknologi Sistem Informasi Vol 4 No 4 (2023)
Publisher : SOTVI - Society of Visual Informatics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62527/jitsi.4.4.192

Abstract

Community health workers hold an important role in health promotion and prevention of dengue fever. In the Jumantik program, the community health workers sought to find any mosquito larvae at the houses and report the findings to the community health centers (Puskesmas). Nevertheless, the reporting process is still paper-based and complex. This study aims to develop a mobile application that facilitates the reporting process to be more user-friendly and practical for community health workers. We used a system framework with the input-process-output scheme in developing this application. A review of the Puskesmas program and interviews with Puskesmas officers and community health workers were performed to obtain input. The application was tested among programmers and users (i.e., community health workers) to understand its usability and applicability. The users were able to input the data, upload photos, and produce the report. We invited about fifty users to test this application. They provided positive responses and were satisfied with the final product of this mobile application. However, they also suggest adding some functions related to the data storage and availability of this application in the Apple store